Behavioral Risk Factor Report for Baker Springs, TN (2020)
Introduction
The Behavioral Risk Factor Report for Baker Springs, TN, presents an in-depth analysis of the city’s health behaviors, chronic health conditions, healthcare access, preventive health services, and mental health status based on data collected in 2020 by the Baker Springs Health Department. Baker Springs, with a population of approximately 301,650, is a mid-sized city located in East Tennessee. This comprehensive report aims to provide insights into the health and well-being of the residents of Baker Springs and to highlight areas requiring public health intervention. Download the full Behavioral Risk Factor Report for 2020 here.
Demographic Overview
Population
- Total Population: 301,650
Gender Distribution
- Male: 47%
- Female: 53%
Age Distribution
| Age Group | Population | Percentage |
| 0-4 | 26,342 | 8.73% |
| 5-9 | 24,779 | 8.21% |
| 10-14 | 23,203 | 7.69% |
| 15-19 | 21,547 | 7.14% |
| 20-24 | 27,873 | 9.24% |
| 25-29 | 29,078 | 9.64% |
| 30-34 | 32,115 | 10.65% |
| 35-39 | 18,292 | 6.06% |
| 40-44 | 15,237 | 5.05% |
| 45-49 | 13,986 | 4.64% |
| 50-54 | 12,736 | 4.22% |
| 55-59 | 11,486 | 3.81% |
| 60-64 | 10,244 | 3.40% |
| 65-69 | 9,085 | 3.01% |
| 70-74 | 7,925 | 2.63% |
| 75-79 | 6,766 | 2.24% |
| 80-84 | 5,606 | 1.86% |
| 85+ | 5,350 | 1.77% |
| Total | 301,650 | 100.00% |
Racial and Ethnic Composition
- White: 57%
- African American: 31%
- Hispanic or Latino: 4.5%
- Asian: 3.9%
- Other: 3.6%
Household Data
- Total Households: Approximately 115,000
- Average Household Size: 2.6 persons
Housing
- Occupied Housing Units: 95% of total housing units
- Owner-Occupied Housing Units: 60%
- Renter-Occupied Housing Units: 40%
Health Risk Factors
Smoking
- Current Smokers: 18%
- Former Smokers: 22%
- Never Smoked: 60%
Smoking is a significant risk factor for many chronic diseases, including lung cancer, heart disease, and respiratory conditions. The Behavioral Risk Factor Report data indicate that 18% of Baker Springs residents are current smokers, while 22% are former smokers. Efforts to reduce smoking rates through public health campaigns and smoking cessation programs are critical.
Discussion & Recommendations
Smoking rates in Baker Springs align with national averages. To address this issue, the city should implement comprehensive tobacco control programs, including increased taxes on tobacco products, smoking bans in public places, and smoking cessation support services. Additionally, educational campaigns targeting youth can help prevent the initiation of smoking among younger populations.
Alcohol Consumption
- Binge Drinking (past 30 days): 15%
- Heavy Drinking (past 30 days): 7%
Alcohol consumption patterns reveal that 15% of residents engaged in binge drinking, and 7% reported heavy drinking in the past 30 days. Excessive alcohol consumption is associated with numerous health problems, including liver disease, cardiovascular disease, and increased risk of accidents and injuries.
Discussion & Recommendations
The rates of binge and heavy drinking suggest the need for public health interventions focused on reducing alcohol abuse. Strategies may include community-based programs that provide education on the risks of excessive drinking, as well as support for individuals seeking help with alcohol dependency. Collaboration with local bars and restaurants to promote responsible drinking can also be beneficial.
Physical Activity
- No Leisure-Time Physical Activity: 25%
- Met Physical Activity Recommendations: 55%
Physical activity is essential for maintaining a healthy weight, preventing chronic diseases, and improving mental health. In Baker Springs, 25% of residents reported no leisure-time physical activity, while 55% met the recommended levels of physical activity. Initiatives to promote active lifestyles and provide accessible recreational facilities are necessary to improve these statistics.
