Community Health Status Indicators M. C. Rice PhD APN BC, M.N. Wicks PhD RN, and and S.I. White-Means PhD

Background Cardiovascular disease (CVD) is responsible for premature deaths and costly hospitalizations in Memphis, TN. Cardiovascular disease (CVD) is responsible for premature deaths and costly hospitalizations in Memphis, TN. CVD ( heart disease and stroke) leading causes of death CVD ( heart disease and stroke) leading causes of death Community Health Indicators –overview of health status Community Health Indicators –overview of health status

Background  Prevalence rate 27.3% for heart disease in Memphis  31.8% of blacks and 23.5% of whites report a physician diagnosed them with heart disease  Prevalence rate for 37.3%hypertension  Overall, 40.9% HTN rate for blacks and 34.5% whites

Background National estimated prevalence of CVD is 6.6%, with little variability between blacks and whites

Purpose of Assessment Cardiovascular risks, depressive symptoms, and quality of life health indicators of 82 community residents and congregants in the zip were used to characterize health and health risk of the target population.

Demographic Characteristics of Residents an Congregants Sixty one percent of CHEER participants were female and 39 were males.Sixty one percent of CHEER participants were female and 39 were males. The majority of participants were between 45 and 56 years of age.The majority of participants were between 45 and 56 years of age. Twenty seven percent of CHEER participants graduated from high school and 27% had some college courses.Twenty seven percent of CHEER participants graduated from high school and 27% had some college courses.

Methods and Procedures  Health behaviors were evaluated using a Health Risk Appraisal (HRA) survey.  Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CESD).

Summary of Results  Health Factors Evaluated  Health Problems Identified

Weight Results  Thirty seven percent of the 81 participants had normal weight values  Twenty six percent of participants were in the over weight group and 37% were obese. T

Blood Pressure Results Blood Pressure Results Average Systolic Blood Pressure Average Diastolic Blood Pressure The average values of the blood pressures of the 77 participants indicated that hypertension was not a problem. These values did, however, suggest that participants were in the pre-hypertensive category.

Cigarette Smoking Results Thirty (36%) of the 64 participants are smokers.Thirty (36%) of the 64 participants are smokers. Forty one (34%) of participants reported that they had never smokedForty one (34%) of participants reported that they had never smoked

Blood Glucose and Cholesterol Levels Average glucose and cholesterol values indicated that diabetes nor high cholesterol levels were not problems problems in the majority of community or congregant participants Blood Glucose and Cholesterol Levels Average glucose and cholesterol values indicated that diabetes nor high cholesterol levels were not problems problems in the majority of community or congregant participants

Nutritional Intake Results Nutritional Intake Results Sixty nine of the 80 CHEER participants ate foods that were high in fiber and 74 reported that their diets contained foods high in fat/cholesterol.

Physical Activity Results Forty one of the 80 participants reported that they exercised at least 3 days a week. The other 39 participants exercise 1-2 days a week.

Depressive Symptoms Fifteen (10%) of the 68 participants had mild distress, 10 (15%) reported moderate distress, and 8 (12%) had severe distress.Fifteen (10%) of the 68 participants had mild distress, 10 (15%) reported moderate distress, and 8 (12%) had severe distress. Thirty (51%)participants indicated that they had no depressive symptoms.Thirty (51%)participants indicated that they had no depressive symptoms.

Life Satisfaction Results Fifty(63%) of 79 community residents and congregants were satisfied with their lives,Fifty(63%) of 79 community residents and congregants were satisfied with their lives, 19(24%) were partially satisfied, and 10 (13%) were not satisfied with their quality of lives.19(24%) were partially satisfied, and 10 (13%) were not satisfied with their quality of lives.

Conclusions Major health risk indicators include: ObesityObesity Diets high in fatDiets high in fat Lack of sufficient physical activityLack of sufficient physical activity SmokingSmoking

Implications Health indicators suggest that community participants need health promotion strategies to address nutrition, smoking cessation, overweight/obesity, and physical inactivity. Improving these risks could reduce cardiovascular risk in this population.