Community Health Assessment and Community Profile Johnson

Community Health

Assessment

and

Community Profile

Johnson County, Kansas

2016

Johnson County Community Health Assessment

Table of Contents

Executive Summary …………………………………………………………………………………….………………...……..2

Johnson County Infographic………………………………………………………...…………………………………………4

Community Health Assessment Process………………………………………………………………………………...6

Community Partners…………………………………………………………………………………………………………….10

Methods……………………………………………………………………………………………………………………………....12

Key Findings…………………………………………………………………………………………………………………………14

Population……………………………………………………………………………………………………………………..…….15

Race………………………………………………………………………………………………………………………………..…..16

Ethnicity……………………………………………………………………………………………………………………………....17

Education…………………………………………………………………………………………………………………………….18

Language……………………………………………………………………………………………………………………….…...19

Income………………………………………………………………………………………………………………………………...20

Poverty………………………………………………………………………………………………………………………………...21

Employment………………………………………………………………………………………………………………………...23

Leading Causes of Death, Disability……………………………………………………………………………………...24

Overweight, Obesity……………………………………………………………………………………………………………...25

High Blood Pressure, Cholesterol……………………………………………………………………………………….....26

Diabetes…………………………………………………………………………………………………………………………..…..27

Immunizations……………………………………………………………………………………………………………………..28

Mental Health, Suicide……………………………………………………………………………………………………..…..29

Substance Abuse, Alcohol……………………………………………………………………………………………………..30

Tobacco…………………………………………………………………………………………………………………………….....31

Insurance Coverage………………………………………………………………………………………………………………32

Access to Healthcare…………………………………………………………………………………………………………….33

Dental…………………………………………………………………………………………………………………………………..34

Free and Reduced Cost Lunch……………………………………………………………………………………………....35

SNAP…………………………………………………………………………………………………………………………………….36

Food Security, Nutrition………………….………………………………………………………………………………..…….37

Physical Activity………………………………………………………………………………………………………………..…..38

Seat Belt Usage, Transportation………………………………………………………………………………………..…..39

Homelessness, Housing Costs……………………………………………………………………………………....…..….40

Community Assets………………………………………………………………………………………………………………...41

Appendices…………………………………………………………………………………………………………………………...46

-Appendix A: Sample Survey Map

-Appendix B: Survey Questionnaire Tool

1 -Appendix C: Key Informant Survey Questions and Results

Johnson County Community Health Assessment

Executive Summary

The Public Health Accreditation Board (PHAB) says, “A community health assessment is a systematic

examination of the health status indicators for a given population that is used to identify key problems

and assets in a community. The ultimate goal of a community health assessment is to develop strate-

gies to address the community’s health needs and identified issues. A variety of tools and processes

may be used to conduct a community health assessment; the essential ingredients are community

engagement and collaborative participation” (PHAB Definition from the PHAB Glossary of Terms

Version 1.0), (Turnock, B. Public Health: What It Is and How It Works. Jones and Bartlett, 2009).

The process described herein details the history of Johnson County’s prior community health assess-

ments and current efforts, illustrating the methods used to measure the health of the community. The

Johnson County Department of Health and Environment (JCDHE) has been coordinating and facilitating

the Community Health Assessment Process (CHAP) since 1996. The CHAP group, comprised of numer-

ous community partners, meets regularly to collaborate on needs assessment, data review and

program implementation designed to improve health.

Primary and secondary data is required to paint an accurate picture of a population’s health status. In

late 2015, JCDHE collected primary data using the Centers for Disease Control and Prevention’s

“Community Assessment for Public Health Emergency Response” (CASPER) method. Randomly select-

ed households in 60 census blocks were chosen to participate. Volunteers conducted a total of 376

survey interviews. The survey time averaged 20 minutes. Over 70 community leaders completed key

informant surveys. CHAP also compiled and reviewed secondary data from sources such as the Centers

for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System, and the United States

Census American Community Survey. CHAP played a significant role in evaluating the information in a

systematic, comprehensive manner.

The data presented represents the Johnson County community, its unique demographics, issues and

health behaviors. Where available, comparison data to the state of Kansas and the United States is

included. Additional data sources include the United States Department of Education, Bureau of Labor

Statistics, the Kansas Department of Health and Environment, Kansas Health Matters, County Health

Rankings and United Community Services of Johnson County.

Johnson County Community Health Assessment

Executive Summary

Several key findings include:

 Johnson County’s population became increasingly diverse; between 2000-2010 the overall

population increased by 17 percent, with the largest growth in the non-white population. The

Black population grew by more than 100 percent to 4 percent of the overall population and the

Hispanic population grew by 117 percent, to 7 percent of the overall population.

 The number of people in poverty rose to over 30,000 in the county, with the highest rates of poverty

in the Hispanic/Latino and Black populations.

 The average age of persons experiencing homelessness was 15.

 Cancer surpassed heart disease as the leading cause of death.

 Fifteen percent of individuals reported that they were always/usually worried about paying their

monthly bills.

 Seventeen percent of Johnson County adults reported binge drinking (consuming five or more

drinks in a two hour period for men, four or more drinks for women).

 Six in 10 Johnson County residents are overweight or obese.

 Eight percent of Johnson County residents do not have health insurance, and of the people who

reported visiting the emergency room, 14 percent report that they receive a majority of their care

at the hospital emergency room.

CHAP met monthly for ten months, taking the time necessary to understand and assess the large

amount of facts, figures and information offered. CHAP chose the following priorities: Chronic Disease

Prevention and Health Promotion, Access to Care, Mental Health.

Johnson County has many strengths, resources and services available. A listing of many of the assets

the community has to offer is available at the end of this document.

Johnson County Community Health Assessment

Johnson County Infographic

Johnson County

Johnson County is located in the northeast corner of Kansas and the southwestern quadrant of the

Kansas City metropolitan region. The county was organized on September 7, 1857. Johnson County

is 477 square miles and is made up of 20 municipalities and unincorporated areas (located in the

southwest part of the county).

Johnson County Community Health Assessment

Johnson County Infographic

Note: The information in this infographic depicts 2014-2015 statistics and may differ from some of the facts and

figures described in this profile.

Johnson County Community Health Assessment

Community Health Assessment Process

Johnson County’s Community Health Assessment Process

History

In 1996, the Johnson County Health Department initiated a community health assessment to measure

the health status and needs of its citizens. Approximately 1,200 residents responded to a phone survey,

and the health department collected key informant surveys and gathered data from national, state and

local sources. Once the results were tabulated and assessed, individuals who represented diverse

groups within the county worked with the department to identify the three issues of greatest concern.

