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 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, 301-519- 0722, 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
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 16-19 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 19-35 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
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
REGION 5
Illinois 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 301-519-0722, ext. 121. Social Determinants of Health Employment/unemployment rates 2011 County http://lmi.ides.state.il.us/laus/lausmenu.h tm High school dropout rates Collected every year 2011 School District http://iirc.niu.edu/listcounties.aspx High school graduation rates Collected every year 2011 School District http://iirc.niu.edu/listcounties.aspx Percentage of people influenza vaccination coverage a.asp Percentage of people receiving colorectal cancer screenings a.asp
Illinois Health Outcomes HIV/AIDS-mortality Collected every year 2005 County HIV/AIDS-prevalence Collected every year 2005 County Cancer-incidence-age adjusted rate Infant/Maternal mortality Collected every year 2008 County Adults over age 18 who have visited a dentist or dental clinic in the past year Arthritis-prevalence Binge drinking Cardiovascular diseaseprevalence 2008 County X X X X http://www.idph.state.il.us/aids/aidscht5 _00-09.htm http://www.idph.state.il.us/aids/aidscht5 _00-09.htm http://www.idph.state.il.us/cancer/11/co unty_rpt/ers_11-03_final_county_cancer_incidence_rep ort_illinois_2004-2008.pdf http://www.idph.state.il.us/health/infant/ infmort0608.htm a.asp?seltopiccounty=oralhlth&areacoun ty=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic= a.asp?seltopiccounty=arthritis&areacoun ty=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic= a.asp?seltopiccounty=alcohol&areacount y=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic= a.asp?seltopiccounty=cardiovascular&are acounty=adams_1&show=freq&yrcounty =4&form=county&yr=&area=&selTopic=
Illinois Health Outcomes Chronic lower respiratory disease-prevalence-percent Cigarette smoking Diabetes-prevalence Obesity-prevalence a.asp?seltopiccounty=asthma&areacount y=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic= a.asp?seltopiccounty=alcohol&areacount y=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic= a.asp?seltopiccounty=diab&areacounty= Adams_1&show=freq&yrCounty=4&form= county&yr=&area=&seltopic= a.asp?seltopiccounty=weight&areacount y=adams_1&show=freq&yrcounty=4&for m=county&yr=&area=&seltopic=
Indiana 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 301-519-0722, ext. 121. Social Determinants of Health Cohort graduation rate Collected every year 2010 School High school dropout rates Collected every year 2010 School High school graduation rates Collected every year 2010 School Highest level of education that an individual has completed Post-secondary education enrollment plans Employment/unemployment rates Collected every year 2010 County Collected every year 2010 County Collected monthly 2011 City http://www.doe.in.gov/improvement/acc ountability/graduation-cohort-rate http://www.clrsearch.com/indianapolis_d emographics/in/education-level-and- Enrollment-Statistics http://www.clrsearch.com/indianapolis_d emographics/in/education-level-and- Enrollment-Statistics http://www.clrsearch.com/indianapolis_d emographics/in/education-level-and- Enrollment-Statistics http://www.clrsearch.com/indianapolis_d emographics/in/education-level-and- Enrollment-Statistics http://www.hoosierdata.in.gov/dpage.asp?id=32&view_number=1&menu_level=&p anel_number=2
