Dupage County Needs Assessment

Dupage County needs appraisal U OM LTH C A E TUS ENT H A T ESM S S AS ITY N DUPAGE COUNT Y HEALTH DEPARTMENT Everyone, Everywhere, Everyday Association Bloom Cachet Appraisal DuPage County Bloom Administration 2010 Prepared By Mary Lally, RN, MPH Crystal Reingardt, MPH Peggy Iverson, BS Stacey Hoferka Jensen, MPH, MSIS Elizabeth Barajas, MPH Table of Contents Area 1 Arch Causes of Afterlife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Top Ten Arch Causes of Afterlife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Awkward Bloodshed Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Top Ten Arch Causes of Afterlife by Gender . . . . . . . . . . . . . . . . . . . . Top Bristles Arch Causes of Afterlife by Age Group . . . . . . . . . . . . . . . . . Years of Potential Life Lost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Demographic and Socioeconomic Characteristics . . . . . . . . . . . . . DuPage County Citizenry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bearing Statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Statistics. Bloodshed Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Immigrant Citizenry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unemployment. Unemployment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Uninsured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 1-1 1-2 1-3 1-4 1-5 2-1 2-1 2-7 2-8 2-9 2-10 2-11 2-12 2-13 2-13 3-1 3-7 3-8 3-22 3-23 3-24 3-25 3-25 3-28 3-29 4-1 4-1 4-7 4-8 4-12 4-13 4-14 5-1 5-1 5-4 5-7 5-7 5-10 6-1 6-1 6-2 6-3 6-6 Area 2 Area 3 Abiding Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diseases of the Heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cancer. Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stroke. Stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Abiding Lower Respiratory Ache . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arthritis. Arthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Osteoporosis. Osteoporosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diabetes. Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Asthma. Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EndDisease. End-Stage Renal Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infecti Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VaccineVaccine-Preventable Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alternative Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sexually Transmitted Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HIV/AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rabies . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Area 4 Area 5 Maternal and Child Bloom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infant Deaths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prenatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Factors. Risk Factors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Low Bearing Weight and Very Low Bearing Weight . . . . . . . . . . . . . . . . . . . . . . Adolescent Pregnancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Activity Nutrition, Concrete Activity and Obesity. . . . . . . . . . . . . . . . . . . . . . . . Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Activity. Concrete Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Obesity. Overweight and Obesity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FORWARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Area 6 Area 7 Ecology Bloom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Outdoor Air Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Waste. Toxics and Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Communities. Healthy Homes and Healthy Communities. . . . . . . . . . . . . . . . . . . . . . . Infrastructure and Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foodborne Illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Brainy Bloom Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Brainy Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alzheimer ’s ache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alcohol Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tobacco Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Illicit Drug Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Abrasion and Violence Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adventitious Unintentional Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accidents. Motor Agent Accidents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drowning. Drowning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deaths. Firearm Related Injuries / Deaths. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Homicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Child Abuse and Neglect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Domestic Violence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 7-1 7-3 7-4 7-6 7-6 7-8 8-1 8-1 8-3 8-5 8-6 8-7 8-10 8-12 9-1 9-1 9-2 9-3 9-4 9-5 9-6 9-7 9-9 1010-1 1010-1 1010-2 1010-2 1010-4 1010-5 10-5 101010-8 1111-1 11-1 111111-2 1111-4 1111-5 1111-6 1111-6 Area Section 8 Area 9 10 Area 10 Minority Bloom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County Citizenry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County Bloodshed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ethnicity. Account Specific Deaths by Race and Ethnicity. . . . . . . . . . . . . . . . . . . . . Top Bristles Arch Causes of Afterlife by Race and YPLL . . . . . . . . . . . . . Motor Agent Accidents, Homicides, and Suicides . . . . . . . . . . . . . . . . Maternal and Infant Bloom Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infectious Ache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Access to Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bloom Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Preventive Clinical Preventive Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ongoing Sources of Primary Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inadequate Prenatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sentinel Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Area 11 Introduction In adjustment to accommodated State requirements for bloom administration re-certification, Illinois Administrative Code requires that every bristles years, anniversary Local Bloom Administration charge appraise the bloom needs of its association through a analytical action accepted as the Illinois Project for Local Appraisal of Needs (IPLAN). IPLAN is ashore in the amount functions of accessible bloom and ddresses accessible bloom convenance standards. One of the adapted abstracts of the IPLAN action is a Association Bloom Cachet Assessment. The Association Bloom Cachet Appraisal is advised to acknowledgment the question, “What is the bloom cachet of the association of DuPage County? ” The after-effects of this appraisal will accommodate the IPLAN Steering Committee with an compassionate of the community’s bloom cachet and ensure that the IPLAN priorities accommodate specific bloom cachet issues. The Association Bloom Cachet Appraisal is developed through the analytical assay of bloom cachet abstracts from primary and accessory sources. The afterward DuPage County Bloom Administration Association Bloom Cachet Appraisal is a accumulation of abstracts from these sources. The Institute of Medicine defines a association bloom contour as a set of health, demographic and socioeconomic indicators which are accordant to best communities. It is advised to accommodate a ample cardinal appearance of the population’s bloom status, and the factors that access bloom in the community. The IPLAN Steering Committee will use this certificate to analyze and abutment about ten bloom cachet issues. Methodology The DuPage County Bloom Administration has created this Association Bloom Cachet Appraisal to analyze specific bloom needs as allotment of the IPLAN process. Our absorbed is to advance an accurate, absolute account of bloom cachet of DuPage County residents. Content areas covered focus on physical, brainy and ecology health. This appraisal will chase a anatomy agnate to the U. S. Healthy People 2010 (HP 2010) document, accouterment the best accepted abstracts available, and advertence how DuPage County compares to the HP 2010 ambition whenever possible. Incidence, prevalence and trends are apparent aback available. Objectives after HP 2010 targets accept been included area adapted based on accessible bloom impact. Absolute HP 2010 comparisons were not consistently available. Finding current, allusive abstracts on specific bloom objectives consistently charcoal a challenge. Abounding abstracts sources accept been acclimated in an attack to accommodate authentic abstracts for analysis. Abstracts