Community Health Profile Report for Belmont Cragin, Hermosa, Humboldt Park, Logan Square and West Town

Prepared by Illinois Public Health Institute and Presence Health

2

Table of Contents Introduction CHNA Steering Committee Executive Summary CHNA Service Area Map CHNA Service Area Definition Methods & Data Demographic Indicators Total Population, 2000 and 2010 Percent Change in Population, 2000 to 2010 Percent Population Under 20 Years Old, 2000 to 2010 Percent Population 65 Years and Older, 2000 to 2010 Race & Ethnicity, 2000 to 2010 Top Languages Spoken by Those Who Do Not Speak English Well, as Percent of Total Population, 2006-2010 Percent of Students with Limited English, 2011 Socioeconomic Indicators Median Household Income, 2006-2010 Percent living below Poverty Line, 2006-2010 Children living in poverty, 2006-2010 Percent Below 200% Poverty, 2006-2010 Percent of Students Eligible for Free or Reduced Lunch, by school, 2011 High School Graduation Rate, 2011 Population Over 25 without a High School Degree, 2006-2010 Population Over 16 Unemployed, 2000 to 2010 Top 5 Industries, 2006-2010 Access to Health Care Percent of Population Uninsured, 2008-2010 Percent of Population Receiving Medicaid, FY2010 Payer Type Among ER Outpatients, 2011 Interpreters Requested by Language, FY2011 Health Professional Shortage Area, 2011 – Primary Care Physicians Health Professional Shortage Area, 2011 – Mental Health Services

3

Table of Contents Health Status Age-Adjusted Mortality Rates, Top 5 Causes of Death, 2004-2008 Years of Potential Life Lost, Top 5 Causes, 2009 Fertility (births per 1000 females age 15-44), 2000 to 2009 Teen Birth Rate per 1000 females age 15-19, 2000 to 2009 Percent of Births that were Low Birth Weight, 2000 to 2009 Chlamydia Incidence per 100,000, 2010 Gonorrhea Incidence per 100,000, 2010 HIV Infection Rate per 100,000, 2010 HIV/AIDS Prevalence per 100,000, 2010 Tuberculosis Average Annual New Cases per 100,000, 2000 to 2010 Age-adjusted Asthma Hospitalizations per 100,000 age 5-64, 2011 Top Diagnoses Among ER Outpatients, 2011 Age-Adjusted Admission Rate per 100,000 for Substance Abuse & Drugs, 2007 Age-Adjusted Admission Rate per 100,000 for Other Mental Health, 2007 Age-Adjusted Mortality Rate due to Suicide, per 100,000, 2004-2008 Health Behaviors Overall Health Percent of Adults Reporting Fair/Poor Health Weight by BMI Daily Servings of Fruit and Vegetables Physical Activity Percent of Adults Reporting Diabetes Alcohol Consumption Smoking Status Percent of Adults Receiving Social/Emotional Support Mental Health (survey sample from PSMEMC service area) Environment Elevated Lead per 1000 children (0-6yrs), 2010 Number of Days with Poor Air Quality, 2011 Food Desert by Census Tract, 2011 Retail Food Environment Score (mRFEI) by Census Tract, 2011 Percent of Population Experiencing Food Insecurity, 2009 Liquor Stores per 10,000 Residents, 2009 Crime Index Data, 2011 Indicated Child Abuse Cases per 1000 Children (under 20), 2010 Percent of Residents Cost Burdened by Home Type, 2009 Homelessness

Introduction

4

The Affordable Care Act (ACA) requires all tax-exempt hospitals to complete a community health needs assessment (CHNA) and develop an implementation strategy every three years. Presence Health viewed this mandate not only as a legislative requirement, but as an opportunity to bring community partners together to engage in effective dialogue and solutions to improve the health of the communities we serve. Limited resources are a common problem across many communities, including those served by Presence Health. By taking a community approach to both the assessment and implementation strategies, the goal is to ensure the data, processes and outputs add value to all community partners rather than just the hospital.

In July 2012, Presence Saints Mary and Elizabeth Medical Center (PSMEMC) coordinated a broad array of community stakeholders from the community areas of Belmont Cragin, Hermosa, Humboldt Park, Logan Square and West Town to form a CHNA Steering Committee. This committee’s role was to provide oversight and input into the CHNA process, as well as to identify data-driven community priorities so as to engage in community solutions through partnerships and collaborations. The CHNA Steering Committee developed the following mission, vision, and values to guide their work and interactions throughout the process and beyond.

The CHNA Steering Committee followed a 9-step process that involved the following: Identifying the community and its geographic boundaries; Forming a steering committee; Adopting a mission, vision and values; Analyzing secondary data (the focus of this report); Gathering community input, Identifying key issues; Developing high-level action plans and communicating results with the community.

Introduction (continued)

5

It should be noted that the steps in the process are not purely sequential—many occurred simultaneously, as its implementation continuously informed and enhanced the process. Below is a visual of the process. Step 1: Define Community for Community Health Needs Assessment (CHNA) Determine Geographical Boundaries and Identify Health and Social Service Providers Population Demographics Step 2: Form CHNA Steering Committee Orient NRC to CHNA Process and Build from NRC; Include CDPH and CBO's Advisory Committee Role Step 3: Update/Develop Mission, Values and Vision Update and Further Develop to Include CHNA Review Current NRC Mission and Values Process Steps 4 and 5: Conduct Community Health Needs Assessment Develop Community Health Profile Based on Gather Community Input through Focus Groups Defined Indicators and Survey Step 6: Synthesize and Analyze Assessment Data Develop Visual Charts and Graphs to Develop Narrative Reports Communicate Findings Step 7: Identify Key Issues and Prioritize Needs Develop Prioritization Criteria

Facilitate Decision-Making Process

Step 8: Develop High Level Action Plans Develop Measurable Goals and Objectives for Identify Best Practice Interventions Priorities Step 9: Develop CHNA Report Communicate CHNA Report, Data and Plans with Community The Community Health Profile consists of secondary data analysis and was developed between May and September 2012. Indicators were chosen by Illinois Public Health Institute (IPHI) and Presence Health based on a review of other CHNAs from Catholic Health Association, Trinity Health and Association of Community Health Improvement as well as IPHI’s previous experience conducting community health assessments. The CHNA Steering Committee also helped to identify additional indicators that were particularly relevant for the CHNA service area.

CHNA Steering Committee Dan Elaine Rosita Jaime Barbara Carmelo Celia Matt John

Cantillon Coorens de la Rosa Delgado Fox Gonzalez Gonzalez Hayes Hennelly

CeaseFire Chicago Wicker Park Chamber of Commerce Logan Square Neighborhood Association Block by Block Presence Saints Mary and Elizabeth Medical Center Presence Saints Mary and Elizabeth Medical Center Presence Saints Mary and Elizabeth Medical Center Health Care Alternative Systems, Inc. Presence Saints Mary and Elizabeth Medical Center

Magdalena Margaret Eliud Iris

Martinez McDermott Medina Milan

Block Club Federation Presence Saints Mary and Elizabeth Medical Center Near Northwest Neighborhood Network St. Joseph Services

Thomas Rosa Austina Ray Joan Ed Victor

Pelton Ramirez Reed Rubio Sheforgen Tamminga Villalobos

Maternity B.V.M. Parish and School Healthy Schools Campaign PrimeCare Community Health Center Casa Central PrimeCare Community Health Center TSA Partners Presence Saints Mary and Elizabeth Medical Center

6

Executive Summary

7

The PSMEMC service area covered in this report is made up of five community areas: Belmont Cragin, Hermosa, Humboldt Park, Logan Square and West Town.

