Community Health Needs Assessment Focusing on the Belmont Cragin, Dunning, Hermosa, Jefferson Park, Montclare and Portage Park neighborhoods of Chicago
2013
Be in the know.
Our partners.
This Community Health Needs Assessment is an overview of the health status of those who live in the Belmont Cragin, Dunning, Hermosa, Jefferson Park, Montclare and Portage Park neighborhoods of Chicago. 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.
Belmont-Central Chamber of Commerce
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:
+ Risk Factors for Chronic Disease (obesity, diabetes, hypertension, smoking, healthy eating, active living)
Coalition to Save our Mental Health Centers Hermosa Community Organization Lutheran Social Services of Illinois Mather LifeWays Metropolitan Family Services, North Center Northwest Side Housing Center Old Irving Park Community Clinic Polish American Association
+ Access to Care (mental health, substance abuse, specialty care)
+ Coordination of Care
Portage Park Chamber of Commerce Presence Our Lady of the Resurrection Medical Center PrimeCare Community Health Center
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
Sister Bonaventure Children’s Choice Learning Center
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Dunning, Hermosa, Jefferson Park, Montclare & Portage Park neighborhoods — the Presence Our Lady of the Resurrection Medical Center service area.
42%
suffer from obesity
Enrollment in Medicaid is higher than the state average
50%
of residents are Hispanic/Latino
Cancer and heart disease are the leading causes of death
1 in 3
residents are uninsured
There is a
shortage of mental health services for low-income residents
30%
of Belmont Cragin’s children live in poverty
Unemployment rates are above the U.S. average
30% get no exercise
3
Presence Our Lady of the Resurrection Medical Center
Our Community. Race & ethnicity, 2010
U.S. 2010 Census, Rob Paral and Associates
About half of residents identify as Hispanic/Latino— ranging from 20% in Jefferson Park to nearly 90% in Hermosa.
100% 90% 80% 70% 60% 50% 40% 30% 20% 10%
Jefferson Park White
Portage Park Black
Dunning Montclare Belmont Cragin Asian
2 or more races
Hermosa
Hispanic/Latino
Top languages spoken by those with limited English, 2006-2010 40% 35% 30%
American Community Survey
25% 20% 15% 10% 5%
Jefferson Park
Portage Park
Dunning
Montclare
Belmont Cragin
Spanish or Spanish Creole
Polish
Greek
Italian
Serbo-Croatian
Korean
Tagalog
Arabic
Chinese
Other
German Russian
4
Hermosa
Chicago
US
248,683 Total population in 2010
% living below poverty line, 2006-2010 6 6 12
Portage Park Dunning
38 8
19 19
Belmont Cragin
59 19 50 21
Chicago
19 20%
30%
40%
50%
60%
4 communities have unemployment rates in the double-digits
7.9% US
11.1% Chicago
12.9% Hermosa
11.5% Belmont Cragin
10.8%
8.6% Dunning
5%
Portage Park
10%
10.6%
15%
American Community Survey, City of Chicago
Population over 16 unemployed, 2006-2010
9.0%
US
Chicago
14 10%
Jefferson Park
$51,914
$46,877
$42,418 Hermosa
Belmont Cragin
Montclare
Dunning
Portage Park
Jefferson Park
$10,000
American Community Survey, Rob Paral and Associates
$20,000
$42,842
$30,000
$47,460
$61,584
$40,000
$52,356
$50,000
$60,592
$60,000
31
US
$70,000
Children 0–11
13
Montclare
Hermosa
Median household income 2006-2010
Households
20
U.S. 2010 Census, American Community Survey, City of Chicago, Illinois Action for Children
Jefferson Park
Montclare
Belmont Cragin and Hermosa have the lowest household income, the highest poverty rates and the highest percentage of children living in poverty.
5
Where do members of your immediate family go when they have a medical health problem?
Access to care. Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
9.4% ER
In the Presence Our Lady of the Resurrection Medical Center service area, 33% are uninsured.
