1. Community Health Status Assessment: Albemarle/Charlottesville Mobilizing for Action through Planning and Partnerships A Compilation of Data that Reflects the Community’s Health

2. Demographics Socioeconomics Health Resource Availability Section One: Who are we and what do we bring to the table?

3. Demographics

4. Population Growth TJHD by Locality, 1990-2010 Source: Weldon Cooper Center

5. Percent Change in Population TJHD by Locality, TJHD, and Virginia 1990-2010 Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission 199020002010 % Change 1990-2000 %Change 2000-2010 Albemarle68,17284,18698,97023%18% Charlottesville40,47540,09943,475-1%8% Fluvanna12,42920,04725,69161%28% Greene10,29715,24418,40348%21% Louisa 20,23525,62733,15326%29% Nelson12,77814,44515,02013%4% TJHD164,476199,648234,71221%18% Virginia6,189,3177,079,0308,001,02414%13%

6. Age and Sex Distribution Albemarle and Charlottesville, 2010 AlbemarleCharlottesville Source: U.S. Census Bureau MaleFemale

7. Age Distribution Albemarle and Charlottesville, 2000,2010 Source: U.S. Census Bureau

8. Albemarle County Racial Composition Albemarle and Charlottesville, 2010 City of Charlottesville Source: U.S. Census Bureau Other includes: American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and some other race

9. Percent of Population by Race TJHD by Locality, 1980-2010 Percent of Population 1980199020002010 Albemarle County Black 11%10% White 87%86%85%81% City of Charlottesville Black 18%21%22%19% White 81%76%70%69% Fluvanna County Black 29%23%18%15% White 70%77%79%81% Greene County Black 8%6% White 92%93%91%88% Louisa County Black 33%26%22%18% White 67%74%77%78% Nelson County Black 24%19%15%13% White 76%80%83% Source: U.S. Census Bureau

10. Percent Change in Hispanic Population Albemarle, Charlottesville, and Virginia, 2000,2010 Source: U.S. Census Bureau

11. Limited English Proficient Student Enrollment Albemarle, Charlottesville, TJHD, and Virginia, 2002-2012 Source: Virginia Department of Education

12. SSI and Disabled OASDI Beneficiaries TJHD by Locality and Virginia, 2011 Source: U.S. Social Security Administration; U.S. Census Bureau Residents who received SSI (Supplemental Security Income) benefits, excluding those who also received OASDI (Old-Age, Survivors, and Disability Insurance) benefits to avoid duplication, PLUS persons classified as “Disabled” who received OASDI benefits.

13. Albemarle County 0.9% Charlottesville 2.0% Source: Weldon Cooper Center, County Health Rankings; U.S. Social Security Administration Percent of Supplemental Security Income (SSI) Recipients Albemarle and Charlottesville, 2010 *Measured as December 2010 recipients of SSI benefits divided by the total population

14. Percent of Students Receiving Special Education Albemarle County and Charlottesville, 2006-2010 Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates

15. On-time* Graduation Rate Albemarle, Charlottesville, and Virginia, 2008-2011 Source: Virginia Department of Education *The percentage of students in a cohort who earn a diploma within 4 years of entering high school **Cohort: Students who entered the ninth grade for the first time together and were scheduled to graduate 4 years later All Students Disadvantaged All Students Disadvantaged All Students Disadvantaged

16. Educational Attainment Charlottesville Metro Area, and Virginia, 2011 Source: American Community Survey

17. Socioeconomics

18. Median Household Income Albemarle, Charlottesville, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

19. Albemarle County 9.1% Charlottesville 20.2% Source: Weldon Cooper Center: County Health Rankings; US Census Bureau, Small Area Income and Poverty Estimates 2010 Percent of Persons in Poverty Albemarle and Charlottesville, 2010

20. Percent of Persons in Poverty Albemarle, Charlottesville, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

21. Percent of Children in Poverty Albemarle, Charlottesville, Virginia, and U.S., 2000-2011 Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

22. Percent of Students Eligible for Free/Reduced Lunch Albemarle, Charlottesville, TJHD, and Virginia, 2005-2012 Source: Virginia Department of Education, School Nutrition Program

23. Number of Households Receiving Supplemental Nutrition Assistance Albemarle and Charlottesville, 2001-2011 Albemarle: 313% increase Charlottesville: 120% increase Source: Virginia Department of Social Services, SNAP Participation Report.

