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SAN FRANCISCO CHINATOWN NEIGHBORHOOD HEALTH CONDITIONS AND STATUS Jason Xu Health Commission Meeting Chinatown August 20 th , 2019
SAN FRANCISCO
CHINATOWN
NEIGHBORHOOD
HEALTH CONDITIONS
AND STATUS
Jason Xu
Health Commission Meeting
Chinatown
August 20th, 2019
San Francisco Chinatown Neighborhood
• Population: 14,818• District 3: Chinatown, North
Beach, Fisherman’s Wharf, Polk Gulch, Union Square/Financial District and Russian, Nob and Telegraph Hills
• Zip Codes: 94108, 94133, 94111
Slide 2
Source: American Community Survey 2012-2016
Framework for Assessing Neighborhood HealthSlide 3
• Demographic and Socioeconomic
• Living Conditions
• Health and Wellbeing
Demographic 4
80.4%
13.5%4.2% 0.9% 0.6%
33.5%41.2%
15.3%
3.9% 5.2%
0%
20%
40%
60%
80%
100%
Asian White Hispanic Multi-ethnic Black/AfricanAmerican
Race/Ethnicity
12% 9%14%
9%
31%26%
14%8%
23%16%
26%
14%
0%
20%
40%
60%
80%
100%
Under 18Years
18 to 24Years
25 to 34Years
35 to 44Years
45 to 64Years
65+ Years
Age
71%
24%
0%
20%
40%
60%
80%
100%
Chinatown San Francisco
Speak English Less than Very Well
Chinatown has a higher percentage of Asian residents, older population and a higher proportion of residents that speak English less than very well.
Source: American Community Survey 2012-2016
Socioeconomic Slide 5
62%
26%
0%
20%
40%
60%
80%
100%
Chinatown San Francisco
% of Households Living below 200% of Federal Poverty Level
Median Household Income Chinatown: $21,000San Francisco: $88,000
Chinatown is one of the most economically disadvantaged neighborhoods.
Source: American Community Survey 2012-2016
Living Conditions – HomelessnessSlide 6
188 284 234 293 278
3106
4315 4358 4353
5180
0
1000
2000
3000
4000
5000
6000
2011 2013 2015 2017 2019
Unsheltered Homeless Count
District 3
San Francisco
Percent of Total Unsheltered Homeless PopulationDistrict 3: 5%
The size of unsheltered homeless population in district 3 has been stable around 270 in recent years despite of the increasing unsheltered homeless population in the whole city.
Source: San Francisco Homeless Count Report 2019
Living Conditions - Housing Slide 7
• Percent of the households pay 50% or more of their income to rentChinatown: 30% San Francisco: 20%
• Percent of the households own their homeChinatown: 6%San Francisco: 37%
• Percent of the households are overcrowded (> 1 people per habitable room). Chinatown: 29%San Francisco: 6%
Chinatown has one of the largest rent burden, the most overcrowded housing and the lowest percentage of property ownership.
Source: American Community Survey 2012-2016
Living Conditions – Crime and SafetySlide 8
0
20
40
60
80
100
2013 2014 2015 2016 2017
Violent Crime Rate (per 1,000)
Chinatown
San Francisco
0
20
40
60
80
100
2013 2014 2015 2016 2017
Property Crime Rate (per 1,000)
• The violent crime rate in Chinatown is close to San Francisco average and it was fairly stable in 2013-2017.
•
• The property crime rate is generally lower than San Francisco average but it increased by 60% in 2013-2017.
Source: San Francisco Police Department via DataSF 2013-2017
Living Conditions – Transportation Hazards Slide 9
• Percent of Residents Living in Areas with the Highest (Top 20%) Local Traffic DensityChinatown: 71%San Francisco: 30%
• Severe and Fatal Transportation Related Injuries per 100 Road MilesChinatown: 128San Francisco: 99
Stockton, Kearny, Jackson and other streets in Chinatown are on the Vision Zero High Injury Network – the 13% of the city streets where 75% of severe and fatal traffic injuries occur.
Source: San Francisco County Transportation Authority 2012; San Francisco Transportation-Related Injury Surveillance System(TISS) 2013-2015; San Francisco Vision Zero 2017
Living Conditions – Heat Vulnerability Slide 10
Heat Vulnerability Index:San Francisco Climate and Health Program uses socioeconomic and demographic, exposure, health, and infrastructure indicators to communities most likely to be affected by the health impacts of extreme heat.
Chinatown has the highest Heat Vulnerability Index among all the neighborhoods and 73% of the land-are are in high or very high vulnerability zones.
Source: San Francisco Climate and Health Program 2013
Health and Wellbeing - Mortality Slide 11
Leading Cause of Death, 2012-2016
Rank Chinatown San Francisco
1 • Lung Cancer • Ischemic Heart Diseases
2 • Ischemic Heart Diseases • Cerebrovascular Disease
3 • Cerebrovascular Disease • Lung Cancer
4• Chronic Obstructive
Pulmonary Disorder • Alzheimer's Disease
5 • Hypertensive Disease • Hypertensive Disease
6 • Alzheimer's Disease• Chronic Obstructive
Pulmonary Disorder
Death Rate per 100,000• Lung Cancer:
Chinatown: 44San Francisco: 30
• Cerebrovascular Disease:Chinatown: 42San Francisco: 31
• Chronic Obstructive Pulmonary Disorder:Chinatown: 27San Francisco: 18
Mortality Pattern in Chinatown are similar to San Francisco overall. However, Chinatown has one of the highest death rates due to lung cancer, cerebrovascular disease and chronic obstructive pulmonary disorder.
Source: California Vital Statistical Death Master Files 2012-2016
Health and Wellbeing – Morbidity Slide 12
25 25 23
40 37
49
0
10
20
30
40
50
60
70
80
90
100
Alcohol Asthma Assault
Top Cause for Emergency Room Visit Rate (per 10,000), 2012-2016
94108
San Francisco 1610 7
23
9 12
0
20
40
60
80
100
Heart Failure ChronicObstructivePulmonary
Disease
Depression
Top Cause for Hospital Admission Rate (per 10,000), 2012-2016
The emergency room visit and hospital admission rates are generally lower in zip code 94108 area than San Francisco overall. It could be because of lack of access to care, high healthcare cost and concerns about immigration status.
Source: California Office of Statewide Health Planning and Development 2012-2016
Health and Wellbeing – Health Insurance Slide 13
Percent of Residents without Health Insurance (2012-2016)Chinatown: 8.8%San Francisco: 6.9% (3.3% in 2016 alone)
More San Francisco residents have health insurance as a results of Affordable Care Act (ACA) and the overall percent of residents without health insurance dropped to 3.3% in 2016. However, Chinatown still has one of the highest percentage of residents without health insurance.
Source: American Community Survey 2012-2016;Healthy SF 2010-2019
1140
1045 10721109
339
106 94 94 111 101
0
200
400
600
800
1000
1200
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Number of Residents in 94108 Enrolled in Healthy SF
Health and Wellbeing – Children’s Oral Health Slide 14
58%
42% 39% 37%
15%
0%
20%
40%
60%
80%
100%
PacificIslander
Asian Black/AfricanAmerican
Hispanic White
Caries Experience by Race/ethnicity 2012-2017
SFUSD kindergarteners of color or from low-income areas are more likely to have caries experience than white kindergartner or those from high-income areas. Asian kindergartners have the second highest rate of caries among all the ethnic groups.
Source: SFUSD, SFDPH Dental Services. Kindergarten Oral Health Screening Program 2012-2017
