Community-level Data on Social Determinants and Health Outcomes

Transcription

1 Community-level Data on Social Determinants and Health Outcomes The material that accompanies this working document was produced through a data inventory undertaken by Community Science, Inc., for the National Partnership for Action to End Health Disparities (NPA) led by the Office of Minority Health in the Office of the Assistant Secretary for Health (OMH/OASH). The goals of the inventory were to: 1) assess and document the community-level data (i.e., data that can be disaggregated by city, county, neighborhood, or zip code) from state agencies and organizations on 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 and 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 not until several years later; Data from state sources are likely to be sooner and are frequently for measures that 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 large number 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 National Stakeholder Strategy for Health Equity and in the Centers for Disease Control and Prevention s (CDC) Health Disparities and Inequalities Report. 1 Community Science and OMH/OASH discussed and prioritized the list of social determinants of health and health outcomes to be included in the inventory (see list at the end of this narrative). For each measure, information was sought about the smallest and most recent year for which data were 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 and through searching the World Wide Web. Community Science recognizes that the search may not be sufficiently thorough to surface data that were not easily, and welcomes information about additional state sources that should be included in the accompanying materials. For questions or to share information about additional state sources, please contact Abigail Baum, Community Science, , ext. 121 or abaum@communityscience.com. Community Science is also working with OMH/OASH to determine other critical social determinants of health and health outcome measures that should be explored. While the inventory focused on state sources, it would be helpful for NPA partners to also have information about certain key national sources; the accompanying material includes this information. 1 CDC Morbidity and Mortality Weekly Report, Supplement, Vol. 60, January 14, 2011

2 List of s Sought Social Determinants of Health Education Educational Attainment High school graduation rates High school dropout rates Highest level of education that an individual has completed # of diploma recipients, # of other high school completers High school equivalency recipients Averaged freshman graduation rates % of persons aged years not enrolled, not high school graduates Post-secondary education enrollment/plans Jobs Labor Market Turnover Unemployment rates Underemployment rates Labor force participation rates Access to Health Care Screening Rates % of early periodic screenings (Early Periodic Screening, Diagnosis and Treatment (EPSDT) as defined in the Medicaid program) % of people receiving colorectal cancer screenings Immunizations Rates % of people influenza vaccination coverage % of children aged months completely immunized Distribution of Health Care Providers Total number of nonfederal MD/DOs in primary care Total number of nonfederal MD/DOs in family practice Total number of nonfederal MD/DOs in general practice Total number of nonfederal MD/DOs in internal medicine Total number of nonfederal MD/DOs in OB/GYN Total number of nonfederal MD/DOs in pediatric primary care practice Total # of oral health care providers Total # of mental/ behavioral health care providers Provider-to-population ratios - mental/behavioral health care services s 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 practice Race/Ethnicity of Provider Staff-to-Population Ratios Race/ethnicity staff-to-population ratios for primary care Race/ethnicity staff-to-population ratios for family practice Race/ethnicity staff-to-population ratios for general practice Race/ethnicity staff-to-population ratios for pediatric practice Race/ethnicity staff-to-population ratios for internal medicine Race/ethnicity staff-to-population ratios for OB/GYN Race/ethnicity staff-to-population ratios for medical and surgical subspecialties

3 Health Outcomes Mortality and Disease Infant/Maternal mortality Cardiovascular disease Cancer HIV/AIDS Diabetes Chronic lower-respiratory disease Kidney disease Arthritis Violence For violence and trauma look for homicide and suicide rates Homicide rates Suicide rates Behavioral health Binge drinking Cigarette smoking Illegal drug use Sexual behavior (note that these categories were taken from the Youth Risk Behavior Surveillance System Survey though we are interested in other data sources on these for different age groups if ) Condom use Any contraceptive use Forced sexual intercourse Other measures Oral Health Adults over age 18 who have visited a dentist or dental clinic in the past year Percent of students with untreated tooth decay Adults over age 65 who have lost 6 or more teeth Obesity

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5 Iowa This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures 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 abaum@communityscience.com or , ext Social Determinants of Health Provider-to-population ratiosmental/behavioral health care services Average freshman graduation rate Appears to be a one-time report 2006 Mental Health Catchment Area Collected every year 2010 School X X X High school dropout rates Collected every year 2010 School District Percentage of children aged months completely immunized Percentage of early periodic screenings Percentage of people receiving colorectal cancer screenings Post secondary education enrollment plans Employment/unemployment rates Collected every year 2010 County Collected every year 2010 Collected every 2 years 2010 By Center for Medicaid/Medicare Services (CMS) Agency; also at county level Mostly state, although there are data for 5 metropolitan areas, including 2 counties Collected every year 2010 School District Collected monthly 2011 City X X on/pdf/workforce/mentalhealth_0306.pdf =com_docman&task=cat_view&gid=132&i temid= =com_docman&task=cat_view&gid=132&i temid= unization.aspx?prog=imm&pg=immhome _providers.asp =com_docman&task=cat_view&gid=132&i temid= orce/locallaborforce.html

