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Public Health Department
Public Health Department
Quality of Life Index 2011
Pasadena Public Health Department
Eric Walsh MD MPH
Director/Health Officer
The Rose That Grew From Concrete
Public Health Department
Did you hear about the rose that grew from a
crack in the concrete?
Proving nature's law is wrong it learned to walk
with out having feet.
Funny it seems, but by keeping it's dreams, it
learned to breathe fresh air.
Long live the rose that grew from concrete
when no one else ever cared.
Tupac Shakur
Disparities Gradient
Public Health Department
Disparities Gradient
Public Health Department
Equity DC’d
With each mile you
travel, life
expectancy increases
about a year and a
half.
Disparities Gradient
Public Health Department
Equity DC’d
The average
suburbanite near the
Shady Grove station
will live 20 years
longer than the
typical city dweller
around Capitol
Heights.
Health Disparities
Public Health Department
• Health disparities
are the inequities
in social,
economic, and
environmental
conditions that
increase risk of
illness and injury,
and reduce
opportunities for
good health.
CDC Infant Mortality Data
Public Health Department
The short drive to inequity
Public Health Department
Dahlgren and Whitehead (1991)
What is needed
Public Health Department
According to Sir Michael Marmot
• Social participation
• Respect of others
• Individual Autonomy
• Access to a community
• Rewarding relationships
These are the things that are
missing along the geological
gradient
What is the Quality of Life Index?
Public Health Department
• The Quality of Life Index was first produced in 1992, with an
update of the data in 1998. Last completed in 2002.
• The audience for the Index is mainly professional, used most
often for grant writing, and, to a lesser extent, as an aid to
policy development.
• The index is a gauge to look at social determinants of health
in the local area.
• The index covers Pasadena (and Altadena as much as
possible).
10
Public Health Department
Living Wage
Estimated Household Income Levels
of Pasadena and Altadena Combined (2005)
Public Health Department
Number of Households
35000
27985
30000
25000
20000
14349
15000
10000
10276
9478
12429
5000
0
Less than
$15,000
$15,000 $34,999
$35,000 $49,999
$50,000 $74,999
$75,000 and
over
Income Levels
Source: United Way Zip Code Data Book
Living Wage
Public Health Department
• There is a wide range of income levels in Pasadena and Altadena.
– According to updated data, approximately 54% of households earned a
combined salary of more than $50,000.
– The Median household income 2005-2009 $62,242, compared to $60,392 (CA)
& 26,983 (Los Angeles County).
• Living wage status affects all members of a household.
– The National Health Interview Survey of 2009 reported that about 65% of
children in non-impoverished families were in excellent health, compared with
only 44% of children in poor families.
– Children in poor and near-poor families were more likely to be uninsured,
have unmet medical needs, and have delayed medical care.
– Approximately 55% of the students in the Pasadena Unified School District live
in households that are below the federal poverty guideline thresholds.
Unemployment Rates for 1990-2011
Public Health Department
1990
1995
2000
2003
2005
2008
2009
2010
2011
Pasadena
4.40%
6.10%
4.10%
5.30%
4.00%
5.40%
8.9%
9.9%^
8.8%*^
LA
County
5.80%
8.00%
5.40%
7.00%
5.30%
7.20%
11.6%
13%
11.5%*^
California
5.80%
7.90%
4.90%
6.80%
5.40%
7.20%
11.4%
12.5%
11.3%*
National
5.20%
5.60%
4.00%
6.00%
5.10%
5.80%
9.3%
9.8%
8.6%*
*Preliminary Data
^Not seasonally adjusted
Source: Employment Development Department & US Bureau of Labor & Statistics
14
Public Health Department
Housing Affordability
Housing Affordability: Average Housing Prices
in Pasadena and Altadena
Public Health Department
Aug-01
Aug-07
Aug-08
Jun-09
Jun-10
Altadena
$260,500
$640,000
$490,000
$492,500
$534,500
Pasadena
$324,500
$650,000
$585,000
$533,500
$536,500
L.A.
County
$251,508
$540,000
$440,000
$325,000
$335,000
Source: California Association of Realtors
16
Public Health Department
Homelessness
Homeless Adults by Ethnicity (2010)
Public Health Department
45%
37%
38%
36%
30%
2005
2006
2007
2010
24%
23%
20%
23%
23%
29%
25%
29%
15%
African American
American Indian
Asian/Pacific
Latino
White
7%
4%
1%
1%
2%
3%
3%
2%
0%
4%
5%
6%
6%
10%
2%
Percentage
30%
31%
35%
37%
40%
Other
Ethnicity
Source: Pasadena 2010 Homeless County Preliminary Report
18
Homelessness
Public Health Department
• The City of Pasadena, like many large cities, has a substantial
number of households that are at risk for homelessness.
