1 Somerset County, New Jersey 2011 Community Health Needs Assessment Presentation of the Results Presented By: Lisa McCracken President, Holleran April 17, 2012 Sponsored by :

2 Methodology A total of 2,059 residents of Somerset County were interviewed to assess their health practices and health status. Of the 2,059, 31 were interviewed in-person via area clinics. The remainder were conducted over the telephone. This study is a follow-up to previous household telephone surveys conducted in 2006 and 2001/2002. In addition to overall county results, results were tabulate across three regions within the county.

3 Survey Details The questionnaire was largely comprised of survey items from the CDC’s Behavioral Risk Factor Surveillance System Study (BRFSS). Additional custom questions were included. Questions from previous surveys were included as well in an attempt to track improvement or decline in health throughout the county.

4 Areas Studied Health Status & Healthy Days Access to Care Mental Health Sleep Physical Exercise & Weight Control Alcohol & Tobacco Use Asthma Diabetes Oral Health Immunizations Women’s Health

5 Areas Studied (cont.) Prostate Cancer Screening Colorectal Cancer Screening Family Planning HIV/AIDS Sexual Behavior Hypertension & Cholesterol Awareness Heart Attack, Cardiovascular Disease & Stroke Social Determinants of Health Caregiving Reactions to Race Emergency Preparedness

Who Did We Survey? Demographics collected: –Gender –Age –Race & Ethnicity –Marital Status –Education Level –Income Level –61% female –Majority: yrs old –9.8% Hispanic/Latino –8.2% African Amer. –11.4% Asian –79.2% White –65.9% Married –57.9% college educated –56.9% employed –58.3% more than $75K household income Note: Statistical weighting

7 Zip Code Number of Respondents Zip CodeNumber of Respondents

8 Greatest Areas of Favorable Health Improvement from previous years Healthier than New Jersey Healthier than Nationally

9 How long has it been since you last visited a dentist or a dental clinic for any reason? *Somerset Co. is significantly different from the New Jersey and National BRFSS data. Cost is #1 reason for not seeing dentist in previous year (up 8% from 2006 study)

10 How long has it been since you had your teeth cleaned by a dentist or dental hygienist? *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

11 How many days have you felt down, depressed or hopeless? *Somerset Co. is significantly different from the National BRFSS data.

12 How many days have you had little interest or pleasure in doing things? Only those reporting days of either poor physical or mental health *Somerset Co. is significantly different from the National BRFSS data.

13 Has a doctor or other healthcare provider EVER told you that you have a depressive disorder? *Somerset Co. is significantly different from the National BRFSS data.

14 Do you have any kind of health care coverage? *Somerset Co. is significantly different from the National BRFSS data. Those with incomes > $75K annually are more likely to have health care coverage compared to those with incomes <$75K

15 Was there a time during the last 12 months when you needed to see a doctor but could not because of the cost? *Somerset Co. is significantly different from the New Jersey and National BRFSS data. Those with incomes > $75K annually are more likely to say “no” compared to those with incomes <$75K

16 Which statement best describes the rules about smoking inside your home?

17 During the past 12 months, have you had a flu shot? *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

18 Aside from Flu or Pneumonia, within the past 2 years, has a health professional talked to you about adult immunization?

19 Have you ever had a clinical breast exam? Only respondents age 40 and over *Somerset Co. is significantly different from the New Jersey BRFSS data.

20 Have you ever had a sigmoidoscopy or colonoscopy? *Somerset Co. is significantly different from the New Jersey BRFSS data.

Have you ever had a blood stool test using a home kit? 21 *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

22 Have you ever been tested for HIV?

23 Which of these would you say was the main reason for your last HIV test? ReasonSomerset County It was required22.1% It was done as a part of a routine medical check up27.5% You just wanted to find out whether you had HIV19.5% You were pregnant (females only)15.2% You were tested for some other reason8.1% You thought you may have gotten HIV through sex or drug use 2.3% Someone suggested you should be tested4.5% You were worried that you could give HIV to someone0.8% Only respondents who have been tested for HIV

24 Have you ever had your blood cholesterol checked? Note: The ‘01 question was “Have you had your cholesterol checked within the past 5 years?”

