Memorial Hermann Health Memorial Hermann Health System..... 1 About Memorial Hermann Texas Medical Center ..... 1 ... (11.7 per 10,000 residents) and lowest in Fort Bend County (5.7 per 100,000 population). Among children aged 17 years

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  • Memorial Hermann Health System Memorial Hermann Texas Medical Center Community Health Needs Assessment 2016

    June 8, 2016

  • TABLE OF CONTENTS EXECUTIVE SUMMARY ................................................................................................................................................ i

    Introduction ............................................................................................................................................................ i

    Community Health Needs Assessment Methods ............................................................................................... i

    Key Findings ............................................................................................................................................................ i

    Community Social and Economic Context .......................................................................................................... i

    Community Health Outcomes and Behaviors .................................................................................................... ii

    Health Behaviors ............................................................................................................................................... iv

    Behavioral Health .............................................................................................................................................. iv

    Health Care Access and Utilization .................................................................................................................... v

    Community Assets and Resources ..................................................................................................................... v

    Community Vision and Suggestions for Future Programs and Services ............................................................ v

    Key Themes and Conclusions ............................................................................................................................ vi

    BACKGROUND ............................................................................................................................................................ 1

    About Memorial Hermann Health System ............................................................................................................. 1

    About Memorial Hermann Texas Medical Center ................................................................................................. 1

    Scope of Current Community Health Needs Assessment ...................................................................................... 1

    Previous Community Health Needs Assessment ................................................................................................... 1

    Purpose of Community Health Needs Assessment................................................................................................ 1

    Definition of Community Served for the CHNA ..................................................................................................... 2

    APPROACH & METHODS ............................................................................................................................................ 4

    Study Approach ...................................................................................................................................................... 4

    Social Determinants of Health Framework ........................................................................................................ 4

    Health Equity ...................................................................................................................................................... 5

    Methods ................................................................................................................................................................. 5

    Quantitative Data ............................................................................................................................................... 5

    Qualitative Data ................................................................................................................................................. 5

    Analysis .................................................................................................................................................................. 6

    Limitations.............................................................................................................................................................. 6

    COMMUNITY SOCIAL AND ECONOMIC CONTEXT ...................................................................................................... 7

    About the MH Texas Medical Center Community ................................................................................................. 7

    Population Size and Growth............................................................................................................................... 7

    Age Distribution ................................................................................................................................................. 8

    Racial and Ethnic Distribution ............................................................................................................................ 9

    Linguistic Diversity and Immigrant Population ................................................................................................ 10

    Income and Poverty ............................................................................................................................................. 12

    Employment ......................................................................................................................................................... 14

    Education ............................................................................................................................................................. 15

    Housing ................................................................................................................................................................ 16

  • Transportation ..................................................................................................................................................... 18

    Crime and Violence .............................................................................................................................................. 19

    HEALTH OUTCOMES AND BEHAVIORS ..................................................................................................................... 21

    Overall Leading Causes of Death ......................................................................................................................... 21

    Chronic Diseases and Related Risk Factors .......................................................................................................... 24

    Access to Healthy Food and Healthy Eating ..................................................................................................... 24

    Food Access ...................................................................................................................................................... 24

    Eating Behaviors ............................................................................................................................................... 27

    Physical Activity ................................................................................................................................................ 29

    Overweight and Obesity .................................................................................................................................. 29

    Diabetes ........................................................................................................................................................... 30

    Heart Disease, Stroke, and Cardiovascular Risk Factors .................................................................................. 30

    Asthma ............................................................................................................................................................. 31

    Cancer .............................................................................................................................................................. 32

    Behavioral Health ................................................................................................................................................. 33

    Mental Health .................................................................................................................................................. 33

    Substance Use and Abuse ................................................................................................................................ 35

    Communicable Diseases ...................................................................................................................................... 37

    HIV .................................................................................................................................................................... 37

    Other Sexually-Transmitted Diseases .............................................................................................................. 38

    Tuberculosis ..................................................................................................................................................... 39

    Influenza ...................

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