Healthy Lifestyles PRC Results

Healthy Lifestyles PRC Assessment Findings Healthy Lifestyles Overweight & Obesity Nutrition Physical Activity Injury & Safety Tobacco Use PRC Assessment Findings Healthy Lifestyles

Prevalence of Total Overweight (Percent of Adults With a Body Mass Index of 25.0 or Higher) % Overweight (BMI 25+) Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 181] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 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 (Percent of Adults With a Body Mass Index of 30 Prevalence of Obesity (Percent of Adults With a Body Mass Index of 30.0 or Higher) Lee County At-Risk Higher prevalence of obesity: Market Area 2 residents = 33.3% Low-income residents (<200% FPL) = 31.1% Adults age 40-64 = 30.5% % Obese (BMI 30+) Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 181] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services.  Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-9] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 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.

Relationship of Overweight With Other Health Issues (By Weight Classification; Lee County, 2014) 69.9% of overweight/obese adults have not been advised about weight by a health professional in the past year. 61.2% of overweight/obese adults are not trying to lose weight by modifying both diet and exercise. % Overweight (BMI 25+) % Obese (BMI 30+)

35.9% are overweight or obese Child Obesity Prevalence (Percent of Children 5-17 Who Are Obese; Body Mass Index in the 95th Percentile or Higher) Lee County Trend Lee County At-Risk Childhood obesity is higher among younger children, age 5-12 = 29.1% 35.9% are overweight or obese % Children [Age 5-17] Obese (95th Percentile) Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 185] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● 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 age 5-17 at home. ● Obesity among children is determined by children’s Body Mass Index status equal to or above the 95th percentile of US growth charts by gender and age.

Consume Five or More Servings of Fruits/Vegetables Per Day Lee County At-Risk Lower consumption among: Low-income residents (<200% FPL) = 24.3% African American (23.0%) or Hispanic (27.2%) residents Residents of Market Area 2 (28.6%) or Market Area 3 (28.8%) Men = 30.3% % Eat 5+ Servings of Fruit or Vegetables per Day Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 173] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents. ● For this issue, respondents were asked to recall their food intake on the previous day.

Find It “Very” or “Somewhat” Difficult to Buy Affordable Fresh Produce 49.8% report that this is “not at all difficult,” 29.1% “not too difficult.” Lee County At-Risk Greater difficulty among: Low-income residents (<200% FPL) = 39.7% Women = 26.4% % Eat 5+ Servings of Fruit or Vegetables per Day % "Very/Somewhat" Difficult to Buy Fresh Produce Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 108] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents.

No Leisure-Time Physical Activity in the Past Month Lee County At-Risk Higher among: Hispanic residents = 30.3% Women = 26.3% Low-income residents (<200% FPL) = 25.9% Most favorable in Market Area 4 (16.0%) % No Leisure-Time Physical Activity Indicators of frequency, intensity and duration are similar to national findings, and similar among areas of the county. Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 110] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data. ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services.  Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective PA-1] Notes: ● Asked of all respondents.

Child Is Physically Active for One or More Hours per Day (Among Children Ages 2-17) Children With Three or More Hours per School Day of Total Screen Time (Among Parents of Children 5-17) Lowest in teens. Highest in teens. % Child [Age 2-17] Physically Active 1+ Hours per Day Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 142] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. Notes: ● Asked of all respondents with children age 2-17 at home. ● Includes children reported to have one or more hours of physical activity on each of the seven days preceding the survey.

“Always” Wear a Seat Belt When Driving or Riding in a Vehicle Lee County At-Risk Seat belt usage is lower among: Adults age 18-39= 86.6% Low-income residents (<200% FPL) = 86.8% Men = 87.5% Most favorable in Market Area 4 (93.3%) % "Always" Wear Seat Belt Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 58] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data. ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services.  Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective IPV-15] Notes: ● Asked of all respondents.

Texted While Driving One or More Times in the Past Month (Lee County, 2014) 13.2% said 3+ times % Texting While Driving in the Past Month Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 67] Notes: ● Asked of all respondents. ● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White respondents). ● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.

