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Socio-Economic and Health InequityColumbia &Boone County, Missouri

Steve Hollis,Human Services ManagerColumbia/Boone County Department of Public Health and Human ServicesDivision of Human Servicessteve.hollis@como.gov

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Poverty Level1 Adult 1 Adult

2 Children2 Adults(1 working)2 Children

Monthly $1005 $1,702 $2,050

Annual $12,060 $20,424 $24,600

Hourly $5.80 $9.82 $11.83

Current Socio-Economic Conditions

200% of Poverty Level1 Adult 1 Adult

2 Children2 Adults(1 working)2 Children

Monthly $2,010 $3,404 $4,100

Annual $24,120 $40,848 $49,200

Hourly $11.60 $19.64 $23.65

Current Socio-Economic ConditionsWage Comparison

Source: Massachusetts Institute of Technology – Living Wage Calculator

Wage Level 1 Adult1 Adult2 Children

2 Adults(1 working)2 Children

Living Wage $10.62 $26.34 $24.26200% of Poverty Level $11.42 $19.38 $23.37Poverty Level Wage $5.80 $9.82 $11.83Minimum Wage $7.70

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Current Socio-Economic Conditions

Disparities

Disparities

Disparities

Disparities

Disparities

Kindergarten(PALS‐K)

3rd Grade Reading(STAR)

African American 61.70% 50.20%All Students 73.70% 73.10%

Columbia Public Schools Balanced Scorecard

Disparities

https://www.nytimes.com/interactive/2017/12/05/upshot/a-better-way-to-compare-public-schools.html

Disparities

https://www.nytimes.com/interactive/2017/12/05/upshot/a-better-way-to-compare-public-schools.html

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

DisparitiesCauses of Death

(rates per 100,000) Data Years White RateBlack Rate

All Causes 2003-2013 707.3 1111.6Heart Disease 2003-2013 153.7 288.9

All Cancers 2003-2013 172.0 225.4Lung Cancer 2003-2013 49.8 60.3

Breast Cancer 2003-2013 12.0 22.2Stroke 2003-2013 43.5 62.8

Chronic Lower Respiratory Disease 2003-2013 41.4 58.5Pneumonia & Influenza 2003-2013 16.4 29.5

Diabetes 2003-2013 18.2 66.8Homicide 2003-2013 1.6 11.7HIV/Aids 2003-2013 0.63* 5.53*

* Fewer than 20 events in numerator; rate may be unreliable

Disparities

Disparities

DisparitiesEmergency Room Visits

(rates per 1,000) Data YearsWhiteRate

Black Rate

All Diseases/Conditions 2009-2013 242.7 628.9

Alcohol/Drug Abuse 2009-2013 2.5 4.5

Asthma 2009-2013 2.7 13.0

Congestive Heart Failure 2009-2013 0.3 1.1

Diabetes Mellitus 2009-2013 0.9 5.4

Epilepsy 2009-2013 2.2 6.3

Hypertension 2009-2013 1.1 5.6

Disparities

Injuries(rates per 100,000) Data Years

WhiteRate

Black Rate

All Injuries 2009-2013 6819.3 11681.4

Bicyclist (unintentional) 2009-2013 11.5 32.3

Firearm (assault) 2009-2013 2.38* 40.2

Pedestrian (unintentional) 2009-2013 17.7 66.1* Fewer than 20 events in numerator; rate may be unreliable

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

Disparities

Income Inequality

Income Inequality

Mean Household Income 1967 & 2015

Year Lowest fifth

Second fifth

Third fifth

Fourth fifth

Highest fifth

Top 5 percent

2015 $12,457 $32,631 $56,832 $92,031 $202,366 $350,870

1967 $9,929 $27,513 $43,928 $61,461 $110,606 $174,471

Source: Table H-3. Mean Household Income Received by Each Fifth and Top 5 Percent, All Races: 1967 to 2015U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplements

Income Inequality

Share of Aggregate Household Income

1967 2015

Source: Table H-3. Share of Aggregate Income Received by Each Fifth and Top 5 Percent of Households, All Races: 1967 to 2015U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplements

Income Inequality

Economic Mobility

Source: Pursuing the American Dream: Economic Mobility Across GenerationsThe Pew Charitable Trusts

Economic Mobility

Source: The Equality of Opportunity Projecthttp://www.equality-of-opportunity.org/neighborhoods/

Economic Mobility

Source: The Equality of Opportunity Projecthttp://www.equality-of-opportunity.org/neighborhoods/

Five community factors associated with strong upward mobility:

• lower levels of residential segregation• less income inequality• stronger families• higher quality public schools• greater social capital

Segregation

Segregation

Segregation

Segregation

Segregation

Segregation

The Issues

Causes

• Increasing income and wealth inequality• Limited economic mobility• Persistent disparities and segregation

Solutions

Source: The Equality of Opportunity Projecthttp://www.equality-of-opportunity.org/neighborhoods/

• lower levels of residential segregation• less income inequality• stronger families• higher quality public schools• greater social capital

Solutions

Community Goal= Build resilient:• kids• families• neighborhoods

Solutions

Solutions

City of Columbia

United Way

Boone County

Collective ImpactStrategically building and aiming resources to positively impact social issues.

o Establishing common goals and progress measures 

o Leveraging strengths

o Building core capacities 

o Prioritizing mutually beneficial activities

o Continuous communication and coordination

Social Services Funding Process

http://booneindicators.org/

Results

Results

Results

Conclusion & Discussion

Presentation available:http://booneindicators.org/