Community Health Assessment 2012. Chelsea Health Indicators Updated August 2012 (in process)

Community Health Assessment2012

Chelsea Health Indicators

Updated August 2012 (in process)

Table of ContentsIndicator Slide Number

Map 4

Demographics 5-9

Economic Factors

Education 11-15

Employment and Income 16-18

Health Outcomes

Morbidity and Mortality 20-29

Health Behaviors

Tobacco Use 31-32

Diet and Exercise 33-34

Alcohol Use 41-45

Other Drug Use 46-61

Sexual Activity 62-76

Mental Health 77-81

Clinical Care

Access to Care 83-88

Quality of Care 89-96

Cancer 97-110

Maternal and Infant Health

111-114

Social Factors

Family and Social Support

115-117

Community Safety 118-132

Physical Environment

Environmental Quality 134-151

Built Environment 152

Qualitative Data 153-157

Conclusion 158

Map of Chelsea

DEMOGRAPHICS

Population by Race/Ethnicity:Over Half Latino

2010 Census

Other1.2%

White25.3%

Multiracial1.6%

Asian3.0%

Latino62.2%

Black6.7%

Total Population in 2010: 35,177 – 0.27% increase from 2000; 22.5% increase from 2010Population Density very high**: 17,540 persons per square mile (MA rate: 812)

*Source: MA Department of Education 2010-2011**Source: 2005 Regional Epidemiologic Services Health Data Watch Supplement, prepared for Chelsea HHS

81.3% of Chelsea Public

School Students are Latino*

Population by Race2010 Census Data

Asian, 3.1% White, 47.8%

Native Hawaiian and Other Pacific

Islander, 0.0%

Other, 33.6%

Two or More Races, 5.9%

American Indian and Alaskan Native, 1.1%

Black or African American, 8.5%

Total Population in 2010: 35,177– 0.28% increase from 2000

Chart does not include Hispanic/Latino Population

Hispanic or Latino Population in 2010: 21,855 (62.1% of Total

Population)–Up from 28.3% of total population in 2000

Foreign-Born Residents by Place of Birth:Most from Latin America

2000 Census

Latin America72.4%

Europe10.5%

Asia6.0%

Other0.9%Africa

10.2% 36.1% total foreign born (triple 12.1% state rate)

58.4% speak language other than English at home (triple 18.7% state rate) 43.8% of total population age 5 and older speak Spanish (43.8% Spanish; 9.1% Indo-European Languages; 3.8% Asian/Pacific Islander languages) 30.8% of total population age 5 and older speak English “less than very well”

Population by Age Group Cities in Boston Region and Massachusetts: 2010

Chelsea Generally Young compared to surrounding communities

Ages City of Boston

Chelsea Everett Lynn Revere MA Total

0-19 years

22% 28% 25% 28% 23% 25%

20-24 years

14% 8% 7% 8% 7% 7%

25-44 years

33% 35% 32% 28% 31% 27%

45-64 years

20% 20% 24% 25% 25% 28%

65+ years

10% 9% 12% 11% 15% 14%

Source: 2010 Census

SOCIAL AND ECONMIC FACTORS

Education Graduation Rates, Educational Attainment, Population Breakdowns

Educational Attainment 2007-2011 American Community Survey (US Census Bureau)

*Given for those ages 25 and older.American Community Survey 5 year estimates

8.8% 5.7%

23.7%

11.0%

34.2%

22.1%16.6%

4.9% 6.2%

26.3%

0%

20%

40%

60%

80%

100%

Less than 9thGrade

Never Graduatedfrom High School

High SchoolDegree or Higher

Bachelor'sDegree or Higher

Graduate orProfessional

Degree

Per

cen

t

ChelseaMass.

Chelsea School Indicators Compared to State

2011-2012 MA Dept. of Education

54.6%

4.4%

12.3%

78.1%81.9%

18.1%

83.4%

2.1%

17.0%

35.2%

16.7%

7.3%

0%10%20%30%40%50%60%70%80%90%

100%

Limited EnglishProficiency

First Languagenot English

Low-Income SpecialEducation

Retention Rate*(2010-2011)

Graduation Rate(2010-2011)

Per

cen

t

Chelsea

Mass.

*Retention Rate is the percentage of enrolled students who were repeating the grade in which they were enrolled the previous year. Source: Massachusetts Department of Education.

Chelsea School District

Cohort 2011 Graduation Rates

Plans of High School Graduates: 2010-2011*

*Source: 2010-2011 MA Department of Elementary and Secondary Education

Chelsea Public SchoolsNew Student Origins - 2011

2%13%

55%

30%

Returning Dropouts Other US States

Other Cities/Towns Immigrants

Chelsea Public Schools had 155 new immigrant students representing 24 different countries including:

•El Salvador (55)•Honduras (16)•Puerto Rico (15)•Guatemala (14)•Santo Domingo (12)•Sudan (5)•Cape Verde (5)

Source: Chelsea Public Schools – New Student Data 2011 Calendar Year

Public School Enrollment Over Time2001-2012*

*Dates represent the ending year of the academic calendar. Source: Massachusetts Department of Elementary and Secondary Education

5,692

5,570

5,638

5,602

5,493

5,566

5,495

5,533

5,678

5,7775,7495,741

5,350

5,400

5,450

5,500

5,550

5,600

5,650

5,700

5,750

5,800

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Employment and Income Poverty Rates, Unemployment Rates, Temporary Aid

High Poverty & Unemployment2007-2010 American Community Survey, US Census Bureau

Chelsea’s very low per capita income ($14,628) ranks Chelsea 349th out of all 351 Massachusetts municipalities (2000 Census)

The median household income for Chelsea is $40,487 compared to the statewide median household income of $64,509. (2010 5-Year ACS)

9.6%

35.0%

16.2%

7.4%

13.5%10.7%

0%5%

10%15%20%25%30%35%40%45%50%

All Below Poverty Level Children Below PovertyLevel

Unemployed Persons inLabor Force (2011)*

Group

Per

cent

ChelseaMass.

* 2011 Unemployment Rate, Massachusetts Labor and Workforce Development.

Source: 2010 American Communities Survey (3-year Estimate), US Census Bureau

*Source: 2011 Labor and Workforce Development, Massachusetts.

City of Boston

Chelsea Everett Lynn Revere MA Total

Per Capita Income

$32,261 $18,630 $23,066 $21,764 $23,346 $33,969

Those living below 100% poverty

21.1% 25.6% 13.2% 19.5% 16.6% 10.8%

Less than a High School Education

15.5% 36.3% 23.1% 21.7% 22.5% 11.1%

Speak language other than English at home

35.5% 70.1% 47.8% 40.9% 45.0% 21.5%

Foreign born 26.7% 46.1% 38.2% 28.5% 32.3% 14.8%

Percent Unemployed (2011)*

7.1% 9.6% 7.5% 8.4% 8.3% 7.4%

Socio-Demographic IndicatorsCities in Boston Region and Massachusetts: 2010

HEALTH OUTCOMES

Mortality and Morbidity Morality Rates by Disease, Level of Health, Low Birth Weight Births

Mortality: Overall & Chronic DiseaseHigher than State for Heart Disease,

Stroke and Diabetes2006-2010 Vital Records

822.6

690.2

178.7 159.3

40.6 30.8

195.9 177.3

32.0 14.5

0100200300400500600700800900

1000

Age

-Ad

just

ed R

ate

per

10

0,00

0 in

div

idu

als

OverallMortality

Heart Disease Stroke Cancer (all) Diabetes

Mortality Indicator

ChelseaMass.

Source: MassCHIP, Mortality (Vital records) Accessed: 6/19/13

Overall Mortality2000-2010*

0

200

400

600

800

1000

1200

Age

Adj

uste

d R

ate

per

100,

000 Chelsea

MA

Chelsea 900.78 973.1 942.88 939.95 944.17 898.54 812.39 728.47 797.97 842.44 931.96

MA 809.4 799.87 790.1 768.47 735.26 715.01 713.57 699.74 699.06 670.68 667.77

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 6/18/13

Cancer Mortality Rates2000-2010*

0

200

400

600

800

1000

1200

Age

Adj

uste

d R

ate

per

100,

000 Chelsea

MA

Chelsea 900.78 973.1 942.88 939.95 944.17 898.54 812.39 728.47 797.97 204.6 192.47

MA 809.4 799.87 790.1 768.47 735.26 715.01 713.57 699.74 699.06 173.69 170.32

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)

Accessed: 8/25/12, 6/19/13

Heart Disease Mortality Rates2000-2010*

0

50

100

150

200

250

Age

Adj

uste

d R

ate

per

100,

000 Chelsea

MA

Chelsea 196.76 227.8 212.07 229.42 215.61 229.64 224 134.28 140.76 177.95 216.51

MA 215.85 209.86 200.01 195.31 181.65 170.81 167.44 164.23 163.18 153.85 147.98

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010


Accessed: 8/25/12, 6/19/13

Diabetes Mortality Rates2000-2010*

0

10

20

30

40

50

Age

Adj

uste

d R

ate

per

100,

000 Chelsea

MA

Chelsea 30.82 27.45 29.66 34.22 43.01 45.82 35.38 46.89 23.07 31.46 23.34

MA 19.55 20.21 20.06 19.83 18.24 17.25 15.28 16.49 14.54 13 13.18

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010


Accessed: 8/25/12, 6/19/13

Health Status Poor (self-reported)2008 BRFSS*

*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008)

28.1%

71.9%

12.7%

87.3%

0%

20%

40%

60%

80%

100%

Health Status Excellent / VeryGood / Good

Health Status Fair or Poor

Wei

ghte

d P

erce

ntag

e of

adu

lts

(age

s 18

-64) Chelsea Mass.

