Focusing on the Avondale, North Center, Lakeview

and Lincoln Park neighborhoods of Chicago

Community Health Needs Assessment 2013

Alderman James Cappleman, 46th Ward

Alderman Michele E. Smith, 43rd Ward

Alderman Thomas M. Tunney, 44th Ward

American Cancer Society

Avondale Neighborhood Association

CJE SeniorLife

Campaign for Better Health Care

Catholic Charities

Chicago Hispanic Health Coalition

Cook County Commissioner Bridget Gainer, 10th District

DePaul University

Gilda’s Club - Chicago

The Hallmark

Healthy Schools Campaign

Holy Covenant United Methodist Church

Lakeview Citizens Council

Lakeview East Chamber of Commerce

Lakeview Pantry

Lakeview Resident Claretta Meier

Lincoln Park Chamber of Commerce

Northside Latin Progress

Presence Saint Joseph Hospital

Presence Saint Joseph Hospital Labourè Clinic

Rainbow Hospice and Palliative Care

Rotary Club of Lakeview

SeniorBridge

State Bank of Countryside-Lakeview

State Representative Sara Feigenholtz, 12th District

Our partners.

This Community Health Needs Assessment (CHNA)

is an overview of the health status of those who

live in the Avondale, North Center, Lakeview

and Lincoln 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:

+ Chronic Disease Prevention

& Management

+ Economic Disparities

& Access to Health Care

+ Mental Health Issues

+ Poverty, Homelessness

& Affordable Housing

Health Literacy & Language Barriers will be

addressed throughout all priorities and strategies.

+ Call 877.737.INFO (877.737.4636)

+ Email community@presencehealth.org

+ Visit presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.

Be in the know.

Facts & Findings.

2/3of Avondale

residents identify as Hispanic/Latino

Cancer and heart disease are the leading causes of death

Lakeview’s HIV rate is

4x higher than surrounding areas

1 in 5 residents are

uninsured

There is a shortage of

mental health services for low-income

residents

Nearly half of residents are at risk for

binge drinking

1 in 5 residents

smoke

20% suffer from

obesity

25% get no

exercise

Here is a snapshot of some of the key factors affecting the health and well-being of the Avondale, North Center, Lakeview & Lincoln Park neighborhoods —the Presence Saint Joseph Hospital service area.

3

Our Community.Presence Saint Joseph Hospital

4

2/3 of Avondale residents identify as Hispanic/Latino, while the other neighborhoods are over 2/3 white.

U.S

. 20

10 C

ensu

s,

Ro

b P

aral

an

d A

sso

ciat

es

Race & ethnicity, 2010

100%

90%

80%

70%

10%

20%

30%

40%

50%

60%

North Center Lakeview Lincoln Park Avondale

White Black Asian

2 or more races Hispanic/Latino

Am

eric

an C

om

mu

nit

y Su

rvey

Top languages spoken by those with limited English2006-2010

40%

35%

5%

10%

15%

20%

25%

30%

Lakeview Lincoln Park

AvondaleNorth Center

Chicago US

Spanish or Spanish Creole

Polish

Russian

Chinese

German

Other

229,613Total population in 2010

3 communities have high household income and low poverty rates, while Avondale has a lower household income rate and more people living in poverty—especially children.

5

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

$90,000

$10,000

$20,000

$40,000

$50,000

$60,000

$80,000

$70,000

$30,000

$81,

524

No

rth

Cen

ter

$70

,74

6La

kevi

ew

$82

,70

7Li

nco

ln P

ark

$46

,519

Avo

nd

ale

$46

,877

Ch

icag

o

$51,

914

US

In Avondale, almost 15% are unemployed.

Am

eric

an C

om

mu

nit

y Su

rvey

, C

ity

of C

hic

ago

15%

5%

10%

Population over 16 unemployed, 2010

14.6%

4.5% 4.7% 4.5%

11.1%

AvondaleNorth Center

Lakeview Lincoln Park

Chicago US

7.9%

% living below poverty line, 2006-2010

North Center

Lakeview

Lincoln Park

Avondale

Chicago

US

U.S

. 20

10 C

ensu

s,

Am

eric

an C

om

mu

nit

y Su

rvey

, C

ity

of C

hic

ago,

Illin

ois

Act

ion

for

Ch

ildre

n

Households

Children 0–11

10% 20% 40% 50%30% 60%

20.931.0

14.648.0

11.811.0

10.58.0

7.112.0

13.819.0

Access to care.

