2019 Community Health Needs Assessment - Teen

Thank you very much for taking this survey! As a high school student in Linn, Benton, or Lincoln County, we want to learn what you think about health issues. Samaritan Health Services hospitals are conducting their needs assessments to create local plans to improve the health of your community based on your responses.

Please share your thoughts about the health of your community or school. You will not be asked to put your name on this survey. There are no right or wrong answers. Any information you provide is useful.

Unless it says otherwise, only choose one response to each question, so please pick the response that best tells us what you think. At the end of the survey there are some extra questions that will help us understand the people we serve.

Thank you!

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* 1. How healthy is your community/school? (please choose one)

Very healthy

Healthy

Sort of healthy

Unhealthy

Very unhealthy

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* 2. What is the most important health issue in your community/school? (please choose one)

Alcohol or drug abuse

Tobacco or e-cigarette use

Housing/homelessness

The cost of healthy food

Ongoing disease such as cancer, diabetes, or asthma

Obesity (weighing too much)

Mental and behavioral health

Healthy mothers and children

Safe communities/schools

Poverty

Other (please specify)

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* 3. Who is most likely to have health problems in your community/school? (please choose one)

People with disabilities (mental, developmental, or physical)

Pregnant/teen mothers

Individuals in poverty

Homeless individuals

Lesbian, gay, bisexual, or transgender individuals

People of color

People who move often

Other (please specify)

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* 4. Which of the following has the worst effect on the health of families in your community/school? (please choose one)

Violence against women/girls

Child abuse or neglect

Not having enough food

Housing problems

Feeling separated, bullied, or discriminated

Other (please specify)

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* 5. What behavior has the worst effect on the health of teens in your community/school? (please choose one)

Tobacco use

Marijuana use

Alcohol abuse

Drug abuse

High-risk sex

Social media abuse

Other (please specify)

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* 6. What is the most important thing that people in your community/school could do to improve their health? (please choose one)

Eat healthy food

Exercise more

Strengthen relationships with friends and family

Improve digital citizenship

Lose weight

Quit smoking

Other (please specify)

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* 7. What kind of place has the best effect on the health of teens in your community/school? (please choose one)

Sports fields, athletic equipment, outdoor space

Bicycle lanes, walking paths and trails

Cafeteria/stores with fresh and healthy food

Community and Rec Centers

Libraries with teen sections

Faith/Spiritual Locations

Other (please specify)

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* 8. What is most needed to make a healthy community/school? (please choose one)

Health Center

Housing that people can afford

Healthy food that people can afford

Good jobs for teens and parents

Quality schools

Safe neighborhoods

Other (please specify)

Question Title

* 9. What keeps teens in your community/school from getting health care? (please choose one)

Health care services are only provided in English

No health insurance

No way to get to health care services

Not having U.S. citizenship, U.S. residency, or state ID

Not being able to afford health care (examples: can’t pay copays or minimums)

Not being able to get care when it is needed (example: having to wait too long or not being able to find a doctor)

Other (please specify)

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* 10. What health care service is the most important for teens in your community/school? (please choose one)

Regular visits with a doctor or nurse for checkups in a clinic or at home

Counseling and mental health services (like seeing a therapist)

Regular dentist visits

Drug or alcohol treatment

Family planning (like birth control)

Other (please specify)

Question Title

* 11. What one thing in the environment is most important for the health of your community/school? (please choose one)

Water that is safe to drink

Clean air

Fluoridated water

Homes that are safe and don’t make people sick

Protecting people from pesticides

Other (please specify)

Question Title

* 12. What is the biggest concern in your neighborhood? (please choose one)

There are no buses or other public transportation

There is crime and it is not safe

It is hard to walk or bike around because there are busy streets, no crosswalks, or bad street lighting

It is easy to get to a store that sells tobacco, marijuana, alcohol, or fast food

People are socially separated from their community/school

Other (please specify)

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* 13. For the following issues that affect teen health, please check how much attention you think they should get in our communities on a scale of least attention to most attention.

