local community health needs€¦ · diana silvey program director winter park health foundation....
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Local Community Local Community Health NeedsHealth Needs
Diana Silvey
Program Director
Winter Park Health Foundation
2009 East Central FL Community Health Survey
• WPHF & FL Hospital were major sponsors with additional support provided by other community partners
• Conducted by Health Council of East Central FL (HCECF)
• 3rd such survey (every 5 years)• Includes Orange, Seminole, Osceola and Brevard counties
• Oversampling in Winter Park, Maitland and Eatonville communities
Healthy People 2010
• Set of health objectives for the nation to achieve in first decade of new century
• 2 major goals– Increase Quality and Years of Healthy Life
– Eliminate Health Disparities
• 28 specific focus areas for disease prevention and health promotion
What do we know about Winter Park’s population? (race/ethnicity)
Race and Ethnicity - Winter Park
Black10.1%
Hispanic4.1%
Other3.4%
White82.4%
What do we know about Maitland’s population? (race/ethnicity)
Race and Ethnicity - Maitland
White80.4%
Other4.8%
Hispanic5.6%
Black9.2%
What do we know about Eatonville’s population? (race/ethnicity)
Race and Ethnicity - Eatonville
Black86.3%
Hispanic3.4%Other
3.1%
White7.3%
Winter Park’s Age Breakdown
Age Groups - Winter Park
3.1%
14.2% 14.1%
4.9% 5.0% 5.4%9.7% 10.8% 9.7%
22.9%
0.0%5.0%
10.0%15.0%20.0%25.0%
Under5
5 to 9 10 to14
15 to17
18 to24
25 to34
35 to44
45 to54
55 to64
65 andover
Years
Maitland’s Age Breakdown
Age Groups - Maitland
4.4%
15.1% 16.2%
8.9%11.3%
5.2%7.7%7.4%
5.9%
17.8%
0.0%5.0%
10.0%15.0%20.0%
Under5
5 to 9 10 to14
15 to17
18 to24
25 to34
35 to44
45 to54
55 to64
65 andover
Years
Eatonville’s Age Breakdown
Age Groups - Eatonville
4.5%
15.7%
7.6%11.0% 10.6% 8.8% 11.8%
8.5% 10.4%11.1%
0.0%5.0%
10.0%15.0%20.0%
Under5
5 to 9 10 to14
15 to17
18 to24
25 to34
35 to44
45 to54
55 to64
65 andover
Years
Below Poverty Level
Percent Below Poverty Level
3.5%7.5%
14.3%6.4%
21.9% 25.0%
0.0%5.0%
10.0%15.0%20.0%25.0%30.0%
Families Individuals
Winter Park Maitland Eatonville
Above Poverty Level
Percent Above Poverty Level
92.5% 96.5% 93.6%78.1% 75.0%85.7%
0.0%20.0%40.0%60.0%80.0%
100.0%120.0%
Familes Individuals
Winter Park Maitland Eatonville
Self‐Perception of Health
• 14.7% of WP – fair or poor health• 13.5% of MT• 17.0% of EV
• HP 2010 benchmark is 10%• No change from five years ago.
“Healthy Lifestyle”Key Data Points
• Healthy food
• Exercise
• Weight/BMI
• Smoking
• Drinking
Healthy FoodFruits and Vegetables Consumption
Still room for improvement, but doing better
54.1%
39.7%
32.3% 30.8%
53.9%
31.1%
57.6% 58.9%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Fruit (2+ Svgs/day) Vegetables (3+ Svgs/day, 1/3 dark green/orange)
Winter Park/ Maitland/ Eatonville East Central Florida Orange County Orange County, 65+
Exercise
• Participation in any physical activity – improved from 5 years ago!
• WP – 73.6%
• MT – 74.9%
• EV – 65.5%
• Find that lower socioeconomic, non‐white, poor, less apt to have time or ability to exercise
Exercise continued
• Exercise more than 2 days a week….HP 2010 target is pretty low at 30%
• WP – 23.6%
• MT – 23.9%
• EV – 28.5%
Weight/BMI – worsening trend in overweight and obese
8.8%
1.5%
29.8%
38.8%
30.1%
22.2%
27.5%
37.1%
33.1%35.4%
32.2%
2.6%
28.5%
37.0%
33.5%
1.0%0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
Underweight Normal Overweight Obese
Winter Park/ Maitland/ Eatonville East Central Florida Orange County Orange County, 65+
Smoking
• Smoking has decreased about 3‐5% since last survey
HP 2010 TARGET is 12% or lower:
• 17.5% smoke in WP
• 18.0% MT
• 14.7% EV – encouraging finding!
Alcohol – Binge Drinking on the Rise; Elderly Largest Group of Chronic
Drinkers
3.1%
27.3%
2.6%
27.8%
0.6%
14.4%
17.8%
2.4% 2.9%
7.8%
3.9%
18.9%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Chronic Drinker (60+ drinks/month) Binge Drinker (more than 5 drinks on an occasion)
Winter Park Maitland Eatonville East Central Florida Orange County Orange County, 65+
Lung Disease or Asthma –disproportionate in the poor,
uninsured, non‐White population
10.4% 10.7%10.1%
10.6%
7.3%
8.1%8.3%
9.3%
10.2%
8.5%
9.8% 9.6%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
Winter Park Maitland Eatonville East CentralFlorida
Orange County Orange County,65+
Chronic Lung Disease Asthma
Heart Disease or Stroke – also disproportionate burden on same
categories of vulnerability
6.7%5.8% 5.9%
6.6% 6.4%
22.8%
13.4%
2.4%2.5%1.4%
2.7%3.2%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Winter Park Maitland Eatonville East CentralFlorida
Orange County Orange County,65+
Chronic Heart Disease Stroke
Cancer/Skin Cancer Rates Have Improved Overall
25.5%
9.7%
6.0%6.5%5.2%
7.2%
8.7%
12.1%
5.5%
8.5%
0.6%
10.7%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Winter Park Maitland Eatonville East CentralFlorida
Orange County Orange County,65+
Cancer Skin Cancer
Mental Health –poor adversely impacted
12.5%
26.6%
12.3%
9.8%
26.4%
6.1%
7.9%
11.3%
10.4%
11.5%
27.5%
12.0%
7.4%
30.3%
9.6%
28.5%28.3%
9.1%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
Fair or Poor Mental
Depressed on most days (for2 years or more)
Depression*
Winter Park Maitland Eatonville East Central Florida Orange County Orange County, 65+
*Suffered from or diagnosed with depression.
Depressed on most days (for 2 years or more)
Depression *
Diabetes – more common in non‐White population and obese
11.7%10.9%
16.1%
12.0% 12.1%
22.3%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Winter Park Maitland Eatonville East CentralFlorida
Orange County Orange County,65+
High Blood Pressure/Cholesterol –worsening trend
70.1%
35.2%35.5%
41.8%
34.0%37.0%
60.4%
37.0%36.8%34.9%34.9%36.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
Winter Park Maitland Eatonville East CentralFlorida
Orange County Orange County,65+
Hi BP Hi Cholesterol
Questions