|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
|
2011 Bridging the Way to Health McClain County McClain County Health Department 2011 State of the County’s Health Report McClain County Needs Assessment McClain County Needs Assessment http://mcclain.health.ok.gov 2 The 2011 State of the County’s Health Report, Bridging the Way to Health, McClain County is the second Health Assessment since 2006. This report follows the Oklahoma Health Improvement Plan to address several key health issues relevant to Oklahomans and McClain County residents. · Obesity Reduction · Child Health · Tobacco Prevention · Unintentional Injury and Violence/ Disaster Preparedness The McClain County Health Department in partnership with the Blanchard Community Coalition, a Turning Point partner, Community Youth Action Program (C.Y.A.P), Community Alliance of Resources for Everyone (C.A.R.E) and other community partners work to improve the health and well-being of McClain County residents. This report addresses the current health status of McClain County residents and the initiatives to strengthen communities, unite vision, reduce health disparities, and unify a community to promote a positive healthy environment to live, work, and play. It is my sincere honor to serve you as administrative director and it is my hope that we can work together to improve the health of our county. Thank you all for your dedication and contribution to create a solution for a healthier McClain County. Sincerely, Shari Kinney, DrPH, RN Administrative Director 919 N. 9th Street Purcell, Oklahoma 73080 Telephone: (405) 527-6541 Fax: (405) 527-4775 P.O. Box 130 107 S. Main Blanchard, Oklahoma 73010 Telephone: (405) 485-3319 Fax: (405) 485-9713 McClain County Health Department Shari Kinney, DrPH, RN Administrative Director McCLAIN COUNTY BOARD OF HEALTH Tony Christian Charles Foster George Kernek Doug Harryman D. Bryan Dye, MD An Equal Opportunity Employer Table of Contents Cover………………………………………………..…….1 Letter from the Administrative Director… Table of Contents……………………………… Summary and Implication……………………......…... Demographics……………………………��……….…. McClain County Health Department Usage……...... Fighting Obesity with Good Nutrition………...…..... Fighting Obesity with Physical Activity……….…… Prenatal & Infant Health................……….............….. Child & Adolescent Health..…………………….…… Tobacco Prevention………………………………..…. Disaster Preparedness/Injury & Violence……...... Conclusion…………………………………………..….. Resources/ McClain County Board of Health…..…14 References……………………………………………....1 Director…..…….…..2 Contents……………………………….......….3 4 5 y 6 y 7 y 8 th................……….............…..9 10 n………………………………..….11 paredness/Violence……........12 13 eferences……………………………………………....15 3 4 Oklahoma ranks below average on key health status indicators and 46th nationally for overall health. This is a result of the conditions many residents of McClain County live with every day, including environmental factors, poverty, and limited access to medical care as well as poor health behaviors including lack of exercise, tobacco use, and poor nutrition. In order to improve the health of McClain County, we must understand resident’s quality of life and what the community is doing to improve health. The McClain County health assessment focuses on three key health behaviors: factors affecting obesity, children’s health, and tobacco use. The Community Health Assessment will also give attention to other relevant issues such as Health Department use, disaster preparedness and unintentional injury/violence. Noted below are relevant indicators of McClain County health. It is our hope that by increasing awareness and knowledge of McClain County’s health status, we can take action together to improve the health of it’s residents. Summary & Implications Health Outcomes & Factors McClain County National Benchmark 90th percentile Oklahoma Mortality Premature Death (Years of potential life lost before age 75 per 100,000) 2005-2007 7,813 5,564 9,416 Uninsured Adults (under age 65) 2007 26% 13% 23% Primary Care Provider (Ratio of population to Primary care provider) 2008 1,547:1 632:1 1,152:1 Preventable Hospital Stays (Hospital discharge rate for ambulatory care-sensitive conditions per 1,000 Medicare enrollees) 2006-2007 104 52 89 Unemployment (Percent of the civilian labor force, age 16 and older, that is unemployed but seeking work) 2009 5.8% 5.3% 6.4% Household Income 2009 $52,822 $50,221 (National Avg.) $42,836 Individuals Below Poverty 2009 10.9% 14.3% (National Avg.) 16.1% US Census Bureau, County Health Rankings: Small Area Health Insurance Estimates, Health Resources and Service Administration, Bureau of Labor Statistics, National Center for Health Statistics, Medicare/Dartmouth Institute Demographics US Census Bureau McClain County consists of ten communities Blanchard, Byars, Cole Dibble, Goldsby, Newcastle, Purc Rosedale, Washington, & Wayne Population · 34,506 (2010) · 27,742 (2000) Race/ Ethnicity (2005 · White ….. 27,378 · Black………… 37 · Hispanic … 1,349 · American Indian/ Native……. 1,562 · Asian………… · Other ….…….834 Age (2005-2009) · Under 18 ………… · 18-64 ……………. · 65-84 ………….. · 85+ ……………… in communities: Purcell, 5 2005-2009) (86.4%) … (0.1%) (6.2%) Alaska (4.9%) ……… 54 (0.2%) (2.6%) ……… 25.6% …………….… 61% …………..… 12.2% ………………… 1.2% McClain County Health Department Usage Child Health Family Planning Children First Sooner Start Sexually Transmitted Disease Immunizations Communicable Disease Dental Health Education Women, Infants & Children (WIC) Health Education Environmental Health The McClain County Health Department provides residents a variety of services clinics and in the community to protect and promote the health of the general population and infants, children, youth, and adults. These services work with the partnership of existin organizations to support healthy residents. For more information or questions, McClain County Health Department (405) 4853319 (Blanchard) or (405) County Health Department Unduplicated Client Services by Program, State Fiscal 6 (MCHD) at the local individual existing non-profit please contact the at 5276541 (Purcell). lient Year 2009 7 Obesity rates are abounding, affecting the health of our nation, state, and county. Behavior and environment are two of the largest contributors in this health epidemic. If a person is overweight or obese, this can contribute to greater risk in developing chronic disease including stroke, heart disease, high blood pressure, type 2 diabetes, and some kinds of cancer (CDC). In addition to physical morbidities, obesity affects health care cost significantly. On average, an obese individual may incur up to $1,429 per person extra in medical costs compared to people of normal weight (CDC). Estimated health care costs for McClain County for one year due to obesity comes to nearly $2.8 million. Good nutrition and increased consumption of fruits and vegetables can help reduce overall caloric intake and enhance health. Fighting Obesity With Good Nutrition Obesity Rates and Relevant Indicators McClain County McClain County National Rate Oklahoma Obesity Rates Age 20 and older of population 28.4% (2006) 35.1% (2009) 26.7% (2009) 30% (2008) Access to Healthy Food Zip codes in a county with a healthy food outlet, produce stands, farmers’ markets. NA 33% (2006) 92% (2008) 48% (2008) Type 2 Diabetes % Adults age 20 and older in a county who have diagnosed diabetes 7.6% (2006) 10% (2008) 6.86% (2008) %10 (2008) Number of Cardiovascular Deaths (per 100,000 of population) NA 308.4 (2007) 235.7 (2007) 351.6 (2006) BRFSS, OSDH, CDC Wonder, County Health Ranking: National Center for Chronic Disease Prevention and Health Promotion, Census Zip Code Business Patterns Community Efforts for Nutrition Support McClain County obesity rates have continued to rise from 2005-2009 by 6.7%. Residents have notably less access to healthy foods compared to the state and nation. Additionally, McClain County residents have a higher number cardiovascular disease deaths and a higher rate of type 2 diabetes compared to the national average. · The Women, Infants and Children (WIC) program at the McClain County Health Department provides specific supplemental foods vouchers for eligible mothers, infants, and children at critical times of health and growth. WIC provides culturally relevant nutrition education by licensed nutritionist to address specific nutritional needs and help to reduce childhood obesity. · The McClain County Health Department has a registered dietician who works with infants and toddlers through the Sooner Start program. The Sooner Start program works with infants and toddlers with disabilities and special nutritional needs ranging from special diets to dietary assistance due to oral sensitivities. · The McClain County Health Department provides healthy eating brochures and flyers for various health fairs, such as the Family Fun Day, to encourage good nutrition. · The McClain County Turning Point Coalition hosted a six-week cookiclass to provide nutrition education and hands on cooking experience to encourage healthy eating. · Weekly farmers markets are hosted in season through the OSU extension and Chickasaw Nation in McClain County. Markets are hosted in Newcastle, Blanchard, and Purcell. 8 Obesity Rates and Relevant Indicators McClain County National Rate Oklahoma No Physical Activity within Past Month (Adults over age 20) 27.3% (2008) NA 31% (2008) Did not reach the recommended Physical Activity (Adults over age 20) 64.9% 49% 52.9% 2003-2008 BRFSS Fighting Obesity With Physical Activity McClain County residents have room for improvement with physical activity. Only 35.1% of McClain County residents reached the recommended rates of physical activity, which below the state’s average of 52.9% Community Efforts for Physical Activity According to the CDC, physical activity can help control weight, reduce the risk of cardiovascular disease, type 2 diabetes, and some cancers. It also strengthens bones and muscles and improves mental health and mood. It improves your ability to do daily activities and prevent falls if you are an older adult. Finally, it increases your chances of living a longer, healthier life. The CDC recommends adults get 150 minutes of moderate aerobic activity a week in addition to 2 days of muscle strengthening. · The Blanchard Community Coalition together with the McClain County Health Department hosts a yearly middle school camp, Go Girl Go, where physical activity and good nutrition are promoted and practiced in addition to nutrition education and leadership skills. · The McClain County Health Department in collaboration with the 1st United Methodist Church and Blanchard Community Coalition have partnered to host WOW, Work Out Wednesday, utilizing the Coordinated Approach To Child Health (CATCH) curriculum at the 1st United Methodist Church in Blanchard. This program is designed to promote community, physical activity, and friendship among children. The program aims to start children with a lifestyle of physical activity and reduce childhood obesity. · The CYAP (Community Youth Action Program) is in the planning stages of increasing recreational facilities, including baseball and softball fields, as well as a new skate park for youth and adults to engage in sports. They currently facilitate a winter basketball leagues for grades K-6 and an annual golf tournament. · The city of Blanchard is working on building new sidewalks and has implemented the Safe Routes to School program. This program aims to increase walking among elementary school children through a walking school bus. 9 Indicators of Infant Health McClain County National Rate Oklahoma Infant Mortality Rate (per 1,000 births) 7.4% 2002-2006 6.8% 2003-2005 8.0% 2002-2006 Low Birth Weight (% of Live Births) (2003-2007) 8.5% 8.1% 8.1% Immunizations (By 25 months) 2007 72.68% 71.5% 71.7% First Trimester Prenatal Care (% of live births) (2002-2007) 81.3% 83.2% 75.6% 2003-2008 BRFSS, OSDH Vital Stats, National Immunization Survey Prenatal & Infant Health Healthy babies begin with healthy mothers and appropriate first trimester prenatal care. Babies are healthiest when born to mothers who did not use substances including tobacco, alcohol, and drugs. Mothers who exercise and eat nutritiously create the best environment for a baby‘s development. Babies are protected from various infectious diseases and death by getting immunized. McClain County is better than the state average for infant mortality rates and first trimester prenatal care but has room for improvement. The rates of low birth weight births are slightly above the national and state level. Immunization rates are slightly higher than the national and state level. · Children’s First is a voluntary program for first time expecting mothers to provide in-home education on child safety and healthy development for women less than 28 weeks pregnant. · The Women, Infants and Children (WIC) program at the McClain County Health Department provides specific supplemental foods vouchers for eligible mothers, infants, and