#fairfaxCHA virginia

FairfaxCommunity Health Assessment

2017

This Community Health Assessment reflects the work and contributions of many community stakeholders and governmental partners across the Fairfax community. Sincere appreciation is extended to those who so graciously shared their expertise on the 12 assessment resources referenced in this document. Finally, a special note of gratitude is owed to the following individuals for their time, commitment, and insight in the development of this report.

#fairfaxCHA

Gloria Addo-Ayensu, MD, MPHDirectorFairfax County Health Department

Marlene BlumChairman, Health Care Advisory BoardCo-Chair, Partnership for a Healthier Fairfax

Lane BrowningStrategic Projects CoordinatorFairfax County Health and Human ServicesCo-Chair, Health Workforce

Jesse EllisPrevention ManagerFairfax County Department of Neighborhood and Community ServicesChair, Access to Health Services

Chris GarrisPrograms DirectorBritepathsChair, Fairfax Food Council

Joe GorneySenior PlannerFairfax County Department of Planning and ZoningCo-Chair, Healthy Environment and Active Living

Samantha Hudson Senior PlannerFairfax County Park AuthorityCo-Chair, Healthy Environment and Active Living

Gary KrepsDirectorCenter for Health and Risk Communication George Mason UniversityChair, Communications Committee

Rachel LynchProgram Outreach Administrator Inova Community Health ServicesCo-Chair, Health Workforce

Sara PappaRegional Tobacco Control CoordinatorFairfax County Health DepartmentTobacco-Free Living

Terri SigginsProgram CoordinatorFairfax Food CouncilFairfax County Health Department

Robert WeilerChair and ProfessorGlobal and Community HealthGeorge Mason UniversityCo-Chair, Partnership for a Healthier Fairfax

Fairfax County Health Department Community Health Assessment Team Sherryn CraigHealth Planner

Marie CustodeStrategic Planner

Tina DaleCommunications Specialist

Elina Guralnik Masters of Public Health Student InternGeorge Mason University

Shawn KiernanEpidemiology Manager

Susan Sanow Partnership Program Coordinator

Robin WilsonSenior Public Health Analyst

Partnership for a Healthier Fairfax Steering Committee

Acknowledgments

I. Approach ..................................................................................................................................1

A. Assessment Process ...................................................................................................2

B. Summary of Assessments ..........................................................................................4

C. Community Engagement ...........................................................................................7

D. Prioritization Process .................................................................................................8

II. Community Profile ..................................................................................................................9

A. Demographics .......................................................................................................... 10

B. Health Indicators ...................................................................................................... 13

III. Priority Issues ........................................................................................................................ 15

A. Healthy Eating ......................................................................................................... 16

B. Healthy Environment ............................................................................................... 18

C. Behavioral Health .................................................................................................... 20

IV. Next Steps .............................................................................................................................23

References ........................................................................................................................................25

Appendix A: Acronyms ..................................................................................................................27

Appendix B: Assessment Methods .............................................................................................. 28

Appendix C: Assessment Participation ........................................................................................ 29

Appendix D: Assessment Themes................................................................................................ 39

#fairfaxCHA Table of Contents

Approach

1

Nearly a decade ago, the Fairfax County Health Department convened stakeholders from across the Fairfax community to conduct its first comprehensive Community Health Assessment (CHA) process. This diverse group of individuals, community organizations, schools, healthcare providers, businesses, faith communities, and government agencies formed the Partnership for a Healthier Fairfax (PFHF) in 2010. Since then, this coalition has employed a cyclical community strategic planning framework known as Mobilizing for Action through Planning and Partnerships (MAPP). MAPP outlines a process to assess the health of the community, identify priority issues, and develop a Community Health Improvement Plan (CHIP) every five years. The final phase of the MAPP process is ongoing as the plan is implemented and evaluated over time.

The first iteration of the MAPP assessment process involved identifying external forces of change, recognizing the strengths and weaknesses of the local public health system, collecting community perspectives on assets and needs, and compiling quantitative data on health indicators. The data presented in the original MAPP assessments have been refreshed through several initiatives. First, implementation of the 2013-2018 CHIP1 resulted in gathering additional data to inform the work and acquiring an online data platform of health indicators called the Community Health Dashboard. Second, federal regulations were implemented requiring tax-exempt hospitals to conduct Community Health Needs Assessments every three years, providing new sources of recent, relevant data. Third, many of the partners involved in the coalition conducted their own research to better understand health-related issues in the community. After a review of available data, 12 assessment resources were identified that together provide a comprehensive profile of the Fairfax community. It was determined that these existing studies would provide the necessary information to fulfill the assessment phase of the MAPP process and to inform the development of the 2019-2023 CHIP.

Fairfax – An engaged and empowered community

working together to achieve optimal health and well-

being for all those who live, work, and play here.

Visit the Community Health Dashboard at www.livehealthyfairfax.org to view the most current data available for more

than 100 health-related indicators.

#fairfaxCHA Assessment ProcessApproach

2

Vision & Values Creation

#fairfaxCHA

Adapted from the National Association of County and City Health Officials MAPP Framework2

Community Health Assessment

Strategic Issues

Identification

Community Health

Improvement Planning

Implementation & Evaluation

2010 2011 & 2017

Assessment Process, continuedApproach

Mobilizing for Action Through Planning & Partnerships (MAPP)

Partnership Development

2012 & 2017

2013 & 2018

2013-2018 &

2019-2023

3

The five general assessments below were conducted to examine a broad range of health-related indicators across the Fairfax community. The data included in these sources provide insight into community strengths and needs related to a variety of health issues. See Appendix B for more information on assessment methods.

#fairfaxCHA

Assessment Purpose Sponsor Date Major Data Sources

Community Health Dashboard3

A web-based data resource center with over 100 indicators from various sectors available to the public

To achieve the goal outlined in the CHIP to facilitate access to

multiple sources of health-related data in a centralized online

platform

Fairfax County Health Department

Launched in May 2015, with data up-

dated continuously, as available

Data from national, state, and local sources, including comparison values, disparities,

and maps

Fairfax County Youth Survey4

A snapshot of the behaviors, experiences, and other factors that influence the health and wellbeing of youth in Fairfax County

To assess the prevalence of risky behavior and protective

factors among youth to better understand the community’s

effectiveness in fostering healthy choices in young people

Fairfax County Government and

Fairfax County Public Schools

Published in September 2017 for school year

2016-2017

An annual, voluntary, anonymous survey of all Fairfax County Public Schools 6th, 8th,

10th, and 12th grade students

The Path Toward Tomorrow: The 2016 Fairfax County Human Services Needs Assessment5

A review of changes in the county and the resulting needs in the areas of housing, economic self-sufficiency, health, and connections to resources

To identify key needs and challenges currently facing residents, especially among

specific populations (e.g., by age, income, disability status, race,

and ethnicity)

Fairfax County Health and Human

Services

Published in May 2016

Data from national and state surveys, information from local programs and services, community feedback from

residents and stakeholders, and a community survey

Inova Community Health Needs Assessment6

An analysis of the health needs for each of five Inova hospital service areas in Northern Virginia*

To identify significant community health needs to

inform the development of an implementation strategy to

address those needs for each local Inova hospital

Inova Health System

Approved by the Inova Board of

Directors in June 2016

Secondary data sources, other community assessments, key informant interviews, and

a community survey

Kaiser Community Health Needs Assessment7

An assessment of the health needs for the Kaiser Foundation Health Plan Mid-Atlantic States Region, including the Northern Virginia service area*

To identify and measure community needs and assets to tailor implementation strategies

and community investments

Kaiser Foundation Health Plan of the

Mid-Atlantic States, Incorporated

Approved by the Kaiser Foundation

Hospitals and Health Plans Board of

Directors in May 2016

Secondary data sources, other community assessments, key informant interviews, and

a stakeholder survey

* The assessment covers a broader region; however, only information specific to the Fairfax community is reflected in this report.

