2023

PRC Community
Health Needs
Assessment
Butte-Silver Bow, Montana
 Community Health Needs Assessment
The PRC
Community Health
Needs Assessment
consists of both
Secondary Data
primary and • County-level data
secondary data. • Census data, vital statistics, other health-related data

BENCHMARKING
• Previous Survey Online Key Informant Survey
Data (2014, • Community stakeholder input — 117 physicians, public
2017, 2020) health, other health providers, social services,
community leaders
• PRC National
• Based on their experiences, the populations they serve
Health Survey
• Montana BRFSS
data
• Healthy People Customized Local Health Survey
2030 targets • Population-based
• National vital • Targets health status, experience, behaviors
statistics data
• Conducted via landline/cell phones

© PRC
Population Survey
Random sample of 400 surveys across
Butte-Silver Bow County
Final sample weighted in
proportion to total population
Over 100 survey items;
20-25 minute interview
Total sample size gives an overall
maximum confidence interval of ±4.9%
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Key Informants: Top Health Issues

Identified as “Major Problems” in the Community

Major Problem Moderate Problem Minor Problem No Problem At All

Mental Health 90.4% 8.8%

Substance Abuse 87.1% 10.3%

Tobacco Use 44.3% 45.2%

Diabetes 38.1% 45.1%

Cancer 33.6% 54.5%

Nutrition, Physical Activity, & Weight 33.3% 49.1%

Social Determinants of Health — which impact all health issues —

were also a significant concern among key informants.
 Access
14 identified areas of ► Access to Health Care Services
significant health need, or
“Areas of Opportunity”
Chronic Disease
(in green) ► Cancer
► Diabetes
► Heart Disease & Stroke
► Respiratory Diseases
► Potentially Disabling Conditions
Modifiable Risks
► Nutrition, Physical Activity & Weight
► Injury & Violence
► Infant Health & Family Planning
► Sexual Health
► Tobacco Use
Behavioral Health
► Mental Health
► Substance Abuse
Social Determinants
► Environmental Health & Other Social Determinants

© PRC
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Community Prioritization
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Excellent
11.8% Self-Reported Health Status
14.3% (Butte-Silver Bow, 2023)
Very Good

3.8% Good

36.5%
Fair
33.6%

Poor

Experience “Fair” or “Poor” Overall Health Butte-Silver Bow

18.1% 22.3% 20.5%

12.8% 12.6% 18.1%
12.7%

Butte-Silver Bow MT US 2014 2017 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 5]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Servic es, Centers for Disease Control
and Prevention (CDC): 2020 Montana data.
● 2020 PRC National Health Survey, PRC, Inc.
Notes: ● Asked of all respondents.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Experience “Fair” or “Poor” Overall Health

(Butte-Silver Bow, 2023)

29.7% 28.5%
21.5%
17.2% 18.1%
14.3% 11.8%
11.2%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte-

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 5]

Notes: ● Asked of all respondents.
Chronic Disease

Conf idential and property of Intermountain Health

 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Age-Adjusted Mortality for Select Causes of Death

(2018-2020 Deaths per 100,000 Population)
Butte-Silver Bow US

238.6

164.4
142.0 146.5 Has
gotten
better 110.4
85.0
60.2
37.6 38.1
25.2

Heart Disease Stroke Cancer Lung Disease COVID-19 (2020)

Other HEART DISEASE & STROKE Findings
•High blood pressure is quite prevalent (37.4%)
•84.9% of adults have at least one cardiovascular risk factor
Other CANCER Findings
•Mortality is rather high for female breast cancer
•Screening levels for breast/cervical/colorectal cancers are similar to MT and US levels
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Prevalence of Diabetes

Another 8.8% of adults have been Butte-Silver Bow

diagnosed with “pre-diabetes” or
“borderline” diabetes.

13.9% 13.8% 13.9%

11.2% 10.3% 10.6%
9.1%

Butte-Silver Bow MT US 2014 2017 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 121]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Servic es, Centers for Disease Control
and Prevention (CDC): 2020 Montana data.
● 2020 PRC National Health Survey, PRC, Inc.
Notes: ● Asked of all respondents. Excludes gestational diabetes (occurring only during pregnancy).
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Prevalence of Diabetes
(Butte-Silver Bow, 2023)

27.7%
18.1% 19.1%
15.7% 13.9%
12.3% 10.9%
1.3%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte-

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Items 33, 121]
Notes: ● Asked of all respondents.
● Excludes gestational diabetes (occurring only during pregnancy).