6 Iowa Health Outcomes Infant/Maternal mortality-rate per 1,000 Collected every year 2009 County s.asp Suicide-rate per 100,000 Collected every year 2009 County X s.asp

7 Kansas This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures 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 abaum@communityscience.com or , ext Social Determinants of Health High school dropout rates Collected every year 2009 School X X High school graduation rates Collected every year 2009 School X X Highest level of education that an individual has completed 2009 County ation/6ed15.pdf Average freshman graduation rate Employment/unemployment rates Collected every year 2010 School X X City lyzer.asp?cat=hst_emp_wage_lab_for CE&session=LABFORCE&subsession=99&ti me=&geo=&currsubsessavail=&incsource= &blnstart=true

8 Missouri This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures 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 abaum@communityscience.com or , ext Social Determinants of Health Employment/unemployment rates Collected monthly 2011 City ors/laus/ High school dropout rates Collected every year 2011 School X X High school graduation rates Collected every year 2011 School X X X spx spx Post-secondary education enrollment plans Collected every year 2011 School spx

9 Missouri Health Outcomes Cancer-incidence-age adjusted rate per 10,000 Collected every year 2008 County Cancer-mortality-age adjusted per 100,000 Cardiovascular diseaseincidence-age adjusted rate per 1,000 Cardiovascular diseaseincidence-age adjusted rate per 10,000 Cardiovascular diseasemortality-age adjusted rate per 100,000 Collected every year 2008 County Collected every year 2008 County Collected every year 2008 County Collected every year 2008 County Arthritis-incidence Collected every year 2009 Zip code X X X X iseasemicas/ Binge drinking Collected every year 2009 Zip code X X X X Cancer-incidence Collected every year 2009 Zip code X X X X iseasemicas/ iseasemicas/ Cardiovascular diseaseincidence Chronic lower respiratory disease-incidence Collected every year 2009 Zip code X X X X Collected every year 2009 Zip code X X X X iseasemicas/ iseasemicas/

10 Missouri Health Outcomes HIV/AIDS-incidence Collected every year 2010 Adults over age 18 who have visited a dentist or dental clinic in the past year Collected every year 2010 Geographic Area (select cities and state correctional facilities) or by HIV Region "Region": Central, Kansas City, Northeast, Northwest, Southeast, Southwest, St. Louis Illegal drug use Collected every year 2011 County X X X X X X aprofiles/

11 Nebraska This is a list of measures for which community-level data are from state sources. Such data were not for the remaining measures from the initial list of 52 measures 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 abaum@communityscience.com or , ext Social Determinants of Health Average freshman graduation rate Average freshman graduation rate Number of diploma recipients/number of other high school completers Percentage of people influenza vaccination coverage Percentage of people receiving colorectal cancer screenings Total number of oral health care providers Employment/unemployment rates at which data are Collected every year 2010 School District No No No No No Collected every year 2010 School District Yes Yes Yes No No Collected every year 2010 School Yes Yes Yes No No /School/SchoolSearch.aspx?optSearc h=5&districtid=&countyid= ges/studentcharacteristics.aspx?rootfold er=%2fquickfacts%2fenrollment%2fgrad uates%2fdistrict%20level&folderctid=0x F66FF8A5E32704F9BC601C48640 C20D0049ABC97EFF1F6A46B84A970FDCE 3BB7D&View={A429BC91-3FFC-47E1-B6 ges/studentcharacteristics.aspx?rootfold er=%2fquickfacts%2fenrollment%2fgrad uates%2fdistrict%20level&folderctid=0x F66FF8A5E32704F9BC601C48640 C20D0049ABC97EFF1F6A46B84A970FDCE 3BB7D&View={A429BC91-3FFC-47E1-B6 Collected every year 2010 Health District Yes No No No Yes Collected every year 2010 Health District Yes No No No Yes Missing/unable to determine 2010 Health District Unable to determine Unable to determine Unable to determine Collected monthly 2011 City No No No No No Yes Unable to determine ntal_reports_index.aspx fault.asp

12 Nebraska Health Outcomes Adults over age 18 who have visited a dentist or dental clinic in the past year Adults over age 65 who have lost 6 or more teeth Collected every year 2010 Health District Yes No No No Yes Collected every year 2010 Health District Yes No No No Yes Binge drinking Collected every year 2010 Health District Yes No No No Yes Cardiovascular diseaseprevalence-percent Collected every year 2010 Health District Yes No No No Yes Cigarette smoking Collected every year 2010 Health District Yes No No No Yes