children at critical times of health and growth. The WIC program also provides culturally relevant nutrition education by licensed nutritionists to address specific nutritional needs and help to reduce childhood obesity. · The McClain County Health Department staff hosts and/or participates in three to five car seat events annually. They serve an estimated 400 car seat checks and/or instillations each year. The staff is certified through the Safe Kids Worldwide Organization for car seat certification. Community Efforts for Prenatal and Infant Health 10 Child & Adolescent Health Children are the future of our county, state and nation. Children are more vulnerable to health concerns due to their stage of growth and development. Graduating from high school, having health insurance, and abstaining or delaying sexual activity are important indicators of good health practice for children and adolescents. In addition, working together to help children and adolescents overcome the barriers of poverty can significantly improve health. Indicators of Child Health McClain County National Benchmark Rate Oklahoma Child Poverty (Under age 18) 2008 14.4% 11% 22% High School Graduation rate (2006-2007) 90% 92% 78% Uninsured children under 19 2007 17.5% 9% 12.2% Teen Birth Rates (Out of 1,000) 2001-2007 42 22 59 Kids Count, County Health Ranking: National Center for Education Statistics · The MCHD works with the McClain Public Schools to provide health education including education on communicable diseases. · The MCHD provides individual consultation for family planning services and STD testing for adolescent health education and screening. · Blanchard Community Coalition in partnership with the MCHD and Covenant Freewill Baptist Church have worked together to create the “Zone.” This is a teen center providing organized after school activities in a safe and drug free environment for adolescents in McClain County. · The McClain County Health Department in collaboration with the First United Methodist Church and Blanchard Community Coalition have partnered to host WOW (Work Out Wednesday) utilizing the Coordinated Approach To Child Health (CATCH) curriculum at the First United Methodist Church in Blanchard. The program aims to start children with a lifestyle of physical activity and reduce childhood obesity. McClain County has lower rates of child poverty compared to the state percentage, yet is worse than the national benchmark. Residents of McClain County have graduation rates comparable to the nation’s benchmark. McClain County has a higher rate of uninsured children than the state national benchmarks. Teen birth rates are lower than the state level yet nearly double the national benchmark. While McClain County’s children fair better than the state on some indicators, residents have many areas to improve. Community Efforts for Child & Adolescent Health 11 Tobacco Prevention Tobacco Usage Rates McClain County McClain County National Benchmark Oklahoma Tobacco Use 15.3% 2003-2006 16.8% 2006-2009 15% 2003-2009 25.1% 2006 BRFSS Tobacco use is the single most preventable cause of premature death. It harms nearly every organ in the body. According to the CDC, “more deaths are caused each year by tobacco use than by all deaths from human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined.” According to the Oklahoma State Department of Health, Tobacco use cost Oklahomans over $2 billion in medical expenses and lost productivity every year, or an average of about $600 per person. Medical costs accumulated by tobacco users in McClain County add up to $14.2 million a year. (2010 State of the County’s Health Report) McClain County smoking rates are lower than the overall state rates but remain above the national benchmark. Rates have risen slightly from 2003 to 2009 according to BRFSS. · The McClain County Health Department (MCHD), Blanchard Community Coalition (BCC), Community Alliance of Resources (C.A.R.E) and other community partners together have passed a 24/7 tobacco free ordinance in Blanchard Public Schools. · The MCHD, BCC, C.A.R.E and the Norman Alcohol Information Center (NAIC) helped to pass a 24/7 tobacco free ordinance for tobacco free parks in Blanchard. �� The MCHD, BCC, and NAIC partnered to create, Project Alert, an evidence based alcohol, tobacco, and drug prevention program for Blanchard Middle school students, grades 6 through 8. · McClain County recently received a T-SET grant (Oklahoma Tobacco Settlement Endowment Trust) and is in the process of creating an action plan to address tobacco related health concerns for McClain County. · The tobacco-quit line, 1-800-QUIT-NOW, is offered to McClain County residents to empower them to quit the use of tobacco products. They offer phone based coaching and access to nicotine patches and gum. · The Social Host Ordinance passed in Blanchard strengthened the enforcement of county Minor in Possession laws. This ordinance places a fine on adults hosting drinking parties for teenagers. Community Efforts for Tobacco Prevention 12 · McClain County Health Department (MCHD), local businesses, and emergency responders have collaborated to form a Local Emergency Planning Committee (LEPC). This committee works to protect the community from environmental and commercial hazards through planning, preparation and communication between residents, businesses and government. This spring the LEPC provided all-hazard weather radios to senior residents outside siren warning areas. The radios provide access to severe weather alerts in case of an electricity outage. · The Integrated Risk Information System (IRIS) provides alerts by calling, texting, and emailing in case of emergencies or severe weather. Following the May 24th tornadoes, IRIS sent out messages to inform tornado victims of access to tetanus shots. Disaster Preparedness Injury & Violence Unintentional injury and violence is an increasing problem in Oklahoma as well as McClain County. According to the OSDH vital statistics for 2002- 2006, unintentional injury was the 5th leading cause of death for Oklahomans. Disaster preparedness can save lives and prevent injury. Having a plan of action during severe weather can keep you and your family safe in an emergency. Using proper safety precautions when operating motor vehicles and heavy machinery including seat belts, helmets, and other safety equipment can prevent injury and violence. Additionally, reporting suspected violence and heeding warning signs of suicide could prevent injury, death, and violence for people at