Demographics Demographically, Belmont Cragin, Hermosa and Humboldt Park are quite similar. Logan Square and West Town share some similarities but differ somewhat from the other three communities. Humboldt Park has the highest rates of poverty and a larger Black population. While it lost 14% of its population from 2000 to 2010, Humboldt Park had one of the largest populations of individuals under 20 years old. At the same time, however, the Humboldt Park area had one of the largest increases in senior citizens, from 6% to 9% of the total population. West Town and Logan Square have the highest median incomes and lower rates of poverty; Logan Square is predominantly Hispanic/Latino, whereas West Town is the only area that is predominantly White, as of 2010. West Town is also the largest community area, with 81,000 residents. Belmont Cragin and Hermosa are largely Hispanic/Latino; Hermosa is the smallest community area, with only 25,000 residents. Belmont Cragin and Hermosa are made up of almost one-third young residents, under the age of 20. Up to 40% of residents in Belmont Cragin do not speak English well, compared to only about 12% in West Town.

Socioeconomic Status Humboldt Park had the highest rates of children living in poverty, almost 50%; all the areas had at least one in five children living in poverty. As would be expected, this translated into almost all schools in the region having 70% or more of students eligible for free or reduced lunch; some schools in Logan Square and West Town had lower rates. Spanish is the most common language among those who don’t speak English well, followed by Polish (in Belmont Cragin, Hermosa and West Town). Tagalog was also frequently spoken and West Town has a population that speaks other Slavic languages. In Humboldt Park, Belmont Cragin and Hermosa, at least one-third of adults over 25 do not have a high school degree; only 19% in Logan Square and 13% in West Town lack a high school degree. Similarly, the unemployment rates in Humboldt Park, Belmont Cragin and Hermosa were all above the Chicago average of 11.1%. Unemployment was only 7.5% in Logan Square and 6% in West Town. It is likely that unemployment is actually higher in Humboldt Park.

Access to Care In terms of access to healthcare, 20% of Chicagoans are uninsured, which is higher than the national rate of 15%. Over 40% of residents in the Belmont Cragin, Hermosa and Humboldt Park zip codes are enrolled in Medicaid. Among patients who came to the PSMEMC emergency room (ER) but did not have to stay at the hospital, 52% were on Medicaid, compared to the state average of 34%. The percent self-paying was the same at both PSMEMC and the state. As reflected in the languages spoken in the community, 90% of requests for interpreters at PSMEMC were for either Spanish or Polish. According to the U.S. Bureau of Health Professions, Belmont Cragin, Hermosa, Logan Square and Humboldt Park all have a shortage of primary care physicians (family medicine, general internal medicine, pediatrics or ob/gyn); in West Town, there is a shortage among low-income residents. However, West Town and Humboldt Park both have shortages of mental health services, while Logan Square, Hermosa and Belmont Cragin lack mental health services for low-income residents.

Executive Summary (continued)

8

Health Status In terms of health outcomes, Humboldt Park stands out as having particularly poor health in almost every indicator examined. For overall mortality, coronary heart disease and cancer are the two leading causes of death in all community areas; this is true across the city, state and nation. However, Humboldt Park has particularly high rates of cancer compared to all the other areas and even compared to Chicago overall. The other major causes of mortality are diabetes, lung cancer, stroke and unintentional injury. West Town, Logan Square and Humboldt Park all have high rates of diabetes-related mortality. Humboldt Park also has a high rate of unintentional injury. The top five causes of years of potential life lost (YPLL) are cancer, coronary heart disease, unintentional injury, homicide and fire-arm related. Overall, Humboldt Park has the highest rates of years of potential life lost, regardless of cause. Overall, fertility decreased or stayed the same in most community areas from 2000 to 2009, though it increased in Belmont Cragin. Belmont Cragin, Hermosa and Humboldt Park had rates above the Chicago and U.S. average. For all areas the rate of teen births decreased from 2000 to 2009. However, all areas were still above the U.S. average. Low-weight births have become more common in Humboldt Park and West Town, while decreasing in Belmont Cragin, Hermosa and Logan Square. Humboldt Park had particularly high rates of 12.3% in 2009. However, all areas still had rates above the U.S. average. Humboldt Park has very high rates of both chlamydia and gonorrhea, even higher than the city-wide rate. The other community areas had rates for both diseases below the U.S. average. Humboldt Park also has both the highest HIV annual infection rate and the highest prevalence of HIV infection. Logan Square and West Town also have moderate rates of HIV infection and prevalence. Hermosa actually had the highest rates of tuberculosis, followed by Humboldt Park and Belmont Cragin. Asthma hospitalizations are above the U.S. rate for all areas, and are especially high in Humboldt Park. The top five diagnoses among patients who went to the PSMEMC ER (but were not admitted to the hospital) were acute upper respiratory infections (such as colds), urinary tract infections, abdominal pain, ear infections and chest pain. Humboldt Park had a very high rate of admissions for substance abuse and drug problems; the rate in West Town was also above the Chicago average. Humboldt Park and West Town also had high rates of admission for mental health problems, as did Logan Square. This is potentially an issue, given that both Humboldt Park and West Town had mental health care shortages. The mortality rate due to suicide was actually highest in West Town and Belmont Cragin, although the rates in all areas were lower than the U.S. average and in fact, below the Healthy People 2020 goal.

Executive Summary (continued)

9

For the zip codes in the PSMEMC service area, over half of respondents report that their overall health is excellent/very good. The percent of people that report poor health (5.9%) in the PSMEMC service area is lower than Chicago but higher than suburban Cook County and Illinois overall. Among the respondents from the zip codes that PSMEMC serves, 7% consider themselves to have poor mental health. However, 25.6% of respondents have sought help from a professional for a mental or emotional problem. Among the same respondents, 12.5% responded that, at one time, they had been diagnosed with major depression. Respondents in the zip codes served by PSMEMC self-reported an obesity rate of 34.6%. This rate was higher than self-reported obesity rates in Chicago, Illinois, and the United States overall. Eighty percent of respondents in the zip codes served by PSMEMC self-reported that they had exercise or physical activity in the past month. This percent is higher than Chicago, Suburban Cook County, Illinois and the United States overall. The PSMEMC service area zip codes had a similar percent of respondents that have ever been told they have diabetes at 9% compared to Chicago, Suburban Cook County, Illinois and the United States overall. Roughly one-third of respondents in the PSMEMC area zip codes are considered at risk for binge drinking and currently, 19.3% of respondents residing in PSMEMC service area zip codes identify as smokers.

Environment Environment can also play an important role in community health and several environmental health indicators were examined. Again, Humboldt Park often stands out as having poorer environmental health. The rates of elevated lead in children was highest in Humboldt Park and Hermosa and lowest in West Town. It is likely that all the community areas are exposed to poor air quality. While none of the community areas are considered food deserts, Logan Square, Humboldt Park and Belmont Cragin all have areas where there are few or no healthy food choices, compared to the number of fast food options. At the same time, almost a quarter of Humboldt Park residents suffer from food insecurity and all the community areas had food insecurity rates at or above the U.S. average. Crime rates were lower compared to Chicago overall. However, child abuse rates were lower in all of the community areas compared to IL. In 2009, almost 50% of residents in all the community areas were cost burdened (meaning they paid more than 30% of their income on housing). Rates were higher for owners than renters. Humboldt Park had the highest rates, in line with the high rates of poverty already noted for this community area.

10

Community Health Needs Assessment Service Area Map

file:///C|/Users/Stephanie/Desktop/smemc service area.gif

Belmont Ave. Diversey Ave.

Bloomingdale

North Ave. SMEMC Kedzie -->

Chicago Ave.

Kenton Ave -->

Kinzie

Dashed lines indicate community areas and red lines indicate zip code boundaries.

