Key Findings from the 2022 Community Health Survey

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Key Findings from the 2022 Community Health Survey

Download the 2022 Community Health Survey Key Findings

2022年拉里默县社区健康调查是十大娱乐彩票平台进行的第十次三年期调查. 该调查工具包含74个多部分问题，以收集拉里默县成年居民关于各种健康状况和行为的数据, healthcare affordability and coverage, access to healthcare, and need for various services.

A total of 2,700 useable surveys were returned, resulting in a response rate of 21%. There were 1,645 surveys (61%) received from residences within the Health District boundaries and 1,055 from south Larimer County. Data was weighted by demographic information, such as age, gender, education, and more. 这是一种常用的统计技术，用于提高调查样本中代表性的准确性. When available, 2022 results are compared with results from previous surveys; however, not all questions were included on earlier surveys. Due to differences in household sampling methods and how the data was weighted, some caution is needed when looking at trends.

本报告载有关于下列主题的积极健康指标和潜在关注领域的高级别摘要:

Physical Health

In 2022, 居民的整体健康状况较差，在过去一个月里，身体健康状况不佳的天数(3天，2019年为2天)增加，影响了他们进行工作和娱乐等日常活动的能力.

表1. 整体, would you say your health is ... ?

健康状况良好或非常好的报告从2010年至2016年的60%以上下降到2022年的47%. 7% said fair or poor health in the first three years, 但 14% did in 2022.

表2. Chronic Conditions by Race/Ethnicity
At 30%, non-Hispanic white adults have the highest rate of high blood pressure, followed by non-Hispanic people of color at 23% and Hispanic or 拉丁o adults at 20%. Hispanic or 拉丁o adults have the highest rates of several other conditions, such as diabetes at 11%, 慢性阻塞性肺病, emphysema or chronic bronchitis at 7% and asthma at 16%.

*Data masked due to less than 5 responses

Prevalence of asthma, 慢性阻塞性肺病和糖尿病在西班牙裔或拉丁裔/a/x居民中比非西班牙裔白人和其他有色人种高2至3倍.

大约7%的成年人患有高强度疼痛(在过去6个月里，大多数或每天都疼痛，大多数或每天都限制生活或工作的疼痛)。. Some groups affected disproportionately are transgender and non-binary adults (20%), residents in households ≤250% of the federal poverty level (FPL) (lower income) (17%), those 65 and older (11%), and Hispanic or 拉丁o/a/x adults (10%).

The share of adults in Larimer County within the normal BMI range has declined slowly since 2010. The share considered overweight is consistently above 30% and many more are in the obese BMI range, above 20% for the first time (since 1995).

图3. BMI by Survey Year

The share of adults with a normal BMI between 18.5和25.0 has dropped from 51% in 2010 to 44% in 2022. The share who are obese with a BMI of 30 or more has grown from 15% to 22% over the same time.

图4. Obesity Prevalence

33% of Hispanic or 拉丁o adults, 30%的跨性别或非二元性成年人以及30%的家庭收入等于或低于250%的人落入BMI的肥胖范围.
Daily servings of fruits and vegetables, considered a key component of a healthy diet, 下降了, with just one in three adults consuming the recommended 5 or more servings.

Mental Health

There have been declines in mental health status since 2013. In 2022, 受访者表示，在过去一个月里，他们的心理健康状况不佳的平均时间为4.5天，比2019年多了一整天.

More young adults (ages 18-34), 与所有当地成年人相比，跨性别和非二元性别的成年人以及家庭FPL≤250%的人的心理健康状况不佳，而大多数65岁或以上的人没有心理健康状况不佳的日子. Also, 30% of adults get too little sleep (less than 7 hours), compared to 25% in 2019.

图5. Average Days in the Past Month when Mental Health was Not Good

In 2013 and 2016, adults experienced about 3 days of poor mental health, and that rose to 4 and a half days in 2022. 精神健康状况不佳限制日常活动能力的天数从2013年的1天增加到约2天.

*Data not collected in 2010

图6. Days in the Past Month with Poor Mental Health by Selected Characteristics

更多的成年人表示，他们被诊断出患有精神健康障碍(2022年:37%，2019年:30%)，36%的人被诊断出患有抑郁症和/或焦虑症. Young adults report the most mental health challenges, including stress and considering suicide.

7 days in the past month when mental health was not good
4 days in the past month when poor mental health limited usual activities
37% with a depression diagnosis
42% with an anxiety diagnosis
51% with depression, anxiety or another mental health disorder diagnosis

More adults reported that they, or someone in their household, 在过去一年中需要心理健康咨询/治疗并接受过治疗(2022年:24%对2019年:22%). However, more also said that the needed help was not received (2022: 12% vs. 2019: 8%).

