1. Community Health Findings
Lee County, Florida
Community Health Findings
Prepared for

2. PRC Community Health Assessment
Customized Local PRC Community Health Survey
The 2011 PRC Community Health Assessment consists of both primary and secondary data.
Identical to the approach used in 2007.
PRC Community Health Assessment
Secondary
Data
Key Informant
Focus Groups

3. Telephone Survey Stratified random sample of 1,000 adults
250 interviews in each of four Market Areas
153 survey items; minute interview
Lee County: ±3.1% maximum error
Each percentage of the total sample represents roughly 5,355 residents
BENCHMARKING
State BRFSS data (CDC)
US Survey Data (PRC National Health Survey)
Healthy People targets
State and national vital statistics

4. Population & Sample Characteristics (Lee County, 2011)
Sources:  Census 2000, Summary File 3 (SF 3). US Census Bureau.
 PRC Community Health Survey, Professional Research Consultants, Inc.

5. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

6. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

7. Self-Reported Health Status (Lee County, 2011)
52.2%
Excellent/
Very Good
17.6%
Fair/Poor
Sources:  Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6]
Notes:  Asked of all respondents.

8. Experience “Fair” or “Poor” Physical Health
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents.

9. Experience “Fair” or “Poor” Physical Health (Lee County, 2011)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 6]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

10. Limited in Activities in Some Way Due to a Physical, Mental or Emotional Problem
Predominantly age-related: most often attributed to musculoskeletal issues — back/neck problems, arthritis/ rheumatism, fractures or bone/joint injuries, or problems walking.
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 128]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents.

11. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

12. Selected Lee County Indicators Better Than the US:
Death rates due to: heart disease, cancer, chronic lower respiratory disease, stroke, diabetes, Alzheimer’s disease, cirrhosis/liver disease, pneumonia/influenza and kidney disease
Vaccine-preventable conditions
STD incidence
Osteoporosis
Seatbelt usage
Firearm prevalence
Physical activity
Routine vision care

13. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

14. Community Health Visioning 2017 Priority Areas
Behavioral Health
Depression indicators are similar to the US, but the suicide rate is quite high compared to both the state and US.
While most reported high-risk alcohol and drug behaviors are close to national findings, the drug- induced death rate is worse than both the state and nation.
Behavioral health was the #1 ranked health priority among participants in the key informant focus groups.
PRIORITY AREAS ADDRESSED IN DATA
Behavioral Health
Primary Care Alternatives
Preventive Health Care
Chronic Disease

15. Community Health Visioning 2017 Priority Areas
Primary Care Alternatives
A relatively low proportion of residents have a “medical home,” and fewer than found in 2007.
Receipt of routine medical care has likewise declined since 2007.
A high proportion of parents report trouble accessing healthcare for their child.
Access to healthcare services, especially for low-income and uninsured populations, was the second top-ranked priority among key informant focus group participants.
PRIORITY AREAS ADDRESSED IN DATA
Behavioral Health
Primary Care Alternatives
Preventive Health Care
Chronic Disease

16. Community Health Visioning 2017 Priority Areas
Preventive Health Care
Three out of 10 school-aged children are overweight or obese, similar to what is found nationally.
Diabetes death rates are favorable, however, the prevalence of diabetes (those living with diabetes) is high.
More than one out four births in Lee County does not receive timely prenatal care. This is similar to the statewide proportion.
PRIORITY AREAS ADDRESSED IN DATA
Behavioral Health
Primary Care Alternatives
Preventive Health Care
Chronic Disease

17. Community Health Visioning 2017 Priority Areas
Chronic Disease
Two-thirds of Lee County adults are overweight or obese, close to the national proportion. However, obesity has increased since 2007.
Prevalence levels for diabetes and high blood pressure are both relatively high.
Nearly 10% of adults and children have asthma, similar to national findings, although adult asthma has increased since 2007.
PRIORITY AREAS ADDRESSED IN DATA
Behavioral Health
Primary Care Alternatives
Preventive Health Care
Chronic Disease

18. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

19. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

20. Healthcare Insurance Coverage (Among Adults Age 18 to 64; Lee County, 2011)
Private Insurance 61.0%
Gov’t Insurance 18.5%
No Insurance 20.5%
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206]
Notes: ● Reflects respondents aged 18 to 64.

21. Lack of Healthcare Insurance Coverage (Among Lee County Adults Under 65, 2011)
Healthy People 2020 Target = 0.0% (Universal Coverage)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
● Professional Research Consultants. PRC National Health Survey
● US Department of Health and Human Services.  Healthy People December [Objective AHS-1]
Notes: ● Asked of all respondents under the age of 65.