11

Community Health Needs Assessment Service Area Community Areas West Town Belmont Cragin Hermosa Logan Square Humboldt Park

Zip Codes 60642, 60622 60639 60639 60647 60651

See map on page 10. Defining the CHNA Service Area In order to define service areas for the CHNA, Presence Health used the following seven criteria to understand the needs of the communities within the hospital’s primary service area. Using these seven criteria, Presence scored all of the zip codes in its broader primary service area and defined a ‘core community’ service area for PSMEMC’s CHNA. The purpose of the core community definition is to establish a defined area that PSMEMC can identify as the population it serves and benefits. • Location of Facility to Zip Codes – 1 point o Zip codes contiguous to the facility’s home zip code. • Inpatient Origin – 1 point o The zip codes that were selected had to be home to at least 5 % of the hospital’s total inpatient admissions (for 2010). • Outpatient Origin – 1 point o The zip codes that were selected had to be home to at least 5 % of the hospital’s total outpatient encounters (for 2010). • Emergency Department Patient Origin – 1 point o The zip codes that were selected had to be home to at least 5 % of the hospital’s total ED encounters (for 2010). • Inpatient Market Share per Zip Code – 1 point o The hospital is ranked in the top three in market share, according to IL Comp data (for 2010). • Net Presence Inpatient Market Share per Zip Code – 1 point o Presence’s net market share for the zip code is ranked in the top three, according to IL Comp data (for 2010). • Ongoing Community Collaboration in Zip Code – 2 points o Each zip code was evaluated to determine if the hospital had ongoing partnerships or clinics. o The inclusion of these community collaboration points will help to bolster relationships and programs already in place. For PSMEMC, a zip code was scored based on these seven criteria. If a zip code met the requirements of the individual criteria, a score of one was given for the first six criteria and a score of two was given for the seventh criteria; for a maximum score of eight points. A total of seven points or greater determined if this zip code would be a core community zip code. For PSMEMC, the zip code 60642 was added to the core service area because it was recently divided from 60622.

Methods & Data

12

• Presence Health used an iterative and collaborative process to arrive at the final set of indicators included in this community health profile. An initial list of indicators was developed by reviewing guidance from national experts on Community Health Needs Assessment – Catholic Health Association, Trinity Health, NACCHO and CDC. The list was narrowed based on availability of local data and known priorities for the communities in the CHNA service area. Presence then solicited feedback from the CHNA Community Advisory Committees and added several indicators based on committee feedback. • Data were gathered from a variety of sources, including the U.S. Census and American Community Survey, IL state agencies, U.S. Department of Health and Human Services and community organizations. The Chicago Department of Public Health and Cook County Department of Public Health provided rich health status surveillance data as well as compiled demographic and socioeconomic data from the Census. Rob Paral & Associates was an important source of aggregated Census data for Chicago community areas. • While the Decennial Census is taken every 10 years, the American Community Survey (ACS) is a more detailed instrument given by the Census Bureau every year to a smaller sample of the population. In order to provide more accurate population data from a smaller sample, ACS data is averaged over a period of years. In this community health profile, we report data from the 2006-2010 ACS. • Some data points in the Health Status section of this report are marked “data unreliable.” This conveys that there were so few cases reported of a particular condition that the community estimate could not be calculated or was calculated but with a good deal of uncertainty. • To the greatest extent possible, all data for a given indicator are presented for the same time period. However, in some cases data at the local, county and national level are not reported for the same time period. In cases where the time periods on a graph do not exactly match up, a note clearly indicates the different years. These variations should be considered when making comparisons. • Data is not available for all geographic areas for all indicators. Whenever possible, community area and city level data were used. However, sometimes only zip code or county level data was available. These data can still be useful, but may miss some of the variation within the county or city. • Benchmarks are included wherever possible and come from either Healthy People 2020 (http://healthypeople.gov/2020/topicsobjectives2020/) or the County Health Ranking’s National Benchmark (http://www.countyhealthrankings.org/). The Healthy People goals are set every 10 years by the U.S. Department of Health and Human Services. County Health Rankings (CHR) is run by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. The CHR standards are set at the 90th percentile of the current data; this means the goal is for all counties to be as healthy as the top 10% of counties are now.

Demographics

13

As of 2010, the total population of Belmont Cragin, Hermosa, Logan Square, Humboldt Park and West Town is 315,103. West Town, Belmont Cragin and Logan Square are the most populous counties in the CHNA Service Area. Chicago’s population decreased from 2000 to 2010 by 7% and Cook County by 3%. Hermosa, Logan Square Humboldt Park and West Town decreased by 7, 11, 14 and 7 percent respectively. Only Belmont Cragin showed an increase in population though it was small at only 1%. Humboldt Park and Logan Square experienced the greatest proportional decreases in population. Belmont Cragin’s population size remained steady over the period. Note: The zip code 60642 did not exist in 2000 but was created from the eastern portion of 60622.

Total Population, 2000 and 2010 Population, 2000

Population, 2010

81,432

87,435 56,323

65,836

73,595

82,715 25,010

78,743

78,144

77,583

98,769

87,291

64,267

26,908

20,000

18,480

40,000

52,548

60,000

76,015

80,000

90,407

92,951

100,000

0

Data Source: U.S. 2010 Census (DP01), www.robparal.com/ChicagoDemographics2010.html

Percent Change in Population, 2000 to 2010 28% 18% 8% -2%

-3%

-12%

-22%

3%

1% -12%

-7% -17%

-11%

-14%

-7%

-31%

-32%

Data Source: U.S. 2010 Census (DP01), www.robparal.com/ChicagoDemographics2010.html

-7%

-3%

10%

Demographics

14

The CHNA service area is 50% female and 50% male (data not shown). From 2000 to 2010, the age distribution shifted slightly older, as did Chicago and the U.S. overall. However, most of the communities in the service area are still largely made up of younger individuals. The zip codes 60639 (Belmont Cragin) and 60651 (Humboldt Park and Austin) have a third of their population below the age of 20, considerably higher than the proportions for the US, Cook County or Chicago. The senior population is less than 10% in all the communities. The zip code 60651 (Humboldt Park and Austin) experienced a growth in the proportion of seniors from 6% in 2000 to 9% in 2010. In the rest of the communities, the proportion of seniors remained static at about 6%. This is a substantially lower proportion of seniors than Chicago (10%), Illinois and the US (13%).

Percent of Population Under 20, 2000 to 2010 2000

2010

40% 35%

36%

30%

39%

34%

33%

32%

29%

25%

20% 15%

25%

26%

24% 17%

29%

26%

29%

27% 29% 27%

15%

10%

5% 0% 60622

60639

60642

60647

60651

Chicago Cook County

IL

US

Data Source: U.S. 2010 & 2000 Census (DP01), www.robparal.com/ChicagoDemographics2010.html

Percent of Population 65 & Older, 2000 to 2010 2000

2010

40% 35%

30% 25% 20% 15% 10% 5%

7% 6%

6% 7%

60622

60639

6%

9% 6% 6%

12% 12% 13% 12% 13% 10% 10% 12%

6%

0% 60642

60647

60651

Chicago Cook County

Data Source: U.S. 2010 & 2000 Census (DP01), www.robparal.com/ChicagoDemographics2010.html

IL

US

Demographics

15

Between 2000 and 2010, the proportion of Hispanic/Latinos increased in Belmont Cragin, Hermosa and Humboldt Park, while it decreased in Logan Square and West Town. Logan Square and West Town also saw an increase in the proportion of white residents. Overall, the CHNA service area still has a very large Hispanic/Latino population as of 2010. More than three-fourths of residents in both Hermosa and Belmont Cragin identify as Hispanic/Latino, and half of residents in Logan Square and Humboldt Park identify as Hispanic/Latino. West Town has the smallest proportion of Hispanic/Latino residents at 30%. Humboldt Park also has a large African American population, with almost half of residents identifying as black.

