1. Improving Community Health through Planning and Partnerships Louisa Community Health Council

2. Things to keep in mind… Feel free to ask questions as we go along We are presenting the most recent data we have (From the past 4 – 5 years) This is the last part of Section 2, Part 2 and the At the next meeting we will cover: Section 3: What is our Health Status, Part 1?

3. Today Section 2, Part 2 from where we left off last time Physical Activity & Fitness Obesity-food and diet Alcohol and substance use/abuse Mental/Behavioral Health Immunizations Cancer and HIV Screening Behaviors Managing Chronic Diseases

4. Physical Activity & Physical Fitness Section 2, Part 2 Health Behaviors

5. Percent of Adults (Age 20+ Years) Reporting No Leisure Time Physical Activity, 2011-14 Source: US County Healthy Rankings

6. Physical Activity in High School Students in VA and the U.S., 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS) Gender Differences in VA More females (65%) than males (46%) report NOT being physically active for at least 1 hour per day on 5 or more days in the past 7 days More females (53%) than males (43%) did NOT attend a PE class on at least 1 day in an average school week Lower in VA(48%) than US (52%)

7. Physical Activity in High School Students in VA and the U.S., 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS) VA vs U.S. Percent who played video/computer games OR used a computer (for something other than schoolwork) for 3 or more hours per day increased in both VA (29% to 38%) & the US (31%-41%) VA lower (38%) than the US (41%) Percent who watched TV for 3 or more hours per day slightly decreased in VA (31% to 28%) while remained similar in US (33% & 32%)

8. Youth in the Healthy Fitness Zone for Physical Fitness Source: Virginia Department of Education, Summary Fitness Reports Percent Youth in Healthy Fitness Zone Category, Grades 4 -12, Virginia, 2013-2014 School Year BoysGirls Abdominal Strength 85%83% Aerobic Endurance 68%76% Upper Body Strength 74%73% Flexibility 81%83% Trunk Lift 84%89%

9. Youth in the Healthy Fitness Zone for Aerobic Endurance by Grade Level in Virginia, Grades 4-12, School Years 2009-10 to 2013-14 Source: Virginia Department of Education, Summary Fitness Reports

10. Obesity-Food & Diet

11. Soda Expenditures, 2014 Source: Community Commons. Community Health Needs Assessment Report. Nielsen, Nielsen SiteReports. 2014. Source geography: Tract. % of Food-at-Home Expenditures Average Expenditures (USD) TJHD 4.3%$252.94 VA 4.1%$238.29 U.S. 4.0%$236.04

12. Youth Drinking Soda, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS)

13. Fruit and Vegetable Expenditures, 2014 Source: Community Commons. Community Health Needs Assessment Report. Nielsen, Nielsen SiteReports. 2014. Source geography: Tract. % of Food-at-Home Expenditures Average Expenditures (USD) TJHD 12.1%$714.63 VA 12.4%$729.71 U.S. 12.7%$744.71

14. Youth Not Eating Fruits or Vegetables, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS)

15. Youth Not Eating Fruits or Vegetables by Gender, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS)

16. Behavioral Risk Factors Alcohol & Substance Use/Abuse

17. Source: U.S. Census Bureau, County Business Patterns, 2008-2013, using NAICS codes 312120, 312130, & 445310. U.S. Census Population Data Liquor Store Access Rate, Breweries, Wineries, and Liquor Stores per 100,000 population 2008-2013 Fluvanna 12 Louisa 6

18. Liquor Store Access, Rates of each type per 100,000 population 2013 Source: U.S. Census Bureau, County Business Patterns, 2008-2013, using NAICS codes 312120, 312130, & 445310. U.S. Census Population Data

19. Driving Under the Influence (DUI), Arrest Rates per 100,000 Population, 3 Year Averages, 2000-13 Source: Crime in Virginia - Virginia State Police - Uniform Crime Reporting Program

20. Percent of Motor Vehicle Crashes that were Alcohol-Related by Place of Occurrence, 3 Year Averages, 2000-13 Source: Virginia Department of Motor Vehicles-Virginia Crash Facts

21. Percent of Motor Vehicle Fatalities that were Alcohol-Related by Place of Occurrence, 3 Year Averages, 2000-13 Source: Virginia Department of Motor Vehicles-Virginia Crash Facts

22. Alcohol Consumption Source: Community Commons. Community Health Needs Assessment Report. Centers for Disease Control & Prevention, BRFSS, Accessed via the Health Indicators Warehouse, US Department of Health & Human Services. 2006-12.

