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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 0 Springdale Health Department 2016 Community Health Assessment Survey Dr. Parth Modi, M.D., MPH Matt Clayton, Health Commissioner
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Page 1: Springdale Health Department 2016 Community Health … Community... · 2018-03-15 · SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 1 Introduction The City of Springdale in Hamilton County,

SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 0

Springdale Health Department

2016 Community Health Assessment Survey

Dr. Parth Modi, M.D., MPH

Matt Clayton, Health Commissioner

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 1

Introduction

The City of Springdale in Hamilton County, Ohio covers 4.96 square miles and

has 11,223 residents. The Community Health Assessment (CHA) will be used by the Springdale

Health Department to identify the major disorders, disabilities, infectious disease, and chronic

disorders prevalent in the community. The CHA will also be used as an evaluation tool for the

current and future health programs. According to the Public Health Accreditation Board, a

community health assessment is a systematic examination of the health status indicators for a

given population that is used to identify key problems and assets in a community. The ultimate

goal of a community health assessment is to develop strategies to address the community’s

health needs and identified issues (Turnock, 2012).

Methods

The Springdale Health Department obtained reportable communicable disease data

(relevant to the health of the community) through our local community health partners (hospitals,

clinics, medical offices, urgent care centers, etc.). The list of reportable diseases is determined

by the Ohio Department of Health and must be reported through the Ohio Disease Reporting

System (ODRS). This information is listed in Appendix 1.

The Springdale Health Department began the search for Springdale specific health data

by contacting local nongovernmental organizations that compile health data. Unfortunately, the

health data was not available specifically for the City of Springdale, rather for the region. The

local nongovernment organizations referred the Springdale Health Department to the state

government operated websites for health data collection.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 2

The Springdale Health Department reviewed local health data from the state government

websites. We found regional health data for Hamilton County on the Ohio Department of

Health's website. Data specific to Springdale wasn't readily available.

In an effort to obtain Springdale specific health data, the Springdale Health Department

contacted the healthcare centers frequently used by residents of the City of Springdale, including

Mercy Hospital in Fairfield and Bethesda North Hospital in Montgomery. This course of action

was discussed and approved by the City of Springdale, the Springdale Health Department, and

the Springdale Community Health Assessment Steering Committee. Unfortunately, we had

limited success obtaining data due to the small size of the community relative to the larger

(regional) population served by these health care centers. While the Springdale specific data we

sought wasn't readily available, the health care centers suggested the Springdale Health

Department review data on the state government operated websites.

In order to obtain Springdale specific health data, the Springdale Health Department

designed a twenty question survey to collect data from the community. This survey was placed

on the Survey Monkey website and was promoted through social media and through our outreach

with community partners.

Process

The limited Springdale specific health data available to the Springdale Health

Department prior to the Community Health Assessment indicated the most commonly occurring

health conditions in Springdale appeared to be aligned with those of the region. Therefore, the

twenty question survey for the Springdale Community Health Assessment was designed based

upon the most common health conditions in the region (Hamilton County). The CHA survey

was reviewed by the City of Springdale, the CHA Steering Committee, the Springdale Health

Department, and was approved for public participation. Appendix 2 shows the survey questions.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 3

The CHA survey was bilingual (English and Spanish) and contained direct questions

with yes, no and detailed information answers. The CHA sample was selected by the

convenience sample method. The Community Health Survey was provided online through the

Survey Monkey website. The Springdale Health Department provided a social media message

via Facebook with a link to the survey and a link on the Springdale Health Department's

webpage. Further, announcements about the Springdale CHA Survey were placed on bulletin

boards in City of Springdale buildings as well as in the Springdale Newsletter. The CHA survey

was also offered in print. Visitors to the Springdale Municipal Building and City of Springdale

sponsored events were provided with an opportunity to take the survey.

The Springdale Health Department sampled 96 participants of roughly 11,200

constituents. The margin of error for the Springdale CHA was ten percent with a ninety five

percent confidence interval. In addition to the sampling methods outlined above, print surveys

were distributed to the tax department and at Springdale community events. Appendix 3 shows

the timeline of the advertisement and locations of survey distribution.

The Survey Monkey website was used to obtain the survey results. Results of the print

surveys were uploaded to the Survey Monkey website; effectively, the results of online responses

and print responses were combined. Apart from the use of the survey as a tool for community

health assessment, the survey will be used as a tool for the evaluation of the Springdale Health

Department programs.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 4

Results

Prevalent Heath Conditions in Springdale

High blood pressure 37 survey participants 26.6%

Respiratory conditions 21 survey participants 15.1%

Diabetes 17 survey participants 12.23%

Cancer 12 survey partcipants 8.6%

Sexually transmitted diseases 7 survey participants 5.0%

Heart disease 7 survey participants 5.0%

Low blood pressure 3 survey participants 2.16%

Kidney disease 2 survey participants 1.4%

Heart attack 1 survey participant 0.7%

HIV/ AIDS 1 survey participant 0.7%

2014-2015 STD Data as reported through the Ohio Disease Reporting System

Chlamydia 157 cases

Gonorrhea 38 cases

Syphilis 2 cases

HIV 3 cases

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Tobacco Use

Cigarettes 9 survey participants 6.5%

Smokeless tobacco (snuff, hookah, etc) 4 survey partcipants 2.8%

Electronic nicotine delivery (E. cigarettes) 4 survey partcipants 2.8%

Believe electronic cigarettes are harmless 60 survey participants 43.2%

Using electronic cigarettes for tobacco cessation 3 survey partcipants 2.2%

There are many carcinogens involved with the use of electronic nicotine delivery systems

(e-cigarettes).

Recreational Use of Alcohol

Alcoholic beverages- 77 participants stated that they are using alcohol beverages, which

is 55.40 percentages of the participants.

Recreational Use of Drugs

Any other illicit drugs- only one participant stated yes to use of the illicit drug, which

represents 0.72 percentages of total participants.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 6

Demographics

Sex

Male 66 (47.48%)

Female 73 (52.52%)

Total Particpants 139 (100%)

Age Range of Participants Number of Survey Participants Percentage

18 - 24 years of age 12 participants 8.6%

25 - 34 years of age 24 participants 17.3%

35 - 44 years of age 22 participants 15.8%

45 - 54 years of age 22 participants 15.8%

55 - 64 years of age 19 participants 13.7%

65 to 74 years of age 23 participants 16.6%

75 years of age and older 17 participants 12.2%

Total Participants 139 participants 100.0%

Ethnicity

Caucasian 100 survey participants 72.0%

Hispanic 19 survey participants 13.7%

African American 15 survey participants 10.8%

Asian or Pacific Islander 1 survey participant 0.7%

Native American/ Alaskan 1 survey participant 0.7%

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Other 2 survey participants 1.4%

Prefer not to answer 1 survey participant 0.7%

Total participants 139 participants 100.0%

This demographic information is consistent with the 2010 U.S. Census Bureau data for

Springdale, Ohio

Limitations

Forty participants failed to provide data on age, race and sex. Those responses were not

counted in the survey results.

Numerous community members expressed apprehension about the survey due to privacy

concerns.

Importance

In the absence of a Springdale, Ohio specific data source, the survey results were

compared to Hamilton County, Ohio health data. Disease incidence rates from this data

yielded:

Most common forms of cancer in Hamilton County, Ohio:

- lung cancer 59.4%

- breast cancer 26.3%

- prostate cancer 26.1%

- colorectal cancer 18.0%

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 8

Leading causes of death in Hamilton County, Ohio:

- high blood pressure

- diabetes

- respiratory disease

Prevalent health conditions in Hamilton County, Ohio:

- Diabetes

- high blood pressure

- respiratory disease

- cancer

(Ameyaw et al., 2015, p. 38).

Appendix 4 shows the graphical representation of the survey results.

Appendix 1

Communication

Appendix 2

Survey Questions

Appendix 3

Timeline and Location

Appendix 4

Survey results

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References

Ameyaw, P., Bonsall, B., Davis, T., Edwards, A., Grynsztejn, M., McCoy, A., & Palko, E.

(2015). Springdale, Ohio Community Assessment. Springdale, OH.

Turnock, B. J. (2012). Public health: What it is and how it works. Burlington, MA: Jones &

Bartlett Learning.

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Springdale, Ohio Community Assessment 2015

Pamela, Ameyaw, Brittney Bonsall, Tamara Davis, Alison Edwards,

Melanie Grynsztejn, Aaron McCoy, Erin Palko, Allison Zentarski

Xavier University

School of Nursing

October 29, 2015

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 11

I. Community Overview

A. General Description

Located in Hamilton County, just north of Cincinnati, is the city of Springdale,

Ohio. Occupying 4.96 square miles, Springdale is home to 11,223 residents (U.S.

Census Bureau, 2010).

B. History

Founded in 1806 by John Baldwin, the post-revolutionary village was given the

name ‘Springfield’, and has since developed into the city of Springdale. Originally an

urban center with homes close together and businesses within walking distance,

Springdale has evolved into a suburban community situated along two well-traveled

interstates (City of Springdale, 2006).

