llyl

Collaboration: Communit Community Health Need • Union County Hum • Novant Health • Atrium Health

ty Health Assessment and ds Assessment (CHNA) man Services

Collaboration: Ot •Board of County Commissioners •City of Monroe Economic Development •Consolidated Human Services Board •Union County Residents •Union County Cooperative Extension •Union County Emergency Management •Union County Parks and Recreation •Union County Planning and Zoning •Union County Public Schools (UCPS) •Union County Public Works •Union County Sheriff's Office •Union County Human Services •Business Operations •Community Support and Outreach •Social Services •Public Health, Incl. Environmental Health •Transportation •Veterans Services

ther Key Partners •ARC of Union/ Cabarrus County •Cardinal Innovations •Council on Aging •Faith Community •HealthQuest •Hospice of Union County •Kiwanis of Monroe •South Piedmont Community College (SPCC) •The Navigation Lady •UCPS / Latino Outreach •Union Chamber of Commerce •Union County Homeless Shelter •United Way •Wingate University

CHA Timeline Start to Finis Planning • Establish Stee (March – May 2019) • Host Kick Off Implement • Collect primar (May – October) • Conduct seco • Analyze and in Report (October – January) • Steering Com • Community P Action Plans • Submit Writte (February – June) • Develop inter • Convert prior • Identify partn

sh ering Committee (develop/approve tools) ry data – surveys, focus groups ondary data research nterpret all data mmittee- Select Focus Areas Priority Setting en Report rventions for addressing priority health issues rities into Action Plans ners/stakeholders

Surveys: Over 4, By Age Group 849 received 2,408 received Teens (13-18 years-old): 1,086 received Adults (19-61 years-old): Seniors (62 and over): Random Sampling Jury Pools Convenience Sampling Non-profits, Union County Community Shelter, Healt Drives, Schools, Houses of Worship, Physician Offices Senior Nutrition Sites, Transportation, Monroe Aquat Housing Authority, Senior Centers, Council on Aging. Theatres, Extreme Ice Center, etc.

,300 Completed th Fairs, Blood s, Human Services, tic Center, Monroe Kate’s Skate, Movie

Survey Qu • Demogra • Insurance • Physical a • Access to • Barriers t • Health Eq • Social De • Behaviors • Risk Beha • Impact of

uestions aphic Data e Status and Mental Health Issues o Care (medical/dental) to Care quity eterminants of Health rs (diet, exercise) aviors (tobacco use, alcohol, drugs) f social media and screen time

Survey Data - D Adult Survey Adult Senior S Population Male 23.3% 49.3% 38.5 Female 76.3% 50.7% 60.5 White 74.9% 81.5% 79% Black 15.9%% 11.5% 16.4 Hispanic 5.5% 10.9% 1.9% HS or less 13.5% 25.3% 21.3 Some College 17.0% 30.5% 34.3 or Associates BA or higher 53.2% 34% 43.2 Veteran 5.3% 7.6% 21.1

Demographics Survey Population Teen Survey Population over 60 Under 18 5% (2017) 46.8% 5% 45.6% 51.5% (2017) % 54.4% 77.4% 51.3% 4% 86.6% 7.0% 48.7% % 10.0% 8.8% 78.5% 3% 3.3% 11.6% 3% 33.5% n/a 15.7% 29.5% n/a n/a n/a 2% 24.3% n/a n/a 1% 18.0% n/a n/a

Conducted 14 Population Focus Group Adult/ Faith Based African Ame Adult/ Faith Based Faith Comm Adult/ Latino Latino Coali Adult/ Latino Latino Comm Senior Adults Home & Com Senior Adults Marshville F Senior Adults Monroe Foo Stakeholders: Adult / Senior Adult Health Equi Stakeholders: Adult / Senior Adult Union Coun Stakeholders: Youth/ Adult/ Senior Adult SafeKids of Youth / Teens 4H Club Youth / Teens At Risk Yout Youth / Teens UCPS Schoo Youth / Teens Union Acad

