Greater new haven partnership for a healthy community
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GREATER NEW HAVEN PARTNERSHIP FOR A HEALTHY COMMUNITY. -- Household Survey Results-- Presented by: Holleran Consulting November 13, 1997. METHODOLOGY.

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Greater new haven partnership for a healthy community

GREATER NEW HAVEN PARTNERSHIP FOR A HEALTHY COMMUNITY

--Household Survey Results--

Presented by:

Holleran Consulting

November 13, 1997


Methodology

METHODOLOGY

  • A total of 3340 randomly selected households in the study areas received a written, six-page survey on health-related conditions and behaviors, and access to health. A total of 1327 completed surveys was returned to Holleran Consulting as of October 20, 1997. In addition, 280 surveys were completed using a phone survey in areas where response to the written survey was low. The overall database of 1607 surveys represents a response rate of 48%. The sampling error for this study is +/-2.4% at the 95% confidence interval.


Limitations of the data

LIMITATIONS OF THE DATA

  • Gender of respondents does match the census estimates; however, data have been weighted where appropriate to reflect census numbers.

  • Younger respondents age 20-29, homeless & illiterate/low education level individuals and developmentally disabled persons do not respond readily to health research of this nature. Other research methodologies traditionally work more effectively with these groups


Limitations of the data1

LIMITATIONS OF THE DATA

  • Adolescent health risk behavior is not accounted for in the household survey. The CDC’s Youth Risk Behavior Surveillance Survey is recommended for this purpose.

  • Self-reported information often under-represents health risk behaviors and problems. The numbers contained within this report are best case scenarios. However, written surveys have proven to extract more accurate data than other research methods due to the fact that anonymity is perceived to be higher.


Section i

SECTION I

DEMOGRAPHICS


Demographic analysis of new haven study responses by town

Demographic Analysis of New HavenStudy Responses by Town


Gender census match

Gender Census Match


Race census match

Race Census Match


Are you a u s citizen

Are You A U.S. Citizen?


Age census match

Age Census Match


Educational attainment

Educational Attainment


Income census match

Income Census Match


Is income adequate to support family

Is Income Adequate to Support Family?


Employment status

Employment Status


Marital status

Marital Status


Housing status

Housing Status


Estimated amount spent on housing

Estimated Amount Spent on Housing


Do you have health insurance

Do You Have Health Insurance?


I am currently receiving the following services

I am currently receiving the following services:


Do you or anyone in your household volunteer in your community

Do you or anyone in your household volunteer in your community?


Section ii

Section II

Healthy People 2000 Goal Comparison & Major Findings


How the data are useful

How the Data Are Useful

  • Showing where our area falls short of national health goals (Healthy People 2000)

  • Pinpointing which target groups have the greatest health needs

  • Understanding the community’s perceptions about health and human services within the community


What are healthy people 2000 goals

What Are Healthy People 2000 Goals?

  • An initiative of the U.S. Department of Health and Human Services, Healthy People 2000 is a national strategy for significantly improving the health of the nation by the year 2000. These objectives can serve as benchmarks as communities prioritize their most critical needs.


Hp 2000 comparison chart improvement needed

HP 2000 Comparison Chart Improvement Needed


Major categories of concern

Major Categories of Concern

  • Heart Disease & Related Lifestyle Choices

  • Cancer & Related Lifestyle Choices

  • Preventative Services

  • Access

  • Home & Car Safety

  • Mental Health

  • Crime & Violence


Heart disease

Heart Disease

  • 7.5% of residents have already been diagnosed with heart disease

  • It runs in 33.8% of families


Heart disease rate comparisons

Heart Disease Rate Comparisons

  • The three year* average mortality rate comparisons per 100,000 residents:

    • New Haven -- 333.9

    • Connecticut -- 115 (base)

    • United States -- 135 (base)