C. Boundaries

Springdale is easily accessible from Interstate-275 and Interstate-75. The northern

and eastern boundaries of the city are clearly established, while the southern and

western boundaries exist in more of a staggered pattern, as seen in Figure 1 below.

The northern border is Crescentville Road, and the eastern border is Chesterdale

Road.

Figure 1. Springdale, Ohio Boundaries

Source: Google Maps

D. Past and current cultural makeup

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Historically, Springdale has been predominantly Caucasian in makeup. Recently,

a shift has occurred resulting from an influx of Hispanic persons (U.S. Census

Bureau, 2000; U.S. Census Bureau, 2010). Details regarding the current cultural

makeup of Springdale are discussed in Population Characteristics.

E. Asset Mapping

Individual assets include: Cameron Park, Chamberlin Park, Hilda-Ross Memorial

Park, Oak Hill Cemetery, Old St. Mary’s Cemetery, Tri-County Golf Ranch, and

Underwood Park (Figure 2).

Figure 2. Springdale, Ohio Individual Assets

Note: Created using ZeeMaps

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Organizational assets include: Springdale Community Center, The Healing

Center, and Tri-County Soul Ministries Food Pantry (Figure 3).

Figure 3. Springdale, Ohio Organizational Assets

Note: Created using ZeeMaps

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 14

Institutional assets include: Baldwin Grove, Bowen Center for Women’s Health,

Brookdale, Doctor’s Urgent Care Springdale, Health Span, Maple Knoll Village,

Mercy Health Cincinnati Sports Medicine and Orthopedic Center, Mercy Health

Occupational Urgent Care, Planned Parenthood: Jean K. Spritz Center, The

Meadows, and UC Health Primary Care (Figure 4).

Figure 4. Springdale, Ohio Institutional Assets

Note: Created using ZeeMaps

F. Key Findings

The community of Springdale, Ohio has shifted and grown since its establishment

in 1806. Originally a close-knit village, Springdale has evolved into a bustling

suburban community. Recent years have brought an influx of Latino and Hispanic

persons, resulting in a diversified population. Several valuable assets exist within the

community. These assets can be divided into three categories: individual assets,

organizational assets, and institutional assets. Of these assets, the Springdale

Community Center and the Healing Center are of utmost value.

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II. Population Characteristics

A. Total Population

Results from the 2010 Census (Table 1) estimate the total population of

Springdale to be 11,223. The population of Springdale increased by 660 persons

between 2000 and 2010, while the number of Hamilton County residents decreased

by 42,929.

Table 1. Ohio Population Data from 2010 Census

Springdale Hamilton County Ohio

Census 2010 Total

Population

11,223 802,374 11,536,504

Population Density

(per square mile of

land area)

2,262.7 1,976.7 277.3

Population change

(2000-2010)

660 (42,929) 183,364

Note: Data from 2000-2010.

Sources: U.S. Census Bureau 2000; U.S. Census Bureau, 2010

B. Population changes including recent immigrant groups

Table 2 shows the breakdown of Springdale residents by race, as reported by the

U.S. Census in 2000 and 2010. Data shows a decrease in Caucasian population. It

should be noted that this is the only category to experience a negative change in the

last 10 years. The positive change in total population over the 10-year period can be

attributed to a significant increase in Hispanic peoples. Although the Hispanic

population increased in Ohio and Hamilton County, the percentage increase was

substantially higher in the City of Springdale (Figure 5).

Table 2. Census 2000-2010 Springdale, Ohio Population Breakdown by Race

RACE

Springdale, OH 10563

2000 Census Number 2010 Census Number Change

Total Population 10,563 11,223 660

One race 10,369 10,892 523

Two or more races 194 331 137

Race alone or in

combination with

one or more other

races

White 7,379 6,428 (951)

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Black or African

American

2,811 3,551 740

American Indian or

Alaska Native

63 101 38

Asian 305 385 80

Native Hawaiian

and Other Pacific

Islander

12 60 48

Some other race 203 1,060 857

HISPANIC OR

LATINO

Hispanic or

Latino (of any

race)

384 1,965 1,581

Not Hispanic or

Latino

10,179 9,258 (921)

Note: Data from 2000-2010.

Sources: U.S. Census Bureau, 2000; U.S. Census Bureau, 2010

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Figure 5. Percent Change in Hispanic Population—Census 2000/2010

Note: Data from 2000-2010.

Sources: U.S. Census Bureau, 2000; U.S. Census Bureau, 2010

C. Mobility of the population

o Information unavailable

D. Population Demographics

Age/Sex

Figure 6 depicts the breakdown of Springdale residents by age and sex. All values

are as reported by the 2010 U.S. Census Bureau. It is interesting to note that the ratio

of men to women changes dramatically beyond the age of 60.

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Figure 6. Census 2010 Population Data for Springdale, OH by Age/Sex

Note: Data from 2010.

Source: U.S. Census Bureau, 2010

Income

Table 3. Income Data for Springdale, Ohio in 2013 Inflation-Adjusted Dollars

Springdale, OH

Estimate Percent

Total households 3,988 100.0

Less than $10,000 363 9.1

$10,000 to $14,999 192 4.8

$15,000 to $24,999 551 13.8

$25,000 to $34,999 325 8.1

$35,000 to $49,999 596 14.9

$50,000 to $74,999 800 20.1

$75,000 to $99,999 475 11.9

$100,000 to $149,999 538 13.5

$150,000 to $199,999 86 2.2

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$200,000 or more 62 1.6

Median household income

(dollars)

49,222

Mean household income

(dollars)

59,147

Families 2,350 100.0

Less than $10,000 218 9.3

$10,000 to $14,999 28 1.2

$15,000 to $24,999 339 14.4

$25,000 to $34,999 146 6.2

$35,000 to $49,999 330 14.0

$50,000 to $74,999 514 21.9

$75,000 to $99,999 274 11.7

$100,000 to $149,999 353 15.0

$150,000 to $199,999 86 3.7

$200,000 or more 62 2.6

Median family income

(dollars)

52,227

Mean family income

(dollars)

66,553

Per capita income

(dollars)

22,381

Nonfamily households 1,638

Median nonfamily income

(dollars)

38,125

Mean nonfamily income

(dollars)

46,511

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Median earnings for

workers (dollars)

26,292

Median earnings for male

full-time, year-round

workers (dollars)

42,408

Median earnings for female

full-time, year-round

workers (dollars)

39,500

Note: Data from 2009-2013.

Source: U.S. Census Bureau, 2013; 2009-2013 American Community Survey 5-Year Estimates

Figure 7. Springdale, Ohio Demographic Income

Note: Data from 2009-2013.

Source: U.S. Census Bureau, 2013

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Educational Attainment

Table 4. Educational Attainment of Springdale Population by Age/Sex

Male Female

Estimate Estimate

Population 18 to 24

years

648 429

Less than high school

graduate

14.7% 32.6%

High school graduate

(includes

equivalency)

60.5% 19.1%

Some college or

associate’s degree

21.1% 46.6%

Bachelor’s degree or

higher

3.7% 1.6%

Population 25 years

and over

3,399 3,582

Less than 9th grade 12.3% 10.1%

9th to 12th grade, no

diploma

4.1% 5.2%

High school

graduate (includes

equivalency)

20.0% 24.8%

Some college, no

degree

22.3% 27.7%

Associate’s degree 7.5% 8.9%

Bachelor’s degree 24.9% 14.7%

Graduate or

professional degree

8.9% 8.7%

Percent high school

graduate or higher

83.6% 84.8%

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 22

Percent bachelor’s

degree or higher

33.8% 23.3%

Note: Data from 2010.

Source: U.S. Department of Commerce, 2010

Figure 8. Educational Attainment of Springdale Residents by Age

Note: Data from 2010.

Source: U.S. Department of Commerce, 2010

As illustrated by Table 5, data suggests a strong correlation between educational

attainment and income for Springdale residents. It is interesting to note that although there are

more males than females that obtain graduate or professional degrees, the females that do reach

this level make significantly more than their male counterparts. In all other cases of educational

attainment, males receive higher earning than females.

Table 5. Poverty Rate for the Population 25 Years and Older for Whom Poverty Status is

Determined by Educational Attainment Level

Springdale, OH

Total Male Female

Estimate Estimate Estimate

Less than high school

graduate

49.0% 45.5% 52.6%

High school graduate

(includes

equivalency)

17.7% 14.7% 20.1%

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Some college or

associates degree

8.9% 10.8% 7.4%

Bachelor’s degree or

higher

10.6% 15.5% 3.9%

MEDIAN

EARNINGS IN THE

PAST 12 MONTHS

(IN 2013

INFLATION-

ADJUSTED

DOLLARS)

Population 25 years

and over with

earnings

32,150 34,619 30,321

Less than high school

graduate

17,292 23,277 8,846

High school graduate

(includes

equivalency)

22,265 24,741 17,738

Some college or

associate’s degree

32,500 38,295 31,216

Bachelor’s degree 50,833 55,683 40,847

Graduate or

professional degree

49,130 47,554 59,375

Note: Data from 2009-2013.

