VI. Behavioral Concerns

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VI. Behavioral Concerns Conditions or personal actions that may lead to a negative impact on one s health Key findings from this chapter: Positive/Neutral Trends Nearly 6 of Ottawa County residents surveyed indicated that they have never smoked while the statewide rate is nearly 55% Negative Trends Ottawa County s obesity rate has increased 35% since 1998 (17.1% of survey respondents up to 23.1%). Statewide, the obesity rate increased 29% during this same time period (23.9% of survey respondents up to 30.9%) The percent of Ottawa County residents who are not physically active has increased 2 since 1998 (16.8% of survey respondents up to 20.2%) while statewide there was a 3% increase during the same time period (23.5% of survey respondents up to 24.3%) The percent of Ottawa County residents who admit to binge drinking increased by nearly 37% over the last 8 years (13.3% of survey respondents up to 18.2%) while statewide there was a 6.7% decline during the same time period (17.8% of survey respondents down to 16.6%)

Weight Status (1998-2010) Overweight and Obese By Year (Ottawa County, Adjacent Counties, State) Year Overweight* Ottawa Allegan Kent Muskegon Michigan Ottawa Allegan Kent Muskegon Michigan 1998-2002 41. 34.6% 37.3% 35.6% 36.8% 17.1% 26.8% 19.8% 23.1% 23.9% 1999-2003 41.2% 36.6% 35.2% 35. 36.8% 18.9% 24.3% 20.1% 21.3% 24.5% 2000-2004 40. 36.9% 34.8% 34. 36.5% 19.1% 23.1% 20.7% 23.5% 24.9% 2002-2006 41.4% 35.2% 35.5% 35.4% 36.4% 21.8% 24.5% 22.7% 28.3% 26.4% 2005-2007 37.6% 35.3% 36.3% 38.6% 36.3% 25.1% 28.6% 25.1% 29.1% 27.6% 2006-2008 35.9% 32.6% 36.1% 34.3% 35.7% 23.3% 30.2% 25.6% 30.4% 29.2% 2007-2009 33.4% 38.1% 34.7% 35.5% 35.6% 24. 28.9% 27.4% 32.1% 29.9% 2008-2010 35.2% 38.5% 35.4% 33.2% 35.3% 23.1% 30.7% 27.7% 35.7% 30.9% * A person s weight status is determined by their Body Mass Index (BMI) which is weight (in kilograms) divided by height (in meters) squared. A person is considered overweight if their BMI is 25.0 or greater but less than 30.0. A person is considered obese if their BMI is 30.0 or greater Obese*

5 Overweight* Population (1998-2010) 4 41. 37.3% 36.8% 38.5% 35.4% 35.3% 3 2 35.6% 34.6% 35.2% 33.2% 1 Ottawa Allegan Kent Muskegon Michigan 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person s weight status is determined by their Body Mass Index (BMI) which is weight (in kilograms) divided by height (in meters) squared. A person is overweight if their BMI is 25 or greater but less than 30

Overweight* Population 5 5 and 8 Year Trends 4 3 2 1 8 Year Trendline (Ottawa) 5 Year Trendline (Ottawa) 8 Year Trendline (Michigan) 5 Year Trendline (Michigan) 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person s weight status is determined by their Body Mass Index (BMI) which is weight (in kilograms) divided by height (in meters) squared. A person is overweight if their BMI is 25 or greater but less than 30

4 Ottawa Obese* Population (1998-2010) Allegan Kent 35.7% Muskegon Michigan 30.9% 30.7% 3 2 26.8% 23.9% 23.1% 19.8% 17.1% 27.7% 23.1% 1 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person s weight status is determined by their Body Mass Index (BMI) which is weight (in kilograms) divided by height (in meters) squared. A person is obese if their BMI is 30 or greater