    • Healthy People 2000 Goal -- 100.0

      *For 1989-91 period


Primary lifestyle choices affecting heart condition

Primary Lifestyle Choices Affecting Heart Condition

  • Smoking

  • Cholesterol Control

  • Weight Control

  • High blood pressure control

  • Aerobic exercise

  • Diabetes control


Smoking

Smoking

  • 18.6% smoke in New Haven; 22% nationally

    • 53.7% of these people do it to relieve stress

    • 26.6% tried to quit, but started smoking again

    • On average, these people smoke 1.1 packs a day

  • The average smoker is a 47 year old male and has an annual income of $23,000

  • 70.7% of smokers do not have a college education

  • Average age started smoking was 17.6

  • 41.1% use to smoke but don’t now

  • Methods used to quit smoking

    • Cold turkey -- 80.1%

    • Patch -- 4.8%

    • Nicotine gum -- 1.5%

    • Cessation Classes -- 4.8%

    • Support group -- 2.1%

    • Other -- 13.0%


Cholesterol control

Cholesterol Control

  • 15.8% of respondents have high cholesterol

  • 49.1% have not had their cholesterol checked within the past 2 years

  • Persons with high cholesterol

    • Average age is 58 years old

    • 45.7% men; 54.3% women

    • 59.4% of females and 43.8% of males are overweight

    • 12.6% eat fast food 2 or more times per week


Weight control

Weight Control

  • 34.1% of males and 43.7% of females in New Haven are overweight according to the Body Mass Index


Body mass index

Body Mass Index


Blood pressure control

Blood Pressure Control

  • 24.8% currently have high blood pressure

  • 30.7% of adults in the study are have not been tested for high blood pressure with the past two years

  • 83% of those with high blood pressure aren’t taking adequate actions to control it. Persons with high blood pressure:

    • 11.5% rarely or never read food labels

    • 16.1% drink alcohol 3 or more times per week

    • 39.4% have not been to the doctor for a check-up within the last 6 months

    • 63.6% of females and 47.2% of males are overweight

    • 39.5% never exercise


Aerobic exercise

Aerobic Exercise

  • 31% never exercise

  • 23% exercise, but fewer than 3 times per week

  • 46% exercise 3 or more times per week


Diabetes control

Diabetes Control

  • 8.9% of survey respondents report having diabetes; 3% nationally

  • 97.2% of those with diabetes are not taking actions to control it

  • Persons with diabetes:

    • 27% have not been to a doctor for a check-up within the last 6 months

    • 24.8% drink alcohol 1 or more times per week

    • 58.5% of males and 70.4% of females with diabetes are overweight

    • 39.5% eat fast food more than once per week

    • 26.3% sometimes, rarely, or never read food labels

    • 60.8% have high blood pressure


Cancer

Cancer

  • Overall, 5.0% of survey respondents have been diagnosed with cancer


Cancer rate comparisons

Cancer Rate Comparisons

  • The three year* average mortality rate comparisons per 100,000 residents:

    • New Haven -- 199

    • Connecticut -- 135.6 (base)

    • United States -- 132.8 (base)

    • Healthy People 2000 Goal -- 130.0

      *For period 1989-91 period


Primary lifestyle choices affecting cancer rates

Primary Lifestyle Choices Affecting Cancer Rates

  • Diet

  • Smoking

  • Alcohol

  • Sun Exposure


Infod yale

Diet

  • Daily intake of 5 servings of fruits and vegetables occurs among only 11.4% * of the population

  • 39.8% do not regularly read food labels

  • 5.9% eat fast food 3 or more times per week

    * Data has been weighted to gender


Alcohol

Alcohol

  • 5.3% drink every day of the week

    • Of these, 18.6% consume 3 or more drinks within that day

  • 3.5% are chronic drinkers (60+ drinks per month)

  • 4.2% are binge drinkers at least once a week

  • In the last 6 months, 11.4% have been a passenger in a car driven by someone who had been drinking or taking drugs and 13.7% have driven a car after drinking alcohol

  • 3% have been treated at a drug or alcohol rehab program:

    of these, 82.9% have been clean (dry) since their release


Sun exposure

Sun Exposure

  • 1.9% report they have been diagnosed with skin cancer


Preventative services

Preventative Services

  • The effectiveness of preventive services in reducing morbidity and premature mortality is well documented

