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Executive Summary Introduction Health Behaviors Every four years, the Orange County Health Depart- Health behaviors are not always determined by a choice ment (OCHD) and Healthy Carolinians of Orange Coun- to be healthy or unhealthy but rather the influence from ty (HCOC) conduct a Community Health Assessment one's community, systemic racism, exposure to trauma, (CHA). Regular assessment of Orange County's health physical activity, food accessibility, substance use, sexu- enables public health officials to monitor trends in al health and one's social and economic status. health status, determine priorities among health is- sues, and determine the availability of resources within Health Equity Orange County to help best protect and promote the Health equity is achieved when every person has the public's health. opportunity to attain their full health potential and no The overall goal of the community health opinion survey one is disadvantaged from achieving this potential is to address health disparities and identify needs of because of social position or other socially determined populations who are most disadvantaged. 240 house- circumstances. Areas included under health equity are: holds were randomly selected from 40 census blocks environmental justice, criminal justice, and social deter- using the Center for Disease Control and Prevention minants of health to include employment and income, (CDC's) CASPER survey methodology, with emphasis on poverty, education, housing and homelessness. low-income and predominantly minority communities. Surveyors visited close to 800 households and received Next Steps 197 door-to-door survey responses. A duplicated health Findings from this CHA report will help influence stra- opinion survey was placed online and was completed by tegic planning around the three priority health issues. 147 community residents, using a non-random snowball HCOC will disseminate the full report broadly so that approach of sharing the link with partner organizations entities contributing to the health of Orange County and mailing lists. This created 355 total surveys com- residents can develop new or modify existing programs, pleted, which were complemented with data from six services, and resources to address the community focus groups and three community input sessions. health needs relevant to their stated missions. Selected Priorities It is the intended purpose that this 2019 CHA report, and its follow up activities, will be of use to community Results from secondary data, opinion surveys, and members and service providers alike, for all are working community input sessions resulted in the identification towards the common goal of making Orange County a of the three priority areas that will be addressed over healthy place to live, work, play and pray. To get in- the next four years (2020-2024). Those priority areas volved in community efforts targeting the three prior- are 1) Access to Care, 2) Health Behaviors, and 3) Health ity areas, visit https://www.orangecountync.gov/346/ Equity. Healthy-Carolinians. Access to Care Access to comprehensive, quality health care services is important for promoting and maintaining health, pre- venting and managing disease, reducing unnecessary disability and premature death, and achieving health equity for all. Areas included under access to care are: health care, dental care, health insurance, and transpor- tation. VII 2019 COMMUNITY HEALTH ASSESSMENT