Community Health Findings Ft. Myers, FL Community Health Findings Prepared for Lee Memorial Health System By Professional Research Consultants, Inc.

METHODOLOGY

PRC Community Health Assessment Customized Local PRC Community Health Survey The 2011 PRC Community Health Assessment consists of both primary and secondary data. PRC Community Health Assessment Secondary Data Focus Groups

Telephone Survey Issues Addressed Random sample of 1,000 adults By geography: Four Market Areas 153 survey items 20-25 minute interview Lee County: ±3.1% maximum error Each percentage of the total sample represents roughly 5,355 residents Issues Addressed Self-Reported Health Status Death & Disability Injury & Violence Immunization & Infectious Disease Births Modifiable Health Risks Access to Healthcare Services BENCHMARKING State BRFSS data (CDC) US Survey Data (PRC National Health Survey) Healthy People 2020 targets State and national vital statistics

Expected Error Ranges for a Sample of 1,000 Respondents at the 95 Percent Level of Confidence Note: • The "response rate" (the percentage of a population giving a particular response) determines the error rate associated with that response. A "95 percent level of confidence" indicates that responses would fall within the expected error range on 95 out of 100 trials. Examples: • If 10% of the sample of 1,000 respondents answered a certain question with a "yes," it can be asserted that between 8.1% and 11.9% (10% ± 1.9%) of the total population would offer this response. • If 50% of respondents said "yes," one could be certain with a 95 percent level of confidence that between 46.9% and 53.1% (50% ± 3.1%) of the total population would respond "yes" if asked this question.

Demographics

Population & Sample Characteristics (Lee County, 2011) Sources:  Census 2000, Summary File 3 (SF 3). US Census Bureau.  PRC Community Health Survey, Professional Research Consultants, Inc.

SELF-REPORTED HEALTH STATUS

Physical Health

Self-Reported Health Status (Lee County, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6] Notes:  Asked of all respondents.

Experience “Fair” or “Poor” Physical Health Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Experience “Fair” or “Poor” Physical Health (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Limited in Activities in Some Way Due to a Physical, Mental or Emotional Problem Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 128] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Limited in Activities in Some Way Due to a Physical, Mental or Emotional Problem (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 128] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Type of Problem That Limits Activities (Among Those Reporting Activity Limitations; Lee County, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 129] Notes:  Asked of those respondents reporting activity limitations.

Number of Falls in the Past 3 Months (Lee County Residents Aged 45+, 2011) (No difference by age) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Items 130-131] Notes:  Asked of all respondents aged 45 and older.

Mental Health & Mental Disorders

Self-Reported Mental Health Status (Lee County, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 124] Notes:  Asked of all respondents.

Experience “Fair” or “Poor” Mental Health Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 124] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Experience “Fair” or “Poor” Mental Health (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 124] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Have Been Diagnosed With Major Depression Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 41] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Been Diagnosed With Major Depression (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 41] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Have Experienced Symptoms of Chronic Depression Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 125] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Experienced Symptoms of Chronic Depression (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 125] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Perceived Level of Stress On a Typical Day (Lee County, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 126] Notes:  Asked of all respondents.

Perceive Most Days As “Extremely” or “Very” Stressful Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 126] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Perceive Most Days as “Extremely” or “Very” Stressful (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 126] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Suicide: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MHMD-1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Suicide: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-2] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Suicide: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MHMD-1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Have Sought Professional Help for a Mental or Emotional Problem (Among Those With Major Depression; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 154] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MHMD-9.1] Notes: ● Asked of those respondents with major depression.

Member of Household Has Sought Mental Health Services in the Past Year (Lee County Adults, 2011) 2007: 10.3% 2007: 85.0% Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Items 26-27] Notes:  Asked of all respondents.

Child Takes Medication for ADD/ADHD (Among Lee County Parents of Children 5-17) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 144] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children aged 5-17 at home.

DEATH & DISABILITY

Leading Causes of Death (Lee County, 2007) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● CLRD is chronic lower respiratory disease.

Age-Adjusted Death Rates for Selected Causes (2005-2007 Deaths per 100,000) Lee County Florida US HP2020 Diseases of the Heart 166.0 175.4 200.9 152.7* Malignant Neoplasms (Cancers) 160.1 171.8 181.0 160.6 Unintentional Injuries 64.3 46.6 39.7 36.0 Chronic Lower Respiratory Disease (CLRD) 31.3 37.2 41.5 n/a Cerebrovascular Disease (Stroke) 28.6 35.6 44.2 33.8 Motor Vehicle Crashes 24.7 18.3 14.3 12.4 Diabetes Mellitus 18.9 21.7 23.5 19.6* Drug-Induced 18.8 15.9 12.2 11.3 Intentional Self-Harm (Suicide) 16.5 12.9 11.1 10.2 Alzheimer’s Disease 15.0 16.9 22.7 Firearm-Related 14.0 11.2 10.3 9.2 Cirrhosis/Liver Disease 10.7 14.5 8.2 Homicide/Legal Intervention 6.9 6.1 5.5 Pneumonia/Influenza 8.0 9.9 18.1 Kidney Disease *HIV/AIDS 6.0 10.1 4.6 3.3 SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. Note: ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population and coded using ICD-10 codes. ● *The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart; the Diabetes target is adjusted to reflect only diabetes mellitus-coded deaths. ● County, state and national data are simple three-year averages. *HIV/AIDS data reflect 1999-2007 data.

