Quality of Life Index 2011

Public Health DepartmentPublic Health Department

Quality of Life Index 2011

Pasadena Public Health DepartmentEric Walsh MD MPH

Director/Health Officer

Public Health Department

The Rose That Grew From The Rose That Grew From Concrete Concrete

Did you hear about the rose that grew from a crack in the concrete? Proving nature's law is wrong it learned to walk with out having feet. Funny it seems, but by keeping it's dreams, it learned to breathe fresh air. Long live the rose that grew from concrete when no one else ever cared.Tupac Shakur


Disparities Gradient


Equity DC’d

With each mile you travel, life expectancy increases about a year and a half.



Equity DC’d

The average suburbanite near the Shady Grove station will live 20 years longer than the typical city dweller around Capitol Heights.



Health Disparities

• Health disparities are the inequities in social, economic, and environmental conditions that increase risk of illness and injury, and reduce opportunities for good health.


CDC Infant Mortality Data


The short drive to inequity

Dahlgren and Whitehead (1991)


What is needed

According to Sir Michael Marmot

• Social participation• Respect of others• Individual Autonomy• Access to a community• Rewarding relationships These are the things that are

missing along the geological gradient


What is the Quality of Life Index?

10

• The Quality of Life Index was first produced in 1992, with an update of the data in 1998. Last completed in 2002.

• The audience for the Index is mainly professional, used most often for grant writing, and, to a lesser extent, as an aid to policy development.

• The index is a gauge to look at social determinants of health in the local area.

• The index covers Pasadena (and Altadena as much as possible).


Living Wage


9478

14349

1027612429

27985

0

5000

10000

15000

20000

25000

30000

35000

Less than$15,000

$15,000 -$34,999

$35,000 -$49,999

$50,000 -$74,999

$75,000 andover

Income Levels

Nu

mb

er o

f H

ou

seh

old

s

Source: United Way Zip Code Data Book

Estimated Household Income Levels of Pasadena and Altadena Combined (2005)


Living Wage

• There is a wide range of income levels in Pasadena and Altadena. – According to updated data, approximately 54% of households earned a

combined salary of more than $50,000. – The Median household income 2005-2009 $62,242, compared to $60,392 (CA)

& 26,983 (Los Angeles County).

• Living wage status affects all members of a household. – The National Health Interview Survey of 2009 reported that about 65% of

children in non-impoverished families were in excellent health, compared with only 44% of children in poor families.

– Children in poor and near-poor families were more likely to be uninsured, have unmet medical needs, and have delayed medical care.

– Approximately 55% of the students in the Pasadena Unified School District live in households that are below the federal poverty guideline thresholds.


*Preliminary Data

^Not seasonally adjusted

Source: Employment Development Department & US Bureau of Labor & Statistics

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1990 1995 2000 2003 2005 2008 2009 2010 2011

Pasadena 4.40% 6.10% 4.10% 5.30% 4.00% 5.40% 8.9% 9.9%^ 8.8%*^

LA County 5.80% 8.00% 5.40% 7.00% 5.30% 7.20% 11.6% 13% 11.5%*^

California 5.80% 7.90% 4.90% 6.80% 5.40% 7.20% 11.4% 12.5% 11.3%*

National 5.20% 5.60% 4.00% 6.00% 5.10% 5.80% 9.3% 9.8% 8.6%*

Unemployment Rates for 1990-2011


Housing Affordability


Housing Affordability: Average Housing Prices in Pasadena and Altadena

Aug-01 Aug-07 Aug-08 Jun-09 Jun-10

Altadena $260,500 $640,000 $490,000 $492,500 $534,500

Pasadena $324,500 $650,000 $585,000 $533,500 $536,500

L.A. County $251,508 $540,000 $440,000 $325,000 $335,000

Source: California Association of Realtors16


Homelessness


Homeless Adults by Ethnicity (2010)

2%

3%

30

%

6%

4%

2%

23

%

36

%

6%

2%

1%

38

%

7%

31

%

3%

1%

24

%

37

%

4%

23

%

37

%

29

%

23

%

29

%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

African American American Indian Asian/Pacific Latino White Other

Ethnicity

Pe

rce

nta

ge

2005

20062007

2010

Source: Pasadena 2010 Homeless County Preliminary Report

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19

Homelessness

• The City of Pasadena, like many large cities, has a substantial number of households that are at risk for homelessness.