Level of Health (self-reported)2012 Quality of Life Survey

15.4%

40.4%

32.8%

10.3%

1.1%0%5%

10%15%20%25%30%35%40%45%

Per

cent

Excellent VeryGood

Good Fair Poor

LevelSource: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a

more White, educated, female perspective and is not representative of the community at large.

10.3%7.8% 9.8%

7.2%12.1% 10.8% 9.8% 8.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Per

cent

of

Bir

ths

Overall Whites Blacks Latinas

Racial/Ethnic Group

ChelseaMass.

Low Birth Weight Births High for Blacks and Whites

2009 Vital Records*

Very low birth weight births high: 2.4% Chelsea rate (vs. 1.4% statewide) (2007)**

*Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2009)**Very low birth weight births defined as births 1500g or 3lbs, 5 oz., % by birth weight. Source: MassCHIP Vital Records (2007)

Low Birth Weight Births2000-2009 Vital Records*

0%

2%

4%

6%

8%

10%

12%

Per

cent

of

Bir

ths

Chelsea

MA

Chelsea 7.19% 6.29% 5.03% 6.85% 7.67% 7.09% 7.85% 9.85% 8.72% 10.25% 6.70%

MA 7.00% 7.15% 7.52% 7.62% 7.81% 7.90% 7.91% 7.90% 7.74% 7.75% 8.24%

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)Date accessed: 5/30/13

Low birth weight is defined as an infant with a birth weight of less than 2500 grams (5 lb 8 oz)Calculated by percent by birthweight in grams

HEALTH BEHAVIORS

Diet & Exercise Obesity Indicators, Physical Activity, Fruit & Vegetable Consumption

Obesity-Related Indicators (Self-Reported)2008 BRFSS*

21.2%

26.4%28.8%

35.6%

10.8%

7.4%

28.8%

0%

10%

20%

30%

40%

50%

Wei

ghte

d P

erce

ntag

e of

Sur

vey

Res

pond

ents

tol

d th

ey h

ad s

aid

indi

cato

r by

a

Hea

lth

Pro

fess

iona

l

High Blood Pressure High Cholesterol Diabetes Advised to LoseWeight (in past year)Condition/Indicator

ChelseaMass.

78.4% of these respondents currently on blood pressure medications

45.4% of these respondents currently on cholesterol medications

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Source: MassCHIP, UHDDS Hospital Discharges, 2006

28.5% of these respondents currently taking insulin

High obesity hospitalization rate**: 67.8 (age-adjusted per 100,000) (state rate 48.3) (2006)

MA Data not available

Overweight or Obese StudentsChelsea Public Schools 2010

0%

10%

20%

30%

40%

50%

60%

% o

f S

tud

ents

wh

o ar

e O

verw

eigh

t or

Ob

ese

1st Grade 4th Grade 7th Grade 10th Grade

*Chelsea Public Schools Nurses Data, 2010

•34.3% of MA students are overweight or obese•19% of MA children ages 6-11 are overweight or obese

Physical Activity (Self-Reported)2008 BRFSS*

40.6%

79.6%86.9%

0%

20%

40%

60%

80%

100%

Surv

ey R

espo

nden

ts

No Physical Activity Past 30Days

Did Not Meet ModerateActivity Recommendations**

Did Not Meet VigorousActivity

Recommendations***

Indicator

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Moderate Physical Activity Recommendations: 30 min/day, 5+ days/week

***Vigorous Physical Activity Recommendations: 20 min/day, 3+ days/week

Chelsea High School YRBS: Fitness and Wellness

2009-2011 YRBS

69% 66%

51%46%

50%42%

0%10%20%30%40%

50%60%70%80%

90%100%

% o

f 9-

12th

Gra

de

You

th

Have Exercised inPast Week

Tried to Lose Weight Played on SportsTeam in Past Year

20092011

Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011 1,078 completed surveys of students with parental permission )

Frequency of Physical Activity in a Typical Week

2012 Quality of Life Survey*

17.5%

10.6%

29.6% 29.9%

12.5%

0%

5%

10%

15%

20%

25%

30%

Per

cen

t

Everyday 5-6 Days 3-4 Days 1-2 Days 0 Days

Number of Days in Week

Chelsea

Physical activity consists of exercising for at least 30 minutes or more (such as running, swimming, gardening, walking)

*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

Fruit and Vegetable Consumption2012 Quality of Life Survey*

9.0%4.1%

36.2%34.2%

44.2%48.5%

10.6%13.2%

0%5%

10%15%20%25%30%35%40%45%50%

No consumption A couple timesper week

1-3 timeseveryday

4 or more timesevery day

Fruit**Vegetable***

*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

**Fruit consumption question: “During the past 7 days, how many times did you eat fruit or drink 100% fruit juices? (Do not count punch, Kool-Aid, sports drinks, or other fruit-flavored drinks.)” / ***Vegetable consumption question: “During the past 7 days, how many times did you eat

other vegetables such as carrots, peas, broccoli, green salad, etc? (Do not count potatoes)”

WIC Nutrition Program ParticipationHigh Percentage of Child Participants in Chelsea

2007*

2,671

1,408

587676

0

500

1000

1500

2000

2500

3000

Num

ber

of A

ctiv

e P

arti

cipa

nts

Total Children Infants Women

*Source: MassCHIP WIC Program Utilization, 2007.

129,917

68,053

30,096 31,768

0

25000

50000

75000

100000

125000

150000

Num

ber

of A

ctiv

e P

arti

cipa

nts

Total Children Infants Women

Chelsea Participation Massachusetts Participation

Participants Participants

Tobacco UseCurrent, Lifetime, Age of Onset

Smoking Rates (Self-Reported)2008 BRFSS*

19.2%16.4%

12.9%12.0%

6.3% 4.4%

22.1%

28.5%

0%

10%

20%

30%

40%

50%

Wei

ghte

d P

erce

nta

ge o

f R

esp

ond

ents

Current Smokers Current Smoker -Smokes Everyday

Current Smoker -Smokes Some Days

Former Smoker

Indicator

ChelseaMass.

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008

During the past year: 64.5% of current smokers trying to quit 63.8% of current smokers advised not to smoke by healthcare professional

Alcohol Use Current, Lifetime, and Excessive Drinking, Parental Perception

Chelsea High School YRBS: Alcohol & Driving

2005-2007-2009-2011 YRBS

28%

16%

32%

24%

9%10% 9% 10%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Rode With a Drinking Driver in Past 30 Days Drove After Drinking in Past 30 Days

2005

2007

2009

2011

Source: Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)

Substance Use Rates (Self-Reported)2008 BRFSS*

19.2%22.1%

38.3%33.9%

6.2%

11.8%

0%

10%

20%

30%

40%

50%

Per

cent

of

Res

pond

ents

CurrentSmokers

FormerSmokers

Alcohol Use: At Least One

Drink in Past 30days

Ever UsedMarijuana

Ever Used PainKillers (non-prescribed)

Ever UsedOther Drugs***

Substance Abuse Indicator*Source: 501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008

**Binge Drinking defined as: 5 or more drinks (male) and 4 or more drinks (female) at one time***Other Drugs defined as: powder cocaine; crack cocaine; heroin; methamphetamine; Hallucinogens; MDMA/Ecstasy; Other

Of these respondents: 38.0% had engaged in binge drinking** in past 30 days

Amongst these respondents, top three drugs ever used were: • Powder Cocaine (71.7%); • Hallucinogens (32.1%), • Heroin (24.5%)

Substance Use Rates (self-reported)2012 Quality of Life Survey*

12.2%

56.3%

19.9%

4.9%

0%

10%

20%

30%

40%

50%

60%

Smoke part or all ofcigarette in past 30

days

Drink one or morealcoholic beverage in

past 30 days

5 or more drinks in arow in past 2 weeks

Taken unprescribeddrugs in past 30 days

Per

cent

of

Res

pond

ents

*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of

the community at large.

