Community Health Assessment

1. San Joaquin County Community Health Assessment 2004 - 2005

2. Background of the Project • San Joaquin Community Health Assessment Collaborative formed in 2004. • Grown to over 25 agencies with 8 financial sponsors. • Purpose: to produce a functional and comprehensive health profile. • Overall goal: inform and engage local stakeholders and community members in order to promote and develop collaborative efforts based on reliable data, community input and group consensus.

3. Focus Areas • Chronic disease (diabetes, asthma, obesity) • Emergency services utilization • Adolescent / youth health

4. Form a Steering Committee Step 1 Update the Report Regularly DevelopProject Methodology Step 2 Step 10 Encourage Community Action CreateWorking Committees Step 3 Step 9 Develop Community Goals and Benchmarks Identify PotentialQuality of Life Indicators Step 4 Step 8 Publish andPromote the Report Collect Secondary Data Conduct Community Surveys Step 7 Step 5 Step 6 Analyze Results Community Assessment Project San Joaquin County

5. Methodology • English and Spanish telephone surveys were completed with over 400 randomly selected county residents. • Face-to-face surveys with over 2,200 participants were collected at 46 different sites and community agencies throughout the county. • Secondary (pre-existing) data were collected for over 15 heath indicators from a variety of sources.

6. Findings

7. Access to Health Care If you needed health care in the last 12 months, were you able to receive it? Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

8. Telephone Survey Face-to-Face Survey No insurance No insurance 82.6% 52.8% Could not afford it Could not afford it 30.8% 73.3% Did not know where to go Didn’t know where to go 34.7% 17.9% Insurance would not cover it Transportation issues 21.6% 16.8% Transportation issues Unable to communicate due to language differences 16.6% 21.1% Access to Health Care If you were not able to receive health care in the last 12 months, why not? (Top 5 responses) Multiple response question with 17 respondents offering 52 responses Multiple response question with 386 respondents offering 783 responses Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

9. Health Insurance Coverage Residents who currently have health insurance coverage, by age, 2003 Healthy People 2010 Objective: 100% of residents under 65 years will have health insurance. Source: 2003 California Health Interview Survey, 2005. San Joaquin County N (0-5 years): 57,000; San Joaquin County N (0-17 years): 187,000; San Joaquin County N (ages 18 and older): 422,000.

10. Adult Health Insurance Coverage Do you currently have health insurance coverage? 2004 Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

11. Adult Health Insurance Coverage Respondents who stated that their health insurance covered the following: Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

12. Adult Health Insurance Coverage Percentage of San Joaquin County Adults without Health Insurance Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.

13. Youth Health Insurance Coverage Do your children have health insurance? 2004 Do your children have health insurance? 2004 Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.

14. Emergency Room Use Do you use the emergency room for your main source of care? Do you use the emergency room for your main source of care? Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.

15. Emergency Room Use Percentage of Families Using the Emergency Room as Their Primary Source of Care Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.

16. Dental Insurance Coverage Percentage of respondents who have additional insurance coverage for dental care and whose children have dental insurance Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

17. Asthma Residents who have been diagnosed with asthma, by age, 2003 Source: 2003 California Health Interview Survey, 2005. San Joaquin County 2003 N (1–5 years): 49,000; San Joaquin County 2003 N (1–17 years): 179,000; San Joaquin County 2003 N (ages 18 and older): 422,000. * Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged 1-5, the confidence interval was 6.5%-34.9%. Caution should be used with these data.

18. Asthma Percentage of Adults Who Have Ever Been Diagnosed With Asthma Source: San Joaquin County Health Assessment, Telephone and Face-to-Face Survey, 2004; US Census Bureau, 2000.

19. Diabetes Residents who have been diagnosed with diabetes, by age, 2003 Healthy People 2010 Objective: No more than 2.5% of people will have diabetes. Source: 2003 California Health Interview Survey, 2005. San Joaquin County 2003 N (ages 12-17): 67,000; San Joaquin County 2003 N (ages 18 and older): 422,000. * Statistically unstable due to low number of respondents. For 2003 for San Joaquin County children aged 12-17, the confidence interval was 0.0%-14.8%. Caution should be used with these data. In this age group, most cases would be type 1.

20. Obese Adults Age-adjusted percentage of adults who are obese (30.0 BMI or greater), 2001 Healthy People 2010 Objective: No more than 15.0% of people will report being obese. Source: State of California, Department of Health Services, Center for Health Statistics, Prevalence of Obesity and Healthy Weight in California Counties, 2001, 2005. Note: Data based on data from the 2001 California Health Interview Survey.

21. Overweight Children Percentage of San Joaquin County children who are overweight (greater than or equal to the 95th percentile for Body Mass Index), by ethnicity and age, 2002 Source: Centers for Disease Control and Prevention, 2002 Pediatric Nutrition Surveillance, Growth Indicators by Race/Ethnicity and Age, 2005.

22. Youth Nutrition Percentage of San Joaquin County 7th, 9th and 11th grade students who reported consuming 5 or more portions of fruits or vegetables in the past 24 hours Source: San Joaquin County Office of Education, California Healthy Kids Survey, 2004.

23. Summary • Most residents have health insurance, but some still use the ER for their primary source of care. • These data suggest that even with health insurance coverage, access to medical care can be a problem for county residents. • San Joaquin County has a higher percentage of asthma for youth (ages 1-17) and adults than the state. • San Joaquin County and California have similar percentages of adult diabetes, but both are far higher than the Healthy People 2010 goal of 2.5%. • Finally, too many local children and adults are overweight or obese, putting them at risk for further health related complications (e.g. diabetes).

24. Questions and Answers

25. Applied Survey Research Applied Survey Research For More Information Contact: Kelly Pleskunas or Susan Brutschy Phone: 831-728-1356 www.appliedsurveyresearch.org