2010 Healthy Community Study Rockford Area Early Learning Council Becky Cook Kendall April 12, 2011 Rockford Health Council Community-based healthy community collaborative Formed in 1982 as the Rockford Council for Affordable Health Care Rockford Health Council in 1995 1
Mission Rockford Health Council To build and improve community health in our region through education, action and advocacy. Vision Be a catalyst for collaboration to assure a healthy community with access and quality care for all. Healthy Community Study A core function of Rockford Health Council Last conducted in 1999, updated 2003 Minority Health Survey conducted in 2005 Studies quality of life issues in Winnebago and Boone Counties 2
Four Components Community Analysis Comprehensive overview of Winnebago and Boone Counties and the Rockford Metropolitan Statistical Area (MSA) Household survey Three-tiered distribution Household Survey (8,000) Response: 13% Chamber Online (521) Response: 14% RPS 205 (5254) Response: 24% Four Components Key Informant Interviews 60 participants Local experts in education, government, human services, or business Focus Groups 22 groups, 168 participants Target groups 3
Population Winnebago 2009 Population Increased 8% from 2000 Boone Increased 29% from 2000 Growth areas Roscoe (41%); Loves Park (22%) Dramatic growth experienced county-wide Race/Ethnicity Winnebago Boone % Caucasian 84% 95% % African- American Residents of Hispanic Origin (not considered a separate race) 12% 3% Increased 64% from 2000 to 2009 Doubled (111% increase) from 2000 to 2009 4
Age Winnebago Boone Under 5 7% 7% Under 18 25% (approx.) 30% (approx.) Over 65 13% 11% Similar to US figures Increase in 45-64 age group (since 2000) Most age groups similar to US figures Proportionally more 5-17; less 25-34 26% 48% Gender Distribution Ratio of men to women Distribution Other Winnebago 97 men per 100 women Men outnumber women in all groups aged 34 and younger Ratio for ages 85+ is only 43 men to 100 women Boone 102 men per 100 women Men outnumber women in all groups aged 60 and younger 5
Household Characteristics Population living in family households Households that are family households Households married couple w/children Single Parent households Winnebago Boone 80% (approx.) 90% 67% 75% 21% 29% 11% 12% Housing Housing units occupied by owner Home Ownership Moved in since 2000 Winnebago Boone 70% (approx.) 82% 75% white, non hisp. 37% African-American 60% Hispanic Over half More white households than African-American own homes; disparity not as large Over half 6
Income/Poverty 30% Winnebago County residents at or below 185% of poverty; greater than Illinois (26%) and U.S. (28%) More than 40% of female-headed families with children are poor; greater than IL (36%) and US (37%) 20% of children aged 0-17 live in poverty (was 11% in 1999) 43% of school parent households do not have sufficient money for basic needs Income/Poverty Medicaid recipients make up 22% of Winnebago county; 17% of Boone county s population 60% school-age children in Winnebago county and 46% in Boone county eligible for free and reduced lunch 26% of school parents had difficulty finding affordable child care 7
Educational Attainment Lower levels of adults ages 25 years and older with four-year college and professional/technical degrees compared to Illinois and U.S. Far more black (29.7%) and Hispanic (45.8%) adults have not completed high school than whites (12.1%) One in four MSA births (23%, n=1,109) born to mothers who have not yet completed high school, exceeding state at 18.5% Employment Number of manufacturing jobs has declined by 50% in the last ten years. 68% of school vs. 34% community have adult looking for work in the past year 65% (community), 54% (school) named high unemployment and the current economic conditions as leading concern facing the local area Barriers to jobs: (1) lack of nearby jobs, (2) need for greater education, (3) training, (4) lack of experience, and (5) discrimination 8
Employment Winnebago Boone Manufacturing 23% 23% Education/health/ social services 21% 16% Retail 11% 15% Crime & Violence Child abuse rates (2009) highest in two decades, 57/1000 (0-17 yrs); double state of IL 2006 accidents in Winnebago County were the leading cause of years potential life lost (2,271) Drug arrests in 2008, rate of 534/100,000 population; a three-year low; 30% < than IL For the community sample, about one in nine households (12%) experienced crime compared to one in five (20%) for school parent households. 9
