Focusing on the West Town, Belmont Cragin,
Hermosa, Logan Square and Humboldt Park
neighborhoods of Chicago
2013
Community Health Needs Assessment
Block by Block
Block Club Federation
Casa Central
CeaseFire Chicago
Health Care Alternative Systems, Inc.
Healthy Schools Campaign
Logan Square Neighborhood Association
Maternity B.V.M. Parish and School
Near Northwest Neighborhood Network
Our Urban Times
Presence Saints Mary and Elizabeth Medical Center
PrimeCare Community Health Center
Puerto Rican Cultural Center
St. Joseph Services
TSA Partners
Our partners.
This Community Health Needs Assessment is an
overview of the health status of those who live in
the Belmont Cragin, Hermosa, Humboldt Park, Logan
Square and West Town neighborhoods of Chicago.
A collaborative team of community stakeholders—
from social service agencies to business leaders—
came together to gather and analyze health-related
information, identify the most pressing needs and
pinpoint ways to make improvements. Please turn to
page 15 to learn more about this process.
Based on the committee’s extensive research
and review of available data, the following themes
surfaced as the highest priority health needs for
this community:
+ Safety, Violence, Jobs, Education
+ Mental Health & Substance Abuse
+ Obesity & Diabetes:
Prevention & Management
+ Health Literacy
Economic Disparities & Language Barriers will be
addressed throughout all priorities and strategies.
+ Call 877.737.INFO (877.737.4636)
+ Email [email protected]
+ Visit presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.
Be in the know.
Facts & Findings.
60% of residents are
Hispanic/Latino
Nearly half of Humboldt Park’s
children live in poverty
1 in 2 ER outpatients
are on Medicaid
1 in 4 residents are
uninsured
All areas but West Town have a
shortage of primary care
doctors
Cancer and heart disease are the leading causes of death
1 in 5 residents
smoke
34% suffer from
obesity
1 in 4 people in
Humboldt Park suffer from
food insecurity
Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Hermosa, Humboldt Park, Logan Square & West Town neighborhoods—the Presence Saints Mary and Elizabeth Medical Center service area.
3
4
Our Community.
Presence Saints Mary and Elizabeth Medical Center
100%
90%
80%
70%
10%
20%
30%
40%
50%
60%
West Town
The majority of residents identify as Hispanic/Latino, including nearly 90% in Hermosa.
U.S
. 20
10 C
ensu
s,
Ro
b P
aral
an
d A
sso
ciat
es
Race & ethnicity, 2010
Belmont Cragin
Hermosa Logan Square
Humboldt Park
West Town
White Black Asian
2 or more races Hispanic/Latino
Am
eric
an C
om
mu
nit
y Su
rvey
Top languages spoken by those with limited English2006-2010
40%
35%
5%
10%
15%
20%
25%
30%
Hermosa Logan Square
Humboldt Park
Belmont Cragin
Chicago US
Spanish or Spanish Creole
Polish
Tagalog
Other Slavic languages
Other
315,103Total population in 2010
Humboldt Park has the lowest household income, the highest poverty rate and the highest percentage of children living in poverty. All areas had poverty rates above the national average.
5
Am
eric
an C
om
mu
nit
y Su
rvey
(S19
03)
, Ro
b P
aral
an
d A
sso
ciat
es
Median household income 2006-2010
$10,000
$20,000
$40,000
$50,000
$60,000
$70,000
$30,000
$42
,84
2B
elm
on
t Cra
gin
$42
,418
Her
mo
sa
$49
,610
Log
an S
qu
are
$29
,60
5H
um
bo
ldt P
ark
$60
,720
Wes
t Tow
n
$46
,877
Ch
icag
o
$51,
914
US
3 communities have high unemployment rates.
Am
eric
an C
om
mu
nit
y Su
rvey
, C
ity
of C
hic
ago
15%
5%
10%
Population over 16 unemployed, 2010
6.0%
11.5%12.9%
7.5%
11.1%
West Town
Humboldt Park
Belmont Cragin
Hermosa Logan Square
Chicago US
7.9%
% living below poverty line, 2006-2010
Belmont Cragin
Hermosa
Logan Square
Humboldt Park
West Town
U.S
. 20
10 C
ensu
s, A
mer
ican
Co
mm
un
ity
Surv
ey,
Cit
y o
f Ch
icag
o, Il
lino
is A
ctio
n fo
r C
hild
ren
,R
ob
Par
al a
nd
Ass
oci
ates
Households
Children 0–11
10% 20% 40% 50%30%
3348
1732
1925
1930
Chicago
US
2131
1419
12.3%
1628
Access to care.
1 in 5 people use the ER as their primary source of health care.Nearly half of survey respondents say that their
immediate family goes to a doctor’s office for a
medical health problem, but over 20% said they
go to the ER. An additional 20% said that they
receive care at community clinics. Logan Square
and Humboldt Park had the highest percentage
(27%) using the ER, while West Town had the
highest percentage (49%) indicating that they
seek care at a doctor’s office.