22. Lack of Healthcare Insurance Coverage (Lee County Adults Under 65, 2011)
Healthy People 2020 Target = 0.0% (Universal Coverage)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 206]
● US Department of Health and Human Services.  Healthy People December [Objective AHS-1]
Notes: ● Asked of all respondents under the age of 65.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

23. Experienced Difficulties or Delays of Some Kind in Receiving Needed Healthcare in the Past Year (Lee County, 2011)
Barriers Tested:
Cost of Doctor Visits
Cost of Prescriptions
Appointment Availability
Trouble Finding a Doctor
Inconvenient Office Hours
Lack of Transportation
Overall, similar to US
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 210]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.
19.0% of adults did not see a doctor in the past year because of the cost (higher than US, an increase since 2007).

24. Had Trouble Obtaining Medical Care for Child in the Past Year (Lee County Parents of Children <18, 2011)
Parents with trouble obtaining medical care for their child reported barriers due to cost or lack of insurance coverage, limited insurance acceptance, and lack of accessibility.
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items ]
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents with children under 18 at home.

25. Have a Specific Source of Ongoing Medical Care (Lee County, 2011)
Lower than US (76.3%), lower than in 2007 (76.5%)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 207]
● US Department of Health and Human Services.  Healthy People December [Objectives AHS-5.3, 5.4]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.
Again, access to healthcare services, especially for low-income and uninsured populations, was the #2 priority identified in the key informant focus groups.

26. Rating of Overall Healthcare Services Available in the Community (Lee County, 2011)
54.2%
Excellent/
Very Good
19.2%
Fair/Poor
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7]
Notes: ● Asked of all respondents.

27. Perceive Local Healthcare Services as “Fair” or “Poor”
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7]
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents.

28. Perceive Local Healthcare Services as “Fair” or “Poor” (Lee County, 2011)
16.0% of residents left Lee County for healthcare in the past year.
Predominantly for specialty care
Predominantly because of a perceived lack of services, physician referral, or perceived better quality elsewhere
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 7]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

29. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

30. Prevalence of Heart Disease & Stroke
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 155]
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents.
Although death rates are comparatively low, prevalence levels are high.

31. Prevalence of High Blood Pressure
Number of Times Diagnosed:
Once = 24.9%
More Than Once = 75.1%
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items 52-53, 156]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
● Professional Research Consultants. PRC National Health Survey
● US Department of Health and Human Services.  Healthy People December [Objective HDS-5.1]
Notes: ● Asked of all respondents.

32. Prevalence of High Blood Cholesterol
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Items157]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
● Professional Research Consultants. PRC National Health Survey
● US Department of Health and Human Services.  Healthy People December [Objective HDS-7]
Notes: ● Asked of all respondents.
● *The Florida data reflects those adults who have been tested for high cholesterol and who have been diagnosed with it.

33. Prevalence of Skin Cancer
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 39]
● Professional Research Consultants. PRC National Health Survey
Notes: ● Asked of all respondents.

34. Prevalence of Cancer (Other Than Skin Cancer)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 38]
● Professional Research Consultants, Inc. PRC National Health Survey
Notes: ● Asked of all respondents.

35. Overall, death rate is below FL & US, but is increasing
Diabetes: Age-Adjusted Mortality by Race ( Annual Average Deaths per 100,000 Population)
Overall, death rate is below FL & US, but is increasing
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective D-3]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● County, state and national data are simple three-year averages.
● The Healthy People 2010 target for Diabetes is adjusted to account for only diabetes mellitus coded deaths.
● The Hispanic and Non-Hispanic Other death rates are unreliable due to the low number of deaths within each population.

36. Prevalence of Diabetes (Lee County, 2011)
Overall, higher than FL (10.7%) & US (10.1%)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 50]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.

37. Currently Have Asthma
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 166]
● Professional Research Consultants. PRC National Health Survey
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 Florida Data.
Notes: ● Asked of all respondents.
15.6% of adults with asthma report a related trip to the ER or urgent care center in the past year

38. Overall, death rate is better than FL, worse than US
HIV/AIDS: Age-Adjusted Mortality by Race ( Annual Average Deaths per 100,000 Population)
Overall, death rate is better than FL, worse than US
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective HIV-12]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● HIV death rates represent deaths between 1999 and 2007.

39. Unintentional Injuries: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population)
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective IVP-11]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● State and national data are simple three-year averages.

40. Notably higher for Hispanics
Motor Vehicle Crashes: Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
Notably higher for Hispanics
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective IVP-13.1]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● County, state and national data are simple three-year averages.

41. Notably higher for Blacks
Firearm-Related Deaths: Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
Notably higher for Blacks
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective IVP-30]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● County, state and national data are simple three-year averages.

42. Homicide: Age-Adjusted Mortality by Race (2005-2007 Annual Average Deaths per 100,000 Population)
Higher than FL & US
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective IPV-29]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● County, state and national data are simple three-year averages.
● All Lee County homicide death rates are unreliable due to the low number of deaths in the county.

43. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

44. Immunization & Infectious Disease
Influenza
Flu vaccination coverage for seniors 65+ is generally good (although low in Market Area 3), but coverage for other high-risk adults is below US levels.
Tuberculosis
Tuberculosis incidence is higher than FL and US rates, and has increased in recent years.
Hepatitis B
Self-reported hepatitis B vaccination is lower than found nationally.

45. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Modifiable Health Risks
Overarching Issues
Q & A

46. Family Planning Births to Teens
11.1% of Lee County births ( ) were to teens.
Lower than statewide (12.9%), higher than nationally (10.4%)
By race, higher (16.4%) in births to Black women
Births to Unmarried Mothers
48.7% of Lee County births ( ) were to unmarried mothers.
Similar to FL (46.9%), higher than US (39.6%)
By race, highest (70.5%) in births to Black women

47. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

48. Notably higher for Whites, trending upward
Suicide: Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
Notably higher for Whites, trending upward
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May 2011.
● US Department of Health and Human Services.  Healthy People December [Objective MHMD-1]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● County, state and national data are simple three-year averages.
Prevalence of chronic depression symptoms and diagnosed major depression appear similar to national levels.

49. Drug-Induced Deaths: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population)
SECONDARY DATA
Sources: ● Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.  CDC WONDER Online Query System. 
Data extracted May
● US Department of Health and Human Services.  Healthy People December [Objective SA-12]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
● State and national data are simple three-year averages.
Only 1.6% of adults acknowledge use of illicit drugs in the past month (similar to US).

50. Top-Ranked Priorities as Identified by Key Informants
#1. BEHAVIORAL HEALTH SERVICES (mental health/substance abuse treatment)
Mentioned resources available to address this issue:
Alcoholics Anonymous/Al-Anon/Alateen
Churches
ERs
HOPE Clubhouse of Southwest Florida
Jennings Behavioral Health
Lee Memorial Health System
Lee Mental Health Center
National Alliance on Mental Illness of Lee County
Police Departments
Private Clinics
Ruth Cooper Center/Lee Mental Health Center
Senior Behavioral Center at Lee Memorial Hospital
Southwest Florida Addiction Services

51. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

52. Prevalence of Total Overweight (Overweight or/Obese Adults; Body Mass Index of 25.0 or Higher)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193]
● Professional Research Consultants. PRC National Health Survey
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 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.

53. Prevalence of Obesity (Body Mass Index of 30.0 or Higher)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193]
● Professional Research Consultants. PRC National Health Survey
● US Department of Health and Human Services.  Healthy People December [Objective NWS-9]
● Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey. Atlanta, Georgia: US Department of Health and Human Services,
Centers for Disease Control and Prevention, 2009 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.

54. Prevalence of Obesity (Body Mass Index of 30
Prevalence of Obesity (Body Mass Index of 30.0 or Higher; Lee County, 2011)
Sources: ● Professional Research Consultants, Inc. PRC Community Health Survey. [Item 193]
● US Department of Health and Human Services.  Healthy People December [Objective NWS-9]
Notes: ● Asked of all respondents.
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size.
● 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.

55. Nutrition
42.9% of Lee County adults have 5+ servings of fruits/vegetables per day.
Lower than found nationally (48.8%)
Vegetable consumption, in particular, is low
71.5% of adults say they read nutrition labels when deciding what foods to buy.
Favorably, more adults report getting nutrition advice from their physicians than in 2007.
Key Informant Focus Groups
Obesity/weight management was the #3 top-ranked priority.
Health education (especially nutrition education) was the #4 top-ranked priority.

56. Physical Activity Adults
Physical activity indicators are generally better than or similar to state and national findings.
Children
45.9% of school-aged children have 3+ hours/day of screen time (TV, video games, computer), similar to what is found nationally.
However, 19.1% of children have 3+ hours per day of computer/video game screen time. (US = 9.9%)

57. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A

58. Income Disparity in Selected Lee County Health Indicators

59. Preventive Healthcare (By Insured Status; Lee County, 2011)

60. Lee County Disparities
By Geography
Where geographic differences exist, it is often Market Area 2 (North/Northeast Lee County) that fares worst.
By Race/Ethnicity
Blacks have overall poorer health status, less dental care, and greater problems associated with diabetes, cardiovascular disease, cancer, kidney disease, HIV/AIDS and violence.
Hispanics and Blacks have greater access difficulties and insurance instability, less often have a medical home, and face more depression and higher rates of obesity.

61. Overall Health Status
Positive Health Findings
Overview of Community Health Visioning 2017 Priority Areas
Areas of Opportunity
Access to Healthcare Services
Chronic Disease & Injury
Immunization & Infectious Disease
Maternal, Infant & Child Health
Mental Health & Substance Abuse
Nutrition, Physical Activity & Overweight
Overarching Issues
Q & A