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Population Health and Its Role in Our Community
Population Health and Its Role in Our Community
Population Health and Its Role in Our Community
Virginia A. Caine, MD
Director,
Marion County Public Health Department
vcaine@marionhealth.org
317-221-2301
Population Health is:
The health outcomes of a group of individuals, including
the distribution of such outcomes within the group.
Aren’t Population Health and Public
Health the Same?
Local Sources
• Birth and Death Certificates
• Hospital Discharges, ED visit data
• CHA 2012 Telephone Survey
Community Health Assessment
2012 Telephone Survey
• 5013 total respondents
• 100 survey questions: health status, behavioral
risk factors, family, local resources
• Survey is a SAMPLE of whole-county population
(928,281), randomly selected to represent county
as a whole.
• Called cell phones as well as in-house phones to
reach a more diverse group
Survey Process
7 workgroups identified priority issues
– Workgroups: Ages 0-4, 5-11, 12-17, 18-34, 35-64, 65+,
& Environment
– Content experts, service providers, & community
members
– 3 to 5 meetings, reviewed data, discussed issues
Diabetes 2
High BP 2
Depression/Anxiety 9
ADHD 15
Asthma* 20
2005 2012
95% CI: 2005 (24.4%-29.6%); 2012 (26.5% - 30.7%)
Prevalence of Smoking by Race
Adults Over 18 Years Old
35% Marion County – 2005 & 2012
30%
25%
20%
2005
15%
2012
10%
5%
0%
White Black Latino
2005 25% 27% 18%
2012 30% 29% 16%
Unhealthy Weight
50% of County Youth 5-17 Were
Above Normal Weight
2005 22 18 58 1
2012 31 19 44 6
1 in 10 Children (5-17)
U.S. 3.9% (2007)
Depression in Young Adults
Young Adults: A high prevalence of depression and poor
mental health days. High rates of abuse of prescription
painkillers.