Community Health Needs Assessment Focusing on the Avondale, North Center, Lakeview and Lincoln Park neighborhoods of Chicago
2013
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Our partners.
This Community Health Needs Assessment (CHNA) is an overview of the health status of those who live in the Avondale, North Center, Lakeview and Lincoln 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.
Alderman James Cappleman, 46th Ward Alderman Michele E. Smith, 43rd Ward Alderman Thomas M. Tunney, 44th Ward American Cancer Society Avondale Neighborhood Association CJE SeniorLife Campaign for Better Health Care
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:
Catholic Charities
+C hronic Disease Prevention & Management
DePaul University
+E conomic Disparities & Access to Health Care
Healthy Schools Campaign
+ Mental Health Issues +P overty, Homelessness & Affordable Housing Health Literacy & Language Barriers will be addressed throughout all priorities and strategies.
Chicago Hispanic Health Coalition Cook County Commissioner Bridget Gainer, 10th District
Gilda’s Club- Chicago The Hallmark
Holy Covenant United Methodist Church Lakeview Citizens Council Lakeview East Chamber of Commerce Lakeview Pantry Lakeview Resident Claretta Meier Lincoln Park Chamber of Commerce Northside Latin Progress Presence Saint Joseph Hospital Presence Saint Joseph Hospital Labourè Clinic
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
Rainbow Hospice and Palliative Care Rotary Club of Lakeview SeniorBridge State Bank of Countryside-Lakeview State Representative Sara Feigenholtz, 12th District
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of the Avondale, North Center, Lakeview & Lincoln Park neighborhoods —the Presence Saint Joseph Hospital service area.
1 in 5 residents smoke
Nearly half of residents are
Cancer and heart disease are the leading causes of death
suffer from obesity
1 in 5
Lakeview’s
at risk for binge drinking
residents are uninsured
2/3
There is a
of Avondale residents identify as Hispanic/Latino
20%
shortage of mental health services for low-income residents
HIV rate is 4x higher than surrounding areas
25% get no exercise
3
Presence Saint Joseph Hospital
Our Community. Race & ethnicity, 2010 100% 90% 80% 70% 60% 50% 40% 30% 20% 10%
U.S. 2010 Census, Rob Paral and Associates
2/3 of Avondale residents identify as Hispanic/Latino, while the other neighborhoods are over 2/3 white.
North Center White
Lakeview Black
2 or more races
Lincoln Park
Avondale
Asian Hispanic/Latino
Top languages spoken by those with limited English 2006-2010 40% 35% 30%
Spanish or Spanish Creole American Community Survey
25% 20% 15% 10% 5%
North Center
4
Lakeview
Lincoln Park
Avondale
Chicago
US
Polish Chinese Russian German Other
229,613 Total population in 2010
% living below poverty line, 2006-2010 7.1
North Center
12.0 Households
Lakeview
10.5 8.0
Lincoln Park
11.8 11.0 14.6
Avondale
48.0 20.9
Chicago
31.0 13.8
US
US
Chicago
Avondale
Lincoln Park
Lakeview
North Center
$10,000
20%
30%
40%
50%
60%
In Avondale, almost 15% are unemployed. Population over 16 unemployed, 2010 15%
14.6% 10%
11.1% 7.9%
5%
4.5%
4.7%
4.5%
North Lakeview Lincoln Avondale Chicago Center Park
American Community Survey, City of Chicago
$46,519
$30,000 $20,000
$51,914
$50,000 $40,000
$46,877
$60,000
$70,746
$70,000
$81,524
$80,000
$82,707
$90,000
19.0 10%
American Community Survey, Rob Paral and Associates
Median household income 2006-2010
Children 0–11
U.S. 2010 Census, American Community Survey, City of Chicago, Illinois Action for Children
3 communities have high household income and low poverty rates, while Avondale has a lower household income rate and more people living in poverty—especially children.
US
5
Access to care.
Where do members of your immediate family go when they have a medical health problem?
Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
11.8% ER
In the Presence Saint Joseph Hospital service area, 19% are uninsured. kind of insurance Private Doctor’swhere Office does your Community Clinic family go? ER
Other
Urgent Care/Walk-in Center
What kind of health insurance do you have? Private Insurance Medicare Uninsured
The majority of survey respondents say that their immediate family goes to a doctor’s office kind of insu for a medical health problem, but almost 12% said they go to the ER. Lincoln Park had the highest percentage (20%) using the ER, while Lakeview had the highest percentage (83%) who seek care at a doctor’s office.
where does your family go?
19.3% Uninsured
1 in 10 people use the ER as their primary source of health care.
Medicaid Other
interpreters 6
Illinois Public Health Institute and Presence Health Community Survey
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.
Lakeview, Lincoln Park & North Center have a much lower percentage than average enrolled in Medicaid while Avondale’s rate is significantly higher.
% of population enrolled in Medicaid, 2010 25%
22.4%
20%
In Avondale, there is a shortage of primary care physicians.
20.7%
15% 10% 5%
8.5%
4.7%
60613
60614
2.9% 60618
60657
Illinois Department of Healthcare & Family Services
What’s preventing people from receiving care?
IL
All areas have a shortage of mental health services for low-income residents, consistent with most neighborhoods in Chicago.
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. Of note, in Avondale, unintentional injury is one of the top five causes, while lung cancer is not.
Causes of early death. Years of Potential Life Lost (YPLL) defines what is killing residents prematurely and can help determine prevention efforts. Homicide and liver disease are leading causes in Avondale, while suicide is among the top in other areas.
Years of potential life lost, top 5 causes, 2009 Top 5 causes of death
North Center Lakeview Lincoln Park
North Center
142.8 54.3 45.1 43.0
Coronary heart disease
130.0 135.2
35.3 32.7 23.3
152.1 154.4
51.4 38.7 39.2
Diabetesrelated Stroke Unintentional injury
162.7
US
52.1 46.4
197.8
70.3
179.8 173.6
49.5 38.9 37.0 40
80
338 192 165
761 411
120
160
200
257
1311
693 379 400
600
800
1000
1200
1400
Cancer (all sites)
Suicide
Unintentional injury
Lung Cancer
Assault, homicide
Breast Cancer in Females
Coronary Heart Disease
8
591 543
733
Avondale 200
City of Chicago, CDC
Chicago
Lincoln Park
435
300
148
1042
456
Lung cancer 120.9
47.5 41.0 35.0
Lakeview
Cancer (all sites)
155.9
Avondale
272 263
161.3
384
Liver Disease
City of Chicago, CDC
(age-adjusted for 2004-2008)
Suicide rate per 100,000, 2004-2008 (age-adjusted) 12
11.2
10 8
8.5
7.8
6
6.0
4
6.1
6.5 City of Chicago
Lakeview has the highest suicide rate in the area—higher than the Chicago average.
2
North Center
Lakeview
Lincoln Park
Avondale Chicago
US
Average annual HIV infection rate per 100,000, 2010 70 60
65.2
40
40.5
30
14.0
20 10
12.7
17.4
17.3 North Center
Lakeview
Lincoln Park
Avondale Chicago
City of Chicago, CDC
50
US
HIV/AIDS prevalence rate per 100,000, 2010 1400 1200
800
756.5
600 400 200
348.3 North Center
299.5 Lakeview
Lincoln Park
366.8 Avondale Chicago
469.4
City of Chicago, CDC
1170.9
1000
US
Lakeview has a very high rate of annual HIV infection and prevalence of HIV/AIDS far above the city rate. The annual rate indicates new cases per year and prevalence shows how many individuals are living with HIV. With newer treatments, people are living much longer, so a high prevalence rate may indicate a high risk for infection, but may also signify success, in that people are getting the treatment they need. 9
Status of our health.
