healthy chicago lawn community assessments – part 1 september 21, 2004

Healthy Chicago Lawn

Community Assessments – Part 1

September 21, 2004

Healthy Chicago LawnCommunity Assessments – Part 1

1. Community Health Status

• Statistics

2. Health Behaviors

• BRFSS survey

3. Forces and Trends

Healthy Chicago LawnCommunity Assessments – Part 2

1. Community Perceptions

• Focus groups

• Key Informant Interviews

2. CLAM

3. Resource Inventory

At the next meeting we will present:

Indicators

1. Demographics

2. Health Care

3. Disease related

4. Maternal and Child Health

5. Education

6. Crime

7. Behaviors (in BRFSS presentation by Bill Baldyga)

1. Demographics

• Age• Race/ethnicity• Employment• Household information• Educational attainment• Income• Housing• Languages

Age

0%

2%4%

6%8%

10%12%

14%16%18%

20%

Chicago Lawn Chicago

<55 - 9 years10 -14 years15 - 19 years20 - 24 years25 - 34 years35 - 44 years45 - 54 years55 - 59 years60 - 64 years65 - 74 years75 - 84 years85+ years

Age: less than 18 years

0%

5%

10%

15%

20%

25%

30%

35%

40%

less than 18 years

Chicago LawnWest LawnWest ElsdonGage ParkWest EnglewoodAshburn

Race/EthnicityTrends: 1990 - 2000

43.4%

26.2%28.4%23.6%

52.5%

35.10%

0%

10%

20%

30%

40%

50%

60%

1990 2000

Non-Hispanic White

African American

Hispanic

Foreign born population

• 21% born outside of United States– 37% entered U.S. between 1990 and 2000– 8.8% from Europe– 6.8% from Asia– 2% from Africa– 82.3% from Latin America

Family Composition

Household Information Chicago Lawn Chicago

Female householder, no husband present

29.8% 18.9%

Female householder, no husband present, with children < 18

38.3% 28.9%

Grandparents living in household 1 or more grandchildren < 18 years and responsible for grandchildren

38% 40.8%

Employment: Unemployment rate

15.7%

7.30%7.1%

10.6%

24.50%

8.80%10.10%

0%

5%

10%

15%

20%

25%

Unemployment rate

Chicago LawnWest LawnWest ElsdonGage ParkWest EnglewoodAshburnChicago

Employment:Occupations

0%

5%

10%

15%

20%

25%

30%

35%


Management,professional and related

Service

Sales and office

Farming, fishing andforestry

Construction, extractionand maintenance

Production,transportation, andmaterial moving

Educational Attainment

0%

5%

10%

15%

20%

25%

30%


< 9th grade

9th - 12th

High school grad orGEDSome college

Associate's

Bachelor's

Graduate orprofessional

Educational Attainment:High school graduate or higher

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%


Educational Attainment:Bachelor’s degree or higher

9.4%11.4%

9.1%

5.8% 4.8%

19%

25.5%

0%

5%

10%

15%

20%

25%

30%


Income: Median Household Income

$35,970$38,625

$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

Median Household Income


Poverty rates

Community area Individual poverty rateChicago Lawn 19.8%

West Lawn 7.4%

West Elsdon 6.9%

Gage Park 19%

West Englewood 32.1%

Ashburn 6.9%

Chicago 19.6%

Poverty Rates: Female householder, no husband present, w/children < 18 years

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%


Housing: Vacancy rates

Community Area Vacancy Rate

Chicago Lawn 7.7%

West Lawn 3.3%

West Elsdon 3.9%

Gage Park 5%

West Englewood 12%

Ashburn 2.5%

Chicago 7.9%

Housing: Overcrowding

0%

5%

10%

15%

20%

25%

30%

Overcrowded housing units


Housing:Home Ownership

0%

10%20%

30%40%

50%60%

70%80%

90%100%

Home Ownership


Language:Primary language spoken at home in

Chicago Lawn• English: 61.8%

• Spanish: 32.6%

• Other Indo-European language: 3.1%

• Asian and Pacific Island: 1%

Language:English proficiency

• Of those speaking Spanish, 54% report speaking English less than very well

• Of those speaking another Indo-European language, 47% report speaking English less than very well

• Of those speaking an Asian or Pacific Islander language, 38% report speaking English less than very well