23. Alcohol Expenditures, 2014 Source: Community Commons. Community Health Needs Assessment Report. Nielsen, Nielsen SiteReports. 2014. Source geography: Tract. % of Food-at-Home Expenditures Average Expenditures (USD) TJHD18.0% $ 1,065.72 VA16.6% $973.12 U.S.14.3% $839.54

24. Youth & Alcohol

25. High School Students (Grades 9-12)who have ever drank / currently drink alcohol, VA & the U.S., 2011-13 Source: Centers for Disease Control & Prevention. Youth Risk Behavior Surveillance System (YRBSS)

26. High School Students (Grades 9-12) who report binge drinking, VA & the U.S., 2011-13 Source: Centers for Disease Control & Prevention. Youth Risk Behavior Surveillance System (YRBSS)

27. High School Students (Grades 9-12) who rode in vehicle with a driver who had been drinking, VA & the U.S., 2011-13 Source: Centers for Disease Control & Prevention. Youth Risk Behavior Surveillance System (YRBSS)

28. High School Students (Grades 9-12) who Obtained Alcohol by Someone Giving it to them, VA & the U.S., 2011-13 Source: Centers for Disease Control & Prevention. Youth Risk Behavior Surveillance System (YRBSS)

29. High School Students (Grades 9-12) who drank alcohol before age 13 years, VA & the U.S., 2011-13 Source: Centers for Disease Control & Prevention. Youth Risk Behavior Surveillance System (YRBSS)

30. Substance Use / Abuse

31. Drug/Narcotic Arrest Rate per 100,000 Population Three Year Averages, 2000-13 Source: Crime in Virginia - Virginia State Police - Uniform Crime Reporting Program

32. Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Surveillance System (YRBSS)

36. Adult Mental/Behavioral Health

37. Days Mental Health was Not Good, 2012-13 Source: Centers for Disease Control & Prevention. Behavioral Risk Factor Surveillance System (BRFSS)

38. Youth Mental/Behavioral Health

39. Adolescent Mental Health- in High School Students (Grades 9-12) Feeling Sad or Hopeless, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

40. Adolescent Mental Health-Depression in High School Students (Grades 9-12) Feeling Sad or Hopeless by Gender, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

41. Adolescent Mental Health-Suicidal Thoughts in High School Students (Grades 9-12), 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

42. Adolescent Mental Health-Suicidal Thoughts in High School Students (Grades 9-12) by Gender, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

43. Adolescent Mental Health-Suicide Attempts in High School Students (Grades 9-12), 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

44. Adolescent Mental Health-Suicide Attempts in High School Students (Grades 9-12) by Gender, 2011-13 Source: Centers for Disease Control & Prevention (CDC). Youth Risk Behavior Survey (YRBS)

45. Seat Belt & Safety Device Use

46. Seat Belt Use, Percent of Passengers Using Seat Belts in VA & the U.S., 1987-2011 Source: Virginia Department of Motor Vehicles Highway Safety Office

47. Seat Belt Use Source: Virginia Department of Health. Behavioral Risk Factor Surveillance Survey (BRFSS)

48. Number of hospitalizations from Motor & Other Vehicle Accidents without use of safety device (air bags, child car seats, bike helmets, seat belts), 1999-2011 Source: Virginia Department of Motor Vehicles Highway Safety Office

49. Immunizations

50. Immunizations Percent of Kindergarteners Immunized in Public & Private Schools in TJHD, 2008-15 Source: Virginia Department of Health

51. Immunizations Percent of 6 th Graders Immunized in Public & Private Schools in TJHD, 2008-15 Source: Virginia Department of Health

52. Influenza Immunizations - Adults Source: Virginia Department of Health. Behavioral Risk Factor Surveillance System (BRFSS).

53. Tetanus Immunizations - Adults Source: Virginia Department of Health. Behavioral Risk Factor Surveillance System (BRFSS).

54. Immunizations Adults Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS). Accessed via the Health Indicators Warehouse. US Department of Health & Human Services. 2006-12. Source geography: County

55. Cancer & HIV Screening Behaviors

56. Cancer Screenings-Colon Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS). Accessed via the Health Indicators Warehouse. US Department of Health & Human Services. 2006-12. Source geography: County

57. Cancer Screenings-Mammograms Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Dartmouth College Institute for Health Policy & Clinical Practice, Dartmouth Atlas of Health Care. 2008-12. Source geography: County

58. Cancer Screenings-PAP Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS). Accessed via the Health Indicators Warehouse. US Department of Health & Human Services. 2006-12. Source geography: County

59. Cancer Screenings-PSA Source: Virginia Department of Health. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS).

60. HIV Screenings Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS). Accessed via the Health Indicators Warehouse. US Department of Health & Human Services. 2006-12. Source geography: County

61. HIV Screenings Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention, Behavioral Risk Factor Surveillance System (BRFSS). Accessed via the Health Indicators Warehouse. US Department of Health & Human Services. 2006-12. Source geography: County

62. Managing Chronic Disease-Diabetes & Hypertension

63. Managing Diabetes, 2008-12 Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Dartmouth College Insititute for Health Policy & Clinical Practice, Dartmouth Atlas of Health Care. 2012. Source geography: County

64. Managing Hypertension, 2006-10 Source: Community Commons Community Health Needs Assessment for TJHD localities-Clinical Care Report. Centers for Disease Control & Prevention (CDC). Behavioral Risk Factor Surveillance System. Additional Data analysis by CARES. 2006-10. Source geography: county

65. Questions ? Contact Info: Jillian Regan, MPH Jillian.Regan@vdh.virginia.gov