Source: U.S. Department of Commerce, 2013

E. Occupational Information

The city of Springdale has diversity in the occupations of its residents. The table

below includes information on the prominent occupations in Springdale, OH, by

gender and occupational earnings. All values are estimates made by the US Census

Bureau in 2013. Springdale’s largest occupation category is service, which includes

fire fighters, police, personal care workers, groundskeepers, healthcare support

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occupations, and food preparation. Sales and office occupations also employ a large

number of Springdale residents. The highest grossing occupational category is

computers, engineering, and sciences, and the lowest grossing occupational category

is service. Males make more earnings than females in five of the seven occupational

categories, with females making more than males in the remaining two. The largest

gender income discrepancy is in healthcare and technical occupations, where females

make 24,564 more US dollars than males in the same category.

Table 6. Categories of Occupations in Springdale, Ohio

Category of Occupation

Springdale OH

Total Percent

Male in

Occupation

Percent

Female in

Occupation

Median

Earnings

(in US

dollars)

Median

Male

Earnings

(in US

dollars)

Median Female

Earnings (in US

dollars

Management/Business 435 65.1 34.9 44,063 43,259 48,750

Computers,

Engineering, and

Science

438 91.3 8.7 65,313 65,511 64,028

Education, Legal,

Media, and Arts

520 36.2 63.8 31,250 33,818 22,206

Healthcare Practitioner

and Technical

316 13.9 86.1 40,000 30,769 55,333

Service 948 56.6 43.4 12,763 15,951 11,107

Sales and Office

Occupations

1,055 40.0 60.0 31,339 46,090 25,982

Natural Resources,

Construction, and

Maintenance

376 100.0 0.0 26,182 26,182 N/A

Production,

Transportation, and

Material Moving

Occupations

723 78.8 21.2 32,107 32,500 31,776

Note: Data from 2009-2013.

Source: U.S. Department of Commerce, 2013

Generally speaking, the people of the City of Springdale, Ohio made the same or less

money in each occupational category than those in the State of Ohio as a whole, with the

exception of the computers, engineering, and sciences categories, the sales category, and the

production, transportation, and material moving occupations. The difference in these three

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 25

categories from the Ohio median earnings is very small. This is why it is stated above that the

people of Springdale made the same or less than the Ohio medians in all categories. Gender

differences in gross earnings are more evident when looking at the state of Ohio as compared to

the City of Springdale, as males made more than females in every category studied.

Table 7. Ohio Occupational Information by Category

Category of Occupation

State of Ohio

Total Percent

Male in

Occupation

Percent

Female in

Occupation

Median

Earnings

(in US

dollars)

Median

Male

Earnings

(in US

dollars)

Median

Female

Earnings (in

US dollars

Management/Business 717,110 56.3 43.7 56,650 67,756 47,294

Computers,

Engineering, and

Science

246,235 75.7 24.3 63,901 66,641 54,812

Education, Legal,

Media, and Arts

515,340 34.3 65.7 39,893 47,344 36,134

Healthcare Practitioner

and Technical

332,349 22.3 77.7 49,416 71,246 45,678

Service 942,008 40.2 59.8 15,592 19,353 14,059

Sales and Office

Occupations

1,291,770 35.7 64.3 27,099 35,129 24,493

Natural Resources,

Construction, and

Maintenance

409,801 95.8 4.2 37,147 37,690 23,338

Production,

Transportation, and

Material Moving

Occupations

811,773 76.9 23.1 30,853 33,572 22,601

Note: Data from 2009-2013.

Source: U.S. Department of Commerce, 2013

F. Poverty in Springdale, Ohio

The greatest degrees of individuals below the poverty line in Springdale, Ohio

occur with the female gender, the white race or Hispanic/Latino heritage, those who

are unemployed, and those who have no high school diploma. While education is

crucial to rising above the poverty line, it is clear that it is not the sole factor in

combating poverty, as 17.7 percent of high school graduates fell below the poverty

line, and close to 10 percent of college attendees and graduates of bachelor or higher

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 26

degrees still fell below the poverty line. There is also a discrepancy in gender, with

far more women falling below the poverty line than men, and a greater percentage of

young people classified as impoverished than older individuals.

Table 8. Poverty in Springdale, OH

Subject Area

Springdale OH

Total Below Poverty Level Percent Below

Poverty Level

Age Under 18 3,049 1,107 36.3

Aged 18-64 6,096 1,339 22.0

Age Over 65 1,758 121 6.9

Sex Male 5,336 993 18.6

Sex Female 5,567 1,574 28.3

White Race 6,825 1,755 25.7

Black Race 3,130 464 14.8

Asian/Pacific

Islander Race

405 66 16.3

Some Other Race 452 282 62.4

Hispanic/Latino

Race

2,275 1,524 67.0

Unemployed 2,790 799 28.6

Part Time

Employment in last

12 mo

2,161 568 26.3

Full time

Employment in last

12 mo

3,195 177 5.5

No High School

Degree

1,061 520 49.0

High School

Graduate

1,502 266 17.7

Some College 2,255 200 8.9

Bachelor’s Degree or

Higher

1,959 207 10.6

Note: Data from 2009-2013.

Source: U.S. Department of Commerce, 2013; U.S. Bureau of Labor Statistics, 2009-2013

Delving further into the issue of poverty in Springdale, Ohio we will consider other

factors, such as family structure, number of children, number of workers in the family, and the

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 27

assistance families receive from the government. Table 9 reveals some clear trends about

Springdale’s poverty: first, the greater the number of children in a household, the greater the

chance of being below the FPL; and second, the more workers in the household, the less the

chance of being below the FPL. The most startling example of this is in households with three or

more working family members. These families, regardless of whether they were married or

single families, had zero percent poverty across the board. Hispanic/Latino families have to deal

with poverty more than other ethnic groups, and Asian families reported zero percent of families

below the FPL.

Table 9. Springdale and the Federal Poverty Level (FPL)

Subject Area

Springdale OH

Total

Number

of

Families

Number

of

Families

Below

the FPL

(%)

Married

Couple

Families

Married

Couple

Families

Below

the FPL

(%)

Female

Householder,

No Husband

Present

Female

Householder,

No Husband

Present

Below the

FPL (%)

White 1,440 19.2 1,122 15.5 191 29.8

Black 731 12.4 310 11.0 339 16.8

Asian 70 0.0 70 0.0 0 N/A

Some Other Race 100 50.0 100 50.0 0 N/A

Hispanic/Latino 344 74.4 252 74.2 23 100.0

Household with

Children Under 18

yrs old

1,358 29.3 808 31.1 371 27.2

No Children in the

Household

992 2.0 803 0.9 159 8.2

1 or 2 Children in

the Household

900 19.3 446 6.1 314 32.2

3 or 4 Children in

the Household

393 47.1 297 62.3 57 0.0

5 or More Children

in the Household

65 60.0 65 60.0 0 N/A

No Workers in the

Family

323 6.2 282 2.5 26 50.0

1 Worker in the

Family

855 35.2 466 33.0 260 38.8

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 28

2 Workers in the

Family

883 11.0 696 13.9 147 0.0

3 or More Workers

in the Family

289 0.0 167 0.0 97 0.0

Note: Data from 2009-2013.

Source: U.S. Department of Commerce, 2013

Figures 9 and 10 illustrate the impacts of more children and more workers in the family

on poverty ranking. Welfare comes into play, particularly in the case of single families with

increased numbers of children, and in families with no workers.

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Figure 9. Percent of Springdale, OH Families Below FPL by Number of Children

Source: US Census Bureau, 2013

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Figure 10. Percent of Springdale, Ohio Families Below the FPL by Number of Workers in the

Household.

Source: U.S. Census Bureau, 2013

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 31

G. Cost of Living

Price Index for Cincinnati, Ohio (Table 10) has increased throughout 2014, but has

dropped marginally in the first half of 2015. Data is not available for the second half of

2015. Cost of Living in Springdale (Table 11) is 89.6 percent of the national average cost

of living, making Springdale more affordable than the average city in the US. Cost of

living is calculated based on references to the national cost of living (set at 100 percent).

Table 10. Cost of Living Index in Springdale, OH

Data Category 1st Half 2014 2nd Half 2014 1st Half 2015

Consumer Price

Index for Urban

Consumers 12

Month Change (%)

2.2 1.5 -0.4

Consumer Price

Index for all Wage

Earners 12 Month

Change (%)

2.1 1.3 -1.0

Note: Data from 2014-2015.

Source: U.S. Bureau of Labor Statistics, 2015

Table 11. Cost of Living Index in Springdale, OH compared to the US overall.

Cost of Living Index in Springdale OH Cost of Living Index in US (Overall)

89.6 100.0

Note: Data from 2015.

Source: City-data.com/city/springdale-ohio

H. Key Findings

The most current data suggests a population shift resulting from an increase in

Hispanic individuals, specifically those in their second decade of life. A strong

correlation exists between educational attainment and income. With the influx of the

Hispanic population, it is unclear how future data will trend.

