1. State Of The Countys Health 2006 Iredell SOTCH Report By Shirin Scotten Healthy Carolinians Coordinator

2. A Typical Day in Iredell in 2006 6 Births:3 Marriages 1 to a Smoking Mother1 Divorce 2 Out-of-Wedlock3 Deaths 2 Cesarean Sections1 Infant Death per Month Vital Statistics Vol. I

3. 2005 Iredell Population (140,924) by Race US Census

4. 2005 Iredell Population (140,924) of Hispanic Origin US Census

5. Average Weekly Wage Per Iredell Employee by Year Department of Commerce

6. Providers per Resident by Year Iredell County20022004 People per Physician § 545539 People per Nurse (RN) § 9693 People per Dentist § 2,1452,098 Child per Childcare Position* NA1.5 Department of Commerce § From 2002 to 2004 the number of people living in Iredell increased by roughly 6,000 people, so the number of healthcare providers must have increased as well. * Proportion of children age 5 and younger to the number of childcare positions in the county. It reads, for every 3 children age 5 and younger, there are 2 childcare positions.

7. Adult Health Insurance Coverage by Year Despite a statewide decrease in health insurance coverage, more Iredell residents were covered in 2005 than in 2004. There are differences by gender, age, income, etc. One positive change from 2004: insurance coverage for other increased from 63.1% to 72.3%. BRFSS

8. Cigarette Use by Year Iredell residents smoke more than the state average and fewer Iredell residents never started than across the state. There are trends in smoking percentages by gender, race, age, education and income, but none are terrifically striking. BRFSS

9. HIV by Year Percent of survey respondents who said they had ever been tested for HIV, not including blood donation. Iredell residents are about as likely to have been tested for HIV as others across the state. Young adults were more likely to get tested than older adults (45+ years). Close to 3% of people in Iredell reported participating in high risk behaviors that are associated with more effective HIV transmission. BRFSS

10. Teen Pregnancy by Race, 2004 Minority teens are more likely to have teen pregnancies than white teens across the state and within Iredell County. County Health Data Book

11. Infant Mortality by Race, 2000-2004 Minority infants are more likely to die in the first year than white infants across the state and within Iredell County. County Health Data Book

12. Mental Health by Year In both years surveyed, whites in Iredell were more likely to report no (none) days when their mental health was not good compared to minorities. BRFSS

13. Substance Abuse, 2005 Heavy drinking is more than 2 drinks per occasion for males and more than 1 for females. Binge drinking is more than 5 drinks per occasion. BRFSS

14. The Leading Causes of Death 2000-2004 Diseases of the Heart –Acute Myocardial Infarction –Other Ischemic Heart Disease Cerebrovascular Disease Cancer –Colon, Rectum & Anus –Pancreas –Trachea, Bronchus & Lung –Female Breast –Prostate Diabetes Pneumonia & Influenza Chronic Lower Respiratory Diseases Chronic Liver Disease & Cirrhosis Septicemia Nephritis, Nephrotic Syndrome & Nephrosis Unintentional Motor Vehicle Injuries Suicide Homicide Alzheimers Disease AIDS

15. Compared to NC, Iredell Residents Die From

16. In Iredell, Compared to Females, Males Die From

17. In Iredell, Compared to Whites, Minorities Die From

18. In Iredell, for every white death, ___ minorities die Cerebrovascular Disease (1.5) Cancer: Pancreas (2.2) Cancer: Prostate (2.1) Diabetes (2.4) Septicemia (2) Nephritis, Nephrotic Syndrome, Nephrosis (2.1) Homicide (5.5) AIDS (5.4)

19. In Iredell, for every female death, ___ males die Diseases of Heart (1.5) Other Ischemic Heart Disease (2.1) Cancer: Trachea, Bronchus & Lung (2.7) Chronic Lower Respiratory Diseases (2.1) Chronic Liver Disease & Cirrhosis (2.9) Septicemia (1.5) Nephritis, Nephrotic Syndrome & Nephrosis (1.7) Unintentional Motor Vehicle Injuries (1.9) All Other Unintentional Injuries (1.8) Suicide (3.3) Homicide (4.7) AIDS (4.7)

20. Iredell County Healthy Carolinians Certified by the Governors Task Force Mission –Citizens working together, emphasizing preventive health practices to improve the quality of life and health status of all individuals.

21. 2004 Prioritization Chronic Disease (Heart Disease, Cancer, and Stroke) –Prevention activities targeted lifestyle changes in physical fitness and nutrition Cancer –Prostate Cancer among minority men Dental Health

22. Adult Body Composition by Year Across North Carolina 63% of adults are overweight or obese. In Iredell County, there are slightly more overweight or obese adults than the NC average. Males are associated with higher percentages of obesity in Iredell. BRFSS

23. Adult Physical Activity, 2005 Iredell residents are more physically active than North Carolina residents as a whole but that still leaves 55% of adults not meeting the recommended level of physical activity for health. Young adults appear to be more active than older (45+) adults. BRFSS

24. Adult Fruit & Vegetable Consumption, 2005 Fewer than a quarter of Iredell and NC adults meet the recommended 5-A-Day consumption of fruits and vegetables. More of those are female rather than male. BRFSS

25. Prostate Cancer Promoted screenings to men through trained Male Peer Educators Screenings offered at no-cost through local hospitals

26. Prostate Cancer Deaths by Race, 2000-2004 County Health Data Book

27. PSA Awareness by Race, 2004 Minorities and young adults under age 45 were twice as likely to have NOT spoken with a doctor about a prostate screening exam. BRFSS

28. PSA Screening by Race, 2005 In Iredell County, more men have been tested for prostate cancer than across NC. Furthermore, more minorities than whites have been tested! BRFSS

29. Male Peer Educator (MPE) Screenings Iredell County20052006 Education Sessions 5 Men Screened159270 Black- Americans 33 Total Male Peer Educators 1020

30. Local Physical Activity and Nutrition (LPAN) Activity Increase adult physical activity –Promote trails, parks, and recreation areas –Mark and promote downtown walking trail linking downtown shops and businesses Decrease childhood obesity –Promote Winners Circle in schools –Provide nutrition and physical activity information to students and parents –Support and advocate for policy changes that promote healthier food options for students

31. After an intense Winners Circle promotion, more students were aware of the healthy selection markings. (27% vs. 42%) Students were influenced to purchase healthy choices also. (18% vs. 25%)

32. Adults Using Winners Circle, 2005 Although only 12% of adults in Iredell are familiar with Winners Circle, close to 30% use the purple star/ gold fork logo to guide their food choices. There are only 3 restaurants in Iredell County using Winners Circle at this time. There are considerably more statewide. BRFSS

33. Time spent on moderate and vigorous (below) intensity exercise increased. Sports participation also jumped by 5%. (not shown)

34. After an intense hydration promotion and passing a bottled water in class policy, vending machine use dropped. Water purchases from vending machines did not change…

35. …water consumption did not noticeably change. Students drank more sweetened beverages than before.

36. Next Steps Community Health Assessment is due December 2007! Recertification will be due May 2008! Continue supporting Chronic Disease and LPAN activities –Suggestions from Committees? New Strategies?