24. Albemarle County 5.8% Charlottesville 12.6% Source: Weldon Cooper Center; Virginia Department of Social Services Percent of Supplemental Nutrition Assistance Program (SNAP) Participants Albemarle and Charlottesville, 2010 *Measured as average monthly persons on SNAP divided by the total population

25. Number of Homeless Persons TJHD, 2004-2011 Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)

26. Unemployment Rate Albemarle, Charlottesville, TJHD, Virginia, & U.S., 2000-2011 Source: Virginia Workforce Connection

27. Health Resource Availability

28. Sources of Health Insurance Virginia and U.S., 2010 Source: Kaiser Family Foundation VirginiaUnited States Percentages may not sum to 100% due to rounding effects

29. Health Insurance Coverage by Age Virginia, 2010-2011 Source: U.S. Census Bureau, Annual Social and Economic Supplement

30. Estimated Uninsured Persons, 18-64 Albemarle, Charlottesville, TJHD and Virginia, 2005-2010 Source: U.S. Census Bureau, Small Area Health Insurance Estimates

31. Estimated Uninsured Persons <19 Years Albemarle, Charlottesville, TJHD and Virginia, 2006-2010 Source: U.S. Census Bureau, Small Area Health Insurance Estimates

32. Medicaid Enrollment and Spending by Recipient Group Virginia and U.S., FY 2009 Source: Kaiser Family Foundation United StatesVirginia

33. Number of Primary Care Providers TJHD by Locality, 2011 Source: UVA Physician Directory; Martha Jefferson Hospital Physician Directory

34. Number of Charlottesville Free Clinic Medical Patients TJHD by Locality, FY2012 Source: Charlottesville Free Clinic

35. Number of Dental Service Providers TJHD by Locality, 2012 Source: Community Dental Center; DentaQuest; yellow pages

36. Number of Charlottesville Free Clinic Dental Patients TJHD by Locality, FY2012 Source: Charlottesville Free Clinic

37. Average Number of Community Dental Center Patients Served Per Month, FY2010-2012 Source: Community Dental Center

38. Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services Albemarle, Charlottesville, and TJHD, FY 2007-FY 2010 Source: Virginia Smiles for Children

39. Number of Licensed Mental Health Providers TJHD by Locality, 2011 Source: Mental Health America

40. Number of Region Ten Community Services Board Direct Service Staff TJHD by Locality, 2012 Source: Region Ten All mental health direct service staff at Region Ten – anyone who provides mental health services, whether licensed or not

41. Number of Public Health Staff by Specialty TJHD by Locality, 2012 Source: Thomas Jefferson Health District

42. Section Two: What are the strengths and risks in our community that contribute to health? Community Resources Community Safety Environmental Quality Health Behaviors

43. Community Resources

44. CAT Bus Route Alignments Monday-Saturday Service, Charlottesville, 2012 Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017

45. CAT Top Trip Origin and Destination Locations CAT Survey Responses, Charlottesville, 2012 Source: Charlottesville Area Transit, Transit Development Plan: Fiscal Years 2012-2017

46. JAUNT Passengers TJHD by Locality, FY2008-FY2012 Source: Jaunt Ridership Report *Passengers are counted by trip and may be duplicated

47. JAUNT Passengers by Type TJHD, FY2008–FY2012 Source: Jaunt Ridership Report

48. Recreational Facilities TJHD by Locality and Virginia, 2009 Source: County Health Rankings

49. Food Stores by Type Albemarle and Charlottesville, 2009 Source: U.S. Department of Agriculture

50. Source: Virginia Department of Social Services Licensed Child Care Facilities TJHD by Locality, 2012 Fluvanna Greene Louisa Nelson Charlottesville & Albemarle

51. Community Safety

52. Reported Crime Incident Rates Albemarle, Charlottesville, and TJHD, 2000-2011 *Reported Group A Offenses; arson, assault, bribery, burglary, counterfeiting/forgery, destruction/damage/vandalism of property; drug/narcotic; embezzlement; extortion/blackmail; fraud; gambling; homicide; kidnapping/abduction; larceny/theft; motor vehicle theft; pornography/obscene material; prostitution; robbery; sex, forcible and non-forcible; stolen property; weapon law violations Source: Department of State Police, Virginia Uniform Crime Reporting Program