• According to the U.S. Census Bureau, in 2000, there were
approximately 30,000 residents (nearly one of every four
residents) who were members of a household whose income
was $15,000 a year or less. Of these households,
approximately half (15,000 residents) were members of a
household whose income was less than $10,000.
• These data indicate that there is a continued need to ensure
programs like the Shelter Plus Care Program, the HOME
Investment Project, and Pasadena’s Mortgage Credit
Certificate (MCC) Program remain.
19
Public Health Department
Academic Achievement
in Public Education
PUSD Ethnic Diversity
Public Health Department
56%
56%
50%
55%
60%
55%
2005-2006
2006-2007
40%
2007-2008
5%
5%
3%
4%
21%
22%
17%
17%
10%
15%
20%
2008-2009
23%
25%
30%
16%
Ethnic Breakdown (%)
70%
0%
Hispanic
White
African
American
Asian,Pacific
Islander &
Filipino
English Language Learning Students (students for whom English is not
their first language) account for 21% of PUSD students, or a little more
than one in five students.
Source: California Department of Education
21
Average SAT I score of PUSD
Public Health Department
Verbal/
Math
2003-2004
Verbal/
Math
2004-2005
Verbal/
Math
2005-2006
Verbal/
Math/
Writing
2006-2007
Critical
Reading/
Math/Writing
2007-2008
Critical
Reading/
Math/Writing
2008-2009
PUSD
449/458
441/452
452/454
442/451/441
450/449/446
445/448/441
Los Angeles
473/499
478/503
475/495
492/474/453
472/490/475
474/488/475
California
496/519
499/521
495/516
513/491/494
494/513/493
495/513/494
Of the 1,120 graduates in 2009, 446 (39.8%) students met course requirements
for the University of California/California State University application process.
This is higher than both the County and State average, 32.6% and 33.9%,
respectively.
Source: California Department of Education
22
Public Health Department
Community Involvement
in Public Education
Pupil-Teacher Ratio for Local Jurisdictions
(2009-2010)
Public Health Department
Per-Pupil Expenditure (2009-2010)
Public Health Department
Public Education
Public Health Department
• The Pasadena Education Foundation (PEF) which in 2009-2010
raised more than $4.22 million from private and corporate donors
(and $6.9 million in governmental grants), with 2,520 donors in all.
• Pasadena LEARNs serves more than 3,000 students daily at 22
elementary, middle and high school campuses in PUSD.
Public Health Department
Civic Involvement
Voter Participation Rates for the November 2004, 2006,
2008, and 2010 General Elections
Public Health Department
85.35%
90.00%
Percentage of Votes Cast
80.00%
70.00%
60.00%
58.15%
48.47%
50.00%
40.27%
40.00%
30.00%
20.00%
10.00%
0.00%
2004
2006
2008
November General Elections by Year
2010
Census Participation Rates in Pasadena, 2010
Public Health Department
Public Health Department
Community Safety
Incidence of Crime in Pasadena
Public Health Department
3500
3023
3000
Number of Incidents
2500
2000
2002
2006
2009
1500
1000
609
500
271
5
21
311
77
23
0
Murder
Rape
Robbery
Assault
Burglary
Type of Crime
Car Theft
Arson
Theft
Source: Pasadena Police Department 31
Public Health Department
Air and Water Quality
Annual Number of Days that Pollutant Levels
Exceed the Government Standards in Pasadena* ^
Public Health Department
* There was unavailable/insufficient data for the PM2.5 levels for the City of Pasadena in 2010
Source: California Air Resources Board
33
Public Health Department
Access to Health Care
Hospital Use in Pasadena (Huntington
Emergency Department)
Public Health Department
62000
61052
61000
60000
60118
2007
2010
59411
58854
59000
Number of Visits
60165
58000
57043
57000
56000
55133
55000
54000
53000
52000
2002
2003
2004
2005
2006
Year
Source: MIS
35
Low Cost Clinic Use in Pasadena
Public Health Department
60000
49811
Number of Visits
50000
2003
40625
2005
40000
30000
20000
2007
29796
2009
17651 19100
2010
10253 9859 9841
10000
3713
4611
3746 3350
12739
10305
4898
0
CHAP Clinic
Bill Moore Clinic
Sources: MIS
Huntington Dispensary
36
Public Health Department
Maternal Health and Early
Development
Percent Distribution of Births by Race/Ethnicity by Jurisdiction
Public Health Department
^National Center For Health Statistics, Final Natality Data, Retrieved November 23, 2011, From Www.Marchofdimes.Com/Peristats.