Illinois Public Health Institute and Presence Health Community Survey
Where do members of your immediate family go when they have a medical health problem?
Private Doctor’s Office
ER
Urgent Care/Walk-in Center
Community Clinic
Other
Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
In the Presence Saints Mary and Elizabeth Medical Center service area, 27% are uninsured.
What kind of health insurance do you have?
Private Insurance
Medicare
Uninsured
Medicaid
Other
6
kind of insurance
where does your family go?
interpreters requested
27% Uninsured
kind of insurance
where does your fam
ily go?interpreters requested
20.8% ER
There is a shortage of primary care physicians in all areas. In West Town the shortage is only among low-income residents.
Belmont Cragin, Hermosa and Logan Square lack mental health services for low-income residents, while Humboldt Park and West Town have a shortage for all residents.
7
What’s preventing people from receiving care?
Where does the community come up short?
1 in 5 felt that cost prevented them from seeing a doctor.
13% said that there were no providers available based on their insurance or lack thereof.
There is a disparity of Medicaid enrollment from just 6% in West Town to 47% in Humboldt Park.
15%
40%
5%
30%
10%
35%
25%
50%
20%
45%
% of population enrolled in Medicaid, 2010
60622 60639 60642 IL60651
Illin
ois
Dep
artm
ent o
f Hea
lth
care
&
Fam
ily S
ervi
ces
23%
41%
6%
47%
21%
60647
31%
Status of our health.
8
But unlike the rest of the country, diabetes
is among the top 5 causes of death. Of note,
Humboldt Park has unusually high rates of
cancer and unintentional injury.
Cancer and heart disease are the top two causes of death, both here and in the U.S. Years of Potential Life Lost (YPLL) defines what is
killing residents prematurely and can help determine
prevention efforts. This measure shows the severe
burden of homicide, unintentional injury and the
effects of firearms—especially in Humboldt Park.
Causes of early death.
140012001000800600400200 1600 1800
Top 5 causes of death (age-adjusted for 2004-2008)
Cit
y o
f Ch
icag
o
50 100 200150
Coronary heart disease
Cancer (all sites)
Diabetes-related
Lung cancer
Stroke
Unintentional injury
Cancer (all sites)
Unintentional injury
Assault, homicide
Fire-arm related
Coronary heart disease
Years of potential life lost, top 5 causes, 2009
Cit
y o
f Ch
icag
o
Belmont Cragin
Hermosa
Logan Square
Humboldt Park
West Town
1073633
478
704
929654
663
379
639701
988893
513
16761587
14201190
932
904821
469406
Belmont Cragin
167.9157.6
57.240.838.8
Hermosa160.3
135.858.7
27.728.9
Logan Square
155.3151.9
77.740.7
36.8
Humboldt Park
204.5160.6
87.450.658.4
West Town
176.1148.6
101.934.135.7
Chicago
162.7197.8
70.352.1
46.4
473
553436
US179.8
173.6
38.937.0
49.5
9
Suicide rates in all areas are well below U.S. averages.
Humboldt Park has a very high rate of annual HIV infection, above the city and U.S. rate.The annual rate indicates new cases per year and prevalence
shows how many individuals are living with HIV. With newer
treatments, people are living much longer, so a high prevalence
rate may indicate a high risk for infection, but may also signify
success, in that people are getting the treatment they need.
Cit
y o
f Ch
icag
o
Belmont Cragin
6.4
Logan Square
4.9
Humboldt Park
4.1
West Town
6.7 6.5
Chicago US
11.2
6
2
4
12
10
8
Cit
y o
f Ch
icag
o, C
DC
Belmont*Cragin
Hermosa* Logan Square
West Town
Chicago US
Hermosa
3.3
Humboldt Park
Average annual HIV infection rate per 100,000, 2010
12.7
29.921.5
40.5
17.4
40
20
30
50
10
43.5
Belmont Cragin
Hermosa Logan Square
West Town
Chicago USHumboldt Park
HIV/AIDS prevalence rate per 100,000, 2010
Cit
y o
f Ch
icag
o, C
DC
800
400
600
200200.7
339.9
521.8 493.7
756.5
469.4
655.1
*Too few cases were reported to calculate an average.
Suicide rate per 100,000 (age-adjusted)
Status of our health. (continued)
The teen birth rate has gone down substantially, although all areas are still above the U.S.
10
Almost 20% of people in the Presence Saints Mary and Elizabeth Medical Center service area have been told they have asthma, more than the city, state and country.
20 40 80 10060 120
Cit
y o
f Ch
icag
o, C
DC
Teen birth rate per 1,000, age 15-19, 2000 and 2009
50 100 200 250150 300 350 400 450 500
2000 2009
Hermosa100.7
69.7
Belmont Cragin
84.2
68.2
95.7Logan
Square66.1
Humboldt Park
77.9
116.6
West Town
80.5
49.2
Chicago80.5
57.0
US47.7
34.3
Asthma hospitalizations, 2011 per 100,000, age 5-64 (age-adjusted)
Cit
y o
f Ch
icag
o, C
DC
60639 218
60642 245
60651 462
US 111
60647 263
60622 245
PSMEMC Chicago US
More than 1 in 3 are obese, compared to more than 1 in 4 nationally.
