Community Health Needs Assessment Focusing on the West Town, Belmont Cragin, Hermosa, Logan Square and Humboldt Park neighborhoods of Chicago
2013
Be in the know. This Community Health Needs Assessment is an overview of the health status of those who live in the Belmont Cragin, Hermosa, Humboldt Park, Logan Square and West Town 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. 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:
+ Safety, Violence, Jobs, Education
Our partners. Block by Block Block Club Federation Casa Central CeaseFire Chicago Health Care Alternative Systems, Inc. Healthy Schools Campaign Logan Square Neighborhood Association Maternity B.V.M. Parish and School
+ Mental Health & Substance Abuse + Obesity & Diabetes: Prevention & Management + Health Literacy Economic Disparities & Language Barriers will be addressed throughout all priorities and strategies.
Near Northwest Neighborhood Network Our Urban Times Presence Saints Mary and Elizabeth Medical Center PrimeCare Community Health Center Puerto Rican Cultural Center St. Joseph Services
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
TSA Partners
Facts & Findings. Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Hermosa, Humboldt Park, Logan Square & West Town neighborhoods—the Presence Saints Mary and Elizabeth Medical Center service area.
1 in 5
Nearly half of Humboldt Park’s
34%
residents smoke
children live in poverty
suffer from obesity
Cancer and heart disease
1 in 4
1 in 2 ER outpatients
are the leading causes of death
residents are uninsured
60%
All areas but West Town have a
of residents are Hispanic/Latino
shortage of primary care doctors
are on Medicaid
1 in 4
people in Humboldt Park suffer from food insecurity
3
Presence Saints Mary and Elizabeth Medical Center
Our Community. Race & ethnicity, 2010 100% 90% 80% 70% U.S. 2010 Census, Rob Paral and Associates
The majority of residents identify as Hispanic/Latino, including nearly 90% in Hermosa.
60% 50% 40% 30% 20% 10%
Belmont Cragin White
Hermosa
Logan Square
Black
2 or more races
Humboldt Park
West Town
Asian Hispanic/Latino
Top languages spoken by those with limited English 2006-2010 40% 35% 30%
American Community Survey
25% 20% 15% 10% 5%
Belmont Cragin
4
Hermosa
Logan Square
Humboldt Park
West Town
Chicago
US
Spanish or Spanish Creole Polish Other Slavic languages Tagalog Other
315,103 Total population in 2010
% living below poverty line, 2006-2010 19
Belmont Cragin
30 19
Hermosa
32 33
Humboldt Park
48 16 28 21 31 14
US
19 10%
20%
30%
40%
50%
3 communities have high unemployment rates. Population over 16 unemployed, 2010 15%
10%
11.5%
12.9%
12.3% 7.5%
5%
Belmont Hermosa Cragin
11.1% 7.9%
6.0%
Logan Humboldt West Square Park Town
Chicago
American Community Survey, City of Chicago
$46,877
$51,914 US
West Town
$29,605 Logan Square
Hermosa
Belmont Cragin
$10,000
Humboldt Park
$20,000
$49,610
$30,000
$42,418
$40,000
$42,842
$50,000
Chicago
$60,720
$60,000
American Community Survey (S1903), Rob Paral and Associates
Chicago
$70,000
Children 0–11
17
Logan Square
West Town
Median household income 2006-2010
Households
25
U.S. 2010 Census, American Community Survey, City of Chicago, Illinois Action for Children, Rob Paral and Associates
Humboldt Park has the lowest household income, the highest poverty rate and the highest percentage of children living in poverty. All areas had poverty rates above the national average.
US
5
Where do members of your immediate family go when they have a medical health problem?
oes y o u r fam ily g
20.8% ER
interpreters requested o?
kind o f in
Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
wher ed
Access to care.
suran
our family go?Presence Saints Mary In the ce
and Elizabeth Medical Center service area, 27% are uninsured. Private Doctor’s Office
Community Clinic
ER
Other
Urgent Care/Walk-in Center
d
ueste
int e r p r e ters r eq
27% Uninsured
What kind ofkind health of insurance insurance do you have? Private Insurance Medicare Uninsured Medicaid
1 in 5 people use the ER as their primary source of health care. Nearly half of survey respondents say that their immediate family goes to a doctor’s office for a medical health problem, but over 20% said they go to the ER. An additional 20% said that they receive care at community clinics. Logan Square and Humboldt Park had the highest percentage (27%) using the ER, while West Town had the highest percentage (49%) indicating that they seek care at a doctor’s office.
Other Illinois Public Health Institute and Presence Health Community Survey
6
Where does the community come up short?
1 in 5 felt that cost prevented them from seeing a doctor. 13% said that there were no providers available based on their insurance or lack thereof.
There is a disparity of Medicaid enrollment from just 6% in West Town to 47% in Humboldt Park. % of population enrolled in Medicaid, 2010 50% 45%
47%
40%
41%
35% 30%
31%
25%
There is a shortage of primary care physicians in all areas. In West Town the shortage is only among low-income residents.
20%
23%
21%
15% 10% 5%
6% 60622
60639
60642
60647
60651
Illinois Department of Healthcare & Family Services
What’s preventing people from receiving care?
IL
Belmont Cragin, Hermosa and Logan Square lack mental health services for low-income residents, while Humboldt Park and West Town have a shortage for all residents.
7
Status of our health.
But unlike the rest of the country, diabetes is among the top 5 causes of death. Of note, Humboldt Park has unusually high rates of cancer and unintentional injury.
