1. health and fitness

Faith Communities Health
Program
Pastor Luncheon
Thursday, March 19th, 2015
Harford County Health Department
Health Policy Unit
1
Overview
• Provide a snapshot of the health of Harford
County residents.
• Discussion of the opportunity to partner on
the Health Department’s new initiative.
• Share an example of what one Harford County
congregation is currently doing to address
health in its congregation.
• Engage in a small group discussion.
2
Snapshot of the Health of
Harford County
3
Question #1
How healthy are Harford
County residents?
4
Cancer, Heart Disease and COPD are the
Leading Causes of Death in Harford County
Diabetes, 40
Nephritis, 31
Suicide, 26
Parkinson's , 18
Septicemia, 37
Influenza, 49
Alzheimer's, 50
Stroke, 80
Cancer, 456
Accidents , 83
COPD, 107
Heart Disease,
454
Source: Maryland Vital Statistics, 2013
5
What are our cancer mortality rates . . . ?
Harford County rates
worse than MD
Per 100,000 Population
190
185
186
180
175
179
179
177
171
172
170
168
171
165
167
164
160
2007-09
2008-10
2009-11
2010-12
Year
Harford
Maryland
2011-13
* Age-Adjusted Rates
Source: Maryland Vital Statistics
6
. . . heart disease mortality rates?
Per 100,000 Population
215
Harford County rates
no better than MD
211
205
195
198
197
193
185
182
176
175
172
180
175
165
2007-09
2008-10
2009-11
2010-12
Year
Harford
Maryland
172
2011-13
* Age-Adjusted Rates
Source: Maryland Vital Statistics
7
. . . COPD (chronic obstructive pulmonary
disease) mortality rates?
Harford County rates
worse than MD
Per 100,000 Population
50
46
47
41
40
38
36
36
35
34
30
2007-09
2008-10
37
2009-11
2010-12
Year
Harford
Maryland
33
2011-13
* Age-Adjusted Rates
Source: Maryland Vital Statistics
8
. . . suicide mortality rates?
Harford County rates
significantly worse than MD
Per 100,000 Population
12
11
11.4
11.9
11.3
11.2
10.7
10
9
8.9
8.8
8.9
8.8
9.0
8
2007-09
2008-10
2009-11
2010-12
Year
Harford
Maryland
2011-13
* Age-Adjusted Rates
Source: Maryland Vital Statistics Reports
9
Question #2
But what’s the real story
behind our health . . .
the actual underlying
causes of death?
10
Tobacco, Poor Diet/Physical Inactivity, and
Alcohol are the Leading Actual Causes of Death
11
Are our adults smoking cigarettes?
County rates are
worse than MD
24
21.7
20.8
Percent
20
18.1
20.3
18.8
19.9
19.1
18.6
16
17.7
17.1
15.2
14.9
16.9
16.2
15.2
16.4
12
2006
2007
2008
2009
Harford
2010
2011
2012
2013
Maryland
12
Source: CDC Behavioral Risk Factor Surveillance System
Are our teens using tobacco?
% Who Smoke
20
15
10
5
0
15.7
11.9
Harford teen smoking
rates worse than MD
20
14.8
% Who Smoke
Cigarettes
15
Cigars
12.6
15.0
12.5
10
5
0
Source: YRBS, 2013
13
Are we physically active?
County rates worse
than MD and US
55
50.5
48.0
Percent
50
46.4
45
40
35
30
U.S.
Maryland
Harford
Note: Adults, >150 minutes moderate activity per week
Source: BRFSS. 2013
14
Are our weights healthy?
45
% of Adults with BMI < 25
40
35
30
Harford County has the
4th worst ranking in MD
44.3
41.7
39.5
38.5 37.7
36.7 36.7 36.3
35.7
34.1 33.2
33.1 32.4
32.0 31.5 31.2 31.1
31.0 30.4 30.3
29.5 29.0 28.728.7
25
20
15
10
5
0
Note: Normal Adult BMI 18.5-24.9
Source: www.dhmh.maryland.gov/ship/; MD BRFSS, 2011-13
15
Are we overweight and obese?
