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. 29 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 [email protected] 410-877-1030 www.harfordcountyhealth.com 43 The Harford County Health Department is on social media. Follow us! Facebook www.facebook.com/HarCoHD Twitter @HarCoHealthDept Pinterest www.pinterest.com/harcohd 44
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