2022 West Allis & West Milwaukee Community Health Assessment

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WEST ALLIS & WEST MILWAUKEE COMMUNITY HEALTH ASSESSMENT

2022

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POPULATION CHARACTERISTICS .........................................................2 POPULATION DEMOGRAPHICS .............................................................3 SURVEY RESPONDENT DEMOGRAPHICS............................................4-5 SOCIAL DETERMINANTS OF HEALTH ...................................................6 COMMUNITY HEALTH ISSUES & STRENGTHS .......................................7 ACCESS TO CARE .................................................................................8 HEALTH OUTCOMES .............................................................................9 HEALTH BEHAVIORS & ACCESS .........................................................10 HEALTH BEHAVIORS ...........................................................................11 MENTAL & BEHAVIORAL HEALTH ..................................................12-13 EDUCATION ........................................................................................14 ECONOMIC STABILITY ........................................................................15 NEIGHBORHOOD & ENVIRONMENT ................................................16-17 SOCIAL & COMMUNITY CONNECTION .................................................18 COMMUNITY SAFETY...........................................................................19 VIOLENCE & CRIME ............................................................................20 NEXT STEPS .......................................................................................21 ACKNOWLEDGEMENTS .......................................................................22 RESOURCES & METHODOLOGY......................................................23-27 TABLE OF CONTENTS 01

The City of West Allis covers 11.38 square miles and is a western suburb of Milwaukee County. Home to 59,484 residents (2021), the city is largely residential, with a larger population density than the greater Milwaukee County area (5300.5 per square mile vs. 3926 per square mile in Milwaukee County). Manufacturing and industry have remained the largest industries within the city since its establishment as a city in 1906.

Also founded in 1906, the Village of West Milwaukee, located at the center of Milwaukee County, covers 1.13 squares miles and is home to 4,128 residents (2020).The Village of West Milwaukee has transitioned from a primarily industrial area into various commercial, retail, and industrial properties.

Within West Allis-West Milwaukee, approximately 89.6% of residents speak English at home, 10.4% speak a language other than English, 6.8% speak Spanish, and 1.7% speak other Indo-European languages.

Between 2016-2020 the median household income for West Allis residents was $53,634 and for West Milwaukee residents was $38,829.

POPULATION CHARACTERISTICS

Milwaukee County

West Allis and West Milwaukee

Household Snapshot

Average family size: 3.0

Married-couplehousehold

Cohabitingcouplehousehold

Average family size: 3.26

Malehouseholder,nospouse/partnerpresent

Femalehouseholder,nospouse/partnerpresent

We honor and acknowledge that the City of West Allis and Village of West Milwaukee occupy the traditional land of the Potawatomi people. May this acknowledgment demonstrate our commitment to working to dismantle ongoing legacies of inequities.

40% 30% 20% 10% 0%
WestAllis WestMilwaukee
WAWM Households with broadband internet: 80%
Page Sources: American Community Survey, U.S. Census Bureau 02
household
The term "household size: includes all the people occupying a housing unit. "Family size" includes the family householder and all other people in the living quarters who are related to the householder by birth, marriage, or adoption.
Average
size: 2.15 Average household size: 2 03

0% Native Hawaiian and Other Pacific Islander

0% Native Hawaiian and Other Pacific Islander

3% Asian 0.7% Asian

POPULATION DEMOGRAPHICS 4 3% Some Other Race 11 1% Some Other Race 0.7% American Indian and Alaska Native

5.6% Two or More Races 5.2% Two or More Races of West Allis residents identify as Hispanic or Latino 13% of West Milwaukee residents identify as Hispanic or Latino 29.2%

2.1% American Indian and Alaska Native

Disability Status

Age

Age

West Allis: 38.5 yrs West Milwaukee: 37.3 yrs Median Age Male 49.8% Female 50.2%

03 25to44years 33.3% 45-64years 26.4% 65+ 14.9% 5to14years 13% 15-24years 7.6% Under5years 4.7% 25-44years 32.6% West Allis West Milwaukee Hearing difficulty 3.6% 2.8% Vision difficulty 2.2% 0.9% Cognitive difficulty 5.4% 7.5% Ambulatory difficulty 6.6% 7.5% Self-care difficulty 2.7% 2.6% Independent living difficulty 5 5% 5 9% 03
WEST ALLIS WEST MILWAUKEE 80.4% White 67.5% White
Race & Ethnicity 13.4% Black or African American 6% Black or African American
Male 48.4% Female 51.6% West Allis West Milwaukee Page Source: 2020 American Community Survey, 5-Year Estimates Average Life Expectancy for Milwaukee County: 75.9 yrs (2022)
Sex
Median

SURVEY RESPONDENT DEMOGRAPHICS

Relationships

Marital Status

43.7% are married (n=225)

13.4% are single (n=69)

Race

73% White/ Caucasian (n=376)

1.9% Two or More Races (n=10)

1.2% African American/Black (n=6)

0.4% Asian (n=2)

