Obesity, mental health among concerns in Washington County study
While AIDS prevention was the focus of health studies in Washington County in the 1990s, the focus has shifted to obesity, mental health and chronic conditions like diabetes and heart disease.
A new survey revealed the leading cause of death in Washington County is still cancer, followed by heart disease, Alzheimer’s and stroke.
Washington County conducted its five-year Community Health Assessment in 2013 and released the results last month. The assessment gathered data from the Minnesota Department of Health along with an online opinion survey and listening sessions that highlighted major concerns among key community members.
“We look at the environment, the population we serve and the health of the public,” said Sue Hedlund, deputy director for the county’s Public Health and Environment Department.
In 1991, the county established a task force to tackle HIV and AIDS prevention efforts.
The disease was a concern nationwide for a number of years until treatments advanced and positive results began showing up on surveys.
In recent years, Washington County public health officials began targeting cholesterol screenings and fighting obesity across all communities, which may have contributed to heart disease being the second most leading cause of death after cancer, Hedlund said.
Cancer is the cause of death for 187 per 100,000 people, while heart disease is the cause of premature death for 114 per 100,000, according to Minnesota Department of Health numbers.
The numbers are declining, however, said Hedlund. She attributed the lower mortality rates to screenings and early treatment.
“The bypass and angioplasty is reducing the death rate much more,” she said. “What we can do now and what we know now is really extending people’s lives.”
The community health assessment also includes an opinion survey with responses about various health topics from 1,042 participants who took it last year. The county combined all the data to come up with top priorities to address.
Associate planner Tommi Goodwin said respondents were asked about 94 potential issues the county faces and came up with a few they thought should be addressed countywide.
Among the top concerns are distracted driving, underage alcohol use, driving under the influence of alcohol or drugs, tobacco use by youth and obesity among children.
The county also conducted 29 listening sessions with adults and youth. They said that mental health, substance abuse and lack of physical activity are top concerns.
The county then went through a process to score the criteria based on risk, quality of life, economic impact and health equity.
The results: obesity, nutrition and physical activity should be addressed first, followed by chronic disease, mental health and substance abuse.
According to the 2010 Metro Adult Health Survey, 35 percent of adults in Washington County are overweight while 26 percent were considered obese.
Goodwin said the numbers are slightly lower than previous years, but they still make up 61 percent of the population.
The county plans to address behavioral health which rolls mental health, substance abuse, youth alcohol use and tobacco use all in one priority category, Goodwin said.
According to the community health assessment, the trend line for tobacco use is declining significantly, but youth marijuana use is staying flat.
There is a concern with the “perception of harm” now that a few states have legalized marijuana, Goodwin said. “This could be an emerging new issue again that we may need to give attention to.”
Additional statistics show the suicide rate between 2003 and 2010 staying consistent at 9.2 per 100,000 persons, which is a concern for Washington County.
“It’s significantly lower than the state,” Goodwin said. “But again we’re concerned with the numbers not going down.”
The county plans to address behavioral health with the help of the community services department and members of the mental health local advisory committee in meetings in February and March.
Staff is also planning to work with key partners like school districts, hospitals and clinics to address priority issues and work with metro area local health departments to better coordinate efforts and shared resources.
The Washington County Board was expected to adopt the Community Health Assessment at an upcoming meeting.