53. Domestic Violence Arrest Rates Albemarle and Charlottesville, 2001-2010 Source: Commission for Children and Families, Stepping Stones

54. Violence Incidence Rates in Schools Albemarle, Charlottesville, TJHD, and Virginia, 2007-2011 Source: Virginia Department of Education

55. Founded Child Abuse and Neglect Rates Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Social Services *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)

56. Reported Adult Abuse and Neglect Rates Albemarle, Charlottesville, TJHD, and Virginia, 2008-2011 Source: Virginia Department of Social Services

57. Drug/Narcotic Arrest Rates Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Department of State Police, Virginia Uniform Crime Reporting Program

58. Driving Under the Influence (DUI) Arrest Rates Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Department of State Police, Virginia Uniform Crime Reporting Program

59. Environmental Quality

60. Air Quality Index Report Charlottesville, Fairfax, Richmond, and Virginia Beach 2011 Source: Environmental Protection Agency

61. Good and Impaired Streams in Watersheds Albemarle and Charlottesville, 2008 Source: Environmental Protection Agency – Surf Your Watershed

62. Watersheds That Drain Into Albemarle County Source: Environmental Protection Agency South Fork Shenandoah Rapidan – Upper Rappahannock Pamunkey Middle James - Buffalo Rivanna Albemarle County Charlottesville

63. Impaired Steams Albemarle and Charlottesville, 2010 James River Rivanna River Source: Thomas Jefferson District Planning Commission

64. Rivanna: Biological Health Scores Albemarle and Charlottesville, 2006-2009 Source: StreamWatch Samples are scored per an index that reflects the composition and diversity of the array of captured organisms. Site health is assessed based on all scores generated during the assessment window

65. Lead Exposure: At-Risk Zip Codes* TJHD by Locality, 2011 Source: Virginia Department of Health, Lead Safe Virginia *VDH identifies areas in Virginia at risk for lead exposure as those with more than 27% of homes built before 1950 and/or those with an increased prevalence of children with elevated blood lead levels (EBLL)

66. Elevated Blood Lead Level Tests and Results in Children <72 Months of Age Albemarle and Charlottesville, 2002-2011 Source: Virginia Department of Health, Lead Safe Virginia

67. Health Behaviors

68. Deaths (in thousands) Source: Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, et al. (2009) The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 6(4): Heron, M., Tejada-Vera, B. (2009). Deaths: Leading Causes for 2005. National Vital Statistics Reports. 58(8) Leading Causes of DeathDeaths Attributable to Individual Risk Factors Leading vs. Actual Causes of Death

69. Self-Reported Adult Smokers TJHD and Virginia, 2000-2010 Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey

70. Tobacco Facts Virginia, 2012 VirginiaUnited States Adult Smoking Rank (1 st = low smoking rates) 31stN/A Cigarette Tax (per pack) $0.30 ($0.35 local tax for Cville) $1.46 Cigarette Tax Rank (1 st = high taxes) 50thN/A FY 2012 Funding for State TC Programs (millions) $8.4$456.7 Tobacco Prevention Spending % of CDC Target 8.1%12.5% Tobacco Prevention Spending Rank (1 st =high spending rates) 30thN/A Source: Campaign for Tobacco-Free Kids; City of Charlottesville City Treasurer Website

71. Physical Inactivity TJHD by Locality and Virginia, 2009 Source: Behavioral Risk Factor Surveillance System; County Health Rankings*Numbers are self-reported

72. Obesity Trends Among U.S. Adults 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

73. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1990 Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

74. No Data <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

75. No Data <10% 10%–14% 15%–19% ≥20% (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends Among U.S. Adults 2000 Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

76. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Obesity Trends Among U.S. Adults 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

77. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends Among U.S. Adults 2010 Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System

78. Percentage of Adults Who Are Obese Albemarle and Charlottesville, 2009 Albemarle County 27.1% Charlottesville 26.9% Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System **Body mass was derived from self-report of height and weight from adults 20 and Over. *Obese = Body Mass Index (BMI) ≥30, or ~ 30 lbs. overweight for 5’ 4” person

