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Community health assessment report


Last updated 12/18/2019 at 12:58pm

While not a surprise to most, new data confirms that suicide, opioid misuse, and youth mental health are among the top health issues in Snohomish County.

On a more positive note, the County’s rates of homicide, cigarette smoking, melanoma deaths, lung cancer deaths, motor vehicle crashes, and children living under the federal poverty level are faring better when compared to state and national rates.

These topics and more are included in the Snohomish Health District’s newest Community Health Assessment (CHA) released Dec. 17. It is available online at

Starting in 2018, district staff and community partners analyzed more than 150 health indicators for the report. These include disease rates, leading causes of death, health risk behaviors, and social determinants of health, such as housing and access to health care.

A data task force made up of the Public Health Advisory Council and other subject matter experts provided input over the course of about eight months in 2018. They looked at how the indicators were trending over time, how countywide data compares to state and national data, and how Snohomish County compares to benchmarks.

Population-based health data is the best quantitative data to use in a community health assessment, a news release said. This data is accessible at the county and state level, and all data sets have been deemed statistically reliable and valid.

Of those 150 indicators, the task force identified eight priority topics for further evaluation:

• Suicide

• Youth mental health

• Opioid misuse

• Children’s oral health

• Housing

• Access to primary care

• Youth obesity

• Disparities specific to the American Indian/Alaska Native population

Community feedback was gathered during three public events in fall 2018. Participants identified youth mental health, suicide, and opioid misuse as their top three areas of concern.

Since 2009, the District has done a community health assessment every five years. The last community health assessment was completed in 2013, with a mid-cycle update in 2016. These assessments inform planning efforts and in-depth analyses needed to develop a community health improvement plan (CHIP) to address those issues.

The 2014 CHIP focused on obesity, suicide, and youth physical abuse. With this 2018 report complete, district staff will begin convening civic leaders, community members, and non-profit organizations in a process to develop a new plan centered on suicide prevention in Snohomish County. It is anticipated that strategies to improve youth mental health will be incorporated within that process as well, according to a news release from Snohomish Health District.

Additional data sources were updated mid-2019 and reviewed by the data task force, but the top issues remained relatively unchanged. However, recent concerns about vaping and e-cigarettes were noted. The data task force has deemed vaping an emerging issue to be monitored and possibly explored further in a more detailed briefing in 2020.


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