community health assessment
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Community Health Assessment2004 - 2005
San Joaquin County
Background of the Project• San Joaquin Community Health Assessment
Collaborative formed in 2004.• Grown to over 25 agencies with 8 financial
sponsors.• Purpose: to produce a functional and
comprehensive health profile.• Overall goal: 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.
Focus Areas• Chronic disease (diabetes, asthma,
obesity)• Emergency services utilization• Adolescent / youth health
Community Assessment ProjectStep
1
Form a Steering
Committee
DevelopProject Methodology
CreateWorking Committees
Identify PotentialQuality of Life Indicators
Collect Secondary DataConduct Community Surveys
Analyze Results
Publish andPromote the Report
Develop Community Goals and Benchmarks
Update the Report
Regularly
Encourage Community Action
Step 2
Step 7
Step 6
Step 5
Step 4
Step 3
Step 10
Step 9
Step 8
San Joaquin County
Methodology• English and Spanish telephone surveys
were completed with over 400 randomly selected county residents.
• Face-to-face surveys with over 2,200 participants were collected at 46 different sites and community agencies throughout the county.
• Secondary (pre-existing) data were collected for over 15 heath indicators from a variety of sources.
Findings
Access to Health CareIf you needed health care in the last 12 months, were you able to receive it?
93.6%
6.4%
28.0%
72.0%
0%
25%
50%
75%
100%
Yes No Yes No
Perc
ent
Telephone Survey (N=274)
Face-to-Face Survey (N=1420)
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Access to Health CareIf you were not able to receive health care in the last 12 months,
why not? (Top 5 responses)
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Telephone SurveyNo insurance 82.6
%Could not afford it 73.3
%Did not know where to go
34.7%
Insurance would not cover it
21.6%
Transportation issues 21.1%
Multiple response question with 17 respondents offering 52 responses
Face-to-Face SurveyNo insurance 52.8
%Could not afford it 30.8
%Didn’t know where to go
17.9%
Transportation issues 16.8%
Unable to communicate due to language differences
16.6%
Multiple response question with 386 respondents offering 783 responses
85.1%93.4%90.6%
83.4%92.9%95.4%
0%
25%
50%
75%
100%
0-5 Years 0-17 Years Ages 18 and Older
Perc
ent
San J oaquin County California
Health Insurance Coverage
Healthy People 2010 Objective:100% of residents under 65 years will have health insurance.
Residents who currently have health insurance coverage, by age, 2003
Source: 2003 California Health Interview Survey, 2005.San Joaquin County N (0-5 years): 57,000; San Joaquin County N (0-17 years): 187,000; San Joaquin County N (ages 18 and older): 422,000.
Adult Health Insurance Coverage
84.1%
15.9% 20.4%
79.6%
0%
25%
50%
75%
100%
Yes No Yes No
Perc
ent
Telephone Survey(N=429)
Face-to-Face Survey(N=2,001)
Do you currently have health insurance coverage? 2004
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Adult Health Insurance Coverage
90.8%
41.1%
87.1%83.0%
31.0%
73.7%
0%
25%
50%
75%
100%
Prescriptions (full orpartial)
Treatment forSubstance Abuse
Preventive Care /Annual Exams
Perc
ent
Telephone Survey Face-to-Face Survey
N=361 N=1,516 N=1,547 N=1,493N=361 N=361
Respondents who stated that their health insurance covered the following:
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Adult Health Insurance CoveragePercentage of San Joaquin County Adults without Health Insurance
Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.
Youth Health Insurance Coverage
Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.
Do your children have health insurance? 2004
Do your children have health insurance? 2004
No7.4%
Yes92.6%
N=183
No15.2%
Yes84.8%
N=1,287
Emergency Room Use
Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.
Do you use the emergency room for your main source of care?
Do you use the emergency room for your main source of care?
No87.6%
Yes12.4%
N=425
No72.2%
Yes27.8%
N=1,843
Emergency Room UsePercentage of Families Using the Emergency Room as Their Primary Source of Care
Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.
