CITY OF COLUMBIA

AGENDA MEMORANDUM

Updated: 7/25/2014 3:39 PM Page 1

MEETING DATE: August 19, 2014

DEPARTMENT: City Clerk

FROM: Erika Moore, City Clerk

SUBJECT: LiveWell Columbia Project

PRESENTER: Tiffany Sullivan, MPH, Director of Palmetto Health Office of

Community Health

Council is asked to review the 29203 Community Assessment Snapshot Results.

ATTACHMENTS:

COPAD-5998-Triple Aim report_web (PDF)

Triple Aim Fact Sheet_web (PDF)

FINANCIAL IMPACT: na

LiveWell Columbia Project 29203 Community Assessment Snapshot

Jackie Belton is a successful patient in the diabetes prevention program at Palmetto Health and enjoys her healthy lifestyle of nutrition and exercise.

Let’s create a healthier community. Palmetto Health is involved in the LiveWell Columbia Project to improve the health and the well-being of our community. Together, with our partners, we are developing new ways to address diabetes, obesity and related health issues.

From July through October 2013, Palmetto Health administered assessments to the 29203 ZIP code neighborhoods and received 1,542 responses. These residents were from different backgrounds, family types, and age groups.

Palmetto Health is working with community members to develop a creative and collaborative plan with unique elements.

Together, we can.It is essential to learn as much about a community’s readiness and capacity to change before committing valuable energy and resources. The information shared in this assessment will help set the direction for action and help Palmetto Health and our partners know where and how to start in the 29203 community.

We will use this information to meet the following objectives:1. Understand options and approaches for addressing community challenges. 2. Increase awareness and knowledge of local and national resources to help create

healthier communities.3. Introduce sustainability as an outcome to be addressed throughout our community

change initiatives.

Within the 29203 neighborhoods, we plan to meet these objectives through the development of a collaborative and creative plan.

WIDOWED

TOTAL RESPONSES The majority of responses were from African-Americans and females, with more than half over the age of 55. The average household size was more than two people.

DIVORCED OR SEPARATED

AGE 55 AND OLDER

19%

26%

63%

SINGLE

1,542

32% MARRIED ADULTS

23%

LiveWell ColumbiaSurvey Assessment

Of those completing the assessment, the majority were female and African-American, with about 63 percent age 55 or older. The average household size was more than two people and, for those with children in the home, the average household size was four people, with two children per home. About one-third of respondents are married with 23 percent single, 26 percent divorced or separated and 19 percent widowed. Nearly 50 percent of respondents report income at $25,000 or less, and 18 percent are currently unemployed. Thirty percent of respondents work full-time and 44 percent are retired. There were 24 percent of respondents with a high school diploma or GED, and more than 40 percent of those surveyed have received an associate’s degree or higher. For additional demographics, please see the back page of this report.

Type 2 diabetes, overweight and obesity, high blood pressure and alcohol use were seen as the most important health problems affecting this community. A healthy diet and regular exercise is important for reducing three of these four health conditions. However, of those responding, only half said that they are healthy eaters. Only a third of those responding indicated they have been physically active for an extended period of time.

When asked why it is hard to exercise in their community, respondents said there aren’t enough safe places to walk and sidewalks are needed. In addition to the traditional barriers to eating healthy, such as cost and too much fast food, respondents also expressed a need for more farmers’ markets and community gardens in the area. Increasing access to affordable health care, safe neighborhoods and a better economy with high job security also were seen as ways to make the community healthier.

The rest of this report details other key survey findings.

Note: Percentages have been rounded up. The LiveWell Columbia assessment was administered via Survey Monkey@, mail and door-to-door from July through October 2013.

Full assessment results are available by request, CommunityServices@PalmettoHealth.org or 803-296-3070.

4

3%

8%

11%

12%

28%

39%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Very  healthy  

Very  unhealthy  

Healthy  

Unhealthy  

Somewhat  unhealthy  

Somewhat  healthy  

How would you rate the overall health of your community?

