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Community Health Presentation: Hennepin County

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Chris Halverson

on 9 April 2013

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Transcript of Community Health Presentation: Hennepin County

Community Project:
Hennepin County Hennepin County A county named in honor of the 17th- century explorer Father Louis Hennepin, Hennepin County was created in 1852 by the Minnesota Territorial Legislature. As of 2010, 1 in 5 minnesotan's lived there with the population at 1,152,425. Mark McClain Heather Grace Chris Halverson Robert Owusa Changhun Yang According to countyhealthrankings.org
Hennepin county ranks 55th out of 87 in the state of Minnesota for health outcomes in 2013. Substance Abuse Minnesota Student Survery *note: the wording of the survey questions has remained stable over time, making it possible to provide trend data from 1998 to 2010. "Thinking back over the last two weeks, how many times (if any) have you had five or more drinks in a row?" Binge drinking is a particularly serious and dangerous level of alcohol use. Extreme bouts of alcohol use can result in alcohol poisoning (which may be fatal); or it may lead to serious, chronic health conditions and potential addiction issues -Minnesota Department of Health Minnesota Student Survey is: Conducted every three years amoung students in participating public schools (88% are participating)
Student participation was voluntary.
75% of ninth graders and 59% of public school twelfth graders participated in 2010
Topics covered include tobacco, alcohol and drug use, school climate, physical activity, violence, safety, connections with school and family, and health. Boys 8.4% 26.7%
Girls 8.4% 20.9%

Highest rates were reported amony White 12th grade students (26.5%) 9th graders 12th graders Healthy People Goal: Reduce the proportion of students engaging in binge drinking during the past 2 weeks- high school seniors Baseline: 25.2% of high school seniors reported that they engaged in binge drinking during the past 2 weeks

Target: 22.2% Low Birth Weight Babies born less than 2500 grams or 5.5 pounds are considered low weight. Risk Factors Less than 20 years old
African American
Smoking, Alcohol consumption, drug abuse
No prenatal Care
Low Socioeconomic status
Single Mother Healthy People 2020 Goal Reduce low weight births to 7.8% County prevention revolves around education. Smoking Cessation Eliminating alcohol consumption Affordable and Available Pre-natal care Preventing Teen Pregnancy Health Resources Serving
Diverse Communities Pre and post natal care available
for qualifying mothers Care can be free of charge Payment based on a sliding scale according to income level. Early education regarding sex, contaceptives.
Having young woman focus on the future. Teen pregnancy is down from 32/1000 in 2007 to 15-19/ 23000 In 2010 there were 832 low weight births in Hennepin County (5.4%) With private 73.8%
With public 26.1% Health Insurance Coverage SOCIOECONOMIC (Cont.) SOCIOECONOMIC Percent Hispanic POPULATION (Cont.) Race POPULATION (Cont.) POPULATION (Cont.) Low health outcomes
Low social / Economic factors & morbidity

The growth of population, age 45 & over, will continue to increase.
By 2027, the number will double.

Women tend to live longer leading to:
Higher rate of chronic health problems
Without spouse support and insurance ANALYSIS POPULATION (Cont.) + 11.5% + 69.1% -9.5% +8.9% 11.3% 26.5% 37.0% 25.2% POPULATION (Cont.) 11.3% 26.5% 25.2% Median Age: 36 years POPULATION (Cont.) Year Population + 117,293 Growth 1.15 M 1.11 M 1.07 M 1.03 M POPULATION Smoke-free rental housing.
As part of Hennepin County’s Statewide Health Improvement Program (SHIP) grant, the Association for Nonsmokers—Minnesota (ANSR) is assisting landlords and city officials in adopting tobacco- and smoke-free policies.
Tobacco-free parks.
You can also start breathing a little easier in several suburban Hennepin County communities that recently made their park systems tobacco free. For example, Hopkins and Orono adopted policies this past fall prohibiting the use of tobacco in city parks, playgrounds, athletic fields, picnic areas and other recreational venues. Cancer
What the County is doing


Hennepin County Goal: Increase the proportion of women who receive colorectal cancer screening based on the most recent guidelines

Baseline: 52.1% of adults aged 50 to 75 years received a colorectal cancer screening based on the most recent guidelines.