  • Several prevalent forms of cancer can either be prevented or diagnosed early enough to prevent spread to other organs

  • Control of blood pressure will greatly reduce the risks of heart disease and stroke


Incidence of testing

Incidence of Testing


Access

Access

  • 16.1% do not have a family or primary care doctor

  • 6.7% do not currently have insurance

  • 11% have not seen a doctor over the past 2 years

  • 11.2% have not seen the dentist over the past 2 years

  • 20.3% have been to the ER in the past year; of these, 31.9% have been more than once

  • 15.6% have been able to get health care needs due to:

    • 9% have financial barriers

    • 3.8% - can’t pay for services

    • 3.8% - no insurance

    • 2.1% - deductible is too high

    • 3.8% - insurance doesn’t cover

    • 1.4% - doctors won’t take their insurance

    • 2.3% -- can’t afford prescription medicine required

  • Other barriers

    • 1.3% - can’t get off from work

    • 1.9% - have to wait too long in doctor’s office

    • 1.6% - worry about quality of services

  • 9.3% have one barrier, 3.5% have two barriers, 2.8% have 3 or more barriers


I get information about news in my community from

I get information about news in my community from:


Home car safety

Home & Car Safety

  • 31.6% do not always wear a seat belt when they are a passenger or driver in a car, truck or van (HP 2000 goal = 15%)

  • 9.5% * have a handgun in the home/car/truck

  • 2.2% have multiple sex partners (of these 40% do not use condoms for protection against pregnancy and HIV)

    *Data has been weighted by gender


Mental health

Mental Health

  • 5.0% have clinical depression

  • 22.7% felt stressed 15 days or more in the past month

  • 8.4% * felt blue 15 days or more in the past month

    *Data has been weighted by gender


Crime violence

Crime & Violence

  • 17.5% * do not often or always feel safe in their homes

  • 3.4% have been physically abused by another household member

  • Of those who are highly stressed, 17.8% relieve stress by taking it out on someone else

  • 26.5% have been the victims of crime, of these:

    • 62% have been victims of theft

    • 8.7% have been victims of assault

    • 33.5% have experienced property damage

    • 2.5% have been victims of stalking

  • 2.3% use street drugs

  • 7.5% have thought about attempting suicide in the past two years

  • 0.4% have actually attempted suicide in the past two years

    *Data has been weighted by gender


Section iii

Section III

Special Populations


Who are the special populations studied

Who Are the Special Populations Studied?

  • Families with children under 18

  • Families with children (10-18)

  • Disadvantaged persons

  • Persons age 65+

  • Disabled

  • Males

  • Females

  • High-stress individuals

  • African Americans

  • Hispanics

  • City of New Haven Residents


Families with children under age 18

Families with children under age 18

  • 33.8% (543 respondents) have children under age 18

  • 5.6% report that their child does not have a regular doctor

  • 93.3% report that their child does have health insurance which is paid by:

    • Employer - 43.3%

    • Spouse’s employer - 35.1%

    • Self - 16.1%

    • Medicare - 6.1%

    • Medicaid / medical assistance - 15.5%

    • Other method - 14.3%


Families with children under age 181

Families with children under age 18

  • 13.2% report that their child over age 2 does not always eat three meals a day

  • Of those with children age 5 and older:

  • 3% report their children have not had a physical check-up in the past two years

  • 2.9% are not up-to-date on all immunizations

  • 11.5% have not had a dental check-up in the past year

  • 17.8% have not had a hearing test

  • 12.2% have not had an eye exam


Families with children under age 182

Families with children under age 18

  • Of those with children under the age of 5:

    • 5.9% have not had a physical check-up in the past year

    • 3.9% are not up-to-date on all immunizations

    • 25.8% have not had a lead test

  • 8.3% of those children 4 or older do not regularly use a child seat belt

  • 3.7% of those children under age 4 do not regularly use a child seat

  • 16.4% of those children under age 12 do not regularly ride in the back seat of a car