Our community Chicago US
Underweight/Normal (BMI 18.5–24.9)
Overweight (BMI 25-29.9)
Obese (BMI 30–39.9)
35%obese
26%obese
28%obese
11
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o H
ealt
hca
re C
ou
nci
l 20
12
Both Humboldt Park and West Town have higher rates of mental health admission than Chicago overall.
Mental health admission rate for reasons other than substance abuse
per 100,000, 2007 (age-adjusted)
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
, C
hic
ago
Dep
artm
ent o
f Pu
blic
Hea
lth
Belmont Cragin
762.1
Hermosa
875.9
Logan Square
1102.0
West Town
1346.2
1111.6
Chicago
600
200
400
1200
1400
1600
1000
800
100
Humboldt Park
1526.8
12
25% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.
5 servings of fruits and vegetables are recommended daily, yet only 15% said they ate more than 1 a day.
Illinois Public Health Institute and Presence Health Community Survey
Health & behavior.
About 1/3 of the people in the area are considered at risk for binge drinking.
20%
40%
50%
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Alcohol consumption— at risk for binge drinking
15.1%
US
30.9%
Community
19.5%
Chicago
18.3%
IL
10%
30%
Nearly 1 in 5 people smoke, higher than the national average.
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Smoking status
17.1%
US
19.3%
Community
14.2%
Chicago
16.9%
IL
10%
15%
20%
25%
5%
13
Humboldt Park has the highest rate of admission for substance abuse and drugs in the area—triple the Chicago average.
Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
, Ch
icag
o D
epar
tmen
t of P
ub
lic H
ealt
h
400 600 800200 1000 1200 1400 1600 1800 2000
790.9West Town
576.0
474.0
Hermosa
Belmont Cragin
548.5Logan
Square
1976.1Humboldt Park
640.3Chicago
14
Despite crime rates that are slightly lower than citywide rates, 10% of Chicago’s drug-related and violent crime occurs in the service area.
Homelessness is a major challenge.Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless
estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.
Barriers to health.
This means that thousands either do not have
enough to eat or don’t know where their next
meal is coming from.
1 in 4 people in Humboldt Park suffer from food insecurity and all areas have rates equal to or higher than the U.S.
Crime data, 2011 per 100,000 residents
Homicides
Drug crimes
Violent crimes (against persons)
Violent crimes(against community/
property)
Minor offenses
Total crimes
Cit
y o
f Ch
icag
o D
ata
Po
rtal
1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500
10
16
1177
1355
905
1074
6694
6965
4224
4713
11823
12752
Our community Chicago
15
Measuring our health.This Community Health Needs Assessment is the result
of a partnership between Presence Health, the Illinois
Public Health Institute and a diverse group of community
organizations and local leaders. In July 2012, a Steering
Committee was created to address the overall goal of
improving the health and well-being of the community
with a special focus on the needs of the most vulnerable.
The Committee examined a wide range of factors that
impact health, from the causes of disease and death to
income and unemployment rates. Statistics came from
sources like the U.S. Census and the City of Chicago.
Direct input from residents was also obtained through
a community survey that explored perceptions about
quality of life and barriers to health. Gaps in services
were identified and prioritized needs were determined
(see page 2).
Taking action.Based on these priorities, Action Teams were formed to
develop goals and objectives that build from existing efforts
in the community. The result is targeted action plans that
help place resources where they are most needed and can
be the most effective. The Steering Committee will continue
to provide support and oversight of these plans as part of a
long term, comprehensive effort for improvement.
Read more. Visit presencehealth.org/community to get the whole story
of the Community Health Needs Assessment and view the
full Community Health Profile and Community Input Reports.
Residents who pay more than 30% of
their income on housing are considered
cost burdened.
Almost 50% of residents in all areas are cost burdened by housing, 70% in Humboldt Park.
Gre
ater
Ch
icag
o F
oo
d D
epo
sito
ry; U
SDA
% of population experiencing food insecurity, 2009
14.7%
West Town
18.5%
Hermosa
17.2%
Logan Square
25.8%
Humboldt Park
US
14.7%15%
5%
10%
20%
25%
30%
17.0%
Belmont Cragin
Ch
icag
o R
ehab
Net
wo
rk
% of residents cost burdened by home type, 2009
10%
20%
40%
50%
60%
30%
Bel
mo
nt C
rag
in
Her
mo
sa
Log
an S
qu
are
Hu
mb
old
t Par
k
Wes
t Tow
n
Ch
icag
o
49
.2%
54.6
%
51.8
%
48
.3%
68
.6%
71.6
%
49
.2%
51.8
%
49
.2%
51.8
%
50.8
%6
2.1%
Renters Owners
70%
80%
2233 West Division Street
Chicago, Illinois 60622
Call 877.737.INFOEmail [email protected] presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.
+ + +