Population Health Data Brief Template

POPULATION HEALTH DATA BRIEF TEMPLATE Tipton County, TN A. SOCIODEMOGRAPHIC PROFILE 1. Key Findings ● Adult Obesity is higher in Tipton County, TN compared to state and national percentages. ● Primary care physician to patient ratio is significantly higher than state and national ratios. ● The physical activity has improved over time but still is more challenging when compared to the national trend. ● Children in poverty has improved, but the per capita income remains lower than national data. ● There is a higher disability rate among those less than 65 years of age in this county. 1 Note. This is a Tennessee County Map (Maps of World, n.d.). 2. Introductory paragraph I live in Mason a small town located in Tipton County, TN. When compared to the United States as a whole, my county has a higher population per square miles 133.3. The population percent change is the same as the country. We have a slightly higher minor and elderly population. There is a higher Black race population. A lower American Indian, Asian, and Hispanic Population when compared to the country percentages. There is a slightly lower high school graduate population and a higher percentage of those with disabilities under the age of 65. We are lower than the national percentage for per capita income in the past 12 months at $28,027. The poverty percentage is higher at 12.7% than the national comparison at 11.4% (United States Census Bureau, n.d.). 3. Sociodemographic Profile Table Population Characteristics Population Estimates Population Percent Change Percent of Persons Under the Age of 18 Percent of Persons 65 Years and Over Percent of Female Persons County United States 61,004 0.1% 24.2% 14.9% 50.7% 331,893,745 0.1% 22.3% 16.5% 50.8% Percent White alone 77.9% 76.3% Percent Black or African American alone 18.5% 13.4% Percent American Indian and Alaska Native alone 0.5% 1.3% 2 Percent Asian alone Percent Native Hawaiian and Other Pacific Islander alone 0.8% 5.9% 0.1% 0.2% Percent Two or More Races 2.2% 2.8% Percent Hispanic or Latino alone 2.9% 18.5% Percent White alone, not Hispanic or Latino Language Other Than English Spoken at Home, Percent of persons 5 years + 75.6% 60.1% 2.8% 21.5% Percent of Houses with a Computer 89.7% 91.9% Percent with High School Graduate or Higher 88.1% 88.5% Percent with a Disability, Under Age 65 Years Percent without Health Insurance, Under Age 65 Years Percent in Civilian Labor Force Age 16 Years+ Percent of Females in Civilian Labor Force Age 16 Years+ 13.1% 8.7% 10.4% 10.2% 59.8% 63.0% 54.2% 58.4% Total Healthcare and Social Assistance Revenue 141,257 2,040,441,203 Total Retail Sales Per Capita 393,600 4,219,821,871 Per Capita Income in the Past 12 Months $28,027 $35,384 Percent of Persons in Poverty 12.7% 11.4% Population Per Square Mile 133.3 87.4 B. COUNTY HEALTH TRENDS & RANKINGS 1. Introductory Paragraph Tipton County is 1 of 95 counties in the state of Tennessee. It is in western TN with neighboring counties of Shelby, Lauderdale, and Fayette. There are no large metropolitan cities within this county. However, the county consists of towns and agriculture. It is my local county as I live in one of the towns known as Mason, TN. I chose the seven health trends below for this county because of the impact in my local community. Adult Obesity, Physical Inactivity, Uninsured Population, Primary Care Physicians, Unemployed population, Children in Poverty and Air Pollution, to attempt a grasp at a cause-and-effect approach related to a negative health trend and how environment, access to quality health care and lifestyle choices may impact this. The tables were created by secondary data from the County Health Rankings & Roadmaps website and were found to be extremely helpful. Below we will discuss certain health trends that were worse than the state and national average (County Health Rankings & Roadmaps, n.d.). 2. Discussion of Health Trends Tipton County, TNs overall health ranking is 26 and the length of life ranking is 32 out of 95 for the state of Tennessee. The Adult Obesity percentage is higher for Tipton County, TN compared to state and national percentages. This concerned me, so I began gathering data for 3 Physical Inactivity to see if there was a correlation. There was an improvement noted for the county but still a higher percentage compared to state and national percentages. I decided to dive even further into more data and look at measures related to access availability and quality of health care offered in the county. The uninsured population is better than the state percentage and higher than the national percentage. The amount of people each primary care provider has notably risen for Tipton County since 2016 and is much higher compared to state and national averages. Children in Poverty rating is noted to be aligned with national percentage and better than state percentage. The unemployment in Tipton County went mostly hand in hand with state and national trends. However, is still higher than the state. I chose next to look at how the health of the environment may be playing a role in this. Air pollution in Tipton County, TN has improved overall but has stayed consistently higher than the national trends. Looking at these data trends helps to get an overall picture of the county’s health in comparison to state and national trends. It helps to hypothesize that quality of Primary care related to the increase of patient physician ratios and higher air pollution rates may contribute to higher adult obesity within the county. Of course, more research by professionals would be needed to validate and corroborate this hypothesis (County Health Rankings & Roadmaps, n.d.). 