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Avondale: The Health of Our Community - The Health Foundation of ...

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Copyright © 2011 by <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati.All rights reserved.To cite this work, please follow this format:<strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati, <strong>The</strong>. (2011). <strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong>. Cincinnati, OH: Author.Permission is granted to reproduce this publication provided that these reproductions are not used for a commercial purpose; that youdo not collect any fees for the reproductions; that our materials are faithfully reproduced (without addition, alteration, or abbreviation);and that they include any copyright notice, attribution, or disclaimer appearing on the original. Free copies <strong>of</strong> our publications areavailable; see “About the <strong>Health</strong> <strong>Foundation</strong>” on page 21 for details.


General <strong>Health</strong>3 out <strong>of</strong> 10 adults think they are inexcellent or very good health3 out <strong>of</strong> 10 adults had 2 or more weeks<strong>of</strong> unhealthy days in the lastmonth1 out <strong>of</strong> 10 adults said their healthlimited what they could d<strong>of</strong>or 2 or more weeks in the lastmonth4 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


A person’s physical and mental healthcan affect what they do. People inpoorer health may not work as much,see friends as <strong>of</strong>ten, or do normalactivities.When asked to describe their healthin general, 3 out <strong>of</strong> 10 <strong>Avondale</strong> adultssaid they were in excellent or verygood health. Another 3 out <strong>of</strong> 10 saidthey were in good health, and 3 out<strong>of</strong> 10 said they were in fair or poorhealth.Over 3 out <strong>of</strong> 10 <strong>Avondale</strong> adults saidtheir physical or mental health wasnot good for more than 2 weeks in thelast month. So for half the month ormore, they felt unhealthy.Most <strong>Avondale</strong> adults said theirhealth did not limit their ability towork, play, or take care <strong>of</strong> themselves.However, 1 out <strong>of</strong> 10 adults said theirhealth limited them for more than2 weeks in the last month.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 5


<strong>Health</strong> Problems5 10 out <strong>of</strong> adults are obese4 10 out <strong>of</strong> adults have been told they have:• high blood pressure3 10 out <strong>of</strong> adults have been told they have:• high cholesterol2 10 out <strong>of</strong> adults have been told they have:• severe allergies• depression• diabetes1 10 out <strong>of</strong> adults or fewer have been told they have:• asthma• heart trouble• cancer• chronic lung disease• had a stroke6 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


Some health problems are temporary,like a cold or sore throat. Some arelonger lasting and require constantmonitoring and treatment, likeasthma or diabetes. <strong>The</strong>se “chronicconditions” can last a lifetime.Over 4 out <strong>of</strong> 10 <strong>Avondale</strong> adults havehigh blood pressure, or hypertension.High blood pressure can be treatedthrough medication, diet, and lifestylechanges. If left untreated, it can cause astroke, heart attack, or other problems.About 2 in 10 <strong>Avondale</strong> adults havediabetes. It can be treated throughmedication and diet. Withouttreatment, it can cause kidney or heartdisease, blindness, or other problems.Just under half <strong>of</strong> <strong>Avondale</strong>’s adultsare obese. Obesity is when a person’sweight is too high for their height.Being obese increases the risk <strong>of</strong> heartdisease, certain cancers, diabetes, andother problems. People can reducethese risks through diet and exercise.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 7


<strong>Health</strong> <strong>of</strong> Eyes and Teeth7 out <strong>of</strong> 10 adults say they have very goodor good eyesight4 out <strong>of</strong> 10 adults have not had an eyeexam in over 2 years7 out <strong>of</strong> 10 adults say their mouth andteeth are in very good or goodshape8 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


Taking care <strong>of</strong> your eyes and teethis important for overall health. Thisincludes getting regular check-ups,eating a proper diet, and daily care.Most <strong>Avondale</strong> adults feel they havevery good or good eyesight, includingwith glasses or contacts. But just over2 out <strong>of</strong> 10 have fair or poor eyesight.Getting a regular, comprehensive eyeexam is important for keeping theeyes healthy. This exam can help finddiseases and problems before visionloss occurs. It is recommended thatadults have a comprehensive eyeexam every 2 years. Almost 4 out <strong>of</strong>10 <strong>Avondale</strong> adults have not had aneye exam in over 2 years.Most <strong>Avondale</strong> adults feel theirmouth and teeth, including false teethand dentures, are in very good orgood shape. But over 3 out <strong>of</strong> 10 thinktheir mouth and teeth are in fair orpoor shape.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 9


