Community Health Needs Assessment Focusing on Niles, Harwood Heights, Norridge, Park Ridge and the Edison Park, Norwood Park, Jefferson Park, Forest Glen, Dunning, Portage Park and Irving 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 Niles, Harwood Heights, Norridge, Park Ridge and the Edison Park, Norwood Park, Jefferson Park, Forest Glen, Dunning, Portage Park and Irving 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.
41st Ward Office
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:
+ Mental Health Issues (including strategies to address substance abuse)
A Abiding CARE, Inc. Advanced Vision Specialists Alderman Mary O’Connor, 41st Ward American Cancer Society American Heart Association Belmont-Harlem Surgery Center City of Park Ridge City of Park Ridge Community Health Center Community Health Commission Edgebrook Community Association Health Coach New Hope Community Food Pantry Norwood Park Satellite Senior Center
+ Navigating Health Systems & Local Resources
Norwood Seniors Network
+ Chronic Disease Prevention/Lifestyle
Park Ridge Caregivers in Action
+ Senior Issues
Novartis Pharmaceuticals
Park Ridge Fire Department Park Ridge Police Department
Economic Disparities, Health Literacy, Affordability & Language Barriers will be addressed throughout all priorities and strategies.
Presence Health Pharmacy Services Presence Resurrection Medical Center Presence Resurrection Nursing and Rehab Center Presence Resurrection Retirement Center
Get involved.
Rainbow Hospice
Find out how to volunteer to help strengthen the community.
Regency Rehabilitation Center
+ Call 877.737.INFO (877.737.4636) + Email community@presencehealth.org + Visit presencehealth.org/community
Saint Matthew Center for Health
Resurrection College Prep High School
Saint Paul of the Cross Parish
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of Niles, Harwood Heights, Norridge, Park Ridge and the Edison Park, Norwood Park, Jefferson Park, Forest Glen, Dunning, Portage Park and Irving Park neighborhoods of Chicago—the Presence Resurrection Medical Center service area.
1 in 3
Cancer and heart disease
50%
are the leading causes of death
are overburdened by housing costs
1 in 5
16% are seniors,
are on Medicaid
residents are uninsured
a higher rate than the U.S. average
1 in 5
All communities have lower
1 in 10
suffer from obesity
21% of ER outpatients
are at risk for binge drinking
poverty rates than Chicago overall
residents smoke
3
Presence Resurrection Medical Center
Our Community. The majority of residents are white in all communities but Irving Park.
U.S. 2010 Census, Rob Paral and Associates
Race & ethnicity, 2010
White
Black
Asian
2 or more races
Park Ridge
Norridge
Niles
Harwood Heights
Portage Park
Norwood Park
Jefferson Park
Irving Park
Forest Glen
Edison Park
Dunning
100% 90% 80% 70% 60% 50% 40% 30% 20% 10%
Hispanic/Latino
Some areas measure race and ethnicity separately so that an individual could be counted more than once. Therefore, some totals are greater than 100%.
Top languages spoken by those with limited English, 2006-2010 25%
20%
American Community Survey
15%
10%
5%
Dunning
4
Edison Park
Forest Glen
Irving Park
Jefferson Norwood Park Park
Portage Park
Harwood Heights
Niles
Norridge
Spanish or Spanish Creole
Polish
Tagalog
Russian
Italian
Korean
Vietnamese
Greek
Serbo-Croatian
Other
Park Ridge
% living below poverty line, 2006-2010 8.3 10
Dunning
Households
1.5
Total population in 2010
Children 0–11
6.1
Forest Glen
5 10.8
Irving Park
15.5
Jefferson Park
6.4
3
5.9
Norwood Park
All communities have higher household income and lower poverty rates than the Chicago average, although both Irving Park and Portage Park have high childhood poverty rates.
5 12.3
Portage Park
19 7.4
Harwood Heights
3 6.3
Niles
2 4.5 4
Norridge
2.6
Park Ridge
2 20.9
Chicago
31 13.8
US
19
Median household income, 2006-2010
5%
10%
15%
20%
25%
Rob Paral and Associates, U.S. 2010 Census, American Community Survey, City of Chicago, Illinois Action for Children
374,025
5.1
Edison Park
30%
American Community Survey, City of Chicago
8% 5% Park Ridge
US
5% Norridge
8%
10% Harwood Heights
Niles
11% 7% Portage Park
Jefferson Park
Norwood Park
10% Irving Park
6% Forest Glen
7%
5%
9%
10%
9%
15%
Edison Park
Chicago
Park Ridge
Norridge
Niles
Harwood Heights
Portage Park
Norwood Park
Jefferson Park
Irving Park
Forest Glen
Edison Park
$10,000
Population over 16 unemployed, 2010
Dunning
$46,877
$20,000
American Community Survey, Rob Paral and Associates
$30,000
Dunning
5 communities have unemployment rates that are higher than the U.S. average.