2. Health Care

• Childcare

• Payer Mix for Hospital Discharges

• Physician Supply and Demand

Childcare

Type of CareNumber of Providers Capacity

Total Center Care 16 1,430Child Care Center 8 494Before/After School Only 1 300Head Start/Early Head Start Only 1 51ISBE Pre-K Only 1 68Park/Recreation Only 3 425School Age Program 2 92

Family Child Care 95 715Known License-Exempt Family Child Care (paid by child care assistance program) 698

Total 809 3,575

Demand for Childcare 9,072

Act for Children estimates demand for childcare in Chicago Lawn is 9,072 slots (about 5,500 less than exists). This is a rough estimate based on 2000 census data showing 16,218 children ages 0 to 12, estimating that 9,072 live in families where all parents present in the household work. Not all working parents seek child care outside of the family, and families with a non-working parent may also seek care.

Payer Mix for 2001 (calendar year) Discharges Originating from 60629

Zip CodeDischarges Percent of Total

FEE-FOR-SERVICE 4707 31%

HMO 1047 7%

MEDICAID 4643 31%

MEDICARE 3224 22%

MEDICARE RISK 1 <1%

OTHER 440 3%

SELF-PAY 908 6%

TOTAL 14970 100%

2003 Physician Supply and Demand Primary Care

General and Family Practice: Internal Medicine:

Supply Demand Supply Demand60629 14 25 60629 23 1360636 2 11 60636 2 660652 3 9 60652 4 5

Obstetrics and Gynecology:


Pediatrics:

Primary care (the above 4 specialties) for all 3 zip codes:

Total Supply = 65, Total demand= 116

2003 Physician Supply and Demand Specialty Care



Neurology:

General Surgery:Cardiology:

Psychiatry:

Specialty care (including, but not limited to, the above 4 specialties) for all 3 zip codes:

Total Supply = 38, Total Demand = 89

3. Disease related

• Mortality rates

• Asthma, diabetes, and cardiovascular disease prevalence

• Mental illness rates

• Sexually transmitted infection rates

Mortality Rates, 2001per 100,000

30.9 22.1

0

100

200

300

400

500

600


Heart disease

Cancer

Stroke

Unintentional injuries

Diabetes

Chronic lower respiratory disease

Septicemia

Homicide

Influenza and Pneumonia

Nephritis

HIV

Mortality rates: Homicide by community area

30.9

55.2

22.1

0

10

20

30

40

50

60

Homicide rate


Asthma ACSC hospitalizationsper 10,000

Hospitalizations Chicago Lawn

Chicago

Adult asthma hospitalizations

13/10,000 19.6/10,000

Pediatric asthma hospitalizations

9.9/10,000 9.1/10,000

Diabetes ACSC hospitalizations,per 10,000

Hospitalization Chicago Lawn Chicago

Due to diabetes long-term complications

7.5 9.9

Due to diabetes short-term complications

3.1 4.9

Due to uncontrolled diabetes

2.6 5.4

Due to lower-extremity amputation among diabetics

2 2.9

Cardiovascular disease ACSC hospitalizationsper 10,000


Due to heart disease 120 146

Due to chest pain 29.3 39.7

Due to stroke 26.7 34.8

Due to congestive heart failure

34 51.3

Due to angina without procedure

2.9 4.9

Hospitalizations due to Mental Illnessper 10,000


Due to mental disorders, non drug/alcohol related

77.7 121.3

Due to mental disorders, drug/alcohol related

35.7 59.2

Rates of STIsper 100,000

2

456 459

20 10

402

491

270

50100

150200

250300

350400

450500


SyphilisGonorrheaChlamydiaAIDS

4. Maternal and Child Health

• Births

• Infant Mortality

• Low birthweight

• No prenatal care

• Teen births

• Maternal smoking

• Elevated blood lead levels

Maternal and Child Health:Birth rate, per 1,000

85.6 85.1 88.7

72.5

0

10

20

30

40

50

60

70

80

90

1989 2000

Chicago LawnChicago

Maternal and Child Health:Infant Mortality rate, per 1,000

11.6

17

11.2

17

0

2

4

6

8

10

12

14

16

18

1989 2000

Chicago LawnChicago

Maternal and Child Health:Low birthweight

7.7%

10.8% 11.2%

9.7%

0%

2%

4%

6%

8%

10%

12%

1989 2000

Chicago LawnChicago

Maternal and Child Health:No prenatal care

5.2%

3.6%

2.2%2.8%

0%

1%

2%

3%

4%

5%

6%

1989 2000

Chicago LawnChicago

Maternal and Child Health:Teen births

17.6%19.6% 20.5%

16.0%

0%

5%

10%

15%

20%

25%

1989 2000

Chicago LawnChicago

Maternal and Child Health:Maternal Smoking

14.9%15.6%

7.9% 7.8%

0%

2%

4%

6%

8%

10%

12%

14%

16%

1989 2000

Chicago LawnChicago

Maternal and Child Health:Elevated lead levels in children 6 and under

0%

5%

10%

15%

20%

25%

2002 elevated blood lead levels


5. Education

• Elementary and Middle Schools

• High Schools

Elementary and Middle Schools

% ISAT

21.346.9

21.836 27.7 29.3

41.863.9

020406080

% % ISAT

•Accountability Rating: Anderson and Fairfield designated as Probation, McKay and Morrill as Challenge, Eberhart as Merit and Marquette as Opportunity

•None meet the Adequate Yearly Progress Rating

•All area elementary schools are overcrowded

Elementary and Middle Schools

Limited English Proficiency

0

35.1

16.821.6

1.7

22.9

14.5

6.3

05

10152025303540

ANDERSON

EBER

HART

FAIR

FIELD

MARQUETTE

MCKAY

MORRILL

City o

f Chic

ago

Illinois

%LimitedEnglishProficiency

Attendance

8596 91.2 93.7 93.4 93.5 92.2 94

16.11.2 2 2.4

120.6 3.2 1.9

38.320.6

31.4 27.7 30.2 29.1 24.5 16.4

0

20

40

60

80

100

120

ANDERSON

EBER

HART

FAIR

FIELD

MARQUETTE

MCKAY

MORRILL

City o

f Chic

ago

Illinois

%

DailyAttendanceRate

ChronicTruancy

MobilityRate

Area High Schools

% of Students that Meet or Exceed State Standards on Prairie State Achievement Exam (PSAE)

21.49.6 7

3140.7

30.1

55.2

0102030405060

%% PSAE

•Accountability Ratings: Gage Park and Harper designated as Probation, Bogan as Challenge, Hubbard and Lindblom as Merit

•None meet the Adequate Yearly Progress Rating

•Only 2 meet the Progress Rating

14.817.4

6.5 8.713.9

4.9

84.5

78.9

90.7 91 92.2 94

9.4

35

1.1

7.53.2 1.9

27.1

38.1

10.35.4

24.5

16.4

0

10

20

30

40

50

60

70

80

90

100

GAGE PARK HARPER HUBBARD LINDBLOM City of Chicago Illinois

dropout rate2002-2003

dailyAttendanceRate

ChronicTruancy

Mobility Rate

Area High Schools

6. Crime

• Index crimes include:– Murder

– Criminal sexual assault

– Robbery

– Aggravated assault/battery

– Burglary

– Theft

– Motor Vehicle Theft

– Arson

Chicago Lawn Index Crimes, 2002

• 4226 crimes total– 0.26% murder

– 1% criminal sexual assault

– 12.3% robbery

– 14.1% aggravated assault/battery

– 16.5% burglary

– 34.7% theft

– 20.5% motor vehicle theft

– 0.5% arson

Index crime comparisonChicago Lawn 4,226 crimes, 61,412 pop

68.8/1000 population

West Lawn 2,071 crimes, 29,235 pop


West Elsdon 793 crimes, 15,921 pop


Gage Park 1,942 crimes, 39,193 pop


West Englewood 4,335 crimes, 45,282


Ashburn 1,729 crimes, 39,584 pop


Hate crimes

• 2002: 8 hate crimes– 3 race, 4 national origin, 1 sexual orientation

• 2001: 25 hate crimes (highest in City)– 7 race, 2 religion, 15 national origin, 1 sexual

orientation

• 2000: 29 hate crimes (highest in City)– 17 race, 2 religion, 6 national origin, 3 sexual

orientation, 1 gender/disability

Domestic Violence

• 60629 zip code– 216 calls to City hotline– 94% female callers– 41% Black, 11% White, 42% Hispanic– 83% conducted in English, 16.2% in Spanish– Services requested:

• 36% shelter• 25% counseling• 28% legal• 6% information

healthy chicago lawn community assessments – part 1 september 21, 2004

Documents

age slide

higher slide

demand slide

overcrowding slide

educational attainment

unemployment rate slide

home ownership slide

latin america slide