This group of community partners called CHAP (Community Health Assessment Process) designed and

watched over the initiatives developed to address the most pressing health issues. CHAP’s goal was to

improve and maintain a high level of health for Johnson County by:

Evaluating existing systems of care

Establishing health priorities

Recommending the implementation of health programs and services

Planning and implementing processes/initiatives

Conducting ongoing evaluations

CHAP continues to meet regularly to address the health needs of the community. Annually, CHAP

reviews and analyzes county level health data to reassess the group’s priorities.

In 2000, CHAP conducted a second survey and tabulated results. The public health issues that were

identified in the initial survey and again in the subsequent survey were: Access to Care, Physical

Fitness/Obesity, and Childhood Injury Prevention. In 2004, CHAP again re-assessed priorities and

identified two additional issues and added them to the existing priorities: Tobacco/Clean Indoor Air

Quality and Oral Health.

Below is a sampling of initiatives resulting from CHAP’s community collaboration:

Identified the need for health care access in southern Johnson County that led to Health Part-

nership Clinic (the County’s only Federally Qualified Health Center) opening a second location.

Initiated a fitness room in a local community center.

Provided pedometers to doctors to distribute as incentives to increase exercise.

Created and implemented activities and events through Safe Kids Johnson County on such

issues as child passenger safety, bike safety, home safety and fire/burn prevention.

Provided information to cities that were considering indoor smoking ordinances.

Established “Elder Smiles” (on-site dental services for seniors in long-term care facilities).

Johnson County Community Health Assessment

Community Health Assessment Process

Johnson County’s Community Health Assessment Process

History (continued)

In 2011, CHAP again convened to participate in a health assessment of the Johnson County communi-

ty. The group reviewed and discussed data from a variety of sources, including the 2009 Johnson Coun-

ty Behavioral Risk Factor Surveillance System Report, the United States Census American Community

Survey and United Community Services of Johnson County.

The priorities selected were:

Physical Activity/Nutrition

Access to Health Care

Substance Abuse/Mental Health

Working groups formed around these priorities. The groups identified strategies and objectives for each

priority area. This information formed the basis of the Community Health Improvement Plan (CHIP)

2012-2017. CHIP outcomes were:

Increased access to and participation in physical activities through the promotion of Complete

Streets resolutions, the Creating Sustainable Places project, Walking School Bus training, Walk

Friendly Communities training and local bikeway plans.

Increased access to and consumption of healthy foods through the promotion of healthy

choices at concession stands, assessment and development of healthy eating policies in child

care settings, the establishment of a WIC Community Garden and the formation of the Johnson

County Food Policy Council.

Increased connections between social and health service agencies, via better access and use

of My Resource Connection (online resources and referral site).

Increased availability of dental screenings for Johnson County youth in the school setting

through collaborations with dental hygienists, dentists, school districts and Health Partnership

Clinic.

Increased awareness and education about the dental needs of older adults through profession-

al workshops, community sessions and the formation of a non-profit organization to advocate

for the dental needs of older adults.

Johnson County Community Health Assessment

Community Health Assessment Process

Johnson County’s Community Health Assessment Process

History (continued)

Designed and implemented a population based poster campaign targeted at increasing

awareness of substance abuse among youth. Posters were placed at local shopping malls and

businesses.

Delivered the Mental Health First Aid class to train individuals to identify and intervene in men-

tal health issues. Promoted national mental health/substance abuse awareness days via email

to the community and Johnson County Government employees. Received grant funds to offer

the Families and Schools Together training to school districts, held Café Conversations with

families and promoted the “It Matters” campaign about the prevention of underage drinking.

In 2012, the Johnson County Health Department merged with the Johnson County Environmental

Department to become the Johnson County Department of Health and Environment (JCDHE).

In 2014, JCDHE was the first health department in Kansas to become accredited by the Public Health

Accreditation Board (PHAB). PHAB requires accredited health departments to conduct a community

health assessment every five years. IRS regulations specify that non-profit hospitals complete a health

assessment every three years. These requirements provide an opportunity for JCDHE to maintain its

already strong relationship with the county’s non-profit hospitals and work together to conduct commu-

nity health assessments. Therefore, JCDHE will initiate and complete a community health assessment

every three years.

Current

Led by JCDHE, CHAP began planning for the community health assessment valid from 2017 to 2019 in

early 2015. The group determined that collecting and incorporating primary research would enhance

the process. See Methods on page 12 for a complete description of the primary and secondary re-

search that JCDHE completed.

The data were analyzed by JCDHE’s population epidemiologist and presented to CHAP in January 2016.

Over the course of the next several months, CHAP studied and discussed the research findings, key in-

formant surveys, reports and information, including the CDC’s Behavioral Risk Factor Surveillance Sys-

tem, County Health Rankings, Healthy People 2020 and others pertaining to the health issues of the

Johnson County. CHAP was asked to prioritize those health issues they felt were the most crucial to the

population.

Johnson County Community Health Assessment

Community Health Assessment Process

Johnson County’s Community Health Assessment Process

The priorities chosen were:

 Chronic Disease Prevention and Health Promotion

 Access to Care

 Mental Health

Once the priorities were chosen, CHAP divided into work groups to discuss mutually agreed-upon

goals, strategies, timelines, responsible parties and resources available to achieve the objectives. This

information will be included in the Johnson County Community Health Improvement Plan 2017-2019.

Johnson County Community Health Assessment

Community Partners

Johnson County Community Partners:

American Heart Association

Amerigroup

Area Agency on Aging - Human Services Department

Arthritis Foundation

Blue Valley School District

Children's Mercy Hospital

City of Gardner

City of Olathe Fire Department

Community volunteers

DeSoto School District

El Centro, Inc.

Health Partnership Clinic, Inc.

Healthcare Foundation of Greater Kansas City

Homewatch CareGivers

IBossWell

Jewish Community Center

Johnson County Community College - Dental Hygiene

Johnson County Park and Recreation District

Johnson County Emergency Management

Johnson County Human Services

Johnson County Library

Johnson County MedAct – EMS

Johnson County Mental Health Center

Johnson County Planning Department

Johnson County Transit Department

Kansas State Extension Office

Kansas School for the Deaf

Kansas Department of Health and Environment

Kids TLC, Inc.

KVC Health Systems, Inc.

Partnerships are a vitally important part of the community health assessment process in Johnson

County. Working in partnership with individuals, organizations, agencies and coalitions allows JCDHE

to build on one another to move toward a healthier community, a goal shared by all.

Johnson County Community Health Assessment

Community Partners

Mental Health Association of the Heartland

Mercy and Truth Medical Missions

Minute Movement

Mother and Child Health Coalition

National Parkinson Foundation

Olathe Health Systems

Olathe Latino Coalition

Olathe School District

Oral Health Kansas

REACH Foundation

ReNewed Health Pantry

Saint Luke's Hospital South

Shawnee Mission School District

Shawnee Mission Medical Center

Spring Hill School District

Sunflower Health Plan

Sunflower House

The Family Conservancy

United Community Services of Johnson County

United Healthcare Kansas City

United Way of Greater Kansas City

University of Kansas Cancer Center

University of Kansas Medical Center

University of Kansas Medical Center – MPH Program

University of Kansas School of Nursing

VVV Marketing & Development, Inc.

WyJo Care

YMCA of Greater Kansas City

Johnson County Community Health Assessment

Methods

JCDHE and partners used the Center for Disease Control and Prevention’s (CDC) two-stage cluster

sampling “Community Assessment for Public Health Emergency Response” (CASPER) method to

collect primary data. This method yields a representative sample of county households. CASPER

has been validated for rapid assessments of a variety of population level public health needs and

produces valid and precise estimates that are within 10 percent of the “true” estimate.

In order to randomly select households to participate, 60 census blocks were chosen at random,

weighted by 2010 US Census population. Within the selected blocks, teams of volunteers visited

seven randomly-selected households and conducted surveys. If no one was home or the resident

refused, surveyors visited the next nearest residence until seven surveys were completed. See

Appendix A: Survey Map.

During October and November 2015, volunteers conducted a total of 376 interviews throughout the

county, reaching the goal sampling success rate of 80 percent. Of those who answered the door,

41 percent completed interviews. Surveyors obtained oral consent in English or Spanish prior to

interviewing survey participants. Eligible participants had to be at least 18 years of age and a

resident of the selected household. Survey responses were recorded electronically or on paper

surveys. The electronic version collected data on LG tablets; the survey was pre-loaded into the

CollectSMART mobile application, developed by the North Carolina Institute of Public Health, based

on CDC’s mobile version EpiInfo.

Data were analyzed in SAS 9.4 (Cary, NC), and results for each question in the community health

survey are reported as weighted proportions. Survey weights were calculated using methods

described in the CDC CASPER toolkit, which incorporates the total number of households in the

sampling frame, the number of households in the census block, and the number of interviews

collected in each census block.

Volunteers who conducted the surveys came from Johnson County Government departments, the

University of Kansas Medical Center MPH Program, the University of Kansas, and community

partners. All surveyors received training to assure consistency and accuracy of collected data. To

notify residents and encourage participation, JCDHE mailed postcards to the homes in selected

neighborhoods, distributed press releases and ran a series of social media posts. Newspaper and

TV coverage also alerted the community.

Johnson County Community Health Assessment

Methods

Survey time averaged 20 minutes and included 50 questions, which were developed from previously

validated surveys. The questions included personal health, lifestyle, access to care, opinions on

community health and needs, demographics and questions pertaining to social determinants of

health. All data were confidential; names and addresses were not recorded. See Appendix B: Survey

Questionnaire Tool.

Secondary research was also part of the community health assessment. County-level information that

was part of the community health needs assessment came from the CDC’s Behavioral Risk Factor

Surveillance System, County Health Rankings, Healthy People 2020, United Community Services of

Johnson County, Kansas Kids Count, Oral Health Kansas, REACH Foundation and the Healthcare

Foundation of Greater Kansas City.

Key informant surveys went to 71 leaders in community organizations, schools, hospitals and county

departments. The survey asked about the county’s strengths, greatest needs, important health issues,

accessibility, affordability and barriers to healthy lifestyles. JCDHE received 29 completed surveys.

Key information survey highlights include:

 Johnson County’s Greatest Strengths: County resources and services, good public schools and edu-

cational opportunities, parks/green spaces and trails, high employment and good job opportuni-

ties and a strong economy and affluent population.

 Johnson County’s Greatest Needs: Affordable housing, transportation, affordable healthcare and

higher wages and jobs with growth potential.

 The Three Most Important Health Issues: Access to care (under/uninsured), chronic disease

(obesity, nutrition, access to healthy food) and mental health (substance abuse).

For the full complement of survey questions and results, see Appendix C: Key Informant Survey

Questions and Results.

Johnson County Community Health Assessment

Key Findings

Access to Care

Eighteen percent of individuals in Johnson County reported that they do not have a personal doctor or

healthcare provider.

Poverty

The number of people in poverty rose to over 30,000, or 6.5% of the population (2014 data). Much of

this growth occurred in communities of color.

Diversity

Between 2000-2010, the Johnson County’s population increased 17 percent, with the largest growth in

the non-white population. The Black population grew by slightly over 100 percent, the American Indian/

Alaska Native, Native Hawaiian/Pacific Islander and Multiple Race populations all grew by over 85

percent, and the Hispanic population grew 117 percent.

Leading Cause of Death

For the first time, cancer was the leading cause of death in Johnson County, followed by heart disease.

Previously, heart disease was the leading cause of death.

Overweight and Obesity

Six in 10 people were overweight or obese.

Binge Drinking

Seventeen percent of Johnson County adults report binge drinking (consuming five or more drinks for

men, four or more for women in a period of about two hours). This is higher than the state of Kansas,

where 15 percent of adults report binge drinking.

Transportation

Eighty-five percent of workers drive alone to work. One in 25 households does not have a motor vehicle.

Homelessness

The median age of persons experiencing homelessness is 15.

Mental Health

The percentage of adults who were ever diagnosed with a depressive disorder was 15.7 percent.

Fifteen percent of individuals also reported that they were always/usually worried about paying their

monthly bills.

Johnson County Community Health Assessment

Population

According to the 2010 United States Census, Johnson County’s population was 544,179. The 2014

population estimate was 560,025. Between 2000-2010, the population grew by an estimated 21

percent. The majority of the population was aged 25—54, with the median age of 37. Gender was

almost evenly distributed.

Source: U.S. Census Bureau 2010; American Community Survey, 2010-2014

Population Distribution:

10,352

19,331

36,196

67,837

80,829

78,655

80,347

65,801

82,052

38,625

85 years and over

75 to 84 years

65 to 74 years

55 to 64 years

45 to 54 years

35 to 44 years

25 to 34 years

15 to 24 years

5 to 14 years

Under 5 years

Age and Gender Summary:

Johnson County Community Health Assessment

Race

As Johnson County grows, diversity in the population continues to increase. Between 2000 and 2010,

Johnson County’s racial composition changed at a greater rate than the state of Kansas and the

United States.

Source: U.S. Census, American Community Survey 2000-2010 and 2010-2014

40%

80%

120%

White Black American Indian /

Alaska Native

Asian Native Hawaiian /

Pacific Islander

Other Race Multiple Race

Percent Change

Johnson County, KS Kansas United States

Population Changes:

Race Distribution:

White, 87%

Black, 4%

Asian, 4%

Other, 1%

Multiple Races, 3%

Johnson County Community Health Assessment

Ethnicity

According to the American Community Survey, 7 percent of the Johnson County population identified

as white reported to be of Hispanic ethnicity. For the time period 2000-2010, the Hispanic population

grew by 117 percent; the growth of the non-Hispanic, white population was 17 percent.

Source: U.S. Census, American Community Survey 2000-2010 and 2010-2014,

Ethnicity Composition:

17%

117%

Non-Hispanic Hispanic

Non-Hispanic

93%

Hispanic

Ethnicity Growth:

Johnson County Community Health Assessment

Education

In Johnson County, 91.7 percent of students receive their high school diploma within four years; slight-

ly over 4 percent of the population does not have a high school diploma.

Source: U.S Department of Education, EDFacts, CARES 2013-14, American Community Survey 2010, 2014

Johnson County (91.7%)

Kansas (85.5%)

United States (84.3%)

0 100%

Percentage of Individuals age 25 + with no High School Diploma:

Percentage of Individuals who Receive their High School Diploma within Four Years :

Johnson County Community Health Assessment

English, 94%

Spanish, 4%

Other, 2%

Language

Ninety-four percent of the population reported that English was their primary language; Spanish was

primarily spoken in 4 percent of households, 3.8 percent of the population report having limited Eng-

lish proficiency.

Source: Johnson County Community Health Assessment 2015, American Community Survey 2010, 2014

Population Reporting Primary Language Spoken:

Limited English Proficiency by Geographic Area:

Johnson County (3.8%)

Kansas (4.5%)

United States (8.6%)

0 15%

Percentage of Population with Limited English Proficiency:

Johnson County Community Health Assessment

Income

Per Capita Income:

The per capita income for Johnson County was $39,447, higher than both the state of Kansas and the

United States. The median household income for Johnson County was $74,717.

Per capita income by race/ethnicity shows an income difference between racial and ethnic popula-

tions.

Source: U.S. Census Bureau, American Community Survey, 2010-2014

Per Capita Income by Race/Ethnicity:

Per Capita Income Geographically:

$18,625

$41,081

$25,650

$24,566

$41,295

Hispanic/Latino

Non-Hispanic

Asian

Black

White

Johnson County ($39,447)

Kansas ($27,367)

United States ($28,554)

0 $50,000

Johnson County Community Health Assessment

Poverty

Poverty in Johnson County was 6.5 percent (2014), lower than the state of Kansas and United States

rate. However, poverty affects well over 30,000 people in Johnson County: the most affected are those

ages 18-24, followed by children, ages 0-17, as well as minorities. Nearly 8 percent of children live

below the federal poverty line. The Johnson County trend mirrors state and national trends that

showed a statistical decrease in the poverty rate.

Source: U.S. Census Bureau, American Community Survey, 2010-2014, United Community Services of Johnson

County

Johnson County (6.5%)

Kansas (13.8%)

United States (15.6%)

0 20%

Poverty Rate:

2000 2007 2010 2014 2015

Children 0-17 3.6% 5.5% 8.3% 8.3% 6.6%

Young Adults 18-24 9.8% 8.9% 11.7% 10.7% 8.7%

Working Age 25-64 2.5% 3.1% 5.4% 5.3% 4.5%

Seniors 65+ 3.6% 3.1% 5.7% 5.6% 4.0%

All Ages 3.4% 4.2% 6.6% 6.5% 5.3%

Johnson County Poverty Rate By Age Group:

Johnson County Community Health Assessment

Poverty

Percentage of Children in Johnson County Living Below the Poverty Line:

Geographic Distribution of Population in Poverty:

Johnson County Poverty Rates by Race/Ethnicity:

19%

14%

Hispanic/Latino

Non-Hispanic

Asian

Black

White

Johnson County Community Health Assessment

Employment

The unemployment rate in Johnson County was 3.3 percent, lower than the state of Kansas and the

United States.

The unemployment trend reflects 10 years (2005-2015) of data, with the highest unemployment rate

occurring during the recession of 2008-2009.

Source: Bureau of Labor Statistics, January 2016 and 2005-2015

Johnson County (3.3%)

Kansas (4.4%)

United States (5.3%)

0 10%

4.6

4.1

3.9

4.4

6.8

6.1

5.4

4.6

4.3

3.8

3.4

2005 2007 2009 2011 2013 2015

Johnson County Unemployment Rate Trend 2005-2015

Johnson County Unemployment Rate:

Johnson County Community Health Assessment

Leading Causes of Death, Disability

For decades, heart disease has consistently been the leading cause of death in the United States, but

in Johnson County, cancer deaths have surpassed heart disease. In 2014, United States life expectan-

cy at birth was 78.8 years.

Nearly 9 percent of the Johnson County population reported living with a disability.

Source: Kansas Department of Health and Environment, Vital Statistics, 2007-2011, American Community

Survey, 2010-2014

Leading Causes of Death in Johnson County

1. Cancer

2. Heart Disease

3. Atherosclerosis

4. Chronic Lower Respiratory Disease

5. Stroke

6. Unintentional Injury

7. Alzheimer’s Disease

8. Suicide

9. Kidney Disease

10. Pneumonia and Influenza

Johnson County (8.6%)

Kansas (12.3%)

UnitedStates (12.3%)

15%

Percentage of the Population Living with a Disability:

Johnson County Community Health Assessment

Overweight, Obesity

The percentage of people overweight in Johnson County was 36.4 percent, up from the 2011 rate of

34.8 percent. The obesity rate was 24.6 percent, up from the 2011 rate of 22.6 percent. The Healthy

People 2020 goal is 30.5 percent. Fewer people in Johnson County were obese, compared to Kansas

and the United States, while the percentage of overweight in Johnson County is higher than the state

of Kansas and the United States.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Kansas Health Matters

Johnson County (24.6%)

Kansas (30.0%)

United States (28.9%)

0 40%

HP2020 goal: 30.5%

Johnson County (36.4%)

Kansas (35.3%)

United States (35.4%)

0 40%

Percentage of Obesity in Johnson County:

Percentage of the Population in Johnson County who are Overweight:

Johnson County Community Health Assessment

High Blood Pressure, Cholesterol

Over 26 percent of the adult population has been diagnosed with hypertension (high blood pressure)

which meets the Healthy People 2020 goal of 26.9 percent, however; 36.3 percent have been diag-

nosed with high cholesterol, which is higher than the Healthy People 2020 goal of 13.5 percent.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Kansas Health Matters

Johnson County (26.7%)

Kansas (31.3%)

United States (31.4%)

0 40%

HP2020 goal: 26.9%

Percentage of the Population that has been Diagnosed with Hypertension.

Johnson County (36.3%)

Kansas (38.1%)

UnitedStates (38.4%)

40%

HP2020 goal: 13.5%

Percentage of the Population that has been Diagnosed with High Cholesterol

Johnson County Community Health Assessment

Diabetes

In Johnson County, 7.3 percent of the adult population has been diagnosed with diabetes. Two in five

Kansas adults were at risk for developing diabetes.

An additional 10.5 percent of the population report having been diagnosed by a health professional as

pre-diabetic. Nine out of ten adults in the United States who have pre-diabetes are not aware that they

are pre-diabetic.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Johnson County Community Health Assessment 2015, Kansas Health Matters

Johnson County (7.3%)

Kansas (9.6%)

United States (9.7%)

0 15%

Percentage of the Population that have been Diagnosed with Diabetes.

Johnson County Community Health Assessment

Immunizations

The percentage of children receiving immunizations when they enter kindergarten was 85%; the

Healthy People 2020 overall immunizations goal is 95%.

A total of 2.2% of Johnson County kindergarteners were exempt from receiving immunizations due to

medical or religious reasons.

Source: Kansas Department of Health and Environment Immunization Assessment Survey, 2014-2015

85%

86%

88%

86%

95%

DTaP5 Polio4 MMR2 Var2 HepB3

HP2020 goal: 95%

Percentage of Immunizations:

0.3%

1.9%

2.2%

0.3%

1.2%

1.5%

Medical Religious Total

Johnson County Kansas

Percentage of Kindergarteners that are Exempt from Immunizations:

Vaccine Definitions:

DtaP5 - Diphtheria,

Tetanus, Pertussis

(whooping cough)

Polio4 - Polio

MMR2 - Measles,

Mumps and Rubella

Var2 - Varicella

(chicken pox)

HepB3 - Hepatitis B

Johnson County Community Health Assessment

Mental Health, Suicide

The percentage of adults who were ever diagnosed with a depressive disorder was 15.7 percent.

Fifteen percent of individuals also reported that they were always/usually worried about paying their

monthly bills.

The age-adjusted suicide rate for Johnson County was 13.2 per 100,000 population.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Community Health Assessment Survey 2015, Kansas Department of Health and Environment 2013-2015

Johnson County (15.7%)

Kansas (18.1%)

United States (18.7%)

0 20%

Johnson County Adults Diagnosed with a Depressive Disorder:

Johnson County (13.2)

Kansas (15.0)

United States 13.0)

0 20

Suicide Rate:

Johnson County Community Health Assessment

Substance Abuse, Alcohol

The rate of death due to drug poisoning (overdoses) was 8.9 per 100,000 population, much lower than

the state of Kansas (11.3) and the United States. (13.9).

Over 16 percent of adults in Johnson County reported binge drinking, which was close to the state of

Kansas and the United States rates. The Healthy People 2020 goal is slightly over 4 percent.

Source: County Health Rankings, 2012-2014, Kansas Department of Health and Environment Behavioral Risk

Factor Surveillance System, 2013

Drug Poisoning Death Rate:

Johnson County (8.9)

Kansas (11.3)

United States (13.9)

0 20

Johnson County (16.7%)

Kansas (15.4%)

UnitedStates (16.8%)

20%

HP2020 goal: 4.4%

Percentage of Adults who Binge Drink:

Johnson County Community Health Assessment

Tobacco

In Johnson County, 12.6 percent of adults smoked cigarettes. Among those who smoke, 55.7percent

reported stopping for one day or longer because they were trying to quit. Although the Johnson County

percentage falls in line with the Healthy People 2020 goal of 12 percent, among certain targeted

populations, the rate is much higher.

Of adults who smoke, 28.1 percent have been diagnosed with a depressive disorder, 21.2 percent are

uninsured, 19.8 percent have a high school education or less, 19.4 percent earn less than $35,000

per year and 16.5 percent are living with a disability.

According to the Johnson County Community Health Assessment, three percent of adults reported that

they currently smoke e-cigarettes.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Johnson County Community Health Assessment 2015

Johnson County (12.6%)

Kansas (20.0%)

UnitedStates (19.0%)

25%

HP2020 goal: 12%

Percentage of Adults Who Currently Smoke Cigarettes:

Characteristics of Adults Who Currently Smoke Cigarettes:

28.10%

21.20%

19.80%

19.40%

16.50%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

Ever Diagnosed with a Depressive

Disorder

Uninsured High School Education or Less Earn less than $35,000 Annually Living with a Disability

Adults Who Currenlty Smoke

Johnson County Community Health Assessment

Insurance

27.5%

6.7%

9.7%

15.0%

7.4%

Hispanic/Latino Non-Hispanic Asian Black White

Over eight percent of the Johnson County population reported that they lack health insurance.

Source: American Community Survey 2010-2014

Percentage of Individuals who are Uninsured:

Johnson County (8.2%)

Kansas (12.2%)

United States (14.2%)

20%

Ethnic/Racial Breakdown of Individuals who are Uninsured:

Geographic Distribution of Individuals who are Uninsured:

Insurance Coverage

Johnson County Community Health Assessment

Access to Healthcare

Eighteen percent of individuals in Johnson County reported that they do not have a personal doctor or

healthcare provider.

The ratio of the population to primary care physicians was one primary care physician for every 1,603

individuals in Johnson County, which exceeds those of the State of Kansas and the United States.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Kansas Department of Health and Environment 2014

18%

22%

Johnson County Kansas

Percentage of Adults who do not have a Personal Doctor or Healthcare Provider:

Johnson County (1606.3)

Kansas (1895.9)

United States (2664.7)

3000

Ratio of Population to Primary Care Physicians:

Johnson County Community Health Assessment

Dental

Slightly more than 8 percent of Johnson County (Kindergarten—12) students who participated

in dental screenings had obvious dental decay.

Close to 55 percent of students in grades 3-12 who participated in dental screenings had no

dental sealants.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Kansas Department of Health and Environment 2014

Percentage of Students with Obvious Dental Decay

Percentage of Students Grades 3-12 with no Dental Sealants

8.1%

16.5%

Johnson County Kansas

54.7%

55.9%

Johnson County Kansas

Johnson County Community Health Assessment

Free and Reduced Cost Lunch

The percentage of students who receive free or reduced cost lunch through the school systems was

25.5%, lower than the percentages in the state of Kansas and the United States.

Source: Kansas Department of Education 2015-2016, NCES Common Core of Data, 2013-2014

Johnson County (25.5%)

Kansas (50.0%)

United States (52.4%)

60%

Percentage of Students Receiving Free/Reduced Cost Lunch:

Free/Reduced Cost Lunch by School District:

8.3%

16.9%

33.8%

12.8%

28.4%

37.4%

Blue Valley Spring Hill Gardner-Edgerton De Soto Olathe Shawnee Mission

Johnson County Community Health Assessment

SNAP

Slightly over 4 percent of individuals received Supplemental Nutrition Assistance Program (SNAP) ben-

efits in Johnson County.

Source: American Community Survey 2010-2014

Johnson County (4.2%)

Kansas (9.6%)

United States (13.0%)

20%

Percentage of SNAP recipients:

Geographic Distribution of SNAP recipients:

Johnson County Community Health Assessment

Food Security, Nutrition

Over 11 percent of the population reported that they were experiencing food insecurity or lack of

access to adequate, nutritious food.

Source: Feeding America 2014

Johnson County (11.6%)

Kansas (14.2%)

United States (14.9%)

20%

Nineteen percent of adults reported consuming vegetables less than one time per day.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

Kansas Health Matters

Johnson County (19.0%)

Kansas (22.9%)

United States (23.1%)

25%

Johnson County Community Health Assessment

Physical Activity

More than 21 percent of adults in Johnson County reported doing enough physical activity to meet

both the aerobic and strengthening exercise recommendations. People exercised most at outdoor

parks or at home. Most people reported having access to neighborhood outdoor places to exercise

available to them.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

American Community Survey 2010-2014, Johnson County Community Health Assessment 2015.

Percentage of Adults Meeting Exercise and Strengthening Recommendations:

Where People Exercise:

13%

14%

45%

52%

No exercise

Faith community

School

Public recreation center

Work

Home

Outdoor parks

21%

23%

55%

73%

86%

The amount of crime makes it unsafe to go on walks

There is so much traffic along nearby streets that it makes it difficult to

walk

It is easy to walk to a transit stop

Places I go oftern are within easy walking distance

It is easy to walk to parks and playgrounds

There are roads, sidewalks, paths, or trails where I can walk or bike

Neighborhood Walkability:

Johnson County (21.2%)

Kansas (17.9%)

United States (20.4%)

0 25%

HP2020 goal: 20.1%

Johnson County Community Health Assessment

Seat Belt Usage, Transportation

The percentage of individuals who reported that they always wear a seatbelt when they drive or ride in

a car was 91.3 percent, almost meeting the Healthy People 2020 goal of 92 percent. In Johnson

County, 85 percent of drivers reported that they drive alone to work.

Nearly 4 percent of the households in Johnson County reported that they have no motor vehicle.

Source: Kansas Department of Health and Environment Behavioral Risk Factor Surveillance System 2013,

American Community Survey 2010-2014

Seatbelt Usage in Johnson County:

Johnson County (3.5%)

Kansas (5.4%)

United States (9.1%)

15%

Percentage of Households that do not have a Vehicle:

Geographic Distribution of no Vehicle Households

Johnson County (91.3%)

Kansas (83.0%)

United States (89.0%)

100%

HP2020 goal: 92%

Johnson County Community Health Assessment

Homelessness, Housing Costs

In Johnson County, 31 out of 100,000 people were homeless (either emergency shelter, transitional

housing, or unsheltered). The median age of people who were homeless was 15. Seven out of ten

households who experienced homelessness in Johnson County contain children. After trending down-

ward since 2011, the number of homeless adults and children rose slightly in 2015.

Nearly 27 percent of households in Johnson County reported that housing costs exceed 30 percent of

their income.

Source: United Community Services of Johnson County 2015, Point-in-Time Count 2011-2015, American

Community Survey, 2010-2014

147

168

120

100

200

300

400

2011 2013 2014 2015

Adults Children

Homelessness in Johnson County 2011-2015

Johnson County (26.6%)

Kansas (27.1%)

United States (34.9%)

40%

Housing Costs Exceeding 30% of Income:

Johnson County Community Health Assessment

Community Assets

Community assets or resources are those things that can be used to improve quality of life of the

population in a geographic area. Community assets include organizations, people, partnerships,

facilities, funding, policies, regulations, and a community’s collective experience. Health issues are

best addressed using existing resources and community strengths. Johnson County is fortunate to be

able to offer its residents a large number of varied services, assets and resources.

Chronic Health Conditions:

 American Cancer Society http://www.cancer.org

 American Heart Association http://www.heart.org/HEARTORG/#

 American Lung Association http://www.lung.org/

 American Diabetes Association: http://www.diabetes.org/

 Asthma and Allergy Foundation: http://www.aafa.org/

 Sickle Cell Disease Association: http://www.sicklecelldisease.org/

Physical Activity:

 Johnson County Parks and Recreation Department http://www.jocogov.org/dept/park-and-

recreation/home/

 Blue Valley Recreation http://www.bluevalleyrec.org/

 Matt Ross Community Center and Tomahawk Ridge Community Center www.opkansas.org/

 Olathe Community Center http://www.olatheks.org/ParksRec/OlatheCommunityCenter/

 Sylvester Powell Jr. Community Center http://www.missionks.org/pview.aspx?id=16302&catid=0/

 Jewish Community Center of Greater Kansas City http://thejkc.org/

 DeSoto Parks and Recreation http://www.desotoks.us/parks-and-recreation.html/

 Edgerton Parks and Recreation http://www.edgertonparks.org/

 Fairway Parks and Recreation http://www.fairwaykansas.org/

 Gardner Parks and Recreation http://www.gardnerkansas.gov/government/departments-and-

divisions/parks-and-recreation/

 Leawood Parks and Recreation https://www.leawood.org/parks/

 Lenexa Parks and Recreation http://www.lenexa.com/parks/index.html/

 Merriam Parks and Recreation http://www.merriam.org/index.aspx?nid=104/

 Olathe Parks and Recreation http://www.olatheks.org/parksrec/

 Overland Park Parks and Recreation http://www.opkansas.org/city-government/department-

directory/parks-and-recreation/

 Prairie Village Parks and Recreation http://pvkansas.com/city-government/departments/parks-

recreation/

 Roeland Park Community Center http://www.roelandpark.net//?s=community+center/

 Shawnee Parks and Recreation http://www.cityofshawnee.org/

 Private Fitness Clubs and Gymnasiums

Johnson County Community Health Assessment

Community Assets

Nutrition:

Urban Farming

 http://www.cultivatekc.org/

 http://urbanfarmstourkc.com/

 http://www.marc.org/environment/Energy/Green_Practices_Guide/Zoning/urban_ag.htm/ Pro-

vides a list of local policies about urban agriculture

Farmers’ Markets

 Blue Valley Recreation Farmers’ Market: http://www.bluevalleyrec.org/page/market.php/

 Gardner Farmers’ Market: www.gardnerfarmersmarket.com/

 Merriam Marketplace: http://www.merriam.org/park/Marketplace/

 Shawnee Farmers’ Market:

http://www.cityofshawnee.org/WEB/ShawneeCMS.nsf/vwContent/FarmersMarket/

 Olathe Farmers’ Market: http://www.olatheks.org/ParksRec/Farmers/

 Overland Park Farmer’s Market: http://www.downtownop.org/farmers_market.html/

 Spring Hill Farmers’ Market: http://springhillmarket.org/

Cooking & Culinary Arts

 The Culinary Center of Kansas City: http://www.kcculinary.com/

 Whole Foods Market–The Cooking Studio: http://wholefoodsmarket.com/stores/metcalf/cooking-

classes-2/

 Cookbooks and classes from the Johnson County Library: http://www.jocolibrary.org/

 K-State Extension Office: http://www.johnson.ksu.edu/

Obesity:

 Weighing In: http://www.childrensmercy.org/content/view.aspx?id=6557/

 Healthy Families Program Powered by Blue KC: http://www.kansascityymca.org/about-y/news/

healthy-families-program-powered-blue-kc/

 Kansas City Chiefs Sports Lab Powered by Blue KC:

http://www.kcchiefs.com/community/sportslab.html/

Dental:

 JCCC Dental Hygiene Clinic: http://www.jccc.edu/community-resources/dental-hygiene-clinic.html/

 University of Missouri-Kansas City School of Dentistry: http://dentistry.umkc.edu/index.shtml

 Health Partnership Clinic: http://www.hpcjc.org/new-index-1/#dental-1

Johnson County Community Health Assessment

Community Assets

Access to Healthcare:

 The Health Resource Guide: http://www.kchealthresource.org/assets/

healthresourceguide_eng.pdf/

 Johnson County Community College Dental Hygiene Clinic: http://www.jccc.edu/dentalhygiene/

 Health Partnership Clinic www.hpcjc.org/

 Mercy & Truth Medical Missions www.mercyandtruth.com/

 WyJo Care – Medical Society of Johnson and Wyandotte Counties

http://www.msjwc.org/care.html/

 Johnson County Department of Health and Environment: http://www.jocogov.org/dept/health-and-

environment/home/

 JayDoc Free Clinic: http://jaydocfreeclinic.org/

Prescription Assistance:

 Partnership for Prescription Assistance: https://www.pparx.org/

 Patient Access Network Foundation: https://panfoundation.org/index.php/en/patients/how-to-

apply/

 Turning Point: The Center for Hope and Healing: http://www.turningpointkc.org/

General Services, Support, Referral:

 Office of Vital Statistics- Birth, death, marriage & divorce records--vital records: http://

www.kdheks.gov/vital/about_ovs.html

 Catholic Charities of Northeast Kansas: https://www.catholiccharitiesks.org/

 Center of Grace: http://gracech.org/center-grace/

 Child Support Enforcement (KS): http://www.dcf.ks.gov/services/CSS/Pages/default.aspx/

 The Family Conservancy: http://www.thefamilyconservancy.org/

 Johnson County Department of Health and Environment: http://www.jocogov.org/dept/health-and-

environment/home/

 Legal Aid: http://www.kansaslegalservices.org/

 Social and Rehabilitation Services (SRS): http://www.dcf.ks.gov/DCFContacts/Pages/default.aspx/

 Social Security Office: https://www.ssa.gov/

 Kids TLC: http://www.kidstlc.org/

 Johnson County Library https://www.jocolibrary.org/

 Johnson County Human Services Department http://www.jocogov.org/dept/human-services/home/

Johnson County Community Health Assessment

Community Assets

Mental Health and Substance Abuse:

 Johnson County Mental Health Services: http://www.jocogov.org/dept/mental-health/home/

 Substance Abuse Treatment Facility Locator: http://findtreatment.samhsa.gov/TreatmentLocator/

faces/quickSearch.jspx/

 Treatment Center directory http://www.treatmentcentersdirectory.com/

 Mental Health Association of the Heartland www.mhah.org/

Mental Health, Counseling, Addiction, Treatment:

 Alcoholics Anonymous: http://www.kansas-aa.org/

 Heartland Regional Alcohol and Drug Assessment Center (RADAC): http://www.hradac.com/

 KVC Health Systems: https://kansas.kvc.org/

 Narcotics Anonymous: http://www.kansascityna.org/

 Salvation Army SOS (Kansas Shield of Services): http://salarmymokan.org

 Solace House: https://www.kchospice.org/solace-house/

 Valley Hope Association (Overland Park): https://valleyhope.org/

Youth:

 House of Hope: http://www.houseofhopekc.net/about-us/

 Johnson County Community College-Youth Programs: http://www.jccc.edu/

 YMCA of Olathe: http://www.kansascityymca.org/locations/olathe/

 The Family Conservancy: http://www.thefamilyconservancy.org/

Disability/Developmental Delay:

 Autism Society of the Heartland: http://www.asaheartland.org/

 Communityworks: http://communityworksinc.com/

 Down Syndrome Guild: https://www.kcdsg.org/

Childcare/Head Start:

 Childcare Aware: http://www.ks.childcareaware.org/

 Growing Futures—Head Start of Shawnee Mission: http://www.smks-headstart.org/

 Mid-America Head Start: http://marc.org/Community/Head-Start/

 Parents as Teachers: http://www.parentsasteachers.org/

 Johnson County Department of Health and Environment, Child Care Licensing:

http://www.jocogov.org/dept/health-and-environment/health/child-care-licensing/overview

Johnson County Community Health Assessment

Community Assets

Hotlines, Crisis Lines:

 AIDS information Line: 1-800-HIV-0440 (1-800-448-0440)

 Al-Anon and Alateen: 1-888-425-2666

 Child Abuse/Neglect Hotline: 1-800-392-3738

 Cocaine Help Line (Spanish Available): 1-866-822-0007

 Crisis Pregnancy Center: 816-887-5100

 Domestic Violence Hotline (National): 1-800-799-SAFE (1-800-799-7233)

