MIDDLEBORO COMMUNITY HEALTH PROFILEJessica Jacobs, Karen Jose, Erin Lenhardt, Veronica Locke, Daniel Lynn
POPULATION HEALTH Concerns the health outcomes of a group of
individuals including the distribution of such outcomes within the group (Kindig and Stoddart)
Objective: to describe, explain, predict, control
HEALTH INDICATORS A limited yet comprehensive set of coherent
and significant indicators that can be monitored over time and disaggregated to relevant social units (Stoto)
Intended to help everyone more easily understand the importance of health promotion and disease prevention and to encourage wide participation in improving health in the next decade (Healthy People 2010)
SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Behaviors
Health Systems
Health Outcome
s
HILLSBORO’S HEALTH STATUS Comparatively similar health status as other
communities
Within the community, chronic disease prevalence is an issue: Cardiovascular health Malignant neoplasm
HILLSBORO MORTALITY RATES
Heart Disease
Malignant Neoplasms
Cerebrovascular disease
All accidents
Chronic lower respiratory disease
Pneumonia/Influenza
Diabetes
Alzheimer's
Suicides/IH
0
10
20
30
Comparative Mortality Rates
Hillsboro County Capital City USA
Rate
per
10,
000
Peop
le
HILLSBORO COUNTY
Diseas
es o
f the
Hea
rt
Malig
nant
Neo
plas
ms
Cereb
rova
scul
ar D
isea
ses
All Acc
iden
ts
Chron
ic Low
er R
espi
rato
ry D
isea
se
Influ
enza
and
Pne
umon
ia
Diabe
tes Mel
itus
Alzhei
mer
's D
iseas
e
Self
Harm
/Sui
cide
Nephr
itis
Chron
ic Liv
er/C
irrho
sis
Other
Cau
ses
0
5
10
15
20
25
30
35
40
Hillsboro County Cause Adjusted Mortality
Cause o
f D
eath
Rate
per
100 D
eath
s
SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Behaviors
Health Systems
Health Outcome
s
Social and Physical Environment
SOCIAL AND PHYSICAL ENVIRONMENT Key indicators as they relate to chronic
disease Demographics
Age Population Employment market
AGE ADJUSTED MORTALITY RATE
Series10
10
20
30
40
Age Adjusted Mortality Rate
Hillsboro County Capital City
Ra
te p
er
1,0
00
Pe
op
le (
65
+ y
ea
rs)
POPULATION TRENDS
CY-25 CY-20 CY-15 CY-10 CY-5 CY0
10000
20000
30000
40000
50000
Hillsboro County Population Trends
Middleboro Jasper Harris CityStatesville Mifflenville CartervilleMinortown Boalsburg
People
CY-25 CY-20 CY-15 CY-10 CY-5 CY100000
120000
140000
160000
180000
200000
Population Compar-ison
Hillsboro County PopulationCapital City
People
EMPLOYMENT TRENDS
Employed
Self Employed
No Work > Year
No Work < Year
HomemakerStudent
Retired
Unable to Work0
15
30
45
60
Employment Trends
Hillsboro County Capital City State Wide
Perc
enta
ge o
f Pop
ulati
on
SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Behaviors
Health Systems
Health Outcome
s
Health Systems
HEALTH SYSTEMS Access and coverage as they relate to
chronic disease Health Insurance Readmission Rates
INSURANCE PROVIDER TRENDS
CY-25 Cy-20 CY-15 CY-10 CY-5 CY0
10
20
30
40
50
60
Insurance Provider 25 Year Trend
No Insurance Medicare MedicaidBlue Cross/Blue Shield Commercial Other- VA, etc
Perc
enta
ge o
f P
opula
tion
READMISSION RATES
Within 7 Days Within 15 Days Within 30 Days0
5
10
15
20
Readmissions
Hillsboro Capital City
Perc
enta
ge o
f Disc
harg
es
INFANT MORTALITY
0
2
4
6
8
Infant Mortality
Hillsboro County Capital City United States
Rate
Per
1,0
00
SUSA HEALTH INDICATORS FRAMEWORK
Social and Physical
Environment
Health-Related Behavior
s
Health Systems
Health Outcomes
Health Related Behaviors
HEALTH RELATED BEHAVIORSSignificant Chronic Illnesses:
Cardiovascular Disease Key Indicators:
Cholesterol Awareness Hypertension Awareness BMI Demographics Exercise
Malignant Neoplasm (Cancer) Key Indicators:
Substance Abuse (Tobacco and Alcohol) Fruits and Vegetables Job Market
CARDIOVASCULAR HEALTHComparative Mortality
Internal Death Rate
0
5
10
15
20
25
30
35
Heart Related Mortality
Hillsboro County Capital City USA
Rate
per
10,
000
Heart Re-
lated 35%
Other Cause
s65%
Heart Related Death Rates
CHOLESTEROL AWARENESS
Cholesterol Checked (Within Last 5 Years)
High Cholesterol (Ever)0
10
20
30
40
50
60
70
80
Cholesterol Awareness
Hillsboro County Capital City State Wide
Perc
ent
of
Adult
Popula
tion
HYPERTENSION AWARENESS
0
10
20
30
40
Hypertension Prevalence
Hillsboro County Capital City State Wide
Perc
enta
ge o
f Adu
lt Po
pula
tion
BMI DEMOGRAPHICS
Neither Overweight or Obese (BMI < 24.8)
Overweight (BMI 25.0-29.9) Obese (BMI 30.0-99.8)0
20
40
60
BMI Demographics
Hillsboro County Capital City State Wide
Perc
enta
ge o
f Adu
lt Po
pula
tion
MALIGNANT NEOPLASMSComparative Mortality
Internal Death Rate
0
5
10
15
20
Malignant Neoplasms Mortality Rate
Hillsboro County Capital City USA
Rate
Per
10,
000
Malig-nant Neo-
plasms 20%
Other Causes
80%
Proportion of Ma-lignant Neoplasms
Deaths
SUBSTANCE ABUSE - TOBACCO
Everyday Some Days Former Smoker0
5
10
15
20
25
30
Smoking Status
Hillsboro County Capital City State
Perc
ent
of
Adult
Popula
tion
EMPLOYMENT RELATED FACTORS
30%
19%
51%
Middleboro Employment Sectors
Manufacturing Agriculture Other Industries
POSITIVE HEALTH FACTORS Hillsboro appears to be succeeding in some
areas as related to chronic diseases: Exercise Fruits and vegetables Managed care penetration
EXERCISE
Any Physical Activity (Within Last Month) Cardiovascular Exercise0
20
40
60
80
Exercise
Hillsboro County Capital City State Wide
Perc
enta
ge o
f Adu
lt Po
pula
tion
FRUITS AND VEGETABLES
Consume 5+ Servings per Day0
10
20
30
40
Fruit and Vegetable Consumption
Hillsboro County Capital City State Wide
Perc
enta
ge o
f Adu
lt Po
pula
tion
MANAGED CARE PENETRATION
CY-25 CY-20 CY-15 CY-10 CY-5 CY0
10
20
30
40
50
60
70
80
90
100
25-Year Trend Insurance Types
FFS Managed Care
Perc
enta
ge o
f In
sure
d P
opula
tion
CONCLUSION Overall, similar health outcomes as other
communities But, chronic disease is an issue
Cholesterol, Hypertension, Tobacco usage Access to care: declining health insurance coverage
Moving forward, Continue positive trends: exercise, healthy foods,
managed care penetration Implement prevention & health promotion programs,
improved coordination of care, expand insurance coverage