Community Health Status Assessment: Louisa County Mobilizing for Action through Planning and Partnerships A Compilation of Data that Reflects the Community’s Health

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

Demographics

Population Growth TJHD by Locality, Source: Weldon Cooper Center

Percent Change in Population TJHD by Locality, TJHD, and Virginia Source: Weldon Cooper Center and the Thomas Jefferson District Planning Commission % Change %Change 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%

Age and Sex Distribution Louisa County, 2010 Source: U.S. Census Bureau

Age Distribution Louisa County, 2000, 2010 Source: U.S. Census Bureau

Racial Composition Louisa County, 2010 Source: U.S. Census Bureau

Percent of Population by Race TJHD by Locality, Percent of Population 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

Percent Change in Hispanic Population Louisa County and Virginia, 2000, 2010 Source: U.S. Census Bureau

Limited English Proficient Student Enrollment Louisa County, TJHD, and Virginia, Source: Virginia Department of Education

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.

Percent of Supplemental Security Income (SSI) Recipients Louisa County, 2010 Louisa County 1.9% Source: Weldon Cooper Center, County Health Rankings; U.S. Social Security Administration *Measured as December 2010 recipients of SSI benefits divided by the total population

Percent of Students Receiving Special Education Louisa County, Source: Virginia Department of Education; U.S. Census Bureau, Small Area Health Insurance Estimates

On-time* Graduation Rates Louisa County and Virginia, All Students Disadvantaged Students All Students Disadvantaged Students *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 Source: Virginia Department of Education

Socioeconomics

Median Household Income Louisa County, Virginia, U.S Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

Louisa County 9.9% Source: Weldon Cooper Center; U.S. Census Bureau, Small Area Income and Poverty Estimates Percent of Persons in Poverty Louisa County, 2010

Percent of Persons in Poverty Louisa County, Virginia, U.S., Source: U.S. Census Bureau, Small Area Income and Poverty Estimates

Percent of Children in Poverty Louisa County, Virginia, and U.S., Source: U.S. Census Bureau, Small Area and Income and Poverty Estimates

Percent of Students Eligible for Free/Reduced Lunch Louisa County, TJHD, and Virginia Source: Virginia Department of Education, School Nutrition Program

Source: Virginia Department of Social Services Number of Households Receiving Supplemental Nutrition Assistance Louisa County,

Source: Weldon Cooper Center; Virginia Department of Social Services Percent of Supplemental Nutrition Assistance Program (SNAP) Participants Louisa County, 2010 Louisa County 11.8% *Measured as average monthly persons on SNAP divided by the total population

Number of Homeless Persons TJHD, Source: Thomas Jefferson Area Coalition for the Homeless (TJACH)

Unemployment Rate Louisa County, TJHD, Virginia, and U.S., Source: Virginia Workforce Connection

Health Resource Availability

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

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

Estimated Uninsured Persons, Louisa County, TJHD and Virginia, Source: U.S. Census Bureau, Small Area Health Insurance Estimates

Estimated Uninsured Persons <19 Years Louisa County, TJHD and Virginia, Source: U.S. Census Bureau, Small Area Health Insurance Estimates

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

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

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

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

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

Average Number of Community Dental Center Patients Served Per Month, FY Source: Community Dental Center

Source: Virginia Smiles for Children Medicaid/FAMIS Enrollees <19 Years Receiving Dental Services Louisa County and TJHD, FY FY 2010

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

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

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

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

Community Resources

JAUNT Passengers Louisa County, FY 2008-FY2012 Source: Jaunt Ridership Report *Passengers are counted by trip and may be duplicated

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

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

Food Stores by Type Louisa County, 2009 Source: U.S. Department of Agriculture

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

Community Safety

Reported Crime Incident Rates Louisa County and TJHD, Source: Department of State Police, Virginia Uniform Crime Reporting Program *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

Domestic Violence Arrest Rate Louisa County, Source: Louisa County Sheriff’s Office

Violence Incidence Rates in Schools Louisa County, TJHD and Virginia, Source: Virginia Department of Education

Founded Child Abuse and Neglect Rates Louisa County, TJHD and Virginia, Source: Virginia Department of Social Services *Five-year rolling averages of Rate of Abuse and Neglect per 1,000 Children (Founded Investigations and Duplicated)

Reported Adult Abuse and Neglect Rates, Louisa County, TJHD, and Virginia, Source: Virginia Department of Social Services

Drug/Narcotic Arrest Rates Louisa County, TJHD, and Virginia, Source: Department of State Police, Virginia Uniform Crime Reporting Program