Diet and Exercise4 out <strong>of</strong> 10 adults eat enough fruits andvegetables each day6 out <strong>of</strong> 10 adults eat fast food at leastonce a week5 out <strong>of</strong> 10 adults get enough exercise10 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


Good habits are keys to being healthy.Eat plenty <strong>of</strong> fruits and vegetables.Limit salt and fat intake. Walk, ridea bike, or do other exercise. Doingthese things can help prevent obesity,heart disease, some cancers, and otherhealth problems.About 4 out <strong>of</strong> 10 <strong>Avondale</strong> adultseat enough fruits and vegetableseach day to meet minimum nutritionrecommendations. This means theyeat at least two servings <strong>of</strong> fruit andthree servings <strong>of</strong> vegetables each dayAbout 6 out <strong>of</strong> 10 eat fast food at leastonce a week. <strong>The</strong> majority <strong>of</strong> salt weeat is from processed and restaurantfoods. Too much salt can lead to highblood pressure, heart problems, orstrokes.Just under half <strong>of</strong> <strong>Avondale</strong> adultsexercise for more than 10 minutes aday, 5 days a week. Walking can be agood form <strong>of</strong> moderate exercise. Most<strong>Avondale</strong> adults think their streetsand sidewalks are safe for walking,biking, or jogging.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 11


Tobacco, alcohol, and prescriptiondrugs are legal for adults. But thisdoes not mean that they are harmless.Studies have shown that any smokingis harmful to your health. It cancause lung disease, cancer, and otherhealth problems. Just under 6 out <strong>of</strong>10 adults in <strong>Avondale</strong> have neversmoked cigarettes. Another 2 in10 have quit smoking.Drinking in moderation poses no orlow risks for most adults. <strong>The</strong> majority<strong>of</strong> <strong>Avondale</strong> adults reported no ormoderate drinking. However, 2 out <strong>of</strong>10 adults reported binge drinking, orhaving more than three or four drinkson one occasion. Binge drinking cancause liver or heart disease, cancer,depression, and other health problems.When used as directed, prescriptionmedications help treat illnesses. Whenthey are taken incorrectly or by otherpeople, they can cause problems. In<strong>Avondale</strong>, 1 in 10 adults reportedmisusing prescription painkillers.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 13


AEm fuga. Luptae lab ipsae pre doloreribus. Ga. Nem et aut quid utae. Us, serroet audae volorrum sundignihil et que nonecae cupta suntur? Qui remporunto testut prerro del iur aliae odipsa excepudam fugia ereprat id et doluptae eos aut pe remnullaborum nos maio bearumqui teniam quiam, serunt harunt.Fuga. Ut mo odipsant abora id ut poria et quiam qui doluptat ut quam quis esendia dolupit debis acidebis volecus. Fuga. Nam volorporpore vellecessime voluptatiande erios ducimusandi reror reptatem eiunt. Hent est, omnimolore rest odignissum ab il ipsam facerovit dendi atint aut eici tem volestrum quatiis dunto volumniendi dit aut apitaAEm fuga. Luptae lab ipsae pre doloreribus. Ga. Nem et aut quid utae. Us, serroet audae volorrum sundignihil et que nonecae cupta suntur? Qui remporunto testut prerro del iur aliae odipsa excepudam fugia ereprat id et doluptae eos aut pe remnullaborum nos maio bearumqui teniam quiam, serunt harunt. Fuga. Ut moodipsant abora id ut poria et quiam qui doluptat ut quam quis esendi a dolupitdebis acidebis volecus.AEm fuga. Luptae lab ipsae pre doloreribus.Fuga. Nam volorporpore vellecessime volupta tiande erios ducimusandi rerorreptatem eiunt.Hent est, omnimolore rest odignis sum ab il ipsam facerovit dendi atint aut eici temvolestrum quatiis dunto volum niendi dit aut apitaGetting <strong>Health</strong>care6 out <strong>of</strong> 10 adults have health insurance6 out <strong>of</strong> 10 adults have a usual andappropriate source <strong>of</strong>healthcare2 out <strong>of</strong> 10 adults do not have reliabletransportation to get to thedoctor3 out <strong>of</strong> 10 adults have not had a routinecheckup in the last year14 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