III. Environmental Factors

A. General Description

The city of Springdale is home to a large amount of residential communities,

specifically apartment complexes and retirement communities. There are also a number

of businesses and shopping centers in the area, including Tri-County retail district, with

over 4 million square feet of retail space. Springdale families have access to an 82,000

square foot Community Center that includes a gymnasium, senior lounge, and computer

lab. The Community Center also hosts a variety of community events throughout the

year. There is no hospital within Springdale, but the area is located near Mercy Fairfield

hospital with over 700 physician affiliations. The Air Quality Index in Springdale is 106,

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 32

which is significantly worse than the U.S. average of 74 (City-data.com, 2015).

B. Housing: conditions, owner/renter occupied, etc.

As of 2014, there were 4,617 households in Springdale. The average household size is

2.35 people. Of the total household units available in Springdale, 94.7 percent were

occupied as of 2014. According to the Springdale city website, the rental ordinance

requires all owners of single family rental dwellings to pay a $50 fee annually, and each

housing unit is to undergo an initial inspection as well as subsequent inspections upon

changes of occupancy.

Table 12. Housing in Springdale, Ohio

Households: 2014

Households 4,617

Average Household Size 2.35

Hhld Growth 2000-2010 3.8%

Hhld Growth 2014B-2019 1.7%

Housing Units: 2014B

Occupied Units 4,617

% Occupied Units 94.7%

% Vacant Housing Units 5.2%

Source: http://www.city-data.com/city/Springdale-Ohio.html

Figure 11. Household Data in Springdale, Ohio

Source: http://www.city-data.com/city/Springdale-Ohio.html

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 33

Property Values

Figure 12. Property Values in Springdale, Ohio.

Note: Property Values in Springdale (City-data, 2015)

Source: http://www.city-data.com/city/Springdale-Ohio.html

C. Access to healthy food sources (distance/ transportation, cost, quality)

There are a number of grocery stores in the areas surrounding Springdale, but less

within the immediate vicinity. There is no information available for the amount of

grocery stores in Springdale, but within Hamilton County there are a total of 155 (city-

data, 2015). The nearest Kroger is located on West Kemper Road in Forest Park. The

following are the three largest grocery stores located directly in Springdale:

Table 13. Grocery Stores located in Springdale, OH

Grocery Store Location

La Union 316 Northland Blvd

Hernandez Business Concepts 11510 Springfield Pike

Ray’s Food Market 11444 Springfield Pike

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 34

Note: Top three closest to central Springdale area, retrieved from Google maps

Source: (maps.google.com)

D. Sanitation: Water supply, sewage, and trash/garbage

• Water supply is provided by Greater Cincinnati Water Works. Sewage is managed

through the same provider.

• Curbside trash pickup is offered weekly. The city of Springdale is in contract with

Rumpke to provide this service at no additional cost to homeowners.

Figure 13. Curbside Collection Route

Source: http://www.springdale.org/trash-recycling-services.aspx

E. Safety / Protection: Police, fire, safety, crime stats, etc.

• There are 2.95 police officers per 1000 residents, compared to a national average of

2.45 per 1000. • There have been zero murders reported in Springdale since 2011. • As of October 14, 2015 there is only one registered sex offender in Springdale • The fire department was founded in 1939 (springdale.org) • Fire and EMS units: 3-4 firefighters on Engine 90, 3-4 firefighters on tower 90, 2

firefighters/paramedics on Medic 90, one shift supervisor. • Two additional EMS units (Medic 290 and 390) are staffed as needed

(springdale.org) • Total of 104 fire calls in 2014 • 426 Rescue/EMS calls in 2014 • City-data.com crime index in 2013: 358.7, down from 547.9 in 2001

Source: (http://www.springdale.org/uploads/2014%20Fire%20Statistics.PDF)

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 35

Figure 14. Crimes by Type in Springdale, 2013

Source: http://www.city-data.com/crime/crime-Springdale-Ohio.html

F. Transportation

• Fare to ride Metro bus is $1.75 within the City of Cincinnati, $2.65 within Hamilton

County. This means that a ride to work on the Metro could cost more than $5 for one

day.

• 30 day Metro passes are available but are not necessarily affordable; passes range

from $70-$170 depending on zone

• 1 day unlimited pass is $4.50 for Zone 1, $6.30 for Zone 2. Zone 1 only includes the

City of Cincinnati; Zone 2 includes all of Hamilton County. Source: go-metro.com, 2015

There are eight lines that run to and from the Springdale area, into various surrounding

areas in the greater Cincinnati area.

Table 14. Metro Bus Lines in Springdale, Ohio

Line 1 2 3 4 5 6 7 8

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 36

Location Tri-

County

Mall

Winton

at

Kemper

Winton

at

Farragut

Winton at

Hempstead

Winton

at

Spring

Grove

Central

Parkway

at Linn

Gov’t

Square

Area B

Knowton’s

Corner at

Spring

Grove

Source: http://www.go-metro.com/riding-metro/communities-served

G. Leading industry

• Manufacturing

• Healthcare

• Administrative and support

• Waste management services

• Construction

• Retail trade

• Accommodation and food services

• Finance and insurance

• Groceries and related products merchant wholesalers

➢ Common industries:

• Healthcare

• Educational services

• Finance and insurance

• Professional, scientific, and technical services.

• Accommodation and food services,

• Transportation equipment

• Chemicals

Examples of top industries: Avon, John Morrell Manufacturing, Sugar Creek Packing,

Progress Business Park.

➢ Leading occupation:

• Production occupations

• Computer and mathematical occupations

• Office and administrative support occupations

• Construction and extraction occupations

• Building and grounds cleaning and maintenance occupations

• Management occupations

• Material moving occupations

H. Employment

• 4,811 employed people in Springdale and 410 unemployed. (city-data, 2015)

• Leading employment sectors for Springdale include corporate, subsidiary and

regional managing offices, and offices of physicians.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 37

Figure 15. Unemployment by Year in Springdale, 2014 (city-data, 2015)

Source: http://www.city-data.com/work/work-Springdale-Ohio.html

I. Safety issues for workers

The City of Springdale, through the health inspection and building department, ensure

a safe and sanitary environment for the workers in the community through enforcement

of city and state laws. Regulations include property maintenance code, tree preservation

codes, rental permit program, and flood control. The Health Department ensures safety

for workers by promoting health education programs and disease prevention. Other

inspection programs include work place smoking complaint investigations to ensure that

all work places in Springdale are smoke free, and school environmental safety.

J. Recreational Facilities: Gyms, playgrounds, etc.

• Parks in Springdale include: 182 acres of parkland distributed between Springdale

neighborhood parks. Most of these parks have playgrounds, soccer fields, picnic

tables, water fountains, and grills.

• Cameron Park

• Hilda-Ross Memorial Park

• Beacon hill park

• Chamberlain park

• Glenview park

• Underwood park

• Planet Fitness

• Dave & Busters

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 38

Community Center (Figure 16): Has several indoor and outdoor amenities, including

a fitness center, indoor walking track, gymnasiums, game rooms, exercise studio,

senior lounge and computer lab.

Figure 16. Community Center in Springdale, Ohio

Source: www.springdale.org

K. Shopping Facilities: Type, proximity.

Cassinelli Square Shopping Center

▪ 137 E Kemper Rd, Cincinnati, OH, 45246

▪ Tenants: House Emporium, Uniform Advantage, Finer Diamonds/Gold,

Battery Giants, Fridays, Gig lots, Havertys, Mattress Firm, Party city, Uniform

World

Tri-County Towne Center

▪ 11711 Princeton Pike, Suite 301

▪ Tenants: Jared – Galleria of Jewelry, Woodcraft, Towne Center Management

Office, The UPS Store, Sprint, Salon Concepts, Office Depot, McDonald's,

Mattress Warehouse, Luke's Sewing Center, LaRosa's Pizza, Hobby Lobby,

Harbor Freight Tools, Hancock Fabrics, First Watch Restaurant, Firehouse

Subs, Eyemart Express, Destination XL, Cricket Communications, Callos

Resource, Blue Ash Chili, Blue Agave Mexican Grill, AT&T Wireless, Asch

Dental.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 39

Tri-Centre Shopping Center

▪ Princeton Pike, Cincinnati, OH 45246

▪ Tenants: Sherwin-Williams, Chipotle, Marcos Pizza, Jimmy Johns, Randstan,

Regency Beauty institute, Enterprise, Jada Buffet.

Springdale Town Center Mall Shopping Center

• Springdale, Oh 45246

• Tenants: ALT smoke, Bakery, Subway, Jackson Hewitt, Priority Health, Foot

and Ankle, Nina’s Florist, Miracle Ear, Gak. Pet Styling.

Tri-County Shopping Center

• 11700 Princeton Pike Cincinnati, OH 45246

• Stores and Services: 150.

• Tenants: Aeropostale, Amy’s Hallmark, the Amazing Store, AT&T Authorized

Retailer Time Warner Cable, Macy’s, Dillard’s, Bath and Body Works, BJ’s

Restaurants, Camille La Vie, Body Jewel, Champs Sports, Auntie Ann’s,

Amy’s Hallmark, etc.

• Anchor Tenants: Macy’s, Dillard’s, Ethan Allen and Sears.

Crescentville Square Shopping Center

• 12185 Princeton Pike Cincinnati, OH 45246

• Tenants: Nadi Hair Spa.

