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Obstacles to Health in South Los Angeles

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Slides from Dr. Maxine Liggins, area director in the Los Angeles County Department of Public Health, from her presentation to the 2011 California Health Journalism Fellowships.

Slides from Dr. Maxine Liggins, area director in the Los Angeles County Department of Public Health, from her presentation to the 2011 California Health Journalism Fellowships.

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  • Population by race according to populations count in 2007.
  • Los Angeles Health Survey find out what year.
  • No insurance and no regular MD
  • Individuals smoke less in Los Angeles County
  • Transcript

    • 1. Health Snapshot of the Watts Community Maxine E. Liggins, M.D. Area Medical Director Los Angeles County Department of Public Health South and West Service Planning Areas
    • 2. OBJECTIVES
      • Participants should be familiar with the population and health statistics in South Los Angeles in comparison to those of other areas of Los Angeles County
      • Discuss the prevalence of chronic diseases in South Los Angeles and the impact on the life expectancies for the residents of South Los Angeles
      • Discuss the impact of poverty on South Los Angeles
      • Participants should understand the role of the Public Health Department in community outreaches
    • 3. Geographical Boundaries of West and South Los Angeles
    • 4. Population by Race for Los Angeles County 2000 – 2006 US Census Data on population of Los Angeles County ETHNICITY 2000 2006 ASIAN 1,120,668 (12.1%) 1,270,774 (13.2%) BLACK 766,724 (8.3%) 843,479 (8.8%) LATINO 4,310,940 (46.6%) 4,624,005 (47.9%) WHITE 2,966,960 (32.1%) 2,877,851 (29.8%) OTHER 61,229 (0.66%) 28,629 (0.3%) TOTAL 9,246,541 (100%) 9,644,738 (100%)
    • 5. Population Health Status Key Indicators of Health, 2005, LAC Department of Public Health Health Condition South Los Angeles West Los Angeles Overweight Children (BMI > 95 th Percentile) 25.5 16.2 Percent of Children with Current Asthma 6 13 Diabetes 9.2 4.2 Hypertension (% Adults) 25.4 16.7 Teen Births 85.7 8.4 Infant Mortality 6.5 3.7 Cancer Death Rate/100,000 209 150
    • 6. Causes of Death in Los Angeles per 100,000 Key Indicators of Health, 2007, Los Angeles County Department of Public Health RACE #1 #2 #3 #4 LATINOS CORONARY ARTERY DISEASE - 107 STROKE - 36 DIABETES - 33 PNEUMONIA & INFLUENZA - 21 WHITES CORONARY ARTERY DISEASE - 158 STROKE - 46 EMPHYSEMA - 37 LUNG CANCER - 35 AFRICAN-AMERICANS CORONARY ARTERY DISEASE - 220 STROKE - 75 BREAST CANCER - 38 LUNG CANCER - 38 ASIAN/ PACIFIC ISLANDERS CORONARY ARTERY DISEASE - 81 STROKE - 34 PNEUMONIA & INFLUENZA - 20 LUNG CANCER – 19 NATIVE AMERICANS CORONARY ARTERY DISEASE - 143 STROKE – 45 EMPHYSEMA - 27 LUNG CANCER - 27
    • 7. Health Related Quality of Life Key indicators of Health, 2007, LA C Department of Public Health Health Related Quality of Life Los Angeles County South Los Angeles % of Children in Poor Health 12.7% 17.6% % of Adults reporting fair to poor health 20.6% 33.4% Average # days of limited activities due to poor health 2.4 days 3.3 days Average # of unhealthy days/month 6.4 days 7.4 days
    • 8. Years of Potential Life Lost per 100,000 population per year COMMUNITY HEART DISEASE & STROKE RANK 1 - 129 La County Overall 1,183 NA Compton 2,620 129 Florence 1,767 116 Marina del Rey 1,155 67 Santa Monica 749 26
