Focusing on the Belmont Cragin, Dunning,
Hermosa, Jefferson Park, Montclare and
Portage Park neighborhoods of Chicago
Community Health Needs Assessment 2013
+ Call 877.737.INFO (877.737.4636)
+ Email [email protected]
+ Visit presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.
This Community Health Needs Assessment is an
overview of the health status of those who live in
the Belmont Cragin, Dunning, Hermosa, Jefferson
Park, Montclare and Portage Park neighborhoods
of Chicago. A collaborative team of community
stakeholders—from social service agencies to
business leaders—came together to gather and
analyze health-related information, identify the
most pressing needs and pinpoint ways to make
improvements. Please turn to page 15 to learn
more about this process.
Based on the committee’s extensive research
and review of available data, the following themes
surfaced as the highest priority health needs for
this community:
+ Risk Factors for Chronic Disease (obesity, diabetes, hypertension,
smoking, healthy eating, active living)
+ Access to Care (mental health, substance abuse, specialty care)
+ Coordination of Care
Be in the know.Belmont-Central Chamber of Commerce
Coalition to Save our Mental Health Centers
Hermosa Community Organization
Lutheran Social Services of Illinois
Mather LifeWays
Metropolitan Family Services, North Center
Northwest Side Housing Center
Old Irving Park Community Clinic
Polish American Association
Portage Park Chamber of Commerce
Presence Our Lady of the Resurrection Medical Center
PrimeCare Community Health Center
Sister Bonaventure Children’s Choice Learning Center
Our partners.
Facts & Findings.
50%of residents are
Hispanic/Latino
Cancer and heart disease are the leading causes of death
Unemployment rates are above the U.S. average
1 in 3 residents are
uninsured
There is a shortage of
mental health services for low-income
residents
Enrollment in Medicaid
is higher than the state average
30% of Belmont
Cragin’s children live in poverty
42% suffer from
obesity
30% get no
exercise
Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Dunning, Hermosa, Jefferson Park, Montclare & Portage Park neighborhoods—the Presence Our Lady of the Resurrection Medical Center service area.
3
4
Our Community.
Presence Our Lady of the Resurrection Medical Center
About half of residents identify as Hispanic/Latino— ranging from 20% in Jefferson Park to nearly 90% in Hermosa.
U.S
. 20
10 C
ensu
s, R
ob
Par
al a
nd
Ass
oci
atesRace & ethnicity, 2010
100%
90%
80%
70%
10%
20%
30%
40%
50%
60%
White Black Asian 2 or more races Hispanic/Latino
Jefferson Park
HermosaBelmont Cragin
Portage Park
Dunning Montclare
Spanish or Spanish Creole
German
Russian
Polish
Serbo-Croatian
Arabic
Greek
Korean
Chinese
Italian
Tagalog
Other
Am
eric
an C
om
mu
nit
y Su
rvey
Top languages spoken by those with limited English, 2006-2010
40%
35%
5%
10%
15%
20%
25%
30%
USChicagoHermosaBelmont Cragin
MontclareDunningPortage Park
Jefferson Park
Belmont Cragin and Hermosa have the lowest household income, the highest poverty rates and the highest percentage of children living in poverty.
