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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

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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


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Community Health Assessment

  • Phase 2: Community Health Assessment Survey

    • 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


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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%




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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


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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


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Cancer

  • 2nd leading cause of death

  • Lung cancer is the leading cause of cancer deaths among both men and women


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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


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Diabetes

  • 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


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Asthma

  • 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


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Heart Disease

  • Stanislaus County has the highest death rates in California

  • Leading cause of death

  • Over 1000 deaths in Stanislaus County in 2002


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Tobacco

  • 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


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Sexually Transmitted Diseases

  • 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


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Cholesterol

  • 19% were diagnosed or treated for high cholesterol


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Hepatitis C

  • 3rd most reported communicable disease

  • More prevalent in the African American population and in the 30-45 year old age group


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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

Acknowledgements


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