Palm Beach County 2014 Diabetes Risk Community Assessment Data

Transcription

1 Palm Beach County 2014 Diabetes Risk Community Assessment Data + Funded by:

2 Palm Beach County 2014 Diabetes Risk Community Assessment Data Palm Beach County Diabetes Coalition Mission Statement: The Diabetes Coalition of Palm Beach County is an alliance of healthcare organizations and community partners working together to prevent diabetes and improve the lives of those living with or those who are touched by the disease through: Education Awareness Quality Services Management Advocacy Vision Statement: Palm Beach County is a national model for controlling and preventing the incidence of diabetes. 2

3 Palm Beach County Diabetes Coalition In an effort to raise awareness of Diabetes Mellitus and its growing prevalence throughout Palm Beach County, 28 community organizations participated in administering 2,578 ADA risk assessments to 67 different sites. In addition some community members were able to receive free education, glucose level testing, cardiovascular risk assessment and linkage to services within Palm Beach County. The information gathered was analyzed by the FAU Christine E. Lynn College of Nursing Community Health Center and provides further insight on high risk populations based on administered ADA risk survey and biomarkers (Random: glucose, triglyceride, LDL, HDL, total cholesterol, systolic and diastolic blood pressure) for a portion of this sample (1071). 3

4 Sites N=67 (2578 Served) Sites N % Total ADA Score American Legion Aphea Arc of the Glades Belvedere Baptist Church Blessing Janitorial Boys & Girls Club Bridges Riviera Beach C.L. Brumback Primary Care Clinic Belle Glade C.L. Brumback Primary Care Clinic Delray C.L. Brumback Primary Care Clinic - Lantana C.L. Brumback Primary Care Clinic - WPB Caridad Center Chillingworth Park Coleman Park Community Health Center of West Palm Beach Don Calloway Back to School

5 Sites Continued Sites N % Total ADA Score Dunbar Housing Authority Dunbar Village El Sol Jupiter First United Methodist Church (Pahokee) Florida Department of Health - Delray Florida Department of Health WPB FoundCare Community Health Center Gaines Park Genesis Community Health, Inc Grace Episcopal Church Greater Bethel Church Inlet Grove Jupiter Medical Center Jupiter My Clinic Lakay Restaurant Lakeside Mobile Park Lighthouse Cafe MULTICUTURAL New Bethel

6 Sites Continued Sites N % Total ADA Score New Hope Missionary Church Northboro Elementary Orthodox Zion Primitive Church Outlet mall Outlet mall Outlets Mall Pahokee Housing Authority Palm Beach Fire Station Pathways to Prosperity, Inc. (Bridges) Payne Chapel Church Peter Blum YMCA of Boca Raton Redemption Life Revival Church Robalo Pharmacy Salvation Army SMAC St. Paul St. Francis Catholic Church (Riviera Beach) ST. GEORGE ESPICOPAL COMMUNITY CENTER

7 Sites Continued Sites N % Total ADA Score St. John's First Missionary Baptist Church St. Mary's Catholic Church of Pahokee ST. PATRICK CHURCH St. Philip Benizi Catholic Church Summit Main Library The Glades Initiative The Lord's Place The Wellness Center at Ultima Fitness TRUE FAST MINISTRY Urban League VA Hospital Vickers House WELLS CENTER YWCA Health Screening

8 Zip Code Regions Out of State Northern Palm Beach County Northern Palm Beach County Southern Palm Beach County Southern Palm Beach County Southern East Palm PBC Beach (Palm County Beach Island) East PBC (Riviera Beach, WPB) East of 95 Western Palm Beach County (West of I95) Western Rural Division Palm Beach County Western Urbanized Palm Beach County (West of Turnpike)

9 ADA Scores By Zip Code Regions Region N Average ADA Scores East PBC (Riviera, WPB) East PBC (Palm Beach Island) North PB County Out of State South PB County West Urban (W of 95) West Rural West Urban (W. of turnpike) Total SD 9

10 Country of Birth Percent of people by Country 4% 15% 6% 7% 10% 58% United States Haiti Mexico Guatemala Jamaica Other There were 2578 patients seen representing 44 different countries. United States Haiti and Mexico were the largest represented 10

