Community Themes and Strengths Assessment APRIL 2018

Transcription

1 Community Themes and Strengths Assessment APRIL 2018

2 Contents Community Themes and Strengths... 2 Introduction... 2 Methodology... 2 Survey Results... 4 Analysis/Key Findings Appendix Appendix P age

3 Community Themes and Strengths Introduction The purpose of this assessment is to collect contextual information about DeKalb County resident s perspective of well-being. Using qualitative research methods, this assessment aims to answer the following questions: 1. What is important to the community? 2. How is quality of life perceived? 3. What assets can be used to improve community well-being? Methodology The Together for a Healthier DeKalb County steering committee discussed data collection methods, developed strategies for participant recruitment, and implemented strategies of data collection. The committee considered literacy and layout of the survey before it was made available to the public. Survey Design The survey selected was designed by Fairfax County in Virginia and was adapted to fit the needs of DeKalb County. The survey was first introduced to community partners in February 2017 at the close of the Public Health System Assessment. The survey contained questions on DeKalb County s greatest strengths, important health concerns, risky behaviors, community and personal health, and where the community should focus its attention to make things better in DeKalb County. The survey collected respondent demographic information including zip code, age, sex, marital status, children living in the home, DeKalb County residency, household income, level of education, race, ethnicity, where health care is obtained when needed and how respondents pay for health care. The survey was available in both English and Spanish (Appendix 2.1). Survey Distribution The strategies for collecting data including configuring the survey using an online research application called Qualtrics. This allowed for all survey results to be stored in one database and analyzed efficiently. The survey was also available in paper form for respondents that may not have access to the internet or are uncomfortable with technology. Community partners were encouraged to take the survey themselves, share with their employees and clients. Area providers made the survey available in their waiting rooms. The steering committee also targeted hard to reach populations. This included low income, mental health clinics, youth organizations, and food pantries. The surveys were available at the Northern Illinois University Wellness Fair on March 28 th, 2018 and the Chamber Fair on March 29 th, The survey opened January 16 th, 2018 and closed April 2, The survey results were then analyzed and displayed to be used in consideration when setting community health priorities. 2 P age

4 Using the networks of the steering committee, the survey was launched and distributed via: An e-blast to community partners invited to participate in the Local Public Health System Assessment DeKalb County Health Department lobby using bulletin boards with drop boxes* DeKalb County Health Department Facebook Banner and pinned survey posts County schools included the link in their virtual backpacks for parents to fill out* Joint press release Northwest Medicine Connections Letter to employees DeKalb County employees blast Local Public Aid Office* University Village* Mental Health Board to be sent to partners and clients YMCA blast DeKalb County Community Foundation included the link in their e-newsletter Kishwaukee Community College posted the link on their both employee and student portals Ben Gordon Center Mental Health clinic* Barb Foot Mart food pantry* Greater Elgin* Family Service Agency* Libraries* Area wellness fair at NIU and Chamber event NIU Student Health Services Youth Service Providers* (*underserved population outreach) 3 P age

5 Survey Results Who answered the survey? The Community Themes and Strengths survey elicited responses from 1,052 individuals. Eighty-nine percent of respondent s report living in DeKalb County. Forty-seven percent of respondent s report living in DeKalb County for 21 years or more, 24 percent report years. Seventy-one percent of respondents have been living in DeKalb County over a decade. Seventy-five percent report working in DeKalb County. Females made up 79 percent of the survey responses. Most respondents reported being in the age range, 38 percent. Followed by the age range at 19%. Over half the respondents reported being married, 61 percent, followed by single at 25 percent, 7 percent report being divorced, 5 percent are partnered, and 2 percent are widowed (Table 1). Seven percent of respondents reported being of Hispanic or Latin descent (Graph 1). Ethnicity 7% Non Hispanic/Latino Hispanic/Latina 93% Graph 1 Table 1 4 P age

