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Focusing on the Avondale, North Center, Lakeview
and Lincoln Park neighborhoods of Chicago
Community Health Needs Assessment 2013
Alderman James Cappleman, 46th Ward
Alderman Michele E. Smith, 43rd Ward
Alderman Thomas M. Tunney, 44th Ward
American Cancer Society
Avondale Neighborhood Association
CJE SeniorLife
Campaign for Better Health Care
Catholic Charities
Chicago Hispanic Health Coalition
Cook County Commissioner Bridget Gainer, 10th District
DePaul University
Gilda’s Club - Chicago
The Hallmark
Healthy Schools Campaign
Holy Covenant United Methodist Church
Lakeview Citizens Council
Lakeview East Chamber of Commerce
Lakeview Pantry
Lakeview Resident Claretta Meier
Lincoln Park Chamber of Commerce
Northside Latin Progress
Presence Saint Joseph Hospital
Presence Saint Joseph Hospital Labourè Clinic
Rainbow Hospice and Palliative Care
Rotary Club of Lakeview
SeniorBridge
State Bank of Countryside-Lakeview
State Representative Sara Feigenholtz, 12th District
Our partners.
This Community Health Needs Assessment (CHNA)
is an overview of the health status of those who
live in the Avondale, North Center, Lakeview
and Lincoln Park neighborhoods of Chicago. A
collaborative team of community stakeholders—
from social service agencies to business leaders—
came together to gather and analyze health-related
information, identify the most pressing needs and
pinpoint ways to make improvements. Please turn
to page 15 to learn more about this process.
Based on the committee’s extensive research
and review of available data, the following themes
surfaced as the highest priority health needs for
this community:
+ Chronic Disease Prevention
& Management
+ Economic Disparities
& Access to Health Care
+ Mental Health Issues
+ Poverty, Homelessness
& Affordable Housing
Health Literacy & Language Barriers will be
addressed throughout all priorities and strategies.
+ Call 877.737.INFO (877.737.4636)
+ Email [email protected]
+ Visit presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.
Be in the know.
Facts & Findings.
2/3of Avondale
residents identify as Hispanic/Latino
Cancer and heart disease are the leading causes of death
Lakeview’s HIV rate is
4x higher than surrounding areas
1 in 5 residents are
uninsured
There is a shortage of
mental health services for low-income
residents
Nearly half of residents are at risk for
binge drinking
1 in 5 residents
smoke
20% suffer from
obesity
25% get no
exercise
Here is a snapshot of some of the key factors affecting the health and well-being of the Avondale, North Center, Lakeview & Lincoln Park neighborhoods —the Presence Saint Joseph Hospital service area.
3
Our Community.Presence Saint Joseph Hospital
4
2/3 of Avondale residents identify as Hispanic/Latino, while the other neighborhoods are over 2/3 white.
U.S
. 20
10 C
ensu
s,
Ro
b P
aral
an
d A
sso
ciat
es
Race & ethnicity, 2010
100%
90%
80%
70%
10%
20%
30%
40%
50%
60%
North Center Lakeview Lincoln Park Avondale
White Black Asian
2 or more races Hispanic/Latino
Am
eric
an C
om
mu
nit
y Su
rvey
Top languages spoken by those with limited English2006-2010
40%
35%
5%
10%
15%
20%
25%
30%
Lakeview Lincoln Park
AvondaleNorth Center
Chicago US
Spanish or Spanish Creole
Polish
Russian
Chinese
German
Other
229,613Total population in 2010
3 communities have high household income and low poverty rates, while Avondale has a lower household income rate and more people living in poverty—especially children.
5
Am
eric
an C
om
mu
nit
y Su
rvey
, Ro
b P
aral
an
d A
sso
ciat
es
Median household income 2006-2010
$90,000
$10,000
$20,000
$40,000
$50,000
$60,000
$80,000
$70,000
$30,000
$81,
524
No
rth
Cen
ter
$70
,74
6La
kevi
ew
$82
,70
7Li
nco
ln P
ark
$46
,519
Avo
nd
ale
$46
,877
Ch
icag
o
$51,
914
US
In Avondale, almost 15% are unemployed.
Am
eric
an C
om
mu
nit
y Su
rvey
, C
ity
of C
hic
ago
15%
5%
10%
Population over 16 unemployed, 2010
14.6%
4.5% 4.7% 4.5%
11.1%
AvondaleNorth Center
Lakeview Lincoln Park
Chicago US
7.9%
% living below poverty line, 2006-2010
North Center
Lakeview
Lincoln Park
Avondale
Chicago
US
U.S
. 20
10 C
ensu
s,
Am
eric
an C
om
mu
nit
y Su
rvey
, C
ity
of C
hic
ago,
Illin
ois
Act
ion
for
Ch
ildre
n
Households
Children 0–11
10% 20% 40% 50%30% 60%
20.931.0
14.648.0
11.811.0
10.58.0
7.112.0
13.819.0
Access to care.