Discussion & Recommendations
The city should invest in infrastructure that encourages physical activity, such as parks, walking trails, and sports facilities. Public health campaigns that promote the benefits of regular exercise and community events like fun runs or fitness challenges can also help increase physical activity levels. Workplace wellness programs can further support employees in maintaining an active lifestyle.
Obesity
- Overweight (BMI 25-29.9): 35%
- Obese (BMI 30+): 28%
Obesity is a major public health concern, with 35% of residents classified as overweight and 28% as obese. Obesity increases the risk of various chronic diseases, including diabetes, hypertension, and heart disease. Strategies to address obesity should include promoting healthy eating, increasing physical activity, and implementing community-based weight management programs.
Discussion & Recommendations
To combat obesity, Baker Springs should implement programs that promote nutritious diets, such as school-based nutrition education, community gardens, and partnerships with local farmers’ markets. Policies that limit the availability of unhealthy foods in schools and public buildings can also help. Weight management programs that offer counseling and support groups can be effective in helping individuals achieve and maintain a healthy weight.
Chronic Health Conditions
Hypertension (High Blood Pressure)
- Ever Told by Doctor: 32%
Hypertension is a prevalent condition in Baker Springs, affecting 32% of the population. High blood pressure is a significant risk factor for heart disease, stroke, and kidney disease. Regular monitoring and management of blood pressure through lifestyle changes and medication are crucial.
Discussion & Recommendations
Public health efforts should focus on increasing awareness of hypertension and its risks. Free or low-cost blood pressure screening events can help identify individuals with undiagnosed hypertension. Programs that promote dietary changes, such as reducing salt intake and increasing potassium consumption, along with regular physical activity, can help manage blood pressure levels.
Cholesterol
- Ever Told Have High Cholesterol: 38%
- Had Cholesterol Checked in Past 5 Years: 75%
High cholesterol levels are reported in 38% of residents, with 75% having had their cholesterol checked in the past five years. High cholesterol contributes to the development of atherosclerosis and increases the risk of cardiovascular events. Public health efforts should focus on promoting heart-healthy diets and regular cholesterol screenings.
Discussion & Recommendations
To address high cholesterol, Baker Springs should encourage residents to adopt heart-healthy diets rich in fruits, vegetables, whole grains, and lean proteins. Community programs that provide nutritional education and cooking classes can support these efforts. Increasing access to cholesterol screenings and providing resources for managing high cholesterol through lifestyle changes and medication are also important.
Diabetes
- Diagnosed Diabetes: 10%
- Prediabetes or Borderline Diabetes: 6%
Diabetes prevalence in Baker Springs is 10%, with an additional 6% of residents having prediabetes. Diabetes management requires a comprehensive approach, including blood sugar monitoring, medication, diet, and exercise. Preventive measures for prediabetes can significantly reduce the progression to diabetes.
Discussion & Recommendations
Diabetes prevention and management programs should focus on lifestyle interventions that promote healthy eating and physical activity. Educational workshops and support groups can help individuals manage their condition effectively. Collaboration with local healthcare providers to offer regular screenings for diabetes and prediabetes can facilitate early detection and treatment.
Cardiovascular Disease
- Ever Told Had a Heart Attack (Myocardial Infarction): 5%
- Ever Told Had a Stroke: 4%
- Ever Told Had Angina or Coronary Heart Disease: 6%
Cardiovascular disease is a leading cause of morbidity and mortality. In Baker Springs, 5% of residents have had a heart attack, 4% have had a stroke, and 6% have been diagnosed with angina or coronary heart disease. Preventive measures, including smoking cessation, managing hypertension and cholesterol, and promoting physical activity, are essential.
Discussion & Recommendations
The city should implement comprehensive cardiovascular health programs that include public education campaigns on the risks and prevention of heart disease and stroke. Access to emergency medical services and advanced cardiac care should be ensured. Encouraging regular medical checkups and screenings for cardiovascular risk factors can help in early detection and prevention.