6 White/Caucasian respondents made up 81.7 percent, African American s responded at 8.4 percent. The Other category made up 5.3 percent, Multiracial 2.1 percent, Asian 1/6 percent and American Indian/Alaska Native 0.7 percent of total respondents. The annual income of most respondents is $100K+, 29 percent. Thirty-nine percent of respondent s report making under 50K per year, 61 percent report making above 50K per year (Graph 2). Annual Income $100, % $75,000-$99,999 19% $50,000-$74,999 21% $30,000-$49,999 17% $10,000-$29,999 14% Less than $9,999 8% 0% 5% 10% 15% 20% 25% 30% 35% Race White/Caucasian 81.7% Other 5.3% Native Hawaiian/Pacific Islander 0.3% Multiracial 2.1% Asian 1.6% American Indian/Alaska Native 0.7% African American 8.4% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% Graph 2 5 P age

7 Respondents report education attainment to be bachelor s degree, 27.3 percent, followed by Graduate Degree or higher at 27.1 percent. Some College was reported at 19.1 percent, Associates Degree or Technical Skill was 13.1 percent, High School/GED at 11.2 percent and only 1.7 percent reported less than High School (Graph 3). Education Attainment Some College 19.7% Less than High School 1.7% High School/GED 11.2% Graduate Degree or higher Bachelor's Degree 27.1% 27.3% Associates/Technical 13.1% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% Graph 3 Most respondents are living in zip code the City of DeKalb, 48.2 percent. Followed by Sycamore, 28.5 percent. The remainder of the respondents were in outlying areas (Graph 4). 60.0% Zip Codes of Respondents 50.0% 48.2% 40.0% 30.0% 28.5% 20.0% 10.0% 4.3% 3.8% 3.5% 1.9% 1.5% 1.4% 1.4% 1.1% 1.1% 1.0% 2.2% 0.0% Other Graph 4 6 P age

8 Nearly 75 percent of respondent s report having at least one other person in their household. The respondent then reported the age ranges of others in the household, 37.3 percent reported having Children under the age of 18 years (Table 2). Graph 5 Has Primary Care Provider Table 2 19% 81% Yes No Respondents were asked what healthcare setting they use if they are sick. Graph 5 indicates that 71 percent would go to their primary care provider, 17 percent reported using an urgent or immediate care setting, only 2 percent reported using the emergency room or the local health department (Graph 5). Eight-one percent reported yes to having a primary care provider (Graph 6). Graph 6 7 P age

9 Graph 7 suggests 72 percent of respondents pay for their health care with private insurance, 10 percent reported having Medicare, 7 percent with Medicaid, and remaining 10 percent report having Veteran s Administration coverage, Student Health Insurance, or other. Medicaid 7% TYPE OF HEALTH CARE COVERAGE Pay Cash/No Insurance 4% Other 5% Student Health Insurance 1% Veteran's Administration (VA) 1% Medicare 10% Private Health Insurance (Employer Provided or Self Purchased) 72% Graph 7 8 P age

10 Table 3 highlights the Top 3 Strengths in DeKalb County according to the survey respondents. Police, Fire, and Rescue services were the top ranked, 10.6 percent. Friendly Community was next, 10.2 percent and Parks and Recreation was the third at 9.2 percent (Table 3). These strengths portray DeKalb County as a Top 3 Strengths of DeKalb County Category Percent Police, Fire, and Rescue Services 10.6% Friendly Community 10.2% Parks and Recreation 9.2% Table 3 safe, friendly and active place to live. Graph 8 below displays the other categories and how they ranked. Respondents also ranked good schools, walkable, bikeable community and access to health care in the top 5. Top 3 Strengths of DeKalb County 12.0% 10.0% 10.6% 10.2% 9.2% 8.0% 6.0% 4.0% 2.0% 0.0% Graph 8 9 P age

11 Table 4 shows the Top 3 Health Concerns of DeKalb County. Respondents most frequently selected Mental Health Problems at 13.8 percent, Alcohol/Drug Abuse 12.6 percent and Housing that is Safe and Affordable as the third ranked health concern. Other high-ranking concerns include violence, obesity and bullying. Top 3 Health Concerns of DeKalb County Category Percent Mental Health Problems 13.8% Alcohol/Drug Abuse 12.6% Housing that is Safe and Affordable 7.5% Table % Top 3 Health Concerns of DeKalb County 14.0% 12.0% 13.8% 12.6% 10.0% 8.0% 7.5% 6.0% 4.0% 2.0% 0.0% Mental Health Problems Alcohol/Drug Abuse Housing that is Safe and Affordable Violence Obesity (overweight) Bullying Domestic Violence Too Much Screen Time/Technology Use Cancers Aging Problem Stress Child Abuse/Neglect Fire-arm Related Injuries Heart Disease and Stroke Tobacco Use/Smoking/E-cigarettes Diabetes Rape/Sexual Assault Disabilities Motor Vehicle Injury High Blood Pressure Suicide Dental Problems Teenage Pregnancy Other Unplanned Pregnancy Accidental Injuries Sexually Transmitted Diseases (STDs including Infectious Disease Graph 9 10 P age

