CHIP 2021 - 2023

Clermont County

Covering 452 square miles, Clermont County is the 42nd largest county in Ohio by area. Located in the southwest portion of the state along the Ohio River, Clermont County is bordered by Brown, Clinton, Hamilton, and Warren counties in Ohio, and Bracken, Campbell, and Pendleton counties in Kentucky. Clermont County is the western-most designated Appalachian county in Ohio and is comprised of fourteen townships and nine villages. The most densely populated areas are largely suburban neighborhoods on the western side of the county bordering Hamilton County – which contains the City of Cincinnati. Agricultural and small residential areas are located in the eastern and southern portions of the county.

About the Community Health Improvement Plan

The Community Health Improvement Plan (CHIP) sets priorities, objectives, strategies, and activities to address the top priority health issues in the community. The Mobilizing for Action through Planning and Partnerships (MAPP) tool was used during the CHIP planning process. MAPP is a community-wide strategic planning tool for improving public health. Based on community and steering members' input, the top health issues facing Clermont County are depression, suicide deaths, youth drug use, drug overdose deaths, and tobacco/nicotine use.

The overall goal of the CHIP is to increase awareness of health issues impacting the community and provide education and opportunities to the public to improve their health and address social determinants of health. “Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affects a wide range of health functioning, and quality-of-life outcomes and risks” (Healthy People 2030). Divided into five domains (Neighborhood and Built Environment, Health and Health Care, Social and Community Context, Education and Economic Stability) the social determinants included elements regarding access to health care, transportation options, literacy, housing quality, incarceration and poverty. Improvements in these areas provide the opportunity for better health outcomes.

The CHIP is reviewed and updated annually with input from our community stakeholders to ensure that progress on priorities, objectives, strategies, and activities are monitored and evaluated.

alignment with Ohio State Health Improvement Plan (SHIP)

The Clermont County CHIP aligns with state priority factors and health outcomes.

 

Depression
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
How We Impact

Social Determinants of Health:

Neighborhood and Built Environment

Why Is This Important?

The World Health Organization says that health is complete physical, mental, and social well-being. Linked to physical health, mental health can affect work productivity, quality of life, social interaction, diseases, treatments, and outcomes. People who maintain positive mental health are more likely to succeed in life, and more likely to increase their chances of living longer, healthier lives. Mental health maintenance is important from childhood through adolescence and adulthood. Among all schools surveyed through the Pride Survey (2019-2020), 30.7% of youth in grades 7th – 12th experience stress a lot.

I
2020
30.7%
1
0%
Suicide Deaths
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
How We Impact

Social Determinants of Health:

Neighborhood and Built Environment, Social and Community Context, Health Care Access and Quality

Why Is This Important?

In 2019, the suicide rate in Clermont County was 21.3 (per 100,000). According to the CDC, risk factors for suicide include:

  • Family history of suicide
  • Family history of child maltreatment
  • Previous suicide attempt(s)
  • Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or suicidal thoughts

Adolescence is a time of great physical, social and emotional change, which for some can lead to mental health challenges, including increased risk of suicide.  Among youth in 9th – 12th grade surveyed through the Clermont County Health Assessment Survey (2019), 17.3% considered suicide in the past year while 6.9% attempted suicide one or more times in the past year.

Youth Drug Use
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
How We Impact

Social Determinants of Health:

Education Access and Quality, Neighborhood and Built Environment, Health Care Access and Quality

Why Is This Important?

According to the Office of Disease Prevention and Health Promotion, more than 20 million adults and adolescents in the United States have had a substance use disorder in the past year. Excessive alcohol consumption is associated with numerous health problems. Long-term health risks include liver disease, depression, anxiety, high blood pressure, stroke, heart attack, cancer, and uncontrollable diabetes. Research suggests drinking may be an expression of general adolescent turmoil that includes other behavior problems linked to unconventionality, impulsiveness, and sensation seeking (National Institute on Alcohol Abused Alcoholism). Among all schools surveyed through the Pride Survey (2019-2020), 13.5% of youth used alcohol and 9.4% used marijuana in the past 30 days. The past 30-day use of marijuana increased by 1.4% from 2018 to 2020.

I
2020
13.5%
1
0%
I
2020
9.4%
1
0%
Drug Overdose Deaths
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
How We Impact

Social Determinant of Health:

Neighborhood and Built Environment, Health Care Access and Quality

Why Is This Important?

Drug use and misuse continue to create public health challenges in the United States, leading to overdose deaths, HIV and hepatitis C infections, and other chronic health conditions. In 2019, 70,630 drug overdose deaths occurred in the United States (CDC). Data from the 2019 Overdose Fatality Review (OFR) and naloxone administrations from Ohio Emergency Medical Services (EMSIRS) were used to identify the most at-risk population geographically and demographically. Similar to the previous year, the OFR of 2019 deaths identified the largest disparities to occur in unmarried, Caucasian males and females between the ages of 21-62 years old.

I
2020
63per 100,000
1
-24%
Tobacco/Nicotine
R
Time
Period
Current
Actual
Value
Current
Trend
Baseline
% Change
How We Impact

Social Determinants of Health:

Neighborhood and Built Environment, Health Care Access and Quality

Why Is This Important?

Health behaviors are those activities and practices that serve to contribute to, or take away from, good health and the prevention of illness. Maintaining a healthy weight and getting regular exercise are health behaviors that promote wellness; whereas, practices such as tobacco use, excessive alcohol consumption, and obesity can contribute to poorer health. Smoking is linked to almost half a million deaths each year in the United States (CDC). Among adults surveyed through the Clermont County Health Assessment Survey (2019), 19.6% identified as a current smoker.

Youth who use multiple tobacco products are at higher risk for developing nicotine dependence and are more likely to continue using tobacco into adulthood. Youth use of tobacco products in any form is unsafe. The past 30-day use of cigarettes by youth decreased by 1.3% from 2018 to 2020 (Pride Survey 2019 - 2020). Among youth surveyed through the Pride Survey (2019 - 2020), 4.0% of youth used tobacco, and 16.6% used E-vapor products in the past 30 days.

I
2019
19.6%
1
0%
I
2020
16.6%
1
0%
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