3. Health Trends (Visual Graphs) • Adult Obesity Note: This graft represents an increase in adult obesity in Tipton County, TN from 28% in 2004 to 37% in 2017, a 9% increase. As compared to a 5% increase in the state of Tennessee and a 6 % increase nationally (County Health Rankings & Roadmaps, n.d.). • Physical Inactivity 4 Note: This graft represents the 5% improvement in Physical Inactivity from 2004 to 2017 in Tipton County, TN. Compared to the 4% for the state of Tennessee and the 1% nationally (County Health Rankings & Roadmaps, n.d.). • Uninsured Note: This graft represents the 4% improvement of uninsured residents of Tipton County, TN from 15% to 11%, from 2008 to 2018. As compared to 3% improvement for the state of Tennessee and 7% improvement nationally (County Health Rankings & Roadmaps, n.d.). • Primary Care Physicians 5 Note: This graft represents an increase of more than 500 in the average population served by a primary care physician in Tipton County, TN from 2010 to 2018. This measurement has stayed the same for the whole state of Tennessee and nationally (County Health Rankings & Roadmaps, n.d.). • Unemployment Note: This graft represents the unemployment percentage for Tipton County TN. Overall, the county has improved from 5% in 2002 to 4% in 2019. As compared to the entire state of Tennessee and nationally Tipton County has a higher percentage of unemployment (County Health Rankings & Roadmaps, n.d.). 6 • Children In poverty • Air Pollution Note: This graft represents a comparison of children in poverty over time span 2002 to 2019 in Tipton County TN, recent year improvements noted from 23% in 2016 to 17% in 2019. As compared to Tennessee at 18% and 23% nationally (County Health Rankings & Roadmaps, n.d.). Note: This graft represents improvements in air pollution for Tipton County, TN from 13 in 2002 to 9 in 2016. As compared to the whole state of the years and currently 8 nationally (County Health Rankings & Roadmaps, n.d.). 7 4. Health Trends Discussion Adult Obesity has increased for Tipton County, TN from 28% in 2004 to 37% in 2017, a 9% increase. This measurement is higher when compared to a 5% increase in the state of Tennessee and a 6% increase nationally. There has been a 5% improvement in Physical Inactivity from 2004 to 2017 in Tipton County, TN. Compared to the 4% for the state of Tennessee and the 1% nationally. This is a noted 4% improvement of uninsured residents of Tipton County, TN from 15% to 11%, from 2008 to 2018. As compared to 3% improvement for the state of Tennessee and 7% improvement nationally. We have seen an increase of more than 500 in the average population served by a primary care physician in Tipton County, TN from 2010 to 2018. This measurement has stayed the same for the whole state of Tennessee and nationally. The unemployment percentage for Tipton County TN overall has improved from 5% in 2002 to 4% in 2019. As compared to the entire state of Tennessee and nationally Tipton County has a higher percentage of unemployment. In comparison, children in poverty over time span 2002 to 2019 in Tipton County TN, recent year improvements were noted from 23% in 2016 to 17% in 2019. As compared to Tennessee at 18% and 23% nationally. Improvements are noted in air pollution for Tipton County, TN from 13 in 2002 to 9 in 2016. As compared to the whole state of the years and currently eight nationally. All these trends help paint a picture of the county’s health when compared to state and national trends (County Health Rankings & Roadmaps, n.d.). 8 C. Health Factors 1. Health Factors Table County Data Factors Influencing Health State Data Top U.S. Performer Percent Smoking 25% 21% 16% Percent with Access to Exercise Opportunities 49% 70% 91% Percent Excessive Drinking 16% 17% 15% Primary Care Physicians (Ratio of Population to 1 Physician) 3,620:1 1,400:1 1,030:1 Percent with High School Graduation 88% 87% 94% Percent with Some College 59% 61% 73% Percent with Unemployment 3.9% 3.4% 2.6% Percent of Children in Single-Parent Households 28% 29% 14% Social Associations (Number of Associations Per 10,000) 9.1 11.3 18.2 Violent Crime (Number of Violent Crimes Per 100,000) 668 621 63 Injury Deaths (Number of Injury Deaths Per 100,000) 92 92 59 Percent of Children Eligible for Free or Reduced-Price Lunch n/a n/a n/a Air Pollution (Average Daily Density of Air Pollutants) 8.8 8.8 5.2 Percent with Severe Housing Problems n/a n/a n/a 2. Comparison of Data Health Rankings and Data is important to help locate trends among the data comparative to state and national levels. This information can be used to help identify areas of success and challenges for individual counties. It can help determine areas for improvement to help drive initiatives to promote change to success within county. For example, violent crime in Tipton County TN is much higher at 668 not succeeded by the state by very much at 621. The top performer in the United States is at 63. The ratio of Primary Care Physicians to population is 3,620:1 compared to 1,1400:1 for the state and 1,030:1 for the country. This is a significant challenge for Tipton County, TN. The percent of the population that graduates from high school is slightly higher than the