Community Health Assessment

2004 - 2005

San Joaquin County

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.

Focus Areas

• Chronic disease (diabetes, asthma, obesity)

• Emergency services utilization• Adolescent / youth health

Community Assessment Project

Step 1

Form a Steering

Committee

DevelopProject Methodology

CreateWorking Committees

Identify PotentialQuality of Life Indicators

Collect Secondary DataConduct Community Surveys

Analyze Results

Publish andPromote the Report

Develop Community Goals and Benchmarks

Update the Report

Regularly

Encourage Community Action

Step 2

Step 7

Step 6

Step 5

Step 4

Step 3

Step 10

Step 9

Step 8

San Joaquin County

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.

Findings

Access to Health Care

If you needed health care in the last 12 months, were you able to receive it?

93.6%

6.4%

28.0%

72.0%

0%

25%

50%

75%

100%

Yes No Yes No

Perc

ent

Telephone Survey (N=274)

Face-to-Face Survey (N=1420)

Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

Access to Health Care

If you were not able to receive health care in the last 12 months, why not? (Top 5 responses)

Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

 

Telephone Survey

No insurance 82.6%

Could not afford it 73.3%

Did not know where to go

34.7%

Insurance would not cover it

21.6%

Transportation issues 21.1%

Multiple response question with 17 respondents offering 52 responses

Face-to-Face Survey

No insurance 52.8%

Could not afford it 30.8%

Didn’t know where to go

17.9%

Transportation issues 16.8%

Unable to communicate due to language differences

16.6%

Multiple response question with 386 respondents offering 783 responses

85.1%93.4%90.6%

83.4%92.9%95.4%

0%

25%

50%

75%

100%

0-5 Years 0-17 Years Ages 18 and Older

Perc

ent

San J oaquin County California

Health Insurance Coverage

Healthy People 2010 Objective:100% of residents under 65 years will have health insurance.

Residents who currently have health insurance coverage, by age, 2003

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.

Adult Health Insurance Coverage

84.1%

15.9% 20.4%

79.6%

0%

25%

50%

75%

100%

Yes No Yes No

Pe

rce

nt

Telephone Survey(N=429)

Face-to-Face Survey(N=2,001)

Do you currently have health insurance coverage? 2004

Source: San Joaquin County Community Health Assessment, Telephone Survey and Face-to-Face Survey, 2004.

Adult Health Insurance Coverage

90.8%

41.1%

87.1%83.0%

31.0%

73.7%

0%

25%

50%

75%

100%

Prescriptions (full orpartial)

Treatment forSubstance Abuse

Preventive Care /Annual Exams

Perc

ent

Telephone Survey Face-to-Face Survey

N=361 N=1,516 N=1,547 N=1,493N=361 N=361

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.

Adult Health Insurance CoveragePercentage 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.

Youth Health Insurance Coverage

Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.

Do your children have health insurance? 2004

Do your children have health insurance? 2004

No7.4%

Yes92.6%

N=183

No15.2%

Yes84.8%

N=1,287

Emergency Room Use

Source: San Joaquin County Community Health Assessment, Telephone and Face-to-Face Surveys, 2004.

Do you use the emergency room for your main source of care?

Do you use the emergency room for your main source of care?

No87.6%

Yes12.4%

N=425

No72.2%

Yes27.8%

N=1,843

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.

Dental Insurance Coverage

65.7%79.3% 75.9%71.3%

0%

25%

50%

75%

100%

Has dentalinsurance

Childrenhave dentalinsurance

Has dentalinsurance

Childrenhave dentalinsurance

Pe

rce

nt

Telephone Survey Face-to-Face Survey

N=361 N=183 N=1,535 N=1,242

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.

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.

24.9%

16.0%

10.8%

15.4%12.3%

20.7%*

0%

10%

20%

30%

1-5 Years 1-17 Years Ages 18 and Older

Pe

rce

nt

San J oaquin County California

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.

7.6%

6.2%* 6.6%

0.8%0%

2%

4%

6%

8%

10%

Ages 12-17 Ages 18 and Older

Perc

ent

San J oaquin County California

Diabetes

Healthy People 2010 Objective:No more than 2.5% of people will have diabetes.

Residents who have been diagnosed with diabetes, by age, 2003

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.

26.6%

19.1%

0%

10%

20%

30%

San Joaquin County California

Pe

rce

nt

Obese Adults

Healthy People 2010 Objective:No more than 15.0% of people will report being obese.

Age-adjusted percentage of adults who are obese (30.0 BMI or greater), 2001

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.

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.

14.7%

20.7%24.7% 24.2%

23.7%20.5%

17.2%17.4%

12.2%

21.2%24.6%

0%

10%

20%

30%

40%

Caucasian African

American

Latino Asian / Pacific

Islander

Total - San

Joaquin

County

Total -

California

Ages 5-19

Pe

rce

nt

5-11 Years 12-19 Years

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.

54.0%49.0%

42.0%

57.0%

47.0%41.0%

0%

25%

50%

75%

7th grade 9th grade 11th grade

Pe

rce

nt

2002/2003 2004/2005

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).

Questions and Answers

Applied Survey Research

Applied Survey Research

For More Information Contact:Kelly Pleskunas or Susan Brutschy

Phone: 831-728-1356www.appliedsurveyresearch.org