Summary of AssessmentsApproach

4

The seven focused assessments below were conducted to study a specific program area or to learn more about a health-related issue. The data included in these sources provide insight into community strengths and needs related to the research topic. See Appendix B for more information on assessment methods.

#fairfaxCHA

Assessment Purpose Sponsor Date Major Data Sources

Community Assessment for Public Health Emergency Response (CASPER)8

A survey of county residents on emergency preparedness, communication during a disaster, and communicable disease awareness

To measure community preparedness for disasters or

emergencies

Fairfax County Health Department

Published in September 2016

Face-to-face questionnaires at selected homes in specific neighborhoods using

statistically-valid random sampling

Fairfax Food Council 2015 Community Food Assessment9

A study of local food system needs and assets for the Herndon/Reston, Bailey’s Crossroads, and Mount Vernon areas of Fairfax County

To better understand the challenges in the local food

system and to inform efforts to foster greater food security

Fairfax Food Council Published in October 2015

Data on demographics and use of food and nutritional assistance programs and services, a food store assessment using

the Healthy Food Availability Index created by the Johns Hopkins Center for a Livable Future, a community survey of residents,

and stakeholder interviews with safety net providers

Culturally and Linguistically Appropriate Services (CLAS) Survey10

An evaluation of healthcare professionals’ awareness and implementation of national standards for delivering care to culturally and linguistically diverse populations

To study healthcare providers’ consideration of workforce composition, staff cultural

competencies, and the availability of language access services for non-English speaking patients

Partnership for a Healthier Fairfax, Health Workforce

Priority Issue Team

Completed in March 2015

Phone interviews with healthcare provider practices, healthcare clinics, and a

healthcare system

Equitable Growth Profile of Fairfax County11

A profile of community strengths and areas of vulnerability in building a strong, resilient economy

To expand community understanding of equity as a key economic driver, and to establish a baseline to track progress on a series of indicators of equitable

growth

PolicyLink and the University of

Southern California’s Program for Environ-mental and Regional

Equity

Published in 2015

National and local data sources for demographics, employment, workforce,

economic security, health access, and connectedness and consultation with a multi-sector community advisory group

Summary of Assessments, continuedApproach

5

#fairfaxCHA

Assessment Purpose Sponsor Date Major Data Sources

A Study in Contrasts: Why Life Expectancy Varies in Northern Virginia12

A report examining the social determinants of health to demonstrate how place matters for health

To study how health status varies across local neighborhoods

and to uncover disparities by geography

Northern Virginia Health Foundation

Published in June 2016

Demographic information and life expectancy data at the census tract level for Northern Virginia counties and cities

Fairfax County Park Authority Needs Assessment – Parks Count!13

A comprehensive evaluation of the Fairfax County parks and recreation system

To assess the alignment of Park Authority facilities and programs

with community needs, and to inform future resource allocation

Fairfax County Park Authority

Published in April 2016

Interviews, focus groups, crowdsourcing, public forums, a statistically valid survey, population projections, a cost analysis for

the preservation of natural and cultural resources, an assessment of service level standards for core facilities, and an asset

investment analysis

The State of the Health Care Workforce in Northern Virginia14

An analysis of the local demand and supply for 40 healthcare occupations

To learn about trends in the regional healthcare workforce, specifically which professions are likely to face the greatest

shortage in supply

Northern Virginia HealthFORCE

Published in March 2014

Information from literature reviews, employment data, labor market analyses,

interviews, focus groups, and surveys

Summary of Assessments, continuedApproach

6

Multiple sectors of the community were engaged in the collection of primary data for nine of the assessments. Overall, these studies employed ten different methods of gathering and analyzing community input (see Appendix B: Assessment Methods). Survey administration was the most common approach to collect feedback, followed by stakeholder interviews and focus groups. In addition to the general population, representatives from education, business, government, healthcare, nonprofits, and community advisory groups were invited to participate (see Appendix C: Assessment Participation). Collectively, community input was gathered from nearly 50,000 youth and adults through surveys and other methods of engagement.

An assessment showcase was held in the fall of 2016 to inform the Partnership for a Healthier Fairfax about each of the 12 data sources. The meeting included roundtable discussions for each assessment resource. Use of this World Café model enabled participants to explore assessment goals, methods, and findings to inform their collective work. It also provided the opportunity to gather coalition input about the strengths and needs impacting their community health improvement efforts.

During the Community Assessment for Public Health Emergency Response, residents identified the top eight greatest assets or strengths of the Fairfax community as:

1. Emergency preparedness and response

2. Educational opportunities for everyone

3. Community connectedness

4. Communication of information

5. Services and support for everyone

6. Safe place to live

7. Jobs and a healthy economy

8. Well-managed government8

Community perceptions of these areas of strength are in alignment with data from the 2018 County Health Rankings. The social and economic factors ranking, a composite measure of education, employment, income inequality, crime, and social cohesion, ranks Falls Church City #1 in the Commonwealth of Virginia. Fairfax City and Fairfax County come in 4th and 5th in the state respectively, out of 133 jurisdictions.15

#fairfaxCHA Community EngagementApproach

7

The Steering Committee of the Partnership for a Healthier Fairfax (PFHF) reviewed the assessment results, identified significant findings, and grouped them into assessment theme categories (see Appendix D: Assessment Themes). They identified the social determinants of health as an important cross-cutting theme to be integrated into the development of community health improvement strategies. They refined the list of health issues for prioritization by removing the areas that did not require a collaborative multi-sector approach and those that were already successfully being addressed outside of PFHF. They developed agreement on a prioritization process and criteria for the nine remaining issues. The prioritization exercise resulted in the selection of three health issues to be featured in the Community Health Assessment and to be addressed in the Community Health Improvement Plan. Indicators for these three areas, as well as community demographics and health statistics, are featured in the body of this report.

Impact

Health Equity

Feasibility

How much of a problem is this issue for our community overall?

• Very serious• Affects many people

How much of a problem is this issue for specific groups in our community?

• Evident disparities• Critical to advancing health equity

To what degree are resources available to address this issue?

