Florida Department of Health in Hillsborough County

Florida Department of Health in Hillsborough County 2015/2016 Community Health Assessment

Updated March 2019

Mission To protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts. Vision To be the healthiest state in the nation. Values (ICARE)

? Innovation ? We search for creative solutions and manage resources wisely. ? Collaboration ? We use teamwork to achieve common goals and solve problems. ? Accountability ? We perform with integrity and respect. ? Responsiveness ? We achieve our mission by serving our customers and engaging our

partners. ? Excellence ? We promote quality outcomes through learning and continuous performance

improvement. Principles Honesty, Fairness, Devotion, Courage, and Excellence

This report is available at the Florida Department of Health?Hillsborough County website at:

TABLE OF CONTENTS

LIST OF TABLES ...................................................................................................................... 3

LIST OF FIGURES .................................................................................................................... 4

ACKNOWLEDGEMENTS.......................................................................................................... 5

EXECUTIVE SUMMARY ........................................................................................................... 7

COMMUNITY HEALTH ASSESSMENT PROCESS OVERVIEW .............................................. 9

MAPP MODEL.......................................................................................................................... 9 HOSPITAL AND HEALTH CENTER COLLABORATION .....................................................................10 STATISTICS AND MEASUREMENT ..............................................................................................12

COMMUNITY HEALTH STATUS ASSESSMENT ....................................................................13

METHODS .............................................................................................................................13 RESULTS ..............................................................................................................................13

Demographic and Socio?Economic Characteristics............................................................13 Health Status ......................................................................................................................26

County Health Rankings...................................................................................................................................26 Infant Health.....................................................................................................................................................33 Adult Health......................................................................................................................................................34 Health Disparities .............................................................................................................................................39

DISCUSSION ........................................................................................................................44

COMMUNITY THEMES AND STRENGTHS ASSESSMENT ...................................................46

METHODS .............................................................................................................................46 RESULTS ..............................................................................................................................47

Community Survey .............................................................................................................47 Focus Groups .....................................................................................................................62 Key Informant Interviews ....................................................................................................63 DISCUSSION ........................................................................................................................65

FORCES OF CHANGE ASSESSMENT ...................................................................................68

METHODS .............................................................................................................................68 RESULTS ..............................................................................................................................68 DISCUSSION ........................................................................................................................68

LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT ...............................................................70

METHODS .............................................................................................................................70 RESULTS ..............................................................................................................................71 DISCUSSION ........................................................................................................................72

IDENTIFYING STRATEGIC ISSUES........................................................................................73

STRATEGIZING MEETING OVERVIEW................................................................................73 COLLABORATIVE PRIORITIES ............................................................................................73

AVAILABLE RESOURCES/ASSETS INVENTORY .................................................................75

PRIORITY AREAS ...................................................................................................................77

Florida Department of Health ? Hillsborough County 1

Community Health Assessment 2015/2016

CONCLUSION AND NEXT STEPS ..........................................................................................88 REFERENCES .........................................................................................................................89 APPENDICES...........................................................................................................................90

APPENDIX A. HEALTHY HILLSBOROUGH MEMBERS AND MEETING DATES ....................................90 APPENDIX B. COMMUNITY SURVEY INSTRUMENT .......................................................................98 APPENDIX C. FOCUS GROUP INSTRUMENT ..............................................................................108 APPENDIX D. KEY INFORMANT INTERVIEW INSTRUMENT ...........................................................109 APPENDIX E. STRATEGIZING MEETING FINAL REPORT .............................................................110 2019 REVISIONS ...................................................................................................................110 HEALTH EQUITY IN HILLSBOROUGH COUNTY ...........................................................................111 TEENS IN HILLSBOROUGH COUNTY: SEXUAL & REPRODUCTIVE HEALTH REPORT ......................113 WIC CLIENT TRANSPORTATION NEEDS ASSESSMENT REPORT.................................................120

2 Florida Department of Health ? Hillsborough County

Community Health Assessment 2015/2016

LIST OF TABLES

Table 1. Population of Hillsborough County and City Components............................................14 Table 2. Population of Hillsborough County and Florida by Age (2015).....................................15 Table 3. Population of Hillsborough County and Florida by Age (2020).....................................15 Table 4. Household Type (2010) ...............................................................................................17 Table 5. Nativity and Language Spoken at Home (2010?2014) ................................................18 Table 6. Income Measures (2010?2014)...................................................................................19 Table 7. Household Income Distribution (2010?2014)...............................................................20 Table 8. Federal Poverty Guidelines (2015) ..............................................................................21 Table 9. Colleges and Technical/Career Schools in Hillsborough County .................................23 Table 10. Demographics of Arrestees (2014) ............................................................................26 Table 11. Summary of County Health Rankings........................................................................28 Table 12. Length and Quality of Life..........................................................................................28 Table 13. Health Behaviors .......................................................................................................30 Table 14. Clinical Care..............................................................................................................31 Table 15. Social and Economic Factors ....................................................................................32 Table 16. Physical Environment ................................................................................................33 Table 17. Infant Health Status (2010?2014)..............................................................................34 Table 18. Infant and Neonatal Death Rates (2010?2014) .........................................................34 Table 19. Adult Health Status (2013) ........................................................................................36 Table 20. Adult Screening Status (2013)...................................................................................36 Table 21. Age?Adjusted Cancer Incidence Rates per 100,000 Population (2010?2012)...........37 Table 22. Age?Adjusted Hospitalization Rates per 100,000 Population (2012?2014) ...............38 Table 23. Age?Adjusted Mortality Rates per 100,000 Population (2014)...................................39 Table 24. Health Disparities? Access to Care ...........................................................................40 Table 25. Health Disparities? Maternal and Child Health (2012?2014) .....................................41 Table 26. Health Disparities?Injuries and Injury?Related Deaths (2012?2014) .........................42 Table 27. Health Disparities? Causes of Death (2012?2014) ....................................................43 Table 28. Health Disparities? Modifiable Behaviors Leading to Premature Death (2013) ..........43 Table 29. Most Important Health Problem (multiple answers possible, ranked by total

mentions) .................................................................................................................58 Table 30. Factors that Improve Quality of Life (multiple answers possible, ranked by total

mentions) .................................................................................................................59 Table 31. Most Important Risky Behaviors (multiple answers possible, ranked by total

mentions) .................................................................................................................60 Table 32. Trusted Source of Information ...................................................................................61 Table 33. Statements About Local Community..........................................................................62 Table 34. Most Important Health Issue (multiple answers possible) ..........................................63 Table 35. Ranked Forces of Change.........................................................................................69 Table 36. Summary of LPHSA Results .....................................................................................71 Table 37. Strategic Health Issues..............................................................................................74 Table 38. Resources Available to Support Strategic Health Issues ...........................................75 Table 39. Resources Available to Support Strategic Health Issues ...........................................76 Table 40. Behavioral Health Priority Area Available Asset Inventory .........................................78 Table 41. Access to Care Priority Area Available Asset Inventory .............................................79 Table 42. Access to Care Priority Area Available Asset Inventory .............................................80 Table 43. Access to Care Priority Area Available Asset Inventory .............................................81 Table 44. Access to Care Priority Area Available Asset Inventory .............................................82 Table 45. Access to Care Priority Area Available Asset Inventory .............................................83

Florida Department of Health ? Hillsborough County 3

Community Health Assessment 2015/2016

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