|Author: Nathan Uthe, Bachelor of Science nursing student, University of Missouri-Columbia
Daviess County youth tobacco usage is higher than the state average! According to Missouri Information for Community Assessment (MICA) data, as of 2012, it was estimated that 1 in 6 Daviess County students in grades 6-12 are current smokers, which is higher than the state average at 1 in 10. There are free resources available to help you or a loved one quit using tobacco. So how does Daviess County compare to the state of Missouri?
In order to assess current tobacco usage and other risky behaviors, the Daviess County Health Department conducted a survey, “The 2012 Local Youth Risk Behavior Survey”. This survey was completed by students in area schools between the sixth and ninth grades. Tobacco users were a small percentage of area students, but all respondents were younger than 18. Here are the results.
• 1 in 7 had tried at least one or two puffs of a cigarette.
• 11-13 were the most common ages for smoking an entire cigarette.
• 1 in 20 were current smokers, most of them smoked daily.
• Tobacco usage of Daviess County youth was 5% smoked cigarettes, 3% smoked cigars, and 2% chewed tobacco.
• Tobacco usage statewide was 4% smoked cigarettes, 2.1% smoked cigars, and 2.2% chewed tobacco.
• Half of tobacco users smoked cigarettes, a quarter used chewing tobacco, and a quarter smoked cigarettes, which is comparable to statewide tobacco usage by type of tobacco product.
• The top three ways Daviess County youth obtained their cigarettes was through 1) giving money to an adult to purchase, 2) bumming from someone, and 3) were given to by an adult.
• The top three ways for obtaining cigarettes statewide are 1) giving money to an adult to purchase, 2) bumming from someone, and 3) purchasing from a store.
Therefore, Daviess County youth are using tobacco products at a higher rate than the statewide average, with the exception of chewing tobacco that was equivalent. The good news is that Daviess County businesses are doing a good job of not selling tobacco to minors, which makes it harder for minors to obtain tobacco.
Business policies can be key in reducing exposure to second-hand smoke and influencing smoking cessation. In 2012, the Health Department also surveyed area businesses to identify their tobacco use policies. There were a total of 47 area businesses that responded to the survey. The results are as follows:
• 3 in 5 area businesses had a tobacco use policy in place.
• 4 in 5 did not allow smoking within the businesses
• 3 in 5 did not oppose a smoking ordinance in their town of operation, with the most common objection being that it should be up to the business to decide.
• 1 in 10 had worksite-wellness incentives to assist employees to quit using tobacco.
Although the majority of businesses did not allow smoking within the business, only 1 in 6 had a policy in place about smoking outside the business. This could still allow patrons to be exposed to second-hand smoke. A possible solution would be to not allow smoking within a certain distance of the business entrance.
Above all other factors, the largest influence on teen smoking is family and friends. According to MICA data, adolescents are twice as likely to smoke cigarettes if they live with a family member who smokes. Of adolescent smokers, 9 in 10 have one or more of their closest friends who smokes. Tobacco use as of a 2011 study for all Daviess County residents revealed that 23% smoked cigarettes and 4.4% used chewing tobacco. With the strong influence others have on adolescent tobacco use, it is no wonder rates for area students are higher than the state average. Tobacco users who want to quit, can have a positive impact on lowering adolescent tobacco use by setting a positive example.
There are resources available to help current tobacco users quit; some of these resources are free. If you want to quit, schedule an appointment with your doctor and they will discuss benefits and methods to assist you in quitting tobacco. Another option is the Missouri Tobacco Quitline, which is a free service provided by the Missouri Department of Health and Senior Services; you can reach the Quitline at 1-800-quitnow or smokefree.gov. However, not all tobacco users smoke and there is assistance for chewing tobacco users too. They can go to www.killthecan.org for resources to quit; there are even coupons for tobacco free alternatives. The Daviess County Health Department is another resource, and can be contacted at 660-663-2414, daviesshealthonline.com, or facebook.com/DaviessCountyHD and can discuss resources to quit. Finally, if you support a smoking ordinance for your town, let your voice be heard.
|Published Jul 09, 2014 - 12:00 AM|| |
|The Daviess County Health Department will host their Annual Health Fair in celebration of Public Health Week. The health fair is Tuesday April 8, 2014, 7AM to 1PM by appointment only. We will start taking appointments on March 17th. Activities planned are special priced labs including Chem. 12, CBC, Lipid Panel, TSH, Hgb-A1C and optional PSA. Also planned are Blood Pressures, healthy living, injury and tobacco prevention, and nutrition information. Daviess county resource booths will be available from local vendors. Everyone will get a packet of health information and gift after their lab is done. The lab costs is $55.00 for women and $60.00 for men due to the PSA. Insurance and Medicare will not be billed and the lab packages cannot be divided and we will NOT do any other labs that day or public health services. Individuals interested in the labs need to drink lots of liquids the day before and be fasting after midnight the night before. Must be 18 or older to have lab drawn. Below is an explanation of all the labs included in this screening.