Chelsea High School YRBS: High Alcohol & Gateway Drug Use

2005-2007-2009-2011 YRBS**

44%39%39%

66% 64%66%

37%34%

48%

34%

23%24%

30%

21%

31% 30%32%

16%19%

21%23%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Ever SmokedCigarettes

Ever DrankAlcohol

DrankAlcohol in

Past 30 Days

BingeDrinking*

Ever UsedMarijuana

UsedMarijuana inPast 30 Days

2005

2007

2009

2011

*Binge Drinking defined as drinking 5 or more alcoholic beverages in one night in past 30 daysChelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)

**Methods of the Chelsea YRBS have changed, the most reliable data available is from 2011.

Other Drug UseAge of Onset, Treatment Admissions, Overdoses, Hospitalizations

Age of Onset of Other Drug Use* 2008 BRFSS (self-reported)**

14.6%

24.0%22.6% 23.4%

0%

5%

10%

15%

20%

25%

30%

Per

cent

of

Res

pond

ents

Ages 12 to 14 Ages 15 to 16 Ages 17 to 18 Ages 19 to 25

Age When Used for the First Time

*Given as age of onset for those who had ever used un-prescribed illegal drugs, pain killers, sedatives, or tranquilizers (n=171)**501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008

Chelsea High School YRBS: Other Drug Use

2005-2007 YRBS

7%

5%

7%

4% 4%3%

6% 6%

4%3%

0%

5%

10%

15%

Ever UsedCocaine

UsedInhalants in

Past 30 Days

Ever UsedSteroids

Ever usedEcstasy

Ever UsedHeroin

2005

2007

Chelsea YRBS High School Data from 2005-2007 (Grades 9-12, In 2007, 406 completed surveys of students with parental permission)

Substance Abuse Admissions

1907.5

1589.9

709.1500.1

0200400600800

100012001400160018002000

Cru

de R

ate

per

100,

000

indi

vidu

als

Admission to DPH Treatment Programs(2010 BSAS*)

IDU Admissions to DPH TreatmentPrograms (2010 BSAS*)

Indicator

ChelseaMass.

Crude rates of 3238.2 in Boston, 2889.1 in Revere, 2239.9 in Everett

*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea – 2010 BSAS

Admission to DPH Treatment Programs

2000-2010*

0.0

500.0

1000.0

1500.0

2000.0

2500.0

3000.0

Cru

de R

ate

per

100,

000

Indi

vidu

als

ChelseaMA

Chelsea 2464.9 2075.3 2225.5 2323.3 1706.2 1462.1 1309.8 1617.4 1922.2 1772.7 1907.5

MA 1872.5 1883.8 1920.2 1793.6 1569.7 1601.2 1568.5 1636.5 1621.6 1564.1 1589.9

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea – 2010 BSASAccessed: 8/29/12

IDU Admission to DPH Treatment Programs

2000-2010*

0.0

100.0

200.0

300.0

400.0

500.0

600.0

700.0

800.0

Cru

de R

ate

per

100,

000

Indi

vidu

als

ChelseaMA

Chelsea 736.9 547.9 616.3 677.7 533.9 480.5 404.4 480.5 697.4 594.8 709.1

MA 426.1 434.1 461.2 461.0 422.3 433.8 412.0 425.3 424.3 454.3 500.1

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea 2000 – 2010 BSAS

Date accessed: 8/29/12

Heroin, 44.8%

Alcohol, 35.2%

Crack/Cocaine, 5.2%

Marijuana, 2.5%

Other, 12.4%

Substance Abuse Treatment Admissions: Primary Substances

2010*

Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2010.

651 total admissions to treatment programs in 2010

683

1060

477

671 668607

0

200

400

600

800

1000

1200

City ofBoston

Chelsea Everett Revere Winthrop MA

Tre

atm

en

ts p

er

10

0,0

00

(C

rud

e R

ate

s)


Substance Abuse Treatments –Alcohol Primary Substance

Cities in Boston Region & Massachusetts: 2010

Substance Abuse Treatments –Alcohol Primary Substance

2000-2010*

0

200

400

600

800

1000

Cru

de

Rat

e p

er 1

00,0

00

Ind

ivid

ual

s

Chelsea

MA

Chelsea 888.28 806.29 813.17 792.61 574.54 486.4 518.63 627.05 545 553.79 671

MA 892.44 875.13 862.4 764.81 660.74 661.21 639.69 665.89 654.08 607.35 606.71

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2000-2010.

Accessed: 8/29/12

Substance Abuse Treatments –Heroin Primary Substance

2000-2010*

0.0

200.0

400.0

600.0

800.0

1000.0

1200.0

Cru

de

Rat

e p

er 1

00,0

00

Ind

ivid

ual

s

Chelsea

MA

Chelsea 1171.1 951.1 1015.8 1065.4 780.6 632.9 518.6 621.2 940.6 776.5 852.7

MA 649.2 677.0 709.0 683.8 597.6 608.5 582.1 587.4 593.0 602.7 634.3

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010


Accessed: 8/29/12

Substance Abuse Admissions by Primary Substance

2010

852.7

1688.2

634.3

146.587.9 83.5

694.4

1279.9

480.8

0200400

600800

10001200

14001600

1800

Cru

de R

ate

per

100,

000

Heroin Other Drugs Heroin(Injected)

ChelseaRevereMA

Source: MassCHIP, Substance Abuse (BSAS) DPH Funded Program Utilization (2010)

1688.21586.0

1339.6

852.7

1359.4

634.3

0

200

400

600

800

1000

1200

1400

1600

1800

City ofBoston

Brookline Chelsea Revere Winthrop MA

Tre

atm

en

ts p

er

10

0,0

00

(C

rud

e R

ate

s)

Substance Abuse Treatments –Heroin Primary Substance

Cities in Boston Region & Massachusetts: 2010


Substance Abuse Hospitalizations:Alcohol/Substance-Related & Opioid-Related High

2009468.31

330.99 354.19305.18

0

100

200

300

400

500

Age

-Adj

uste

d R

ate

per

100,

000

indi

vidu

als

Alcohol / Substance-RelatedHospitalizations

Opioid-Related Hospitalizations

Indicator

ChelseaMass.

Source: MassCHIP, Hospital Discharges (UHDDS), 2009.

Opioid-Related Hospitalization in Chelsea up from 277.1 in 2006; MA (267.2 in 2006).

Alcohol/Substance Related Hospitalizations

2000-2010*

0

100

200

300

400

500

600

Age

Ad

just

ed R

ate

per

100

,000

In

div

idu

als

Chelsea

MA

Chelsea 540.05 416.53 596.15 504.41 416.99 440.95 437.85 558.32 486.19 468.31

MA 327.31 340.25 346.36 358.45 347.14 340.91 351.2 338.05 332.16 330.99

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009


Accessed: 8/29/12

Opioid Related Hospitalizations 2000-2010*

0

100

200

300

400

500

600

Age

Ad

just

ed R

ate

per

10

0,00

0 In

div

idu

als

Chelsea

MA

Chelsea 407.75 329.83 525.8 500.06 336.51 277.12 338.32 418.86 419.6 354.19

MA 193.03 222.36 241.13 278.81 264.36 267.13 247.38 273.01 274.33 305.18

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009



Opioid-Related Fatal OverdosesCities in Boston Region & Massachusetts: 2006-2010

9.2

24.6

14.5 13.912.6

21.0

0

5

10

15

20

25

30

City ofBoston


Ag

e-A

dju

ste

d D

ea

th R

ate

pe

r 1

00

,00

0

Age-adjusted to the 2000 US standard population.

Source: MassCHIP, Mortality (Vital Records), 2006-20010

Accessed: 6/19/13

Sexual ActivitySexually Transmitted Infections, Teen Birth Rates

Chelsea High School YRBS: Sexual Activity

2005-2007-2009-2011 YRBS

46%

42%

50%

46%

36%

26%

9%

11%

9%11%

12%

7%

10%11%

0%

10%

20%

30%

40%

50%

Per

cen

t of

9th

- 1

2th

Gra

de

You

th

Ever Had Sex Had Sex in Past 30Days

Had Sex Before Age13

Ever ExperiencedSexual Contact Against

Will

2005

2007

2009

2011

Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011 1,078 completed surveys of students with parental permission )

79.0

21.3

82.0

22.0

97.0

20.1

76.0

19.6

0102030405060708090

100110120

Rat

es p

er 1

,000

wom

en

ages

15-

19

2006 2007 2008 2009Year

ChelseaMass.

Teen* Pregnancy Rates High:3rd Highest Rate in the State**

2006-2009 Vital Records

*Women, ages 15 – 19 years**Source: MA Alliance on Teen Pregnancy (2009)

***Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2008)

For 2008: Percent of births to adolescent mothers higher than state rates for Whites and Blacks - lower for Latinas***

Whites: 8.5% of Chelsea adolescent births (3.9% statewide) Blacks: 11.7% of Chelsea adolescent births (8.9% statewide) Latinas: 14.4% of Chelsea adolescent births (15.6% statewide)

Comparison of Teen Birth Rates Across Communities:

Cities in Boston Region & Massachusetts: 2007-2009

50

21

55

39

28

85

30

0

25

50

75

100

City ofBoston

Chelsea Everett Lynn Revere BostonRegion

MA

Bir

ths

pe

r 1

,00

0 w

om

en

ag

es

15

-19

Source: Births 2007-2009, Vital Records, MassCHIPTeen birth rates are number of births to women ages 15-19 per 1000 females ages 15-19.

