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2019-CHNA-Report-Full 20191122.Pdf TABLE OF CONTENTS Executive Summary ......................................................................................................................... 5 Introduction .................................................................................................................................... 8 Methods and Data Sources ........................................................................................................... 10 Community Served ........................................................................................................................ 25 Local Resources ............................................................................................................................. 35 Conclusions ................................................................................................................................... 36 Appendix A: Complete Results of 2019 Santa Barbara County BRFSS Survey ............................. 40 Appendix B: 2019 Santa Barbara County BRFSS Questions and Sources ..................................... 62 Appendix C: Looking Back: Evaluation of Community Benefit Programs Identified in 2016 ....... 77 Appendix D: Santa Barbara County Complete List Of Health Indicators ...................................... 82 Appendix E: Further Explanation of 2016 Santa Barbara County BRFSS Methodology ............. 113 Appendix F: CHNA Data Collection Tools and Instruments ........................................................ 129 Full 2019 Santa Barbara County BRFSS Questionnaire in English and Spanish ................................... 129 Listening Tour Discussion Guides ........................................................................................................ 236 Listening Tour Findings ........................................................................................................................ 246 Listening Tour Follow‐up Survey.......................................................................................................... 269 2019 CHNA Report Page 2 LIST OF TABLES Table 1. Health Indicator Profiles for Santa Barbara County, Compared to California and the HP 2020 Target ............................................................................................................................................................. 6 Table 2. Community Groups Represented by Leaders and Front Line Representatives at the Listening Tour .............................................................................................................................................................. 13 Table 3. Community Groups Represented by or Recruiting Participants for Community Member Groups at the Listening Tour .................................................................................................................................... 15 Table 4. Community Feedback From 2016 Assessments .................................................................................... 17 Table 5. Prioritization Scoresheet ....................................................................................................................... 20 Table 6. Santa Barbara County ZIP Codes by Sub‐region .................................................................................... 26 Table 7. Santa Barbara Zip Code Stratification ................................................................................................. 115 Table 8. Landline Stratification ......................................................................................................................... 116 Table 9. Rate Centers in Santa Barbara County, California ............................................................................... 117 Table 10. Two‐Phase Sampling Results ............................................................................................................. 118 Table 11. Distribution of Sample and Universe Counts by Sampling Strata1 .................................................... 122 Table 12. First Raking Dimension for Weight Adjustments by Gender and Age1 ............................................. 124 Table 13. Second Raking Dimensions for Weight Adjustments by Race and Ethnicity1 ................................... 124 Table 14. Third Raking Dimension for Weight Adjustments by Education1 ...................................................... 125 Table 15. Fourth Raking Dimension for Weight Adjustments by Marital Status1 ............................................. 125 Table 16. Fifth Raking Dimension for Weight Adjustments by Homeownership1 ............................................ 125 Table 17. Sixth Raking Dimension for Weight Adjustments by County Region1 ............................................... 125 Table 18. Santa Barbara County ZIP Codes by Sub‐region ................................................................................ 126 2019 CHNA Report Page 3 LIST OF EXHIBITS Figure 1. Santa Barbara County: ZIP Codes, Regions, and Cottage Health Hospitals ......................................... 25 Figure 2. Percentage of Santa Barbara County and California Residents, by Age .............................................. 27 Figure 3. Percentage of Santa Barbara County and California Residents, by Race and Ethnicity ....................... 28 Figure 4. Percentages of Santa Barbara County and California Residents Age 24 and Greater, by Educational Attainment ............................................................................................................................... 28 Figure 5. Percentages of Santa Barbara County and California Residents, by Place of Birth ............................. 29 Figure 6. Employment Status among Santa Barbara County and California Residents ...................................... 30 Figure 7. Unweighted Percentage of Santa Barbara County BRFSS Survey Respondents, by Sex ...................... 31 Figure 8. Unweighted Percentage of Santa Barbara County BRFSS Survey Respondents, by Age ..................... 31 Figure 9. Unweighted Percentage of Santa Barbara County Survey Respondents, by Race and Ethnicity ........ 32 Figure 10. Unweighted Percentage of Santa Barbara County BRFSS Survey Respondents, by Education ......... 32 Figure 11. Unweighted Percentage of Santa Barbara County BRFSS Survey Respondents, by Income ............. 33 Figure 12. Rate Centers in Santa Barbara County, California ........................................................................... 117 Figure 13. Santa Barbara County: ZIP Codes and Regions ................................................................................ 126 Figure 14. Distribution of the Final Sampling Weight ....................................................................................... 128 2019 CHNA Report Page 4 EXECUTIVE SUMMARY Cottage Health, representing Goleta Valley Cottage Hospital, Santa Barbara Cottage Hospital, and Santa Ynez Valley Cottage Hospital, partnered with community organizations and agencies from Santa Barbara County to conduct a comprehensive 2019 Community Health Needs Assessment (CHNA). Assessing Santa Barbara County’s most pressing health needs, this report describes the well‐being of Santa Barbara County’s residents and selected social determinants of their health, with comparisons to California’s health profile as a whole. It also connects selected health indicators for Santa Barbara County to the goals or targets in Healthy People 2020 (HP 2020), the national planning document created every ten years by the U.S. Department of Health and Human Services. Data Sources To obtain data for this report, Cottage Health conducted a telephone and web survey with approximately 900 community members and a Listening Tour with more than 240 individuals who represent the broad interests of the community, including medically underserved, low‐income, and vulnerable populations. Secondary data were also obtained from existing online sources. This approach is consistent with the methodology established in the 2016 Cottage Health CHNA, which also serves as benchmark for the 2019 data. Health Data Cottage Health contracted with the Evaluation Institute at the University of Pittsburgh, an academic research unit with extensive experience in survey methodology, analysis, and reporting. The Evaluation Institute used two data sources for the CHNA: a telephone and web survey designed specifically for this effort and existing health and demographic data (such as U.S. Census data) already collected for the county and California. The telephone and web survey, conducted from July through October 2019, obtained data from Santa Barbara County adults ages 18 and older. A group of trained interviewers contacted randomly selected residents and asked a series of questions based on the Behavioral Risk Factor Surveillance System (BRFSS) survey instrument, created by the Centers for Disease Control and Prevention (CDC). Respondents could complete the survey on the telephone or online. A convenience sample was also recruited targeting both the general population in Santa Barbara County and vulnerable populations. The data were weighted to make sure that survey results were representative of county demographics, such as age, race/ethnicity, and gender, and then compared to the 2016 Santa Barbara County BRFSS, California BRFSS, and Healthy People 2020 Leading Health Indicators. Data presented in this report reflects the randomly selected sample only, as this sample most closely compares to previous county estimates as well
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