PSA-Prostate Specific Antigen (Screen for prostate cancer)
TSH-Thyroid Stimulating Hormone
Chem 12-Glucose,Urea Nitrogen, Creatinine, Sodium, Potassium, Chloride, Calcium, Protein, Albumin Globulin, AST, ALT, Bilirubin, Alkaline Phosphatase
CBC- White and Red Blood Cell Count, Hemoglobin, MCV, Hematocrit, MCH, MCHC, RDW, Platelet Count, MPV, Absolute Lymphocytes, Monocytes, Absolute Eosinophils, Absolute Basophils, Neutrophils.
Lipid Panel-Triglycerides, Total Cholesterol, HDL, LDL, Cardiac Risk Ratio.
Hgb-A1C-A screening tool used to determine the average blood sugar level in the past 3 months.
We Hope To See You There!
|Published Mar 11, 2014 - 12:00 AM|| |
|The Daviess County Health Department will be set up to bill a limited number of private insurance companies for adult and children’s vaccine beginning January 7, 2014. The Affordable Care Act has included immunizations as part of the preventive services you are qualified for with your health insurance usually at no cost to you. Please check with your insurance company to see if you qualify before coming to the health department. At this time we are limited to private insurance billing with Blue Cross Blue Shield of Kansas City, Cigna, Coventry and United Health Care.
Many people have been asking if we have Zostavax vaccine for shingles available and we do. However, many insurance companies do not pay for it until you are 60 or they pay only a portion. Please check with your private insurance company or Medicare Part D to see if you are eligible. And keep in mind we can only bill the insurance companies listed above.
Federally funded vaccine is also available at little or no cost as usual to those on Medicaid, uninsured or underinsured. We do have a fee, based on your income, for administration of the vaccines; please call the health department to see if you qualify.
For many years we have been able to provide most everyone with vaccine at no cost; however we are no longer allowed to use the federally funded vaccine we receive for those with private health insurance which has led us to apply for billing private health insurance. Please be patient with us as this is a new experience for our facility. Many other health departments have also put this into place and although it has not always been smooth it was a decision made to better serve our community.
Please call 660-663-2414 to speak with Cheryl Alexander, Administrator for questions or concerns or you can email me at email@example.com.
|Published Jan 08, 2014 - 12:00 AM|| |
|Beginning January 1, 2014 the health department implemented a "fee for service" policy based on income. This is a minimal fee based on income and is to cover the rising cost of medical supplies. If you have any questions please call 660-663-2414 or you can email Cheryl Alexander, Administrator, at firstname.lastname@example.org,.org
|Published Jan 08, 2014 - 12:00 AM|| |
|Daviess County Health Department staff and Board of Trustees would like to take this opportunity to wish you all happy, healthy holidays. We appreciate all of our customers and your continued support of our health department. Merry Christmas and Happy New Year!! See our holiday picture in Photos!
|Published Dec 13, 2013 - 12:00 AM|| |
|The Daviess County Health Department is accepting applications for the position of Environmental Public Health Specialist. This position is part-time depending on the need. Minimum requirements for this position include a bachelor’s degree in environmental health, biology, or a related field or a combination of education and experience in a related field. The position duties include but are not limited to: inspections of food establishments, lodging, childcare facility inspections and sewage. The position could also require you to be cross trained in other duties such as WIC, clerical duties and communicable disease depending on the need. Please send resume by December 30th, 2013 to Cheryl Alexander, Administrator; 609A South Main Street, Gallatin, MO 64640 or you may call 660-663-2414 for more information. Daviess County Health Department is an equal opportunity employer.
|Published Dec 09, 2013 - 12:00 AM|| |
|The Great American Smoke Out is coming up on November 21, 2013.
If you are interested in learning more about how to quit smoking or you need support you can call THE MISSOURI TOBACCO QUITLINE at 1800QuitNow. Or maybe you prefer stand-alone web coaching services that are now available and provides an interactive online community that offers learning tools, support, and information about quitting. To register for web-based services, go to www. quitnow.net/missouri. Complete and submit a brief enrollment form Select Start Registration Select Enroll in Web Coach® and begin!
Nicotine replacement therapy (NRT) is back for a limited time. One-time-only two-week starter kits are available while supplies last. MO HealthNet callers are referred to their health care providers for NRT, since Food and Drug Administration (FDA) approved medications and NRT are covered Medicaid benefits. To assist individuals who want to quit smoking or using other tobacco products, the Quitline continues to provide services, such as: Texting support services – evidence-based text messages personalized to a participant’s quit plan Telephone-based counseling with a trained quit coach and resource materials.
For more information, contact the Comprehensive Tobacco Control Program at 573-522-2820 or visit health.mo.gov/living/wellness/tobacco/smoking
|Published Nov 01, 2013 - 04:08 PM|| |
|Starting in January 2014 there are new rules for health insurance. Here are some facts: Most Americans are required to have health insurance; you can compare health insurance plans easily in the new Missouri Health Insurance Marketplace; new health plans are required to cover basic health needs like doctor's visits, prescription drugs, and hospital stays. You may also qualify for financial help to lower your health insurance costs. Some of the questions you may also have could be: Do I qualify for a premium tax credit? or Do I qualify for lower out of pocket costs?
