PHILADELPHIA’S COMMUNITY HEALTH ASSESSMENT HEALTH
PHILADELPHIA'S COMMUNITY HEALTH ASSESSMENT
HEALTH OF THE CITY 2018
2 HEALTH OF THE CITY 2018
TABLE OF CONTENTS
INTRODUCTION ............................. 2 Behavioral Health............................ 11 CLINICAL CARE............................ 30 About Philadelphia............................ 3 Infectious Health Conditions .......... 14 PHYSICAL ENVIRONMENT.......... 34 HEALTH OUTCOMES...................... 4 Infant and Child Health .................. 18 SOCIAL & ECONOMIC Summary Health Measures .............. 4 Injuries............................................ 22 DETERMINANTS .......................... 37 Chronic Health Conditions ................ 7 HEALTH BEHAVIORS ................... 26 ACKNOWLEDGMENTS ................. 43
INTRODUCTION
Health is influenced by many factors, including social and economic conditions, the built environment, accessibility of healthy products, the behavioral choices people make, and the medical care system. Health of the City describes the health and well-being of people who live in Philadelphia. The Philadelphia Department of Public Health produces this annual report to help health care providers, city officials, people who make decisions for non-governmental organizations, and individual residents make more informed decisions about health.
Health of the City includes summaries of data from various sources to describe the demographics of the city's residents as well as health outcomes and key factors
that influence health in five broad areas:
1
HEALTH OUTCOMES represent how healthy Philadelphians are, including measures of quality of life, rates of infectious and chronic illnesses, and premature death.
2
HEALTH BEHAVIORS include behaviors that directly impact health, such as nutrition, exercise, tobacco and drug use, and sexual
activity.
3
CLINICAL CARE
encompasses both access to and quality of preventive, primary,
and acute care.
4
PHYSICAL ENVIRONMENT includes air quality
and access to housing and transportation.
5
SOCIAL AND ECONOMIC DETERMINANTS include education, employment, income and community
safety.
HEALTH OF THE CITY 2018 3
ABOUT PHILADELPHIA
THE SIXTH LARGEST CITY
POPULATION BY AGE GROUP | 2017
Philadelphia is the sixth largest city
0-4
in the United States (behind New
5-9 10-14
York City, Los Angeles, Chicago,
15-19
Houston, and Phoenix), with an
20-24 25-29
estimated population of 1,580,863
30-34 35-39
in 2017. Philadelphia's young adult
40-44
population (ages 20 to 34 years)
45-49 50-54
continued to grow and represented
55-59
the largest portion of the population.
60-64 65-69
70-74
75-59
80-84
85+
15%
10%
SOURCE: 2017 American Community Survey Estimates, U.S. Census Bureau
5%
0%
5%
MALE FEMALE
10%
15%
A DIVERSE CITY
Philadelphia is racially and ethnically diverse ? 41 percent non-Hispanic black, 35 percent non-Hispanic white, 15 percent Hispanic, and 8 percent Asian. Yet, Philadelphia continued to be segregated along racial lines, with one race or ethnic group representing the majority in 84 percent of the city's 381 census tracts.
POPULATION BY RACE/ETHNICITY | 2017
41%
35%
SOURCE: 2017 American Community Survey Estimates, U.S. Census Bureau
15% 8% 2%
BLACK WHITE HISPANIC ASIAN OTHER
FORTY-EIGHT ZIP CODES AND EIGHTEEN PLANNING DISTRICTS Philadelphia consists of fortyeight zip codes and eighteen planning districts representing distinct economic, geographic, and social units.
SOURCE: 2017 American Community Survey Estimates, U.S. Census Bureau
PHILADELPHIA ZIP CODES AND PLANNING DISTRICTS
UPPER FAR NORTHEAST
LOWER
UPPER
NORTHWEST NORTHWEST
UPPER NORTH
CENTRAL NORTHEAST
LOWER FAR NORTHESAT
LOWER NORTHEAST
NORTH DELAWARE
WEST PARK
NORTH
LOWER NORTH
RIVER WARDS
WEST
UNIVERSITY/ SOUTHWEST
CENTRAL
SOUTH
Zip Codes Planning Districts
LOWER SOUTHWEST
LOWER SOUTH
POPULATION BY PLANNING DISTRICTS | 2017
65,824
52,765
69,905
84,013
84,634 155,100
105,560 92,209
139,780
44,707 91,603
71,168
112,437 80,645 123,803
138,507
44,707
41,443
5,835
4 HEALTH OF THE CITY 2018
HEALTH
OUTCOMES
Despite experiencing one of the worst public health crises of our time -- the opioid epidemic -- most key health indicators in Philadelphia continued to improve over the last year. Yet, some health indicators have moved in the wrong direction and Philadelphia's health significantly lags behind other major cities. Also, many disparities in key health outcomes and behaviors persist particularly for racial/ethnic minorities and those experiencing poverty. The following sections provide more details.
SUMMARY HEALTH MEASURES
Measuring life expectancy and examining trends in causes of death show how people are dying, who is dying prematurely and how these deaths may be prevented. After improving for more than a decade, life expectancy in Philadelphia and nationally has started to decline for many groups. Increases in premature mortality due to drug overdoses and homicides are the primary causes. Increases in chronic conditions and other poor health behaviors are likely to further reverse the trend.
MOST RECENT ESTIMATE
POPULATIONS WITH POORER OUTCOMES
CHANGE IN RECENT YEARS
DEATHS
(ALL CAUSES)
857.2 per 100,0001
>> IMPROVING
YEARS OF POTENTIAL LIFE LOST BEFORE AGE 75
9,900.8 years1
Non-Hispanic blacks
................
................
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