Families with children under 18

Families with children under 18

  • 26.6% say that day care for children is affordable

  • 31.8% say it is of high quality

  • 36.8% say it has convenient hours

  • 44.9% say it is accessible


Families with children under age 183

Families with children under age 18

  • 4.1% of children under age 12 are left unsupervised for more than an hour after school

  • 11.2% say that the schools do not provide adequate busing

  • 40.9% say that the schools do not provide diverse programs

  • 49.3% say that the schools do not provide quality after-school programs

  • 31.3% say that the schools do not provide safe school areas


Children in the household regularly attend

Children in the household regularly attend:


Families with children ages 10 19 report that children

Families with Children ages 10-19Report that children:

  • 9.2% smoke or use smokeless tobacco

  • 2.2% use drugs

  • 6.6% drink alcohol

  • 6.7% feel depressed too much

  • 5.3% are developing an eating disorder

  • 7.5% are sexually active

  • 8.8% are not attending school regularly

  • 76.4% are involved in after-school activities

  • 32.6% are employed

  • 4.4% do not feel safe at home

  • 11.1% do not feel safe in their school or community

    Note: Information reported by parents


Children in household are in need of

Children in household are in need of:


Families with children under age 184

Families with children under age 18

  • Are more likely to:

    • volunteer in their community

    • feel stressed 15 or more days per month

    • have financial barriers to healthcare

    • eat 3 or more servings of fast food per week

    • have been a passenger in a car driven by someone who had been drinking

  • Are less likely to:

    • report spirituality is important to them

    • have been to a doctor for a check-up within the last year

    • eat at least three servings of fruits and vegetables per day

    • regularly read food labels


Disadvantaged persons those with no insurance or income under 15 000

Disadvantaged PersonsThose with no insurance or income under $15,000

  • 23.4% (329 respondents) are disadvantaged

  • Are more likely to:

    • report that spirituality is important to them

    • have been denied services by a healthcare professional n past 2 years

    • have used the ER in the past year

    • have financial barriers to health care

    • smoke cigarettes

    • have used illegal drugs in the past 6 months

    • have been treated at a drug or alcohol rehab facility

    • have seriously thought about suicide in the past two years


Disadvantaged persons those with no insurance or income under 15 0001

Disadvantaged PersonsThose with no insurance or income under $15,000

  • Are less likely to:

    • feel safe in their neighborhood

    • take positive measures to reduce stress

    • have a primary care physician

    • have been to the dentist in the past year

    • carry or keep a handgun in the house or car


Person age 65

Person Age 65+

  • 24.2% (362 respondents) are age 65+

  • 7.3% always or often feel lonely

  • 40.1% do not always or often follow the diet prescribed by their doctor

  • 11.2% do not know where the senior center is in their community

  • 82.4% do not use the senior center

    • 34.5% don’t have time

    • 37.1% are not interested in the programs

    • 24.5% never thought about it

    • 4.4% find it difficult to get transportation

    • 3.1% have financial reasons


Persons age 65

Persons age 65+

  • 50.5% do not have a living will

  • 45.3% have received medication from more than one doctor

  • 26.3% use more than one pharmacy

  • 2.9% use medicine prescribed for others

  • 65.7% have received a flu shot

  • 9.9% have fallen at home


Persons age 65 do you have difficulty

Persons Age 65+Do you have difficulty:


Persons age 651

Persons age 65+

  • Are more likely to:

  • report that spirituality is very important to them

  • have been to a doctor for a check-up in the past year

  • have insurance

  • regularly read food labels


Persons age 652

Persons Age 65+

  • Are less likely to:

    • Volunteer in their community

    • feel stressed 15 or more days per month

    • take positive measures to reduce stress

    • have financial barriers to health care

    • eat 3 or more servings of fast food per week

    • smoke cigarettes

    • have used illegal drugs in the past six months

    • have a hand gun in their home

    • have been a victim of a crime


Disabled persons

Disabled Persons

  • 10.4% (167 persons) report having been limited by an ongoing disability

  • Are more likely to:

    • feel stressed 15 or more days per month

    • report that spirituality is important to them

    • have used the ER in the past year

    • have been treated at a drug or alcohol rehab facility

    • have thought seriously about attempting suicide

    • have financial barriers to care

  • Are less likely to:

    • have been to the dentist in the past year

    • feel safe in their neighborhood


Males

Males

  • 41.2% (657 respondents) are males

  • Are more likely to:

    • feel safe in their neighborhood

    • have driven a car after drinking alcohol

    • have used illegal drugs in the last six months

    • have been treated at a drug or alcohol rehab clinic

    • carry or keep a hand gun in the home or car


Females

Females

  • 58.8% (937 respondents) are females

  • Are more likely to:

    • feel blue 15 or more days per month

    • report that spirituality is very important to them

    • take positive measures to reduce stress

    • have been to a doctor for a check-up in the past year

    • eat at least 3 servings of fruits and vegetables per day


High stress persons

High-stress Persons

  • 22.7% (262 respondents) report having been stressed 15 or more days out of the last month

  • Are more likely to:

    • feel blue 15 or more days per month

    • eat 3 or more servings of fast food per week

    • smoke cigarettes

    • have been a passenger in a car driven by someone who had been drinking

    • driven a car after drinking

    • been a victim of a crime in their community

    • have thought seriously about attempting suicide


High stress persons1

High-stress Persons

  • Are less likely to:

    • feel safe in their neighborhoods

    • have been to the doctor or dentist for a check-up in the past year

    • eat at least 3 servings of fruit and vegetables per day

    • regularly read food labels


African americans

African-Americans

  • 18.8% (295 respondents) are African-American

  • Are more likely to:

    • feel that spirituality is very important to them

    • take positive measures to reduce stress

    • have been denied services by a healthcare professional in past 2 years

    • have been to a doctor for a check-up in the past year

    • have used the ER in the past year

    • have financial barriers to care

    • smoke cigarettes

    • have more than one sexual partner


African americans1

African-Americans

  • Are less likely to:

    • feel safe in their neighborhood

    • have a primary care physician

    • have been to the dentist in the last year

    • have health insurance

    • eat at least 3 servings of fruits and vegetables per day


Hispanic persons

Hispanic Persons

  • 8.1% (127 respondents) are Hispanic

  • Are less likely to:

    • take positive measures to reduce stress

    • have a Primary Care Physician

    • have been to the dentist in the past year

    • have health insurance

    • eat at least three servings of fruits and vegetables per day


City of new haven residents

City of New Haven Residents

  • 33.5% (530 respondents) live in the city of New Haven

  • Are more likely to:

    • say that spirituality is very important to them

    • have been denied services by a healthcare professional in the past year

    • have been to a doctor for a check-up in the past year

    • have been to the ER in the past year

    • smoke cigarettes

    • have been a victim of crime in their community


City of new haven residents1

City of New Haven Residents

  • Are less likely to:

    • feel safe in their neighborhood

    • take positive measures to reduce stress

    • have a Primary Care Physician

    • have been to a dentist in the past year

    • have health insurance

    • eat at least 3 servings of fruit and vegetables per day


Section iv

SECTION IV

Attitudes about Health and Human Services


Medical advice where do people get it

Medical AdviceWhere Do People Get It?

  • Family doctor - 76%

  • OB/GYN - 5.7%

  • Specialist - 2.8%

  • Other - 3.7% *

  • Public clinic - 9.2%

  • Emergency room - 1.4%

  • Company health clinic - 1.3%

    *”Other” category includes: health books, HMO, nurse practicioner


How adequate are health resources

How Adequate Are Health Resources?


How do you rate the following services mean score on a scale where 1 good 2 fair 3 fair

How do you rate the following services:Mean score on a scale where 1 = Good, 2 = Fair, 3 = Fair


How do you rate the following services mean score on a scale where 1 good 2 fair 3 poor

How do you rate the following services:Mean score on a scale where 1 = Good, 2 = Fair, 3 = Poor


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