Health Care Access
Health Insurance
- Currently Insured: 85%
- Uninsured: 15%
Health insurance coverage is vital for accessing healthcare services. In Baker Springs, 85% of residents have health insurance, leaving 15% uninsured. Expanding access to affordable health insurance options and outreach programs to enroll eligible individuals are necessary steps.
Discussion & Recommendations
Efforts to increase health insurance coverage should include public awareness campaigns about available insurance programs, such as Medicaid and the Affordable Care Act marketplaces. Providing assistance with the enrollment process can help ensure that more residents gain coverage. Additionally, expanding employer-sponsored health plans can increase insurance rates among working adults.
Personal Doctor
- Have a Personal Doctor: 78%
- Do Not Have a Personal Doctor: 22%
Having a personal doctor is associated with better health outcomes due to continuity of care. In Baker Springs, 78% of residents have a personal doctor. Efforts to increase the number of primary care providers and improve healthcare access are crucial.
Routine Checkup
- Had Routine Checkup in Past Year: 70%
Regular checkups are important for early detection and management of health conditions. Seventy percent of Baker Springs residents reported having a routine checkup in the past year. Promoting the importance of preventive can help increase this percentage.
Preventive Health Services
Flu Vaccination (past year)
- Adults 18-64: 45%
- Adults 65+: 68%
Flu vaccination is a key preventive measure to reduce the incidence of influenza and its complications. In Baker Springs, 45% of adults aged 18-64 and 68% of adults aged 65 and over received a flu vaccination in the past year. Increasing vaccination rates through public health campaigns and accessible vaccination services is important.
Pneumonia Vaccination (ever)
- Adults 65+: 60%
Pneumonia vaccination is recommended for older adults to prevent pneumococcal disease. Sixty percent of adults aged 65 and over in Baker Springs have received the pneumonia vaccine. Efforts to educate and encourage vaccination among older adults can help improve these rates.
Mental Health
Mental Health Status
- 14+ Days of Poor Mental Health (past month): 12%
- Diagnosed Depression: 15%
Mental health is a critical component of overall well-being. In Baker Springs, 12% of residents reported experiencing 14 or more days of poor mental health in the past month, and 15% have been diagnosed with depression. Expanding access to mental health services and reducing stigma associated with mental health issues are vital.
Stress Level
- High Stress (self-reported): 20%
Stress can have significant impacts on physical and mental health. Twenty percent of residents in Baker Springs reported high stress levels. Providing resources for stress management and promoting work-life balance can help reduce stress among residents.

Core Sections
1: Health Status
- General Health Status: In general, 15% of residents reported their health as “Excellent,” 25% as “Very Good,” 30% as “Good,” 20% as “Fair,” and 10% as “Poor.”
2: Healthy Days
- Physical Health: In the past 30 days, 25% of residents reported experiencing poor physical health for at least one day, with an average of 5.6 days.
- Mental Health: In the past 30 days, 20% of residents reported experiencing poor mental health for at least one day, with an average of 4.8 days.
- Activity Limitation: Due to poor physical or mental health, 10% of residents reported being unable to carry out usual activities for at least one day, with an average of 3.2 days.
3: Health Care Access
- Health Coverage: 85% of residents have some form of health coverage, while 15% are uninsured.
- Affordability: 12% of residents reported not being able to see a doctor in the past 12 months due to cost.
- Routine Checkup: 70% of residents had a routine checkup within the past year.
4: Exercise
- Physical Activity: 55% of residents met the recommended physical activity guidelines, while 25% reported no leisure-time physical activity.
5: Inadequate Sleep
- Sleep Duration: 30% of residents reported getting less than 7 hours of sleep per night on average, which is below the recommended amount for adults.
6: Oral Health
- Dental Visits: 65% of residents visited a dentist or dental clinic within the past year.
- Tooth Loss: 15% of residents reported having lost six or more teeth due to decay or gum disease.
