community health assessment tompkins county, ny 2005–2010
TRANSCRIPT
- Slide 1
- Community Health Assessment Tompkins County, NY 20052010
- Slide 2
- Purpose Describes the health of the community Basis for strategic planning Determine health priorities Data and technical assistance for researchers, community NYSDOH categorical grants Fulfills NYSDOH mandate
- Slide 3
- CHA Structure
- Slide 4
- Structure Demographics Health Care environment CHA Core Indicators Data Analysis Resources Opportunities for Action Figures, Tables, Maps
- Slide 5
- CHA Core Indicators Designated by NYSDOH Healthy People 2010: 15 categories Article 6 references
- Slide 6
- CHA Core Indicators (NYSDOH)
- Slide 7
- Data Sources Community Health Assessment (CHA) Clearinghouse, NYSDOH NY Community Health Data Set County Health Indicator profiles CHA Indicators (CHAIs), NYSDOH 13 health topic areas U.S. Census Bureau
- Slide 8
- Data Sources: Local TC Health Department TC Planning Department TC Youth Services Health Planning Council County Office for the Aging Cayuga Medical Center COMPASS II
- Slide 9
- Working with the data ~Working with small pops. ~ Using 3-year averages
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- Sampling Error CHA p. 121 (Expanded BRFSS, 2003 - NYSDOH) SMALL POPULATIONS
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- Distorted Rates Maternal Mortality: Rate /100,000 live births CHA p. 148 (NYS Vital Stats) Total maternal deaths Upstate, 2000-200220 Total maternal deaths Tompkins, 2000-021 SMALL POPULATIONS
- Slide 12
- Working with the data ~Working with small populations ~ Using 3-year averages
- Slide 13
- Evens out ups & downs CHA p. 128 (TCHD Annual Report, 2001-2003) 3-YR AVERAGE
- Slide 14
- 1 spike lasts 3 years CHA p. 135 (NYS SPARCS data as of Aug. 2004) 3-YR AVERAGE Deaths in only 2 of 7 yrs Yet, rate >0 in 5 of 7 yrs
- Slide 15
- Numbers of Note Demographics
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- Special Tab #137 (U.S. Census 2000) Tompkins County Planning Department College students + non-college students Long form question 8a: at any time since February 1, 2000, has this person attended regular school or college? Yes for ages 17+ years = college student Demographics
- Slide 17
- Population Transience Over half of Tompkins 2000 pop. had lived in a different county 5 years earlier. One-fifth in a different state CHA pp. 20, 31 (U.S. Census 2000: Residence in 1995 for the pop. 5 years and over.) Demographics
- Slide 18
- Poverty (Individuals) Tompkins individual poverty rate is the highest in the area. Excl. students, its close to the lowest. CHA p. 34 (TC Planning Dept, Spec. Tab 137) Demographics
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- Median Income Tompkins median household income is below that of NYS; Tompkins median family income > NYS CHA p. 33 (TC Planning Dept, Spec. Tab 137); 2000 Census SF-3 [P77] Demographics
- Slide 20
- Numbers of Note Health Indicators
- Slide 21
- Breast cancer incidence CHA p. 68 (NYS Cancer Registry data as of Aug. 2004) Age adj. Rate /100,000 female residents, 1997-2001
- Slide 22
- Breast cancer mortality CHA p. 67 (NYS Vital Statistics data as of Aug. 2004) Crude Rate /100,000 female residents
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- Colorectal cancer mortality CHA p. 71 (NYS Vital Statistics data as of Aug. 2004) Age adj. Rate /100,000 residents, 1998-2002
- Slide 24
- Prostate Cancer Tompkins incidence rate is significantly higher than both NYS and Upstate (age-adj.) Mortality rates: the only significant difference is for Tioga County (see chart, next slide) CHA p. 74 (NYS Cancer Registry)
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- Incidence rate CHA p. 74 (NYS Cancer Registry) Prostate cancer
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- Incidence by ZIP CHA p. 74 (NYS Cancer Registry) Prostate cancer: expected
