He a lthie r Sa n Joa quin County Community Asse ssme nt 2008 - - PowerPoint PPT Presentation

He a lthie r Sa n Joa quin County Community Asse ssme nt 2008

Susan Brutschy, President

Applied Survey Research May 14th 2008

S J i C t ’ H lth P fil

May 14 , 2008

San Joaquin County’s Health Profile: Useful Data to Improve Our Future

Sponsored by the San Joaquin County Community Sponsored by the San Joaquin County Community Health Assessment Collaborative

www.healthiersanjoaquin.org

B k d f h P Background of the Project

The San Joaquin County Community Health

Assessment Collaborative formed in 2004.

Purpose: to produce a functional and comprehensive

county health profile county health profile.

Overall goal: to inform and engage local stakeholders

and community members in order to promote and develop collaborative efforts based on reliable data, community input and group consensus.

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Community Assessment Project

Step 1

Form a Steering Committee Develop Project Methodology Update the Report Regularly

Step 2 Step 10

We a re he re !

Create Working Committees C i Encourage Community Action

Step 3 Step 9

Sa n Joa quin County

Identify Potential Quality of Life Indicators Collect Secondary Data Publish and Develop Community Goals and Benchmarks

Step 4 Step 8

County

Collect Secondary Data Conduct Community Surveys Analyze Publish and Promote the Report

Step 7 Step 6 Step 5

Analyze Results

2008 A F A 2008 Assessment Focus Areas

Access to Health Care Chronic Disease (Diabetes, Asthma and Obesity) Early Entry into Prenatal Care

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M h d l Methodology

English and Spanish telephone surveys were completed

with over 400 randomly selected county residents.

Over 1,900 face-to-face surveys were collected at 37

diff t it d it i th h t th different sites and community agencies throughout the county.

Secondary (pre existing) data were collected for over Secondary (pre-existing) data were collected for over

50 health indicators from a variety of sources.

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County Demographics

In 2007, the population of the county was 679,687.

Since 2000, there was a 21% population increase.

In the next 10 years, 10% of residents will be age 65 or older. According to the U.S. Census Bureau, 38% of San Joaquin g q County residents over age five spoke a language other than English in their home in 2006.

Of the total population 24% spoke Spanish/Spanish Creole Of the total population, 24% spoke Spanish/Spanish Creole.

Currently in 2008, Caucasians make up 40% of the County population while Hispanics make up 37% population while Hispanics make up 37%.

After 2010, there will be a higher percentage of Hispanics than Caucasians.

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2011: Hispanics (39%), Caucasians (37%) 2015: Hispanics (42%), Caucasians (33%)

Housing and Foreclosures g

• San Joaquin County was among the top three counties that had the

highest foreclosure rates in the United States in the fall of 2007.

• The U.S. Department of Housing and Urban

Development (HUD) defines affordable h i i h 30% f housing as costing no more than 30% of a household’s annual income. Spending much more than 30% impacts residents’ ability to afford other basic needs such as health care, food, and child care.

• In 2007 47% of telephone respondents and 74% of face-to-face
• In 2007, 47% of telephone respondents and 74% of face to face

respondents reported spending more than 30% of their household income on housing costs.

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Basic Needs

In any given month, do you find you or your family having to go without basic needs such as food, housing, child care, health care or clothing? (Those responding “yes.”)

50% 9.6% 31.3% 6 3% 34.6% 25% 9.6% 6.3% 0% Telephone Survey Face-to-Face Survey

2004 2007

N=428 N=429 N=1,960 N=1,985

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So urc e : He a lthie r Sa n Jo a q uin Co unty Co mmunity Asse ssme nt, T e le pho ne a nd F a c e -to - F a c e Surve ys, 2004 a nd 2007.

Adult Health Insurance Coverage

Adult Re sponde nts Who Curre ntly Ha ve He a lth Insura nc e Cove ra g e , 2004 a nd 2007

He a lthy Pe ople 2010 Obje c tive :

100% of r e side nts unde r 65 ye a rs will unde r 65 ye a rs will ha ve he a lth insura nc e .

N=429 N=2 001 N=1 970 N=429 N=429 N=2,001 N=1,970 N=429

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So urc e : Sa n Jo a q uin Co unty Co mmunity He a lth Asse ssme nt, T e le pho ne a nd F a c e -to -F a c e Surve ys, 2004. a nd 2007

Adult Health

Pe rc e nta g e of Sa n

Insurance Coverage

Pe rc e nta g e of Sa n Joa quin County Adults without He a lth Insura nc e

So urc e : He a lthie r Sa n Jo a q uin Co unty Co mmunity Asse ssme nt, T e le pho ne a nd y p F a c e -to -F a c e Surve ys, 2007; U.S. Ce nsus Bure a u, 2000. N = 534.