state percentage and lower than the country’s rates. Tipton County is bridging the gap and getting closer to the top performer metrics. Excessive drinking is lower than the state percentage. However, it is still higher than but approaching top performer target for the country. In conclusion, the challenges do outweigh the success within this county, when compared to the country’s top performers (County Health Rankings & Roadmaps, n.d.). D. SUMMARY 9 1. Significant Finding(s) Higher Adult Obesity within the Tipton County, TN population is a major concern with its direct effect on overall health and well-being of an individual. This health trend can be impacted by a county wide initiative to include education on healthy food choices and importance physical activity. The need to increase access to health foods within the widespread towns of Tipton County, TN is also present. The higher ratio of population served by a single primary care provider makes me question the quality of health care everyone in population receives. It brings up question the question. Do the doctors have time to educate each of their patients on the importance of healthy diets and exercise? This initiative to educate and promote access to healthy food choices and exercise can assist in increasing the population’s health and in doing so decrease the county’s overall Adult Obesity percentage over a period of 1-2 years. 2. Action Plan(s) We would start by gathering the baseline data above and developing a Facebook Page dedicated to education on healthy foods, exercise, and impacts of obesity in overall health. Identify a local group of concerned health providers via ANA blogs and local contacts. Identify a team of innovators to write and prepare the education via reliable sources such as AHA and WHO. Find a small group to then upload and update the information on the Facebook page. Establish a group to engage in comments and dialogue within the appropriate section on the Facebook Page. Leaders among the group could then gather data every 90 days from the County and Health Rankings website and monitor trends. The team could meet once over 90 days to discuss updates to the page and go over data and adjust as necessary to meet the goal of decrease in Adult Obesity. With the plan developed speak with the Chamber of Commerce for Tipton County North and Tipton County South, as this county does have two chambers of commerce. Present the issue and desired initiative to increase access to healthy foods by increasing the locations of farmer markets. The Leaders of the group will speak to local physician offices and the radio station to help promote the Facebook Page and Farmers Market locations by adding them to current brochures, websites, and dialogues. a. Services or Programs The Facebook Page, with the ongoing comments section, would be a new addition to the county as well as the additional Farmer’s Market locations will increase access to health food choices. For example, my local town has no grocery store that provides fresh produce to the community. This plan should help provide awareness, education, and access to help move this health trend in a positive direction. b. Raise Public Awareness and Promote Public Engagement The technologies used to reach the public are websites from local commerce and physicians, with links to the Facebook page, which has digital dialogue within the comments section and consistent updated information that can appeal to the readers and get them interested in returning. Radio communications that promote the Facebook Page to interest the population in reading and engaging. c. Monitoring and Evaluating Action Plan 10 The group will collect the data from the County Health Rankings website and visualize the comparison data with the baseline data utilizing bar graphs and scatter plot visualizations. This will assist with interpretation of the data to be discussed by the group in each meeting. E. DATA SOURCES & METHODS I researched and found a map of TN that found the county I was to discuss, Tipton County, TN from Maps of the world website. Tennessee County Map | Map of Tennessee Counties (mapsofworld.com) (Maps of World, n.d.). I took a snip it of this map utilizing the snipping tool on my computer which I then highlighted and circled to show the location of this county. Furthermore, I also filled out the Sociodemographic Profile Table utilizing data found from the census.gov website quick facts https://www.census.gov/quickfacts/fact/table/tiptoncountytennessee,US/PST045221 (United States Census Bureau, n.d.). Not only that, but I utilized the tool within Word software to lengthen or widen the columns and rows as needed to present the information in more visually appealing way. Not only that, but I utilized a quick link to County Health Rankings & Roadmaps website and entered my county in the search bar. Once the data emerged, I read the data on my county’s health trends and copied, and pasted graphs created on the webpage utilizing secondary data into my date brief and wrote a small description of each below the graphs. I also utilized data on this website to obtain Health factors and fill out the template on the data brief where I also changed rows and column size within Word software to help the table be visually appealing to the readers. https://www.countyhealthrankings.org/app/tennessee/2020/rankings/tipton/county/ outcomes/overall/snapshot (County Health Rankings & Roadmaps, n.d.). 11