Community Youth Meetings 2007
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1 Community Youth Meetings 2007 Health Status of Youth: Roslindale October 24, 2007 Presented by the Boston Public Health Commission
2 Roslindale Allston Brighton Back Bay Fenway Roxbury South End Charlestown East Boston North End South Boston Jamaica Plain North Dorchester West Roxbury Roslindale Mattapan South Dorchester Hyde Park MAP PREPARATION: Boston Public Health Commission Research Office
3 Youth and Young Adult Population by Age, Roslindale, 2000 Ages % Ages % Ages % Ages % Ages % DATA SOURCE: Census 2000, US Department of Commerce, Bureau of the Census, American FactFinder DATA ANALYSIS: Boston Public Health Commission Research Office
4 Youth and Young Adult Population by Gender, Roslindale, % Percentage within Age Group 50% 25% 57% 43% 45% 55% Male Female 0% Ages Ages DATA SOURCE: Census 2000, US Department of Commerce, Bureau of the Census, American FactFinder DATA ANALYSIS: Boston Public Health Commission Research Office
5 Racial and Ethnic Makeup: Boston and Roslindale, 2000 Other Race 2% 2 or More Races 3% Asian 8% Other Race 1% 2 or More Races 3% Asian 4% Black 14% Black 24% White 49% Latino 14% White 60% Latino 18% Boston Roslindale DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public Health Commission Research Office
6 Language Spoken at Home by Students Boston and Roslindale, 2005 Chinese 3% Others 19% Chinese 1% Others 19% Haitian 3% Spanish 19% English 56% Haitian 4% English 52% Spanish 24% Boston Roslindale DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public Health Commission Research Office
7 Selected Socioeconomic Indicators Boston Overall and Roslindale, 2000 Indicator % Population with Less than High School Diploma or GED (Adults Ages 25 and Over) Boston Roslindale 21% 18% % of Population Below Poverty Level* 20% 11% % of Children (Under 18) Below Poverty Level* 26% 15% % of Adults 65 and Older Below Poverty Level* 18% 9% Median Household Income in 1999* $39,629 $50,994 *Based on 1999 income DATA SOURCE: US Department of Commerce, Bureau of the Census, American FactFinder, Census 2000, Sample Data DATA ANALYSIS: Boston Public Health Commission Research Office
8 Female-Headed Households* with Own Children Under Age 18, Roslindale, % Percentage of households within Neighborhood 20% 15% 10% 5% 10% 9% 0% BOSTON Roslindale *No husband present DATA SOURCE: Census 2000, US Department of Commerce, Bureau of the Census, American FactFinder DATA ANALYSIS: Boston Public Health Commission Research Office
9 EDUCATION
10 Grade Level MCAS Results: English Language by Race/Ethnicity, Boston Race/Ethnicity African American/Black Total Advanced/ Above Proficient Proficient Needs Improvement Warning/ Failing 1,730 5% 35% 44% 15% Asian % 50% 20% 4% Hispanic/Latino 1,215 5% 38% 41% 16% Native American 18 17% 39% 39% 6% White % 46% 19% 6% Native Hawaiian/ Pacific Islander Multi-race race- Non- Hispanic/Latino Total Students 4, % 43% 37% 7% DATA SOURCE: Massachusetts Department of Education, 2007 GRAPHIC: Boston Public Health Commission Research Office
11 Race/Ethnicity African American/Black Grade Level MCAS Results for Mathematics in Boston Total Advanced/ Above Proficient Proficient Needs Improvement Warning/ Failing 1,688 21% 24% 33% 23% Asian % 12% 7% 4% Hispanic/Latino 1,185 24% 24% 30% 21% Native American 16 31% 19% 38% 13% White % 19% 16% 11% Native Hawaiian/ Pacific Islander Multi-race race- Non- Hispanic/Latino Total Students 3, % 28% 21% 14% DATA SOURCE: Massachusetts Department of Education, 2007 GRAPHIC: Boston Public Health Commission Research Office
