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HEALTH PROMOTION MONMOUTH

Health Promotion, Monmouth - Independence, Oregon

Nancy Nurse

HEALTH PROMOTION MONMOUTH

Health Promotion: Monmouth-Independence, Oregon

To address health issues that affect a whole population or groups within a population,

community health nurses must apply the steps of the nursing process (assess, diagnose, plan,

implement, and evaluate) to an entire community. The community health assessment model

provides a framework for this approach to health promotion (NURS 362, 2025).

Community Health Assessment

Community assessments are essential tools for community health nurses. The community

health assessment model uses a variety of resources and methods of data collection to identify

areas of need so community health nurses and organizations can plan appropriate health

interventions for higher risk or underserved populations within the community (NURS 362,

2025).

The community of Monmouth-Independence, Oregon is made up of two neighboring

small towns which share many resources. Both towns are a mix of rural and suburban areas.

Monmouth is home to Western Oregon University. Independence is bordered by Monmouth on

one side, and by the Willamette River on the other side. Both towns are otherwise surrounded by

farmland.

HEALTH PROMOTION MONMOUTH

Community Assessment Data Monmouth-Independence, Oregon

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Community People Category-Demographics Population Total (# and year)

23,582/2023 (United States Census Bureau, 2024)

Gender (%) Male Female Identify as other

50.5% 49.5% -

(United States Census Bureau, 2024)

No information on identifies as other

Age Breakdown (%)

Under 5 – 4.9% 5-19 – 23.9% 20-34 – 28.6% 35-49 – 15.7% 50-64 – 15.7% 65-74 – 6.0% 75-84 – 4.1% 85 & over – 1.2% Median Age – 28.7

Under 5 – 4.6% 5-19 – 19.7% 20-34 – 21.6% 35-54 – 24.2% 55-64 – 10.9% 65-74 – 11.2% 75-84 – 5.5% 85 & over - 2.6% Median age - 38.1

(United States Census Bureau, 2023a; United States Census Bureau, 2024)

There are more youth and adults under 35 in Monmouth- Independence than in Polk County.

Race/Ethnicity Breakdown (%) White alone Asian alone Hispanic alone Two or more races Black alone Native American alone Native Hawaiian Other Pacific Islander alone

65.8% 1.4% 26.8% 4.3% 0.6% 0.6% 0.3%

72.0% 2.2% 16.0% 7.8% 0.6% 0.8% 0.0%

(United States Census Bureau, 2023a; United States Census Bureau, 2024)

There are more Hispanic people in Monmouth- Independence than in Polk County.

Median household income (%)

$68,641 $80,328 (United States Census Bureau, 2024)

Monmouth- Independence has a much lower median income than Polk County.

Household income breakdown (%)

(United States Census Bureau,

Monmouth- Independence has a higher

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

< $25,000 25,000- $49,999 $50- 99,999 $100,000- 199,999 >200,000

10.2% 14.1% 38.6% 30.1% 7.0%

15.9% 16.9% 25.3% 33% 8.9%

2022b; United States Census Bureau, 2023c)

number of households making less than $25,000 compared to Polk County.

Households below poverty level (%)

8.8% 9.2% (United States Census Bureau 2022c; United States Census Bureau 2023d)

Households headed by single individual (%)

39.7% 38.3% (United States Census Bureau, 2022d; United States Census Bureau 2022e)

Persons living in poverty (%)

15.2% 12.8% (United States Census Bureau 2022c; United States Census Bureau, 2023d)

Marital Status (%) Single/ Never Married Married Separated Widowed Divorced

41.5% 42.9% 2.7% 2.4% 10.5%

34.4% 48.4% 1.2% 5.8% 10.3%

(United States Census Bureau, 2022d; United States Census Bureau 2022e)

Dependency ratio Total ratio Child Old age

52.2 35.0 17.3

67.1 35.0 32.1

(United States Census Bureau, 2022a; United States Census Bureau 2023b)

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Native languages spoken in the community (%)

English 81.1% Spanish 17.1% Indo/Euro 0.8% Asian/P.I. 0.8% Other 0.3%

(United States Census Bureau, 2024)

Values & Religious Beliefs

None – 76.3 Evangelical protestant – 11.3 Other – 6.3 Catholic – 3.3 Mainline Protestant – 2.8

(City-data, n.d.)

Average yrs. of school completed (#)

<12 – 9.8% High school graduate- 23.4% Some college- 30.8% Associate’s degree- 9.7% Bachelor’s degree- 17.2% Graduate/professional degree- 9.1%

<12 – 10.0% High school graduate– 25.8% Some college- 25.5% Associate’s degree- 8.7% Bachelor’s degree- 19.5% Graduate/professi onal degree- 10.4%

(United States Census Bureau, 2022d; United States Census Bureau 2022e)

Community People Category -Health Data Crude death rate (‘x’/100,000)

*Polk County 10.5

Oregon 10.5

(Oregon Health Authority, 2022d)

*Unable to find any sources for community-level data.