Focus Groups p erican Faith Community munities/ Health Ministries ition munity Members mmunity Care Block Grant (HCCBG) Advisory Committee Food and Nutrition Site od and Nutrition Site ity Collaborative Members nty Consolidated Human Services Board Union County Board of Directors th Group ol Health Advisory Committee (SHAC) demy

Gender Focus Group D Female 55.7% Age Male 44.3% 13-17 10.2% Race 18-60 56.8% 61 plus 30.7% White 36.4% None 2.3% Black 38.6% Latino 21.6% Other 3.4%

Demographics Amount Municipality 1.1% 5.7% Goose Creek 1.1% Indian Trail 8.0% e Lake Park 3.4% Marshville 2.3% 52.3% % Matthews 2.3% 1.1% Mineral Springs 3.4% 5.7% % Monroe 3.4% 1.1% New Salem 5.7% 3.4% % Stallings Unionville Waxhaw Weddington Wesley Chapel Wingate None Identified

• When you hear the words “healthy community,” what c • What options/resources/services does Union County ha lifestyles? • What things concern you the most about living in Union • Access to health care is often a need expressed by com sufficient access to care in Union County? • We’ve talked about a number of barriers to a “healthy c trouble accessing care. What do you suggest would be t what can be done to create better access to health serv • Are there any resources or activities you would like to s • What are the most important issues for your communit • What are some of the strengths/resources your commu

comes to mind? ave adequate for residents to live health active n County? mmunity members. What is your perception, is there community” and/or why community members have the best way to eliminate these barriers? In other words, vices and for people to be healthier? see in Union County that are not here now? ty to address? unity has to build upon to have a “healthy community”?

Secondary D • Center for Disease Control • Census Bureau • County Health Rankings and Roadm • County Statistics • DENR/Division of Air Quality • NC State Center for Health Statistic • Social Determinants of Health By R

Data Sources maps cs Region

Union County - Measure 2018 Population Estimates Population Change from April 1, 2010 to July 1, 201 Median Age Number of Public Schools Graduation Rate 1.1% 11.5% 5.7% 13.9 28.2% 23.2%

- Demographics 18, Amount 9% 235,908 7.3% 17.2% 9.0% 37.9 53 93% Under 5 years 5 to 13 years 14 to 17 years 18 to 24 years 25 to 44 years 45 to 64 years 65 - 84 years 85 years and over

Union County – R 3.30% 11.40% 11.50% White alone Hispanic or Latino Two Races or More American Indian and Alaska Native alone

Race and Ethnicity 0.20% 0.10% 0.00% 2% 71.50% Black or African American alone Asian alone Other Native Hawaiian and Other Pacific Islander alone

Union County Measure Median Household Income Median Earnings- 25 and over Housing Units Persons per Household Tax Base Property Tax Rate per $100 Valuation Civilian Labor Force Unemployment Rate Persons in poverty, percent Persons without health insurance, under age 65 yea

y - Economics ars, percent Amount $80,337 $45,202 82,559 2.98 87% Residential 13% Commercial .6650 117,721 3.9% 9.1 % 10.5 %

UNION COUNTY CO Trip Destinations Union County Work Trips Union County Internal To Mecklenburg County To Cabarrus and Rowan Counties To Stanley County To York, Lancaster, Chesterfield, SC All others Source: U. S. Census LEHD 2014, All Jobs

OMMUTER FLOWS # Workers % of Work Trips 78,647 100% 26,016 33% 42,814 54% 2,831 4% 566 1% 3% 2,725 5% 3,695 18

KEY

Y CENTERS OF ACTIVITY

Focus Chronic Diseas

Area: se Prevention

Survey- Health Concerns

Adults and Senior Adults

Survey - Health C Allergies Sports Injuries Obesity / Overweight Asthma Eating Disorders Chronic Diseases (heart disease, diabetes, high blood pressure)

