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Community Health Assessment 2012

Community Health Assessment 2012. Chelsea Health Indicators. Updated August 2012 (in process). Table of Contents. Map of Chelsea. DEMOGRAPHICS. Population by Race/Ethnicity: Over Half Latino 2010 Census. 81.3% of Chelsea Public School Students are Latino*.

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Community Health Assessment 2012

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  1. Community Health Assessment2012

  2. Chelsea Health Indicators Updated August 2012 (in process)

  3. Table of Contents

  4. Map of Chelsea

  5. DEMOGRAPHICS

  6. Population by Race/Ethnicity:Over Half Latino2010 Census 81.3% of Chelsea Public School Students are Latino* • Total Population in 2010: 35,177 – 0.27% increase from 2000; 22.5% increase from 2010 • Population Density very high**:17,540 persons per square mile (MA rate: 812) *Source: MA Department of Education 2010-2011 **Source: 2005 Regional Epidemiologic Services Health Data Watch Supplement, prepared for Chelsea HHS

  7. Population by Race2010 Census Data Total Population in 2010: 35,177 • 0.28% increase from 2000 • Hispanic or Latino Population in 2010: • 21,855 (62.1% of Total Population) • Up from 28.3% of total population in 2000 Chart does not include Hispanic/Latino Population

  8. Foreign-Born Residents by Place of Birth:Most from Latin America2000 Census • 36.1% total foreign born (triple 12.1% state rate) • 58.4% speak language other than English at home (triple 18.7% state rate) • 43.8% of total population age 5 and older speak Spanish (43.8% Spanish; 9.1% Indo-European Languages; 3.8% Asian/Pacific Islander languages) • 30.8% of total population age 5 and older speak English “less than very well”

  9. Population by Age Group Cities in Boston Region and Massachusetts: 2010 Chelsea Generally Young compared to surrounding communities Source: 2010 Census

  10. SOCIAL AND ECONMIC FACTORS

  11. EducationGraduation Rates, Educational Attainment, Population Breakdowns

  12. Educational Attainment2007-2011 American Community Survey (US Census Bureau) *Given for those ages 25 and older. American Community Survey 5 year estimates

  13. Chelsea School Indicators Compared to State2011-2012 MA Dept. of Education *Retention Rate is the percentage of enrolled students who were repeating the grade in which they were enrolled the previous year. Source: Massachusetts Department of Education.

  14. Chelsea School District Plans of High School Graduates: 2010-2011* Cohort 2011 Graduation Rates *Source: 2010-2011 MA Department of Elementary and Secondary Education

  15. Chelsea Public SchoolsNew Student Origins - 2011 • Chelsea Public Schools had 155 new immigrant students representing 24 different countries including: • El Salvador (55) • Honduras (16) • Puerto Rico (15) • Guatemala (14) • Santo Domingo (12) • Sudan (5) • Cape Verde (5) Source: Chelsea Public Schools – New Student Data 2011 Calendar Year

  16. Public School Enrollment Over Time2001-2012* *Dates represent the ending year of the academic calendar. Source: Massachusetts Department of Elementary and Secondary Education

  17. Employment and IncomePoverty Rates, Unemployment Rates, Temporary Aid

  18. High Poverty & Unemployment2007-2010 American Community Survey, US Census Bureau • Chelsea’s verylow per capita income ($14,628) ranks Chelsea 349th out of all 351 Massachusetts municipalities (2000 Census) • The median household income for Chelsea is $40,487 compared to the statewide median household income of $64,509. (2010 5-Year ACS) * 2011 Unemployment Rate, Massachusetts Labor and Workforce Development.

  19. Socio-Demographic IndicatorsCities in Boston Region and Massachusetts: 2010 Source: 2010 American Communities Survey (3-year Estimate), US Census Bureau *Source: 2011 Labor and Workforce Development, Massachusetts.

