the local landscape...rigoberto vargas, mph director, ventura county public health may 2, 2018 2...
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THE LOCAL LANDSCAPEHealth and Mental Health Equity
in Ventura County
Rigoberto Vargas, MPH
Director, Ventura County Public Health
May 2, 2018
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Today’s Presentation
• Review local Demographic & Social Determinants
of Health data
• Highlight local Health Inequity indicators
• Community Health Improvement Plan areas
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Current Demographics - 2018
VC CA
Total Population 856,209 39,695,753
% Population African
American1.7% 5.5%
% Population American
Indian/Alaska Native
0.3% 0.4%
% Population
Asian/Pacific Islander
7.5% 14.8%
% Population Latino 43.4% 39.4%
% Population White 44.6% 36.7%
Source: Claritas estimates, 2018 from healthmattersinvc.org.
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Population 2060 Projection: Race/Ethnicity
Source: California Department of Finance Population Projections, 2010-2060, Report P-2, and United
States Census Bureau Population Projections.
49% 48%
29%
37%
30%
47%
0%
10%
20%
30%
40%
50%
60%
VC CA US
Latino White, Non-Hispanic
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Counseling & Education
Clinical Intervention
Long Lasting Protective Interventions
Changing the Context: make the healthy choice the easy choice
Socio-Economic Factors
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Smallest
Impact
Largest
Impact
“Eat Healthy, Be Active”
Rx for High Blood
Pressure & Diabetes
Immunization &
Smoking Cessation
Smoke-free
& Seat Belt Laws
Education, Housing,
Income/Jobs
Adapted from Frieden TM, AM J Public Health, 2010;100:590-595.
What Impacts Health the Most?
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Social Determinants of Health
Conditions in the places
where people live, learn,
work and play that affect
health outcomes.
Examples• Education
• Housing
• Physical Environment
• Social Status
• Poverty/Income
Source: Healthy People 2020
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High School Graduation by Race/Ethnicity, Ventura County, 2016
Source: American Community Survey, 2012-16.
61% 61%65%
96% 94% 92%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
VC CA US
Latino White, Non-Hispanic
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Home Ownership by Race/Ethnicity, 2016
Source: American Community Survey, 2012-16.
50%
42%46%
70%
63%
71%
0%
10%
20%
30%
40%
50%
60%
70%
80%
VC CA US
Latino White, Non-Hispanic
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Federal Poverty Status by Race/Ethnicity, 2016
Source: American Community Survey, 2012-16.
17%
22%23%
6%
10%11%
0%
5%
10%
15%
20%
25%
VC CA US
Latino White, Non-Hispanic
Real Cost Measure: 47% of Latinos in
Poverty vs 15% of Whites.
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Poverty Status by City for Total Population and Children under 18 years, 2016
Source: American Community Survey, 2011-2016.
9.1%
30.1%
7.6%
10.1%
24.8%
16.6%
26.4%
6.4% 6.8%
13.3%
15.2%
6.2%
19.2%
5.9%
10.9%
16.3%14.4%
17.9%
6.0% 6.5%
10.7% 10.6%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
Camarillo Fillmore Moorpark Ojai Oxnard Port
Hueneme
Santa
Paula
Simi
Valley
Thousand
Oaks
Ventura Ventura
County
Under 18 Years Total Population
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Health Equity
Achieved when everyone is given the opportunity to
reach their full health potential.
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Source: In Hospital Breastfeeding Initiation, California Department of Public Health, 2016.
Exclusive Breastfeeding by Ethnicity and Facility, 2016
Community
MemorialLos Robles Santa Paula Simi Valley St. John's VCMC
Ventura
County
White 89.4% 76.9% 95.3% 88.7% 83.7% 80.0% 82.9%
Latino 70.4% 53.9% 83.6% 79.9% 73.4% 80.0% 72.5%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
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5th Graders Outside the Healthy Fitness Zone by Ethnicity, 2016-17
50.2% 49.1%
24.6%
28.3%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
VC CA
Latino White, Non-Hispanic
Source: California Department of Education, 2016-17.
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5th Graders Outside the Healthy Fitness Zone by District, 2016-17
Source: California Department of Education, 2016-17.
57.9%
52.3% 52.3% 51.6% 50.7% 49.7%
42.3%38.9%
35.5% 34.9% 34.0%
29.2% 28.7%
22.7%
14.6%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
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Percent of Adults with Diabetes, 2015-16 (VC and CA), 2013-15 (US)
Source: California Health Interview Survey,2015-16 and CDC 2013-2015.
5.4%
11.7%12.1%
6.9% 7.1% 7.4%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
VC CA US
Latino White, Non-Hispanic
Estimates are unstable for VC
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Adults Needing Help with Mental, Emotional or Substance Abuse Problems
20.4%
18.1% 17.6%17.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Latino White, Non-Hispanic Ventura County California
Source: California Health Interview Survey, 2015-16.
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Average Years of Life Lost Per Death, Ventura County, 2012-2014
50.347.0
58.9 59.7
38.7
45.5 43.8
36.7
49.754.3
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
Drug-Induced
Deaths
Motor Vehicle
Traffic Crashes
Firearm-Related
Deaths
Homicide Suicide
Latino White, Non-Hispanic
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Place Matters:Ventura County SocioNeeds Index, 2017
Source: Healthy Communities Institute, SocioNeeds Index, 2017.
Zip
CodeCity
SocioNeeds
Index
Life
Expectancy
93033 Oxnard 95.2 81.5
93060 Santa Paula 89.3 80.1
93015 Fillmore 88.6 82.2
93030 Oxnard 87.6 80.2
93041 Pt. Hueneme 82.1 81.0
91320 T.O./Westlake 5.5 84.1
91361 T.O./Westlake 5.3 88.7
91377 Oak Park 2.1 84.5
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Community Health Improvement Plan
Priority 8: Reduce Adult
Substance Use
Priority 9: Improve Adult
Mental Health
.
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www.healthmattersinvc.org
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Data-Related Questions
Erin Slack, MPH
PH Epidemiologist
Ventura County Public Health
805-981-5383