79. Percentage of Adults Who Are Obese TJHD and Virginia, 2000-2010 Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey

80. Overweight Prevalence: 5 th grade Albemarle and Charlottesville Public Schools, 1998-2011 Source: Community Action on Obesity

81. Seat Belt Usage Virginia, 1987-2011 Source: Virginia Department of Motor Vehicles, Highway Safety Office

82. Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety Device Usage, Albemarle and Charlottesville, 2007-2011 Source: Virginia Department of Health, Office of Emergency Medical Services *Safety Devices include air bags, child safety seats, helmets, and safety belts; note that the presence of a safety device does not necessarily imply that it was used (properly or otherwise). Similarly, "none" does not necessarily mean that safety device was not used

83. Source: Virginia Department of Health, Division of Immunization Percentage of Adequately Immunized Kindergarteners TJHD, 2008-2011 *Includes schools that submit student immunization survey results in the Fall of each year – approximately 30 public schools and 6 private schools (only 2 private schools reported in 2008)

84. Percentage of Adequately Immunized Sixth Graders TJHD, 2008-2011 *Includes schools that submit student immunization survey results in the Fall of each school year – approximately 10 public schools and approximately 8 private schools (only 2 private schools reported in 2008) Source: Virginia Department of Health, Division of Immunization

85. Section Three: What is our health status? Maternal and Child Health Leading Causes of Death Cancer Unintentional Injury Infectious Diseases Ambulatory Care Sensitive Conditions Mental Health

86. Maternal and Child Health

87. Live Birth Rates Albemarle, Charlottesville, TJHD, and Virginia, 1998-2011 *Live Births Counted by Place of Residence Source: Virginia Department of Health. Division of Health Statistics

88. Infant Mortality Rates* Albemarle, Charlottesville, TJHD, and Virginia, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <1year of age

89. Infant Mortality Rates* by Race TJHD, Virginia, and U.S., 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <1year of age

90. Infant Mortality Rates* by Race Albemarle and Charlottesville, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <1year of age

91. Infant Mortality Rates* among African Americans Albemarle, Charlottesville, TJHD, Virginia, and U.S., 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <1year of age

92. Neonatal Death Rate* TJHD and Virginia, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <28 days of age

93. Percentage of Preterm* Births Albemarle, Charlottesville, TJHD, West Central Perinatal Region, Virginia, and U.S.,1999-2010 Source: Virginia Department of Health *Percent of live births born less than 37 weeks gestation

94. Percentage of Low-Weight* Births Albemarle, Charlottesville, TJHD, Virginia, and U.S.,1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Low Birth Weight = Live Births Weighing <2500 grams

95. Percentage of Low-Weight Births* by Race, TJHD and Virginia, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Low Birth Weight = Live Births Weighing <2500 grams

96. Percentage of Low-Weight Births* by Race, Albemarle and Charlottesville, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Low Birth Weight = Live Births Weighing <2500 grams

97. Percentage of Low-Weight Births* among African Americans, Albemarle, Charlottesville, TJHD and Virginia, 1999-2011 Source: Virginia Department of Health, Division of Health Statistics *Low Birth Weight = Live Births Weighing <2500 grams

98. Teen Pregnancy Rates: Ages 10-19 Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Health, Division of Health Statistics

99. Teen Pregnancy Rates: Ages 15-17 Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Health, Division of Health Statistics

100. Teen Pregnancy Rates by Race, Ages 10-19, TJHD and Virginia, 2000-2011

101. Teen Pregnancy Rates by Race: Ages 10-19, Albemarle and Charlottesville, 2000-2011 Source: Virginia Department of Health, Division of Health Statistics

102. Induced Termination Rates Albemarle, Charlottesville, TJHD and Virginia, 2003-2011 Source: Virginia Department of Health, Division of Health Statistics

103. Percentage of Mothers Entering Prenatal Care in the 1 st Trimester Albemarle, Charlottesville, TJHD and Virginia, 2000-2010 Source: Virginia Department of Health, Division of Health Statistics *Percentage of Total Live Births with Prenatal Care Beginning in the First 13 Weeks