12 12.0% Annual Dropout Rates by Race/Ethnicity and Year, Boston: through % Percentage of Students 8.0% 6.0% 4.0% 2.0% 0.0% Black Asian Boston White Latino DATA SOURCE: Q and A, Boston Public Schools : Student Dropout GRAPHIC: Boston Public Health Commission Research Office
13 Annual Dropout Rates Sex: Grades 9-12, Boston, % 11% Percentage of Students 9% 6% 3% 9% 8% 0% Boston Male Female DATA SOURCE: Q and A, Boston Public Schools : Student Dropout GRAPHIC: Boston Public Health Commission Research Office
14 Annual Dropout Rates in Grades Boston and Roslindale, % Percentage of Students 12% 9% 6% 3% 9% 8% 0% BOSTON Roslindale * Boston Public Schools use the Zip Code to define Roslindale DATA SOURCE: Q and A, Boston Public Schools : Student Dropout GRAPHIC: Boston Public Health Commission Research Office
15 4-Year Graduation Rate: Grades Boston, % 83% Percentage of Students 80% 60% 40% 20% 59% 56% 71% 51% 0% Boston Black White Asian Latino NOTES: Graduation rate Indicates the percentage of students who graduate with a regular high school diploma within 4 years. # of students in cohort who graduate in 4 years or less/ [# of 1 st time entering 9 th graders 4 years earlier] transfers out + transfers in DATA SOURCE: Massachusetts Department of Education GRAPHIC: Boston Public Health Commission Research Office
16 VIOLENCE and TRAUMA
17 Emergency Department Intentional Injury Visits by Age and Type, Roslindale, % Percentage of ED Visits for Intentional Injuries 80% 60% 40% 20% 74% 68% Ages 0-17 Ages % 13% 0% 0% n<5 n<5 n<5 Unarmed Fight Firearm Cut/Piercing Self Inflicted DATA SOURCE: Hospital Emergency Department Visit Data Base, Massachusetts Division of Health Care Finance and Policy DATA ANALYSIS: Boston Public Health Commission Research Office
18 Victims of Assault-Related Nonfatal Shootings and Stabbings, Boston and Roslindale, Victims per 10,000 Population Boston Roslindale 3 0 Shootings Stabbings DATA SOURCE: Weapon-Related Injury Surveillance System (WRISS) Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office
19 Feelings of Safety Percent (%) Home School To/from school On your street Neighborhood MBTA DATA SOURCE: Boston Youth Survey, 2004, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
20 Snitching: If you were witness to a crime, what would you do? Nothing 26% Tell an adult 5% Call another tipline 4% Call % Call police tipline 4% DATA SOURCE: Boston Youth Survey, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
21 Reasons for not telling Don t want to be a snitch Fear of getting hurt Belief that it is not his/her concern DATA SOURCE: Boston Youth Survey, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
22 How easy is it or would it be for you to get a gun? Percentage Very Easy Fairly Easy Hard Impossible DATA SOURCE: Boston Youth Survey, 2004, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
23 Reasons for Gun Carrying* Felt unsafe in neighborhood 38% 37% Someone had threatened me 29% 32% Friends carried guns 14% 12% Carried it for someone else 14% 32% Felt unsafe at school 13% 17% Self protection 10% --- Felt like it/gave me power 10% 17% Other 8% 37% *Of those who provided a reason DATA SOURCE: Boston Youth Survey, 2004, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
24 Weapons Attacked with weapon (not gun, past year) 13% 9% Shot/shot at (past year) 11% 4% Carried gun (past year) 8% 6% DATA SOURCE: Boston Youth Survey, 2004, 2006; Harvard Youth Violence Prevention Center through a cooperative agreement with the Centers for Disease Control and Prevention DATA ANALYSIS and GRAPHIC: Harvard Youth Violence Prevention Center
25 Risky Behaviors: Gun Carriers vs. Non-Gun Carriers, High School Students Boston, 2005 Of Gun Carriers Of Non-Gun Carriers % Smoked Cigarettes Past 30 Days % Drank Alcohol Past 30 Days % Binged (5+ Drinks) Past 30 Days % Used Marijuana Past 30 Days % Poor Grades (Ds & Fs) - Past Year % Lacking Adult Social Supports at School % Gang Member Past Year DATA SOURCE: Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
