KENOSHA COUNTY COMMUNITY HEALTH SURVEY 2019

KENOSHA COUNTYCOMMUNITY HEALTH SURVEY – 2019

Commissioned By:

Aurora Health Care

Children’s Wisconsin

Froedtert & the Medical College of Wisconsin

Kenosha Community Health Center

Kenosha County Public Health Department

Prepared By:

JKV Research, LLC

1

Overview

• Objectives• Gather data on behavioral and lifestyle habits of the

adult population and household-level data. • Gather data on random child (17 or younger) in

household through adult who makes health care decisions for child.

• Gather data on the prevalence of risk factors and disease conditions of the adult population.

• Compare health data of residents to previous health studies.

• Compare health data to national and state measurements.

Kenosha County Community Health Survey

2

Methodology

• 18 minute telephone survey of area residents• 400 completions from July 15 through October 26, 2019• Two-fold sampling

• 1) RDD landline sample of listed & unlisted #s (n=200)• Respondents randomly selected based on number of adults

in household• Weighting based on number of adults and number of

residential phone numbers in HH • 2) Cell phone only sample (n=200)

• Adult answering the phone designated as the respondent• All data post-stratified by age and gender of adult residents as of

2010 Census proportions.• Margin of error: ±5%


3

Demographics

4

Respondent Demographics

Percent

Gender

Male 49%

Female 51%

Nonbinary/Other/Not Sure 0%

Household Income

Bottom 40 Percent Bracket 35%

Middle 20 Percent Bracket 15%

Top 40 Percent Bracket 39%

Not Sure/No Answer 11%


5

Respondent Demographics (cont.)

Age Percent

18 to 34 30%

35 to 44 19%

45 to 54 21%

55 to 64 15%

65 and Older 15%


6

Respondent Demographics (cont.)

Percent

Education

High school or less 29%

Some post high school 34%

College graduate 38%

Marital Status

Married 46%


7

Health Care Coverage

8

Health Care Coverage

• Personally Not Covered Currently (18+)

• WI 2018: 10%• US 2018: 11%• HP2020 Goal: 0%

• Personally Not Covered Currently (18 to 64 Years Old)

• WI 2018: 11%• US 2018: 13%• HP2020 Goal: 0%

12%15%

9% 8% 7%

14%17%

11%9% 8%

17%21%

18%

12%

19%22%

20%

14%11%

0%

20%

40%

60%

80%

2008 2011 2014 2016 2019

Personally Not Currently Covered (18 and Older)

Personally Not Currently Covered (18 to 64 Years Old)

Personally Not Covered in Past Year (18 and Older)

Someone in Household Not Covered in Past Year


9

Unmet Health Care in Past Year

• HH Member Not Taken Prescribed Medication Due to Cost

• HP2020 Goal: 3%

• Delayed/Did Not Seek Care Due to Cost

• WI 2018: 10%• US 2018: 12%

• Unmet Medical Care in Household

• HP2020 Goal: 4%

• Unmet Dental Care in Household

• HP2020 Goal: 5%13% 13% 11%

21% 18%

21% 21%

15%15%

24%20%

16% 18%

6% 6% 5% 4%0%

20%

40%

60%

80%

2011 2014 2016 2019

Someone in HH Not Taken Prescribed Medication Due to Cost

Delayed/Did Not Seek Care Due to Cost

Unmet Medical Care in Household*

Unmet Dental Care in Household*

Unmet Mental Health Care in Household*


10

*In 2011, 2014 and 2016, the question was asked of respondents only. In 2019, the question was asked about any household member.

Health Information Source

40%

47% 47%

51%

5%7%

11%7%

35%

25%29%

27%

2%2% 0% 4%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Doctor

Myself/Family Member in Health Care Field

Internet

Work

11Kenosha County Community Health Survey

Health Services

88%90%

74%69% 68% 69%

61%

5%

8%13% 15%

7% 6% 7%6% 7% 4% 4%

5% 5%1% 3%

34% 33% 34% 34% 36%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Have Primary Care Physician

Doctor/Nurse Practitioner Office as

Primary Health Care Service

Urgent Care Center as Primary

Health Care Service

Hospital Emergency Room as


Quickcare Clinic as Primary Health

Care Service

Public Health Clinic/Community

Health Center as Primary Health

Care ServiceHospital Outpatient Department as


Advance Care Plan


• Have Primary Care Physician

• WI 2018: 81%• US 2018: 77%• HP2020 Goal:

