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Health of East Boston

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Health of East Boston CommunityCommunity MeetingsMeetings 20052005 HealthHealth StatusStatus ReportReport forfor EastEast BostonBoston MarchMarch 15,15, 20052005 PresentedPresented byby thethe BostonBoston PublicPublic HealthHealth CommissionCommission Boston Neighborhoods Charlestown East Allston- Boston Brighton Back Bay North South End End Fenway South Boston Roxbury North Jamaica Plain Dorchester Roslindale South West Dorchester Roxbury Mattapan Hyde Park MAP PREPARATION: Boston Public Health Commission Research Office Population by Age Group, Boston and East Boston, 2000 65+ years 65+ years 0-17 10% 12% years 0-17 years 20% 24% 45-64 years 45-64 18% years 17% 18-24 18-24 years years 16% 11% 25-44 years 25-44 36% years 36% BOSTON EAST BOSTON DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public Health Commission Research Office Racial and Ethnic Makeup, Boston and East Boston 2000 2 or More 2 or More Asian Races Black Other Asian Other Races 4.0% 3.0% 3.1% Race 8.0% Race 2.9% 2.0% 1.4% Black 23.8% Latino 39.0% White White 49.4% 49.7% Latino 13.9% BOSTON EAST BOSTON DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public Health Commission Research Office Latino Population by Neighborhood, Boston, 2000 . 50% 40% 30% 20% 10% 14% Percentage Within Neighborhood 39% 0% 9% BOSTON 5% 12% Allston/Brighton 29% Back Bay 9% 14% DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 DATA ANALYSIS: Boston Public HealthCha Commissionrles townResearch Office East Boston Fenway 17% Hyde Park 7% Jamaica Plain 18% 22% Mattapan 3% North Dorchester North End Roslindale 8% 8% Roxbury 12% South Boston South Dorchester 5% South End West Roxbury Place of Birth Among Central/South American and Carribean 50% 40% Born Residents, East Boston, 2000 30% 39% 20% in East10% Boston 0% 24% Percentage of Total Latin-American Born Population El Salvador 12% DATA SOURCE: U.S. Department of Commerce, Bureau of the Census, American FactFinder, Census 2000 , Summary File Sample Data DATA ANALYSIS: Boston Public Health Commission Research Office Colombia Brazil 6% N=12,197 Mexico 5% Guatemala 5% Peru 4% Dominican Republic 2% Honduras 3% Other SelectedSelected SocioeconomicSocioeconomic Indicators,Indicators, BostonBoston andand BostonBoston Latinos,Latinos, 20002000 Indicator Boston Overall Boston Latinos Less than High School 21% 43% Graduation or GED (Adults Ages 25 and Over) % Population Below 20% 31% Poverty Level % of Children (Under 18) 26% 38% Below Poverty Level* % of Adults 65 and Older 18% 29% Below Poverty Level* Median Household $39,629** $27,141** Income in 1999 *Based on 1999 income ** Estimated median household income DATA SOURCE: US Department of Commerce, Bureau of the Census, American Fact Finder, Census 2000, Summary File-Sample Data DATA ANALYSIS: Boston Public Health Commission Research Office SelectedSelected SocioeconomicSocioeconomic Indicators,Indicators, BostonBoston andand EastEast Boston,Boston, 20002000 Indicator Boston Overall East Boston Less than High School 21% 40% Graduation or GED (Adults Ages 25 and Over) % Population Below Poverty 20% 20% Level % of Children (Under 18) Below 26% 25% Poverty Level* % of Adults 65 and Older Below 18% 20% Poverty Level* Median Household Income in $39,629** $31,301** 1999 *Based on 1999 income ** Estimated median household income DATA SOURCE: US Department of Commerce, Bureau of the Census, American Fact Finder, Census 2000, Summary File-Sample Data DATA ANALYSIS: Boston Public Health Commission Research Office 66 KeyKey HealthHealth IssuesIssues inin YourYour NeighborhoodNeighborhood andand WhatWhat YouYou CanCan DoDo AboutAbout ThemThem ! ObesityObesity ! CancerCancer ! AsthmaAsthma ! SubstanceSubstance AbuseAbuse ! ViolenceViolence ! MaternalMaternal andand ChildChild HealthHealth OBESITY WhatWhat healthhealth problemsproblems doesdoes obesityobesity makemake worseworse oror cause?cause? " Diabetes " High blood pressure " High cholesterol " Heart Disease/Stroke " Asthma " Arthritis " Certain cancers (especially breast, uterus, colon, esophagus) Obesity by Race/Ethnicity, Boston, 2001* 70% 64% 60% 53% 50% 47% 44% 40% 30% 23% 20% 10% 0% Percentage of Respondents Determined to be Obese Boston Asian Black Latino White *Includes data collected from January 2001 through May 2001. The term “obesity” refers to all levels of excess weight combined. Blacks are significantly different from Whites, Latinos, and Asians (p<.05). Latinos are significantly different from Whites and Asians (p<.05) DATA SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 2001, Massachusetts Department of Public Health and Boston Public Health Commission DATA ANALYSIS: Boston Public Health Commission Research Office Obesity by Neighborhood, Boston, 1999 100% 80% 60% -2001 40% 46% Percentage of Respondents 20% 35% 55% 55% 38% 0% BOSTON 61% Allston/Brighton 32% 66% DATA SOURCE: BehavioralB ackRisk Factor Bay Surveillance System, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office 41% Charlestown 58% East Boston 53% Fenway Hyde Park 49% 51% Jamaica Plain 60% Mattapan 58% North Dorchester North End Roslindale 35% 48% Roxbury South Boston South Dorchester South End West Roxbury Inadequate Physical Activity by Neighborhood, Boston, 2000 100% -2001* 80% 60% 63% 40% 58% Percentage20% of Respondents 58% 0% 38% 68% 71% *Includes data collected fromB JanuaryOS 2000TO throughN May 2002 ** Includes the North End NOTE: Inadequate physical activity means having no physical activity or less than 30 or more minutes, five or more times a we DATA SOURCE: Behavioral Risk Factor Survey, Behavioral Risk Factor Surveillance System (BRFSS), 2000-2001, Massachusetts Depart and Boston Public Health CommissionAllston/Brighton 38% DATA ANALYSIS: Boston Public Health Commission Research Office 81% Back Bay** 51% Charlestown 68% East Boston 65% Fenway 72% Hyde Park Jamaica Plain 66% 46% Mattapan North Dorchester 56% 63% Roslindale Roxbury South Boston South Dorchester South End ek. West Roxbury ment of Public Health Heart Disease Mortality: Age Neighborhood, Boston, 2000 350 300 250 200 207 150 100 183 Deaths50 per 100,000 Population 244 -Adjusted Rates by 0 115 - 201 -2002 BOSTON 206 224 Allston/Brighton 253 Back Bay NOTE: The difference between the East Boston and Boston rates is not statistically significant at DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public ChHealth aCommissionrlestow Researchn Office 197 232 East Boston Fenway 179 214 Hyde Park 297 Jamaica Plain 213 Mattapan North Dorchester 187 North End Roslindale 145 174 Roxbury South Boston α South Dorchester =.05 South End West Roxbury WhatWhat CanCan BeBe DoneDone AboutAbout It?It? ! FocusFocus onon eatingeating healthyhealthy foodsfoods ! AvoidAvoid sugarysugary sodas,sodas, snacksnack foodsfoods ! ReducingReducing portionportion sizessizes andand eatingeating smallersmaller moremore frequentfrequent mealsmeals ! ExerciseExercise dailydaily –– forfor example,walkingexample,walking ! TalkTalk toto youryour primaryprimary carecare doctordoctor CANCER WhatWhat increasesincreases thethe chanceschances ofof gettinggetting cancer?cancer? " SmokingSmoking " ExcessiveExcessive alcoholalcohol " FamilyFamily historyhistory " ExcessiveExcessive exposureexposure toto sunlightsunlight " ExposureExposure toto certaincertain cancercancer causingcausing chemicalschemicals " SomeSome virusesviruses (like(like HIV,HIV, HPVHPV oror Chlamydia)Chlamydia) " CertainCertain hormoneshormones oror medicationsmedications " AgeAge Cancer Mortality: Age-Adjusted Rates by Race/Ethnicity and Year, Boston, 1999-2002 n 300 250 200 150 100 50 0 Deaths per 100,000 per Deaths Populatio 1999 2000 2001 2002 Asian 157 113 112 160 Black 247 277 254 257 Latino 112 128 155 139 White 230 241 220 231 NOTE: In 2002, the rates for Asians and Latinos were significantly lower than the rates for Blacks and Whites, p<.05 DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office Cancer Mortality: Age Neighborhood, Boston, 2000 350 300 250 200 218 150 - 100 -Adjusted Rates by 178 Deaths per 100,000 Population 241 50 177 231 0 -2002 BOSTON 185 227 Allston/Brighton Back Bay 198 NOTE: Difference between East Boston and Boston not statistically significant at 217 DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public HealthCha Commissionrlest Researchown Office 229 East Boston Fenway 182 Hyde Park 195 303 222 Jamaica Plain Mattapan 218 North Dorchester North End 196 215 Roslindale Roxbury α =.05 South Boston South Dorchester South End West Roxbury Leading Causes of Cancer Mortality: Age-Adjusted Rates, Boston and East Boston, 2000-2002 56 Lung 87 25 Colorectal 26 29 Breast 15 11 Pancreas 15 35 Prostate 15 8 Liver 9 Boston (excluding E. Boston) 4 East Boston Esophagus 7 0 102030405060708090100 Deaths per 100,000 Population NOTE: Boston excludes East Boston; the differences in lung and prostate cancer mortality between East Boston and the rest of Boston are statistically significant (p < .05) DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research Office Adults Who Are Current Smokers by Neighborhood, Boston, 1999 40% 30% 20%
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