Bonner General Health Community Health Needs Assessment Implement Plan Define Engage Gather Report Community Health Needs Assessment

County Health Rankings Implement Plan Define Engage Gather Report CHNA County Health Rankings Annual assessment emphasizing factors that can make communities healthier Developed by the University of Wisconsin Population Health Institute Information provided on a county by county basis based on data pulled from various sources including public health records and individual responses

Community Demographics Implement Plan Define Engage Gather Report CHNA Community Demographics Bonner County Idaho Year Population 41,859 1,654,930 2015 Population Change +2.4 +5.6 2010 to 2015 Median Household Income $41,879 $47,334 2014 Per Capita Income $24,333 $23,087 Adults w/o Health Insurance 16.9% 15.7% 2013 People in poverty 16.2% 14.8% US Census Quick Facts

Social and Economic Factors Implement Plan Define Engage Gather Report CHNA Social and Economic Factors Bonner Idaho Top 10% US High School Graduation 77% 81% 93% Some College 58% 64% 72% Unemployment 4.9% 4.8% 3.5% Children in poverty 25% 19% 13% Income inequity* 4.9 4.1 3.7 Children in single-parent households 33% 21% Violent Crime** 113 210 59 Injury Deaths** 72 67 51 Better educated people live longer healthier lives and children more likely to thrive—true even when income taken into account Employment provides income and often benefits that support healthy lifestyle choices---create job skills, enhance employment Income—provides economic resources that shape choices on food, child care, medical Income inequity—higher ratio indicates a greater division between top and bottom ends of the spectrum—can result in loss of social connections, and how people relate to each other Family and social support—single parent tend to have more mental health issues and unhealthy behaviors-impacted by overall community support Injuries are predicable and preventable—greater sense of control, leads to higher income Injury from accidents and violence are the 3rd leading cause of death and leading for 1-44 * Ratio of income at 80th percentile to income at 20th percentile ** Per 100,000 of population X Unreliable information

Health Factors-Behaviors Implement Plan Define Engage Gather Report CHNA Health Factors-Behaviors Bonner Idaho Top 10% US Adult Smoking 17% 16% 14% Adult Obesity 26% 28% 25% Physical inactivity 22% 20% Access to exercise opportunities 73% 75% 91% Excessive Drinking 12% Alcohol-impaired driving deaths 39% 33% Sexually transmitted diseases* 224.8 340.2 134.1 Teen births** 33 19 Areas where the box is highlighted means either an area for focus or an area of strength Tobacco—leading cause of preventable death in US—impacts the smoker and those around-smokers die 10 years earlier—6% of young adults use smokeless and 50% are younger than 18 Diet and exercise—hinder growth, overweight, heart disease, diabetes and some cancers Adult obesity—major health factor 29 million live in food desert—typically lower education and already at risk 32% of children are overweight or obese Physical inactivity—aged 20 and over—no leisure time physical activity—data is self-reported Locations for physical activity—park and recs (gym, pool, community center)—based on number of locations nearby with exercise facilities Excessive drinking—binge and long term—increases liver disease, hypertension short term—violence, crashes Teen births—less likely to get prenatal care, have pre-term or low birthweight, more likely to live below poverty level * Per 100,000 of population ** Per 1,000 female population ages 15-19 from 2007-2013

Demographic Information Implement Plan Define Engage Gather Report CHNA Demographic Information Other —Lake Andes, Mt Vernon, Platte (2), Cosica, Stickney (2), Wagner (2) 58 responses

Implement Plan Define Engage Gather Report CHNA Age of Respondents

Idaho Behavioral Risk Factors-2013 Bonner Idaho US Median Reported Health as Fair or Poor 13.2% 14.2% 16.7% Adults without Health Care Coverage 18.8% 19.9% 16.8% Have ever been told they had diabetes 7.0% 8.4% 9.7% Have ever been diagnosed with asthma 8.6% 8.5% 9.0% Have ever been told they have arthritis 28.3% 24.1% 25.3% Had high cholesterol 41.9% 38.4% Were told they have high blood pressure 32.1% 29.4% 31.4% Did not participate in physical activity 23.2% 23.7% 25.4% Fair or Poor---percentage tends to be higher with lower income and unemployed No health care associated with lower income, unemployed, lower levels of education and Hispanics

Idaho Behavioral Risk Factors-2013 Bonner Idaho US Median Ate fewer than 5 servings of fruits and veggies a day 85.4% 82.8% 84.1% Were overweight (BMI> 25) 64.5% 64.9% 64.8% Were obese (BMI > 30) 28.7% 29.6% 29.4% Smoked cigarettes 18.6% 17.2% 19.0% Binge drinkers (>4 drinks at a time) 17.1% 14.9% 16.8% Heavy drinkers (>30 drinks in 30 days (F) or 60 in 30 (M)) 9.0% 6.2% Used illicit drugs in last 12 months 5.8% 4.8% n/a Have not had cholesterol checked in 5 years 30.2% 30.7% 23.6% Overweight-associated with males, older than 35 Smokers—male higher than female, lower income, unemployed, lower level of education

Community Health Needs Assessment 2013 CHNA Results Implement Plan Define Engage Gather Report Community Health Needs Assessment

Implement Plan Define Engage Gather Report CHNA 2013 CHNA Results Obesity-Promote healthy activities and lifestyle changes to combat obesity Began BGH Intensive Behavioral Health for Obesity service Provide diabetes education to the community Provide diabetes support groups Created Fit4Life—BGH Employee Wellness Program Participate in Food for our Children program Participate in the Park Prescription Program Participate in Community Partnership for Healthy Mothers & Children

Implement Plan Define Engage Gather Report CHNA 2013 CHNA Results Mental Health/Suicide-Internal and external programs to assist with mental health and suicide prevention Hired a Psychiatrist and opened a Psychiatry Clinic Provide group and individual grief counseling in schools(as requested) Lead support groups Provide Grief Acceptance Classes through Hospice program Organize, manage and staff Kid’s Camp-weekend camp for children who have lost a loved one Board/Committee participation with local groups

2013 CHNA Results Teen Births-Provide education to teenage girls Implement Plan Define Engage Gather Report CHNA 2013 CHNA Results Teen Births-Provide education to teenage girls Participate in Community Partnerships for Healthy Mothers and Children Provide patient education at OB/GYN Clinic Sandpoint Women’s Health Provide Childbirth education

Implement Plan Define Engage Gather Report CHNA 2013 CHNA Results Child Abuse/Neglect-Support partnerships with organizations working to protect children Sponsor of Kinderhaven Participate in Panhandle Alliance of Education Participate in Food for our Children program

2016 CHNA Results 1) Obesity/Nutrition/Physical Activity 2) Mental Health 3) Suicide 4) Child Abuse/Neglect

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