1 in 10 people use the ER as their primary source of health care.The majority of survey respondents say that

their immediate family goes to a doctor’s office

for a medical health problem, but almost 12% said

they go to the ER. Lincoln Park had the highest

percentage (20%) using the ER, while Lakeview

had the highest percentage (83%) 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

ER

Urgent Care/Walk-in Center

Community Clinic

Other

kind of insurance

where does your family go?

interpreters requested

11.8% ER

Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.

In the Presence Saint Joseph Hospital service area, 19% are uninsured.

What kind of health insurance do you have?

kind of insurance

where does your family go?

interpreters requested

19.3% Uninsured

Private Insurance

Medicare

Uninsured

Medicaid

Other

6

In Avondale, there is a shortage of primary care physicians.

All areas have a shortage of mental health services for low-income residents, consistent with most neighborhoods in Chicago.

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.

Lakeview, Lincoln Park & North Center have a much lower percentage than average enrolled in Medicaid while Avondale’s rate is significantly higher.

15%

5%

10%

25%

20%

% of population enrolled in Medicaid, 2010

60613 60614 60618 IL60657

Illin

ois

Dep

artm

ent o

f Hea

lth

care

&

Fam

ily S

ervi

ces

8.5% 4.7%

22.4%

2.9%

20.7%

Status of our health.

8

But unlike the rest of the country, diabetes

is among the top 5. Of note, in Avondale,

unintentional injury is one of the top five

causes, while lung cancer is not.

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. Homicide and liver

disease are leading causes in Avondale, while

suicide is among the top in other areas.

Causes of early death.

Top 5 causes of death (age-adjusted for 2004-2008)

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

North Center

142.8161.3

54.345.1

43.0

Lakeview

130.0135.2

35.332.7

23.3

Lincoln Park

152.1154.4

51.438.739.2

Avondale

155.9120.9

47.541.0

35.0

Chicago

162.7

197.870.352.1

46.4

Cancer (all sites)

Unintentional injury

Assault, homicide

Coronary Heart Disease

Suicide

Lung Cancer

Breast Cancer in Females

Liver Disease

Years of potential life lost, top 5 causes, 2009

Cit

y o

f Ch

icag

o, C

DC

1042North

Center456

384272

263

Lakeview

591543

435300

148

Lincoln Park

Avondale

140012001000800600400200

761338

411192

165

7331311

257693

379

US

179.8173.6

49.5

37.038.9

9

Lakeview has the highest suicide rate in the area—higher than the Chicago average.

Lakeview has a very high rate of annual HIV infection and prevalence of HIV/AIDS far above the city rate.

The annual rate indicates new cases per year and prevalence

shows how many individuals are living with HIV. With newer

treatments, people are living much longer, so a high prevalence

rate may indicate a high risk for infection, but may also signify

success, in that people are getting the treatment they need.

Suicide rate per 100,000, 2004-2008 (age-adjusted)

Cit

y o

f Ch

icag

o

North Center

7.8

Lakeview

8.5

Lincoln Park

6.0

Avondale

6.1 6.5

Chicago US

11.2

6

2

4

12

10

8

Cit

y o

f Ch

icag

o, C

DC

North Center

17.3

Lakeview

65.2

Lincoln Park

14.0

Avondale

12.7

40.5

Chicago US

17.4

40

20

30

70

60

50

10

Cit

y o

f Ch

icag

o, C

DC

North Center

348.3

Lakeview

1170.9

Lincoln Park

299.5

Avondale

366.8

756.5

Chicago US

469.4

800

400

600

1400

1200

1000

200

Average annual HIV infection rate per 100,000, 2010

HIV/AIDS prevalence rate per 100,000, 2010

Status of our health. (continued)

The teen birth rate has gone down in all areas, although Avondale’s is still above the Chicago average and Lincoln Park’s is especially low.