104. Percentage of Mothers Who had 10 or more Prenatal Care Visits Albemarle, Charlottesville, TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

105. Percentage of Mothers With <12 th Grade Education Albemarle, Charlottesville, and Virginia, 2002-2010 Source: Virginia Department of Health, Division of Health Statistics

106. Percentage of Mothers Who Smoke During Pregnancy Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

107. Reported Substance Exposed Infants* TJHD, FY1999-2011 Source: Virginia Department of Social Services *Newborn infants that may have been exposed to controlled substances prior to birth (as indicated by a positive drug toxicology of the mother with presence of a controlled substance or by the child being born dependent on a controlled substance and demonstrating withdrawal symptoms) or have a diagnosis of fetal alcohol syndrome

108. Leading Causes of Death

109. Mortality Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

110. Mortality Rates by Race TJHD and Virginia, 2002-2011 Source: Virginia Department of Health, Division of Health Statistics

111. Five Leading Causes of Death TJHD and Virginia, 2010 1. Cancer 2. Heart Disease 3. Stroke 4. Chronic Respiratory Disease (Chronic Obstructive Pulmonary Disease (COPD) and Asthma) 5. Unintentional Injuries Source: Virginia Department of Health, Division of Health Statistics

112. Leading Causes of Death By Age Virginia, 2010 Youth/Teens Source: Virginia Department of Health, Division of Health Statistics

113. Leading Causes of Death By Age Virginia, 2010 Adults Source: Virginia Department of Health, Division of Health Statistics

114. Leading Causes of Death By Age Virginia, 2010 65 and over Source: Virginia Department of Health, Division of Health Statistics

115. Heart Disease Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

116. Heart Disease Death Rates by Race Albemarle, TJHD, and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

117. Heart Disease Death Rates by Race Charlottesville, TJHD, and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

118. Stroke-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

119. Stroke-Related Death Rates by Race TJHD and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

120. Cancer-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics

121. Cancer-Related Death Rates by Race Albemarle, TJHD, and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

122. Cancer-Related Death Rates by Race Charlottesville, TJHD, and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

123. COPD-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics Four-year rolling averages

124. COPD-Related Death Rates by Race TJHD and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

125. Diabetes-Related Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics Five-year rolling averages

126. Diabetes-Related Death Rates by Race TJHD and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics

127. Unintentional Injury Death Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Health Statistics Four-year rolling averages

128. Unintentional Injury Death Rates by Race TJHD and Virginia, 2000-2009 Source: Virginia Department of Health, Division of Health Statistics Four-year rolling averages

129. Suicide and Homicide Rates TJHD and Virginia, 1999-2009 Source: Virginia Department of Health, Virginia Online Injury Reporting System

130. Youth Suicide Rates TJHD and Virginia, 2004-2008 Suicide is the third leading cause of death for 10-24 year-olds. On average, two Virginia youths die each week from suicide. The suicide rate is higher in males than the rate of females. The White suicide rate is 2.4 times higher than the Black suicide rate. Source: Virginia Department of Health, Office of Family Health Services

131. Cancer

132. Lung Cancer Incidence Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2008 Source: Virginia Cancer Registry Age-Adjusted Rate of Lung & Bronchus Cancer Cases per 100,000 Persons Living in Locality

133. Lung Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008 Source: Virginia Cancer Registry

134. Lung Cancer Death Rates TJHD and Virginia, 1996-2007 Source: Virginia Department of Health, Division of Health Statistics

135. Breast Cancer Incidence Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2008 Source: Virginia Cancer Registry

136. Breast Cancer Incidence Rates by Race TJHD and Virginia, 1999-2008 Source: Virginia Cancer Registry

137. Breast Cancer Death Rates TJHD and Virginia, 1996-2007 Source: Virginia Department of Health, Division of Health Statistics

138. Prostate Cancer Incidence Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2008 Source: Virginia Cancer Registry

139. Prostate Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008 Source: Virginia Cancer Registry

140. Prostate Cancer Death Rates TJHD and Virginia, 1996-2007 Source: Virginia Department of Health, Division of Health Statistics

141. Colorectal Cancer Incidence Rates Albemarle, Charlottesville, TJHD, and Virginia, 1999-2008 Source: Virginia Cancer Registry

142. Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, 1999-2008 Source: Virginia Cancer Registry

143. Colorectal Cancer Deaths Rates TJHD and Virginia, 1996-2007 Source: Virginia Department of Health, Division of Health Statistics

144. Unintentional Injury

145. Percent of Hospitalizations due to Unintentional Injury by Cause Albemarle and Charlottesville, 1999-2009 Source: Virginia Department of Health, Virginia Online Injury Reporting System

146. Hospitalizations due to Unintentional Injury by Cause and Age Group, Albemarle and Charlottesville, 1999-2009 0-1920-64 65 and over Number% % % Falls10924720332,45082 Motor Vehicle/Other Transport Crashes 17739618291154 Struck by, against4510764291 Poisoning2661336783 Bites, Stings123663291 Other/Unspecified87195512530510 Source: Virginia Department of Health, Virginia Online Injury Reporting System

147. Rates of Hospitalizations due to Falls among Persons Aged 65+, Albemarle, Charlottesville, TJHD, and Virginia, 1999-2009 Source: Virginia Department of Health, Virginia Online Injury Reporting System

148. Rates of Unintentional Injury Deaths by Cause, Albemarle-Charlottesville, TJHD, and Virginia,1999-2009 Source: Virginia Department of Health, Virginia Online Injury Reporting System

149. *Crashes are by place of occurrence Rates of Motor Vehicle Accidents Albemarle, Charlottesville,TJHD, and Virginia, 2000-2011 Source: Virginia Department of Motor Vehicles

150. Motor Vehicle Crash Fatality Rates Albemarle, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Motor Vehicles Five Year Averages

151. Percent of Alcohol-Related Motor Vehicle Crashes, Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Motor Vehicles

152. Percent of Alcohol-Related Motor Vehicle Crash Fatalities, Albemarle, Charlottesville, TJHD, and Virginia, 2000-2011 Source: Virginia Department of Motor Vehicles

153. Infectious Diseases

154. Rates of Reportable Communicable Diseases, TJHD and Virginia, 2000-2010 Communicable Disease TJHDVirginia Average Number of Cases Average Rate Per 100,000* Average Number of Cases Average Rate Per 100,000* Chlamydia 559260.2 23,406306.7 Gonorrhea 13462.38,723119.3 Pertussis 5626.3 2463.3 Salmonellosis 3516.3 1,18615.8 Giardiasis 3315.5 4896.5 Chicken Pox 2511.7 1,07914.3 Campylobacteriosis 219.8 6879.2 Lyme Disease 209.1 5146.7 Source: Virginia Department of Health, Division of Surveillance and Investigation *Population data based on U.S. Census Data for TJHD and State of Virginia (2000-2010)

155. Chlamydia Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia,1997-2010 Source: Virginia Department of Health, Division of Disease Prevention

156. Gonorrhea Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia,1997-2010 Source: Virginia Department of Health, Division of Disease Prevention

157. HIV and AIDS Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia, 1997-2009 Source: Virginia Department of Health, Division of Disease Prevention

158. Syphilis (early) Incidence Rates TJHD and Virginia,1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

159. Pertussis Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

160. Chicken Pox Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

161. Hepatitis B Incidence Rates TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

162. Salmonellosis Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia,1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

163. Campylobacteriosis Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia,1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

164. E. Coli O157:H7 Incidence Rates TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

165. Giardiasis Incidence Rates Albemarle-Charlottesville, TJHD, and Virginia,1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

166. Legionellosis Incidence Rates TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Disease Prevention

167. Lyme Disease Incidence Rates TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation

168. Spotted Fever Rickettsiosis Incidence Rates, TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Surveillance and Investigation Reported Cases of Spotted Fever Rickettsiosis per 100,000 Persons Living in Locality

169. Tuberculosis Incidence Rates TJHD and Virginia, 1999-2010 Source: Virginia Department of Health, Division of Disease Prevention

170. Ambulatory Care-Sensitive Conditions

171. Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance System Percent of Adults Diagnosed with Diabetes (Self-Reported), TJHD and Virginia, 2000-2010