• Adequate resources• Leadership commitment• Team of partners

Healthy

Eating

Healthy

E

nvironment

Behavioral

Health CR

ITER

IA#fairfaxCHA Prioritization ProcessApproach

8

Community Profile

9

White, Not Hispanic

Black, Not Hispanic

Asian/Pacific Islander

Hispanic/Latino

Other, Not Hispanic

Over the last several decades, the Fairfax community has evolved from being a suburb of Washington, D.C. to a vibrant, densely-populated area with urban centers of its own. Fairfax County is the largest county in the National Capital Region, with an estimated 2017 population of 1,142,888. The Fairfax community includes the cities of Fairfax and Falls Church for a total of nearly 1.2 million residents. It is forecasted that the population will continue to grow over the next 30 years to approximately 1.4 million. In 2017, 31% of residents were immigrants, 87% of whom had been here at least 5 years. Overall, the population is diverse, highly educated, and wealthy, though disparities exist by race/ethnicity, age, and geography.16

Age Fairfax County has a relatively young population, with 26% of residents under 20 years of age. However, the older adult population is increasing at a rate higher than the overall population. The number of adults age 65 and older has increased from 8% in the year 2000 to nearly 12% in 2017.16

Gender

Race/Ethnicity The Fairfax community continues to grow in its racial and ethnic diversity. Since 2000, Fairfax County has seen a 70% increase in persons who identify as Hispanic and a 67% increase in persons who identify as Asian/Pacific Islander.16

Languages There are 182 languages or dialects spoken at home among elementary school-aged children in Fairfax County Public Schools. The top 5 are Spanish, Arabic, Vietnamese, Korean, and Mandarin. Overall, 38% of residents age 5 or older speak a language other than English at home, and 7% of households are linguistically isolated, meaning that no members of the household speak English “very well.”16

male16

female

4%

52%

9%

19%

16%

12%

20%

22%

20%

26%

65+ years

50-64 years

35-49 years

20-34 years

0-19 years

#fairfaxCHA DemographicsCommunity Profile

10

Income Fairfax County is one of the wealthiest counties in the country. In 2016, the median household income of $114,329 was double the national average of $57,617. Among households in Fairfax County in 2017, 58% earned over $100,000 annually, while 17% earned under $50,000 per year.16

SocioNeeds Index

Poverty In Fairfax County, the total number of residents living in poverty in 2016 was 63,384 persons, or 5.4% of the population. Poverty rates are higher among individuals identifying as non-white, non-Hispanic, and for the following groups of people:

• Adults with disabilities: 13.3%

• Foreign-born residents: 8.7%• Seniors: 6.7% • Children: 6.3%16

The 2016 Federal Poverty

Level was $24,300

for a family of 4.

Social and economic factors are strong determinants of health outcomes. The 2017 SocioNeeds Index, created by Conduent Healthy Communities Institute, summarizes multiple socioeconomic indicators, such as poverty and education, into a composite score. The index value is a measure of socioeconomic need that is correlated with poor health outcomes. Geographic sectors are scored to easily identify the areas of greatest need in the Fairfax community.

Unemployment The percent of people who are unemployed has been on the decline over the last several years. Unemployment in the civilian labor force in October 2017 was 2.9% in Fairfax County, compared to 3.9% in the U.S. However, individuals who identify as non-white continue to have higher unemployment rates than white residents.3

2.9%Unemployment

17%

25%

22%

14%

22%

Percent of Households by Income

— $200,000+

— $150,000

— $100,000

— $50,000

Zip codes are ranked in the map above based on their index value from 1, indicating low need in white, to 5, indicating high need in dark blue. The four zip codes with the highest needs in the Fairfax community are 22041, 22306, 22309, and 22312.3

#fairfaxCHA Demographics, continuedCommunity Profile

11

Housing There were 405,837 households in Fairfax County in 2017. Although half live in single-family detached homes, the number of multifamily units has been increasing with the growing population. The median value of owned housing was $505,722, while the average rent for a one-bedroom unit was $1,561 in 2016.16

This gap in affordable housing results in a large number of residents being housing-cost burdened, or spending more than 30% of their income on housing. Approximately a third of all households in Fairfax are cost-burdened, with low-income households disproportionately impacted. Among households earning less than $35,000 per year, as many as 89% of owners and 94% of renters experience a housing cost burden. Renters age 15 to 24 years old and 65 and older are most likely to spend greater than 30% of their income on rental expenses.17

Health Insurance Access to affordable healthcare is an important factor in promoting health and wellbeing. In 2016, about 9% of the population was uninsured, both locally and nationally. Of the 100,412 uninsured individuals in the Fairfax community, 55% were not U.S. citizens and 76% spoke a language other than English at home.16

Education Overall, educational attainment is very high in Fairfax County compared to the nation. About 60% of Fairfax residents 25 years of age or over have at least a bachelor’s degree, compared with 30% nationally. However, there are differences in education by geography and race. The percent of people age 25 or older with a college degree or higher varies greatly by census tract, ranging from 16% in the Bailey’s Crossroads area to 88% in McLean. Another difference is that the percentage of blacks with at least a bachelor’s degree (44%) is lower than for the county overall. 3

#fairfaxCHA

Bachelor’s degree31%

Advanced degree29%

High school diploma or GED

13%

< High school

diploma8%

Some college/Associate degree

19%

Demographics, continuedCommunity Profile

12

Obesity Being overweight or obese affects quality of life and puts individuals at risk for developing many diseases, especially heart disease, stroke, diabetes, and cancer. Being overweight or obese also carries significant economic costs due to increased healthcare spending and lost earnings. Nationally, 65% of the adult population is overweight or obese.3

More than half of adults 20 years and older in Fairfax are overweight or obese.3

>54%

Nationwide, childhood obesity has tripled in the past 30 years. Low-income preschool obesity rates in Fairfax County are among the worst in the state and the nation. One quarter of children age 2-4 who participate in federally-funded health and nutrition programs place above the 95th percentile for body mass index (BMI)-for-age.3

1 in 4 low-income preschoolers have

high BMI

Chronic Disease The top five causes of morbidity and mortality in the Fairfax community are:18

Heart/Cardiovascular Disease

Stroke

Chronic Obstructive Pulmonary Disease

Hypertension Diabetes

Blacks are hospitalized at a rate higher than the overall population for the following health conditions:18

Heart Failure Diabetes Hypertension

2x 3x4X

CancerOverall cancer incidence in the Fairfax community (390.1 per 100,000) compares favorably to state rates (417.2 per 100,000). While the incidence of most cancers has declined, the rate of breast cancer has been increasing since 2010. Female breast cancer is the only type of cancer for which Fairfax rates (150.7 per 100,000) are higher than Virginia (128.3 per 100,000).18 Prostate cancer incidence rate is 48% higher in Blacks than the overall value of 94.6 cases per 100,000 males.3

Communicable Disease The Fairfax community has higher rates of tuberculosis (5.7 per 100,000) and Lyme disease (18.0 per 100,000) compared to Virginia overall.18

Asthma and arthritis are also among the top reasons for hospitalization in Fairfax County, but not for death.18

Life Expectancy Life expectancy in Fairfax County for both males and females is higher than the state and the nation at 82.3 and 85.1 years, respectively. Nationally, Fairfax County ranks 11th

for male life expectancy and 15th for female life expectancy as of 2014. Since 1980, life expectancy in Fairfax County has increased 11 years for males and nearly 8 years for females.19 Though high overall, life expectancy varies by as much as 11 years across the county, from 78 years in parts of Centreville, Annandale, and the Route 1 corridor to 89 years in neighborhoods near Reston Town Center and Tysons Corner.20

#fairfaxCHA Health Indicators Community Profile

13

14

Priority Issues

15

Healthy Eating Access to fresh, healthy, and affordable food is essential for the optimal growth and development of children. The availability of healthy food choices is also a critical component to combating obesity and preventing chronic diseases and dental cavities. Families that are not able to easily access grocery stores due to distance or lack of transportation are less likely to purchase healthy food options and more likely to consume foods which are readily available at convenience stores and fast food outlets.

