Social Determinants of Health: Implications for Northern Virginia - - PowerPoint PPT Presentation

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Social Determinants of Health: Implications for Northern Virginia - - PowerPoint PPT Presentation

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Social Determinants of Health: Implications for Northern Virginia Health Policy Seminar George Mason University February 20, 2018 Fairfax, Virginia Steven H. Woolf, MD, MPH Center on Society and Health Virginia Commonwealth University

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Social Determinants of Health: Implications for Northern Virginia

Health Policy Seminar George Mason University February 20, 2018 Fairfax, Virginia Steven H. Woolf, MD, MPH Center on Society and Health Virginia Commonwealth University

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Acknowledgments

  • Northern Virginia Health Foundation
  • Burness Communications
  • Coauthors:

Derek A. Chapman, PhD Latoya Hill, MPH Lauren K. Snellings, MPH, CHES

  • Production: Sarah Blackburn and Cassandra Ellison
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The good health of Northern Virginia

COUNTY HEALTH RANKINGS, NORTHERN VIRGINIA 2012 2013 2014 2015 2016 2017 Arlington County 2 3 3 1 3 3 Fairfax County 1 1 2 3 2 2 Loudoun County 3 2 1 4 4 1 Prince William County 11 10 8 11 9 11

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Life expectancy extremes in Northern Virginia: from 71 to 89 years

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Social and Economic Factors Health Outcomes

Mortality and Morbidity

Health Systems

Medical Care Public Health

Individual Behaviors Public Policies and Spending

Source: Adapted from Woolf SH, Aron L, eds. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Panel on Understanding Cross-National Health Differences Among High-Income Countries. National Research Council, Committee on Population, Division of Behavioral and Social Sciences and Education, and Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: The National Academies Press, 2013.

Physical and Social Environment

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Why the Differences?

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Methods of analysis

  • Analysis conducted by Center on

Society and Health, Virginia Commonwealth University

  • 5-year data from the American

Community Survey, reported in 2013 by U.S. Census Bureau

  • Conditions examined in 513 census

tracts in Northern Virginia, including: – Arlington County – Fairfax County – Loudoun County – Prince William County – Cities: Alexandria, Fairfax City, Falls Church, Manassas, Manassas Park

Census tract measures examined 1. Preschool (age 3-4 years) enrollment 2. Teens ages 15-17 years not enrolled in school 3. Population with high school or higher education 4. Population with Bachelor’s degree or higher 5. Households with limited English 6. Households with single parents 7. Unemployment rate 8. Median household income 9. Poverty rate 10. Child poverty 11. Public assistance 12. Overcrowding 13. Uninsured rate

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15 “islands of disadvantage”

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Barriers to opportunity in Northern Virginia

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The uneven demographic landscape in Northern Virginia

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Examples of disadvantage

  • Education

– 40% of adults with a high school education (Bailey’s Crossroads, 4516.01) – 8% of adults with a Bachelor’s degree (Woodbridge, 9006) – 29% of households with limited English, Seven Corners (4514.00)

  • Economic

– 27% of adults unemployed (Fort Myer, 1034.01) – Median household income of $32,500 (Fort Myer, 1034.01)

  • Housing

– 79% of rental households with severe cost burdens (Prince William County, 9012.34) – Overcrowding in 29% of households (Bailey’s Crossroads, 4516.01)

  • Health care

– 57% of adults uninsured (Bailey’s Crossroads, 4516.01)

  • Transportation

– 36% without a vehicle (Buckingham, 1020.03)

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Printed reports

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Interactive web tool

Web tool available at website of the Northern Virginia Health Foundation: https://novahealthfdn.org/interactive-map-opportunity/

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6715 Commerce Street, Springfield, VA

Web tool available at website of the Northern Virginia Health Foundation: https://novahealthfdn.org/interactive-map-opportunity/

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Taking action: policies to improve

  • pportunity and population health
  • Solutions transcend the health sector
  • Benefits extend beyond the affected

population – Strengthen regional economy – Improve academic performance – Increase workforce productivity – Reduce costs for health care and social services – Reduce criminal activity

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Policy priorities

  • Basic needs

– Food – Housing – Health care

  • Root causes

– Education – Employment

  • Infrastructure

investments – Physical environment – Built environment – Transportation – Public safety

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Return on investment

  • Expanding opportunity requires larger

investments in marginalized communities

  • Meaningful impact requires cross-sector

collaboration

  • The benefits of partnership: attract employers,

create jobs, energize the economy, grow infrastructure, engage the community—and improve public health

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Contact Information

Steven H. Woolf, MD, MPH

Center on Society and Health Department of Family Medicine and Population Health Virginia Commonwealth University (804) 628-2462

swoolf@vcu.edu www.societyhealth.vcu.edu