RHP 7 2017 Community Needs AssessmentKatie Coburn, MPH, PMP

Summary of Themes• Affordable Housing and Migration

• Economic and Health Disparities

• Chronic Conditions, Prenatal Care, Sexually Transmitted Infections

• Behavioral Health

• Accessibility of Health Care and Transportation

Median Monthly Housing Costs, Renter-Occupied

$786 $848$695

$615

$807

$593

$891$882 $917$765 $701

$973

$760

$1,054

Texas Bastrop Caldwell Fayette Hays Lee Travis

2010 2015

DATASOURCE:U.S.CensusBureau,AmericanCommunitySurvey5-YearEstimates,2006-2010and2011-2015

“Thepriceofhousing- Ifyou’reonafixedincomelikeme,theywon’trenttoyou.”

-CommunityMemberFocusGroupParticipant

Self-Reported High Blood Pressure by Race/Ethnicity, 2015

30.5% 33.8%42.3%

23.8% 21.0%26.7% 28.2%

44.7%

19.8% 21.7%

Overall White,non-Hispanic

Black,non-Hispanic Hispanic Other/Multiracial,non-Hispanic

Texas RHP7

DATASOURCE:TexasBehavioralRiskFactorSurveillanceSurvey (BRFSS),2011-2015NOTE:Surveydatabaseduponself-report

“Wecan’tcontinuetoseethehealthdisparitiesintheAfrican-Americancommunitygetworse.It’sabouttheneedsbeingmet.”

-KeyInformantInterviewee

Percent of Adults without a Personal Doctor or Provider, by Race/Ethnicity, 2015

32.8%21.3%

30.2%

48.6%

34.5%31.2%22.0% 25.8%

49.2%

34.9%

Overall White,non-Hispanic

Black,non-Hispanic Hispanic Other/Multiracial,non-Hispanic

Texas RHP7

DATASOURCE:TexasBehavioralRiskFactorSurveillanceSurvey (BRFSS),2011-2015NOTE:Surveydatabaseduponself-report

Leading Causes of Mortality - 2015

DATA SOURCE: Centers for Disease Control and Prevention, National Center for Health Statistics, Underlying Cause of Death 1999-2015 on CDC WONDER Online Database, 2015

TexasBastrop County

Caldwell County

Fayette County

Hays County

Lee County

Travis County

1

Heart disease Heart disease Cancer Heart disease Heart disease Cancer Cancer

2

Cancer Cancer Heart disease Cancer Cancer Heart disease Heart disease

3

Cerebrovascular diseases Accidents N/A Cerebrovascu

lar diseases Accidents N/A Accidents

4

Chronic lower respiratory diseases

Alzheimer's disease N/A N/A

Chronic lower respiratory diseases

N/A Cerebrovascular diseases

5

Alzheimer's disease

Chronic lower respiratory diseases

N/A N/A Alzheimer's disease N/A

Chronic lower respiratory diseasesCh

ronicCond

itions,Prena

talCare,STIs

Premature Births, 2012 and 2014

12.4% 11.7% 11.9% 11.1% 11.0%9.0% 10.6%

12.3% 11.7%15.7%

17.6%

10.2% 9.8% 10.1%

Texas Bastrop Caldwell Fayette Hays Lee Travis

2012 2014

DATASOURCE:TexasDepartmentofStateHealthServices,CenterforHealthStatistics,TexasHealthData,VitalStatisticsAnnualReport,2012and2014NOTE:Prematurebirthdefinedaspriortothe37th weekofgestationShownasPercentofTotalBirths

• 63%ofprovidersthatrespondedtothestakeholdersurveyratedaccesstoprenatal/maternalcareas‘Hard’or‘VeryHard’forthelow-incomecommunityinRHP7.

STI Rates per 100,000, 2012 and 2015

477.4349.9

467.6271.0

592.0

338.4

610.9487.3

608.5

809.4

246.9

549.5

254.5

661.8

Texas Bastrop Caldwell Fayette Hays Lee Travis

2012 2015CHLAMYDIA

122.973.4 64.6 40.4

115.136.3

150.4136.7 151.5 155.5

27.986.8

47.3

206.6

Texas Bastrop Caldwell Fayette Hays Lee Travis

2012 2015GONORRHEA

Behavioral Health – Majority of Top Five Most Difficult Services to Access

DATASOURCE:RHP7Community NeedsAssessmentStakeholderSurvey,2017NOTE:Community Membersrespondedbasedupontheirowncommunity;provider responsesbaseduponlow-incomepopulationserved.

• InpatientPsychiatricCare

• InpatientAlcohol/SubstanceUseTreatment

• SpecialtyCare

• CancerTreatment

• OutpatientAlcohol/SubstanceUseTreatment

CommunityMember• SpecialtyCare

• InpatientPsychiatricCare

• InpatientAlcohol/SubstanceUseTreatment

• DentalCare

• OutpatientAlcohol/SubstanceUseTreatment

Provider

Percent of Population Under 65 Years Old that is Uninsured, 2012 and 2015

25.2% 26.2% 24.9% 25.0%21.6%

24.7%21.6%

19.2% 20.7% 22.7% 20.8%16.0%

20.4%16.2%

Texas Bastrop Caldwell Fayette Hays Lee Travis

2012 2015

DATASOURCE:U.S.CensusBureau,SmallAreaHealthInsuranceEstimates,InteractiveSAHIEDataandMappingTool,2012and2015

‘Insuranceproblems/lackofcoverage’or‘costofco-pays’,hadmadeithardertoaccesscareforapproximately40%ofcommunitymembersthatrespondedtothesurvey

Presentation to: Central Health Board of Managers Strategic Planning Committee

September 12, 2017

By Stephanie Hayden, Chair, Austin Public HealthCassie DeLeon, Austin Public Health

Areas of interest from the 2017 CHA

• Even though Travis County is healthy overall, good health and wellbeing is not experienced equally by all in our community.

• Issue areas identified in the CHA– Equity and Health Impact– Education and workforce development– Health care access and affordability– Transportation– Mental health and wellbeing– Access to safe recreation space– Access to healthy food– Environmental health

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