Race & Ethnicity, 2000 to 2010 White

Black

Asian

2 or more races

Hispanic/Latino

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0% Belmont Cragin, 2000

Belmont Cragin, 2010

Hermosa, 2000

Hermosa, 2010

Logan Square, 2000

Logan Square, 2010

Humboldt Humboldt West Town, West Town, Park, 2000 Park, 2010 2000 2010

Data Source: U.S. 2010 Census (DP01), www.robparal.com/ChicagoDemographics2010.html

Demographics

16

Among the total population, Spanish was self-reported as the top language spoken in all communities, followed by Polish. Belmont Cragin was the most diverse area in terms of language, while Humboldt Park was the least diverse. One third of residents in Belmont Cragin and Hermosa identify Spanish as their primary language. Kelvyn Park and North Grant High Schools had rates of limited English-speaking students similar to Chicago overall, while the other high schools in this service area had a lower percentage (less than 10%). It is important to note that high schools in Chicago draw students from a wide geographic area, so not all students in these high schools live in the CHNA service area. Note: For “Top Languages Spoken”, the Census Bureau only asks about language ability for individuals 5 and older. However, all ages are included in the denominator. This slightly underestimates the percentages in the first graph. Note: Schools classify students as Limited English if they qualify for bilingual programs.

Top Languages Spoken by Those Who Do Not Speak English Well, As Percent of Total Population, 2006 to 2010 Spanish or Spanish Creole

Polish

Other Slavic languages

Tagalog

Other

40% 35% 30% 25% 20% 15% 10% 5% 0% Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Chicago Park

Cook County

IL

US

Data Source: American Community Survey (B16001)

Percent of Students with Limited English, 2011 20% 15%

15.8%

15.5% 13.3%

10%

9.3%

8.8%

8.5%

5%

4.8%

4.2%

3.4%

0% Clemente High Noble Street Ogden School (60622) Charter International (60622) (60622)

Kelvyn Park High School (60639)

North-Grand Prosser High Wells High School School (60639) Community (60639) Academy (60622)

Data Source: Illinois State Board of Education (webprod.isbe.net/ereportcard/publicsite/)

Chicago

IL

Socioeconomics

17

Humboldt Park has the lowest median income in the CHNA service area, less than $30,000. Moreover, 33% of Humboldt Park residents live below the poverty line, compared to 21% in Chicago overall and only 13% in Illinois overall. All of the communities in the service area have poverty rates over 16% - higher than Cook County, Illinois and the US. The median household incomes of Logan Square and West Town are above the Chicago median and West Town’s is above the national median. Note: In 2010, the poverty line was set at $11,139 for a single person and $22,113 for a family of four with two children.

Median Household Income, 2006-2010

$51,914

Hermosa

$52,972

$42,418

Belmont Cragin

$30,000

Cook County

IL

US

$29,605

$42,842

$40,000

$49,610

$50,000

$46,877

$60,720

$60,000

$53,942

$70,000

$20,000 $10,000 $0 Logan Square

Humboldt Park

West Town

Chicago

Data Source: American Community Survey (S1903), www.robparal.com/ChicagoDemographics2010.html

40%

Percent Living Below Poverty Line (Federal Poverty Guidelines), 2006-2010

35%

33%

30% 25% 20% 15%

19%

19%

21% 17%

16%

15% 13%

10%

14%

5% 0% Belmont Cragin

Hermosa

Logan Square

Humboldt Park

West Town

Chicago

Cook County

Data Source: www.robparal.com/ChicagoDemographics2010.html, U.S. 2010 Census (DP03)

IL

US

Socioeconomics

18

At least a quarter of children (ages 0 to 11) in all the communities are living in poverty. This rate is twice the national CHR benchmark. Almost half of the children (ages 0 to 11) in Humboldt Park live in poverty. Humboldt Park also has the highest rates of residents living below 200% of the poverty line at 61%. Over half of Belmont Cragin and Hermosa residents also live below 200% poverty with Logan Square not far behind at 43%. By looking at the numbers for adults living below 100% poverty (on the preceding page) and 200% of poverty, we calculate that a third of residents in Belmont Cragin, Hermosa and Humboldt Park live somewhere between 100% and 200% of poverty. This is substantially higher than the city of Chicago as a whole.

Children Living in Poverty, 2006-2010 (2005-2009 for Community Areas) Children living in poverty

Childen, 0-5, living in poverty

Children, 6-11, living in povery

50%

48% 48%

40%

38%

30%

33%

32%31% 27% 23%

26%

20%

25%

23%

22%

19%

18%

10%

13%

0% Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Park

Chicago

Cook County

IL

US

CHR Benchmark

Data Source: American Community Survey (S1701), City of Chicago (data.cityofchicago.org/d/kn9c-c2s, Illinois Action for Children (www.actforchildren.org/site/PageServer?pagename=MDP_FactsInfo)

Percent Below 200% Poverty, 2006-2010 70% 60% 50%

61% 51%

51%

40%

43%

30%

42% 35%

33%

20%

29%

32%

10% 0% Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Chicago Park

Cook County

Data Source: www.robparal.com/ChicagoDemographics2010.html, American Community Survey (S1701)

IL

US

Socioeconomics

19

Almost all of the schools in the service area have 70% or more of their students eligible for free or reduced lunch. There are a handful of schools in Logan Square and West Town with lower rates. This would be expected given that Logan Square and West Town have higher median incomes and lower poverty rates than the other areas. Note: Guidelines for Free and Reduced Lunch designate that students whose families earn up to 185% of the Federal Poverty Level are eligible.

Percent of Students Eligible for Free or Reduced Lunch, By School, 2011

Data Source: Common Core of Data from U.S. Department of Education's National Center for Education Statistics Map created on Community Commons

Socioeconomics

20

Three of the schools in this service area had higher graduation rates than Chicago and IL overall. However, Clemente, Kelvyn Park, and Wells High Schools had lower graduation rates than Chicago and Illinois. It is important to note that high schools in Chicago draw students from a wide geographic area so the student population at these high schools are not confined to students living in the service area. Also, these graduation rates track the success of entering freshman; however, they do not capture information about youth who exit the education system prior to high school.

Belmont Cragin, Hermosa and Humboldt Park all had close to 40% of adult residents without a high school degree, much higher than the Chicago average of 21%. West Town, where only 13.4% of the population does not have a high school diploma, is the only community in the area with a percentage that is similar to Illinois and the U.S.

High School Graduation Rate, 2011 100%

89.7%

80%

87.0%

83.8% 73.8%

60% 40%

89.4% 65.2%

55.8%

54.5%

20% 0% Clemente Noble Street Kelvyn Park North-Grand Prosser High Wells High School Charter High School High School School Community (60622) (60622) (60639) (60639) (60639) Academy (60622)

Chicago

IL

Data Source: Illinois State Board of Education (webprod.isbe.net/ereportcard/publicsite/)

Population Over 25 without a High School Degree, 2006-2010 50% 40% 30%

41.9% 37.0%

36.8%

20%

20.6%

18.5% 10%

17.3%

13.4%

13.8%

15.0%

IL

US

0% Belmont Cragin

Hermosa

Logan Square Humboldt Park

Data Source: ) American Community Survey (S1501)

West Town

Chicago

Cook County

Socioeconomics

21

The American Communities Survey (ACS) for 2006-2010 shows that Belmont Cragin, Hermosa, and Humboldt Park all had unemployment rates around 12% during that period, slightly higher than the Chicago rate. West Town had a low unemployment rate, at only 6%. Unemployment in Chicago increased from 6% to 11 % from 2000 to 2010. Belmont Cragin and Hermosa also experienced increasing rates of unemployment over that period; however, Logan Square, Humboldt Park and West Town have experienced slight decreases in unemployment since 2000. The ACS unemployment rate from 2006-2010 is a three year average, which makes it harder to discern the exact effect of the recent recession. Although it may appear that unemployment decreased in some areas, it is also possible that individuals stopped looking for work, at which point they are no longer counted in the calculation of the unemployed. Note: The Census defines unemployment as “All civilians 16 years old and over are classified as unemployed if they (1) were neither "at work" nor "with a job but not at work" during the reference week, and (2) were actively looking for work during the last 4 weeks, and (3) were available to accept a job. Also included as unemployed are civilians who did not work at all during the reference week, were waiting to be called back to a job from which they had been laid off, and were available for work except for temporary illness.”

