Community Health Needs Assessment 2013 Focusing on Evanston and the and neighborhoods of
Be in the know. This Community Health Needs Assessment is an overview of the health status of those who live in Evanston and the and neighborhoods of. A collaborative team of community stakeholders from social service agencies to business leaders came together to gather and analyze health-related information, identify the most pressing needs and pinpoint ways to make improvements. Please turn to page 15 to learn more about this process. Based on the committee s extensive research and review of available data, the following themes surfaced as the highest priority health needs for this community: + Access to Mental Health Care (including strategies to address substance abuse) + Adolescent Issues + Obesity and Chronic Diseases + Safety and Violence Economic Disparities & Language Barriers will be addressed throughout all priorities and strategies. Our partners. ACCESS Community Health Network CJE Senior Life Consortium to Lower Obesity in Children (CLOCC) Cook County Commissioner Larry Suffredin s Office Evanston Health Department Evanston/Skokie School District 65 Former Evanston Mayor Lorraine H. Morton Former Evanston Police Chief William Logan Holmestead Communications Howard Area Community Center McGaw YMCA Oakton School PTA PEER Services, Inc. Presence Saint Francis Hospital Get involved. Find out how to volunteer to help strengthen the community. + Call 877.737.INFO (877.737.4636) + Email community@presencehealth.org + Visit presencehealth.org/community Business Alliance Saint Hilary Catholic Church Saint Nicholas Church Trilogy
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of Evanston and the and neighborhoods of the Presence Saint Francis Hospital service area. 1 in 4 are at risk for binge drinking Almost half of ER outpatients are on Medicaid 17% suffer from obesity Diabetes is the 3rd leading cause of death in our neighborhoods 1 in 4 residents are uninsured Nearly 1 in 5 live in poverty 8% in Evanston are uninsured better than the national rate stands out for the diversity of languages spoken 70% of children are eligible for free or reduced lunch 3
Presence Saint Francis Hospital Our Community. Overall, about half of residents are white. has a substantial Asian population of 23%. 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% White Black Asian 2 or more races Hispanic/Latino Race & ethnicity, 2010 Evanston Some areas measure race and ethnicity separately so that an individual could be counted more than once. Therefore, some totals are greater than 100%. U.S. 2010 Census, Rob Paral and Associates, 2011-2016 Evanston IPLAN Spanish or Spanish Creole Top languages spoken by those with limited English 2006-2010 Chinese Tagalog 25% Russian Arabic 20% Korean 15% 10% 5% American Community Survey Serbo-Croatian Other Indo-European languages African languages Hindi Gujarati Other Evanston 4
201,419 Total population in 2010 $70,000 has the lowest household income, the highest poverty rate and the highest percentage of children living in poverty. Median household income 2006-2010 Evanston % living below poverty line, 2006-2010 11 10 14 15 19 21 23 27 31 37 10% 20% 30% 40% 50% Households Children 0 11 American Community Survey, City of, Illinois Action for Children, 2011-2016 Evanston IPLAN $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $39,482 $47,323 $68,107 Evanston $46,877 $51,914 American Community Survey, Rob Paral and Associates 12% 10% 8% 6% 4% 2% All 3 communities have unemployment rates that are lower than overall. 7.5% Population over 16 unemployed, 2010 7.9% 6.8% Evanston 11.1% 7.9% American Community Survey, City of 5
Access to care. Where do members of your immediate family go when they have a medical health problem? has a higher than average number of uninsured people at almost 20% compared to 15% nationwide. 11% ER In the Presence Saint Francis Hospital service area, 11% are uninsured. 10.9% Uninsured Private Doctor s Office ER Urgent Care/Walk-in Center Community Clinic Other What kind of health insurance do you have? Private Insurance Medicare Uninsured Medicaid Other About 1 in 10 people use the ER as their primary source of health care. The majority of survey respondents said that their immediate family goes to a doctor s office for a medical health problem, but 11% said they go to the ER. had the highest percentage (24%) using the ER, while Evanston had the highest percentage (80%) who seek care at a doctor s office. Illinois Public Health Institute and Presence Health Community Survey 6