risk. Injury & Violence Community Efforts Disaster Preparedness Community Efforts · MCHD holds an annual bike helmet event to distribute helmets to children in need. · MCHD staff hosts and/or participates in three to five car seat events annually. They serve an estimated 400 car seat checks and/or instillations each year. The staff is certified through the Safe Kids Worldwide Organization for car seat certification. · MCHD held a grant funded smoke alarm event in Goldsby where In McClain County, the leading cause of death for residents ages 5 to 44 is injury and violence. The death rate for McClain County residents in 2007 was 63.3% for people 44 and younger (BRFSS). According to the National Safety Council, an estimated $4,300,000 is spent on a single death due to a car accident (2009). According to BRFFS, there were 16 deaths in McClain County in the year 2007 due to unintentional injury. smoke alarms were provided to residents in need. 13 Conclusion McClain County has been working together to improve the health of its residents and preserve the health for future generations to come. McClain County is a growing region with a number of community assets but much more can be done to improve its health. McClain County gets a thumbs up for the following assets and achievements: • Graduation rates of 90% • Population growth of 24.4% since the year 2000 • Oklahoma Tobacco Settlement Endowment Trust • Blanchard Community Coalition, Turning Point Partner • Community Youth Action Program (C.Y.A.P) • Community Alliance of Resources for Everyone (C.A.R.E.) • McClain County Health Department services • Farmers markets • Social Host Ordinance • Local Emergency Planning Committee (LEPC) McClain County can work to improve the following health indicators: • 6.4% increase in obesity from 2006-2009 • Increasing rates of type 2 diabetes by 2.4% since 2006 • Low rates of physical activity and limited access to healthy foods • Higher rates of uninsured children (5.3%) and adults (3%) compared to the state • Higher rates of preventable hospital stays and limited access to medical providers • The leading cause of death is injury and violence for people 44 and younger. 63.9% of McClain County is under 44. The McClain County Health Department is focusing on obesity reduction, child health, tobacco prevention as well as injury and violence reduction. Together with coalitions, leaders, community partners, schools, and healthcare professionals, the communities of McClain County can unite to change the tide of health for a stronger healthier future. 14 Resources McCLAIN COUNTY BOARD OF HEALTH Tony Christian, Charles Foster, George Kernek, Doug Harryman, D. Bryan Dye, MD All Health and Safety Topics · Oklahoma State Department of Health o www.ok.gov/health · Center for Disease Prevention and Control o http://www.cdc.gov Obesity Reduction and Prevention · American Heart Association o http://www.heart.org · Cooper Aerobics o http://www.cooperaerobics.com · American Dietetic Association o http://www.eatright.org Tobacco Prevention · Smokefree.gov o http://www.smokefree.gov · American Lung Association o http://www.breathehealthy.org Child Health · Safe Kids USA o www.safekids.org · Mayo Clinic o http://www.mayoclinic.com Injury and Violence Prevention • National Safety Council o http://www.nsc.org 15 Reference List · Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999-2006. CDC WONDER On-line Database, compiled from Compressed Mortality File 1999-2006 Series 20 No. 2L, 2009. Accessed at �� http://wonder.cdc.gov/cmf-icd10-archive2006.html on June 20,2011. · Center for Disease Control and Prevention (May 11, 2009), Fit Physical Activity into Your Life, Your Way, Accessed on June 7,2011 on http://www.cdc.gov/Features/PhysicalActivity. · Center for Disease Control and Prevention (August 3, 2010), More States Reach 30 Percent Obesity Rates, Accessed on June 7, 2011 on http://www.cdc.gov/Features/VitalSigns/AdultObesity. · Center for Disease Control and Prevention (March 21, 2011) Smoking and Tobacco Use, Accessed on June 1, 2011 on http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking. · County Health Rankings,(2011), 2011 McClain County, Accessed June 17, 2011 from http://www.countyhealthrankings.org. (Primary Sources include: National Center for Health Statistics, BRFSS, National Center for Chronic Disease and Health Promotion, National Center for Health Statistics, Small Area Health Insurance Estimates, U.S. Census, Health Resources & Service administration, Medicare/Dartmouth Institute, National Center for Education Statistics, Census Zip Code Business Patterns). · Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Disease, Comprehensive CASA, Summary Report, McClain County Health Department Blanchard, Accessed June 20,2011. · Kids Count Data Center, Oklahoma Institute for Child Advocacy, (2007), Uninsured Under 19, Accessed June 14, 2011 from http://datacenter.kidscount.org. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Behavioral Risk Factor Surveillance (BRFFS), on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7, 2011. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Death Statistics, on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7,2011. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Youth Risk and Behavior Survey (YRBS), on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7, 2011. · Oklahoma State Department of Health, 2010 State of the County’s Health Report, Accessed May 31, 2011 on www.ok.gov/health/documents/McClain%20County%202010.pdf. 16 · National Immunization Survey, Estimated Vaccination Coverage with 4::3:1:3:3:1 Among Children 19-35 Months of Age by Race/Ethnicity and by State and Local Area – US, National Immunization Survey, Q3/2009-Q2/2010, Accessed June 20,2011. · National Safety Council, Estimating the Cost of Unintentional Injuries, Accessed 6,22,2011 at http://www.nsc.org/news_resources/injury_and_death_statistics/Pages/EstimatingtheCostsofU nintentionalInjuries.aspx. · State of the State’s Health Report, 2008, Indicator Report Card-all, Accessed June 22, 2011 at http://www.ok.gov/health/pub/boh/state/index.html. · United Health Foundation, America’s Health Rankings (2011), Accessed June 1, 2011 on http://www.americashealthrankings.org. · U.S. Census Bureau, _2005-2009 American Community Survey 5-Year Estimates, McClain County_ Accessed June 1, 2011 from www.census.gov. · U.S. Census Bureau, (03-Jun-2011) State and County Quick Fact, www.census.gov.
Click tabs to swap between content that is broken into logical sections.
