2003 Community Assessment - Ozaukee County

 

 

Section Title Page Number

Purpose 1

Methodology 1

Summary 4

Key Findings 9

Rating Their Own Health 9

Health Care Coverage 11

Routine Checkups 13

Vaccinations 17

Prevalence of Select Health Conditions 20

Prevalence of Select Alternative Treatments 22

Physical Well Being and Body Weight 23

Nutrition and Diet 27

Women’s Health 30

Men’s Health 32

Other Tests 33

Reducing the Risk of Skin Cancer 35

Safety: Seat Belts and Bicycle Helmets 37

Cigarettes and Tobacco Products 40

Alcohol Use 44

Mental Health Status 47

Detectors in Household 49

Presence of Firearms in Household 51

Personal Safety Issues 52

Appendix A: Additional Questions 53

Factors Preventing Physical Exercise 54

Primary Caregiver for an Elderly or Disabled Person 56

The New Ozaukee County Urban Trail 56

Appendix B: Questionnaire Frequencies 58

Table Title Page Number

Table 1. Weighted Demographic Variables of Survey Respondents 2

Table 2. Rate Own Health by Demographic Variables 10

Table 3. Routine Checkup by Demographic Variables 14

Table 4. Cholesterol Test by Demographic Variables 15

Table 5. Dental Checkup by Demographic Variables 16

Table 6. Eye Exam by Demographic Variables 17

Table 7. Flu Vaccination by Demographic Variables 18

Table 8. Told or Received Treatment in the Past Three Years by Demographic Variables 21

Table 9. Received Alternative Treatment in the Past Three Years by Demographic Variables 23

Table 10. Moderate Physical Activities in a Typical Week by Demographic Variables 25

Table 11. Overweight by Demographic Variables 26

Table 12. Fruit and Vegetable Servings on Average Day by Demographic Variables 28

Table 13. Frequency of Eating Fried/Fast Foods by Demographic Variables 29

Table 14. Time Since Last Mammogram by Age 30

Table 15. Time Since Last Pap Smear by Demographic Variables 32

Table Title Page Number

Table 16. Time Since Last Digital Rectal Exam by Age 33

Table 17. Time Since Last Blood Stool Test by Demographic Variables 34

Table 18. Time Since Last Sigmoidoscopy or Colonoscopy by Demographic Variables 35

Table 19. Reducing the Risk of Skin Cancer (Regularly) by Demographic Variables 37

Table 20. Wear Seat Belt by Demographic Variables 38

Table 21. Helmet Usage by Demographic Variables (Of Those who Ride,

Inline Skate or Scooter) 39

Table 22. Current Smokers by Demographic Variables 41

Table 23. Favor Ordinance to Prohibit Smoking in Eating Establishments

In Their Community by Demographic Variables 43

Table 24. Number of Drinks on an Occasion in Past Month by Demographic Variables

of All Respondents 46

Table 25. Finding Meaning and Purpose in Daily Life by Demographic Variables 49

Table 26. Detectors in Household by Demographic Variables 50

Table 27. Major/Moderate Factors Preventing Physical Exercise by Demographic Variables 55

Table 28. Use of the New Ozaukee County Urban Trail by Demographic Variables 57

Figure Title Page Number

Figure 1. Rate Own Health 9

Figure 2. Type of Health Care Coverage 11

Figure 3. Received Pneumonia Vaccination (Respondents 65 and Older) 19

Figure 4. Told or Received Treatment in the Past Three Years 20

Figure 5. Received Alternative Treatment in Past Three Years 22

Figure 6. Moderate Physical Activities/Week 24

Figure 7. Reducing the Risk of Skin Cancer (Regularly) 36

Figure 8. Smoking Preference in Restaurants 42

Figure 9. Felt Sad, Blue or Depressed in Past 30 Days 47

Figure 10. Managing Stress 48

Figure 11. Detectors in Household 50

Figure 12. Major or Moderate Factors Preventing Physical Exercise 54

 

The purpose of this project is to provide Ozaukee County with information for an assessment of the health status of residents. Primary objectives are to:

Gather specific data on behavioral and lifestyle habits of the adult population. Selected information will also be collected about respondent household.

Gather data on the prevalence of risk factors and disease conditions existing within the adult population.

Compare, where appropriate and available, health data of residents to state and national measurements.

 

 

 

 

 

The Ozaukee County Community Health Survey was conducted through a grant provided by Aurora Health Care. The purpose of this effort is to gather information on the health practices and health-related behavioral risks of residents. This report is part of a comprehensive survey of Eastern Wisconsin commissioned by Aurora Health Care in partnership with local health departments to identify areas of greatest need.

Respondents were scientifically selected so that the survey would be representative of all county adults 18 years old and older. The sample of random telephone numbers included both listed and unlisted numbers. Respondents within each household were randomly selected using the Hagen/Collier selection technique. At least 8 attempts were made to contact a respondent at each household. Screener questions verifying location was included. Data collection was conducted by Management Decisions Incorporated.

A total of 400 telephone interviews were completed between February 24 and June 11, 2003. With a sample size of 400, we can be 95% sure that the sample percentage reported would not vary by more than ±5 percent from what would have been obtained by interviewing all persons 18 years old and older who lived in Ozaukee County. The margin of error for smaller subgroups will be larger. Data has been weighted by sex and age to reflect 2000 census data of the proportion of these characteristics in the county. Table 1 shows the demographic variables of respondents. Throughout the report, some totals may be more or less than 100% due to rounding and response category distribution.

The survey was conducted by JKV Research, LLC. For technical information about survey methodology, contact Janet Kempf Vande Hey, M.S. at (920) 687-9909 or janet.vandehey@jkvresearch.com. For further information about the survey, contact Mark M. Huber, M.S. at (414) 219-2025 or mark.huber@aurora.org.

Demographic Profile of Ozaukee County Community Health Survey

Table 1. Weighted Demographic Variables of Survey Respondents

 

Survey Results

TOTAL

100%

   

Gender

 

Male

46%

Female

54

   

Age

 

18 to 34

20%

35 to 44

26

45 to 54

24

55 to 64

14

65 and Older

16

   

Education

 

High School Graduate or Less

29%

Some Post High School

23

College Graduate

48

   

Household Income

 

$30,000 or Less

20%

$30,001 to $60,000

37

$60,001 or More

36

Not Sure/No Answer

7

   

Married

70%

What do the percentages mean?

Results of the Ozaukee County Community Health Survey can be generalized to the adult population with telephones in the county. In 2000, the U.S. Census Bureau identified 60,386 adult residents in the county.

When using percentages from this study, it is important to keep in mind what each percentage point, within the margin of error, actually represents in terms of the total adult population in the county. One percentage point equals approximately 600 adults. So, when 8% of respondents reported their health was fair or poor, this roughly equates to 4,800 residents ± 3,000 individuals. Meaning that from 1,800 to 7,800 residents may have fair or poor health in the county. Because the margin of error is ± 5%, events or health risks that are small will include zero.

The 2000 Census counted 30,857 households in Ozaukee County. In certain questions of the Community Health Survey, respondents were asked to report information about their household. Using the household count, each percentage point for household-level data represents approximately 310 households. For example, 7% of survey respondents reported that someone in their household is not covered by health insurance. Thus, the estimated number of households with someone not covered by health insurance would be 2,170.

 

Definitions

Marital status: Married respondents were classified as those who reported married and those who reported a member of an unmarried couple. All others were classified as not married.

Moderate physical activity is recommended by the Centers for Disease Control and Prevention/American College of Sports Medicine for at least 30 minutes on five or more days of the week. Moderate physical activity includes walking briskly, mowing the lawn, vacuuming, gardening, dancing, swimming or bicycling on level terrain. A person should feel some exertion but should be able to carry on a conversation comfortably during the activity.

Overweight was calculated using the Center for Disease Control’s Body Mass Index (BMI). Body Mass Index is calculated by using kilograms/meter2. A BMI of 25.0 to 29.9 is considered overweight and 30.0 or more as obese. This is a change from previous years when a BMI greater than 27.3 for females and 27.8 for males was classified as overweight. Differences between Ozaukee County data and state or national data prior to 2000 may occur as a result of definition. It is important to review the definition of overweight when comparing data. Throughout the report, the category "overweight" includes both overweight and obese respondents.

Current smoker is defined as someone who smoked a cigarette in the past 30 days.

Recently, the "binge drinking" definition changed. Previously, the Centers for Disease Control (CDC) considered binge drinking as five or more drinks at one time, regardless of gender. Now, binge drinking for females is four or more drinks while for males it has remained at five or more drinks. The new definition is based on weight and metabolism differences between the sexes. At this time, there is no state or national statistics based on the new binge drinking definition.

 

This research provides valuable behavioral data, lifestyle habits, and the prevalence of risk factors and disease conditions of Ozaukee County residents. The following data are highlights of the comprehensive study. Please see the full report for more detailed findings.

Overall Health

   

Risk Conditions in the Past 3 Years

 

Ozaukee County

2003

 

Ozaukee County

2003

Excellent

31%

 

High Blood Cholesterol

22%

Very Good

37%

 

High Blood Pressure

21%

Good

24%

 

Asthma (Current)

7%

Fair or Poor

8%

 

Heart Disease/Condition

6%

     

Diabetes

6%

Other Research: Excellent/Very Good

2001

     

Wisconsin

57%

 

Moderate Physical Activity/Week

 

Nation

56%

 

Ozaukee County

2003

     

Inactive

16%

Health Care Coverage

   

Insufficient

59%

Ozaukee County

2003

 

Recommended

25%

Personally Not Covered

2%

     

Household Member Not Covered (current)

7%

 

Other Research: Recommended Physical

 

Household Member Not Covered (past yr)

11%

 

Activity

2000

     

Wisconsin

27%

Other Research: Personally Not Covered

2001

 

Nation

26%

Wisconsin

10%

     

Nation

13%

 

Nutrition and Diet

 
     

Ozaukee County

2003

Advance Care Plan

   

Fruit Intake (2 or more servings/day)

71%

Ozaukee County

2003

 

Vegetable Intake (3 or more servings/day)

28%

Yes

34%

 

Fried Food/Fast Food (a few times/week)

42%

     

Overweight

59%

Routine Checkups

       

Ozaukee County

2003

 

Other Research: Overweight

2001

Routine Checkup (2 years or less)

88%

 

Wisconsin

59%

Cholesterol Test (2 years or less)

78%

 

Nation

58%

Dental Checkup (past year)

82%

     

Eye Exam (2 years or less)

83%

 

Women’s Health

 
     

Ozaukee County

2003

Vaccinations

   

Mammogram (50+; past year)

74%

Ozaukee County

2003

 

Pap Smear (past year)

63%

Flu shot (past year)

39%

     

Pneumonia (ever—65 years or older)

60%

 

Other Research: Wisconsin

2001

     

Mammogram (50+; past year)

69%

Alternative Treatment in Past 3 Years

   

Pap Smear (past year)

66%

Ozaukee County

2003

     

Chiropractor

18%

 

Reduce Risk of Skin Cancer

 

Massage Therapy

16%

 

Ozaukee County

2003

Meditation

8%

 

Avoid Artificial Sources of UV Light

76%

Movement Therapy

5%

 

Use Sunscreen with SPF 15 or Higher

65%

Aroma Therapy

5%

 

Wear Sun Protective Clothing

58%

 

Avoid Sun Between 10 a.m. and 4 p.m.