The teen birth rate has gone down in all areas, although Avondale’s is still above the Chicago average and Lincoln Park’s is especially low.
(continued)
16.7% have been told they have asthma, more than the city, state and country.
Teen birth rate per 1,000, age 15-19, 2000 and 2009
40.8
North Center
All 4 communities had fewer asthma hospitalizations than the national rate.
8.4
35.6 Lakeview 15.8
Lincoln Park
12.5 2.1
Asthma hospitalizations per 100,000, age 5-64 (age-adjusted)
79.6 Avondale 63.4
North Center
63 80.5 Chicago
66
57.0
Lincoln Park
101
47.7
City of Chicago, CDC
Lakeview
US 34.3
111
US
20
10
City of Chicago, CDC
71
Avondale
40
60
80
100
120
10
2000
20
30
40
2009
50
60
70
80
90
Almost 1 in 5 are obese, compared to more than 1 in 4 nationally.
Overweight (BMI 25-29.9) Obese (BMI 30–39.9)
26% obese
Our community
Chicago
PSJH
Chicago
28% obese
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
20% obese
Underweight/Normal (BMI 18.5–24.9)
US
US
Lincoln Park has the highest rate of mental health admission in the area.
per 100,000, 2007 (age-adjusted) 1200 1000
1111.6
800 600
714.9
798.5
905.8 580.9
400 200 0
North Center
Lakeview
Lincoln Park
Community Area Health Inventory
Mental health admission rate for reasons other than substance abuse
Avondale Chicago
11
Health & behavior.
Current smokers 25% 20% 15%
19.7%
16.9%
17.1%
IL
US
14.2%
10% 5%
Community
Chicago
Nearly half of the people in the area are considered at risk for binge drinking.
Illinois Public Health Institute and Presence Health Community Survey
Alcohol consumption— at risk for binge drinking 50% 40%
47.3%
30% 20% 10%
Community
12
19.5%
18.3%
15.1%
Chicago
IL
US
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
5 servings of fruits and vegetables are recommended daily, yet only 30% said they ate more than 1 a day.
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
1 in 5 people smoke, higher than the national average.
25% get no exercise in a normal week and only 1 in 10 get the recommended 30 minutes per day.
A diagnosis of alcohol abuse was 3 times higher at Saint Joseph’s ER than the state average.
IL COMP Data
Lakeview has the highest rate of admission for substance abuse and drugs in the area, but still lower than the Chicago average. Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
North Center
239.9
Lakeview
370.2
Lincoln Park
Avondale
219.6
Chicago
640.3
200
400
600
Community Area Health Inventory, Chicago Department of Public Health
239.6
800
13
People in Avondale are more than twice as likely to experience food insecurity as others in the area.
Barriers to health.
This means that almost 20% of Avondale residents either do not have enough to eat or don’t know where their next meal is coming from.
Compared to the rest of Chicago, the Presence Saint Joseph Hospital service area has a relatively low crime rate. Crime data, 2011 per 100,000 residents
Drug crimes
Violent crimes (against persons)
3 16 274
Our community
Chicago
1355 430 1074
Violent crimes
4997
(against community/ property)
6965 2329
Minor offenses
4713 7757
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 Data Portal
Homicides
Greater Chicago Food Depository, USDA
% of population experiencing food insecurity, 2009 20%
19.8% 15%
14.7% 10%
9.9%
9.7%
10.2%
5%
North Center
Lakeview Lincoln Park
Avondale
US
Measuring our health.
At least 1/3 of residents are cost burdened by housing, 1/2 in Avondale.
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. Renters were more likely to be cost burdened in all areas except Avondale.
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
54.6% 48.3% Chicago
Avondale
10%
North Center
Taking action. Chicago Rehab Network
42.0% 33.1% Lincoln Park
20%
42.0% 33.1%
30%
Lakeview
40%
49.6% 47.0%
50%
49.2% 51.8%
60%
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. Renters
Owners
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
2900 N. Lake Shore Drive Chicago, Illinois 60657