Okla State Agency |
Health, Oklahoma State Department of |
Okla Agency Code | '340' |
Title | McClain County needs assessment : 2011 bridging the way to health health McClain County. |
Alternative title | McClain health needs assessment |
Authors | McClain County Health Department (Okla.) |
Publisher | Oklahoma State Department of Health |
Publication Date | 2011 |
Publication type | Planning Document |
Subject |
McClain County (Okla.)--Statistics, Medical. Public health--Oklahoma--McClain County. |
Purpose | The 2011 State of the County’s Health Report, Bridging the Way to Health, McClain County is the second Health Assessment since 2006. This report follows the Oklahoma Health Improvement Plan to address several key health issues relevant to Oklahomans and McClain County residents. · Obesity Reduction · Child Health · Tobacco Prevention · Unintentional Injury and Violence/ Disaster Preparedness; The McClain County Health Department in partnership with the Blanchard Community Coalition, a Turning Point partner, Community Youth Action Program (C.Y.A.P), Community Alliance of Resources for Everyone (C.A.R.E) and other community partners work to improve the health and well-being of McClain County residents. This report addresses the current health status of McClain County residents and the initiatives to strengthen communities, unite vision, reduce health disparities, and unify a community to promote a positive healthy environment to live, work, and play. |
Contents | Letter from the Administrative Director; Summary and Implication; Demographics; McClain County Health Department Usage; Fighting Obesity with Good Nutrition; Fighting Obesity with Physical Activity; Prenatal & Infant Health; Child & Adolescent Health; Tobacco Prevention; Disaster Preparedness/Injury & Violence; Conclusion; Resources/ McClain County Board of Health; References |
Notes | (McClain County Health Department 2011 state of the county's health report) |
OkDocs Class# | H850.3 M126n 2011 |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.ok.gov/health/documents/mcclain-health-needs-assessment.pdf |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Full text | 2011 Bridging the Way to Health McClain County McClain County Health Department 2011 State of the County’s Health Report McClain County Needs Assessment McClain County Needs Assessment http://mcclain.health.ok.gov 2 The 2011 State of the County’s Health Report, Bridging the Way to Health, McClain County is the second Health Assessment since 2006. This report follows the Oklahoma Health Improvement Plan to address several key health issues relevant to Oklahomans and McClain County residents. · Obesity Reduction · Child Health · Tobacco Prevention · Unintentional Injury and Violence/ Disaster Preparedness The McClain County Health Department in partnership with the Blanchard Community Coalition, a Turning Point partner, Community Youth Action Program (C.Y.A.P), Community Alliance of Resources for Everyone (C.A.R.E) and other community partners work to improve the health and well-being of McClain County residents. This report addresses the current health status of McClain County residents and the initiatives to strengthen communities, unite vision, reduce health disparities, and unify a community to promote a positive healthy environment to live, work, and play. It is my sincere honor to serve you as administrative director and it is my hope that we can work together to improve the health of our county. Thank you all for your dedication and contribution to create a solution for a healthier McClain County. Sincerely, Shari Kinney, DrPH, RN Administrative Director 919 N. 9th Street Purcell, Oklahoma 73080 Telephone: (405) 527-6541 Fax: (405) 527-4775 P.O. Box 130 107 S. Main Blanchard, Oklahoma 73010 Telephone: (405) 485-3319 Fax: (405) 485-9713 McClain County Health Department Shari Kinney, DrPH, RN Administrative Director McCLAIN COUNTY BOARD OF HEALTH Tony Christian Charles Foster George Kernek Doug Harryman D. Bryan Dye, MD An Equal Opportunity Employer Table of Contents Cover………………………………………………..…….1 Letter from the Administrative Director… Table of Contents……………………………… Summary and Implication……………………......…... Demographics……………………………��……….…. McClain County Health Department Usage……...... Fighting Obesity with Good Nutrition………...…..... Fighting Obesity with Physical Activity……….…… Prenatal & Infant Health................……….............….. Child & Adolescent Health..…………………….…… Tobacco Prevention………………………………..…. Disaster Preparedness/Injury & Violence……...... Conclusion…………………………………………..….. Resources/ McClain County Board of Health…..…14 References……………………………………………....1 Director…..…….…..2 Contents……………………………….......….3 4 5 y 6 y 7 y 8 th................……….............…..9 10 n………………………………..….11 paredness/Violence……........12 13 eferences……………………………………………....15 3 4 Oklahoma ranks below average on key health status indicators and 46th nationally for overall health. This is a result of the conditions many residents of McClain County live with every day, including environmental factors, poverty, and limited access to medical care as well as poor health behaviors including lack of exercise, tobacco use, and poor nutrition. In order to improve the health of McClain County, we must understand resident’s quality of life and what the community is doing to improve health. The McClain County health assessment focuses on three key health behaviors: factors affecting obesity, children’s health, and tobacco use. The Community Health Assessment will also give attention to other relevant issues such as Health Department use, disaster preparedness and unintentional injury/violence. Noted below are relevant indicators of McClain County health. It is our hope that by increasing awareness and knowledge of McClain County’s health status, we can take action together to improve the health of it’s residents. Summary & Implications Health Outcomes & Factors McClain County National Benchmark 90th percentile Oklahoma Mortality Premature Death (Years of potential life lost before age 75 per 100,000) 2005-2007 7,813 5,564 9,416 Uninsured Adults (under age 65) 2007 26% 13% 23% Primary Care Provider (Ratio of population to Primary care provider) 2008 1,547:1 632:1 1,152:1 Preventable Hospital Stays (Hospital discharge rate for ambulatory care-sensitive conditions per 1,000 Medicare enrollees) 2006-2007 104 52 89 Unemployment (Percent of the civilian labor force, age 16 and older, that is unemployed but seeking work) 2009 5.8% 5.3% 6.4% Household Income 2009 $52,822 $50,221 (National Avg.) $42,836 Individuals Below Poverty 2009 10.9% 14.3% (National Avg.) 16.1% US Census Bureau, County Health Rankings: Small Area Health Insurance Estimates, Health Resources and Service Administration, Bureau of Labor Statistics, National Center for Health Statistics, Medicare/Dartmouth Institute Demographics US Census Bureau McClain County consists of ten communities Blanchard, Byars, Cole Dibble, Goldsby, Newcastle, Purc Rosedale, Washington, & Wayne Population · 34,506 (2010) · 27,742 (2000) Race/ Ethnicity (2005 · White ….. 