Concerns - Teens % Of All # Respondents Responses 340 233 60.8% 131 126 41.7% 64 62 23.4% 22.5% 11.5% 11.1%

Focus Group Need access to affordable and accessible healthy foo must drive miles to reach a grocery store or there is a Need to expand access to healthy foods, such as Health care concerns discussed in groups inclu Diabetes, Asthma, Heart Disease Individuals discussed the need to address obe regarding how to live healthy and active lifest Many focus group participants stated that reside and medical care. Multiple people expressed concern that chemicals in Union County.

p Comments od, especially in rural parts of the county where individuals an excess of fast food restaurants. s fresh produce at the farmers market and flea market. uded: Alzheimer’s, Obesity, Cancer, High Blood pressure, esity by improving access to healthy food and educating people tyles ents of a healthy community should opportunities for fitness the air or food are contributing to high Alzheimer’s rates in

Leading Causes of D 2013-2017 Ten Leadi County of Residence Age Group, Ranking, number Union County AGE GROUP: RANK CAUSE OF DE TOTAL - ALL AGES 0 TOTAL DEATH 1 Cancer - All S 2 Diseases of t 3 Chronic lowe 4 Alzheimer’s 5 Cerebrovascu 6 Other Uninte 7 Diabetes me 8 Nephritis, ne 9 Pneumonia & 10 Septicemia Source: NC State Center for Health St

Death- Union County ing Causes of Death by: r of Deaths, and Unadjusted Death Rates Per 100,000 # OF DEATH DEATHS RATE EATH: 6,890 620.5 HS --- ALL CAUSES 1,570 141.4 Sites 1,447 130.3 the heart 381 34.3 er respiratory diseases 377 33.9 disease 332 29.9 ular disease 223 20.1 entional injuries 193 17.4 ellitus ephrotic syndrome, & nephrosis 164 14.8 & influenza 140 12.6 tatistics, County Health Data Book—2018 131 11.8

Trends in Chronic D Cerebrovascular Disease Death Rate per 100,000 60 45.4 47.2 50.1 48.7 44.9 34 40 28.8 24.9 30.2 30.5 29.4 29.6 20 0 2013 2014 2015 2016 2017 2012 Union NC Heart Disease Death Rate per 100,000 200 177.3 180.9 176.5 183.9 180.1 183.4 150 142.9 139.1 132.9 115.6 120.5 116.7 100 50 0 2013 2014 2015 2016 2017 2012 Union NC

Diseases 2012-2017 Diabetes Death Rate per 100,000 30 24.6 24.4 27 27.3 27.7 28.3 25 18 20.3 20.3 20 15.6 15 12.5 12.2 10 5 0 2012 2013 2014 2015 2016 2017 Union NC Alzheimer’s Death Rate per 100,000 50 41.8 42.4 40 30.7 29.2 37.9 40.9 30 29.2 26.9 32.6 33.7 33.5 29.7 20 10 0 2013 2014 2015 2016 2017 2012 Union NC

Prevalence Projections are estimated using 2011-2015 invasive c 2018 NC population estimate Type of Cancer Incidence Union County Rate Projected New 58.5 Lung/Bronchus 618 173. Cases 122 Female Breast 1037 33.5 176 481. Prostate 647 221 Colon/Rectum 360 154 Total Cancers 5095 94 1232

e of Cancer cancer incidence and 2012-2016 mortality rates and North Carolina Projected New es Incidence Cases Rates 5 40,216 9064 68.8 .3 49,467 10625 161.8 2 32,584 7545 115.9 5 21,168 4697 37.5 .9 277,277 60958 469.3

Causes / Contributing Risk F Tobacco Use / Smoking Lack of Physical Activit Poor Nutrition / Unhealth

Factors of Chronic Diseases ty / Exercise hy Eating

Focus Mental

Area: Health

Survey – Rating of Pe

ersonal Mental Health