41%

Men’s Health

   

Alcohol Use

 

Ozaukee County

   

Ozaukee County

 

Digital Rectal Exam (Within Past Year)

2003

 

Of all Respondents

2003

40 to 49 Years Old

23%

 

Drink in Past Month

69%

50 and Older

42%

 

3+ Drinks on Occasion in Past Month

27%

     

Binge in Past Month

 

Other Tests

   

[5+ Drinks (Male): 4+ Drinks (Female)]

16%

Ozaukee County

2003

 

Drive or Ride When Driver Had Perhaps Too

 

Blood Stool Test (50+; within past 2 years)

47%

 

Much to Drink (past month)

2%

Sigmoidoscopy or Colonoscopy

       

(50+; within past 2 years)

35%

 

Other Research: Had 5+ Drinks at One Time

2001

     

Wisconsin

26%

Safety

   

Nation

15%

Ozaukee County

       

Wear Seat Belt Always/Nearly Always

2003

 

Mental Health Status

 

Adult

92%

 

Ozaukee County

 

Children

98%

 

Felt Sad, Blue or Depressed in Past 30 Days

2003

Wear Bicycle Helmet Always/Nearly Always

 

Always/Nearly Always

4%

(Of Those Who Ride Bike or In-Line Skate)

   

Never

34%

Adult

34%

 

Managing Stress

 

Children

73%

 

Excellent/Good

82%

Detectors

   

Poor

2%

Smoke Detector Only

55%

 

Find Meaning and Purpose in Daily Life

 

Carbon Monoxide Detector Only

<1%

 

Never/Seldom

4%

Both

44%

 

Considered Suicide (past year)

1%

Neither

2%

     
     

Firearms in Household

 

Tobacco Use

   

Ozaukee County

 

Ozaukee County

2003

 

Of all Households…

2003

Current Smokers

16%

 

Have a Firearm

31%

Quit Smoking 1 Day or More in Past

   

Have a Loaded Firearm

1%

Year Because Trying to Quit (smokers)

37%

 

Have a Loaded Firearm Unlocked

<1%

Health Care Provider Advisement to

       

Quit Smoking (smokers)

53%

 

Personal Safety in Past Year

 

Smoking Indoors or in Vehicle

9%

 

Ozaukee County

2003

Smoking Preference in Restaurants

   

Afraid for Their Safety

3%

Smoke-free

75%

 

Pushed/Kicked/Slapped/Hit

<1%

Allow Smoking

7%

     

No Preference

18%

 

Additional Questions

 

Ordinance Prohibiting Smoking in Eating

   

Ozaukee County

 

Establishments

   

Maj/Mod. Factors Preventing Physical Exercise

2003

Moderately Favor

20%

 

Time

49%

Strongly Favor

47%

 

Motivation

44%

     

Health Problems

19%

Other Research: Current Smokers

2001

 

Cost

10%

Wisconsin

24%

 

Safety Concerns

9%

Nation

23%

 

Primary Caregiver for Elderly or Disabled

 
     

Person, Not Employed as Caregiver

6%

     

Use of the New Ozaukee County Urban Trail

 
     

Once or Twice a Month

15%

     

Once a Week or More

10%

Overall Health and Health Care Key Findings

Sixty-eight percent of respondents reported their health as excellent or very good. Respondents who were 55 and older, with a household income of $30,000 or less, not married or physically inactive were more likely to report fair or poor conditions.

Two percent of respondents reported they personally did not have health care coverage. Seven percent reported someone in their household currently was not covered while 11% reported in the past 12 months someone was not covered. Respondents with a household income of less than $30,001 or unmarried respondents were more likely to have someone currently not covered or in the past twelve months. Seventy-five percent of respondents reported their primary place for health services was from a medical doctor, internist, OBGYN or family practice; female respondents were more likely to report this. Thirty-four percent of respondents had an advance care plan; female or older respondents were more likely to report this.

Eighty-two percent of all respondents reported a visit to the dentist in the past year while 62% reported having a routine medical checkup, 56% cholesterol test and 52% reported an eye exam. Female respondents were more likely to report a routine checkup in the past year or an eye exam in the past two years. Respondents 65 and older were more likely to report a routine checkup, cholesterol test, or eye exam in the past year. Respondents with some post high school education were more likely to report a routine medical checkup in the past year. Respondents with a household income of $30,000 or less were more likely to report having a cholesterol test in the past year. Married respondents were more likely to report having a cholesterol test in the past two years while unmarried respondents were more likely to report having an eye exam in the past year or two years.

Thirty-nine percent of respondents had an influenza vaccination in the past year. The flu vaccination was more likely for female or older respondents. Sixty percent of respondents 65 and older had a pneumonia vaccination.

Health Risk Factors Key Findings

Out of nine health conditions listed, high blood cholesterol or high blood pressure was the most often treated condition in the past three years. Currently having asthma was third. Older respondents were more likely to report several of the health conditions including high blood cholesterol, high blood pressure, heart disease/condition or diabetes. Respondents with some post high school education or less were more likely to report high blood pressure. When household income was lower, the prevalence of high blood pressure or diabetes was higher. Overweight respondents were more likely to report high cholesterol or high blood pressure.

Four percent of respondents reported always or nearly always feeling sad, blue or depressed in the past 30 days; respondents with a high school education or less, a household income of less than $30,001 or unmarried respondents were more likely to report this. Twenty-three percent felt they were excellent at managing stress. Four percent reported they never or seldom find meaning and purpose in their daily life. One percent of respondents felt so overwhelmed in the past year they considered suicide.

Behavioral Risk Factors Key Findings

Out of six alternative treatments listed, chiropractor care or massage therapy were the most often mentioned treatments in the past three years (18% and 16%, respectively). Female respondents were more likely to report massage therapy or movement therapy in the past three years. Respondents with more education were more likely to report massage therapy or meditation.

Twenty-five percent of respondents met the recommended amount of moderate physical activities on a weekly basis. Sixteen percent were classified as inactive. Female respondents, with high school education or less, with a household income of $30,000 or less or respondents who were not overweight were more likely to meet the recommended activity level. Fifty-nine percent of respondents were classified as overweight (42% overweight and 17% obese). Respondents who were male, physically inactive or who did not meet the recommended amount of physical activity, 55 to 64 years old or married were more likely to be classified as overweight.

Seventy-one percent of respondents eat two or more servings of fruit while 28% eat three or more servings of vegetables on an average day. Female respondents were more likely to eat fruit or vegetables. Respondents with some post high school education were more likely to eat vegetables. Respondents who were not overweight or did the recommended amount of physical activities were more likely to eat fruit. Forty-two percent of respondents eat fried/fast food at least a few times a week; males, younger respondents, those with an income of $30,001 or more, married or those classified as overweight were more likely to report this.

Eighty-nine percent of women 50 years old or older reported a mammogram within the past two years. Eighty-eight percent of respondents reported a pap smear within the past three years. Respondents who were 35 to 54 years old, with higher education, with higher household income or married were more likely to have had a pap smear within the past three years.

Twenty-three percent of males 40 to 49 years old and 42% of males 50 and older had a digital rectal exam in the past year.

Forty-seven percent of respondents 50 years of age and older had their blood stool tested within the past two years while 35% reported a sigmoidoscopy or colonoscopy within the past two years.

To reduce the risk of skin cancer, respondents were more likely to regularly avoid artificial ultraviolet light or use sunscreen with a SPF of at least 15 than wear sun protective clothing or avoid the sun between 10 a.m. and 4 p.m. Female respondents reported using sunscreen with a SPF of at least 15 or avoiding the sun between 10 a.m. and 4 p.m. more often than male respondents. Respondents 55 to 64 years old or those with a household income of less than $30,001 reported avoiding the sun more often. Respondents with more education were more likely to report avoiding artificial UV light, using sunscreen or wearing sun protective clothing. Married respondents reported using sunscreen more often the unmarried respondents.

Ninety-two percent of respondents wore seat belts always or nearly always. Female respondents, those 65 and older or married respondents were more likely to always wear seat belts. More respondents who had children indicated their children always wore seat belts. Of those respondents who ride a bike, in-line skate or use a scooter, 34% reported they always or nearly always wore a helmet. Of respondents who have children who ride a bike, in-line skate, roller skate, skateboard or ride a scooter, 58% reported their child always wears a helmet.

Sixteen percent of respondents were current smokers. Unmarried respondents were more likely to be smokers. Thirty-seven percent of current smokers quit smoking for one day or longer in the past 12 months; 53% reported a health professional advised them to quit smoking. Nine percent of households had a smoker who smokes indoors at home or smokes in their vehicle when others are present. Seventy-five percent of all respondents preferred a smoke-free restaurant. Sixty-seven percent favored a community ordinance prohibiting smoking in eating establishments. College graduates, married respondents or nonsmokers were more likely to prefer a smoke-free restaurant. Female respondents or nonsmokers were more likely to favor an ordinance to prohibit smoking in eating establishments.

Sixty-nine percent of respondents had an alcoholic drink in the past 30 days. In the past month, 27% had three or more drinks at least on one occasion while 16% binged. Generally, male respondents, younger respondents or those with a high school education or less were more likely to have reported three or more drinks on more occasions or binged at least once in the past month. Two percent reported they had been a driver or a passenger when the driver perhaps had too much to drink. Four percent of respondents reported someone in their family had experienced a problem in connection with drinking in the past year.

Ninety-nine percent of households had a working smoke alarm while 44% had a working carbon monoxide detector. Married households were more likely to have both a smoke alarm and a carbon monoxide detector.

Thirty-one percent of households had a firearm in their household. Married households or households with higher income were more likely to have a firearm. Of all households, 1% had a firearm loaded. Less than one percent of all households had a firearm loaded and unlocked.

Three percent of respondents reported someone had made them afraid for their personal safety while less than one percent reported they had been pushed, kicked, hit or slapped in the past year.

 

Additional Questions Key Findings

Out of five factors for not exercising, time was most often reported as a major factor (30%) followed by motivation (17%). Respondents 55 to 64 years old were more likely to report health problems or safety concerns as a major/moderate factor while younger respondents were more likely to report time. Reporting time, safety concerns or health problems as a major/moderate factor varied by education level as well as household income level. Unmarried respondents were more likely to report health problems. Respondents who were physically inactive were more likely to report safety concerns while respondents with an insufficient amount of physical activity were more likely to report time.

Six percent of respondents reported they were a primary caregiver for an elderly or disabled person but not employed as their caregiver.

Ten percent of respondents reported using the new Ozaukee County Urban Trail at least once a week. Male respondents, those 35 to 44 years old, with some post high school education, with a household income of $30,001 to $60,000 were more likely to have used the trail at all.

