2018 Community Health Assessment

1. 2018 Community Health Assessment Florida department of Health In Pinellas

2. Methods Primary Data • Multi-sector team • Developed community survey based on existing, validated surveys • Survey research firm used randomized Pinellas cell and landline phone numbers to contact residents • 702 adults sampled, 18 years or older Secondary Data • Collected from various sources for comparison and context, including: • U.S. Census Bureau • Behavioral Risk Factor Surveillance System (BRFSS) • Florida Department of Highway Safety and Motor Vehicles • Florida Agency for Health Care Administration • Substance Abuse and Mental Health Services Administration • Florida Vital Statistics

3. Photovoice In your life, what supports you feeling safe and healthy? Crosswalks should be clearly marked to provide a safe crossing. Peaceful Relaxing - Anclote Key looks like the Caribbean.

4. Photovoice In your life, what are barriers to feeling safe and healthy? I picked this photo because employees of many grocery stores locally smoke near the doors of the establishments. The ash tray cans are seen here. I chose not to take a picture of any employees. Many people are allergic to smoke or have chronic conditions that make breathing difficult. I enjoy fresh air. Homeowners need to take responsibility for keeping their portion of the sidewalk clear of debris and plant growth.

5. Pinellas Demographics Source: U.S. Census Bureau

6. Leading Causes of Death Source: FL Bureau of Vital Statistics

7. Source: FL Bureau of Vital Statistics

8. Chronic Disease Higher Rates Than State Source: FL Health CHARTS, U.S. Census Bureau

9. Chronic Disease Ever been told you had: Heart Attack Stroke 6.8% 8.1% COPD Diabetes 11.0% 11.0%

10. Obesity report being in height/weight category in overweight or obese range 61.4% Source: FL Health CHARTS, BRFSS

11. Cancer Higher Rates Than State Lower Rates Than State Source: FL Health CHARTS, BRFSS

12. Cancer 14.8% 12.5% 10.3% 7.4%

13. Communicable Disease Source: FL Health CHARTS

14. Communicable Disease Source: FL Health CHARTS

15. Communicable Disease 89% Think sex education should be taught in schools

16. Mental Health Source: FL Health CHARTS

17. Mental Health 49.3% 1 in 5 almost or fairly never feel confident 16% 13.8% 14% 5.1% About half (49.3%) of respondents have someone to confide in or talk about themselves and problems withall of the time.

18. Substance Use & Abuse Source: FL Health CHARTS, BRFSS

19. Substance Use & Abuse 1 in 10 28.3% 16.1% 24.1% Report using prescription pain reliever in some way not directed by doctor. Live in a home with at least one person who smokes. Report using some form of prescription pain reliever. Report ever having used cocaine, heroin, or methamphetamine. Source: FL Health CHARTS, BRFSS

20. Maternal & Child Health Source: FL Health CHARTS

21. Maternal & Child Health Source: WIC

22. Injury & Violence Motor Vehicle Traffic Crashes (Rate per 100,000) • 2011-2015 • 63% increase in number of crashes involving drivers 15-19 • 57% decrease in impaired driver fatalities • 65% of pedestrians killed in traffic crashes were walking across illuminated roads at mid-block Source: FL Department of Highway Safety & Motor Vehicles

23. Injury & Violence Source: FL Health CHARTS

24. Built Environment 41.3% 41.4% 30.9% 33.9% Live w/in ½ mile of healthy food source Live w/in ½ mile of fast food restaurant 59.4% 23.3% 43.2% 18.2% Live w/in ½ mile of a park Live w/in ½ mile of a trail system Source: U.S. Census Bureau

25. Built Environment One-third strongly agreed most drivers exceed the posted speed limits Two-thirds disagreed that sidewalks are separated from traffic by parked cars

26. Oral Health Source: FL Health CHARTS

27. Oral Health 55.4% 36.7% of respondents have not visited a dentist in over a year have had one or more teeth removed due to tooth decay or gum disease

28. Access to Care Last Routine Checkup

29. Access to Care

30. Income Minimal litter in neighborhood Neighborhood unsafe - day Neighborhood unsafe – night Has access to mental health services Has insurance • Compared to higher income residents of Pinellas County, lower income residents: • live in neighborhoods with more litter • feel less safe walking in their neighborhoods due to crime • are less likely to have health insurance coverage • are less likely to have access to mental health services • believe formula is the best choice for feeding infants • report worse oral health Believes formula best for infants Has good oral health Prepared by Professional Data Analysts | July 2018 Page 30

31. Age Has a personal doctor or health care provider Has witnessed domestic violence • Younger residents are less likely to have a personal health care provider • Age is associated with witnessing domestic violence, neighborhood safety at night, and cost being a barrier to accessing mental health services. However, those associations do not show an increasing or decreasing trend from young to old. Cost is a barrier to accessing mental health services Neighborhood unsafe to walk at night

32. Race Most often drinks tap (versus bottled) water Compared to non-Hispanic White residents of Pinellas County, non-Hispanic blacks are more likely to drink bottled water than tap water. Geography Neighborhood free from litter Most shopping done at local stores • Among the four areas in the comparison, St. Petersburg-South had the lowest rates of: • shopping at local stores • living in a neighborhood that is free of litter Results from CHNA 2017 Survey. All chi-square associations reported here were significant at p<=.002 (Bonferroni adjusted). Geography was determined by zip code. Some categories were collapsed (e.g. 18-24 with 25-34) in order to increase N for comparisons. The sample size for some of the subgroups – and especially for Black Non-Hispanic – were small, making the analysis underpowered.

33. www.fccdr.usf.edu/pinellas-health-atlas

34. www.fccdr.usf.edu/pinellas-health-atlas

35. www.fccdr.usf.edu/pinellas-health-atlas

36. www.fccdr.usf.edu/pinellas-health-atlas

37. www.fccdr.usf.edu/pinellas-health-atlas

38. www.fccdr.usf.edu/pinellas-health-atlas

39. www.fccdr.usf.edu/pinellas-health-atlas

40. www.fccdr.usf.edu/pinellas-health-atlas

41. www.fccdr.usf.edu/pinellas-health-atlas

42. www.fccdr.usf.edu/pinellas-health-atlas

43. www.fccdr.usf.edu/pinellas-health-atlas

44. www.fccdr.usf.edu/pinellas-health-atlas

45. www.fccdr.usf.edu/pinellas-health-atlas

46. www.fccdr.usf.edu/pinellas-health-atlas

47. www.fccdr.usf.edu/pinellas-health-atlas

48. www.fccdr.usf.edu/pinellas-health-atlas

49. Conclusions & Next Steps • Community Health Improvement Plan (CHIP) • Priority areas will help form basis of CHIP • Access to Care • Mental Health & Substance Abuse • Built Environment • Community Health Action Team (CHAT) • Form goals, strategies, objectives for CHIP • CHA Report and community effort help create awareness and partnerships needed for CHAT • 2019-2020 Community Health Assessment • DOH-Pinellas planning, conducting, and evaluating with nonprofit hospital groups • Pooling of resources and expertise reduce duplication and enhance ability to respond to health needs of the community

50. Find Data www.pinellashealth.com • Report & data to be available for use • Present to stakeholders • Conduct analyses • Engage community members • Apply for funding