2019 UCLA Medical Center, Santa Monica Community Health Needs Assessment Table of Contents Executive Summary ........................................................................................................ 6 Report Adoption, Availability and Comments ............................................................ 9 Introduction ................................................................................................................... 10 Background and Purpose ....................................................................................... 10 Service Area ........................................................................................................... 10 Collaborative Process ............................................................................................. 12 Project Oversight .................................................................................................... 12 Consultant .............................................................................................................. 12 Data Collection Methodology ........................................................................................ 13 Secondary Data Collection ..................................................................................... 13 Primary Data Collection .......................................................................................... 13 Public Comment ..................................................................................................... 14 Identification and Prioritization of Significant Health Needs .......................................... 15 Review of Primary and Secondary Data ................................................................. 15 Priority Health Needs .............................................................................................. 15 Resources to Address Significant Health Needs .................................................... 17 Review of Progress ................................................................................................. 17 Community Demographics ............................................................................................ 18 Population ............................................................................................................... 18 Race/Ethnicity ......................................................................................................... 19 Citizenship .............................................................................................................. 21 Language ................................................................................................................ 22 Veterans ................................................................................................................. 23 Social Determinants of Health ....................................................................................... 24 Social and Economic Factors Ranking ................................................................... 24 Poverty ................................................................................................................... 25 Unemployment........................................................................................................ 27 Free and Reduced Price Meals .............................................................................. 27 Households ............................................................................................................. 28 Page | 1 UCLA Medical Center, Santa Monica Community Health Needs Assessment Homelessness ........................................................................................................ 30 Community Input – Housing and Homelessness .................................................... 31 Public Program Participation .................................................................................. 32 CalFresh Eligibility and Participation ....................................................................... 33 Access to Food ....................................................................................................... 33 Farmers Markets Accepting EBT or WIC ................................................................ 33 Educational Attainment ........................................................................................... 34 Preschool Enrollment .............................................................................................. 35 Reading to Children ................................................................................................ 35 Learning Assistance for Children ............................................................................ 35 Age-Appropriate TV Viewing Guidelines Not Met ................................................... 36 Childcare Access .................................................................................................... 36 Transportation......................................................................................................... 36 Bicycling ................................................................................................................. 38 Community Walkability ........................................................................................... 38 Community Input – Transportation.......................................................................... 39 Parks, Playgrounds and Open Spaces ................................................................... 40 Crime and Violence ................................................................................................ 41 Intimate Partner Violence ....................................................................................... 42 Health Care Access....................................................................................................... 44 Health Insurance Coverage .................................................................................... 44 Sources of Care ...................................................................................................... 45 Difficulty Accessing Care ........................................................................................ 47 Access to Primary Care Community Health Centers .............................................. 47 Delayed or Forgone Care ....................................................................................... 48 Lack of Care Due to Cost ....................................................................................... 48 Community Input – Access to Care ........................................................................ 49 Dental Care ............................................................................................................ 50 Community Input – Dental Care.............................................................................. 50 Birth Characteristics ...................................................................................................... 52 Births ...................................................................................................................... 52 Page | 2 UCLA Medical Center, Santa Monica Community Health Needs Assessment Teen Birth Rate....................................................................................................... 52 Prenatal Care.......................................................................................................... 52 Low Birth Weight..................................................................................................... 52 Health Status .......................................................................................................... 53 Infant Mortality ........................................................................................................ 53 Breastfeeding.......................................................................................................... 53 Leading Causes of Death .............................................................................................. 55 Life Expectancy at Birth .......................................................................................... 55 Child/Youth Death Rate, by Race/Ethnicity ............................................................ 55 Leading Causes of Death ....................................................................................... 55 Heart Disease and Stroke ....................................................................................... 56 Cancer .................................................................................................................... 57 Alzheimer’s Disease ............................................................................................... 58 Diabetes ................................................................................................................. 59 Chronic Lower Respiratory Disease ....................................................................... 59 Liver Disease .......................................................................................................... 60 Unintentional Injury ................................................................................................. 60 Suicide and Homicide ............................................................................................. 60 Drug Overdose ....................................................................................................... 61 Acute and Chronic Disease