2016 Community Health Needs Assessment - Holy Name …
2016 Community Health Needs Assessment
Bergen County, New Jersey
Prepared for: The Community Health Improvement Partnership of Bergen County
Bergen County Department of Health Services Christian Healthcare Center/Ramapo Ridge Psychiatric Hospital Englewood Hospital and Medical Center Hackensack University Medical Center Hackensack University Medical Center at Pascack Valley Holy Name Medical Center The Valley Hospital
Prepared by: Professional Research Consultants, Inc. 11326 P Street Omaha, NE 68136-2316
2015-0991-02 ? October 2016
COMMUNITY HEALTH NEEDS ASSESSMENT
Table of Contents
Introduction
7
Project Overview
8
Project Goals
8
Methodology
9
Summary of Findings
17
Significant Health Needs of the Community
17
Summary Tables: Comparisons With Benchmark Data
21
Community Description
42
Population Characteristics
43
Total Population
43
Urban/Rural Population
45
Age
46
Race & Ethnicity
48
Linguistic Isolation
50
Social Determinants of Health
52
Poverty
52
Education
55
Employment
56
Housing Insecurity
56
Food Insecurity
58
High-Need Areas
60
General Health Status
63
Overall Health Status
64
Evaluation of Health Status
64
Activity Limitations
66
Caregiving
68
Mental Health
70
Evaluation of Mental Health Status
70
Depression
72
Stress
74
Suicide
75
Mental Health Treatment
76
Key Informant Input: Mental Health
78
2
COMMUNITY HEALTH NEEDS ASSESSMENT
Death, Disease & Chronic Conditions
81
Leading Causes of Death
82
Distribution of Deaths by Cause
82
Age-Adjusted Death Rates for Selected Causes
82
Cardiovascular Disease
84
Age-Adjusted Heart Disease & Stroke Deaths
84
Prevalence of Heart Disease & Stroke
87
Cardiovascular Risk Factors
89
Key Informant Input: Heart Disease & Stroke
96
Cancer
98
Age-Adjusted Cancer Deaths
98
Cancer Incidence
101
Prevalence of Cancer
102
Cancer Screenings
104
Key Informant Input: Cancer
109
Respiratory Disease
112
Age-Adjusted Respiratory Disease Deaths
113
Key Informant Input: Respiratory Disease
116
Injury & Violence
118
Unintentional Injury
118
Intentional Injury (Violence)
124
Key Informant Input: Injury & Violence
130
Diabetes
131
Age-Adjusted Diabetes Deaths
131
Prevalence of Diabetes
133
Key Informant Input: Diabetes
135
Alzheimer's Disease
137
Age-Adjusted Alzheimer's Disease Deaths
137
Progressive Confusion/Memory Loss
138
Key Informant Input: Dementias, Including Alzheimer's Disease
139
Kidney Disease
141
Age-Adjusted Kidney Disease Deaths
141
Prevalence of Kidney Disease
142
Key Informant Input: Chronic Kidney Disease
143
Septicemia
144
3
COMMUNITY HEALTH NEEDS ASSESSMENT
Potentially Disabling Conditions Arthritis, Osteoporosis, & Chronic Back Conditions Key Informant Input: Arthritis, Osteoporosis & Chronic Back Conditions Vision & Hearing Impairment Key Informant Input: Vision & Hearing
Infectious Disease
Influenza & Pneumonia Vaccination Flu Vaccinations Pneumonia Vaccination
HIV Age-Adjusted HIV/AIDS Deaths HIV Prevalence HIV Testing Key Informant Input: HIV/AIDS
Sexually Transmitted Diseases Chlamydia & Gonorrhea Safe Sexual Practices Key Informant Input: Sexually Transmitted Diseases
Immunization & Infectious Diseases Key Informant Input: Immunization & Infectious Diseases
Births
Birth Outcomes & Risks Infant Mortality Key Informant Input: Infant & Child Health
Family Planning Births to Teen Mothers Key Informant Input: Family Planning
Modifiable Health Risks
Actual Causes of Death Nutrition
Daily Recommendation of Fruits/Vegetables Access to Fresh Produce Sugar-Sweetened Beverages Physical Activity Leisure-Time Physical Activity Activity Levels Access to Physical Activity
146 146 147 148 150
151
152 152 153 154 155 155 157 157 158 158 159 160 161 161
162
163 163 163 165 165 165
167
168 169 170 171 174 176 176 178 181
4
COMMUNITY HEALTH NEEDS ASSESSMENT
Weight Status Adult Weight Status Children's Weight Status Key Informant Input: Nutrition, Physical Activity & Weight
Sleep Substance Abuse
Age-Adjusted Cirrhosis/Liver Disease Deaths Alcohol Use Age-Adjusted Drug-Induced Deaths Drug Use Alcohol & Drug Treatment Negative Effects of Substance Abuse Key Informant Input: Substance Abuse Tobacco Use Cigarette Smoking Other Tobacco Use Key Informant Input: Tobacco Use
Access to Health Services
Health Insurance Coverage Type of Healthcare Coverage Lack of Health Insurance Coverage
Difficulties Accessing Healthcare Difficulties Accessing Services Barriers to Healthcare Access Accessing Healthcare for Children Key Informant Input: Access to Healthcare Services
Health Literacy Understanding Health Information Completing Health Forms Population With Low Health Literacy
Primary Care Services Access to Primary Care Specific Source of Ongoing Care Utilization of Primary Care Services
Emergency Room Utilization Advance Directives
182 182 186 188 190 193 193 194 196 197 200 201 202 205 205 209 211
212
213 213 213 216 216 217 220 220 223 223 224 225 227 227 228 229 231 233
5
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