Target: 70.5% Health People 2020 Colorectal Cancer screening The leading cause of death in Hennepin County for people aged 45-75 is cancer. Cancer 65-74 year olds

*Cancer
 
*Heart Disease
 
* Chronic Lower Respiratory Disease
 
*Cerebrovascular Disease (stroke)
 
*Diabetes
 

  Leading cause of death by age group
cont- 45-64 year olds

*Cancer
 
*Heart disease
 
*Unintentional injuries
 
*Cirrhosis and Diabetes Leading cause of death by age group in Hennepin County The county through State health improvement initiatives, offer access to free tobacco counseling either through their health plan or QUITPLAN Services.

Also, accessible to the county’s residents is Minnesota’s Call it Quits, collaboration between the seven major health plans and ClearWay Minnesota has devised a simple referral process to direct your patients to a professional tobacco cessation counseling program Smoking cessation
Programs Hennepin County Goal: Increase the proportion of women who receive breast cancer screening based on the most recent guidelines.

Baseline: 73.7% of females aged 50 to 74 years received breast cancer screening based on most recent guidelines in 2008.

Target: 81.1% Health People 2020 Breast Cancer screening Hennepin County Goal: Increase the proportion of women who receive cervical cancer screening based on the most recent guidelines

Baseline: 84.5% of females aged 21 to 65 years received cervical cancer screening based on the most recent guidelines in 2008.

Target: 93.0 % Health People 2020 Cancer Screening
Cervical 75+ year olds

*Cancer
 
*Heart Disease
 
Adult with heart disease or stroke
 
4.9% of adults 18 and over in 2010
 
* Cerebrovascular Disease (stroke)
 
* Chronic Lower Respiratory Disease
 
*Alzheimers Disease Cont- Nutrition and Obesity Obesity is defined as a BMI greater than 30 33.9% of people in the U.S. were considered obese between 2005 and 2008. Healthy People Goal - reduce the amount of obese adults to 30.5% Hennepin County 1 in 5 adults are considered obese
Best county in state r/t obesity
Obesity has risen from 14% - 20% since 1998. 87% of women aged 18 and older had
Cervical cancer screening within the past
3 years in 2010. 77.1% of adults aged 50 years and
older had Colorectal cancer screening
with the past 10 years 64% if women aged 40 and older had
Breast Cancer screening within the past
year Hennepin County Ranked:
73rd for Social & Economic Factors (e.g. high school graduation, children in poverty, violent crime)
74th for Morbidity (e.g. low birthweight (7.3%), poor physical and mental health) 37.0% 567,327 Male 587,296 Female Male Female Red Door Services: Health Services Building
525 Portland Ave
4th Floor
Minneapolis, MN 55414 612.543.5555 (main)
Monday & Wednesday
8:00am-7:00pm
Tues, Thurs, & Friday
8:00am-4:00pm Sexual Health Services Confidential Rapid HIV testing with same-day results
Testing for gonorrhea, chlamydia, syphilis and vaginal infections
Testing for genital warts (HPV) and herpes only if there are symptoms present
Dematology treatment for genital warts or molluscum contagiosum
Vaccinations for Hepatitis A, Hepatits B and HPV for people at risk
Safer sex and pregnancy prevention materials for women up to age 21 The Hennepin County Public Health Clinic is not free but service is not dependent on the ability to pay Info The largest HIV/STD testing site in Minnesota
Provides testing, treatment and health education around STDs
Accepts walk-in visits or appointments are available
Staff consists primarily of certified Nurse Practioners
Interpreter services- many of the staff can speak spanish Hennepin county mn website . (March 20-April 5, 2012). Retrieved from www.hennepin.us/
Minnesota Lead-Safe Housing Partnership Grant - Hennepin County www…hennepin.us/leadcontrol
Mn hiv services planning council. (April 2, 2010). Retrieved from http://www.mnhivplanningcouncil.org/
Holtan, M.D., M.P.H., N. MN Health Department, (2011). Minnesota heart disease and stroke prevention plan 2011-2020. Retrieved from website: http://www.health.state.mn.us/cvh/cvhplan.htm
MN Department of Health, (2012). Air quality index. Retrieved from website: http://www.health.state.mn.us/divs/eh/lead/reportsl
MN Department of Health, (2004). 2010 childhood lead poisoning elimination plan. Retrieved from website: http://www.health.state.mn.us/divs/eh/lead/reportsl
MN HIV services planning council. (March 20-April 4, 2013). Retrieved from http://www.mnhivplanningcouncil.org/ References Hennepin County Reduce the mean blood lead level in children by 10% (1.4 µg/dL average blood lead level ) Healthy People 2020 Lead Air Quality Interventions Outdoor air quality
Surface and ground water quality
Toxic substances and hazardous wastes
Homes and communities
Infrastructure and surveillance
Global environmental health Environmental Health Theme Objectives WHO WHO defines Environmental health “as the assessment and control of those environmental factors that can potentially affect health.”
Physical factors
Chemical factors
biological factors
external to a person
Related behaviors Environmental Health Hennepin County Interventions
HIV HIV is a preventable disease.