172. Hospital Discharge Rates for Diabetes TJHD and Virginia, 2000-2011 Source: Virginia Hospital Information Systems

173. Hospital Discharge Rates for Diabetes TJHD by Locality, 2000-2010 Source: Virginia Hospital Information Systems

174. Hospital Discharge Rates for Asthma Albemarle, Charlottesville, TJHD, and Virginia, 2000-2010 Source: Virginia Hospital Information Systems

175. Hospital Discharge Rates for Hypertension, TJHD and Virginia, 2000-2011 Source: VDH Data Warehouse; Virginia Hospital Information Systems

176. Hospital Discharge Rates for COPD Albemarle, Charlottesville, TJHD, and Virginia, 2000-2010 Source: Virginia Hospital Information Systems

177. Mental Health

178. Average Number of Poor Physical/Mental Health in the Last 30 Days (Self-reported) TJHD by Locality, TJHD and Virginia, 2004-2010 Source: County Health Rankings *Numbers are self-reported

179. Region Ten Community Services Board’s Most Frequent Diagnosed Disorders, 2011 Source: Region Ten Community Services Board

180. Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service 1996-2009 Source: Region Ten Community Services Board

181. Source: Substance Abuse and Mental Health Services Administration Percent of Persons Served though State Mental Health Agencies with Co-Occurring Mental Health and Substance Abuse Disorders, Virginia and U.S., 2010 MH = Mental Health; AOD = Alcohol and Other Drug

182. Source: Substance Abuse and Mental Health Services Administration Percent of Persons Served though State Mental Health Agencies with Co-Occurring Severe Mental Health and Substance Abuse Disorder, Virginia and U.S., 2010 Adults with a serious mental illness (SMI) are Persons 18 years and Over who, “at any time during a given year, had a diagnosable mental, behavioral, or emotional disorder without the benefit of treatment or other support services … that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.…"

183. Hospital Discharge Rates for Psychoses TJHD and Virginia, 2000-2011 Source: VDH Data Warehouse; Virginia Hospital Information Systems

184. Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders TJHD and Virginia, 2000-20 11 Source: VDH Data Warehouse; Virginia Hospital Information Systems

185. Adolescent Substance Abuse (Self-Reported) Albemarle and Charlottesville Public Schools, 2009-2011 Source: Safe Schools Healthy Students

186. Adolescent Mental Health (Self-Reported), Albemarle and Charlottesville Public Schools, 2009-2011 Source: Safe Schools Healthy Students

187. Section Four: What are community members’ perceptions of health in their communities? Thomas Jefferson Area Community Survey MAPP 2 Health Focus Groups

188. Thomas Jefferson Area Community Survey

189. Thomas Jefferson Area Community Survey (TJACS) TJHD, 2012 Source: UVA Center for Survey Research Conducted by the UVA Center for Survey Research (CSR) Conducted in January 2012 Survey of 1,098 individuals living in Charlottesville City and Albemarle, Nelson, Fluvanna, Greene, and Louisa Counties Conducted through a Random Digit Dial (RDD) sample of landline and cell-phone numbers –Also included a random sample of directory-listed landline households

190. Question 1: Thinking about Charlottesville/Albemarle County, which of the following services is most difficult to get care from? Source: UVA Center for Survey Research Open-ended response: “I don't use any services here. Neither do my relatives. Everything is done in Charlottesville. Everybody I know goes to town (Charlottesville).”

191. Question 2: Thinking about Charlottesville/Albemarle County, what is the biggest difficulty people have in getting health services? Source: UVA Center for Survey Research Open-ended response: “Charlottesville is so diverse, so I'm not so sure that one answer would do for anybody. I think that some people just don't want and probably just don't care.” Open-ended response: “The insurance I have does not work with the network in Fluvanna or Charlottesville which causes me to have to pay more of the cost of my health care.”

