2018 Community Health Assessment FLORIDA DEPARTMENT OF HEALTH

2018 Community Health Assessment FLORIDA DEPARTMENT OF HEALTH IN PINELLAS

Methods Primary Data ◦ ◦ Multi-sector team Developed community survey based on existing, validated surveys Survey research firm used randomized Pinellas cell and landline phone numbers to contact residents 702 adults sampled, 18 years or older Secondary Data ◦ Collected from various sources for comparison and context, including: ◦ ◦ ◦ U. S. Census Bureau Behavioral Risk Factor Surveillance System (BRFSS) Florida Department of Highway Safety and Motor Vehicles Florida Agency for Health Care Administration Substance Abuse and Mental Health Services Administration Florida Vital Statistics

Photovoice In your life, what supports you feeling safe and healthy? Crosswalks should be clearly marked to provide a safe crossing. Peaceful Relaxing - Anclote Key looks like the Caribbean.

Photovoice In your life, what are barriers to feeling safe and healthy? Homeowners need to take responsibility for keeping their portion of the sidewalk clear of debris and plant growth. I picked this photo because employees of many grocery stores locally smoke near the doors of the establishments. The ash tray cans are seen here. I chose not to take a picture of any employees. Many people are allergic to smoke or have chronic conditions that make breathing difficult. I enjoy fresh air.

Pinellas Demographics Source: U. S. Census Bureau

Leading Causes of Death Source: FL Bureau of Vital Statistics

Source: FL Bureau of Vital Statistics

Chronic Disease Higher Rates Than State 2016 Pinellas Florida Heart Disease 6. 0% 4. 7% Heart Attack 5. 3% 5. 2% Diabetes Deaths 20. 5 19. 6 Asthma 923. 8 Hospitalizations 835. 8 Source: FL Health CHARTS, U. S. Census Bureau

Chronic Disease Ever been told you had: Heart Attack Stroke 8. 1% 6. 8% COPD Diabetes 11. 0%

Obesity DOH-Pinellas Survey 61. 4% report being in height/weight category in overweight or obese range 2016 BRFSS Overweight or Obese Adults Pinellas 64. 0% Florida 63. 2% Source: FL Health CHARTS, BRFSS

Cancer Higher Rates Than State 2013 -2015 Pinellas Florida Breast 125. 9 118. 6 Lung 64. 9 58. 9 Skin 28. 0 24. 0 Lower Rates Than State 2013 -2015 Pinellas Florida Colorectal 36. 0 36. 6 Prostate 13. 2 16. 9 Cervical 7. 2 8. 5 Source: FL Health CHARTS, BRFSS

Cancer 16, 00% 14. 8% 12, 00% 12. 5% 10, 00% 10. 3% 8, 00% 7. 4% 6, 00% 4, 00% 2, 00% 0, 00% DOH-Pinellas Survey BRFSS

Communicable Disease Source: FL Health CHARTS

Communicable Disease 2014 -2016 STD Rates All Ages 15 -24 Pinellas 609. 3 3, 467. 1* Florida 607. 9 2, 819. 9 Source: FL Health CHARTS

Communicable Disease 89% Think sex education should be taught in schools

Mental Health 2014 -16 Suicide Rates Pinellas 18. 3 Florida 14. 1 Source: FL Health CHARTS

Mental Health In the last month, how often have you felt confident about your ability to handle your personal problems? 50, 00% 24. 1% 49. 3% 45, 00% 40, 00% Reported being diagnosed with a depressive disorder 35, 00% 30, 00% 25, 00% 1 in 5 almost or fairly never feel confident 20, 00% 15, 00% 10, 00% 16% 13. 8% 5, 00% 14% 5. 1% 0, 00% Almost Never Fairly Never Sometimes Often Very Often About half (49. 3%) of respondents have someone to confide in or talk about themselves and problems with all of the time.

Substance Use & Abuse 2016 BRFSS Pinellas 20. 9% Florida 17. 5% Source: FL Health CHARTS, BRFSS

Substance Use & Abuse 28. 3% 16. 1% Live in a home with at least one person who smokes. Report ever having used cocaine, heroin, or methamphetamine. 24. 1% Report using some form of prescription pain reliever. 1 in 10 Report using prescription pain reliever in some way not directed by doctor. Source: FL Health CHARTS, BRFSS

Maternal & Child Health Pinellas Breastfeeding Initiation Rates (2006 -2016) 100, 0 90, 0 80, 0 70, 0 60, 0 50, 0 40, 0 30, 0 20, 0 10, 0 White 6 14 -2 01 5 20 13 -2 01 4 20 12 -2 01 3 20 11 -2 01 2 20 10 -2 01 1 Black 20 09 -2 01 0 20 08 -2 01 9 20 00 -2 07 20 20 06 -2 00 8 0, 0 Hispanic Source: FL Health CHARTS

