Potential Priority Handouts Linn County 2018 Community Health Improvement Plan Potential Priority Handouts A Community Health Improvement Plan, known as a CHIP, is developed by our community based on an assessment of our community’s health. A CHIP contains a set of specific goals, strategies, and measurable data that guides the work of our health department, our partners, and our community. A CHIP is organized around priority areas that focus on improving the health of our whole community, with special attention on issues of equity. What is a CHIP? What is Health Equity? Health equity refers to attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of disparities in health and health care. Potential Priority Areas for the 2018 CHIP Healthy Neighborhoods Supporting Our Youth Housing and Food Systems Substance Use Maternal and Child Health Mental Health Communicable Disease Trauma and Well-Being Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Where the data come from Linn County 2018 Community Health Improvement Plan Where the data come from The data in these handouts come from the 2017 Community Health Assessment. The Community Health Assessment describes the different factors that affect our health, like housing, access to healthy food, jobs, and health care; and the different diseases and conditions that people experience, like cancer, diabetes, mental health conditions, and injuries. 2017 Community Health Assessment Types of data The Community Health Assessment draws on data from: Surveys of community members in Linn County that ask about our health status, opportunities for improving our health, and barriers to good health; Records of births, deaths, and communicable diseases, and summaries of medical information that describes the different health conditions affecting community members; Data provided by partners and agencies who work with our community. How we decided which data to include The development of the 2017 Community Health Assessment was guided by a steering committee of community and agency partners. These partners reviewed the available data and helped decide where data was missing or which data was not relevant for our community. The steering committee continues to guide our community work through the development of the Community Health Improvement Plan. Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Healthy Neighborhoods Linn County 2018 Community Health Improvement Plan Community health improves when food and physical activity are affordable and accessible to all. Key Data 18% 18 percent of adults in Linn County eat 5 servings of fruits and vegetables each day. 13% Only 13 percent of Linn County community members live within walking distance of a grocery store. 33 percent of eighth graders get the recommended amount of exercise, but this proportion decreases over time: 25 percent of eleventh graders get the recommended amount of exercise; 22 percent of adults get the recommended amount of exercise. 33% 22% 25% 11th graders 8th graders © 2018 BC Games Society Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

135 253 Housing and Food Systems Key Data 51% 36% 27% 50% 16% 26% Linn County 2018 Community Health Improvement Plan Communities ensure quality housing is not a barrier to families and individuals being able to afford their basic needs. Key Data Renters in Linn County are twice as likely to struggle to pay their housing costs as owners. 51% 36% All households 27% Renters 135 253 Homelessness in Linn County has doubled in the past six years. 2011 Point-in-Time Count 2016 Point-in-Time Count 16 percent of Linn County community members experience food insecurity; 26 percent of children experience food insecurity; and 50 percent of Oregon Health Plan (OHP) members experience food insecurity. 50% 16% 26% Linn County Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Maternal and Child Health Linn County 2018 Community Health Improvement Plan Communities meet and support the unique needs of pregnant families during pregnancy and after delivery. Key Data The teen pregnancy rate in Linn County is 27 pregnancies per 1,000 women age 15-19. This has decreased over time, but it is still much higher than the state average of 20 pregnancies. The teen pregnancy rate among Hispanic and Latina women is higher than overall: 31 pregnancies per 1,000 Hispanic and Latina women age 15-19. Pregnancies per 1,000 women age 15-19 Oregon All Linn County Hispanic/Latina in Linn County 18 percent of pregnant women in Linn County smoke cigarettes. The rate is twice as high among young mothers (less than 25 years old) than older mothers. 18% 26% 13% All mothers Young mothers Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Linn County 2018 Community Health Improvement Plan Communicable Disease Linn County 2018 Community Health Improvement Plan Increase resources for prevention and early treatment of preventable diseases. Key Data 473 STIs in 2017 The rate of sexually transmitted infections has increased by 68 percent over the past 10 years. 375 cases of chlamydia and 91 cases of gonorrhea are diagnosed annually per 100,000 people in Linn County. 280 STIs in 2007 66% 66 percent of two-year-olds in Linn County are fully vaccinated against 11 common childhood diseases. Childhood Immunizations 30% Only 30 percent of high school students are fully vaccinated against Human Papilloma Virus (HPV). HPV vaccine Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Linn County 2018 Community Health Improvement Plan Supporting our Youth Linn County 2018 Community Health Improvement Plan Communities create and maintain environment where youth are safe, supported, and respected. Key Data 29% 29 percent of eighth graders are bullied on a regular basis. Bullying 24% 24 percent of eleventh graders have been hit by an adult. Abuse 8% 8 percent of eighth graders have been bullied about their sexual orientation or gender identity. Harassment 15% 15 percent of eleventh graders have been pressured into having sex. Coercive Sex Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Linn County 2018 Community Health Improvement Plan Substance Use Linn County 2018 Community Health Improvement Plan Promote communities and environments that reduce youth initiation, decrease use, and support those struggling with addictions. Key Data 11% 11 percent of eleventh graders smoke cigarettes – a large decrease from 2008. 20% However, 20 percent of eleventh graders use e-cigarettes; and 22% 22 percent of eleventh graders consume marijuana on a regular basis. Linn County doctors write 60,000 prescriptions for controlled drugs every year. This is one prescription for every two people in Linn County. Each year, 60 people are hospitalized and 16 people die from a drug overdose in Linn County. Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Linn County 2018 Community Health Improvement Plan Mental Health Linn County 2018 Community Health Improvement Plan Communities increase capacity to recognize, respond, and support families and individuals with mental health needs. Key Data 28% Nearly 30 percent of Linn County eighth and eleventh graders experience depression each year. Depression 17 percent of Linn County eighth and eleventh graders have considered suicide. 17% Suicidal thoughts 6% 6 percent of Linn County eighth and eleventh graders have attempted suicide. Attempts Close to 30 percent of Oregon Health Plan Members have a diagnosed mental health condition. 31% 36% 28% Children Adolescents Adults Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan

Trauma and Well-being Key Data 40% 38% Linn County 2018 Community Health Improvement Plan Communities are equipped to recognize and respond to abuse and trauma. Key Data The Center Against Rape and Domestic Violence (CARDV) received 6,297 crisis calls in Linn and Benton counties in 2017 CARDV provided 1,726 emergency shelter nights to Linn County community members in 2017. 40% 40 percent of eleventh graders have lived with a household member who experienced depression or mental illness. Mental Illness 38% 38 percent of eleventh graders have lived with a person experiencing alcoholism. Alcohol There were 3,565 reports of child abuse in Linn County in 2017. The rate of reported abuse is 36% higher than in Oregon. Linn County Public Health Visit www.linncountyhealth.org/ph for updates on the Community Health Improvement Plan