	Least attention	Somewhat least	Some attention	Somewhat most	Most attention	Don't know
Access to dental care	Access to dental care Least attention	Access to dental care Somewhat least	Access to dental care Some attention	Access to dental care Somewhat most	Access to dental care Most attention	Access to dental care Don't know
Access to medical care	Access to medical care Least attention	Access to medical care Somewhat least	Access to medical care Some attention	Access to medical care Somewhat most	Access to medical care Most attention	Access to medical care Don't know
Access to mental health care	Access to mental health care Least attention	Access to mental health care Somewhat least	Access to mental health care Some attention	Access to mental health care Somewhat most	Access to mental health care Most attention	Access to mental health care Don't know
Afterschool activities	Afterschool activities Least attention	Afterschool activities Somewhat least	Afterschool activities Some attention	Afterschool activities Somewhat most	Afterschool activities Most attention	Afterschool activities Don't know
Alcohol abuse	Alcohol abuse Least attention	Alcohol abuse Somewhat least	Alcohol abuse Some attention	Alcohol abuse Somewhat most	Alcohol abuse Most attention	Alcohol abuse Don't know
Child abuse or neglect	Child abuse or neglect Least attention	Child abuse or neglect Somewhat least	Child abuse or neglect Some attention	Child abuse or neglect Somewhat most	Child abuse or neglect Most attention	Child abuse or neglect Don't know
Child care availability	Child care availability Least attention	Child care availability Somewhat least	Child care availability Some attention	Child care availability Somewhat most	Child care availability Most attention	Child care availability Don't know
Child care costs	Child care costs Least attention	Child care costs Somewhat least	Child care costs Some attention	Child care costs Somewhat most	Child care costs Most attention	Child care costs Don't know
Digital citizenship	Digital citizenship Least attention	Digital citizenship Somewhat least	Digital citizenship Some attention	Digital citizenship Somewhat most	Digital citizenship Most attention	Digital citizenship Don't know
Domestic violence	Domestic violence Least attention	Domestic violence Somewhat least	Domestic violence Some attention	Domestic violence Somewhat most	Domestic violence Most attention	Domestic violence Don't know
Employment	Employment Least attention	Employment Somewhat least	Employment Some attention	Employment Somewhat most	Employment Most attention	Employment Don't know
Finishing High School	Finishing High School Least attention	Finishing High School Somewhat least	Finishing High School Some attention	Finishing High School Somewhat most	Finishing High School Most attention	Finishing High School Don't know
Fluoridated water	Fluoridated water Least attention	Fluoridated water Somewhat least	Fluoridated water Some attention	Fluoridated water Somewhat most	Fluoridated water Most attention	Fluoridated water Don't know
Having enough food	Having enough food Least attention	Having enough food Somewhat least	Having enough food Some attention	Having enough food Somewhat most	Having enough food Most attention	Having enough food Don't know
Higher education	Higher education Least attention	Higher education Somewhat least	Higher education Some attention	Higher education Somewhat most	Higher education Most attention	Higher education Don't know
Homelessness	Homelessness Least attention	Homelessness Somewhat least	Homelessness Some attention	Homelessness Somewhat most	Homelessness Most attention	Homelessness Don't know
Juvenile crime	Juvenile crime Least attention	Juvenile crime Somewhat least	Juvenile crime Some attention	Juvenile crime Somewhat most	Juvenile crime Most attention	Juvenile crime Don't know
Literacy	Literacy Least attention	Literacy Somewhat least	Literacy Some attention	Literacy Somewhat most	Literacy Most attention	Literacy Don't know
Obesity (weighing too much)	Obesity (weighing too much) Least attention	Obesity (weighing too much) Somewhat least	Obesity (weighing too much) Some attention	Obesity (weighing too much) Somewhat most	Obesity (weighing too much) Most attention	Obesity (weighing too much) Don't know
Ongoing disease (e.g. asthma, diabetes)	Ongoing disease (e.g. asthma, diabetes) Least attention	Ongoing disease (e.g. asthma, diabetes) Somewhat least	Ongoing disease (e.g. asthma, diabetes) Some attention	Ongoing disease (e.g. asthma, diabetes) Somewhat most	Ongoing disease (e.g. asthma, diabetes) Most attention	Ongoing disease (e.g. asthma, diabetes) Don't know
Parent education	Parent education Least attention	Parent education Somewhat least	Parent education Some attention	Parent education Somewhat most	Parent education Most attention	Parent education Don't know
Poverty	Poverty Least attention	Poverty Somewhat least	Poverty Some attention	Poverty Somewhat most	Poverty Most attention	Poverty Don't know
Safe communities	Safe communities Least attention	Safe communities Somewhat least	Safe communities Some attention	Safe communities Somewhat most	Safe communities Most attention	Safe communities Don't know
Teen pregnancy	Teen pregnancy Least attention	Teen pregnancy Somewhat least	Teen pregnancy Some attention	Teen pregnancy Somewhat most	Teen pregnancy Most attention	Teen pregnancy Don't know
Tobacco use	Tobacco use Least attention	Tobacco use Somewhat least	Tobacco use Some attention	Tobacco use Somewhat most	Tobacco use Most attention	Tobacco use Don't know
Transportation	Transportation Least attention	Transportation Somewhat least	Transportation Some attention	Transportation Somewhat most	Transportation Most attention	Transportation Don't know