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Youth Health Insurance Coverage

D hild h h lth i ? Do your c hildre n ha ve he a lth insura nc e ? (T hose re sponding “ye s.”)

92.6% 84.8% 95.2% 82.1% 75% 100% 0% 25% 50% 75%

N=183 N=1,287 N=156 N=1,060

Telephone Survey Face-to-Face Survey 2004 2007

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So urc e : Sa n Jo a q uin Co unty Co mmunity He a lth Asse ssme nt, T e le pho ne a nd F a c e -to - F a c e Surve ys, 2004. a nd 2007

Health Care Access and Utilization

If you ne e de d he a lth c a re in the la st 12 months, we re you a ble to re c e ive it? (T hose re sponding “ye s.”)

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So urc e : Sa n Jo a q uin Co unty Co mmunity He a lth Asse ssme nt, T e le pho ne a nd F a c e -to -F a c e Surve ys, 2004 a nd 2007.

Access to Health Care

T

• p 5 Re a sons Why Re sponde nts We re Una ble to Re c e ive

He a lth Ca re in the Pa st 12 Months

2007 T elephone Survey 2007 Face-to-Face Survey No insurance 50.0% No insurance 69.0% Could not afford it 45.9% Could not afford it 33.9% Insurance would not cover it 37.5% Did not know where to go 16.3% Could not afford co-pay 29.1% Insurance would not cover it 13.9% Unable to find doctor to 20.8% Did not know what steps to 13.9%

Multiple re spo nse q ue stio n with 18 re spo nde nts

• ffe ring 50 re spo nse s

Multiple re spo nse q ue stio n with 410 re spo nde nts

• ffe ring 898 re spo nse s

accept insurance p take to get health care

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So urc e : Sa n Jo a q uin Co unty Co mmunity He a lth Asse ssme nt, T e le pho ne a nd F a c e -to -F a c e Surve ys, 2007.

Emergency Department Use

Do you use the e me rg e nc y de pa rtme nt for your ma in sourc e of c a re ? (T hose re sponding “ye s.”)

N=425 N=1,843 N=1,856 N=429

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So urc e : He a lthie r Sa n Jo a q uin Co unty Co mmunity Asse ssme nt, T e le pho ne a nd F a c e -to -F a c e Surve ys, 2004 a nd 2007.

Chronic Disease-Asthma

Sa n Joa quin County Re side nts Who Ha ve Be e n Dia g nose d with Asthma , by Ag e , 2001- 2005

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So urc e : 2001, 2003 a nd 2005 Ca lifo rnia He a lth I nte rvie w Surve y.

Chronic Disease-Diabetes

9 2% 10%

Re side nts Who Ha ve Be e n Dia g nose d with Dia be te s, 2003 a nd 2005

7.6% 6.6% 9.2% 7.0% 6% 8% He a lthy Pe ople 2010 Obje c tive : 2% 4% 6%

No mor e tha n 2.5% of pe ople will ha ve diabe te s.

0% 2% San Joaquin County California

2003 2005 16

So urc e : 2003 a nd 2005 Ca lifo rnia He a lth I nte rvie w Surve y.

Chronic Disease-Obese Adults

Pe rc e nta g e of Adults Who Are Obe se , 2001- 2005 Re sponde nts’ BMI, 2007

39.2% 50%

50%

33.5% 26.0% 25%

25.6% 19.3% 27.1% 20.4% 28.8% 21.2% 25%

1.4% 0% Low BMI Normal BMI Overweight Obese

0% San Joaquin County California

2001 2003 2005

So urc e : 2001, 2003, 2005 Ca lifo rnia He a lth I nte rvie w Surve y. So urc e : He a lthie r Sa n Jo a q uin Co unty Co mmunity Asse ssme nt, T e le pho ne Surve y, 2007.

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Early Entry into Prenatal Care

P t f W R i i P t l C Pe rc e nta g e of Wome n Re c e iving Pre na ta l Ca re During T he ir F irst T rime ste r, 2000- 2006

He a lthy Pe ople 2010

100%

Pe ople 2010 Obje c tive :

90% of pre g na nt wome n will re c e ive e a rly

90% 100%

re c e ive e a rly a nd a de qua te pre na ta l c a re .

69 4% 70 0% 68 6% 72.6% 72.3% 72.2% 69 1% 85.2% 85.8% 85.6% 85.8% 84.8% 84.0% 83.1% 70% 80% 69.4% 70.0% 68.6% 69.1% 50% 60% 2000 2001 2002 2003 2004 2005 2006

S an Joaquin County California 18

So urc e : 2000-2004 da ta : Sta te o f Ca lifo rnia , De pa rtme nt o f He a lth Se rvic e s, Birth Re c o rds,

• 2007. 2005-2006 da ta : Sa n Jo a q uin Co unty Pub lic He a lth Se rvic e s, Birth Re c o rds, 2006.

