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Health Collaborative Presentationpresented to Pittsylvania County Board of Supervisors 2021 Dan River Region Health Equity Report & Action Planning Process The Health Collaborative and Health Equity Data Mission: The Health Collaborative unites individuals and organizations and creates action to support health for all people in the Dan River Region. Review of local data 144 maps 41 tables Key informant interviews 23 interviews Roundtable discussions 7 groups 43 participants Community surveys 697 participants Assessment of current state of health Determine needs and gaps 16 recommendations Process Health Status and Conditions Mental and Physical Health Percentage prevalence of physical health not good for 14 or more days Source: CDC PLACES 2020 Danville Pittsylvania Caswell Poor Physical Health 17.3%16.3%15.8% Poor Mental Health 15.5%14.9%14.6% Greater than one out of every seven adult residents in each area of the Dan River Region is estimated to have poor mental and/or physical health. Disease Prevalence Estimated disease prevalence among adults Source: CDC PLACES 200 Danville Pittsylvania Caswell High Blood Pressure 43.2%41.5%43.7% High Cholesterol 38.5%39.3%39.6% Arthritis 32.9%34.2%33.2% Diabetes 17.3%14.7%16% COPD 10.3%10.3%10.3% Heart Disease 9.6%9.6%9.6% Cancer 7.9%8.5%8.2% Stroke 5.6%5%5.2% Kidney Disease 4.3%3.9%4% Cancer Incidence Compared to Mortality Per 100,000 Population Source: NC DHHS & VA Vital Records Preventative Care and Screenings Health Screenings for Population 65+ Percent of population aged 65 and older up to date on core set of clinical preventative services , including getting an annual flu vaccine, having a PPV shot, being screened for colorectal cancer, and for women having a mammogram Source: CDC PLACES 2020 Danville Pittsylvania Caswell Male 28.8%34.0%34.8% Female 30.3%34.8%36.4% Women 65+ Preventative Services Percent prevalence of women aged 65and older who are up to date on a core set of clinical preventative services Source: CDC PLACES 2020 Men 65+ Preventative Services Percent prevalence of men aged 65and older who are up to date on a core set of clinical preventative services Source: CDC PLACES 2020 “I think most people are afraid of what they’re going to hear when they go to the doctor. Like, when I go to the doctor, I ain’t going till –I have to be real bad off before I’ll go” Social Determinants Neighborhood & Environment Health Care Education Social & Community Context Economic Stability Social Determinants of Health Percent of the population in poverty Source: ACS 2015-2019 Poverty “A person who’s living in poverty will think ‘I only need to go when I have to, because if I go now, it’s going to cost me money that I don’t have.’ So as long as you’re not hurting and in pain, then we’re OK.” “A lot of people in the community, they’re in survival mode, so their main issue is their day-to-day, as opposed to how they’re going to change something ten to fifteen years down the road.” Lack of Health Insurance Percent prevalence of lack of health insurance among adults aged 18-64 years Source: CDC PLACES 2020 “I’ve known and worked with people who have allowed themselves to become really, really sick or in need, and the reason they didn’t seek services was because they didn’t know or think they could seek the service because they didn’t have insurance.” No Vehicle Percent of household with no vehicle Source: ACS 2015-2019 “I mean in the county you’re going to have to drive. If you don’t have transportation you’re done.” “Transportation is just, in and of itself, a barrier for everything, whether it’s getting to work, getting to the doctor, getting to the store, you know transportation is a barrier.” Food Insecurity Source: Feeding America, 2019 Danville Pittsylvania Caswell % pop food insecure 15.2% (6260)12% (7370)15% (3390) % food insecure children 25.1% (2250)18.8% (2200)24.3% (1040) % pop below SNAP threshold 77%59%66% Food Insecurity Low income and low food access census tracts, measured at 1 mile (walking) and 10 miles (driving) Source: USDA 2015 Internet Access Percent of households with internet access Source: ACS 2015-2019 “I think a lot of times resources are there for people but, if they're a person that doesn’t have access to a computer or a smartphone or the internet, then they’ll never ever know about these things.” Social Connection 55.60% 48.40% 45.70% 28.90% 29% 32.70% 15.60% 22.50% 21.60% 0%10%20%30%40%50%60%70%80%90%100% Is a place where neighbors look out for one another Is welcoming to people from different backgrounds and cultures Is a place where people get together to do things for the community In terms of social connection, this community… Agree Neutral Disagree Explore the Data •Online interactive Story Map •Also links to: •Executive Summary •Full Report •Spreadsheet with data used Outreach and Engagement Community Conversations & Community Ambassadors July –December 2022 Community Conversations Feedback •Access to quality care/healthcare equity (cultural competency, LGBTQ+ care, maternal health, mental health, substance use treatment) •Wealth building/economic equity (education and job training, quality employment) •Housing •Transportation •Food systems and food justice •Access to recreation and youth opportunity •Environmental quality and justice •Resource awareness •Leadership development •Residents as decisionmakers, authentic community engagement •Government accountability •Community Advocacy •Opportunities to connect, bring people together, build trust •Mindset shifts Reviewing our Process 2021 Health Equity Report Community Conversations Series Community Ambassadors Outreach & Engagement Health for All Action Plan UPDATE Next Steps •Release draft of 2023 Regional Health for All Action Plan at the Health Summit •Develop Work Plans for implementation •Pittsylvania County Chapter •Caswell County Chapter •Danville Chapter Contact maggie@thehealthcollab.com to get involved Please join us!