Eight percent are often stressed. Some groups disproportionately claimed to deal with stress nearly all the time; among them are young adults (16%), those in households ≤250% FPL (15%) and non-Hispanic/拉丁o/a/x people of color (15%).

来自低收入家庭的成年人中有五分之一经历过各种形式的社会孤立，其中53%的人只在其中一个领域或没有得到支持.

12% of all adults rarely or never have someone to confide in; 21% of those in households at or below 250% FPL rarely or never do
12% of adults rarely or never have someone to take them to the doctor; 25% of those in households at or below 250% FPL rarely or never do
12% of adults rarely or never have someone to have a good time with; 22% of those in households at or below 250% FPL rarely or never do

Substance Use

酒精:

Use of alcohol is down slightly (2022: 59% any regular alcohol consumption vs 2019: 62%). Not including those who abstain, the average most drinks at one time is 3 ½. However, about 1 in 5 adults still report binge drinking.

图7. Alcohol Consumption

Average number of alcoholic drinks per week has been just above 6 since 2013, while average most drinks at one time has slightly fallen from 4.1 in 2010 to 3.5.

整体, 5% of adults have been told by a healthcare provider that they have a substance use disorder. This is much higher for transgender and non-binary (14%) and Hispanic or 拉丁o/a/x (13%) adults.

After a concerning spike in 2019, 在过去的一个月里，有一次或多次酒后驾车的成年人又回到了4%.

表8. Drinking and Driving: 2004-2022

酒后驾车的成年人比例从2004年的8%下降到2016年的4%. This was followed by the jump to 9% in 2019 before falling again to 4%.

大麻:

One in 5 adults (22%) report using cannabis in the past month, and they are using it on more days each month. 每日用户从2019年的27%增长到2022年的32%，每月平均使用天数从14天增加到17天.

图9. Cannabis Use by 年龄

Cannabis use in the past year and month decrease with age. 45% of adults 18-34 years old have used cannabis in the past year, 但 33% have in the past month. While just 11% of adults 65 and older have used it in the past year, nearly all or 9% have used it in the past month.

图10. Frequency of Cannabis Use in the Past 30 Days by 年龄

By small margins, adults 18-34 and 35-50 mostly use cannabis 1-13 days per month. 38% of adults 51-64 use it 1-13 days and another 38% use it nearly daily. 57% of older adults 65 and over use it fewer than 14 days, 但 31% use it nearly daily.

Most adults who recently used cannabis did so to reduce stress and relax or to improve sleep.

与其他年龄组相比，年轻人使用大麻治疗抑郁/焦虑或获得快感/娱乐的比例更大.

图11. All Adults vs Young Adults Use

In descending order, 在过去一个月使用大麻的成年人中，72%的人将其用于缓解压力，55%的人将其用于改善睡眠, then to treat depression or anxiety, to get high/for fun, to reduce pain/inflammation, and then 18% to socialize. Among young adults, 88% used it for stress. 除了减轻疼痛/炎症外，更多的年轻人报告了所有原因.

烟草:

Regular (combustible) cigarette use continues to drop (1995: 18%). Seven in 10 cigarette smokers are seriously considering quitting.

图12. Cigarette Use

Daily cigarette smokers went from 7% to 4% between 2013 and 2016 and has stayed near 4% since. The size of adults who smoke at all has decreased from 10% to 6% over the same time.

E-cigarette (electronic vaping product with nicotine) users have grown (2019: 4% vs 2022: 6%). Again, most (61%) are seriously thinking of quitting. Of those who vape/use e-cigs, 42% do so to quit or reduce regular cigarette use.

Use of other tobacco products like cigars or pipes, and chew or spit tobacco remains near 3%. The majority (59%) of chew/spit users are seriously considering quitting, 但 just 30% of cigar/pipe smokers are.

Fourteen percent of adults use at least one form of tobacco, 但 use is uneven across various demographics.

图13. Tobacco Users by Selected Characteristics

A. 性别
7% of women are tobacco users as are 12% of men and 22% of transgender and non-binary adults.

B. 收入

9% of those in households with income above 250% FPL are tobacco users, 但 25% of those in lower income households are.

C. 年龄

9% of adults over 50 years old are tobacco users, as are 12% of adults 35-50 and 20% of adults under 35.

Social Factors

Access to Care:

In 2022, fewer adults were very or somewhat worried about affording the care they need (40% vs 2019: 47%). 仍然, it was a concern for half or nearly half of some groups, such as adults other than men, under 65 years old, from lower income households, and people of color.

图14. Very or Somewhat Worried They Can Afford Medical Care

40% of adults overall worry about affording medical care, 但 higher rates of some groups carry that worry: 42% of women, 57% of transgender and non-binary adults, 52% of 18-34 year olds, 60% of those in households at or below 250% FPL, 51% of Hispanic or 拉丁o adults, and 50% of other people of color.