• According to the U.S. Census Bureau, in 2000, there were approximately 30,000 residents (nearly one of every four residents) who were members of a household whose income was $15,000 a year or less. Of these households, approximately half (15,000 residents) were members of a household whose income was less than $10,000.

• These data indicate that there is a continued need to ensure programs like the Shelter Plus Care Program, the HOME Investment Project, and Pasadena’s Mortgage Credit Certificate (MCC) Program remain.


Academic Achievementin Public Education


PUSD Ethnic Diversity

16%

25%

4%

23%

3%

56%

17% 22

%

5%

56%

17% 21

%

5%

55%

15%

55%

0%

10%

20%

30%

40%

50%

60%

70%

Hispanic White AfricanAmerican

Asian,PacificIslander &

Filipino

Eth

nic

Bre

akd

ow

n (

%)

2005-2006

2006-2007

2007-2008

2008-2009

Source: California Department of Education

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English Language Learning Students (students for whom English is not their first language) account for 21% of PUSD students, or a little more than one in five students.


Source: California Department of Education

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Of the 1,120 graduates in 2009, 446 (39.8%) students met course requirements for the University of California/California State University application process. This is higher than both the County and State average, 32.6% and 33.9%, respectively.

Verbal/Math

2003-2004

Verbal/Math

2004-2005

Verbal/Math

2005-2006

Verbal/Math/

Writing2006-2007

Critical Reading/

Math/Writing2007-2008

Critical Reading/

Math/Writing2008-2009

PUSD 449/458 441/452 452/454 442/451/441 450/449/446 445/448/441

Los Angeles 473/499 478/503 475/495 492/474/453 472/490/475 474/488/475

California 496/519 499/521 495/516 513/491/494 494/513/493 495/513/494

Average SAT I score of PUSD


Community Involvementin Public Education


Pupil-Teacher Ratio for Local Jurisdictions (2009-2010)


Per-Pupil Expenditure (2009-2010)


Public Education

• The Pasadena Education Foundation (PEF) which in 2009-2010 raised more than $4.22 million from private and corporate donors (and $6.9 million in governmental grants), with 2,520 donors in all.

• Pasadena LEARNs serves more than 3,000 students daily at 22 elementary, middle and high school campuses in PUSD.


Civic Involvement


Voter Participation Rates for the November 2004, 2006, 2008, and 2010 General Elections

58.15%

40.27%

48.47%

85.35%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

2004 2006 2008 2010

November General Elections by Year

Per

cen

tag

e o

f V

ote

s C

ast


Census Participation Rates in Pasadena, 2010


Community Safety


5 21 2377

271

609

311

3023

0

500

1000

1500

2000

2500

3000

3500

Murder Rape Robbery Assault Burglary Car Theft Arson Theft

Type of Crime

Num

ber

of In

cide

nts

2002

2006

2009

Source: Pasadena Police Department 31

Incidence of Crime in Pasadena


Air and Water Quality


Source: California Air Resources Board

33

Annual Number of Days that Pollutant Levels Exceed the Government Standards in Pasadena* ^

* There was unavailable/insufficient data for the PM2.5 levels for the City of Pasadena in 2010


Access to Health Care


55133

61052

57043

58854

59411

60165 60118

52000

53000

54000

55000

56000

57000

58000

59000

60000

61000

62000

2002 2003 2004 2005 2006 2007 2010

Year

Nu

mb

er

of

Vis

its

Source: MIS 35

Hospital Use in Pasadena (Huntington Emergency Department)