Indiana Health Outcomes Cancer-incidence 2004 County X http://www.in.gov/isdh/reports/cancerinc /2004/toc.htm Cancer-mortality 2004 County X http://www.in.gov/isdh/reports/cancerinc /2004/toc.htm Obesity-prevalence Collected every year 2006 County http://www.in.gov/isdh/files/burden_of_ Obesity_FINAL_11_18_2011.pdf Infant/Maternal mortality Collected every year 2007 County http://www.in.gov/isdh/19578.htm Cardiovascular diseasemortality-age adjusted rate per 100,000 Chronic lower respiratory disease-mortality Collected every year 2008 County X X X Collected every year 2008 County X X http://www.in.gov/isdh/reports/brfss/201 0/c08.02.htm http://www.in.gov/isdh/reports/brfss/201 0/c09.01.htm Homicide-rate per 100,000 Collected every year 2008 County X X Suicide-rate per 100,000 Collected every year 2008 County X X Diabetes-prevalence Collected every year 2011 County HIV/AIDS-mortality Collected every year 2011 County HIV/AIDS-prevalence Collected every year 2011 County X X X http://www.in.gov/isdh/reports/mortality /2008/tbl_05_index.htm http://www.in.gov/isdh/reports/mortality /2008/tbl_05_index.htm http://www.in.gov/isdh/files/br_diabetes -GAIL_10-19-2011.pdf http://www.in.gov/isdh/files/gender_and _Race(2).pdf http://www.in.gov/isdh/files/gender_and _Race(2).pdf
Michigan 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 301-519-0722, ext. 121. Social Determinants of Health Cohort graduation rate Collected every year 2010 School District http://www.michigan.gov/documents/cep i/2010-2009_mi_grad- Drop_Rate_345879_7.pdf Employment/unemployment rates Collected monthly 2011 City http://milmi.org/cgi/dataanalysis/areasel ection.asp?tablename=labforce High school dropout rates Collected every year 2010 School District High school graduation rates Collected every year 2010 School District http://www.michigan.gov/documents/cep i/2010-2009_mi_grad- Drop_Rate_345879_7.pdf http://www.michigan.gov/documents/cep i/2010-2009_mi_grad- Drop_Rate_345879_7.pdf Labor force participation rates Collected monthly 2011 County http://milmi.org/cgi/dataanalysis/areasel ection.asp?tablename=labforce Percentage of children aged 19-35 months completely immunized Percentage of people influenza vaccination coverage Percentage of people receiving colorectal cancer screenings Collected monthly 2011 County 2010 County 2010 County http://www.michigan.gov/documents/md ch/2008-2010_mibrfs_reg LHD_Tables_FINAL_3 51398_7.pdf http://www.michigan.gov/documents/md ch/2008-2010_mibrfs_reg LHD_Tables_FINAL_3 51398_7.pdf http://www.michigan.gov/documents/md ch/2008-2010_mibrfs_reg LHD_Tables_FINAL_3 51398_7.pdf
Michigan Health Outcomes Cardiovascular diseasemortality Chronic lower respiratory disease-mortality Chronic lower respiratory disease-prevalence 2006 County 2006 County 2007 County http://www.michigan.gov/documents/md ch/impact_complete_report_245958_7.pd f http://www.michigan.gov/documents/md ch/04_ch2_asthma_prevalence_276679_ 7.pdf http://www.michigan.gov/documents/md ch/04_ch2_asthma_prevalence_276679_ 7.pdf Obesity-prevalence 2007 County X http://www.michigan.gov/documents/md ch/obesity_chapter_283600_7.pdf Cancer-incidence Collected every year 2008 County Cancer-mortality Collected every year 2008 County Diabetes-prevalence Collected every year X X Homicide-rate per 100,000 http://www.mdch.state.mi.us/pha/osr/chi /cancer/frame.asp?topic=2&mode=1 http://www.mdch.state.mi.us/pha/osr/chi /cancer/frame.asp?topic=2&mode=1 http://www.michigan.gov/documents/md ch/estdmnumbycounty_2009_334308_7. pdf http://www.mdch.state.mi.us/pha/osr/ch I/Deaths/frame.asp Infant/Maternal mortality http://www.mdch.state.mi.us/pha/osr/in DxMain/Tab3.asp Kidney disease-mortality Collected every year http://www.mdch.state.mi.us/pha/osr/ch I/CRI/frame.asp Suicide-rate per 100,000 http://www.mdch.state.mi.us/pha/osr/ch I/Deaths/frame.asp HIV/AIDS-prevalence Quarterly 2011 County http://www.michigan.gov/documents/md ch/october_2011_full_366815_7.pdf
Minnesota 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 301-519-0722, ext. 121. Social Determinants of Health Provider-to-population ratiosmental/behavioral health care services Collected every year High school dropout rates Collected every year 2010 County X X X High school graduation rates Collected every year 2010 County X X X http://www.health.state.mn.us/divs/orhp c/pubs/workforce/physspec.pdf https://education.state.mn.us/mdeanalyt ics/data.jsp https://education.state.mn.us/mdeanalyt ics/data.jsp Employment/unemployment rates Percentage of children aged 19-35 months completely immunized Collected monthly 2011 County Collected every year 2011 County http://www.positivelyminnesota.com/app s/lmi/laus/ http://www.health.state.mn.us/divs/idepc /immunize/stats/coverdata.html
