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<br /> 23 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Orange County, NC <br />2016 Population Health Dashboards <br /> <br />Summary: <br />Behaviors associated with substance use show a decline in adolescent alcohol and cigarette use; however, indicators are needed at <br />the county level to examine trends in emerging tobacco products such as e-cigarettes. There currently is no local measure to <br />capture the use of these products by youth; however, North Carolina youth showed an uptick in tobacco use from 25.8% in 2011 <br />to 29.7% in 2013, in part due to these emerging products. Adults show increases in these same behaviors. Indicators for the <br />prevalence of smokers have increased in particular. Alcohol related vehicle crashes make up a greater percentage of crashes in <br />Orange County than our peers or the state. Alzheimer’s disease Mortality and ED visits are increasing compared to previous years <br />and compared to our peers; however, Orange County performs better than the state on both of these indicators. While the <br />county performs better than benchmarks on mental health emergencies and mortality, 30% of Community Health Assessment <br />survey respondents reported having been told by a doctor, nurse or health professional that they have either depression or <br />anxiety. Access to mental health services is reported as a priority concern by residents and subject matter experts alike. <br /> <br /> Performing better than four or more benchmarks <br /> Performing better than two or three benchmarks <br /> Performing better than one or no benchmarks <br />Benchmarks include Target, Previous, Peer, NC, and US <br />Significant change <br />from previous <br /> No trend <br /> Trend cannot be assessed <br />Positive trend <br />Negative trend <br />Neutral trend <br />Data Notes: <br />*Due to changes in survey methodology and overlapping confidence intervals, BRFSS data cannot be compared to previous years <br />**Confidence intervals for YRBS trend data are unavailable to assess significance of trends over time <br />Rates are per 100,000 unless otherwise noted. See the Public Health Dashboard FAQ Document for more on data methodology. <br />AlcoholAlcoholAlcoholAlcohol <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Adults who Drink Excessively*22.8%24.4%20.7%-18.0%15.2%24.6% <br />% High schoolers using alcohol products (CHCCS)**32.0%26.0%35.0%↓35.0%34.0%38.0% <br />% Crashes that are Alcohol Related 5.7%4.7%5.8%SAME 4.5%4.2%9.0% <br />Illicit DrugsIllicit DrugsIllicit DrugsIllicit Drugs <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Illicit drug use self-report*9%7%7%-8%9%9% <br />% Providers registered in CSRS NA 22%NANA -53%27%NA <br />Drug Overdose Mortality Rate 5.7 NA 10.0 ↓9.712.314.6 <br />Opioid Overdose Mortality Rate 3.6 NA 7.1 ↓4.48.05.3 <br />Drug Overdose Crude ED Rate per 10,000 person-yrs14.5 NA 12.7 ↑16.621.0NA <br />TobaccoTobaccoTobaccoTobacco <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Adult Smokers*16.8%13.0%12.0%-17.0%20.9%21.0% <br />% High schoolers who smoked in past 30 days (CHCCS)**9.0%16.0%11.0%↓17.0%13.5%19.5% <br />Tobacco Use Disorder Crude ED Rate per 10,000 person-yrs95.3 NA 91.7 ↑404.1584.6 NA <br />ProgressOrange CountyTrendCompare to <br />ProgressOrange CountyTrendCompare to <br />ProgressOrange CountyTrendCompare to <br />Mental Health and EmergenciesMental Health and EmergenciesMental Health and EmergenciesMental Health and Emergencies <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />Avg # Poor Mental Health Days / Month*2.52.82.9 ↓3.33.7 NA <br />Suicide Mortality Rate 10.48.312.2 ↓14.312.413.0 <br />Mental Health Crude ED Rate per 10,000 person-yrs82.182.886.2 ↓94.3104.6 NA <br />Substance Abuse Crude ED Rate per 10,000 person-yrs 121.2 NA 121.8 SAME 136.2139.4 NA <br />ProgressOrange CountyTrendCompare to <br />Older Adult Mental HealthOlder Adult Mental HealthOlder Adult Mental HealthOlder Adult Mental Health <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Older Adults with Depression 15.0%NA 14.8%SAME 11.9%13.7%13.6% <br />Alzheimer's Age-Adj Mortality Rate 26.5 NA 27.4 SAME 15.829.226.8 <br />Alzheimer's Crude ED Rate per 10,000 person-yrs10.6 NA 7.5 ↑6.916.6 NA <br />ProgressOrange CountyTrendCompare to <br />Sources: BRFSS, YRBS, DHHS/Highway Research Center, NC DETECT, CSRS <br />Data points are the most current measures from multiple sources (available on request).