 

 

Rating Their Own Health (Figure 1; Table 2)

KEY FINDING: Sixty-eight percent of respondents reported their health as excellent or very good. Respondents who were 55 and older, with a household income of $30,000 or less, not married or physically inactive were more likely to report fair or poor conditions.

Fifty-seven percent of Wisconsin residents reported their health as excellent or very good while 11% reported fair or poor. Fifty-six percent of respondents nationwide reported their health as excellent or very good while 14% reported fair or poor (2001 Behavioral Risk Factor Surveillance).

Sixty-eight percent of respondents said their own health, generally speaking, was either excellent (31%) or very good (37%). A total of 8% reported their health was fair (6%) or poor (2%).

 

Respondents 65 and older or 55 to 64 years old were more likely to report fair or poor (15% and 13%, respectively) compared to all other age categories (5% to 7%).

Respondents with a household income of $30,000 or less were more likely to report fair/poor health than those with a household income of more than $60,000 (14% and 5%, respectively). Seventy-seven percent of respondents with a household income of more than $60,000 reported their health condition as excellent/very good, in contrast to 54% who had $30,000 or less.

Unmarried respondents were more likely to report fair or poor (12%) compared to married respondents (6%). Married respondents were more likely to report their health excellent (35%) compared to unmarried respondents (22%).

Inactive respondents were more likely to report fair or poor (19%) than respondents who do some physical activity, but not the recommended amount (6%) or those who do the recommended amount (5%). Respondents who engage in the recommended amount of physical activity were more likely to report their health as excellent/very good (69%) compared to respondents classified as inactive (48%).

Table 2. Rate Own Health by Demographic Variables

 

Fair or Poor

Good

Very Good

Excellent

TOTAL

8%

24%

37%

31%

         

Gender

       

Male

7

23

38

32

Female

9

25

36

30

         

Age*

       

18 to 34

6

18

38

38

35 to 44

5

21

38

37

45 to 54

7

18

44

31

55 to 64

13

32

32

22

65 and Older

15

35

28

22

         

Education

       

High School or Less

9

30

37

23

Some Post High School

7

25

39

29

College Graduate

7

19

37

37

         

Household Income*

       

$30,000 or Less

14

32

24

30

$30,001 to $60,000

7

26

41

26

$60,001 or More

5

18

41

36

         

Marital Status**

       

Married

6

21

38

35

Not Married

12

31

35

22

         

Overweight

       

Not Overweight

5

24

33

37

Overweight

11

23

40

26

         

Physical Activity**

       

Inactive

19

34

23

25

Insufficient

6

21

42

31

Recommended

5

25

34

35

         

Smoker

       

Nonsmoker

8

23

36

33

Smoker

7

31

44

19

*= p£ 0.05; **= p£ 0.01

Health Care Coverage (Figure 2)

KEY FINDING: Two percent of respondents reported they personally did not have health care coverage. Seven percent reported someone in their household currently was not covered while 11% reported in the past 12 months someone was not covered. Respondents with a household income of less than $30,001 or unmarried respondents were more likely to have someone currently not covered or in the past twelve months. Seventy-five percent of respondents reported their primary place for health services was from a medical doctor, internist, OBGYN or family practice; female respondents were more likely to report this. Thirty-four percent of respondents had an advance care plan; female or older respondents were more likely to report this.

 

Personally Not Covered

In 2001, 10% of respondents in Wisconsin reported they personally did not have health insurance. Thirteen percent of the nation reported so (2001 Behavioral Risk Factor Surveillance).

Two percent of respondents reported they were not currently covered by any health insurance. Fifty-seven percent of respondents indicated they were personally covered by a prepaid plan such as a health maintenance organization (HMO) or preferred provider organization (PPO). Sixteen percent reported another commercial plan, 14% reported Medicare and 1% reported medical assistance.

 

Someone in Household Currently Not Covered

Seven percent of all respondents indicated someone in their household was not covered by insurance. This equates to approximately 2,170 households.

Fourteen percent of respondents with a household income of $30,000 or less reported someone in their household was not covered compared to 5% of respondents with a household income of $30,001 or more.

Unmarried respondents were more likely to have someone not covered (14%) compared to married respondents (4%).

Someone in Household Not Covered in the Past 12 Months

Eleven percent of all respondents indicated someone in their household was not covered by insurance in the past 12 months.

Eighteen percent of respondents with a household income of $30,000 or less reported someone in the household not covered in the past 12 months compared to 14% of those with a household income of $30,001 to $60,000 and 6% of those with $60,001 or more.

Unmarried respondents were more likely to report someone not covered in the past 12 months (20%) compared to married respondents (8%).

Primary Health Care Services

Seventy-five percent of respondents reported they get most of their health care services from a medical doctor, internist, OBGYN, or family practice. Seventeen percent reported walk-in or urgent care while 3% reported hospital emergency room and 2% reported community health center.

Female respondents were more likely to report medical doctor, internist, OBGYN or family practice (80%) compared to male respondents (69%).

Advance Care Plan

Thirty-four percent of respondents reported they had an advance care plan stating their end of life health care wishes.

Female respondents were more likely to report they had an advance care plan (36%) compared to male respondents (31%).

Older respondents were more likely to report having an advance care plan. Twelve percent of respondents 18 through 34 years old reported this compared to 36% of respondents 35 to 44 years old, 37% of those 45 to 64 years old and 50% of those 65 and older.

 

 

 

Routine Checkups (Tables 3 - 6)

KEY FINDING: Eighty-two percent of all respondents reported a visit to the dentist in the past year while 62% reported having a routine medical checkup, 56% cholesterol test and 52% reported an eye exam. Female respondents were more likely to report a routine checkup in the past year or an eye exam in the past two years. Respondents 65 and older were more likely to report a routine checkup, cholesterol test, or eye exam in the past year. Respondents with some post high school education were more likely to report a routine medical checkup in the past year. Respondents with a household income of $30,000 or less were more likely to report having a cholesterol test in the past year. Married respondents were more likely to report having a cholesterol test in the past two years while unmarried respondents were more likely to report having an eye exam in the past year or two years.

Routine Checkup

Sixty-five percent of Wisconsin respondents reported in the past year they had a routine checkup, 14% past two years, 9% past five years and 11% five or more years ago. Nationally, 72% reported past year, 12% past two years, 7% past five years and 8% five or more years ago (2000 Behavioral Risk Factor Surveillance).

Sixty-two percent of residents reported they had a routine checkup in the past year. An additional 26% had a checkup in the past one to two years.

Female respondents were more likely to report they had a routine checkup in the past year (70%) than male respondents (53%).

Respondents 65 and older were more likely to report a routine checkup in the past year (87%) compared to respondents 35 to 44 years old (51%) and all other age categories (60% each).

Respondents with some post high school education were more likely to report a routine checkup in the past year (72%) compared to respondents with a high school education or less (67%) and those with a college education (55%).

 

Table 3. Routine Checkup by Demographic Variables

 

 

<1 Yr Ago

1 to 2 Years Ago

3 to 4 Years Ago

5 or More Years Ago

 

Never

TOTAL

62%

26%

5%

6%

<1%

           

Gender**

         

Male

53

30

8

9

2

Female

70

23

3

3

<1

           

Age**

         

18 to 34

60

30

6

4

0

35 to 44

51

38

5

3

2

45 to 54

60

22

8

9

1

55 to 64

60

19

6

13

2

65 and Older

87

10

0

3

0

           

Education*

         

High School or Less

67

22

3

7

<1

Some Post High School

72

16

5

7

0

College Graduate

55

33

6

4

2

           

Household Income

         

$30,000 or Less

75

17

3

5

0

$30,001 to $60,000

61

26

5

7

1

$60,001 or More

57

32

6

3

1

           

Marital Status

         

Married

64

27

4

5

1

Not Married

59

24

8

8

<1

*= p£ 0.05; **= p£ 0.01

 

Cholesterol Test

Forty-eight percent of Wisconsin respondents reported in the past year they had their cholesterol checked (2001 Behavioral Risk Factor Surveillance).

Fifty-six percent of respondents reported having their cholesterol tested within the past year. Twenty-two percent reported one to two years ago. Thirteen percent reported never having their cholesterol tested.

Respondents 18 to 44 years old were less likely to have had their cholesterol tested in the past year (44%) compared to all other age categories (range 60% to 78%).

Respondents with a household income of less than $30,001 were more likely to report having a cholesterol test (65%) compared to respondents with a household income of $30,001 to $60,000 (55%) and $60,001 or more (51%).

Married respondents were more likely to report a cholesterol test in the past two years (82%) compared to unmarried respondents (68%).

Table 4. Cholesterol Test by Demographic Variables

 

 

<1 Yr Ago

1 to 2 Years Ago

3 to 4 Years Ago

5 or More Years Ago

 

Never

TOTAL

56%

22%

5%

4%

13%

           

Gender

         

Male

51

23

6

5

15

Female

60

21

4

3

11

           

Age**

         

18 to 34

44

16

4

0

35

35 to 44

44

32

8

6

9

45 to 54

60

21

6

3

9

55 to 64

66

21

0

4

9

65 and Older

78

12

2

5

3

           

Education

         

High School or Less

60

18

4

4

13

Some Post High School

57

20

2

1

19

College Graduate

54

25

6

4

10

           

Household Income*

         

$30,000 or Less

65

12

3

6

13

$30,001 to $60,000

55

23

2

4

16

$60,001 or More

51

25

9

2

10

           

Marital Status**

         

Married

57

25

5

4

9

Not Married

53

15

4

3

24

*= p£ 0.05; **= p£ 0.01

 

Dental Checkup

Counseling patients to visit a dental care provider on a regular basis as well as floss, use fluoride properly, et cetera is recommended.

In 1999, 75% of Wisconsin residents reported they visited the dentist or dental clinic within the past year for any reason. Sixty-eight percent of nation reported this (1999 Behavioral Risk Factor Surveillance).

Eighty-two percent of residents reported a dental visit in the past year. An additional 14% had a visit in the past one to two years.

There were no statistically significant differences between demographic variables and having a dental visit in the past year.

 

Table 5. Dental Checkup by Demographic Variables

 

 

<1 Yr Ago

1 to 2 Years Ago

3 to 4 Years Ago

5 or More Years Ago

 

Never

TOTAL

82%

14%

2%

3%

0%

           

Gender

         

Male

81

14

3

2

0

Female

82

14

<1

3

0

           

Age

         

18 to 34

76

21

1

3

0

35 to 44

84

14

1

0

0

45 to 54

85

12

1

2

0

55 to 64

78

13

4

6

0

65 and Older

82

12

0

7

0

           

Education

         

High School or Less

76

18

<1

5

0

Some Post High School

81

17

2

0

0

College Graduate

85

11

2

2

0

           

Household Income

         

$30,000 or Less

75

17

1

6

0

$30,001 to $60,000

84

14

<1

2

0

$60,001 or More

81

16

2

1

0

           

Marital Status

         

Married

81

15

2

3

0

Not Married

82

14

<1

2

0

*= p£ 0.05; **= p£ 0.01

Eye Exam

Fifty-two percent of respondents had an eye exam in the past year, while 31% reported one to two years ago. Three percent reported never.