$85,897 $51,906
$50,976
$54,054
$52,356
$40,000
$64,477
$50,000
$54,048
$60,000
$61,584
$70,000
$60,592
$77,678
$80,000
$87,394
$90,000
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.
7.2% ER
In the Presence Resurrection Medical Center service area, almost 22% are uninsured. ce
ur an
s
Urgent Care/Walk-in Center
ER
d
kin
of in
Private Insurance Uninsured Medicare
?
il
yg o
Over 7% use the ER as their primary source of health care.
Illinois Public Health Institute and Presence Health Community Survey
r
er e do
e
s y ou
fam
6
Community Clinic
The majority of survey respondents said that kind of insu their immediate family goes to a doctor’s office for a medical health problem, but 7.2% said they go to the ER. Portage Park and Irving Park had the highest percentage (12%) using the ER, while Park Ridge had the highest percentage (about 82%) who seek care at a doctor’s office.
What kind of health insurance do you have?
Other
Other
where does your family go?
21.6% Uninsured
Medicaid
Private Doctor’s Office
Where does the community come up short?
17% felt that cost prevented them from seeing a doctor. 8% said that there were no providers available based on their insurance or lack thereof.
% of population enrolled in Medicaid, 2010 5%
60068
19%
60630 6%
60631
21%
60634
28%
60641 10%
60646
Dunning, Portage Park and Irving Park have a shortage of mental health services for low-income residents.
13%
60656
14%
60706
Illinois Department of Healthcare & Family Services
What’s preventing people from receiving care?
16%
60714
21%
IL 5%
10%
15%
20%
25%
Ranging from 5% in Park Ridge to 28% in Portage Park and Irving Park, Medicaid enrollment is below the state average in most communities. 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. Top 5 causes of death
Causes of early death. Years of Potential Life Lost (YPLL) defines what is killing residents prematurely and can help determine prevention efforts. In all communities, the leading cause is cancer. Heart disease is second in four communities and unintentional injury is second in three others.
2004-2008 (age-adjusted)
Years of potential life lost, top 5 causes, 2009
Edison Park Forest Glen
54.9 39.7 38.9 124 37.5 31.1 26.7
165.2 169.4
156 49.9 44.5 46.7
197.5
Stroke Unintentional injury
182.9
179.8 173.6
49.5 38.9 37.0 80
120
160
Edison Park Forest Glen Irving Park
475
262
Data for Harwood Heights, Niles, Norridge and Park Ridge is available, but is not age-adjusted so is not directly comparable to the data shown above. The leading causes of death in these four communities are identified as heart disease, cancer, diabetes-related, lung cancer and stroke.
1353
624
1416
766
316 444
241
1790
306 616 838 575
446
Portage Park
200
1503
644 594 594
318
92
1767
865 778
417 407
Norwood Park
170.4 166.3
47.0 45.4 39.5
Dunning
Jefferson Park
170.4 166.4
47 45.4 39.5
40
Diabetesrelated Lung cancer
50.9 56.8 41.8
Norwood Park
8
Cancer (all sites)
155.1
Jefferson Park
US
157.1
57.1 45.1 41.6
Irving Park
Portage Park
Coronary heart disease
City of Chicago
Dunning
179.6
304 200
731
451
589
925 998
402
400
600
1971
800
1000 1200
1405
1400 1600 1800
Cancer (all sites)
Lung Cancer
Unintentional injury
Breast Cancer in Females
Assault, homicide Suicide Coronary Heart Disease
Diabetes-related Stroke
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
City of Chicago
114
Suicide rate 16
16.6
14 12
12.9
10 8
8.7
6
11.2 8.9
6.5
4
4.1
2
Dunning
Edison Park
Forest Glen
Irving Park
5.8
6.5
Jefferson Norwood Portage Chicago Park Park Park
City of Chicago, CDC
Edison Park has the highest suicide rate in the area— 2 ½ times greater than Chicago’s.
per 100,00 (age-adjusted)
US
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
Tuberculosis, average annual new cases per 100,000, 2010
Dunning 1.8
Forest Glen
2.2
Irving Park
9.3 5.5
Jefferson Park Norwood Park
2.2
Portage Park
6.5
Niles
10
Norridge
6.9
Park Ridge
2.6
US
3.6 2
4
6
City of Chicago, Cook County Health Department
Edison Park
2.9
8
5 communities have more average annual new cases of tuberculosis than the U.S. average.