Old Gate Plaza Shopping Center

• Springdale, Ohio 45246

• Tenants: Planned parenthood, Tico Tax/Insurance, S. Salon and Spa, Family

Discount Furniture, Delicias Supermarket, Mia Familia-Restaurant and Bar.

Tri-County Crossing Shopping Center

• E. Kemper Road, Springdale, OH 45246

• Tenants: Best Buy and Barnes and Noble.

Wimbleton Plaza Shopping Center

• 11766 Springfield Pike Springdale, Ohio 45246

• Tenants: Outback, Daily Nails, DQ Daily Queens, Supreme Great Lakes, Quest

Diagnostics, Hoxworth Blood Center, Loft, Select Staffing,

Springdale Plaza

• Springdale, Ohio 45246

• Tenants: Michael’s, T.J Max, Bed Bath and Beyond, Citi Trends, Tuesday

Morning, Catherine’s, Panera Bread, Great Clips, DSW Shoes.

Kemper Pond Plaza

• Springdale, Ohio 45246

• Tenants: Kemper pond Dental, Wing Eye Care, Panda Wok, Escapades Beauty

and Barber salon, Labor Ready, Cartridge World, IHOP.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 40

Springdale Beltway Center

• Springdale, Ohio 45246

• Tenants: Dave and Busters, Golf Galaxy, Morris Home Center, Ashley

Furniture, Sky Zone, Full Throttle Indoor Karting.

Tri –County Commons

• Springdale, Ohio 45246

• Tenants: Guitar Center, Sam’s Club, HH Greg, Golf Exchange, David’s Bridal.

Furniture Fair, Home and Sleep.

Tri County Market Place

• Springdale, Ohio 45246

• Tenants: Party City, Planet Fitness, Pet Smart, Play It Again Sports, Chase

Bank.

BUSINESS CENTERS IN SPRINGDALE

Figure17. Shopping centers in Springdale

Source: http://www.city-data.com/city/Springdale-Ohio.html

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 41

L. Places of worship: Particular denominations, utilization, involvement in the

community, etc.

• Atonement Lutheran Church

305 Cameron Road

Springdale, Ohio 45246

• Springdale Church of the Nazarene

11177 Springfield Pike

Springdale, Ohio 45246

• Macedonia Living Word Fellowship

353 W. Kemper Rd.

Springdale, Ohio 45246

• Springdale Presbyterian Church

425 W. Kemper Road

Springdale, Ohio 45246

• First Baptist Church of Springdale

11494 Walnut Street

Springdale, Ohio 45246

• Temple Baptist Church

11965 Kenn Road

Springdale, Ohio 45246

• Forest Dale Church of Christ

604 W. Kemper Road

Springdale, Ohio 45246

• Vineyard Community Church

11345 Century Circle East

Springdale, Ohio 45246

• Soul-Winning Church of God

425 W. Kemper Road

Springdale, Ohio 45246

• Calvary Pentecostal Church

11970 Kenn Road

Springdale, Ohio 45246

• New Life Outreach Ministries

1391 E. Crescentville Rd.

Springdale, Ohio 45246

Religion adherents: Catholics 25.6%, Evangelical Protestants 11.6%, Mainline Protestants 9.5%,

Black Protestants 2.6%, Orthodox 0.5%, None 47.5% And Others 2.7%.

Figure 18. Religion by Adherents in Springdale, 2010 (city-data, 2015)

Source: http://www.city-data.com/city/Springdale-Ohio.html

Most of these churches are part of the Springdale Offering Support (SOS) group: They are a

group of representatives from local agencies, churches, organizations and concerned citizens in

the Springdale area. Their mission is to coordinate community resources and unite individuals

and families with elements of help and assistance within Springdale and surrounding areas.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 42

M. Schools: Type, number, condition, Nurses in schools, School-based health clinic,

free lunches, etc.

➢ Colleges/Universities in Springdale:

▪ Beckfield College-Tri-County

o Full-time enrollment: 454

o Location: 225 Pictoria Drive

o Private, for-profit

o Website: www.beckfield.edu)

▪ Regency Beauty Institute-Tri-County

o Full Time enrollment: 46

o Location: 11489 Princeton Pike

o Private, for-profit

o `Website: www.regency.edu)

➢ Public Schools In Springdale Belong To Princeton City School District. This district is

centered in Sharonville, Ohio and has 5,379 students attending 11 schools in grades PK

and K through12. The district has an annual budget of $97,908,000, spending an average

of $18,349 per student. Sixty-five percent of students in this district are eligible for free

or reduced price lunches.

Springdale public/private schools serve the educational needs of the Springdale

community from preschool to mostly 5th grade. Springdale students attend Princeton

Junior and Senior High Schools to further their education after grade school.

➢ Public primary/middle schools in Springdale

➢ Springdale Elementary School

o Students: 460

o Location: 350 W Kemper Rd, Cincinnati, Ohio

o Grades: PK – 05

o School nurse: Mrs. Karen Hucke

o Students on free and reduced lunch assistance: 54.3%

▪ Heritage Hill Elementary School

o Students: 529

o Location: 11961 Chesterdale Rd, Cincinnati, Ohio

o Grades: PK – 05

o School Nurse: Karen Hucke and Judy Olivan are the Heritage Hill Elementary

school nurses.

o Students on free and reduced lunch assistance: 99.2%

➢ Private elementary/middle school in Springdale

▪ Maple Knoll Child Center

o Students: 42

o Location: 11100 Springfield Pike

o Grades: PK – KG

▪ http://www.city-data.com/zips/45246

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 43

N. Key Findings

Overall, Springdale is a mainly residential and business area. It is home to a large

community center, which is a valuable resource for members of the community. Crime is

relatively low in the area, especially violent crimes and homicides. There are several

childcare centers, schools, churches, and retirement communities, making Springdale a

favorable community for those of all generations.

IV. Health Information

A. Vital Statistics

No information was discoverable for the city of Springdale specific to vital statistics;

therefore the statistics used were at the County level. Infant mortality rate is the number of

children less than one year of age who died divided by the number of live births per 1000 live

births. In 2011, Hamilton county had 11,077 live births with 122 of them resulting in infant

mortality. In 2012, Hamilton County had a slight improvement with 66 infant deaths compared

to 7,182 live births. Hamilton County has an infant mortality rate of 9.9 while Cincinnati as a

whole has a rate of 12.4. These values are significantly higher than the Healthy People 2020 goal

of 6.0 and are also greater than the United States average of 6.1 infant deaths per 1,000 live

births. A study by Cradle Cincinnati (2015) suggests that infant mortality rates in Cincinnati are

significantly impacted by factors such as obesity in pregnancy, inadequately spaced pregnancies,

and substance abuse during pregnancy. Additionally, preterm births have as much as a 66

percent impact on the increased infant mortality rates.

Table 17. Number of Infant Deaths and Births in Hamilton County from 2014-2015 by Month

Month 2014 2015

Infant Deaths Live Births Infant Deaths Live Births

January 7 893 10 938

February 1 854 5 796

March 7 880 15 913

April 10 832 1 923

May 9 909 7 923

June 11 964 8 926

July 9 1008 12 957

August 11 899 11 938

September 10 960

October 9 980

November 3 875

December 10 903

Total 97 10957 69 7314

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 44

Note: This table lists the number of infant deaths compared to live births per month for the past

two years. Based on the statistics given, Hamilton County is on track this year to exceed the

number of infant deaths from 2014.

Source: Hamilton County Public Health Cradle Cincinnati. (2015). Hamilton county: maternal

and infant health monthly surveillance report. Retrieved from http://www.hamiltoncountyhealth.org/files/files/Reports/August_imr_2015.pdf.

Table 18. Infant Mortality on the County Level, State Level, National Level, and Healthy People

2020 Level (Values per 1,000 Live Births) from 2008-2012

Infant

Mortality

Measure

Hamilton

County

State of Ohio United States Healthy People

2020

Infant deaths

within the first

28 days of life

7.5 5.2 4.6 4.1

Infant Deaths

between 28

days-1 year

3.2 2.6 2.3 2

Infant mortality

rate

10.2 7.7 6.8 6

Neonatal

mortality rate

7.4 5.2 6

Post-neonatal

mortality rate

2.9 2.5 6

Infant mortality

rate for blacks

13.3 6

Infant mortality

rate for whites

6.59 6

Note: Perhaps the most interesting fact seen in Table 18 is the infant mortality rate for blacks

versus whites. The infant mortality rate for blacks is nearly twice that of the infant mortality rate

for whites. Both values exceed the Healthy People 2020 goal.

Source: City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat.

Table 19. Prematurity rates on the county level, state level, national level, and Healthy People

2020 level (expressed in percentages) from 2006-2012

Prematurity

Measure

Hamilton

County

State of Ohio United States Healthy People

2020

< 32 weeks

gestation

2.6% 2.3% 2.0% 1.8%

32-33 weeks

gestation

1.9% 1.6% 1.6% 1.4%

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 45

34-36 weeks

gestation

9.6% 8.6% 8.9% 8.1%

Preterm

births, total

14.1% 12.6% 12.5% 11.4%

Low birth

weight

deliveries

10.1% 8.6% 8.2% 7.8%

Very low birth

weight

deliveries

2.1% 1.6% 1.5% 1.4%

Source: City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat1.

