Ottawa County Behavioral Risk Factor Survey. Addendum. GIS Zone Maps. A Research Project for. Addendum Table of Contents 4/11/2012

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1 A Research Project for 2011 Behavioral Risk Factor Survey Addendum Zone Maps Depicting Research Results from the 2011 Behavioral Risk Factor Survey Prepared by: Marcia Knol Health Department Martin Hill, PhD Linda Warner The Carl Frost Center for Social Science Research Hope College December 2011 Addendum Table Contents Page Introduction 4 Zone Maps by Section Health Status Indicators 8 Health Care Access 29 Risk Behavior Indicators 33 Clinical Preventive Practices 46 Chronic Conditions 71 GIS Zone Maps Carl Frost Center for Social Science Research 3 1

2 Zone Maps Map with Zones The following Geographic Information System (GIS) maps show each key BRFS measure according to its distribution across ten geographic zones in. These zones are formed by combining one or more postal ZIP codes in. Some zones consist a single ZIP code while others have as many as eight. Each survey respondent is assigned to one the ten zones according to their reported residential ZIP code. The map on the following page displays the geographic area each zone, the specific ZIP code(s) it, the number BRFS survey respondents in each zone. Carl Frost Center for Social Science Research 5 Carl Frost Center for Social Science Research 6 Zone Maps This section contains two types maps: 1) Based Maps: These maps compare the ten zones to each other based on s data. For each key measure, there is a map that indicates the proportion survey respondents who reported that measure in each the ten zones. The division the data into breaks by zone was done using the Jenks Natural Breaks Method. The breaks are indicated by the color the zone. Darker colors indicate a zone s proportion is worse than lighter colored zones. White diagonal lines in a zone indicate that the zone s proportion for that measure is worse than the comparable measure for Michigan. Not all maps have a corresponding MI measure. Health Status Indicators 2) Centers for Disease Control Prevention Based Maps: For those BRFS measures that have maps created by the CDC indicating which U.S. states fare better or worse, there is also a corresponding map. These maps compare Ottawa County s ten zones according to the same breaks used nationally by the CDC in their U.S. maps. In general, darker colors indicate a zone s proportion is worse than lighter colored zones. The exceptions are 3 maps marked with a red star where the darkest color is best lightest color is worst. White diagonal lines in a zone indicate that the zone s proportion for that measure is worse than the comparable measure for Michigan. Since the total number respondents residing in each zone can range from as low as 43 to as high as 250, the cited proportion a zone may have a wide error interval. It is best to use these maps directionally instead predictively. Carl Frost Center for Social Science Research 7 2

3 Fair/Poor Health Comparison Fair/Poor Health Overall 9.9% 9 10 Dissatisfaction with Life Lack Social & Emotional Support Overall 4.5% Overall 4.4%

4 Poor Physical Health Poor Mental Health Overall 8.1% Overall 6.8% Activity Limitation Ever Having Diagnosis Anxiety Overall 5.1% Overall 14.8%

5 Ever Having Diagnosis Depression Current Major Depression Overall 18.8% Overall 4.6% Any Disability Limited Disability Overall 22.2% Overall 21%

6 Comparison Limited Disability Disability with Special Equipment Overall 6% Comparison Special Equipment Obesity Overall 25.8%

7 Comparison Obesity Overweight Overall 36.7% Comparison Overweight Not Overweight or Obese Overall 37.4%

8 Health Care Access Uninsured (18-64) Overall 12.6% 30 Comparison Uninsured Difficulty Getting Needed Healthcare Overall 11%

9 Risk Behavior Indicators Inadequate Physical Activity Overall 12.7% 34 Comparison No Physical Activity Current Smokers Overall 17.2%

10 Comparison Current Smokers Heavy Drinking Overall 7.5% Comparison Heavy Drinking Binge Drinking Overall 20.5%

11 Comparison Binge Drinking Seatbelt Use Overall 90.2% Inadequate Fruit/Veg Intake Sweetened Drink Consumption Overall 83.6% Overall 25.3%

12 Not Using Calorie Information at Restaurants Clinical Preventative Practices Overall 46.6% 45 No Personal Physician No Routine Check-up Overall 12% Overall 26.2%

13 Ever Having a Mammogram Mammogram in Past Year Overall 94.1% Overall 70.4% Mammogram in Past 2 Years Ever Having a Pap Test Overall 83.2% Overall 92.4%

14 Pap Test Previous 3 Years Doctor Recommending a PSA Test Overall 85.3% Overall 61.4% Ever Having a PSA Test Ever Having a Sigmoidoscopy or Colonoscopy Overall 64.6% Overall 75%

15 Comparison Colon Screening Had a Sigmoidoscopy or Colonoscopy Past 5 Years Overall 84.1% No Dental Visit Comparison No Dental Visit Overall 21.6%

16 No Teeth Cleaning Missing Any Permanent Teeth Overall 21.9% Overall 33.7% Comparison Missing Any Permanent Teeth Missing 6+ Permanent Teeth Overall 9.1%

17 Flu Vaccine in Past Year (18+) Flu Vaccine in Past Year (65+) Overall 43.1% Overall 68.1% Comparison Getting Flu Shot Pneumonia Vaccine in Lifetime (65+) Overall 71.1%

18 Comparison Getting Pneumonia Shot Lighter colors are worse than darker colors. Pneumonia Vaccine in Lifetime (18+) Overall 27.6% Chronic Conditions Ever Having Diabetes Diagnosis Overall 7.3% 72 18

19 Comparison Ever Told Have Diabetes Ever Having Asthma Diagnosis Overall 13.5% Comparison Ever Told Have Asthma Current Asthma Overall 8.4%

20 Comparison Current Asthma Ever Having Heart Attack Diagnosis Overall 2.1% Comparison Ever Told Had Heart Attack Ever Having Coronary Heart Disease Diagnosis Overall 3%

21 Comparison Ever Told Have CHD Ever Having a Stroke Diagnosis Overall 1.2% Comparison Ever Told Had Stroke Ever Having Skin Cancer Diagnosis Overall 7.3%

22 Ever Having Other Cancer Diagnosis Ever Having COPD Diagnosis Overall 5.3% Overall 4.5% Ever Having Arthritis Diagnosis (Includes Gout, Lupus, Fibromyalgia) Overall 23.2% 87 22