Parker County CCHAPS 2012 Data

Parker County
Child Health Summit Doss Heritage and Culture Center

February 12, 2013
Provided for the benefit of the children in our community by:
The Center for Childrens Health
slide 2
Todays Learning Objectives:

1. Discuss how to utilize new information about children's health in
Denton County. 2. Describe Cook Children's Health Care System's next community children's health action steps. 3. Define their individual role and personal commitment to improving the overall health of children.
Conflict of Interest Disclosure:

Neither I nor my immediate family members have any commercial interest in any amount that creates an actual, potential or perceived conflict of interest.
slide 3
KEEPING OUR PROMISE

Knowing that every childs life is sacred, it is the promise of Cook Childrens to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
slide 4
Top child health issues for Cook Childrens
slide 5
Cook Childrens is committed to

Giving our community access to the data and the tools to act
Continuing to use the data to research, understand and communicate childrens health issues and potential solutions
Creating a Center for Childrens Health to sustain this effort
slide 6
Our Goal:
The Center for Children's Health will oversee CCHAPS, community research and health outreach, with the goal of creating aligned collaborations that will lead to improved child health outcomes.
slide 7
CCHAPS Region Coalitions . . .
Wise Coalition for Healthy Children Child Abuse Prevention
Wellness Alliance for Total Childrens Health [WATCH] of Denton County

Mental Health
Healthy Children Coalition for Parker County

Childhood Obesity
Safe Kids of Tarrant County The Mental Health Connection Childrens Oral Health Coalition Healthy Tarrant Co Collaboration Save a Smile Immunization Collaboration and MANY OTHERS Johnson County Alliance for Healthy Kids
Childhood Obesity
Hood County for Healthy Children

Child Abuse Prevention
Health Children Coalition for Parker County

led by Cook Childrens
CCHAPS 2012
Comparing the surveys Parker County
slide 11
Parker County 2008

314 58.9% 41.1% 5.1% 0.3% 0.6% 0.3% 91.4% 1.6% Total Surveys Boys Girls Hispanic Asian African American Native American Caucasian Multi-racial
2012
343 54.5% 45.5% 9.3% 1.2% 0.0% 0.3% 85.7% 2.0%
Source: CCHAPS 2008 and CCHAPS 2012
slide 12
Parker County
2012
Answered CCHAPS 2008
18.7%
Number of years in this community:

0 5 years 6 10 years 11 15 years 16 20 years 21 30 years 31+ years
31.2% 34.4% 14.9% 6.7% 5.8% 5.5%
Notable changes
slide 14
6-County children population ages 0 14:

2008 2012 11,462 12,385 2008 2012 138,153 174,505
4-year Growth = 8.0%
2008 2012
20,550 23,337
2008 2012
401,322 436,629
2008 2012
8,820 9,897
2008 2012
32,214 38,441
Our six-countys population ages 0 14 grew 13.5% over a four year period from 612,526 in 2008 to 695,194 in 2012. Future growth is projected at a rate of 9.2% for an estimated 759,449 children 0 14 by 2017.
Provided for the benefit of the children in our community by: Source: The Neilson Company, Thompson Reuters: Demographic Expert 2.7
slide 15
NOTABLE CHANGES
Children's general health improved

In general how would you describe your child's health? Excellent / Very 2008 2012
Good
n = 7,439 n = 8,394
Denton Hood CCHAPS Region Parker Tarrant Johnson Wise National Texas
88.4% 85.2% 84.8% 84.7% 83.7% 83.4% 81.9% 84.0% 78.0%
90.6% 90.6% 87.1% 92.7% 85.2% 86.8% 89.0% 84.0% 78.0%

Source: CCHAPS 2008, CCHAPS 2012 and the 2007 National Survey of Childrens Health (1,805 surveys in Texas ages 0 17)
slide 16
NOTABLE CHANGES in Parker County
Easier to access children's health services

