1. The Health of Calumet County Community Health Assessment October 25, 2012

3. Provide an overview of the health of the community Look for opportunities for improvement

4. Age Race/Ethnicity English proficiency Geography Population

5. Percent of population below 18 and 65 + Calumet and Wisconsin (2011) Calumet County Wisconsin % of population below age 18: 26.6%23.2% % of population age 65 and over: 11.6% 13.9% Source: County Health Rankings/US Census

6. Race of Residents Calumet County and Wisconsin (2011) Calumet County Wisconsin White Persons 95.7% 88.4% Black persons 0.6% 6.5% American Indian and Alaska Native persons 0.5% 1.1% Asian persons 2.1% 2.4% Native Hawaiian and Other Pacific Islander persons < 0.5% < 0.5% Persons reporting two or more races 1.1% 1.6% Persons of Hispanic or Latino Origin 3.6% 6.1% White persons, not Hispanic 92.3% 83.1% Source: County Health Rankings/US Census

7. What Makes a Community Healthy?

8. Mortality: Premature Death Years of potential life lost before age 75 per 100,000 population (age-adjusted) Calumet County and Wisconsin (2012) Calumet County Wisconsin 4,988 6,124

9. Morbidity: Quality of Life Physical Health Mental Health

10. Percent of adults self-reporting poor or fair health (age-adjusted) Calumet County and Wisconsin (2004-2010) Calumet CountyWisconsin (4th quartile) 14% 12% Source: County Health Rankings/BRFSS

11. Average number of physically unhealthy days self-reported in adults in past 30 days (age-adjusted) Calumet County and Wisconsin (2004-2010) Calumet CountyWisconsin (2 nd quartile) 3.2 3.3 Source: County Health Rankings/BRFSS

12. Average number of mentally unhealthy days reported in past 30 days (age-adjusted) Calumet County and Wisconsin (2004-2010) Calumet CountyWisconsin (1 ST quartile) 2.6 3.0 Source: County Health Rankings/BRFSS

13. Healthy Days – Mental Health Local - State Comparison 13 * 2007 and 2003 Not asked locally

14. Healthy Days Effect

15. Health Behaviors Tobacco Use Physical Activity & Nutrition Alcohol & Drug Use

16. Percent of adults self-reporting smoking > 100 cigarettes in their lifetime and currently smoking (every day or most days) Calumet County and Wisconsin (2004-2010) Calumet CountyWisconsin (1 st quartile) 15% 20% Source: County Health Rankings/BRFSS

17. Regular physical activity in adults can lower the risk of: Early death Coronary heart disease Stroke High blood pressure Type 2 diabetes Breast and colon cancer Falls Depressions Physical activity in children and adolescents can: Improve bone health Improve cardio-respiratory & muscular fitness Decrease levels of body fat Reduce symptoms of depression

18. Healthy diet reduces risk of: Overweight/obesity Malnutrition Anemia Heart disease High blood pressure Type 2 diabetes Osteoporosis Oral disease Diverticular disease Some cancers At healthy weight less likely to: Have complications during pregnancy Die at earlier age Good nutrition in children important: To healthy growth & development To maintaining appropriate weight

19. Percent of adults (age 20 +) with BMI > 30 Calumet County and Wisconsin (2009) Calumet CountyWisconsin (3 rd quartile) 31% 29% Source: County Health Rankings/BRFSS

20. Body Mass Index

21. Body Mass Index - Age

22. Percent of adults with no physical activity Calumet County and Wisconsin (2009) Calumet CountyWisconsin (1 st quartile) 19% 23% Source: County Health Rankings/BRFSS

23. Vigorous Exercise

24. Estimated 22 million people per year in the US have drug and alcohol problems Can lead to: Fetal alcohol spectrum disorder Alcohol and drug dependencies Liver, brain, and heart disease Contributes to costly physical, mental and public health problems including: Teenage pregnancy HIV/AIDS and other STDs Domestic violence Child abuse Motor vehicle crashes Physical fights Crime Homicide Suicide

25. Percent of the adult population that reports either binge drinking or heavy drinking Calumet County and Wisconsin (2004-2010) Calumet CountyWisconsin (4 th quartile) 33% 24% Source: County Health Rankings/BRFSS

26. Alcohol – 5 or More Drinks

27. Drinking and Driving

28. Social and Economic Factors Education Employment Income

29. Years of formal education are correlated strongly with: Improved work and economic opportunities Access to health care (through work situation) More stability during variations in the job market Reduced psychosocial stress; a greater sense of personal control Healthier lifestyles Multi-generational health affects: Education of parents affects the health of their children

30. Percent of 9th grade cohort that graduates in four years Calumet County and Wisconsin (2008-2009) Calumet CountyWisconsin (1 st quartile) 92% 86% Source: County Health Rankings/WI Department of Public Instruction

31. Percent of adults age 25-44 with some college or associate’s degree Calumet County and Wisconsin (2006-2010) Calumet CountyWisconsin (1 st quartile) 69% 63% Source: County Health Rankings/US Census

32. Unemployment: Increases unhealthy behaviors: alcohol and tobacco use, diet, exercise May lead to physical illness and even death (especially by suicide) May mean less access to health care (because insurance is often tied to employment)

33. Percent of population age 16+ unemployed but seeking work Calumet County and Wisconsin (2010) Calumet CountyWisconsin (1 st quartile) 6.7% 8.3% Source: County Health Rankings/Bureau of Labor Statistics

34. Poverty leads to increased risk of: Death Variety of medical conditions and disease incidence Depression Intimate partner violence Poor health behaviors Children are affected more than any age in: Accidental injury Lack of health care access.

35. Percent of children under 18 living below the Federal Poverty Line (FPL) Calumet County and Wisconsin (2010) Calumet CountyWisconsin (1 st quartile) 8% 19% Source: County Health Rankings/US Census

36. Physical Environment Built Environment Environmental Quality

37. Percent of population in poverty that also are far from a grocery store (10 miles rural/one mile urban) Calumet County and Wisconsin (2006) Calumet County Wisconsin (3 rd quartile) 7% 6% Source: County Health Rankings/USDA

38. Proportion of all restaurants in the county that are fast food restaurants Calumet County and Wisconsin (2009) Calumet County Wisconsin (3 rd quartile) 38% 41% Source: County Health Rankings/US Census

39. Slide presentation adapted from: The Health of the Community: Community Health Assessment Presentation v 1.0 6/2012 [Final Version due Spring 2014] Wisconsin CHIPP Infrastructure Improvement Project http://www.walhdab.org/CHIPPInfrastructure.htm