Dental Insurance Coverage
65.7%79.3% 75.9%71.3%
0%
25%
50%
75%
100%
Has dentalinsurance
Childrenhave dentalinsurance
Has dentalinsurance
Childrenhave dentalinsurance
Perc
ent
Telephone Survey Face-to-Face Survey
N=361 N=183 N=1,535 N=1,242
Percentage of respondents who have additional insurance coverage for dental care and whose children have dental insurance
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
AsthmaResidents who have been diagnosed with asthma, by age, 2003
Source: 2003 California Health Interview Survey, 2005.San Joaquin County 2003 N (1–5 years): 49,000; San Joaquin County 2003 N (1–17 years): 179,000; San Joaquin County 2003 N (ages 18 and older): 422,000.* Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged 1-5, the confidence interval was 6.5%-34.9%. Caution should be used with these data.
24.9%
16.0%
10.8%15.4%
12.3%
20.7%*
0%
10%
20%
30%
1-5 Years 1-17 Years Ages 18 and Older
Perc
ent
San J oaquin County California
AsthmaPercentage of Adults Who Have Ever Been Diagnosed With Asthma
Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.
7.6%6.2%* 6.6%
0.8%0%2%4%6%8%
10%
Ages 12-17 Ages 18 and Older
Perc
ent
San J oaquin County California
Diabetes
Healthy People 2010 Objective:No more than 2.5% of people will have diabetes.
Residents who have been diagnosed with diabetes, by age, 2003
Source: 2003 California Health Interview Survey, 2005.San Joaquin County 2003 N (ages 12-17): 67,000; San Joaquin County 2003 N (ages 18 and older): 422,000. * Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged 12-17, the confidence interval was 0.0%-14.8%. Caution should be used with these data. In this age group, most cases would be type 1.
26.6%
19.1%
0%
10%
20%
30%
San Joaquin County California
Perc
ent
Obese Adults
Healthy People 2010 Objective:No more than 15.0% of people will report being obese.
Age-adjusted percentage of adults who are obese (30.0 BMI or greater), 2001
Source: State of California, Department of Health Services, Center for Health Statistics, Prevalence of Obesity and Healthy Weight in California Counties, 2001, 2005.Note: Data based on data from the 2001 California Health Interview Survey.
Overweight ChildrenPercentage of San Joaquin County children who are overweight (greater than or equal to the 95th percentile for Body Mass Index), by ethnicity and age, 2002
Source: Centers for Disease Control and Prevention, 2002 Pediatric Nutrition Surveillance, Growth Indicators by Race/Ethnicity and Age, 2005.
14.7%20.7%
24.7% 24.2% 23.7% 20.5%17.2%17.4%
12.2%
21.2%24.6%
0%
10%
20%
30%
40%
Caucasian AfricanAmerican
Latino Asian / PacificIslander
Total - SanJoaquinCounty
Total -CaliforniaAges 5-19
Perc
ent
5-11 Years 12-19 Years
Youth NutritionPercentage of San Joaquin County 7th, 9th and 11th grade students who reported consuming 5 or more portions of fruits or vegetables in the past 24 hours
Source: San Joaquin County Office of Education, California Healthy Kids Survey, 2004.
54.0%49.0%
42.0%
57.0%47.0%
41.0%
0%
25%
50%
75%
7th grade 9th grade 11th grade
Perc
ent
2002/2003 2004/2005
Summary• Most residents have health insurance, but some
still use the ER for their primary source of care.• These data suggest that even with health
insurance coverage, access to medical care can be a problem for county residents.
• San Joaquin County has a higher percentage of asthma for youth (ages 1-17) and adults than the state.
• San Joaquin County and California have similar percentages of adult diabetes, but both are far higher than the Healthy People 2010 goal of 2.5%.
• Finally, too many local children and adults are overweight or obese, putting them at risk for further health related complications (e.g. diabetes).
Questions and Answers
Applied Survey Research
Applied Survey ResearchFor More Information Contact:Kelly Pleskunas or Susan Brutschy
Phone: 831-728-1356www.appliedsurveyresearch.org
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