Smoking cessation attempts have increased significantly since 2007. Current Smokers Lee County At-Risk Higher smoking rates among: Low-income residents (<200% FPL) = 22.1% Adults age 40-64 = 17.5% No significant difference by geography % Current Smoker Smoking cessation attempts have increased significantly since 2007. Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 186] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 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 (those who smoke cigarettes everyday or on some days).

Member of Household Smokes at Home Lee County At-Risk Higher exposure among: Low-income households (<200% FPL) = 16.5% African American households = 17.6% Market Area 2 households = 13.5% same trend is seen in households with kids % Someone Smokes at Home % [Non-Smokers] Someone Smokes in the Home Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Items 72, 188] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. 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.

Healthy Lifestyles Update Sarah Baker & Pastor William Glover Co-Champions

Healthy Lifestyles Encourage Lee County residents to pursue a culture of healthy lifestyles including access to nutritional information, physical activity and exercise, stress management, routine medical exams/check-ups, and information on prevention of risk factors for disease. Develop accessible community programs for health literacy, population management, system and policy changes to support a healthy and safe environment while improving the economics of health care in our community.

Healthy Lifestyles Scorecard

Status % of population obese (BMI >= 30): 24.8% Tobacco Use: 13.5% Infant Mortality: 5.1% Low Birthweight <2500 grams: 8.1% Prenatal Care in the First Trimester: 73.0%

Accomplishments Healthy Lee Coalition Focused on creating and sustaining a community culture of healthier lifestyles within Lee County. Distribution list currently has 202 contacts representing 94 organizations as well as 17 citizens. Meets Quarterly / Next meeting: July 31, 2014 Five goal areas: Expand Commitment to Healthy Lee Improve Nutritional Habits of the People in Lee County Increase Physical Activity of the People in Lee County Encourage Healthy Lifestyles and Wellness Initiative in the Workplace, Neighborhoods, and Churches Influence Policy and Environmental changes in support of healthier lifestyles

Streets Alive! – November 10, 2013 Accomplishments Streets Alive! – November 10, 2013

Accomplishments “Good for You” video produced with Lee County School District’s Healthy Living Lab Harry Chapin Food Bank “Fresh Produce Rescue Program” distributed 5.1 million pounds of produce in 2013. Distributed 100 millionth pound of food. Tobacco Free Lee Candy-flavored tobacco resolutions passed (3 of 5 municipalities). Policy eliminating e-cigarette use in schools and an alternative to suspension for students who violate tobacco use rules.

Accomplishments 21st Century Collaboration – Teen Outreach Program Best practice program to prevent teen pregnancy through structure after school programs. Implemented last year Horizon Council Workplace Wellness Summit March 2014 – sold out event / over 150 attendees Half-day session with local / national speakers and health/wellness vendors Exit surveys indicate high levels of satisfaction and a desire to attend another summit next year

Opportunities for Improvement 21st Century Collaboration – Teen Outreach Program Program limited by available resources. State of Florida 2014 Health and Human Services Budget included $450,000 for program expansion and signed into law by the governor. Healthy Start of Southwest Florida Several state government funding losses will result in major reductions in services in Lee County and the surrounding area. Prenatal care for the uninsured will no longer be covered by Healthy Start. Lee County Sustainability Plan Program has been suspended indefinitely

Next Steps Expand 5210 program reach Next Event: November 2, 2014 Agreement with Lee Physicians Group Pediatric practice to pilot 5210 at the Page Field practice. Next Event: November 2, 2014 Resources, volunteers, and sponsors needed. Horizon Council Workplace Wellness Summit Next event currently being planned for 2015

Healthy Lifestyles The review today leads me to conclude that overall we are on the right track to reach our 2017 goals for Healthy Lifestyles. Yes No

Healthy Lifestyles We are on the right track to reach the Obesity goal by 2017. Yes No

Healthy Lifestyles We are on the right track to meet our Tobacco use goal by 2017. Yes No

Healthy Lifestyles We are on the right track to meet our Healthy Newborn goals for 2017. Yes No

Discussion