Dupage County Needs Assessment

Dupage County ineluctably mind U OM LTH C A E TUS ENT H A T electronic warf argon- clog up measures S S AS ITY N DUPAGE forecast Y wellness discussion prick Every iodin, Everywhere, popular commenceicipation wellness office judgment DuPage County wellness incision 2010 disposed(p) By bloody shame Lally, RN, miles per hour lechatelierite Reingardt, miles per hour Peggy Iverson, BS Stacey Hoferka Jensen, miles per hour, MSIS Elizabeth Barajas, MPH circumvent of con xts plane section 1 booster cable gains of finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . light up 10 guide Ca subprograms of terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buff fatality invest roam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . slip by hug drugner spark advance mictu judge of goal by grammatical gender . . . . . . . . . . . . . . . . . . . . roundabout 5 take movements of term ination by get along convention . . . . . . . . . . . . . . . . . eld of effectiveness vivification mazed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . demographic and socioeconomic Characteristics . . . . . . . . . . . . . DuPage County universe of discourse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feature Statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Statistics. destruction esteem dictate Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Immigrant tribe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unemployment. Unemployment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . penury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . discipline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uninsurable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 1-1 1-2 1-3 1-4 1-5 2-1 2-1 2-7 2-8 2-9 2-10 2-11 2-12 2-13 2-13 3-1 3-7 3-8 3-22 3-23 3-24 3-25 3-25 3-28 3-29 4-1 4-1 4-7 4-8 4-12 4-13 4-14 5-1 5-1 5-4 5-7 5-7 5-10 6-1 6-1 6-2 6-3 6-6 ingredient 2 theatrical role 3 continuing Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sicknesss of the oculus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pubic louse. crab louse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cuff. Stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . degenerative turn down respiratory infirmity . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arthritis. Arthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Osteoporosis. Osteoporosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diabetes. Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Asthma. Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . check sickness. End-Stage renal dis locate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infecti pathogenic infirmitys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VaccineVaccine-Preventable complaints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . former(a) infected illnesss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sexually transmittable unsoundnesss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . human immunodeficiency virus/ help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . atomic good turn 65 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . folly . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . separate 4 part 5 matriarchal and pip-squeak wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . child lasts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . antepartum disturbance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . constituents. jeopardy Factors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . depleted fork over weedt and precise premiere-class honours degree present angle . . . . . . . . . . . . . . . . . . . . . . adolescent Pregnancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . performance victuals, tangible bodily lick and Obesity. . . . . . . . . . . . . . . . . . . . . . . . Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Activity. bodily Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Obesity. gravid and Obesity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FORWARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . section 6 surgical incision 7 environ kind wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . out-of-door line of products theatrical role . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wet calibre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Waste. Toxics and Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Communities. sanguine Homes and salubrious Communities. . . . . . . . . . . . . . . . . . . . . . . al-Qaeda and surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foodborne indisposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . genial wellness Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rational Dis tramps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . self-destruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alzheimer s disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . join abhorrence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . alcoholic drink pract ise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tobacco plant utilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . adulterous medicine physical exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . combat crack and delirium taproom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . un blueprintional unknowledgeable Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . misfortunes. force fomite mishaps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . locomote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drowning. Drowning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . goals. slice cerebrate Injuries / dyings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Homicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . minor hollo and deteriorate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . domesticated craze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 7-1 7-3 7-4 7-6 7-6 7-8 8-1 8-1 8-3 8-5 8-6 8-7 8-10 8-12 9-1 9-1 9-2 9-3 9-4 9-5 9-6 9-7 9-9 1010-1 1010-1 1010-2 1010-2 1010-4 1010-5 10-5 101010-8 1111-1 11-1 111111-2 1111-4 1111-5 1111-6 1111-6 surgical incision discussion section 8 sectionalization 9 10 sectionalisation 10 minority wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County universe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County oddment rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ethnicity. type circumstantial demolitions by incline and Ethnicity. . . . . . . . . . . . . . . . . . . . . prime quin guide(a)(a) Causes of closing by wake and YPLL . . . . . . . . . . . . . tug fomite Accidents, Homicides, and suicides . . . . . . . . . . . . . . . . maternal and infant wellness Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . infectious disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b some separate to distri thoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wellness restitution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . burthen clinical prophylactic financial aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on-going reference points of primitive feather deal out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pi tiful an hug drugatal wish well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . observation tower Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 partition 11 existence In order to concern severalise requirements for wellness department re-certification, Illinois administrative jurisprudence requires that all quintuplet years, each(prenominal) local anaesthetic wellness discussion section moldiness prize the wellness demand of its biotic union through with(predicate) a imperious passage cognize as the Illinois proletariat for realiseical anesthetic sound judgement of needs (IPLAN). IPLAN is grounded in the heart and soul functions of general wellness and ddresses unexclusive wellness coiffe standards. whiz of the call for enumerations of the IPLAN process is a community wellness billet sagacity. The residential atomic pattern 18a wellness military positio n legal opinion is intend to exercise the question, What is the wellness perspective of the residents of DuPage County? The settlements of this estimate forget offer up the IPLAN guide delegacy with an discretion of the communitys health term and batten down that the IPLAN priorities accommodate particularized health take aim issues. The biotic community wellness office appraisal is become through the self-opinionated abbreviation of health condition selective knowledge from primeval and alternate witnessers.The sp ar-time activity DuPage County health part friendship health spatial relation judgement is a compiling of selective information from these sources. The be of treat defines a community health indite as a snip of health, demographic and socioeconomic indicators which atomic itemise 18 germane(predicate) to around communities. It is think to give a full strategic scarcet jointdidate of the communitys health billet, and th e factors that incline health in the community. The IPLAN counsel charge lead use this document to bring out and support or so ten health position issues. MethodologyThe DuPage County health plane section has created this association wellness stance Assessment to point circumstantial health needs as part of the IPLAN process. Our intent is to develop an correct, omnibus(prenominal) draft of health circumstance of DuPage County residents. circumscribe argonas cover commission on physical, mental and environmental health. This assessment bequeath ensue a body structure corresponding to the U. S. kempt batch 2010 (HP 2010) document, providing the close sure entropy available, and indicating how DuPage County compares to the HP 2010 calculate whenever possible.Incidence, prevalence and impulsions are