Heart Disease & Stroke

Heart Disease: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-2] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart.

Heart Disease: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-2] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart.

Heart Disease: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted March 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-2] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages. ● The Healthy People 2020 Heart Disease target is adjusted to account for all diseases of the heart.

Stroke: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Stroke: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Stroke: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Prevalence of Heart Disease Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 155] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Prevalence of Heart Disease (Lee County, 2011) Men 65+: 34.5% Women 65+: 16.9% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 155] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Prevalence of Stroke Among 65+: 9.0% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 46] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Asked of all respondents.

Have Had Blood Pressure Checked in the Past 2 Years ???? Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 55] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-4] Notes: ● Asked of all respondents.

Prevalence of High Blood Pressure Number of Times Diagnosed: Once = 24.9% More Than Once = 75.1% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 52-53, 156] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-5.1] Notes: ● Asked of all respondents.

Prevalence of High Blood Pressure (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 156] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-5.1] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Taking Action to Control Hypertension (Among Lee County Adults with High BP, 2010) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 54] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents who have been diagnosed with high blood pressure. ● In this case, the term “action” refers to medication, change in diet, and/or exercise.

Have Had Blood Cholesterol Levels Checked in the Past 5 Years Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 58] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-6] Notes: ● Asked of all respondents.

Have Had Blood Cholesterol Levels Checked in the Past 5 Years (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 58] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-6] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Prevalence of High Blood Cholesterol Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items157] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-7] Notes: ● Asked of all respondents. ● *The Florida data reflects those adults who have been tested for high cholesterol and who have been diagnosed with it.

Prevalence of High Blood Cholesterol (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 157] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HDS-7] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Taking Action to Control High Blood Cholesterol Levels (Among Lee County Adults with High Cholesterol, 2010) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 57] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents who have been diagnosed with high blood cholesterol levels. ● In this case, the term “action” refers to medication, change in diet, and/or exercise.

Present One or More Cardiovascular Risks or Behaviors Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 158] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents. Notes: ● Cardiovascular risk is defined as having no leisure-time physical activity OR regular/occasional smoking OR hypertension OR high blood cholesterol OR being overweight/obese.

Present One or More Cardiovascular Risks or Behaviors (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 158] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. Notes: ● Cardiovascular risk is defined as having no leisure-time physical activity OR regular/occasional smoking OR hypertension OR high blood cholesterol OR being overweight/obese.

Cancer

Cancer: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective C-1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Cancer: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective C-1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Cancer: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective C-1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Age-Adjusted Cancer Death Rates by Site (2005-2007) Lee County Florida US HP2020 Lung Cancer 48.2 51.0 51.6 45.5 Female Breast Cancer 19.2 21.6 23.5 20.6 Prostate Cancer 14.7 20.1 23.9 21.2 Colorectal Cancer 11.6 15.8 17.2 14.5 Sources: • Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. SECONDARY DATA

Prevalence of Skin Cancer Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 39] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Prevalence of Cancer (Other Than Skin Cancer) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 38] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Had a Prostate Screening in the Past 2 Years (Among Lee County Men 50+, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 162] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all male respondents aged 50 and older.

Have Had a Mammogram in the Past Two Years (Among Lee County Women 50-74, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 160] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2008 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective C-17] Notes: ● Asked of all female respondents aged 50 to 74 and older. ● *Note that state data reflects all women 50 and older (compared with women 50-74 represented in the county and US figures.

Have Had a Pap Smear in the Past 3 Years (Among Lee County Women 21-65, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 161] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2008 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective C-15] Notes: ● Asked of female respondents aged 21 to 65. ● *Note that the Florida percentage represents all women aged 18 and older.

Have Ever Had a Sigmoidoscopy/Colonoscopy Exam (Among Lee County Adults 50+, 2010) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 163] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2008 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents aged 50 and older.

Have Had a Blood Stool Test in the Past 2 Years (Among Lee County Adults 50+, 2010) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 164] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2008 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents aged 50 and older.

Respiratory Disease

CLRD: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

CLRD: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

CLRD: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Pneumonia/Influenza: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) Nearly all deaths reported were among Non-Hispanic Whites. SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Pneumonia/Influenza: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Prevalence of Chronic Lung Disease Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 33] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Currently Have Asthma Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 166] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Asked of all respondents.