0.2% American Indian or Alaska Native (n=1)

0% Native Hawiian or other Pacific Islander (n=0)

23.3% of respondents skipped question (n=120)

Hispanic/Latinx Ethnicity

(n=119)

(n=15) (n=381)

Age

The average age of respondents was 53 years

Age range was 22-94 years of age

Gender Identity

22.5% of respondents skipped question (n=116)

10.3% are divorced (n=53)

4.7% are unmarried couple living in the same household (n=24)

4.5% are widowed (n=23)

0.6% are separated (n=3)

22.9% of respondents skipped question (n=118)

Group Identification

8.2% of respondents live with a disability, including chronic illnesses, that prevents them rom working or performing daily tasks (n=42)

5.6% identify as LGBTQ+ (n=29)

5.2% are veterans or current military (n=27)

5.2% live in a multigenerational household (n=27)

1.4% speak a language other than English in the home, at work, or in the community (n=7)

78.3% of respondents skipped question (n=403)

54.8% Female (n=282)

21.6%% Male (n=111)

1% Prefer Not to Answer (n=5)

0.4% Gender Variant/Non-Conforming (n=2)

03 04 383 West Allis Residents 36 West Milwaukee Residents 91 non-residents 515 responses Non-Hispanic 74% QuestionSkipped
Hispanic/Latinx 2.9%
231%

SURVEY RESPONDENT DEMOGRAPHICS Housing

Housing Status

61.2% own their home (n=315)

14.2% rent (n=73)

2.1% neither own nor rent (n=11)

22.5% skipped this question (n=116)

On average, respondents have 3 people living in the household including themselves.

Living Situation

76.3% report having a reliable place to live (n=393)

0.4% do not have a reliable place to live (n=2)

0.4% have a temporary place to live (n=2)

0.2% are homeless (n=1)

22.7% skipped this question (n=11.7)

Current Employment Status

45% have full-time employment (n=232)

24.5% are retired (n=126)

5% have part-time employment (n=26)

2.1% have more than one job (n=11)

1.9% are unable to work (n=10)

1.8% are a stay at home parent or caregiver (n=9)

1.4% are students (n=7)

1.2% have seasonal employment (n=6)

23.7% skipped this question (n=122)

*was a select all that apply question

Education & Income

Educational Attainment

25% Bachelor's Degree (n=128)

17% Advanced or Professional Degree (n=88)

15% Some College (n=79)

12% Technical School Graduate/ Associate Degree (n-62)

7% High School Graduate/GED (n=38)

1% Some High School (n=4)

0% Less than High School (n=0)

23% of respondents skipped question (n=116)

Annual Household Income 150 100

03 05

SOCIAL DETERMINANTS OF HEALTH

The West Allis/ West Milwaukee Health Department used the County Health Rankings Model and social determinants of health (SDOH) as a basis for this community health assessment process.

The County Health Rankings Model emphasizes the many factors and social determinants of health that influence how long and how well we live

Social determinants of health are conditions under which people live, learn, work, and grow These social, environmental, and economic factors strongly influence health outcomes and quality of life Some examples include, but are not limited to: access to medical care, safe housing, education, and access to nutritious foods.

Health inequities are caused by the uneven distribution of social determinants of health. Health equity is achieved when every person has the opportunity to attain their full health potential and no one is disadvantaged from achieving this because social/ societal circumstances (CDC).

This report will highlight local health data compiled from a variety of primary and secondary data sources including: US Census and American Community Survey, County Health Rankings, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, Youth Risk Behavior Surveillance System, Health Department, City department reports, and other publicly available sources.

EQUALITY EQUITY DOESNOTMEAN

This Community Health Assessment (CHA) is part of an ongoing broader community health improvement process that will use this CHA data to identify priority issues, develop and implement strategies for action, and establish accountability to ensure measurable health improvement This community health improvement process will utilize an equity lens and work to show how social determinants of health affect our community's health

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COMMUNITY HEALTH ISSUES & STRENGTHS

Top 5 HEALTH ISSUES

to be considered

Identified through community engagement activities- Community Health Assessment Survey, Focus Groups, and Key Informant Interviews

(1) Mental Health*

(2) Alcohol and Drug Abuse*

(3) Violence

(4) Obesity

(5) Chronic Disease*

*Aligns with Advocate Aurora Community Health Survey Report

Top 3 STRENGTHS in Our Communities

identified through key informant interviews

(1) Location- urban feel, small town, close to retail and services

(2) Recreation opportunities (parks, trails, play areas, etc.)

(3) Access to Farmers Market and diverse food sources

Top 3 BARRIERS/CHALLENGES in Our Communities

(1) Access to care

(2) Knowledge of resources

(3) Financial and economic constraints identified through key informant interviews/CHA

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72.5%

of CHA survey respondents feel that there is adequate ACCESS TO HEALTH CARE in the community.

66.8%

feel that there is adequate ACCESS TO DENTAL CARE in the community.

49.6%

feel that there is adequate ACCESS TO SENIOR CARE in the community.

