RHP 7 2017 Community Needs Assessment Katie Coburn, MPH, PMP
Summary of Themes Affordable Housing and Migration Economic and Health Disparities Chronic Conditions, Prenatal Care, Sexually Transmitted Infections Behavioral Health Accessibility of Health Care and Transportation
Median Monthly Housing Costs, Renter-Occupied The price of housing - If you re on a fixed income like me, they won t rent to you. -Community Member Focus Group Participant 2010 2015 $786 $882 $917 $848 $695 $765 $615 $701 $807 $973 $593 $760 $891 $1,054 Texas Bastrop Caldwell Fayette Hays Lee Travis DATA SOURCE: U.S. Census Bureau, American Community Survey 5-Year Estimates, 2006-2010 and 2011-2015
Self-Reported High Blood Pressure by Race/Ethnicity, 2015 We can t continue to see the health disparities in the African-American community get worse. It s about the needs being met. -Key Informant Interviewee Texas RHP 7 30.5% 33.8% 26.7% 28.2% 42.3% 44.7% 23.8% 19.8% 21.0% 21.7% Overall White, non- Hispanic Black, non-hispanic Hispanic Other/Multiracial, non-hispanic DATA SOURCE: Texas Behavioral Risk Factor Surveillance Survey (BRFSS), 2011-2015 NOTE: Survey data based upon self-report
Percent of Adults without a Personal Doctor or Provider, by Race/Ethnicity, 2015 Texas RHP 7 48.6% 49.2% 32.8% 31.2% 21.3% 22.0% 30.2% 25.8% 34.5% 34.9% Overall White, non- Hispanic Black, non-hispanic Hispanic Other/Multiracial, non-hispanic DATA SOURCE: Texas Behavioral Risk Factor Surveillance Survey (BRFSS), 2011-2015 NOTE: Survey data based upon self-report
Leading Causes of Mortality - 2015 Texas Bastrop County Caldwell County Fayette County Hays County Lee County Travis County Heart disease Heart disease Cancer Heart disease Heart disease Cancer Cancer Chronic Conditions, Prenatal Care, STIs 1 2 3 4 5 Cancer Cancer Heart disease Cancer Cancer Heart disease Heart disease Cerebrovascu lar diseases Chronic lower respiratory diseases Alzheimer's disease Accidents Alzheimer's disease Chronic lower respiratory diseases Cerebrovascu lar diseases DATA SOURCE: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death 1999-2015 on CDC WONDER Online Database, 2015 Accidents Accidents Chronic lower respiratory diseases Alzheimer's disease Cerebrovascu lar diseases Chronic lower respiratory diseases
Premature Births, 2012 and 2014 63% of providers that responded to the stakeholder survey rated access to prenatal/maternal care as Hard or Very Hard for the low-income community in RHP 7. 2012 2014 15.7% 17.6% 12.4% 12.3% 11.7% 11.7% 11.9% 11.1% 11.0% 10.2% 10.6% 9.0% 9.8% 10.1% Texas Bastrop Caldwell Fayette Hays Lee Travis DATA SOURCE: Texas Department of State Health Services, Center for Health Statistics, Texas Health Data, Vital Statistics Annual Report, 2012 and 2014 NOTE: Premature birth defined as prior to the 37 th week of gestation Shown as Percent of Total Births
STI Rates per 100,000, 2012 and 2015 CHLAMYDIA 608.5 477.4 487.3 349.9 467.6 809.4 271.0 246.9 592.0 549.5 338.4 254.5 2012 2015 610.9 661.8 Texas Bastrop Caldwell Fayette Hays Lee Travis GONORRHEA 2012 2015 122.9 136.7 151.5 155.5 73.4 64.6 40.4 27.9 115.1 86.8 36.3 47.3 206.6 150.4 Texas Bastrop Caldwell Fayette Hays Lee Travis
Behavioral Health Majority of Top Five Most Difficult Services to Access Community Member Provider Inpatient Psychiatric Care Inpatient Alcohol/Substance Use Treatment Specialty Care Cancer Treatment Specialty Care Inpatient Psychiatric Care Inpatient Alcohol/Substance Use Treatment Dental Care Outpatient Alcohol/Substance Use Treatment Outpatient Alcohol/Substance Use Treatment DATA SOURCE: RHP 7 Community Needs Assessment Stakeholder Survey, 2017 NOTE: Community Members responded based upon their own community; provider responses based upon low-income population served.
Percent of Population Under 65 Years Old that is Uninsured, 2012 and 2015 Insurance problems/lack of coverage or cost of co-pays, had made it harder to access care for approximately 40% of community members that responded to the survey 2012 2015 25.2% 19.2% 26.2% 24.9% 25.0% 22.7% 20.7% 20.8% 21.6% 16.0% 24.7% 20.4% 21.6% 16.2% Texas Bastrop Caldwell Fayette Hays Lee Travis DATA SOURCE: U.S. Census Bureau, Small Area Health Insurance Estimates, Interactive SAHIE Data and Mapping Tool, 2012 and 2015
Presentation to: Central Health Board of Managers Strategic Planning Committee September 12, 2017 By Stephanie Hayden, Chair, Austin Public Health Cassie DeLeon, Austin Public Health
Areas of interest from the 2017 CHA Even though Travis County is healthy overall, good health and wellbeing is not experienced equally by all in our community. Issue areas identified in the CHA Equity and Health Impact Education and workforce development Health care access and affordability Transportation Mental health and wellbeing Access to safe recreation space Access to healthy food Environmental health
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