community-level data on social determinants and … social determinants and health outcomes; and 2)...

Community-level Data on Social Determinants and Health Outcomes

The material that accompanies this working document was produced through a data inventory undertakenby Community Science, Inc., for the National Partnership for Action to End Health Disparities (NPA) led bythe Office of Minority Health in the Office of the Assistant Secretary for Health (OMH/OASH). The goals ofthe inventory were to: 1) assess and document the community-level data (i.e., data that can bedisaggregated by city, county, neighborhood, or zip code) available from state agencies and organizationson social determinants and health outcomes; and 2) share this information with NPA community partners(e.g., Regional Health Equity Councils [RHECs]) to make it easier for them to know what data are availableand how to access the data.

The inventory primarily focuses on state sources because:

Data for the current year from national sources (e.g., U.S. Census Bureau) are generally notavailable until several years later;

Data from state sources are likely to be available sooner and are frequently available for measuresthat are not usually included in national data sources;

An inventory of state sources is a more manageable task than an inventory of data from the largenumber of counties, cities, and other local jurisdiction that may also collect and store data.

The inventory started with the social determinants of health and health outcomes included in the NationalStakeholder Strategy for Health Equity and in the Centers for Disease Control and Prevention’s (CDC) HealthDisparities and Inequalities Report.1 Community Science and OMH/OASH discussed and prioritized the listof social determinants of health and health outcomes to be included in the inventory (see list at the end ofthis narrative). For each measure, information was sought about the smallest geographic unit and mostrecent year for which data were available and whether or not the data can be disaggregated by race,ethnicity, gender, age, disability status, primary language, and sexual orientation and gender identity.

Community Science attempted to locate the data through contacts with State government staff andthrough searching the World Wide Web. Community Science recognizes that the search may not besufficiently thorough to surface data that were not easily available, and welcomes information aboutadditional state sources that should be included in the accompanying materials. For questions or to shareinformation about additional state sources, please contact Abigail Baum, Community Science, 301-519-0722, ext. 121 or [email protected]. Community Science is also working with OMH/OASHto determine other critical social determinants of health and health outcome measures that should beexplored.

While the inventory focused on state sources, it would be helpful for NPA partners to also have informationabout certain key national sources; the accompanying material includes this information.

1 CDC Morbidity and Mortality Weekly Report, Supplement, Vol. 60, January 14, 2011

List of Measures Sought

Social Determinants of Health

EducationEducational Attainment

High school graduation ratesHigh school dropout ratesHighest level of education that an individual has completed# of diploma recipients, # of other high school completersHigh school equivalency recipientsAveraged freshman graduation rates% of persons aged 16-19 years not enrolled, not high school graduatesPost-secondary education enrollment/plans

JobsLabor Market Turnover

Unemployment ratesUnderemployment ratesLabor force participation rates

Access to Health CareScreening Rates

% of early periodic screenings (Early Periodic Screening, Diagnosis and Treatment (EPSDT) as defined inthe Medicaid program)

% of people reporting receiving colorectal cancer screeningsImmunizations Rates

% of people reporting influenza vaccination coverage% of children aged 19-35 months completely immunized

Distribution of Health Care ProvidersTotal number of nonfederal MD/DOs in primary careTotal number of nonfederal MD/DOs in family practiceTotal number of nonfederal MD/DOs in general practiceTotal number of nonfederal MD/DOs in internal medicineTotal number of nonfederal MD/DOs in OB/GYNTotal number of nonfederal MD/DOs in pediatric primary care practiceTotal # of oral health care providersTotal # of mental/ behavioral health care providersProvider-to-population ratios - mental/behavioral health care servicesMeasures of availability of services for older adults

Interpreter Training/Certification% of interpreters certified by training entities that comply with the codes of ethics and standards for

training and practiceRace/Ethnicity of Provider Staff-to-Population Ratios

Race/ethnicity staff-to-population ratios for primary careRace/ethnicity staff-to-population ratios for family practiceRace/ethnicity staff-to-population ratios for general practiceRace/ethnicity staff-to-population ratios for pediatric practiceRace/ethnicity staff-to-population ratios for internal medicineRace/ethnicity staff-to-population ratios for OB/GYNRace/ethnicity staff-to-population ratios for medical and surgical subspecialties

Health Outcomes

Mortality and DiseaseInfant/Maternal mortalityCardiovascular diseaseCancerHIV/AIDSDiabetesChronic lower-respiratory diseaseKidney diseaseArthritis

ViolenceFor violence and trauma look for homicide and suicide rates

Homicide ratesSuicide rates

Behavioral healthBinge drinkingCigarette smokingIllegal drug useSexual behavior (note that these categories were taken from the Youth Risk Behavior Surveillance SystemSurvey though we are interested in other data sources on these for different age groups if available)

Condom useAny contraceptive useForced sexual intercourse

Other measures available

Oral HealthAdults over age 18 who have visited a dentist or dental clinic in the past yearPercent of students with untreated tooth decayAdults over age 65 who have lost 6 or more teethObesity

REGION 5

Illinois

This is a list of measures for which community-level data are available from state sources. Such data were not available for the remaining measures from the initial list of 52measures included at the beginning of the packet. If you are aware of additional state sources for these measures as well as the other measures for which data were not found,please contact Abigail Baum at [email protected] or 301-519-0722, ext. 121.