Minnesota Health Outcomes Arthritis-prevalence 2003 County http://www.health.state.mn.us/divs/hpcd /arthritis/pdfs/physiciandiagnosis.pdf Cancer-incidence-crude rate per 100,000 2008 County X https://apps.health.state.mn.us/mndata/c ancer_query Chronic lower respiratory disease-prevalence 2008 County https://apps.health.state.mn.us/mndata/a sthma_query Suicide-rate per 100,000 Collected every year 2008 County http://www.health.state.mn.us/divs/chs/a nnsum/09annsum/mortality09.pdf Cardiovascular diseasemortality http://www.health.state.mn.us/divs/hpcd /chp/cvh/pdfs/hdspburdenrpt2011.pdf Cardiovascular diseaseprevalence http://www.health.state.mn.us/divs/hpcd /chp/cvh/pdfs/hdspburdenrpt2011.pdf HIV/AIDS-prevalence Collected every year Homicide-rate per 100,000 Collected every year http://www.health.state.mn.us/divs/idepc /diseases/hiv/stats/pmtables2009.html http://www.health.state.mn.us/divs/chs/a nnsum/09annsum/mortality09.pdf Infant/Maternal mortality http://www.health.state.mn.us/divs/chs/c ountytables/profiles2011/bbirth10.pdf Suicide-rate per 100,000 Collected every year http://www.health.state.mn.us/divs/chs/a nnsum/09annsum/mortality09.pdf
Ohio 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 301-519-0722, ext. 121. Social Determinants of Health Average freshman graduation rate Collected every year 2010 School X X http://ilrc.ode.state.oh.us/power_users.a sp High school dropout rates Collected every year 2010 School X X http://ilrc.ode.state.oh.us/power_users.a sp High school graduation rates Collected every year 2010 School X X Number of diploma recipients/number of other high school completers Employment/unemployment rates Collected every year 2010 School X X http://ilrc.ode.state.oh.us/power_users.a sp http://ilrc.ode.state.oh.us/power_users.a sp Collected monthly 2011 City http://ohiolmi.com/asp/laus/vblaus.htm
Ohio Health Outcomes Homicide-rate per 100,000 Collected every year 2006 County X X Suicide-rate per 100,000 Collected every year 2006 County X X Arthritis-prevalence Collected every year 2007 County X X Binge drinking Collected every year 2007 County X X Cigarette smoking Collected every year 2007 County X Diabetes-mortality Collected every year 2007 County X Kidney disease-mortality Collected every year 2007 County X Obesity-prevalence Collected every year 2007 County X Cancer-mortality Collected every year 2008 County X Chronic lower respiratory disease-mortality Collected every year 2008 County X
Ohio Health Outcomes Infant/Maternal mortality Collected every year Adults over age 18 who have visited a dentist or dental clinic in the past year Collected every year 2010 County http://www.odh.ohio.gov/healthstats/vita lstats/deathstat.aspx http://publicapps.odh.ohio.gov/oralhealth /default.aspx
Wisconsin 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 301-519-0722, ext. 121. Social Determinants of Health Percentage of children aged 19-35 months completely immunized Average freshman graduation rate Collected every year 2006 County http://www.dhs.wisconsin.gov/immunizat ion/pdf/431331cov2002to2006.pdf Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ High school dropout rates Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ High school equivalency recipients Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ High school graduation rates Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ Highest level of education that an individual has completed Number of diploma recipients/number of other high school completers Post-secondary education enrollment plans Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/ Collected every year 2010 School District X X X http://data.dpi.state.wi.us/data/
Wisconsin Health Outcomes Obesity-prevalence Missing/unable to determine 2008 County http://www.dhs.wisconsin.gov/health/phy sicalactivity/pdf_files/obesityreport.pdf Cancer-mortality Collected every year 2010 County X X X X Homicide-rate per 100,000 Collected every year 2010 County X X X X http://www.dhs.wisconsin.gov/deaths/ind ex.htm http://www.dhs.wisconsin.gov/deaths/ind ex.htm