Teen Birth Rates2000-2010*

0

20

40

60

80

100

Age

Ad

just

ed R

ate

per

100

,000

In

div

idu

als

ChelseaMA

Chelsea 81.75 88.61 93.32 70.07 74.29 74.99 78.99 81.99 96.98 75.99 51.8

MA 25.89 24.89 23.28 22.95 22.2 21.74 21.33 22.03 20.08 19.55 17.15

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: Teen Births (age 15-19) 2000-2009, Vital Records, MassCHIP

Accessed: 8/29/12, 6/19/13

278.4

133.3

298.9

141.1

0

50

100

150

200

250

300

350

Cru

de R

ate

per

100,

000

2005*** 2006**

Year

ChelseaMass.

HIV/AIDS Rates:High Compared to State

7.69.93

17.6

6.8

0

5

10

15

20

25

30

Rat

e p

er 1

00,0

00 in

div

idu

als

Incidence Rate (2003-2005*)

Newly Diagnosed CasesCrude Rate (2006**)

Indicator

ChelseaMass.

201 cumulative AIDS cases in 2006** 2 HIV/AIDS related deaths in 2006** 52.3% ages 18 and older have ever been tested for HIV (self-reported, 2008 BRFSS****)

*2007-2009 Incidence Source: MA HIV/AIDS Surveillance Program (by request: March 2011) **Source: 2006 AIDS Surveillance Program

***2005 Regional Epidemiological Services Health Data Watch Supplement, prepared for Chelsea HHS ****501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008

Persons Living with AIDSHIV/AIDS Incidence & New Cases

HIV Incidence Rates2000-2009*

0

10

20

30

40

50

60

Cru

de

Rat

e p

er 1

00,0

00

Ind

ivid

ual

s

ChelseaMA

Chelsea 42.84 28.39 57.06 22.97 29.02 20.51 32.23 N/A N/A N/A

MA 18.74 15.58 16.42 14.64 14.33 13.44 11.74 9.86 9.53 8.6

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

*MassCHIP HIV/AIDS Program BCDC Files 2000-2009

Accessed: 8/29/12

HIV Prevalence Rates2000-2009*

0

100

200

300

400

500

600

Cru

de

Rat

e p

er 1

00,0

00

Ind

ivid

ual

s

ChelseaMA

Chelsea 394.16 397.47 453.66 459.48 481.69 489.33 515.7 521.56 521.56 524.56

MA 199.99 207.91 217.99 226.28 235.38 243.97 250.79 255.84 259.37 260.98

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009


Accessed: 8/29/12

Other Infectious Diseases:High Hepatitis B & Tuberculosis Rates

14.65

9.46

17.6

4.02

0

5

10

15

20

25

Cru

de

Rat

e p

er 1

00,0

00 in

div

idu

als

Hepatitis B (2006) Tuberculosis (2008)Indicator

ChelseaMass.

Source: MassCHIP, Epidemiology Program 2006 and 2007.

-Cannot combine TB rates by year, 2007 rate = 14.7, Ma=3.5.

Tuberculosis Prevalence Rates2005-2008*

0

5

10

15

20

Cru

de

Rat

e p

er 1

00,0

00

Ind

ivid

ual

s

ChelseaMA

Chelsea 17.58 4.65 14.65 17.58

MA 4.13 4.02 3.47 4.02

2005 2006 2007 2008


Accessed: 8/29/12

511.21

277.44

40.86 35.34 15.2 7.1

050

100150200250300350400450500550600

Cru

de R

ate

per

100,

000

indi

vidu

als

Chlamydia Gonorrhea Syphilis

Sexually Transmitted Disease

ChelseaMass.

High STD Rates:Especially for Chlamydia, amongst teens

2007-2009: 3-year Incidence Rates

In 2006: Chlamydia age-specific rate for 15-19 year olds at 2563.7 – two and a half times state rate of 1079.6

Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011

Chlamydia

511.21

277.44

638.77

322.07

2810.24

1310.93

0

500

1000

1500

2000

2500

3000

2007-2009* 2010** 2010 Ages 15-19**

ChelseaMA

*Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011

**Source: MassCHIP, Sexually Transmitted Disease Program (2010)

Gonorrhea

40.8635.34

105.48

37.87

295.81

76.63

0

50

100

150

200

250

300

2007-2009 2010 2010 Ages 15-19

ChelseaMA



Syphilis

15.2

7.1

23.44

9.42

0

3.89

0

5

10

15

20

25

2007-2009 2010 2010 Ages 15-19

ChelseaMA



STD Incidence Rates2000-2010*

0

200

400

600

800

Cru

de

Rat

e p

er

100,

000

Ind

ivid

ual

s Chlamydia Gonorrhea Syphilis

Chlamydia 408.44 457.09 462.22 488.2 452.67 533.28 547.93 547.93 509.84 518.63 638.63

Gonorrhea 54.27 59.62 88.45 45.95 63.84 43.95 38.09 55.67 35.16 35.16 105.48

Syphilis 37.13 45.42 45.95 66.05 31.92 26.37 29.3 17.58 14.65 14.65 23.44

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Source: MassCHIP, Sexually Transmitted Disease Program 2000-2010

Mental HealthDepression Rates, Services Needed

Mental Disorders High, Suicides Low

*Source: MassCHIP, 2006 Hospital Discharges (UHDDS) & Vital Records 2006-2007

High Mental Disorder hospitalization rate (2007-2009*) Chelsea rate: 1251.61 (age-adjusted, per 100,000) State rate 779.7

High Mental Disorder death rate (2006-2008*) Chelsea rate: 55.74 (age-adjusted, per 100,000) State rate 36.69

Suicide rate low compared to state (2006-2008*) Chelsea rate of 4.4 (age-adjusted, per 100,000) State rate 7.06

6.6%

28.8%

14.0%

0%

10%

20%

30%

40%

50%

Wei

ghte

d P

erce

nt

of R

esp

ond

ents

Felt depressed all or mostdays in past 30 days

Felt depressed some or a fewdays in past 30 days

Currently Taking Medicineor Receiving Treatment for

Any Mental Health Condition

Mental Health (self-reported)Depressed Feelings High

2008 BRFSS*

3.4% of surveyed respondents reported being unable to afford needed mental health care or counseling


Mental Health Services Needed in Past Year

2012 Quality of Life Survey*

69.7%

8.8%

0.9% 0.9%

19.6%

0%

10%

20%

30%

40%

50%

60%

70%

Per

cen

t of

Res

pon

den

ts

None Treatment fromPrimary Care

Crisis Care Hospitalization Counseling/ Therapy

Type of Treatment

13.5% of respondents reported feeling sad or hopeless almost everyday for 2 weeks or more in a row that they stopped doing usual activities

41% were unable to get mental health services if they were needed

Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

Chelsea High School YRBS: Depression & Suicide2005-2007-2009-2011 YRBS

12%

7%

26%

34%

14%12%12%

15%13%

15%16%

9%

0%

5%

10%

15%

20%

25%

30%

Felt Sad / Hopeless for2+Weeks in Past Year

Seriously ConsideredSuicide in Past Year

Attempted Suicide inPast Year

2005

2007

2009

2011

Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission )

CLINICAL CARE

Access to CareInsurance Coverage, Utilization

Health Care Coverage (self-reported)Medicaid & Medicare Coverage/Uninsurance High

2008 BRFSS*


88.0%

43.0%

3.3%11.9%

22.3%

1.7% 2.4% 3.5%12.0%

0%

20%

40%

60%

80%

100%

Wei

ghte

d P

erce

ntag

e of

ad

ults

(ag

es 1

8-64

)

Any Cov

erag

e

Empl

oyer

-Bas

ed

Self-P

urch

ase

Med

icare

Med

icaid

/Mas

sHea

lth

Comm

onwea

lth C

are

Other

Gov

ernm

ent

Other

No Cov

erag

e

State rate of coverage: 92.8% State uninsurance rate: 7.2%

Health Care Utilization (self-reported)High Community Health Center Utilization

2008 BRFSS*

79.7%

8.9% 4.0% 6.2%1.3%

0%

20%

40%

60%

80%

100%

Wei

ghte

d %

of a

dult

s (a

ges

18-6

4)

Within PastYear

Within 1-2Years

Within 2-5Years

Five orMoreYears

Never

*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents contacted between 1/25/08 and 5/27/08)**Place of last routine checkup given for those who had one within past 5 years

During past year, 19.8% of adults reported needing medical care but being unable to afford it. Of these:

42.5% were unable to afford a needed doctor’s appointment 43.5% were unable to afford needed prescription medications

Time Since Last Routine Checkup

40.5%49.0%

10.5%

0%

20%

40%

60%

80%

100%

Wei

ghte

d %

of a

dult

s (a

ges

18-6

4)

Doctor's Office CommunityHealth Center

Other

Place of Last Routine Checkup**

Percent Able to Receive Needed Medical Care2012 Quality of Life Survey

6.0% 7.7%

16.7% 14.8%

54.7%

0%

10%

20%

30%

40%

50%

60%

Per

cent

Never Seldom Sometimes Often Always


Where Chelsea Survey Respondents Receive Routine Health Care

2012 Quality of Life Survey

18.4%

9.5%

2.9%

34.5%

1.1%2.7%

0%

5%

10%

15%

20%

25%

30%

35%

MGH ChelseaHealthCenter

Beth IsrealDeaconessHealthCare

Chelsea

Medicalpractice inChelsea

Medicalpractice outside

of Chelsea

ER/Urgent Care Do not receiveroutine care


Last Time Survey Respondents Received Dental Care or Eye Exam

2012 Quality of Life Survey

0%

10%

20%

30%

40%

50%

60%

70%

80%

Within PastYear

2-5 Years Ago 5 or MoreYears Ago

Never

DentalEye Exam


Quality of Care Cancer Screenings, Hospitalization Rates, Maternal & Infant Health

Chronic Disease Hospitalization 2007-2009 Vital Records

1332.9

1057.6

412.8 379.8

239.3 234.7 241.0

135.5

557.5

361.4

0

500

1000

1500

Age

-Ad

just

ed R

ate

per

100,

000

ind

ivid

ual

s

Heart Disease CoronaryHeart Disease

Stroke Diabetes COPD

ChelseaMass.

