Community Health Needs Assessment Focusing on Des Plaines and Unincorporated Maine Township
2013
Be in the know. This Community Health Needs Assessment is an overview of the health status of those who live in Des Plaines and Unincorporated Maine Township. 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.
Our partners. ACCESS Community Health Network Bethesda Worship Center The Center of Concern City of Des Plaines
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:
Des Plaines Chamber of Commerce & Industry
+ Access to Primary Care
Des Plaines Fire Department
+C hronic Disease Prevention and Management + Food Access, Nutrition and Education
Des Plaines Chiropractic Center
Des Plaines Frisbie Senior Center Des Plaines Public Library Des Plaines School District 62 Former Alderman Patricia K. Beauvais
+M ental Health, Substance Abuse & Gambling
Former Mayor Tony Arredia Frances Manor Lattof YMCA Maryville Academy Oakton Community College Paramount Home Health Presence Ballard Rehabilitation
Get involved.
Presence Holy Family Medical Center
Find out how to volunteer to help strengthen the community.
Salvation Army
+ Call 877.737.INFO (877.737.4636) + Email community@presencehealth.org + Visit presencehealth.org/community
Scott Nolan Psychiatric Hospital – Maryville Self-Help Closet & Pantry of Des Plaines Village Bank & Trust
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of Des Plaines and Unincorporated Maine Township— the Presence Holy Family Medical Center service area.
1 in 10
Tuberculosis rate is 4x higher than suburban Cook County
Diabetes is the 3rd leading cause of death
More than
residents smoke
17% are seniors, a higher rate than the U.S. average
1 in 10 are uninsured
More than ½ of renters are cost burdened by housing
1 in 3 residents are obese
1 in 10 children live in poverty
6.4% are unemployed, a relatively low rate
3
Presence Holy Family Medical Center
Our Community. Race & ethnicity, 2010
The majority of residents are white, but the percentage of Hispanic/Latinos and Asians is increasing.
120% 110% U.S. 2010 Census, Rob Paral and Associates
100% 90% 80% 70% 60% 50% 40% 30% 20% 10%
60016
60018
White
Hispanic/Latino
Asian
Black
2 or more races
Some areas measure race and ethnicity separately so that an individual could be counted as both Hispanic/Latino and as Black or White. Therefore, some totals will be greater than 100%.
Top languages spoken by those with limited English, 2006-2010 20%
American Community Survey
15%
10%
5%
Des Plaines
4
Chicago
US
Spanish or Spanish Creole
Polish
Gujarati
Korean
Tagalog
Italian
Greek
Other
87,789 Total population in 2010
% living below poverty line, 2006-2010 6.2
Des Plaines
Households Children 0–11
10.3
20.9
Chicago
31.1
Suburban Cook County
8.5 12.0 13.8
US
19.2
$70,000
$30,000
$20,000
US
Suburban Cook County
Chicago
Des Plaines
$10,000
American Community Survey, Rob Paral and Associates
$40,000
$51,914
$60,489
$50,000
$46,877
$60,000
$60,875
5%
10%
15%
20%
25%
30%
The unemployment rate in Des Plaines is lower than Chicago, suburban Cook County, state and national averages. Population over 16 unemployed, 2010 15%
10%
5%
11.1% 6.4%
Des Plaines
7.9%
Chicago Suburban Cook County
8.6%
IL
7.9%
American Community Survey, City of Chicago
Median household income 2006-2010
U.S. 2010 Census, Rob Paral and Associates, American Community Survey, City of Chicago, Illinois Action for Children
Household income is slightly higher and poverty rates are lower than suburban Cook County.
US
5
Access to care.
Where do members of your immediate family go when they have a medical health problem?
wh Nationwide, 15% of the ere population do not have doe s yo health insurance. ur f am ily go? Family In the Presence Holy
8.8% ER
Medical Center service area, 14.2% are uninsured.
inte
rpr ete
rs r equ
est ed
where does yourCommunity family go?Clinic Private Doctor’s Office 14.2% Uninsured
kin d f inhealth What kindoof sur anhave? insurance do you ce Private Insurance Medicare Uninsured Medicaid
ER
Almost 9% use the ER as their primary source of health care.
The majority of survey respondents say that their immediate family goes to a doctor’s office for a kind of insura medical health problem, but 8.8% said they go to the ER. Southern Des Plaines (60018) had a higher percentage (11%) using the ER, while northern Des Plaines (60016) had a higher percentage (72%) who seek care at a doctor’s office.
Other Illinois Public Health Institute and Presence Health Community Survey
6
Other
Urgent Care/Walk-in Center
+M ore than 50% of
respondents reported that cost was an obstacle to receiving services. +2 2% found dental care
to be cost prohibitive. + 1 3% felt that cost
% of population enrolled in Medicaid, 2010 25%
25% 20%
15%
22%
21%
17%
10%
5%
60016
60018
Cook County
Illinois Department of Healthcare & Family Services
What’s preventing people from receiving care?