12 Table 5 lists the Top 3 Risky Behaviors of DeKalb County according to the opinion of the respondents. Alcohol and Drug Use at 12.7 percent, Poor Nutrition/Eating Habits at 13.4 percent and being Overweight at 11.9 percent. Other top ranking risky behaviors include tobacco and e-cigarette use, lack Top 3 Risky Behaviors of DeKalb County Category Percent Alcohol and Drug Use 23.7% Poor Nutrition/Eating Habits 13.4% Being Overweight 11.9% Table 5 of exercise and too much use of technology or screen time (Graph 10). 25.0% 23.7% Top 3 Risky Behaviors of DeKalb County 20.0% 15.0% 13.4% 11.9% 10.0% 5.0% 0.0% Graph P age

13 Table 6 highlights the top three areas respondents think resources should be allocated. Access to Mental Health Services at 13.1 percent, Low Crime/Safe Neighborhoods at 10.5 percent and Good Jobs and Healthy Economy at 9.4 percent. Graph 11 depicts other high-ranking areas of focus. These include Top 3 Areas of Focus in DeKalb County Category Percent Access to Mental Health Services 13.1% Low Crime/Safe Neighborhoods 10.5% Good Jobs and Healthy Economy 9.4% access to drug and alcohol treatment, affordable housing and schools. Table 6 Top 3 Areas of Focus in DeKalb County 14.0% 12.0% 10.0% 13.1% 10.5% 9.4% 8.0% 6.0% 4.0% 2.0% 0.0% Access to Mental Health Services Low Crime/Safe Neighborhood Good Jobs and Healthy Economy Access to Alcohol/Drug Treatment Affordable Housing Schools Access to Healthcare Violence Respect towards Different Cultures and Races Reduce Bullying Programs for Youth Outside of School Walkable/Bikeable Community Access to Special Needs Services Clean Environment Public Transportation Access to Child Care Senior Services Information on How to be Healthy Stress Management Parks and Recreation Healthy Moms and Babies Homeless Services Arts and Cultural Events Police, Fire, and Resue Early Childhood Services Prepared for Emergencies Faith Communities Sexually Transmitted Disease (STDs including Other Technology/Internet Access Graph P age

14 Analysis/Key Findings The profile of respondents answering many of the surveys were educated (bachelor s degree or higher), middle class ($50K+ annually), middle aged (44-65 years old), married, women, living and working in DeKalb County Illinois for over a decade. They have access to health care through private pay insurance and have a primary care provider which has been seen at least once in the past year. The key findings from this perspective include; Top 3 Strengths - 1. Police, Fire, and Rescue Services 2. Friendly Community 3. Parks and Recreation Top 3 Health Concerns 1. Mental Health Problems 2. Alcohol/Drug Abuse 3. Housing that is Safe and Affordable. Top 3 Risky Behaviors 1. Alcohol/Drug Use 2. Poor Nutrition/Eating Habits 3. Being Overweight Top 3 Areas to Focus 1. Access to Mental Health Services 2. Low Crime Safe Neighborhoods 3. Good Jobs and Healthy Economy According to the Community Health Status Assessment done through the MAPP process. The respondents compare to the demographics of DeKalb County in ways that are similar, however an over sampling has occurred. Similarly, to the demographic make-up of DeKalb County according to the US Census Bureau, the average income is $57K, survey respondents reported $50K+ income. Only 20 percent of DeKalb County residents live in rural settings, nearly 80 percent of respondent s report living in urban settings (DeKalb and Sycamore) according to zip codes. The county is primarily White at 87 percent according to the census, nearly 82 percent of survey respondents reported White as their identified race. There was an oversampling of women in survey respondents, the mean age in DeKalb County according to the census is 30 years old, the age range most frequently selected by survey respondents was the category range of years. Primary Care Providers (PCP) in DeKalb County occur at a rate of 3.8 providers for every 10,000 people, this is a disparity. Although 81 percent of survey respondents reported having a PCP. This would suggest there are not access issues to the survey respondents and they would be less likely to select barriers listed on the survey related to expense, transportation, and availability of PCP services. From a Public Health perspective according to the Public Health Accreditation Board (PHAB), the survey respondents should be reprehensive of hard to reach populations or the underserved and at-risk populations in a community. This would include representation of disabled, developmentally delayed, homeless populations, race diversity, Hispanic, low income, rural dwellers, unemployed or under employed, women of child bearing age with children under 5 years of age in the home home. The survey results have a large enough sample size to be considered representative of the DeKalb County population. The Together for a Healthier DeKalb County Steering Committee will use these results when considering the health priorities. DeKalb County Health Department recommends incremental surveys be administered within the next 5 years targeting hard to reach populations. For full survey results see Appendix P age