Source: MassCHIP, Incidence (Vital records)

Heart & Lung Disease High Hospitalization Rates

2007-2009*

13.3

10.57

14.9

10.32

0

5

10

15

20

Rat

e p

er 1

,000

Heart Disease Lung Disease

Disease

ChelseaMass.

*Source: MassCHIP Hospital Discharges (UHDDS) (2007-2009)

Heart Disease Hospitalization Rates2000-2009*

1604.7

1467.01344.8

1463.1

1620.5

1435.81525.2

1280.81387.6

1330.2

1027.61060.71085.91148.01145.0

1219.41256.21260.11275.61290.0

0

200

400

600

800

1000

1200

1400

1600

1800

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Age

Ad

just

ed R

ate

per

100

,000

In

div

idu

als

ChelseaMA

*Source: MassCHIP Hospital Discharges (UHDDS) (2000-2009)Date accessed: 8/29/12

COPD Hospitalization Rates2000-2009*

535.8516.2

567.6

505.0

413.6

498.4 488.3 504.4

619.5

548.6

378.3376.6

328.4331.6329.3319.2344.1

322.7332.0346.8

0

100

200

300

400

500

600

700

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Age

Ad

just

ed R

ate

per

100

,000

In

div

idu

als Chelsea

MA

*Source: MassCHIP Hospital Discharges (UHDDS) (2000-2009)Date accessed: 8/29/12

High Preventable Hospitalization* Rates 2005-2008**

21.9

19.1

24

19.9

0

5

10

15

20

25

30

Rat

e p

er 1

,000

2005-2006 2007-2008

Years

ChelseaMass.

*There are 24 “preventable hospitalization” illnesses, including: angina, asthma, bacterial pneumonia, chronic obstructive pulmonary disease, congestive heart failure, and diabetes.

**Source: Partners Community Benefit Report (

Preventable Hospitalization Rates1999-2009*

0

100

200

300

400

500

600A

ge A

dju

sted

Rat

e p

er 1

00,0

00

Angina Hospitalizations 27.23 38.6 37.65 30.15 35.61 N/A N/A 33.86 N/A N/A 23.87

Asthma Hospitalizations 207.38 236.59 204.91 206.9 216.66 148.43 142.02 204.71 218.96 240.29 163.06

Bacterial Pneumonia Hospitalizations 518.52 451.64 477.95 528.22 373.55 415.51 413.66 429.42 460.4 424.12 382.55

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Angina, Asthma and Bacterial Pneumonia are considered potentially preventable conditions.

Source: MassCHIP Uniform Hospital Discharge Dataset System


Oral Health2008 BRFSS*

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Permanent Tooth Removal due to tooth decay or gum disease

63.3% 64.8%

37.8%

11.6% 7.4%

56.8%

0%

20%

40%

60%

80%

100%

Per

cent

of

Res

pond

ents

Visited Dentist /Dental Clinic in

Past Year

Last TeethCleaning Within

Past Year

1-5 PermanentTeeth

Removed**

2-6 (but not all)Permanent Teeth

Removed**

All PermanentTeeth

Removed**

At Least OnePermanent Tooth

Removed**

Indicator

78.1% statewide In 2008, 12% of surveyed

respondents reported being unable to afford needed dental care (including checkups)

CancerScreenings, Mortality & Incidence Rates

Cancer Incidence & Mortality: Chelsea vs. Mass.

119.6

132.5

16.5621.47

11.0 6.0 2.48 1.24

53.2 51.4

16.6716.13

90.1

72.3

47.51 50.94

0

25

50

75

100

125

150

Age

-Adj

uste

d R

ate

per

100,

000

indi

vidu

als

Breast(invasive)

Cervical Colorectal(invasive)

Lung

Chelsea Incidence Mass IncidenceChelsea Mortality Mass Mortality

Mortality rates are aggregate age-adjusted rates for 2006-2008 (Vital Records)Incidence rates are aggregate age-adjusted rates for 2003-2007(Vital Records)

Breast Cancer Incidence & Mortality Amongst Females

2000-2008*

0

50

100

150

200

250

Age

Ad

just

ed R

ate

per

100

,000

2000 166.36 194.4 9.78 26.8

2001 81.64 185.96 18.58 26.49

2002 119.93 183.96 20.8 26.26

2003 181.12 178.48 28.76 24.31

2004 133.72 178.92 17.64 24.03

2005 184.89 177.06 30.98 22.98

2006 148.9 177.44 10.85 23.11

2007 110.29 182.41 8.43 20.14

2008 30.39 21.2

Breast Cancer Incidence in Chelsea

Breast Cancer Incidence in MA

Breast Cancer Mortality in Chelsea

Breast Cancer Mortality in MA

*Source: MassCHIP Cancer Registry


Comparison of Breast Cancer Mortality Across Communities:

Cities in Boston Region & Massachusetts, 2006-2008

21.521.1

18.6

16.6

23.0

19.9

0

5

10

15

20

25

City ofBoston


De

ath

s p

er

10

0,0

00

Source: Mass Chip , Mortality (Vital Records) 2006-2008

Age-adjusted to the 2000 US standard population

Colorectal Cancer Mortality by Gender / Race

58.2 60.6

15.0319.39

48.044.3

17.2313.81

63.251.8

20.2116.21

50.7

61.79

19.4237.133.1

8.4210.96

0

25

50

75

100

125

150

Age

-Adj

uste

d R

ate

per

100,

000

indi

vidu

als

Male Female White,Non-

Hispanic

Black, Non-Hispanic

Hispanic

Chelsea Incidence Mass IncidenceChelsea Mortality Mass Mortality

Mortality rates are aggregate age-adjusted rates for 2006-2008 (Vital Records)Incidence rates are aggregate age-adjusted rates for 2003-2007(Vital Records)

Colorectal Cancer Incidence & Mortality 2000-2008*

0

10

20

30

40

50

60

70

80

Age

Ad

just

ed R

ate

per

100

,000

2000 51.6 64.37 20.72 21.89

2001 74.49 65.38 16.21 20.71

2002 66.81 64.08 14.52 21.35

2003 62.98 62.94 13.92 18.71

2004 57.73 60.64 15.77 17.72

2005 55.17 56.84 23.97 17.44

2006 46.05 53.47 11.46 17.06

2007 44.12 50.5 17.72 18.85

2008 20.83 15.5

Colorectal Cancer Incidence in Chelsea

Colorectal Cancer Incidence in MA

Colorectal Cancer Mortality in Chelsea

Colorectal Cancer Mortality in MA



Comparison of Colorectal Cancer Mortality Across Communities:


50.9

77.6

28.5

47.549.0

66.6

0

10

20

30

40

50

60

70

80

90

City ofBoston


De

ath

s p

er

10

0,0

00



Lung Cancer Incidence & Mortality 2000-2008*

0

20

40

60

80

100

120

140

Age

Ad

just

ed R

ate

per

100

,000

2000 70.44 71.61 65.65 55.87

2001 70.76 72.44 57.46 54.32

2002 60.99 72.79 70.92 54.96

2003 121.76 71.35 78.5 54.37

2004 76.5 72.25 70.9 52.06

2005 77.27 75 47.17 52.37

2006 90.49 72.41 26.69 52.71

2007 83.74 70.72 42.93 50.81

2008 69.92 49.4

Lung Cancer Incidence in Chelsea

Lung Cancer Incidence in MALung Cancer Mortality in

ChelseaLung Cancer Mortality in MA



Comparison of Lung Cancer Mortality Across Communities:


50.9

77.6

28.5

47.549.0

66.6

0

10

20

30

40

50

60

70

80

90

City ofBoston


De

ath

s p

er

10

0,0

00



Comparison of Cervical Cancer Mortality Across Communities:


1.2

0.0

0.5

2.5

1.6

2.2

0

2

4

City ofBoston


De

ath

s p

er

10

0,0

00



Cancer Incidence & Mortality Amongst FemalesCervical Cancer: High Incidence and Mortality