27,378 · Black………… 37 · Hispanic … 1,349 · American Indian/ Native……. 1,562 · Asian………… · Other ….…….834 Age (2005-2009) · Under 18 ………… · 18-64 ……………. · 65-84 ………….. · 85+ ……………… in communities: Purcell, 5 2005-2009) (86.4%) … (0.1%) (6.2%) Alaska (4.9%) ……… 54 (0.2%) (2.6%) ……… 25.6% …………….… 61% …………..… 12.2% ………………… 1.2% McClain County Health Department Usage Child Health Family Planning Children First Sooner Start Sexually Transmitted Disease Immunizations Communicable Disease Dental Health Education Women, Infants & Children (WIC) Health Education Environmental Health The McClain County Health Department provides residents a variety of services clinics and in the community to protect and promote the health of the general population and infants, children, youth, and adults. These services work with the partnership of existin organizations to support healthy residents. For more information or questions, McClain County Health Department (405) 4853319 (Blanchard) or (405) County Health Department Unduplicated Client Services by Program, State Fiscal 6 (MCHD) at the local individual existing non-profit please contact the at 5276541 (Purcell). lient Year 2009 7 Obesity rates are abounding, affecting the health of our nation, state, and county. Behavior and environment are two of the largest contributors in this health epidemic. If a person is overweight or obese, this can contribute to greater risk in developing chronic disease including stroke, heart disease, high blood pressure, type 2 diabetes, and some kinds of cancer (CDC). In addition to physical morbidities, obesity affects health care cost significantly. On average, an obese individual may incur up to $1,429 per person extra in medical costs compared to people of normal weight (CDC). Estimated health care costs for McClain County for one year due to obesity comes to nearly $2.8 million. Good nutrition and increased consumption of fruits and vegetables can help reduce overall caloric intake and enhance health. Fighting Obesity With Good Nutrition Obesity Rates and Relevant Indicators McClain County McClain County National Rate Oklahoma Obesity Rates Age 20 and older of population 28.4% (2006) 35.1% (2009) 26.7% (2009) 30% (2008) Access to Healthy Food Zip codes in a county with a healthy food outlet, produce stands, farmers’ markets. NA 33% (2006) 92% (2008) 48% (2008) Type 2 Diabetes % Adults age 20 and older in a county who have diagnosed diabetes 7.6% (2006) 10% (2008) 6.86% (2008) %10 (2008) Number of Cardiovascular Deaths (per 100,000 of population) NA 308.4 (2007) 235.7 (2007) 351.6 (2006) BRFSS, OSDH, CDC Wonder, County Health Ranking: National Center for Chronic Disease Prevention and Health Promotion, Census Zip Code Business Patterns Community Efforts for Nutrition Support McClain County obesity rates have continued to rise from 2005-2009 by 6.7%. Residents have notably less access to healthy foods compared to the state and nation. Additionally, McClain County residents have a higher number cardiovascular disease deaths and a higher rate of type 2 diabetes compared to the national average. · The Women, Infants and Children (WIC) program at the McClain County Health Department provides specific supplemental foods vouchers for eligible mothers, infants, and children at critical times of health and growth. WIC provides culturally relevant nutrition education by licensed nutritionist to address specific nutritional needs and help to reduce childhood obesity. · The McClain County Health Department has a registered dietician who works with infants and toddlers through the Sooner Start program. The Sooner Start program works with infants and toddlers with disabilities and special nutritional needs ranging from special diets to dietary assistance due to oral sensitivities. · The McClain County Health Department provides healthy eating brochures and flyers for various health fairs, such as the Family Fun Day, to encourage good nutrition. · The McClain County Turning Point Coalition hosted a six-week cookiclass to provide nutrition education and hands on cooking experience to encourage healthy eating. · Weekly farmers markets are hosted in season through the OSU extension and Chickasaw Nation in McClain County. Markets are hosted in Newcastle, Blanchard, and Purcell. 8 Obesity Rates and Relevant Indicators McClain County National Rate Oklahoma No Physical Activity within Past Month (Adults over age 20) 27.3% (2008) NA 31% (2008) Did not reach the recommended Physical Activity (Adults over age 20) 64.9% 49% 52.9% 2003-2008 BRFSS Fighting Obesity With Physical Activity McClain County residents have room for improvement with physical activity. Only 35.1% of McClain County residents reached the recommended rates of physical activity, which below the state’s average of 52.9% Community Efforts for Physical Activity According to the CDC, physical activity can help control weight, reduce the risk of cardiovascular disease, type 2 diabetes, and some cancers. It also strengthens bones and muscles and improves mental health and mood. It improves your ability to do daily activities and prevent falls if you are an older adult. Finally, it increases your chances of living a longer, healthier life. The CDC recommends adults get 150 minutes of moderate aerobic activity a week in addition to 2 days of muscle strengthening. · The Blanchard Community Coalition together with the McClain County Health Department hosts a yearly middle school camp, Go Girl Go, where physical activity and good nutrition are promoted and practiced in addition to nutrition education and leadership skills. · The McClain County Health Department in collaboration with the 1st United Methodist Church and Blanchard Community Coalition have partnered to host WOW, Work Out Wednesday, utilizing the Coordinated Approach To Child Health (CATCH) curriculum at the 1st United Methodist Church in Blanchard. This program is designed to promote community, physical activity, and friendship among children. The program aims to start children with a lifestyle of physical activity and reduce childhood obesity. · The CYAP (Community Youth Action Program) is in the planning stages of increasing recreational facilities, including baseball and softball fields, as well as a new skate park for youth and adults to engage in sports. They currently facilitate a winter basketball leagues for grades K-6 and an annual golf tournament. · The city of Blanchard is working on building new sidewalks and has implemented the Safe Routes to School program. This program aims to increase walking among elementary school children through a walking school bus. 9 Indicators of Infant Health McClain County National Rate Oklahoma Infant Mortality Rate (per 1,000 births) 7.4% 2002-2006 6.8% 2003-2005 8.0% 2002-2006 Low Birth Weight (% of Live Births) (2003-2007) 8.5% 8.1% 8.1% Immunizations (By 25 months) 2007 72.68% 71.5% 71.7% First Trimester Prenatal Care (% of live births) (2002-2007) 81.3% 83.2% 75.6% 2003-2008 BRFSS, OSDH Vital Stats, National Immunization Survey Prenatal & Infant Health Healthy babies begin with healthy mothers and appropriate first