Population Over 16 Unemployed, 2000 to 2010 Unemployment, 2000

Unemployment, 2006-2010

30% 25% 20% 15% 10% 5%

17.8% 12.9% 11.5%11.5% 8.2%7.5% 7.3%

12.3%

11.1% 6.9%6.0% 6.2%

9.9% 8.6% 7.9% 4.8% 3.9% 3.7%

0% Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Chicago Park

Cook County

IL

US

Data Source: American Community Survey (DP03), City of Chicago (data.cityofchicago.org/d/kn9c-c2s2)

Chicago was similar to the nation overall in terms of top industries, with the exception that retail was not among Chicago’s top five, while finance/insurance/real estate was. Industries are ranked by number of employees.

Top 5 Industries - Chicago, 2006-2010 Education & Healthcare Professional, scientific, management & administrative Manufacturing Retail Arts, entertainment, recreation, accomodation & food services Finance, insurance, real estate 30% 20%

22.1% 21.6% 21.3% 21.3% 11.5% 13.2% 10% 14.6% 11.0% 13.0% 11.3% 10.4% 10.8% 10.8% 8.6% 8.9% 9.8% 9.2% 9.1% 10.1% 10.3% 0%

Chicago

Cook County

Data Source: American Community Survey (DP03)

IL

US

Access to Health Care

22

The percent uninsured in Chicago is higher than both the national and state averages, with almost 20% of the city’s population uninsured. Thus, Chicago’s uninsured rate is much higher than the CHR benchmark of 11% and the Healthy People 2020 goal to have no one uninsured. Note: Data on insurance status is not reported at the zip code nor census tract level so there are no community-level estimates for uninsured.

This service area has a wide variation in terms of percent of the population enrolled, with 60642 having the lowest rate at 6%. All the other zip codes have rates higher than the state average, with 60639 and 60651 having percentages that are twice the state average.

Percent of Population Uninsured, 2008-2010 50% 40% 30% 20%

19.8%

16.8%

15.0%

13.1%

11.0%

10%

0.0% 0%

Chicago

Cook County

IL

US

CHR Benchmark Healthy People 2020

Data Source: American Community Survey (S2701)

Percent of Population Enrolled in Medicaid, FY2010 47%

50% 45%

41%

40% 35%

31%

30% 25%

25%

23%

21%

20% 15% 10%

6%

5% 0%

60622

60639

60642

60647

Data Source: Illinois Department of Healthcare & Family Services (www2.illinois.gov/hfs/agency/Program%20Enrollment/Pages/default.aspx )

60651

Cook County

IL

Access to Health Care

23

More than half of ER outpatients at PSMEMC were enrolled in Medicaid, compared to only 34% overall in IL. The percentage of self-paying patients (16%) was similar to the state. Interpreters were requested for 33 different languages at PSMEMC in 2011. Spanish and Polish made up over 80% of the requests, which reflects the languages spoken in the community (see page 16). There were 6,204 total requests for interpreters.

Payer Type Among PSMEMC ER Outpatients, 2011 Medicaid

Self Pay

100% 90% 80% 70% 60%

50%

52%

40% 30%

34%

20% 10%

16%

15%

0%

SMEMC

State

Data Source: IL Comp Data

Interpreters Requested by Language at PSMEMC, FY2011 Spanish 0.6% 2.0% 0.8% 1.5% 3.5%

Polish 67.8%

Ukranian Russian Arabic Romanian

23.7%

Other 6,204 total requests

Data Source: Presence Health, Internal Data

Access to Health Care

24

Belmont Cragin, Hermosa, Logan Square and Humboldt Park are Health Professional Shortage Areas for primary care. West Town has a shortage among low-income residents. Note: The US Department of Health and Human Services (HHS) roughly defines shortages of primary care physicians as less than 1 physician for every 3500 residents. For low-income populations, there must be an economic barrier to care and less than 1 physician for every 3000 low-income residents. Note: HHS defines primary care as family medicine, general internal medicine, pediatrics and ob/gyn.

Health Professional Shortage Area, 2011 – Primary Care Physicians

= Shortage for entire population = Shortage for low-income population = No Shortage

Data Source: US Bureau of Health Professions (bhpr.hrsa.gov) Map Created on Community Commons

Access to Health Care

25

Belmont Cragin, Hermosa and Logan Square, as with most of the greater Chicago area, lack mental health services for low-income residents. Humboldt Park and West Town are deemed to be Health Professional Shortage Areas, with shortages for all residents. Note: The US Department of Health and Human Services (HHS) roughly defines shortages as less than one mental health professional for every 6,000 residents or less than one psychiatrist for every 20,000 residents or a higher level of mental health need. For low-income areas, there must be a barrier to care and less than one mental health professional for every 6,000 low-income residents.

Health Professional Shortage Area, 2011 – Mental Health Services

= Shortage for entire population = Shortage for low-income population = No Shortage

Data Source: US Bureau of Health Professions (bhpr.hrsa.gov) Map Created on Community Commons

Health Status

26

For all community areas, heart disease and cancer are the top two leading causes of death. While most areas have cancer mortality rates below the Healthy People 2020 goal, Humboldt Park has a rate above both the Chicago and national average. Diabetes is a significant source of mortality in these areas; Hermosa and particularly Humboldt Park have high rates of unintentional injury. Finally, stroke and lung cancer are common causes of mortality. The top five causes of mortality are shown for each community area below. Age-adjusted mortality rates allow us to compare rates between communities despite any differences in the age distribution of the communities. Note: Mortality rates are from 2009 for the U.S. and 2008 for IL. Mortality rates for Chicago and its community areas are an average for 2004-2008.

Data Source: City of Chicago (data.cityofchicago.org/d/j6cj-r444, data.cityofchicago.org/d/j6cj-r445, CDC (www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_04.pdf, www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_10.pdf)

Health Status

27

Years of potential life lost (YPLL) accounts for differences in age at the time of death; the deaths of children and young adults contribute to more years of potential life lost than does the death of an older person. The standard YPLL measure is YPLL 65 which counts any year lost before the age of 65 as a "potential" year lost. Compared to the age-adjusted mortality rates in the previous graph, YPLL points out what is killing residents prematurely and can be important for targeting prevention efforts. Overall, Humboldt Park has the highest rates of cause-specific YPLL across the five causes investigated, meaning residents are dying at younger ages. As with the age-adjusted mortality rates, cancer and coronary heart disease remain important causes of YPLL but this measure brings to light the severe burden of homicide, unintentional injury and the effects of firearms in these communities, especially among the younger population. In Hermosa, unintentional injury is actually the largest cause of YPLL.

Data Source: City of Chicago (data.cityofchicago.org/d/j6cj-r444, data.cityofchicago.org/d/j6cj-r445

Health Status

28

Overall fertility decreased or stayed the same in most community areas from 2000 to 2009, except in Belmont Cragin, which saw an almost 8% increase. Belmont Cragin, Hermosa and Humboldt Park had fertility rates above both the Chicago and U.S. average. For all areas the rate of teen births decreased substantially from 2000 to 2009. However, all areas were still above the U.S. average and CHR benchmark. Note: The Healthy People 2020 goals are divided into two age groups: 15-17 year olds (36.2) for and 18-19 year olds (105.9). However, most jurisdictions do not collect and report data for those age subgroups.

