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Monday, October 23, 2017

1998 Community Health Assessment Report

1998 Community Health Assessment Report

Report Highlights - April 1998

(Prepared by the Tulane University School of Public Health and Tropical Medicine)

The Rapides Foundation is dedicated to improving the community health and well-being of Central Louisiana through a focused program of grant making. In order to assure grant decisions are based on current, valid and locally specific data, the Foundation contracted with the Tulane School of Public Health and Tropical Medicine to perform a Community Assessment in its 11-parish service area. These parishes include Allen, Avoyelles, Catahoula, Concordia, Evangeline, Grant, LaSalle, Natchitoches, Rapides, Vernon and Winn parishes.

Tulane researchers gathered data through the use of written and telephone surveys, interviews and focus groups, as well as through the use of local, state and federal databases. They also compiled an inventory of community resources in partnership with health and human service organizations in Central Louisiana.

At the end of the survey period, the research team met with the Rapides Foundation administration to review their findings and to identify the most pressing and important issues that emerged. The following 12 issues present the areas of greatest concern impacting the health and well-being of Central Louisiana:  

  • Alcohol & Drug Use and Related Behaviors
  • Children At-Risk
  • Chronic Disease Prevention
  • Economic Opportunity
  • Educational Attainment
  • Health of Older Adults
  • Access to Healthcare Services
  • Infant Mortality
  • Obesity
  • Tobacco Use
  • Uninsured
  • Recreational Access for Youth

 


Initiative Development Issues - April 1998

The Foundation trustees evaluated the findings of the Central Louisiana Community Assessment
and the SGS Arts and Cultural Assessment and adopted priority issues for initiative development.
A resource panel with expertise in maternal and child health, adolescent health, gerontology,
education, economic and community development and arts and humanities advised the Foundation
Board of Directors as it considered the significance and tractability of the wide range of issues.
Consensus was developed for a portfolio of priority issues to be strategically addressed through
funding initiatives over the next five years:

Priority Issues Initiatives
Access to Healthcare Healthcare Access Initiative
Functional Status of Older Adults Healthy Seniors Initiative
Adolescent Risk Behavior Healthy Futures Initiative I
Teen Pregnancy Healthy Futures Initiative II
Parenting and Early Childhood Development Healthy Children Initiative
Building Community Development Infrastructure Healthy Cenla Initiative
Arts & Culture Development Arts & Humanities Initiative
Education:
Leadership and Professional Development in the Learning Environment
Education Initiative
Linking Education and Community/Economic Development Workforce Development Initiative

Alcohol and Drug Use - Related Behaviors

Youth Risk Behavioral Survey

First drink of alcohol before 13 years of age
46.7% Central LA
32.4% Nation

Lifetime alcohol use
87.7% Central LA
80.4% Nation

Binge drinking
65.9% Central LA
32.6% Nation

Alcohol use in past month
57.8% Central LA
51.6% Nation

Drinking on school property
8.4% Central LA
6.3% Nation

Behavioral Risk Factor Survey

Binge drinking
33.6% Central LA
13.9% Nation

Chronic drinking
9.6% Central LA
2.8% Nation

Secondary Data

Louisiana statewide alcohol-related vehicle death rate is one of the highest in the nation.
10.6 deaths per 100,000 in LA
6.8 deaths per 100,000 Nation

Community Perceptions

Drug use linked with crime and poor motivation among users
Drug use facilitated by boredom and low parental supervision

Youth Risk Behavioral Survey

Riding with a driver who had been drinking
50.2% Central LA
38.8% Nation

Drinking and driving
28.8% Central LA
15.4% Nation

Behavioral Risk Factor Survey

Drinking and driving
4.8% Central LA
2.3% Nation

Secondary Data

Children in households below federal poverty line
31% LA, 21% Nation
5 Central LA parishes with percentages greater than state

Children dependent on Medicaid
At least 24% in 9 Central LA parishes

Children dependent on AFDC
At least 12% in 5 Central LA parishes

Children dependent on Food Stamps
7 Central LA parishes greater than state average (23%)

Children receiving WIC
Only Rapides (8.1%) lower than state (8.3%)

Community Perceptions

Abuse of public assistance systems
Working, yet still falling through the cracks

Secondary Data

Hospital discharges due to diseases of the circulatory system
14.4% LA
14.9% Nation
8 Central LA parishes greater than 15.2%

Hospital discharges due to diseases of the respiratory system
8.9% LA
8.6% Nation
At least 9.0% in 10 Central LA parishes

Higher mortality rates due to diseases of the heart
270 deaths per 100,000 in LA
281 per 100,000 in Nation
9 Central LA parishes higher than state

Higher mortality rates due to cerebrovascular diseases
59 deaths per 100,000 in LA
60 per 100,000 in Nation
8 Central LA parishes higher than state

Higher mortality rates due to diabetes mellitus
23 deaths per 100,000 in Nation
6 Central LA parishes higher than Nation