Asthma-Related Visits to the ER or UCC in the Past Year (Among Lee County Adults With Asthma, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 49] Notes: ● Asked of Lee County residents with asthma.

Child Has Asthma (Among Parents of Children <18) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 142, 167] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children under 18 at home.

INJURY & VIOLENCE

Unintentional Injuries: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Unintentional Injuries: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Unintentional Injuries: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Motor Vehicle Crashes: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-13.1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Motor Vehicle Crashes: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-13.1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Motor Vehicle Crashes: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-13.1] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Seatbelt Usage

“Always” Wear a Seat Belt When Driving or Riding in a Vehicle Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 59] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IPV-15] Notes: ● Asked of all respondents.

“Always” Wear a Seat Belt When Driving or Riding in a Vehicle (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 59] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IPV-15] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Frequency of Texting While Driving in the Past Month (Among Lee County Adults, 2011) Median = 0 Times Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 70] Notes: ● Asked of all respondents.

Child “Always” Wears a Seatbelt or Appropriate Restraint When Riding in a Vehicle (Among Parents of Children Age 0-17; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 145, 170-171] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children under 18 at home.

Child “Always” Wears a Helmet When Riding a Bicycle (Among Parents of Children 5 to 17, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 151] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children aged 5 to 17 at home. ● *Note that 2007 data reflects children aged 5 to 16 at home.

Water Safety

Have a Swimming Pool at Home or Apartment Pool is located in apartment complex: 66.8% Pool is located in backyard of a house: 33.2% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 67-68] Notes: ● Asked of all respondents.

Have Safety Features for the Pool (Among Lee County Adults w/Home or Apartment Pools) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 69] Notes:  Asked of those respondents with a home or apartment pool.

Child Can Swim or Float for at Least 5 Minutes (Among Parents of Children 1-17, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 150] Notes: ● Asked of all respondents with children aged 1-17 at home.

Firearms

Firearm-Related Deaths: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-30] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Firearms-Related Deaths: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-30] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Firearms-Related Deaths: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IVP-30] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Have a Firearm Kept in or Around the Home Among households with children, 30.5% have a firearm kept in or around the home (vs 34.4% across the nation). HH w/Kids: 2007: 23.9% 2011: 30.5% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 64, 168] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have a Firearm Kept in or Around the House (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 64] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Household Has an Unlocked/Loaded Firearm (Among Respondents With Firearms at Home; Lee County 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 169] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with firearms in or around the home.

Violent Crime

Homicide: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IPV-29] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● All Lee County homicide death rates are unreliable due to the low number of deaths in the community.

Homicide: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IPV-29] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● All Lee County homicide death rates are unreliable due to the low number of deaths in the county.

Homicide: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IPV-29] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages. ● All Lee County homicide death rates are unreliable due to the low number of deaths in the county.

Violent Crime Rates (2007-2009 Annual Average Offenses per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Law Enforcement : ● US Department of Justice, Federal Bureau of Investigation, Crime in the US Notes: ● Rates are offenses per 100,000 population among agencies reporting.

Violent Crime Rates (Annual Average Offenses per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Law Enforcement : ● US Department of Justice, Federal Bureau of Investigation, Crime in the US Notes: ● Rates are offenses per 100,000 population among agencies reporting.

Have Been the Victim of a Violent Crime in the Past 5 Years Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 60] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Ever Been Hit, Slapped, Pushed, Kicked, or Hurt in Any Way by an Intimate Partner A total of 12.0% of respondents report being threatened with physical violence by an intimate partner (vs. 11.7% across the US). Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 61-62] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Ever Been Hit, Slapped, Pushed, Kicked, or Hurt in Any Way by an Intimate Partner (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 62] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Domestic Violence Occurred in the Past 5 Years (Among Victims of Domestic Violence, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 63] Notes:  Asked of those respondents who report being victims of domestic violence.

Child Abuse/Neglect Intakes/Investigations (Raw Case Numbers) SECONDARY DATA Sources: ● Florida Safe Family Network (FSFN) Data Repository Notes: ● Figures are raw case numbers.

Diabetes

Diabetes: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective D-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● The Healthy People 2010 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.

Diabetes: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective D-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages. ● The Healthy People 2010 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.

Diabetes: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective D-3] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages. ● The Healthy People 2010 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.

Prevalence of Diabetes Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 50] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Asked of all respondents.

Prevalence of Diabetes (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 50] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Taking Insulin or Other Medication for Diabetes (Among Diabetics; Lee County, 2011) 2007: 87.0% Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 51]  Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes:  Asked of all diabetic respondents.

Alzheimer’s Disease

Alzheimer’s Disease: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Alzheimer’s Disease: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Alzheimer’s Disease: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.

Kidney Disease

Kidney Disease: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Kidney Disease: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) N/A SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Kidney Disease: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.