32.6%

feel that there is adequate ACCESS TO MENTAL HEALTH SERVICES in the community.

ACCESS TO CARE

A person's ability to access regular health services can:

increase life expectancy and quality of life prevent disease and disability, such as diabetes or obesity detect and treat illnesses/ health conditions, such as heart disease or cancer

Common factors that affect one's ability to access health services are the high cost of medical insurance, shortage of providers in the area, and systemic barriers such as age, gender, race and ethnicity. When asked about access to mental health care, 53% of Hispanic survey respondents feel there is a lack of mental health access, compared to 44% of non-Hispanic respondents.

Adults without health insurance

17.1% West Milwaukee

12.2% West Allis

16.4% MilwaukeeCounty

Why is this important?

Source: CDC-PLACES 2019

Uninsured people are less likely to get routine checkups and preventative services, meaning that when they seek treatment, it is likely to be more more advance conditions (which are more difficult and costly to treat).

Adults who have had a routine checkup

75.2%

73.6%

Our residents have slightly lower routine checkup rates than Milwaukee County (76.2%) and US (76.6%) averages (CDC-Places, 2019)

WEST ALLIS WEST ALLIS
WEST MILWAUKEE WEST MILWAUKEE
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West Allis/ West Milwaukee residents have lower rates of diabetes, stroke, coronary heart disease, and high blood pressure than the Milwaukee County and US rates. However, these chronic conditions affect a large proportion of our community and account for a vast majority of death and disability.

There are many modifiable social determinants of health that can reduce risk of these chronic conditions, such as routine healthcare visits, exercise and diet, smoking cessation, and alcohol/ substance use.

Substance Use Disorder Deaths

Substance Use Disorder Deaths accounted for 51 deaths in 2021 and 52 deaths in 2020 in West Allis While the rate remains consistent between 2020 and 2021 in West Allis, Milwaukee County experienced a 23% increase in SUD fatalities in the same time frame. (Source:

TOP CAUSES OF DEATH

West Allis/ West Milwaukee Residents 2018-2022, per Milwaukee County Medical Examiner data

91% of deaths reported to Milwaukee County ME were accidental or natural causes

% Adults with Chronic Conditions: CDCPLACES 2019 Diabetes Stroke Coronary Heart Disease High Blood Pressure Prevalence High Cholesterol Prevalence West Allis 8.6 3 5.4 29.2 33 West Milwaukee 9.7 3.1 5.2 29.5 31.9 Milwaukee County - 3.3 5.5 31.5 32.3 United States 11 3 4 6 2 32 6 33 6
2018 2019 2020 2021 Incidents 164 154 162 142
HEALTH OUTCOMES
Allis
Department) 2018 2021 West Allis Overdose Incidents (Fatal and Nonfatal) 09 Cardiovascular Diseases and Incidents
Overdose
West
Fire
Drug
Complications of COVID-19
Abuse/ Toxicity
Closed Head Injury With Hematoma Blunt Force of Head/Neck Hanging Cancer 1 2. 3 4. 5 6. 7 8. 9 10.
Complications of Fall/ Injury, Broken Bone Alcohol
Complications of Gunshot Wound

HEALTH BEHAVIORS AND ACCESS

FOOD ACCESS & NUTRITION

Agree Disagreee

NotApplicable

CHA Survey Says:

75.2% Disagree

In the last 12 months, I have been worried that I would run out of food before I or my household had enough money to buy more?

80.3% Agree

West Allis/West Milwaukee has access to a variety of healthy food options

79.4% Agree

West Allis/West Milwaukee has places where I can buy affordable healthy food

Why is this important?

A nutritious and well balanced diet, low in sugar, fat, and empty calories, has been shown to decrease risk of chronic disease and conditions, such as obesity and heart disease. Survey respondents and key informants mentioned the West Allis Farmer's Market as a great source of nutritious and affordable food.

Within Milwaukee County, the percentage of the population who lack adequate access to food (food insecure) is 12%, which is slightly higher than the state (9%). The majority of people in these food insecure communities within the county are minorities. According to Feeding America, 27% of the Black community and 20% of the Hispanic population in Milwaukee County are considered to be food insecure.

PHYSICAL ACTIVITY

22-26% of West Allis/ West Milwaukee (WAWM) adults are currently estimated to be sedentary (not participating in any physical activities other than their regular job) during the last month Sedentary behavior increases risk of obesity, heart disease, diabetes, and poor sleep

Connection between exercise and obesity:

Source: Health Compass Milwaukee

Exercise is an important lifestyle measure to maintain health and lower risk of high blood pressure, osteoporosis, anxiety and depression, and obesity As can be seen in the chart to the left, there is a correlation between not exercising and becoming obese

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HEALTH BEHAVIORS

ALCOHOL & SUBSTANCE USE / ABUSE

67.7%

of CHA survey respondents feel that substance use including illegal drugs and prescription drug misuse is a problem in the community

55.3%

of CHA survey respondents feel that binge drinking or excessive alcohol use is a problem in the community

The percentage of adults who binge drink (men consuming 5 or more drinks or women consuming 4 or more drinks in about 2 hours - CDC) in West Allis and West Milwaukee is higher than the county and national averages (CDC, 2019)

Why is this important?