Food Consumption, Youth • Three-quarters of Fairfax County youth do not eat the recommended number of daily

servings of fruits and vegetables. For black students, only one in five reported that they eat fruits and vegetables at least five times per day.4

• Overall, more than one-third of students reported consuming sugary drinks, such as soda, lemonade, or sport drinks, at least once per day. Consumption of sweetened beverages varied by race/ethnicity, ranging from a quarter of Asian students to nearly half of Hispanic students. Males were more likely than females to consume sugary beverages daily.4

A DAY

EAT

FRUITS & VEGGIES

Food Consumption, Adults • Only 23% of adults in the Fairfax community meet dietary recommendations for

eating at least five fruits and vegetables daily. Across Virginia, rates of fruit and vegetable consumption are worst among individuals who have not completed high school, those in the lowest income brackets, and non-Hispanic blacks.21

• On average, Fairfax adults consume 1.6 fruits per day and 2.2 vegetables daily.21

#fairfaxCHA

Healthy Eating, continued

Priority Issues

ONLY 1 IN 4 PEOPLE

16

Access to Healthy Food • The consumption of high-fat and high-calorie fast food increases the risk of obesity. The

density of fast food restaurants is often higher in low-income neighborhoods, contributing to health disparities in these communities. All jurisdictions in the Fairfax community score in the lowest/worst quartile in the nation for high per capita fast food restaurant density.3

• Food insecurity is the lack of reliable access to a sufficient quantity of affordable, nutritious food. Fairfax’s food insecurity rate has been on the decline since 2011. Despite this historic low, Fairfax County has the highest number of food insecure individuals in Virginia – 67,190 of its 1.1 million residents (6%). Of food insecure children, about half live in households that exceed income eligibility requirements for federal nutrition assistance.9

• The cost to purchase healthy and nutritious foods remains a major barrier to healthy eating among those struggling with poverty and food insecurity. At 0.3 stores for every 1,000 people, Fairfax County falls in the lowest quartile of counties in Virginia and the U.S. for the ratio of SNAP-certified stores per 1,000 population. Fairfax City and Falls Church City compare well at 1.2 and 1.4 stores per 1,000 population.3

Percent of Elementary Students Eligible for Free and Reduced

Priced Lunches 2014-15

-151 to -250

An additional 8,500 elementary students have become eligible for Free and Reduced Lunchessince 2008-09.

-51 to -150

0 to -50

1 to 50

51 to 150

151 to 420

Greater than 75%

50.1% to 75%

35.1% to 50%

20.1% to 35%

Less than 20%

No Data

Lunch Time

2002-03 2008-09 2014-15

Total Student Membership

84,858 87,864 99,393

# of Students Eligible for

F/R Lunches17,065 20,958 29,420

% of Students Eligible for

F/R Lunches20.1% 23.9% 29.6%

20%

25%

30%El

igib

le S

tude

nts

(%)

School Year

Elementary Students % Eligibility Free and Reduced Lunch 2002-2015

02-0303-04

04-0505-06

06-0707-08

08-0909-10

10-1111-12

12-1313-14

14-15

Increase in student eligibility

for the 08-14 school years.

Change in Number of Elementary Students Eligible for Free and Reduced Price Lunches 2008-09to 2014-15

Source: Virginia Department of Education, National School Lunch Program (NSLP) Free and Reduced Price Eligibility Report, By Schools 2002-2015. Boundaries for the 2014-15 school year were used. Percent change could be in�uenced by boundary and enrollment changes. Elementary schools divided into upper and lower were combined in this analysis (Bailey’s & Bailey’s Upper, Kings Park & Kings Glen). Prepared by Erik Hovland, Economic, Demographic, and Statistical Research, Fairfax County Department of Neighborhood and Community Services, April 2015.

To obtain this information in an alternative formatplease call 703-324-4600, TTY 711.

From 2002-2014 the Fairfax County elementary student membership increased by 17%.During the same time period the number of students eligible for free and reduced lunches increased by 72%.

For the 2014-15 school year, elementary school student populations ranged from 283 to 1,353 students, with a median population of 704 students.

Annual Monthly Weekly Annual Monthly Weekly2 $20,449 $1,705 $394 $29,101 $2,426 $5603 25,727 2,144 495 36,612 3,051 7054 31,005 2,584 597 44,123 3,677 8495 36,283 3,024 698 51,634 4,303 993

Household Size

Free priced meals - 130% Reduced priced meals - 185%

Free and Reduced-Price Lunch • From 2002 to 2014, the Fairfax County elementary student population

increased by 17%, while the number of students eligible for free and reduced-price lunches increased by 72%.22

• Between 2008 and 2015, an additional 8,500 elementary students became eligible for free and reduced-price lunches.22

• Overall, nearly one third of Fairfax County elementary school students receive free or reduced-price lunch. However, this percentage varies by geographic location within the county, with some sections of Bailey’s Crossroads, Reston/Herndon, and Mount Vernon reaching 75% or more.9

#fairfaxCHA Healthy Eating, continued Priority Issues

17

Health and wellness are shaped by the environment where community members live, work, and play. Creating an environment that fosters healthy living for everyone begins with integrating health considerations into policies, plans, and procedures. This approach, called Health in All Policies (HiAP), aims to ensure that policy decisions promote community health rather than contribute to negative health outcomes. Improving the conditions that shape health and wellbeing requires an investment in the infrastructure of neighborhoods, parks, recreation facilities, and transportation systems to make the living environment healthier and safer.

One Fairfax One Fairfax, adopted by the Fairfax County Board of Supervisors and School Board in 2017, is a social and racial equity policy that commits the County and schools to consider equity when making decisions, or developing or delivering programs or services. One Fairfax provides a framework for county and school leaders to look intentionally, comprehensively, and systematically at barriers that may be creating gaps in opportunity. The policy identifies 17 areas of focus to promote equity including community and economic development, housing, education, environment, and transportation. The Park Authority Board has also adopted the One Fairfax resolution. The adoption of One Fairfax provides a foundation for changes in policies, systems, and environments that improve community health through addressing the built environment and the social determinants of health.23

What is good for our health is also good for the economy and will make Fairfax County a stronger community for all of its residents.20

“ ”

#fairfaxCHA Healthy EnvironmentPriority Issues

18

Transportation • In Fairfax, residents have long commute times, with an average travel time to work of 32

minutes.16 In fact, commuters in the Washington Metropolitan Area experience an average delay of 82 hours per year, which is the worst in the nation among very large urban areas such as Los Angeles, Atlanta, and Houston.24

• While the percentage of workers age 16 and over in Fairfax who walk to work was 2% in 2012-2016, there was a wide range among census tracts from 0% in communities across the county to 20% near George Mason University.3

• Residents below 150% of the federal poverty level are more likely to access public transit or carpool rather than drive to work compared with residents above the poverty level. For Fairfax County low-income residents using public transportation, the additional time and money spent on commuting and transferring across systems results in less take-home pay and less time spent with family.5

Physical Activity Fairfax County is becoming increasingly more urbanized, providing opportunities to employ urban design strategies that encourage walking, bicycling, and other physical activity. During the Park Authority Needs Assessment, community members identified high-priority needs for walking and biking trails, parks, and play areas to create options for active living.13

• In Fairfax County, 99.5% of individuals reside within a reasonable distance from a park or recreation facility,3 and 87% reported using parks in the last year.13

• Fairfax adults are slightly more physically active than adults in the state and nation. In 2014, 81% of adults participated in any physical activities or exercises in the past month other than their regular job.3

• According to the Fairfax County Youth Survey, 42% of youth were physically active at least one hour five or more days in the past week.4

#fairfaxCHA Healthy Environment, continued Priority Issues

19

Behavioral health conditions among adults and youth include mental, behavioral, or emotional disorders; serious mental illness; and dependence on alcohol or drugs. Substance use can exacerbate mental health problems and make coping with and treating mental illness more difficult. Preventing and treating behavioral health disorders reduces the extremely high personal costs associated with these conditions and lowers health care costs and loss of productivity.