Blood sugar testing is declining

among non-diabetics (currently,
39.4% tested in past 3 years)
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Limited in Activities in Some Way

Due to a Physical, Mental, or Emotional Problem
(Butte-Silver Bow, 2023)

49.4%
41.2%
36.4% 35.7%
29.7%
22.7%
19.5%
15.3%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte-

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 96]
Notes: ● Asked of all respondents.

21.4% of adults experience high-impact

chronic pain (higher than US). Similar
demographics impacted as above.
Modifiable Risks

Conf idential and property of Intermountain Health

 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Prevalence of Total Overweight Prevalence of Obesity

[Overweight and Obese] Healthy People 2030 = 36.0% or Lower
(Butte-Silver Bow) (Butte-Silver Bow)

70.8%
64.6%
61.0%

no significant
change over 37.1%
31.3%
time 28.5%
no significant
change over
time

Butte-Silver Bow MT US Butte-Silver Bow MT US

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 128]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and
Prevention (CDC): 2020 Montana data.
● 2020 PRC National Health Survey, PRC, Inc.
Notes: ● Based on reported heights and weights, asked of all respondents.
● The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0,
regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Nutrition Indicators
(Butte-Silver Bow)

Find It “Very” or “Somewhat” Consume Five or More

Difficult to Buy Affordable Servings of Fruits/Vegetables
Food Insecurity Fresh Produce Per Day

better than US, but increases

to more than 50% among
low-income residents worse
34.6% than US
31.8%
25.4% 26.0% 24.4% 26.9%
23.0% 22.7% 22.1%
19.5% 17.2%

2017 2020 2023 2014 2017 2020 2023 2014 2017 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc.

Notes: ● Asked of all respondents.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Meet Physical Activity Recommendations

(Butte-Silver Bow)

better
than US
71.5%

57.2% 57.2%
better
than US

27.5% 29.8% 46.3%

23.8%

2017 2020 2023 2014 2017 2020 2023

Adults Children
Sources: ● 2023 PRC Community Health Survey, PRC, Inc.
Notes: ● Asked of all respondents.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Firearm-Related Deaths: Age-Adjusted Mortality

(2018-2020 Annual Average Deaths per 100,000 Population)
Healthy People 2030 = 10.7 or Lower

24.7

19.1

12.5

Butte-Silver Bow MT US

Sources: ● CDC WONDER Online Query System. Centers for Disease Control
and Prevention, Epidemiology Program Office, Division of Public
Health Surveillance and Informatics. Data extracted September 2022. Note that 21.8% of surveyed households have an unlocked
● US Department of Health and Human Services. Healthy People 2030.
August 2020. http://www.healthypeople.gov firearm in or around their home (lowest recorded since
2014).Among households with children, this percentage is
13.5% .
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Currently Use Vaping Products

(Every Day or on Some Days)

Butte-Silver Bow

6.4% 8.9% 6.4%

5.0% 4.5%
1.4%

Butte-Silver Bow MT US 2017 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 45]
● 2020 PRC National Health Survey, PRC, Inc.
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States
Department of Health and Human Services, Centers for Disease Control and Prevention (CDC):
2020 Montana data.
Notes: ● Asked of all respondents. Highest among young adults.
● Includes regular and occasional users (those who smoke e-cigarettes every day or on some days).
Behavioral Health

Conf idential and property of Intermountain Health

 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Have Experienced Symptoms of

Chronic Depression
(Butte-Silver Bow, 2023)

48.6% 49.0%
42.5%
37.1%
32.0% 33.0% 31.4%
26.3%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte-

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 91]
Notes: ● Asked of all respondents.
● Chronic depression includes periods of two or more years during which the respondent felt depressed or sad on most days, even if (s)he felt okay sometimes.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Have Been Diagnosed With a Depressive Disorder