5
248,683Total population in 2010
Presence Our Lady of the Resurrection Medical Center
Am
eric
an C
om
mu
nit
y Su
rvey
, Ro
b P
aral
an
d A
sso
ciat
es
Median household income 2006-2010
$70,000
$10,000
$20,000
$40,000
$50,000
$60,000
$30,000
$60
,59
2Je
ffer
son
Par
k
$46
,877
Ch
icag
o
$51,
914
US
$52
,356
Po
rtag
e P
ark
$61,
584
Du
nn
ing
$47,
46
0M
on
tcla
re
$42
,84
2B
elm
on
t Cra
gin
$42
,418
Her
mo
sa
% living below poverty line, 2006-2010
U.S
. 20
10 C
ensu
s, A
mer
ican
Co
mm
un
ity
Surv
ey,
Cit
y o
f Ch
icag
o, Il
lino
is A
ctio
n fo
r C
hild
ren
Households
Children 0–11
10% 20% 40% 50%30% 60%
Chicago21
31
Hermosa19
50
Dunning8
20
Portage Park12
38
Jefferson Park66
US14
19
Montclare13
19
Belmont Cragin19
59
4 communities have unemployment rates in the double-digits
Am
eric
an C
om
mu
nit
y Su
rvey
, C
ity
of C
hic
ago
15%
5%
10%
Population over 16 unemployed, 2006-2010
9.0
%Je
ffer
son
P
ark
11.1%
Ch
icag
o
7.9
%U
S
Po
rtag
e P
ark
10.6
%
Du
nn
ing
8.6
%
Mo
ntc
lare
10.8
%
Bel
mo
nt
Cra
gin
11.5
%
Her
mo
sa12
.9%
Access to care.
About 1 in 10 people use the ER as their primary source of health care.The majority of survey respondents said that
their immediate family goes to a doctor’s office
for a medical health problem, but over 9% said
they go to the ER. Belmont Cragin and Hermosa
had the highest percentage (19%) using the ER,
while Jefferson Park had the highest percentage
(64%) who seek care at a doctor’s office.
Illinois Public Health Institute and Presence Health Community Survey
Where do members of your immediate family go when they have a medical health problem?
Private Doctor’s Office
Community Clinic
ER
Other
Urgent Care/Walk-in Center
kind of insurance
where does your family go?
interpreters requested
9.4% ER
Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.
In the Presence Our Lady of the Resurrection Medical Center service area, 33% are uninsured.
kind of insurance
where does your family go?
interpreters requested
32.9% Uninsured
What kind of health insurance do you have?
Private Insurance
Uninsured
Medicare
Medicaid
Other
6
There is a shortage of primary care physicians in Belmont Cragin, Hermosa and Montclare.
Belmont Cragin, Hermosa, Montclare, Portage Park and Dunning lack mental health services for low-income residents.
7
What’s preventing people from receiving care?
Where does the community come up short?
1 in 5 felt that cost prevented them from seeing a doctor.
1 in 10 said that there were no providers available based on their insurance or lack thereof.
There is a disparity of Medicaid enrollment from 19% in Jefferson Park to 41% in Belmont Cragin and Hermosa.
% of population enrolled in Medicaid, 2010
60630 60634 60639 IL60641
Illin
ois
Dep
artm
ent o
f Hea
lth
care
&
Fam
ily S
ervi
ces
19%21% 21%
15%
5%
10%
25%
20%
30%
35%
40%
45% 41%
28%
Status of our health.
But unlike the rest of the country, diabetes
is among the top 5 causes and is particularly
high in Montclare.
Cancer and heart disease are the top two causes of death, both here and in the U.S. Years of Potential Life Lost (YPLL) defines what
is killing residents prematurely and can help
determine prevention efforts. The leading cause
of YPLL is cancer, except in Hermosa where
unintentional injury was the top cause.
Causes of early death.
8
Top 5 causes of death 2004-2008 (age-adjusted)
Cit
y o
f Ch
icag
o, C
DC
40 80 160120 200
Coronary heart disease
Cancer (all sites)
Diabetes-related
Lung cancer
Stroke
Unintentional injury
Breast Cancer in Females
Jefferson Park
155.1
197.550.956.8
41.8
Portage Park
170.4166.3
47.045.4
39.5
Dunning
135.5181.6
39.947.7
35.1
Montclare184.4
151.390.4
40.535.2
Chicago
162.7
197.870.352.1
46.4Cancer (all sites)
Unintentional injury
Assault, homicide
Fire-arm related
Coronary Heart Disease
Breast Cancer in Females
Diabetes-related
Lung Cancer
Belmont Cragin
167.9157.6
57.240.8
38.8
Hermosa
160.3135.8
58.727.7
28.9
Years of potential life lost, top 5 causes, 2009
Cit
y o
f Ch
icag
o, C
DC
1790Jefferson Park
616306
838575
Portage Park
1405925
998
402
Belmont Cragin
1073633
478379
704
Hermosa
663929
654639
701
Montclare1320
1041902
523
Dunning 1767865778
417
180012001000800600400200 1400 1600
304
407
536
US
179.8173.6
49.5
37.038.9
Montclare has the highest suicide rate—more than 4 times that of Hermosa’s—and higher than Chicago and U.S. averages.