11 Country of Birth- Other (N=387) EUR Latin America Central America Africa Asia UK Carribean South America Canada 0% 4% 3% Central American Honduras Panama El Salvador Nicaragua 0% 2% 2% 24% 9% 56% South America Cuba Colombia Peru Puerto Rico Dominican Republic Venezuela Brazil Argentina Bolivia 11

12 Age and Race of Clients Age Range Served 25% 20% 18% 37% Less than to to or Older 1% Race Served 1% 1% White 60% 37% Black/African American American Indian/ Alaska Native Asian Other 12

13 Demographics (N=2,578) Demographics N % Gender Female Male Ethnicity Hispanic/Latino Non-Hispanic/ Non-Latino History of Gestational Diabetes No Yes Family History of Diabetes No Yes History of High Blood pressure No Yes Do you exercise (physical activity) No Yes Weight status No risk Low Risk Moderate Risk Server Risk

14 Education & Smoking History N % *EDUCATION No Yes SMOKE No Yes *Have you ever had formal, diabetes or heart disease prevention education? 14

15 Total ADA (Risk Scores) Total ADA Score N % Score = Score = Score = Score = Score = Score = Score = Score = Score = Score = Score = A score of 5 or more places a person at risk for diabetes (11.4%) of individuals that completed the ADA survey were are risk. 15

16 Visits During the last Year (N=1071) Visit Provider During the Last Year 10% No Yes 90% 5% 7% 2% Reasons Why 3% 3% 2% FORGOT KIDNEY Of the 10% that did not see a provider 78% of them reported that it was due to lack of insurance. 78% NO INS NO MONEY NOT SICK WORKING 16

17 Clients Labs and Risk Factor N Min Max M SD Total ADA Score GLUCOSE Cholesterol HDL TRG LDL Systolic Diastolic Abnormal: systolic > 140; Diastolic > 90; Triglyceride >150; Glucose (random) >140; Cholesterol >200; LDL >100; HDL <40 for males and <50 for females 17

18 Correlations (N=1071) (1) Total ADA Score - (2) GLUCOSE.273** - (3) Total Cholesterol.174**.064* - (4) HDL -.065* -.072*.183** - (5) TRG.152**.198**.214** -.214** - (6) LDL.119** ** -.069* (8) Systolic.414**.117**.124** ** - (9) Diastolic.199** ** **.566** - As can be seen in the first column, Total ADA Score (Risk) is significantly positively related to all other labs except HDL were there is a significant negative correlation 18

19 Lab Differences By Demographic Variables ADA Score GLUCOSE TC HDL TRG LDL SYS DYS Age Less than to to or Older Gender Female Male Significant differences were noted with age across all variables with older participants doing significantly worse (p<.001). Females were significantly healthier than males across all variables except for TRG and SYS. Abnormal: systolic > 140; Diastolic > 90; Triglyceride >150; Glucose (random) >140; Cholesterol >200; LDL >100; HDL <40 for males and <50 for females 19

20 Lab Differences By Demographic Variables ADA Score GLUCOSE TC HDL TRG LDL SYS DYS RACE White Black/African American American Indian/ Alaska Native Asian Ethnicity Hispanic/Latino Non-Hispanic/ Non-Latino There were differences in Race between all variables except for TC and LDL. Were Black/AA were significantly at higher risk. With ethnicity Non-Hispanics had higher ADA scores and SYS but lower HDLs and Tri. Abnormal: systolic > 140; Diastolic > 90; Triglyceride >150; Glucose (random) >140; Cholesterol >200; LDL >100; HDL <40 for males and <50 for females 20

21 Diabetes Coalition Health Needs 11/08/2014 to 11/16/2014 (N=141) Major Need/Need Count HEALTH/MEDICAL AIDS/HIV 2 Alzheimer's/Memory Disorder 5 Consumable Medical Supplies 1 Dental Care 16 Diabetes 33 Family Planning/Birth Control 1 HIV Testing Day 2 Hospice Care 1 Hospital/Clinic 29 Immunizations 1 Medical Alert 2 Medical Care/Treatment 8 Medical Equipment/Supplies 4 Medical/Health Info/Cnslg 21 Physician Referral 10 Pregnancy Counseling 1 Prescription Drugs 3 Sexually Transmitted Disease 1 21

22 PBC Diabetes Related Call 11/08/2014 to 11/16/2014 How Heard Count Percentage Brochure % FPL % Friend % Has called before % Other Agency % Unknown % TOTAL % 22

23 Discussion Questions, suggestions, & next steps discussion 23