192. Question 3: Which of the following public health concerns is the most important for Charlottesville/Albemarle County to give more attention to? Source: UVA Center for Survey Research

193. MAPP 2 Health Focus Groups

194. Focus Group Demographics Charlottesville and Albemarle, 2012 CharlottesvilleAlbemarleNumberPercent Attendees 31114100.0% Gender Male 15642.9% Female 26857.1% Race White 391285.7% Other 02214.3% Ethnicity Hispanic or Latino 04428.6% Not Hispanic or Latino 371071.4% Age 18-27 24 642.9% 28-37 01 17.1% 38-47 03 321.4% 48-57 02 214.3% 58-67 11 214.3% >68 00 00.0% Unknown 00 00.0%

195. Focus Group Demographics Charlottesville and Albemarle, 2012 CharlottesvilleAlbemarleNumberPercent Marital Status Married 191071.4% Widowed 0000.0% Divorced 0000.0% Never Married 22428.6% No Answer 0000.0% Employment status Employed 31114100.0% Retired 0000.0% Unemployed 0000.0% Disabled/ Unable to Work 0000.0% No Answer 0000.0%

196. Focus Group Demographics Charlottesville and Albemarle, 2012 CharlottesvilleAlbemarleNumberPercent Education Completed Less than eighth grade 000 0.0% High school diploma or GED 000 0.0% College degree (4 years or less of college) 08857.1% Advanced degree 33642.9% No Answer 0000.0% Income < $15,000 32535.7% $15,000–$29,000 0117.1% $30,000–$44,000 04428.6% $45,000–$59,000 0117.1% $60,000–$74,000 0000.0% $75,000–$89,000 0000.0% >90,000 02214.3% No answer 0117.1%

197. Focus Group Health Care Characteristics Charlottesville and Albemarle, 2012 CharlottesvilleAlbemarleNumberPercent Medical Insurance None 0117.1% Medicare 1017.1% Medicaid 0000.0% Private 11214.3% Employment-based 281071.4% Other 0117.1% No Answer 0000.0% On average, how many times each month do you use health care services (doctor, dentist, hospital, etc)? 1- 4 291178.6% 5-9 0000.0% 10-14 0000.0% 15 or more 0000.0% Other: 1-4/year 0000.0% Never 12321.4% No Answer 0000.0%

198. Focus Group Health Care Characteristics Charlottesville and Albemarle, 2012 CharlottesvilleAlbemarleNumberPercent Do you have any of the following conditions? Check all that apply: Smoking 0000.0% Diabetes 0000.0% Heart Disease 0000.0% Cancer 0000.0% Asthma 02214.3% High Blood Pressure 0117.1% Other 0000.0%

199. Charlottesville Focus Group Results 2012 Mental Health –It is difficult to access mental health care Mental health providers aren’t visible within the community Stigma is a barrier to getting help Alcohol and Drug Use –Might be a consequence of not having access to mental health care – may be a form of self- medication –Finding substance abuse counselors is challenging – there aren’t many available

200. Charlottesville Focus Group Results 2012 Transportation –Is a community issue because people rely on others for transportation to health care services –JAUNT is working well for people Cost/Insurance –Medicaid is limited as to what it covers in terms of mental health People who require assistance may not seek it

201. Charlottesville Focus Group Results 2012 Weight and Obesity –The prevalence of diabetes among community members makes this a significant issue Type 2 diabetes is particularly common and has the stigma of being the individual’s fault for being obese and acquiring the disease, which makes it a difficult issue for individuals –It is a generational problem – parents pass on bad habits to their children –Activity levels are low and people are more sedentary than they once were

202. Albemarle County Focus Group Results 2012 Mental Health –Barriers surrounding mental health The stigma associated with mental health care (it starts in high school and continues through adulthood) The costs of mental health care – people are unsure what the costs of care are, which makes them unwilling to hunt for a provider, and insurance does not cover everything Many colleges provide services, but the same level of care is not available after college –Should “normalize” services and make them more visible in the community

203. Albemarle County Focus Group Results 2012 Weight and Obesity –May seem significant because it is a national issue On the other hand, anorexia may be an issue for female teens in Albemarle County –Once educated in nutrition, people are eager to share all that they learned within the community –Reasons for Unhealthy Eating Cost – it is more expensive to buy groceries from the farmer’s market Convenience – unhealthy food is more readily available and easier to prepare

204. Albemarle County Focus Group Results 2012 Alcohol and Drug Use –It is a problem for all age groups Unsure how much of an issue it is for the older community Alcohol is a particular problem among college students –“You’re either part of the drug community or you’re not; there is no in-between.” –Prescription drug use is a widespread problem