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Values and Beliefs
Predominately white, non-Hispanic population
2 main religions:
Roman catholic – approx. 22%
Protestant – 12%
There are 351 religious organizations in Dane County, Wisconsin (ARDA, 2010)
Approach towards health = use medical professionals, practice western medicine
Promotes health: gyms, doctors, clinics, dentists, community organizations

The Association of Religion Data Archives. (2010). County membership report. Dane County, Wisconsin. Retrieved from: http://www.thearda.com/rcms2010/r/c/55/rcms2010_55025_county_name_2010.asp

Notes:
There is an ample number of religious institutions available. 351 organizations include Evangelical Protestant, Black Protestant, Mainland Protestant, Orthodox, Catholic, and other. (ARDA, 2010).
These religions practice western medicine. They believe physicians should be consulted for health and illness.
Promotes health: Clinics, doctors, hospitals, dental care, mental health care, counseling services/centers, hospitals, school education, programs for elderly, community involvement

The Association of Religion Data Archives. (2010). County membership report. Dane County, Wisconsin. Retrieved from: http://www.thearda.com/rcms2010/r/c/55/rcms2010_55025_county_name_2010.asp
Sperling’s Best Places. (2016). Madison, Wisconsin. Retrieved from http://www.bestplaces.net/religion/city/wisconsin/madison

Health Perception / Management Predominant health problems of Dane County, WI = Obesity, DM 2, HTN

Leading cause of death in Dane County, WI (The Health of Dane County 2013 Health Status Overview Report, 2013)
Cancer (678) Heart Disease (611)
Alzheimer’s Disease (159)
According to CDC, leading causes of death (CDC, 2013) Heart Disease (611,105) Cancer (584,881) Chronic lower respiratory diseases (130,557)

Approximately 73% of Dane County children are up-to-date on immunizations by the 2 y/o. (Dane County 2013 Health Status Overview Report, 2013)

# of hospitals in Dane County, WI = 5 with adequate number of prevention programs

Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report). Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf
Centers for Disease Control and Prevention. (2016). Deaths and mortality. Retrieved from http://www.cdc.gov/nchs/fastats/deaths.htm

Nutrition / Metabolic Patterns
Nutritional deficiencies: Low fruit and vegetable intake Increased consumption of sugary drinks for males in Dane County Over half of 7th to 12th graders do not consume recommended dietary guidelines for milk intake Obesity rates: Over 59% of adults in Dane County are obese or overweight. State of Wisconsin = Over 64% of adults are obese or overweight US = Over 63% of adults are obese or overweight (CDC, 2015) (The Health of Dane County 2013 - Health Status Overview Report, 2013) Food programs available: food pantries, meal programs, WIC, SNAP Safe and clean drinking water available – regulated by state and federal authorities. Increased number of fast food and junk food accessibility in community. Eligible students – Free or reduced lunch programs Schools participate in food nutrition programs such as – Afterschool Snack Program, School Breakfast Program, Fruit and Vegetable Program, Milk Programs, and National School Lunch Program. (Wisconsin Department of Public Instruction, 2016) Centers for Disease Control and Prevention. (2015). Adult obesity facts. Retrieved from http://www.cdc.gov/obesity/data/adult.html
Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report). Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf
Wisconsin Department of Public Instruction. (2016). Wisconsin Child Nutrition Programs. Retrieved from http://dpi.wi.gov/nutrition

Elimination (Environmental Health Concerns)
Overall clean community
Dane County – reporting of active sites with petroleum, gasoline, diesel fuel, engine oil, fuel oil Effects: dizziness, headaches, nose and throat irritation, nausea, liver/kidney/neurological damage, and cancer. * Reports high levels of airborne fine particle matter
Effects: asthma, bronchitis, heart disease, strong lung cancer
Waste disposal – 3 times per week
Wildlife/Pest control – raccoons, opossum, squirrels, bats – Private companies available for hire
Health providers – standard precautions
Hygiene practices – hand washing, hand sanitizers
Public safety – Police Department, Fire Department, Crossing Guards
(The Health of Dane County 2013 Health Status Overview Report, 2013)

Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report. Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf

Activity / Exercise
Dane County adults are more active than adults in state of Wisconsin, but approximately 14.4% do not engage in minimal activity.
Public parks and recreation areas = 31 (Dane County’s Parks, 2016)
Most common injuries – unintentional injuries and suicide are among the top 10 leading causes of death in Dane County. Five leading causes of injury hospitalization and ED visits are falls, struck by or against object or person, motor vehicle crashes, cutting or piercing objects, and poisoning. (The Health of Dane County 2013- Health Status Overview Report, 2013).
Community fitness programs = YMCA, Madison School & Community Recreation Programs, private gyms
Means of transportation – cars, public transportation (buses), Access-A-Ride for elderly/disabled
Sedentary activities – library/reading, video games, television, arts & crafts, computer

Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report. Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf

Sleep / Rest
39% of adults do not get sufficient amounts of sleep (8 hours per night). (The Health of Dane County 2013 Health Status Overview Report, 2013). NIH recommendation for adults is 7-8 hours per night. (NIH, 2012)
37.3% of HS students and 18.4% of middle school students stay up late. (The Health of Dane County 2013 Health Status Overview Report, 2013). NIH recommendation for middle school to HS students is 9-10 hours per night. (NIH, 2012).
Indicators of general restedness: alertness, not tired when waking in the morning, ability to concentrate
Factors affecting sleep: job, stress, school, caffeine, diet, drugs, alcohol, extra-curricular activities, homework, sleep apnea, noise

NIH. (2012). How much sleep is enough? Retrieved from https://www.nhlbi.nih.gov/health/health-topics/topics/sdd/howmuch
Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report. Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf

Cognitive / Perceptual
Primary Language of Dane County: English
Communication barriers? Generally, no communication barriers
Education Levels: Dane County has a high percentage of college graduates than the state of Wisconsin and the U.S., but it has an 86% high school graduation rate is among the lowest of all the counties.
According to the US census 88% of adults in the U.S. attained high school graduation diplomas and approximately 42% of adults were college graduates in 2015. (Bauman, Ryan, 2016)
Educational Opportunities: offered through employers, government financial aid, stipends, scholarships
Special education programs: IEP’s, learning for emotionally and mentally disabled, speech therapy, gift and talented programs.

Bauman, K., Ryan, C. (2016). Educational attainment in the United States: 2015. Retrieved from http://www.census.gov/content/dam/Census/library/publications/2016/demo/p20-578.pdf

Self-Perception / Self Concept
Median age in Danes County, WI: 34
Median age in state of Wisconsin: 38

Programs to build a stronger community: Community Development Block Grant (CDBG) & Home Investment Partnerships (HOME) Programs – provide public assistance to businesses, organizations, agencies for housing and development for low and moderate income residents of Dane County. This allows the community to build affordable housing for families.

History
Dane County was named after Nathan Dane and formed in 1836. The first settlers in Dane County were from New England.

Pride indicators: Wisconsin’s capitol, world class colleges and universities, including Madison College, boasts of excellent schools, more than 60 cities, villages, towns, productive farms among the state and nation, beautiful natural spaces, fish filled lakes, rivers, streams, parks, free zoo. (Countyofdane.com)

More information found at https://www.countyofdane.com/

Role/Relationship
Interaction among community members: respectful, inspiring, compassionate, collaborative, stress family values

Vulnerable populations: Those with genetic predispositions to cancer, obesity, diabetes, HTN
They are vulnerable because of their high risk for exposure or behaviors that are related to illness.

Power groups: Churches, government, schools
They influence the community with positivity. They hold events to bring the community together, form comradery and hold family values with high esteem. They support each other and care for their neighborhood and community.

Harassment Policies / Discrimination Policies
Illegal to discriminate on the basis of sex, gender, race, creed or color.
Harassment Policies – anti bullying policies, bullying to be reported, sexual harassment issues must be documented, reported and filed.

Relationship with broader community- positive relationship with police officers and fire fighters. However, some new articles indicate little racial tension between the African American community and police department.

Sexuality/Reproductive * Relationships and behavior among community members - respectful * Educational offerings/programs – offered in school, hospitals and communities regarding infectious diseases, STI’s, immunizations, TB, HIV/AIDS, * Access to birth control through government agencies, school programs, insurance, hospitals, clinics, private doctors. * Access to maternal child health programs and services – offered through insurance, Medicare/Medicaid programs, clinics, support groups, hospitals, social workers, government and privately sponsored agencies, 24-hour crisis center hotlines and emergency departments available.

Coping/Stress
Suicide is a significant health problem in Dane County.
Dane County is a safe place to live and work. The region reports low crime rates than Wisconsin’s state average. Property crime rate and violent crime rate is steady at 2 per 1000 residents. In 2010 Madison was ranked the most secure U.S. community. It has also been featured in Money Magazine’s top ten list of America’s safest cities.
Regional laws have been established for crime prevention and safety programs as well as emergency preparedness guidelines.

References:
The Association of Religion Data Archives. (2010). County membership report. Dane County, Wisconsin. Retrieved from: http://www.thearda.com/rcms2010/r/c/55/rcms2010_55025_county_name_2010.asp
Bauman, K., Ryan, C. (2016). Educational attainment in the United States: 2015. Retrieved from http://www.census.gov/content/dam/Census/library/publications/2016/demo/p20-578.pdf
Centers for Disease Control and Prevention. (2015). Adult obesity facts. Retrieved from http://www.cdc.gov/obesity/data/adult.html
Centers for Disease Control and Prevention. (2016). Deaths and mortality. Retrieved from http://www.cdc.gov/nchs/fastats/deaths.htm
NIH. (2012). How much sleep is enough? Retrieved from https://www.nhlbi.nih.gov/health/health-topics/topics/sdd/howmuch
Public Health Madison & Dane County. (2013). The Health of Dane County 2013 Health Status Overview Report). Retrieved from https://www.publichealthmdc.com/documents/HealthDC-2013status.pdf
Sperling’s Best Places. (2016). Madison, Wisconsin. Retrieved from http://www.bestplaces.net/religion/city/wisconsin/madison
Wisconsin Department of Public Instruction. (2016). Wisconsin Child Nutrition Programs. Retrieved from http://dpi.wi.gov/nutrition

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