26 MENTAL HEALTH
27 6% Suicide Attempt Requiring Medical Care During Past Year, High School Students Boston, 2005 Percentage of High School Students 4% 2% 3% 2% 3% 4% ` 3% 4% 5% 1% 0% BOSTON MA Female Male Asian Black Latino White DATA SOURCE: Boston Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
28 Felt Sad/Hopeless for Two Weeks Straight During Past Year, High School Students Boston, % Percentage of High School Students 40% 20% 30% 27% 37% 23% 32% 27% 36% 29% 0% BOSTON MA Female Male Asian Black Latino White DATA SOURCE: Boston Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
29 Risky Behaviors, High School Students, Boston, Massachusetts, and U.S., 2005 BOSTON MA U.S. Smoked past 30 Days 15% 21% 23% Alcohol past 30 Days 36% 48% 43% Binged past 30 Days 15% 27% 26% Marijuana Lifetime 39% 45% 38% Marijuana- Past 30 Days 21% 26% 20% Sex Before Age 13 11% 5% 6% Condom Use* past 3 mo. 74% 65% 63% *of those having had sexual intercourse in past 3 mos. *of those having had sexual intercourse in past 3 mos. DATA SOURCE: Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
30 ROSLINDALE: SUMMARY of MAJOR FINDINGS POSITIVE Adolescent Birth Rate - The Roslindale birth rate for adolescents ages in 2005 (113 births per 1,000 females ages 15-17) 17) was 38% lower than the Boston rate. It was also lower than the rates for Massachusetts and the e US overall. ED Intentional Injury Visits In 2005, Roslindale youth and young adults had less than 5 visits each to hospital EDs for intentional injuries due to guns or sharp objects like knives. CHALLENGES Low Birthweight Births - Although the 2005 low birthweight birth rate for Roslindale (8% of births) is about 20% lower than for Boston infants overall, it is still substantially higher the Healthy People 2010 target of no more than t 5%. Asthma Hospitalization Rate Although the Roslindale asthma hospitalization rate for children under age 5 (6 hospitalizations per 1,000 pop.) ) was 25% lower than the rate for Boston children, it is still higher than the Healthy y People 2010 target of no more than 2.5 hospitalizations per 1,000 pop.
31 BPHC YOUTH PROGRAMS Adolescent Wellness Program Boston Area Health Education Center (BAHEC) Child and Adolescent Mental Health Connecting Families to Schools School Based Health Programs - Parochial, Private & Charter School Program - Public School Program Youth Development Network
32 Slides Not Included in the Presentation
33 Population by Age Group: Boston and Roslindale, years 10% 0-17 years 20% 65+ years 14% 0-17 years 22% years 18% years 14% years 20% years 8% years 36% years 35% Boston Roslindale DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public Health Commission Research Office
34 Students Most at Risk of Dropping Out of School Segments Students with One or More 8 th Grade Risk Factors Students with Multiple 9 th Grade Core Course Failures Substantially Separate Special Education Students Late Entrant English Language Learner (ELL) Students % of Class of 2004 Dropouts 4- Year Graduation Rate 26% 34% 18% 31% 17% 24% 13% 36% DATA SOURCE: BOSTON PUBLIC SCHOOLS Memorandum Graduation for All Update - September 25, 2007 GRAPHIC: Boston Public Health Commission Research Office
35 ENVIRONMENTAL LEAD ASTHMA
36 Children with Elevated Blood Lead Levels Roslindale and Boston, % Percentage Screening Positive 4.0% 3.0% 2.0% 1.0% 2.0% 2.1% 0.0% BOSTON Roslindale NOTE: The data shown in the chart do not include those children whose neighborhood of residence is unknown nor those children who are not Boston residents. DATA SOURCE: Lead Screening Data, Boston Public Health Commission Office of Environmental Health DATA ANALYSIS: Lead Screening Data, Boston Public Health Commission Office of Environmental Health GRAPHIC: Boston Public Health Commission Research Office