1%

3%

4%

4%

10%

10%

17%

17%

24%

28%

33%

45%

49%

63%

0% 10% 20% 30% 40% 50% 60% 70%

Infant  death  

Other  

Alzheimer's/Demen5a  

HIV/AIDS/STD  

Cancer  

Mental  health  

Tobacco  use  

Heart  disease  and  stroke  

Arthri5s  

Drug  Use  

Alcohol  use  

Overweight/Obesity  

Diabetes  

High  blood  pressure  

What do you think are the THREE MOST important health problems in your community?

More than one-third (39 percent) of respondents rate the overall health of their community as somewhat healthy. Although 39 percent rate the community as somewhat healthy, high blood pressure (63 percent), diabetes (49 percent) and overweight/obesity (45 percent) were rated as the three most prevalent health conditions in the community.

5

6%

6%

42%

46%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Poor  

Excellent  

Very  Good  

Fair  

Would you say that, in general your health is...(choose one)

2%

7%

8%

14%

18%

23%

26%

27%

30%

31%

35%

39%

48%

0% 10% 20% 30% 40% 50% 60%

Other  

Low  disease  rate  

No  discrimina2on  

Access  to  safe  and  affordable  care  

Good  schools  

Clean  environment  

Neighbors  helping  neighbors  

Strong  faith  and  fellowship  

Low  crime  

Access  to  healthy  foods  

Good  jobs/healthy  economy  

Access  to  affordable  health  care  

Safe  neighborhoods  

What are the THREE MOST important factors for a "healthy community"?

The majority of residents rate their general health status as fair (46 percent) or very good (42 percent). Residents ranked safe neighborhoods, access to affordable health care, and good jobs/healthy economy as the three most important characteristics of a healthy community.

6

85%

15%

Do you have a primary care doctor?

Yes

No

80%

20%

In the past 12 months, did you have an annual medical physical?

Yes

No

In the past 12 months, 81 percent had an annual medical physical and 85 percent have a primary care doctor.

7

92%

8%

In the past 12 months, did you visit a health care provider?

Yes

No

53%

47%

In the past 12 months, did you see a dental care provider?

Yes

No

Although 92 percent of those responding have visited a health care provider in the last 12 months, only 53 perent have visited a dental care provider.

8

4%

8%

13%

14%

26%

35%

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

Uncomfortable  

Neutral  

Very  Uncomfortable  

Don't  Know/Not  Applicable  

Very  Comfortable  

Comfortable  

If you felt you needed help with mental health issues how comfortable are you with seeking care?

14%

19%

67%

0% 10% 20% 30% 40% 50% 60% 70% 80%

No  

Yes  

Don't  Know  

Does your community have access to affordable mental health care?

Although 60 percent of respondents feel comfortable or very comfortable seeking care for help with mental health issues, more than half (67 percent) of respondents indicate they are unsure if access to affordable mental health care is available in the community.

9

36%

23%

19%

16%

7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

I presently walk or exercise on a regular basis and have been doing so for

longer than six months.

I presently do not walk or exercise on a regular basis, but I have been

thinking about starting to walk or exercise within the next six months.

I presently do not walk or exercise on a regular basis, but I plan to start in

the next 30 days.

I presently walk or exercise on a regular basis and have been doing so

for less than six months.

I presently do not walk or exercise on a regular basis and do not plan to start walking or exercising in the next six

months.

Please pick the statement that best describes your current walking or exercise behavior.

The majority of respondents from this community report that they regularly engage in the recommended amount of physical activity (36 percent) and have done so for longer than six months. More than half (52 percent) of those responding report that they eat healthy on a regular basis for more than six months.

52%

17% 17%

12%

2%

0%

10%

20%

30%

40%

50%

60%

I presently eat healthy almost every day and have been doing so for longer than

six months.

