Community Themes & Strengths Assessment Jason Porter San Antonio Metropolitan Health District

Community Themes & StrengthsAssessment

Jason Porter

San Antonio Metropolitan Health District

Purpose

• Collect opinions of residents concerning community health problems and quality of life issues

• Identify important issues that can be addressed through community action

• Results will be used to develop a community health improvement plan

Survey Facts• 342 total surveys were disseminated

throughout the community – Neighborhood Associations– Community Organizations– City Hall Showcase

• 52 different area codes

• 198 completed surveys

Demographics

Zip Codes of Respondents

30 to 3710 to 19

1 to 9none

Age of Respondents

1

35

71

35

48

0

10

20

30

40

50

60

70

80

25 or less 26-39 40-54 55-64 65 or over

Sex of Respondents

88 90

0

20

40

60

80

100

Female Male

Ethnicity of Respondents

56.3%

33.7%

4.2% 5.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

White NH Hispanic Black Other

Marital Status of Respondents

73.5%

24.9%

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

Married/Co-habitating Not Married/Single

Education

1%

29%

62%

8%

0%

10%

20%

30%

40%

50%

60%

70%

High schoolor less

Highschool/GED

College orhigher

Other

Income

4%

18%

29%

50%

0%

10%

20%

30%

40%

50%

less than20k

21k to 29k 30k to 49k 50k or more

How Respondents Paid for Health Care

6.7%

65.7%

1.7%

15.9%

5.0% 5.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Cash (No Ins) Health Ins Medicaid Medicare VA Other

How Respondents Obtained Survey

34.0%

0.5%

34.0%31.4%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Community Meeting Shopping Mall Mail Other

Community Health

• Low crime/Safe Neighborhoods (17.6%)• Good Schools (11.8%)• Good jobs/Healthy Economy (10.8%)• Strong Family Life (9.1%)• Access to health care (8.6%)• Good Place to raise children (8.5%)• Religious factors (8.0%)• Healthy Behaviors and lifestyles (6.6%)• Clean Environment (5.8%)• Affordable housing (3.4%)• Parks and recreation (2.2%)• All others ( 8.2%)

Most Important Factors for a Healthy Community

• Diabetes (14.6%)• Aging problems (11.3%)• Teenage Pregnancy (10.6%)• Heart Disease and Stroke (10.1%)• Child Abuse (8.4%)• Cancer (8.2%)• Domestic Violence (7.2%)• Domestic Violence (7.2%)• High Blood Pressure (4.8%)• Sexually Transmitted Disease (2.2)

Most Important Health Problems?

• Obesity (15.8%)• Alcohol abuse (15.3%)• Dropping out of school (13.2%)• Drug abuse (12.8%)• Lack of exercise (9.0%)• Poor eating habits (8.3%)• Tobacco use (6.1%)• Unsafe sex (5.5%)• Not using seat belts/ Child safety seats (5.2%)

Most Important Risky Behaviors?

Overall Health of Community?

2.6%

25.4%

56.1%

15.3%

0.5%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Health of Community

Very Healthy Unhealthy Somewhat Healthy Very Healthy

Your Own Personal Health?

1.0% 3.1%

32.5%

49.7%

13.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Health of Community

Very Healthy Unhealthy Somewhat Healthy Very Healthy

Monthly Hours Volunteered?

14.2%

33.2%

20.5%

31.6%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Health of Community

None 1-5 Hours 6-10 Hours Over 10 Hours

Quality of Life

Are you satisfied with the quality of life in our community?

3.6%

17.6%

25.4%

45.1%

8.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Strongly No No Neutral Yes Strongly Yes

Are you satisfied with the health care system in our community?

8.9%

18.2%

30.2%

37.0%

5.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%


Is this community a good place to raise children?

2.1%7.3%

26.2%

48.2%

15.7%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Is this community a good place to grow old?

1.5%

12.4%

24.7%

45.4%

16.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Is there economic opportunity in the community?

7.2%

27.7%

34.9%

23.1%

7.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%


Is the community a safe place to live?

2.6%

12.9%

27.3%

45.9%

11.3%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Are there networks of support for individuals and families?

2.6%

9.4%

29.3%

46.1%

12.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Do all individuals and groups have the opportunity to contribute and participant

in the community?

4.8%

11.2%

22.5%

43.3%

18.2%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Do all residents perceive that they- individually and collectively- can make

the community a better place?

9.9%

26.0% 27.1%28.6%

7.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%


Are there a broad variety of health services in the community?

2.6%

16.8%21.5%

47.1%

12.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Is there a sufficient number of health & social services in the community?

3.7%

24.1%26.7%

34.0%

11.5%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%


Are levels of mutual trust & respect increasing among community partners?

6.3%

15.7%

38.7%

34.0%

5.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%


Is there an active sense of civic responsibility & engagement, and of

civic pride in shared accomplishments?

6.8%

19.8%

33.3% 33.3%

6.8%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%


Focus Group & Key Informant Interviews

Summary

• Performed by Margaret Brackley, PhD, as part of the Community Health Assessment

• 100 persons interviewed including community leaders, health care providers, and citizens from throughout Bexar County

• Interviews conducted in English & Spanish• 12 major theme sets were expressed• 6 theme sets emerged for special populations• Consult packet for more information

Documents

Community Themes & Strengths Assessment Jason Porter San Antonio Metropolitan Health District