believability charge consistently be considered, as in some instances, blow of anguish or bloodshed may be so low that a accurate amount or percent cannot be affected or, if calculated, would be meaningless. These occurrences are acclaimed throughout the document. Abstracts acquired in the Association Bloom Contour is a accumulation of abounding sources. Frequently aback discussing civic bloom statistics or trends, absolute HP 2010 argument was quoted. The IPLAN Abstracts Arrangement was a primary antecedent for Illinois and DuPage County specific indicators, as this arrangement contains a abundance of abstracts on births, bloodshed and abiding illnesses. Illinois Administration of Accessible Bloom bearing and afterlife files were frequently acclimated as a abstracts source, forth with sources from specific DuPage County Bloom Administration account areas. Other abstracts and advice sources accommodate Access DuPage, American Cancer Society, American Heart Association, American Psychiatric Association, Behavioral Risk Factor Surveillance System, Centers for Ache Control and Prevention, DuPage County Ecology Committee, DuPage County Sheriff’s Office, DuPage Federation on Human Services Reform, Family Shelter Services, Illinois Attorney General, Illinois Council Against Handgun Violence, Illinois Administration of Children and Family Services, Illinois Administration of Employment Security, Illinois Administration of Accessible Health, Illinois Administration of Transportation, Illinois Ecology Protection Agency, Illinois State Board of Education, Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, Civic Adolescent Bloom Advice Center, Civic Alliance on Brainy Illness, Civic Cancer Institute, Civic Diabetes Advice Clearinghouse, Civic Heart, Lung, and Blood Institute, Civic Institute of Brainy Health, Civic Institutes of Health, Civic Osteoporosis Foundation, Civic Safety Council, Civic Stroke Association, Nationally Highway Traffic Safety Administration, Safe Kids USA, SEER*Stat (Surveillance, Epidemiology and End After-effects statistical software), Substance Abuse and Brainy Bloom Services Administration, Suicide Prevention Resource Center, The Alan Guttmacher Institute, The Joint Commission on Accreditation of Healthcare Organizations, U. S Census Bureau, U. S. Centers for Ache Control and Prevention, U. S. Administration of Commerce, U. S. Administration of Bloom and Human Services, U. S. Administration of Housing and Urban Development, U. S. Administration of Justice, U. S. Ecology Protection Agency, and World Bloom Organization. Area 1: Arch Causes of Afterlife and Bloodshed in DuPage County A acceptable abode to activate our abstraction of the bloom cachet of the citizenry is by reviewing the arch causes of afterlife in DuPage County residents. Presenting, ranking, and comparing arch causes of afterlife abstracts is a accepted adjustment of assuming bloodshed statistics, and is advantageous for illustrating the about accountability of disease-specific mortality. The DuPage County afterlife abstracts presented in this area were acquired from afterlife files provided by the Illinois Administration of Accessible Health. In 2006, there were 5,703 deaths in DuPage County and 102,122 deaths in Illinois (1). Ninety-four percent of DuPage deaths were White, three percent were Asian, and two and one bisected percent were Black. Three percent of DuPage deaths were Hipic. Minority Bloom will be addressed in Area 10 of this Association Bloom Profile. See Table 1. 1 for a allegory of the 2006 Top Ten Arch Causes of Afterlife in DuPage County and Illinois (2)(3). See Table 1. 2 for the 2004 and 2005 Top Ten Arch Causes of Afterlife in DuPage County (2). Table 1. Top Ten Arch Causes of Afterlife in DuPage County with Illinois Comparison, 2006 DuPage County Rank Account of Afterlife All Causes 1 2 3 4 5 6 7 8 9 10 1 Illinois Cardinal of Deaths 102,122 27,002 24,052 5,974 4,725 4,401 2,792 1 Cardinal of Deaths 5,703 1,419 1,384 347 260 192 183 158 109 107 93 Percent of Deaths 100. 0 24. 9 24. 3 6. 1 4. 6 3. 4 3. 2 2. 8 1. 9 1. 8 1. 6 Percent of Deaths 100. 0 26 24 6 5 4 3 1 Diseases of the Heart Cancer Cerebrovascular Ache Abiding Lower Respiratory Ache Accidents Alzheimer’s Ache Pneumonia Diabetes Mellitus Nephritis and Nephrosis Septicemia 2,794 2,501 2,001 3 2 2 Pneumonia is not in the top ten arch causes of afterlife in Illinois Source: Illinois Administration of Accessible Bloom (2) (3) 1-1 Table 1. Top Ten Arch Causes of Death, DuPage County, 2004-2005 2004 Percent of 2005 DuPage Absolute DuPage Deaths Deaths Deaths All Causes 5,444 100. 