Adults• Nearly 15% of adults in the Fairfax community experience five

or more poor mental health days per month.3

• Occasional down days are normal, but having 14 or more poor mental health days per month is indicative of more chronic psychological distress and likely severe mental health issues. Approximately 8.5% of Fairfax adults report experiencing frequent mental distress.15

Youth• Overall, 36% of youth reported experiencing high levels of stress

in the past month, growing with grade level from about one-fifth of students in 8th grade to nearly half of 12th graders.4

• Barriers to social and emotional wellbeing include difficulty accessing mental health providers. While the Fairfax County ratio of population to mental health providers (680:1) is better than the state overall (730:1), the ratio is nearly double that of the highest performing counties in the U.S. (360:1).15

• About one in three female students (34%) and one in five male students (18%) reported feeling so sad or hopeless for two or more weeks in a row in the past year that they stopped doing some usual activities. Minority youth were at greater risk for poor mental health, with Hispanics reporting the highest rates of despair.4

• About 5% of students reported they had attempted suicide in the past year. Females (7%) were nearly twice as likely as males (3.7%) to report attempting suicide. A greater percentage of minority students reported attempting suicide than white students.4

• Female students were 3 times more likely to report having experienced sexual harassment, and twice as likely to report having been forced into sexual activity than their male counterparts. Overall, 13% of youth reported having been sexually harassed in the past year, and 9% of dating students reported being forced to engage in sexual activity by a partner. 4

Mental Health

#fairfaxCHA Behavioral HealthPriority Issues

20

Alcohol• Overall drinking – defined as the percentage of adults who have at least one drink per month

– is highest in affluent, well-educated communities. The City of Falls Church ranks the highest nationwide with more than three-quarters (79%) of adults 21 years and older who drink.25

• Nearly one in five adults in the Fairfax community report heavy drinking or binge drinking within the past 30 days.3

• Alcohol is the most commonly-used substance by teens in Fairfax County, with over half of 12th-graders reporting having consumed it at least once in their lifetime. Overall, the rates for alcohol use (lifetime, past month, and binge drinking) were lower than national comparison data and were the lowest reported in the past five years.4

Tobacco • Tobacco is the primary cause of avoidable illness and death in the U.S. The national target for

Healthy People 2020 is to decrease the number of adults who smoke to 12% or less of the population. Fairfax City (10.7%) and Fairfax County (11.5%) meet this goal; however, Falls Church City has 12.9% of adults who smoke.3

• Lifetime (11%) and past month (3%) prevalence rates for cigarette use among youth were the lowest reported in the past five years. More students reported smoking e-cigarettes in the past month (4%) than other tobacco products.4

Substance Use

#fairfaxCHA Behavioral Health, continued Priority Issues

21

Other Drugs • Marijuana was the second most frequently used substance by students (11%), with rates

for past month use higher among males (13%) than females (9%). Prevalence of use increased with grade level to nearly one in five high school seniors.4

• Fairfax County youth were slightly more likely than their peers nationally to have used LSD, cocaine, methamphetamines, or steroids in the past month.4

Opioids • Heroin and fentanyl deaths have been rising since 2013 both

locally and nationally. In 2016, the rate of fatal overdose deaths in the Fairfax community was highest among 25-34 year olds for both fentanyl/heroin overdose at 12.3 per 100,000, as well as for prescription opioid overdose at 7.4 per 100,000 people. These rates are more than twice the rate of these types of overdoses for all age groups combined.18

• Emergency department visits for opioid overdose in the Fairfax community in 2016 were 215.9 per 100,000 persons age 15-24 years old. This is over 2.5 times the rate for all ages combined.18

• Among youth, almost 7% reported misusing prescription medication in the past month, with 5% indicating use of painkillers without a doctor’s order and 4% reporting the non-medical use of other prescription drugs.4

• Fairfax County students had twice the rate for past-month prevalence of heroin use compared to U.S. youth (0.4% versus 0.2%).4

Substance Use

#fairfaxCHA Behavioral Health, continued Priority Issues

0

1

2

3

4

5

6

7

8

9

10

2013 2014 2015 2016

Rate

(per

100

,000

pop

ulat

ion)

Year

Fairfax Health District Overdose Deaths Rates by Select Drugs, 2013-2016

All Drug Overdoses Heroin OverdosesFentanyl Overdoses Prescription Opioid OverdosesAll Opioid Overdoses

22

Next Steps

23

This Community Health Assessment (CHA) reaffirmed that the Fairfax community, overall, ranks among the healthiest jurisdictions in Virginia and in the United States. It illustrates the many factors contributing to the region’s high quality of life – racial and ethnic diversity, well-educated residents, high per capita income, and the abundance of community resources and services. What is also evident is that these indicators often mask the people in the community who carry a disproportionate burden of poverty, poor health, and premature death. These disparities in socioeconomic conditions, access to care, and health outcomes must be explored further to advance health equity. While the information in this report will serve as the foundation for the next Community Health Improvement Plan (CHIP), additional data analyses for specific populations and geographies are needed to target strategies to those with the greatest needs.

The completion of this community profile marks the transition from the assessment phase to the planning phase of the Mobilizing for Action through Planning and Partnerships (MAPP) process. These data, in conjunction with an evaluation of progress on the 2013-2018 CHIP, will be shared with the Partnership for a Healthier Fairfax and other community stakeholders. This information will guide the selection of strategies for the priority issues of Healthy Eating, Healthy Environment, and Behavioral Health. The CHIP for 2019-2023 will outline new and revised goals, objectives, and key actions designed to transform the Fairfax community into a place where all may lead healthier, more productive lives. Achieving improved health outcomes takes time and a sustained commitment from community stakeholders and governmental partners. Only through its collective efforts can the Partnership for a Healthier Fairfax achieve its vision of optimal health and well-being for all who live, work, and play in the Fairfax community.

