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Community Health Assessment

Community Health Assessment. Tompkins County, NY 2005–2010. Purpose. Describes the health of the community Basis for strategic planning Determine health priorities Data and technical assistance for researchers, community NYSDOH categorical grants Fulfills NYSDOH mandate. CHA Structure.

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Community Health Assessment

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  1. Community Health Assessment Tompkins County, NY 2005–2010

  2. Purpose • Describes the health of the community • Basis for strategic planning • Determine health priorities • Data and technical assistance for researchers, community • NYSDOH categorical grants • Fulfills NYSDOH mandate

  3. CHA Structure

  4. Structure • Demographics • Health Care environment • CHA Core Indicators • Data Analysis • Resources • Opportunities for Action • Figures, Tables, Maps

  5. CHA Core Indicators • Designated by NYSDOH • Healthy People 2010: 15 categories • Article 6 references

  6. CHA Core Indicators (NYSDOH)

  7. Data Sources • Community Health Assessment (CHA) Clearinghouse, NYSDOH • NY Community Health Data Set • County Health Indicator profiles • CHA Indicators (CHAIs), NYSDOH • 13 health topic areas • U.S. Census Bureau

  8. Data Sources: Local • TC Health Department • TC Planning Department • TC Youth Services • Health Planning Council • County Office for the Aging • Cayuga Medical Center • COMPASS II

  9. Working with the data Working with small pops. Using 3-year averages

  10. SMALL POPULATIONS Sampling Error CHA p. 121 (Expanded BRFSS, 2003 - NYSDOH)

  11. SMALL POPULATIONS Distorted Rates • Maternal Mortality: Rate /100,000 live births Total maternal deaths Upstate, 2000-2002… 20 Total maternal deaths Tompkins, 2000-02… 1 CHA p. 148 (NYS Vital Stats)

  12. Working with the data Working with small populations Using 3-year averages

  13. 3-YR AVERAGE Evens out ups & downs CHA p. 128 (TCHD Annual Report, 2001-2003)

  14. 3-YR AVERAGE 1 spike lasts 3 years Deaths in only 2 of 7 yrs Yet, rate >0 in 5 of 7 yrs CHA p. 135 (NYS SPARCS data as of Aug. 2004)

  15. Numbers of Note Demographics

  16. Demographics Special Tab #137 (U.S. Census 2000) • Tompkins County Planning Department • College students + non-college students • Long form question 8a: “at any time since February 1, 2000, has this person attended regular school or college?” • “Yes” for ages 17+ years = college student

  17. Demographics Population Transience • Over half of Tompkins’ 2000 pop. had lived in a different county 5 years earlier. • One-fifth in a different state CHA pp. 20, 31 (U.S. Census 2000: Residence in 1995 for the pop. 5 years and over.)

  18. Demographics Poverty (Individuals) • Tompkins’ individual poverty rate is the highest in the area. • Excl. students, it’s close to the lowest. CHA p. 34 (TC Planning Dept, Spec. Tab 137)

  19. Demographics Median Income • Tompkins’ median household income is below that of NYS; • Tompkins’ median family income > NYS CHA p. 33 (TC Planning Dept, Spec. Tab 137); 2000 Census SF-3 [P77]

  20. Numbers of Note Health Indicators

  21. Age adj. Rate /100,000 female residents, 1997-2001 Breast cancer incidence CHA p. 68 (NYS Cancer Registry data as of Aug. 2004)

  22. Crude Rate /100,000 female residents Breast cancer mortality CHA p. 67 (NYS Vital Statistics data as of Aug. 2004)

  23. Age adj. Rate /100,000 residents, 1998-2002 Colorectal cancer mortality CHA p. 71 (NYS Vital Statistics data as of Aug. 2004)

  24. Prostate Cancer • Tompkins’ incidence rate is significantly higher than both NYS and Upstate (age-adj.) • Mortality rates: the only significant difference is for Tioga County(see chart, next slide) CHA p. 74 (NYS Cancer Registry)