Private Doctor’s Office
Other
Community Clinic
Urgent Care/Walk-in Center
where does your family go?
kind
ER
About 1 in 10 people use the ER as their primary source of health care.
of
nce
insu ra
32.9% Uninsured
The majority of survey respondents said that their immediate family goes to a doctor’s office for a medical health problem, but over 9% said they go to the ER. Belmont Cragin and Hermosa had the highest percentage (19%) using the ER, while Jefferson Park had the highest percentage (64%) who seek care at a doctor’s office.
What kind of health insurance do you have? Private Insurance Uninsured Medicare
o?
Illinois Public Health Institute and Presence Health Community Survey
w h e re d o
f
6
e s y our
Other
a m i ly g
Medicaid
kind of insu
Where does the community come up short?
1 in 5 felt that cost prevented them from seeing a doctor. 1 in 10 said that there were no providers available based on their insurance or lack thereof.
There is a disparity of Medicaid enrollment from 19% in Jefferson Park to 41% in Belmont Cragin and Hermosa. % of population enrolled in Medicaid, 2010 45%
41%
40% 35%
28%
30% 25%
There is a shortage of primary care physicians in Belmont Cragin, Hermosa and Montclare.
20%
19%
21%
21%
15% 10% 5%
60630
60634
60639
60641
Illinois Department of Healthcare & Family Services
What’s preventing people from receiving care?
IL
Belmont Cragin, Hermosa, Montclare, Portage Park and Dunning lack mental health services for low-income residents.
7
Status of our health. Cancer and heart disease are the top two causes of death, both here and in the U.S. But unlike the rest of the country, diabetes is among the top 5 causes and is particularly high in Montclare.
Causes of early death. Years of Potential Life Lost (YPLL) defines what is killing residents prematurely and can help determine prevention efforts. The leading cause of YPLL is cancer, except in Hermosa where unintentional injury was the top cause.
Top 5 causes of death
Years of potential life lost, top 5 causes, 2009
155.1
Jefferson Park Portage Park
Cancer (all sites)
135.5 35.1
Coronary heart disease
170.4 166.3
47.0 45.4 39.5
Dunning
Jefferson Park
197.5
50.9 56.8 41.8
181.6
39.9 47.7
Diabetesrelated
Belmont Cragin Hermosa
90.4
40.5 35.2
151.3
Stroke Unintentional injury
167.9 157.6
57.2 40.8 38.8
Breast Cancer in Females
160.3 135.8
58.7 27.7 28.9
40
8
179.8 173.6
49.5 38.9 37.0 80
120
160
Portage Park
200
925 998
304 402
Dunning
Montclare
902
536 523
Belmont Cragin
379
633
478
1767
1041
1320
1073
704 663 654 639 701
400
1405
865 778
407 417
200
197.8
70.3
City of Chicago, CDC
US
52.1 46.4
575
Hermosa
162.7
Chicago
1790 838
Lung cancer
184.4
Montclare
616
306
600
800
City of Chicago, CDC
2004-2008 (age-adjusted)
929
1000 1200
1400 1600 1800
Cancer (all sites)
Coronary Heart Disease
Unintentional injury
Breast Cancer in Females
Assault, homicide Fire-arm related
Diabetes-related Lung Cancer
Suicide rate 16 14
14.1
12
11.2
10 8
8.7
8.9
6 4
City of Chicago, CDC
Montclare has the highest suicide rate— more than 4 times that of Hermosa’s—and higher than Chicago and U.S. averages.
per 100,000 (age-adjusted)
6.5
6.4
5.8
3.3
2
Jefferson Portage Park Park
Dunning Montclare Belmont Hermosa Chicago Cragin
US
Tuberculosis average annual new cases per 100,000, 2010
Jefferson Park
5.5
Portage Park
Montclare
2.9 3.0
Belmont Cragin
9.9
Hermosa
18.1
Chicago US
6.0 3.6 5
10
15
City of Chicago, Cook County Health Department
Dunning
6.5
20
Several communities have more average annual new cases of tuberculosis than the Chicago average. Hermosa’s rate is 3 times that of the city. 9
Status of our health.
The teen birth rate has gone down substantially in Hermosa and Belmont Cragin, but risen dramatically in Jefferson Park.
(continued)
Teen birth rate
14.6% have been told they have asthma, more than the city, state and country.
per 1,000, age 15–19, 2000 and 2009
Jefferson Park
Asthma hospitalizations are almost twice the national rate in Belmont Cragin and Hermosa.