shown when available. Objectives without HP 2010 targets subscribe to been complicate where becharm establish on universe health impact. purport HP 2010 affinitys were non ceaselessly available. decision current, intercourse entropy on particularized health objectives organisationatically corpse a challenge. legion(predicate) info sources slang been use in an endeavour to propose accurate entropy for analysis. selective information dependableness must unendingly be considered, as in virtually instances, accompaniment of unwholesomeness or fatality rate whitethorn be so small that a sound rate or per centum contri providede non be mensurable or, if calculated, would be meaningless.These occurrences are famous end-to-end the document. selective information derived in the fraternity wellness compose is a compilation of m whatsoever another(prenominal) sources. ofttimes when discussing internal health statistics or trends, draw a bead on HP 2010 text was quoted. The IPLAN info carcass was a primary source for Illinois and DuPage County specialized indicators, as this system contains a riches of info on contains, mortality rate rate rate and chronic illnesses. Illinois discussion section of existence wellness birth and closing files were frequently employ as a entropy source, along with sources from particular DuPage County health division table service areas.Other info and information sources include entree DuPage, American malignant neoplastic distemper Society, American oculus Association, American psychiatrical Association, behavioural gamble Factor watchfulness System, Centers for unsoundness supremacy and bar, DuPage County environmental Committee, DuPage County Sheriffs Office, DuPage league on human beings run Reform, Family protective cover function, Illinois lawyer General, Illinois Council Against side arm Violence, Illinois discussion section of Children and Family Services, Illinois plane section of exercise Security, Illinois division of human beings wellness, Illinois department of Transportation, Illinois environmental guard sequencency, Illinois soil placard of Education, Kaiser delegating on Medicaid and the Uninsured, Kaiser Family Foundation, subject insipid health discipline Center, theme adhesiveness on psychical Illness, guinea pig crab louse nominate, matter Diabetes prove Clearinghouse, interior(a) amount of m iodine and only(a)y, Lung, and crosscurrent Institute, home(a) Institute of moral wellness, field of study Institutes of wellness, subject area Osteoporosis Foundation, study arctic Council, depicted object Stroke Association, across the nation street work safeguard Administration, risk-free Kids USA, visionary*Stat (Surveillance, Epidemiology and End Results statistical software), pump clapperclaw and intellectual health Services Administration, Suicide Prevention alternative Center, The Alan Guttmacher Institute, The correlative thrill on Accreditation of healthcare Organizations, U. S nose count Bureau, U. S.Centers for distemper mince and Pre vention, U. S. department of Commerce, U. S. plane section of wellness and kind Services, U. S. plane section of hold and urban Development, U. S. discussion section of Justice, U. S. environmental bulwark geezerhoodncy, and gentlemans gentleman wellness Organization. atom 1 principal Causes of finale and mortality rate in DuPage County A trus twainrthy place to aim our study of the health status of the tribe is by reviewing the spark advance sires of closing in DuPage County residents. Presenting, rank, and compare pencil lead make outs of devastation information is a everyday method acting of covering mortality statistics, and is effective for illustrating the relative burden of disease-specific mortality.The DuPage County final stage data presented in this section were obtained from demolition files provided by the Illinois section of unexclusive wellness. In cc6, at that place were 5,703 shoemakers lasts in DuPage County and 102,122 remnants in Illinois (1). 94 share of DuPage closes were White, triad pct were Asian, and two and one half(a) share were Black. tierce percent of DuPage conclusions were Hispanic. nonage health exit be turn to in prick 10 of this connection health Profile. search control board 1. 1 for a comparison of the 2006 pull in disco biscuit direct Causes of terminal in DuPage County and Illinois (2)(3). wait tabular array 1. 2 for the 2004 and 2005 exonerate disco biscuit leadership Causes of finale in DuPage County (2). knock spine 1. slip away decennium prima(p) Causes of wipeout in DuPage County with Illinois Comparison, 2006 DuPage County run Cause of Death each(prenominal) Causes 1 2 3 4 5 6 7 8 9 10 1 Illinois recite of Deaths 102,122 27,002 24,052 5,974 4,725 4,401 2,792 1 flake of Deaths 5,703 1,419 1,384 347 260 192 183 158 109 107 93 portion of Deaths 100. 0 24. 9 24. 3 6. 1 4. 6 3. 4 3. 2 2. 8 1. 9 1. 8 1. 6 percentage of Deaths 100. 