Driving Under the Influence (DUI) Arrest Rates, Louisa County, TJHD, and Virginia, Source: Department of State Police, Virginia Uniform Crime Reporting Program

Environmental Quality

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

Good and Impaired Streams in Watersheds Louisa County, 2008 Source: Environmental Protection Agency

Watersheds That Drain Into Louisa County Source: Environmental Protection Agency Middle James - Willis Rivanna Pamunkey Louisa County

Impaired Streams Louisa County, 2010 Source: Thomas Jefferson District Planning Commission South Anna River Little River

Rivanna: Biological Health Scores Louisa County, 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

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)

Elevated Blood Lead Level Tests and Results in Children <72 Months of Age Louisa County and TJHD, Source: Virginia Department of Health, Lead Safe Virginia

Health Behaviors

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 National Vital Statistics Reports. 58(8) Leading Causes of DeathDeaths Attributable to Individual Risk Factors Leading vs. Actual Causes of Death

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

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

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

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

(*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

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

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

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

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

Percentage of Adults Who Are Obese Louisa County, 2009 Louisa County 31.7% 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

Percentage of Adults Who Are Obese TJHD and Virginia, Source: Virginia Department of Health, Virginia Behavioral Risk Factor Surveillance Survey

Seat Belt Usage Virginia, Source: Virginia Department of Motor Vehicles, Highway Safety Office

Three Year Rolling Average Number of Hospitalizations from Motor/Other Vehicle Accidents With and Without Safety Device Usage, Louisa County, 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

Source: Virginia Department of Health, Division of Immunization Percentage of Adequately Immunized Kindergarteners TJHD, *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)

Percentage of Adequately Immunized Sixth Graders TJHD, *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

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

Maternal and Child Health

Live Birth Rates Louisa County, TJHD, and Virginia Source: Virginia Department of Health, Division of Health Statistics *Live Births Counted by Place of Residence

Infant Mortality Rates* TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics *Deaths among infants <1year of age

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

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

Percentage of Preterm* Births Louisa County, TJHD, West Central Perinatal Region and Virginia, Source: Virginia Department of Health *Percent of live births born less than 37 weeks gestation

Percentage of Low-Weight* Births Louisa County, TJHD, Virginia, and U.S., Source: Virginia Department of Health, Division of Health Statistics *Low Birth Weight = Live Birth weighing <2500 grams

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

Teen Pregnancy Rates: Ages Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Teen Pregnancy Rates: Ages Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Teen Pregnancy Rates by Race: Ages 10-19, Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Induced Termination Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Percentage of Mothers Entering Prenatal Care in the 1 st Trimester TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics *Percentage of Total Live Births to mothers with Prenatal Care Beginning in the First 13 Weeks

Percentage of Mothers Who had 10 or More Prenatal Care Visits Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Percentage of Mothers With <12 th Grade Education Louisa County and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Percentage of Mothers Who Smoke During Pregnancy Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Reported Substance Exposed Infants* TJHD, FY 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

Leading Causes of Death

Mortality Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Mortality Rates by Race TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Five Leading Causes of Death TJHD and Virginia, 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

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

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

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

Heart Disease Death Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Heart Disease Death Rates by Race Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Stroke-Related Death Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

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

Cancer-Related Death Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Cancer-Related Death Rates by Race Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics

COPD-Related Death Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics Four-year rolling averages

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

Diabetes-Related Death Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics Five-year rolling averages

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

Unintentional Injury Death Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Health Statistics Four-year rolling averages

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

Suicide and Homicide Rates TJHD and Virginia, Source: Virginia Department of Health, Virginia Online Injury Reporting System

Youth Suicide Rates TJHD and Virginia, Suicide is the third leading cause of death for 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

Cancer

Lung Cancer Incidence Rates Louisa County, TJHD and Virginia, Source: Virginia Cancer Registry

Lung Cancer Incidence Rates by Race TJHD and Virginia, Source: Virginia Cancer Registry

Lung Cancer Death Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Breast Cancer Incidence Rates Louisa County, TJHD and Virginia, Source: Virginia Cancer Registry

Breast Cancer Incidence Rates by Race TJHD and Virginia, Source: Virginia Cancer Registry

Breast Cancer Death Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Prostate Cancer Incidence Rates Louisa County, TJHD and Virginia, Source: Virginia Cancer Registry

Prostate Cancer Incidence Rates by Race, TJHD and Virginia, Source: Virginia Cancer Registry