  25. Prostate cancer Incidence rate CHA p. 74 (NYS Cancer Registry)

  26. Prostate cancer: expected Incidence by ZIP CHA p. 74 (NYS Cancer Registry)

  27. New York State Department of Health, New York State Cancer Registry Prostate Cancer Incidence by ZIP Code, New York State, 1994-1998 Tompkins County Expected Observ'd Cancers Cancers # of # of Zip Code Post Office Pct Differ from Expected 13053 Dryden* 9 11.0 15 to 50% below expected 13068 Freeville 6 10.7 15 to 50% below expected 13073 Groton 15 17.1 within 15% of expected 13736 Berkshire* 6 5.4 within 15% of expected 13864 Willseyville* 1 3.0 more than 50% below expected 14817 Brooktondale* 7 6.8 within 15% of expected 14850 Ithaca 173 116.3 15 to 49% above expected 14867 Newfield 15 13.7 within 15% of expected 14 9.3 14882 Lansing* 50 to 100% above expected 14883 Spencer* 14 10.8 15 to 49% above expected 14886 Trumansburg* 17 19.8 within 15% of expected * This ZIP Code crosses county boundaries. The values provided are for the entire ZIP Code, not just the portion in this county Revised:September 2001 Accessed: 11/30/2004 Prostate cancer Expected by ZIP

  28. Prostate Cancer: Expected incidence Late stage incidence CHA p. 75 (NYS Cancer Registry)

  29. Expanded BRFSS, 2003 Diabetes incidence CHA p. 81 (NYSDOH Expanded BRFSS, 2003)

  30. Rate /10,000 residents, 1998-2003 Diabetes related hospitalizations CHA p. 82 (SPARCS data as of Sep. 2004)

  31. BRFSS: Percent residents age 18+ Adult Diabetes in NYS CHA p. 80 (NYS BRFSS as of Dec. 2004)

  32. Average Age adj. Rate /100,000 residents, 2000-2002 Cardiovascular disease mortality CHA p. 101 (NYS Vital Statistics data as of Aug. 2004)

  33. Crude Rate /100,000 residents Diseases of the heart: Mortality CHA p. 102 (NYS Vital Statistics)

  34. Family Planning Birth Rate: /1,000 females age 15-44 CHA p. 88 (NYS Vital Stats 2000-2002)

  35. Births per 1,000 female residents Teens age 15-19 • Tompkins has the lowest teenage birth rates in the area. CHA p. 88 (NYS Vital Stats 2000-2002)

  36. Percent of live births Births to mothers age 30-44 years • Almost half of Tompkins’ births are to mothers age 30–44. CHA p. 92 (NYS Vital Stats 2000-2002)

  37. Average Rate per 1,000 Live Births Postneonatal Mortality (28 days–1 yr.) CHA p. 153 (NYS Vital Stats, 2000-2002)

  38. 2,525 births Postneonatal Mortality (28 days–1 year) 3-year average (Age 28 days–1 yr) CHA p. 155 (NYS Vital Stats as of Aug 2004)

  39. Neonatal + Postneonatal = Infant Infant Mortality (up to age 1 yr.) CHA p. 154 (NYS Vital Stats, 2000-2002)

  40. Percent Child Immunization CHA p. 123 (TCHD Annual Reports)

  41. Percent Tompkins County 3rd graders Oral Health • Caries • Untreated caries • Sealants • Dental visit • Insurance • Flouride supp CHA p. 173

  42. Age. adj. Rate /100,000 residents Suicides CHA p. 133 (NYS Vital Stats 2000-2002)

  43. Age. adj. Rate /100,000 residents Teen suicides CHA p. 134 (NYS SPARCS data as of Aug. 2004)

  44. Priorities

  45. Compass II • Lack of specialty care • Lack of affordable primary care • Lack of money to pay for Rx and doctor visits • Cost of health care premiums • Poverty a critical problem

  46. TCHD • Aging population and need for related services • Emergency preparedness and response • Emerging infectious disease • Reduction in State financial support

  47. Commission for a Healthy CNY • Access to dental care • Obesity • Access to mental health care • Stroke medical management < www.upstate.edu/healthycny >

  48. Online access www.tompkins-co.org /wellness/cha05/ Theresa Lyczko: tlyczko@tompkins-co.org Ted Schiele: tschiele@tompkins-co.org

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