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* 14. What is your zip code? (Optional)

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* 15. What county do you live in?

Linn

Benton

Lincoln

Another county (please specify)

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* 16. Do you live in a city, in a town, or in a rural area?

City

Town

Rural area

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* 17. How old are you?

Under 13 years old

13 to 14 years old

15 to 16 years old

17 to 18 years old

19 years or older

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* 18. What language do you usually speak at home?

English

Spanish

Arabic

Chinese

Korean

Russian

Prefer not to answer

Another language

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* 19. What is your race or ethnicity? (You may choose more than one response and you may give more detail if you want)

African American or Black

American Indian or Alaskan Native

Asian

Pacific Islander

White or Caucasian

Hispanic or Latino

Middle Eastern, North African, or Arab

Prefer not to answer

Another race or ethnicity (please specify)

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* 20. What is your gender or gender identity?

Male

Female

Transgender

Prefer not to answer

Another gender

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* 21. Are you:

Straight/Heterosexual

Gay or Lesbian

Bisexual

Prefer not to answer

Another sexual orientation

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* 22. Are you living with:

Parent(s)

Extended family

Foster care

On my own

Prefer not to answer

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* 23. How much money does your family or household make each year before taxes?

Less than $20,000

$20,000 to $39,000

$40,000 to $79,000

$80,000 or more

Prefer not to answer

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* 24. Where do you or your family get your health insurance? (You may choose more than one)

My parent's job

HealthCare.gov (the health insurance marketplace)

A private insurance company

Medicare

Oregon Health Plan (Medicaid)

Tribal health services

Active military (TRICARE)

Veteran's Administration

Student health insurance

I don't have health insurance

I don't know

Somewhere else (please specify)

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* 25. Do you have enough health insurance to help you stay healthy?

Yes

No (please explain)

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* 26. Do you have dental insurance?

Yes, I have enough dental insurance to help me stay healthy

Yes, but it is not enough to help me stay healthy (please explain)

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* 27. Where is the first place you usually go when you need medical care?

My regular doctor’s office

The school health clinic

Other walk-in health center

A hospital emergency room

I do not go anywhere to get care

Somewhere else

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* 28. What is your parent’s (or guardian’s) highest level of education?

Did not finish high school

High school graduate or GED

Some college

Associate’s or trade degree

Bachelor’s degree

Graduate or professional degree

Prefer not to answer

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* 29. Are you (you may choose more than one):

Employed full time

Employed part time

Disabled or on disability

Prefer not to answer

Other (please specify)

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* 30. Are your parents/guardians/caregivers:

Married

Partnered

Divorced

Widowed

Single

Prefer not to answer