SAN FRANCISCO S VISITACION VALLEY NEIGHBORHOOD: NEIGHBORHOOD CONDITIONS AND HEALTH STATUS Wayne Enanoria-7.18.17
Framework for Assessing Neighborhood Health 2 Using a social determinants of health model, we will cover: Socioeconomic Factors Living Conditions Health & Well-Being Access to healthcare services
Visitacion Valley Neighborhood of San Francisco 3 Sunnydale Population: 4297 ± 398.5 Visitacion Valley Population: 17,793 ± 781 District: 10 (Bayview Hunters Point, Portola, McLaren Park) Zip code: 94134 (Portola, McLaren Park) Source: American Community Survey 5-year estimates, 2011-15
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Race/Ethnicity White Black/African American Latino(a) Asian Pacific Islander Other 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Age 39% 30% 29% 25% 26% 26% 21% 21% 13% 13% 14% 14% 11% 8% 11% 5% 6% 7% Under 18 TAY Young Adult Middle Age Seniors Elders 4 Sunnydale Visitacion Valley San Francisco 100% Visitacion Valley is younger, less 90% English Less white, and has more persons 80% than Very Well 70% who speak English less than 60% well 50% 40% 30% 20% 10% 0% 30% 42% 22% Source: American Community Survey 5-year estimates, 2011-15
VisitacionValley is one of San Francisco s lowest income neighborhoods 5 100% 90% % living below 100% and 200% of the Federal Poverty Level 80% 70% 66% 60% Sunnydale 50% 40% 30% 41% 42% 27% Visication Valley San Francisco 20% 18% 13% 10% 0% At or Below 100% At or below 200% Source: American Community Survey 5-year estimates, 2011-15
Homelessness is an important concern in VisitacionValley. 6 7000 6000 5000 4000 3000 2000 1000 0 Total sheltered and unsheltered homeless individuals from General Count, 2013-2017 5891 1459 6607 932 2013 2015 2017 6254 1245 District 10 Remaining City Program Highlight: The newly formed Department of Homelessness and Supportive Housing was formed to better coordinate resources to help homeless residents permanently exit the streets and move into housing and services Percent of Total Homeless Population in 2017 District 10: 17% Source: SF Homeless Count and Survey, 2017
Housing is an important concern in VisitacionValley. Program Highlight: The VisVision Transformation Plan Developed with the input and ideas of hundreds of Sunnydale and Visitacion Valley residents, The VisVision Transformation Plan aims to transform this community into a safer, friendlier place with high-quality housing, inviting places for recreation and healthy living, and new opportunities for lifelong learning and development. 7 Source: American Community Survey 5-year estimates, 2011-15
8 Access to Healthy Eating and Opportunities for Physical Activity are limited. Program Highlight: The San Francisco Tobacco- Free Project is looking forward to a new partnership with the Samoan Community Development Center to assess the need for healthy retail efforts and healthy food access in Visitation Valley. www.sftobaccofree.org Percent of retailers that accept CalFresh benefits: Visitacion Valley: ~3% San Francisco: 40% Sources USDA Food Access Research Atlas, 2017; California Nutrition Network GIS Map Viewer, SFIP, 2014; SFDPH,2017
Limited transportation creates challenges in Visitacion Valley 9 Program Highlight: MUNI Service Equity Strategy aims to identify and address high priority transit needs in neighborhoods than rely on transit services the most, including Visitation Valley. The strategy seeks to improve safety, reliability and frequency, and enhance connectivity, among other goals. % of households with access to a car Sunnydale: 55% Visitacion Valley: 70% San Francisco: 77% Source: SFMUNI; 2017; ACS 2011-15
Rate (per 1000 people) 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00 Crime and safety are important issues in Visitacion Valley. Violent Crime Rate: 2010 and 2015 Sunnydale Visitacion Valley San Francisco Violent Crime Rate per 1,000 Residents: Sunnydale: 49.5 Visitacion Valley: 25.7 San Francisco: 21.8 Program Highlights: DPH Mobile Crisis Team provides on-site response for prevention and intervention after street violence. The UCSF Wraparound Project at ZSFG provides support services to violently injured youth and young adults to prevent future violence and injury. http://violenceprevention.surger y.ucsf.edu 10 Source: SF City Survey, 2017; San Francisco Police Department, 2015
