University of Pennsylvania Health System Community Health Needs Assessment 2016 Community Health Needs Assessment University of Pennsylvania Health System Prepared for: University of Pennsylvania Health System Prepared by: Public Health Management Corporation, Community Health Data Base Centre Square East 1500 Market Street Philadelphia, PA 19102 University of Pennsylvania Health System Community Health Needs Assessment TABLE OF CONTENTS I.INTRODUCTION TO ASSESSMENT ................................................................................. 1 About the University of Pennsylvlania Health System .............................................. 1 Purpose ........................................................................................................................... 2 Community Definition ................................................................................................... 4 Previous Needs Assessment ......................................................................................... 4 Impact of the 2013 Needs Assessment ...................................................................... 6 II. PROCESS AND METHODS ......................................................................................... 15 Data Acquisition and Analysis................................................................................... 15 PHMC Southeastern Pennsylvania Household Health Survey .............................. 17 U.S. Census ................................................................................................................... 18 Vital Statistics ............................................................................................................... 19 2015 County Health Rankings and Roadmaps ....................................................... 19 Community Meetings and Interviews ...................................................................... 19 Information Gaps ........................................................................................................ 21 III. COMMUNITY DEMOGRAPHICS .............................................................................. 22 Population Size ............................................................................................................ 22 Age ............................................................................................................................... 23 Race/Ethnicity ............................................................................................................. 24 Language Spoken at Home ...................................................................................... 25 Education ..................................................................................................................... 25 Employment................................................................................................................. 26 Poverty Status .............................................................................................................. 27 Median Household Income ....................................................................................... 28 Home Ownership ........................................................................................................ 28 IV.HEALTH OF THE COMMUNITY .................................................................................. 29 Birth Outcomes ............................................................................................................ 29 Fertility ....................................................................................................................... 29 Public Health Management Corporation, Community Health Data Base University of Pennsylvania Health System Community Health Needs Assessment Low Birth Weight ...................................................................................................... 31 Premature Births ....................................................................................................... 32 Prenatal Care .......................................................................................................... 33 Mortality ........................................................................................................................ 34 Infant Mortality ......................................................................................................... 34 Overall Mortality ...................................................................................................... 35 Morbidity ...................................................................................................................... 37 HIV and AIDS ............................................................................................................ 37 Communicable Disease ......................................................................................... 38 Health Status ................................................................................................................ 39 Self-Reported Health Status ................................................................................... 39 Specific Health Conditions ..................................................................................... 42 Hypertension ............................................................................................................ 42 Diabetes ................................................................................................................... 43 Asthma ...................................................................................................................... 43 Overweight and Obesity ........................................................................................ 44 Mental and Behavioral Health .............................................................................. 45 V.ACCESS AND BARRIERS TO HEALTH CARE ............................................................... 47 Economic Barriers .................................................................................................... 48 Health Insurance Status .......................................................................................... 49 Primary Care ............................................................................................................ 51 Preventive Care....................................................................................................... 52 Dental Visit ................................................................................................................ 52 Blood Pressure .......................................................................................................... 53 Colonoscopy ........................................................................................................... 53 Pap Smear Test ........................................................................................................ 53 Mammogram........................................................................................................... 54 PSA or Rectal Exams for Prostate Cancer ............................................................ 54 VI.HEALTH BEHAVIORS ................................................................................................. 55 Nutrition ..................................................................................................................... 55 Public Health Management Corporation, Community Health Data Base University of Pennsylvania Health System Community Health Needs Assessment Exercise ..................................................................................................................... 55 Tobacco Use ............................................................................................................ 56 VII.EXISTING RESOURCES ............................................................................................. 57 VIII.SPECIAL POPULATIONS .......................................................................................... 58 Low and Moderate Income Populations ................................................................ 58 Children ........................................................................................................................ 60 Young Adults ............................................................................................................... 60 Older Adults ................................................................................................................. 61 Neighborhood Concerns ........................................................................................... 62 Immigrant Populations ............................................................................................... 64 IX. UNMET NEEDS ......................................................................................................... 65 APPENDIX A: PHMC’S COMMUNITY AND POPULATION ASSESSMENTS .................... 70 APPENDIX B: U.S. CENSUS TABLES .............................................................................. 73 APPENDIX C: VITAL STATISTICS TABLES ...................................................................... 83 APPENDIX D: HOUSEHOLD HEALTH SURVEY TABLE .................................................... 93 APPENDIX E: SIGNIFICANCE TESTING ....................................................................... 100 APPENDIX F: RESOURCE LISTS ................................................................................... 102 APPENDIX G: