Transcript Community Health Assessment Report

Community Health Assessment Report
Benton & Franklin Counties
1996 Summary
Community Health Assessment
• Tri-City Area Health Care Task Force
• Benton-Franklin District Health Department
• A.H.E.C.
Methodology
• Quantifiable Data
– VISTA Verified
• Qualitative Data
– BRFSS (550)
– Community Opinion Survey (600)
– Key Informant Interviews
• Two Open Forums
Demographics & Socioeconomics
• 1994 Benton-Franklin population169,900
• 1990-1994 population increased annually by an
average of 4,967
• The largest group of Hispanics B&F counties under 9
• In Benton County the number of Hispanic residents
was 8,624 or 7.7% of the total population.
• In Franklin County, there were 11,316 Hispanics or 30%
of the total population.
• 15% of all children 18 years or younger in Benton
County live in poverty, 32% in Franklin County and
14.9% in the state.
Morbidity/Mortality
• The leading causes of death in Benton and Franklin
Counties and the State of Washington were: Heart Disease,
Stroke, Injury and COPD
• Unintentional Injury was the leading cause of death among
those under 45 years old
• Cancer is the leading cause of death for females in both
counties (respiratory cancer is single most common cause
of cancer deaths)
• Benton and Franklin counties have significantly higher
stroke mortality than the state
• Franklin County has a significantly higher rate of motor
vehicle mortality than Benton County or Washington State
Apex Socioeconomic and Assess Indicators Data
Benton County
Per Capita Income 1994
Franklin County
Washington State
$20,122
$15,620
$21,289
Percent living below FPL in
1990
11.8%
23.0%
10.2%
Percent of those over 25 with
less than high school
education
16.2%
31.89%
16.3%
Percent of labor force
unemployed
11.9%
13.9%
4.9%
Percent of Population on food
stamps
8%
16%
6.1%
Percent of population
enrolled in medical assistance
12.52%
29.43%
11.1%
Estimated number of
homeless persons
Maximum age of children
served by WIC
Percent of minors enrolled in
Medicaid who used EPSDT
5,337
5
5
5
27%
29%
21.4%
Access to Health Care
• Wide open spaces and long distances to health
care and trauma centers affect access to care for
the rural areas of Benton and Franklin Counties.
• Public Health, Mental Health, long term and
acute care are becoming increasingly integrated
• Pasco has been identified as a shortage area
• La Clinica is the only publicly subsidized health
clinic in the area.
• health professional shortage area for dental care
providers
Social Issues
• 1990-1992 children who were DSHS clients
• Violence
• Teen Pregnancy, school drop out, drug and
alcohol misuse, attempted suicide and living
with child abuse and domestic violence
• Individuals enrolled in state funded treatment
programs of alcohol and other drug abuse
Public Health
• From 1990 to 1994, the Environmental Health Division
investigated over 1,075 food related complaints.
• Infectious diseases such as tuberculosis and vaccinepreventable diseases such as measles continue to be a
concern in the two-county area
• Chlamydia is the most common STD reported. Females age
15-19 are the most frequently affected.
• Forty-Two AIDS cases have been reported since 1986 in the
two-county area. It is estimated that for every AIDS case
there are 10-20 additional individuals infected with HIV.
• In a recent survey of area residents, less than 48% felt that
their drinking water was “very safe”.
Birth and Perinatal Indicators
• Of the 39 counties in WA, Benton Co. ranked 30th and Franklin
Co. 37th for mothers who reported smoking during pregnancy.
• For four out of the six years from 1988 to 1993, Franklin
County had the highest teen pregnancy rate among
Washington counties.
• In 1993, 4.2% of the infants born were low birth weight
(This matches the target percentage set in the PHIP Year 2000
Goal for the state)
• The infant mortality rate in Franklin County was 10.2 per
1,000 live births from 1991-1993. In Benton County, that rate
was 6.9 for the same period. The PHIP year 2000 target goal
is less than 7.0 infant deaths per 1,000 live births.
General Health and Well-Being
• 85% of the respondents reported having medical insurance coverage of
some kind.
• 64% of those with medical coverage reported having a medical checkup in
the last year versus 35% of those who are uninsured.
• About 14% of all respondents said that they need to see a health
professional within the last year but could not because of the cost
• Among those households surveyed with young children, 46% reported
their youngest child never uses a bicycle helmet.
• Based on reported heights and weights 30% of all respondents were
calculated to be overweight.
• 53% of respondents reported experiencing allergy symptoms within the
two weeks previous to the survey.
Some Sample Priorities
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Teen violence
Teen pregnancy
Drug usage
STDs
Alcohol use
Tobacco use
Immunizations
Infectious Disease
Transmission
• Seat Belt Use
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Safe Drinking Water
Migrant Worker
Poverty
Affordable Housing
Dental Caries/Gum Disease
Publicly Subsidized Healthcare
Access to Primary Healthcare
Population Based Public Health
Prenatal Care/Infant Mortality
Next Step
• Implementing Change
• Prioritizing Problems
• Measurable Outcome
Indicators
• Involvement of Entire
Community