1 Veronica Vanderstoep Term Assignment 1 - Demographics September 25, 2014 PH-320 Introduction Santa Cruz County is located on the Central Coast of California and is on the Monterey Bay. It has a land area of 445.17 square miles and has a very temperate Mediterranean climate which has a winter rainfall and mostly dry and comfortable summers. Santa Cruz is located next to the Santa Cruz Mountains that have coastal redwood forests and many miles of hiking and biking trails. Due to this fact as well as its location on the coast, Santa Cruz is a very health conscious community and there are many beautiful, outdoor recreational areas to exercise in and enjoy. Santa Cruz County has a very large farming and agricultural community and grows a large amount of the countrys vegetables and berries which also contributes to the awareness on health. The main focus of this report will be the issue of obesity in Santa Cruz County. According to the County Health Services Agency’s executive summary report (2013) the adult obesity rate is one of the lowest in the country. However, there is a large discrepancy between the white population and the Hispanic population in this county with regards to obesity which will be discussed later in part two of this report. Population According to the most recent US Census in 2010, Santa Cruz County is considered highly populated with 589.4 people per square mile compared with the average for the state which is 239.1 people per square mile (U.S. Census, 2010). More statistics by the census are that the total 2 population of the county is 262,382 which is .7% of the total population for California. The County Health Report for 2012 (Santa Cruz County Health Services Agency, 2014) reported that gender is very evenly split in this county with 49.9% men and 50.1% women. They cited the US Census 2010 as the source for their statistics. The report also mentioned that the high number of residents between the ages of 15 to 24 may be because Santa Cruz is a college town and has both a public university, University of California Santa Cruz as well as a community college, namely Cabrillo College, so there are many student residents. The high cost of living and the low job rates may account for lower statistics for adults over age 25 as compared to the state levels. There is a high rate of white people in the county compared to the other races and compared to California where there are more Hispanics than any other race. The table below shows the breakdown in race and ethnicity. There are 57.9% white, 32% Hispanic, 4.3% Asian/Pacific Islander 1.1% black and 4.7% multi-racial or other races. 1.1 Race and Ethnicity - SantaCruz County (2010) 4.3 4.7 White Hispanic Asian/Pacific Islander 32 57.9 Black Other or Multiracial Source : Santa Cruz County Health 3 Employment and Economics The US Census also gives statistics on Santa Cruz’s general education level. It reveals that Santa Cruz’ rate is higher than the state’s level of residents for those who have completed high school 84.9% versus 81%. Thirty seven percent of residents in the county have bachelor’s degrees whereas the percentage for the state is 30.5%. The average income between 2008 and 2012 was $66,571 a little higher than the state’s average of $61,400. The median price of a home owned by the occupant is $576,500, once again higher than average in California at $383,900. The average family size per household is 2.71 people versus 2.93 in California. The rate for people living below the poverty level between the years of 2008 and 2012 in Santa Cruz County was 14.4% compared to a rate of 15.3% for the state. According to State of California Employment Development Department (EDD, 2014) some of the major employers in the county are listed below and are from a list that was extracted from the America's Labor Market Information System (ALMIS) Employer Database, 2014 2nd Edition. Some of those employers are: Watsonville Community Hospital and Dominican Hospital, Santa Cruz Beach Boardwalk, Plantronics, University of California Santa Cruz, Creekside Farms, West Marine, Granite Construction. Health Information The major health service providers in Santa Cruz County are: Watsonville Community Hospital, Dominican Hospital, Sutter Maternity and Surgery Center and Palo Alto Medical Foundation. According to the Santa Cruz County Health Report, the ratio of primary care physicians per resident in the county is 90.8 per 100,000 residents. 4 The Santa Cruz County’s Health Status Profile for 2014 indicates that compared to the state averages, Santa Cruz county is below the state average in mortality in most categories except for liver disease (+10.5%), unintentional injuries(+19.5%), suicide(+32.2%) and drug related deaths(+74.2%). Again, the report indicates that the county is lower than the state average in infant mortality and natality over all (lower birth weight and insufficient prenatal care) and higher in breastfeeding by 6.5%. In terms of the number of children living in poverty the county is 5% lower than the state average. A State of California ranking by county report that is created by the University of Wisconsin School of Medicine and Public Health, (2014) ranked Santa Cruz County as 11th out of 57 counties in the state for health behaviors. Health behaviors were categories such as physical inactivity, access to exercise opportunities, excessive drinking, sexually transmitted diseases, obesity rates in adults and smoking. Below is a graph showing additional rankings for quality of life (12th), health behaviors (11th), clinical care (6th) which covers amount of uninsured residents, numbers of primary care physicians, dentists and mental health providers for the county etc. The report also ranks social and economic factors (16th) such as education levels, unemployment, violent crime, injury deaths, inadequate social support etc. Santa Cruz is consistently in the top 1/3 in these rankings proving that it is definitely one of the better counties in the state to live. 5 Various Ranking for Santa Cruz County vs State of California Number of counties 60 50 40 30 20 10 0 Quality of life Health Behaviours Clinical care Area of investigation Social/Economic SC County All Counties (57) Source : www.countyhealthrankings.org Conclusion Overall, the County of Santa Cruz is a very good area to live in, especially for its scenic beauty, clean air, outdoor spaces and wonderful climate. There is no doubt that problems exist and need to be addressed such as the high rates of obesity and diabetes in the Hispanic community, the very high rate of mortality for drug induced deaths and suicides. Considering the average income versus the median house price that makes Santa Cruz a very expensive place to live, it is surprising to note that the population per square mile is so high. Obviously its many good qualities make it a very desirable place to live. 6 References California Department of Public Health (2014). County health status profiles 2014. Retrieved September 21, 2014, from http://www.cdph.ca.gov/programs/ohir/Pages/CHSPCountySheets.aspx Santa Cruz County Health Services Agency (2014). Health reports and statistics. Retrieved September 20, 2014, from http://www.santacruzhealth.org/resources/categories/3health_statistics_and_reporting.ht m State of California Employment Development Department. (2014). Major employers in California. Retrieved September 19, 2014, from http://www.labormarketinfo.edd.ca.gov/majorer/countymajorer.asp?CountyCode=000087 United States Census Bureau. (July 8, 2014). Santa Cruz county quick facts from the US Census Bureau. Retrieved September 18, 2014, from http://quickfacts.census.gov/qfd/states/06/06087.html University of Wisconsin Population Health Institute (2014). County health rankings and roadmaps. Retrieved September 20, 2014, from http://www.countyhealthrankings.org/app/california/2014/overview