Gary L. Edwards, MS Executive Director 2001 South State Street, S-2500 PO Box 144575 Salt Lake City, UT 84114-4575 phone 385-468-4117 fax 385-468-4106 slcohealth.org Last Updated July 31, 2013 PAGE LEFT BLANK INTENTIONALLY SLCoHD - CHA Page 2 COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE Brian Bennion MPA, LEHS Suzanne Millward, MPH/MHA (2013), CHES Deputy Director Graduate Student Administration Lead University of Utah Jim Thuet, MPA Daniel Bennion, MPH/MHA (2013) Management Analyst Graduate Student Intern Project Coordinator University of Utah Cynthia Morgan, PhD, RN Daniel Crouch, MPH Special Projects Graduate Student Intern University of Utah Darrin Sluga, MPH Community Development Director ACCREDITATION ADVISORY COMMITTEE Tom Godfrey, BA, MA Past Chair Salt Lake County Board of Health Gary Edwards, MS Executive Director, Salt Lake County Health Department Dagmar Vitek, MD, MPH Beverly Hyatt Neville, PhD, MPH, RD Medical Director Bureau Manager, Health Promotion Royal Delegge, PhD, MPA, LEHS Michelle Hicks Director, Environmental Health Services Administrative Assistant Iliana MacDonald, BSN, MPA, RN Krista Bailey, BA Bureau Manager, WIC Administrative Assistant Teresa Gray, BS, LEHS Julie Parker, BSN, RN Bureau Manager, Water Quality Davis County Health Department, Invited, non-voting Toni Carpenter, MPH Utah County Health Department Invited, non-voting SLCoHD - CHA Page 3 PAGE LEFT BLANK INTENTIONALLY SLCoHD - CHA Page 4 Gary L. Edwards, MS Executive Director LETTER OF TRANSMITTAL To: Interested Individuals and Agencies The Salt Lake County Health Department (SLCoHD) is pleased to announce the release of the 2013 Salt Lake County Community Health Assessment. Many dedicated individuals spent numerous hours collecting data, providing input, analyzing results, and compiling information in hopes it will be useful to all those interested in the health of Salt Lake County. We are especially grateful to the many individuals and agencies that provided their time sharing experiences and knowledge to help prepare a more accurate assessment. The purpose of this assessment is to better define the health challenges we all face in Salt Lake County. Where possible, data has been analyzed by small area (ZIP code). This has helped us see that while overall Salt Lake County is a fairly healthy county in a very healthy state, there are defined pockets of need within various health indicators. This will help all of us focus our efforts as we strive to achieve the greatest impact with limited resources. We see this as a working document that will be updated periodically, with the assessment process repeated every five years. SLCoHD will use this document to help shape a community health improvement plan, as well as our department strategic plan. We hope you find it valuable in helping Salt Lake County residents achieve their highest level of health status. We appreciate any comments you might have and look forward to working collectively as we all strive to make Salt Lake County the healthiest county. Sincerely, Gary L. Edwards, MS Executive Director 2001 South State Street, S-2500 PO Box 144575 Salt Lake City, UT 84114-4575 phone 385-468-4117 fax 385-468-4106 slcohealth.org PAGE LEFT BLANK INTENTIONALLY SLCoHD - CHA Page 4 “There’s a movement afoot. Cities and towns big and small, counties from coast to coast and groups of passionate individuals from all over are coming together across sectors to build healthier communities.” Robert Wood Johnson Foundation New Public Health Monthly Archives April 2012 SLCoHD - CHA Page 5 PAGE LEFT BLANK INTENTIONALLY SLCoHD - CHA Page 6 TABLE OF CONTENTS COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE ........................................... 3 ACCREDITATION ADVISORY COMMITTEE ............................................................................ 3 LETTER OF TRANSMITTAL ..................................................................................................... 3 EXECUTIVE SUMMARY ..........................................................................................................13 ACRONYMS .............................................................................................................................22 PREFACE .................................................................................................................................24 INTRODUCTION ......................................................................................................................26 PROJECT PLAN ...................................................................................................................26 HOW DID WE CHOOSE THE ISSUES? ...............................................................................28 WHAT DO WE DO? ..............................................................................................................28 DEFINITION OF PUBLIC HEALTH ............................................................................................28 CORE FUNCTIONS OF PUBLIC HEALTH ..................................................................................28 Assessment ....................................................................................................................29 Policy Development ........................................................................................................29 Assurance ......................................................................................................................29 ESSENTIAL PUBLIC HEALTH SERVICES .................................................................................30 HOW ARE WE DOING? – TWO REPORT CARDS ...............................................................30 SALT LAKE COUNTY’S HEALTH STATUS - COMPARED WITH PEER COUNTIES ACROSS THE UNITED STATES ..................................................................................................................30 SALT LAKE COUNTY’S HEALTH STATUS - COMPARED TO NATIONAL DATA .............................32 Health Outcomes ............................................................................................................32 Health Factors ................................................................................................................32 Social and Economic Factors .........................................................................................33 Physical Environment .....................................................................................................33 HEALTHY PEOPLE 2020 .......................................................................................................33 COMMUNITY DEMOGRAPHICS ..............................................................................................34 HISTORY ..............................................................................................................................34 GEOGRAPHY .......................................................................................................................34 GEOGRAPHIC INFORMATION SYSTEM (GIS) MAPPING ............................................................34 SMALL AREA DATA .............................................................................................................35 POPULATION DEMOGRAPHICS .........................................................................................36 POPULATION GROWTH.........................................................................................................36 AGE ....................................................................................................................................38 ETHNICITY AND CULTURE.....................................................................................................38 ACCESS AND FUNCTIONAL NEEDS POPULATIONS ..................................................................40 DEATH RATE .......................................................................................................................42 SLCoHD - CHA Page 7 FERTILITY RATE ..................................................................................................................43 EDUCATION LEVEL ..............................................................................................................43 SOCIOECONOMIC STATUS ....................................................................................................44 POVERTY ...........................................................................................................................44 CHALLENGES TO THE COMMUNITY’S HEALTH FROM DEMOGRAPHIC SHIFTS AND TRENDS ...............................................................................................................................45 CHANGE: POPULATION SIZE ................................................................................................45 Challenge: Increased air pollution due to freeway traffic .................................................46 CHANGE: POPULATION MOVEMENT ......................................................................................46 Challenge: Increasing Demands for Services in the South and West .............................46 CHANGE: AGING POPULATION .............................................................................................46 Challenge: Increasing demands for services for the elderly ............................................47 CHANGE: INCREASING ETHNIC/CULTURAL DIVERSITY ...........................................................47 Challenge: Services meet ethnic/cultural needs