2022 Marion County Community Health Assessment

About

The Community Health Assessment (CHA) provides an overview of health-related data for Marion County adults (ages 19 and older) who participated in a county-wide health assessment survey from March 2022 through May 2022. The findings are based on self-administered surveys using a structured questionnaire. The questions were modeled after the survey instruments used by the Centers for Disease Control and Prevention for their national and state Behavioral Risk Factor Surveillance System (BRFSS). The Hospital Council of Northwest Ohio (HCNO) collected the data, guided the health assessment process, and integrated sources of primary and secondary data into the final report.

This comprehensive Community Health Assessment is the result of a strong commitment by dedicated community partners. This health assessment gives us the opportunity to glance into our community, state and nation to compare and analyze our strengths and weaknesses in order to take action to improve the health and well-being of residents of Marion County. The data presented in this report will provide valuable information to develop strategies that focus on wellness, access to care, and unmet community needs. It will provide additional insight into our community structure in the areas of health and well-being.

Public Health Accreditation Board (PHAB) Requirements

National Public Health Accreditation status through the Public Health Accreditation Board (PHAB) requires Community Health Assessments (CHAs) to be completed at least every five years. The purpose of the community health assessment is to learn about the community: the health of the population, identify areas for health improvement, identify contributing factors that impact health outcomes, and identify community assets and resources that can be mobilized to improve population health. Marion Public Health received initial accreditation in August of 2018.

PHAB standards highly recommend that national models of methodology are utilized in compiling CHAs. The 2022 CHA was completed using the National Association of County and City Health Officials (NACCHO) Mobilizing Action through Partnerships and Planning (MAPP) process. MAPP is a community-driven planning process for improving community health. This process was facilitated by HCNO in collaboration with various local agencies representing a variety of sectors.

2022 Marion County Community Health Assessment Highlights

Health Care Access

Health Care Coverage

  • 7% of Marion County adults did not have health care coverage

Access and Utilization

  • 20% of Marion County adults reported there was a time in the past year they needed to see a doctor but could not because of cost

Preventive Medicine

  • 48% of Marion County adults had a flu vaccine

Women's Health

  • 60% of Marion County women over the age of 40 reported having a mammogram
  • 60% of Marion County women had a clinical breast exam
  • 52% of Marion County women has a Pap smear to detect cancer of the cervix

Men's Health

  • 46% of Marion County men over the age of 50 has a prostate-specific antigen (PSA) test

Oral Health

  • 15% of Marion County adults did not have dental insurance
  • 62% of Marion County adults visited a dentist or dental clinic

Health Behaviors

Health Status Perception

  • 46% of Marion County adults rated their health status as excellent or very good
  • 20% of Marion County adults rated their health status as fair or poor

Adult Weight Status

  • 82% of Marion County adults were overweight or obese based on body mass index (BMI)
  • 22% of Marion County adults did not participate in any physical activity in the past week, including 2% who were unable to exercise

Adult Tobacco Use

  • 15% of Marion County adults were current smokers
  • 26% of Marion County adults were considered former smokers
  • 5% of Marion County adults were current e-cigarette users

Adult Alcohol Consumption

  • 51% of Marion County adults had at least one alcoholic drink in the past month and would be considered current drinkers
  • 16% of Marion County adults would be considered binge drinkers (five or more alcoholic drinks in one sitting for males and four or more alcoholic drinks in one sitting for females)

Adult Drug Use

  • 4% of Marion County adults had used recreational marijuana or hashish during the past six months
  • 8% of Marion County adults has used medication not prescribed for them or took more than prescribed to feel good or high and/or more active alert during the past six months

Adult Sexual Behavior

  • 69% of Marion County adults had sexual intercourse
  • 7% of Marion County adults had more than one partner in the past year
  • 6% of Marion County adults were not using any method of birth control

Adult Mental Health

  • 6% of Marion County adults considered attempting suicide
  • 10% of Marion County adults used a program or service for themselves or a loved one to help with depression, anxiety, or emotional problems

Chronic Disease

Cardiovascular Health

  • 6% of Marion County adults had survived a heart attack and 2% had survived a stroke at some time in their life
  • 40% of Marion County adults had high blood pressure
  • 34% of Marion County adults had high blood cholesterol

Cancer

  • From 2017-2019, cancers caused 20% of all Marion County resident deaths
  • The largest percent (28%) of cancer deaths were from lung and bronchus cancers

Arthritis

  • 40% of Marion County adults were ever told by a health professional that they had some form of arthritis

Asthma

  • 16% of Marion County adults had been diagnosed with asthma in their lifetime

Diabetes

  • 16% of Marion County adults had been diagnosed with diabetes in their lifetime
  • 10% of Marion County adults had been diagnosed with pre-diabetes or borderline diabetes

Quality of Life

  • In 2022, 23% of Marion County adults were limited in some way because of a physical, mental, or emotional problem
  • The most limiting health problems were back or neck problems (53%), arthritis/rheumatism (44%), chronic illness (33%), chronic pain (31%), and walking problems (29%)

Social Conditions

Adult Social Determinants of Health

  • 18% of Marion County adults had four or more adverse childhood experiences (ACEs) in their lifetime
  • 8% of Marion County adults had experienced more than one issue related to food insecurity in the past year
  • 12% of Marion County adults reported needing help meeting general daily needs such as food, clothing, shelter, or paying utility bills

Environmental Conditions

  • Marion County adults reported rodents (12%) as the top environmental health issue that threatened their health in the past year
  • 39% of Marion County adults used a septic tank for wastewater

Page last updated: November 16, 2023