3.3 28.6 35.9
Portage Park
41.7 21.2
Dunning
19.9 54.3
Montclare
Asthma hospitalizations
61.5
per 100,000, age 5-64 (age-adjusted)
60630
86
60634
88
84.2
Belmont Cragin
68.2 100.7
Hermosa
60639
69.7
218
80.5
100
US
111
40
80
120
140
180
220
57.0 47.7
US
34.3
10
2000
10
City of Chicago, CDC
60641
City of Chicago, CDC
Chicago
20
30
40
2009
50
60
70
80
90
100
42% are obese, compared to 28% nationally.
Underweight/Normal (BMI 18.5–24.9) Overweight (BMI 25-29.9)
26% obese
42% obese
Our community
28% obese
Chicago
OLR
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
Obese (BMI 30–39.9)
US
Chicago
US
Hermosa and Belmont Cragin have the highest rates of mental health admissions. Mental health admission rate for reasons other than substance abuse per 100,000, 2007 (age-adjusted)
1111.6
1000 800
875.9
400 200
762.1
709.5
600
450.4
351.2
181.3
100
Jefferson Park
Portage Park
Dunning Montclare Belmont Cragin
Hermosa
Community Area Health Inventory, Chicago Department of Public Health
1200
Chicago
11
Health & behavior.
Current smokers 20% 15% 10%
5 servings of fruits and vegetables are recommended daily, yet only 20% said they ate more than 1 a day.
16.9%
17.1%
IL
US
14.2% 11.4%
5%
Community
Chicago
About 5% are considered at risk for chronic drinking—higher than the Chicago rate and comparable to the U.S. rate.
Illinois Public Health Institute and Presence Health Community Survey
Alcohol consumption—at risk for chronic drinking 6%
4%
5.1%
5.0%
5.0%
4.2%
2%
Community
12
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
About 1 in 10 people smoke, lower than the Chicago and national average.
Chicago
IL
US
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
30% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.
A diagnosis of alcohol abuse was more than 5 times higher at Presence Our Lady of the Resurrection’s ER than the state average. IL COMP Data
Hermosa and Belmont Cragin have the highest rate of admissions for substance abuse and drugs in the area, but are still lower than the Chicago average. Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
Jefferson Park
207.0
Portage Park
149.9
Dunning
149.0
Belmont Cragin
Hermosa
Community Area Health Inventory, Chicago Department of Public Health
474.0
576.0
Chicago
640.3
200
400
600
800
13
Belmont Cragin and Hermosa residents suffer from food insecurity at rates higher than 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.
Despite a crime rate lower than Chicago overall, this area accounts for more than 5% of the city’s violent crime. Crime data, 2011 per 100,000 residents
Drug crimes
Violent crimes (against persons)
3 16 Our community
447
Chicago
1355 462 1074
Violent crimes
3946
(against community/ property)
6965 2611
Minor offenses
4713 7021
Total crimes
12752 1,500
3,000
4,500
6,000
7,500
9,000
10,500
12,000
Homelessness is a major challenge. Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.
14
13,500
City of Chicago
Homicides
20%
17.0%
15%
10.4%
8.9%
5%
Jefferson Park
Portage Park
Dunning
Montclare
49.2% 51.8%
54.6% 48.3%
Hermosa
Chicago
62.1% 50.8%
50.8%
48.8% 50.9%
62.1% 50.8%
48.8% 50.9%
62.1%
70%
Taking action. Chicago Rehab Network
30% 20%
Belmont Cragin
Montclare
Dunning
Portage Park
Jefferson Park
10%
Renters
Owners
US
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
40%
Hermosa
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.
Residents who pay more than 30% of their income on housing are considered cost burdened. Home owners were more likely than renters to be cost burdened in all areas.
50%
Belmont Cragin
Measuring our health.
Almost 50% of residents in all areas are cost burdened by housing.
60%
14.7%
13.6%
12.3%
10%
18.5%
Greater Chicago Food Depository, USDA
% of population experiencing food insecurity, 2009
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
5645 West Addison Street Chicago, Illinois 60634