1 in 10 people use the ER as their primary source of health care.The majority of survey respondents say that
their immediate family goes to a doctor’s office
for a medical health problem, but almost 12% said
they go to the ER. Lincoln Park had the highest
percentage (20%) using the ER, while Lakeview
had the highest percentage (83%) who seek care
at a doctor’s office.
Illinois Public Health Institute and Presence Health Community Survey
Where do members of your immediate family go when they have a medical health problem?
Private Doctor’s Office
ER
Urgent Care/Walk-in Center
Community Clinic
Other
kind of insurance
where does your family go?
interpreters requested
11.8% ER
Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
In the Presence Saint Joseph Hospital service area, 19% are uninsured.
What kind of health insurance do you have?
kind of insurance
where does your family go?
interpreters requested
19.3% Uninsured
Private Insurance
Medicare
Uninsured
Medicaid
Other
6
In Avondale, there is a shortage of primary care physicians.
All areas have a shortage of mental health services for low-income residents, consistent with most neighborhoods in Chicago.
7
What’s preventing people from receiving care?
Where does the community come up short?
1 in 5 felt that cost prevented them from seeing a doctor.
1 in 10 said that there were no providers available based on their insurance or lack thereof.
Lakeview, Lincoln Park & North Center have a much lower percentage than average enrolled in Medicaid while Avondale’s rate is significantly higher.
15%
5%
10%
25%
20%
% of population enrolled in Medicaid, 2010
60613 60614 60618 IL60657
Illin
ois
Dep
artm
ent o
f Hea
lth
care
&
Fam
ily S
ervi
ces
8.5% 4.7%
22.4%
2.9%
20.7%
Status of our health.
8
But unlike the rest of the country, diabetes
is among the top 5. Of note, in Avondale,
unintentional injury is one of the top five
causes, while lung cancer is not.
Cancer and heart disease are the top two causes of death, both here and in the U.S. Years of Potential Life Lost (YPLL) defines what
is killing residents prematurely and can help
determine prevention efforts. Homicide and liver
disease are leading causes in Avondale, while
suicide is among the top in other areas.
Causes of early death.
Top 5 causes of death (age-adjusted for 2004-2008)
Cit
y o
f Ch
icag
o, C
DC
40 80 160120 200
Coronary heart disease
Cancer (all sites)
Diabetes-related
Lung cancer
Stroke
Unintentional injury
North Center
142.8161.3
54.345.1
43.0
Lakeview
130.0135.2
35.332.7
23.3
Lincoln Park
152.1154.4
51.438.739.2
Avondale
155.9120.9
47.541.0
35.0
Chicago
162.7
197.870.352.1
46.4
Cancer (all sites)
Unintentional injury
Assault, homicide
Coronary Heart Disease
Suicide
Lung Cancer
Breast Cancer in Females
Liver Disease
Years of potential life lost, top 5 causes, 2009
Cit
y o
f Ch
icag
o, C
DC
1042North
Center456
384272
263
Lakeview
591543
435300
148
Lincoln Park
Avondale
140012001000800600400200
761338
411192
165
7331311
257693
379
US
179.8173.6
49.5
37.038.9
9
Lakeview has the highest suicide rate in the area—higher than the Chicago average.
Lakeview has a very high rate of annual HIV infection and prevalence of HIV/AIDS far above the city rate.
The annual rate indicates new cases per year and prevalence
shows how many individuals are living with HIV. With newer
treatments, people are living much longer, so a high prevalence
rate may indicate a high risk for infection, but may also signify
success, in that people are getting the treatment they need.
Suicide rate per 100,000, 2004-2008 (age-adjusted)
Cit
y o
f Ch
icag
o
North Center
7.8
Lakeview
8.5
Lincoln Park
6.0
Avondale
6.1 6.5
Chicago US
11.2
6
2
4
12
10
8
Cit
y o
f Ch
icag
o, C
DC
North Center
17.3
Lakeview
65.2
Lincoln Park
14.0
Avondale
12.7
40.5
Chicago US
17.4
40
20
30
70
60
50
10
Cit
y o
f Ch
icag
o, C
DC
North Center
348.3
Lakeview
1170.9
Lincoln Park
299.5
Avondale
366.8
756.5
Chicago US
469.4
800
400
600
1400
1200
1000
200
Average annual HIV infection rate per 100,000, 2010
HIV/AIDS prevalence rate per 100,000, 2010
Status of our health. (continued)
The teen birth rate has gone down in all areas, although Avondale’s is still above the Chicago average and Lincoln Park’s is especially low.
10
16.7% have been told they have asthma, more than the city, state and country.
All 4 communities had fewer asthma hospitalizations than the national rate.
Cit
y o
f Ch
icag
o, C
DC
10 20 40 5030 9060 70 80
2000 2009
North Center
40.8
8.4
35.6Lakeview
15.8
Lincoln Park
12.5
2.1
Avondale79.6
63.4
Chicago80.5
57.0
US47.7
34.3
Asthma hospitalizations per 100,000, age 5-64 (age-adjusted)
Cit
y o
f Ch
icag
o, C
DC
20 40 80 10060 120
North Center 63
Lakeview 66
Avondale 71
US 111
Lincoln Park 101
Teen birth rate per 1,000, age 15-19, 2000 and 2009
Almost 1 in 5 are obese, compared to more than 1 in 4 nationally.