#fairfaxCHA Next Steps

24

1. Fairfax County. (2013). Live Healthy Fairfax Community Health Improvement Plan 2013-2018. Retrieved from https://www.fairfaxcounty.gov/live-healthy/sites/livehealthy/files/assets/documents/pdf/community-health-improvement-plan.pdf

2. National Association of County and City Health Officials. (2018). Mobilizing for Action through Planning and Partnerships (MAPP). Retrieved from https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mapp

3. Conduent. (2018). Fairfax Community Health Dashboard. Retrieved from www.livehealthyfairfax.org

4. Fairfax County. (2017). Fairfax County Youth Survey, School Year 2016-2017. Retrieved from www.fairfaxcounty.gov/youthsurvey

5. Fairfax County Health and Human Services. (2016). The Path Toward Tomorrow: The 2016 Fairfax County Human Services Needs Assessment. Re-trieved from http://www.fairfaxcounty.gov/living/healthhuman/needs-assessment/

6. Inova Health System. (2016). Inova Community Health Needs Assessment. Retrieved from http://www.inova.org/inova-in-the-community/index.jsp

7. Kaiser Permanente of the Mid-Atlantic States. (2016). Kaiser Permanente Community Health Needs Assessment. Retrieved from http://www.com-munitycommons.org/groups/community-health-needs-assessment-chna/

8. Fairfax County Health Department. (2016). Community Assessment for Public Health Emergency Response (CASPER). Retrieved from http://www.fairfaxcounty.gov/hd/ep/pdf/casper-final-report-2016.pdf

9. Fairfax Food Council. (2015). Fairfax Food Council 2015 Community Food Assessment. Retrieved from http://www.fairfaxcounty.gov/livehealthy/pdfs/cfa_report-final.pdf

10. Partnership for a Healthier Fairfax. (2015). Culturally and Linguistically Appropriate Services Survey.

11. PolicyLink. (2015). Equitable Growth Profile of Fairfax County. Retrieved from http://www.policylink.org/sites/default/files/Fairfax-Pro-file-6June2015-final.pdf

12. Center on Society and Health Virginia Commonwealth University (2016). A Study in Contrasts: Why Life Expectancy Varies in Northern Virginia. Re-trieved from http://novahealthfdn.org/wp-content/uploads/csh-nova-report-v10.pdf

13. Fairfax County. (2016). Fairfax County Park Authority Needs Assessment – Parks Count! Retrieved from http://www.fairfaxcounty.gov/parks/parks-count/downloads/needs-assessment-plan-050616.pdf

14. Jobs for the Future. (2014). The State of the Health Care Workforce in Northern Virginia. Retrieved from http://www.myskillsource.org/pdf/The-State-of-the-Health-Care-Workforce-in-Northern-Virginia_0327.pdf

15. County Health Rankings and Roadmaps. (2018). Retrieved from http://www.countyhealthrankings.org/

16. Fairfax County. (2018). Demographics. Retrieved from https://www.fairfaxcounty.gov/demographics/

#fairfaxCHA References

25

#fairfaxCHA References 17. Housing Virginia. (2015). Cost Burden: Households Paying More than 30% for Housing. Retrieved from http://www.housingvirginia.org/sourcebook/

cost-burden-households-paying-more-than-30-for-housing/

18. Virginia Department of Health. (2018). Data Portal. Retrieved from http://www.vdh.virginia.gov/data/

19. Institute for Health Metrics and Evaluation. (2016). County Profile: Fairfax County, Virginia. Retrieved from http://www.healthdata.org/sites/de-fault/files/files/county_profiles/US/2015/County_Report_Fairfax_County_Virginia.pdf

20. Northern Virginia Health Foundation. (2017). The Uneven Opportunity Landscape in Northern Virginia: Fairfax County. Retrieved from https://nova-healthfdn.org/wp-content/uploads/Fairfax-Co-TwoPager.pdf

21. Virginia Department of Health. (2013). Behavioral Risk Factor Surveillance Survey. Retrieved from http://www.vdh.virginia.gov/brfss/data/

22. Fairfax County Department of Neighborhood and Community Services. (2015). Lunch Time. Retrieved from https://www.fairfaxcounty.gov/de-mographics/sites/demographics/files/assets/vizpdf/school%20lunch%202015.pdf

23. Fairfax County. (2018). One Fairfax Policy. Retrieved from https://www.fairfaxcounty.gov/topics/one-fairfax

24. Texas A&M Transportation Institute, et al. (2015). 2015 Urban Mobility Scorecard. Retrieved from https://static.tti.tamu.edu/tti.tamu.edu/docu-ments/mobility-scorecard-2015.pdf

25. Dwyer-Lindgren, L.; Flaxman, A.D.; Ng, M.; Hansen, G.M.; Murray, C.; Mokdad, A.H. (2015). Drinking patterns in US counties from 2002 to 2012. American Journal of Public Health, 105(6), 1120-112.

26

The following abbreviations represent the full name of each assessment in the appendices.

#fairfaxCHA

General Assessments CHD – Community Health Dashboard

FCYS – Fairfax County Youth Survey

HSNA – The Path Toward Tomorrow: The 2016 Fairfax County Human Services Needs Assessment

ICHNA – Inova Community Health Needs Assessment

KPCHNA – Kaiser Permanente Community Health Needs Assessment

Focused Assessments CASPER – Community Assessment for Public Health Emergency Response

CFA – Fairfax Food Council 2015 Community Food Assessment

CLAS – Culturally and Linguistically Appropriate Services Survey

EGP – Equitable Growth Profile of Fairfax County

LE – A Study in Contrasts: Why Life Expectancy Varies in Northern Virginia

PANA – Fairfax County Park Authority Needs Assessment

WFNOVA – The State of the Health Care Workforce in Northern Virginia

AcronymsAppendix A

27

Diverse methods were used in the assessments to collect and analyze primary and secondary data. The different methods employed are outlined in the table below from most frequently used to least frequently used. Half of all the assessments used both primary and secondary data sources, one quarter collected only primary data, and one quarter analyzed only secondary data. Multiple sectors of the community were engaged to gather input from diverse perspectives in nine of the assessments. Survey administration was the most common approach to collecting community feedback, followed closely by stakeholder interviews.

#fairfaxCHA

General Assessments Focused Assessments

Methods CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Secondary Data Analysis X X X X X X X X X 9

Survey X X X X X X X X X 9

Interviews X X X X X X X 7

Focus Groups X X X 3

Meetings-on-the-Go X X 2

Public Forums X X 2

Board of Supervisors’ Stakeholder Meetings X 1

Business Roundtables X 1

Crowdsourcing X 1

Food Store Assessment X 1

Voting Opportunities X 1

Assessment Methods Appendix B

28

Diverse sectors of the community were broadly represented through primary data collection in nine assessments. The organizations represented in these assessment processes are organized by sector in the table below. The diverse perspectives included in the assessments were from the business sector; various boards, authorities, commissions, and other community advisory groups; educational institutions and academia; federal, state, regional, and local government agencies; healthcare service providers; and nonprofits, including faith-based organizations. The Fairfax County Human Services Needs Assessment and the Park Authority Needs Assessment had the broadest outreach across sectors. Nonprofits comprised more than a third of assessment participation, followed by community advisory groups and governmental agencies. Overall, community input was gathered from nearly 50,000 youth and adults through surveys and other methods of engagement.

