MEASUREOFAMERICA WWW.MEASUREOFAMERICA.ORG of the Social Science Research Council A PORTRAIT OF SONOMA COUNTY SONOMA COUNTY HUMAN DEVELOPMENT REPORT 2014 Sarah Burd-Sharps Kristen Lewis Chief StatiStiCian Patrick Nolan Guyer ReSeaRCheR Alex Powers COMMiSSiOneD BY County of Sonoma Department of Health Services Contents Acknowledgments.........................................................................................................2 Foreword........................................................................................................................5 Pledge.of.Support..........................................................................................................6 Key Findings ...........................................................................................................8 Understanding Human Development ...................................................................12 Introduction.................................................................................................................13 How.Is.Human.Development.Measured?...................................................................15 Human.Development:.The.Benefits.of.a.New.Approach............................................17 Sonoma County: What the Human Development Index Reveals ..........................20 Sonoma.County.in.Context..........................................................................................21 A Long and Healthy Life........................................................................................30 Introduction.................................................................................................................31 Analysis.by.Geography.and.Race.and.Ethnicity..........................................................32 What.Fuels.the.Gaps.in.Health?..................................................................................43 Access to Knowledge ............................................................................................46 Introduction.................................................................................................................47 Analysis.by.Geography,.Race.and.Ethnicity,.and.Gender...........................................49 What.Fuels.the.Gaps.in.Access.to.Knowledge?..........................................................55 A Decent Standard of Living .................................................................................62 Introduction.................................................................................................................63 Analysis.by.Geography,.Gender,.and.Race.and.Ethnicity...........................................67 What.Fuels.the.Gaps.in.Living.Standards?.................................................................73 Agenda for Action .................................................................................................76 References ...........................................................................................................86 Sonoma.County.Human.Development.Indicators......................................................87 Methodological.Notes.................................................................................................96 Notes............................................................................................................................98 Bibliography...............................................................................................................101 Sonoma.County.Census.Tract.Reference.Map Copyright © 2014 Measure of America. All Rights Reserved. 55% Recycled Paper Acknowledgments We.must.start.by.thanking.the.Sonoma.County.Department.of.Health.Services.for. initiating.this.important.project..In.particular,.we.thank.the.Health.Policy,.Planning,. and.Evaluation.Division,.which.has.spearheaded.a.rich.collaborative.process.for. the.development.of.this.report.and.has.provided.critical.data.analysis..The.Portrait. of.Sonoma.Leadership.Group.includes:. Marlowe Allenbright, Tammy Chandler, Department Ramona Faith, Petaluma Liz Parra, Department Healthy Healdsburg of Health Services Health Care District of Health Services Lisa Badenfort, Elisabeth Chicoine, Omar Gallardo, Landpaths Tim Reese, Community Action Ag Innovations Network Department of Health Services Partnership Erin Hawkins, Community Caluha Barnes, Department Penny Cleary, Health Initiatives in the Donna Roper, Russian River of Health Services Sutter Medical Center Petaluma Area Area Resources and Advocates Ellen Bauer, Department Susan Cooper, Community Juan Hernandez, Sonoma Peter Rumble, County of Health Services Action Partnership Valley Health Roundtable Administrator’s Office Chris Bell, Unitarian Angie Corwin, Department Ray Holley, Windsor Wellness Jo Sandersfeld, St. Joseph