Effective HIV prevention interventions have been proven to reduce HIV transmission.

People who get tested for HIV and learn that they are infected can make significant behavior changes to improve their health and reduce the risk of transmitting HIV to their sex or drug-using partners.

More than 50 percent of new HIV infections occur as a result of the 21 percent of people who have HIV but do not know it. HIV Hennepin County Hypertension Pilot Project Hennepin County Interventions
Heart Disease Coronary heart disease deaths, 1999–2009 Stroke deaths, 1999–2009 Hennepin County Statistics Heart Disease : Reduce Deaths by 20%
Stroke: Reduce Deaths by 19% Health People 2020 Goal Heart Disease & Stroke Heart disease is the leading cause of death in the United States.

Stroke is the third leading cause of death in the United States.

Together, heart disease and stroke are among the most widespread and costly health problems facing the Nation today, accounting for more than $500 billion in health care expenditures and related expenses in 2010 alone.

Fortunately, they are also among the most preventable Overview Improve health and quality of life through

prevention
detection
treatment of risk factors
early identification and treatment
prevention of repeat cardiovascular events Heart Disease & Stroke Hennepin County Decrease Death rate by 10%
Decrease Infection Rate by 23% Healthy People 2020 HIV/AIDS Hennepin County Air Quality: Reduce the # of days on the Air Quality Index by 10 % that are unhealthy Healthy People 2020 Air Quality Heart Disease: Deaths increased by 0.4%
Stroke: Deaths increased by 2.2%
MN County Health Tables 2010 & 2011
MN Department of Health Decrease Death by 24%
Decreased Infection Rate by 22%
MN Department of Health
Hennepin County Human Services and Public Health Department- Epidemiology Air Quality: 8% increased in the # of unhealthy days on the Air Quality Index
Lead level in Children: 2011 mean blood level in children tested 0.781ug/dl
MN Blood Lead Surveillance Data Tables (Blood level data Northwest Smelting and Refining)
MN Department of Health Education geared towards kids. Healthy Kids = Healthy adults! 1 hour of exercise each
day. Make healthy foods regularly available in shops and farmer's markets. Especially in low income areas! Parks, Bike paths,
Side Walks Swimming, Biking,
Running, Playing Hennepin County is well below the national
goal at 21%. Teen pregnancy 47% of adults in Hennepin County report weekly exercise that exceeds 150 min/week of moderate exercise. HP goal is 47.9%. Births to teen mothers who may not yet be fully mature, stable, or financially able to adequately support their child, can have significant consequences for the health and well-being of the infants, their parents, and their communities. Mental Health and Mental Health Disorders Healthy People goal is to reduce suicides from 11.3/100,000 to 10.2/100,000. Hennepin County suicide rate is 11.3% through 2010. Risk Factors Adolescents
Substance Abuse
Mental Illness
Suicide in the Family Goals for Community Crisis Intervention: 1. Immediate, 24 hour assistance. 2. Prevent the development of more serious conditions. 3. Provide Treatment. 4. Provide immediate psychiatric services. Community Resources Suicide and Crisis Hotlines. HCMC - Acute Psychiatric Services, http://www.hcmc.org/depts/psych/cic.htm Depression Screening Centers in the community and at work Community consultation and education on crisis intervention Hennepin County In 2010, there were 840 births to teen
mothers aged 15 to 19 (23 per 1000)
Age 15 to 17 (13 per 1000); Age 18 to 19 (42 per 1000)
There are notable differences in the teen birth rates by race/ethnicity
Native American (72 per 1000)
African American (64 per 1000)
Hispanic (63 per 1000) Healthy People 2020 Goal Age 15 to 17 -36.2 pregnancies per 1000
Age 18 to 19 -105.9 pregnancies per 1000 Teen Pregnancy Prevention In 2007 Hennepin County began a new initiative to reduce teen pregnancy
Teen births have declined steadily from 1,152 in 2007 to 840 in 2010
This decline has saved the Hennepin County tax payers over 21 million dollars The New Initiative includes
Information (e.g. comprehensive sexuality education)
Family planning services (86% decline in teen pregnancy is attributed to improved contraceptive use)
Youth development programs (programs helping to reduce teen pregnancy, as well as reduce the rate of school dropouts. Sexually Transmitted Infections Hennepin County (2010) Chlamydia rate- 455 per 100,000 (5,238 cases (3,560 female-1,677 male))
Gonorrhea rate- 93 per 100,000 (1,073 cases (587 female-486 male))
Highest number of cases are within the 15-24 years age group (3,402 cases)

