1. Safe and Healthy Futures
in Genesee County
Prevention Research Center of Michigan
2012 Symposium
1

2. Welcome and Introduction
David Gordon, Dean, UM Flint School of Health Professions
and Studies
Mark Valacak, Health Officer, Genesee County Health
Department

3. Overview of the PRC/MI
Marc Zimmerman
Director, PRC/MI
University of Michigan School of Public Health

4. PRC/MI Community Board Partners
Dort-Oak Park Neighborhood Genesee County Community
House Action Resource Center
Flint Odyssey Awareness Center Greater Flint Health Coalition
YOUR Center
Flint/Genesee County
Neighborhood Roundtable
University of Michigan
School of Public Health
Genesee County Health
Department
University of Michigan - Flint

5. 2011 Speak To Your Health!
Community Survey
Presented by the
PRC/MI Survey Committee
and the
PRC/MI Genesee County Community Board

6. Survey Methodology
Daniel J. Kruger,
University of Michigan School of Public Health

7. 2011 Survey Committee
Co-Chairs:
 Daniel Kruger, UM-SPH (past Chair)
 Susan Frazier-Kouassi, UM-SPH (current Chair)
 Suzanne Cupal, Genesee County Health Department
Committee Members:
 Bettina Campbell, YOUR Center
 E. Hill De Loney, Flint Odyssey House - HAC
 Micki Juip, Hurley Medical Center
 Erin Conklin, Genesys Health System
 Arlene Sparks, GCCARD
 Mark Valacak, Genesee County Health Officer

8. Multi-modal Design
 Random sample of adults
18+ in Genesee County
 Telephone interviews
 Mailed hard copy
 On-line survey
 Results will be weighted

9. Multi-modal survey
911 Mail-in 285 Online
61 Telephone 15 CBO recruited
9

10. 2011 Survey Topics
 Physical and Mental Health
 Health Care Access, Coverage, Satisfaction,
Trust
 Health Promoting Behaviors (nutrition, exercise,
etc.)
 Health Adverse Behaviors (tobacco use, etc.)
 Spirituality, Religion, and Health
 Experiences of and Perceptions of Racism
 Financial Health
 Violence, Crime, and Incarceration
 Perceptions of Neighborhood Conditions
 Sleep Quality

11. Strengths
 Needs assessment, planning,
and program evaluation
 Best local health data in
Michigan
 Comparison of health data at
various levels
 Geographic mapping of
information can identify
areas with certain assets or
need

12. Geographic Mapping
Survey data can be
mapped and analyzed at
different geographical
levels:
•Census Tract
•ZIP Code
•School attendance
area
•City Ward
•Etc.

13. Nutrition and Physical Activity
Tony Cuttitta
Greater Flint Health Coalition

14. Percent Who Consume at Least 5 Fruits and
Vegetables per Day, 2005-2011

15. Consume at Least 5 Fruits and Vegetables per Day
by Race, 2011
35
30
25
20 Total
15 African American
10 European American
5
0
Flint Genesee County

16. Difficulty Getting to a Grocery Store or Supermarket with a
Variety of Fresh Fruits and Vegetables
by Race, 2011
30
25
20
Total
15
African American
10 European American
5
0
Flint Genesee County

17. How many days per week do you engage in
moderate physical activity?
100
90
80
70
0
60
1
50
2 p < .05
40
3
30
4
20
5+
10
0
Black or African White
American

18. How many days per week do you engage in
vigorous physical activity?
100
90
80
70
0
60
1
50
2 No difference
40
3
30
4
20
5+
10
0
Black or African White
American

19. Is there a park in your neighborhood that you feel
safe using for physical activity?
100
90
80
Percent saying “Yes”
70
60
50
p < .001
40
30
20
10
0
Black or African White
American

20. Diabetes
Micki Juip
Hurley Medical Center

21. Have you been diagnosed with diabetes by a
doctor? (by race)

22. Have you been diagnosed with diabetes by a
doctor? (by age)
30
25
20
15
Genesee County
10 Michigan
5
0
18-24
25-34
35-44
45-54
55-64
65-74
75+

23. Mental Health
Shante Burke
Community Mental Health

24. Mental health: Stress
How often have you...
...been upset because of something that happened that you didn’t expect?
...felt nervous and stressed out?
...felt that you had so many problems that you could not deal with them?
24

25. Mental health: Depressive symptoms
During the past week, how often you felt or thought...
…lonely
…blue or sad
…no interest in things
25

