STOKES COUNTY State of the County Health Report 2011
Demographics Overview of Stokes County Leading Causes of Death Identified Health Priorities Community Action Plan Current Activities 2011
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) 47,401 92.9% 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)
Percent of Unemployed Stokes vs. NC (Source: NC Employment Security Commission) 12 10 8 6 4 2 0 10.5 5 5.3 4.3 3.5 3.6 2.9 10.6 10.4 9.8 Stokes NC 1995 2000 2005 2009 2011 Aug
Poverty Rates Stokes vs. NC Source: US Census Bureau, US Dept of Agriculture 18 16 14 12 10 8 6 4 2 0 16.2 14.8 14.9 14.9 14.6 14.3 12.6 13 12.3 11 9.8 9.1 1980 1990 2000 2005 2008 2009 Stokes NC
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
LEADING CAUSES OF DEATH Mortality Rates (2009) Source: NC State Center for Health Statistics Cause of Death Stokes County North Carolina Total Cancer 230.8 186.3 Heart Disease 192.3 182.6 Chronic Lower Respiratory Disease Cancer-Trachea, Bronchus, and Lung Cerebrovascular Disease 74.8 46.1 74.8 57.3 72.7 46.8 Pneumonia & Influenza 36.3 18.3 Unintentional Injuries (excluding motor vehicles) 32.1 29.5 Breast Cancer 29.1 24.8 Diabetes 27.8 22.5
250 200 Leading Cause of Death Cancer vs Heart Disease Rates in Stokes County Source: NC State Center for Health Statistics 222.6 217.1 214.8 209.7 230.8 192.3 150 100 50 Cancer Heart Disease 0 2002-2006 2005-2009 2009
Percent of Children Age 2-18 Obese Stokes vs NC North Carolina Nutrition and Physical Activity Surveillance System (NCPASS) 25 20 19 21.2 23 17.3 17.5 18 15 10 Stokes NC 5 0 2007 2008 2009
Percent of Children Age 2-18 Obese or Overweight Stokes vs. NC (NC-NPASS) 45 40 35 30 25 20 15 10 5 0 42.6 37.7 35.7 33.3 33.9 34.2 2007 2008 2009 Stokes NC
67 66 65 64 63 62 61 60 59 58 Percent of Adults Obese or Overweight Piedmont region vs. NC NC Behavioral Risk Factor Surveillance System (BRFSS) 60.9 62.9 63.7 64.6 65.2 65.7 2006 2007 2008 Piedmont NC
Smoking During Pregnancy Source: NC State Center for Health Statistics Percent of Babies Born to Women who Smoked During Pregnancy 35 30 25 20 15 10 5 0 31.2 17 28.9 29.5 14.4 12.4 21.3 1992-1996 1997-2001 2002-2006 2005-2009 11 Stokes NC
Suicide Rates Stokes vs NC 35 30 30.3 Source: NC State Center for Health Statistics 25 20 15 10 5 0 17.3 19.2 12.1 12 11.5 12.4 6.6 1997 2001 2005 2009 Stokes NC
Access to Health Care Population per Primary Care Provider Source: NC State Center for Health Statistics 4500 4000 3500 3000 2500 2000 1500 1000 500 0 3855 3482 3508 3556 3599 1198 1193 1056 1043 1008 2001 2003 2005 2007 2009 Stokes NC
Access to Health Care Population per Dentist Source: NC State Center for Health Statistics 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 9121 7544 6605 6685 2471 2432 2302 2292 2001 2003 2005 2009 Stokes NC
Health Care Access Percent of Persons without Health Insurance Source: NC State Center for Health Statistics 19.5 19 18.5 18 17.5 17 16.5 16 15.5 15 14.5 19.1 18.7 18.1 18.1 17.8 17.9 17.8 17.4 17 16.3 2005 2006 2007 2008 2009 Stokes NC
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)
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
COMMUNITY ACTION PLAN Current Activities 2011 Childhood Obesity Interventions Eat Smart Move More Grant (2010-2011) 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
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
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
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
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
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)
Youth Obesity Prevention Adult Obesity Prevention Smoking During Pregnancy Suicide Prevention/Mental Health Youth Tobacco Use Youth Dental Care