 Domestic Violence Hotline (Synergy Services KS/MO): 816-45-8535

 Girls and Boys Town National Hotline: 1-800-448-3000

 Homeless Hotline: 816-474-4599

 National Runaway Switchboard: 1-800-RUNAWAY

 Poison Control: 1-800-222-1222

 Suicide Prevention Hotline: 1-800-273-TALK (1-800-273-8255)

 Teen Dating Abuse Hotline (Love & Respect): 1-866-331-9474

 Veronica’s Voice: 816-483-7101 Crisis Line: 816-728-0004

 Youth America Hotline: 1-877-YOUTHLINE

WIC, Food Pantries, Utilities, School Supplies:

 El Centro: http://www.elcentroinc.com/

 Johnson County Human Services Department – Food Pantries http://www.jocogov.org/dept/human

-services/outreach/outreach-services/

 New Hope Food Pantry: http://www.nhfoodpantry.com/

 Overland Park Christian Church: http://www.opccdoc.org/

 Overland Park Church of Christ: http://opcofc.org/

 Shawnee Community Services: http://www.scsks.org/

 St. Mark’s United Methodist Church: http://www.stmarksumc.info/

 Village Presbyterian Church: http://www.villagepres.org/

 WIC: http://www.fns.usda.gov/wic/women-infants-and-children-wic

Shelters:

 Safe Home: http://www.safehome-ks.org/

 Salvation Army Johnson County Family Lodge: http://salarmymokan.org/locations/olathe/

Johnson County Community Health Assessment

Sample Survey Map

Appendix A: Sample Survey Map

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Survey Questionnaire Tool

Appendix B: Survey Questionnaire Tool

Johnson County Community Health Assessment

Key Informant Survey and Questions and Results

Appendix C: Key Informant Survey Questions and Results

Key Informant Surveys

Johnson County Health and Environment- 29 Completed Surveys

Johnson County survey did not ask respondent to provide organization they served, but did request

information about the population they served. The population served by the respondents:

 200% below poverty (5)

 Under / Uninsured

 Low income pregnant women and children 0-5

 Suburban, mostly white residents (4)

 Birth to 3 with developmental disabilities

 Patients in need of emergency services

 60+ population

 Deaf and hard of hearing (2)

 Adult and juvenile criminal offenders

 Latinos and immigrants (2)

What is Johnson County’s greatest strengths?

 High quality of living

 Strong economy and affluent population (3)

 High employment and good job opportunities (3)

 Options for dining, shopping and recreation

 Affordable and quality housing

 Infrastructure and good roads (2)

 Parks/green spaces and trails (4)

 Safe neighborhoods (2)

 Part of a large metropolitan area

 Good public schools and educational opportunities (5)

 Good health outcomes

 Low uninsured rate

 Professional governments (county and city)

 County resources and services (6)

Johnson County Community Health Assessment

Key Informant Survey and Questions and Results

Appendix C: Key Informant Survey Questions and Results

What are the greatest needs in Johnson County?

 Affordable housing (9)

 Transportation (8)

 Affordable health care (6)

 Higher wages and jobs with growth potential (6)

 Bi-cultural services (3)

 Focus on communities in poverty (2)

 Child support enforcement

 Child care

 Dental

What are the 3 most important health issues?

 Access to care (26)

Under/uninsured (14)

Health insurance literacy (3)

Medications (2)

Access to care during non-traditional hours

Preventive care

Specialists

Physicians who will see uninsured/Medicaid

Medical devices and equipment for specific health conditions

Medications

Pre-natal support

 Chronic Disease (12)

Obesity/Nutrition / Access to healthy food (5)

Diabetes/Heart Disease (3)

Wellness education (4)

COPD (1)

 Mental health (8)

Substance abuse (2)

Suicide

 Dental (4)

Johnson County Community Health Assessment

Key Informant Survey and Questions and Results

Most Important Health Issues continued:

 Built Environment (5)

Infrastructure to support physical activity (3)

Water/Air pollution (2)

 Aging (2)

Health care for end of life

Alzheimer’s and dementia

Appendix C: Key Informant Survey Questions and Results

How accessible and adequate are primary health services?

 Very accessible and adequate for those who have health insurance and ability to pay (8)

 Limited access for those with no insurance or means to pay (10)

 Transportation is an issue for those without cars (3)

 Hours are not conducive to working schedules

How accessible and adequate are mental health services?

 Average to above average (3)

 Transportation is a barrier (3)

 Long waits for services (3)

 Mental health needs are not being met (3)

 Difficult to access for those not diagnosed with SPMI (2)

 Difficult to access and need more access points (3)

 JC Mental Health changes are continuing to show improvements (3)

 Need to focus on building community support through police and mental health workers

How affordable is our community?

 Affordable to reasonably affordable (10)

 Not affordable, especially for those on limited income (10)

What are our transportation needs?

 Nearly all respondents indicated an improved public transportation options and transportation is

very difficult without a car.

Is there adequate programming to promote healthy lifestyles?

YES (17) and NO (12)

Johnson County Community Health Assessment

Key Informant Survey and Questions and Results

If no, what is needed?

 More offerings through employers

 Continued expansion and connectivity to trails and parks

 Community programs through the schools

 Safe routes to schools

 Adult bike education

 Low cost options for community centers

 Use of food stamps at farmers markets

What is needed to promote more physical activity?

 Promotion and awareness campaigns (7) *consider Latinos in messaging

 Promotion and better marketing of trail system (6)

 More bike friendly options

 Safe walk/bike to school (2)

 Increase PE at schools

 More affordable gyms/sliding scale (5)

 Policy, planning and promotion to support active transportation (2)

 Free or low cost programs for specific age groups including seniors (2)

 More community events that are low cost or free

Are there barriers to accessing, preparing consuming healthy food? Yes (22)

 Cost (11)

 Sales tax on food (2)

 Knowledge on how to prepare healthy food (4)

 Too many fast food restaurants

 Grocery stores are becoming further apart

 Convenience/Time to prepare (2)

 Inability to use food stamps at farmers markets

Appendix C: Key Informant Survey Questions and Results

Johnson County Community Health Assessment

Community Health Assessment

and

Community Profile

2016

Johnson County, Kansas

Johnson County Department of

Health and Environment

For more information contact:

Barbara Mitchell, MSW

Community Health Division Director, PIO

barbara.mitchell@jocogov.org

913-477-8364

Elizabeth Holzschuh, MS

Epidemiologist II

elizabeth.holzschuh@jocogov.org

913-477-8368