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Allegra Marketing X 1

Alliance Law Group X 1

Consistent Voice Communications X 1

David Alstadt Consulting, LLC X 1

Flowers ‘n’ Ferns X 1

Greater Springfield Chamber of Commerce X 1

Halt, Buzas, & Powell, LTD X 1

Korean-American Chamber of Commerce X 1

Marriott X 1

New Earth X 1

Northern Virginia Association of Realtors X 1

Optfinity X 1

Pro-Line Embroidery X 1

Renewed Living X 1

Retail food establishments X 1

Strategy & Management Services, Inc. X 1

The Khalil Law Firm, PLLC X 1

Tysons Partnership X 1

Virginia Hispanic Chamber of Commerce X 1

WeePlay, LLC X 1

Busi

ness

es &

Em

ploy

ers

Assessment ParticipationAppendix C

29

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Advisory Social Services Board X 1

Architectural Review Board X 1

Board of Zoning Appeals X 1

Child Care Advisory Council X 1

Citizen Corps Council X 1

Commission for Women X X 2Commission on Organ & Tissue Donation & Transplantation X 1

Community Action Advisory Board X X 2

Community center advisory boards X X 2

Community Criminal Justice Board X 1Community Revitalization & Reinvestment Advisory Group X 1

Consolidated Community Funding Advisory Committee X 1

Criminal Justice Advisory Board X 1

District advisory boards X 1

Economic Advisory Commission X 1

Economic Development Authority X 1

Environmental Quality Advisory Council X 1

Fairfax Area Commission on Aging X X 2

Fairfax Area Disability Services Board X X 2Fairfax Community Long Term Care Coordinating Council X 1

Fairfax County Athletic Council X 1Fairfax County Convention & Visitors Corporation Board X 1

Fairfax County Health Department Multicultural Advisory Council X 1

Fairfax County Park Authority Board X 1

Com

mun

ity A

dvis

ory

Gro

ups

Assessment Participation, continued Appendix C

30

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Fairfax County Safety Net Health Center Commission X 1

Fairfax-Falls Church Community Policy & Management Team X 1

Fairfax-Falls Church Community Services Board X 1

Fairfax-Falls Church Partnership to Prevent & End Homelessness X 1

Fairfax Food Council X 1

Health Care Advisory Board X X X 3

History Commission X 1

Human Rights Commission X 1

Human Services Council X X 2Juvenile & Domestic Relations District Court Citizens Advisory Council X X 2

Library Board X 1

Northern Virginia Regional Park Authority X 1

Partnership for a Healthier Fairfax X X X 3

Planning Commission X 1

Redevelopment & Housing Authority X X 2

Resident Advisory Council X 1

Small Business Commission X 1South County Task Force for Human Services X 1

Trails & Sidewalks Committee X 1

Transportation Advisory Commission X 1

Tree Commission X 1

Upper Occoquan Sewage Authority X 1

Volunteer Fire Commission X 1

Water Authority X 1

Wetlands Board X 1

Youth Basketball Council Advisory Board X 1

Com

mun

ity A

dvis

ory

Gro

ups

Assessment Participation, continued Appendix C

31

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Fairfax County Public Schools X X X X X X 6

Fairfax Education Association X 1

George Mason University X X X X X X 6

Indiana University X 1

Johns Hopkins Center for a Livable Future X 1

Loudoun County Public Schools X 1

Marymount University X 1

Northern Virginia Community College X X X 3

NoVa HealthFORCE X 1

Old Dominion University X 1

Parent Teacher Associations X X 2

Prince William County Schools X 1

Shenandoah University X 1

Virginia Commonwealth University X 1

Arlington County X X X 3

Centers for Disease Control & Prevention X 1

City of Alexandria X X X 3

City of Fairfax X X 2

City of Falls Church X X 2

District of Columbia X 1

Fairfax County Board of Supervisors X X X X 4Fairfax County Department of Family Services X X 2

Fairfax County Department of Housing & Community Development X 1

Fairfax County Department of Neighborhood & Community Services X X X X X X 6

Fairfax County Department of Planning & Zoning X 1

Educ

atio

nG

over

nmen

t

Assessment Participation, continued Appendix C

32

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Fairfax County Department of Public Works & Environmental Services X 1

Fairfax County Economic Development Authority X 1

Fairfax County Fire & Rescue Department X 1

Fairfax County Health Department X X X X X 5Fairfax County Juvenile & Domestic Relations District Court X 1

Fairfax County Office for Children X 1Fairfax County Office for Women & Domestic & Sexual Violence Services X 1

Fairfax County Office of Community Revitalization X 1

Fairfax County Office of Public & Private Partnerships X 1

Fairfax County Office of the County Executive X X 2

Fairfax County Park Authority X 1

Fairfax County Police Department X 1Fairfax-Falls Church C0mmunity Services Board X X X 3

Loudoun County X X X 3

National Park Service X 1

Northern Virginia Regional Commission X 1Northern Virgina Soil & Water Conservation District X 1

Office of the National Coordinator for Health Information Technology X 1

Prince William County X X 2

Reston Community Center X 1

Route 1 Emergency Providers X 1

Southgate Community Center X 1

Town of Herndon X 1

Gov

ernm

ent

Assessment Participation, continued Appendix C

33

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Town of Vienna X 1

Virginia Department of Forestry X 1

Virginia Department of Health X 1

Virginia Housing Development Authority X 1

Virginia State Senate X 1

Volunteer Solutions X 1

Adams Compassionate Healthcare Network X 1

Arlington Free Clinic X 1

Arlington Pediatric Center X 1

Associate Counseling Center X 1

Autumnleaf Group, Inc. X 1

Birmingham Green Adult Care X 1

Dental practices in Fairfax County X 1

Developmental Support Associates X 1

Flip the Clinic, Inc. X 1

Fort Belvoir Community Hospital X 1Generalist physician practices in Fairfax County X X 2

HealthWorks for Northern Virginia X X 2

Inova Health System X X X X 4

Insight Memory Care Center X 1Kaiser Foundation Health Plan of the Mid-Atlantic States X X 2

Kaiser Permanente X X 2

Medical Reserve Corps Volunteers X 1

Medical Society of Northern Virginia X X 2

Molina Healthcare of Virginia X 1

Mt. Vernon at Home X 1

Neighborhood Health Services X X 2

Hea

lthc

are

Gov

ernm

ent

Assessment Participation, continued Appendix C

34

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Northern Virginia Dental Clinic X 1

Northern Virginia Health Services Coalition X 1

Novant Health X 1

NOVA Scripts Center X X 2

Occoquan Counseling, LLC X 1

Pharmacies in Fairfax County X 1

Potomac Health Foundation X 1

Regional Primary Care Coalition X 1

Reston Hospital X 1

Sentara Northern Virginia Medical Center X X 2Specialist physician practices in Fairfax County X 1

The Medical Team X 1

Virginia Association of Free Clinics X 1

Virginia Hospital Center X X 2

A Way Forward X 1

Access to Wholistic Living X 1

Alliance for a Healthier Generation X 1

Alternative House X 1

American Association of Nurse Executives X 1

Animal welfare organizations X 1Arlington Boulevard Community Development Organization X 1

Arlington Home Ownership Made Easier X 1

Artemis House X 1Asian American Youth Leadership Empowerment & Development X 1

Autism Society of Northern Virginia X 1

Non

profi

t Org

aniz

atio

nsH

ealt

hcar

e

Assessment Participation, continued Appendix C

35

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Brain Injury Services X 1

Building Economic Opportunity X 1

Campagna Center X 1

Catholic Charities X 1

Celebrate Fairfax, Inc. X 1

Centreville Labor Resource Center X 1

Community Residences, Inc. X 1Concerned Fairfax, Northern Virginia Chapter, National Alliance on Mental Illness X 1