How easy is it for you to get the following types of health care services: 2008 2012
Very Easy / Easy
n = 314 n = 175
Immunizations Care for short term illness Preventive health care Preventive dental care Treatment of injuries Treatment for dental problems or pain Care for long-term illness Specialized care for specific conditions Mental health care
84.1% 81.8% 86.0% 76.4% 65.9% 68.5% 48.7% 45.5% 22.9%
92.0% 91.4% 90.3% 88.6% 84.6% 87.4% 61.1% 66.3% 44.6%
slide 17
NOTABLE CHANGES Parker County

A change in awareness / health literacy . . .
Very familiar / Familiar
2008
n = 149
2012
n = 175
. . . types of dental health services . . . where to get information about child health issues . . . types of health care services available . . . types of preventive programs . . . types of social services . . . types of mental health services
58.4% 57.0% 55.7% 27.5% 24.2% 20.8%
77.1% 78.3% 73.7% 43.4% 40.0% 34.3%
Childhood asthma
slide 19
Parker County Profile of Children aged 0 14: ASTHMA
2008
n = 314
2012
n = 343
Lifetime asthma:
17.2% 17.2%
Boys at greater risk:

21.1% 18.2%
Provided for the benefit of the children in our community by: Source: CCHAPS 2008 and CCHAPS 2012
slide 20
Parker County Profile of Children aged 0 14: ASTHMA

2012
n = 343
Currently has asthma

12.2%
n = 22
Has an action plan

68.2%
Uses inhaler > twice a week

13.6%
Night symptoms > twice a month

13.6%
Refills inhaler > twice a year

13.6%
ED with asthma in last year

13.6%
Source: CCHAPS 2012
Childhood dental and oral health
slide 22
Parker County Profile of Children aged 0 14: DENTAL
2008
n = 165
2012
343
dental exam in last 12 months

83.0% 78.0% 74.0% 77.0% 13.2% 84.5% National State 79.0% 10.3%
teeth cleaned in last 12 months received all needed dental care little/no affect on general health
51.0% 99.0%
79.0% 99.0%
prevention very important
slide 23
Parker County Profile of Children aged 0 14: DENTAL
2012
n = 343
Flouride varnish in last 12 months

58.0%
Dental "work" in last 12 months

25.4%
Toothache in last 6 months

4.4%
Decay or cavities in last 6 months

12.0%
Source: CCHAPS 2012
Mental health or childhood emotional, behavioral and mental wellness

slide 25
Parker County Profile of Children aged 0 14: MENTAL
2008
n = 149
2012
n = 343
A diagnosed mental health issue

10.1% 4.7%
Bullied at school
12.8% 9.9%
Experienced a trauma
9.1% 4.1%
Had self-esteem issues

15.2% 9.6%
slide 26
Parker County Profile of Children aged 0 14: MENTAL

2012
n = 343
Child was cyber-bullied

0.3%
Family environment: Harder to care for than others

11.4%
Angry with child in last 30 days once or more

every day every other day once a week once never 0.6% 1.7% 26.3% 26.3% 44.6%
Provided for the benefit of the children in our community by: Source: CCHAPS 2012
Childhood safety from unintentional injury
slide 28
Parker County Profile of Children aged 0 14: SAFETY
2008
n = 149
2012
n = 175
Accident in last 12 months requiring medical attention

20.8% 15.4%
Bike helmet > 1 block away

45.0% 51.4%
Bike helmet < 1 block away

39.6% 42.3%
Properly "buckled-up"
98.0% 96.6%
Childhood safety from abuse and neglect
slide 30
Parker County Profile of Children aged 0 14: ABUSE

or
8.0%
1,727 7.4%
7.0%
6.0%
5.0%
4.0%
or
793 3.4%
822 4.0%
3.0%
2.0%
1.0%
0.0% 0.0% 0.0% 0.0% 0.0%
0.0% Taken to a family violence shelter Emergency Shelter due to homelessness Foster Care or Voluntary Placement CPS Investigation
= Statistically better = Statistically worse

N = 149 for 2008 and 175 for 2012
2008
2012
slide 31
Parker County Profile of Children aged 0 14: ABUSE