Prostate Cancer Death Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Colorectal Cancer Incidence Rates Louisa County, TJHD and Virginia, Source: Virginia Cancer Registry

Colorectal Cancer Incidence Rates by Race, TJHD and Virginia, Source: Virginia Cancer Registry

Colorectal Cancer Death Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Health Statistics

Unintentional Injury

Percent of Hospitalizations due to Unintentional Injury by Cause Louisa County, Source: Virginia Department of Health, Virginia Online Injury Reporting System

Hospitalizations due to Unintentional Injury by Cause and Age Group, Louisa County, Number% % % Falls Motor Vehicle/Other Transport Crashes Struck by, against Poisoning Bites, Stings Other/Unspecified Source: Virginia Department of Health, Virginia Online Injury Reporting System

Rates of Hospitalizations due to Falls among Persons Aged 65+, Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Virginia Online Injury Reporting System

Rates of Unintentional Injury Death by Cause Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Virginia Online Injury Reporting System

Rates of Motor Vehicle Accidents Louisa County, TJHD, and Virginia, Source: Virginia Department of Motor Vehicles *Crashes are by place of occurrence

Motor Vehicle Crash Fatality Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Motor Vehicles Five Year Averages

Percent of Alcohol-Related Motor Vehicle Crashes, Louisa County, TJHD, and Virginia, Source: Virginia Department of Motor Vehicles

Percent of Alcohol-Related Motor Vehicle Crash Fatalities, TJHD and Virginia, Source: Virginia Department of Motor Vehicles

Infectious Diseases

Rates of Reportable Communicable Diseases, TJHD and Virginia, Communicable Disease TJHDVirginia Average Number of Cases Average Rate Per 100,000* Average Number of Cases Average Rate Per 100,000* Chlamydia , Gonorrhea , Pertussis Salmonellosis , Giardiasis Chicken Pox , Campylobacteriosis Lyme Disease Source: Virginia Department of Health, Division of Surveillance and Investigation *Population data based on U.S. Census Data for TJHD and State of Virginia ( )

Chlamydia Incidence Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Disease Prevention

Gonorrhea Incidence Rates Louisa County, TJHD, and Virginia, Source: Virginia Department of Health, Division of Disease Prevention

HIV and AIDS Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Disease Prevention

Syphilis (early) Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Pertussis Incidence Rates TJHD, and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Chicken Pox Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Hepatitis B Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Salmonellosis Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Campylobacteriosis Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

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

Giardiasis Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

Legionellosis Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Disease Prevention

Lyme Disease Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Surveillance and Investigation

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

Tuberculosis Incidence Rates TJHD and Virginia, Source: Virginia Department of Health, Division of Disease Prevention

Ambulatory Care-Sensitive Conditions

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

Hospital Discharge Rates for Diabetes TJHD and Virginia, Source: VDH Data Warehouse; Virginia Hospital Information Systems

Hospital Discharge Rates for Diabetes TJHD by Locality, Source: Virginia Hospital Information Systems

Hospital Discharge Rates for Asthma Louisa County, TJHD and Virginia, Source: Virginia Hospital Information Systems

Hospital Discharge Rates for Hypertension, TJHD and Virginia, Source: VDH Data Warehouse; Virginia Hospital Information Systems

Hospital Discharge Rates for COPD Louisa County, TJHD and Virginia, Source: Virginia Hospital Information Systems

Mental Health

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

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

Number of Emergency Services Delivered by Region 10 Community Services Board by Type of Service Source: Region Ten Community Services Board

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

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.…"

Hospital Discharge Rates for Psychoses TJHD and Virginia, Source: VDH Data Warehouse; Virginia Hospital Information Systems

Hospital Discharge Rates for Neurotic Disorders, Personality Disorders, and other Nonpsychotic Mental Disorders TJHD and Virginia, Source: VDH Data Warehouse; Virginia Hospital Information Systems

Section Four: What are community members’ perceptions of health in their communities? Thomas Jefferson Area Community Survey Louisa County Qualitative Data

Thomas Jefferson Area Community Survey

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

Question 1: Thinking about Louisa County, which of the following services is most difficult to get care from? Source: UVA Center for Survey Research Open-ended response: “The dentist at the dental clinic in Louisa was horrific. Billed more than it should have cost - everything had to be redone by a dentist and I had to pay out of pocket. Wound up being billed when I was told that I shouldn't have been.”

Question 2: Thinking about Louisa County, what is the biggest difficulty people have in getting health services? Source: UVA Center for Survey Research

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

Louisa County Qualitative Data

Louisa County Citizen Survey: Health-related questions Source: UVA Center for Survey Research