PSJH Chicago US
Our community Chicago US
Underweight/Normal (BMI 18.5–24.9)
Overweight (BMI 25-29.9)
Obese (BMI 30–39.9)
20%obese
26%obese
28%obese
11
Lincoln Park has the highest rate of mental health admission in the area.
Mental health admission rate for reasons other than substance abuse
per 100,000, 2007 (age-adjusted)
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
North Center
714.9
Lakeview
798.5
Lincoln Park
905.8
Avondale
580.9
1111.6
Chicago
600
200
400
1200
1000
800
0
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o H
ealt
hca
re C
ou
nci
l 20
12
Health & behavior.
12
25% get no exercise in a normal week and only 1 in 10 get the recommended 30 minutes per day.
5 servings of fruits and vegetables are recommended daily, yet only 30% said they ate more than 1 a day.
Illinois Public Health Institute and Presence Health Community Survey
Nearly half of the people in the area are considered at risk for binge drinking.
20%
40%
50%
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Alcohol consumption— at risk for binge drinking
15.1%
US
47.3%
Community
19.5%
Chicago
18.3%
IL
10%
30%
1 in 5 people smoke, higher than the national average.
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Current smokers
17.1%
US
19.7%
Community
14.2%
Chicago
16.9%
IL
10%
15%
20%
25%
5%
13
A diagnosis of alcohol abuse was 3 times higher at Saint Joseph’s ER than the state average.
IL COMP Data
Lakeview has the highest rate of admission for substance abuse and drugs in the area, but still lower than the Chicago average.
Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
, C
hic
ago
Dep
artm
ent o
f Pu
blic
Hea
lth
400 600 800200
219.6Avondale
239.9North Center
370.2Lakeview
239.6Lincoln Park
640.3Chicago
14
Compared to the rest of Chicago, the Presence Saint Joseph Hospital service area has a relatively low crime rate.
Homelessness is a major challenge.Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless
estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.
Barriers to health.
People in Avondale are more than twice as likely to experience food insecurity as others in the area.
This means that almost 20% of Avondale residents
either do not have enough to eat or don’t know
where their next meal is coming from.
Crime data, 2011 per 100,000 residents
Homicides
Drug crimes
Violent crimes (against persons)
Violent crimes(against community/
property)
Minor offenses
Total crimes
Cit
y o
f Ch
icag
o D
ata
Po
rtal
1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500
3
16
274
1355
430
1074
4997
6965
2329
4713
7757
12752
Our community Chicago
15
Measuring our health.This Community Health Needs Assessment is the result
of a partnership between Presence Health, the Illinois
Public Health Institute and a diverse group of community
organizations and local leaders. In July 2012, a Steering
Committee was created to address the overall goal of
improving the health and well-being of the community
with a special focus on the needs of the most vulnerable.
The Committee examined a wide range of factors that
impact health, from the causes of disease and death
to income and unemployment rates. Statistics came
from sources like the U.S. Census and the City of Chicago.
Direct input from residents was also obtained through a
community survey that explored perceptions about quality
of life and barriers to health. Gaps in services were identified
and prioritized needs were determined (see page 2).
Taking action.Based on these priorities, Action Teams were formed to
develop goals and objectives that build from existing efforts
in the community. The result is targeted action plans that
help place resources where they are most needed and can
be the most effective. The Steering Committee will continue
to provide support and oversight of these plans as part of
a long term, comprehensive effort for improvement.
Read more. Visit presencehealth.org/community to get the whole story
of the Community Health Needs Assessment and view the
full Community Health Profile and Community Input Reports.
Residents who pay more than 30% of
their income on housing are considered cost
burdened. Renters were more likely to be
cost burdened in all areas except Avondale.
At least 1/3 of residents are cost burdened by housing, 1/2 in Avondale.
Ch
icag
o R
ehab
Net
wo
rk
% of residents cost burdened by home type, 2009
10%
20%
40%
50%
60%
30%
No
rth
Cen
ter
Lake
view
Lin
coln
Par
k
Avo
nd
ale
Ch
icag
o54
.6%
48
.3%
49
.2%
51.8
%
42
.0%
33.1%
42
.0%
33.1%
49
.6%
47.
0%
Renters Owners
Gre
ater
Ch
icag
o F
oo
d D
epo
sito
ry, U
SDA
15%
5%
10%
% of population experiencing food insecurity, 2009
19.8%
9.9% 9.7% 10.2%
AvondaleNorth Center
Lakeview Lincoln Park
US
14.7%
20%
2900 N. Lake Shore Drive
Chicago, Illinois 60657
+ Call 877.737.INFO
+ Email [email protected]
+ Visit presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.