trimester prenatal care. Babies are healthiest when born to mothers who did not use substances including tobacco, alcohol, and drugs. Mothers who exercise and eat nutritiously create the best environment for a baby‘s development. Babies are protected from various infectious diseases and death by getting immunized. McClain County is better than the state average for infant mortality rates and first trimester prenatal care but has room for improvement. The rates of low birth weight births are slightly above the national and state level. Immunization rates are slightly higher than the national and state level. · Children’s First is a voluntary program for first time expecting mothers to provide in-home education on child safety and healthy development for women less than 28 weeks pregnant. · The Women, Infants and Children (WIC) program at the McClain County Health Department provides specific supplemental foods vouchers for eligible mothers, infants, and children at critical times of health and growth. The WIC program also provides culturally relevant nutrition education by licensed nutritionists to address specific nutritional needs and help to reduce childhood obesity. · The McClain County Health Department staff hosts and/or participates in three to five car seat events annually. They serve an estimated 400 car seat checks and/or instillations each year. The staff is certified through the Safe Kids Worldwide Organization for car seat certification. Community Efforts for Prenatal and Infant Health 10 Child & Adolescent Health Children are the future of our county, state and nation. Children are more vulnerable to health concerns due to their stage of growth and development. Graduating from high school, having health insurance, and abstaining or delaying sexual activity are important indicators of good health practice for children and adolescents. In addition, working together to help children and adolescents overcome the barriers of poverty can significantly improve health. Indicators of Child Health McClain County National Benchmark Rate Oklahoma Child Poverty (Under age 18) 2008 14.4% 11% 22% High School Graduation rate (2006-2007) 90% 92% 78% Uninsured children under 19 2007 17.5% 9% 12.2% Teen Birth Rates (Out of 1,000) 2001-2007 42 22 59 Kids Count, County Health Ranking: National Center for Education Statistics · The MCHD works with the McClain Public Schools to provide health education including education on communicable diseases. · The MCHD provides individual consultation for family planning services and STD testing for adolescent health education and screening. · Blanchard Community Coalition in partnership with the MCHD and Covenant Freewill Baptist Church have worked together to create the “Zone.” This is a teen center providing organized after school activities in a safe and drug free environment for adolescents in McClain County. · The McClain County Health Department in collaboration with the First United Methodist Church and Blanchard Community Coalition have partnered to host WOW (Work Out Wednesday) utilizing the Coordinated Approach To Child Health (CATCH) curriculum at the First United Methodist Church in Blanchard. The program aims to start children with a lifestyle of physical activity and reduce childhood obesity. McClain County has lower rates of child poverty compared to the state percentage, yet is worse than the national benchmark. Residents of McClain County have graduation rates comparable to the nation’s benchmark. McClain County has a higher rate of uninsured children than the state national benchmarks. Teen birth rates are lower than the state level yet nearly double the national benchmark. While McClain County’s children fair better than the state on some indicators, residents have many areas to improve. Community Efforts for Child & Adolescent Health 11 Tobacco Prevention Tobacco Usage Rates McClain County McClain County National Benchmark Oklahoma Tobacco Use 15.3% 2003-2006 16.8% 2006-2009 15% 2003-2009 25.1% 2006 BRFSS Tobacco use is the single most preventable cause of premature death. It harms nearly every organ in the body. According to the CDC, “more deaths are caused each year by tobacco use than by all deaths from human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined.” According to the Oklahoma State Department of Health, Tobacco use cost Oklahomans over $2 billion in medical expenses and lost productivity every year, or an average of about $600 per person. Medical costs accumulated by tobacco users in McClain County add up to $14.2 million a year. (2010 State of the County’s Health Report) McClain County smoking rates are lower than the overall state rates but remain above the national benchmark. Rates have risen slightly from 2003 to 2009 according to BRFSS. · The McClain County Health Department (MCHD), Blanchard Community Coalition (BCC), Community Alliance of Resources (C.A.R.E) and other community partners together have passed a 24/7 tobacco free ordinance in Blanchard Public Schools. · The MCHD, BCC, C.A.R.E and the Norman Alcohol Information Center (NAIC) helped to pass a 24/7 tobacco free ordinance for tobacco free parks in Blanchard. �� The MCHD, BCC, and NAIC partnered to create, Project Alert, an evidence based alcohol, tobacco, and drug prevention program for Blanchard Middle school students, grades 6 through 8. · McClain County recently received a T-SET grant (Oklahoma Tobacco Settlement Endowment Trust) and is in the process of creating an action plan to address tobacco related health concerns for McClain County. · The tobacco-quit line, 1-800-QUIT-NOW, is offered to McClain County residents to empower them to quit the use of tobacco products. They offer phone based coaching and access to nicotine patches and gum. · The Social Host Ordinance passed in Blanchard strengthened the enforcement of county Minor in Possession laws. This ordinance places a fine on adults hosting drinking parties for teenagers. Community Efforts for Tobacco Prevention 12 · McClain County Health Department (MCHD), local businesses, and emergency responders have collaborated to form a Local Emergency Planning Committee (LEPC). This committee works to protect the community from environmental and commercial hazards through planning, preparation and communication between residents, businesses and government. This spring the LEPC provided all-hazard weather radios to senior residents outside siren warning areas. The radios provide access to severe weather alerts in case of an electricity outage. · The Integrated Risk Information System (IRIS) provides alerts by calling, texting, and emailing in case of emergencies or severe weather. Following the May 24th tornadoes, IRIS sent out messages to inform tornado victims of access to tetanus shots. Disaster Preparedness Injury & Violence Unintentional injury and violence is an increasing problem in Oklahoma as well as McClain County. According to the OSDH vital statistics for 2002- 2006, unintentional injury was the 5th leading cause of death for Oklahomans. Disaster preparedness can save lives and prevent injury. Having a plan of action during