Health and Health Risks Richland County

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Health and Health Risks Richland County

• Stephen P. Pickard MD

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Why Health Risks?

• Causes of premature death
• Tobacco
• Physical inactivity and nutrition
• Alcohol and other substance abuse
• High risk sexual behavior
• Inadequate preventive care (vaccination,
  screening, risk management)
• Preventable injuries
• Untreated mental health problems
• Behaviors account for 50 of premature deaths

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How Was the Data Collected?

• BRFSS (Adults 18 and older)
• 946 telephone surveys spring 2005
• Disproportionate stratified sampling
• CDC protocols for National BRFSS (21 years)
• National contractor for BRFSS (10 states)
• Weighted data analysis
• YRBS (High School and Middle School)
• Collected through schools
• CDC protocol for random 2 stage sampling
• Contractor hired by DPI
• Weighted data analysis

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Interpreting Data

• What is the accuracy and comparability to state
  and national data?
• When is the result really different?
• When is something a problem?
• Whos problem is it?

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Adults 18 and Older
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HIGH SCHOOL RISK
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Conclusions

• Richland County looks a lot like North Dakota
• Increase risk among adults
• Binge drinking
• Not enough rest or sleep
• Seatbelt use
• Sun exposure
• Decreased risk among adults
• Diabetes
• Fair or poor health status
• Flu vaccine coverage

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Conclusions

• Increased risk among youth
• Binge alcohol use (compared to nation)
• Drinking and driving
• Skipping school
• Decreased risk among youth
• Sexual activity
• Overweight
• Physical activity

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Conclusions

• Areas of greatest concern to me for Richland
  County
• Are health risks skyrocketing in HS like rest of
  ND?
• Alcohol use and drinking/driving among adults and
  youth
• Seatbelt use among youth and adults
• Overweight and physical activity among adults and
  youth
• Tobacco use among adults and youth
• Sexual activity among youth
• Sexual assault and potential domestic abuse among
  youth