MeasureFrequency of

reporting

Most recentdata collected

(as ofDecember

2011)

Smallestgeographic unit

at which data areavailable

Are data broken down by…

Website link or information on how toaccess dataGender? Race?

Hispanicorigin?

Ruralvs.

urban?Age?


Employment/unemploymentrates

2011 Countyhttp://lmi.ides.state.il.us/laus/lausmenu.htm

High school dropout rates Collected every year 2011 School District http://iirc.niu.edu/ListCounties.aspx

High school graduation rates Collected every year 2011 School District http://iirc.niu.edu/ListCounties.aspx

Percentage of people reportinginfluenza vaccination coverage

Collected every 2years

2009 Countyhttp://app.idph.state.il.us/brfss/countydata.asp

Percentage of people reportingreceiving colorectal cancerscreenings


2009 Countyhttp://app.idph.state.il.us/brfss/countydata.asp

Illinois

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

HIV/AIDS-mortality Collected every year 2005 Countyhttp://www.idph.state.il.us/aids/aidscht5_00-09.htm

HIV/AIDS-prevalence Collected every year 2005 Countyhttp://www.idph.state.il.us/aids/aidscht5_00-09.htm

Cancer-incidence-age adjustedrate


2008 County X X X X

http://www.idph.state.il.us/cancer/11/county_rpt/ERS_11-03_FINAL_County_Cancer_Incidence_Report_Illinois_2004-2008.pdf

Infant/Maternal mortality Collected every year 2008 Countyhttp://www.idph.state.il.us/health/infant/infmort0608.htm

Adults over age 18 who havevisited a dentist or dental clinicin the past year


2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=oralhlth&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Arthritis-prevalenceCollected every 2

years2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=arthritis&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Binge drinkingCollected every 2

years2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=alcohol&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Cardiovascular disease-prevalence


2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=cardiovascular&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Illinois

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Chronic lower respiratorydisease-prevalence-percent


2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=asthma&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Cigarette smokingCollected every 2

years2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=alcohol&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Diabetes-prevalenceCollected every 2

years2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=diab&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Obesity-prevalenceCollected every 2

years2009 County

http://app.idph.state.il.us/brfss/countydata.asp?selTopicCounty=weight&areaCounty=Adams_1&show=freq&yrCounty=4&form=county&yr=&area=&selTopic=

Indiana


MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?


Cohort graduation rate Collected every year 2010 Schoolhttp://www.doe.in.gov/improvement/accountability/graduation-cohort-rate

High school dropout rates Collected every year 2010 Schoolhttp://www.clrsearch.com/Indianapolis_Demographics/IN/Education-Level-and-Enrollment-Statistics

High school graduation rates Collected every year 2010 Schoolhttp://www.clrsearch.com/Indianapolis_Demographics/IN/Education-Level-and-Enrollment-Statistics

Highest level of education thatan individual has completed

Collected every year 2010 Countyhttp://www.clrsearch.com/Indianapolis_Demographics/IN/Education-Level-and-Enrollment-Statistics

Post-secondary educationenrollment plans

Collected every year 2010 Countyhttp://www.clrsearch.com/Indianapolis_Demographics/IN/Education-Level-and-Enrollment-Statistics


Collected monthly 2011 Cityhttp://www.hoosierdata.in.gov/dpage.asp?id=32&view_number=1&menu_level=&panel_number=2

Indiana

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Cancer-incidenceCollected every 4

years2004 County X

http://www.in.gov/isdh/reports/cancerinc/2004/toc.htm

Cancer-mortalityCollected every 4

years2004 County X

http://www.in.gov/isdh/reports/cancerinc/2004/toc.htm

Obesity-prevalence Collected every year 2006 Countyhttp://www.in.gov/isdh/files/Burden_of_Obesity_FINAL_11_18_2011.pdf

Infant/Maternal mortality Collected every year 2007 County http://www.in.gov/isdh/19578.htm

Cardiovascular disease-mortality-age adjusted rate per100,000

Collected every year 2008 County X X Xhttp://www.in.gov/isdh/reports/brfss/2010/c08.02.htm

Chronic lower respiratorydisease-mortality

Collected every year 2008 County X Xhttp://www.in.gov/isdh/reports/brfss/2010/c09.01.htm