37 Asthma Hospitalizations of Children Under Age 5 and Ages 5-17, 5 Boston and Roslindale, Hospitalizations per 1,000 Population Under Age 5 Ages 5-17 BOSTON Roslindale DATA SOURCE: Acute Care Hospital Case Mix Files, Massachusetts Division of Health Care Finance and Policy DATA ANALYSIS: Boston Public Health Commission Research Office
38 MATERNAL AND CHILD
39 Low Birthweight Boston and Roslindale, % 15% Percentage of Births 10% 5% 10% 8% 0% BOSTON Roslindale DATA SOURCE: Boston resident live births, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office
40 Infant Mortality: Boston and Roslindale, Deaths per 1,000 Live Births BOSTON Roslindale DATA SOURCE: Boston resident deaths and live births, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office
41 Birth Rates Among Adolescents, Ages Roslindale, Birth per 1,000 Females Ages BOSTON Roslindale DATA SOURCE: Boston resident live births, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office
42 Leading Reasons for Hospitalization Ages 1-24, 1 Roslindale, 2006 Ages 1-91 Ages Ages Bronchitis/Asthma Pregnancy Pregnancy 2. Nutritional & Metabolic Disorder Psychoses Psychoses 3. Simple Pneumonia* Bronchitis/Asthma Injury 4. n<5 Injury n<5 5. n<5 Substance Abuse n<5 *Includes Pleurisy DATA SOURCE: Acute Care Hospital Case Mix Files, Massachusetts Division of Health Care Finance and Policy DATA ANALYSIS: Boston Public Health Commission Research Office
43 OVERWEIGHT and OBESITY
44 At Risk for Overweight or Overweight/Obese, High School Students Boston, % Percentage of High School Students 40% 20% 33% 27% 28% 37% 17% 36% 32% 30% 0% BOSTON MA Female Male Asian Black Latino White DATA SOURCE: Boston Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
45 Adequate Exercise/Physical Activity High School Students, Boston, % Percentage of High School Students 80% 60% 40% 20% 56% 67% 51% 63% 47% 53% 56% 71% 0% BOSTON MA Female Male Asian Black Latino White DATA SOURCE: Boston Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
46 INFECTIOUS DISEASE
47 10,000 Chlamydia Incidence Rates in Ages by Sex, Roslindale and Boston, 2006 New Cases per 100,000 Population 8,000 6,000 4,000 2,000 3,074 1,045 4,990 1,175 2, BOSTON MA Female Male Roslindale Females Roslindale Males DATA SOURCE: Massachusetts Department of Public Health, STD Division DATA ANALYSIS: Boston Public Health Commission Research Office
48 New Cases per 100,000 Population HIV Incidence Rates by Age and Year Boston, < Age DATA SOURCE; Massachusetts Department of Public Health HIV/AIDS Surveillance Program DATA ANALYSIS: Boston Public Health Commission Research Office n<5 n<5
49 Risky Behaviors, High School Students, Boston, Massachusetts, and U.S., 2005 BOSTON MA U.S. Smoked past 30 Days 15% 21% 23% Alcohol past 30 Days 36% 48% 43% Binged past 30 Days 15% 27% 26% Marijuana Lifetime 39% 45% 38% Marijuana- Past 30 Days 21% 26% 20% Sex Before Age 13 11% 5% 6% Condom Use* past 3 mo. 74% 65% 63% *of those having had sexual intercourse in past 3 mos. *of those having had sexual intercourse in past 3 mos. DATA SOURCE: Youth Risk Behavior Survey 2005, Centers for Disease Control (CDC) DATA ANALYSIS: Boston Public Health Commission Research Office
50 Nonfatal Assault-Related Gunshot Wound Victims by Age Group and Year Boston Residents, % Percntage of Total Victims 80% 60% 40% 20% 0% % 60% 60% 57% 60% 64% 59% 60% 68% 60% 63% 59% 63% DATA SOURCE: Weapon-Related Injury Surveillance System (WRISS) Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office
51 RISKY BEHAVIOR
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