2014 Community Health Assessment

Transcription

1 2014 Community Health Assessment ASHLEY CONLEY EPIDEMIOLOGIST CITY OF NASHUA, DPHCS FEBRUARY 19, 2015 NRPC

2 Community Health Assessment Community Health Improvement Process Strategic Plan Community Health Improvement Plan

3 Goals of the CHA Provide information to community members Set the foundation for future programs and grants Provide a baseline to monitor changes and trends Build partnerships Identify emerging issues

4 Funding Community Health Assessment City of Nashua, Division of Public Health and Community Services (DPHCS) Southern New Hampshire Health System St. Joseph Hospital To see the full 2014 CHA, visit:

5 Sources of Data NH Department of Health and Human Services NH Behavioral Risk Factor Surveillance System (BRFSS) NH Youth Risk Behavioral System (YRBS) NH Environmental Public Health Tracking Network NH Trauma and Emergency Medical Services Information System (TEMSIS) American Factfinder Nashua Regional Planning Commission NH Cancer Registry Office of Medicaid Business and Policy 5

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8 NH WISDOM

9 Top Health Issues 9 BEHAVIORAL HEALTH: Suicide, Mental Health, Substance Misuse HEALTHY LIVING: Obesity, Nutrition, Physical Activity ACCESS TO HEALTH CARE Healthy Living Behavioral Health Access to Care

10 Components of the CHA 10 MAPS FOCUS GROUPS SECONDARY DATA LOCAL DATA

11 Greater Nashua Region Population: 205,845

12 Greater Nashua Public Health Region 93.7% to 98.8% of residents are Caucasian 87.7% to 96.9% speak only English at home 0.8% to 2.9% have less than a 9 th grade education or no diploma *Statistics do not include Nashua American Community Survey Year Estimates

13 City of Nashua Population: 86, % Caucasian 80.6% of residents speak English only at home There are 53 languages spoken in the Nashua School District 4.9% have less than 9 th grade education or no diploma American Community Survey Year Estimates

14 Social Determinants of Health 14 Social determinants of health are conditions in which people are born, grow, live, work, and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. - WORLD HEALTH ORGANIZATION

15 Interactive Health Map 15 OV/HEALTHINTRO/INDEX.HTML

16 Minorities as a Percent of the Population Map prepared by Nashua Regional Planning Commission (NRPC). Data Source: U.S. Census, 2010 Decennial Census

17 Percent of Children that are Minorities Map prepared by Nashua Regional Planning Commission (NRPC). Data Source: U.S. Census, 2010 Decennial Census

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19 Population Below Poverty Level Map prepared by Nashua Regional Planning Commission (NRPC). Data Source: US Census, American Community Survey

20 Top 5 Causes of Death in GNR Cancer Heart Disease Chronic Lower Respiratory Diseases Stroke Unintentional Injuries Note: Same as NH Source: NH DHHS,

21 Access to Health Care 21 Access can center on individual concerns such as affordability, lack of health insurance and difficulty navigating a health care system or on system s issues such as limited health care facilities, lack of public transportation or insufficient interpreter service. -Healthy People 2020

22 Medicaid Enrollment, Nashua,

23 Percent Uninsured by Census Tract, Greater Nashua,

24 Percent Uninsured by Census Tract, Under 18 Years, Greater Nashua,

25 Chronic Diseases & Obesity 25

26 Third Grade Survey: An Oral Health and Body Mass Index Assessment Conducted Sept March 2014 Goal: gather uniform data on oral health and height/weight status of third grade students Nashua third graders from public schools participated (12 schools) Data collected and analyzed by the NH DHHS.

27 BMI Categories by Gender Males (n=430) Females (n=391) Obese 17.7% 17.1% Overweight 18.6% 16.4% Normal 62.1% 64.7% Weight Underweight 1.6% 1.8%

28 Overall Student Oral Health Percent (n=820) Percent (n=820) No obvious problems 82.4% Treated decay 40% Needs early care 14.9% Untreated decay 17.3% Needs urgent care 2.7% Decay history 48.4% Sealants 69.5% *Note: students can be placed into more than one category

29 Overweight & Obesity in Adults, 2012

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31 Percent of Adults Reporting Heart Disease and Stroke Risk Factors, High Blood Pressure Obesity Physical Inactivity Cigarette Smoking NH GNPHR Nashua Diabetes 0% 10% 20% 30% 40% Percent Source: NH DHHS, BRFSS

32 Asthma Hospitalizations by Age, GNPHR, Age-Adjusted Rate per 10,000 0 to 4 5 to 9 10 to to to to to to to to to to to to to to to 84 >85 Female Male

33 Emergency Preparedness 33

34 Social Vulnerability Index 34 Interactive map: s.maps.arcgis.com/home/ Source: NH DHHS, ACS

35 Percent of Occupied Housing Units with No Vehicle Available by CT

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37 Feedback We welcome comments and suggestions on the data shown today Feedback form is available on the CHA website

38 Data in Action 38

39 Data in Action 39

40 Acknowledgements City of Nashua, Assessing Department City of Nashua, DPHCS Staff Community Health Assessment Advisory Board and Subcommittee members Focus Group Attendees Funders New Hampshire Department of Health and Human Services (secondary data collection)

41 Thank you! ASHLEY CONLEY EPIDEMIOLOGIST 18 MULBERRY ST, NASHUA, NH