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Through a Centers for Disease Control and Prevention Community Transformation Grant (CTG), Public Health – Dayton & Montgomery County (PHDMC) is working to improve the health of our community by reducing preventable chronic diseases such as lung cancer, heart disease, stroke, and type 2 diabetes. Our CTG initiatives focus on engaging community partners to implement policy, systems, and environmental (PSE) changes to promote tobacco-­free living, active living and healthy eating, and clinical preventive services. These PSE changes are intended to reduce death and disability due to tobacco use, rate of obesity, and death and disability due to heart disease and stroke.

This report augments the chronic disease data in our 2010 Montgomery County Community Health Assessment. The purpose of this data report is to ensure that PHDMC applies a “health equity lens” to all of our proposed CTG PSE strategies aimed at tobacco­‐free living, active living and healthy eating, and clinical preventive services. The guiding principle for these strategies is to reduce disparities in health outcomes among population groups and to advance health equity. For reference, PHDMC uses the National Stakeholder Strategy for Achieving Health Equity definition for health disparity: “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial and/or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.”

This report is an assessment of existing population data sets related to chronic disease rates and risk factors based on age, gender, race, income, and disability. Rural versus urban analysis was not possible as Montgomery County is an urban county, with only a small proportion of the western portion of the county living in rural conditions. Ethnicity data was not analyzed due to small numbers of Hispanics in Montgomery County. Data sources include the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS), Ohio Department of Health Vital Statistics, and the Ohio Cancer Incidence Surveillance System (OCISS).


Report funded by the Montgomery Country Community Transformation Grant.