What s preventing people from receiving care? 15% felt that cost prevented them from seeing a doctor. 8% said that there were no providers available based on their insurance or lack thereof. Where does the community come up short? There are no primary care shortages in Evanston. However, has a shortage for all residents and has a shortage for low-income residents. and lack mental health services for low-income residents. 30% 25% 20% 15% 10% 5% Compared to Illinois, Evanston has a much lower than average Medicaid enrollment while and have a higher rate. 9.3% % of population enrolled in Medicaid, 2010 15.9% 6.3% 29.1% 29.9% 20.7% 60201 60202 60203 60626 60645 IL Illinois Department of Healthcare & Family Services 7
Status of our health. Unlike the rest of the U.S., diabetes is the third leading cause of death in and. Cancer and heart disease are the top two causes in the service area as well as in the rest of the country. Mortality rates were not officially available for Evanston, but the leading causes of death are identified as heart disease, cancer, chronic lower respiratory disease and influenza/pneumonia. Causes of early death. Years of Potential Life Lost (YPLL) defines what is killing residents prematurely and can help determine prevention efforts. In all three communities,, and Evanston, the leading cause is cancer. Of note, unintentional injury is the second leading cause in and the third in. Top 5 causes of death 2004-2008 (age-adjusted) Years of potential life lost, top 5 causes, 2009* 36 32.7 74.7 166.2 226.7 Coronary heart disease 332 406 916 1011 1180 64.3 39.6 35 70.3 52.1 46.4 49.5 38.9 37.0 150.2 156.7 162.7 197.8 179.8 173.6 City of, CDC Cancer (all sites) Diabetesrelated Lung cancer Stroke Unintentional injury 200 292 400 442 Cancer (all sites) 600 Unintentional injury Assault, homicide 557 800 785 1000 1200 1400 Coronary heart disease City of Breast cancer in females Diabetes-related 1262 50 100 150 200 250 *Data not available for Evanston 8
has the highest suicide rate in the area more than, but less than U.S. average. 12 10 8 6 4 2 8.0 Suicide rate per 100,000 (age-adjusted)* 5.7 6.5 11.2 City of, CDC *Data not available for Evanston The teen birth rate has gone down substantially in and risen slightly in. Both communities are well below the rate. Teen birth rate per 1,000, age 15-19, 2000 and 2009 40.8 73.6 28.3 29.9 2000 2009 57.0 80.5 34.3 47.7 10 20 30 40 50 60 70 80 City of, CDC The City of Evanston does not report teen birth rates. For 2006, the number of teen pregnancies in Evanston was 17. Because Evanston and use different methods to collect and report health-related data, statistics for Evanston were not available for some categories or a direct comparison was not possible. 9
Status of our health. (continued) 12.4% have been told they have asthma, similar to the national average. has a very high rate of annual HIV infection, above both the city and U.S. rate. The annual rate indicates new cases per year and prevalence shows how many individuals are living with HIV. With newer treatments, people are living much longer, so a high prevalence rate may indicate a high risk for infection, but may also signify success, in that people are getting the treatment they need. Incidence rates are not available for Evanston. The cumulative number of HIV cases diagnosed in Evanston since 2005 is 42. Asthma hospitalizations in were substantially higher than the national rate. 60 50 60.0 Average annual HIV infection rate per 100,000, 2010 Asthma hospitalizations, 2011 per 100,000, age 5-64 (age-adjusted)* 40 30 20 10 13.2 40.5 17.4 City of, CDC 60626 151 60645 84 HIV/AIDS prevalence rate per 100,000, 2010 1400 111 20 40 60 80 100 120 140 160 *Data not available for Evanston City of, CDC 1200 1000 800 600 400 200 1351.1 321.1 756.5 469.4 City of, CDC 10
