Healthy Chicago Lawn
Community Assessments – Part 1
September 21, 2004
Healthy Chicago Lawn
Community Assessments – Part 1
1. Community Health Status
•
Statistics
2. Health Behaviors
•
BRFSS survey
3. Forces and Trends
Healthy Chicago Lawn
Community Assessments – Part 2
At the next meeting we will present:
1. Community Perceptions
•
Focus groups
•
Key Informant Interviews
2. CLAM
3. Resource Inventory
Indicators
1.
2.
3.
4.
Demographics
Health Care
Disease related
Maternal and Child
Health
5. Education
6. Crime
7. Behaviors (in BRFSS
presentation by Bill
Baldyga)
1. Demographics
•
•
•
•
•
•
•
•
Age
Race/ethnicity
Employment
Household information
Educational attainment
Income
Housing
Languages
Age
20%
18%
16%
14%
12%
10%
8%
6%
4%
2%
0%
Chicago Lawn
Chicago
<5
5 - 9 years
10 -14 years
15 - 19 years
20 - 24 years
25 - 34 years
35 - 44 years
45 - 54 years
55 - 59 years
60 - 64 years
65 - 74 years
75 - 84 years
85+ years
Age: less than 18 years
40%
35%
30%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
25%
20%
15%
10%
5%
0%
less than 18 years
Race/Ethnicity
Trends: 1990 - 2000
60%
52.5%
50%
43.4%
Non-Hispanic White
40%
30%
35.10%
28.4%
26.2%
23.6%
African American
20%
Hispanic
10%
0%
1990
2000
Foreign born population
• 21% born outside of United States
–
–
–
–
–
37% entered U.S. between 1990 and 2000
8.8% from Europe
6.8% from Asia
2% from Africa
82.3% from Latin America
Family Composition
Household Information Chicago Lawn
Chicago
Female householder,
no husband present
29.8%
18.9%
Female householder,
no husband present,
with children < 18
38.3%
28.9%
Grandparents living in
household 1 or more
grandchildren < 18
years and responsible
for grandchildren
38%
40.8%
Employment:
Unemployment rate
24.50%
25%
20%
15.7%
15%
10.6%
10%
7.30%
7.1%
5%
0%
Unemployment rate
8.80% 10.10%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Employment:
Occupations
35%
Management,
professional and related
30%
Service
25%
Sales and office
20%
Farming, fishing and
forestry
15%
10%
Construction, extraction
and maintenance
5%
0%
Chicago Lawn
Chicago
Production,
transportation, and
material moving
Educational Attainment
< 9th grade
30%
9th - 12th
25%
15%
High school grad or
GED
Some college
10%
Associate's
5%
Bachelor's
20%
0%
Chicago Lawn
Chicago
Graduate or
professional
Educational Attainment:
High school graduate or higher
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Educational Attainment:
Bachelor’s degree or higher
30%
25.5%
25%
19%
20%
15%
10%
11.4%
9.4%
9.1%
5.8%
5%
0%
4.8%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Income:
Median Household Income
$60,000
$50,000
$40,000
$35,970
$38,625
$30,000
$20,000
$10,000
$0
Median Household Income
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Poverty rates
Community area
Individual poverty rate
Chicago Lawn
19.8%
West Lawn
7.4%
West Elsdon
6.9%
Gage Park
19%
West Englewood
32.1%
Ashburn
6.9%
Chicago
19.6%
Poverty Rates: Female householder, no
husband present, w/children < 18 years
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Housing:
Vacancy rates
Community Area
Vacancy Rate
Chicago Lawn
7.7%
West Lawn
3.3%
West Elsdon
3.9%
Gage Park
5%
West Englewood
12%
Ashburn
2.5%
Chicago
7.9%
Housing: Overcrowding
30%
25%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
20%
15%
10%
5%
0%
Overcrowded housing units
Housing:
Home Ownership
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Home Ownership
Language:
Primary language spoken at home in
Chicago Lawn
• English: 61.8%
• Spanish: 32.6%
• Other Indo-European language: 3.1%
• Asian and Pacific Island: 1%
Language:
English proficiency
• Of those speaking Spanish, 54% report speaking English
less than very well
• Of those speaking another Indo-European language, 47%
report speaking English less than very well
• Of those speaking an Asian or Pacific Islander language,
38% report speaking English less than very well
2. Health Care
• Childcare
• Payer Mix for Hospital Discharges
• Physician Supply and Demand
Childcare
Type of Care
Total Center Care
Child Care Center
Before/After School Only
Head Start/Early Head Start Only
ISBE Pre-K Only
Park/Recreation Only
School Age Program
Family Child Care
Known License-Exempt Family Child Care
(paid by child care assistance program)
Total
Demand for Childcare
Number of
Providers
16
8
1
1
1
3
2
95
Capacity
1,430
494
300
51
68
425
92
715
698
809
3,575
9,072
Act for Children estimates demand for childcare in Chicago Lawn is 9,072 slots
(about 5,500 less than exists). This is a rough estimate based on 2000 census data
showing 16,218 children ages 0 to 12, estimating that 9,072 live in families where all
parents present in the household work. Not all working parents seek child care outside
of the family, and families with a non-working parent may also seek care.