Access to Care 42,000 (14%) in MSA lack health insurance coverage; 18-29 year olds highest (34%). 21% of the MSA enrolled in Medicaid. 21% community respondents and 41% school respondents unable to receive medical care. High health care costs ranked #2 on the community survey Birth Outcomes Poor birth outcomes reflect health of community, borne disproportionately by vulnerable populations, under and uninsured public sector largest cost burden. Infant mortality, 2005-2008; = 8.9 deaths per thousand live births; 20% higher than IL, 11% higher than prior 5-year average of 8 deaths per thousand live births (2000-04) Infant mortality is 150 times higher for very low birth weight (compared with normal birth weight) African American 2-3 times risk of infant mortality, low birth weight, and teen births First trimester prenatal care declined from high of 81% in 2002 to low of 75% in 2008 (7.5% lower) In MSA, 12.4% to births to teen moms (2008), 527 (12.7%) Winnebago County, 74 (10.9%) Boone County 10
Behavioral Health Mental Illness Approximately 17% (MSA) have extended poor mental health (one week/ month), higher than IL and 25% higher than 1999. No local behavioral health in-patient for children (adolescents only) 12% (community), 19% (school parents) felt isolated, did not have trusted person to talk to 20% (community), 27% (school parents) considered seeking professional help only 50% did Behavioral Health Substance Abuse Underage alcohol consumption: 10% sixth grade; 49% for 12 th grade in past month (IL Youth Survey) Binge drinking (5 or more drinks in a row): 3% 6 th grade; 29% of 12 th grade reported binge drinking in last 2 wks. Marijuana use higher than IL at 12% for 8 th grade and 27% for 12 th grade Key informant interviews urged local funding for behavioral health services Monthly, there are 400 ER visits that are behavioral health driven (mental health and/or substance abuse). 11
Chronic Diseases Account for 2/3 of health costs; 75% of deaths per year 72% of death from heart, cancer, stroke, diabetes and respiratory disease (MSA) Good news (age adjusted rates): Heart disease decreased 30% in last decade Cancer decreased 10% in last decade Stroke decreased 34% in last decade Challenges Chronic Lower Respiratory Disease increased 19% in past decade Diabetes, same to slight increase Obesity 66% of adults overweight or obese; 25% of middle and high school also Hypertension: prevalence 30% vs. 28% IL; Dental Care The need for dental care almost doubled in the decade (2000-2009). 29% of Winnebago County adults, 39% of Boone County adults have not seen dentist in past year. 26% (community), 43% (school) unable to receive dental care. Focus groups indicate need for dentists to accept Medicaid; Crusader capacity helpful. 12
Health Equity Chance of dying prematurely influenced by strong social forces (e.g. education, income, housing and neighborhoods) 61% of black males (Winnebago, 2006) died before age 65, an 8-year high. In five of the six past years, more than 55% of black male deaths occurred before age 65. 41% of black females (2006) died before age 65 Black infants in MSA are 30-40% more likely to be born prematurely (less than 37 weeks gestation) than white or Hispanic (2008) infants Hispanic premature mortality (deaths under age 65) exceeds black levels: 64% males and 64% females (2004-2006) For Caucasians, 31% of male deaths and 18% of female deaths occurred before age 65. Next Steps Prioritization process Steering Committee and Work Groups Analyze data and evaluate Prioritize recommendations Present to RHC Board RHC Board Determine the focus for RHC Recommend actions for implementation by community 13
Next Steps Dashboard items to report on progress Study available on RHC web site www.rockfordhealth.org Click on the 2010 Study tab Enter your e-mail address A link to the Study data will be e-mailed to you Thank You Rockford Health Council gratefully acknowledges the funders of the 2010 Healthy Community Study: Boone County Health Dept. City of Loves Park City of Rockford Community Foundation of Northern Illinois Comtech Corporation Crusader Community Health Employers Coalition on Health Goodwill Abilities Center Guyer and Enichen PC OSF Saint Anthony Medical Center Rock Valley College Rockford Acromatic Products Rockford Anesthesiologists Associated, LLC Rockford Area Association of Realtors Rockford Area Economic Development Council Rockford Bank and Trust 14
Thank You Rockford Health Council gratefully acknowledges the funders of the 2010 Healthy Community Study: Rockford Chamber of Commerce Rockford College Rockford Health Council Rockford Health System Rockford Housing Authority Rockford Park District Rockford Public School District 205 SwedishAmerican Health System University of Illinois Rockford United Way of Rock River Valley US Bank Village of Machesney Park Winnebago County Winnebago County Dental Society Winnebago County Health Dept. Winnebago County Medical Society YMCA of Rock River Valley 15