7: Chronic Health Conditions
- Heart Attack: 5% of residents have been diagnosed with having had a heart attack.
- Angina or Coronary Heart Disease: 6% of residents have been diagnosed with angina or coronary heart disease.
- Stroke: 4% of residents have been diagnosed with having had a stroke.
- Asthma: 10% of residents have been diagnosed with asthma, and 7% still have asthma.
- Skin Cancer: 7% of residents have been diagnosed with skin cancer.
- Other Cancer: 6% of residents have been diagnosed with some form of cancer other than skin cancer.
- COPD: 8% of residents have been diagnosed with chronic obstructive pulmonary disease (COPD).
- Depression: 15% of residents have been diagnosed with a depressive disorder.
- Kidney Disease: 3% of residents have been diagnosed with kidney disease.
- Arthritis: 20% of residents have been diagnosed with arthritis.
- Diabetes: 10% of residents have been diagnosed with diabetes, with an additional 6% diagnosed with prediabetes.
8: Demographics
- Age: Distribution as previously listed.
- Ethnicity: Distribution as previously listed.
- Marital Status: 50% married, 12% divorced, 8% widowed, 6% separated, 24% never married.
- Education Level: 90% have at least a high school diploma, 60% have some college education, 35% have a bachelor’s degree or higher.
- Employment Status: 60% employed, 5% unemployed, 20% retired, 15% not in the labor force (e.g., homemakers, students).
- Income Level: 15% below $25,000, 30% between $25,000 and $50,000, 35% between $50,000 and $100,000, 20% above $100,000.
9: Disability
- Hearing Difficulty: 5% of residents reported being deaf or having serious difficulty hearing.
- Vision Difficulty: 7% of residents reported being blind or having serious difficulty seeing, even when wearing glasses.
- Cognitive Difficulty: 10% of residents reported having serious difficulty concentrating, remembering, or making decisions due to a physical, mental, or emotional condition.
- Mobility Difficulty: 12% of residents reported having serious difficulty walking or climbing stairs.
- Self-Care Difficulty: 4% of residents reported having difficulty dressing or bathing.
- Independent Living Difficulty: 7% of residents reported having difficulty doing errands alone such as visiting a doctor’s office or shopping due to a physical, mental, or emotional condition.
10: Breast and Cervical Cancer Screening
- Mammogram: 70% of women aged 40 and older reported having had a mammogram within the past two years.
- Pap Test: 80% of women aged 21 to 65 reported having had a Pap test within the past three years.
11: Colorectal Cancer Screening
- Screening Tests: 60% of adults aged 50 and older reported having had a sigmoidoscopy or colonoscopy within the past ten years.
12: Tobacco Use
- Current Use: 18% of residents are current smokers.
- Former Use: 22% of residents are former smokers.
- Never Smoked: 60% of residents have never smoked.
13: Lung Cancer Screening
- CT Scan: 15% of residents who have smoked in the past or currently smoke have had a CT or CAT scan of the chest area mainly to check or screen for lung cancer.
14: Alcohol Consumption
- Alcohol Use: 15% of residents reported binge drinking (5 or more drinks on one occasion for men, 4 or more for women) within the past 30 days.
- Heavy Drinking: 7% of residents reported heavy drinking (15 or more drinks per week for men, 8 or more for women) within the past 30 days.
15: Immunization
- Flu Vaccination (past year): 50% of residents reported having received a flu vaccine.
- Pneumonia Vaccination (ever): 30% of residents reported having received a pneumonia vaccine.
16: H.I.V./AIDS
- HIV Testing: 40% of residents reported having been tested for HIV.
Core Section Data Summary
The data collected through the Behavioral Risk Factor Report for Baker Springs provide a comprehensive overview of the community’s health status, behaviors, and access to healthcare services. By referencing every module, we can better understand the specific health needs and challenges faced by the residents.
Chronic Health Conditions (Continued)
- Joint Pain: 30% of residents reported experiencing joint pain on most days for at least one month in the past year.