IL
Des Plaines has a lower percentage of Medicaid enrollment than Cook County in general. Southern Des Plaines (60018) has a 5% higher proportion enrolled than northern Des Plaines (60016).
prevented them from seeing a doctor. + 1 1% did not fill
prescriptions due to cost. +6 % said that there
were no providers available based on their insurance or lack thereof.
7
Status of our health. Top 5 Causes of Death Des Plaines Crude Mortality Rates
Coronary heart disease
329.6
Cancer (all sites)
282.2
Diabetesrelated
88.4
77
Stroke
75.3
50
100
150
200
250
CDC
Lung cancer
City of Chicago, CDC
Heart disease and cancer are the top two causes of death, both here and in the U.S. But unlike the rest of the U.S., diabetes is the third leading cause of death.
300
Tuberculosis average annual new cases per 100,000, 2010
14.1 12
8
6.0 4
Des Plaines
8
Chicago
3.7
3.6
Suburban Cook County
US
City of Chicago, Cook County Health Department
16
The average number of new tuberculosis cases is 4x higher than that of suburban Cook County.
Average annual HIV infection rate per 100,000, 2010 40
40.5 30
20
20.6 17.4 10
The annual rate indicates new cases per year and prevalence shows how many individuals are living with HIV.
Des Plaines
Chicago
City of Chicago, CDC
The annual HIV infection rate is slightly higher than the U.S. average, but only half the rate of Chicago. The prevalence rate is significantly lower than both Chicago and the U.S.
US
HIV/AIDS prevalence rate per 100,000, 2010 800
700
756.5
600
500
469.4
400
City of Chicago, CDC
300
200
100
191.1
Des Plaines
Chicago
US
9
Status of our health.
The teen birth rate has decreased and is lower than Cook County and U.S. averages.
(continued)
Teen birth rate
9.7% have been told they have asthma, lower than the national average.
per 1,000, age 15-19, 2000 and 2009
40.1
Des Plaines
2000 2009
27.9
% who have been told they have asthma 80.5 Chicago Des Plaines
9.7 BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
Chicago
57.0
12.4
13.8
US
5%
10%
15%
33.5 Cook County
30.3
47.7 US
10
10
20
30
City of Chicago, CDC
34.3
40
50
60
70
80
More than 1 in 3 are obese, compared to more than 1 in 4 nationally.
Underweight/Normal (BMI 18.5–24.9) Overweight (BMI 25-29.9)
26% obese
36% obese
Our community
Chicago
PHFMC
Chicago
28% obese
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
Obese (BMI 30–39.9)
US
US
9.1% have been told they have diabetes, higher than the national average. % who have been told they have diabetes
8%
9.1%
9.2%
8.7%
6%
4%
2%
Des Plaines
Chicago
City of Chicago Community Area Health Inventory
10%
US
11
Health & behavior.
5 servings of fruits and vegetables are recommended daily, yet only 24% said they ate more than 1 a day.
Illinois Public Health Institute and Presence Health Community Survey
12
1 in 10 people smoke, fewer than Chicago, suburban Cook County, the state and the U.S. overall. Current smokers 20%
18.3%
15%
10%
17.1% 16.9%
14.2% 10.4%
5%
Des Plaines
Chicago
Suburban Cook County
IL
US
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
Over 25% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.
Alcohol consumption— at risk for binge drinking
Des Plaines
17.5%
Suburban Cook County
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
19.5%
Chicago
14.5%
18.3%
IL
US
15.1%
5%
10%
15%
20%
In Des Plaines and unincorporated Maine Township, 17.5% are considered at risk for binge drinking. 13
Almost 15% of Des Plaines residents suffer from food insecurity—a rate similar to the U.S. overall.
Barriers to health.
This means that thousands either do not have enough to eat or don’t know where their next meal is coming from.
Des Plaines had significantly fewer crimes overall as compared to Chicago. Crime data, 2010 per 100,000 residents
0 Our community
Homicides
Chicago
Violent crimes (against persons)
101 1074
1305
Violent crimes (against community/ property)
6965
1,000
2,000
3,000
4,000
5,000
6,000
Homelessness is a major challenge. Although exact numbers are difficult to confirm, homelessness is a significant concern in the service area and a priority issue for Des Plaines.
14
7,000
City of Chicago, Des Plaines Police Department
16
Greater Chicago Food Depository, USDA
% of population experiencing food insecurity, 2009 20%
15%
14.5%
15.4%
14.7%
Des Plaines
Suburban Cook County
US
10%
5%
Measuring our health.
Both renters and homeowners in Des Plaines are more cost burdened by housing than in Illinois or the U.S.
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 Chicago. 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).
% of residents cost burdened by home type, 2009
20%
30%
32%
38%
40% 30%
51%
50%
50%
55%
60%
10%
Des Plaines
IL
Renters
US
Owners
Chicago Rehab Network, American Communities Survey
Residents who pay more than 30% of their income on housing are considered cost burdened.
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
100 North River Road Des Plaines, Illinois 60016