84%

General Health

13

Rate Own Health

• Excellent or Very Good Health

• WI 2018: 52%• US 2018: 51%

• Fair or Poor Health • WI 2018: 15%• US 2018: 17%

54%51% 50%

54%50%

15%19%

21%18% 20%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Excellent or Very Good Health Fair or Poor Health

Kenosha County Community Health Survey 14

Routine Procedures

87%85%

80%

88%86%

72%76%

74% 75%77%

66%

57%61%

67%71%

47%

42%46%

43%

50%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Routine Checkup (2 Years Ago or Less)

Cholesterol Test (4 Years Ago or Less)

Dental Checkup (Less Than 1 Year Ago)

Eye Exam (Less Than 1 Year Ago)


15

• Routine Checkup 2 Years Ago or Less

• WI 2018: 87%• US 2018: 88%

• Cholesterol Test 4 Year Ago or Less

• WI 2017: 83%• US 2017: 86%• HP2020 Goal: 82%

• Dental Checkup Less Than 1 Year Ago

• WI 2018: 71%• US 2018: 68%• HP2020 Goal: 49%

Vaccinations

• Pneumonia Vaccination (65 and Older)

• WI 2018: 75%• US 2018: 74%• HP2020 Goal: 90%

• Flu Vaccination (18 and Older)

• HP2020 Goal: 70%

• Flu Vaccination (65 and Older)

• WI 2018: 46%• US 2018: 55%

73%

62%

68%

77%73%

37% 37%40%

44%41%

68%

62%

75%

63%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Pneumonia Vaccination (Ever, 65+)

Flu Vaccination (Past Year, 18+)

Flu Vaccination (Past Year, 65+)


16

Mobility

11%13%

17%

0%

20%

40%

60%

80%

100%

2014 2016 2019

Fallen and Injured Self at Home in Past Year (60 and Older)


17

Treated For or Told Have Health Conditions in Past 3 Years (2019)

10%

9%

9%

21%

22%

28%

0% 20% 40% 60% 80% 100%

Asthma (Current)

Diabetes

Heart/Disease

Condition

High Blood Cholesterol

Mental Health

Condition

High Blood Pressure


18

Treated For or Told Have Health Conditions in Past 3 Years

• Asthma (Current)• WI 2018: 9%• US 2018: 10%

27%28%

26%28%

18% 18%

25%18%

22%23%

23%20%

21%

12%8% 9%

6%

9% 12%8%

9%

13% 14% 15%13%

10%

0%

20%

40%

60%

80%

2008 2011 2014 2016 2019

High Blood Pressure Mental Health Condition High Blood Cholesterol

Heart Disease/Condition Diabetes Asthma (Current)


19

Condition Controlled Through Medication, Exercise, Therapy or Lifestyle Changes


20

2011201

42016 2019

High Blood Pressure 90% 91% 95% 96%

Mental Health Condition 83% 89% 86% 89%

High Blood Cholesterol 78% 90% 83% 83%

Heart Disease/Condition 90% 94% 84% 85%

Diabetes 92% 89% 94% 97%

Asthma (Current) 85% 91% 94% 93%

Exercise and Nutrition

21

Body Weight

• At Least Overweight (BMI 25.0+)

• WI 2018: 67%• US 2018: 66%• HP2020 Goal: 66%

• Obese (BMI 30.0+)• WI 2018: 32%• US 2018: 31%• HP2020 Goal: 31%

64%69%

65%68% 67%

31%35% 33% 33%

36%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

At Least Overweight (BMI 25.0 or Higher)

Obese (BMI 30.0 or Higher)


22

Physical Activity

• Moderate Physical Activity

• WI 2005: 42%• US 2005: 33%

• Vigorous Physical Activity

• WI 2009: 31%• US 2009: 29%

• Recommended Moderate or Vigorous Activity

• WI 2009: 53%• US 2009: 51%

34%

39% 40% 40%

24%

34%

29%31%

37%

44%48% 49% 49%

52%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Moderate Activity (5x/30+Min/Week)

Vigorous Activity (3x/20+Min/Week)

Recommended Physical Activity (Mod or Vig)


23

Nutrition and Food Insecurity

• Fruit or Vegetables (5+ Servings/Day)

• WI 2009: 23%• US 2009: 23%

59%56%

58%

65%

51%

26%29% 29%

26%29%

32% 32%35%

38%

31%

6%

22%

7%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Fruit (At Least Two Servings/Day)

Vegetables (At Least Three Servings/Day)

Fruit/Vegetables (At Least Five Servings/Day)

Find Fresh Fruit and Vegetables in Community/Neighborhood Sometimes/Seldom/Never

Affordable Fresh Fruit and Vegetables Sometimes/Seldom/Never

Household Went Hungry Because They Couldn't Afford Enough Food (Past Year)