Several communities have more average annual new cases of tuberculosis than the Chicago average. Hermosa’s rate is 3 times that of the city.
9
Suicide rate per 100,000 (age-adjusted)
Cit
y o
f Ch
icag
o, C
DC
Jefferson Park
5.8
Portage Park
8.9
Dunning
8.7
Montclare
6.5
Chicago US
11.2
Belmont Cragin
6.4
Hermosa
3.3
6
2
4
14
12
8
16
10
14.1
Tuberculosis average annual new cases per 100,000, 2010
Cit
y o
f Ch
icag
o, C
oo
k C
ou
nty
Hea
lth
Dep
artm
ent
5.5Jefferson Park
2015105
Portage Park
US
Dunning
Montclare
Belmont Cragin
Hermosa
Chicago
6.5
2.9
3.0
9.9
18.1
6.0
3.6
Status of our health. (continued)
The teen birth rate has gone down substantially in Hermosa and Belmont Cragin, but risen dramatically in Jefferson Park.
10
14.6% have been told they have asthma, more than the city, state and country.
Asthma hospitalizations are almost twice the national rate in Belmont Cragin and Hermosa.
2000 2009
Asthma hospitalizations per 100,000, age 5-64 (age-adjusted)
Cit
y o
f Ch
icag
o, C
DC
60630 86
60634 88
60641 100
US 111
60639 218
40 80 140 180 220120
Cit
y o
f Ch
icag
o, C
DC
Teen birth rate per 1,000, age 15–19, 2000 and 2009
Jefferson Park
3.3
28.6
Chicago80.5
57.0
US47.7
34.3
Portage Park
35.9
41.7
Hermosa
Belmont Cragin
84.2
68.2
Montclare54.3
61.5
Dunning21.2
19.9
10 20 40 5030 9060 70 80 100
100.7
69.7
42% are obese, compared to 28% nationally.
11
Hermosa and Belmont Cragin have the highest rates of mental health admissions.
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
, C
hic
ago
Dep
artm
ent o
f Pu
blic
Hea
lth
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o H
ealt
hca
re C
ou
nci
l 20
12
Mental health admission rate for reasons other than substance abuse
per 100,000, 2007 (age-adjusted)
Jefferson Park
351.2
Portage Park
709.5
Dunning
450.4
Montclare
181.3
1111.6
Chicago
600
200
400
1200
1000
800
100
Hermosa
875.9
Belmont Cragin
762.1
OLR Chicago US
Our community Chicago US
42% obese 26%obese
28%obese
Underweight/Normal (BMI 18.5–24.9)
Overweight (BMI 25-29.9)
Obese (BMI 30–39.9)
Health & behavior.
12
30% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.
5 servings of fruits and vegetables are recommended daily, yet only 20% said they ate more than 1 a day.
Illinois Public Health Institute and Presence Health Community Survey
About 5% are considered at risk for chronic drinking—higher than the Chicago rate and comparable to the U.S. rate.
4%
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Alcohol consumption—at risk for chronic drinking
5.0%
US
5.0%
Community
4.2%
Chicago
5.1%
IL
2%
6%
About 1 in 10 people smoke, lower than the Chicago and national average.