4.0%
3.5%
698 3.4%
3.0%
554 2.7% 411 411 2.0% 397 1.7% 256
2.5%
2.0%
2.0%
1.5%
1.0%
147
1.1% 147 0.6% 144 0.7% 0.0%
0.5%
0.6%
0.0% Physical Abuse Neglect Sexual Abuse Physchological Abuse Gang Threat
= Statistically better = Unchanged

N = 149 for 2008 and 175 for 2012
2008
2012
Childhood obesity
childhood weight management, activity and nutrition

childhood cardiac risk
or
or
slide 33
Parker County Profile of Children aged 0 14: OBESITY
2008
n = 304
2012
n = 317
BMI = overweight or obese

31.3%
n = 149
(age 2- 14)
31.6%
n = 343
Concerned child is overweight

8.1%
n = 149
5.8%
n = 343
or
Eats healthy meals

79.0% 86.6%
slide 34
What's new?
2012
n = 175
Fruit but no vegetables yesterday

12.0%
Vegetables but no fruit yesterday

8.6%
No vegetables or fruit yesterday

2.9%
slide 35
Seen in a bike shop in Telluride, CO
slide 36
OVERWEIGHT and OBESE defined for children

According to the Centers for Disease Control and Prevention: Body Mass Index (BMI) is a number calculated from a child's weight and height. BMI is a reliable indicator of body fatness for most children and teens. For children and teens, BMI is age- and gender-specific.
EXAMPLE Age Gender Height Weight BMI Percent Weight Status 8 years Male
Underweight
Weight Status based on BMI results
30.6 kg 17.4 76.0% Normal
"Normal" weight
0% 5%
85%
95%
Provided for the benefit of the Source: About BMI for Children and Teens Centers for Disease Control children in our community by: and Prevention Web site accessed November 8, 2010.at www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
Obese
132.5 cm
Overweight
slide 37
12.8% or nearly 3,000 childrens

parents in Parker county report they do not eat healthy meals
Exercise is related to academic

and behavioral problems in school
31.6% or more than 7,300

children are overweight or obese
38% of children under 5 are

already overweight or obese
slide 38
Childrens weight status by COUNTY

Based upon BMIs calculated from parent reported height and weight adjusted for age and gender
40% 35%
Average = 32%
37% 32% 29% 27% 18% 32% 20% 24%
37% 16%
30% 25%
17%
16%
20% 15% 21%
10% 9%
5% 0%
HOOD
n = 139
12%
14% 12%
13%
DENTON
n = 1949
PARKER
n = 317
TARRANT
n = 4842
JOHNSON
n = 458
WISE
n = 155
CCHAPS n = 7,860 children ages 2 - 15
Overweight
Obese
Source: CCHAPS 2012
slide 39
Childrens weight status by AGE

Based upon BMIs calculated from parent reported height and weight adjusted for age and gender
70% 60% 50%
10%
35%
61% 42%
23%
38%
24%
33%
18%
48%
34%
26%
30%
16%
16%
40%
24%
Average = 32%
30%
20%
31% 21% 18% 15%
32%
13%
19%
15%
19%
7%
21% 15% 8% 8% 13 Age 14
10% 0%
14%
5% 5% Age 2 8% 4% 3 4 5 6 7 8 9 10 11 12 9% 11% 11%
7%
CCHAPS n = 317 children ages 2 - 14
Overweight
Obese
Source: CCHAPS 2012
slide 40
Childrens weight status and ASTHMA

Based upon BMIs calculated from parent reported height and weight and age adjusted for growth and development
40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0%
Total = 30.7%
Total = 36.2%
Obese, 13.8% Obese, 18.9%
Overweight, 11.8% "NO" to Asthma
Overweight, 22.4%
"YES" to Asthma
CCHAPS n = 312 children ages 2 - 15
Source: CCHAPS 2012
slide 41
Childrens weight status and HOURS OF SCREEN TIME