Incidence rates 2003-2007; Mortality rates 2006-2008

119.6132.5

16.6 21.511.0

6.0 2.5 1.2

48.0 44.3

17.2 13.8

78.0

64.6

32.742.5

020406080

100120140160180

Age

-Adj

uste

d R

ate

per

100,

000

indi

vidu

als

Breast Cancer Cervical Cancer Colorectal Cancer- Females

Lung/ BroncialCancer - Females

Cancer Type

Chelsea Incidence Mass. Incidence

Chelsea Mortality Mass. Mortality

Source: MassCHIP, Cancer Registry (2003-2007) and Vital Records (2006-2008)

Chelsea female Lung cancer mortality down from 40.5 (2004-2006)

Cancer Incidence & Mortality Amongst MalesProstate Cancer: Low Incidence, High Mortality

Incidence rates 2003-2007; Mortality rates 2006-2008

58.24 60.6

15.019.4

104.3

83.8

65.9 63.3

126.28

165.7

26.0 23.4

020406080

100120140160180

Age

-Adj

uste

d R

ate

per

100,

000

indi

vidu

als

ColorectalCancer - Males

Lung/ BroncialCancer - Males

Prostate Cancer

Cancer Type

Chelsea Incidence Mass. IncidenceChelsea Mortality Mass. Mortality

Source: MassCHIP, Cancer Registry (2003-2007) and Vital Records (2006-2008)

Female Cancer Screening Rates (Self-Reported)

2008 BRFSS*

87.3% 89.0% 87.5%94.6%

0%

20%

40%

60%

80%

100%

Wei

ghte

d P

erce

nta

ge o

f E

ligi

ble

R

esp

ond

ents

wh

o E

ver

Had

S

cree

nin

g E

xam

Mammogram (Women Ages40+) (Breast Cancer)

Mammogram (Women Ages50+) (Breast Cancer)

Pap Smear (All Women)(Cervical Cancer)

Screening Exam

Chelsea

Mass.


75% of these respondents had exam in past year

76.3% of these respondents had exam in past year

MA rate not available


Colon Cancer Screening Rates (Self-Reported)Generally Low Rates

2008 BRFSS*

32.0%

60.2% 66.3%

0%

20%

40%

60%

80%

100%

Wei

ghte

d P

erce

ntag

e of

Eli

gib

le

Res

pon

den

ts**

who

E

ver

Had

S

cree

nin

g E

xam

Blood Stool Test using home kit Sigmoidoscopy or Colonoscopy

Screening Exam

ChelseaMass.

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Eligible Respondents: all respondents age 50+ (n=240)

Of these respondents: 92.8% had a colonoscopy, and of these 28.6% had exam within past year


Of these respondents: 45.5% had exam within past year

Maternal & Infant HealthBirth Rates, Inadequate Prenatal Care

Birth Rates High – Especially for Blacks and Latinas

2009 Vital Records

88.3

55.09 52.9 48.64

134.8

70.44

104.7

76.9

32.9

64.04

0102030405060708090

100110120

Bir

th R

ate

(per

1,0

00 w

omen

ag

es 1

5-44

)

Overall Whites Blacks Latinas Asians

Racial/Ethnic Group

ChelseaMass.

Low Infant Mortality Rates (per 1,000 births): 1.4 vs. 5.0 Statewide Low percentage of women smoking during pregnancy: 3.9% vs. 6.8% Statewide

Source: MassCHIP Births and Infant Deaths, Vital Records (2009)

14.4%

9.2%

14.9%

7.2%

21.5%17.3%

12.9% 12.0% 10.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Per

cen

tage

of

Bir

ths

Overall Whites Blacks Latinas Asians

Racial/Ethnic Group

ChelseaMass.

Inadequate or No Prenatal Care*: Especially High for White Mothers

2009 Vital Records

*Inadequate prenatal care defined as mothers not receiving “adequate prenatal care” (Classified by APNCU Index)Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2009)

n/a

Chelsea’s overall % of births with inadequate or no prenatal care decreased from 16.0% in 2005, while the Statewide % increased from 8.4% in 2005

Inadequate or No Prenatal Care2000-2009*

8.4%

14.0%

12.6%12.3%

15.4%15.4%14.6%

11.7%

15.4%15.5%

17.6%

8.9%9.9%

9.2%8.9%8.1%7.7%7.9%8.0%

8.5%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Per

cen

t b

y A

deq

uac

y of

Pre

nat

al C

are Chelsea

MA

*Inadequate prenatal care defined as mothers not receiving “adequate prenatal care” (Classified by Kotelchuck Index)Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2000-2009)


Family and Social SupportCommunity Cohesiveness, Single-Parent Households

Community Cohesiveness2012 Quality of Life Survey*

2.7 2.6 2.5

3.7

3.2

0

0.5

1

1.5

2

2.5

3

3.5

4

Good Place toGrow Old

Good Place toRaise Children

Safe Place to Live Networks ofSupport in Times

of Stress

Feel connected toCommunity

On a scale of 1-5 (1 Strongly Disagree to 5 Strongly Agree) respondents ranked Chelsea as a…

58% volunteer their time to community service

89% know at least some of their neighbors’ first names


Children in Single-Parent Household

2006-2010 American Community Survey (US Census Bureau)

17.8%20.8%

5.1%

1.7%

15.0%

7.0%

0%

5%

10%

15%

20%

25%

Married with ChildrenUnder 18

Single Male Householderwith Children Under 18

Single FemaleHouseholder withChildren Under 18

Chelsea

MA

Source: American Community Survey 2006-2010 5 Year Estimates

Parent Disapproval Rates2010 & 2011 Chelsea High School YRBS

Percent of students that believe their parents would think it was very wrong if they used the following substances

59.6% 58.8%

71.5%

80.0%72.8%

80.4%86.7% 87.8%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Alcohol Cigarettes Marijuana Oxycontin orHeroin

20102011

Community SafetyCrime Rates, Offensives, Domestic Violence, ER Visits

Violence/Injuries:Very High Homicide & Violent Injury Rates Very high violent injury* rate at 100.7 (2004-2006**)

• Almost 3x state rate of 35.1

Very high homicide rate:• 4 homicides in 2007 – crude rate 11.7 (more than 4x state rate of 2.8)

Motor-vehicle related deaths and hospitalizations:• Injury deaths low: 2.9 crude rate (6.8 state rate) (2007***) • Motor-vehicle related hospitalization rate low: 66.4 age-adjusted rate (65.2 state

rate) (2007-2009****)

Weapon-related Injuries (2008-2010 WRISS*****)• Highest amongst ages 20-24 (26.9% vs. 28.0% statewide) and ages 15-19

(24.1% vs. 20.7% statewide)• Very high amongst males (95.9% vs. 88.1% statewide)• Approx. half happen on the street (56.8% vs. 42.9% statewide)

*Violent injuries defined as: gun and sharp instrument weapon injuries during violent incidents as seen in ED**Source: Partners Community Benefit Report

***Source: MassCHIP CHNA Health Status Indicators Report for Chelsea - 2007 Mortality (Vital Records) ICD-10 based****Source: MassCHIP Hospital Discharges (UHDDS), 2007-2009

*****WRISS data from MassCHIP WRISS Report for Chelsea, 2008-2010

Mortality from Injury2000-2009*

53.9

72.5

44.0

55.7

44.0

83.3

37.1

48.6

41.035.2

44.341.0 42.3 40.6

45.241.3 43.4

46.043.937.5

0

10

20

30

40

50

60

70

80

90

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Cru

de

Rat

e p

er 1

00,0

00 I

nd

ivid

ual

s

Chelsea

MA

*Source: MassCHIP, Vital Records (Mortality), All Injury & Poisoning Deaths 2000-2009


Property & Violent Crimes Over Time2005-2011*

*Source: Chelsea Police Department Data

0

500

1,000

1,500

2,000

2,500

3,000

Violent 735 739 734 805 809 759 747

Property 1,428 1,629 1,618 1,902 1,798 1,594 1533

2005 2006 2007 2008 2009 2010 2011

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2005 2006 2007 2008 2009 2010

Year

Rat

e p

er 1

00,0

00

Violent Crime Property Crime

Crime Rates2005-2010

Data Source: Massachusetts Crime Reporting Unit, www.ucrstats.com.

22.1%21.4%21.4%22.1%20.0%19.2%16.2%15.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

2000 2001 2002 2003 2004 2005 2006 2007**

Year

Per

cent

of

Off

ense

sPercent of Offenses That Involved Weapons*

Chelsea Police Dept. 2000-2007**

*Includes: all firearms, sharp instruments, blunt objects, motor vehicle, personal (hands, feet, etc.), poison, and other/unknown.**Police data was only collected up to 10/17/2007.

Extrapolations were made using monthly averages from 2000-2006 for a full year estimate, which are presented in the graph above.