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- Expected by ZIP New York State Department of Health, New York State Cancer Registry Prostate Cancer Incidence by ZIP Code, New York State, 1994-1998 Tompkins County Zip CodePost Office # of Cancers Observ'd# of Cancers Expected Pct Differ from Expected 14882Lansing* 14 9.3 50 to 100% above expected 13053Dryden* 9 11.015 to 50% below expected 13068Freeville 6 10.715 to 50% below expected 13073Groton 15 17.1within 15% of expected 13736Berkshire* 6 5.4within 15% of expected 13864Willseyville* 1 3.0more than 50% below expected 14817Brooktondale* 7 6.8within 15% of expected 14850Ithaca 173 116.315 to 49% above expected 14867Newfield 15 13.7within 15% of expected 14883Spencer* 14 10.815 to 49% above expected 14886Trumansburg* 17 19.8within 15% of expected * This ZIP Code crosses county boundaries. The values provided are for the entire ZIP Code, not just the portion in this county Revised:September 2001Accessed: 11/30/2004 Prostate cancer
- Slide 28
- Late stage incidence CHA p. 75 (NYS Cancer Registry) Prostate Cancer: Expected incidence
- Slide 29
- Diabetes incidence CHA p. 81 (NYSDOH Expanded BRFSS, 2003) Expanded BRFSS, 2003
- Slide 30
- Diabetes related hospitalizations CHA p. 82 (SPARCS data as of Sep. 2004) Rate /10,000 residents, 1998-2003
- Slide 31
- Adult Diabetes in NYS CHA p. 80 (NYS BRFSS as of Dec. 2004) BRFSS: Percent residents age 18+
- Slide 32
- Cardiovascular disease mortality CHA p. 101 (NYS Vital Statistics data as of Aug. 2004) Average Age adj. Rate /100,000 residents, 2000-2002
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- Diseases of the heart: Mortality CHA p. 102 (NYS Vital Statistics) Crude Rate /100,000 residents
- Slide 34
- Birth Rate: /1,000 females age 15-44 CHA p. 88 (NYS Vital Stats 2000-2002) Family Planning
- Slide 35
- Teens age 15-19 Tompkins has the lowest teenage birth rates in the area. CHA p. 88 (NYS Vital Stats 2000-2002) Births per 1,000 female residents
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- Births to mothers age 30-44 years Almost half of Tompkins births are to mothers age 3044. CHA p. 92 (NYS Vital Stats 2000-2002) Percent of live births
- Slide 37
- Postneonatal Mortality (28 days1 yr.) CHA p. 153 (NYS Vital Stats, 2000-2002) Average Rate per 1,000 Live Births
- Slide 38
- 3-year average CHA p. 155 (NYS Vital Stats as of Aug 2004) (Age 28 days1 yr) Postneonatal Mortality (28 days1 year) 2,525 births
- Slide 39
- Infant Mortality (up to age 1 yr.) CHA p. 154 (NYS Vital Stats, 2000-2002) Neonatal + Postneonatal = Infant
- Slide 40
- Child Immunization CHA p. 123 (TCHD Annual Reports) Percent
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- Oral Health CHA p. 173 Percent Tompkins County 3rd graders Caries Untreated caries Sealants Dental visit Insurance Flouride supp
- Slide 42
- Suicides CHA p. 133 (NYS Vital Stats 2000-2002) Age. adj. Rate /100,000 residents
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- Teen suicides CHA p. 134 (NYS SPARCS data as of Aug. 2004) Age. adj. Rate /100,000 residents
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- Priorities
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- Compass II Lack of specialty care Lack of affordable primary care Lack of money to pay for Rx and doctor visits Cost of health care premiums Poverty a critical problem
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- TCHD Aging population and need for related services Emergency preparedness and response Emerging infectious disease Reduction in State financial support
- Slide 47
- Commission for a Healthy CNY Access to dental care Obesity Access to mental health care Stroke medical management
- Slide 48
- Online access www.tompkins-co.org /wellness/cha05/ Theresa Lyczko: [email protected] Ted Schiele: [email protected]