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Community Health Assessment
Community Health Assessment
• Comprehensive analysis of total health
of Stanislaus County
• Phase 1: Secondary data analysis
• Conducted during 2001-2002
• Analysis of existing data
• Looked at non-traditional indicators of
health (education, housing, social
environment, etc.)
• Identified critical health issues in Stanislaus
County
Community Health Assessment
• Phase 2: Community Health
Assessment Survey
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Conducted during 2003-2005
3 Surveys: Adult, Teen and Child
Questions on health behaviors and barriers
Approximately 3000 surveys collected
Data weighted according to age, race,
gender, and zip code
• Results will guide Public Health’s plans
and programs
Health Access & Barriers
• Rated very good/good for access to
services
• Mental Health- 40%
• Child Health- 56%
• Health Care- 51%
• Used in the last year
• ER- 36%
• Urgent Care- 21%
• Medical Clinic- 44%
Top 10 Community Health
Concerns by Region
1
2
3
4
5
6
7
8
9
Modesto
Turlock/Denair/Keyes
Oakdale/Riverbank
Ceres
West Side
Other
AOD
Cancer
Violence
Diabetes
Obesity/Nutrition
Heart Disease
Asthma
STD
Hepatitis
Cholesterol
Tobacco Use
10
Community Health Concerns
Coronary Heart
Disease
6%
Asthma
6%
Diabetes
8%
Tobacco
5%
STD
4%
High Cholesterol
3%
Hepatitis
2%
Violence
8%
Cancer
8%
Obesity/Nutrition
8%
Alcohol
42%
Alcohol and Substance Abuse
•35% drank alcohol within
the last month
•56% of the drinkers binge
drank (5 or more drinks) on
at least one occasion in the
last month
•11% rode in a vehicle with a
drinking driver in the past
month.
•Out of the people who
consumed alcohol, 14% used
illegal drugs in the past year
•8% used illegal drugs in the
past year
Alcohol
42%
Nutrition and Physical Activity
•62% exercised < 3 times a week for 20 minutes
•37% ate fast food > 2 times a week
•<25% eat fruits, vegetables, and dairy products more
than 8 X a week
•1 in 5 drinks soda at least 8 X a week
Obesity/Nutrition
8%
Cancer
•2nd leading cause of death
•Lung cancer is the leading cause of cancer
deaths among both men and women
Cancer
8%
Violence
•32% of the respondents own firearms
•45% of firearm owners did NOT keep firearms in a locked
place
•12% of the respondents were victims in a violent crime
•45% of these crimes took place in home, 30% in
neighborhood
Violence
8%
Diabetes
Diabetes
8%
•7th leading cause of death in
CA and Stanislaus County
•10% were diagnosed or
treated for diabetes
•13% of the diabetics did
nothing to control their
condition
•60% did not modify their
diet or increase their physical
activity
•13% never had an annual
diabetic check-up by a health
care professional
•9% had no insurance, 32%
had Medi-Cal, and 27% had
Medi-Care
Asthma
Asthma
6%
•16% were diagnosed or treated
for asthma
•40% were not currently taking
any medications to control asthma,
including an inhaler
•26% were never taught how to
use an inhaler correctly
•60% did not know how to use a
peak flow meter
•41% were not taught how to avoid
triggers
•49% were not told how to
recognize early signs of an asthma
attack
•32% visited an ER or UC center
•17% did not have any insurance
while 41% had Medi-Cal
Heart Disease
Coronary Heart
Disease
6%
•Stanislaus County has the
highest death rates in
California
•Leading cause of death
•Over 1000 deaths in
Stanislaus County in 2002
Tobacco
Tobacco
5%
Smoking attributes to:
•7 X the deaths from Diabetes
•5 X the deaths from Accidents
•5 X the deaths from Influenza
•Over 30% of the respondents
are current tobacco users
•14% were trying to quit
•25% former users
Sexually Transmitted Diseases
STD
4%
•The number of reported gonorrhea cases
has almost doubled from 2002 (292
cases) to 2003 (538 cases)
•Chlamydia is the number 1 reported
communicable disease for the last decade
with over 1800 cases reported last year
Cholesterol
High Cholesterol
3%
•19% were diagnosed or
treated for high cholesterol
Hepatitis C
•3rd most reported
communicable disease
•More prevalent in the African
American population and in the
30-45 year old age group
Hepatitis
2%
Acknowledgements
• Airport Neighbors United
• Ceres Partnership for Healthy
Children
• California State University at
Stanislaus
• Emanuel Medical Center
• Grayson-Westley Healthy
Start
• Hughson Healthy Start
• Keyes Elementary School
• Kaiser Permanente
• Memorial Medical Center
• Migrant Education, Region 3
• Newman-Crows Landing
Healthy Start
• Oak Valley District Hospital
• Oakdale-Riverbank Family
Resource Center
• Oakdale Family Support
Network
• Peterson Alternative Center
for Education (PACE) Healthy
Start
• Riverbank Healthy Start
• Robertson Road Healthy
Start
• Stanislaus County Children’s
Council
• Stanislaus County Behavioral
Health Services: Job Club
• Teen Life Challenge
• Wakefield Healthy Start
• West Modesto King Kennedy
Neighborhood Collaborative
• Health Services Agency
Programs