Causes of early death. Years of Potential Life Lost (YPLL) defines what is killing residents prematurely and can help determine prevention efforts. This measure shows the severe burden of homicide, unintentional injury and the effects of firearms—especially in Humboldt Park. Years of potential life lost, top 5 causes, 2009
Top 5 causes of death Belmont Cragin
(age-adjusted for 2004-2008)
Hermosa Logan Square
57.2 40.8 38.8
27.7 28.9
US
Cancer (all sites)
160.6
Diabetesrelated
204.5
87.4
50.6 58.4
101.9
34.1 35.7
176.1 148.6
Unintentional injury
100
Logan Square
988 893
513 469 406
Humboldt Park
932
150
West Town
400
600
1676 1587
904 821
473 436 553 200
1190
1420
800
1000
1200
1400
1600
197.8
179.8 173.6
49.5 38.9 37.0
Stroke
929
654 639 701
Lung cancer
70.3 52.1 46.4
50
8
Coronary heart disease
155.3 151.9
162.7
Chicago
704 663
160.3 135.8
77.7
1073
633
Hermosa
58.7
40.7 36.8
Humboldt Park West Town
167.9 157.6
200
City of Chicago
Belmont Cragin
478 379
City of Chicago
Cancer and heart disease are the top two causes of death, both here and in the U.S.
Cancer (all sites)
Fire-arm related
Unintentional injury
Coronary heart disease
Assault, homicide
1800
Suicide rate per 100,000 (age-adjusted) 12
11.2
10
Suicide rates in all areas are well below U.S. averages.
8
6.7
6.4
4
4.9
6.5 City of Chicago
6
4.1
3.3
2
Belmont Hermosa Logan Humboldt Cragin Park Square
West Town
Chicago
US
Average annual HIV infection rate per 100,000, 2010
43.5
40.5
30
29.9
20 10
21.5
17.4
12.7 Belmont* Hermosa* Logan Humboldt Park Cragin Square
West Town
Chicago
City of Chicago, CDC
50 40
US
*Too few cases were reported to calculate an average.
HIV/AIDS prevalence rate per 100,000, 2010
521.8
400 200
756.5
655.1
200.7
493.7
469.4
339.9
Belmont Hermosa Logan Humboldt Cragin Square Park
West Town
Chicago
City of Chicago, CDC
800 600
US
Humboldt Park has a very high rate of annual HIV infection, above the city and U.S. 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 substantially, although all areas are still above the U.S.
(continued)
Teen birth rate per 1,000, age 15-19, 2000 and 2009
84.2
Belmont Cragin
Almost 20% of people in the Presence Saints Mary and Elizabeth Medical Center service area have been told they have asthma, more than the city, state and country.
68.2
100.7 Hermosa 69.7
95.7
Logan Square
66.1
116.6
Humboldt Park
77.9
Asthma hospitalizations, 2011 per 100,000, age 5-64 (age-adjusted)
80.5
West Town 60622
49.2
245 80.5 Chicago
218
57.0
245
60642
47.7
City of Chicago, CDC
60639
US 60647
City of Chicago, CDC
111
50 100 150 200 250 300 350 400 450 500
10
20
462
60651
US
34.3
263
2000
40
2009
60
80
100
120
More than 1 in 3 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
PSMEMC
Chicago
28% obese
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
35% obese
Underweight/Normal (BMI 18.5–24.9)
US
US
Both Humboldt Park and West Town have higher rates of mental health admission than Chicago overall. Mental health admission rate for reasons other than substance abuse per 100,000, 2007 (age-adjusted) 1400
1526.8
1200
1346.2
1000 800 600
1111.6
1102.0 762.1
875.9
400 200 100
Belmont Hermosa Cragin
Logan Humboldt Square Park
West Town
Community Area Health Inventory, Chicago Department of Public Health
1600
Chicago
11
Health & behavior.
Smoking status 25%
15%
19.3%
16.9%
17.1%
IL
US
14.2%
10% 5%
Community
Chicago
About 1/3 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% 30%
30.9%
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 15% said they ate more than 1 a day.
20%
BRFSS 2009, Metropolitan Chicago Healthcare Council 2012
Nearly 1 in 5 people smoke, higher than the national average.
25% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.
Humboldt Park has the highest rate of admission for substance abuse and drugs in the area—triple the Chicago average. Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
Belmont Cragin
474.0
Logan Square
Community Area Health Inventory, Chicago Department of Public Health
576.0
Hermosa
548.5
Humboldt Park
1976.1
West Town
790.9
640.3
Chicago
200
400
600
800
1000
1200
1400
1600
1800
2000
13
1 in 4 people in Humboldt Park suffer from food insecurity and all areas have rates equal to or higher than the U.S.
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 crime rates that are slightly lower than citywide rates, 10% of Chicago’s drug-related and violent crime occurs in the service area. Crime data, 2011 per 100,000 residents
Drug crimes
Violent crimes (against persons)
10 16 1177
Our community
Chicago
1355 905 1074
Violent crimes
6694
(against community/ property)
6965 4224
Minor offenses
4713 11823
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 30% 25%
25.8%
20% 15%
17.0%
18.5%
17.2%
14.7%
10%
14.7%
5%
Belmont Hermosa Logan Humboldt West Park Cragin Town Square
US
Measuring our health.
Almost 50% of residents in all areas are cost burdened by housing, 70% in Humboldt Park.
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.
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 80%
Taking action.
Chicago Rehab Network
54.6% 48.3%
49.2% 51.8%
68.6% 71.6% 49.2% 51.8% Logan Square
40%
49.2% 51.8%
50%
Hermosa
60%
50.8% 62.1%
70%
30% 20%
Renters
Owners
Chicago
West Town
Humboldt Park
Belmont Cragin
10%
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
2233 West Division Street Chicago, Illinois 60622