100%
Under weight, 6.7% Under weight, 7.7%
90%
80% 70%
"Normal" weight, 26.7% "Normal" weight, 40.7%
60%
50% 40% 30% 20% 10% 0% Screen Time >2 Hours
CCHAPS n = 121 school aged children ages 5 - 14
Obese or Overweight, 34.3%
Obese or Overweight, 30.8%
Screen Time <2 Hours
Source: CCHAPS 2012
slide 42
Do you believe this child eats healthy meals? NO

35.0%
32.0%
30.0%
Parker county average:12.8%

24.0% 23.0% 21.0%
25.0%
20.0%
15.0% 15.0% 14.0% 14.0% 13.0% 11.0% 11.0%
15.0%
10.0%
5.0%
0.0% 0.0% 0.0%
3.0%
0.0% <1 Age 1 2 3 4 5 6 7 8 9 10 11 12 13 Age 14
CCHAPS n = 343
slide 43
Healthy meals and childrens performance in school

Eats Healthy Meals 25% Does Not Eat Healthy Meals
Children not eating healthy meals are 2.1 times more likely to experience academic problems than those eating healthy meals
20%
21%
15% 14%
Children not eating healthy meals are 1.5 times more likely to experience behavior problems in school than those eating healthy meals
10%
10%
9%
5%
0% Academic Problems
CCHAPS n = 209 school aged children 7 - 14
Behavior Problems
slide 44
Childrens weight status and physical activity

Based upon BMIs calculated from parent reported height and weight and age adjusted for growth and development
60%
53.4% 47.1%
50%
Children whose BMI places them in the underweight status show no significant difference based on how often they exercise. Children who exercise, increasingly achieve a normal weight status based on their BMI as the number of days exercised increases Increasing the number of days of exercise has the greatest impact on reducing the number of children whose BMI places them in the overweight and obese status
40%
30%
27.5% 23.5%
20%
10%
5.9% 5.3%
0%
Underweight Normal Weight Overweight & Obese
Days per week of exercise 30 mins < 3 days 4+ days

CCHAPS n = 209 school aged children 7 - 14
Source: CCHAPS 2012
www.centerforchildrenshealth.org
slide 46
slide 47
slide 48
slide 49
slide 50
slide 51
slide 52
slide 53
slide 54
slide 55
PARENT RESOURCES
www.cookchildrens.org/Checkup
slide 57
slide 58
SO NOW WHAT?
slide 60
The World Health Organization and the United States Centers for Disease Control and Prevention agree:
80% of all chronic disease is preventable
slide 61
Leading cause of death in US for all ages?

10,000,000
71.2%
1,000,000 1,443,607
2,471,986
518,607
18.9%
616,828
100,000
10,000 1950
1,000
2008
100
35.9%
10
25.4%
1 Total Deaths
Sources: 1Public Health Reports. Vol 67, No. 1, January 1952. Prepared by the National Office of Vital Statistics of the Public Health Service 2Deaths: Leading Causes for 2008. Volume 60, Number 6 June 6, 2012, National Vital Statistics Reports. USDHHS, Centers for Disease Control and Prevention, National Center for Health Statistics
Deaths from Heart Disease
slide 62
SO, What determines our HEALTH?

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Physical Health: eating well and being physically active.
Lifestyle = 50%
Mental Health: cope / manage stress for a healthy outlook Social Health: interacting / appreciating time with others Spiritual Health: a healthy, loving faith relationship
Environment = 20% Genetics = 20% Medical Science = 10%
Environmental Health: protecting the conditions in which we live Intellectual Health: value / active in learning new information. Occupational Health: supporting a productive life
Source: March 1997. J. Of Public Health Mgmt. and Practice
slide 63
INCENTING BEHAVIOR?
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 95-98% Medical Science and Service 2-5% Preventive Care
Provided for the benefit of the children in our community by: Source: M.Hartman, A.Martin, J.Benson, A.Catlin, the National Health Expenditure Accounts Team. National Health Spending In 2011. Health Aff January 2013 vol. 32 no. 1 87-99
$2.7 Trillion in Annual HEALTHCARE
slide 64
20 bright, well-intentioned people; brilliantly executing 20 perfectly designed improvement efforts,
Gap
IMPROVED HEALTH
cannot make a difference if they are going in 20 different directions.
Adapted from and used with the permission of Insightformation, Inc.
slide 65
Every person in the childs ecosystem. . . . . . is needed to make a difference