Chronic Pain

Prevalence of Arthritis/Rheumatism (50+) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 172] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents aged 50 and older.

Prevalence of Osteoporosis (50+) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 173] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective AOCBC-10] Notes: ● Asked of all respondents aged 50 and older.

Prevalence of Sciatica/Chronic Back Pain Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 37] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Prevalence of Migraines/Severe Headaches Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 42] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Prevalence of Chronic Neck Pain Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 43] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Vision & Hearing

Prevalence of Blindness/Trouble Seeing Seniors 12.0% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 34] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Prevalence of Deafness/Trouble Hearing Seniors 19.4% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 35] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

IMMUNIZATION & INFECTIOUS DISEASE

Reported Case Rates for Vaccine-Preventable Diseases (2007-2009) Lee County Florida US* Measles 0.0 Mumps 0.9 Rubella Pertussis 1.2 1.8 4.5 SECONDARY DATA Sources: ● Florida Department of Health ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● US measles cases include only those infected while in the United States. ● US data is 2006 to 2008.

Pertussis Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population.

Have Had a Flu Vaccination in the Past Year (Among Lee County Seniors 65+, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 174] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-12.7] Notes: ● Asked of all respondents aged 65 and older. ● Includes FluMist® as a form of vaccination.

Have Had a Flu Vaccination in the Past Year (Among Lee County High-Risk Adults <65, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 175] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-12.6] Notes: ● Asked of all high-risk respondents under 65. ● “High-Risk” includes adults aged 18 to 64 who have been diagnosed with heart disease, diabetes or respiratory disease. ● Includes FluMist® as a form of vaccination.

Have Ever Had a Pneumonia Vaccine (Among Lee County Seniors 65+, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 176] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-13.1] Notes: ● Asked of all respondents aged 65 and older.

Have Ever Had a Pneumonia Vaccine (Among High-Risk Adults <65, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 177] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-13.2] Notes: ● Asked of all high-risk respondents under 65. ● “High-Risk” includes adults aged 18 to 64 who have been diagnosed with heart disease, diabetes or respiratory disease.

Tuberculosis

Tuberculosis Incidence (2008-2010 Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-29] Notes: ● Rates are annual average new cases per 100,000 population. National data is 2007-2009.

Tuberculosis Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective IID-29] Notes: ● Rates are annual average new cases per 100,000 population.

Sexually-Transmitted Disease

HIV/AIDS: Age-Adjusted Mortality (1999-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted February 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-12] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● HIV death rates represent deaths between 1999 and 2007.

HIV/AIDS: Age-Adjusted Mortality by Race (1999-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-12] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● HIV death rates represent deaths between 1999 and 2007.

HIV/AIDS Incidence (2006-2008 Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-4] Notes: ● Rates are annual average new cases per 100,000 population.

HIV/AIDS Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-4] Notes: ● Rates are annual average new cases per 100,000 population. ● Generally, HIV cases remained fairly stable with an increase in 2002 due to increased HIV testing statewide as part of the Get to Know Your Status campaign. Since that time, newly reported HIV cases have decreased each year until 2007. Since then, reporting changes have caused fluctuations in HIV cases. For example, enhanced reporting laws were implemented in Nov. 2006, and the expansion of electronic lab reporting in 2007 led to an artificial peak in HIV cases in 2007 and 2008 followed by an artificial decrease in 2009 and an expected approach to leveling in 2010. Cases reported in correctional facilities are excluded from the county totals, but are included in the state total.

HIV Testing (Among Respondents Aged 18 to 44, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 180] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-14.1] Notes: ● Asked of all respondents aged 18 to 44. ● Note that the Healthy People 2020 objective is for those aged 15 through 44.

Have Been Tested for HIV in the Past Year (Lee County Adults Aged 18-44, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 180] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective HIV-14.1] Notes: ● Asked of all respondents aged 18 through 44. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Site of HIV Testing (Among Adults <65 Who Have Been Tested for HIV, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 110] Notes:  Asked of those respondents <65 who have been tested for HIV.

Gonorrhea Incidence (2008-2010 Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population. US data is 2006-2008.

Gonorrhea Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population.

Primary/Secondary Syphilis Incidence (2008-2010 Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population. US data is 2006-2008.

Primary/Secondary Syphilis Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population.

Chlamydia Incidence (2008-2010 Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population. US data is 2006-2008.

Chlamydia Incidence (Annual Average Cases per 100,000 Population) SECONDARY DATA Sources: ● Florida Department of Health ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  Notes: ● Rates are annual average new cases per 100,000 population.

Have Ever Received the Hepatitis B Vaccination Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 86] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Ever Received the Hepatitis B Vaccination (Lee County, 2011) Sources: ● 2010 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 86] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Number of Sexual Partners in Past 12 Months (Unmarried Respondents Aged 18-64, 2011) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 107] Notes:  Asked of all unmarried respondents under the age of 65.

