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San Joaquin County
Community
Health
Assessment
2004 - 2005
Background of the Project
• San Joaquin Community Health Assessment
Collaborative formed in 2004.
• Grown to over 25 agencies with 8 financial sponsors.
• Purpose: to produce a functional and comprehensive
health profile.
• Overall goal: inform and engage local stakeholders and
community members in order to promote and develop
collaborative efforts based on reliable data, community
input and group consensus.
Focus Areas
• Chronic disease (diabetes, asthma, obesity)
• Emergency services utilization
• Adolescent / youth health
Community Assessment Project
Form a Steering
Committee
Step 1
Update the Report
Regularly
Encourage
Community Action
Step 9
Develop Community
Goals and Benchmarks
Step 8
Develop
Project Methodology
Step 2
Step 10
San Joaquin
County
Publish and
Promote the Report Step 7
Step 3
Create
Working Committees
Step 4
Identify Potential
Quality of Life Indicators
Step 5
Step 6
Analyze
Results
Collect Secondary Data
Conduct Community Surveys
Methodology
• English and Spanish telephone surveys were
completed with over 400 randomly selected
county residents.
• Face-to-face surveys with over 2,200 participants
were collected at 46 different sites and
community agencies throughout the county.
• Secondary (pre-existing) data were collected for
over 15 heath indicators from a variety of
sources.
Findings
Access to Health Care
If you needed health care in the last 12 months, were you able to receive it?
100%
93.6%
72.0%
Percent
75%
50%
28.0%
25%
6.4%
0%
Yes
No
Telephone Survey
(N=274)
Yes
No
Face-to-Face Survey
(N=1420)
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Access to Health Care
If you were not able to receive health care in the last 12 months, why not?
(Top 5 responses)
Telephone Survey
Face-to-Face Survey
No insurance
82.6%
No insurance
52.8%
Could not afford it
73.3%
Could not afford it
30.8%
Did not know where to go
34.7%
Didn’t know where to go
17.9%
Insurance would not
cover it
21.6%
Transportation issues
16.8%
Transportation issues
21.1%
Unable to communicate due
to language differences
16.6%
Multiple response question with 17 respondents
offering 52 responses
Multiple response question with 386 respondents
offering 783 responses
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Health Insurance Coverage
Residents who currently have health insurance coverage, by age, 2003
100%
Percent
75%
90.6%
95.4%
93.4% 92.9%
85.1% 83.4%
50%
25%
Healthy
People 2010
Objective:
100% of
residents
under 65
years will have
health
insurance.
0%
0-5 Years
0-17 Years
San Joaquin County
Ages 18 and Older
California
Source: 2003 California Health Interview Survey, 2005.
San Joaquin County N (0-5 years): 57,000; San Joaquin County N (0-17 years): 187,000; San
Joaquin County N (ages 18 and older): 422,000.
Adult Health Insurance Coverage
Do you currently have health insurance coverage? 2004
100%
84.1%
79.6%
Percent
75%
50%
25%
20.4%
15.9%
0%
Yes
No
Telephone Survey
(N=429)
Yes
No
Face-to-Face Survey
(N=2,001)
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Adult Health Insurance Coverage
Respondents who stated that their health insurance covered the following:
Telephone Surv ey
Face-to-Face Surv ey
100%
90.8%
87.1%
83.0%
73.7%
Percent
75%
50%
41.1%
31.0%
25%
N=361 N=1,516
N=361 N=1,547
N=361 N=1,493
Prescriptions (full or
partial)
Treatment for
Substance Abuse
Preventive Care /
Annual Exams
0%
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Adult Health Insurance Coverage
Percentage of San
Joaquin County Adults
without Health Insurance
Source: San Joaquin County Health
Assessment, Telephone and Faceto-Face Survey, 2004; US Census
Bureau, 2000.
Youth Health Insurance Coverage

Do your children have health
insurance? 2004
Yes
92.6%
 Do your children have health
insurance? 2004
Yes
84.8%
No
7.4%
No
15.2%
N=183
Source: San Joaquin County Community Health Assessment, Telephone and Face-toFace Surveys, 2004.
N=1,287
Emergency Room Use

Do you use the emergency
room for your main source of care?
 Do you use the emergency
room for your main source of care?
No
72.2%
No
87.6%
Yes
12.4%
Yes
27.8%
N=425
Source: San Joaquin County Community Health Assessment, Telephone and Face-toFace Surveys, 2004.