severe weather can keep you and your family safe in an emergency. Using proper safety precautions when operating motor vehicles and heavy machinery including seat belts, helmets, and other safety equipment can prevent injury and violence. Additionally, reporting suspected violence and heeding warning signs of suicide could prevent injury, death, and violence for people at risk. Injury & Violence Community Efforts Disaster Preparedness Community Efforts · MCHD holds an annual bike helmet event to distribute helmets to children in need. · MCHD staff hosts and/or participates in three to five car seat events annually. They serve an estimated 400 car seat checks and/or instillations each year. The staff is certified through the Safe Kids Worldwide Organization for car seat certification. · MCHD held a grant funded smoke alarm event in Goldsby where In McClain County, the leading cause of death for residents ages 5 to 44 is injury and violence. The death rate for McClain County residents in 2007 was 63.3% for people 44 and younger (BRFSS). According to the National Safety Council, an estimated $4,300,000 is spent on a single death due to a car accident (2009). According to BRFFS, there were 16 deaths in McClain County in the year 2007 due to unintentional injury. smoke alarms were provided to residents in need. 13 Conclusion McClain County has been working together to improve the health of its residents and preserve the health for future generations to come. McClain County is a growing region with a number of community assets but much more can be done to improve its health. McClain County gets a thumbs up for the following assets and achievements: • Graduation rates of 90% • Population growth of 24.4% since the year 2000 • Oklahoma Tobacco Settlement Endowment Trust • Blanchard Community Coalition, Turning Point Partner • Community Youth Action Program (C.Y.A.P) • Community Alliance of Resources for Everyone (C.A.R.E.) • McClain County Health Department services • Farmers markets • Social Host Ordinance • Local Emergency Planning Committee (LEPC) McClain County can work to improve the following health indicators: • 6.4% increase in obesity from 2006-2009 • Increasing rates of type 2 diabetes by 2.4% since 2006 • Low rates of physical activity and limited access to healthy foods • Higher rates of uninsured children (5.3%) and adults (3%) compared to the state • Higher rates of preventable hospital stays and limited access to medical providers • The leading cause of death is injury and violence for people 44 and younger. 63.9% of McClain County is under 44. The McClain County Health Department is focusing on obesity reduction, child health, tobacco prevention as well as injury and violence reduction. Together with coalitions, leaders, community partners, schools, and healthcare professionals, the communities of McClain County can unite to change the tide of health for a stronger healthier future. 14 Resources McCLAIN COUNTY BOARD OF HEALTH Tony Christian, Charles Foster, George Kernek, Doug Harryman, D. Bryan Dye, MD All Health and Safety Topics · Oklahoma State Department of Health o www.ok.gov/health · Center for Disease Prevention and Control o http://www.cdc.gov Obesity Reduction and Prevention · American Heart Association o http://www.heart.org · Cooper Aerobics o http://www.cooperaerobics.com · American Dietetic Association o http://www.eatright.org Tobacco Prevention · Smokefree.gov o http://www.smokefree.gov · American Lung Association o http://www.breathehealthy.org Child Health · Safe Kids USA o www.safekids.org · Mayo Clinic o http://www.mayoclinic.com Injury and Violence Prevention • National Safety Council o http://www.nsc.org 15 Reference List · Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999-2006. CDC WONDER On-line Database, compiled from Compressed Mortality File 1999-2006 Series 20 No. 2L, 2009. Accessed at �� http://wonder.cdc.gov/cmf-icd10-archive2006.html on June 20,2011. · Center for Disease Control and Prevention (May 11, 2009), Fit Physical Activity into Your Life, Your Way, Accessed on June 7,2011 on http://www.cdc.gov/Features/PhysicalActivity. · Center for Disease Control and Prevention (August 3, 2010), More States Reach 30 Percent Obesity Rates, Accessed on June 7, 2011 on http://www.cdc.gov/Features/VitalSigns/AdultObesity. · Center for Disease Control and Prevention (March 21, 2011) Smoking and Tobacco Use, Accessed on June 1, 2011 on http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking. · County Health Rankings,(2011), 2011 McClain County, Accessed June 17, 2011 from http://www.countyhealthrankings.org. (Primary Sources include: National Center for Health Statistics, BRFSS, National Center for Chronic Disease and Health Promotion, National Center for Health Statistics, Small Area Health Insurance Estimates, U.S. Census, Health Resources & Service administration, Medicare/Dartmouth Institute, National Center for Education Statistics, Census Zip Code Business Patterns). · Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Disease, Comprehensive CASA, Summary Report, McClain County Health Department Blanchard, Accessed June 20,2011. · Kids Count Data Center, Oklahoma Institute for Child Advocacy, (2007), Uninsured Under 19, Accessed June 14, 2011 from http://datacenter.kidscount.org. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Behavioral Risk Factor Surveillance (BRFFS), on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7, 2011. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Death Statistics, on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7,2011. · Oklahoma State Department of Health (OSDH), Center for Health Statistics, Health Care Information, Youth Risk and Behavior Survey (YRBS), on Oklahoma Statistics on Health Available for Everyone (OK2SHARE). Accessed at http://www.health.ok.gov/ok2share on June 7, 2011. · Oklahoma State Department of Health, 2010 State of the County’s Health Report, Accessed May 31, 2011 on www.ok.gov/health/documents/McClain%20County%202010.pdf. 16 · National Immunization Survey, Estimated Vaccination Coverage with 4::3:1:3:3:1 Among Children 19-35 Months of Age by Race/Ethnicity and by State and Local Area – US, National Immunization Survey, Q3/2009-Q2/2010, Accessed June 20,2011. · National Safety Council, Estimating the Cost of Unintentional Injuries, Accessed 6,22,2011 at http://www.nsc.org/news_resources/injury_and_death_statistics/Pages/EstimatingtheCostsofU nintentionalInjuries.aspx. · State of the State’s Health Report, 2008, Indicator Report Card-all, Accessed June 22, 2011 at http://www.ok.gov/health/pub/boh/state/index.html. · United Health Foundation, America’s Health Rankings (2011), Accessed June 1, 2011 on http://www.americashealthrankings.org. · U.S. Census Bureau, _2005-2009 American Community Survey 5-Year Estimates, McClain County_ Accessed June 1, 2011 from www.census.gov. · U.S. Census Bureau, (03-Jun-2011) State and County Quick Fact, www.census.gov. |
Date created | 2011-09-22 |
Date modified | 2013-02-25 |
OCLC number | 759935501 |
|
|
|
A |
|
C |
|
D |
|
F |
|
I |
|
L |
|
O |
|
R |
|
S |
|
T |
|
|
|