Alcohol and substance abuse is associated with increased risk of negative safety, and social outcomes, including but not limited to: substance-related accidents, employment problems, suicide, violence and interpersonal problems. People with addiction or substance abuse issues often have one or more associated health problems, such as heart disease, stroke, mental health conditions, and cancer.

SMOKING & VAPING

57%

of CHA survey respondents feel that using tobacco and nicotine products (cigarettes, e-cigs/ vape pens, etc.) is a problem in the community.

In West Allis-West Milwaukee, 7% of middle school students and 12% of high school students report currently vaping; and 29% of high school students said they have tried vaping. 5% of high school students and 3% of middle school students report using cigarettes, chew, cigars, or cigarillos in the past 30 days.

West Allis-West Milwaukee YRBS 2021

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26.3% 24.1% 21.7% 16.7%
Sources: Narcan Training in West Allis

MENTAL & BEHAVIORAL HEALTH

How are mental and physical health connected?

The World Health Organization (WHO) defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. The WHO states that “there is no health without mental health.”

Mental and physical health are fundamentally connected, and are influenced by the social determinants of health. Poor mental health is a risk factor for developing chronic physical conditions. Additionally, people with chronic physical conditions are more likely to experience poor mental health.

1 in 5 adults in West Allis/ West Milwaukee have been diagnosed with depression

Source: CDC-PLACES

28% of Milwaukee-Waukesha-West Allis residents report 1-13 "not good" mental health days per month

11% report 14+ "not good" mental health days per month

60% report zero "not good" mental health days per month

In general, self-reported rates of anxiety and depression were higher for students who:

• had a low sense of school belonging

• had experienced bullying, violence or trauma

• had low grades

• had anything else that set them apart from their peers, including race, class, sexual orientation and disability

Mental health and mental conditions, like anxiety and depression, are top health issues… People are in crisis and end up in violent situations or the criminal justice system. Trauma alone has a huge impact on everything.

Milwaukee County CHNA Key Informant

Source: Milwaukee County Community Health Needs Assessment 2021

Behavioral Risk Factor Surveillance System (BRFFS, CDC)

Source: West Allis- West Milwaukee YRBS 2021

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If you or someone you know is struggling or in crisis, help is available

Call or text 988 for the National Suicide and Crisis Lifeline

MENTAL & BEHAVIORAL HEALTH

Completed & Attempted Suicides in West Allis

HELP-SEEKING & SUPPORTS

Who Do Students Turn To For Emotional Support?

Adult (parent, teacher or other adult): 34%

Peer (friend or sibling): 40%

Not Sure: 26%

Source: West Allis Police Dept.

In the West Allis-West Milwaukee area, 7% of deaths in 2018-2022 were death by suicide. While the rate of completed and attempted suicides in West Allis has decreased in the City of West Allis since 2013, suicidal thoughts and behaviors remain key concerns in our youth.

2021 data shows that 27% of middle schoolers and 19% of high schoolers in our community have considered suicide in the last year.

Sources: Milwaukee County ME, West Allis- West Milwaukee YRBS 2021

Community Health Assessment Survey Says:

Regardless of whether youth actually use such adults as a frequent source of support, the presence of such adults in a young person’s life is an important protective factor.

Source: West Allis- West Milwaukee YRBS 2021

If you are someone you know is suffering from a mental health or emotional support problem, resources are available online.

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EDUCATION

How does education affect health?

Education is linked with health through many pathways. More education can lead to higher paying jobs, which allows people increased access to healthcare, nutritious foods, places to exercise, and safer and healthier homes. Additionally, workers with lower levels of educational attainment are less likely to have access to health-related benefits, such as paid sick leave, health insurance, or retirement benefits.

Education is also crucial for health literacy, or the ability to access, understand, and use health information. Patients with low literacy are more likely to have poorer health outcomes.

EDUCATIONAL ATTAINMENT

West Allis and West Milwaukee (92.4%, 89.5%) have higher rates of people ages 25+ with a high school degree or more than Milwaukee County (88.7%) and the US average (88.5%)

55.5%

Schools in West Allis/ West Milwaukee provide quality education:

FAMILY RESOURCES

Approximately half (55.5%) of survey respondents feel that there are quality family support services (e.g. parenting class, family planning, infant massage class) in the community.

29.7% of respondents think that there is a lack of access to affordable daycare in the community

of survey respondents agree that schools in West Allis and West Milwaukee play a large role in the community

(32 8% said it does not apply to them)

81.2% feel there are enough affordable recreation opportunities for children to connect with outside of school or daycare

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Source: American Community Survey, Healthy Compass MKE
39.4% 17.6% 43%

ECONOMIC STABILITY

Why is this important?