Homicide-rate per 100,000 Collected every year 2008 County X Xhttp://www.in.gov/isdh/reports/mortality/2008/tbl_05_index.htm

Suicide-rate per 100,000 Collected every year 2008 County X Xhttp://www.in.gov/isdh/reports/mortality/2008/tbl_05_index.htm

Diabetes-prevalence Collected every year 2011 Countyhttp://www.in.gov/isdh/files/BR_Diabetes-GAIL_10-19-2011.pdf

HIV/AIDS-mortality Collected every year 2011 Countyhttp://www.in.gov/isdh/files/Gender_and_Race(2).pdf

HIV/AIDS-prevalence Collected every year 2011 County X X Xhttp://www.in.gov/isdh/files/Gender_and_Race(2).pdf

Michigan


MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?


Cohort graduation rate Collected every year 2010 School Districthttp://www.michigan.gov/documents/cepi/2010-2009_MI_Grad-Drop_Rate_345879_7.pdf


Collected monthly 2011 Cityhttp://milmi.org/cgi/dataanalysis/AreaSelection.asp?tablename=Labforce

High school dropout rates Collected every year 2010 School Districthttp://www.michigan.gov/documents/cepi/2010-2009_MI_Grad-Drop_Rate_345879_7.pdf

High school graduation rates Collected every year 2010 School Districthttp://www.michigan.gov/documents/cepi/2010-2009_MI_Grad-Drop_Rate_345879_7.pdf

Labor force participation rates Collected monthly 2011 Countyhttp://milmi.org/cgi/dataanalysis/AreaSelection.asp?tablename=Labforce

Percentage of children aged19-35 months completelyimmunized

Collected monthly 2011 County

http://www.michigan.gov/documents/mdch/2008-2010_MiBRFS_Reg__LHD_Tables_FINAL_351398_7.pdf

Percentage of people reportinginfluenza vaccination coverage


2010 County


Percentage of people reportingreceiving colorectal cancerscreenings


2010 County


Michigan

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Cardiovascular disease-mortality


2006 Countyhttp://www.michigan.gov/documents/mdch/Impact_complete_report_245958_7.pdf



2006 Countyhttp://www.michigan.gov/documents/mdch/04_Ch2_Asthma_Prevalence_276679_7.pdf

Chronic lower respiratorydisease-prevalence


2007 Countyhttp://www.michigan.gov/documents/mdch/04_Ch2_Asthma_Prevalence_276679_7.pdf

Obesity-prevalenceCollected every 2

years2007 County X

http://www.michigan.gov/documents/mdch/Obesity_chapter_283600_7.pdf

Cancer-incidence Collected every year 2008 Countyhttp://www.mdch.state.mi.us/pha/osr/chi/cancer/frame.asp?Topic=2&Mode=1

Cancer-mortality Collected every year 2008 Countyhttp://www.mdch.state.mi.us/pha/osr/chi/cancer/frame.asp?Topic=2&Mode=1

Diabetes-prevalence Collected every year 2009 County X Xhttp://www.michigan.gov/documents/mdch/EstDMNumByCounty_2009_334308_7.pdf

Homicide-rate per 100,000Collected every 2

years2009 County

http://www.mdch.state.mi.us/pha/osr/CHI/Deaths/frame.asp

Infant/Maternal mortalityCollected every 4

years2009 County

http://www.mdch.state.mi.us/pha/osr/InDxMain/Tab3.asp

Kidney disease-mortality Collected every year 2009 Countyhttp://www.mdch.state.mi.us/pha/osr/CHI/CRI/frame.asp

Suicide-rate per 100,000Collected every 2

years2009 County

http://www.mdch.state.mi.us/pha/osr/CHI/Deaths/frame.asp

HIV/AIDS-prevalence Quarterly 2011 Countyhttp://www.michigan.gov/documents/mdch/October_2011_FULL_366815_7.pdf

Minnesota


MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?


Provider-to-population ratios-mental/behavioral health careservices

Collected every year 2009 Countyhttp://www.health.state.mn.us/divs/orhpc/pubs/workforce/physspec.pdf

High school dropout rates Collected every year 2010 County X X Xhttps://education.state.mn.us/MDEAnalytics/Data.jsp

High school graduation rates Collected every year 2010 County X X Xhttps://education.state.mn.us/MDEAnalytics/Data.jsp


Collected monthly 2011 Countyhttp://www.positivelyminnesota.com/apps/lmi/laus/


Collected every year 2011 Countyhttp://www.health.state.mn.us/divs/idepc/immunize/stats/coverdata.html

Minnesota

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Arthritis-prevalence 2003 Countyhttp://www.health.state.mn.us/divs/hpcd/arthritis/pdfs/physiciandiagnosis.pdf

