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Community Health Data Base

Focus on Older Adults: Health, Safety and Social Issues May 13, 2004. Community Health Data Base. An Information Service of Philadelphia Health Management Corporation. Agenda Welcome – PHMC’s Community Health Data Base

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Community Health Data Base

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  1. Focus on Older Adults: Health, Safety and Social Issues May 13, 2004 Community Health Data Base An Information Service of Philadelphia Health Management Corporation

  2. Agenda • Welcome – PHMC’s Community Health Data Base • Health, Safety and Social Issues: Information on Older Adults from the Southeastern Pennsylvania Household Health Survey • Panel DiscussionPhiladelphia Corporation for Aging, CARIE, Centers for Medicare and Medicaid Services, Bayada Nurses • Questions & Answers

  3. About PHMCPHMC is a non-profit public health agency offering a diverse mix of programs and services. (www.phmc.org) Addictions Services Health Promotion, Injury Prevention Criminal Justice Treatment Initiatives Early Intervention Services for Infants and Toddlers HIV/AIDS Prevention Nurse Managed Care Pew Fund Intermediary Services to Homeless Research and Evaluation

  4. Community Health Data Base * Identify unmet needs * Population-based data * Foster collaboration, pool resources * Work with health and human services organizations, Members, Affiliates and Foundation support • * Primary data: SEPA Household Health Survey • 1983, 1987, 1991, 1994, 1996, 1998, 2000, 2002 * Secondary data: U.S. Census, HMDA, vital statistics • For more information, or to join the Community Health Data Base, please contact Siobhan Hawthorne at (215) 985-2527 or siobhan@phmc.org

  5. Survey Methodology • More than 10,000 households, plus an additional 3,000 interviews regarding children living in those households – for a total of 13,000+ interviews. • Bucks, Chester, Delaware, Montgomery, and Philadelphia • Interviews are conducted by telephone using random-digit dial. • Adult & child respondents are selected using the last birthday method. • Interviews about selected children are conducted with a child proxy. • Interviews conducted in English & Spanish. • Oversample of adults ages 60+ and 75+. • Oversample of Asians.

  6. Figure 1: Older Adults (65+) in Southeastern Pennsylvania by Age and Gender, 2002. GENDER According to the 2000 Census, there are 535,959 persons ages 65 and older living in the five county area of Southeastern Pennsylvania (SEPA) with the greatest number of elderly living in Philadelphia (213,722 persons). A disproportionate number of older adults are female (60.9%). About one half of older adults (49.0%) in SEPA are 65-74 years of age. Less than ten percent are 85 years of age or older (9.2%). AGE Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  7. Figure 2: Older Adults (65+) in Southeastern Pennsylvania by Race, 2002. More than eight out of ten older adults in SEPA (80.8%) are white, 16.6% are Black, and 2.6% are of another racial group. The racial composition of the older adult population in Philadelphia is different from that of other counties. One out of three Philadelphia older adults are black (35.5%). Only slightly more than one percent (1.6%) of the older adult population in SEPA report that they are of Latino origin or descent. This reflects the relatively young age structure of the Latino population. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  8. Figure 3: Southeastern Pennsylvania Older Adults (65+) in Poverty* by County, 2002. Figure 2: Southeastern Pennsylvania Older Adults (65+) in Poverty* by County, 2002. Notes: *Represents persons living at or below 100% of the federal poverty level. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  9. Figure 4: Southeastern Pennsylvania Older Adults (65+) Who Live Alone by County, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  10. Figure 5: Southeastern Pennsylvania Older Adults (65+) Who Live Alone by Age and Gender, 2002. Figure 2: Southeastern Pennsylvania Older Adults (65+) Who Live Alone by Age and Gender, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  11. Figure 6: Southeastern Pennsylvania Older Adults (65+) in Fair or Poor Health by Age, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  12. Figure 7: Southeastern PA Older Adults (65+) in Fair or Poor Health by Age, 1996-2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  13. Figure 8: Unhealthy Days* Among Southeastern Pennsylvania Older Adults (65+), 2002. Notes:*The number of days per month respondents experienced poor physical or mental health, and regular activity limitations due to health problems. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  14. Figure 9: Southeastern Pennsylvania Older Adults (65+) with Selected Conditions, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  15. Figure 10: Southeastern Pennsylvania Older Adults (65+) and Selected Mental Health Indicators, 2002. Notes: *Using the DES 10 item scale for non-institutionalized elderly, respondents were asked about feelings of sadness, loss of interest in leisure activities, changes in appetite, feelings of guilt, inability to concentrate, loss of energy, restlessness or thoughts of suicide. A score of four or more indicates major depression. ** Extreme stress is a self-reported score of 8, 9 or 10 on a scale of 1-10. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  16. Figure 11: Southeastern Pennsylvania Older Adults (65+) with a Chronic Health Condition, by Race/Ethnicity, and Gender, 2002. 51.4 51.4 48.3 43.9 42.8 41.4 29.3 Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  17. Figure 12: Older Adults (65+) in Southeastern PA Who are Overweight or Obese by Race/Ethnicity and Gender, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  18. Figure 13: Southeastern PA Older Adults (65+) with ADL and IADL Limitations* by County, 2002. Notes: *Activities of Daily Living (ADL) limitations include needing help with eating, dressing, grooming, walking, getting in and out of bed, bathing, going to the bathroom. Instrumental Activities of Daily Living (IADL) limitations include needing help using the phone, getting places out of walking distance, shopping, preparing meals, cleaning the home, taking medicine and handling money. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  19. Figure 14: Southeastern PA Older Adults (65+) with ADL and IADL Limitations, 1996-2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  20. Figure 15: Southeastern PA Older Adults (65+) with ADL Limitations by Age, 1996-2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  21. Figure 16: Older Adults (65+) Who Receive Informal and Formal Home Care Services by County, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  22. Figure 17: Southeastern Pennsylvania Older Adults (65+) Without Prescription Coverage and Who Did not Fill a Prescription Due to Cost by County, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  23. Figure 18: Older Adults (65+) Who Cancelled a Doctor’s Appointment Because of Transportation Problems by Living Arrangement, 2002. Source: PHMC’s Community Health Data Base, 2002 Southeastern Pennsylvania Household Health Survey

  24. In addition to the data in this presentation, the Household Health Survey also includes information for older adults about… * Disease Prevention and Health Promotion * Hunger * Doctor-Patient Relations * Safety and Violence * Source of Care and Utilization of Services * Obstacles to Care * Satisfaction with Care * Health Insurance * Personal Health Behaviors * Housing and Environment * Additional Demographic Characteristics * Social Capital * Knowledge and Utilization of Social Supports and Services For more information, visit our website at www.phmc.org/chdb

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