26. Discrimination
Elder Sarah Bailey,
Bridges into the Future
26

27. How often are you…
ignored, overlooked, or not given service (restaurant, store, etc.)
27

28. How often are you…
treated rudely or disrespectfully
28

29. How often are you…
observed or followed while in public places
29

30. How often are you…
treated as if you were stupid, being talked down to?
30

31. How often are…
Your ideas or opinions being minimized, ignored or devalued
31

32. Total Discrimination
4
p < .001
3.5
3
2.5
2
1.98
1.8
1.5
1
Black or African White
American
32

33. Risk and Protective Behaviors for STIs
Bettina Campbell, MSW
YOUR Center

34. With how many different partners have you had
sexual intercourse within the past 12 months?
60
50
40
Percent
30
Flint
20
Out-County
10
0
0 1 2+
Number of Partners

35. Do you know your partner or all of your partner’s
HIV status?
90
80
70
60
Percent
50
Flint
40
Out-County
30
20
10
0
Yes No

36. What do you think are your chances of
getting HIV?
80
70
60
50
Percent
40
Flint
30
Out-County
20
10
0
None Low Medium High
Perceived chance of getting HIV

37. Frequency of condom use when having sex with a
new partner
37

38. Neighborhood Perceptions
Daniel Kruger, PRC/MI

39. How satisfied are you with the quality of life in your
neighborhood?
60
50
40
30 Flint
20 Genesee County
10
0
Very Dissatisfied Satisfied Very
Dissatisfied Satisfied

40. How often do you and other people in this neighborhood
visit in each other’s homes or outside the home?
Flint Genesee County
39.4
34.6
28.9 29.5
23.6
16.8
13 14.2
Never Rarely Sometimes Often

41. People in this neighborhood are willing to help
their neighbors
50
40
30
20
10
0
Strongly Disagree Neither Agree Strongly
Disagree Agree nor Agree
Disagree
Flint Genesee County

42. People in this neighborhood can be trusted.
Flint Genesee County
39.6
28.9 28.7
23.9
19.5 18.8
13.7
11.1
9.2
6.6
Strongly Disagree Neither Agree Agree Strongly Agree
Disagree nor Disagree

43. How fearful are you about crime in your
neighborhood?
Flint Genesee County
45.3
40
33.6 33.2
16.9 16.2
10.7
4.2
Very fearful Somewhat Not very fearful Not at all fearful
fearful

44. How safe is it to walk around alone in your
neighborhood during the daytime?
Flint Genesee County
52.7
47.4
37.4
22.8
15.5
9.1 10.9
4.3
Extremely Somewhat Fairly safe Completely
dangerous dangerous safe

45. How safe is it to walk around alone in your
neighborhood after dark?
Flint Genesee County
40
34.8 33
32
25
22.5
9
2.7
Extremely Somewhat Fairly safe Completely
dangerous dangerous safe

46. Social Capital
Susan Frazier-Kouassi, PhD
Prevention Research Center of Michigan

47. I often get emotional support and practical help
from my blood relatives
37.4 39.2
13
8.1
2.3
Strongly Agree Neither Disagree Strongly
Agree Agree nor Disagree
Disagree
47

48. I often get emotional support and practical help
from my friends
47.8
29.7
15.9
4.7
1.9
Strongly Agree Neither Disagree Strongly
Agree Agree nor Disagree
Disagree
48

49. I am closely connected to and involved in my
community
38.7
27.4
18.8
10.2
4.9
Strongly Agree Neither Disagree Strongly
Agree Agree nor Disagree
Disagree
49

50. I am closely connected to and involved in my
church or religious organization
28.1
23.8
21.9
17.4
8.7
Strongly Agree Neither Disagree Strongly
Agree Agree nor Disagree
Disagree
50

51. Social Capital
4.5
4
3.5
3
2.5
2 Black or African
American
1.5
White
1
* p < .05
*** p < .001

52. For more information
 Sign up to receive our
monthly Speak to Your
Health News Briefs
 Request a
presentation for your
organization

53. http://prc.sph.umich.edu
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54. Acknowledgements
The 2011 Speak To Your Health Survey was sponsored by:
Prevention Research Center of Michigan, UM SPH
Michigan Youth Violence Prevention Center, UM SPH
Crim Foundation
Special thanks to our event sponsor:
UM-Flint
School of Health Professions and Studies
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55. Next Sessions
Michigan Youth Violence Prevention
Center - Rm 1205
HOPE: HIV/STD Outreach, Prevention and
Education – Rm 3201
Motherly Intercession: Strengthening
Incarcerated Families – Rm 3202
YES: Youth Empowerment Solutions – Rm
3203
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