- Chronic Pain Management: Among those with chronic pain, 40% reported using over-the-counter medication, 30% used prescription pain medication, 20% utilized physical therapy, and 10% employed alternative therapies such as acupuncture or chiropractic care.
Environmental Health
- Air Quality Concerns: 20% of residents expressed concerns about air quality affecting their health, with specific worries about pollution and allergens.
- Water Quality Concerns: 10% of residents reported concerns about the safety of their drinking water.
Overall Summary and Recommendations
Based on the detailed Behavioral Risk Factor Report data, the following key areas for public health intervention in Baker Springs have been identified:
- Chronic Disease Management: Enhance programs focused on managing chronic diseases such as diabetes, hypertension, and high cholesterol through lifestyle changes and medical treatment.
- Preventive Health Services: Increase access to preventive services, including vaccinations, cancer screenings, and regular health check-ups.
- Behavioral Health Interventions: Implement targeted programs to reduce smoking, excessive alcohol consumption, and physical inactivity.
- Mental Health Support: Expand access to mental health services and support, addressing high stress levels and depression.
- Healthcare Access and Affordability: Improve healthcare access by increasing insurance coverage and providing affordable healthcare services.
- Community Health Education: Promote health education on various topics, including healthy eating, physical activity, and the importance of preventive care.
- Environmental Health Initiatives: Address environmental health concerns by improving air and water quality and educating the public about potential health risks.
Health Indicators Summary
Based on the Behavioral Risk Factor Report questionnaire data, Baker Springs exhibits several health trends that require attention:
- Chronic Conditions:
- High prevalence of hypertension (32%), high cholesterol (38%), and diabetes (10%).
- Cardiovascular conditions, such as heart attacks (5%) and strokes (4%), are notable concerns.
- Preventive Health Services:
- Routine checkups are relatively common (70%), but there is room for improvement in vaccination rates, particularly for flu (50%) and pneumonia (30%).
- Behavioral Health Risks:
- Smoking (18%) and binge drinking (15%) rates suggest the need for targeted public health interventions.
- Physical inactivity (25%) and obesity (28%) highlight the need for promoting healthier lifestyles.
- Mental Health:
- Mental health issues, including high stress levels (20%) and diagnosed depression (15%), indicate the necessity of enhancing mental health services and support.
- Healthcare Access:
- With 15% of residents uninsured and 12% unable to afford medical care when needed, improving healthcare access and affordability is critical.
Recommendations
Based on these findings, the following recommendations are made to improve the health and well-being of Baker Springs residents:
- Expand Access to Preventive Services:
- Increase the availability of free or low-cost health screenings and vaccinations.
- Promote routine checkups and preventive care through public health campaigns.
- Enhance Behavioral Health Programs:
- Implement comprehensive smoking cessation and alcohol reduction programs.
- Increase access to physical activity facilities and community-based fitness programs.
- Address Chronic Conditions:
- Develop community-based programs focused on managing hypertension, diabetes, and high cholesterol through lifestyle changes and medication adherence.
- Increase public awareness about the importance of cardiovascular health.
- Improve Mental Health Support:
- Expand mental health services, including counseling and support groups.
- Reduce stigma associated with mental health issues through education and outreach.
- Increase Healthcare Access and Affordability:
- Expand health insurance coverage through public programs and employer-sponsored plans.
- Provide assistance with health insurance enrollment and education about available options.
By addressing these key areas, Baker Springs can improve the overall health and quality of life for its residents. Public health initiatives should be continuously evaluated and adjusted to meet the evolving needs of the community.
Conclusion
The Behavioral Risk Factor Report report for Baker Springs, TN, highlights significant health issues and opportunities for public health improvement. By implementing targeted interventions and promoting healthy behaviors, Baker Springs can improve the overall health and quality of life for its residents. Public health officials, healthcare providers, and community organizations must collaborate to address these challenges and ensure a healthier future for Baker Springs.