Many things can influence if peopleget healthcare. <strong>The</strong>se include havinginsurance, a usual source <strong>of</strong> care, andreliable transportation.Just over 6 out <strong>of</strong> 10 <strong>Avondale</strong> adultshave health insurance, includingalmost all adults over age 65.Insurance is just once element.People also need to have a usual andappropriate source <strong>of</strong> care —like adoctor’s <strong>of</strong>fice or community healthcenter—to get healthcare and answersto medical questions. About 6 out <strong>of</strong>10 <strong>Avondale</strong> adults have such a place.So, 4 out <strong>of</strong> 10 <strong>Avondale</strong> adultsdon’t have insurance, and 2 out <strong>of</strong>10 don’t have a usual source <strong>of</strong> care.In addition, 2 out <strong>of</strong> 10 adults donot have a reliable way to get to adoctor’s appointment or pharmacy.<strong>The</strong>se may be the reasons why 3 out<strong>of</strong> 10 adults have not had a routinecheckup in the last year.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 15


Going without <strong>Health</strong>care3 out <strong>of</strong> 10 adults have had troublepaying or were unable to paymedical bills1 out <strong>of</strong> 10 households went without adoctor’s care or prescriptionbecause they couldn’t afford it5 out <strong>of</strong> 10 adults delayed getting or didnot get needed dental care16 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


<strong>Community</strong> Support5 out <strong>of</strong> 10 adults agreed that people in<strong>Avondale</strong> can get help fromthe community if they are introuble4 out <strong>of</strong> 10 adults agreed that peoplein <strong>Avondale</strong> can depend oneach other4 out <strong>of</strong> 10 adults agreed that living in<strong>Avondale</strong> gives them a securefeeling18 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


How people feel about theircommunity can affect their personalhealth. Can residents get help if theyare in trouble? Can they dependon each other? Does living in theircommunity make them feel secure?People who feel more positivelyabout their community get healthinformation faster. <strong>The</strong>y havehealthier behaviors. And, they helpothers in their community havehealthier behaviors.Just under 5 out <strong>of</strong> 10 adults agreedthat people in <strong>Avondale</strong> can get helpfrom the community if they are introuble.About 4 out <strong>of</strong> 10 adults agreed thatpeople in <strong>Avondale</strong> can depend oneach other.Just less than 4 out <strong>of</strong> 10 adultsagreed that living in <strong>Avondale</strong> givesthem a secure feeling.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 19


About the Survey<strong>The</strong> data for this report come from the 2010 Greater Cincinnati <strong>Community</strong> <strong>Health</strong>Status Survey. Conducted since 1996, the Survey gives an in-depth look at the selfreportedhealth <strong>of</strong> tri-state residents. <strong>The</strong> Survey lets us see how our region stacksup to the rest <strong>of</strong> the country. We can also see how our region’s health changes overtime. <strong>The</strong> results give organizations and agencies, policy makers, and residentsthe local data they need as they work to improve the overall health <strong>of</strong> the GreaterCincinnati area. To see survey results for the whole region, please visit web site atwww.healthfoundation.org/gcchss.html.<strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati sponsors, analyzes, and shares theSurvey. <strong>The</strong> Institute for Policy Research at the University <strong>of</strong> Cincinnati collects thedata. For the complete survey dataset, visit www.oasisdataarchive.org.How We Collect the Data<strong>The</strong> Survey is a telephone survey <strong>of</strong> randomly selected adults. <strong>The</strong> Institute for PolicyResearch called 2,246 adults residing in a 22-countyarea (see map) between August 14 and September 27,2010. This included 2,042 landline interviews and204 cell phone interviews with people who did nothave a landline telephone.For the region-wide results, the sampling error is±2.1%. This means that the actual rates may in realitybe 2.1% higher or 2.1% lower than what we report.For the neighborhood-level results, the sampling error is ±6.0%. It is more difficultto compare the neighborhood data to the regional results because <strong>of</strong> the highersampling error.<strong>Avondale</strong> DataUsing statistical methods, we know that a sample <strong>of</strong> 2,246 adults will give us a prettygood idea <strong>of</strong> the health <strong>of</strong> the entire Greater Cincinnati community. We survey aRipleyFranklinDearbornOhioSwitzerlandCarrollGallatinOwenButlerHamiltonBooneKentonGrantCampbellWarrenClermontPendleton BrackenIndianaRural KentuckyUrban/Suburban KentuckyClintonBrownHighlandAdamsRural OhioSuburban OhioHamilton Co. SuburbsCity <strong>of</strong> Cincinnati20 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


