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State of the Health and Well-being of the People of the Southeastern Region of North Carolina

State of the Health and Well-being of the People of the Southeastern Region of North Carolina. Kathleen A. Ennen, PhD, RN and Carol Heinrich, PhD, APN, RN, School of Nursing Graduate Students: Cristina Norman, Simona Chitescu, and Kat Bodrie. Definitions. What is health?

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State of the Health and Well-being of the People of the Southeastern Region of North Carolina

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  1. State of the Health and Well-being of the People of the Southeastern Region of North Carolina Kathleen A. Ennen, PhD, RN and Carol Heinrich, PhD, APN, RN, School of Nursing Graduate Students: Cristina Norman, Simona Chitescu, and Kat Bodrie

  2. Definitions • What is health? • Health is more than the absence of illness • Health is a process of continuous adjustment to changing demands of life • What is well-being? • Standard of living, income, access to good and services • Also freedom, happiness, art, environmental health

  3. The Southeastern Region of North Carolina Picture courtesy of City-Data.com

  4. Community Health Assessment:Uninsured • Over 1.4 million people in NC without health insurance • “Cluster” of high rates (22.0%-28.3%) in the SE region including Onslow, Jones, Duplin, Sampson, and Pender counties • 20.3% - 22.0% in Bladen & Columbus counties

  5. Community Health Assessment:Health Disparities NIH: "Health disparities are differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States.” • Infant mortality • Cancer (prostate, breast, lung, and colorectal) • Diabetes • Cardiovascular diseases • Stroke • Asthma • Homicide • Sexually transmitted diseases (HIV/AIDS, syphilis, gonorrhea, chlamydia) Web of poverty, race, and poor health

  6. Community Health Assessment:Access to Health Services • Region has accessibility to quality healthcare • Hospitals • Clinics • Healthcare providers

  7. Morbidity and Mortality • “Top 10” in NC • Heart disease • Cancer • Stroke • Unintentional injury • Chronic lower respiratory disease • Diabetes mellitus • Alzheimer’s disease • Influenza and pneumonia • Nephritis • Septicemia • Others include vehicle injuries, suicide, and homicide

  8. Morbidity and Mortality:Chronic Disease • Heart disease, stroke, cancer, and diabetes are among most prevalent • Tobacco use, lack of physical activity, poor nutrition, obesity are major contributors to heart disease and cancer • Heart disease deaths in SE (per 100,000): • Bladen, Columbus, Sampson -- 601-692 • Duplin, Pender -- 566-599 • Brunswick, Onslow -- 528-564 • New Hanover -- 504-52

  9. Morbidity and Mortality:Preventative Measures • Education • Signs and symptoms of heart attack and stroke • Importance of calling 911 quickly • Parents regulating childhood nutrition • Risky Behavior Reduction • Binge drinking in grades 11-12 • Marijuana use by those in grades 9 -10

  10. Mental Health • Depression • Physical inactivity • Chronic Pain • Suicide

  11. Dental Health • 32% children 6-17 years untreated dental caries

  12. Elder Services • Projected growth of population age 65 and older from 2000 to 2030: Brunswick county > 200% New Hanover, Pender, Onslow counties 100-199% Columbus, Bladen, Sampson, & Duplin counties 43 to 99% • Places of residence: long-term care facilities, independent apartment complexes, assistive living facilities, nonmedical in-home care

  13. Summation • Uninsured • Policymakers can focus efforts on areas with low insurance coverage rates • Local healthcare providers can better demonstrate the extent of their need for government and philanthropic support using estimates of local uninsured populations • ↑ # of RNs • Address needs of rural medically underserved areas • Disease prevention and education to lower risks and burdens of chronic illness • ↑ access to basic health care services • Decreasing risks for chronic disease • ↑ Blood pressure checks • ↑ Blood Cholesterol checks • ↑ Flu shots & Pneumonia vaccines for those > 65 years • ↑ # of women who receive mammograms • ↓ Tobacco use in high school students • ↑ Use of new cholesterol-lowering medications • ↑ # of children receiving basic dental care • ↓ sun overexposure

  14. References • WISQARS™ http://webappa.cdc.gov/cgi-bin/broker.exe • Ricketts, T. C., & Holmes, G. M. “Running the numbers.” NC Medical Journal, May/June 2006, Volume 67, Number 3, pp.235-236. • CDC (2003). http://ww.cdc.gov/nccdphp/publications/factsheets/ChronicDisease/north_carolina.htm • National Institutes of health (NIH). Addressing Health Disparities: The NIH Program of Action. “What are health disparities.” http://healthdisparities.nih.gov/ whatare.html. • AMA (2001). Area Resource File 2004.

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