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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 ...................