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Alachua County Health Needs Assessment

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Title: Alachua County Health Needs Assessment


1
Alachua County Health Needs Assessment An Overview
Study Commissioned by Tom Belcuore,
Administrator Alachua County Health
Department Florida Department of Health
Study prepared by WellFlorida Council,
Inc. (Formerly the North Central Florida Health
Planning Council)
www.wellflorida.org
2
Who is WellFlorida?
  • 16 counties, 11,000 square miles and 1.4 million
    residents.
  • Private, non-profit 501(c)-3 organization that
    was founded and located in Gainesville in 1969.
  • One of 11 local health councils that serve all 67
    counties in Florida.
  • Major community resource for creating,
    facilitating, and implementing solutions to the
    most pressing regional healthcare issues.  
  • Counties served Alachua, Bradford, Citrus,
    Columbia, Dixie, Gilchrist, Hamilton, Hernando,
    Lafayette, Lake, Levy, Marion, Putnam, Sumter,
    Suwannee, and Union.

3
Services of WellFlorida
  • Needs Assessments
  • Survey Design and Analysis
  • Health Policy Analysis
  • Quantitative and Qualitative Data Gathering and
    Analysis
  • Evaluation
  • Grant Writing
  • Strategic Planning
  • Grant Administration
  • Quality Assurance
  • Nonprofit Fiscal Management and Oversight

4
Components of Alachua County Health Needs
Assessment
  • Executive Summary
  • Demographic Profile
  • Health Status
  • Community Input
  • Strategies

5
Demographic and Socioeconomic Characteristics
  • Population
  • Growth and Distribution
  • Age, Race, Ethnicity, and Gender
  • Socioeconomic
  • Income
  • Employment
  • Poverty Status
  • Insurance Status
  • Public Assistance

6
Population Density

7
Population Growth

8
Zip Code Definitions
9
Map of Alachua County Zip Codes
10
Population Growth by Zip Code

11
Population Natural Increase vs. In-migration

12
Population Key Facts
  • 2004 County population has surpassed 235,000.
  • Greatest growth since 1990 NWG (32606), SWG
    (32608), Hawthorne (32640) and Micanopy (32667).
    All greater than 70 and Hawthorne/Micanopy
    greater than 115.
  • Higher African-American population (20.8) than
    state (15.2) but lower than Leon (31.3).
  • Much lower percentage (7.0) Hispanic than state
    (19.0) and no zip code near state percentage
    (highest is 32611-UFG with 13.4).
  • Teens and young adults (15-24) constitute 25.8
    of Alachua compared to 12.9 in Florida
    (Reference 23.3 in Leon).
  • 10.1 age 65 in Alachua compared to 17.9 for
    Florida.

13
Socioeconomics Household Income

14
Socioeconomics Poverty

15
Socioeconomics Poverty (cont.)

16
Socioeconomics Poverty (cont.)

17
Socioeconomics Poverty (cont.)

18
Socioeconomics Poverty (cont.)

19
Socioeconomics Key Facts
  • Incomes are generally lower in Alachua County
    compared to Leon and the state.
  • Cost of living less than state cost of living.
  • Small (lt 50 empl.) business (95.1) and service
    sector labor force.
  • Unemployment higher than 2000 low. Traditionally
    lower than Leon and the state.
  • High concentrations of poverty.
  • Generally lower high school graduation rates and
    higher dropout rates in area schools.

20
Socioeconomics The Uninsured

21
Socioeconomics Uninsured (cont.)

22
Health Status
  • Leading Causes of Death
  • HIV/Hepatitis
  • Morbidity
  • Behavioral Risk Factors
  • Maternal Health

23
Health Status Lifestyle and Disease
Lifestyle Primary Disease Factor Smoking Lung
Cancer Cardiovascular Disease Emphysema Chro
nic Bronchitis Alcohol/Drug Abuse Cirrhosis of
Liver Motor Vehicle Crashes Unintentional
Injuries (drowning, falls, etc.) Malnutrition
Suicide Homicide Mental Illness  Poor
Nutrition Obesity Digestive Disease Depression
Driving/Excessive Speeds Trauma Motor Vehicle
Crashes Lack of Exercise Cardiovascular
Disease Depression High Stress Levels Mental
Illness Alcohol/Drug Abuse Cardiovascular
Disease
24
Health Status Comparison to State

25
Health Status Rates in Alachua

26
Health Status Avoidable Hospitalization

27
Health Status Avoidable Hospitalization (cont.)

28
Health Status Avoidable Hospitalizations (cont.)
29
Health Status Infant Mortality

30
Health Status Key Facts
  • Primary causes of premature mortality in Alachua
    County are cancer and unintentional injury (63
    of which are due to motor vehicle crashes).
  • Total birth rate in Alachua County is lower than
    Leon County and Florida.
  • Generally, infant mortality and low birthweight
    rates in Alachua County are higher than Florida
    while teen birth rates are lower.
  • Generally, maternal and infant health indicators
    are much poorer for African Americans than whites
    in Alachua County and throughout the state.

31
Community Input
  • Focus Groups
  • Community Forums

32
Community Input Focus Groups
  • Components of a healthy community
  • What action is necessary to address these issues
    and who is responsible?
  • What health behaviors need to be addressed?
  • What group of people needs to be addressed?
  • Support for health promotion programs
  • Target participants African Americans, residents
    age 35-54, and residents age 18-25. Five were
    conducted.

33
Community Input Forums/PEACH
  • Based on analysis of quantitative and qualitative
    data.
  • Utilized Popular Empirical Assessment for
    Community Health (PEACH).
  • Community leaders were participants.
  • Participants prioritized health issues in Alachua
    County.
  • Participants further developed strategies for
    addressing these priorities.

34
Strategies
  • Strategies are the culmination of the Needs
    Assessment process
  • Largely developed through community forums
  • Strategies are not SMART objectives
  • Specific, Measurable, Achievable, Relevant,
    Time-based

Community forums
Qualitative Data (focus groups)
Quantitative Data (Demographic and Health Status
data)
35
Strategy 1 Direct community efforts and
resources to enhancing access to mental health
care in Alachua County.

36
Strategy 2 Direct community efforts and
resources to enhancing access to dental health
care in Alachua County.

37
Strategy 3 Maintain focus on improved access to
health and health care in Alachua County.

38
Strategy 4 Promote policies that reinforce
healthy behavior in Alachua County.

39
Alachua County Health Needs Assessment The Future
  • Inventory of Services (Tom Belcuore and Candice
    King)
  • Presentation to BOCC
  • Provide to CHOICES Oversight Board
  • Grant applications?

40
For more information, contact Jeff Feller at
WellFlorida 18 NW 33rd Court, Gainesville, FL
32607 Phone 352-955-2264 Fax 352-955-3109 Email
jfeller_at_wellflorida.org Web www.wellflorida.org
www.wellflorida.org
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