Leading causes of death, 2012-2016 Mortality Rank Sunnydale Visitacion Valley San Francisco 1) Ischemic Heart Diseases Ischemic Heart Diseases Ischemic Heart Diseases 2) Diabetes Cerebral Vascular Disease 3) Cerebral Vascular Disease Lung Trachea/Bronchial Cancer Cerebral Vascular Disease Alzheimer s 4) Hypertensive Disease Hypertensive Disease Lung Trachea/Bronchial Cancer The primary differences in mortality patterns in Sunnydale is that Diabetes, Liver Cancer, and Kidney Disease are among the leading 6 causes of death. 11 5) Liver Cancer Chronic Obstructive Pulmonary Disease Hypertensive Disease 6) Non-Cancer Kidney Disease Alzheimer s Disease Chronic Obstructive Pulmonary Disease Source: CDPH, VRBIS, 2012-2016
Rates of diabetes and diabetes hospitalizations are higher in Visitation Valley 12 12% 10% 8% 6% 4% 2% 0% Age-adjusted hospitalizations rates for adults 18yrs+ per 10,000 residents 0 Ever Diagnosed with Diabetes Gestational Diabetes Diabetes Hospitalizations Hospitalizations per 10,000 14 12 10 8 6 4 2 Program Highlight: The weekly Food Pharmacy at Silver Avenue family Health Center allows patients to fill healthy food prescriptions for free, get nutrition education, take part in cooking demos and samples, and get connected to additional local food resources. The pantry is available to patients with Diabetes or Hypertension. San Francisco Visitacion Valley (94134) Sources: OSHPD: Hospital Discharge Data, 2012-2014; CDPH: Birth Statistical Master File, 2012; California Health Interview Survey, 2014
In Visitacion Valley, rates of pediatric and adult hospitalizations due to asthma exceed those seen citywide,000 residents Program Highlights: 13 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00 Pediatric Asthma Hospitalizations Adult Asthma Hospitalization Visitacion Valley (94134) San Francisco The Children s Environmental Health Promotion Program provides Asthma education home visits for children with Asthma. Visits focus on teaching medical self management, assessing the home environment for triggers, teaching trigger control, and if needed and desired, creates code enforcement referrals for code violations such as mold, roaches, and lack of heat. Asthma trigger control supplies are also available. Sources: OSHPD: Hospital Discharge Data, 2012-2014
More Visitation Valley residents have insurance as a result of the ACA. Healthy SF remains an important resource. 14 Number of Enrollees 60,000 50,000 40,000 30,000 20,000 10,000 0 Number of Residents Enrolled in Healthy SF, July 2010- July 2017 55,814 46,047 48,937 52,899 4,180 3,783 4,148 4,502 26,118 15,321 14,405 13,082 1,979 1,208 1,202 1,148 2010 2011 2012 2013 2014 2015 2016 2017 94134 Total Healthy SF enrollment dropped by 73-77% between 2010 and 2017, in both Visitacion Valley and Citywide, indicating more individuals moved to MediCal or health insurance through the exchange. About 6% of Visitacion Valley residents are still enrolled in Healthy SF as of July 2017. Estimated Percent of residents enrolled in Healthy SF (2017) 94134: # 1,148(~6%) San Francisco: # 13,082(~1.5%) Source: San Francisco Health Network, 2017
15 Compared to their proportion of the total population, more Visitacion Valley residents access care at ZSFG and DPH Primary Care Clinics. For FY 2015/16: % of City Population 2% % of ZSFG/DPH Clinic Patients 8% Visitacion Valley (94134) San Francisco An estimated 31% of Visitacion Valley residents are seen at DPH Primary Care Clinics Primary Care Sites Most Used by Visitacion Valley Residents: Silver Avenue Family Health Center Balboa Teen Clinic Children s Health Center @ ZSFGH Nurse Midwives Workup Southeast Health Center Non-Profit Partners in Visitation Valley: Leland House Catholic Charities Family Service Agency CBHS: Southeast Family-Child Therapy Center Source: ZSFG, Clinic data sets, 2016
16 Thank You Wayne Enanoria Wayne.Enanoria@sfdph.org