Crime 2005 2006 2007 2008 2009 2010 2011 2005-2007

2009-2011 %Change

Motor Vehicle Theft 286 310 210 254 238 180 192 238.57 203.33-14.8%

Motor Vehicle Theft

Theft from a Motor Vehicle 29 29 9 13 12 10 17 17.00 13.00

-23.5%Theft from a Motor Vehicle

Burglary/Breaking & Entering 291 359 384 414 445 454 406 393.29 435.00

10.6%Burglary/Breaking &

Entering

Shoplifting 34 44 54 88 105 108 121 79.14 111.3340.7%

Shoplifting

Vandalism 994100

7110

6122

7105

4 977 924 1041.29 985.00-5.4%

vandalism

Gun Robbery 17 27 30 37 31 31 28.83 31.007.5%

Gun Robbery

Forcible Rape 21 26 19 29 26 34 33 26.86 31.0015.4%

Forcible Rape

Weapons law violations 62 44 62 68 57 83 62 62.57 67.33

7.6%Weapons law violations

Aggrevated Assault 344 339 340 379 330 352 306 341.43 329.33-3.5%

Aggrevated Assault

DUI 22 38 26 27 36 45 33 32.43 38.0017.2%

DUI

Drug/Narcotic Violations 73 95 122 125 98 117 115 106.43 110.00

3.4%Drug/Narcotic Violations

Drunkeness 486 498 465 434 452 508 410 464.71 456.67-1.7%

Drunkeness

UCR crime data for following slides

0

50

100

150

200

250

300

350

400

2005 2006 2007 2008 2009 2010 2011

Year

Rat

e pe

r 10

0,00

0

Gun Robbery Forcible Rape Aggrevated Assault

Selected Violent Crime Rates 2005-2011


0

100

200

300

400

500

600

2005 2006 2007 2008 2009 2010 2011

Year

Rat

e p

er 1

00,0

00

DUI Drug/Narcotic Violations Drunkeness

Selected ETOD Crime Rates2005-2011


0

50

100

150

200

250

Off

ense

s

All Firearms** 64 79 70 65 98 130 110 138

Sharp Instrument 202 207 217 174 237 204 222 223

Blunt Object 125 138 168 142 145 153 129 187

2000 2001 2002 2003 2004 2005 2006 2007*

Offenses by Weapon Involved:Firearms Offenses Increasing

Chelsea Police Dept. 2000-2007*

*Data for 2007 was only collected up to 10/17/2007. Extrapolations were made using monthly averages from 2000-2006 for a full year estimate, which are presented in the graph above.

**Includes automatic firearms, handguns, automatic handguns, automatic rifles, and other automatic firearms

Emergency Room Visits for Assault-Related Injuries by Type of Wound

1998-2010*

0

10

20

30

40

50

60

Em

erge

ncy

Roo

m V

isit

s

Firearms** 8 na 5 7 7 6 8 14 7 9 14 10 11

Sharp Instruments 28 44 35 37 32 29 21 26 24 24 49 34 30

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

*Source: MA DPH, MassCHIP, 1998-2010 data / **Firearms include firearms, non-powder airguns, and other guns.

1057

1149

1198

1033

1148

11951175

1150

600

650

700

750

800

850

900

950

1000

1050

1100

1150

1200

2000 2001 2002 2003 2004 2005 2006 2007*

Year

Nu

mb

er o

f A

rres

ts

Arrests By Gender:Female Arrests Increasing

Chelsea Police Dept. 2000-2007*

*Data for 2007 was only collected up to 10/17/2007. Extrapolations were made using monthly averages from 2000-2007 for full year estimates, which are presented in the graph above.

294311

241258248240217

235

0

50

100

150

200

250

300

350

400

450

500

550

600

2000 2001 2002 2003 2004 2005 2006 2007*

Year

Nu

mb

er o

f A

rres

ts

Males Females

Chelsea High School YRBS: Violence-Related Behaviors

2005-2007-2009-2011 YRBS

21%24%

19%

26%

12%

7%7% 7%

14%10%12%

14%

10%9%10%10%

0%

10%

20%

30%

40%

50%

Bullied at Schoolin Past Year

Involved in aGang in Past Year

Carried aWeapon in Past

30 Days

Ever ExperiencedDating Violence*

2005

2007

2009

2011

Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)

*Dating Violence is defined as having been hurt physically or sexually by a date or someone going out with

270225

367

442

326

0

100

200

300

400

500

Cou

nt

Avg. Calls per Year(2005-2008*)

Avg. Incidence perYear (2005-2008*)

Avg. RestrainingOrders per Year

(2005-2008*)

Children AllegedlyAbused / Neglected

(unduplicated)(2006**)

Children withVerified

Investigations ofAbuse/Neglect(duplicated)

(2006**)Indicator

Domestic Violence / Child Abuse

*DV data source: Chelsea Police Department**Child Abuse data source: 2006 Department of Children and Families, from MassCHIP Kids Count Report for Chelsea

For 2008: 215 restraining orders issued; 137 still active as of 12/31/08

Allegations and Investigation of Child Abuse1996-1997 & 2006-2009*

747

445

787

448

656

326

675

364

698

427

717

352

0

100

200

300

400

500

600

700

800

Cou

nt

1996 1997 2006 2007 2008 2009

Children AllegedlyAbused/Neglected(unduplicated)

Children with VerifiedInvestigations ofAbuse/Neglect (duplicatedcount of children)

**Child Abuse data source: 1996-2009 Department of Children and Families, from MassCHIP Kids Count Report for Chelsea

Dispatch Calls Received for Domestic Disturbances*

Chelsea Police Dept. 2000-2006

799

690717

761

827

785 786

600

650

700

750

800

850

2000 2001 2002 2003 2004 2005 2006

Year

Dis

pat

ch C

alls

*These calls were received by the police dept. as domestic disturbances, however not all were determined to be domestic disturbances after responding to the call.

PHYSICAL ENVIRONMENT

Environmental Quality Air Pollution, Blood Lead Count, Asthma Hospitalizations

Environmental Health Issues* Chelsea is the only city/town in the state with every neighborhood designated as

an “environmental justice population” by the Executive Office of Environmental Affairs (EOEA)**

Oil Spills in Chelsea Creek***:• Since Dec. 2005, ~41,866 gallons of oil have spilled into the Chelsea Creek• There have been a total of 35 oil spills in the last 15 years – totaling 96,653

gallons of oil

Diesel Exhaust & Cancer****: • Chelsea’s overall levels exceed the U.S. average by five times• Chelsea’s high levels of diesel exhaust exceed the EPA’s established “reference

concentration” (maximum level before cancer-causing health effects occur) by 20%

• Chelsea falls in the Clean Air Task Force’s highest category for “expected lifetime cancer cases from diesel pollution” – 501+ Chelsea residents likely to develop cancer from diesel pollution*****

*Source: all information above taken from January 2007 Chelsea City Council Meeting Minutes, http://www.chelseama.gov/Public_Documents/ChelseaMA_CouncilMin/I00DAB445.0/Chelsea%20City%20Council%20Januar.doc

**Source cited: http://www.mass.gov/envir/ej***Source cited: U.S. Coast Guard Lieutenant Commander Claudia Gelzer

****Source cited: Environmental Protection Agency (EPA), http://www.epa.gov/ne/eco/airtox/diesel.html*****Source cited: Clean Air Task Force database used The Lingering Thread Report (2005)

http://www.chelseama.gov/Public_Documents/ChelseaMA_CouncilMin/I00DAB445.0/Chelsea%20City%20Council%20Januar.doc

http://www.mass.gov/envir/ej

http://www.epa.gov/ne/eco/airtox/diesel.html

Symptoms or Illness in Past Yeardue to Outdoor Air Pollution*

2008 BRFSS

Yes 10.4%

Don't know 3.2%

No 86.4%


Air Quality Index1999-2009*

“Air quality indices (AQI) are numbers used by government agencies to characterize the quality of the air at a given location. As the AQI increases, an increasingly large percentage of the population is likely to experience increasingly severe adverse health effects.. The Environmental Protection Agency (EPA) uses the following AQI range: 0-50=Good, 51-100=Moderate, 101-150= Unhealthy for Sensitive Groups, 151-200=Unhealthy, 201-300 Very Unhealthy, 301-500=Hazardous

Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm

Levels of Sulfur Dioxide1999-2009*

Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm based on the air quality database from the U.S. Environmental Protection Agency

http://www.usa.com/chelsea-ma-air-quality.htm

Levels of Nitrogen Dioxide1999-2009*



Levels of Particulate Matter1999-2009*



Asthma

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**In households with children under 18 only: n=203 (out of 501) respondents

***Source: 2005 Hospital Discharges (UHDDS), from MassCHIP CHNA Health Status Indicators Report for Chelsea****Source: Regional Epidemiological Services Health Data Watch Supplement, prepared for Chelsea HHS

17.3%

10.8%

18.7%

0%

10%

20%

30%

40%

50%

Per

cen

t of

Res

pon

den

ts

Ever Told by HealthProfessioal that Have

Asthma

Told Currently HaveAsthma

Have At Least One ChildWho Has Been Diagnosed

With Asthma**

Self-Reported Asthma Status – 2008 BRFSS*

Of these respondents: 37.8% reported their asthma interfering with their daily activities at least moderately in the past month

Asthma

*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**In households with children under 18 only

17.3%14.8%13.8%

10.8% 9.6%8.5%

18.7%

13.3%13.3%

0%

5%

10%

15%

20%

25%

30%

Per

cen

t of

R

esp

ond

ents

Ever Told by HealthProfessioal that Have

Asthma

Told Currently HaveAsthma

Have At Least OneChild Who Has Been

Diagnosed WithAsthma**

Chelsea Mass US

Self-Reported Asthma Status – 2008 BRFSS*

148.4 142.0

204.7219.0

240.3

211.9204.9 206.9

216.7

236.6

207.4

159.2147.0146.9140.1137.7

160.2

130.7 126.8

154.2

127.9135.2

0

50

100

150

200

250

300

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Age

Ad

just

ed R

ate

per

100

,000

In

div

idu

als

Chelsea Massachusetts

Asthma Hospitalizations*

*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization; Age-Adjusted Rates. Source: 2002-2009 Hospital Discharges (UHDDS), from MassCHIP

1999-2009

Chelsea asthma hospitalization rates were significantly higher than the Massachusetts State rates in 2002, 2003, 2006, 2007, 2008 and 2009.

