Claudia Benton, MSN, RN-BC, PHN Erin Slack, MPH February 12, 2014

Transcription

1 Claudia Benton, MSN, RN-BC, PHN Erin Slack, MPH February 12, 2014

2 Present local data highlights, including bright spots, areas for improvement and data of interest Provide a summary list of areas for improvement

3 County State Total Population 830,215 37,570,307 Total Population African American 13,225 2,195,986 Total Population American Indian/Alaska Native 2, ,262 Total Population Asian/Pacific Islander 56,664 4,994,232 Total Population Hispanic 338,591 14,277,952 Total Population White 401,227 14,995,619 Total Live Births 10, ,994 Source: California Department of Finance Population Estimates,

4 Slide 3 RWL10 Renato: Provide both data source and time period (year) the data represents Ruth: see data source at the bottom of the slide Ruth W Long, 1/5/2014

5 4

6 Bright Spot: Children and Women without Health Insurance 22.1% 19.3% 9.1% 9.3% County State Uninsured children ages 0 to 18 Uninsured women ages 18 to 64 Source: Small Area Health Insurance Estimates (SAHIE),

7 Areas for improvement Access to prenatal care in their first trimester 2 Significantly fewer women than in % 81.3% Source: 1 Small Area Health Insurance Estimates (SAHIE), , 2 California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

8 Areas for improvement First trimester 2 prenatal care Hispanic women have lower rates than White Hispanic White 75.5% 91.0% Source: 1 Small Area Health Insurance Estimates (SAHIE), , 2 California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

9 Bright Spots- Births within 24 months of a previous pregnancy 1 per 100 females age 15 to 44 delivering a live birth County = 27.8 vs. CA = 28.6 Sources: 1 California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

10 Bright Spots- Cesarean births 1 per 100 low risk females delivering a live birth County = 25.0 vs. CA = 26.3 Sources: 1 California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

11 Data of interest Rate of Domestic Violence 1 calls per 100,000 population is higher than state rate County = vs. State = Sources: 1 California State Department of Justice, Office of the Attorney General, Domestic Violence-Related Calls for Assistance, ; 2 Clinical Classifications Software (CCS) U.S. Agency for Healthcare Research and Quality,

12 Data of interest Rate of assault hospitalizations 2 per 100,000 female population age 15 to 44 County= 9.9 vs. State = 15.4 lower than state rate but higher than Sources: 1 California State Department of Justice, Office of the Attorney General, Domestic Violence-Related Calls for Assistance, ; 2 Clinical Classifications Software (CCS) U.S. Agency for Healthcare Research and Quality,

13 Area for improvement: Mood Disorder County State Mood Disorder Hospitalizations per 100,000 females Source: Office of Statewide Health Planning and Development (OSHPD), Hospital discharge data

14 Data of interest - Exclusive in-hospital breastfeeding better than the state County = 63.2% vs. CA = 62.6% Ventura County hospitals Range: 45.7% to 87.7% California Department of Public Health, Center for Family Health, Genetic Disease Screening Program, Newborn Screening Data,

15 Bright spots - Live births weighing less than 2,500 grams at birth is lower than the state County = 6.2% vs. CA = 6.8% Live births less 37 weeks gestation is lower than the state County = 8.7% vs. CA = 10.1% Source: California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

16 Data of interest: Overweight and obesity among students and women 35.9% 38.5% Public school students in grades 5, 7, 9, & 11 Females age 15 to 44 Source (Students): Babey, S. H., et al. (2011). A patchwork of progress: Changes in overweight and obesity among California 5th-, 7th-, and 9th-graders, Source (Women): CHIS (California Health Interview Survey),

17 Bright spots Teen births Births per 1,000 females age 15 to 17 similar County = 16.5 vs. CA = 16.8 Births declined per 1,000 females age 15 to Source: California Center for Health Statistics, Vital Statistics, Births Statistical Master File,

18 Areas for improvement - Substance abuse hospitalizations per 100,000 population age 15 to 24 higher than State County = vs. CA = Source: Office of Statewide Health Planning and Development (OSHPD). Hospital discharge data,

19 Data of interest - Mental health hospitalizations per 100,000 population age 15 to 24 higher than state County = vs. CA = 1,274.0 Source: Office of Statewide Health Planning and Development (OSHPD). Hospital discharge data,

20 Summary of Potential Bright Spots Uninsured per 100 population age 0 to 18 and 18 to 64 Pregnancy within 24 months of a previous birth per 100 females age 15 to 44 delivering a live birth Cesarean births per 100 low risk females delivering a live birth Assault hospitalizations per 100,000 females age 15 to 44 Birth less than 37 weeks gestation per 100 live births Births weighing less than 2,500 grams per 100 live births Deaths per 100,000 population age 5 to 14 Poverty per 100 population age 0 to 18 and 18 to 64 Children in foster care per 1,000 children age 0 to 17 Unemployment per 100 people in the employment market

21 Summary of Potential Areas for Improvement Accessing prenatal care in their first trimester Mood disorder hospitalizations per 100,00 females Domestic violence calls per 100,000 population Daily folic acid use in the month before pregnancy per 100 females delivering a live birth Exclusive in-hospital breastfeeding per 100 females delivering a live birth Overweight and obesity among public school students Overweight and obesity among females ages Substance abuse hospitalizations per 100,000 population Mental health hospitalizations per 100,000 population 15-24