Economic stability means that people are able to access resources essential to living a healthy life, such as safe and affordable housing, nutritious food, and healthcare. People living close to or below the federal poverty level are at increased risk of negative health status and outcomes.

WEST ALLIS WEST ALLIS

13.1%

31.1%

Households are below the Federal Poverty Level

Households are ALICE

Source: CDC-PLACES

WEST WEST

MILWAUKEE MILWAUKEE

22.2%

32.3% Households are below the Federal Poverty Level

Households are ALICE

Asset Limited, Income Constrained, Employed

ALICE is the population in our community that is employed and living above the poverty threshold, but still struggling to make ends meet due to transportation challenges, high cost of living, child care costs, etc.

The success and health of a community is directly related to the economic stability of its members. Over 1/3 of our residents struggle to afford basic necessities and are living paycheck to paycheck.

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NEIGHBORHOOD & ENVIRONMENT

93.4% report that they have reliable transportation

64.6% of survey respondents agree that the community has a variety of transportation options

47.6% think that the transportation options in the community are affordable

38.7% agree that the community has handicap accessible transportation options

78.6% of survey respondents agree that the community has safe sidewalks or walking routes

57.7% feel that the community has handicap accessible sidewalks and walkways

PARKS & TRAILS

West Allis and West Milwaukee are home to six Milwaukee County parks, three biking and hiking trails, and over a dozen City/Village-owned parks.

Why is this important?

Studies show that the closer you live to a park, the the more likely you are to walk to those places and exercise, which provides physical and mental health benefits. Additionally, having safe walking and bike routes is proven to lower stress and enhance socialwellbeing.

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TRANSPORTATION WALKABILITY

NEIGHBORHOOD & ENVIRONMENT

ENVIRONMENTAL CONDITIONS & CONCERNS

86.6%

of survey respondents agree that there is safe drinking water in the community

48.5% feel that lead hazards (like lead based paint) are a concern in the community

73.0% of respondents identifying as Hispanic report that rats and rodents are issues where they live, compared to 36.4% of overall survey respondents

Overall, CHA survey respondents feel that their homes do not have significant problems with water damage (unrelated to flooding), lack of heat, and kitchen appliances, smoke detectors, or hot/cold water not working. However, respondents with lower annual household incomes are more likely to report household concerns, such as safe drinking water.

Environmental contaminants and pollutants can cause many health issues like asthma, heart disease, and some types of cancer. People with low incomes are at higher risk of living in polluted areas, having unsafe homes, and unsafe drinking water. Children and pregnant women are more likely to experience health problems related to pollution and hazards in the home.

Why are lead hazards a concern in the community?

Houses built prior to 1950 commonly contain lead based paint (unless significantly updated), which is proven to cause damage to the nervous system, delayed development and stunted growth, especially in younger children.

Within the West Allis and West Milwaukee areas, the percentage of houses built prior to 1950 (40-48%) is

Source : American Community Survey 5-Year

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SOCIAL & COMMUNITY CONNECTION

12.6% of survey respondents do not feel a sense of belonging

20.2% do not feel the community is an inclusive and supportive community for people of varied race, religion, gender, age, and ability

27.7% do not belong to faith or civic organizations

How does feeling a sense of belonging impact mental health and health outcomes?

Social ties and connections are protective factors, meaning that they help manage stress and reduce risk of developing behavioral issues. Studies show that people who feel more connected tend to have stronger immune systems and live longer. The opposite is true for those who lack social connectedness. Low levels of social connection are linked to declines in physical and mental health. Depression, anxiety, and suicidal ideations are associated with not feeling a sense of belonging.

What is the connection between living alone and experiencing social isolation?

West Allis and West Milwaukee have higher proportions of the 65+ population living alone than Milwaukee County, WI, and the United States at large.

81.8% of survey respondents feel a sense of belonging

69.8% feel the community is an inclusive and supportive community for people of varied race, religion, gender, age, and ability

85% agree there are places to gather in the community

54.2% belong to a faith community or civic organizations

89.6% feel they have close friends, family, or people that they can depend on

Living alone should not be equated with being lonely or isolated, but many older folks who live alone are at risk of social isolation, disabilities, lack of access to care, poverty, and inadequate assistance in emergency situations.

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West Allis West Milwaukee Milwaukee
WI US 44.9% 71.5% 35.9% 29.4% 26.3%
County
Source: American Community Survey, Healthy Compass Milwaukee

West Allis is a bike-friendly city with miles of lanes, trails, and paths for riders to enjoy. The West Allis Interactive Bike Map allows you to see where the bike paths are within the City of West Allis, including connections to neighboring municipalities.