I presently eat healthy almost every day and have been

doing so for less than six months.

I presently don't eat healthy on most days of the week, but

I plan to start in the next 30 days.

I presently don't eat healthy, but I have been thinking about

doing so within the next six months.

I presently don't eat healthy, and don't plan on doing so

in the next six months.

Please pick the statement that best decribes your current eating habits.

10

0%

1%

2%

3%

8%

86%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Bike  

Cab  

Walking  

Other  

Bus  

Car  

What is your main way of transportation? (Choose only one)

3%

5%

7%

13%

15%

18%

19%

60%

0% 10% 20% 30% 40% 50% 60% 70%

Other  

Friend  or  family  member's  home  

Tablet  PC/iPad  

Library  

Work  

I  do  not  use  the  Internet  regularly  

Cell  Phone  

Home  

If you use the Internet, where do you usually it?

Among respondents who regularly use the Internet, 60 percent of respondents report accessing from home most often, followed closely by cell phones (19 percent) and work (15 percent). Nearly 18 percent indicate they do not regularly use the Internet. Respondents could choose more than one answer.

11

2%

3%

4%

9%

15%

17%

20%

24%

28%

34%

39%

84%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Billboard/poster  

Other  

School/work  presenta6on  

Newspaper  

Books  

Magazine  

Friend  

Flyer/pamphlet  

Radio/television  

Family  member  

Internet  

Doctor/nurse  

What are the top three ways you receive your health information?

The top three ways in which respondents receive health information include their doctor/nurses (84 percent), the Internet (39 percent) and family members (34 percent).

Located in the northern part of Columbia, the 29203 ZIP code has a total population of 39,843 and is the fourth most populated area in Richland County (Palmetto Health 29203 Triple Aim Project, 2012, United States Census Bureau and American Fact Finder, 2012). This community has a greater percentage of African-Americans compared to Richland County and the state (United States Census Bureau and American Fact Finder, 2012). The area also has a higher percentage of females

and unemployment among those of workforce age (Palmetto Health 29203 Triple Aim Project, 2012). Wealth is lower and the per capita household income in 2010 was below South Carolina’s average of $25,065 (United States Census Bureau and American Fact Finder, 2012). The percentages of people living in and/or below poverty also are higher than the percentage living in poverty for Richland County, which was 14.5 percent in 2010 (U.S. Census Bureau, 2012).

COPAD-5998 1-14

Richland County and 29203 ZIP Code Demographic Information

(Source: American Fact Finder, the United States Census Bureau and the SC Department of Employment and Workforce, 2012)

Variable 29203 ZIP Code Richland County South Carolina

Total population 2010 39,843 384,504 4,625,364

2011 Demographic Breakdown

Median household income (2007-2011) $31,907 $48,485 $44,587

Per capita household income (2007-2011) $17,755 $26,225 $23,854

Age (2012)

Under 19 years old 28.2% 22.6% 23.1%

Over 65 years old 13% 10.5% 14.7%

Race (2012)

African-American, non-Hispanic 81.4% 46.8% 28%

Caucasian, non-Hispanic 14.2% 44.6% 28%

Hispanic or Latino 3.4% 5% 5.3%

Two or more races 1.6% 2% 1.6%

Sex (2012)

Female 54.5% 51.4% 51.4%

Male 45.5% 48.6% 48.6%

Other Demographics

Living in poverty 30.3% 15.4% 17.1%

Living below poverty level (2007-2011) 27.2% 15.9% 17%

Unemployment 12.1% 5.5% 5.7%

Persons not in the workforce 35.1% 31.1% 37.1%

LiveWell Columbia Community AssessmentPalmetto Health is involved in the LiveWell Columbia Project to improve the health and the well being of our community. Together, with our partners, we are developing new ways to address diabetes, obesity and related health issues.

