STOKES COUNTY. State of the County Health Report 2011
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1 STOKES COUNTY State of the County Health Report 2011
2 Demographics Overview of Stokes County Leading Causes of Death Identified Health Priorities Community Action Plan Current Activities 2011
3 Demographics Predominately Rural County 456 square miles borders Surry County to the west, Rockingham County to the east, State of Virginia to the north, & Forsyth County to the south Population Estimate 2010 (Source: US Census Bureau) 47, % of population is white 15.9% of population is age 65+ Employment Unemployment August 2011 is 9.8% vs.10.4% in NC (Source: NC Employment Security Commission) Poverty 16.2% persons living below poverty level vs.14.3% in NC 2009 (Source: US Census Bureau) Access to Health Care In 2009, # persons per primary care provider was 3,599 compared to state ratio of 1,008 per primary care provider (only 8 counties in the state with higher ratios per primary care provider)
4 Percent of Unemployed Stokes vs. NC (Source: NC Employment Security Commission) Stokes NC Aug
5 Poverty Rates Stokes vs. NC Source: US Census Bureau, US Dept of Agriculture Stokes NC
6 Identified Health Priorities Source: Community Health Assessment 2008 Youth Obesity Prevention Adult Obesity Prevention Smoking During Pregnancy Suicide Prevention/Mental Health Youth Tobacco Use Youth Dental Care
7 LEADING CAUSES OF DEATH Mortality Rates (2009) Source: NC State Center for Health Statistics Cause of Death Stokes County North Carolina Total Cancer Heart Disease Chronic Lower Respiratory Disease Cancer-Trachea, Bronchus, and Lung Cerebrovascular Disease Pneumonia & Influenza Unintentional Injuries (excluding motor vehicles) Breast Cancer Diabetes
8 Leading Cause of Death Cancer vs Heart Disease Rates in Stokes County Source: NC State Center for Health Statistics Cancer Heart Disease
9 Percent of Children Age 2-18 Obese Stokes vs NC North Carolina Nutrition and Physical Activity Surveillance System (NCPASS) Stokes NC
10 Percent of Children Age 2-18 Obese or Overweight Stokes vs. NC (NC-NPASS) Stokes NC
11 Percent of Adults Obese or Overweight Piedmont region vs. NC NC Behavioral Risk Factor Surveillance System (BRFSS) Piedmont NC
12 Smoking During Pregnancy Source: NC State Center for Health Statistics Percent of Babies Born to Women who Smoked During Pregnancy Stokes NC
13 Suicide Rates Stokes vs NC Source: NC State Center for Health Statistics Stokes NC
14 Access to Health Care Population per Primary Care Provider Source: NC State Center for Health Statistics Stokes NC
15 Access to Health Care Population per Dentist Source: NC State Center for Health Statistics Stokes NC
16 Health Care Access Percent of Persons without Health Insurance Source: NC State Center for Health Statistics Stokes NC
17 10 Top Health Concerns Identified by Community Source: Community Health Assessment 2008 #1)Aging Problems (ie. dementia, Alzheimer s, arthritis, hearing or vision loss) #2)Obesity/Overweight #3)Heart Disease/Heart Attacks #4) Cancer #5) Mental Health #6) Diabetes #7) Teenage Pregnancy #8) Suicide, Suicide Attempts, Self Injury #9) Stroke #10) Lung Disease (ie. emphysema, chronic bronchitis)
18 Community Identified Unhealthy Behaviors Source: Community Health Assessment 2008 #1) Alcohol Abuse #2) Drug Abuse #3) Poor Eating Habits #4) Lack of Exercise #5) Smoking/Tobacco Use #6) Drinking and Driving #7) Not Going to Doctor for yearly checkup #8)Domestic Violence #9) Reckless/Drunk Driving #10) Not Going to Dentist for yearly checkup
19 COMMUNITY ACTION PLAN Current Activities 2011 Childhood Obesity Interventions Eat Smart Move More Grant ( ) to implement Energizers Program and School Walking Program for 5th graders in the county (Stokes Family Health Center, Stokes County Schools, YMCA, NC Cooperative Extension) Medical Nutrition Therapy (Available at Stokes Family Health Center) Community Education Programs/Community Health Fairs Nutrition in a Box Curriculum 4 th and 5th graders (Stokes County Schools, Stokes Family Health Center, YMCA, NC Cooperative Extension, Healthy Carolinians) Camp CHILL for Obese 6 th - 9 th Graders (Choose Health in Living Life) 1 week overnight camp Sponsored by: YMCA, Healthy Carolinians, Stokes Family Health Center, WFU Brenner s Hospital, 4H Program, & Physical Therapist
20 COMMUNITY ACTION PLAN Current Activities 2011 Adult Obesity Interventions Medical Nutrition Therapy Services Available at Stokes Family Health Center/marketed in community and physician offices Provide Eat Smart/Move More/Weigh Less Classes Nutrition Education targeting community, seniors, and church groups Participation in Health Fairs and sponsor additional screenings such as BMIs, cholesterol and glucose as requested
21 COMMUNITY ACTION PLAN Current Activities 2011 Smoking During Pregnancy Interventions Established active Stokes County Tobacco Control Coalition in 2010 and this issue established as goal in coalition action plan
22 COMMUNITY ACTION PLAN Current Activities 2011 Suicide Prevention-Mental Health Interventions Mental Health Coordinator with Stokes Family Health Center provides resource and referral services to community
23 COMMUNITY ACTION PLAN Current Activities 2011 Youth Tobacco Use Interventions Enforce ongoing nonsmoking policy in schools Provide smoking cessation classes for students who do not follow school policy (School Nurses, Stokes Family Health Center s Health Educator, and Partnership for Drug Free NC) Provide Tobacco Use Prevention Education in schools ongoing Implement peer education component in schools (Stokes County Tobacco Control Coalition) in progress
24 COMMUNITY ACTION PLAN Current Activities 2011 Youth Dental Care Interventions Research funding available to assist crisis dental care for the uninsured or underinsured (recent monies from 2010 are depleted)
25 Youth Obesity Prevention Adult Obesity Prevention Smoking During Pregnancy Suicide Prevention/Mental Health Youth Tobacco Use Youth Dental Care
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