Fewer than 1 in 5 are obese, compared to more than 1 in 4 nationally. Underweight/Normal (BMI 18.5 24.9) Overweight (BMI 25-29.9) Obese (BMI 30 39.9) 17% obese 26% obese 28% obese BRFSS 2009, Metropolitan Healthcare Council 2012 Our community has the highest rate of mental health admission almost double that of. 2000 1500 1000 500 Mental health admission rate for reasons other than substance abuse per 100,000, 2007 (age-adjusted)* 2059.7 730.5 1111.6 City of Community Area Health Inventory *Data not available for Evanston 11
Health & behavior. About 25% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day. 5 servings of fruits and vegetables are recommended daily, yet only 35% said they ate more than 1 a day. 20% 15% 10% 5% 17.4% of people smoke, more than the and national average. 17.4% Community Current smokers 14.2% 16.9% IL 17.1% BRFSS 2009, Metropolitan Healthcare Council 2012 Illinois Public Health Institute and Presence Health Community Survey 12
23% are considered at risk for binge drinking. 30% 20% 10% Alcohol consumption at risk for binge drinking 22.8% 19.5% 18.3% Community IL 15.1% BRFSS 2009, Metropolitan Healthcare Council 2012 has the highest rate of admission for substance abuse and drugs in the area, but still lower than the average. Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)* 514.5 138.8 640.3 City of Community Area Health Inventory 200 400 600 800 *Data not available for Evanston 13
Barriers to health. Almost 1 in 5 residents suffer from food insecurity a rate higher than the U.S. overall. This means that thousands either do not have enough to eat or don t know where their next meal is coming from. reported more homicides, drug crimes and violent crimes when compared to and Evanston. Evanston reported more weapons violations. Crime data, 2011 per 100,000 residents Homicides 4 16 Our community Drug crimes Violent crimes (against persons) Violent crimes (against community/ property) Weapons Violations 68 385 304 1074 1355 2422 4713 6965 City of Data Portal, Evanston Police Department 1,000 2,000 3,000 4,000 5,000 6,000 7,000 Homelessness is a major challenge. Although exact numbers are difficult to confirm, the Coalition for the Homeless estimates over 100,000 ans were homeless during the 2011-12 school year. The City of Evanston documented 550 homeless people in 2011. 14
20% 15% 10% 5% 18.5% % of population experiencing food insecurity, 2009 13.8% 13.3% Evanston 14.7% Greater Food Depository, DA Nearly 50% of all residents in the neighborhoods are cost burdened by housing. Renters are much more likely to be cost burdened in Evanston. Residents who pay more than 30% of their income on housing are considered cost burdened. 60% 50% 40% 30% 20% 10% 53% % of residents cost burdened by home type, 2009 43% 50% 47% 55% 48% Renters 53% 35% Evanston Owners Rehab Network Measuring our health. This Community Health Needs Assessment is the result of a partnership between Presence Health, the Illinois Public Health Institute and a diverse group of community organizations and local leaders. In July 2012, a Steering Committee was created to address the overall goal of improving the health and well-being of the community with a special focus on the needs of the most vulnerable. The Committee examined a wide range of factors that impact health, from the causes of disease and death to income and unemployment rates. Statistics came from sources like the U.S. Census and the City of. Direct input from residents was also obtained through a community survey that explored perceptions about quality of life and barriers to health. Gaps in services were identified and prioritized needs were determined (see page 2). Taking action. Based on these priorities, Action Teams were formed to develop goals and objectives that build from existing efforts in the community. The result is targeted action plans that help place resources where they are most needed and can be the most effective. The Steering Committee will continue to provide support and oversight of these plans as part of a long term, comprehensive effort for improvement. Read more. Visit presencehealth.org/community to get the whole story of the Community Health Needs Assessment and view the full Community Health Profile and Community Input Reports. 15
Get involved. Find out how to volunteer to help strengthen the community. + Call 877. 737.INFO + Email community@presencehealth.org + Visit presencehealth.org/community 355 Avenue Evanston, Illinois 60202