Universalist Congregation, of Health Services Partnership Health–Sonoma County Santa Rosa Beth Dadko, Department Matthew Ingram, St. Joseph Rita Scardaci, Department Dan Blake, Sonoma County of Health Services Health–Sonoma County of Health Services Office of Education Richard Dale, Mike Kallhoff, United Way Susan Shaw, North Bay Steve Bolman, Petaluma City Sonoma Ecology Center of the Wine Country Organizing Project School District Karin Demarest, Community Mike Kennedy, Department Socorro Shiels, Santa Rosa City Beth Brown, Community Foundation Sonoma County of Health Services School District Foundation Sonoma County Nancy Dobbs, KRCB Jen Lewis, Department Brian Vaughn, Department Davin Cardenas, North Bay North Bay Public Media of Health Services of Health Services Organizing Project Jeannie Dulberg, Kaiser Chelene Lopez, St. Joseph Louann Carlomango, Permanente Health–Sonoma County Sonoma Valley Union High Jerry Dunn, Human Services George Malachowski, School District Department Human Services Department Lauren Casey, Regional Kelly Elder, Department Khaalid Muttaqi, Climate Protection Authority of Health Services City of Santa Rosa Susan Castillo, Department Jeane Erlenborn, Kellie Noe, Department of Health Services Santa Rosa Junior College of Health Services 2 THE MEASURE OF AMERICA SERIES The.Sonoma.County.Board.of.Supervisors.deserve.special.gratitude.for.their. support,.leadership,.and.encouragement.of.this.project..They.are.Efren.Carrillo,. Susan.Gorin,.Mike.McGuire,.David.Rabbitt,.and.Shirlee.Zane..We.would.also.like. to.recognize.the.Health.Action.Council.for.their.contribution.to.the.genesis.of.this. report.and.for.their.perspective.on.its.actionable.impacts..They.include: Bob Anderson, Naomi Fuchs, Santa Rosa Mike Kallhoff, United Way Soccoro Shiels, United Winegrowers Community Health Centers of the Wine Country Santa Rosa City Schools for Sonoma County Debora Fudge, Lisa Maldonado, North Bay Suzanne Smith, Sonoma Gina Belforte, Town of Windsor Council Labor Council, AFL-CIO County Transportation Rohnert Park City Council Authority/Regional Climate David Glass, Marrianne McBride, Protection Authority Ken Brown, Petaluma City Council Council on Aging Sonoma City Council Ben Stone, Sonoma County Bo Greaves, Santa Rosa Cynthia Murray, North Bay Economic Development Board Tom Chambers, Community Health Centers Leadership Council Healdsburg City Council Mary Szecsey, Sarah Glade Gurney, Ernesto Olivares, Santa Rosa West County Health Centers Oscar Chavez, Sonoma County Sebastopol City Council City Council Human Services Willie Tamayo, Caryl Hart, Sonoma County Mike Purvis, Sutter Medical La Tortilla Factory Don Chigazola, Regional Parks Center of Santa Rosa Community Volunteer Lee Turner, Susan Harvey, Carol Russell, Community Baptist Church Frank Chong, Cotati City Council Cloverdale City Council Santa Rosa Junior College Alena Wall, Northern California Herman J. Hernandez, Todd Salnas, St. Joseph Health Center for Well-Being Judy Coffey, Russian River Redevelopment Rita Scardaci, Department Kaiser Permanente Economic Task Force Shirlee Zane, Sonoma County of Health Services Board of Supervisors Nancy Dobbs, KRCB Juan Hernandez, Lisa Wittke Schaffner, North Bay Public Media La Luz Center John Jordan Foundation Ramona Faith, Steve Herrington, Sonoma Petaluma Health Care District County Office of Education We.are.also.deeply.indebted.to.the.following.Sonoma.County.organizations.for.their. collaboration.and.inputs.throughout.the.process: Health Action Subcommittees Sebastopol Area Community Development St. Joseph’s Health System Community Alliance Commission Neighborhood Care Team Committee for Healthcare Improvement Sonoma Valley Health Food System Alliance Tomorrow’s Leaders Today Roundtable Cradle to Career Santa Rosa Interfaith United Way Community Operations Team Windsor Wellness Partnership Ministerial Association Solutions Team Santa Rosa Mayor’s Gang Upstream Investments Community Groups Health Action Chapters Prevention Task Force Policy Committee Community Activity and Community Health Initiatives Social Advocates for Youth Upstream Investments Nutrition Coalition in the Petaluma Area Portfolio Review Committee Sonoma County Community and Local Law Healthy Healdsburg Superintendent Council Enforcement Task Force Russian River Area Resources Sonoma County and Advocates Continuum of Care A PORTRAIT OF SONOMA COUNTY 2014 3 We.give.thanks.to.contributors.who.provided.their.professional.expertise.on.a. wide.range.of.subjects..They.are.Marty.Bennett.of.North.Bay.Jobs.with.Justice,. Ginny.Browne.of.the.Participatory.Budgeting.Project,.Daniel.Carroll.of.the.U.S.. Department.of.Labor,.and.Joseph.Hayes.of.the.Public.Policy.Institute.of.California. We.want.to.thank.our.Social.Science.Research.Council.colleagues.Ira.Katznelson.