Table 20. Average maternal ages on the county level, state level, and national level (per 1,000

female mothers) from 2006-2012

Natality Measure Hamilton County State of Ohio United States

Teen pregnancy rate

(ages 15-19)

60.6 55.3

Teen birth rate 41.3 36.0 41.2

Births to unmarried women aged 18-54: 49.7% in Hamilton County, 41.3% in the state of Ohio

and 38.2% nationwide.

Births to women under 18 years of age: 3.4% in Hamilton County, 3.0% in the state of Ohio, and

3.4% nationwide.

Births to married women aged 40-54: 2.2% in Hamilton County, 2.1% in the state of Ohio, and

2.7% nationwide.

In Hamilton County, the average percentage of pregnancies that were spaced less than 18 months

apart in the year 2015 is 33.0%, which is more than the Healthy People 2020 goal of 29.8%.

Research has shown that optimal spacing between pregnancies can lead to better outcomes for

both mom and baby in the short-term and long-term.

Source:

City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat1.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 46

B. Disease incidence and prevalence

Table 21. Incidence and prevalence of certain diseases on the county level, state level, national

level, and HealthyPeople 2020 level (values are per 100,000 individuals)

Disease Hamilton County State of Ohio United States Healthy People

2020 Goal

Breast cancer 26.3 24.8 23 20.7

Colorectal

cancer

18 18.1 16.7 14.5

Lung cancer 59.4 57.1 50.6 45.5

Prostate cancer 26.1 23.8 23.6 21.8

Diabetes

mellitus

8300 8900

Source: City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat1.

Table 22. Prevalence of deadly diseases in Hamilton county compared to neighboring areas

(values per 100,000 individuals) from 2010

County/Area Heart

Disease

Cancer Chronic

Respiratory

Disease

Stroke Unintentional

Injury

Alzheimer’s

Disease

Hamilton 1570 1656 436 467 303 314

Butler 604 667 203 130 148 102

Warren 287 318 104 86 71 82

Clermont 292 367 106 94 96 48

State of Ohio 26072 25030 6705 5735 5030 4105

Source: City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 47

C. Leading causes of death

Table 23. Death rates of certain diseases on the county level, state level, national level, and

Healthy People 2020 level (values are per 100,000 individuals) from 2006-2012

Cause of Death Hamilton

County

State of Ohio United States HealthyPeople2020

Goal

Breast Cancer 33.4 31.2 23.5 20.7

Colorectal

cancer

20.7 20.9 17.2 No data

Lung cancer 65.3 64.5 51.4 No data

Cancer deaths

(total)

216.4 217.5 180.8 161.4

Diabetes

mellitus

33.5 31.5

Coronary heart

disease

136.9 163.1 136.1 103.4

Stroke 58.6 51.9 44.9 34.8

Chronic kidney

disease

18.1 16.3 No data No data

Chronic lower

respiratory

disease

53.9 56.3 No data No data

Deaths by all

causes

972.9 937.3 780.2 No data

Source: City of Springdale, Ohio. (2015). Public health assessment and wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat1.

It is important to note in Table 24 below that unintentional injuries outrank homicides

and suicides combined in Hamilton County. Furthermore, according to the CDC (2015), the

majority of unintentional deaths are related to drug use. This is a huge concern for public health,

especially considering the current problem that Cincinnati and neighboring cities have with drug

use, particularly heroin. Other injury-related deaths included under this category of unintentional

injuries are falls, drowning, and choking. Based on the significant elderly population that

Springdale has at its numerous retirement homes, such as Maple Knoll, falls would be a big

concern to monitor within the community. However, according to the CDC (2015), the top five

leading causes of death still remain the same nationwide. The top five leading causes of death are

heart disease, cancer, chronic lower respiratory diseases, unintentional injuries, and stroke.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 48

Table 24. Injury in Hamilton Country (rates per 100,000)

Injury Deaths in Hamilton County (rates per 100,000)

2000-2002 2003-2005 2006-2008 2009-2010

Homicides 7.2 10.3 10.8 8/8

Suicides 9.3 10.7 10.8 10.8

Unintentional

Injury

29.5 31.9 38.1 33.7

Source: Ohio Department of Health: Violence and Injury Prevention Program. (2010). Hamilton

county injury profile. Retrieved from

http://www.healthy.ohio.gov/~/media/HealthyOhio/ASSETS/Files/injury%20prevention/Burdenr

eport/Hamilton%20Profile%20-%20Final.ashx.

Springdale is not considered an extremely violent community in terms of homicides and

rapes. However, the community experiences a large amount of burglaries and thefts in the area.

Based on our windshield survey, there are certain parts of the City that are not very safe. That

being said, it was surprising to see that the city does not encounter many murders or homicides.

This point was confirmed by one of the City of Springdale police officers, who stated that there

has not been gun violence in the city for quite a few years (Springdale police officer, personal

communication, September 19, 2015).

Table 25. Types and numbers of Crimes in Springdale, OH in 2013

Type of crime Number per year in Springdale, OH

in 2013

Murders 0

Rapes 6

Robberies 24

Assaults 11

Burglaries 89

Thefts 654

Auto Thefts 31

Arson 1

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 49

Figure 19. Crimes by Type in Springdale, OH in 2013

Source: Ohio Department of Health: Violence and Injury Prevention Program. (2010). Hamilton

county injury profile. Retrieved from

http://www.healthy.ohio.gov/~/media/HealthyOhio/ASSETS/Files/injury%20prevention/Burdenr

eport/Hamilton%20Profile%20-%20Final.ashx.

City-Data.com - Stats about all US cities - real estate, relocation info, crime, house prices, cost of

living, races, home value estimator, recent sales, income, photos, schools, maps, weather,

neighborhoods, and more. (2015). Retrieved from http://www.city-data.com.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 50

Figure 20. Graphical representation of injury-related deaths for Hamilton County and the state of

Ohio

Source: Ohio Department of Health: Violence and Injury Prevention Program. (2010). Hamilton

County injury profile. Retrieved from

http://www.healthy.ohio.gov/~/media/HealthyOhio/ASSETS/Files/injury%20prevention/Burdenr

eport/Hamilton%20Profile%20-%20Final.ashx.

City-Data.com - Stats about all US cities - real estate, relocation info, crime, house prices, cost of

living, races, home value estimator, recent sales, income, photos, schools, maps, weather,

neighborhoods, and more. (2015). Retrieved from http://www.city-data.com.

The trend in crime index is particularly interesting for Springdale, Ohio as compared to

the United States average, as seen in Table 26. In 2003, the crime index rating in Springdale was

more than 500. Over the next eight years, the crime index gradually decreased to 286.6.

However, it began to escalate quickly just a year later, leading to a most recent crime index of

358.9 in 2013, which is higher than the national average.

Table 26. Crime Index in Springdale from 2003-2013.

Crime Index (higher value means more crime)

Springdale, OH in 2003 532.8

Springdale, OH in 2006 482.1

Springdale, OH in 2009 346.2

Springdale, OH in 2011 286.6

Springdale, OH in 2012 327.2

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 51

Springdale, OH in 2013 358.9

United States average in 2013 294.7

Source: City-Data.com - Stats about all US cities - real estate, relocation info, crime, house

prices, cost of living, races, home value estimator, recent sales, income, photos, schools, maps,

weather, neighborhoods, and more. (2015). Retrieved from http://www.city-data.com.

Figure 21. Crime Indices for Springdale, OH Compared to the United States Average

Source: City-Data.com - Stats about all US cities - real estate, relocation info, crime, house

prices, cost of living, races, home value estimator, recent sales, income, photos, schools, maps,

weather, neighborhoods, and more. (2015). Retrieved October 22, 2015, from

http://www.city-data.com

V. Health Facilities

A. Hospitals

There is currently no hospital within the city limits of Springdale. The closest hospitals

available to the citizens of Springdale are Mercy Fairfield Hospital and Trihealth Evendale

Hospital. These facilities are located on opposite sides of Springdale and offer different services

to their patients.

• Mercy Fairfield is a 229- bed hospital located northwest of Springdale in

Fairfield, Ohio (U.S. News and World Report, 2015). It is a short-term acute care

facility that is under the ownership of Mercy Health, a large health system

comprised of five Cincinnati-area hospitals. Mercy Health has been named as one

of the top 15 health systems in the country for the last two years (Truven Health

Analytics, 2015). Mercy Fairfield Hospital is nationally recognized and is a great

asset to the Springdale community. The facility is fairly accessible to Springdale

community members being located a few blocks from the major highway

connecting Springdale to its neighboring communities.

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o Accreditations:

▪ This facility is accredited by The Joint Commission, and is

considered a top performer in the areas of heart attack, heart

failure, pneumonia, and surgical care (The Joint Commission,

2015).

▪ In 2014 Mercy Fairfield became the only hospital in Butler County

to earn Magnet status (American Nurses Credentialing Center,

2015).