Fertility (births per 1000 females age 15-44), 2000 to 2009 2000

2009

120 100 80

81.0

93.2

88.6

86.7

60

95.4 80.7

77.2 62.7

60.9 61.0

72.5 67.4

64.7

65.9 66.7

40 20 0 Belmont Cragin

Hermosa

Logan Square Humboldt Park West Town

Chicago

IL

US

Data Source: City of Chicago (data.cityofchicago.org/d/g5zk-9ycw), CDC (www.cdc.gov/nchs/births.htm)

Teen Birth Rate per 1000 females age 15-19, 2000 to 2009 2000

2009

120 116.6

100 100.7 80 60

95.7

84.2 68.2

69.7

77.9 80.5

80.5

66.1

40

49.2

57.0

49.5 40.0 30.3

20

47.7

34.3 22.0

0 Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Park

Chicago

Cook County

IL

Data Source: City of Chicago (data.cityofchicago.org/d/g5zk-9ycw), CDC (www.cdc.gov/nchs/births.htm)

US

CHR Benchmark

Health Status

29

The percent of babies that were born weighing less than 5.5 pounds increased for Humboldt Park and West Town between 2000 and 2009. In Belmont Cragin, Hermosa and Logan Square, the proportion of low birth weight babies decreased over that period. Still, Humboldt Park and West Town had higher rates of low birth weight babies than the U.S. average and above the Healthy People 2020 goal. Note: Low birth weight data is from 2006-2008 for IL and US.

Percent of Births that were Low Birth Weight, 2000 to 2009 2000

2009

15% 12.3% 10.7%

10%

5%

8.1% 7.4% 6.9% 6.7%

8.8% 7.2%

9.1% 9.7%9.7% 7.8%

8.4% 8.2% 7.9% 7.6% 5.9%

0%

Data Source: City of Chicago (data.cityofchicago.org/d/g5zk-9ycw), CDC (www.cdc.gov/nchs/births.htm)

7.8% 6.0%

Health Status

30

Humboldt Park has very high rates of chlamydia and gonorrhea, two common sexually transmitted infections (STIs). The chlamydia and gonorrhea rates for the other community areas are similar to the Suburban Cook County rate and below the Chicago, Illinois and U.S. rates. All community areas have rates substantially higher than the CHR benchmark for chlamydia. Note: The Healthy People 2020 goals for gonorrhea are 257 for females and 198 for males. Gender-specific data is not available at the Chicago community-area level; however, the overall population rate suggests that gonorrhea rates fall below the HP2020 goal in all communities except Humboldt Park.

Chlamydia Incidence per 100,000, 2010 1400

1202

1200

938.1

1000 800 600 400

384.8

411.7

375.8

469.9

368

357.4

426

200

84

0 Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Chicago Park

Suburban Cook County

IL

US

CHR Benchmark

Data Source: City of Chicago (www.cityofchicago.org/city/en/depts/cdph/provdrs/pol_plan_report/alerts/2011/dec/2011_hiv_surveillancereport.html) CDC (www.cdc.gov/std/stats10/tables/2.htm, www.cdc.gov/std/stats10/tables/13.htm)

Gonorrhea Incidence per 100,000, 2010 1400 1200 1000 800 600

367.5

400 200

57.1

56

92.4

Belmont Cragin

Hermosa*

Logan Square

93.3

191.5

114.6

122.2

100.8

Suburban Cook County

IL

US

0 Humboldt Park

West Town

Chicago

*=data unreliable Data Source: City of Chicago (www.cityofchicago.org/city/en/depts/cdph/provdrs/pol_plan_report/alerts/2011/dec/2011_hiv_surveillancereport.html) CDC (www.cdc.gov/std/stats10/tables/2.htm, www.cdc.gov/std/stats10/tables/13.htm)

Health Status

31

Humboldt Park has a very high rate of HIV infection, above both the Chicago and U.S. rate. Logan Square and West Town have rates of infection lower than Humboldt Park and Chicago but still above the US rate. While the annual rate indicates how many new cases there are per year, the prevalence shows how many individuals are living with HIV. With newer treatments, individuals with HIV are living much longer, so the prevalence rate is particularly important. A high prevalence may indicate risk, in that others are at risk for infection, but may also signify success, in that individuals with HIV are getting the treatment they need. Note: The prevalence rate for the U.S. is from 2008. For some areas too few cases of HIV were reported to calculate an average infection rate and are labeled as “data unreliable”; however, these areas are still affected as can be seen by the prevalence of HIV in the second graph.

Average Annual HIV Infection Rate per 100,000, 2010 50

40

43.5

40.5

30

29.9 20

21.5

10

17.4

12.7

0 Belmont Cragin*

Hermosa*

Logan Square Humboldt Park West Town*

Chicago

US

*=data unreliable Data Source: City of Chicago (data.cityofchicago.org/d/fbxr-9u99, /www.cityofchicago.org/city/en/depts/cdph/provdrs/pol_plan_report/alerts/2011/dec/2011_hiv_surveillancereport.html), CDC (www.cdc.gov/hiv/surveillance/resources/reports/2010report/index.htm)

HIV Prevalence Rate per 100,000, 2010 800

756.5 600

655.1 521.8

493.7

400

469.4

339.9 200

200.7 0 Belmont Cragin

Hermosa

Logan Square

Humboldt Park

West Town

Chicago

US

Data Source: City of Chicago (data.cityofchicago.org/d/fbxr-9u99, /www.cityofchicago.org/city/en/depts/cdph/provdrs/pol_plan_report/alerts/2011/dec/2011_hiv_surveillancereport.html), CDC www.cdc.gov/hiv/surveillance/resources/reports/2010report/index.htm), http://www.cdc.gov/std/stats10/tables/13.htm

Health Status

32

New cases of tuberculosis have declined in Chicago overall from 13.7 in 2000 to 6 in 2010. In 2010, all the community areas except West Town had rates above the Chicago average, with Hermosa and Humboldt Park having the highest. Hermosa (18.1) had three times the infection rate of the city in 2010. The Healthy People 2020 goal is one new case per 100,000.

Tuberculosis Average Annual New Cases Per 100,000, 2000 to 2010 2000-2002

2010

20

18.1

15

13.7

10

10.3

9.9 7.2

5

4.8

6.0

5.7 4.8

0

Belmont Hermosa Cragin*

Logan Humboldt Square Park

West Town

Chicago

Cook County

6.0

5.8 2.9

IL

Data Source: City of Chicago (data.cityofchicago.org/d/ndk3-zftj, Cook County Health Department (www.cookcountypublichealth.org/data-reports_)

3.6 US

1.0 Healthy People 2020

* = data unreliable

Health Status

33

The current rate of asthma is 8.5% for children in Illinois (compared to 9% for the U.S) and 7.9% for adults in Illinois (compared to 8.5% for the U.S.) (Data not shown - BRFSS 2008, CDC 2007). Asthma hospitalizations were higher in all zip codes in the CHNA service area than the U.S. average and were highest in 60651 (Humboldt Park). Note: Asthma data for the U.S. is from 2007.