Prenatal Care-Ethnicity

P t f W R i i P t l C D i T h i

90%

Pe rc e nta g e of Wome n Re c e iving Pre na ta l Ca re During T he ir F irst T rime ste r, by Ra c e / E thnic ity, 2000- 2005

79.3% 82.2% 80.9% 81.8% 80.3% 79.8% 80% 69.0% 68.2% 69.9% 67.9% 71.8% 65.3% 65.5% 68.7% 63.6% 68.0% 68.4% 67.2% 63.9% 64.8% 70% 60.0% 61.3% 62.3% 62.8% 50% 60% 2000 2001 2002 2003 2004 2005 Asian / Pacific Islander African American Latina Caucasian

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So urc e : 2000-2004 da ta : Sta te o f Ca lifo rnia , De pa rtme nt o f He a lth Se rvic e s, Birth Re c o rds, 2007. 2005 da ta : Sa n Jo a q uin Co unty Pub lic He a lth Se rvic e s, Birth Re c o rds, 2006.

Low Birth Weight Babies

Pe rc e nta g e of L

• w Birth We ig ht Ba bie s, 2000- 2006

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So urc e : 2000-2004 da ta : Sta te o f Ca lifo rnia , De pa rtme nt o f He a lth Se rvic e s, Birth Re c o rds, 2007. 2005 da ta : Sa n Jo a q uin Co unty Pub lic He a lth Se rvic e s, Birth Re c o rds, 2006.

Prenatal Care and Low Birth Weight-Teens

Pe rc e nta g e of T e e na g e Wome n R i i P t l C Pe rc e nta g e of L

• Birth We ig ht Ba bie s Born to

Re c e iving Pre na ta l Ca re During T he ir F irst T rime ste r, 2000- 2006 L

• w Birth We ig ht Ba bie s Born to

T e e na g e Mothe rs, 2000- 2006

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So urc e : 1998-2004 da ta : Sta te o f Ca lifo rnia , De pa rtme nt o f Pub lic He a lth, Birth Re c o rds,

• 2007. 2005-2006 da ta : Sa n Jo a q uin Co unty Pub lic He a lth Se rvic e s, Birth Re c o rds, 2006.

Data Summary

The San Joaquin County population is growing becoming both The San Joaquin County population is growing, becoming both

• lder and more ethnically diverse.

The majority of county residents are covered by health and dental insurance; although, there still are those who report going without basic necessities and health services. The county has higher percentages of residents with chronic The county has higher percentages of residents with chronic diseases than the state. Additionally, neither the county nor the state are currently i h H l h P l 2010 bj i f l meeting the Healthy People 2010 objective for prenatal care. However, there are many community organizations that are dedicated to addressing these important issues. g p Several of these groups are highlighted in our comprehensive report under the title “How We’re Making a Difference.”

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How We’re Making How We’re Making a a Difference Difference

R A l bl l Resources Available online

2005 & 2008 Comprehensive Reports 2005 & 2008 Comprehensive Reports 2005 & 2008 Executive Summaries 2008 “How We’re Making a Difference” Stories 2008 How We re Making a Difference Stories 2005 & 2008 PowerPoint Presentations Links to SJC HAC Community Partners and a List Links to SJC2HAC Community Partners and a List

• f Financial Contributors

www.healthiersanjoaquin.org

Community Assessment Project

Step 1

Form a Steering Committee Develop Project Methodology Update the Report Regularly

Step 2 Step 10

We a re he re !

Create Working Committees C i Encourage Community Action

Step 3 Step 9

Sa n Joa quin County

Identify Potential Quality of Life Indicators Collect Secondary Data Publish and Develop Community Goals and Benchmarks

Step 4 Step 8

County

Collect Secondary Data Conduct Community Surveys Analyze Publish and Promote the Report

Step 7 Step 6 Step 5

Analyze Results

Q d A Questions and Answers

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Applie d Surve y Re se a rc h

F

• r More Informa tion Conta c t:

K e lly Ple skuna s o r Susa n Brutsc hy K e lly Ple skuna s o r Susa n Brutsc hy Sa n Jo se Offic e Wa tso nville Offic e 991 We st He dding Stre e t Sa n Jo se , CA 95126 (408) 247-8319 P.O. Bo x 1927 Wa tso nville , CA 95077 (831) 728-1356

T he vine ya rd photo use d in this pre se nta tion wa s ta ke n by Da le Goff a nd wa s provide d by the L

• di Wine & Visitor Ce nte r

www.a pplie dsurve yre se a rc h.o rg