Because communities outside Chicago use different methods to collect and report health-related data, statistics for Harwood Heights, Niles, Norridge and Park Ridge were not available for some categories or a direct comparison was not possible.
9
Status of our health.
The teen birth rate has increased in 5 communities, including Portage Park, where it is highest.
(continued)
Teen birth rate per 1,000, age 15–19, 2000 and 2009
14.6% have been told they have asthma, higher than the national average. Asthma hospitalizations are highest in Portage Park and Irving Park, but all communities have lower rates than the U.S. Asthma hospitalizations
Forest Glen
Jefferson Park Norwood Park
29
Niles 88 Norridge
64.1 37 3.3 28.6 10.0 3.4 35.9 41.7 13 7 10.8 8 9 11
100
60641
Park Ridge City of Chicago, CDC
41
60646
53
60656
111
US 20
10
9.7 6.3
Irving Park
Harwood Heights
86
60634
3.6 3.9
40
60
80
100
120
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
6.8 7 80.5
Chicago
City of Chicago, CDC
60631
Edison Park
Portage Park
per 100,000, age 5-64 (age-adjusted)
60630
21.2 19.9
Dunning
57.0 47.7
US
34.3 10
2000
20
30
2009
40
50
60
70
80
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
33% obese
Our community
28% obese
Chicago
RMC
Metropolitan Chicago Healthcare Council 2012
Obese (BMI 30–39.9)
US
Chicago
US
Portage Park has the highest rate of mental health admission, yet all communities have a lower rate than Chicago. Mental health admission rate for reasons other than substance abuse per 100,000, 2007 (age-adjusted)
1111.6
1000 800 600 400
709.5
641.2 450.4
562 394
200
Dunning
Edison Park
Forest Glen
479.8 351.2
Irving Park
Community Area Health Inventory
1200
Jefferson Norwood Portage Chicago Park Park Park
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
11
Health & behavior. 9% of residents smoke, less than the national average.
20% 15%
16.9%
17.1%
IL
US
14.2% 10%
9%
5 servings of fruits and vegetables are recommended daily, yet only 27% said they ate more than 1 a day.
5%
Community
Chicago
1 in 5 are considered at risk for binge drinking
Illinois Public Health Institute and Presence Health Community Survey
Alcohol consumption—at risk for binge drinking 20%
19.6%
19.5%
15%
18.3% 15.1%
10% 5%
Community
12
Metropolitan Chicago Healthcare Council 2012
Current smokers
Chicago
IL
US
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.
Edison Park has the highest rate of admission for substance abuse and drugs in the service area. Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
149
Edison Park
576.9
Irving Park
230.6
Jefferson Park
207.0
Norwood Park
Portage Park
322.7 Community Area Health Inventory, Chicago Department of Public Health
Dunning
149.9
640.3
Chicago
200
400
600
800
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
13
All communities have a lower food insecurity rate than the U.S. overall. However, 7 communities have a rate of more than 10%.
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.
About 50% of all residents in the Chicago neighborhoods are cost burdened by housing. Residents who pay more than 30% of their income on housing are considered cost burdened.
% of residents cost burdened by home type, 2009
48%
51%
51%
49%
51%
49%
50%
52%
50%
52%
51%
49%
40%
49%
50%
51%
62%
60%
55%
70%
Chicago Rehab Network
30% 20% 10%
Dunning
Edison Park
Forest Glen
Irving Park
Jefferson Park
Data for Harwood Heights, Niles, Norridge and Park Ridge not available.
Norwood Park
Portage Park
Chicago
Renters
Owners
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
20% 15% 10%
13.0%
12.3%
10.4%
5%
Dunning
7.4%
7.8%
Edison Park
Forest Glen
8.9%
Irving Park
13.6%
Portage Harwood Heights Park
14.7%
13.0% 10.5%
8.3%
Jefferson Norwood Park Park
Compared to Chicago overall, the Presence Resurrection Medical Center service area has a relatively low crime rate.
12.6%
Niles
Norridge
Park Ridge
Greater Chicago Food Depository, USDA
% of population experiencing food insecurity, 2009
US
Measuring our health. 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).
Crime data, 2011
6965
per 100,000 residents
6,000
Our community Chicago 4,500
Taking action.
3245
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.
3,000
Homicides
City of Chicago
260
16
3
1074
1,500
Violent crimes
Violent crimes
(against persons)
(against community/ property)
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
7435 West Talcott Avenue Chicago, Illinois 60631