Monterey County Grand Jury
• 2013-2014
Monterey County 2013 Community Health Assessment Prepared by
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Findings and Recommendations 1 findings
F2009
With the exception of burglary, property crimes decreased from 2005 to 2009. Monterey County 2013 Community Health Assessment 34 Quality of Life Quality of life indicators measure the influences that social and environmental resources and conditions can have on population health outcomes. Examples of these include safe and affordable housing; access to quality education; stigma-free access to social, emotional, and economic supports; safe neighborhoods; available and accessible healthy foods; adequate local emergency/health services; and environments free of life- threatening toxins. In 2008, the Institutes of Medicine recommended that 20 indicators be used to track population health in the U.S. The indicators in the health domain fell into two categories: 1. Health outcomes related to social and physical environments, which include life expectancy, self- reported health status, and chronic disease prevalence.
No recommendations for this finding
Comments 5
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CO1Asian/Pacific Islander included Guamanian, Hawaiian, Samoan, Other Pacific Islander, Asian Indian, Asian (unspecified), Cambodian, Chinese, Filipino, Hmong, Japanese, Korean, Laotian, Thai, and Vietnamese
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CO2Black included Blacks or African Americans
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CO3White included White
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CO4Other included Aleutian, American Indian, Eskimo, Multi-Racial, and Other
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CO5Unknown included those who declined to state their race or for whom data were unavailable. Reference Group For rate ratio calculations in this report, the reference groups were White for race/ethnicity, male for gender, and age 16 to 34 for age groups. These groups were chosen to avoid small number issues in the reference point and for clear presentation across multiple health indicators.71 Relative Standard Error The relative standard error used in calculating rates in this report was >23%. This criterion is more conservative than the standard recommended by the National Center for Health Statistics (25%) to determine the reliability of rates based on small numbers.72 Statistical Significance In this report, statistical significance was indicated if a simple linear or Poisson regression test produced a p- value of less than 0.05. When criteria for linear regression were not met, confidence intervals were used to approximate the underlying p-value function.73 Statistical significance is not equivalent to biological or public health significance. Therefore, results that were not statistically significant were included in this report due to their potential importance in a public health context. Monterey County 2013 Community Health Assessment 235 SCCEPDNHCBLTNcE5 1 m 1 oohoaWeoPePHeTh 0 r034327811321911191112612148F2l111 1 1123111116111131111111111111121111 ND0CummEFy 1 rLhebis7 uarpa 0 n0 5 100 0 00000 o 00 o 00 a U 00.062600085220052006000g0005255520505222022225220060 7 r 10 Miarasriopic5a %%000 b 0 00000000 v 0ole6mmr % nibrmo 0n sht 0 0ui0000000000 5 %00000000000000%00000000swottni % %%%%%%%%% v %% ckie0 il 0i ic % tSarlte%bhsg0..c n ..%....%.........%% % nisyiuui‐se % at000000s00000000000e ca a l t oid o t egi e nn t l %% %%%%%%%%%%%%%%%ontsrs r n r ii tio T OO EIt a a B On C y D r A GnHMHHHl rrC n u $ e o P s 7 h e 7 2 3 3 1 1 6 7 1 2 2 1 7 81 1 1 1 7 81 1 1 1 1 5 11163 1 1 3 4 7 6 2 1 2 31 1 1 5112 111 1 1 1 1 111 1 f gg f g H 1 r ii Ho e $ l eee 6 t se f d as 5 or 5 4 1 1 8 9 7 7 7 77 7 7 n5 5 . 6 8 4 0 4 6 8 0 22 0 4 6 0 5 0 00 0 5 0 0 0 0 0 0 0 4 2 6 8r i o PU U 8 9 4 U go 0 0 0 0 0 0 0 0 0 00 a 0 00 0 0 00 0 2 5 7 0 4 2 8 8 9 5 8 0 7 88 888 75 a 2 5 n n 1 e tii in om 0 eaaa p % e 0 % s 0 0 n 55 5 5 55 5 t t 9 i 2 4 ctr % 5 e y n m& t 0 0 nn o 0 0 0 0 0 0 00 5 0 5 0 0 0 5 0 0 0 0 0 5 0 000 0 0 5 0 u % 0 0 0 00 n 00 00 0 00 0 0 % 0 0 0 n 0 0 n s s n e m R , % % % % % % % ua % % llc i l 0 fai 0 et r t 9 e i i tt c t i 0..ii ead% ... . . .