PUBLIC POLICY ENVIRONMENT (Social) ADVOCACY GROUPS ENVIRONMENT (Natural) ENVIRONMENT (Built) GOVERNMENT
PHILANTHROPY
SERVICE ORGANIZATIONS
PUBLIC HEALTH
BUSINESS
MEDICAL CARE SCHOOL FAITH
ACADEMIA and RESEARCH
CHILD
FAMILY
INSURERS
Copyright 2011, Cook Childrens Health Care System All Rights Reserved
slide 66
BUT, if those people work on a common agenda with mutually reinforcing actions, shared measures and constant communication
IMPROVED HEALTH
we will have a positive collective impact on the health of our children.

Adapted from and used with the permission of Insightformation, Inc.
slide 67
Children 0-14 are 21% of Parker Countys population.
But they are 100% of our FUTURE

slide 68
THANK YOU FOR YOUR HELP KEEPING OUR PROMISE


Parker County CCHAPS 2012 Data

Transféré par

Informations du document

Description originale:

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

Parker County CCHAPS 2012 Data

Transféré par

Droits d'auteur :

Formats disponibles

Parker County

Child Health Summit Doss Heritage and Culture Center

Provided for the benefit of the children in our community by:

The Center for Childrens Health

Todays Learning Objectives:

Conflict of Interest Disclosure:

Provided for the benefit of the children in our community by:

The Center for Childrens Health

KEEPING OUR PROMISE

Provided for the benefit of the children in our community by:

The Center for Childrens Health

Top child health issues for Cook Childrens

Provided for the benefit of the children in our community by:

The Center for Childrens Health

Cook Childrens is committed to

Creating a Center for Childrens Health to sustain this effort

Provided for the benefit of the children in our community by:

The Center for Childrens Health

The Center for Childrens Health

The Center for Childrens Health

CCHAPS Region Coalitions . . .

Wise Coalition for Healthy Children Child Abuse Prevention

Wellness Alliance for Total Childrens Health [WATCH] of Denton County

Healthy Children Coalition for Parker County

Hood County for Healthy Children

Provided for the benefit of the children in our community by:

Health Children Coalition for Parker County

Provided for the benefit of the children in our community by:

Provided for the benefit of the children in our community by:

Comparing the surveys Parker County

Provided for the benefit of the children in our community by:

The Center for Childrens Health

Parker County 2008

Source: CCHAPS 2008 and CCHAPS 2012

The Center for Childrens Health

Number of years in this community:

31.2% 34.4% 14.9% 6.7% 5.8% 5.5%

Provided for the benefit of the children in our community by:

Source: CCHAPS 2008 and CCHAPS 2012

Provided for the benefit of the children in our community by:

The Center for Childrens Health

6-County children population ages 0 14:

4-year Growth = 8.0%

4-year Growth = 26.3%

4-year Growth = 13.6%

4-year Growth = 8.8%

4-year Growth = 12.2%

4-year Growth = 19.3%

The Center for Childrens Health

Children's general health improved

88.4% 85.2% 84.8% 84.7% 83.7% 83.4% 81.9% 84.0% 78.0%

90.6% 90.6% 87.1% 92.7% 85.2% 86.8% 89.0% 84.0% 78.0%

The Center for Childrens Health

NOTABLE CHANGES in Parker County

Easier to access children's health services

84.1% 81.8% 86.0% 76.4% 65.9% 68.5% 48.7% 45.5% 22.9%

92.0% 91.4% 90.3% 88.6% 84.6% 87.4% 61.1% 66.3% 44.6%

Provided for the benefit of the children in our community by:

Source: CCHAPS 2008 and CCHAPS 2012

The Center for Childrens Health

NOTABLE CHANGES Parker County

58.4% 57.0% 55.7% 27.5% 24.2% 20.8%

77.1% 78.3% 73.7% 43.4% 40.0% 34.3%