24

Early Detection and Prevention of Cancer

25

Women’s Health Tests

• Mammogram in Past 2 Years (50 – 74 years old)

• WI 2018: 78%• US 2018: 78%

• Pap Smear in Past 3 Years (18 and Older)

• WI 2018: 81%• US 2018: 80%

76%

81%

76% 76% 75%71%

74%

80%

91%

82%

90%

80%

82% 87% 85%

54%50%

62%

85% 89%86%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Mammogram - Within Past 2 Yrs. (50 and Older)

Bone Density Scan - Ever (65 and Older)

Pap Smear - Within Past 3 Yrs. (18 to 65 Yrs. Old and With a Cervix)

HPV Test - Within Past 5 Yrs. (18 to 65 Yrs. Old and With a Cervix)

Met Cervical Cancer Screening Recommendation*


26

*Recommended time frame: pap smear every 3 years for ages 18 to 29 years old; pap smear and HPV test every 5 years or pap smear only every 3 years for ages 30 to 65 years old.

Colorectal Cancer Screenings(50 and Older)

• Blood Stool Test in Past Year (50-75 Years Old)

• WI 2018: 7%• US 2018: 9%

• Sigmoidoscopy in Past 5 Years (50-75 Years Old)

• WI 2018: 3%• US 2018: 2%

• Colonoscopy in Past 10 Years (50-75 Years Old)

• WI 2018: 71%• US 2018: 64%

• Screening in Recommended Time Frame (50-75 Years Old)

• WI 2018: 75%• US 2018: 70%• HP2020 Goal: 71%

67%65%

69%

80% 79%

64%58%

66%

75% 74%

13% 11% 9% 10% 8%

14% 15%19%

16%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

At Least One Test Within Recommended Time Frame*

Colonoscopy (Within Past 10 Years)

Sigmoidoscopy (Within Past 5 Years)

Blood Stool Test (Past Year)


27

*In 2008, blood stool test was not asked.

Safety

28

Personal Safety Issues in Past Year

5%4%

4% 5%

2% 3%

5%

2% 4%

5%7% 8%

5%8%

0%

20%

40%

60%

80%

2008 2011 2014 2016 2019

Someone Made You Afraid for Your Personal Safety

Someone Pushed, Kicked, Slapped or Hit You

At Least 1 of the 2 Issues


29

Tobacco Use

30

Current Tobacco Cigarette Smokers or Current Electronic Vapers

• Current Smokers • WI 2018: 17%• US 2018: 16%• HP2020 Goal: 12%

• Current Vapers • WI 2017: 5%• US 2018: 4%

26% 24%28%

23%19%

9%

2%13%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Current Smoker Current Vaper


31

Smoking or Vaping Cessation in Past Year(Current Tobacco Smokers or Electronic Vapor Product Users)

• Tried to Quit (Smokers Only)• WI 2005: 49%• US 2005: 56%• HP2020 Goal: 80% 72%

91%

64%

82%77%

49%

60%55% 55%

65%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Health Care Professional Advised Respondent to Quit*

Quit Smoking or Vaping for At Least 1 Day*


*In 2019, tobacco cessation and health professional advised quitting included current smokers and current vapers. In previous years, both questions were asked of current smokers only.

Nonsmokers/Nonvapers Exposed to Second-Hand Smoke or Vapor in Past Seven Days*

• Nonsmokers Exposed to Second-Hand Smoke

• HP2020 Goal: 34%

28%21% 21%

17% 14%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019


33

*In 2019, the question included nonvapers being exposed to vapors. In all other years, the question was asked of nonsmoking respondents only.

Other Tobacco Product Use in Past Month

• Smokeless Tobacco• WI 2018: 4%• US 2018: 4%• HP2020 Goal: 0.2%

5%3%

8%7%

<1% 3%0%

20%

40%

60%

80%

100%

2014 2016 2019

Smokeless Tobacco Cigars, Cigarillos or Little Cigars


34

Alcohol Use

35

Alcohol Use in Past Month

• Binge Drinker (Female 4+ Drinks; Male 5+ Drinks on an Occasion)

• WI 2018: 26%• US 2018: 16%• HP2020 Goal (5+

Drinks): 24%

23%28%

32% 30%33%

3% 2%6%

2% 2%

0%

20%

40%

60%

80%

100%

2008 2011 2014 2016 2019

Binge Drinking*

Driver/Passenger When Driver Perhaps Had Too Much to Drink


36

*In 2011, 2014, 2016 and 2019, “4 or more drinks on an occasion” for females and “5 or more drinks on an occasion” for males was used; in 2008, “5 or more drinks on an occasion” was used for both males and females.