▪ Mercy Fairfield is also accredited by the American College of

Surgeons- Commission on Cancer (American College of Surgeons,

2015).

▪ Mercy Fairfield has gained national recognition for a variety of its

services. The facility is accredited as a Bariatric Surgery Center of

Excellence (BSCOE) (American Colleges of Surgeons, 2015). The

hospital was also recently recognized as a Lung Cancer Screening

Center and Breast Imaging Center of Excellence (Mercy Health,

2015).

o Services: emergency care, acute inpatient rehabilitation, bariatric surgery,

oncology, comprehensive cardiology services, critical care/ICU,

diabetes/endocrinology, endoscopy, OBGYN, family birthing center, high

risk fetal medicine, imaging and radiology, mammography, minimally

invasive surgery, neurology/spine care, orthopedics, outpatient

rehabilitation and therapy, palliative care, pharmacy, pulmonology/COPD,

stress lab, vascular services/vein therapy, women’s health (Mercy Health,

2015).

o The average length of stay for Mercy Health hospitals is 4.5 days (Truven

Analytics, 2015). Length of stay information for Mercy Fairfield

specifically was unknown by staff at the hospital.

• Trihealth Evendale Hospital is located southeast of the city of Springdale in

Evendale. It is a 29-bed hospital that offers short-term acute care and specializes

in diagnostic services (Trihealth, 2015). This facility is under the ownership of

Trihealth, an organization that developed following the merging of Good

Samaritan and Bethesda in Cincinnati. Trihealth has a strong presence in the city

and opened the Evendale hospital in 2013.

o Accreditation:

▪ Trihealth Evendale Hospital is accredited by The Joint

Commission as a hospital and a laboratory accreditation program

(The Joint Commission, 2015).

o Services: gastroenterology, general surgery, gynecology, ophthalmology,

orthopedics, otolaryngology, pain management, plastic surgery, and

podiatry (Trihealth, 2015). The majority of inpatient cases are total joint

replacements (Nurse manager, personal communication, October 26,

2015).

o Official length of stay data for Trihealth Evendale Hospital was

unavailable; however, one manager in the inpatient portion of the hospital

estimated the average length of stay to be two days. (Nurse Manager,

personal communication, October 26, 2015).

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 53

Figure 22. Hospitals near Springdale, Ohio.

Source: Google Maps

B. Nursing Homes and Senior Living:

Springdale has several nursing home facilities serving the needs of the Springdale

community. The nursing homes serve a wide range of economic needs of the elderly including

offering Section 8/202 housing.

• Maple Knoll Village:

o Non-profit continuing care retirement community. The 54-acre campus has

140 villas, 125 apartments, 63 assisted living apartments and a 145-bed skilled

nursing facility with a hospice center and rehabilitation center.

o Owned and operated by Maple Knoll Communities Inc., with a history of

more than 167 years of serving older adults.

o Accreditation: Continuing Care Accreditation Commission (CCAC). National

and state affiliations.

• Brookdale Springdale (formerly Sterling House of Springdale)

o Provides personalized memory care for seniors diagnosed with Alzheimer’s

and assisted living to seniors.

o National company. Operates approximately 1,150 communities, with 80

thousand associates serving about 100 thousand residents every day.

• The Meadows

o Affordable senior housing under Housing and Urban Development (HUD)

office. Seniors over 62 who have incomes under 50% of the area median

income qualify for Section 8/202 housing

o Episcopal Retirement Homes Affordable Living, a developer that specializes

in housing tailored to low income seniors is working with Maple Knoll to

renovate the Meadows

o 149 units of senior housing on the larger Maple Knoll campus

o Owned by the Meadows Limited Partnership Inc.

• Baldwin Grove

o Cincinnati Metropolitan Housing Association opened this senior community

in 2007. The goal being to provide new affordable apartments to serve elderly

residents in the northern part of Hamilton County. Half the apartments are

asset management and half the apartments are subsidized through site-based

vouchers or tax credits. Residents pay 30 percent of their adjusted gross

monthly income in rent.

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o 100 unit senior community with one and two bedroom apartments. Must be 62

or older to qualify to apply for a one bedroom apartment, and 55 or older to

qualify to apply for two bedroom apartment.

Figure 23. Nursing Homes and Senior Living in Springdale, OH

Source: Google Maps

C. Ambulatory Services:

There is a wide array of ambulatory services available to the Springdale community

including clinics that serve the whole life span from pregnancy to birth to geriatrics. There are

over 164 physicians and surgeons that service the Springdale community, most of who are

affiliated with the major hospital systems in Cincinnati.

• Clinics

o Planned Parenthood: Jean K. Spritz Center

▪ Abortion referral, birth control, general health care, HIV testing,

LGBT services, men’s health care, emergency contraception,

pregnancy testing and services, STD testing, treatment and vaccines,

and women’s health care

▪ English and Spanish spoken

o Bowen Center for Women’s Health

▪ Obstetrics, childbirth education, therapeutic massage services, and

gynecological services.

▪ One physician, two certified nurse practitioners, one medical assistant

and support staff

o UC Health Primary Care

▪ Primary care physicians

▪ UC network of 882 physicians

o Doctor’s Urgent Care

▪ Urgent care clinic

▪ Physicals, drug/alcohol testing, wellness programs, MRO services, and

worker’s compensation.

o Mercy Health Occupational and Urgent Care

▪ Urgent care clinic

o Mercy Health Cincinnati Sport Medicine and Orthopedic Center

▪ Orthopedic services

▪ Physicians, physical therapy, athletic trainers

o Health Span

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 55

▪ Partnered with Mercy Health

▪ Healthy living services. Preventive care services

▪ Supplying health plans with high quality provider networks, creative

population health solutions, supportive care management, Employee

Assistance Programs and expertise to help serve their members with

the most effective and efficient care.

• Doctor’s Offices

o Yellow page search brings up 164 physicians, surgeons, and health care points

of service

o Health care providers include:

▪ Associates in OB-Gyn Inc

▪ Better Foot Care LLC

▪ Better Care Family Practice

▪ Springdale Pediatrics

▪ Miracle Ear Hearing Center

▪ Springdale Family Medicine

▪ Mercy Health Tri-County Family Medicine

▪ Physicians Associates of Kemper

▪ Centers for Foot and Ankle Care

▪ Cincinnati Sinus Institute

▪ Springdale-Mason Pediatric

▪ Cincinnati Center for Autism

▪ Geriatric Evaluation Center

▪ Mercy Medical Associates – Springdale Family Medicine

▪ Cincinnati PMS Center

▪ Plastic Reconstructive Surgery

▪ Open MRI of Tri-County

▪ Pain Solutions Care

▪ Partners in Wellness

▪ Allergy and Asthma Care Inc.

▪ Fick Chiropractic Services

▪ Gateway Medical Services

• Tri-State Center for Sight

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 56

Figure 24. Doctor’s Offices in Springdale, Ohio and the surrounding area.

Source: Google Maps

D. Mental Health and Substance Abuse Services

Services for mental health and substance abuse are limited in the city of Springdale.

Springdale citizens who are experiencing mental health or substance abuse problems will likely

have to travel out of the community to seek treatment. While the City of Cincinnati is home to a

wealth of services that target this population, we have included in this assessment only those

facilities that are relatively close to the Springdale community and therefore physically

accessible by its members.

• NAMI Family-to-Family: The National Alliance on Mental Illness (NAMI)

presents a free 12-week course for families and friends who have loved ones

experiencing a mental illness. The course aims at providing current information

on mental illness, as well as comfort and support for those attending. It is

currently being held at the Vineyard Church in Springdale; however, registration

was required and the class is therefore now closed (NAMI, 2015).

• Compass Point Counseling Services: This facility is a private-practice institution

that offers mental health counseling and substance abuse services. Compass Point

is located in neighboring Fairfield, Ohio. Their services are not free, although

they do accept many insurance types as well as private pay. Individuals can make

an appointment by visiting their website or calling Compass Point directly

(Compass Point, 2015).

• Beckett Springs: This facility offers inpatient and outpatient services for a variety

of mental health and substance abuse issues. The newly constructed facility is

located north of Springdale in West Chester, Ohio. Beckett Springs accepts

insurance and private pay, and even offers a free assessment by a trained mental

health professional (Beckett Springs, 2015).

• Mental Health America of Northern Kentucky and Southwest Ohio: free mental

health counseling on Wednesdays at The Healing Center.

• Alcoholics Anonymous: The Cincinnati Fellowship of AA (2015) holds meetings

in Springdale and the surrounding areas throughout the week at the following

locations:

o Forest Park Chapel United Methodist Church (Forest Park): Mondays at

7:00 PM

o St. Matthias Catholic Church (Forest Park): Mondays at 8:00 PM

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 57

o Springdale Church of the Nazarene: Tuesdays at 8:00 PM; Wednesdays at

7:30 PM

o Christ Church (Glendale): Thursdays at 7:30 PM

o Greenhills Community Church (Greenhills): Friday at 10:30 AM

• Narcotics Anonymous: The Greater Cincinnati Area Service Committee of

Narcotics Anonymous (2015) offers meetings near the city of Springdale at the

following locations:

o Covenant Community Church (Fairfield): Tuesday at 7:30 PM; Saturday

at 10:00 PM

o Rolling Hills Baptist Church (Fairfield): Thursday at 7:30 PM

Figure 25. Mental Health and Substance Abuse Services in Springdale and surrounding area.

Source: Google Maps

E. Other resources

City of Springdale Board of Health: meetings are open for community members to attend

and voice their opinion and views on health issues in their city

• Springdale Community Center: members have access to the health facilities,

including a fitness center, basketball courts, tennis courts, batting cages, indoor

track, and swimming pool (City of Springdale, 2011).

• Mercy Health Occupational Health Urgent Care

• Planet Fitness (2 locations in Springdale)

• Cincinnati Sports Medicine

• Pharmacies: Walgreens, CVS

F. Key Findings

The City of Springdale is well organized and has a variety of health facilities and services

for community members. The City of Springdale lacks a hospital within city limits, but has two

hospitals relatively close, one on each side of Springdale. Mercy Health has a strong presence in

Springdale, consisting of an occupational health facility and many billboards in and around the

city.

Representatives of both the police department and the fire department confirmed that the

Mercy Fairfield Hospital Campus was situated close enough to Springdale that the need for a

hospital within the Springdale city limits was unnecessary (Springdale police officer, personal

communication, September 19, 2015). The fire department stated that the hospital was within a

six-minute drive of Springdale and the roads in Springdale made the hospital easily accessible

(Fire department EMT, personal communication, September 19, 2015).

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 58

VI. Summary

A. Summarize assets/strengths and challenges/needs of the community The community of Springdale, like any other, faces a number of challenges that have

developed over time. However, there are numerous assets within the community that provide

opportunities for growth and positive health outcomes. One asset of particular value in

Springdale is the Healing Center, founded by the Vineyard Church. This center is an

excellent resource for those in need and provides access to services that would not otherwise

be available to community members. The large Springdale Community Center is also an

asset and includes a gymnasium, basketball courts, senior lounge, and a family game room

for community members to enjoy at a reasonable fee. The abundant and diverse retailers in

the area provide access to a variety of goods and services to the community. These retailers

also serve as a substantial tax base. The roads in the City of Springdale are well planned,

making Springdale an easy community to navigate.

While there are assets within the community, the City of Springdale continues to face a

variety of challenges. Public transportation is not easily accessible as there are not many bus

stops in the area. In addition, for those with low financial resources, public transportation is

difficult to afford. Another challenge within the community is the limited access to fresh

groceries. While there are a few small family grocery stores in the area, there is no direct

access to major grocery stores or fresh food. This is a stark contrast to the plethora of fast

food restaurants in the area. An additional challenge faced by the Springdale community is

the recent influx of Hispanic and Latino peoples; this influx has naturally caused a change in

the needs of the community, many of which are currently unmet. There is a lack of resources

for the growing Hispanic and Latino population, including access to healthcare and language

services.

B. Nursing Diagnoses for the community

Imbalanced nutrition: greater than body requirements as evidenced by 36% obesity rate in

Latino community in Hamilton County related to socioeconomic status (Interact for Health,

2015).

Ineffective breathing patterns as evidenced by 23% asthma rate and 12% chronic lung

disease rate in Latinos in Hamilton County related to socioeconomic factors such as exposure

to multiple pollutants, limited access to healthcare, and poor nutrition (Interact for Health,

2015).

C. Stakeholders and leaders in the community on health issues

Stakeholders in the community include all of the members of the Springdale community,

retailers and businesses in the area. Leaders include the Board of Health, the Health

Commissioner, the Public Health Nurse, and physicians in the community.

D. Explore alternatives to meet identified population health needs. What has been done

in the past? Successful? Why or why not?

Attempts to improve the health of the Latino community have included free health

services offered to community members, such as those provided at the Latino Expo at the

Healing Center. While these services are valuable, there are issues faced by the healthcare

providers at the Expo. In 2015, the Expo only provided a limited number of flu shots and ran

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 59

out within the first couple of hours. In addition, there is a lack of access to follow-up

resources, such as referrals to primary care providers and healthcare services in the area.

In addition, there is also access to health promotion resources, such as the Healing Center

and the Springdale Community Center. Both provide access to health promoting resources,

but for the Hispanic population there is a significant language barrier that prevents a majority

of the population from taking advantage of these resources. This causes a gap in the

healthcare resources available to the Latino population and the rest of the community

members.

E. Evidence/support provided for how priorities were determined

Priorities for health concerns within the Springdale community were determined after

careful evaluation of statistical evidence as well as personal interviews with a variety of

community stakeholders. Statistics reveal that the Latino community in Springdale has

increased by over 500% in 10 years (see figure 5). This considerable influx of Hispanic

peoples in a relatively short period of time has led to an inevitable gap between resources

needed by the Hispanic population and the limited resources that are available. Further

investigation of statistical evidence reveals a high percentage of this Hispanic community

with health problems, such as chronic lung disease and obesity (Interact for Health, 2015).

These health problems are significantly more prevalent in the Hispanic community than the

rest of the population of Hamilton County, as previously noted. These health priorities were

chosen after careful research and evaluation of the Springdale community, as well as

Hamilton County as a whole.

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References

American Colleges of Surgeons. (2015). MBSAQIP accredited bariatric surgery centers.

Retrieved from https://www.facs.org/search/bariatric-surgery-

centers?page=1&n=25&name=mercy%20health.

American Colleges of Surgeons. (2015). Mercy Hospital Fairfield. Retrieved from

https://www.facs.org/institute/7940.

American Nurses Credentialing Center. (2015). Mercy Health Fairfield Hospital. Retrieved from

http://www.nursecredentialing.org/FindaMagnetHospital.aspx.

Beckett Springs. (2015). Retrieved from http://www.beckettsprings.com/.

Boundary Map and Geodata for the City of Springdale in Ohio, U.S.A. (n.d.). Retrieved from https://www.maptechnica.com/us-city-boundary-map/city/Springdale/ state/OH/cityid/3974104.

Centers for Disease Control and Prevention. (2015). Leading causes of death. Retrieved from

http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm.

Cincinnati Fellowship of Alcoholics Anonymous. (2015). Meetings by area. Retrieved from

http://www.aacincinnati.org/index.html.

Cincinnati Metropolitan Housing Authority. (2015). Baldwin Grove. Retrieved from

https://www.cintimha.com/baldwin-grove.aspx.

City-Data.com - Stats about all US cities - real estate, relocation info, crime, house prices, cost of

living, races, home value estimator, recent sales, income, photos, schools, maps, weather,

neighborhoods, and more. (2015). Retrieved from http://www.city-data.com

City-data.com, (2015). Work and Jobs in Springdale, Ohio (OH) Detailed Stats: Occupations,

Industries, Unemployment, Workers, Commute. Retrieved from

http://www.city-data.com/work/work-Springdale-Ohio.html.

City of Springdale. (2006). A history of the city of Springdale, Ohio: Founded 1806. Cincinnati,

OH: Berman Printing.

City of Springdale. (2011). Retrieved from http://www.springdale.org/home.aspx.

City of Springdale. (2011). Community Center. Retrieved from

http://www.springdale.org/Community-Center.aspx.

City of Springdale, OH. (2015). Public Health Assessment and Wellness. Retrieved from

http://springdale.oh.networkofcare.org/ph/county-indicators.aspx#cat.

Compass Point. (2015). Retrieved from http://www.compasspointcounseling.net/.

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SPRINGDALE COMMUNITY ASSESSMENT 2016-2017 61

Comprehensive History of Springdale 1787 - 1987. (n.d.). Retrieved from

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Retrieved from http://nacincinnati.com/index.php/ohio-meetings.

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and Infant Health Monthly Surveillance Report. Retrieved from http://www.hamiltoncountyhealth.org/files/files/Reports/August_imr_2015.pdf.

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field%20&ddstatelist=OH&st_nm=OHIO&st=OH.

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Mental Health America of Northern Kentucky and Southwest Ohio. (2015). Pro bono counseling

program.

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services.aspx.

Mercy Health. (2015). Mercy Health - Fairfield hospital earns breast and lung care designations

from the American college of radiology. Retrieved from http://www.e-

mercy.com/news_show.aspx?mode=local&id=4915.

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caregivers/nami-family-to-family/.

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Injury Profile. Retrieved from

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%20Suburban/Maple%20Knoll%20Meadows.pdf.

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http://www.seniorsguideonline.com/community/meadows.

Trihealth. (2015). Trihealth Evendale hospital. Retrieved from

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systems-winners.

U.S. Census Bureau. (2000). American fact finder: Springdale, OH. Retrieved from

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U.S. Census Bureau. (2010). American fact finder: Springdale, OH. Retrieved from

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U.S. Census Bureau. (2013). Fact finder. Retrieved from www. census.gov.

U.S. News and World Report. (2015). Mercy Health Fairfield Hospital. Retrieved from

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Yellow pages of physicians, surgeons, and clinics in Springdale. Retrieved from

http://www.yellowpages.com/springdale-oh/primary-care-physicians.


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