Harford County
worse than MD & US
Percent
100
80
64.3%
64.2%
64.7%
60
28.9
28.3
25.9
35.4
35.9
38.8
40
20
0
U.S.
Maryland
Overweight
Harford
Obese
Note: Adult BMI Overweight 25-29.9, Obese ≥ 30
Source: BRFSS, 2013
16
Do we have high blood pressure?
Harford County
worse than MD & US
40
35.7
33.6
Percent
35
31.4
30
25
20
U.S.
Maryland
Harford
Source: BRFSS. 2013
17
Do we have high cholesterol?
Harford County
worse than MD
38.4
37.0
40
37.5
Percent
35
30
25
20
U.S.
Maryland
Harford
Source: BRFSS. 2013
18
Are our teens drinking?
Harford County
worse than MD & U.S.
40
35.7
34.9
Percent
31.2
30
20
U.S.
Maryland
Harford
Source: YRBSS. 2013
19
Are we dying from drugs?
Harford County has the 5th
highest drug-induced death
rate in the State
Death Rate Per 100,000 Population
30
25
20
17.2
13.9
15
9.9
10
10.8
11.2
14.0
14.1
17.4
29.2
25.8
23.2
17.9
14.9
12.0
8.5
5.0
5.9
5
0
Source: Maryland Vital Statistics, 2010-2012
20
Compiled by Harford County Trilogy Network of Care
Are our newborns being exposed to drugs and
alcohol before they’re born?
NOTE: ICD Codes used 760.70, 760.71.
760.72, 760.73, 760.75, 760.77, 779.5
* 2013 DATA IS PRELIMINARY – Data compiled by DHMH. Chart prepared by HCHD.
Source: HSCRC Hospital Data, 2000-13,Maryland resident births only.
21
Question #3
And what’s the real story
behind the real story . . .
the impact of health
disparities?
22
Is there a racial disparity in cancer deaths?
Per 100,000 population
210
More cancer deaths
among Blacks than
Whites in Harford & MD
210.3
203.8
200
190
182.8
182.2
179.0
180
175.4
170
All
White
Harford
Black
Maryland
Source: 2006-2010 Cancer Data, 2013 CRF Report, DHMH
Note: Age-adjusted mortality rates represent cancer deaths
23
Is there a racial disparity in new cancer cases?
More new cancer cases
among Blacks than
Whites in Harford County
Per 100,000 population
520
500
497.2
489.8
487.7
480
449.2
460
452.4
438.5
440
420
All
Harford
White
Black
Maryland
Source: 2006=2010 Cancer Data, 2013 CRF Report, DHMH
Note: Age-adjusted incidence rates represent newly diagnosed cancers
24
Is there a racial disparity in healthy weight?
Harford County
Maryland
37.6
30
20
10
0
32.6
40
29.0
% At a Healthy Weight
% At a Healthy Weight
40
30
31.9
Racial disparities
exist
21.6
20
10
N/A
0
Source: MD BRFSS, 2013 – State: 2013; County: 2011-2013
25
Compiled by Harford County Trilogy Network of Care
Is there a racial disparity in teen births in
Harford County?
Racial disparities
exist
Per 1,000 Women, Ages 15-19
29.2
30
22.5
20
9.3
10
0
Hispanic
Black
White
Source: Maryland Vital Statistics, 2013
26
Is there a racial disparity in infant deaths in
Harford County?
Infant Deaths Per 1,000 Births
Racial disparities
persist
20
17.1
13.0
15
10.9
11.2
10
6.0
5
2.3
3.7
3.8
3.3
2.3
0
2009
2010
2011
Year
Black
2012
2013
White
Source: Maryland Vital Statistics
27
Are racial disparities in birth outcomes
explained by socio-economic factors alone?
Disparities are not
explained by socioeconomic factors alone
Infant Deaths Per 1,000 Births
20
15
15.8
14.7
13.4
11.7
9.9
10
8.0
6.1
5.3
5
6.1
5.9
6.5
5.6 5.6
4.0
4.9 4.9
4.7
3.7
4.0
3.7
0
≤ Grade 8
Grades 9-11
Grade 12
Grades 13-15
Educational Attainment of Mother
Black
White
Hispanic
≥ Grade 16
Asian
Source: 2002 US Data - US DHHS, HRSA,
MCHB, Healthy Start National Evaluation, 2006
28
The Bottom Line
The Number # 1 Killer
Cancer is the #1 cause of death in Harford County.
