Erie County Community Health Needs Assessment 2015 Erie County, Pennsylvania Erie County Department of Health ecdh.org Erie County Community Health Needs Assessment © 2015 Erie County Department of Health Authors Valerie Bukowski, MS Jeff Quirk, PhD Erie County Department of Health Focus Groups Facilitator Patricia Stubber, PhD, MBA Executive Director, Northwest Pennsylvania Area Health Education Center Additional Contributors Jennifer Hammons, PharmD Amruth Krishnamurthy, PharmD Christopher Magno, PhD Christopher Smith, PharmD Ashley Thomas, PharmD 1 Erie County Health Needs Assessment, 2015 Acknowledgements Community Health Needs Assessment Project Coordinator Valerie Bukowski, MS, Epidemiologist, Erie County Department of Health Community Health Needs Assessment Steering Committee Melissa Lyon, MPH, Director, Erie County Department of Health Terry DeLellis, RN, Director of Nursing, Corry Memorial Hospital John Bergquist, Controller, Millcreek Community Hospital James Amsterdam, MD, Chief Medical Officer, Saint Vincent Hospital Carol Morehouse, SSJ, Senior Vice President of Mission Integration Carrie Ennis, FACHE, Director, Strategic Planning, UPMC Hamot Marlia Coates, Director, Operations and Community Services, Community Health Net Michelle Robertson, Program Manager, Erie Community Foundation John DiMattio, Director, Erie County Department of Human Services David Sanner, Executive Director, Erie County Office of Drug & Alcohol Abuse Jeanette Redenius Natalie, LSW, Early Intervention Coordinator, Erie County Office of Mental Health and Intellectual Disabilities Patricia Stubber, PhD, MBA, Executive Director, Northwest Pennsylvania Area Health Education Center Del Birch, Vice President, Community Building, United Way of Erie County Valerie Bukowski, MS, Epidemiologist & Assessment Coordinator, Erie County Department of Health Community Health Needs Assessment Funders Erie County Department of Health Corry Memorial Hospital Millcreek Community Hospital Saint Vincent Health System UPMC Hamot Highmark Blue Cross Blue Shield 2 Erie County Health Needs Assessment, 2015 Table of Contents Acknowledgements ......................................................................................................................... 2 Table of Contents ............................................................................................................................ 3 Introduction .................................................................................................................................. 10 Overview and Methodology ......................................................................................................... 11 Steering Committee ............................................................................................................... 12 Community Themes and Strengths: Qualitative Data – Advisory Committee ..................... 13 Community Themes and Strengths: Qualitative Data – Focus Groups ................................ 16 Health Status Assessment: Quantitative Data ...................................................................... 18 Forces of Change ................................................................................................................... 19 Local Public Health System Assessment: Assets and Resources .......................................... 21 Prioritization .......................................................................................................................... 22 Demographics ............................................................................................................................... 25 Erie County and Its Municipalities ......................................................................................... 25 Population by Age and Sex .................................................................................................... 28 Population by Race and Hispanic Origin ................................................................................ 30 Native and Foreign-Born Residents ....................................................................................... 31 Household Characteristics ..................................................................................................... 31 Employment and Occupations .............................................................................................. 32 Income ................................................................................................................................... 32 Poverty ................................................................................................................................... 33 Education ............................................................................................................................... 34 Sources................................................................................................................................... 35 Maternal, Infant, and Child Health ............................................................................................... 36 Erie County Resident Live Births ............................................................................................ 36 Births to Teens ....................................................................................................................... 37 Infant Mortality ..................................................................................................................... 38 3 Erie County Health Needs Assessment, 2015 Selected Summary Statistics .................................................................................................. 39 Low Birth Weight Infants ....................................................................................................... 40 Prenatal Care ......................................................................................................................... 40 Marital Status of Mother ....................................................................................................... 40 Cesarean Section Deliveries .................................................................................................. 40 Smoking During Pregnancy .................................................................................................... 42 Sources................................................................................................................................... 42 Mortality, Cancer, and Injury ........................................................................................................ 43 Erie County Resident Deaths ................................................................................................. 43 Leading Causes of Death ....................................................................................................... 44 Cancer Mortality .................................................................................................................... 47 Cancer Incidence ................................................................................................................... 49 Injury Hospitalizations ........................................................................................................... 51 Sources................................................................................................................................... 52 Infectious Diseases ........................................................................................................................ 53 Campylobacteriosis................................................................................................................ 53 Chlamydia .............................................................................................................................. 53 Giardiasis ............................................................................................................................... 55 Gonorrhea .............................................................................................................................. 55 Haemophilus Influenza .......................................................................................................... 57 Hepatitis A ............................................................................................................................. 57 Hepatitis B.............................................................................................................................. 57 Hepatitis C .............................................................................................................................. 58 HIV Surveillance ..................................................................................................................... 58 Influenza ................................................................................................................................ 61 Listeriosis ............................................................................................................................... 62 Lyme Disease ......................................................................................................................... 62 Measles .................................................................................................................................. 63 Meningitis .............................................................................................................................. 63 4 Erie County Health Needs Assessment, 2015