Payer Mix for 2001 (calendar year)
Discharges Originating from 60629
Zip Code
Discharges
Percent of Total
FEE-FOR-SERVICE
4707
31%
HMO
1047
7%
MEDICAID
4643
31%
MEDICARE
3224
22%
1
<1%
OTHER
440
3%
SELF-PAY
908
6%
14970
100%
MEDICARE RISK
TOTAL
2003 Physician Supply and Demand
Primary Care
General and Family Practice:
Supply
60629
60636
60652
Demand
14
25
2
11
3
9
Obstetrics and Gynecology:
Supply
60629
60636
60652
Demand
4
10
0
4
0
4
Internal Medicine:
Supply
60629
60636
60652
Demand
23
13
2
6
4
5
Pediatrics:
Supply
60629
60636
60652
Demand
6
17
3
7
4
5
Primary care (the above 4 specialties) for all 3 zip codes:
Total Supply = 65, Total demand= 116
2003 Physician Supply and Demand
Specialty Care
Cardiology:
General Surgery:
Supply
60629
60636
60652
Demand
5
0
0
Supply
3
2
1
Neurology:
Psychiatry:
Supply
60629
60636
60652
60629
60636
60652
Demand
0
4
0
2
0
2
Demand
1
0
0
Supply
1
0
0
60629
60636
60652
Demand
1
5
1
2
0
2
Specialty care (including, but not limited to, the above 4
specialties) for all 3 zip codes:
Total Supply = 38, Total Demand = 89
3. Disease related
• Mortality rates
• Asthma, diabetes, and cardiovascular
disease prevalence
• Mental illness rates
• Sexually transmitted infection rates
Mortality Rates, 2001
per 100,000
600
500
Heart disease
Cancer
400
Stroke
Unintentional injuries
Diabetes
300
Chronic lower respiratory disease
Septicemia
200
Homicide
Influenza and Pneumonia
100
30.9
Nephritis
22.1
0
Chicago Lawn
Chicago
HIV
Mortality rates:
Homicide by community area
60
55.2
50
40
30
30.9
22.1
20
10
0
Homicide rate
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
Asthma ACSC hospitalizations
per 10,000
Hospitalizations
Chicago
Lawn
Chicago
Adult asthma
hospitalizations
13/10,000
19.6/10,000
Pediatric asthma
hospitalizations
9.9/10,000
9.1/10,000
Diabetes ACSC hospitalizations,
per 10,000
Hospitalization Chicago Lawn
Chicago
Due to diabetes longterm complications
7.5
9.9
Due to diabetes shortterm complications
3.1
4.9
Due to uncontrolled
diabetes
2.6
5.4
Due to lower-extremity 2
amputation among
diabetics
2.9
Cardiovascular disease ACSC hospitalizations
per 10,000
Hospitalization
Chicago Lawn
Chicago
Due to heart disease
120
146
Due to chest pain
29.3
39.7
Due to stroke
26.7
34.8
Due to congestive heart 34
failure
51.3
Due to angina without
procedure
4.9
2.9
Hospitalizations due to Mental Illness
per 10,000
Hospitalization Chicago Lawn
Chicago
Due to mental
disorders, non
drug/alcohol related
121.3
77.7
Due to mental
35.7
disorders, drug/alcohol
related
59.2
Rates of STIs
per 100,000
500
450
400
350
300
250
200
150
100
50
0
491
456 459
402
Syphilis
Gonorrhea
Chlamydia
AIDS
2
20
Chicago Lawn
27
10
Chicago
4. Maternal and Child Health
•
•
•
•
•
•
•
Births
Infant Mortality
Low birthweight
No prenatal care
Teen births
Maternal smoking
Elevated blood lead levels
Maternal and Child Health:
Birth rate, per 1,000
90
85.6
85.1
88.7
80
72.5
70
60
50
Chicago Lawn
Chicago
40
30
20
10
0
1989
2000
Maternal and Child Health:
Infant Mortality rate, per 1,000
18
17
17
16
14
12
11.6
11.2
10
Chicago Lawn
Chicago
8
6
4
2
0
1989
2000
Maternal and Child Health:
Low birthweight
12%
10.8%
9.7%
10%
8%
11.2%
7.7%
Chicago Lawn
Chicago
6%
4%
2%
0%
1989
2000
Maternal and Child Health:
No prenatal care
6%
5.2%
5%
4%
3.6%
2.8%
3%
2.2%
2%
1%
0%
1989
2000
Chicago Lawn
Chicago
Maternal and Child Health:
Teen births
25%
20%
19.6%
20.5%
17.6%
16.0%
15%
Chicago Lawn
Chicago
10%
5%
0%
1989
2000
Maternal and Child Health:
Maternal Smoking
16%
14.9%
15.6%
14%
12%
10%
7.9% 7.8%
8%
6%
4%
2%
0%
1989
2000
Chicago Lawn
Chicago
Maternal and Child Health:
Elevated lead levels in children 6 and under
25%
20%
Chicago Lawn
West Lawn
West Elsdon
Gage Park
West Englewood
Ashburn
Chicago
15%
10%
5%
0%
2002 elevated blood lead levels
5. Education
• Elementary and Middle Schools
• High Schools
Elementary and Middle Schools
•Accountability Rating: Anderson and Fairfield designated as
Probation, McKay and Morrill as Challenge, Eberhart as Merit and
Marquette as Opportunity
•None meet the Adequate Yearly Progress Rating
•All area elementary schools are overcrowded
% ISAT
80
60
% 40
20
0
63.9
46.9
21.3
21.8
36
27.7
29.3
41.8
% ISAT
is
no
Il li
..