%... . .. . .. % % % % p % % % i 9 , c e i n nn sI l 9 zz ttl s 00 e 00 0 0 0 t 0 0 0 0 0 00 000 000 0 0 0000 r hhh n s n te S s tl y s E s 9 .i 9t tt aa m 0 s . s %% h j a%% %%%%%% % % % %% % %% % %% %%% % % oh c s e e - e n 0 u o tt $ C m t n nn r 1 a o c y t tt 0 l Appendix G: Endnotes 1 U.S. Department of Health and Human Services, Centers for Disease Control, National Public Health Performance Standards Program, LPHS Performance Assessment Instrument, Version 2.0, http://www.cdc.gov/nphpsp/documents/07_110300%20Local%20Booklet.pdf 2 U.S. Department of Health and Human Services, Healthy People 2020, Social Determinants of Health. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39 3 Ibid. 4 2011 Monterey County Economic Forecast. http://www.co.monterey.ca.us/housing/2011.03.25%20‐ %20monterey_final.pdf 5 US Census Bureau. Current Population Survey (CPS) – Definitions and Explanations. http://www.census.gov/cps/ 6 Centers for Disease Control and Prevention, Health‐Related Quality of Life, Well‐Being Concepts. http://www.cdc.gov/hrqol/wellbeing.htm 7 Centers for Disease Control and Prevention, Quality of Life Indicators, Policy Implications. http://www.cdc.gov/hrqol/policy.htm 8 World Health Organization, Preamble to the Constitution of the World Health Organization. 1948. 9 Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/ 10 World Health Organization. International Classification of Functioning, Disability, and Health. http://www.who.int/classifications/icf/en/ 11 Centers for Disease Control and Prevention, Healthy People 2020. http://www.healthypeople.gov/2020/about/default.aspx 12 Centers for Disease Control and Prevention, Healthy People 2020 Framework. http://www.healthypeople.gov/2020/Consortium/HP2020Framework.pdf 13 US Department of Health and Human Services, Healthy People 2010. http://www.healthypeople.gov/document/html/volume2/16mich.htm 14 US Department of Health and Human Services, Healthy People 2010. http://www.healthypeople.gov/document/html/volume2/16mich.htm#_Toc494699661 15 US Department of Health and Human Services, Healthy People 2010. http://www.healthypeople.gov/document/html/volume2/16mich.htm 16 Gee, G. and Payne‐Sturges, D. Environmental Health Disparities: A Framework Integrating Psychosocial and Environmental Concepts. Environ Health Perspect. 2004 December; 112(17): 1645–1653. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1253653/ 17 National institute of Child Health and Human Development. “What is prenatal care and why i s it important?” http://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/prenatal‐care.aspx 18 U.S. Department of Health and Human Services, Healthy People 2020, Maternal, Infant, and Child Health. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=26 19 Williams DR, Collins C. US Socioeconomic and racial differences in health: Patterns and explanations. Ann Rev Soc. 1995;21:349‐86. 20 California Department of Public Health, California Early Childhood Comprehensive Systems Fact Sheet http://www.cdph.ca.gov/healthinfo/healthyliving/childfamily/Pages/SECCS.aspx 21 Farmer, P. Social inequalities and emerging infectious diseases. Emerging Infectious Diseases 1996; Vol. 2 No. 4:259‐269. 22 Waldholz, M. Precious pills: new AIDS treatment raises tough question of who will get it. Wall Street Journal, July 3, 1996, p. 1. 23 Ryan, F. The forgotten plague: How the battle against tuberculosis was won and lost. Boston: Little, Brown, 1993. 24 Iseman, M. Tailoring a time‐bomb. American Review of Respiratory Disease, 1985; Vol. 132:735‐6. 25 Berkelman, R.L., Hughes, J.M. The conquest of infectious diseases: Who are we kidding? Annals of Internal Medicine 1993; Vol. 119:426‐8. Monterey County 2013 Community Health Assessment 236 26 Centers for Disease Control and Prevention, Chronic Diseases and Health Promotion. http://www.cdc.gov/chronicdisease/overview/index.htm 27 California Department of Public Health, Health Information and Research Section, Death Statistical Master File 1999‐2010 and Fetal Death Statistical Master File 1999‐2010, Birth Statistical Master File 1999‐2010. 