Erie County Community Health Needs Assessment 2018 Erie County, Pennsylvania Erie County Department of Health Erie County Community Health Needs Assessment © 2018 Erie County Department of Health Authors Valerie Bukowski, MS Jeff Quirk, PhD Erie County Department of Health Focus Groups Facilitator Patricia Stubber, PhD, MBA Additional Contributors Karen Tobin, BS, REHS Shasta Mullenax, BA Kayla Kupniewski, BS David Sanner, MA Amy Eisert, MA Erie County Community Health Needs Assessment, 2018 1 Acknowledgements Community Health Needs Assessment Project Coordinator Valerie Bukowski, MS, Epidemiologist, Erie County Department of Health Community Health Needs Assessment Executive Committee Melissa Lyon, MPH, Director, Erie County Department of Health Barbara Nichols, RN, Chief Executive Officer, Corry Memorial Hospital John Bergquist, Controller, Millcreek Community Hospital Henry Ward, Vice President of Affiliated Services, Saint Vincent Hospital Carrie Ennis, MBA, FACHE, Director, UPMC Strategic Planning, Corporate Secretary, UPMC Hamot Craig Ulmer, CEO, Community Health Net Michael Batchelor, President, Erie Community Foundation David Sanner, MA, Executive Director, Erie County Office of Drug & Alcohol Abuse Mandy Fauble, PhD, LCSW, Executive Director, Safe Harbor Behavioral Health at UPMC Hamot Emily Francis, Community Impact Manager, United Way of Erie County Patricia Stubber, PhD, MBA, Focus Group Facilitator Valerie Bukowski, MS, Epidemiologist & Assessment Coordinator, Erie County Department of Health Community Health Needs Assessment Funders Corry Memorial Hospital – LECOM Health Millcreek Community Hospital – LECOM Health Saint Vincent Hospital Allegheny Health Network UPMC Hamot Erie Community Foundation Erie County Department of Health Erie County Community Health Needs Assessment, 2018 2 Table of Contents Acknowledgements ......................................................................................................................... 2 Table of Contents ............................................................................................................................ 3 Introduction .................................................................................................................................. 10 Overview and Methodology ......................................................................................................... 11 Executive Committee ............................................................................................................. 12 Community Themes and Strengths: Qualitative Data – Focus Groups ................................. 13 Health Status Assessment: Quantitative Data ...................................................................... 16 Forces of Change ................................................................................................................... 16 Local Public Health System Assessment: Assets and Resources .......................................... 18 Prioritization .......................................................................................................................... 19 Public Comment .................................................................................................................... 20 Key Findings .................................................................................................................................. 21 Demographics ............................................................................................................................... 29 Erie County and Its Municipalities ......................................................................................... 29 Population by Age and Sex .................................................................................................... 32 Population by Race and Hispanic Origin ................................................................................ 32 Native and Foreign-Born Residents, 2012-2016 ................................................................... 34 Household Characteristics, 2012-2016 .................................................................................. 34 Income, 2012-2016 ................................................................................................................ 35 Poverty, 2012-2016 ............................................................................................................... 35 Education, 2012-2016 ............................................................................................................ 38 Sources................................................................................................................................... 38 Maternal, Infant, and Child Health ............................................................................................... 39 Erie County Resident Live Births ............................................................................................ 39 Erie County Municipality Births ............................................................................................. 39 Births to Teens ....................................................................................................................... 41 Erie County Community Health Needs Assessment, 2018 3 Selected Summary Statistics .................................................................................................. 42 Low Birth Weight Infants ....................................................................................................... 43 Marital Status of Mother ....................................................................................................... 43 Preterm Births ....................................................................................................................... 44 Cesarean Section Deliveries .................................................................................................. 44 Smoking During Pregnancy .................................................................................................... 45 Sources................................................................................................................................... 45 Mortality, Cancer, and Injury ........................................................................................................ 46 Erie County Resident Deaths ................................................................................................. 46 Erie County Municipality Deaths ........................................................................................... 46 Leading Causes of Death ....................................................................................................... 48 Trends in Erie County Age-Adjusted Death Rates for Selected Leading Causes ................... 51 Cancer Mortality .................................................................................................................... 54 Trends in Erie County Age-Adjusted Death Rates for Selected Cancer Sites ........................ 59 Cancer Incidence ................................................................................................................... 61 Trends in Erie County Age-Adjusted Incidence Rates for Selected Cancer Sites .................. 66 Injury Deaths and Hospitalizations ........................................................................................ 68 Sources................................................................................................................................... 69 Infectious Diseases ........................................................................................................................ 70 Chlamydia .............................................................................................................................. 70 Gonorrhea .............................................................................................................................. 72 Syphilis ................................................................................................................................... 73 Hepatitis A ............................................................................................................................. 75 Hepatitis B.............................................................................................................................. 75 Hepatitis C .............................................................................................................................. 75 HIV Surveillance ..................................................................................................................... 76 Influenza ................................................................................................................................ 79 Lyme Disease ......................................................................................................................... 81 Measles .................................................................................................................................. 82 Erie County Community Health Needs Assessment, 2018 4 Mumps ................................................................................................................................... 82 Pertussis (Whooping Cough) ................................................................................................. 82 Respiratory Syncytial Virus ...................................................................................................