Maternal & Child Health Source: WIC

Injury & Violence Motor Vehicle Traffic Crashes (Rate per 100, 000) 2011 -2015 ◦ 63% increase in number of crashes involving drivers 15 -19 ◦ 57% decrease in impaired driver fatalities ◦ 65% of pedestrians killed in traffic crashes were walking across illuminated roads at mid-block Source: FL Department of Highway Safety & Motor Vehicles

Injury & Violence Source: FL Health CHARTS

Built Environment 30. 9% 43. 2% 41. 4% 41. 3% Live w/in ½ mile of healthy food source Live w/in ½ mile of fast food restaurant 59. 4% 23. 3% Live w/in ½ mile of a park Live w/in ½ mile of a trail system 33. 9% 18. 2% Source: U. S. Census Bureau

Built Environment One-third strongly agreed most drivers exceed the posted speed limits Two-thirds disagreed that sidewalks are separated from traffic by parked cars

Oral Health Source: FL Health CHARTS

Oral Health 36. 7% of respondents have not visited a dentist in over a year 55. 4% have had one or more teeth removed due to tooth decay or gum disease

Access to Care Do you have one person you think of as your personal doctor or health care provider? 24% 76% Yes No Last Routine Checkup

Access to Care TIME IN PAST 12 MONTHS WHEN YOU NEEDED TO SEE A DOCTOR BUT COULD NOT BECAUSE OF COST? 15% 85% Yes No

Income Minimal litter in neighborhood 73% <$25, 000 $25 K $49, 999 Neighborhood unsafe day 18 % 81% $50, 000+ 50% 100% 0% 50% 100% 90 % 92% 0% 50% 100% Believes formula best for infants <$25, 000 0% $25 K $49, 999 50% 60 % 68 % 38% 82 % 25% 0% 100% Has good oral health 54% 50% 100% 0% 50% 100% Compared to higher income residents of Pinellas County, lower income residents: 76 % 88% $50, 000+ 13 % Has access to mental health services 70 % 76% $25 K $49, 999 27 % 3% Has insurance <$25, 000 % 8% 90% 0% Neighborhood unsafe – night 32 100% • live in neighborhoods with more litter • feel less safe walking in their neighborhoods due to crime • are less likely to have health insurance coverage • are less likely to have access to mental health services • believe formula is the best choice for feeding infants • report worse oral health

Age Has a personal doctor or health care Has witnessed domestic violence provider 55% 48% 61% 62% 18. . . 35. . . 45. . . 64% 55. . . 62% 71% 47% 91% 65+ 0% 50% 35. . . 45. . . 100% 0% 28% 50% 100% 29% 17% 8% 55. . . 25% 65+ 29% 16% 0% 11% 50% Younger residents are less likely to have a personal health care provider • Age is associated with witnessing domestic violence, neighborhood safety at night, and cost being a barrier to accessing mental health services. However, those associations do not show an increasing or decreasing trend from young to old. 28% Cost is a barrier to accessing mental Neighborhood unsafe to walk at night health services 30% 39% 18. . . • 100% 0% 50% 100%

Race Most often drinks tap (versus bottled) water White Non. Hispanic 49% Black Non. Hispanic Compared to non-Hispanic White residents of Pinellas County, non-Hispanic blacks are more likely to drink bottled water than tap water. 15% 0% 50% 100% Geography Clearwater Most shopping done at local stores 97% Largo Neighborhood free from litter 98% St. Petersburg North 84% 95% St. Petersburg South 85% 83% 0% 50% Among the four areas in the comparison, St. Petersburg-South had the lowest rates of: 88% • shopping at local stores • living in a neighborhood that is free of litter 58% 100% 0% 50% 100% Results from CHNA 2017 Survey. All chi-square associations reported here were significant at p<=. 002 (Bonferroni adjusted). Geography was determined by zip code. Some categories were collapsed (e. g. 18 -24 with 25 -34) in order to increase N for comparisons. The sample size for some of the subgroups – and especially for Black Non-Hispanic – were small, making the analysis underpowered.

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

www. fccdr. usf. edu/pinellas-health-atlas

Conclusions & Next Steps Community Health Improvement Plan (CHIP) ◦ Priority areas will help form basis of CHIP ◦ Access to Care ◦ Mental Health & Substance Abuse ◦ Built Environment Community Health Action Team (CHAT) ◦ Form goals, strategies, objectives for CHIP ◦ CHA Report and community effort help create awareness and partnerships needed for CHAT 2019 -2020 Community Health Assessment ◦ DOH-Pinellas planning, conducting, and evaluating with nonprofit hospital groups ◦ Pooling of resources and expertise reduce duplication and enhance ability to respond to health needs of the community

Find Data www. pinellashealth. com Report & data to be available for use ◦ Present to stakeholders ◦ Conduct analyses ◦ Engage community members ◦ Apply for funding

Contact Info Eliana Aguilar, MA (727) 824 -6900 Eliana. Aguilar@flhealth. gov