17651

3713

10253

19100

4611

9859

29796

3746

9841

40625

3350

10305

49811

4898

12739

0

10000

20000

30000

40000

50000

60000

CHAP Clinic Bill Moore Clinic Huntington Dispensary

Nu

mb

er

of

Vis

its

2003

2005

2007

2009

2010

Sources: MIS 36

Low Cost Clinic Use in Pasadena


Maternal Health and Early Development


Percent Distribution of Births by Race/Ethnicity by Jurisdiction

^National Center For Health Statistics, Final Natality Data, Retrieved November 23, 2011, From Www.Marchofdimes.Com/Peristats. March Of Dimes Breakdown Of Ethnicity. Average For Years 2006-2008†,‡ Table 2-33. Live Births By Race/Ethnic Group1 Of Mother, California Counties And Selected City Health Departments, 2009 (By Place Of Residence). Other Ethnicity Includes ‘2 Or More Race Groups’, ‘American Indian’, ‘Pacific Islander’, ‘Other’ and ‘Unknown’.


Infant Mortality Percent of Live Birthsby Jurisdiction 2005-2007

Pasadena Public Health Department

*Total Pasadena births (2005-2007) is 6651. Total infant mortalities totaled 34.

Source: State of California, Department of Health Services, Birth Records 2005-2007


Community Health Improvement


27.4%

31.5%

19.0%

16.0%

22.6%

24.9%

23.5%20.6%

26.0% 26.6%24.7%

21.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

2001 2003 2005 2007 2008 2009Year

Stu

dent

s M

eetin

g S

tate

Sta

ndar

ds

(%)

PasadenaUnifiedSchoolDistrict

LosAngelesCounty

Physical Fitness Report for Grade 5


25.8%

32.5%34.1%

14.0%16.0%

22.5%

16.5%

19.6%

13.1%

20.6%

17.9%18.0%

0%

5%

10%

15%

20%

25%

30%

35%

2001 2003 2005 2007 2008 2009

Year

Stu

dent

s M

eetin

g S

tate

Sta

ndar

ds(%

)

PasadenaUnifiedSchoolDistrict

LosAngelesCounty

Physical Fitness Report for Grade 9


3%2%

27%

5%

2%

0%

5%

10%

15%

20%

25%

30%

Cigarettes SmokelessTobacco

Alcohol Inhalants Marijuana

Per

cent

of S

tude

nts

Substance Used Source: California Healthy Kids Survey 43

Percent of Students who have ever Used Alcohol, Tobacco, or Drugs (Grade 5) (2009-2010)


25%

13% 13%

50%

20%

36%

61%

11%

39%

0%

10%

20%

30%

40%

50%

60%

70%

Alcohol (Whole Drink) Inhalants Marijuana

Per

cen

t of S

tud

ents

Product Used

Grade 7

Grade 9

Grade 11

Source: California Healthy Kids Survey

44

Percent of Students who used Alcohol and Other Drugs at least once in their life- 2009-2010


17 23 13 16 23 38

672708 725

786748

695

0

100

200

300

400

500

600

700

800

900

2002 2003 2004 2006 2007 2009

Year

Ca

se

s o

f H

IV/A

IDS

New Cases

CumulativeCases

Source: California Department of Public Health, Office of Aids

45

Number of New and Cumulative Cases of HIV/AIDS in Pasadena


Ten Leading Causes of Death in California in 2008

Source: State of California and Los Angeles County Department of Health Services, Death Records

46

Cause of Death California LA County PasadenaDiseases of the Heart 158.8 166.5 254.3Malignant Neoplasms 142.7 134.7 175.4Cerebrovascular Disease 36.1 32.9 38.7Chronic Lower Respiratory Disease 34.9 30.4 44.4Accidents 27.9 21.3 18.3Influenza/ Pneumonia 26.4 21.3 23.2Diabetes 19.2 22 14.1Alzheimer's Disease 17.2 21.8 34.5Cirrhosis 10.8 11.4 14.8Intentional Self-Harm 9.4 8.1 12.7All Other Deaths ** 112.2 124Total Deaths 612 582.5 754.4


What are the next steps?

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If you have any questions or concerns, please contact Dr. Eric Walsh at [email protected] or (626) 744-6166.

To receive an electronic copy, please email Erika Davies ([email protected]).

Quality of Life Index 2011

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