FOCUS AREA: CHRONIC DISEASE
STANISLAUS COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)
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What is our Goal?
Goal: Prevent and manage chronic disease
Why Is This Important?
Why is this important?
Chronic diseases, such as heart disease, stroke, cancer, and diabetes are among the leading causes of hospitalization and death in Stanislaus County and nationwide (Stanislaus County Health
Services Agency, 2020). Many chronic diseases are caused by high-risk behaviors such as tobacco use, exposure to secondhand smoke, poor nutrition, lack of physical activity, and excess use
of alcohol (CDC, 2021). The burden of chronic disease is not shared equally across all communities; a person's income, race, ethnicity, and environment all impact their risk of developing and dying from a chronic disease (CDC, 2021). Marginalized groups in Stanislaus County, following the national trend, have a higher incidence of chronic disease compared to other communities. Many residents of Stanislaus County do not have the opportunity to reach their full health potential. Reducing the burden or chronic disease and the risk behaviors associated with them requires legislative action as
well as policies that encourage tobacco-free living, access to affordable nutritious food, and safe environments that promote active lifestyles.
Chronic Disease in Stanislaus County
In Stanislaus County, chronic diseases are the top four leading causes of death: heart disease, cancer, Alzheimer's disease, and chronic lower respiratory disease. Heart disease and cancer were responsible for 44% of deaths among county residents from 2015 to 2017. Twelve percent of adults in Stanislaus County have diabetes, 29% of adults have been diagnosed with high blood
pressure, and 40% of adults are obese, while 44.5% of 5th graders are overweight or obese. Physical inactivity, tobacco use, poor nutrition, and alcohol use are risk factors that contribute to increased prevalence of chronic diseases like heart disease and cancer. About one in four adults in Stanislaus County are physically inactive (i.e. they do not participate in leisure time exercise). Substance use is
also a predominant risk for chronic disease as among Stanislaus County adults, one in five smoke cigarettes, one in three have used an e-cigarette at least once, and one in five binge drink. (Stanislaus County Health Services Agency, 2020).
Prioritized Root Causes for the Community to Address
Prioritized Root Causes for the Community to Address
- Common modifiable risk factors such as: poor nutrition, physical inactivity, tobacco use, and high levels of chronic stress
- Underlying socioeconomic, cultural, political, and environmental determinants
- Health disparities
- High density of fast-food outlets in low-income neighborhoods
- Healthy food options are scarce and expensive in low-income communities
- Advertising and marketing of energy-dense, nutrient-poor options
Alignment
This priority area aligns with the following Healthy People 2020 goals:
- D-11 Reduce the annual number of new cases of diagnosed diabetes in the population
- D-3 Reduce the diabetes death rate
- PA-1 Reduce the proportion of adults who engage in no leisure-time physical activity
- NWS-9 Reduce the proportion of adults who are obese
- NWS-10 Reduce the proportion of children and adolescents who are considered obese
This priority area also aligns with the California Wellness Plan to:
- Decrease diabetes prevalence
- Reduce child obesity
- Reduce adult obesity
- Increase adult physical activity
Furthermore, this priority area aligns with the Stanislaus County 2019/2020 budget plan (community-wide indicators):
Supporting community health, including physical, mental, emotional, and spiritual health
Community Resources
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Community Partners
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STANISLAUS |
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Partners
*Partners are defined as health plans, health systems, programs, social services, FQHCs, and medical providers.
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What is our Goal?
Why Is This Important?
Prioritized Root Causes for the Community to Address
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Community Resources
Community Partners
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What is our Goal?
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Partnerships
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What is our Goal?
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Community Resources
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What is our Goal?
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Prioritized Root Causes for the Community to Address
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What is our Goal?
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Prioritized Root Causes for the Community to Address
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Community Resources
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What is our Goal?
Why Is This Important?
Prioritized Root Causes for the Community to Address
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Community Resources
Community Partners
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What is our Goal?
Why Is This Important?
Prioritized Root Causes for the Community to Address
Alignment
Community Resources
Community Partners
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What is our Goal?
Why Is This Important?
Partnerships
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What is our Goal?
Why Is This Important?
Prioritized Root Causes for the Community to Address
Alignment
Community Resources
Community Partners
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What is our Goal?
Why Is This Important?
Prioritized Root Causes for the Community to Address
Alignment
Community Resources
Community Partners
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