Age-specific death rates per 1,000 1-14 15-24 25-44 45-64 65+

*Polk County 0.55 0.69 2.01 12.7 232.53

Oregon 0.42 0.76 3.82 14.29 227.48

(Oregon Health Authority, 2022a; Oregon Health Authority, 2022b)

Infant mortality rate Per 1,000

*Polk County 11.4

Oregon 4.8

(The Annie E. Casey Foundation, 2019)

Very high in Polk County compared to Oregon.

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Teen pregnancy Rate (%)

*Polk Co. 1.4%

Oregon 2.3%

(Oregon Health Authority, 2021)

Leading causes of death & rates (%) Heart Disease

Stroke

Breast Cancer

Lung Cancer

Colorectal Cancer

Influenza

Pneumonia

COVID

COPD

Other statistically supported causes of mortality

*Polk Co. Cancer 19.4% Coronary Heart Disease 19% Hypertension 29.8% Unintended Injuries 6.4% Cerebrovascular Disease 5.7% Type 2 Diabetes 3.7%

(Oregon Health Authority, 2022d; Center for Disease Control [CDC], 2025a)

Cancer rates not broken down based on type

Causes of poor health outcomes (%) T2 Diabetes

Hypertension

Hyperlipidemia/ High Cholesterol Chronic Lower Respiratory Disease (COPD)/Asthma HIV/AIDS

Other Sexually Transmitted Infections (STI)

*Polk Co. Cardiovascular Disease Arthritis 24.7% Asthma 12.9% Type 2 Diabetes 9.9%

(Marion-Polk Community Health Collaborative [MPCHC], 2024)

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Poor Nutritional Status Communicable Diseases Binge Drinking Smoking Opioid and Other Substance Use

Other statistically supported causes of poor health outcomes

Drug Induced Mortality Rate (Age-Adjusted Rate per 100,000)

*Polk Co. 13.6

(Oregon Health Authority, 2024a)

Depression among adults (%)

Independence 27.8%

(CDC, 2025b; MPCHC, 2024)

Frequent Mental Distress among adults (%)

*Polk Co. 19.5

(CDC, 2025c) *

Mental Health and Mental Distress among teens (Percentage of teens aged 12-17 years with symptoms of depression and or anxiety %)

*Polk Co. 30-32% 15-17% of teens have contemplated suicide

Oregon Health Authority, 2019)

Suicide Mortality Rate (Age- Adjusted Rate per 100,000)

*Polk Co. 15.4

(Oregon Health Authority, 2023d)

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Childhood County Kindergarten Completion Immunization rate (% by county and/or school district) * For Illinois use the ISBE Dashboard https://dph.illinois. gov/topics- services/preventio n- wellness/immuniz ation/coverage- dashboards/school -vaccination- coverage- dashboard.html

86.9% (County) (Tableau Public, 2025a)

Adult Immunization rate (%) Influenza COVID Pneumonia

28.6% (County) 15.6% (County) 37% (State)

(Tableau Public, 2025b)

2024

Physical Environment Category

Pollutants- air, water, land (List)

Water - Average Annual Contaminant Concentrations for: Arsenic concentration (µg/L) No Test (MCL = 10 µg/L) Nitrate concentration (mg/L): 0.97 (MCL = 10 mg/L) HAA5 concentration (µg/L): 3.00 (MCL = 60 µg/L) TTHM concentration (µg/L): 4.16 (MCL = 80 µg/L) Air - AQI-73.8

(City data, n.d.; Oregon Health Authority, 2020)

Crime rate (%) *Polk County Property crime – 26.1

(U.S. News

HEALTH PROMOTION MONMOUTH

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

Per 1,000 per 1,000 Violent Crime – 2.3 per 1,000

and World Report, n.d.)

Food supply (‘x’/10,000 persons)

*Polk County 1.6

(City data, n.d.)

Health and Social Services Category

Hospital and Health Agencies Hospitals Full Service or Designated Critical Access only?

1 - critical access hospital nearby

(Polk County Itemizer Observer, 2023)

Ambulatory Medical care

3 - medical clinics including 1 free/charitable 3 - chiropractic clinics 2 - physical therapy clinics

(Polk County Itemizer Observer, 2023)

Dental Services

3 - general family dentistry clinics

(Polk County Itemizer Observer, 2023)

Vision Services 1- eyecare clinic (Polk County Itemizer Observer, 2023)

Long Term Care Facilities and Services

2 - assisted living 1 - nursing facility/rehab

(Polk County Itemizer Observer, 2023)

Home Health Agencies

1 – home health agency

(Polk County Itemizer Observer, 2023)

Emergency services

EMS Fire Police

(City of Independence, n.d.; City of Monmouth, n.d.; Polk County Fire

HEALTH PROMOTION MONMOUTH

Assessment Summary

This community assessment is the first step in the community nursing process for

identifying areas of need and planning interventions with stakeholders within the community. In

Data Category & Data Points Required

Community Data

Comparative Data

Polk County, Oregon

Data Source Comments

District no. 1, n.d.)