49%

of total crashes on urban 4lane roads can be reduced by bicycle lane additions

COMMUNITY SAFETY

80.5% feel safe in community

68% feel safe using public transport, walking, or biking in community

81.7% feel there are safe places to exercise or play outside like parks or trails in the community

57.2% agree that the community has safe streets or paths for bicycling

76.9% agree that the community has well-lit streets

SCHOOL SAFETY

According to the 2021 West Allis-West Milwaukee Youth Behavioral Risk Factor Survey, 10% of middle schoolers and 15% of high schoolers said that they rarely or never feel safe at school. Perceptions of safety are often lower among students of color, students with disabilities, and LGBTQ+ students. Feeling safe in school can affect school performance and school attendance.

Why is this important?

Feeling safe is central to our health and wellbeing. How safe we feel at home, work, school, and in our neighborhood influences social, educational, and health habits. When people feel routinely unsafe, chronic stress levels rise, which puts you at increased risk of many mental and physical health problems.

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According to CHA survey respondents:

VIOLENCE & CRIME

53.7% of survey respondents report domestic violence as a concern in the community

45.2% of survey respondents report child abuse as a concern in the community

33% of survey respondents report elder abuse as a concern in the community

As reported by the West Allis Police Department, all violent crimes (aggravated assault, homicide, rape, robbery) have decreased substantially from 2020 to 2021 During this time frame, motor vehicle theft has nearly doubled in the area

Violence in Schools

42.5% of survey respondents report sex trafficking as a concern in the community

How do crime and violence influence health?

Violence often leads to physical pain and suffering, mental distress, and reduced quality of life. People who fear crime in their communities are likely to report higher levels of stress, lower rates of physical activity, and have higher body mass index scores. Exposure to violence, whether directly experiencing or witnessing, negatively affects mental health and puts people at greater risk of suicide, substance use, and risky behavior.

Source: Healthy People 2020

13% of West Allis-West Milwaukee (WAWM) high school students reported missing one or more days of school because of safety concerns either at school or on the way to school.

Sources: West Allis-West Milwaukee YRBS 2021

21% of WAWM middle school students said they were in a physical fight at school and 5% said that they had carried a weapon on school property in the last 12 months.

Sources: West Allis-West Milwaukee YRBS 2021

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NEXT STEPS

Now that the Community Health Assessment (CHA) for this cycle has been completed, the work begins on the 2023-2027 Community Health Improvement Plan (CHIP). This plan utilizes CHA findings and puts the data into action. This plan is developed every 5 years and serves as roadmap for improving the health of the West Allis and West Milwaukee communities.

In order to create sustainable change and health improvements for our residents, this CHIP plan must involve comprehensive and strategic partnerships and collaborations across all sectors of the community. Many of the participants in this process share years of service and lived experience in the West Allis and West Milwaukee communities, providing this process with a community voice and insight into the strengths, concerns, and challenges specific to our communities.

Strategic issues will be identified through this collaboration and by exploring the results of the Community Health Assessment. During this step, goals, strategies, and action plans related to these issues will be developed. This current process is the fifth comprehensive West Allis/ West Milwaukee Community Health Improvement Process, and will build upon previous strategies and initiatives. Sustainability of our past and and present efforts is crucial in this cross-sector planning and improvement process.

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ACKNOWLEDGEMENTS

Cross sector collaboration was essential in collecting feedback and data for our Community Health Assessment (CHA). We would like to express our appreciation to all community members, stakeholders, partners, and organizations that contributed to the CHA process.

Bob Fletcher

City of West Allis Health Department

Village of West Milwaukee

West Allis Public Library

West Allis-West Milwaukee Recreation Department

West Allis Farmers Market

West Allis Senior Center

West Allis City Hall

West Allis-West Milwaukee School District

Advocate Aurora Healthcare

West Allis Police Department

West Allis Fire Department

West Allis Board of Health

West Allis Alderpersons

West Allis Rotary Club

West Allis/West Milwaukee Heroin Opioid

Task Force

West Allis Community Medical Services

West Allis Business Improvement District

West Allis Planning and Zoning

Chris Marks

Bob Leischow

Chief Dennis Nasci

Daysi Jimenez

Denise Koenig

Jason Schaak

Beth Koehler

Cathy Manthei

Mayor Dan Devine

Dianne Eineichner

Diedre Roemer

John Ragonese

Rebecca Grill

Shelly Strasser

Dr. Marty Lexmond

Chief Mason Pooler

Chief Patrick Mitchell

Steve Schaer

Public Table Restaurant

Kegel's Inn

First United Methodist Church

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RESOURCES & METHODOLOGY

POPULATION CHARACTERISTICS & DEMOGRAPHICS

2020: American Community Survey 5-Year Estimates for West Allis

https://data.census.gov/cedsci/all?q=West%20Allis%20city,%20Wisconsin

2020: American Community Survey 5-Year Estimates for West Milwaukee

https://data.census.gov/cedsci/all?q=West%20Milwaukee%20villages,%20Wisconsin

S1501: EDUCATIONAL ATTAINMENT - Census Bureau Table

P1: RACE - Census Bureau Table

DP05: ACS DEMOGRAPHIC AND HOUSING... - Census Bureau Table

S0101: AGE AND SEX - Census Bureau Table

S1101: HOUSEHOLDS AND FAMILIES - Census Bureau Table

S1601: LANGUAGE SPOKEN AT HOME - Census Bureau Table

S1811: SELECTED ECONOMIC... - Census Bureau Table

S1903: MEDIAN INCOME IN THE PAST 12... - Census Bureau Table

S1810: DISABILITY CHARACTERISTICS Census Bureau Table

Village of West Milwaukee: Development https://www.westmilwaukee.org/development/