From July through October 2013, Palmetto Health administered assessments to the

29203 ZIP code neighborhoods and received 1,542 responses. These residents were from different backgrounds, family types, and age groups.

Palmetto Health is working with community members to develop a creative and collaborative plan with unique community elements.

WIDOWED

TOTAL RESPONSES The majority of responses were from African-Americans and females, with more than half over the age of 55. The average household size was more than two people.

DIVORCED OR SEPARATED

AGE 55 AND OLDER

19%

26%

63%

SINGLE

1,542

32% MARRIED ADULTS

23%

LiveWell ColumbiaSurvey Assessment

Overall community

health

Personal health

Access to mental

health care

Means of transportation

39% 46%Somewhat

HealthyFair Don’t Know Car

67% 86%

Scale of very healthy (3%) to very

unhealthy (8%)

Scale of excellent (6%) to

poor (6%)

Yes (19%), No (14%)

Bus (8%), Other (3%), Car (86%), Walking (2%),

Cab (1%)

Som

ewh

at

Fair

Do

n’t

Kn

ow C

ar

85%

15%

Yes

Has a primary care

doctor

Had a physical in past

12 months

80%

20%

Yes

Visited a health care provider in past 12 months

Yes92%

8%

High Blood Pressure

63%Diabetes

49%

Overweight/Obesity

45%

Most Important Health Problemsin community

Most Important Factorsfor a healthy community

Safe Neighborhoods

48%

Access toAffordable Health Care

39%

Good jobs/Healthy Economy

35%

Percentages have been rounded up. The LiveWell Columbia assessment was administered viaSurvey Monkey@, mail and door-to-door from July through October 2013.

Full assessment results are available by request, at 803-296-3070.

“50% of respondents are healthy eaters” and “1/3 = the number of respondents who have been physically active for an extended period of time.”

50%of those responding indicate they are healthy eaters

of those responding indicate they have

been physically active for an

extended period of time

1/3

Located in the northern part of Columbia, the 29203 ZIP code has a total population of 39,843 and is the fourth most populated area in Richland County (Palmetto Health 29203 Triple Aim Project, 2012, United States Census Bureau and American Fact Finder, 2012). This community has a greater percentage of African-Americans compared to Richland County and the state (United States Census Bureau and American Fact Finder, 2012).

The area also has a higher percentage of females and unemployment among those of workforce age (Palmetto Health 29203 Triple Aim Project, 2012). Wealth is lower and the per capita household income in 2010 was below South Carolina’s average of $25,065 (United States Census Bureau and American Fact Finder, 2012). The percentages of people living in and/or below poverty also are higher than the percentage living in poverty for Richland County, which was 14.5 percent in 2010 (U.S. Census Bureau, 2012).

COPAD-5999 | 1-14

Richland County and 29203 ZIP Code Demographic Information

(Source: American Fact Finder, the United States Census Bureau and the SC Department of Employment and Workforce, 2012)

Variable 29203 ZIP Code Richland County South Carolina

Total population 2010 39,843 384,504 4,625,364

2011 Demographic Breakdown

Median household income (2007-2011) $31,907 $48,485 $44,587

Per capita household income (2007-2011) $17,755 $26,225 $23,854

Age (2012)

Under 19 years old 28.2% 22.6% 23.1%

Over 65 years old 13% 10.5% 14.7%

Race (2012)

African-American, non-Hispanic 81.4% 46.8% 28%

Caucasian, non-Hispanic 14.2% 44.6% 28%

Hispanic or Latino 3.4% 5% 5.3%

Two or more races 1.6% 2% 1.6%

Sex (2012)

Female 54.5% 51.4% 51.4%

Male 45.5% 48.6% 48.6%

Other Demographics

Living in poverty 30.3% 15.4% 17.1%

Living below poverty level (2007-2011) 27.2% 15.9% 17%

Unemployment 12.1% 5.5% 5.7%

Persons not in the workforce 35.1% 31.1% 37.1%