C.
of
ty
Ci
L
IL
RR
O
M
AY
CK
M
..
U.
Q
AR
M
D
EL
FI
IR
FA
RT
HA
ER
EB
N
SO
ER
D
AN
Elementary and Middle Schools
Attendance
120
93.7
91.2
93.4
93.5
94
92.2
Chronic
Truancy
29.1
24.5
16.4
1.9
3.2
Mobility
Rate
Ci
ty
Illi
no
is
of
Ch
ic
ag
o
0.6
M
O
RR
IL
L
Y
2.4
RQ
UE
TT
E
IR
FI
EL
D
2
30.2
12
27.7
M
A
A
31.4
20.6
1.2
M
CK
A
38.3
16.1
ND
ER
SO
N
EB
ER
HA
RT
Limited English Proficiency
35.1
14.5
6.3
Y
0
Illi
no
is
1.7
M
O
RR
Ci
IL
ty
L
of
Ch
ic
ag
o
A
22.9
21.6
16.8
ND
ER
SO
N
EB
ER
HA
RT
FA
IR
FI
EL
M
D
A
RQ
UE
TT
E
40
35
30
25
% 20
15
10
5
0
M
CK
A
20
0
96
85
FA
100
80
%
60
40
Daily
Attendance
Rate
Limited
English
Proficiency
Area High Schools
•Accountability Ratings: Gage Park and Harper designated as
Probation, Bogan as Challenge, Hubbard and Lindblom as Merit
•None meet the Adequate Yearly Progress Rating
•Only 2 meet the Progress Rating
60
50
40
% 30
20
10
0
% of Students that Meet or Exceed State Standards on
Prairie State Achievement Exam (PSAE)
55.2
40.7
31
30.1
21.4
9.6
7
% PSAE
BO
GA
GA
GE
N
Ci
Illin
HA
HU
LIN
ty
ois
BB
DB
RP
of
A
E
L
Ch
PA
R
OM
RD
ica
RK
go
Area High Schools
100
90.7
90
94
92.2
91
84.5
78.9
80
dropout rate
2002-2003
70
daily
Attendance
Rate
60
50
38.1
35
40
27.1
30
20
Chronic
Truancy
24.5
17.4
14.8
9.4
6.5
10
10.3
16.4
13.9
8.7
7.55.4
1.1
3.2
4.9
1.9
0
GAGE PARK
HARPER
HUBBARD
LINDBLOM
City of Chicago
Illinois
Mobility Rate
6. Crime
• Index crimes include:
–
–
–
–
–
–
–
–
Murder
Criminal sexual assault
Robbery
Aggravated assault/battery
Burglary
Theft
Motor Vehicle Theft
Arson
Chicago Lawn Index Crimes, 2002
• 4226 crimes total
–
–
–
–
–
–
–
–
0.26% murder
1% criminal sexual assault
12.3% robbery
14.1% aggravated assault/battery
16.5% burglary
34.7% theft
20.5% motor vehicle theft
0.5% arson
Index crime comparison
Chicago Lawn
4,226 crimes, 61,412 pop
68.8/1000 population
West Lawn
2,071 crimes, 29,235 pop
70.8/1000 population
West Elsdon
793 crimes, 15,921 pop
49.8/1000 population
Gage Park
1,942 crimes, 39,193 pop
49.5/1000 population
West Englewood
4,335 crimes, 45,282
95.7/1000 population
Ashburn
1,729 crimes, 39,584 pop
43.7/1000 population
Hate crimes
• 2002: 8 hate crimes
– 3 race, 4 national origin, 1 sexual orientation
• 2001: 25 hate crimes (highest in City)
– 7 race, 2 religion, 15 national origin, 1 sexual
orientation
• 2000: 29 hate crimes (highest in City)
– 17 race, 2 religion, 6 national origin, 3 sexual
orientation, 1 gender/disability
Domestic Violence
• 60629 zip code
–
–
–
–
–
216 calls to City hotline
94% female callers
41% Black, 11% White, 42% Hispanic
83% conducted in English, 16.2% in Spanish
Services requested:
•
•
•
•
36% shelter
25% counseling
28% legal
6% information