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Topeka Community Health Assessment

Topeka Community Health Assessment. Dallas Dooley Dana Hogan. Sociodemographic Information. Topeka’s Population in 2009= 124,331 Increase of 1.6% from 2000 Female= 64,634 Male= 59,697 Median Age= 36.5 years old. Sociodemographic Health Issues. White alone - 88,620 (71.3%)

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Topeka Community Health Assessment

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  1. Topeka Community Health Assessment Dallas Dooley Dana Hogan

  2. Sociodemographic Information • Topeka’s Population in 2009= 124,331 • Increase of 1.6% from 2000 • Female= 64,634 • Male= 59,697 • Median Age= 36.5 years old

  3. Sociodemographic Health Issues • White alone - 88,620 (71.3%) • Hispanic - 15,022 (12.1%) • Black alone - 13,396 (10.8%) • Two or more races - 4,661 (3.7%) • Asian alone - 1,264 (1.0%) • American alone - 1,124 (0.9%) • Other race alone - 148 (0.1%) • Native Hawaiian and Other Pacific Islander alone - 116 (0.09%) • Read more: http://www.city-data.com/city/Topeka-Kansas.html#ixzz1ZB4JHWav

  4. Sociodemographic Information • Median Household Income- $39,109 • Average Home Value- $107,060 • Increase from 2000- $67,700 • Average Rent- $642

  5. Unemployment Rates • Topeka = 7.1% • United States= 8.5%

  6. Demographics • Elevation- 1000 ft above sea level • Land Area- 56 sq miles • Pop. Density- 2220 people per sq. mile • Manhattan, New York, 66,000 per sq. mile

  7. Topeka Crime RateCrimes per 100,000 people

  8. Primary Health Issues • Cardiovascular Disease is the leading cause of death in Kansas and the United States • Two components of Cardiovascular Disease • Coronary Heart Disease • Stroke

  9. Cardiovascular Disease • Disease Kansas (2003) ¶Kansas Females (2003) ¶U.S Females (2002) ¶¶ • CHD 136.0/100,000* 102.1/100,000* 142/100,000* • Stroke 56.5/100,000* 54.5/100,000* 55/100,000*

  10. Primary Health Issues • Hypertension • 11.7% of adults age 25-44 years old had hypertension • 32.6% of adults age 45-64 years old had hypertension • 54.3% of adults aged 65 and older had hypertension. • Scientific evidence has shown that adequate control of hypertension reduces the risk of CVD and death due to CVD. • 24.0% of hypertensive patients reported that they were not currently taking medicine for their high blood pressure.

  11. Primary Health Issues • Hyperlipidemia or High Cholesterol • In 2004, among Kansans who had ever been tested for serum cholesterol levels, almost 1/3 (29.4%) were told by their health care provider that they had high serum cholesterol levels. • Diabetes • In 2004, 6.4% of Kansans have been diagnosed with diabetes, which was approximately 130,689 adult Kansans. • Highest prevalence of diabetes was seen in African Americans (12.1%)

  12. Primary Health Issues • Smoking • In 2004, 19.8% of Kansans currently smoked cigarettes. • In 2002, • 5% reported cigar use. • 10.5% of males used chewing tobacco or snuff. • · According to the 2002 Youth Tobacco Survey: • 1 in 5 high school students and 6% of middle school students

  13. Primary Health Issues • Obesity • Overweight is idefinedas having a Body Mass Index (BMI) between 25- 29.9. Obese is defined as having a BMI greater than or equal to 30. • In 2004, 60.9% of adults were overweight or obese. • 40% of adults between 45-64 years of age and 44% of adults 65 years and older were overweight. • In 2004, 22.3% of adults were obese compared with only 13% in 1992. • Highest prevalence of obesity was seen among African Americans with 1/3 of this population being obese.

  14. Gap Analysis • Increased homelessness and poverty rates • Shawnee County Health Agency (SCHA) and the Marian clinic are over booked, under staffed, and unable to keep up with demand. • High provider to patient ratios • Shawnee County Primary Care Providers (PCP) to patient ratio is 1 : 1500 • Surrounding primarily rural counties (Wabaunsee, Pottawatomie, and Jackson) ratio of 1 : 1500-3500 while Osage ratio is 1 : >3500

  15. Gap Analysis • Aging health care personnel • 40.93 percent of those Registered Nurses (RN's) working full time in the state of Kansas are 56 years old or older • In the state of Kansas this shortage due to age and decrease of new RN's will increase the nursing deficit from 351 RN's per 100,000 citizens to 1,950 per 100,000 citizens • Lack of disease prevention and health promotion • Shortage of staffing, harsh economic times, and an increase in age for both citizens and patients results in a gap • Both PCP's and RN's lack the time that it takes to properly address chronic conditions and educate the patients • Vicious circle resulting in an increased need for more providers secondary to poor prevention education

  16. Strategies Increased funding for careers in health care  Increased number of staff  Increased time with patients for education  Decreased knowledge deficit of patients  Increased health promotion and disease prevention  Less health care needs and cost of care

  17. References • City Data, (2011, October 1). Topeka, Kansas. Retrieved from http://www.city-data.com/city/Topeka-Kansas • City of Topeka. (2011). History and landmarks of Topeka. Retrieved from http://www.topeka.org/planning/landmarks_comm.shtml • Community Resource Council, (2011). 2009 Shawnee County Progress Report. Topeka, KS: Community Resources Council. • Community Resource Directory (36th ed.). (2009). Topeka, Kansas: Community Resources Council of Shawnee County, Inc. • Kansas Association for the Medically Underserved (2011). 2011 directory of Kansas community health centers and primary care clinics. KS: KAMU. • Kansas Association for the Medically Underserved . (2011, October 1). Kansas Safety Net Clinics. Retrieved from http://www.kspca.org/ • Kansas Department of Health and Environment. (2010). Registered nurse shortages predicted in the US and Kansas for 2010 and 2020. Retrieved from Kansas Department of Health and Environment: http://www.kdheks.gov • Kansas Department of Social and Rehabilitation Services. (2010, June 3). Srs services.Retrieved from http://www.srs.ks.gov/services/Pages/default.aspx • Kansas Heart Disease and Stroke Prevention Program. (n.d.). Cardiovascular disease in Kansas. Retrieved from http://www.kdheks.gov/cardio/download/CVHFACT06.pdf • State Health Access Data Assistance Center. (2011, August). Primary care provider capacity analysis: Potential gaps in the availability of primary care physicians under health reform (Issue Brief). Retrieved from State Health Access Data Assistance Center: http://www.shadac.org • United States Department of Labor: Bureau of Labor Statistics. (n.d). http://www.bls.gov

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