Community Health Needs Assessment
Roanoke Metropolitan Statistical Area Age-Adjusted Discharge Rates per 100,000 (Virginia Atlas of Community Health, 2011) Age-Adjusted Discharge Rate per 100,000 Adult Asthma PQI Discharges Angina PQI Discharges
Botetourt County 28.8
Craig County 26.0
Franklin County 105.5
Roanoke City of 143.1
Roanoke County 47.8
Salem City of 123.6
*Virginia Total 76.0
6.8
0.0
7.6
8.8
6.5
12.1
9.6
Bacterial Pneumonia PQI Discharges
132.0
232.2
171.1
191.6
144.7
319.6
184.5
Chronic Obstructive Pulmonary Disease (COPD) PQI Discharges Congestive Heart Failure PQI Discharges Diabetes PQI Discharges
87.2
88.5
118.7
218.0
85.2
275.2
125.6
196.0
233.3
168.5
300.3
165.6
356.8
238.1
80.7
119.8
129.6
277.3
113.7
258.1
134.0
33.6
12.3
47.3
98.7
28.5
82.2
34.6
Hypertension PQI Discharges
Mental Health and Substance Abuse Approximately one in five Americans experienced some sort of mental illness in 2010 with approximately 5% of Americans suffering from such severe mental illness that it interfered with day-to-day school, work or family. Prevalence of any mental illness was higher in females (23.8%) than males (15.6%); higher for persons with Medicaid, or Children’s Health Insurance Coverage (33.4%); and higher for the uninsured (24.9%) than for persons with health insurance (16.1%).71 Serious psychological distress among adults 18 years and over is two times greater for those living in poverty (less than 100% of the FPL) as compared to those living 100%-200% of poverty and over.72 Mental Health and Disorders are a Leading Health Indicator for Healthy People 2020 with a goal to “improve mental health through prevention by ensuring access to appropriate, quality mental health services.” In the Roanoke MSA, adults in the city of Roanoke, the city of Salem, and Roanoke County reported a greater average of mentally unhealthy days in the past month as compared to 3.2
71
Substance Abuse and Mental Health Administration, Mental Health United States, 2010 http://www.samhsa.gov/data/2k12/MHUS2010/MHUS-2010.pdf 72 Centers for Disease Control, Health United States, Table 59, 2011 http://www.cdc.gov/nchs/data/hus/hus11.pdf
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