Health department

*Polk County -Home visiting program -Immunizations Reproductive health -Tobacco prevention and education

(Polk County, Oregon, n.d.- a; Polk County Oregon, n.d.- b)

*There is no health department in Monmouth- Independence.

Social Services Social and special services for population and Groups

-Senior center -Parenting classes -Early Learning -Resources for parents -School based mental health -Homelessness prevention -Veteran’s services - Rent assistance -Food assistance -Emergency financial assistance

(City of Monmouth, n.d., Polk County, Oregon, n.d.- a; Polk County Oregon, n.d.- b)

Health provider shortage area

Yes (Health Resources & Services Administration, 2024a)

Medically underserved populations

Yes (HRSA, 2024b)

Low income and migrant farm workers

HEALTH PROMOTION MONMOUTH

addition to conducting online and observational research, Mauricio et al., (2024), emphasize the

value of community-engaged research for improving equitability when implementing resources

and interventions for specific groups within a community. A thorough assessment will include

various methods of data collection to best depict the needs of a community and the populations

and groups of which it is comprised.

HEALTH PROMOTION MONMOUTH

References

The Annie E. Casey Foundation. (2019). Infant mortality in Oregon.

https://datacenter.aecf.org/data/map/2559-infant-

mortality#5/any/true/true/1729/any/10038/Orange/City Data. (n.d.). Independence,

Oregon. https://www.city-data.com/city/Independence-Oregon.html#b

Centers for Disease Control and Prevention. (2025a). Places health outcomes heart disease.

https://experience.arcgis.com/experience/22c7182a162d45788dd52a2362f8ed65

Centers for Disease Control and Prevention. (2025b). Places health outcomes depression.

https://experience.arcgis.com/experience/22c7182a162d45788dd52a2362f8ed65

Centers for Disease Control and Prevention. (2025c). Places health outcomes mental distress.

https://experience.arcgis.com/experience/22c7182a162d45788dd52a2362f8ed65

City of Independence. (n.d.). Police. https://www.ci.independence.or.us/police/

City of Monmouth. (n.d.). Police Department.

https://www.ci.monmouth.or.us/pview.aspx?id=4746&catid=552

Health Resources and Services Administration. (2024a). Find shortage areas by address.

https://data.hrsa.gov/tools/shortage-area/by-address

Health Resources and Services Administration. (2024b). MUA find: Find data on medically

underserved area and medically underserved population designations throughout the US.

https://data.hrsa.gov/tools/shortage-area/mua-find

Mauricio, A. M., Garcia, Y., Merelas, S., Cioffi, C. C., McWhirter, E. H., Budd, E. L., Mueller,

M. V., De Anda, S., Rodriguez, E., & Leve, L. D. (2024). Community partner

perceptions of equitable implementation practices for a promotores de salud intervention:

HEALTH PROMOTION MONMOUTH

A qualitative assessment. American Journal of Public Health, 114, S377–S383.

https://doi-org.proxy.cc.uic.edu/10.2105/AJPH.2024.307686

NURS 362. (2025). 2.05 Community health assessment model. [Image].

https://uic.blackboard.com/ultra/courses/_276959_1/cl/outline

Oregon Health Authority. (2024a).

Oregon Health Authority. (2023a). Oregon emergency department visits data (EDD) by county.

https://app.powerbigov.us/view?r=eyJrIjoiMmIxZjc5MTUtMDlhNi00N2U3LTkzYmYtZ

TM5MjcxNjdlMTJhIiwidCI6IjY1OGU2M2U4LThkMzktNDk5Yy04ZjQ4LTEzYWRjO

TQ1MmY0YyJ9

Oregon Health Authority. (2023b). Oregon hospital discharge data (HDD) by county.

https://app.powerbigov.us/view?r=eyJrIjoiMWIyNWFhZmUtNTM0OS00ZmQ4LTkwM

mQtZDkzMjYwMDNlZTZmIiwidCI6IjY1OGU2M2U4LThkMzktNDk5Yy04ZjQ4LTEz

YWRjOTQ1MmY0YyJ9

Oregon Health Authority. (2023c). Suicide deaths by county, Oregon, 2018–2022.