28 Centers for Disease Control and Prevention, Chronic Diseases and Health Promotion. http://www.cdc.gov/chronicdisease/overview/index.htm 29 US Department of Health and Human Services, Healthy People 2010. http://www.healthypeople.gov/Document/HTML/Volume1/03Cancer.htm 30 Ibid. 31 United States Department of Health and Human Services, National Cancer Institute. Cancer trends progress report – 2011‐12 update. http://progressreport.cancer.gov. 32 U.S. Department of Health and Human Services, Healthy People 2010. Retrieved December 2007 from http://www.healthypeople.gov/Document/HTML/Volume2/18Mental.htm 33 Centers for Disease Control and Prevention, Public Health Genomics. .10 years of Public Health Genomics at CDC, 1997‐2007. http://www.cdc.gov/genomics/about/reports/2007/chap2_sect6.htm 34 National Alliance on Mental Illness, Multicultural Action Center. Facts about Stigma and Mental Illness in Diverse Communities. http://www.nami.org/ContentManagement/ContentDisplay.cfm?ContentFileID=5148 35 Centers for Disease Control and Prevention, Chronic Disease: The Public Health Challenge of the 21st Century. http://www.cdc.gov/chronicdisease/pdf/2009‐Power‐of‐Prevention.pdf 36 Centers for Disease Control and Prevention, Chronic Disease Prevention and Health Promotion. http://www.cdc.gov/chronicdisease/index.htm 37 U.S. Department of Health, Education, and Welfare. Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention. Washington: U.S. Government Printing Office; 1979. http://profiles.nlm.nih.gov/NN/B/B/G/K/_/nnbbgk.pdf 38 Kung HC, Hoyert DL, Xu JQ, Murphy SL. Deaths: final data for 2005. National Vital Statistics Reports 2008;56(10). http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf 39 National Center for Health Statistics. Health, United States, 2007. With chartbook on trends in the health of Americans. Hyattsville, MD: National Center for Health Statistics; 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf 40 National Association of Chronic Disease Directors. http://www. chronicdisease.org/files/public/PressRelease_NACDD_PublicHealthSurvey_August2008.pdf 41 Centers for Disease Control and Prevention, Office of Minority Health and Health Equity. http://www.cdc.gov/minorityhealth/index.html 42 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web‐based Injury Statistics Query and Reporting System (WISQARS) [Internet]; 2010 Mar 4 [cited 2010 Apr 1]. Available from: http://www.cdc.gov/ncipc/wisqars 43 Ibid. 44 Finkelstein EA, Corso PS, Miller TR. Incidence and economic burden of injuries in the United States. New York: Oxford University Press; 2006. 45 Centers for Disease Control and Prevention, Healthy People 2020. http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12 46 Mercy JA, Mack KA, Steenkamp M. Changing the social environment to prevent injuries. Chapter 15 in Handbook of injury and violence prevention (pp 277‐94). Doll LS, Bonzo SE, Mercy JA, et al., editors. New York: Springer; 2007. 47 Centers for Disease Control and Prevention, Estimates of Foodborne Illness in the United States. Retrieved November 2013 from http://www.cdc.gov/foodborneburden/ 48 Centers for Disease Control and Prevention, Campylobacter General Information. Retrieved November 2013 from http://www.cdc.gov/nczved/divisions/dfbmd/diseases/campylobacter/ 49 Miniño AM. Death in the United States, 2011. NCHS data brief, no 115. Hyattsville, MD: National Center for Health Statistics. 2013. http://www.cdc.gov/nchs/data/databriefs/db115.htm Monterey County 2013 Community Health Assessment 237 50 National Center for Health Statistics. Health, United States, 2010: With special feature on death and dying. Table 22. Hyattsville, MD. 2011. 51 Kochanek KD, Xu JQ, Murphy SL, et al. Deaths: Final data for 2009. National vital statistics reports; vol 60 no 3. Hyattsville, MD: National Center for Health Statistics. 2012. 52 Hoyert DL, Xu JQ. Deaths: Preliminary data for 2011. National vital statistics reports; vol 61 no 6. Hyattsville, MD: National Center for Health Statistics. 2012. 53 Institute for Health Metrics and Evaluation. The State of US Health: Innovations, Insights, and