10

16.7% have been told they have asthma, more than the city, state and country.

All 4 communities had fewer asthma hospitalizations than the national rate.

Cit

y o

f Ch

icag

o, C

DC

10 20 40 5030 9060 70 80

2000 2009

North Center

40.8

8.4

35.6Lakeview

15.8

Lincoln Park

12.5

2.1

Avondale79.6

63.4

Chicago80.5

57.0

US47.7

34.3

Asthma hospitalizations per 100,000, age 5-64 (age-adjusted)

Cit

y o

f Ch

icag

o, C

DC

20 40 80 10060 120

North Center 63

Lakeview 66

Avondale 71

US 111

Lincoln Park 101

Teen birth rate per 1,000, age 15-19, 2000 and 2009

Almost 1 in 5 are obese, compared to more than 1 in 4 nationally.

PSJH Chicago US

Our community Chicago US

Underweight/Normal (BMI 18.5–24.9)

Overweight (BMI 25-29.9)

Obese (BMI 30–39.9)

20%obese

26%obese

28%obese

11

Lincoln Park has the highest rate of mental health admission in the area.

Mental health admission rate for reasons other than substance abuse

per 100,000, 2007 (age-adjusted)

Co

mm

un

ity

Are

a H

ealt

h In

ven

tory

North Center

714.9

Lakeview

798.5

Lincoln Park

905.8

Avondale

580.9

1111.6

Chicago

600

200

400

1200

1000

800

0

BR

FSS

200

9, M

etro

po

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Ch

icag

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ealt

hca

re C

ou

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l 20

12

Health & behavior.

12

25% get no exercise in a normal week and only 1 in 10 get the recommended 30 minutes per day.

5 servings of fruits and vegetables are recommended daily, yet only 30% said they ate more than 1 a day.

Illinois Public Health Institute and Presence Health Community Survey

Nearly half of the people in the area are considered at risk for binge drinking.

20%

40%

50%

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

cil 2

012

Alcohol consumption— at risk for binge drinking

15.1%

US

47.3%

Community

19.5%

Chicago

18.3%

IL

10%

30%

1 in 5 people smoke, higher than the national average.

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

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012

Current smokers

17.1%

US

19.7%

Community

14.2%

Chicago

16.9%

IL

10%

15%

20%

25%

5%

13

A diagnosis of alcohol abuse was 3 times higher at Saint Joseph’s ER than the state average.

IL COMP Data

Lakeview has the highest rate of admission for substance abuse and drugs in the area, but 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

219.6Avondale

239.9North Center

370.2Lakeview

239.6Lincoln Park

640.3Chicago

14

Compared to the rest of Chicago, the Presence Saint Joseph Hospital service area has a relatively low crime rate.

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.

Barriers to health.

People in Avondale are more than twice as likely to experience food insecurity as others in the area.

This means that almost 20% of Avondale residents

either do not have enough to eat or don’t know

where their next meal is coming from.

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 D

ata

Po

rtal

1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500

3

16

274

1355

430

1074

4997

6965

2329

4713

7757

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. Renters were more likely to be

cost burdened in all areas except Avondale.

At least 1/3 of residents are cost burdened by housing, 1/2 in Avondale.

Ch

icag

o R

ehab

Net

wo

rk

% of residents cost burdened by home type, 2009

10%

20%

40%

50%

60%

30%

No

rth

Cen

ter

Lake

view

Lin

coln

Par

k

Avo

nd

ale

Ch

icag

o54

.6%

48

.3%

49

.2%

51.8

%

42

.0%

33.1%

42

.0%

33.1%

49

.6%

47.

0%

Renters Owners

Gre

ater

Ch

icag

o F

oo

d D

epo

sito

ry, U

SDA

15%

5%

10%

% of population experiencing food insecurity, 2009

19.8%

9.9% 9.7% 10.2%

AvondaleNorth Center

Lakeview Lincoln Park

US

14.7%

20%

2900 N. Lake Shore Drive

Chicago, Illinois 60657

+ Call 877.737.INFO

+ Email community@presencehealth.org

+ Visit presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.