Female and male respondents were somewhat similar in having an eye exam in the past year (54% and 50% respectively) but when looking at an exam within the past two year there was a greater difference; 87% of female respondents and 79% of male respondents reported an exam within the past two years.

Sixty-three percent of respondents 65 and older and 60% of respondents 18 to 34 years old reported having an eye exam in the past year, compared to 43% of respondents 35 to 44 years old, 44% of those 55 to 64 years old and 51% of respondents 45 to 54 years old.

Unmarried respondents were more likely to have had an eye exam in the past year (64%) compared to married respondents (47%).

 

 

Table 6. Eye Exam by Demographic Variables

 

 

<1 Yr Ago

1 to 2 Years Ago

3 to 4 Years Ago

5 or More Years Ago

 

Never

TOTAL

52%

31%

8%

6%

3%

           

Gender*

         

Male

50

29

8

10

4

Female

54

33

7

3

3

           

Age**

         

18 to 34

60

18

7

14

1

35 to 44

43

35

11

5

6

45 to 54

51

34

4

6

6

55 to 64

44

39

11

4

2

65 and Older

63

30

5

2

0

           

Education

         

High School or Less

52

27

11

5

4

Some Post High School

59

31

4

3

2

College Graduate

49

34

7

8

3

           

Household Income

         

$30,000 or Less

51

33

13

1

3

$30,001 to $60,000

56

30

6

6

2

$60,001 or More

48

31

6

10

6

           

Marital Status**

         

Married

47

32

10

8

3

Not Married

64

30

3

<1

3

*= p£ 0.05; **= p£ 0.01

 

 

Vaccinations (Figure 3; Table 7)

KEY FINDING: Thirty-nine percent of respondents had an influenza vaccination in the past year. The flu vaccination was more likely for female or older respondents. Sixty percent of respondents 65 and older had a pneumonia vaccination.

Influenza Vaccination

Thirty-three percent of Wisconsin respondents reported in the past 12 months they had a flu shot. Nationally, 32% reported this (2001 Behavioral Risk Factor Surveillance).

Thirty-nine percent of respondents had a flu vaccination in the past year.

Female respondents were more likely to report receiving a flu vaccination (46%) compared to male respondents (31%).

Older respondents were more likely to report receiving a flu vaccination; especially those 65 and older (73%) compared to respondents 18 to 34 years old (28%) or those 35 to 44 years old (29%).

Table 7. Flu Vaccination by Demographic Variables

 

Percent

TOTAL

39%

   

Gender**

 

Male

31

Female

46

   

Age**

 

18 to 34

28

35 to 44

29

45 to 54

32

55 to 64

45

65 and Older

73

   

Education

 

High School or Less

37

Some Post High School

46

College Graduate

37

   

Household Income

 

$30,000 or Less

41

$30,001 to $60,000

41

$60,001 or More

32

   

Marital Status

 

Married

37

Not Married

43

*= p£ 0.05; **= p£ 0.01

Pneumonia Vaccination

Sixty-six percent of Wisconsin respondents 65 and older and 61% of respondents nationwide reported they have received a pneumonia shot (2001 Behavioral Risk Factor Surveillance).

Twenty percent of all respondents had a pneumonia vaccination.

Sixty percent of respondents who were 65 and older reported they received a pneumonia vaccination.

 

 

 

Prevalence of Select Health Conditions (Figure 4; Table 8)

Respondents were asked a series of questions regarding if they had been told or been treated for several different health conditions in the past three years. Current diagnosis of asthma was asked.

KEY FINDING: Out of nine health conditions listed, high blood cholesterol or high blood pressure were the most often treated conditions in the past three years. Currently having asthma was third. Older respondents were more likely to report several of the health conditions including high blood cholesterol, high blood pressure, heart disease/condition or diabetes. Respondents with some post high school education or less were more likely to report high blood pressure. When household income was lower, the prevalence of high blood pressure or diabetes was higher. Overweight respondents were more likely to report high cholesterol or high blood pressure.

Respondents were more likely to report they have been told or been treated for high cholesterol (22%), high blood pressure (21%), asthma (current, 7%), heart disease/heart condition (6%) or diabetes (6%).

 

Typically, the likelihood of being told or treated for high blood cholesterol, high blood pressure, heart disease/condition or diabetes increased as age increased.

Respondents with some post high school education or less were more likely to report high blood pressure.

Respondents with lower household income reported high blood pressure or diabetes more often.

Respondents who were considered overweight were more likely to report high blood cholesterol or high blood pressure.

 

 

 

 

 

Table 8. Told or Received Treatment in the Past Three Years by Demographic Variables

 

High Blood Cholesterol

High Blood Pressure

Heart Disease/Condition

Asthma

(Current)

 

Diabetes

TOTAL

22%

21%

6%

7%

6%

           

Gender

         

Male

22

22

4

6

9

Female

22

20

7

7

4

           

Age

         

18 to 34

5**

0**

0**

8

1**

35 to 44

22**

13**

4**

5

3**

45 to 54

23**

13**

2**

12

1**

55 to 64

28**

43**

8**

4

6**

65 and Older

38**

53**

13**

2

20**

           

Education

         

High School or Less

21

27*

8

4

9

Some Post High School

25

26*

8

3

6

College Graduate

21

15*

3

9

4

           

Household Income

         

$30,000 or Less

23

30*

9

4

9*

$30,001 to $60,000

18

21*

6

4

7*

$60,001 or More

24

14*

3

10

2*

           

Marital Status

         

Married

25

20

5

7

5

Not Married

16

24

8

5

9

           

Overweight

         

Not Overweight

13**

15**

7

10

3

Overweight

26**

26**

4

5

8

           

Physical Activity

         

Inactive

19

28

6

8

5

Insufficient

23

20

6

7

6

Recommended

20

20

4

6

8

*= p£ 0.05; **= p£ 0.01

 

Diabetes

All 23 respondents who reported being diagnosed with diabetes have had their blood sugar tested in the past year.

Asthma

Of the 26 respondents who currently have asthma, 75% have an asthma action plan.

Prevalence of Select Alternative Treatments (Figure 5; Table 9)

Respondents were asked a series of questions regarding if they received several different alternative treatments in the past three years.

KEY FINDING: Out of six alternative treatments listed, chiropractor care or massage therapy were the most often mentioned treatments in the past three years (18% and 16%, respectively). Female respondents were more likely to report massage therapy or movement therapy in the past three years. Respondents with more education were more likely to report massage therapy or meditation.

Respondents were more likely to have reported the use of chiropractic care (18%) or massage therapy (16%) in the past three years.

 

Female respondents were more likely to have reported massage therapy in the past three years (20%) compared to male respondents (11%). They also were more likely to have reported movement therapy in the past three years (7%) compared to male respondents (2%).

Twenty-one percent of respondents with a college degree or more reported massage therapy compared to 16% of those with some post high school education and 8% of those with a high school education or less. College graduates were also more likely to report meditation (12%) compared to some post high school education (9%) and high school education or less (3%).

Table 9. Received Alternative Treatment in the Past Three Years by Demographic Variables

 

 

Chiropractor

Massage Therapy

 

Meditation

Movement Therapy

Aroma

Therapy

TOTAL

18%

16%

8%

5%

5%

           

Gender

         

Male

18

11*

6

2*

2

Female

18

20*

10

7*

7

           

Age

         

18 to 34

10

18

5

5

13

35 to 44

23

19

9

6

4

45 to 54

23

22

10

7

3

55 to 64

13

6

6

6

0

65 and Older

13

12

8

3

3

           

Education

         

High School or Less

17

8*

3*

2

3

Some Post High School

17

16*

9*

7

6

College Graduate

18

21*

12*

6

5

           

Household Income

         

$30,000 or Less

15

12

8

3

1

$30,001 to $60,000

14

16

10

5

5

$60,001 or More

21

19

8

6

8

           

Marital Status

         

Married

19

17

8

5

4

Not Married

14

13

9

4

6

*= p£ 0.05; **= p£ 0.01

 

 

 

Physical Well Being and Body Weight (Figure 6; Tables 10 & 11)

KEY FINDING: Twenty-five percent of respondents met the recommended amount of moderate physical activities on a weekly basis. Sixteen percent were classified as inactive. Female respondents, with high school education or less, with a household income of $30,000 or less or respondents who were not overweight were more likely to meet the recommended activity level. Fifty-nine percent of respondents were classified as overweight (42% overweight and 17% obese). Respondents who were male, physically inactive or who did not meet the recommended amount of physical activity, 55 to 64 years old or married were more likely to be classified as overweight.

Physical Activities in Past Month

Eighty-one percent reported they participated in any physical activity or exercise such as running, calisthenics, golfing, gardening or walking in the past month.

Moderate Physical Activities in Usual Week

Moderate physical activity is recommended by the Centers for Disease Control and Prevention/American College of Sports Medicine for at least 30 minutes on five or more days of the week. Moderate physical activity includes walking briskly, mowing the lawn, vacuuming, gardening, dancing, swimming or bicycling on level terrain. A person should feel some exertion but should be able to carry on a conversation comfortably during the activity.

In 2000, 22% of Wisconsin residents were classified as inactive. Fifty-one percent had insufficient physical activity while 27% met the recommended amount of physical activity. In the nation, 28% were classified as inactive, 46% insufficient and 26% recommended (2000 Behavioral Risk Factor Surveillance).

Twenty-five percent of all respondents were classified as doing the recommended amount of physical activities in a typical week. Fifty-nine percent do some activities, but not to the extent of the recommendation while 16% were classified as inactive.

 

Female respondents were more likely to meet the recommended amount of physical activities in a week (30%) compared to male respondents (19%).

Twenty-eight percent of respondents with a high school education or less met the recommended amount of moderate physical activities in a week compared to 22% of respondents with some post high school education and 25% of college graduates. However, respondents with a high school education or less were also quite likely to be inactive.

Respondents with a household income of less than $30,001 were more likely to meet the recommendation (30%) compared to respondents with an income of $60,001 or more (25%) and those with $30,001 to $60,000 (21%). However, respondents with lower household income were also more likely to report being inactive.

Unmarried respondents were slightly more likely to meet the recommendation than married respondents (27% and 24%, respectively). However, unmarried respondents were more likely to be inactive (24%) than married respondents (13%).

Respondents who were not overweight were more likely to meet the recommended amount of physical activities in a week (32%) compared to overweight respondents (20%).

Table 10. Moderate Physical Activities in a Typical Week by Demographic Variables

 

Inactive

Insufficient

Recommended

TOTAL

16%

59%

25%

       

Gender*

     

Male

15

66

19

Female

18

53

30

       

Age

     

18 to 34

18

53

29

35 to 44

10

66

24

45 to 54

12

69

19

55 to 64

20

44

35

65 and Older

22

54

24

       

Education**

     

High School or Less

21

52

28

Some Post High School

24

53

22

College Graduate

10

65

25

       

Household Income**

     

$30,000 or Less

31

40

30

$30,001 to $60,000

16

63

21

$60,001 or More

7

68

25

       

Marital Status**

     

Married

13

63

24

Not Married

24

49

27

       

Overweight*

     

Not Overweight

13

55

32

Overweight

16

65

20

*= p£ 0.05; **= p£ 0.01

 

Body Weight

Being overweight contributes to many health problems. One nationally used definition of overweight is when a person’s body mass index (BMI) is greater or equal to 25.0. A BMI of 30.0 or more is considered obese. Body Mass Index is calculated by using kilograms/meter2. Throughout the report, the category "overweight" includes both overweight and obese respondents.

Fifty-nine percent of Wisconsinites were classified as at least overweight in 2001 (37% overweight, 22% obese). Sixty-six percent of males in Wisconsin were classified as at least overweight while 52% of females were. In the nation, 58% were classified as at least overweight (37% overweight and 21% obese) (2001 Behavioral Risk Factor Survey).

According to the definition, Ozaukee County had 59% of residents considered overweight (42% overweight and 17% obese).

Male respondents were more likely to be classified as overweight (74%) compared to female respondents (46%).

Respondents 55 to 64 years old were more likely to be classified as overweight (76%) compared to respondents 18 to 34 years old (47%).

Married respondents were more likely to be classified as overweight (63%) compared to unmarried respondents (52%).

Forty-seven percent of respondents with the recommended amount of physical activities were classified as overweight compared to all other categories (63% and 64%).

Table 11. Overweight by Demographic Variables

 

Percent

TOTAL

59%

   

Gender**

 

Male

74

Female

46

   

Age*

 

18 to 34

47

35 to 44

64

45 to 54

56

55 to 64

76

65 and Older

60

   

Education

 

High School or Less

62

Some Post High School

57

College Graduate

59

   

Household Income

 

$30,000 or Less

56

$30,001 to $60,000

60

$60,001 or More

61

   

Marital Status*

 

Married

63

Not Married

52

   

Moderate Physical Activities*

 

Inactive

64

Insufficient

63

Recommended

47

*= p£ 0.05; **= p£ 0.01

Nutrition and Diet (Tables 12 & 13)

KEY FINDING: Seventy-one percent of respondents eat two or more servings of fruit while 28% eat three or more servings of vegetables on an average day. Female respondents were more likely to eat fruit or vegetables. Respondents with some post high school education were more likely to eat vegetables. Respondents who were not overweight or did the recommended amount of physical activities were more likely to eat fruit. Forty-two percent of respondents eat fried/fast food at least a few times a week; males, younger respondents, those with an income of $30,001 or more, married or those classified as overweight were more likely to report this.

Fruit Intake

Based on the USDA dietary guidelines, at a minimum, adults should have two servings of fruit each day. Age, gender and activity level may increase the recommended number of servings.

Seventy-one percent of respondents eat two or more servings of fruit per day. Twenty-eight percent reported one serving or less.

Female respondents were more likely to eat two or more servings of fruit per day compared to male respondents (83% and 59%, respectively).

Respondents who were not overweight were more likely to eat two or more servings of fruit per day (78%) compared to those classified as overweight (65%).

Respondents who met the recommended amount of physical activities were more likely to eat fruits at least twice a day (82%) compared to inactive respondents (66%).

Vegetable Intake

Based on the USDA dietary guidelines, at a minimum, adults should have three servings of vegetables each day. Age, gender and activity level may increase the recommended number of servings.

Twenty-eight percent of respondents eat three or more servings of vegetables per day. Seventy-one percent reported two servings or less.

Female respondents were more likely to eat three or more servings of vegetables per day compared to male respondents (36% and 19%, respectively).

Respondents who had some post high school education were more likely to eat vegetables at least three times a day (36%) compared to respondents with a high school education or less (18%).

 

Table 12. Fruit and Vegetable Servings on Average Day by Demographic Variables

 

Fruit Servings

Vegetable Servings

 

1 or Less

2 or More

2 or Less

3 or More

TOTAL

28%

71%

71%

28%

         

Gender

       

Male

42**

59**

79**

19**

Female

17**

83**

65**

36**

         

Age

       

18 to 34

22

78

69

31

35 to 44

31

68

71

28

45 to 54

36

64

79

22

55 to 64

36

64

70

24

65 and Older

18

82

68

32

         

Education

       

High School or Less

34

66

80*

18*

Some Post High School

27

72

64*

36*

College Graduate

25

75

69*

31*

         

Household Income

       

$30,000 or Less

28

72

62

34

$30,001 to $60,000

26

74

71

29

$60,001 or More

32

67

76

23

         

Marital Status

       

Married

28

71

71

29

Not Married

28

72

71

26

         

Overweight

       

Not Overweight

23*

78*

70

29

Overweight

34*

65*

74

25

         

Moderate Physical Activities

       

Inactive

32*

66*

71

29

Insufficient

31*

69*

73

27

Recommended

18*

82*

65

32

*= p£ 0.05; **= p£ 0.01

 

Fried Food/Fast Food Intake

Five percent of respondents eat foods such as hamburgers, French fries, hot dogs, pizza, tacos or fried chicken daily or nearly so. Thirty-seven percent reported a few times per week. Forty-two percent reported a few times per month while 16% reported hardly ever or never.

Male respondents were more likely to report eating fried/fast foods at least a few times per week (56%) compared to female respondents (31%).

Fifty-five percent of respondents 18 to 34 years old reported eating fried/fast food at least a few times per week compared to 37% of those 55 to 64 years old and 25% of those 65 and older.

Respondents with a household income of at least $30,001 were more likely to eat fried/fast foods at least a few times per week (46%) compared to households with $30,000 or less (30%).

Married respondents were more likely to eat fried/fast foods at least a few times per week (45%) compared to unmarried respondents (36%).

Respondents who were classified as overweight were more likely to eat fried/fast foods at least a few times per week (48%) compared to not overweight respondents (34%).

Table 13. Frequency of Eating Fried/Fast Food by Demographic Variables

 

Few Times Per Month

At Least A Few Times Per Week

TOTAL

42%

42%

     

Gender**

   

Male

34

56

Female

48

31

     

Age**

   

18 to 34

31

55

35 to 44

46

44

45 to 54

44

43

55 to 64

37

37

65 and Older

48

25

     

Education

   

High School or Less

39

43

Some Post High School

46

38

College Graduate

42

44

     

Household Income*

   

$30,000 or Less

45

30

$30,001 to $60,000

37

46

$60,001 or More

43

46

     

Marital Status*

   

Married

42

45

Not Married

40

36

     

Overweight**

   

Not Overweight

41

34

Overweight

42

48

     

Moderate Physical Activities

   

Inactive

40

40

Insufficient

44

43

Recommended

35

42

*= p£ 0.05; **= p£ 0.01

Women’s Health (Tables 14 & 15)

KEY FINDING: Eighty-nine percent of women 50 years old or older reported a mammogram within the past two years. Eighty-eight percent of respondents reported a pap smear within the past three years. Respondents who were 35 to 54 years old, with higher education, with higher household income or married were more likely to have had a pap smear within the past three years.

Mammogram

Routine screening for breast cancer every one to two years with mammography is recommended for women aged 50 to 69. There is insufficient evidence to recommend for or against routine mammography for women aged 40 to 49 or aged 70 and older.

Sixty-nine percent of Wisconsin women 50 years of age or older reported they had a mammogram in the past year (2001 Behavioral Risk Factor Surveillance).

Twenty-seven percent of all female respondents never had a mammogram while 65% had a mammogram within the past two years (51% within past year and 14% more than one year but less than two years).

More specifically, respondents aged 40 and older were very likely to have received a mammogram in the past two years (89% of those 50 and older; 74% of those 40 to 49 years of age).

o Of the respondents who were 40 and older, the most often cited reason they did not get a mammogram within the past three years included: too young (six responses), don’t need (four responses) or not recommended by provider (three responses).

Table 14. Time Since Last Mammogram by Age

 

Within Past Year

Within Past 2 Years

(1 Year; Less than 2)

2 or More

Years Ago

 

Never

TOTAL

51%

14%

9%

27%

         

Age**

       

18 to 39

22

3

7

68

40 to 49

50

24

15

11

50 and Older

74

15

6

6

*= p£ 0.05; **= p£ 0.01

 

 

Pap Smear

Routine screening for cervical cancer with Papanicolaou (Pap) testing is recommended for all women who are or have been sexually active and who have a cervix. Pap smears should begin with the onset of sexual activity and should be repeated at least every three years. There is insufficient evidence to recommend for or against an upper age limit for Pap testing, but recommendations can be made on other grounds to discontinue regular testing after age 65 in women who have had regular previous screenings in which the smears have been consistently normal.

In Wisconsin, 66% of women reported they had a pap smear in the past year (2001 Wisconsin Behavioral Risk Factor Surveillance).

Sixty-three percent of respondents in Ozaukee County reported they had a pap smear within the past year. An additional 25% reported between one year and less than three years.

Respondents 65 and older were less likely to have had a pap smear within the past three years (67%) compared to respondents 35 to 44 years old (95%) or 45 to 54 years old (96%). Ten percent of respondents 18 to 34 years old reported not sure while 5% of respondents 65 and older reported never.

Seventy-one percent of respondents with a high school education or less have had a pap smear within the past three years compared to (92%) with some post high school education. Ninety-four percent of college graduates reported this.

As household income increased, so did the likelihood of a pap smear within the past year and past three years. Fifty-five percent of respondents with a household income of less than $30,001 had a pap smear in the past year compared to 62% of respondents with a household income $30,001 to $60,000 and 67% of respondents with an income of $60,001 or more. Eighty-four percent of respondents with a household income of $30,000 or less reported having a pap smear within the past three years compared to all other income categories (89% and 90%).

Married respondents were more likely to have had a pap smear within the past three years (93%) compared to unmarried respondents (75%).

Table 15. Time Since Last Pap Smear by Demographic Variables

 

Within Past Year

Within Past 2 Yrs

(1 Year; Less than 2)

Within Past 3 Yrs

(2 Years; Less than 3)

3 or More

Years Ago

 

Never

TOTAL

63%

21%

4%

10%

<1%

           

Age**

         

18 to 34

71

19

0

0

0

35 to 44

67

26

2

6

0

45 to 54

77

17

2

4

0

55 to 64

61

18

4

18

0

65 and Older

39

18

10

28

5

           

Education**

         

High School or Less

44

23

4

17

2

Some Post High School

75

17

0

9

0

College Graduate

66

22

6

6

1

           

Household Income**

         

$30,000 or Less

55

18

11

16

0

$30,001 to $60,000

62

24

3

11

1

$60,001 or More

67

22

1

3

0

           

Marital Status**

         

Married

72

18

3

7

0

Not Married

43

27

5

15

3

*= p£ 0.05; **= p£ 0.01

 

 

Men’s Health (Table 16)

KEY FINDING: Twenty-three percent of males 40 to 49 years old and 42% of males 50 and older had a digital rectal exam in the past year.

Routine screening for prostate cancer with digital rectal examinations, serum tumor markers (e.g., prostate-specific antigen), or transrectal ultrasound is not recommended by the U.S. Preventive Services Task Force. However, the American Cancer Society recommends an annual digital rectal examination beginning at age 40 and a serum PSA examination should become annual at age 50.