Age-adjusted Asthma Hospitalizations per 100,000 age 5-64, 2011 500 450

462

400 350 300 250 200

245

150

218

245

263

100

111

50

86

0 60622

60639

60642

60647

60651

US

Healthy People 2020

Data Source: City of Chicago (data.cityofchicago.org/d/vazh-t57q ), CDC (www.cdc.gov/asthma/stateprofiles.htm)

Ever been told has asthma 100% 80% 60% 40% 20%

19.4%

12.4%

8.4%

13.3%

13.8%

SMEMC

Chicago

Suburban Cook County

IL

US

0%

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Health Status

34

The top diagnosis among ER outpatients at PSMEMC was acute upper respiratory infection. The pattern of these diagnoses was similar, though slightly higher than the state percentages for all five causes.

Top Diagnoses Among PSMEMC ER Outpatients, 2011 Acute Upper Respiratory Infection

Urinary Tract Infection

Abdominal Pain

Middle Ear Infection

Chest Pain

4%

3.8% 3%

2.8% 2%

2.5%

2.4%

2.6% 2.1% 1.8%

1.8%

1%

0% SMEMC Data Source: IL COMP Data

State

2.0%

1.9%

Health Status

35

The most recent available data (2007) shows that Humboldt Park and West Town have rates of admission for both substance abuse and mental health that are higher than Chicago overall. The rates of substance and drug abuse admissions for Humboldt Park is especially high, more than triple the rate for Chicago overall.

Age-Adjusted Admission Rate per 100,000 for Substance Abuse & Drugs, 2007 1976.1

2000 1800 1600 1400 1200 1000

790.9

800 600

474.0

576.0

548.5

Hermosa

Logan Square

640.3

400 200 0 Belmont Cragin

Humboldt Park

West Town

Chicago

Data Source: Community Area Health Inventory, Chicago Department of Public Health

Age-Adjusted Admission Rate per 100,000 for Other Mental Health, 2007 2000 1800

1526.8

1600

1346.2

1400 1000 800

1111.6

1102

1200

762.1

875.9

600 400 200 0 Belmont Cragin

Hermosa

Logan Square

Humboldt Park

Data Source: Community Area Health Inventory, Chicago Department of Public Health

West Town

Chicago

Health Status

36

All the community areas in this region had lower rates of suicide than IL or the U.S. overall and in fact are below the Healthy People 2020 goals. Belmont Cragin and West Town have rates similar to the city of Chicago overall, while the other communities are lower. Note: Data for IL and US is from 2000-2006.

Age-Adjusted Mortality Rate due to Suicide, per 100,000, 2004-2008 12

11.2

10

10.2

8 6

8.8 6.7

6.4 4.9

4

3.3

2

6.5

4.1

0 Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Park

Data Source: City of Chicago (data.cityofchicago.org/d/j6cj-r444) CDC (wisqars.cdc.gov:8080/cdcMapFramework/mapModuleInterface.jsp )

Chicago

IL

US

Healthy People 2020

Health Behaviors

37

For the zip codes in the PSMEMC service area, over half of respondents report that their overall health is excellent/very good. The percent of people that report poor health (5.9%) in the PSMEMC service area is lower than Chicago but higher than suburban Cook County and Illinois overall.

Overall Health Excellent/Very good

100%

Good/Fair

Poor

80% 60% 40%

59.9%

54.5%

54.2% 39.9%

8.8%

5.9%

42.3%

36.9%

36.7%

20%

53.6%

4.1%

3.1%

0% SMEMC

Chicago

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

Suburban Cook County

IL

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Health Behaviors

38

Roughly 13% of Chicago, Suburban Cook County, and Illinois respondents report that they have 8 or more physically unhealthy days per month. Fewer Chicago residents report having 0 unhealthy days per month compared to Suburban Cook County and Illinois.

Chicago, Suburban Cook County, and Illinois report similar percentages of respondents that have 0 mentally unhealthy days per month at roughly 60%. Chicago respondents more often reported 8 or more mentally unhealthy days per month at 15.6% of respondents.

Physically Unhealthy Days per Month 0 100%

1 to 7

8 or more

13.0%

12.2%

12.4%

26.2%

23.8%

25.1%

60.7%

64.0%

62.5%

Chicago

Suburban Cook County

IL

80% 60% 40%

20% 0% Data Source: BRFSS 2009

Mentally Unhealthy Days per Month 0 100% 80%

1 to 7

8 or more

15.6%

12.8%

14.1%

25.3%

26.4%

25.0%

59.1%

60.8%

60.9%

Chicago

Suburban Cook County

IL

60% 40% 20%

0% Data Source: BRFSS 2009

Health Behaviors

39

Respondents in the zip codes served by PSMEMC self-reported an obesity rate of 34.6%. This rate was higher than self-reported obesity rates in Chicago, Illinois, and the United States overall. Similarly, the respondents in zip codes served by PSMEMC had a lower percent of respondents at a normal BMI (34.3%) compared to Illinois and the United States overall. According to MCHC data, respondents in the zip codes served by PSMEMC consumed more fruit and vegetables daily compared to Chicago, Suburban Cook County, Illinois and the United States overall. Nearly half PSMEMC respondents report that they consumed at least 5 servings of fruit and vegetables per day. However, according to general trends from other surveys, it seems that this percent may be inflated.

Weight by BMI Underweight/Normal (BMI 18.5-24.9)

Overweight (BMI 25-29.9)

Obese (BMI 30-39.9)

100% 80% 60% 40%

48.3%

45.8% 34.3%

34.6%

31.1%

15.7%

26.2%

20%

38.5% 33.9%

36.0%

28.0%

27.6%

36.2% 35.3%

25.0%

27.6%

0% SMEMC

Chicago

Suburban Cook County

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

IL

US

CHR Benchmark

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Daily Servings of Fruit & Vegetables 0 to 2

3 to 4

5 or more

100% 80% 60%

44.8%

53.4%

49.9% 34.2%

40%

15.9%

20%

33.6% 13.0%

44.9% 32.5% 22.6%

23.5%

0% SMEMC

Chicago

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

Suburban Cook County

IL

US

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Health Behaviors

40

Eighty percent of respondents in the zip codes served by PSMEMC self-reported that they had exercise or physical activity in the past month. This percent is higher than Chicago, Suburban Cook County, Illinois and the United States overall.

The PSMEMC service area zip codes had a similar percent of respondents that have ever been told they have diabetes at 9% compared to Chicago, Suburban Cook County, Illinois and the United States overall.

Any exercise or physical activity in the past month 100%

80.9% 80%

75.6%

76.0%

74.6%

76.0%

Chicago

Suburban Cook County

IL

US

60%

40%

20%

0% SMEMC

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Ever been told has diabetes 100% 80% 60% 40% 20%

9.0%

9.2%

8.9%

8.5%

8.7%

SMEMC

Chicago

Suburban Cook County

IL

US

0%

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012 PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Health Behaviors

41

Roughly one-third of respondents in the PSMEMC area zip codes are considered at risk for binge drinking. Binge drinking is defined as 5+ drinks on an occasion for men and 4+ drinks on an occasion for women. The percent at risk for binge drinking in the PSMEMC service area is higher compared to Chicago, Suburban Cook County, Illinois and the United States overall. Similarly, respondents from the PSMEMC service area zip codes are more at risk for chronic drinking compared to Chicago, Suburban Cook County, Illinois and the United States overall. Chronic drinking is defined as over 60 drinks per month. Currently, 19.3% of respondents residing in PSMEMC service area zip codes identify as smokers. This percent is higher than the CHR Benchmark of 14%.