Had Three or More Sexual Partners in the Past Year (Among Unmarried Respondents Aged 18 to 64; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 107] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all unmarried respondents under the age of 65.

Had Three or More Sexual Partners in the Past Year (Unmarried Adults Under 65, 2011) (No Hispanics responded to this item) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 107] Notes: ● Asked of all unmarried respondents under the age of 65. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Used Condom During Last Sexual Intercourse (Among Unmarried Respondents Aged 18 to 64, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 108] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all unmarried respondents under the age of 65.

Used Condom During Last Sexual Intercourse (Unmarried Adults Under 65, 2011) (No Hispanics responded to this item) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 108] Notes: ● Asked of all unmarried respondents under the age of 65. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

BIRTHS

Mothers Receiving Prenatal Care in the First Trimester (Percentage of Live Births, 2007-2009) SECONDARY DATA Sources: ● Florida Department of Health  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-10.1] Note: ● Numbers are a percentage of all live births within each population.

Mothers Receiving Prenatal Care in the First Trimester (Percentage of Live Births) SECONDARY DATA Sources: ● State of Florida Department of Health and Senior Services  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-10.1] Note: ● Numbers are a percentage of all live births within each population.

Low-Weight Births (Percentage of Live Births, 2007-2009) SECONDARY DATA Sources: ● Florida Department of Health  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-8.1] Note: ● Numbers are a percentage of all live births within each population.

Low-Weight Births (Percentage of Live Births) SECONDARY DATA Sources: ● Florida Department of Health  ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-8.1] Note: ● Numbers are a percentage of all live births within each population.

Infant Mortality Rate (2005-2007 Annual Average Infant Deaths per 1,000 Live Births) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-1.3] Notes: ● Rates are three-year averages of deaths of children under 1 year old per 1,000 live births.

Infant Mortality Rate (2005-2007 Annual Average Infant Deaths per 1,000 Live Births) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-1.3] Notes: ● Rates are three-year averages of deaths of children under 1 year old per 1,000 live births.

Infant Mortality Rate (Annual Average Infant Deaths per 1,000 Live Births) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective MICH-1.3] Notes: ● Rates are three-year averages of deaths of children under 1 year old per 1,000 live births.

Births to Teen Mothers Under 20 (Percentage of Live Births, 2007-2009) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, National Vital Statistics System.  Note: ● Numbers are a percentage of all live births within each population. ● The US figure represents 2006-2008 data.

Births to Teen Mothers Under 20 (By Race; Percentage of Live Births, 2009) SECONDARY DATA Sources: ● Florida Department of Health  Note: ● Numbers are a percentage of all live births within each population.

Births to Teen Mothers Under 20 (Percentage of Live Births) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, National Vital Statistics System.  Note: ● Numbers are a percentage of all live births within each population.

Births to Unwed Mothers (Percentage of Live Births, 2007-2009) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, National Vital Statistics System.  Note: ● Numbers are a percentage of all live births within each population. ● The US figure represents 2006-2008 data.

Births to Unwed Mothers (By Race; Percentage of Live Births, 2009) SECONDARY DATA Sources: ● Florida Department of Health  Note: ● Numbers are a percentage of all live births within each population.

Births to Unwed Mothers (Percentage of Live Births) SECONDARY DATA Sources: ● Florida Department of Health  ● Centers for Disease Control and Prevention, National Vital Statistics System.  Note: ● Numbers are a percentage of all live births within each population.

MODIFIABLE HEALTH RISKS

Nutrition

Consume 5+ Servings of Fruits/Vegetables Per Day Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 182] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents. ● For this issue, respondents were asked to recall their food intake on the previous day.

Consume 5+ Servings of Fruits/Vegetables Per Day (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 182] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. ● For this issue, respondents were asked to recall their food intake on the previous day.

Fruits/Vegetable Consumption (Lee County, 2011) 34.4% in 2007 US=40.1% 59.1% in 2007 US=60.5% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 183-184] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Received Advice About Diet and Nutrition in the Past Year From a Physician, Nurse, or Other Health Professional (By Weight Classification) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 24] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Generally Read Food Labels When Selecting Foods Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 114] Notes: ● Asked of all respondents.

Physical Activity & Fitness

Primary Level of Physical Activity At Work (Among Employed Respondents) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 115] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of those respondents who are employed for wages.

No Leisure-Time Physical Activity in the Past Month Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 116] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective PA-1] Notes: ● Asked of all respondents.

No Leisure-Time Physical Activity in the Past Month (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 116] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective PA-1] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Meets Physical Activity Recommendations Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 185] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Asked of all respondents. ● In this case the term “meets physical activity recommendations” refers to participation in moderate physical activity (exercise that produces only light sweating or a slight to moderate increase in breathing or heart rate ) at least 5 times a week for 30 minutes at a time, and/or vigorous physical activity (activities that cause heavy sweating or large increases in breathing or heart rate) at least 3 times a week for 20 minutes at a time.