Digital Rectal Exam

Thirty-nine percent of all male respondents never had a digital rectal exam. Thirty percent had an exam in the past year while 15% reported within the past two years (one year but less than two years).

Forty-two percent of men 50 years of age and older had an exam less than a year ago while 23% of men 40 to 49 years old reported this.

Table 16. Time Since Last Digital Rectal Exam by Age

 

Within Past Year

Within Past 2 Years

(1 Year; Less than 2)

2 or More

Years Ago

 

Never

TOTAL

30%

15%

14%

39%

         

Age*

       

18 to 39

18

15

18

49

40 to 49

23

10

12

54

50 and Older

42

20

14

22

*= p£ 0.05; **= p£ 0.01

 

 

Other Tests (Tables 17 & 18)

KEY FINDING: Forty-seven percent of respondents 50 years of age and older had their blood stool tested within the past two years while 35% reported a sigmoidoscopy or colonoscopy within the past two years.

Screening for colorectal cancer is recommended for all persons aged 50 and older.

Blood Stool Test

Forty-eight percent of all respondents never had a blood stool test. Thirty-six percent were tested within the past two years (25% less than a year ago and 11% more than one year ago, but less than two).

Forty-seven percent of respondents 50 years old or older reported a blood stool test within the past two years compared to 30% of respondents 40 to 49 years of age and 27% of respondents 18 to 39 years old. Thirty-three percent of respondents 50 and older reported never compared to 63% of respondents 18 to 39 years old.

 

 

Table 17. Time Since Last Blood Stool Test by Demographic Variables

 

Within Past Year

Within Past 2 Years

(1 Year; Less than 2)

2 or More

Years Ago

 

Never

TOTAL

25%

11%

12%

48%

         

Gender

       

Male

22

14

11

48

Female

28

9

12

48

         

Age**

       

18 to 39

24

3

7

63

40 to 49

18

12

11

54

50 and Older

31

16

16

33

         

Education

       

High School or Less

29

14

13

41

Some Post High School

21

8

17

53

College Graduate

23

12

9

50

         

Household Income

       

$30,000 or Less

21

13

14

51

$30,001 to $60,000

33

8

12

42

$60,001 or More

22

10

10

53

         

Marital Status

       

Married

26

13

12

46

Not Married

23

7

11

53

*= p£ 0.05; **= p£ 0.01

 

Sigmoidoscopy or Colonoscopy Exam

Sixty-two percent of all respondents never had a sigmoidoscopy or colonoscopy exam. Twenty-two percent were examined within the past two years (15% less than a year ago and 7% more than one year ago, but less than two).

A total of 35% of respondents 50 years old or older reported a sigmoidoscopy or colonoscopy within the past two years compared to 13% of respondents 40 to 49 years of age and 11% of respondents 18 to 39 years old. Forty-one percent of respondents 50 and older reported never compared to 81% of respondents 18 to 39 years old.

A total of 23% of married respondents reported a sigmoidoscopy or colonoscopy within the past two years compared to 18% of unmarried respondents.

 

 

Table 18. Time Since Last Sigmoidoscopy or Colonoscopy by Demographic Variables

 

Within Past Year

Within Past 2 Yrs

(1 Year; Less than 2)

Within Past 5 Yrs

(2 Years; Less than 5)

5 or More

Years Ago

 

Never

TOTAL

15%

7%

8%

7%

62%

           

Gender

         

Male

14

8

7

7

62

Female

15

6

10

8

62

           

Age**

         

18 to 39

10

<1

4

2

81

40 to 49

9

4

6

9

74

50 and Older

22

13

12

12

41

           

Education

         

High School or Less

17

5

8

10

59

Some Post High School

19

6

8

7

61

College Graduate

12

8

8

7

63

           

Household Income

         

$30,000 or Less

17

8

9

14

52

$30,001 to $60,000

18

6

8

7

59

$60,001 or More

10

6

8

5

72

           

Marital Status*

         

Married

16

7

9

7

61

Not Married

11

7

6

9

64

*= p£ 0.05; **= p£ 0.01

 

 

Reducing the Risk of Skin Cancer (Figure 7; Table 19)

KEY FINDING: To reduce the risk of skin cancer, respondents were more likely to regularly avoid artificial ultraviolet light or use sunscreen with a SPF of at least 15 than wear sun protective clothing or avoid the sun between 10 a.m. and 4 p.m. Female respondents reported using sunscreen with a SPF of at least 15 or avoiding the sun between 10 a.m. and 4 p.m. more often than male respondents. Respondents 55 to 64 years old or those with a household income of less than $30,001 reported avoiding the sun more often. Respondents with more education were more likely to report avoiding artificial UV light, using sunscreen or wearing sun protective clothing. Married respondents reported using sunscreen more often the unmarried respondents.

To reduce the risk of skin cancer, 76% of respondents reported they regularly avoid artificial sources of ultraviolet light, 65% use sunscreen with a SPF of 15 or higher, 58% wear sun protective clothing while 41% avoid the sun between 10 a.m. and 4 p.m.

Eleven percent of respondents do not reduce their risk by any of these four measures. Fifteen percent reported one measure. Twenty percent reported two of the four actions while 30% reported three and 24% reported they do all four measures regularly.

 

Female respondents were more likely to report using sunscreen or avoiding the sun between 10 a.m. to 4 p.m. compared to male respondents.

Respondents 55 to 64 years old were more likely to report avoiding the sun from 10 a.m. to 4 p.m. (55%) than respondents 18 to 34 years old (32%) or all other age categories (range 41% to 47%).

Respondents with higher education were more likely to report avoiding artificial sources of UV light, using sunscreen or wearing sun protective clothing.

Respondents with a household income of less than $30,001 were more likely to report avoiding the sun between 10 a.m. to 4 p.m. (49%) than respondents with a household income of $30,001 to $60,000 (33%).

Married respondents were more likely to report the use sunscreen with SPF 15 or higher (70%) compared to unmarried respondents (54%).

 

Table 19. Reducing Risk of Skin Cancer (Regularly) by Demographic Variables

 

Avoid Artificial Sources of UV Light

Sunscreen with SPF 15 or Higher

Sun Protective Clothing

Avoid Sun 10 a.m. to 4 p.m.

TOTAL

76%

65%

58%

41%

         

Gender

       

Male

74

56**

55

32**

Female

81

73**

61

49**

Age

       

18 to 34

79

68

55

32**

35 to 44

79

73

57

41**

45 to 54

81

62

54

44**

55 to 64

68

55

57

55**

65 and older

87

67

72

47**

         

Education

       

High School or Less

69*

51**

48*

43

Some Post High School

76*

62**

56*

39

College Graduate

83*

75**

66*

42

         

Household Income

       

$30,000 or Less

75

65

65

49**

$30,001 to $60,000

74

64

55

33**

$60,001 or More

84

68

56

45**

         

Marital Status

       

Married

76

70*

57

40

Not Married

80

54*

61

46

*= p£ 0.05; **= p£ 0.01

 

 

Safety: Seat Belts and Bicycle Helmets (Tables 20 & 21)

KEY FINDING: Ninety-two percent of respondents wore seat belts always or nearly always. Female respondents, those 65 and older or married respondents were more likely to always wear seat belts. Ninety-six percent of respondents who had children indicated their children always wore seat belts. Of those respondents who ride a bike, in-line skate or use a scooter, 34% reported they always or nearly always wore a helmet. Of respondents who have children who ride a bike, in-line skate, roller skate, skateboard or ride a scooter, 58% reported their child always wears a helmet.

Seat Belts

Ninety-two percent of respondents stated they use seat belts always or nearly always (83% and 9%, respectively).

Females were more likely to report wearing seat belts always (90%) compared to male respondents (75%).

Respondents 18 to 34 years old or 55 to 64 years old were less likely to always wear seat belts (76% each) compared to respondents 45 to 54 years old (83%), 35 to 44 years old (84%) and 65 and older (93%).

Married respondents were more likely to report always wearing a seat belt (88%) compared to unmarried respondents (72%).

Table 20. Wear Seat Belt by Demographic Variables

 

Never

Seldom

Sometimes

Nearly Always

Always

TOTAL

5%

2%

1%

9%

83%

           

Gender**

         

Male

8

2

2

13

75

Female

1

1

<1

6

90

           

Age**

         

18 to 34

4

0

0

21

76

35 to 44

8

2

1

5

84

45 to 54

4

6

2

4

83

55 to 64

4

0

4

17

76

65 and older

0

0

2

3

93

           

Education

         

High School or Less

7

4

<1

8

80

Some Post High School

1

2

2

8

87

College Graduate

5

<1

2

10

83

           

Household Income

         

$30,000 or Less

3

0

1

8

89

$30,001 to $60,000

5

2

1

9

82

$60,001 or More

5

3

2

8

83

           

Marital Status**

         

Married

1

2

1

7

88

Not Married

12

2

2

12

72

*= p£ 0.05; **= p£ 0.01

 

Children and Seat Belts

Forty-six percent of respondents reported at least one child in the household.

Of the households who have children…

o Ninety-six percent of respondents reported their child always wears a seat belt, uses an infant seat or uses a car seat while 2% reported nearly always.

o There were no statistically significant differences between children wearing seat belts and household income level or marital status.

 

Bicycle Helmet Usage

Fifty-two percent of respondents ride a bike, used in-line roller skates or scooters.

Of respondents who ride a bike, use in-line roller skates or scooters…

o Thirty-four percent of respondents who bicycle, in-line roller skate or use scooters always (29%) or nearly always (5%) use a helmet. Fifty-one percent reported never.

o There were no statistically significant differences between demographic variables and respondents wearing a helmet.

Table 21. Helmet Usage by Demographic Variables (Of Those who Ride, In-line Skate or Scooter)

 

Never

Seldom

Sometimes

Nearly Always

Always

TOTAL

51%

4%

11%

5%

29%

           

Gender

         

Male

52

5

13

4

25

Female

51

2

9

5

34

           

Age

         

18 to 34

61

2

14

0

22

35 to 44

45

7

9

8

31

45 to 54

47

3

3

5

42

55 and older

53

0

21

3

21

           

Education

         

High School or Less

64

4

16

2

14

Some Post High School

44

8

8

8

32

College Graduate

47

2

9

5

37

           

Household Income

         

$30,000 or Less

61

0

17

8

14

$30,001 to $60,000

56

5

9

3

25

$60,001 or More

46

2

10

5

37

           

Marital Status

         

Married

49

3

10

5

31

Not Married

58

4

12

4

23

*= p£ 0.05; **= p£ 0.01

 

 

Children and Helmets

Forty percent of all respondents reported at least one child in the household and a child who rides/skates.

Of children who ride a bike, use in-line roller skates or a scooter…

o Fifty-eight percent of respondents reported their child always wears a helmet while 15% reported nearly always. Seventeen percent reported never.

o When looking at marital status and a child always wearing a helmet, married respondents were more likely to report their child always wearing a helmet (63%) compared to unmarried respondents (30%).