N=1,843
Emergency Room Use
Percentage of Families
Using the Emergency
Room as Their Primary
Source of Care
Source: San Joaquin County Health
Assessment, Telephone and Faceto-Face Survey, 2004; US Census
Bureau, 2000.
Dental Insurance Coverage
Percentage of respondents who have additional insurance coverage for dental
care and whose children have dental insurance
100%
Percent
75%
79.3%
65.7%
71.3%
75.9%
50%
25%
N=361
N=183
N=1,535
N=1,242
0%
Has dental
insurance
Children
have dental
insurance
Telephone Survey
Has dental
insurance
Children
have dental
insurance
Face-to-Face Survey
Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.
Asthma
Residents who have been diagnosed with asthma, by age, 2003
30%
24.9%
20.7%*
Percent
20%
16.0%
15.4%
12.3%
10.8%
10%
0%
1-5 Years
1-17 Years
San Joaquin County
Ages 18 and Older
California
Source: 2003 California Health Interview Survey, 2005.
San Joaquin County 2003 N (1–5 years): 49,000; San Joaquin County 2003 N (1–17 years): 179,000; San Joaquin
County 2003 N (ages 18 and older): 422,000.
* Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged
1-5, the confidence interval was 6.5%-34.9%. Caution should be used with these data.
Asthma
Percentage of Adults Who
Have Ever Been
Diagnosed With Asthma
Source: San Joaquin County Health
Assessment, Telephone and Faceto-Face Survey, 2004; US Census
Bureau, 2000.
Diabetes
Residents who have been diagnosed with diabetes, by age, 2003
10%
Percent
8%
6%
7.6%
6.6%
6.2%*
No more than
2.5% of
people will
have
diabetes.
4%
2%
Healthy
People 2010
Objective:
0.8%
0%
Ages 12-17
San Joaquin County
Ages 18 and Older
California
Source: 2003 California Health Interview Survey, 2005.
San Joaquin County 2003 N (ages 12-17): 67,000; San Joaquin County 2003 N (ages 18 and older): 422,000.
* Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged 1217, the confidence interval was 0.0%-14.8%. Caution should be used with these data. In this age group, most
cases would be type 1.
Obese Adults
Age-adjusted percentage of adults who are obese (30.0 BMI or greater), 2001
Percent
30%
26.6%
19.1%
20%
Healthy
People 2010
Objective:
No more than
15.0% of
people will
report being
obese.
10%
0%
San Joaquin County
California
Source: State of California, Department of Health Services, Center for Health Statistics, Prevalence of
Obesity and Healthy Weight in California Counties, 2001, 2005.
Note: Data based on data from the 2001 California Health Interview Survey.
Overweight Children
Percentage of San Joaquin County children who are overweight (greater than
or equal to the 95th percentile for Body Mass Index), by ethnicity and age, 2002
40%
Percent
30%
20%
24.7%
17.4%
24.2%
24.6%
23.7%
17.2%
21.2%
20.5%
20.7%
14.7%
12.2%
10%
0%
Caucasian
African
American
Latino
5-11 Years
Asian / Pacific
Islander
Total - San
Joaquin
Total California
County
Ages 5-19
12-19 Years
Source: Centers for Disease Control and Prevention, 2002 Pediatric Nutrition Surveillance, Growth Indicators
by Race/Ethnicity and Age, 2005.
Youth Nutrition
Percentage of San Joaquin County 7th, 9th and 11th grade students who
reported consuming 5 or more portions of fruits or vegetables in the past
24 hours
75%
Percent
54.0%
57.0%
50%
49.0%
47.0%
42.0%
41.0%
25%
0%
7th grade
9th grade
2002/2003
11th grade
2004/2005
Source: San Joaquin County Office of Education, California Healthy Kids Survey, 2004.
Summary
• Most residents have health insurance, but some still use the
ER for their primary source of care.
• These data suggest that even with health insurance coverage,
access to medical care can be a problem for county residents.
• San Joaquin County has a higher percentage of asthma for
youth (ages 1-17) and adults than the state.
• San Joaquin County and California have similar percentages of
adult diabetes, but both are far higher than the Healthy People
2010 goal of 2.5%.
• Finally, too many local children and adults are overweight or
obese, putting them at risk for further health related
complications (e.g. diabetes).
Questions and Answers
Applied Survey Research
Applied Survey Research
For More Information Contact:
Kelly Pleskunas or Susan Brutschy
Phone: 831-728-1356
www.appliedsurveyresearch.org