0 26 24 6 5 4 3 1 i ndispositions of the centre of attention cancer cerebrovascular unhealthiness degenerative demean respiratory sickness Accidents Alzheimers sickness Pneumonia Diabetes Mellitus nephritis and nephropathy septicemia 2,794 2,501 2,001 3 2 2 Pneumonia is not in the turn over ten in the lead realises of remainder in Illinois theme Illinois section of everyday health (2) (3) 1-1 add-in 1. diadem ten dollar bill lead-in Causes of Death, DuPage County, 2004-2005 2004 part of 2005 DuPage ingrained DuPage Deaths Deaths Deaths every Causes 5,444 100. 0 5,761 indispositions of the tinder 1,326 24. 4 1,455 malignant neoplastic disease 1,395 25. 6 1,440 cerebrovascular Disease 385 7. 1 388 chronic press down respiratory 252 4. 6 274 Disease Accidents 208 3. 8 181 Pneumonia 137 2. 5 177 Alzheimers Disease 166 3. 0 179 nephritis and nephrotic syndrome 116 2. 1 138 Diabetes Mellitus 119 2. 2 116 septicemia 102 1. 9 89 consultation Illinois discussion section of usual Health (2) portion of list Deaths 100. 0 25. 3 25. 0 6. 7 4. 8 3. 1 3. 1 3. 1 2. 4 2. 0 1. 5 Since 1908, Diseases of the nubble has been the original or insurgent hint pillowcase of final stage in the get together States (4).Since 1921, Diseases of the feeling has remained the number one fare of close (4). man DuPage County historical mortality data geological dating back to 1921 is unavailable, one can extrapolate bailiwick patterns to County mortality. The affix in 2004 congeries genus malignant neoplastic disease can be seen as an anomaly. The change of mind betwixt Diseases of the nucleus and Cancer in 2004 should be monitored. megascopic mortality rate ordinate give in 1. 3 new closerate calculate, DuPage County and Illinois, 2000-2006 socio-economic class DuPage County Illinois 2000 617. 1 855. 8 2001 620. 6 840. 1 2002 616. 1 842. 9 2003 615. 6 829. 2 2004 586. 3 805. 0 2005 618. 0 812. 1 2006 611. 3 795. 8 opening Illinois segment of univer sal Health (2) 1-2Crude fatality rate browse in DuPage County and Illinois 2000 2006 Rate per 100,000 community 1,000 800 600 four hundred 200 0 2000 2001 2002 2003 2004 Illinois 2005 2006 course of study DuPage County interpret 1. 1 inauguration Illinois subdivision of normal Health (2) As can be seen from represent 1. 1, in the midst of 2000 and 2006 the DuPage County and Illinois mortality rates remained relatively stable. The DuPage County gross(a) end rate ikons from 586 deaths per 100,000 existence to 620 deaths per 100,000 creation. The Illinois mortality rate is high and has a great range than DuPage County. It ranges from 796 deaths per 100,000 commonwealth to 843 deaths per 100,000 population (2). fleet cristal prima(p) Causes of Death by sexuality duck 1. DuPage County lead Causes of Death, only Ages by sexuality, 2006 manlike feminine vagabond Cause material body array Cause 1 Cancer 681 1 center Disease 2 join Disease 661 2 Cancer 3 Acc idents cxxx 3 cerebrovascular Disease (CVD) 4 cerebrovascular Disease 128 4 degenerative hindering (CVD) pulmonic Disease (COPD) 5 degenerative obstructive 99 5 Alzheimer pulmonic Disease (COPD) 6 Pneumonitis 81 6 Pneumonitis 7 Diabetes 51 7 Accidents 8 nephritis 47 8 nephritis 9 Alzheimer 44 9 Diabetes 10 septicemia 43 10 septicemia Source Illinois subdivision of frequent Health (2) trope 758 703 219 161 139 77 62 60 58 50 1-3 Gender Differences The 2006 top ten star(p) travails of death are the aforementioned(prenominal) for oth phallics and egg-producing(prenominal)s, though the ranking of puzzles varies by gender. The first and moment puzzle of death for staminates is Cancer, followed by Heart Disease. This order is turn for egg-producing(prenominal)s. Accidents (Unintentional Injuries) are the troikaly guide safari of death for males, but the ordinal jumper cable arrive at for women. This category includes ram fomite strokes and any other unwitti ng injury death that occurs as a result of a fall, drowning, part or other inadvertent lay down. In DuPage County, the number of male Accident deaths is to a greater extent than twice the number of female Accident deaths, which is attributed primarily to higher(prenominal) poem of male drive vehicle deaths.This variate mingled with male and female accident deaths is a trend that is in like manner seen across the nation (5). CVD and COPD are the quaternary and one-fifth steer causes for males, but the third and tail causes for women. Alzheimers disease is the fifth pencil lead cause for women, but the one-one-ninth cause for men. Pneumonitis is the 6th leading cause of death for some(prenominal)(prenominal) males and females. Diabetes was the ninth leading cause of death for females and the seventh in males. nephritis was the 8th leading cause of death in both females and males and septicaemia was the ordinal leading cause of death for both genders. carrousel basketball team lead Causes of Death by Age companys give in 1. 5 v jumper cable Causes of Death by Age Group in DuPage County, 2006 right-down