  20. HEALTH OUTCOMES

  21. Mortality and MorbidityMorality Rates by Disease, Level of Health, Low Birth Weight Births

  22. Mortality: Overall & Chronic DiseaseHigher than State for Heart Disease, Stroke and Diabetes2006-2010 Vital Records Source: MassCHIP, Mortality (Vital records) Accessed: 6/19/13

  23. Overall Mortality2000-2010* *Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 6/18/13

  24. Cancer Mortality Rates2000-2010* *Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 8/25/12, 6/19/13

  25. Heart Disease Mortality Rates2000-2010* *Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 8/25/12, 6/19/13

  26. Diabetes Mortality Rates2000-2010* *Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 8/25/12, 6/19/13

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

  28. Level of Health (self-reported)2012 Quality of Life Survey Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

  29. Low Birth Weight Births High for Blacks and Whites2009 Vital Records* • Very low birth weight births high: 2.4% Chelsea rate (vs. 1.4% statewide) (2007)** *Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2009) **Very low birth weight births defined as births 1500g or 3lbs, 5 oz., % by birth weight. Source: MassCHIP Vital Records (2007)

  30. Low Birth Weight Births2000-2009 Vital Records* *Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Date accessed: 5/30/13 Low birth weight is defined as an infant with a birth weight of less than 2500 grams (5 lb 8 oz) Calculated by percent by birthweight in grams

  31. HEALTH BEHAVIORS

  32. Diet & ExerciseObesity Indicators, Physical Activity, Fruit & Vegetable Consumption

  33. Obesity-Related Indicators (Self-Reported)2008 BRFSS* 45.4% of these respondents currently on cholesterol medications 78.4% of these respondents currently on blood pressure medications 28.5% of these respondents currently taking insulin MA Data not available • Highobesity hospitalization rate**: 67.8 (age-adjusted per 100,000) (state rate 48.3) (2006) *501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008 **Source: MassCHIP, UHDDS Hospital Discharges, 2006

  34. Overweight or Obese StudentsChelsea Public Schools 2010 • 34.3% of MA students are overweight or obese • 19% of MA children ages 6-11 are overweight or obese *Chelsea Public Schools Nurses Data, 2010

  35. Physical Activity (Self-Reported)2008 BRFSS* *501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008 **Moderate Physical Activity Recommendations: 30 min/day, 5+ days/week ***Vigorous Physical Activity Recommendations: 20 min/day, 3+ days/week

  36. Chelsea High School YRBS: Fitness and Wellness2009-2011 YRBS Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011 1,078 completed surveys of students with parental permission )

  37. Frequency of Physical Activity in a Typical Week2012 Quality of Life Survey* Physical activity consists of exercising for at least 30 minutes or more (such as running, swimming, gardening, walking) *Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

  38. Fruit and Vegetable Consumption2012 Quality of Life Survey* *Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large. **Fruit consumption question: “During the past 7 days, how many times did you eat fruit or drink 100% fruit juices? (Do not count punch, Kool-Aid, sports drinks, or other fruit-flavored drinks.)” / ***Vegetable consumption question: “During the past 7 days, how many times did you eat other vegetables such as carrots, peas, broccoli, green salad, etc? (Do not count potatoes)”

  39. WIC Nutrition Program ParticipationHigh Percentage of Child Participants in Chelsea2007* Chelsea Participation Massachusetts Participation Participants Participants *Source: MassCHIP WIC Program Utilization, 2007.

  40. Tobacco UseCurrent, Lifetime, Age of Onset

  41. Smoking Rates (Self-Reported)2008 BRFSS* • During the past year: • 64.5% of current smokers trying to quit • 63.8% of current smokers advised not to smoke by healthcare professional *501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008

  42. Alcohol UseCurrent, Lifetime, and Excessive Drinking, Parental Perception

  43. Chelsea High School YRBS: Alcohol & Driving2005-2007-2009-2011 YRBS Source: Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)

  44. Substance Use Rates (Self-Reported)2008 BRFSS* Of these respondents: 38.0% had engaged in binge drinking** in past 30 days • Amongst these respondents, top three drugs ever used were: • Powder Cocaine (71.7%); • Hallucinogens (32.1%), • Heroin (24.5%) *Source: 501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008 **Binge Drinking defined as: 5 or more drinks (male) and 4 or more drinks (female) at one time ***Other Drugs defined as: powder cocaine; crack cocaine; heroin; methamphetamine; Hallucinogens; MDMA/Ecstasy; Other

  45. Substance Use Rates (self-reported)2012 Quality of Life Survey* *Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.

  46. Chelsea High School YRBS: High Alcohol & Gateway Drug Use2005-2007-2009-2011 YRBS** *Binge Drinking defined as drinking 5 or more alcoholic beverages in one night in past 30 days Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission) **Methods of the Chelsea YRBS have changed, the most reliable data available is from 2011.

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

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

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

  50. Substance Abuse Admissions Crude rates of 3238.2 in Boston, 2889.1 in Revere, 2239.9 in Everett *Source: MassCHIP CHNA Health Status Indicators Report for Chelsea – 2010 BSAS

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