 

 

Cigarettes and Tobacco Products (Figure 8; Tables 22 & 23)

KEY FINDING: Sixteen percent of respondents were current smokers. Unmarried respondents were more likely to be smokers. Thirty-seven percent of current smokers quit smoking for one day or longer in the past 12 months; 53% reported a health professional advised them to quit smoking. Nine percent of households had a smoker who smokes indoors at home or smokes in their vehicle when others are present. Seventy-five percent of all respondents preferred a smoke-free restaurant. Sixty-seven percent favored a community ordinance prohibiting smoking in eating establishments. College graduates, married respondents or nonsmokers were more likely to prefer a smoke-free restaurant. Female respondents or nonsmokers were more likely to favor an ordinance to prohibit smoking in eating establishments.

Current Smokers

Twenty-four percent of adult Wisconsin residents and 23% of respondents throughout the nation were current smokers in 2001. In Wisconsin, 25% of males and 22% of females were classified as smokers. In the nation 25% were male and 21% were female. In Wisconsin, 33% of 18 to 34 year olds were smokers, 29% of 35 to 49 year olds, 19% of 50 to 64 year olds and 6% of 65 years of age or older (2001 Behavioral Risk Factor Surveillance).

Sixteen percent of respondents in Ozaukee County were current smokers. Three percent smoked between one and 29 days while the remaining 13% smoked every day.

Unmarried respondents were more likely to be smokers than married respondents (27% and 11%, respectively).

 

 

 

 

Table 22. Current Smokers by Demographic Variables

 

Percent

TOTAL

16%

   

Gender

 

Male

18

Female

13

   

Age

 

18 to 34

15

35 to 44

18

45 to 54

19

55 to 64

19

65 and older

7

   

Education

 

High School or Less

17

Some Post High School

18

College Graduate

14

   

Household Income

 

$30,000 or Less

15

$30,001 to $60,000

19

$60,001 or More

12

   

Marital Status**

 

Married

11

Not Married

27

*= p£ 0.05; **= p£ 0.01

 

Number of Times Quit Smoking in Past 12 Months As a Result of Trying to Quit

Of current smokers…

o Thirty-seven percent of smokers reported they quit smoking for one day or longer in the past year because they were trying to quit.

o There were no statistically significant differences between demographic variables and current smokers reporting they quit smoking for one day or longer in the past year because they were trying to quit.

 

Doctor, Nurse or Other Health Professional Advisement to Quit Smoking

Of current smokers…

o Fifty-three percent of smokers reported that a health professional advised them to quit smoking in the past 12 months.

o There were no statistically significant differences in demographic variables and a health professional advising the respondent to quit smoking in the past year.

Smoking Indoor or in Vehicle

All respondents were asked if any smokers in their household smoke indoors or inside their vehicles when others are present. Nine percent reported indoor smoking or vehicle smoking occurs.

In the households with no children, 13% reported respondents smoked indoors or inside their vehicles when others are present compared to 5% of households with children.

Smoking Preference in Restaurants

Seventy-five percent of respondents reported they prefer to eat in smoke-free restaurants while 7% preferred restaurants that allow smoking. Eighteen percent reported they do not have a preference.

 

College graduates were more likely to prefer smoke-free restaurants (79%) compared to respondents with a high school education or less (72%) or some post high school (70%). Fourteen percent of respondents with a high school degree or less reported the preference for restaurants that allow smoking while 8% of those with some post high school and 3% of respondents with a college degree did.

Married respondents were more likely to report the preference of smoke-free restaurants (79%) compared to unmarried respondents (65%). Eleven percent of unmarried respondents reported the preference for restaurants that allow smoking compared to 5% of married respondents.

Eighty-four percent of nonsmokers preferred smoke-free restaurants compared to 27% of smokers. Thirty-seven percent of smokers preferred restaurants that allow smoking while 2% of nonsmokers had this preference.

Community Ordinance Prohibiting Smoking in Eating Establishments

Sixty-seven percent of respondents favored a community ordinance prohibiting smoking in eating establishments (47% strongly favor, 20% moderately favor).

Female respondents were more likely to favor an ordinance (73%) compared to male respondents (59%).

Seventy-three percent of nonsmokers were in favor of a smoking prohibition ordinance compared to 38% of smokers. Nonsmokers were much more likely to strongly favor (55%) compared to smokers (7%).

Table 23. Favor Ordinance to Prohibit Smoking in Eating Establishments in Their Community by Demographic Variables

 

Moderately Favor

Strongly Favor

TOTAL

20%

47%

     

Gender*

   

Male

18

41

Female

22

51

     

Age

   

18 to 34

26

49

35 to 44

25

49

45 to 54

13

47

55 to 64

11

52

65 and older

19

46

     

Education

   

High School or Less

22

44

Some Post High School

21

48

College Graduate

18

48

     

Household Income

   

$30,000 or Less

23

46

$30,001 to $60,000

18

48

$60,001 or More

20

48

     

Marital Status

   

Married

18

50

Not Married

25

41

   

Smoking Status**

   

Nonsmoker

18

55

Smoker

31

7

*= p£ 0.05; **= p£ 0.01

Snuff or Chewing Tobacco

Less than one percent of respondents reported they currently use snuff or chewing tobacco.

 

 

Alcohol Use (Table 24)

KEY FINDING: Sixty-nine percent of respondents had an alcoholic drink in the past 30 days. In the past month, 27% had three or more drinks at least on one occasion while 16% binged. Generally, male respondents, younger respondents or those with a high school education or less were more likely to have reported three or more drinks on more occasions or binged at least once in the past month. Two percent reported they had been a driver or a passenger when the driver perhaps had too much to drink. Four percent of respondents reported someone in their family had experienced a problem in connection with drinking in the past year.

Had a Drink in the Past Month

Sixty-nine percent of respondents had a drink in the past 30 days. Thirty-seven percent reported they drank at least on five days, while 15% reported three to four days, and 17% reported drinking on one or two days in the past 30 days.

Nine percent of all respondents reported an average of four or more drinks per day on the days they drank. Another 9% reported three drinks, 24% reported two and 27% reported one drink on average on the days they drank. Thirty-two percent reported having no drinks in the past month.

Three or More Drinks on an Occasion in Past Month

Twenty-seven percent of all respondents had three or more drinks on an occasion in the past month. Thirteen percent reported this one to two times and 14% reported three or more times.

Male respondents were more likely to report three or more drinks (39%) than female respondents (18%). And males were much more likely to report three or more drinks on three or more occasions (24%) compared to female respondents (7%).

Respondents 18 to 34 years old were more likely to report three or more drinks and more often. Forty-one percent of respondents 18 to 34 years old reported three or more drinks (20% one to two occasions and 21% three or more occasions) compared to 6% of respondents 65 and older (3% one to two occasions and 3% three or more occasions).

Respondents with a high school education or less were more likely to report three or more drinks on three or more occasions (24%) compared to some post high school education (9%) and college graduates (11%).

 

Binge Drinking in Past Month

Recently, the binge drinking definition changed. Previously, the Center for Disease Control (CDC) considered five or more drinks at one time binge drinking. Now, binge drinking for females is four or more drinks while for males it has remained at five or more drinks. The definition has changed as a result of weight and metabolism differences between men and women. At this time, there is no state or national data based on the new binge drinking definition.

Under the old definition, in 2001, 26% of Wisconsin residents reported having five or more drinks at one time in the past month. Nationally 15% of respondents reported binge drinking in the past month. When broken down by gender, 15% of females and 37% of males in Wisconsin binged. Nationally, 7% of females and 23% of males binged in the past month (2001 Behavioral Risk Factor Surveillance).

Sixteen percent of all respondents binged in the past month.

Male respondents were more likely to have binged in the past month (25%) than female respondents (7%).

Respondents 18 to 34 years old were more likely to have binged (28%) followed by respondents 45 to 54 years old (18%) and those 35 to 44 years old (15%). Zero percent of respondents 65 and older reported binge drinking in the past month.

Respondents with a high school education or less were more likely to have binged in the past month (27%) compared to some post high school education or more (11%).

 

 

Table 24. Number of Drinks on an Occasion in Past Month by Demographic Variables of All Respondents

 

3 or More Drinks

Binge

 

1 to 2 Times

3 or More Times

(5+ Males; 4+ Females)

TOTAL

13%

14%

16%

       

Gender

     

Male

15**

24**

25**

Female

11**

7**

7**

       

Age

     

18 to 34

20**

21**

28**

35 to 44

18**

17**

15**

45 to 54

9**

18**

18**

55 to 64

8**

12**

11**

65 and Older

3**

3**

0**

       

Education

     

High School or Less

7**

24**

27**

Some Post High School

16**

9**

11**

College Graduate

15**

11**

11**

       

Household Income

     

$30,000 or Less

9

14

13

$30,001 to $60,000

14

12

17

$60,001 or More

14

20

17

       

Marital Status

     

Married

12

15

15

Not Married

14

13

16

*= p£ 0.05; **= p£ 0.01

 

Driven or Ridden When Driver Had Perhaps Too Much to Drink in Past Month

Two percent of respondents reported in the past month they were a driver or passenger in a vehicle when the driver had perhaps too much alcohol to drink.

Family Problem Associated with Alcohol in Past Year

Four percent of respondents reported they, or someone in their family, experienced some kind of problem, such as legal, social, personal, or physical in connection with drinking in the past year.

 

 

 

 

 

 

 

Mental Health Status (Figures 9 & 10; Table 25)

KEY FINDING: Four percent of respondents reported always or nearly always feeling sad, blue or depressed in the past 30 days; respondents with a high school education or less, a household income of less than $30,001 or unmarried respondents were more likely to report this. Twenty-three percent felt they were excellent at managing stress. Four percent reported they never or seldom find meaning and purpose in their daily life. One percent of respondents felt so overwhelmed in the past year they considered suicide.

Feeling Sad, Blue or Depressed

When asked "During the past 30 days, about how often would you say you felt sad, blue or depressed," four percent of survey respondents answered always or nearly always. This equates up to 5,400 residents. Twenty-one percent reported sometimes and the remaining 73% reported seldom (39%) or never (34%).

 

Ten percent of respondents with a high school education or less reported feeling sad, blue or depressed always/nearly always compared to 3% of respondents with some post high school education or 1% of college graduates. Twenty-nine percent of respondents with a high school education or less reported never compared to 32% with some post high school and 38% with a college education.

Respondents with a household income of less than $30,001 were more likely to report feeling sad, blue or depressed always/nearly always (12%) compared to respondents with a household income of $30,001 to $60,000 (5%) and $60,001 or more (1%). Twenty-four percent of respondents with less than $30,001 reported never compared to all other income categories (37% and 38%).

Unmarried respondents were more likely to report feeling sad, blue or depressed always/nearly always (7%) compared to married respondents (3%). Married respondents were more likely to report never (40%) compared to unmarried respondents (21%).

 

Considered Suicide

All respondents were asked if they have felt so overwhelmed that they considered suicide in the past year. The Ozaukee County Community Health Survey did not ask how seriously suicide was considered, how recent, or how often the sense of being so overwhelmed they considered suicide.

One percent of respondents reported they felt so overwhelmed in the past year that they considered suicide. Although this is a small percent, it approximates up to 3,600 residents who considered suicide in the past year.