Alcohol Consumption At risk for binge drinking

At risk for chronic drinking

100% 80% 60% 40%

30.9% 19.5%

20%

7.3%

18.3%

14.5% 4.2%

4.2%

15.1% 5.0%

5.1%

0% SMEMC

Chicago

Suburban Cook County

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

IL

US

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Smoking Status Current Smokers

Former Smokers

100% 80% 60% 40% 20%

19.3%

14.6%

14.2%

23.0%

30.3% 18.3%

16.9%

23.1%

17.1%

24.7% 14.0%

0% SMEMC

Chicago

Suburban Cook County

Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

IL

US

CHR Benchmark

PSMEMC = MCHC survey sample from PSMEMC CHNA service area

Health Behaviors

42

Roughly three-quarters of Chicago residents report that they always/usually receive social and emotional support. In general, Chicago residents feel they receive less social and emotional support compared to Suburban Cook County and Illinois respondents. Among the respondents from the zip codes that PSMEMC serves, 7% consider themselves to have poor mental health. However, 25.6% of respondents have sought help from a professional for a mental or emotional problem. Among the same respondents, 12.5% responded that, at one time, they had been diagnosed with major depression.

Receives Social & Emotional Support Needed Always/Usually

100% 80%

Sometimes

Rarely/Never

14.2%

10.6% 8.2%

7.1% 10.9%

74.3%

81.2%

81.9%

Chicago

Suburban Cook County

IL

11.6%

60% 40% 20% 0% Data Source: BRFSS 2009; PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

Mental Health (survey sample from PSMEMC Service Area) Percent ever diagnosed with major depression

12.5%

Percent with poor mental health

7%

Percent that ever sought help from a professional for a mental or emotional problem

25.6%

PSMEMC area data from Metropolitan Chicago Healthcare Council 2012

Environment

43

All the community areas are at or below the Chicago rate of elevated lead in children. West Town and Belmont Cragin were below the U.S. rate. The Healthy People 2020 goal is to have no children with elevated lead. Note: U.S. lead data is from 2008.

Air quality data is only available at the county level; Cook County has more days of poor air quality than IL overall.

Elevated lead per 1000 children (0-6yrs), 2010 1.4

1.3

1.2

1.3

1.2 1.1

1

1.0 0.8

1.0

0.9 0.8

0.6

0.6 0.4 0.2

0.0 0 Belmont Cragin

Hermosa

Logan Square

Humboldt West Town Park

Chicago

Cook County

IL

US

Data Source: City of Chicago (data.cityofchicago.org/d/v2z5-jyrq), IDPH Lead Surveillance Report

Number of Days with Poor Air Quality, 2011 Ozone Days

Particulate Pollution Days

10 9

9.0

8 7 6 5 4

5.0 4.0

3

3.0

2 1 0 Cook County

IL

Data Source: County Health Rankings (www.countyhealthrankings.org/app/illinois/2011/cook/county/1/overall)

Healthy People 2020

Environment

44

None of the community areas in the service region are considered food deserts by the USDA. According to the USDA, food deserts are areas where “over 33% of the population or over 500 people have low access to healthy food”. USDA designation of food deserts often underestimates the issues with health food access in urban settings – in fact, there is no USDA designated food desert anywhere in Chicago. The CDC is working to develop more nuanced measures of healthy food availability. The Modified Retail Food Environment Indicator (mRFEI) Score looks at both healthy food options and outlets that sell unhealthy food. For the mRFEI, lower scores (shown on the map in orange) indicate areas with many convenience stores and/or fast food restaurants compared to healthy food options. Logan Square, Humboldt Park, and West Town all have census tracts with no healthy food retailers.

Food Deserts by Census Tract, 2011

Data Source: USDA www.usda.gov/wps/portal/usdahome; map created on Community Commons

Retail Food Environment Score (mRFEI) by Census Tract, 2011

Data Source: CDC http://www.cdc.gov/nccdphp/dnpao/ Map created on Community Commons

Environment

45

More than a quarter of Humboldt Park residents suffer from food insecurity and least 15% of the population in all of the community areas had food insecurity rates at or above the U.S. average of 14.7%. Food insecurity is defined as cutting back on food or not having regular meals due to lack of food. The Healthy People 2020 goal is to reduce food insecurity to 6%. All zip codes except 60642 had more than one liquor store per 10,000 residents, with 60622 (West Town) having the highest rate.

Percent of Population Experiencing Food Insecurity, 2009 30% 25%

25.8%

20% 15%

17.0%

18.5%

17.2% 14.7%

15.4%

16.1%

14.7%

10% 5%

6.0%

0% Belmont Hermosa Logan Humboldt West Town Suburban Cook County US Healthy Cragin Square Park Cook County People 2020 Data Source: Greater Chicago Food Depository (www.chicagosfoodbank.org/site/DocServerFood_Insecurity_data.pdf?docID=7304) USDA (www.ers.usda.gov/briefing/foodsecurity/)

Liquor Stores per 10,000 Residents, 2009 2.0 1.8

1.9

1.6

1.7 1.5

1.4 1.2

1.2

1.0 0.8 0.6

0.5

0.4 0.2 0.0 60622

60639

60642

Data Source: U.S. Census (www.census.gov/epcd/www/zbp_base.html)

60647

60651

Environment

46

In 2011, crime rates in the PSMEMC service area were slightly lower than citywide Chicago rates. Violent crime rates, while lower than the citywide rates, are high in the PSMEMC service area (905 per 100,000 for violent crimes against persons and 6694 per 100,000 violent crimes against community & property.) In the CHNA service area, indicated child abuse (meaning that a report of abuse was investigated and supported) rates were highest in 60651 (Humboldt Park), 60647 (Logan Square) and 60639 (Belmont Cragin and Hermosa), although all community areas had rates lower than IL overall.

CHNA Service Area: Crime Data, 2011 PSMEMC rate (per 100,000 population)

Chicago rate (per 100,000 population)

PSMEMC area

City of Chicago

PSMEMC % of all Chicago Crimes

30

433

6.9%

9.5

16.1

# Drug Crimes

3708

36533

10.2%

1176.8

1355.3

# Violent Crimes (Against Persons)

2853

28946

9.9%

905.4

1073.8

# Violent Crimes (Against Community/ Property)

21092

187751

11.2%

6693.7

6965.1

# Minor offenses

13309

127043

10.5%

4223.7

4713

# Total Crimes

37254

343740

10.8%

11822.8

12751.9

# Homicides

Data Source: City of Chicago Data Portal

Indicated Child Abuse Cases per 1000 Children (under 20), 2010 12 10

10.9

8

4

7.5

7.2

6

8.0

7.6

60651

Cook County

5.0

2

2.6

0 60622

60639

60642

60647

Data Source: Illinois Department of Children and Family Services (www.state.il.us/dcfs/library/com_communications_zipcants.shtml)

IL

Environment

47

Almost 50% of residents in all community areas were cost burdened in 2009 (meaning they paid more than 30% of their income on housing), regardless of whether they rented or owned their home. In Humboldt Park, almost 70% of residents were cost burdened. Both Chicago and Cook County residents spent on average 27% of their income on housing and transportation in 2011 (Center for Neighborhood Technology, www.htaindex.org/).

Percent of Residents Cost Burdened by Home Type, 2009 Renters

Owners

80% 68.6% 71.6%

60%

40%

62.1% 50.8%

49.2% 51.8%

49.2% 51.8%

Hermosa

Logan Square

49.2% 51.8%

54.6%

48.3%

20%

0% Belmont Cragin

Humboldt Park

West Town

Chicago

Data Source: Chicago Rehab Network

Homelessness In 2007, approximately 0.22% of Chicago’s population, or 5,922 individuals were reported homeless by the Chicago Alliance to End Homelessness. Homelessness was defined as “people who are residing in temporary shelters or public space that is not fit for human habitation…does not include individuals or families doubled up in homes or apartments”. Females made up 35% of the homeless and 26% were under 18 years old. Sixteen percent were veterans, 27% had mental health problems, 39% had substance abuse problems, 3% had HIV/AIDS and 27% were victims of domestic violence. (www.thechicagoalliance.org/documents/2007_Homeless_Count_Summary_Report.pdf).