25 Has a doctor, nurse or other health professional EVER told you that you had angina or coronary heart disease?

26 Does your household have a disaster evacuation plan in case of a large-scale disaster or emergency that requires evacuation?

27 Greatest Areas of Unfavorable Health Decline from previous years Less healthy than New Jersey Less healthy than Nationally

28 For how many days during the past 30 days was your physical health not good? *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

29 For how many days during the past 30 days was your mental health not good? *Somerset Co. is significantly different from the New Jersey BRFSS data.

30 During the past 30 days, for about how many days have you felt you did not get enough rest or sleep? *Somerset Co. is significantly different from the New Jersey and National BRFSS data. **Somerset Co. is significantly different from the New Jersey BRFSS data.

31 During the past month, did you participate in any physical activities or exercises? *Somerset Co. is significantly different from the New Jersey BRFSS data. Males: 80% Females: 74.9%

32 Body Mass Index (BMI) Frequency of responses *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

33 The Real Facts of BMI  Roughly 145,800 adults in Somerset County are overweight or obese.  An additional $89,037,260 annually in healthcare expenses for obese residents in Somerset County  An additional $25,039,112 annually for Somerset County residents who are overweight

34 BMI: A closer look ObeseOverweight Yes, trying to lose wt 49.4%54.9% Not trying to lose wt 50.6%45.1% BMI Status by % now trying to lose weight ObeseOverweight Males 21.3%38.7% Females 21.3%38.9% BMI Status by Gender

35 BMI: A closer look BMI Status by advice from doctor ObeseOverweight Yes, doctor gave advice to lose weight 16.6%17.4% Yes, doctor gave advice to gain weight 1.4%1.5% Yes, doctor gave advice to maintain weight 3.1%3.0% No, doctor did not give advice to lose weight 78.9%78.1%

36 During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking? Only respondents who smoke some days or every day

37 In the past 12 months, on how many visits were you advised to quit smoking by a doctor, or other health provider? Respondents who smoke some days or every day

38 During the past 30 days, how many days per week or per month did you have at least one drink of any alcoholic beverage? Most Somerset Co. residents report consuming 1-2 drinks (binge drinking similar to NJ & US, but on the rise) Males are more likely to drink on a regular basis than females in the county

39 Have you ever had a PSA test? *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

40 Have you ever had a digital rectal exam? *Somerset Co. is significantly different from the New Jersey and National BRFSS data.

41 Do any of the following high risk situations apply to you? You have used intravenous drugs in the past year. You have been treated for a sexually transmitted or venereal disease in the past year. You have given or received money or drugs in exchange for sex in the past year. You had anal sex without a condom in the past year. *Somerset Co. is significantly different from the New Jersey BRFSS data. Males: 5% Females: 3%

42 Has a doctor, nurse or other health professional EVER told you that you had a stroke?

During the past month, did you provide any such care or assistance to a friend or family member? 43 *Somerset Co. is significantly different from the National BRFSS data. The largest proportion state they are taking care of someone 65 years or older

What is his/her relationship to you? 44 *Somerset Co. is significantly different from the National BRFSS data. Cancer is #1 caregiving need; Alzheimer’s or dementia is #2

45 How well does your income meet your living expenses?

46 Do you ever go without food to pay for other bills?

47 Are you at risk of becoming homeless?

48 Where do we go from here? Key themes and issues will be evaluated further and will be prioritized according to multiple considerations such as: –Severity –Scope of the issue –Ability to impact the issue Organizations are encouraged to use this information for: –Strategic planning purposes –Grant applications –Organization education & outreach

49 Questions & Discussion