0 5,761 Diseases of the Heart 1,326 24. 4 1,455 Cancer 1,395 25. 6 1,440 Cerebrovascular Ache 385 7. 1 388 Abiding Lower Respiratory 252 4. 6 274 Ache Accidents 208 3. 8 181 Pneumonia 137 2. 5 177 Alzheimer’s Ache 166 3. 0 179 Nephritis and Nephrosis 116 2. 1 138 Diabetes Mellitus 119 2. 2 116 Septicemia 102 1. 9 89 Source: Illinois Administration of Accessible Bloom (2) Percent of Absolute Deaths 100. 0 25. 3 25. 0 6. 7 4. 8 3. 1 3. 1 3. 1 2. 4 2. 0 1. 5 Since 1908, Diseases of the Heart has been the aboriginal or additional arch account of afterlife in the United States (4). Since 1921, Diseases of the Heart has remained the cardinal one account of afterlife (4). While DuPage County actual bloodshed abstracts dating aback to 1921 is unavailable, one can extrapolate civic patterns to County mortality. The access in 2004 absolute Cancer can be apparent as an anomaly. The barter amid Diseases of the Heart and Cancer in 2004 should be monitored. Awkward Bloodshed Amount Table 1. 3 Awkward Bloodshed Rate, DuPage County and Illinois, 2000-2006 Year DuPage County Illinois 2000 617. 1 855. 8 2001 620. 6 840. 1 2002 616. 1 842. 9 2003 615. 6 829. 2 2004 586. 3 805. 0 2005 618. 0 812. 1 2006 611. 3 795. 8 Source: Illinois Administration of Accessible Bloom (2) 1-2 Crude Bloodshed Amount in DuPage County and Illinois 2000 - 2006 Amount per 100,000 Citizenry 1,000 800 600 400 200 0 2000 2001 2002 2003 2004 Illinois 2005 2006 Year DuPage County Graph 1. 1 Source: Illinois Administration of Accessible Bloom (2) As can be apparent from Graph 1. 1, amid 2000 and 2006 the DuPage County and Illinois bloodshed ante remained almost stable. The DuPage County awkward afterlife amount ranges from 586 deaths per 100,000 citizenry to 620 deaths per 100,000 population. The Illinois bloodshed amount is college and has a greater ambit than DuPage County. It ranges from 796 deaths per 100,000 citizenry to 843 deaths per 100,000 citizenry (2). Top Ten Arch Causes of Afterlife by Gender Table 1. DuPage County Arch Causes of Death, All Ages by Gender, 2006 Macho Changeable Rank Account Cardinal Rank Account 1 Cancer 681 1 Heart Ache 2 Heart Ache 661 2 Cancer 3 Accidents 130 3 Cerebrovascular Ache (CVD) 4 Cerebrovascular Ache 128 4 Abiding Obstructive (CVD) Pulmonary Ache (COPD) 5 Abiding Obstructive 99 5 Alzheimer Pulmonary Ache (COPD) 6 Pneumonitis 81 6 Pneumonitis 7 Diabetes 51 7 Accidents 8 Nephritis 47 8 Nephritis 9 Alzheimer 44 9 Diabetes 10 Septicemia 43 10 Septicemia Source: Illinois Administration of Accessible Bloom (2) Cardinal 758 703 219 161 139 77 62 60 58 50 1-3 Gender Differences The 2006 top ten arch causes of afterlife are the aforementioned for oth males and females, admitting the baronial of causes varies by gender. The aboriginal and additional account of afterlife for males is Cancer, followed by Heart Disease. This adjustment is antipodal for females. Accidents (Unintentional Injuries) are the third arch account of afterlife for males, but the seventh arch account for women. This class includes motor agent accidents and any alternative adventitious abrasion afterlife that occurs as a aftereffect of a fall, drowning, firearm or alternative adventitious cause. In DuPage County, the cardinal of macho Blow deaths is added than alert the cardinal of changeable Blow deaths, which is attributed primarily to college numbers of macho motor agent deaths. This alterity amid macho and changeable blow deaths is a trend that is additionally apparent nationally (5). CVD and COPD are the fourth and fifth arch causes for males, but the third and fourth causes for women. Alzheimer’s ache is the fifth arch account for women, but the ninth account for men. Pneumonitis is the sixth arch account of afterlife for both males and females. Diabetes was the ninth arch account of afterlife for females and the seventh in males. Nephritis was the eighth arch account of afterlife in both females and males and Septicemia was the tenth arch account of afterlife for both genders. Top Bristles Arch Causes of Afterlife by Age Groups Table 1. 5 Bristles Arch Causes of Afterlife by Age Group in DuPage County, 2006 Rank

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