BR
FSS
200
9, M
etro
po
litan
Ch
icag
o
Hea
lth
care
Co
un
cil 2
012
Current smokers
17.1%
US
11.4%
Community
14.2%
Chicago
16.9%
IL
10%
15%
20%
5%
13
A diagnosis of alcohol abuse was more than 5 times higher at Presence Our Lady of the Resurrection’s ER than the state average.
Hermosa and Belmont Cragin have the highest rate of admissions for substance abuse and drugs in the area, but are still lower than the Chicago average.
Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)
Co
mm
un
ity
Are
a H
ealt
h In
ven
tory
, C
hic
ago
Dep
artm
ent o
f Pu
blic
Hea
lth
400 600 800200
576.0Hermosa
207.0Jefferson Park
149.9Portage Park
149.0Dunning
640.3Chicago
474.0Belmont Cragin
IL COMP Data
Barriers to health.
14
Despite a crime rate lower than Chicago overall, this area accounts for more than 5% of the city’s violent crime.
This means that thousands either do not have
enough to eat or don’t know where their next
meal is coming from.
Belmont Cragin and Hermosa residents suffer from food insecurity at rates higher than the U.S. overall.
Homelessness is a major challenge.Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless
estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.
Crime data, 2011 per 100,000 residents
Homicides
Drug crimes
Violent crimes (against persons)
Violent crimes(against community/
property)
Minor offenses
Total crimes
Cit
y o
f Ch
icag
o
1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500
3
16
447
1355
462
1074
3946
6965
2611
4713
7021
12752
Our community Chicago
15
Measuring our health.This Community Health Needs Assessment is the result
of a partnership between Presence Health, the Illinois
Public Health Institute and a diverse group of community
organizations and local leaders. In July 2012, a Steering
Committee was created to address the overall goal of
improving the health and well-being of the community
with a special focus on the needs of the most vulnerable.
The Committee examined a wide range of factors that
impact health, from the causes of disease and death to
income and unemployment rates. Statistics came from
sources like the U.S. Census and the City of Chicago.
Direct input from residents was also obtained through a
community survey that explored perceptions about quality
of life and barriers to health. Gaps in services were identified
and prioritized needs were determined (see page 2).
Taking action.Based on these priorities, Action Teams were formed to
develop goals and objectives that build from existing efforts
in the community. The result is targeted action plans that
help place resources where they are most needed and can
be the most effective. The Steering Committee will continue
to provide support and oversight of these plans as part of
a long term, comprehensive effort for improvement.
Read more. Visit presencehealth.org/community to get the whole story
of the Community Health Needs Assessment and view the
full Community Health Profile and Community Input Reports.
Residents who pay more than 30% of their
income on housing are considered cost
burdened. Home owners were more likely
than renters to be cost burdened in all areas.
Almost 50% of residents in all areas are cost burdened by housing.
Renters Owners
Ch
icag
o R
ehab
Net
wo
rk
% of residents cost burdened by home type, 2009
Ch
icag
o54
.6%
48
.3%
Mo
ntc
lare
50.8
%6
2.1%
Du
nn
ing
48
.8%
50.9
%
Po
rtag
e P
ark
50.8
%6
2.1%
Jeff
erso
n P
ark
48
.8%
50.9
%
10%
20%
40%
50%
60%
30%
70%
Bel
mo
nt C
rag
in50
.8%
62
.1%
Her
mo
sa4
9.2
%51
.8%
Gre
ater
Ch
icag
o F
oo
d D
epo
sito
ry, U
SDA
15%
5%
10%
% of population experiencing food insecurity, 2009
18.5%
Hermosa
8.9%
Jefferson Park
12.3%
Portage Park
17.0%
Belmont Cragin
US
14.7%
20%
Dunning Montclare
10.4%13.6%
5645 West Addison Street
Chicago, Illinois 60634
Call 877.737.INFOEmail [email protected] presencehealth.org/community
Get involved.Find out how to volunteer to help strengthen the community.
+ + +