Butte-Silver Bow

30.0% 30.0%
24.2% 26.3%
22.6% 23.3%
20.6%

Butte-Silver Bow MT US 2014 2017 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 93]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Servic es, Centers for Disease Control
and Prevention (CDC): 2020 Montana data.
● 2020 PRC National Health Survey, PRC, Inc.
Notes: ● Asked of all respondents.
● Depressive disorders include depression, major depression, dysthymia, or minor depression.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Currently Receiving Ever Sought Professional Help for

Mental Health Treatment [Adults] Mental/Emotional Problem for Child
(Butte-Silver Bow) (Butte-Silver Bow Parents)

29.6%
24.0% 24.0%
20.3%
14.8%

2017 2020 2023 2020 2023

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 94]
Notes: ● Asked of all respondents.
2.6%●of“Treatment”
adults report a time in the past year when they
can include taking medications for mental health.
needed, but were unable to get, mental health services.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Suicide: Age-Adjusted Mortality Trends

(Annual Average Deaths per 100,000 Population)
Healthy People 2030 = 12.8 or Lower

2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018 2017-2019 2018-2020

Butte-Silver Bow 33.2 39.6 33.1 34.1 40.3 38.0 42.3 31.0
MT 22.9 23.4 24.3 25.0 26.7 26.6 26.7 25.7
US 13.1 13.4 13.1 13.4 13.6 13.9 14.0 13.9
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public H ealth Surveillance and
Informatics. Data extracted September 2022.
● US Department of Health and Human Services. Healthy People 2030. August 2020. http://www.healthypeople.gov
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Life Has Been Negatively Affected

by Substance Abuse (by Self or Someone Else)
(Butte-Silver Bow, 2023)

no significant
57.2% change over time
49.1% 47.8% 46.8%
43.5% 45.1%
41.0%
35.8%
26.8%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte- US

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 52]
Notes: ● Asked of all respondents.
● Includes response of “a great deal,” “somewhat,” and “a little.”
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Cirrhosis/Liver Disease:
Age-Adjusted Mortality Trends Unintentional Drug-Related Deaths:
(Annual Average Deaths per 100,000 Population) Age-Adjusted Mortality Trends
Healthy People 2030 = 10.9 or Lower (Annual Average Deaths per 100,000 Population)

18.0
16.6
15.8
14.1

10.9
9.2

Butte-Silver Bow MT US Butte-Silver Bow MT US

Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and
Informatics. Data extracted September 2022.
● US Department of Health and Human Services. Healthy People 2030. August 2020. http://www.healthypeople.gov
Social Determinants
and Environmental
Health

Conf idential and property of Intermountain Health

 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Perceive Community Air Quality as “Fair” or “Poor”

(Butte-Silver Bow, 2023)

Butte-Silver Bow

39.7%
33.3%
29.7%
23.9% 24.9% 24.9%
19.4% 17.3% 17.5% 15.6%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte- 2020 2023

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 322]
Notes: ● Asked of all respondents.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

“I Feel that my Community is a Welcoming Place

for People of all Races and Ethnicities”
(Butte-Silver Bow, 2023)

Strongly Agree
6.4%
26.4%
16.5% Agree
2.5%
Neutral

Disagree

48.1%
Strongly Disagree

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 319]
Notes: ● Asked of all respondents.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Do Not Have Cash on

Hand to Cover a $400 Emergency Expense
(Butte-Silver Bow, 2023)

53.0%

32.2% 30.1%
26.5% 24.2% 24.6%
16.3%
6.1% 5.3%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte- US

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 63]
Notes: ● Asked of all respondents.
● Includes respondents who say they would not be able to pay for a $400 emergency expense either with cash, by taking money fro m their checking or savings
account, or by putting it on a credit card that they could pay in full at the next statement.
 PRC COMMUNITY HEALTH NEEDS ASSESSMENT

Went to Live With a Friend or Relative

in the Past Two Years Due to a Housing Emergency
(Butte-Silver Bow, 2023)

19.4%
14.2% 16.4%
6.4% 8.8%
3.4% 0.9% 2.5%

Men Women 18 to 39 40 to 64 65+ Low Mid/High Butte-

Income Income Silver Bow

Sources: ● 2023 PRC Community Health Survey, PRC, Inc. [Item 307]
Notes: ● Asked of all respondents.
Questions?

Conf idential and property of Intermountain Health