Obese* Population 4 8 Year Trendline (Ottawa) 5 Year Trendline (Ottawa) 8 Year Trendline (Michigan) 5 Year Trendline (Michigan) 5 and 8 Year Trends 3 2 1 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person s weight status is determined by their Body Mass Index (BMI) which is weight (in kilograms) divided by height (in meters) squared. A person is obese if their BMI is 30 or greater

Exercise Status (1998-2010) No Physical Activity* By Year (Ottawa County, Adjacent Counties, State) Year Ottawa Allegan Kent Muskegon Michigan 1998-2002 16.8% 22.3% 20.2% 24.6% 23.5% 1999-2003 17.3% 19.1% 20.1% 25.9% 23.5% 2000-2004 16. 20.7% 19.4% 25.6% 23.1% 2002-2006 17. 22.3% 18.7% 27.7% 22.8% 2005-2007 18.3% 23.2% 17.6% 28.8% 22.1% 2006-2008 18.9% 21. 20.1% 29.1% 23.1% 2007-2009 19.3% 24.4% 19.1% 28.1% 23.5% 2008-2010 20.2% 25.8% 19.7% 26.6% 24.3% * A person is defined as having no physical activity if they did not participate in leisure time exercises such as running, golf, or walking within the past month

4 Ottawa Allegan Kent Muskegon Michigan Population with No Physical Activity* (1998-2010) 3 2 24.6% 23.5% 22.3% 20.2% 16.8% 26.6% 25.8% 24.3% 20.2% 19.7% 1 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person is defined as having no physical activity if they did not participate in leisure time exercises such as running, golf, or walking within the past month

Population with No Physical Activity* 4 8 Year Trendline (Ottawa) 5 Year Trendline (Ottawa) 8 Year Trendline (Michigan) 5 Year Trendline (Michigan) 5 and 8 Year Trends 3 2 1 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A person is defined as having no physical activity if they did not participate in leisure time exercises such as running, golf, or walking within the past month

Alcohol Consumption (1998-2010) Binge and Heavy Drinking By Year (Ottawa County, Adjacent Counties, State) Year Binge Drinking* Heavy Drinking* Ottawa Allegan Kent Muskegon Michigan Ottawa Allegan Kent Muskegon Michigan 1998-2002 13.3% 14.5% 19.6% 20.7% 17.8% 1.8% 2.7% 5.8% 6.6% 5.6% 1999-2003 12.6% 14.9% 19.2% 20.1% 18. 1.6% 3.7% 6.1% 5.6% 5.7% 2000-2004 15.6% 14.2% 18. 18. 17.4% 2.2% 3. 4.4% 6.2% 5.4% 2002-2006 15.2% 19.5% 16.9% 17. 17. 4.6% 4.9% 4.8% 6.9% 5.5% 2005-2007 14.1% 19.3% 17.8% 20.8% 17.4% 5. 5.4% 5.3% 5.7% 5.6% 2006-2008 17.4% 20.2% 16.8% 26.7% 17.9% 4.2% 6.2% 4.7% 7.5% 5.6% 2007-2009 18.4% 17.2% 17.1% 22.6% 17.6% 5.7% 8.2% 4.8% 7.1% 5.6% 2008-2010 18.2% 16.8% 15.6% 20.7% 16.6% 6.2% 7.8% 4.3% 7.8% 5.4% * Binge drinking is defined as consuming five or more alcoholic beverages on one occasion at least once in the past month. Heavy drinking is defined as consuming, on average, more than two alcoholic beverages per day for men or more than one alcoholic beverage per day for women

3 25% Ottawa Allegan Kent Muskegon Michigan Binge Drinking* (1998-2010) 20.7% 20.7% 2 15% 1 19.6% 17.8% 14.5% 13.3% 18.2% 16.8% 16.6% 15.6% 5% 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * Binge drinking is defined as consuming five or more alcoholic beverages on one occasion at least once in the past month