Get help answering these questions and others from the health insurance marketplace navigator. We will have Bonnie Stigall, Navigator at our office to answer questions or show you what you need to do to get on the marketplace on November 5, 2013 from 0900 until 12 noon. Please call us at 660-663-2414 for any questions.
|Published Oct 18, 2013 - 12:00 AM|| |
|Flu Vaccine Available Every Tuesday at a walk-in clinic while supplies last at The Daviess County Health Department from 0800 to 4:00 PM or by appointment on another day! Please call for any questions 660-663-2414. We bill Medicare and Medicaid or ask for a $15.00 donation.
|Published Oct 15, 2013 - 05:08 PM|| |
|Daviess County Health Department is offering Cholesterol Screenings in September 2013
September is National Cholesterol Awareness Month. The Daviess County Health Department is offering a Lipid Panel for $10.00 on the following dates in September from 8am to 1pm. Tuesday, September 10th and Tuesday September 17th.This is a fasting test and you must not eat or drink after midnight the night prior to the tests. Because this is a screening, you will not need to obtain a doctors order or call for an appointment. You must be 18yrs old or older, walk in on the above dates between 8am and 1pm and be fasting. Your results will be mailed to you on the next day.
The cholesterol screening (lipid panel) includes the following screenings; Total Cholesterol, Triglycerides, LDL, HDL, and Cardiac Risk Ratio. The regular price for a lipid panel is $110.00 our cost to you is $10.00. High blood cholesterol is a major risk factor for heart disease and stroke, the leading causes of death in the United States. Lowering cholesterol levels reduces the risk of heart disease death among persons either with or without coronary heart disease.
What is Cholesterol?
Cholesterol is a waxy substance found in all body cells. Our bodies use cholesterol to digest food, make hormones, build cell walls, and perform other important functions.
Where Does Cholesterol Come From?
Our bodies make cholesterol in the liver. Dietary cholesterol comes only from animal products such as meat, dairy, eggs, and animal fats.
If blood cholesterol is too high, we can have health problems such as narrowing or blocking of blood vessels, heart disease and strokes.
Measuring Blood Cholesterol
o 200 or less is desirable. If your level is less than 200, ask your healthcare provider when you should have it rechecked.
o 200-239 means you are at moderate risk for heart disease and stroke, especially if you have other risk factors such as obesity or high blood pressure, if you are a smoker, or if you have family history of heart disease.
o 240+ means you are at high risk for developing heart disease. Ask your healthcare provider what you can do to lower your cholesterol.
LDL and HDL (parts of total cholesterol)
Low Density Lipoprotein (LDL)
LDL cholesterol is deposited on artery walls. They cause a waxy buildup called plaque. It is known as “bad cholesterol”.
Optimal LDL levels are less than 100 mg/dl or lower if you have heart disease or diabetes or other risk factors (such as family history of heart disease, or if you smoke).
Optimal LDL levels are less than 130 mg/dl if you have no risk factors for heart disease.
How Can I Lower My LDL Level?
o Lose weight if you are overweight.
o Reduce saturated fat found in dairy products, cheese and meat.
o Reduce hydrogenated fats (trans fats) found in French fries, snack crackers, cookies, baking mixes, shortening, butter and stick margarine.
o Use monounsaturated and polyunsaturated fats such as canola, olive, safflower and sunflower oils when cooking.
High Density Lipoprotein (HDL)
HDL takes extra cholesterol out of the body and is called “good cholesterol”.
Desirable HDL levels are greater than 40 mg/dl.
Optimal levels are greater than 60 mg/dl.
A level of 60 or more is considered protective against heart disease.
To Raise Your HDL Level
o Lose weight if you are overweight.
o Exercise regularly (consult with your healthcare provider before beginning any exercise program).
o Don’t smoke.
o Replace saturated fat with unsaturated fats.
What About Triglycerides?
Triglycerides are a fat that the body makes from alcohol, sugar, or excess calories. High triglyceride levels may add to buildup of plaque in the blood vessels (atherosclerosis). High triglycerides are a risk factor for heart disease.
o Less than 150 is a normal triglyceride level.
o 150-199 is considered borderline high.
o 200-499 is considered high.
o 500 or more is considered very high.
Decreasing Your Triglycerides
o Lose weight if you are overweight.
o Get regular physical activity (consult with your healthcare provider before beginning any exercise program).
o Decrease or avoid alcohol.
o Decrease sugar-containing foods.
The DCHD staff feels it’s important to educate our public and offer these special screenings as much as possible to help our community be more informed because prevention and education is the key to good health. If you are interested but have questions please feel free to call the health dept. at 660-663-2414.
|Published Aug 27, 2013 - 12:00 AM|| ||