The rate for Minneapolis for Chlamydia was 755 per 100,000 compared to 455 per 100,000 for Hennepin County overall.
Chlamydia is the most commonly reported communicable disease in Hennepin County (455 per 100,000- national average is 426 per 100,000 (CDC))
According to the Minnesota Student Survey 45.8% of 12th graders said they have engaged in sexual intercourse and 16.5% did not use a condom. Healthy People 2020 (Developmental) Reduce Chlamydia rates amoung females aged 15 to 44 years- potential source of data: CDC
Reduce Gonorrhea rates among females aged 15 to 44 years to 251.9 cases per 100,000 Hennepin County is ethnically diverse with approximately 40 percent of the state's non-white and foreign-born populations

Hennepin County is the 33rd largest county in the U.S. by population Hennepin County Public Health Clinic: Red Door Service (April 4, 2013). Retrieved from website: http://www.reddoorclinic.org. In 2010, according to the Minnesota Student Survey, four out of ten 12th graders report that they drank alcohol on one or more days of the past 30 days (38.9%) Fortunately, boys' binge drinking is trending downward from 1998 12th Grade Boys' binge drinking: 1998 (33.3%) down to 26.7% (2010)
9th Grade Boys' binge drinking: 1998 (17.7%) down to 8.4%(2010) Overall 23.6% of high school seniors in Hennepin County reported that they engaged in binge drinking during the past 2 weeks falling 1.4% above the intented 2020 Target. County Health Rankings (2013) Sexually transmitted infections. Retrieved from website: http://www.countyhealthrankings.org/app/minnesota/2013/measure/factors/45/description Get tested: Minnesota department of health. (March 20-April 4,2013). Retrieved from http://www.health.state.mn.us/ US Department of Health and Human Services. (March 20-April 4, 2013). Healthy people 2020. Retrieved from http://www.healthypeople.gov/2020/default.aspx Images (April 1-4, 2013). Retrieved from http://images.google.com/ Socio-Demographic Trends in Hennepin County's Population. Hennepin County,(April5,2013)Path:http//www.hennepin.us/portal/site/HennepinUS/menuitem. Students that drank alcohol on one or more days in the last 30 days
48.5% of High School Seniors in 1998, down to 38.9% in 2010 Promising Practices Network on children, families and communities. Promising Practices for Preventing Low Birth Weight. Accessed – April 6, 2013 http://www.promisingpractices.net/briefs/briefs_lowbirthweight.asp
Hennepin County, Minnesota. Teen Pregnancy Prevention. Accessed April 5, 2013, from http://www.hennepin.us/portal/site/HennepinUS/menuitem.b1ab75471750e40fa01dfb47ccf06498/?vgnextoid=c460c094a4614210VgnVCM10000049114689RCRD
Center for Disease Control. Healthier Food Retail: Beginning the assessment process in your state or community. April 6, 2013, from http://www.cdc.gov/obesity/downloads/HFRassessment.pdf
Benson, Lorna (10/6/2011) Minn. Suicide rate holds steady in recession, bucking norm. Accessed: April 7, 2013, from, http://minnesota.publicradio.org/display/web/2011/10/06/suicide-economy
Hennepin County medical Center. Acute Psychiatric Services. Accessed April 7, 2013, from http://www.hcmc.org/depts/psych/cic.htm Marijuana use in the past 30 days: High school seniors Stable from 27.4% (1998) to 29.1% in 12th grade boys
12th grade girls is at a stable 19.5% People who use Marijuana in their teen years are more likely to take risks, such as having sex, using other drugs or engaging in violence.
Minnesota experts say parents are the most powerful influence on their kids when it comes to any illicit drugs Median household income: $59,236 Two-thirds of families begun by a young unmarried
mother are poor.
• Almost 50% of all teen mothers began receiving
public assistance within five years of the birth of their
first child.
• 52% of all mothers on welfare had their first child as a
teenager.
• Nearly 80% of fathers of the children born to teen
mothers do not marry the mothers.
• These fathers pay less than $800.00 annually in child
support.
• One-fourth of teen mothers have their second child
within 24 months of the first birth. Empowerment Exchange- National Campaign to Prevent Teen Pregnancy
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