Meets Physical Activity Recommendations (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 185] Notes: ● Asked of all respondents. ● FPL = Federal Poverty Level based on household income and number of household members [US Department of Health & Human Services poverty guidelines]. ● In this case the term “meets physical activity recommendations” refers to participation in moderate physical activity (exercise that produces only light sweating or a slight to moderate increase in breathing or heart rate ) at least 5 times a week for 30 minutes at a time, and/or vigorous physical activity (activities that cause heavy sweating or large increases in breathing or heart rate) at least 3 times a week for 20 minutes at a time.

Moderate & Vigorous Physical Activity (Lee County, 2011) 26.4% in 2007 26.3% in 2007 US=23.9% US=34.8% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 187-188] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents. ● Moderate Physical Activity: Takes part in exercise that produces only light sweating or a slight to moderate increase in breathing or heart rate at least 5 times per week for at least 30 minutes per time. Vigorous Physical Activity: Takes part in activities that cause heavy sweating or large increases in breathing or heart rate at least 3 times per week for at least 20 minutes per time.

Have Received Advice About Exercise in the Past Year From a Physician, Nurse, or Other Health Professional (By Weight Classification) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 25] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Children’s Screen Time (Among Parents of Children Ages 5-17; Lee County, 2011) US 9.9% US 19.7% Number of Hours/Day of Television Number of Hours/Day of Other Screen Time (i.e., video games and computer/Internet entertainment) Sources:  Professional Research Consultants, Inc. PRC Community Health Survey [Items 152-153]  Professional Research Consultants, Inc. PRC National Health Survey Notes:  Asked of respondents with a child aged 5 to 17 in the household.

Children’s Total Screen Time Per School Day: 3+ Hours of TV, Computer, Video Games, Etc. for Entertainment (Lee County Parents of Children 5-17, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 191] ● Professional Research Consultants, Inc. PRC National Health Survey. Notes: ● Asked of all respondents with children 5-17 at home. ● “3+ hours” includes reported television watching of 180 minutes or more per school day.

Body Weight

Self-Perceived Body Weight (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 123] Notes: ● Asked of all respondents.

Consider Self to be Overweight (By Weight Classification; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 123] Notes: ● Based on reported heights and weights, asked of all respondents. ● The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0, regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.

Healthy Weight (Body Mass Index Between 18.5-24.9) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective NWS-8] Notes: ● Based on reported heights and weights, asked of all respondents. ● The definition of healthy weight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), between 18.5 and 24.9.

Prevalence of Total Overweight (Overweight or/Obese Adults; Body Mass Index of 25.0 or Higher) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Based on reported heights and weights, asked of all respondents. ● The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0, regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.

Prevalence of Obesity (Body Mass Index of 30.0 or Higher) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective NWS-9] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. Notes: ● Based on reported heights and weights, asked of all respondents. ● The definition of obesity is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 30.0, regardless of gender.

Prevalence of Obesity (Body Mass Index of 30 Prevalence of Obesity (Body Mass Index of 30.0 or Higher; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective NWS-9] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. ● Based on reported heights and weights, asked of all respondents. ● The definition of obesity is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 30.0, regardless of gender.

Relationship of Overweight With Other Health Issues (Lee County; By Weight Classification) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 6, 36, 37, 41, 50, 125, 155, 156, 157] Notes: ● Based on reported heights and weights, asked of all respondents.

Have Received Advice About Weight in the Past Year From a Physician, Nurse, or Other Health Professional (By Weight Classification) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 122, 195-196] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective NWS-6.2] Notes: ● Asked of all respondents.

Trying to Lose Weight by Both Modifying Diet and Increasing Physical Activity (By Weight Classification) % Overweight Trying to Lose Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 194] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Based on reported heights and weights, asked of all respondents.

Child’s Weight as Described by Parent (Lee County Parents of Children 2-17, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 148] Notes: ● Asked of all respondents with children aged 2-17.

Child Total Overweight Prevalence (Percent of Children 6-17 Who Are Overweight/Obese; Body Mass Index in the 85th Percentile or Higher) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 197] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children aged 6-17 at home. ● Overweight among children is estimated based on children’s Body Mass Index status at or above the 85th percentile of US growth charts by gender and age.

Child Obesity Prevalence (Percent of Children 6-17 Who Are Obese; Body Mass Index in the 95th Percentile or Higher) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 197] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective NWS-10.4] Notes: ● Asked of all respondents with children aged 6-17 at home. ● Obesity among children is estimated based on children’s Body Mass Index status equal to or above the 95th percentile of US growth charts by gender and age.

Have Been Told That Child is Overweight in the Past Year (Lee County Parents of Children 2-17, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 149] ● Professional Research Consultants, Inc. PRC National Health Survey. Notes: ● Based on reported heights and weights, asked of all respondents with children aged 2-17.