Managing Stress

Twenty-three percent reported they were excellent at managing stress. Fifty-nine percent reported good while 16% reported fair and 2% reported poor.

 

Five percent of respondents 35 to 44 years old reported they were poor at managing stress followed by 4% of respondents 55 to 64 years old. All other age categories were 0% or 1%. When looking at poor or fair managers, respondents 35 to 44 years old and those 55 to 64 years old were again more likely, (24% and 28%, respectively). Respondents 45 to 54 years old followed at 21%, while 12% of those 65 and older and 7% of those 18 to 34 years old reported poor or fair.

Finding Meaning and Purpose in Daily Life

Forty-seven percent of respondents reported they always find meaning and purpose in their daily life, an additional 36% reported nearly always. Twelve percent reported sometimes while 3% reported seldom and 1% reported never.

Unmarried respondents were more likely to report never/seldom (7%) compared to married respondents (3%). Married respondents were more likely to report always (51%) compared to unmarried respondents (39%).

 

Table 25. Finding Meaning and Purpose in Daily Life by Demographic Variables

 

Never/Seldom

Sometimes

Nearly Always

Always

TOTAL

4%

12%

36%

47%

         

Gender

       

Male

4

11

39

46

Female

3

13

34

48

         

Age

       

18 to 34

1

9

33

56

35 to 44

2

16

39

43

45 to 54

3

12

40

45

55 to 64

9

11

41

39

65 and older

2

12

35

50

         

Education

       

High School or Less

7

18

37

37

Some Post High School

3

14

34

48

College Graduate

3

7

38

52

         

Household Income

       

$30,000 or Less

5

11

43

38

$30,001 to $60,000

4

12

33

52

$60,001 or More

3

13

36

48

         

Marital Status*

       

Married

3

12

34

51

Not Married

7

12

41

39

*= p£ 0.05; **= p£ 0.01

 

 

Detectors in Household (Figure 11; Table 26)

KEY FINDING: Ninety-nine percent of households had a working smoke alarm while 44% had a working carbon monoxide detector. Married households were more likely to have both a smoke alarm and a carbon monoxide detector.

Forty-four percent of respondents reported a working smoke alarm and a working carbon monoxide detector in their home. Fifty-five percent had only a working smoke alarm while less than one percent had only a carbon monoxide detector. Two percent reported neither.

 

Married households were more likely to have both a smoke detector and carbon monoxide detector (50%) compared to unmarried households (29%). Three percent of unmarried respondents reported neither compared to less than 1% of married respondents.

Table 26. Detectors in Household by Demographic Variables

 

 

Smoke Detector

Carbon Monoxide Detector

 

Both

 

Neither

TOTAL

55%

<1%

44%

2%

   

 

 

 

Household Income

       

$30,000 or Less

58

0

40

3

$30,001 to $60,000

60

0

39

1

$60,001 or More

48

1

49

1

         

Marital Status**

       

Married

49

<1

50

<1

Not Married

67

<1

29

3

*= p£ 0.05; **= p£ 0.01

 

 

 

Presence of Firearms in Household

KEY FINDING: Thirty-one percent of households had a firearm in their household. Married households or households with higher income were more likely to have a firearm. Of all households, 1% had a firearm loaded. Less than one percent of all households had a firearm loaded and unlocked.

Firearm in Household

In a recent Gallup survey, four in 10 American households had a gun somewhere on the property (2001 Research Alert)

At the time of the survey administration, 31% of households had one or more firearm.

Households with higher income were more likely to own a firearm compared to households with less income. Twenty-two percent of respondents with less than $30,001 in household income had a firearm compared to 28% of those with a household income of $30,001 to $60,000 and 37% of those with $60,001 or more.

Married households were more likely to own a firearm (37%) compared to unmarried households (18%).

Loaded Firearm

One percent of all households had a firearm loaded.

Loaded Firearm Also Unlocked

Respondents were given the following definition for unlocked: you do not need a key or combination to get the gun or to fire it. A safety is not counted as a lock.

Less than one percent of all households had loaded firearm also unlocked.

 

 

Personal Safety Issues

KEY FINDING: Three percent of respondents reported someone had made them afraid for their personal safety while less than one percent reported they had been pushed, kicked, hit or slapped in the past year.

Afraid for Personal Safety

When asked "During the past year has anyone made you afraid for your personal safety," three percent reported yes.

o A stranger (5 responses) was most often mentioned as the perpetrator. Fewer than five respondents reported each of the following: acquaintance, ex-spouse or parent.

Pushed, Kicked, Slapped or Hit

Less than one percent of respondents reported they were pushed, kicked, slapped or hit in the past year.

o Acquaintance or stranger each had one response.

Combined Personal Safety Threats

A total of 3% of all respondents reported at least one of the two threats.

 

 

Each health department was offered an additional minute for any questions they wanted. They could select from a list of questions provided or develop their own.

Factors Preventing Physical Exercise

KEY FINDING: Out of five factors for not exercising, time was most often reported as a major factor (30%) followed by motivation (17%). Respondents 55 to 64 years old were more likely to report health problems or safety concerns as a major/moderate factor while younger respondents were more likely to report time. Reporting time, safety concerns or health problems as a major/moderate factor varied by education level as well as household income level. Unmarried respondents were more likely to report health problems. Respondents who were physically inactive were more likely to report safety concerns while respondents with an insufficient amount of physical activity were more likely to report time.

Out of five reasons for not exercising, 30% of the respondents reported time as a major factor in Ozaukee County. Motivation was listed by 17% of respondents as a major factor followed by 9% reporting health problems.

 

Respondents 55 to 64 years old were more likely to report health problems or safety concerns compared to all other age categories; while younger respondents were more likely to report time.

Respondents with a college degree were more likely to report time as a major/moderate factor while health problems was more of a major/moderate factor for respondents with a high school education or less and safety concerns for respondents with some post high school education.

Time was listed by more respondents with a household income of at least $30,001. Health problems were listed more often by respondents with a household income of $60,000 or less. Respondents with a household income of less than $30,001 were more likely to report safety concerns.

Health problems were a major/moderate factor for unmarried respondents (29%) more often than for married respondents (15%).

Inactive respondents were more likely to report safety concerns as a major/moderate factor while respondents who were classified with insufficient amount of physical activity were more likely to report time than all other categories.

Table 27. Major/Moderate Factors Preventing Physical Exercise by Demographic Variables

 

 

Time

 

Motivation

Health Problems

 

Cost

Safety Concerns

TOTAL

49%

44%

19%

10%

9%

           

Gender

         

Male

48

39

21

9

7

Female

49

48

17

12

9

           

Age

         

18 to 34

63**

41

17**

17

3*

35 to 44

69**

52

14**

11

7*

45 to 54

49**

43

12**

6

8*

55 to 64

30**

41

34**

11

19*

65 and Older

18**

35

25**

7

8*

           

Education

         

High School or Less

37**

38

27*

13

11**

Some Post High School

49**

51

19*

10

14**

College Graduate

56**

43

14*

10

4**

           

Household Income

         

$30,000 or Less

35**

41

26**

10

15*

$30,001 to $60,000

52**

46

26**

14

10*

$60,001 or More

56**

39

9**

9

4*

           

Marital Status

         

Married

49

43

15**

10

7

Not Married

48

43

29**

13

10

           

Physical Activity

         

Inactive

39*

50

25

9

20**

Insufficient

55*

46

17

9

7**

Recommended

40*

34

20

14

3**

*= p£ 0.05; **= p£ 0.01

 

 

Primary Caregiver for an Elderly or Disabled Person

KEY FINDING: Six percent of respondents reported they were a primary caregiver for an elderly or disabled person but not employed as their caregiver.

Six percent of respondents reported they were a primary caregiver for an elderly or disabled person but not employed as their caregiver.

There were no statistically significant differences between demographic variables and being a primary caregiver for an elderly or disabled person but not employed as their caregiver.

 

 

The New Ozaukee County Urban Trail

KEY FINDING: Ten percent of respondents reported using the new Ozaukee County Urban Trail at least once a week. Male respondents, those 35 to 44 years old, with some post high school education, with a household income of $30,001 to $60,000 were more likely to have used the trail at all.

 

Ten percent of respondents reported using the new Ozaukee County Urban Trail at least once a week or more. Fifteen percent reported using the trail once or twice a month while 50% reported never using it and 23% of respondents were not aware of trail.

Male respondents were more likely to have used the trail (15% once a week or more and 17% once or twice a month) than female respondents (7% once a week or more and 13% once or twice a month).

Respondents 45 to 54 years old were more likely to have used the trail at least once a week (15%) compared to respondents 18 to 44 years old (9%) or 65 and older (3%). However, respondents 35 to 44 years old were more likely to have used the trail at all. And respondents 18 to 34 years old were more likely to have not been aware of the trail.

Respondents with a high school education or less were more likely to use the trail once a week or more (15%) compared to respondents with some post high school (10%) and college graduates (7%). However, respondents with some post high school education were more likely to have used the trail at all (35%) compared to all other education categories (21% or 24%).

Respondents with a household income of at least $30,001 were more likely to use the trail once a week or more (12%) compared to those with an income of $30,000 or less (4%). They were also more likely to have used it at all.

 

Table 28. Use of the New Ozaukee County Urban Trail by Demographic Variables

 

 

Once a week or more

Once or twice a month

 

Never

Not Aware of Trail

TOTAL

10%

15%

50%

23%

         

Gender*

       

Male

15

17

45

20

Female

7

13

54

25

         

Age**

       

18 to 34

9

12

40

39

35 to 44

9

24

46

20

45 to 54

15

14

47

19

55 to 64

11

17

46

24

65 and Older

3

8

77

12

         

Education**

       

High School or Less

15

9

49

27

Some Post High School

10

25

39

24

College Graduate

7

14

56

19

         

Household Income**

       

$30,000 or Less

4

11

58

27

$30,001 to $60,000

12

18

43

27

$60,001 or More

12

14

54

16

         

Marital Status

       

Married

10

16

50

20

Not Married

10

12

49

29

*= p£ 0.05; **= p£ 0.01

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OZAUKEE COUNTY

COMMUNITY HEALTH SURVEY

Conducted: February 24 through June 11, 2003

(Due to rounding, some questions may total more/less than 100%)

 

 

Generally speaking, would you say that your own health is excellent, very good, good, fair, or poor?

Poor

2%

Fair

6

Good

24

Very good

37

Excellent

31

Not sure

<1

 

What is your primary type of health care coverage?

No health care coverage

2%

Medical Assistance or Title 19

1

Badger Care

1

Medicare

14

A prepaid plan such as a HMO, PPO

57

Another commercial health plan

16

Something else

6

Not sure

2

 

Is every member of your household covered by health insurance?

Not all members covered

7%

All members covered

94

Not sure

0

 

During the past 12 months, was there any time that you or someone in your household did not have any health care coverage or insurance?

Not all members covered

11%

All members covered

89

Not sure

0

 

Where do you go to get most of your health care services?

Medical doctor, internist, OBGYN, family practice

75%

Walk-in or urgent care clinic

17

Hospital emergency room

3

Community heal