Household Problems

37

Household Problems in Past Year


38

2%3%

2%

5%3%

2% 2% 1%<1%0%

20%

40%

60%

2008 2011 2014 2016 2019

Alcohol Marijuana

Cocaine, Meth or Other Street Drugs Heroin or Other Opioids

Mental Health Status

39

Mental Health Status

7%8%

6%5%7%

8% 8%

4% 5%

8%

5%0%

20%

40%

60%

80%

2008 2011 2014 2016 2019

Felt Sad, Blue, Depressed Always/Nearly Always (Past Month)

Find Meaning & Purpose in Daily Life Seldom/Never

Considered Suicide (Past Year)


40

Children In Household

41

Child’s Primary Doctor/Nurse[Child 17 or Younger]

89% 89%

98%95%95%

91%

85%91%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Child Has Primary Doctor/Nurse

Preventive Care with Child's Primary Doctor in Past

Year (Children who have a Primary Doctor/Nurse)


42

Child’s Unmet Care in Past Year[Child 17 or Younger]


43

5% 4%

6% 6% 7%

<1%2% 2% 4%1%

0%

20%

40%

60%

80%

2011 2014 2016 2019

Unmet Medical Care Unmet Dental Care Unmet Specialist Care

Child Currently Has Asthma[Child 17 or Younger]

7%

14%

21%

4%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019


44

Child is Seldom/Never Safe in Community/Neighborhood[17 or Younger]


45

2% 2% 0%4%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Childs’ Nutrition[Child 5 to 17 Years Old]

76%

66%

72%74%

41%

19%

25%27%

45% 46%

31%35%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Fruit (Two or More Servings/Day)

Vegetable (Three or More Servings/Day)

Fruit or Vegetable (Five or More Servings/Day)


Child’s Physical Activity (60 Min./5x/Week)[Child 5 to 17 Years Old]

64% 67%

47%

74%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019


47

Child’s Emotional Well-Being[Child 5 to 17 Years Old]*

1%

9% 8%5%

0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Unhappy, Sad or Depressed Always/Nearly Always (Past 6 Months)


48

*In 2011, 2014 and 2016, the question was asked for children 8 to 17 years old.

Child Experienced Bullying in Past Year[5 to 17 Years Old]

32%

24%19%

15%

29%

12%7%3%

9%

6%1% 0%

2%0%

20%

40%

60%

80%

100%

2011 2014 2016 2019

Bullied Overall Verbally Bullied Physically Bullied Cyber Bullied


49

*In 2011, 2014 and 2016, the question was asked for children 8 to 17 years old.

Top County Health Issues

50

Top County Health IssuesUp to Three Accepted [Part 1]


27%

42%

23%23%

18% 18%

15%15%17%14%

6%

13%9% 12%

0%

20%

40%

60%

80%

2016 2019

Illegal Drug Use Access to Health Care Overweight or Obesity

Chronic Diseases Alcohol Use or Abuse Tobacco Use

Cancer

Top County Health IssuesUp to Three Accepted [Part 2]


52

7%

11%10%8% 10%

8%6% 6%

5% 5%0%

20%

40%

60%

80%

2016 2019

Prescription or Over-the-Counter Drug Abuse Mental Health or Depression

Violence or Crime Affordable Health Care

Infectious Diseases Environmental Issues

Select Key Findings of Need

• 11% Household Member Not Covered by Insurance in Past Year

• 21% Delayed/Did Not Seek Care Due to Cost

• 11% Household Member Not Take Prescription Medication Due to Cost in Past Year vs. 3% HP2020

• 18% Unmet Dental Care vs 5% HP2020

• 41% Flu Vaccination (18 and older) in Past Year vs. 70% HP2020

• 28% High Blood Pressure in Past 3 Years

• 22% Sometimes/Seldom/Never Find Affordable Fresh Fruit and Vegetables

• 33% Binged in Past Month (4+ drinks females; 5+ drinks males)

• 19% Current Smoker vs. 12% HP2020

• 8% Smokeless Tobacco Use in Past Month vs. 0.2% HP2020

• 8% Considered Suicide in Past Year

• 15% Children 5 to 17 Years Old Bullied Overall in Past Year

• 12% Children 5 to 17 Years Old Verbally Bullied in Past Year

• Top County Health Issues (Up to 3 Accepted): 42% Illegal Drug Use, 23% Access to Health Care, 18% Overweight/Obesity


Next Steps

54

KENOSHA COUNTY COMMUNITY HEALTH SURVEY 2019

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