Substance Abuse

Cirrhosis/Liver Disease: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Cirrhosis/Liver Disease: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Cirrhosis/Liver Disease: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-11] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Chronic Drinkers Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 203] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents. ● Chronic drinkers are defined as having 60+ alcoholic drinks in the past month. ● *The state definition for chronic drinkers is males consuming 2+ drinks per day and females consuming 1+ drink per day.

Chronic Drinkers (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 203] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. ● Chronic drinkers are defined as those having 60+ alcoholic drinks in the past month.

Binge Drinkers Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 204] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-14.3] Notes: ● Asked of all respondents. ● Binge drinkers are defined as men having 5+ alcoholic drinks on any one occasion or women consuming 4+ drinks on any one occasion. In 2006, this definition did not distinguish by gender and represents the percentage of men and women consuming 5+ alcoholic drinks on one occasion. ● Note that in 2007, the definition was 5+ dinks/occasion for both men and women.

Binge Drinkers (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 204] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-14.3] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. ● Binge drinkers are defined as men having 5+ alcoholic drinks on any one occasion or women consuming 4+ drinks on any one occasion.

Have Driven in the Past Month After Perhaps Having Too Much to Drink Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 80] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Drug-Induced Deaths: Age-Adjusted Mortality (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-12] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Drug-Induced Deaths: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-12] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● County, state and national data are simple three-year averages.

Drug-Induced Deaths: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population) SECONDARY DATA Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System.  Data extracted May 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-12] Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). ● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population. ● State and national data are simple three-year averages.

Illicit Drug Use in the Past Month Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 81] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective SA-13.3] Notes: ● Asked of all respondents.

Have Ever Sought Professional Help for an Alcohol- or Drug-Related Problem Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 82] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Tobacco Use

Cigarette Smoking Prevalence (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 198] Notes: ● Asked of all respondents.

Current Smokers Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 198] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective TU-1.1] Notes: ● Asked of all respondents. ● Includes regular and occasional smokers (everyday and some days).

Current Smokers (Lee County, 2011) Among women 18-44, 24.2% are regular or occasional smokers. Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 198-199] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective TU-1.1] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Member of Household Smokes at Home Note that 4.0% of non-smokers are exposed to smoke in the home (similar to the 5.7% reported nationally and the 6.0% reported across Lee County in 2007). Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 74, 200] ● Professional Research Consultants. PRC National Health Survey. 2011. ● Healthy People 2010, 2nd Edition. US Department of Health and Human Services. Washington, DC: US Government Printing Office, November 2000. [Objective 27-5] Notes: ● Asked of all respondents. ● “Smokes at home” refers to someone smoking cigarettes, cigars, or a pipe in the home an average of four or more times per week in the past month.

Member of Household Smokes At Home (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 74] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. ● “Smokes at home” refers to someone smoking cigarettes, cigars, or a pipe in the home an average of four or more times per week in the past month.

Percentage of Households With Children In Which Someone Smokes in the Home Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 201] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents. ● “Smokes at home” refers to someone smoking cigarettes, cigars, or a pipe in the home an average of four or more times per week in the past month.

Have Stopped Smoking for 1 Day or Longer in the Past Year in an Attempt to Quit Smoking (Among Lee County Everyday Smokers, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 73] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective TU-4.1] Notes: ● Asked of respondents who smoke cigarettes every day.

Use of Smokeless Tobacco Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 75] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective TU-1.2] Notes: ● Asked of all respondents. ● Smokeless tobacco includes chewing tobacco or snuff.

Use of Cigars Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 76] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective TU-1.3] Notes: ● Asked of all respondents.

ACCESS TO HEALTHCARE SERVICES

Health Insurance Coverage

Healthcare Insurance Coverage (Among Adults Age 18 to 64; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206] Notes: ● Reflects respondents aged 18 to 64.

Have Additional Supplemental Coverage (Among Recipients of Medicare, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 96] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with Medicare coverage.

Insurance Covers At Least Partial Prescriptions (Among Insured Respondents, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 97] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with healthcare insurance coverage.

Went Without Coverage at Some Point in the Past Year (Insured Adults, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 98] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Went Without Coverage at Some Point in the Past Year (Insured Adults, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 98] Notes: ● Asked of insured respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Lack of Healthcare Insurance Coverage (Among Lee County Adults Under 65, 2011) Healthy People 2020 Target = 0.0% (Universal Coverage) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2009 Florida Data. ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective AHS-1] Notes: ● Asked of all respondents under the age of 65.

Lack of Healthcare Insurance Coverage (Lee County Adults Under 65, 2011) Healthy People 2020 Target = 0.0% (Universal Coverage) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective AHS-1] Notes: ● Asked of all respondents under the age of 65. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Preventive Healthcare (By Insured Status; Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 23, 29, 30, 55, 58, 207, 210] Notes: ● Asked of all respondents.

