USC Norris Cancer Hospital Community Health Needs Assessment 2019 Table of Contents Executive Summary ........................................................................................................ 5 Report Adoption, Availability and Comments ........................................................ 6 Introduction ..................................................................................................................... 7 Background and Purpose ...................................................................................... 7 Service Area .......................................................................................................... 8 Collaborative Process............................................................................................ 8 Project Oversight ................................................................................................... 9 Consultant ............................................................................................................. 9 Data Collection Methodology ........................................................................................ 10 Secondary Data Collection .................................................................................. 10 Primary Data Collection ....................................................................................... 10 Public Comment .................................................................................................. 13 Identification and Prioritization of Significant Health Needs .......................................... 14 Review of Primary and Secondary Data .............................................................. 14 Priority Health Needs........................................................................................... 14 Resources to Address Significant Health Needs ................................................. 15 Review of Progress ............................................................................................. 15 Demographic Profile ...................................................................................................... 16 Population ........................................................................................................... 16 Race/Ethnicity ..................................................................................................... 16 Citizenship ........................................................................................................... 16 Language ............................................................................................................ 17 Linguistic Isolation ............................................................................................... 17 Family Size .......................................................................................................... 17 Veteran Status ..................................................................................................... 17 Social Determinants of Health ....................................................................................... 18 Social and Economic Factors Ranking ................................................................ 18 Poverty ................................................................................................................ 18 Children in Poverty .............................................................................................. 18 Seniors in Poverty ............................................................................................... 19 USC Norris Cancer Hospital Page 1 Seniors Living Alone ............................................................................................ 19 People with a Disability Living in Poverty ............................................................ 19 Public Program Participation ............................................................................... 19 Food Environment Index ..................................................................................... 20 Free and Reduced Price Meals ........................................................................... 20 Unemployment .................................................................................................... 20 Median Household Income .................................................................................. 20 Housing Units ...................................................................................................... 21 Housing Affordability............................................................................................ 21 Housing Supply ................................................................................................... 21 Homelessness ..................................................................................................... 21 Community Input – Housing and Homelessness ................................................. 22 Education ............................................................................................................ 24 Student Performance K-12 .................................................................................. 24 Transportation ..................................................................................................... 25 Crime and Violence ............................................................................................. 25 Substantiated Child Abuse Rate .......................................................................... 26 Access to Health Care ................................................................................................... 27 Health Insurance Coverage ................................................................................. 27 Sources of Care .................................................................................................. 28 Difficulties Accessing Care .................................................................................. 29 Lack of Care Due to Cost .................................................................................... 29 Delayed Care ...................................................................................................... 30 Community Input – Access to Health Care .......................................................... 30 Dental Care ......................................................................................................... 31 Leading Causes of Death .............................................................................................. 33 Deaths due to Motor Vehicle and Traffic Collisions ............................................. 33 Alcohol-Impaired Driving Deaths ......................................................................... 34 Death or Injury Resulting From Bicycle-Involved Collisions ................................. 34 Cancer Incidence and Mortality ..................................................................................... 35 Incidence ............................................................................................................. 35 USC Norris Cancer Hospital Page 2 Leading Causes of Cancer Death ....................................................................... 36 Cancer Deaths .................................................................................................... 37 Community Input – Cancer .................................................................................. 40 Disease and Disability ................................................................................................... 42 Health Status ....................................................................................................... 42 Diabetes .............................................................................................................. 42 Heart Disease ...................................................................................................... 43 High Blood Pressure............................................................................................ 43 Asthma ................................................................................................................ 43 Community Input – Chronic Diseases ................................................................. 44 Infectious Diseases ............................................................................................. 44 Tuberculosis ........................................................................................................ 44 HIV/AIDS ............................................................................................................. 44 Sexually Transmitted Infections ........................................................................... 45 Community Input – Sexually Transmitted Infections ............................................ 45 Emergency Room Rates due to Infectious Diseases .......................................... 46 Hospitalization Rates by Diagnoses .................................................................... 46 Disability .............................................................................................................. 46 Seniors with a Disability ....................................................................................... 46 Health Behaviors ........................................................................................................... 48 Overweight and Obesity .....................................................................................