Cancer-incidence-crude rateper 100,000


2008 County Xhttps://apps.health.state.mn.us/mndata/cancer_query

Chronic lower respiratorydisease-prevalence


2008 Countyhttps://apps.health.state.mn.us/mndata/asthma_query

Suicide-rate per 100,000 Collected every year 2008 Countyhttp://www.health.state.mn.us/divs/chs/annsum/09annsum/Mortality09.pdf

Cardiovascular disease-mortality


2009 Countyhttp://www.health.state.mn.us/divs/hpcd/chp/cvh/pdfs/hdspBurdenRpt2011.pdf

Cardiovascular disease-prevalence


2009 Countyhttp://www.health.state.mn.us/divs/hpcd/chp/cvh/pdfs/hdspBurdenRpt2011.pdf

HIV/AIDS-prevalence Collected every year 2009 Countyhttp://www.health.state.mn.us/divs/idepc/diseases/hiv/stats/pmtables2009.html

Homicide-rate per 100,000 Collected every year 2009 Countyhttp://www.health.state.mn.us/divs/chs/annsum/09annsum/Mortality09.pdf

Infant/Maternal mortalityCollected every 4

years2009 County

http://www.health.state.mn.us/divs/chs/countytables/profiles2011/bbirth10.pdf

Suicide-rate per 100,000 Collected every year 2009 Countyhttp://www.health.state.mn.us/divs/chs/annsum/09annsum/Mortality09.pdf

Ohio


MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?


Average freshman graduationrate

Collected every year 2010 School X Xhttp://ilrc.ode.state.oh.us/Power_Users.asp

High school dropout rates Collected every year 2010 School X Xhttp://ilrc.ode.state.oh.us/Power_Users.asp

High school graduation rates Collected every year 2010 School X Xhttp://ilrc.ode.state.oh.us/Power_Users.asp

Number of diplomarecipients/number of otherhigh school completers

Collected every year 2010 School X Xhttp://ilrc.ode.state.oh.us/Power_Users.asp


Collected monthly 2011 City http://ohiolmi.com/asp/laus/vbLaus.htm

Ohio

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Homicide-rate per 100,000 Collected every year 2006 County X Xhttp://healthyohioprogram.org/resources/profiles.aspx

Suicide-rate per 100,000 Collected every year 2006 County X Xhttp://healthyohioprogram.org/resources/profiles.aspx

Arthritis-prevalence Collected every year 2007 County X Xhttp://healthyohioprogram.org/resources/profiles.aspx

Binge drinking Collected every year 2007 County X Xhttp://healthyohioprogram.org/resources/profiles.aspx

Cigarette smoking Collected every year 2007 County Xhttp://healthyohioprogram.org/resources/profiles.aspx

Diabetes-mortality Collected every year 2007 County Xhttp://healthyohioprogram.org/resources/profiles.aspx

Kidney disease-mortality Collected every year 2007 County Xhttp://healthyohioprogram.org/resources/profiles.aspx

Obesity-prevalence Collected every year 2007 County Xhttp://healthyohioprogram.org/resources/profiles.aspx

Cancer-mortality Collected every year 2008 County Xhttp://healthyohioprogram.org/resources/profiles.aspx


Collected every year 2008 County Xhttp://healthyohioprogram.org/resources/profiles.aspx

Ohio

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Infant/Maternal mortality Collected every year 2009 Countyhttp://www.odh.ohio.gov/healthstats/vitalstats/deathstat.aspx

Adults over age 18 who havevisited a dentist or dental clinicin the past year

Collected every year 2010 Countyhttp://publicapps.odh.ohio.gov/oralhealth/default.aspx

Wisconsin


MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?



Collected every year 2006 Countyhttp://www.dhs.wisconsin.gov/immunization/pdf/431331Cov2002to2006.pdf

Average freshman graduationrate

Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/

High school dropout rates Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/

High school equivalencyrecipients


High school graduation rates Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/

Highest level of education thatan individual has completed


Number of diplomarecipients/number of otherhigh school completers


Post-secondary educationenrollment plans


Wisconsin

MeasureFrequency of

reporting


(as ofDecember

2011)





Hispanicorigin?

Ruralvs.

urban?Age?

Health Outcomes

Obesity-prevalenceMissing/unable to

determine2008 County

http://www.dhs.wisconsin.gov/health/physicalactivity/pdf_files/obesityreport.pdf

Cancer-mortality Collected every year 2010 County X X X Xhttp://www.dhs.wisconsin.gov/deaths/index.htm

Homicide-rate per 100,000 Collected every year 2010 County X X X Xhttp://www.dhs.wisconsin.gov/deaths/index.htm

community-level data on social determinants and … social determinants and health outcomes; and 2)...

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