March Of Dimes Breakdown Of Ethnicity. Average For Years 2006-2008
†,‡ Table 2-33. Live Births By Race/Ethnic Group1 Of Mother, California Counties And Selected City Health Departments, 2009 (By
Place Of Residence). Other Ethnicity Includes ‘2 Or More Race Groups’, ‘American Indian’, ‘Pacific Islander’, ‘Other’ and
‘Unknown’.
Infant Mortality Percent of Live Births
by Jurisdiction 2005-2007
Public Health Department
5%
Infant Mortality Rate (2005-2007)
5%
<1%*
California
Los Angeles County
*Total Pasadena births (2005-2007) is 6651. Total infant mortalities totaled 34.
Source: State of California, Department of Health Services, Birth Records 2005-2007
Pasadena Public Health
Pasadena
Public Health Department
Community Health Improvement
Physical Fitness Report for Grade 5
Public Health Department
Students Meeting State Standards
(%)
45%
40%
35%
31.5%
30%
27.4%
24.7%
25%
22.6%
20.6%
21.7%
24.9%
26.0%
26.6%
Pasadena
Unified
School
District
23.5%
19.0%
20%
16.0%
Los
Angeles
County
15%
10%
5%
0%
2001
2003
2005
Year
2007
2008
2009
Physical Fitness Report for Grade 9
Public Health Department
34.1%
Students Meeting State Standards
(%)
35%
32.5%
30%
25.8%
25%
20%
22.5%
19.6%
18.0%
14.0%
20.6%
17.9%
16.5%
16.0%
15%
Los
Angeles
County
13.1%
10%
5%
0%
2001
2003
2005
2007
Year
2008
Pasadena
Unified
School
District
2009
Percent of Students who have ever Used Alcohol,
Tobacco, or Drugs (Grade 5) (2009-2010)
Public Health Department
30%
27%
Percent of Students
25%
20%
15%
10%
5%
5%
3%
2%
2%
0%
Cigarettes
Smokeless
Tobacco
Alcohol
Substance Used
Inhalants
Marijuana
Source: California Healthy Kids Survey
43
Percent of Students who used Alcohol and Other
Drugs at least once in their life- 2009-2010
Public Health Department
Percent of Students
70%
61%
60%
50%
50%
36%
40%
39%
Grade 7
Grade 9
30%
25%
20%
Grade 11
20%
13%
11%
13%
10%
0%
Alcohol (Whole Drink)
Inhalants
Product Used
Source: California Healthy Kids Survey
Marijuana
44
Number of New and Cumulative Cases of
HIV/AIDS in Pasadena
Public Health Department
Cases of HIV/AIDS
900
800
700
725
708
695
672
786
748
New Cases
600
Cumulative
Cases
500
400
300
200
100
17
23
13
16
23
38
2002
2003
2004
2006
2007
2009
0
Year
45
Source: California Department of Public Health, Office of Aids
Ten Leading Causes of Death in California in 2008
Public Health Department
Cause of Death
California
Diseases of the Heart
158.8
Malignant Neoplasms
142.7
Cerebrovascular Disease
36.1
Chronic Lower Respiratory Disease
34.9
Accidents
27.9
Influenza/ Pneumonia
26.4
Diabetes
19.2
Alzheimer's Disease
17.2
Cirrhosis
10.8
Intentional Self-Harm
9.4
All Other Deaths
**
Total Deaths
612
LA County
166.5
134.7
32.9
30.4
21.3
21.3
22
21.8
11.4
8.1
112.2
582.5
Pasadena
254.3
175.4
38.7
44.4
18.3
23.2
14.1
34.5
14.8
12.7
124
754.4
46
Source: State of California and Los Angeles County Department of Health Services, Death Records
What are the next steps?
Public Health Department
If you have any questions or concerns, please contact Dr. Eric Walsh at
[email protected] or (626) 744-6166.
To receive an electronic copy, please email Erika Davies
([email protected]).
47
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