Community Health Assessment Community Health Assessment

Community Health AssessmentCommunity Health Assessment

• Comprehensive analysis of total health of Stanislaus County

• Phase 1: Secondary data analysis• Conducted during 2001-2002• Analysis of existing data• Looked at non-traditional indicators of

health (education, housing, social environment, etc.)

• Identified critical health issues in Stanislaus County

Community Health AssessmentCommunity Health Assessment

• Phase 2: Community Health Assessment Survey• Conducted during 2003-2005• 3 Surveys: Adult, Teen and Child• Questions on health behaviors and barriers• Approximately 3000 surveys collected• Data weighted according to age, race,

gender, and zip code

• Results will guide Public Health’s plans and programs

Health Access & BarriersHealth Access & Barriers

• Rated very good/good for access to services• Mental Health- 40%

• Child Health- 56%

• Health Care- 51%

• Used in the last year• ER- 36%

• Urgent Care- 21%

• Medical Clinic- 44%

Top 10 Community Health Top 10 Community Health Concerns by RegionConcerns by Region

Modesto

Turlock/Denair/Keyes

Oakdale/Riverbank

Ceres

West Side

Other

1 2 3 4 5 6 7 8 9 10

AOD

Violence

Obesity/Nutrition

Heart Disease

Asthma

STD

Hepatitis

Cholesterol Diabetes

Cancer Tobacco Use

Community Health ConcernsCommunity Health Concerns

Cancer8%

Violence8%

Diabetes8%

Asthma6%

Coronary Heart Disease

6%

Tobacco5%

STD4%

Hepatitis2%

High Cholesterol3%

Alcohol42%

Obesity/Nutrition8%

Alcohol and Substance Abuse

Alcohol42%

•35% drank alcohol within the last month •56% of the drinkers binge drank (5 or more drinks) on at least one occasion in the last month•11% rode in a vehicle with a drinking driver in the past month. •Out of the people who consumed alcohol, 14% used illegal drugs in the past year•8% used illegal drugs in the past year

Nutrition and Physical Activity

Obesity/Nutrition8%

62% exercised < 3 times a week for 20 minutes•37% ate fast food > 2 times a week•<25% eat fruits, vegetables, and dairy products more than 8 X a week•1 in 5 drinks soda at least 8 X a week

Cancer8%

Cancer

•2nd leading cause of death •Lung cancer is the leading cause of cancer deaths among both men and women

Violence

Violence8%

•32% of the respondents own firearms•45% of firearm owners did NOT keep firearms in a locked place•12% of the respondents were victims in a violent crime 45% of these crimes took place in home, 30% in neighborhood

Diabetes

Diabetes8%

•7th leading cause of death in CA and Stanislaus County•10% were diagnosed or treated for diabetes•13% of the diabetics did nothing to control their condition•60% did not modify their diet or increase their physical activity•13% never had an annual diabetic check-up by a health care professional•9% had no insurance, 32% had Medi-Cal, and 27% had Medi-Care

Asthma

Asthma6%

•16% were diagnosed or treated for asthma40% were not currently taking any medications to control asthma, including an inhaler•26% were never taught how to use an inhaler correctly •60% did not know how to use a peak flow meter•41% were not taught how to avoid triggers •49% were not told how to recognize early signs of an asthma attack •32% visited an ER or UC center•17% did not have any insurance while 41% had Medi-Cal

Heart DiseaseCoronary Heart

Disease6%

•Stanislaus County has the highest death rates in California •Leading cause of death •Over 1000 deaths in Stanislaus County in 2002

TobaccoTobacco

5%

•Over 30% of the respondents are current tobacco users•14% were trying to quit•25% former users

Smoking attributes to:•7 X the deaths from Diabetes•5 X the deaths from Accidents•5 X the deaths from Influenza

Sexually Transmitted Diseases

STD4%

•The number of reported gonorrhea cases has almost doubled from 2002 (292 cases) to 2003 (538 cases) •Chlamydia is the number 1 reported communicable disease for the last decade with over 1800 cases reported last year

CholesterolHigh Cholesterol

3%

•19% were diagnosed or treated for high cholesterol

Hepatitis C

Hepatitis2%

•3rd most reported communicable disease•More prevalent in the African American population and in the 30-45 year old age group

• Airport Neighbors United• Ceres Partnership for Healthy

Children• California State University at

Stanislaus• Emanuel Medical Center• Grayson-Westley Healthy

Start• Hughson Healthy Start• Keyes Elementary School• Kaiser Permanente• Memorial Medical Center• Migrant Education, Region 3• Newman-Crows Landing

Healthy Start• Oak Valley District Hospital• Oakdale-Riverbank Family

Resource Center

• Oakdale Family Support Network

• Peterson Alternative Center for Education (PACE) Healthy Start

• Riverbank Healthy Start• Robertson Road Healthy

Start• Stanislaus County Children’s

Council• Stanislaus County Behavioral

Health Services: Job Club• Teen Life Challenge• Wakefield Healthy Start• West Modesto King Kennedy

Neighborhood Collaborative• Health Services Agency

Programs

AcknowledgementsAcknowledgements