https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/INJURYFATALITYDATA/

Documents/Fact%20Sheets/Suicide%20Deaths%20by%20Oregon%20County.pdf

Oregon Health Authority. (2022a). Annual trends in mortality. https://visual-

data.dhsoha.state.or.us/t/OHA/views/Oregonannualtrendsinmortality/TrendsDash?%3Ais

GuestRedirectFromVizportal=y&%3Aembed=y

Oregon Health Authority. (2022b). Decedent demographics by county. https://visual-

data.dhsoha.state.or.us/t/OHA/views/CountyDash/CountyDash_demo?%3AisGuestRedir

ectFromVizportal=y&%3Aembed=y

Oregon Health Authority. (2022c). Leading causes of death. https://visual-

HEALTH PROMOTION MONMOUTH

data.dhsoha.state.or.us/t/OHA/views/LeadingCausesDash/LeadingDash1?%3AisGuestRe

directFromVizportal=y&%3Aembed=y

Oregon Health Authority. (2022d). Leading causes of death by county. https://visual-

data.dhsoha.state.or.us/t/OHA/views/CountyDash/CountyDash_cause?%3AisGuestRedir

ectFromVizportal=y&%3Aembed=y

Oregon Health Authority. (2021). Number and rate of Oregon teen pregnancies (ages 10-17) by

county of residence 2021 final data.

https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/VITALSTATISTICS/

TEENPREGNANCY/Documents/2021_10-17roll.pdf

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data.dhsoha.state.or.us/t/OHA/views/CommunityWaterSystem_16680312416720/ChartV

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HEALTHYTEENS/Documents/2019/County/Polk%20County%20Profile%20Report.pdf

Polk County Fire District No.1. (n.d.). Polk County Fire District No. 1. https://www.polk1.org/

Polk County Itemizer Observer. (2023). Polk County 2023-2024 Local Business Directory.

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orial/f/3c/f3c05682-b040-11ee-9efb-3fb49354a1c6/659f7a4edf8d2.pdf.pdf

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Polk County, Oregon. (n.d.-b). Public Health. https://www.co.polk.or.us/ph

HEALTH PROMOTION MONMOUTH

Tableau Public. (2025a). Oregon School Immunization and Exemption Rates by Oregon

Immunization Program.

https://public.tableau.com/app/profile/oregon.immunization.program/viz/SchoolLawTabl

eau/Kimmunizations

Tableau Public (2025b). Oregon Immunization Program.

https://public.tableau.com/app/profile/oregon.immunization.program/vizzes

United States Census Bureau. (2022a). Age and sex: Monmouth-Independence CCD, Polk

County, Oregon.

https://data.census.gov/table?q=dependency&g=060XX00US4105391972

United States Census Bureau. (2022b). Income in the past 12 months (in 2022 inflation adjusted

dollars): Monmouth-Independence CCD, Polk County, Oregon.

https://data.census.gov/table/ACSST5Y2022.S1901?g=060XX00US4105391972

United States Census Bureau. (2022c). Poverty status in the past 12 months for families:

Monmouth-Independence CCD, Polk County, Oregon.

https://data.census.gov/table/ACSST5Y2022.S1702?q=poverty&g=060XX00US4105391

972

United States Census Bureau. (2022d). Selected social characteristics in the United States:

Monmouth-Independence, CCD, Polk County, Oregon.

https://data.census.gov/table/ACSDP5Y2022.DP02?g=060XX00US4105391972

United States Census Bureau. (2022e). Selected social characteristics in the United States: Polk

County, Oregon.

https://data.census.gov/table/ACSDP1Y2023.DP02?g=050XX00US41053

United States Census Bureau. (2023a). ACS demographic and housing estimates: Polk County,

HEALTH PROMOTION MONMOUTH

Oregon.

https://data.census.gov/table/ACSDP1Y2023.DP05?q=Polk%20County,%20Oregon

United States Census Bureau. (2023b). Age and sex: Polk County, Oregon.

https://data.census.gov/table?q=dependency&g=050XX00US41053

United States Census Bureau. (2023c). Income in the past 12 months (in 2022 inflation adjusted

dollars): Polk County, Oregon.

https://data.census.gov/table/ACSST1Y2023.S1901?q=Polk%20County,%20Oregon%20

income

United States Census Bureau. (2023d). Poverty status in the past 12 months of families: Polk

County, Oregon.

https://data.census.gov/table/ACSST1Y2023.S1702?q=poverty&g=050XX00US41053

United States Census Bureau. (2024). Monmouth-Independence CCD, Polk County, Oregon.

https://data.census.gov/profile/Monmouth-

Independence_CCD,_Polk_County,_Oregon?g=060XX00US4105391972

US News and World Report. (n.d.). Polk County, Oregon: Public safety.

https://www.usnews.com/news/healthiest-communities/oregon/polk-county#public-safety