Cornerstones X X 2

Cycling groups X 1

Easter Seals X 1

ENDependence Center of Northern Virginia X 1

Enroll Virginia! X 1

Environmental organizations X 1

Equestrian groups X 1Fairfax County Interfaith Clergy & Leadership Council X 1

Fairfax County Park Foundation X 1Fairfax Court Appointed Special Advocates, Inc. X 1

Faith Communities in Action X 1Family Preservation & Strengthening Services X 1

Family Services Network X 1

Food for Others X 1

Food Providers Network X 1Foundation for Appropriate & Immediate Temporary Help Social Services X 1

Friends groups X 1

Non

profi

t Org

aniz

atio

ns

Assessment Participation, continued Appendix C

36

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Good Shepherd Housing & Family Services, Inc. X 1

Greater Prince William Community Health Center X 1

HomeAid Northern Virginia X 1

Homeowners’ associations X 1

Houses of worship X X X 3

Jewish Social Service Agency X 1

Jobs for the Future X 1

Just Neighbors X 1

League of Women Voters in the Fairfax Area X 1

Legal Aid Justice Center X 1

Legal Services of Northern Virginia X X 2

Literacy Council of Northern Virginia X 1

Loudoun Interfaith Relief X 1

Naomi Project X 1

National Alliance for Mental Health X 1

Neighborhood civic associations X X 2

Neighbor’s Keeper X 1

New Hope Housing X 1Northern Virginia Affordable Housing Alliance X 1

Northern Virginia Area Health Education Center 1

Northern Virginia Family Service X X X 3

Northern Virginia Health Foundation X X X 3Opportunities, Alternatives & Resources of Fairfax X X 2

Our Daily Bread (currently Britepaths) X 1

Pathway Homes X 1

Non

profi

t Org

aniz

atio

ns

Assessment Participation, continued Appendix C

37

#fairfaxCHA

Sector Organization FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS PANA WF

NOVA Count

Psychiatric Rehabilitation Services, Inc. X 1

Rotary Club of Springfield X 1SafeSpot Children’s Advocacy Center of Fairfax County X 1

Seeds of Humanity Foundation X 1

ServiceSource, Inc. X 1

Shelter House, Inc. X 1

Shepherd Center of Fairfax-Burke X 1

SkillSource Group, Inc. X 1

Special Olympics in Northern Virginia X 1Stop Child Abuse NOW (Scan) of Northern Virginia X 1

The Arc of Northern Virginia X 1

The Community Gardens Project X 1

The Koinonia Foundation X 1

The Lamb Center X 1

The Morris & Gwendolyn Cafritz Foundation X 1

The Women’s Center X 1

Trail groups X 1

United Community Ministries X 1

Virginia Healthcare Foundation X 1Washington Regional Association of Grantmakers X 1

Wedgewood X 1

Wesley Housing X 1

Wolf Run Foundation X 1

Total Number of Organizations 4 118 26 44 3 14 10 74 22 315

Non

profi

t Org

aniz

atio

ns

Assessment Participation, continued Appendix C

38

Assessment Themes

Each of the assessments was examined to identify major health-related issues. The table below outlines overarching themes from the assessment review and their corresponding topic areas. The identified health issues are listed in order from those that appeared in the greatest number of assessments to those that were documented in the smallest number of assessments. The matrix was a pivotal tool in the prioritization of the health issues presented in the Community Health Assessment.

#fairfaxCHA

General Assessments Focused Assessments

Assessment Themes CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Healthy & Safe Physical Environment X X X X X X X X 8

Transportation X X X X X 5

• Affordable & accessible pub-lic transportation services X X X X X 5

Built Environment X X X 3

• Physical environment X X 2

• Preservation of open space & environment X 1

• Walking, hiking, & biking trails X 1

Housing X X X X 4

• Affordable housing X X X X 4

• Accessible housing for older adults & individuals with disabilities

X 1

Health in all Policies X X 2

Assessment ThemesAppendix D

39

#fairfaxCHA

General Assessments Focused Assessments

Assessment Themes CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Social Determinants of Health X X X X X X X 7

Socioeconomic Factors X X X X X X X 7

• Disparities by geography X X X X X 5

• Socioeconomic security X X X 3

• Racial economic gaps X X X 3

• Financial assistance X 1

• High cost of living X 1

Education X X X 3

• Educational barriers for marginalized communities X X 2

• Affordable child care & early education opportunities X 1

Employment X X 2

• Gaps in employment opportunities X X 2

• Disconnected youth (neither in school nor working) X 1

Assessment Themes, continuedAppendix D

40

#fairfaxCHA General Assessments Focused Assessments

Assessment Themes CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Health Eating X X X X X X 6

Access to Healthy Foods X X X X X 5

• SNAP/WIC benefits acceptance X X X 3

• Low fruit/vegetable consumption X X X 3

• Access to community gardens X X 2

Nutrition Literacy X X X X X 5

• Obesity/overweight & obesity-related concerns X X X X X 5

• Need for nutrition education X X 2

Food Insecurity X X X X 4

Mental Health X X X X X 5

Substance Use X X X X 4

• Drug use X X X X 4

• Alcohol use X X � 3

• E-cigarettes X 1

Access to Health Services X X X X 4

• Behavioral health services X X X X 4

• Healthcare access, coverage, & preventative services X X X X 4

• Dental care X X 2

Assessment Themes, continuedAppendix D

41

#fairfaxCHA General Assessments Focused Assessments

Assessment Themes CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Active Living X X X X 4

• Physical activity X X X X 4

• Screen time X 1

Health Workforce X X X X 4

Culturally & Linguistically Appropriate Services X X X X 4

• Cultural competency in care X X X 3

• Linguistically appropriate services X X 2

Recruitment X 1

• Shortages for allied health & rehabilitation occupations X 1

• Risk of shortages for some healthcare occupations X 1

• Need for student clinical placements X 1

Chronic Diseases X X X 3

• Diabetes X X 2

• Hypertension/cardiovascular/heart disease X X 2

• Cancer X 1

• Asthma X 1

• Other chronic diseases (osteoporosis, kidney disease)

X 1

Assessment Themes, continuedAppendix D

42

#fairfaxCHA General Assessments Focused Assessments

Assessment Themes CHD FCYS HSNA ICHNA KPCHNA CASPER CFA CLAS EGP LE PANA WF

NOVA Count

Services for Older Adults X X X 3

• Conditions & care of the elderly X X 2

• Services to support independent living X 1

Infectious Diseases X X X 3

• Infectious diseases X 1

• Safe sex X 1

• Mosquito control measures X 1

Violence X X 2

• Aggressive behaviors X 1

• Bullying/cyberbullying X 1

• Dating aggression X 1

• Domestic violence X 1

Sleep X 1

Vehicle Safety X 1

Access to Human Services Information X 1

Emergency Preparedness X 1

Assessment Themes, continuedAppendix D

43

#fairfaxCHA facebook.com/fairfaxcountyhealth

twitter.com/fairfaxhealthA Fairfax County, Va., publication. April 2018. For more information

or to request this information in an alternate format, call the Fairfax County Health Department at 703-246-2411, TTY 711.

fairfaxcounty.gov/livehealthy