    • 9. Physical and Social Environment in Los Angeles County Key Indicator of Health, 2007, LAC Department of Public Health ENVIRONMENT LA County San Fernando West South Los Angeles Households with income < 100% of poverty level 16.2 12.6 11.0 28.0 Neighborhood Safety 80.9 85.4 89.6 57.7 Education - High School Dropout Rate 4.7 4.9 4.7 7.8 Air Quality - % of children exposed to smoke at home 3.5 3.8 2.8 5.6
    • 10. Health Care Access The Los Angeles Health Survey, 2005, LAC Department of Public Health ACCESS LOS ANGELES COUNTY SOUTH LOS ANGELES UNINSURED PERCENTAGE 21.8% 31.7% NO REGULAR SOURCE OF CARE 19.8% 26.9% DIFFICULTY WITH ACCESS TO CARE 30.1% 43.9% NO ACCESS TO DENTAL CARE IN ONE YEAR 25.6% 35.1%
    • 11. Prevalence of Diabetes Among Adults in Los Angeles County 1997 - 2005 AREA 1997 (%) 1999 (%) 2002-3 (%) 2005 (%) Los Angeles County 6.6 7.5 7.6 8.6 Antelope Valley 6.7 6.6 7.1 9.0 San Fernando 5.7 6.3 6.5 6.3 San Gabriel 7.0 7.2 6.8 7.3 West 5.3 6.1 4.3 4.7 South Los Angeles 11.5 9.5 11.2 14.5 South Bay 6.0 7.1 8.2 8.3
    • 12. Prevalence of Diabetes according to Race and Ethnicity in Los Angeles County The Los Angeles Health Survey, 2005, LA County Department of Public Health. Ethnicity 1997 (%) 1999 (%) 2002 – 3 (%) 2005 (%) LATINO 9.5 11.3 11.4 12.3 WHITE 4.6 5.5 5.4 5.6 AFRICAN-AMERICAN 10.1 9.5 9.4 12.0 ASIAN/ PACIFIC ISLANDER 5.9 5.6 5.1 7.1
    • 13. Diabetes Management Indicators by Insurance Status The Los Angeles County Health Survey, 2005, Los Angeles County Department of Public Health INSURANCE YES INSURANCENO REGULAR MD - YES REGULAR MD - NO Percent had a dilated exam in past year 58.7% 43.2% 59.6% 26.0% Percent had a foot exam in past year 65.7% 46.8% 65.5% 28.3% Percent took a course or class in how to manage diabetes 56.3% 39.0% 56.0% 34.3%
    • 14. Prevention and Health Outcomes Cancer Death Rates National South Los Angeles Lung 54.1% 46.0% Breast 25.2% 27.8% Colorectal 19.1% 23.2% Cervical 1.3% ** % of women who had a Screening PAP in 3 YRS 86.0% 83.3%
    • 15. Focus Areas for Health Interventions in South Los Angeles
      • Improvements in the Social and Physical Environment – Renovation of County of Los Ted Watkins Park with the addition of exercise equipment
      • Addition of new health providers to the community – renovation and rebuilding of South Health Center as the Martin Luther King, Jr. Center for Public Health
      • Rebuilding and re-establishment of Martin Luther King, Jr. County of Los Angeles Hospital
      • Additional of future medical providers in South Los Angeles and hope for a national health care plan
    • 16. Essential Services of Public Health
      • Monitor health status and identify community health problems
      • Diagnose and investigate health problems and health hazards in the community
      • Mobilize community partnerships to identify and solve health problems
      • Develop policies and plans that support individual and community health efforts
      • Promote and encourage healthy behaviors
      Reprinted from : Public Health in America. Public Health Functions Steering Committee. US Public Health Service: Washington, D.C. 1994 .
    • 17. Assessment Roles of Public Health
      • Accurate Ongoing Assessment of Community Health Status
      • Identification of Threats to Health
      • Identification of community assets and resources that support the public health system in promoting health and improving the quality of life
      • Collaboration with other stakeholders
      Turnock, BJ. (2009) . Public Health: What it is and how it works. (4 th Edition) . Jones and Bartlett Publishers, Sudbury, MA.

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