Topeka Community Health Assessment

Dallas Dooley Dana Hogan

Topeka’s Population in 2009= 124,331

Increase of 1.6% from 2000 Female= 64,634 Male= 59,697 Median Age= 36.5 years old

Sociodemographic Information

Sociodemographic Health Issues

White alone - 88,620 (71.3%) Hispanic - 15,022 (12.1%) Black alone - 13,396 (10.8%) Two or more races - 4,661

(3.7%) Asian alone - 1,264 (1.0%) American alone - 1,124 (0.9%) Other race alone - 148 (0.1%) Native Hawaiian and Other

Pacific Islander alone - 116 (0.09%)

Read more: http://www.city-data.com/city/Topeka-Kansas.html#ixzz1ZB4JHWav

Median Household Income- $39,109

Average Home Value- $107,060 Increase from 2000- $67,700

Average Rent- $642

Sociodemographic Information

Topeka = 7.1% United States= 8.5%

Unemployment Rates

Elevation- 1000 ft above sea level Land Area- 56 sq miles Pop. Density- 2220 people per sq.

mile Manhattan, New York, 66,000

per sq. mile

Demographics

Topeka Crime Rate

Crimes per 100,000 people

Primary Health Issues

Cardiovascular Disease is the leading cause of death in Kansas and the United States

Two components of Cardiovascular Disease Coronary Heart Disease Stroke

Disease Kansas (2003) ¶ Kansas Females (2003) ¶ U.S

Females (2002) ¶¶

CHD 136.0/100,000* 102.1/100,000* 142/100,000*

Stroke 56.5/100,000* 54.5/100,000* 55/100,000*

Cardiovascular Disease

Hypertension

11.7% of adults age 25-44 years old had hypertension 32.6% of adults age 45-64 years old had hypertension 54.3% of adults aged 65 and older had hypertension.

Scientific evidence has shown that adequate control of hypertension reduces the risk of CVD and death due to CVD.

24.0% of hypertensive patients reported that they were not currently taking medicine for their high blood pressure.

Primary Health Issues

Hyperlipidemia or High Cholesterol

In 2004, among Kansans who had ever been tested for serum cholesterol levels, almost 1/3 (29.4%) were told by their health care provider that they had high serum cholesterol levels.

Diabetes

In 2004, 6.4% of Kansans have been diagnosed with diabetes, which was approximately 130,689 adult Kansans.

Highest prevalence of diabetes was seen in African Americans (12.1%)

Primary Health Issues

Smoking

In 2004, 19.8% of Kansans currently smoked cigarettes.

In 2002, 5% reported cigar use. 10.5% of males used chewing tobacco or snuff.

· According to the 2002 Youth Tobacco Survey: 1 in 5 high school students and 6% of middle

school students

Primary Health Issues

Obesity

Overweight is idefined as having a Body Mass Index (BMI) between 25- 29.9. Obese is defined as having a BMI greater than or equal to 30.

In 2004, 60.9% of adults were overweight or obese. 40% of adults between 45-64 years of age and 44% of

adults 65 years and older were overweight.

In 2004, 22.3% of adults were obese compared with only 13% in 1992. Highest prevalence of obesity was seen among African

Americans with 1/3 of this population being obese.

Primary Health Issues

Increased homelessness and poverty rates

Shawnee County Health Agency (SCHA) and the Marian clinic are over booked, under staffed, and unable to keep up with demand.

High provider to patient ratios Shawnee County Primary Care Providers (PCP)

to patient ratio is 1 : 1500 Surrounding primarily rural counties

(Wabaunsee, Pottawatomie, and Jackson) ratio of 1 : 1500-3500 while Osage ratio is 1 : >3500

Gap Analysis

Aging health care personnel

40.93 percent of those Registered Nurses (RN's) working full time in the state of Kansas are 56 years old or older

In the state of Kansas this shortage due to age and decrease of new RN's will increase the nursing deficit from 351 RN's per 100,000 citizens to 1,950 per 100,000 citizens

Lack of disease prevention and health promotion Shortage of staffing, harsh economic times, and an increase

in age for both citizens and patients results in a gap Both PCP's and RN's lack the time that it takes to properly

address chronic conditions and educate the patients Vicious circle resulting in an increased need for more

providers secondary to poor prevention education

Gap Analysis

Increased funding for careers in health care Increased number of staff Increased time

with patients for education Decreased knowledge deficit of patients Increased

health promotion and disease prevention Less health care needs and cost of care

Strategies

City Data, (2011, October 1). Topeka, Kansas. Retrieved from http://www.city-data.com/city/Topeka-Kansas City of Topeka. (2011). History and landmarks of Topeka. Retrieved from

http://www.topeka.org/planning/landmarks_comm.shtml Community Resource Council, (2011). 2009 Shawnee County Progress Report. Topeka, KS: Community

Resources Council. Community Resource Directory (36th ed.). (2009). Topeka, Kansas: Community Resources Council of

Shawnee County, Inc. Kansas Association for the Medically Underserved (2011). 2011 directory of Kansas community

health centers and primary care clinics. KS: KAMU. Kansas Association for the Medically Underserved . (2011, October 1). Kansas Safety Net Clinics. Retrieved

from http://www.kspca.org/ Kansas Department of Health and Environment. (2010). Registered nurse shortages predicted in the US and

Kansas for 2010 and 2020. Retrieved from Kansas Department of Health and Environment: http://www.kdheks.gov

Kansas Department of Social and Rehabilitation Services. (2010, June 3). Srs services. Retrieved from http://www.srs.ks.gov/services/Pages/default.aspx

 Kansas Heart Disease and Stroke Prevention Program. (n.d.). Cardiovascular disease in Kansas. Retrieved from http://www.kdheks.gov/cardio/download/CVHFACT06.pdf

 State Health Access Data Assistance Center. (2011, August). Primary care provider capacity analysis: Potential gaps in the availability of primary care physicians under health reform (Issue Brief). Retrieved from State Health Access Data Assistance Center: http://www.shadac.org

United States Department of Labor: Bureau of Labor Statistics. (n.d). http://www.bls.gov

References