Wednesday, March 27, 2013

Cassidy Hills- Davis County, Utah Health Trends


As I spoke with Isa Perry, MPH, CHES of the Davis County Health Department, I learned of health trends in my own hometown that I had expected, but I also heard of trends that surprised me. I expected the obesity rate to be a concern and I wasn’t at all shocked by the poor air quality, but I was surprised to learn of the extremely high chlamydia rates, suicide rates and Hepatitis C rates.
                The trend of obesity in Davis County doesn’t surprise me. At about 25% of the adult population, the obesity rate in Davis County is consistent with national averages. While it is comforting to know we aren’t dramatically worse than the nation as a whole, 25% is still an alarming portion of the county. Like health officials across the country, experts in Davis County are looking for the right combination to lower the obesity rates. Because there are so many factors that contribute to obesity, it may take a lot of trial and error before a difference is seen.
                Ms. Perry told me that in a survey conducted in the county, residents were asked about the health concerns that matter to them most. Poor air quality came out on top as one of the most concerning factors to the people of Davis County. Inversions are common in the valleys every winter, so it is a consistent problem. The heavy traffic of I-15 and Legacy, in addition to many other main roads, constantly adds pollution to the air. Although poor air quality isn’t actually the biggest health problem in Davis County, it is probably at the front of residents’ minds because they get a visual reminder of it every time they go outside. It is also addressed daily on the news when they give the “green, yellow or red” air quality report. Because of the constant reminders and the visibility of the problem, it is easy to see why poor air quality scored high on the health survey.
                I had no idea that chlamydia was such a problem in Davis County! There was a 17% increase in cases from 2011 to 2012. Last year there were 862 cases of chlamydia reported in Davis County alone. Having gone through health education in the Davis County School District, I know that they teach a strict abstinence-only curriculum. I definitely think this could be a potential contributor to the chlamydia problem, and it is worth looking into. Obviously the idea of abstinence hasn’t resonated with everyone in Davis County, and many of those that choose to have sex probably haven’t been educated on how to do it more safely.
                Hepatitis C came in at number 2 after chlamydia on the top reported diseases list. Health professionals have determined that the main method of Hep C infection in Davis County last year was sharing dirty needles. There is a particularly high infection rate in Davis County jails, at about 8% of the jail population. Davis County got a grant last year to test inmates for HCV, and they found that many of those infected were unaware. Thanks to the grant, Davis County was able to provide each infected inmate with one-on-one counseling. Follow-up testing will show if this is an effective procedure.
                Suicide rates in Davis County, Utah are higher than the state average and much higher than the national average. Ms. Perry offered the explanation that a lack of mental health care services may be contributing to this problem. This isn’t scientific, but it seems to me that the Mormon culture of Davis County affects the view on mental health. I think as a culture, we don’t readily recognize mental health issues as legitimate, which makes it harder for people to seek help. Hopefully both increased mental health services and increased public education can make a difference in Davis County and lower the high suicide rates. 

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