Binge Drinking* 3 25% 8 Year Trendline (Ottawa) 5 Year Trendline (Ottawa) 8 Year Trendline (Michigan) 5 Year Trendline (Michigan) 5 and 8 Year Trends 2 15% 1 5% 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * Binge drinking is defined as consuming five or more alcoholic beverages on one occasion at least once in the past month

1 8% Ottawa Allegan Kent Muskegon Michigan Heavy Drinking* (1998-2010) 7.8% 7.8% 6.6% 6% 4% 5.8% 5.6% 6.2% 5.4% 4.3% 2.7% 2% 1.8% 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * Heavy drinking is defined as consuming, on average, more than two alcoholic beverages per day for men or more than one alcoholic beverage per day for women

Heavy Drinking* 1 8% 8 Year Trendline (Ottawa) 5 Year Trendline (Ottawa) 8 Year Trendline (Michigan) 5 Year Trendline (Michigan) 5 and 8 Year Trends 6% 4% 2% 1998-2002 1999-2003 2000-2004 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * Heavy drinking is defined as consuming, on average, more than two alcoholic beverages per day for men or more than one alcoholic beverage per day for women

Smoking Status (1998-2010) By Year (Ottawa County, Adjacent Counties, State) Year Current Smoker* Former Smoker* Never Smoked Ottawa Allegan Kent Muskegon Michigan Ottawa Allegan Kent Muskegon Michigan Ottawa Allegan Kent Muskegon Michigan 2002-2006 16.6% 27.5% 21.5% 28.7% 23. 27.3% 27.9% 24.1% 24.6% 26. 56.1% 44.6% 54.4% 46.8% 50.9% 2005-2007 15.6% 23.6% 20.5% 29.7% 21.7% 26.9% 31. 25.3% 23.6% 25.7% 57.5% 45.4% 54.2% 46.7% 52.6% 2006-2008 14.8% 20. 20.4% 30.7% 21. 25.8% 29.8% 23. 20.5% 25.4% 59.4% 50.2% 56.6% 48.8% 53.6% 2007-2009 14.8% 21.9% 16.2% 26.3% 20.3% 24.1% 29.4% 24.4% 23.6% 25.4% 61. 48.7% 59.4% 50.1% 54.2% 2008-2010 14.7% 27.1% 16.6% 22.2% 19.7% 26.1% 23.9% 24.4% 26.3% 25.6% 59.2% 49. 59. 51.4% 54.8% * A current smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life and smokes now, either every day or on some days. A former smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life, but does not smoke now

4 Current Smokers* (2002-2010) Ottawa Allegan Kent Muskegon Michigan 3 28.7% 27.1% 2 27.5% 23. 21.5% 16.6% 22.2% 19.7% 16.6% 14.7% 1 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A current smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life and smokes now, either every day or on some days

Current Smokers* 4 5 Year Trend 5 Year Trendline (Ottawa) 5 Year Trendline (Michigan) 3 2 1 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A current smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life and smokes now, either every day or on some days

4 Former Smokers* (2002-2010) 27.9% 3 27.3% 26. 26.3% 26.1% 25.6% 2 24.6% 24.1% 24.4% 23.9% 1 Ottawa Allegan Kent Muskegon Michigan 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A former smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life, but does not smoke now

Former Smokers* 4 5 Year Trend 5 Year Trendline (Ottawa) 5 Year Trendline (Michigan) 3 2 1 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010 * A former smoker is defined as someone who has smoked at least 100 cigarettes (five packs) in their life, but does not smoke now

75% Never Smoked (2002-2010) 59.2% 6 56.1% 59. 54.8% 54.4% 51.4% 45% 3 50.9% 46.8% 44.6% 49. 15% Ottawa Allegan Kent Muskegon Michigan 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010

Never Smoked 75% 5 Year Trendline (Ottawa) 5 Year Trendline (Michigan) 5 Year Trend 6 45% 3 15% 2002-2006 2005-2007 2006-2008 2007-2009 2008-2010