Difficulties Accessing Healthcare Services

Experienced Difficulties or Delays of Some Kind in Receiving Needed Healthcare in the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 210] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Experienced Difficulties or Delays of Some Kind in Receiving Needed Healthcare in the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 210] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Barriers to Access Have Prevented Medical Care in the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 8-12, 16] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Barriers to Healthcare Access (Lee County Trend Data) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 8-12, 16] Notes: ● Asked of all respondents.

Lack or Type of Healthcare Coverage Prevented Medical Care at Some Point in the Past Year Of these people, 52.0% lacked healthcare coverage, while 17.3% could not get health care because of the cost of services. A total of 14.6% indicate their coverage was limited and 12.4% said their insurance was not accepted. Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey [Items 18-19] Notes: ● Asked of all respondents.

Lack or Type of Healthcare Coverage Prevented Medical Care at Some Point in the Past Year (Lee County, 2010) Sources: ● 2010 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 18] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Skipped or Reduced Prescription Doses in Order to Stretch Prescriptions and Save Money Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey [Item 17] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Skipped or Reduced Prescription Doses in Order to Stretch Prescriptions and Save Money (Lee County, 2010) Sources: ● 2010 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 17] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Had Trouble Obtaining Medical Care for Child in the Past Year (Lee County Parents of Children <18, 2011) Parents with trouble obtaining medical care for their child reported barriers due to cost or lack of insurance coverage, limited insurance acceptance, and lack of accessibility. Age 0-5: 5.8% Age 6-12: 7.5% Age 13-17: 4.9% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 138-139] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children under 18 at home.

Primary Care Services

Have a Specific Source of Ongoing Medical Care Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 208-209] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objectives AHS-5.3, 5.4] Notes: ● Asked of all respondents.

Have a Specific Source of Ongoing Medical Care (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 207] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objectives AHS-5.3, 5.4] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Particular Place Utilized for Medical Care (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 21-22] Notes: ● Asked of all respondents.

Have Visited a Physician for a Checkup in the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 23] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Visited a Physician for a Checkup in the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 23] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Child Has Visited a Physician for a Routine Checkup in the Past Year (Lee County Parents of Children <18, 2011) Age 0-5: 98.2% Age 6-12: 77.1% Age 13-17: 90.8% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 140] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents with children under 18 at home.

Emergency Room Services

Have Used a Hospital Emergency Room More Than Once in the Past Year Reason for recent ER use: Life-Threatening: 53.1% After-Hours: 27.0% Barriers to Access: 9.0% Dr’s Recommendation: 7.4% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 31-32] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Have Used a Hospital Emergency Room More Than Once in the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 31] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Oral Health

Have Visited a Dentist or Dental Clinic Within the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 30] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective OH-7] ● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2008 Florida Data. Notes: ● Asked of all respondents.

Have Visited a Dentist or Dental Clinic Within the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 30] ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective OH-7] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Child Has Visited a Dentist or Dental Clinic Within the Past Year (Asked of Adults With Children Aged 2-17; Lee County, 2011) Age 0-5: 50.5% Age 6-12: 84.1% Age 13-17: 93.8% Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 141] ● Professional Research Consultants. PRC National Health Survey. 2011. ● US Department of Health and Human Services.  Healthy People 2020. December 2010 http://www.healthypeople.gov. [Objective OH-7] Notes: ● Asked of all respondents with children aged 2 through 17.

Eye Care

Had an Eye Exam in the Past Two Years During Which the Pupils Were Dilated Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 29] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Had an Eye Exam in the Past Two Years During Which the Pupils Were Dilated (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 29] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Health Education & Outreach

Primary Source of Healthcare Information (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 132] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Participated in a Health Promotion Activity in the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 133] ● Professional Research Consultants, Inc. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Participated in a Health Promotion Activity in the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 133] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Rating of Local Healthcare Services

Rating of Overall Healthcare Services Available in the Community (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7] Notes: ● Asked of all respondents.

Perceive Local Healthcare Services as “Fair” or “Poor” Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7] ● Professional Research Consultants. PRC National Health Survey. 2011. Notes: ● Asked of all respondents.

Perceive Local Healthcare Services as “Fair” or “Poor” (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Outmigration for Healthcare

Member of Household Left Lee County for Medical Care in the Past Year Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 13] Notes: ● Asked of all respondents.

Member of Household Left Lee County for Medical Care in the Past Year (Lee County, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 13] Notes: ● Asked of all respondents. ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

Type of Medical Care Sought Outside Lee County (Among Adults Who Left Lee County for Medical Care in the Past Year, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 14] Notes: ● Asked of those residents who left Lee County in the past year for some type of medical care.

Reason for Seeking Medical Care Outside Lee County (Among Adults Who Left Lee County for Medical Care in the Past Year, 2011) Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 15] Notes: ● Asked of those residents who left Lee County in the past year for some type of medical care.