1182.3

1371.6

1547.0 1504.4

1105.11058.2

941.2

1167.71088.0

977.4921.4 938.0902.2898.9865.7

814.5773.3

627.4670.2

760.1

588.3544.1

0

200

400

600

800

1000

1200

1400

1600

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Age

Adj

uste

d R

ate

per

100,

000

Indi

vidu

als Chelsea Massachusetts

Asthma- Related Hospitalizations*

*Asthma ( ICD 9: 493) , Asthma is primary cause or Asthma is an associated cause of hospitalization; Age-Adjusted Rates. Source: 2002-2009 Hospital Discharges (UHDDS), from MassCHIP

1999-2009*

Chelsea asthma hospitalization rates were significantly higher than the Massachusetts State rates 2002-2009

19.6

14.7 14.9

0

5

10

15

20

25

Rat

e p

er 1

0,00

0 In

div

idu

als

2006

Year

ChelseaMassachusettsUS

Asthma Hospitalizations*

*Asthma ( ICD 9: 493) , Asthma is primary cause hospitalization. Chelsea and Mass Rates. Source: 2006 Hospital Discharges (UHDDS), from MassCHIP

National Rates Source: 2006 Hospital Discharges (UHDDS), from CDC website: http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf

2006 Crude Rates per 10,000

34.9

22.5 23.9

0

5

10

15

20

25

30

35

40

Rat

e p

er 1

0,00

0 In

div

idu

als

2006

ChelseaMassachusettsUS

Child Asthma Hospitalizations*

*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization.** Unclear if National Rates are Age-Adjusted.

Chelsea and Mass Rates. Source: 2006 Hospital Discharges (UHDDS), from MassCHIPNational Rates Source: 2006 Hospital Discharges (UHDDS), from CDC website: http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf

2006 Age-Adjusted Rates per 10,000**

Age < 15

**

Source: Division of Health Care Finance and Policy. Calendar Year 2005. Hospital Discharges

Pediatric Asthma Hospitalization Rates by Town Children Ages <5

Boston, Massachusetts Region, 2004-2005

BOSTON646.8

REVERE403.5

BROOKLINE359.8

WINTHROP593

CHELSEA208.8

Hospitalization Rates by Townsper 100,000

Significantly higher than state rate

Not different from state rate

Significantly lower than state rate

Massachusetts State Total: 337.5

Pediatric Asthma Hospitalization Rates by TownsAmong Children Ages <5

Boston Region - Massachusetts 2004-2005

Pediatric Asthma Hospitalization Rates by Town Children Ages <5

Boston, Massachusetts Region, 2007-2009

429.7

211.6

351.9

795.9

937.5

422.4

0

100

200

300

400

500

600

700

800

900

1000

City ofBoston


Ag

e-A

dju

ste

d R

ate

pe

r 1

00

,00

0

*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization; Age-Adjusted Rates. Source: 2007-2009 Hospital Discharges (UHDDS), from MassCHIP

Pediatrics Asthma Hospitalizations Children <5

2000-2009*

465.2

205.3

273.0

312.8 322.6

381.3351.9

219.9260.6

417.4

326.7

410.0

317.4

483.6

395.2395.0357.0356.5

269.7

0

100

200

300

400

500

600

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Age

Sp

ecif

ic r

ate

per

100

,000

Chelsea

MA

Source: 2000-2009 Hospital Discharges (UHDDS), from MassCHIPDate accessed 8/30/12

N/A

Blood Lead Counts in Young Children (6 months – 5 years):

Much Higher than State Rates2008-2010 CLPPP*

*Source: 2006 Lead Poisoning Prevention Program (CLPPP), in MassCHIP Kids Count Report. Rates expressed per 1,000 children screened.**Immediate Risk of Lead Poisoning defined as 20-24 ug/dL

***Elevated Blood Levels defined as >15 ug/dL****Lead poisoning blood levels defined as >=25 ug/dL

2.3

1.4

0.10.3

0.8

0.3

0.0

0.5

1.0

1.5

2.0

2.5

3.0

Rat

e p

er 1

,000

Ch

ildre

n

Scr

een

ed

Elevated BloodLevels*

Immediate Risk ofLead Poisoning

(Elevated Blood LeadLevels***)

Lead Poisoning****Cases

ChelseaMass.

Blood Lead Counts in Young Children (6 months – 5 years):

Lead Poisoning Cases**, 2000-2010 CLPPP*

*Source: 200-2010 Lead Poisoning Prevention Program (CLPPP),, in MassCHIP Kids Count Report. Rates expressed per 1,000 children screened.

**Total lead poisoning blood levels defined as >=15 ug/dLDate accessed 8/28/12

5.5

4.8

3.0

1.4

2.42.3

3.4

6.1

4.4

2.4

4.0

2.01.8 1.6

1.2 1.4

4.2

3.1 3.12.5

2.3 2.3

0.00.51.01.52.02.53.03.54.04.55.05.56.06.5

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Rat

e p

er 1

,000

Ch

ild

ren

Scr

een

ed ChelseaMass.

Built Environment Access to Recreational Facilities, Health Foods, and Fast Food

2012 Focus Group FindingsTop Most Important Problems in Chelsea

1. Crime & Violence 2. Housing – high cost, no rentals, no affordable housing,

crowded, unclean3. Environment – cleanliness and associated health issues

like asthma. Road maintenance & parking issues4. Health Issues (asthma) – related to environment5. Language Barriers – especially around unemployment,

not enough ESL or skills training, school issues, prejudice

Source: Focus groups reached 109 diverse residents between February and March 2012

Data presented at the Community Health Assessment Strategic Planning Meeting on June 13 th, 2012.

2012 Focus Group FindingsTop Most Important Problems in Chelsea

6. Drug Use7. Teen Pregnancy8. Poverty9. Education – adult and teen resources needed. Parent

classes needed. School configuration not ideal.10. Access to healthy food / Obesity

Source: Focus groups reached 84 diverse residents between February and March 2012

Data presented at the Community Health Assessment Strategic Planning Meeting on June 13 th, 2012.

2012 Quality of Life Survey FindingsTop 10 Most Important Problems in Chelsea

1. Drug abuse/addiction/overdose (47%)2. Crime & Violence (46%)3. Alcohol abuse & addiction (32%)4. Education (20%)5. Domestic Violence (15%)6. Mental Health (14%)7. Teen Pregnancy (14%)8. Environment (13%) & Asthma (8%)9. Poor Diet/inactivity (11%) Obesity (10%)10. Housing / Homelessness (8%)

*Source: 2012 Quality of Life Survey. Surveys were distributed in February and March through the web and in print—available in English, Spanish and Mandarin. 959 surveys were received and respondents represented a more White, educated, female perspective.

Data presented at the Community Health Assessment Strategic Planning Meeting on June 13th, 2012.

ConclusionThe Evaluation and Research staff at the MGH Center for Community Health Improvement (CCHI) compiled and summarized all information in this report. Both primary and secondary data sources were used in order to produce a comprehensive report on the leading health issues facing Chelsea as of August 31, 2012.

The main source of data is listed within each chart as well as the date range and any other important information relevant to the data. The MGH Center for Community Health Improvement has made efforts to ensure the accuracy of all data in this report. Some of the numbers and rates contained in this report were obtained from MassCHIP, The Massachusetts Department of Public Health’s internet-accessible data warehouse. MassCHIP is regularly updated so the numbers and rates contained in this report may differ slightly from those reported in the current version of MassCHIP. Other sources include the Youth Risk Behavior Survey, the Behavioral Risk Factor Surveillance System, U.S. Census, and community Quality of Life Surveys and Focus Groups completed as part of CCHI’s 2012 Community Health Assessment.

Please contact Maddie Eagan, [email protected], with any questions regarding the data in this presentation.

mailto:[email protected]

MGH CCHI Evaluation and Research

Danelle Marable, Director [email protected] / 617-724-6857

Erica Clarke, Project [email protected] / 617-643-3955

Nessa Regan, Project [email protected] / 617-643-7178

Maddie Eagan, Research [email protected] / 617-724-7016

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