© 2005-2006 cdhs/research foundation of suny/bsc college relations group assessing the health risks...

© 2005-2006 CDHS/Research Foundation © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Groupof SUNY/BSC College Relations Group

Assessing the Health Risks Assessing the Health Risks Faced by the Patients of an Faced by the Patients of an Urban Free Medical ClinicUrban Free Medical Clinic

Kristin Broderick, BAKristin Broderick, BA

Renee Cadzow, MARenee Cadzow, MA


BackgroundBackground

The Lighthouse Free Medical Clinic is a The Lighthouse Free Medical Clinic is a student run initiative to provide free basic student run initiative to provide free basic medical care and triage to residents of medical care and triage to residents of the East side community of Buffalothe East side community of Buffalo

Because this is a low income population Because this is a low income population with many uninsured or underinsured with many uninsured or underinsured people, there are higher frequencies of people, there are higher frequencies of certain health problems and health riskscertain health problems and health risks


GoalsGoals

To describe the patient population of a free To describe the patient population of a free clinic in inner-city Buffalo clinic in inner-city Buffalo

To identify subpopulations that suffer the To identify subpopulations that suffer the greatest health risks and the demographic and greatest health risks and the demographic and behavioral characteristics that are associated behavioral characteristics that are associated with those riskswith those risks

To assess the population’s perception of To assess the population’s perception of health problems in the community health problems in the community surrounding the Lighthouse Free Medical Clinicsurrounding the Lighthouse Free Medical Clinic


MethodsMethods

De-identified database from De-identified database from Lighthouse Free ClinicLighthouse Free Clinic

Data source: HRA questionnaireData source: HRA questionnaire

Structured interview with patients Structured interview with patients at the clinic (18 and older)at the clinic (18 and older)

Data source: Audio recorded Data source: Audio recorded interviewsinterviews


RESULTSRESULTS

© 2005-2006 CDHS/Research © 2005-2006 CDHS/Research Foundation of SUNY/BSC Foundation of SUNY/BSC College Relations GroupCollege Relations Group

Description of the Patient Description of the Patient PopulationPopulation

Race/Ethnic Race/Ethnic BackgroundBackground

African American/blackAfrican American/black 89.1% 89.1%

WhiteWhite 6.7%6.7%

HispanicHispanic 3.4%3.4%

American IndianAmerican Indian 0.5%0.5%

AsianAsian 0.3%0.3%

GenderGender MaleMale 49.4%49.4%

FemaleFemale 50.6%50.6%

AgeAge 0-90-9 13% 13%

10-1910-19 35%35%

20-2920-29 15.3%15.3%

30-3930-39 14.2%14.2%

40-4940-49 13.6%13.6%

50-5950-59 5.9%5.9%

60 and older60 and older 2.9%2.9%


Income Distribution of the Patient Population-Income Distribution of the Patient Population-only those 18 and overonly those 18 and over

N=405N=405


Prevalence of Chronic Disease in Prevalence of Chronic Disease in Patients 40 and olderPatients 40 and older


Prevalence of Asthma based on Prevalence of Asthma based on AgeAge


Prevalence of Health Conditions based Prevalence of Health Conditions based on Age groupon Age group


Health RiskHealth Risk MaleMale FemaleFemale

Depression Depression

AnxietyAnxiety8.3%8.3%

8.3%8.3%13.9%13.9%

9.8%9.8%

ObesityObesity

HypertensionHypertension

High CholesterolHigh Cholesterol

ArthritisArthritis

Heart ConditionHeart Condition

32.3%32.3%

41.7%41.7%

18.1%18.1%

18.1%18.1%

1.4%1.4%

51%51%

50%50%

23.8%23.8%

25.4%25.4%

6.6%6.6%

Prevalence of Certain Health Risks Prevalence of Certain Health Risks Based on Gender in Patients 40 Based on Gender in Patients 40

and Olderand Older


Mental Health and AgeMental Health and Age


Health Conditions and Smoking Health Conditions and Smoking StatusStatus


Smoking and Income, only those Smoking and Income, only those age 18 and overage 18 and over

N=394N=394


BMI and Patients with BMI and Patients with Hypertension and DiabetesHypertension and Diabetes

N=635, p=.001N=635, p=.001


Perceived Health Problems in the Perceived Health Problems in the CommunityCommunity

Health ProblemHealth Problem Number of Times MentionedNumber of Times Mentioned

HIV/AIDSHIV/AIDS 55

HypertensionHypertension 33

DiabetesDiabetes 33

Drug AbuseDrug Abuse 33

AlcoholismAlcoholism 22

High CholesterolHigh Cholesterol 11

CancerCancer 11

Heart ProblemsHeart Problems 11

Mental HealthMental Health 11

Other Health Problems mentioned once: Herpes, Dental Problems, Other Health Problems mentioned once: Herpes, Dental Problems, MS, and Lead PaintMS, and Lead Paint


ConclusionsConclusions The patient population most frequently seen at the The patient population most frequently seen at the

Lighthouse clinic are low-income, African Americans Lighthouse clinic are low-income, African Americans between the ages of 10-19between the ages of 10-19

The chronic conditions most prevalent in this The chronic conditions most prevalent in this community are hypertension and obesity community are hypertension and obesity

HIV/AIDS, Hypertension and Diabetes are the main HIV/AIDS, Hypertension and Diabetes are the main perceived health problems in the community perceived health problems in the community surrounding the clinicsurrounding the clinic

The subpopulations that suffer the greatest health risks The subpopulations that suffer the greatest health risks are low income; females; smokers; and people of are low income; females; smokers; and people of increasing ageincreasing age

Anxiety and Depression consistently increase with age. Anxiety and Depression consistently increase with age. Reasons for this should be explored in future researchReasons for this should be explored in future research


LimitationsLimitations

Potential reporter bias, genderPotential reporter bias, gender

Wording of HRA formWording of HRA form

Incomplete HRA forms/ Errors in data Incomplete HRA forms/ Errors in data entry of HRA formentry of HRA form


Implications/Further ResearchImplications/Further Research

Target grammar schools with Target grammar schools with educational programseducational programs

Attack Obesity to prevent Diabetes, Attack Obesity to prevent Diabetes, HypertensionHypertension

Increase Availability of Medical ServicesIncrease Availability of Medical Services

Children’s Obesity StatusChildren’s Obesity Status Reasons for the consistent increase of Reasons for the consistent increase of

anxiety and depression with ageanxiety and depression with age

© 2005-2006 cdhs/research foundation of suny/bsc college relations group assessing the health risks...

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