Encyclopedia Britannica https://www.britannica.com/place/West-Allis

United States Census Bureau, Quick Facts Milwaukee County, Wisconsin

https://www.census.gov/quickfacts/milwaukeecountywisconsin

United States Census Bureau, Quick Facts West Allis city, Wisconsin

https://www.census.gov/quickfacts/westalliscitywisconsin

United States Census Bureau, Technical Documentation: Subject Definitions

https://www.census.gov/programs-surveys/cps/technical-documentation/subjectdefinitions.html#:~:text=The%20term%20%22size%20of%20household,birth%2C%20marriage%2C%2 0or%20adoption.

SOCIAL DETERMINANTS OF HEALTH

County Health Rankings Model

https://www.countyhealthrankings.org/app/wisconsin/2022/rankings/milwaukee/county/outcomes/overa ll/snapshot

Robert Wood Johnson Foundation, 2018. https://www.rwjf.org/en/how-we-work/building-a-culture-ofhealth.html

Community Health Assessment and Improvement Planning - NACCHO

https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/communityhealth-assessment

COMMUNITY HEALTH ISSUES AND STRENGTHS

Aurora West Allis Medical Center 2022 Community Health Needs Assessment

https://www.aurorahealthcare.org/about-aurora/community-benefits/our-research/west-allis

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ACCESS TO CARE

Health Compass Milwaukee: Indicators https://www healthcompassmilwaukee org/? module=indicators&controller=index&action=indicatorsearch&doSearch=1&i=&l=205621 206145&primar yTopicOnly=&subgrouping=1&card=0&handpicked=0&resultsPerPage=150&showComparisons=1&show OnlySelectedComparisons=&showOnlySelectedComparisons=1&grouping=1&ordering=1&sortcomp=0& sortcompIncludeMissing=

CDC PLACES- Chronic Disease and Health Promotion Data & Indicators (cdc gov)

https://chronicdata.cdc.gov/browse?category=500+Cities+%26+Places&sortBy=newest&utf8

HEALTH OUTCOMES

Health Compass Milwaukee :: Indicators https://www.healthcompassmilwaukee.org/

CDC PLACES- Chronic Disease and Health Promotion Data & Indicators (cdc gov)

https://chronicdata cdc gov/browse?category=500+Cities+%26+Places&sortBy=newest&utf8

West Allis Fire Department 2021 Annual Report

https://www.westalliswi.gov/ArchiveCenter/ViewFile/Item/2880

Milwaukee County Medical Examiner https://county milwaukee gov/EN/Medical-Examiner/Public-Data

HEALTH BEHAVIORS AND ACCESS

Hispanic Health | VitalSigns | CDC https://www.cdc.gov/vitalsigns/hispanic-health/index.html

Food Insecurity Rates · Feeding Wisconsin

https://www feedingwi org/data research/food insecurity rates php

Health Compass Milwaukee: Indicators https://www.healthcompassmilwaukee.org/

West Allis Farmers Market https://www.westalliswi.gov/1970/Farmers-Market

HEALTH BEHAVIORS

CDC PLACES- Chronic Disease and Health Promotion Data & Indicators (cdc.gov)

https://chronicdata.cdc.gov/browse?category=500+Cities+%26+Places&sortBy=newest&utf8

West Allis-West Milwaukee 2021 District-Level YRBS Results (High School and Middle School Versions) https://www.wawmsd.org/

County Health Rankings Model https://www countyhealthrankings org/app/wisconsin/2022/rankings/milwaukee/county/outcomes/overall/ snapshot

Addiction and Health | National Institute on Drug Abuse (NIDA) (nih.gov)

https://nida nih gov/publications/drugs-brains-behavior-science-addiction/addiction-health

24

MENTAL AND BEHAVIORAL HEALTH

Behavioral Risk Factor Surveillance System (BRFSS) Prevalence & Trends Data

https://nccd.cdc.gov/BRFSSPrevalence/rdPage.aspx?

rdReport=DPH_BRFSS.ExploreByLocation&rdProcessAction=&SaveFileGenerated=1&irbLocationTyp e=MMSA&islLocation=41700&islState=&islCounty=&islClass=CLASS17&

Milwaukee County Medical Examiner https://county.milwaukee.gov/EN/Medical-Examiner/PublicData

West Allis-West Milwaukee 2021 District-Level YRBS Results (High School and Middle School Versions) https://www.wawmsd.org/

CDC PLACES- Chronic Disease and Health Promotion Data & Indicators (cdc.gov)

https://chronicdata.cdc.gov/browse?category=500+Cities+%26+Places&sortBy=newest&utf8

