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Community Health Assessment Report Benton & Franklin Counties 1996 Summary Community Health Assessment • Tri-City Area Health Care Task Force • Benton-Franklin District Health Department • A.H.E.C. Methodology • Quantifiable Data – VISTA Verified • Qualitative Data – BRFSS (550) – Community Opinion Survey (600) – Key Informant Interviews • Two Open Forums Demographics & Socioeconomics • 1994 Benton-Franklin population169,900 • 1990-1994 population increased annually by an average of 4,967 • The largest group of Hispanics B&F counties under 9 • In Benton County the number of Hispanic residents was 8,624 or 7.7% of the total population. • In Franklin County, there were 11,316 Hispanics or 30% of the total population. • 15% of all children 18 years or younger in Benton County live in poverty, 32% in Franklin County and 14.9% in the state. Morbidity/Mortality • The leading causes of death in Benton and Franklin Counties and the State of Washington were: Heart Disease, Stroke, Injury and COPD • Unintentional Injury was the leading cause of death among those under 45 years old • Cancer is the leading cause of death for females in both counties (respiratory cancer is single most common cause of cancer deaths) • Benton and Franklin counties have significantly higher stroke mortality than the state • Franklin County has a significantly higher rate of motor vehicle mortality than Benton County or Washington State Apex Socioeconomic and Assess Indicators Data Benton County Per Capita Income 1994 Franklin County Washington State $20,122 $15,620 $21,289 Percent living below FPL in 1990 11.8% 23.0% 10.2% Percent of those over 25 with less than high school education 16.2% 31.89% 16.3% Percent of labor force unemployed 11.9% 13.9% 4.9% Percent of Population on food stamps 8% 16% 6.1% Percent of population enrolled in medical assistance 12.52% 29.43% 11.1% Estimated number of homeless persons Maximum age of children served by WIC Percent of minors enrolled in Medicaid who used EPSDT 5,337 5 5 5 27% 29% 21.4% Access to Health Care • Wide open spaces and long distances to health care and trauma centers affect access to care for the rural areas of Benton and Franklin Counties. • Public Health, Mental Health, long term and acute care are becoming increasingly integrated • Pasco has been identified as a shortage area • La Clinica is the only publicly subsidized health clinic in the area. • health professional shortage area for dental care providers Social Issues • 1990-1992 children who were DSHS clients • Violence • Teen Pregnancy, school drop out, drug and alcohol misuse, attempted suicide and living with child abuse and domestic violence • Individuals enrolled in state funded treatment programs of alcohol and other drug abuse Public Health • From 1990 to 1994, the Environmental Health Division investigated over 1,075 food related complaints. • Infectious diseases such as tuberculosis and vaccinepreventable diseases such as measles continue to be a concern in the two-county area • Chlamydia is the most common STD reported. Females age 15-19 are the most frequently affected. • Forty-Two AIDS cases have been reported since 1986 in the two-county area. It is estimated that for every AIDS case there are 10-20 additional individuals infected with HIV. • In a recent survey of area residents, less than 48% felt that their drinking water was “very safe”. Birth and Perinatal Indicators • Of the 39 counties in WA, Benton Co. ranked 30th and Franklin Co. 37th for mothers who reported smoking during pregnancy. • For four out of the six years from 1988 to 1993, Franklin County had the highest teen pregnancy rate among Washington counties. • In 1993, 4.2% of the infants born were low birth weight (This matches the target percentage set in the PHIP Year 2000 Goal for the state) • The infant mortality rate in Franklin County was 10.2 per 1,000 live births from 1991-1993. In Benton County, that rate was 6.9 for the same period. The PHIP year 2000 target goal is less than 7.0 infant deaths per 1,000 live births. General Health and Well-Being • 85% of the respondents reported having medical insurance coverage of some kind. • 64% of those with medical coverage reported having a medical checkup in the last year versus 35% of those who are uninsured. • About 14% of all respondents said that they need to see a health professional within the last year but could not because of the cost • Among those households surveyed with young children, 46% reported their youngest child never uses a bicycle helmet. • Based on reported heights and weights 30% of all respondents were calculated to be overweight. • 53% of respondents reported experiencing allergy symptoms within the two weeks previous to the survey. Some Sample Priorities • • • • • • • • Teen violence Teen pregnancy Drug usage STDs Alcohol use Tobacco use Immunizations Infectious Disease Transmission • Seat Belt Use • • • • • • • • • Safe Drinking Water Migrant Worker Poverty Affordable Housing Dental Caries/Gum Disease Publicly Subsidized Healthcare Access to Primary Healthcare Population Based Public Health Prenatal Care/Infant Mortality Next Step • Implementing Change • Prioritizing Problems • Measurable Outcome Indicators • Involvement of Entire Community