Of adults who may have needed to see a doctor or a specialist in the past two years, 20% did not because they felt it was unaffordable.

图15. Access to Care When Needed by 年龄 Group

68%的成年人认为他们获得医疗服务的机会非常好或非常好，35岁以上的成年人中有更多的人这样认为, 但 only 54% of 18-34 year olds do. 21% of young adults feel their access is fair or poor, compared to 11% overall.

1 in 4 from lower income households have fair or poor access to care
2 in 5 are very or somewhat worried that they won’t be able to afford the medical care they need
1 in 10 have been contacted in the past year for medical debt collection
1 in 5 Hispanic or 拉丁o/a/x adults were contacted about medical debt

Environment:

Walking is easy to do, 但 more adults claim public transit can get them where they need to go compared to walking.

图16. Transportation by 年龄

83% of adults say walking and bicycling are easy, 但 only 56% of young adults and 42% of older adults feel public transit is easy. 整体, 65% see bicycling as an effective form of alternative transportation, that is 79% of young adults and just 43% of older adults. Fewer see walking and public transit as effective, 但 young adults are more favorable.

3 in 5 Hispanic or 拉丁o/a/x adults feel they can get to places using public transit

Following large fires in 2020 and 2021, not only do more adults call climate change and wildfires problems, 但

66% say polluted outdoor air is a local problem; 6 percentage points over 2019
31% say unclean indoor air is a local problem; no change from 2019
36% say pollution from industry is a local problem; no change from 2019
60% say mosquitos are a local problem; 8 percentage points over 2019
74% say changing climate conditions are a local problem; 14 percentage points over 2019
84% say wildfires are a local problem; 25 percentage points over 2019
44% say floods are a local problem; 1 percentage point below 2019

Fifty percent believe a wildfire disaster could impact their households in the future. Nearly 40% see extreme heat events as a threat.

Several mass shootings occurred across the country before and during the survey period. Nearly 1 in 5 expressed concern over terrorism, with some specifying domestic terrorism and gun violence as a problem.

There is a knowledge gap in emergency preparedness.

14% are unsure how to make a household emergency plan
30% are unsure how to sign up for Larimer County alerts

食物 & 住房

近三分之一的成年人在过去一年中有时或更频繁地担心提供营养膳食，十分之一的人使用食品援助服务. Young adults, Hispanic or 拉丁o/a/x residents, and lower income households most needed food assistance.

图17. 食物 or Meal Assistance Access

Groups who disproportionately used food and meal assistance above the 10% countywide are 13% women, 14% young adults, 26% Hispanic or 拉丁o adults, and 33% of households at or below 250% FPL. The greatest unmet need are among 8% of Hispanic or 拉丁o adults, 9% of young adults and 13% of those at or below 250% FPL.

More adults worried about paying rent or mortgage (2019: 17% vs 2022: 25%), although many fewer (6%) were unable to pay rent/mortgage at some time in the past 3 months. If they had to move out of their current home permanently, 7% "would not have anywhere to go.”

图18. Financial Stress of Rent/Mortgage

2% of homeowners were unable to pay all or part of their housing in the past 3 months, 但 13% of renters struggled. 4% of owners and 20% of renters worried about mortgage or rent in the past year.

How Characteristics are Reported

性别:

Survey participants selected any combination of "Woman,”“人," "Transgender," or a written in gender. While people of many genders participated, 跨性别和非二元居民的低代表性限制了某些分析的解释准确性.

年龄:

Participants provided their age at the time of the survey. For this report, age groups of 18-34, 35-50, 51-64, and 65 years or older were used most often.

Race and Ethnicity:

Race and ethnicity were self-reported. 从以前的调查中选择的回答继续，包括空间写未列出的回答. 在一个问题中，种族选项被添加到种族选项中，参与者选择所有适用的选项. Due to few responses from residents who are not White only or Hispanic or 拉丁o/a/x of any race, "Other People of Color" may be used to regroup the remaining participants. Understanding and interpretation within this group are limited.

*Language of race and ethnicity presents many challenges. The Health District has ongoing discussions to improve language and understanding, and is open to constructive, inclusive conversations.

收入:

Participants selected household income for 2021 from ranges up to $125,000 or more. 通过计算收入和据称依靠该收入生活的人数来估计该家庭在联邦贫困水平(FPL)中的百分比。.

Acknowledgements:

十大娱乐彩票平台感谢拉夫兰市和北科罗拉多卫生联盟对这项调查的财政支持.

还要感谢抽出时间分享他们对拉里默县健康和福祉的想法和看法的调查受访者.

For more information and deeper analyses into particular topics, visit

http://128ouq9.china-long.net/community-health-assessment

We welcome questions and comments. Please contact the Research & Evaluation team for more information about the Community Health Assessment.
电子邮件: survey@china-long.net
电话: 970-224-5209

出现

Health District of Northern Larimer County