Milwaukee HealthCare Partnership: Milwaukee County Community Health Needs Assessment

2021

https://www.healthcompassmilwaukee.org/content/sites/mhcp/CHNA_2021/2021_MHCP_Mke_Co_CH NA.pdf

Health Compass Milwaukee :: Indicators https://www.healthcompassmilwaukee.org/

2021 West Allis Police Annual Report https://westalliswi.gov/DocumentCenter/View/19067/2021Annual_report

Promoting mental health: concepts, emerging evidence, practice- World Health Organization

https://www.who.int/publications/i/item/9241562943

Connection Between Mental and Physical Health https://ontario.cmha.ca/documents/connectionbetween-mental-and-physical-health/

CDC Facts About Suicide https://www.cdc.gov/suicide/facts/index.html

EDUCATION

Robert Wood Johnson Barnabas Health: "Education is a Social Determinant of Health"

https://www.rwjbh.org/documents/social%20impact/education-infographic.pdf

2020: American Community Survey 5-Year Estimates for West Allis, West Milwaukee

S1501: EDUCATIONAL ATTAINMENT - Census Bureau Table

Health Compass Milwaukee :: Indicators https://www.healthcompassmilwaukee.org/

ECONOMIC STABILITY

2020: American Community Survey 5-Year Estimates for West Allis, West Milwaukee

S1701: POVERTY STATUS IN THE PAST 12... - CENSUS BUREAU TABLE

Economic Stability - Healthy People 2030 | health.gov https://health.gov/healthypeople/objectivesand-data/browse-objectives/economic-stability

CDC PLACES- Chronic Disease and Health Promotion Data & Indicators (cdc.gov) https://chronicdata.cdc.gov/browse?category=500+Cities+%26+Places&sortBy=newest&utf8

Health Compass Milwaukee :: Indicators https://www.healthcompassmilwaukee.org/

United for ALICE | Overview of ALICE Project https://www.unitedforalice.org/overview

25

NEIGHBORHOOD AND ENVIRONMENT

2020: American Community Survey 5-Year Estimates for West Allis, West Milwaukee

S1101: HOUSEHOLDS AND FAMILIES - Census Bureau Table

CDC - Healthy Places - Parks, Trails and Health

https://www.cdc.gov/healthyplaces/healthtopics/parks.htm

Environmental Health - Healthy People 2030 | health.gov

https://health.gov/healthypeople/objectives-and-data/browse-objectives/environmental-health

City of West Allis Parks, Playgrounds, and Outdoor Recreation in West Allis

https://www.westalliswi.gov/1326/Parks-Playgrounds-and-Outdoor-Recreation

SOCIAL AND COMMUNITY CONNECTION

Mayo Clinic Health System: "Is having a sense of belonging important?"

https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/is-having-a-sense-ofbelonging-important

2020: American Community Survey 5-Year Estimates for West Allis, West Milwaukee

S1101: HOUSEHOLDS AND FAMILIES - Census Bureau Table

Connectedness & Health: The Science of Social Connection - The Center for Compassion and Altruism Research and Education (stanford.edu)

http://ccare.stanford.edu/uncategorized/connectedness-health-the-science-of-social-connectioninfographic/

Health Compass Milwaukee :: Indicators https://www.healthcompassmilwaukee.org/

COMMUNITY SAFETY

West Allis-West Milwaukee 2021 District-Level YRBS Results (High School and Middle School Versions) https://www.wawmsd.org/

Mayo Clinic: Chronic Stress puts your health at risk https://www.mayoclinic.org/healthylifestyle/stress-management/in-depth/stress/art-20046037

US Department of Transportation: Bicycle Lanes

https://safety.fhwa.dot.gov/provencountermeasures/bike-lanes.cfm#psc-footnote

26

VIOLENCE & CRIME

2021 West Allis Police Annual Report

https://westalliswi.gov/DocumentCenter/View/19067/2021Annual_report

Crime and Violence | Healthy People 2020 https://www.healthypeople.gov/2020/topicsobjectives/topic/social-determinants-health/interventions-resources/crime-andviolence#:~:text=Violence%20can%20lead%20to%20premature%20death%20or%20cause,of%20obe sity%20due%20to%20reduced%20physical%20activity.%206

Mayo Clinic: Chronic Stress puts your health at risk https://www.mayoclinic.org/healthylifestyle/stress-management/in-depth/stress/art-20046037

West Allis-West Milwaukee 2021 District-Level YRBS Results (High School and Middle School Versions) https://www.wawmsd.org/

NEXT STEPS

Community Health Assessment and Improvement Planning - NACCHO

https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/communityhealth-assessment

WNC Healthy Impact | Hospital & Public Health Agency Partnership Network | What are a Community Health (Needs) Assessment? https://www.wnchn.org/wnc-healthyimpact/communityhealthimprovement/

Public Health Accreditation Board

https://phaboard.org/accreditation-recognition/accreditationpreparedness/

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