G

Community Health Assessment and Surveillance Resources

The Committee located examples of community health assessments from across the United States (see Chapter 7). Table G-1 identifies indicator topics reported in the sample of community health assessment reports the Committee was able to identify.



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G Community Health Assessment and Surveillance Resources T he Committee located examples of community health assessments from across the United States (see Chapter 7). Table G-1 identifies indicator topics reported in the sample of community health assess- ment reports the Committee was able to identify. 413

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TABLE G-1 Examples of Indicator Topics Reported in Community Health Assessment Small Counties ( <50,000 population)* Cherokee County, Indicator NCa Hill County, MTb Lincoln, MAc McKean County, PAd Overarching (obesity/ overweight) Obese adults (age, gender, race/ ethnicity) • • Overweight adults (age, gender, race/ethnicity) Overweight/obese adults (ages, gender, race/ethnicity) Overweight/obese mothers Healthy weight adults • Obese children (age, gender) Overweight children (age) • Overweight low-income infants and children (age) Students classify themselves as overweight • Overweight/obese children (gender, age, race/ethnicity) Goal Area 1: Physical Activity Environmenti Adult leisure time physical activity • Adult physical activity • Use of public outdoor recreation areas Use of public outdoor trails Awareness of available community centers Which of these community features do you use? Reasons these community features are difficult to use Safety for cyclists • 414 Evaluating Obesity Prevention Efforts

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Large Counties ( >50,000 population)* Lawrence-Douglas County, Contra Costa County, CAe Dutchess County, NYf KSg Lee County, NCh • • • • • • • • • • • • • • • • • • • continued Appendix G 415

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TABLE G-1 Continued Small Counties ( <50,000 population)* Cherokee County, Indicator NCa Hill County, MTb Lincoln, MAc McKean County, PAd Elderly physical activity programs • Goal Area 2: Food and Beverage Environmenti Adult consumption of fruits and vegetables • • Access to affordable healthy foods Reasons it is difficult to buy healthy food Goal Area 3: Message Environmenti Goal Area 4: Health Care and Worksite Environmenti Obese, received advice from doctor to lose weight in the past • year Adults, told by health care professional they are • overweight/obese Breastfeeding rate Any/exclusive breastfeeding initiation (race/ethnicity) Community-based prevention health services and programs • Availability and scope of health care • Effectiveness of health care system • Goal Area 5: School Environmenti Other: Norms/Attitudes, Obesity-related Health-related issues • • • Priority issues in community • 416 Evaluating Obesity Prevention Efforts

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Large Counties ( >50,000 population)* Lawrence-Douglas County, Contra Costa County, CAe Dutchess County, NYf KSg Lee County, NCh • • • • • • • continued Appendix G 417

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TABLE G-1 Continued Small Counties ( <50,000 population)* Cherokee County, Indicator NCa Hill County, MTb Lincoln, MAc McKean County, PAd Priority issues facing youth Unhealthy behaviors • Activities needed in a community • Perceived challenges of community Perceived strengths of community Community health needs • Factors that contribute to the health of community • Factors that prevent the health of community * Small counties’ population of less than 50,000 residents; large counties’ population is greater than 50,000 residents. SOURCES: a County of Cherokee (2008); b Larson (no date); c Communities Opportunities Group, Inc. (2010); d Center for Rural Health Practice and University of Pittsburgh at Bradford (2005); e Contra Costa Health Services Public Health Division (2010); f Center for Governmental Research (2009a,b); g Collie-Akers and Holt (2012); h Lee County Public Health Assessment Team and LeeCAN “A Healthy Carolinians Partnership” (2010). i These are goal areas identified in the Accelerating Progress in Obesity Prevention report (IOM, 2012a). 418 Evaluating Obesity Prevention Efforts

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Large Counties ( >50,000 population)* Lawrence-Douglas County, Contra Costa County, CAe Dutchess County, NYf KSg Lee County, NCh • • • • • • • • Appendix G 419

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REFERENCES Center for Governmental Research. 2009a. Appendix B—Survey script. http://www.co.dutchess.ny.us/CountyGov/ Departments/Health/Publications/HDICASurveyAppB.pdf (accessed April 24, 2013). Center for Governmental Research. 2009b. Dutchess County ICA community health survey final report. http://www. co.dutchess.ny.us/CountyGov/Departments/Health/Publications/HDICASurvey.pdf (accessed April 24, 2013). Center for Rural Health Practice and University of Pittsburgh at Bradford. 2005. Community health needs assess- ment. McKean County, Pennsylvania. http://www.upb.pitt.edu/uploaded Files/About/Sponsored_Programs/ Center_for_Rural_Health_Practice/CHA%20Final.pdf (accessed April 22, 2013). Collie-Akers, V., and C. Holt. 2012. Douglas County community health assessment report. Community Health Improvement Partnership, Lawrence-Douglas County Health Department, Work Group for Community Health and Development. Communities Opportunities Group, Inc. 2010. Town of Lincoln community health assessment & planning project. http://www.lincolntown.org/Adobe%20Acrobat%20Files/Healthy%20Community/Lincoln%20Healthy%20 Communities%20Final%20Report%20071210.pdf (accessed April 22, 2013). Contra Costa Health Services Public Health Division. 2010. Community health indicators for Contra Costa county. http://cchealth.org/health-data/hospital-council/2010/pdf/2010_community_health_indicators_report_complete. pdf (accessed April 22, 2013). County of Cherokee. 2008. Cherokee County community health assessment (CHA). http://www.mahec.net/media/ nccha/cherokee.pdf (accessed April 22, 2013). Larson, K. no date. Hill county community health assessment 2010-2011. http://www.dphhs.mt.gov/publichealth/ accreditation/documents/hill-cha.pdf (accessed April 22, 2013). Lee County Public Health Assessment Team and LeeCAN “A Healthy Carolinians Partnership.” 2010. Lee County North Carolina. Access to the world. Community health assessment. http://www.leecountync.gov/LinkClick. aspx?fileticket=YcCnyE8Z68k%3D&tabid=205 (accessed April 22, 2013). 420 Evaluating Obesity Prevention Efforts