certain number <strong>of</strong> adults in each county and in the City <strong>of</strong> Cincinnati to make upthat 2,246. <strong>The</strong>se results, then, are only good for county and multi-county levels.With the exception <strong>of</strong> the City <strong>of</strong> Cincinnati, we cannot use these results to look atneighborhoods or specific cities within our region.But neighborhoods need good quality data. In 2010, we set up the Survey so thatwe could get neighborhood-level data for three neighborhoods in the core <strong>of</strong> ourregion: <strong>Avondale</strong> and Price Hill in Ohio and Covington in Kentucky. We are sharingthese data with each <strong>of</strong> the neighborhoods and agencies and organizations thatsupport them. We’d like to thank place matters, the <strong>Avondale</strong> <strong>Community</strong> PrideCenter, Crest Smile Shoppe, and Gabriel’s Place for helping us put together thisreport for <strong>Avondale</strong>.About <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater CincinnatiSince 1997, <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati has invested over$120 million to address health needs in the 20-county region surroundingCincinnati. <strong>The</strong> majority <strong>of</strong> our work falls within our four focus areas:• <strong>Community</strong> Primary Care• School-Aged Children’s <strong>Health</strong>care• Substance Use Disorders• Severe Mental IllnessWe help create enduring projects that will improve health, and grantee sustainabilityis vital to our mission. We help grantees move toward sustainability by <strong>of</strong>feringworkshops, staff consultations, and other technical assistance. We also help granteesfind other funders who might be interested in their work.For more information about the <strong>Health</strong> <strong>Foundation</strong> and our grantmakinginterests, capacity building programs for nonpr<strong>of</strong>its, and publications, pleasecontact us at 513-458-6600, toll-free at 888-310-4904, or visit our web site atwww.healthfoundation.org.<strong>Avondale</strong>: <strong>The</strong> <strong>Health</strong> <strong>of</strong> <strong>Our</strong> <strong>Community</strong> 21


About place mattersplace matters is a place-based investment project working in three strategicallyimportant neighborhoods <strong>of</strong> Greater Cincinnati. <strong>Avondale</strong>, Covington, and PriceHill have experienced transformational change in housing, youth development,financial stability, health, and community engagement by practicing comprehensivecommunity development. In the area <strong>of</strong> health, place matters encourages physicalhealth and wellness through community gardening, access to medical services,exercise programs, and outreach to pregnant women, infants and young families.place matters is supported by a collaborative <strong>of</strong> social investors including:• United Way <strong>of</strong> Greater Cincinnati • SC Ministry <strong>Foundation</strong>• <strong>The</strong> Greater Cincinnati <strong>Foundation</strong> • JP Morgan Chase <strong>Foundation</strong>• LISC <strong>of</strong> Greater Cincinnati & Northern • <strong>The</strong> Carol Ann and Ralph V. Haile, Jr. /KentuckyU.S. Bank <strong>Foundation</strong>• NeighborWorks America• <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater• PNC BankCincinnatiThanks to <strong>Our</strong> <strong>Community</strong> Partners<strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> would like to thank the following organizations for theirinput on the Greater Cincinnati <strong>Community</strong> <strong>Health</strong> Status Survey:• Academy <strong>of</strong> Medicine• ASAP Center• Butler County Alcohol and DrugAddiction Services Board• Butler County Mental <strong>Health</strong> Board• Butler County United Way• Center for Closing the <strong>Health</strong> Gap• Child Policy Research Center• City <strong>of</strong> Cincinnati <strong>Health</strong> Department• Council on Aging• Employers <strong>Health</strong> Coalition <strong>of</strong> Ohio• <strong>Foundation</strong> for a <strong>Health</strong>y Kentucky• <strong>Health</strong> Improvement Collaborative• <strong>Health</strong> Policy Institute <strong>of</strong> Ohio (HPIO)• Northern Kentucky <strong>Health</strong>Department• Tri<strong>Health</strong>• United Way <strong>of</strong> Greater Cincinnati• University <strong>of</strong> Cincinnati Department<strong>of</strong> Public <strong>Health</strong> Science• University <strong>of</strong> Cincinnati Institute forPolicy Research• University <strong>of</strong> Cincinnati PlanningDepartment• Urban Appalachian Council• Vision 2015• Xavier University22 <strong>The</strong> <strong>Health</strong> <strong>Foundation</strong> <strong>of</strong> Greater Cincinnati and place matters


<strong>The</strong><strong>Health</strong><strong>Foundation</strong><strong>of</strong> Greater CincinnatiRookwood Tower3805 Edwards Road, Suite 500Cincinnati, OH 45209-1948513.458.6600 [TF] 888.310.4904www.healthfoundation.org

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