Behavioral Risk Factor Survey

Informed of high blood pressure
30.4% Central LA
22.0% Nation

Informed of diabetes
6.6% Central LA
4.4% Nation

Informed of high cholesterol
29.6% Central LA
19.4% Nation

Limitations due to health for ages 18-64
18.1% Central LA
3.0% Nation

Limitations due to health for ages 65 and older
34.5% Central LA
14.7% Nation

Secondary Data

Households with incomes less than $15,000
32% LA
21% Nation
8 Central LA parishes with percentages greater than state

Low per capita income
$14,664 LA
$18,415 Nation
Every Cenla parish lower than state

Unemployment
6.9% LA
5.7% Nation
At least 8% in 5 Cenla parishes

Percentage of household income paid in rent
27.9% LA
26.4% Nation
7 Central LA parishes greater than state

Majority of Central LA parishes lower than state and nation in having complete plumbing and a telephone

Community Perceptions

Shortage of jobs
Lack of local industry
Poor employability due to low education

Secondary Data

High drop-out rate among 9th and 10th graders
3 Central LA parishes significantly higher than state

Low educational attainment
Over 40% of population in 5 Cenla parishes did not complete high school vs. 32% LA, and 24% Nation

Lower average teacher salaries in every parish compared to state and nation
$26,800 LA
$36,802 Nation
 
Lower expenditure per student
$4,468 LA
6 Central LA parishes lower than state

Lower average composite scores on the ACT
19.4 LA, 20.9 Nation
8 Central LA parishes lower than state

Higher first-time college freshmen enrollment in remedial courses
49% LA
9 Central LA parishes worse than state

Youth Risk Behavioral Surve

Plan to graduate from high school
97% of students

Plan to pursue post high school education
18.6% plan on attending technical school or some college
29.0% planning to attend college also plan on achieving a Masters or Doctorate degree

Behavioral Risk Factor Survey

Low educational attainment
21.3% did not complete high school
40.5% graduated from high school or completed GED
16.1% obtained college degree

Community Perceptions

High frequency of high school dropouts
Underqualified for available jobs
Lack of job training opportunities

Secondary Data

Population 65 and older
12% Central LA
12% LA
13% Nation

Behavioral Risk Factor Survey

75.5% retired
57.8% had at least a high school education
88.3% owned their own homes
22.5% mental health not good at some point in the past month
46.3% physical health not good at some point in the past month
54.5% informed of high blood pressure
39.7% informed of high cholesterol
15.8% informed of diabetes
83.5% felt quite safe or extremely safe in their neighborhoods
33.0% need assistance with routine activities
17.0% need assistance with personal care
34.5% report activities being limited because of impairment or health problems vs. 14.7% Nation

Community Perceptions

Crime and victimization
Fear of retaliation for reporting crime activity
Need for assisted living facilities
Limited transportation
Deteriorating neighborhoods
High cost of medication
Lack of health insurance

Behavioral Risk Factor Survey

Lack of health insurance
25.9% Central LA
13.9% Nation

One or more places to go to receive healthcare advice
82.2% Central LA
85.1% Nation

15.4% of adults did not obtain medical care due to cost in the prior twelve months

Community Perceptions

High health insurance premiums
High prescription costs
Many uninsured working poor
Insufficient primary care providers
Limited and delayed access

Secondary Data

Infant mortality rate
9.7 deaths per 1,000 live births LA vs. 7.5 per 1,000 Nation
Majority of Central LA parishes with percentages greater than state

Births to teenagers
19% LA
13% Nation
9 Central LA parishes higher than state

Low birthweight births
7% Nation
9 Central LA parishes with higher percentages
7 Central LA parishes 13%+ for African-American births

Very low birthweight births
1.9% LA
1.3% Nation
Most Central LA parishes higher than state

Women receiving prenatal care in the first trimester
74% LA
81% Nation
7 Central LA parishes less than 60% for African Americans

Youth Risk Behavioral Survey

HIV/AIDS education in school
74.1% Central LA
86.3% Nation

Discussed HIV/AIDS with a family member
54.0% Central LA
63.2% Nation

Community Perceptions

Teen Pregnancy a major problem

Youth Risk Behavioral Survey

Tried tobacco before age 13
36.5% Central LA
24.9% Nation

Smoked in the past 30 days
59.5% Central LA
34.8% Nation

Smoked on 20 of the past 30 days
31.2% Central LA
16.1% Nation

Behavioral Risk Factor Survey

Lifetime frequency - 100 cigarettes
48.3% Central LA
48.4% Nation

Current smokers
25.8% Central LA
22.4% Nation

Young adult current smokers
32% Central LA
24.1% Nation

Secondary Data

Uninsured
20.5% LA
15.4% Nation

Self-employed uninsured
65% LA
25% Nation

Uninsured agricultural workers
95.8% LA

Behavioral Risk Factor Survey

No health insurance
25.9% Central LA
13.9% Nation

Community Perceptions

High health insurance premiums
High out-of-pocket prescription costs
Falling through the cracks

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