More than Just Treatment
Fighting cancer isn’t just about treatment.
Prevention is Key
Over 40% of cancers are due to lifestyle – like healthy eating,
active living, not smoking and drinking – and can be prevented.
Focus on Disparities
Focusing on health disparities is one of the best ways to reduce
the County’s cancer rate.
Engage Faith-Based Organizations
Engaging many partners, including public health and faith-based
organizations, is one of the best strategies for improving the
community’s health.
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Question #4
What can be done to improve
the health of Harford County
residents?
30
Health Department’s New Initiative:
Faith Communities Health Program
31
Faith Communities Health Project to Reduce Health
Disparities
Planning
Committee
Focus
Group
HC Community Services/
FACE-IT
Pre-Bid
Conference
Mini-Grants to
Churches
HCHD
Health Ministry Initiation, Growth & Support
Faith Community Nurse Capacity Building/Scholarships
HCHD
Services
(e.g., CTG, WIC,
Tobacco & Cancer
Prevention, Care
Coordination,
Women’s Wellness,
CD, Behavioral Health)
Health
Education,
Screenings,
Services
Church
Supplies
(e..g., pedometers,
cookbooks)
FAN, Body &
Soul, CHRIS,
other model
Harford
Community
College
Community
Outreach
Nurse
Liaison
(e..g., neighborhood,
schools, workplaces)
Upper Chesapeake
Health, Healthy Harford
Best Practices Sharing Conference
HCHD, Sept 2014
32
What types of faith-based organizations are we
looking for to participate in the program?
• Focused on improving the health behaviors of
their congregation.
• Given the health disparities present in Harford
County, we are aiming to target those
populations most at risk.
• Most importantly – those who are interested
and willing to commit their time
to this program.
33
How can we partner through the Faith Communities
Health Program to improve health behaviors?
• Partner with Health Department and volunteer
pastoral staff to allow us to provide technical
assistance on creating a health project for your
congregation.
• Projects can be simple or comprehensive – but
we are emphasizing projects focused on behavior
change to show we are making a difference.
• Depending on level of interest,
monies could be available to
support congregations.
34
What would a health project emphasizing
behavior change look like for my congregation?
• Could Be:
– Entirely unique and tailored to your organization as
long as outcomes are considered.
– A current program that needs additional support to
make it better/stronger.
– An evidence-based program such as Faith, Activity,
and Nutrition (FAN), Body and Soul, and Faithful
Families Eating Smart and
Moving More.
35
What do the evidence-based programs entail?
•
Faith, Activity, and Nutrition (FAN)
– Program designed to increased healthy eating and physical
activity among AME church members.
•
Body & Soul
– Program that incorporates healthy lifestyle education,
church events and peer counseling to promote healthy
food choices.
• Faithful Families: Eating Smart & Moving More
– Promotes healthy eating and physical activity in
communities of faith through the teaching of a 9-session
curriculum co-taught by nutrition and physical education
36
educators as well as lay leaders.
A closer look at the Faith, Activity, and Nutrition (FAN)
Program:
Example FAN Workplan
37
A closer look at the Faith, Activity, and Nutrition (FAN)
Program:
Example FAN Budget
38
Harford County Example:
St. James AME
39
Now, a few questions for you…
• Are you doing any health projects directed at
changing behavior in your congregation? If so, please
share.
• If interested in having health projects emphasizing
behavior change in your congregation, what types of
resources would you need to be successful?
• Our idea is to provide congregations with the resources
and support to assist with health projects focused on
behavior change. Can you offer other ideas
of ways to improve a congregation’s
health?
40
Next Steps
• Recruit interested congregations to take part in
the Faith Communities Health Program.
– If interested, sign up with us today!
• Meet individually with interested parties to
determine how we can partner and support
your health projects and health
ministries.
41
Questions/Comments
42
Feel free to reach out with any additional
questions or comments!
Mallory McCloskey
Harford County Health Department
mallory.mccloskey@maryland.gov
410-877-1030
www.harfordcountyhealth.com
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