Community Health Needs Assessment 2019 Table of Contents Executive Summary ................................................................................................................................................ 3 Report Adoption, Availability and Comments ................................................................................................. 5 Introduction ........................................................................................................................................................... 6 MemorialCare ............................................................................................................................................... 6 Long Beach Medical Center ........................................................................................................................... 6 Purpose ......................................................................................................................................................... 6 Service Area .................................................................................................................................................. 7 Collaborative Process .................................................................................................................................... 8 Consultants ................................................................................................................................................... 8 Methodology.......................................................................................................................................................... 9 Data Collection .............................................................................................................................................. 9 Secondary Data Sources and Analysis ............................................................................................................ 9 Zip Codes and Zip Code Tabulation Areas ....................................................................................................... 9 Disparities Analysis ........................................................................................................................................ 9 Data Considerations .................................................................................................................................... 10 Primary Data Methods and Analysis ............................................................................................................ 10 Focus Groups ............................................................................................................................................... 10 Key Informant Interviews ............................................................................................................................. 12 Public Comment .......................................................................................................................................... 13 Identification and Prioritization of Significant Health Needs .................................................................................. 14 Significant Health Needs .............................................................................................................................. 14 Prioritization Process ................................................................................................................................... 14 Data Synthesis ............................................................................................................................................. 16 Resources to Address Significant Health Needs ............................................................................................ 17 Review of Progress ...................................................................................................................................... 17 Demographics ...................................................................................................................................................... 18 Population................................................................................................................................................... 18 Age ............................................................................................................................................................. 18 Race/Ethnicity ............................................................................................................................................. 19 Language .................................................................................................................................................... 20 Disability Status........................................................................................................................................... 21 Social Determinants of Health .............................................................................................................................. 23 Life Expectancy ............................................................................................................................................ 23 SocioNeeds Index®....................................................................................................................................... 24 Income and Poverty ..................................................................................................................................... 26 Housing ....................................................................................................................................................... 32 Homelessness .............................................................................................................................................. 33 Education .................................................................................................................................................... 36 Public Safety................................................................................................................................................ 37 Environmental Pollution .............................................................................................................................. 40 Access to Health Care ........................................................................................................................................... 42 Health Insurance Coverage .......................................................................................................................... 42 Regular Source of Care ................................................................................................................................ 43 Delayed or Forgone Care ............................................................................................................................. 44 1 Long Beach Medical Center — CHNA Oral Health/Dental Care ....................................................................................................................................... 47 Acute and Chronic Diseases .................................................................................................................................. 51 Heart Disease .............................................................................................................................................. 51 Diabetes ...................................................................................................................................................... 52 Asthma ....................................................................................................................................................... 53 Cancer ......................................................................................................................................................... 54 Sexually Transmitted Infections ................................................................................................................... 57 HIV .............................................................................................................................................................. 59 Exercise, Nutrition and Weight ............................................................................................................................. 62 Overweight and Obesity .............................................................................................................................. 62 Exercise and Nutrition ................................................................................................................................. 63 Mental Health and Mental Disorders .................................................................................................................... 66 Suicide ........................................................................................................................................................ 67 Leading Causes of Death ....................................................................................................................................... 70 Age-Adjusted Mortality Rates ...................................................................................................................... 70 Leading Causes of Death and Premature Death ........................................................................................... 70 Pregnancy and Birth Outcomes ............................................................................................................................