15 Appendix P age

16 15 P age

17 16 P age

18 17 P age

19 Appendix What are the 3 greatest STRENGTHS of DeKalb County? n=1052 Category Count Percent Police, Fire, and Rescue Services % Friendly Community % Parks and Recreation % Good Schools % Access to Healthcare % Walkable, Bikeable Community % Affordable Housing % Access to Affordable Healthy Foods % Public Transportation % Clean Environment % Senior Services % Arts and Cultural Events % Low Crime/Safe Neighborhoods % Homeless Services % Access to Child Care % Religious/Spiritual Values % Early Childhood Services % Programs for Youth Outside of School % Respect towards Different Cultures and Races % Technology/Internet Access % Good Jobs and Health Economy % Prepared for Emergencies (tornadoes, floods, disease) % Other % Access to Alcohol/Drug Treatment % Grant Total % Other (write in comments) Generous donors and nonprofits, including faith communities, that work together to solve problems Nothing else These merits can be attributed to NIU impact NIU Mental Health Services Generosity, support for nonprofits/charity I cannot choose a 3rd one. This county has a lot to work on. 18 P age

20 Keep streets clean in the winter Caring community Education 2. What do you think are the 3 most important health concerns in DeKalb County? n=1025 Categories Count Percent Mental Health Problems % Alcohol/Drug Abuse % Housing that is Safe and Affordable % Violence % Obesity (overweight) % Bullying % Domestic Violence % Too Much Screen Time/Technology Use % Cancers % Aging Problem % Stress % Child Abuse/Neglect % Fire-arm Related Injuries % Heart Disease and Stroke % Tobacco Use/Smoking/E-cigarettes % Diabetes % Rape/Sexual Assault % Disabilities % Motor Vehicle Injury % High Blood Pressure % Suicide % Dental Problems % Teenage Pregnancy % Other % Unplanned Pregnancy % Accidental Injuries % Sexually Transmitted Diseases (STDs including HIV/AIDS) % Infectious Disease % Grand Totals % Other (write in comments) safe drinking water Drugs High Taxes 19 P age

21 Mental health and drugs problems fill up jail, like most towns in America. Need to better handle mental health needs. Too much subsidized housing food pantry Food Insecurity Crime Food scarcity Services for seniors 3. What are the top 3 "risky behaviors" in DeKalb County? n=1014 Categories Count Percent Alcohol/Drug Use % Poor Nutrition/Eating Habits % Being Overweight % Tobacco Use/Smoking/E-cigarettes % Lack of Exercise % Too Much Screen Time/Technology Use % Unfairness Towards Other Races/Cultures % Dropping Out of School % Lack of Car Safety % Unsafe Sex % Not Getting "Shots"/Vaccines to Prevent Disease % Other % Grand Total % Other (write in comments) Poor Parenting Skills Mobility quality of education Walking at any time of day due to gun violence clean neighborhoods none of the above Sex outside of marriage Premarital sex (There is no "safe sex" outside of marriage.) gun violence violence Gangs lack of grocery stores by NIU Crime Lack of facilities for mental health 20 P age

22 4. How would you rate the health of DeKalb County? Category Count Percent Very Healthy % Healthy % Somewhat Unhealthy % Unhealthy % Very Unhealthy % Grand Total % 5. How would you rate your personal health? Category Count Percent Very Healthy % Healthy % Somewhat Unhealthy % Unhealthy % Very Unhealthy % Grand Total % 6. Where should the community FOCUS its attention to make things better in DeKalb County? n=1105 Category Count Percent Access to Mental Health Services % Low Crime/Safe Neighborhood % Good Jobs and Healthy Economy % Access to Alcohol/Drug Treatment % Affordable Housing % Schools % Access to Healthcare % Violence % Respect towards Different Cultures and Races % Reduce Bullying % Programs for Youth Outside of School % Walkable/Bikeable Community % Access to Special Needs Services % Clean Environment % Public Transportation % Access to Child Care % Senior Services % Information on How to be Healthy % 21 P age

23 Stress Management % Parks and Recreation % Healthy Moms and Babies % Homeless Services % Arts and Cultural Events % Police, Fire, and Rescue % Early Childhood Services % Prepared for Emergencies % Faith Communities % Sexually Transmitted Disease (STDs including HIV/AIDS) % Other % Technology/Internet Access 7 0.2% Grant Total % Other (write in comments) Taxes Teaching that the ER is not your Doctor. Explaining that a Dr. Office Visit is for 'run of the mill' concerns. aka sore throat. Increased access to fresh locally grown vegetables and fruit No reply Fitness facilities with childcare during use economy Runaway medical costs and real estate taxes are simply bankrupting the community. More government is definitely not the answer, it is the PROBLEM. Families strengthening and celebrating Strengthening Families to enable youth to make better choices Food access/security nutrition education wellness prevention Parenting, instilling ethics, responsibility, including fiscal Child abuse prevention 7. What gender do you most identify with? Gender Count Percent Female % Male % Grand Total % 8. What is your age? Age Range Count Percent 22 P age

24 1-17 years 9 0.9% years % years % years % years % years % 80+ years 6 0.6% Grand Total % 9. What is your relationship status? Marital Status Count Percent Divorced % Married % Partnered % Single % Widowed % Grand Total % 10. What is your race? Race Count Percent African American % American Indian/Alaska Native 7 0.7% Asian % Multiracial % Native Hawaiian/Pacific Islander 3 0.3% Other % White/Caucasian % Grand Total % Other - (write in comments) American Asian and native Hawaiian/pacific islander Blanca Caucasian/African American middle eastern 11. Are you of Hispanic or Latino origin? Count Percent No % Yes % Grand Total % 23 P age

25 12. What is your annual household income? Annual Income Count Percent Less than $9, % $10,000-$29, % $30,000-$49, % $50,000-$74, % $75,000-$99, % $10,000-$29, % Grand Total % 13. What is your highest level of education? Education Attainment Count Percent Associates/Technical % Bachelor's Degree % Graduate Degree or higher % High School/GED % Less than High School % Some College % Grand Total % 14. How many in your household not counting you? Household size Count Percent % % % % % % % % % % % % Grand Total % Age Ranges of Respondent's Household Members (Respondents = 782) Count Percent Ages % Ages % Ages % 24 P age

26 Ages % Ages % Ages % Ages % Grand Total % 15. Do you live in DeKalb County? Count Percent Yes % No % Grand Total % 16. If yes, how long have you been a Resident? Count Percent Less than one year % 1-2 years % 3-5 years % 6-10 years % years % 21 or more years % Grand Total % 17. What is your home zip code? Zip Code Count Percent % % % % % % % % % % % % % % % 25 P age

27 % % % % % Grand Total % 18. Do you work in DeKalb County? Count Percent Yes % No % Grand Total % 19. Do you have a primary care physician? Count Percent Yes % No % Grand Total % 20. If you have a primary care physician, have you seen them within the past year? Count Percent Yes % No % Grand Total % 21. If you have a primary care physician, have you seen them within the past year? Count Percent Yes % No % Grand Total % 22. Where do you usually go when you are sick or need healthcare? Count Percent DeKalb County Health Department % Hospital Emergency Department % Other % Primary Care Provider % Urgent Care/Immediate Care Clinic % Grand Total % 26 P age

28 23. How do you pay for your healthcare? Count Percent Private Health Insurance (Employer Provided or Self Purchased) % Medicare % Medicaid % Other % Pay Cash/No Insurance % Student Health Insurance % Veteran's Administration (VA) 9 0.9% Grand Total % 27 P age