AcknowledgementsThe Pima County Community Health Needs Assessment Advisory Team is comprised of the following Raquel Aviles Pascua Yaqui TribeRhonda Bod31eld Tucson Medical CenterApryl Krause Pascua Y ID: 868463
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1 PIMA COUNTY AcknowledgementsThe Pima Cou
PIMA COUNTY AcknowledgementsThe Pima County Communi
2 ty Health Needs Assessment Advisory Team
ty Health Needs Assessment Advisory Team is compris
3 ed of the following Raquel Aviles, Pascu
ed of the following Raquel Aviles, Pascua Yaqui Tri
4 beRhonda Bodeld, Tucson Medical Cen
beRhonda Bodeld, Tucson Medical CenterApryl Kr
5 ause, Pascua Yaqui TribeMelissa Shafer,
ause, Pascua Yaqui TribeMelissa Shafer, Carondelet
6 Health NetworkJulia Strange, Tucson Medi
Health NetworkJulia Strange, Tucson Medical CenterD
7 onna Zazworsky, Carondelet Health Networ
onna Zazworsky, Carondelet Health NetworkWe extend
8 our deepest gratitude to and appreciatio
our deepest gratitude to and appreciation for the h
9 undreds of community leaders, Julie A. T
undreds of community leaders, Julie A. Tippens, MA,
10 MPH, DrPH CandidateJavier Herrera, Zora
MPH, DrPH CandidateJavier Herrera, Zoraida Khamseh
11 zadeh, Brenda Vincent and Sash Virgen. C
zadeh, Brenda Vincent and Sash Virgen. Carondelet.
12 Be well. 2 3 Key Findings: How Are We D
Be well. 2 3 Key Findings: How Are We Doing?Where
13 Do We Need To Focus?Part 1: Health DataG
Do We Need To Focus?Part 1: Health DataGeography, D
14 emographics and Socioeconomic StatusMort
emographics and Socioeconomic StatusMortality Trend
15 sRisk Factor Behaviors and Conditions Re
sRisk Factor Behaviors and Conditions Related to To
16 p 10 Causes of DeathSexually Transmitted
p 10 Causes of DeathSexually Transmitted Diseases a
17 nd HIV/AIDSTuberculosisVaccine Preventab
nd HIV/AIDSTuberculosisVaccine Preventable Diseases
18 Part 2: Community Prioritization of Heal
Part 2: Community Prioritization of Health NeedsTab
19 le of Contents 4 Healthy Aging in Pima C
le of Contents 4 Healthy Aging in Pima County, Ariz
20 onaPima County Promotores/Promotoras (Co
onaPima County Promotores/Promotoras (Community Hea
21 lth Workers)Summit View Elementary Schoo
lth Workers)Summit View Elementary School Table of
22 TablesTable 1:Table 2: Table 3: Table 4:
TablesTable 1:Table 2: Table 3: Table 4:Table 5: Ri
23 sk Factors Related to Top 10 Causes of D
sk Factors Related to Top 10 Causes of DeathTable 6
24 : Incidence of Sexually Transmitted Dise
: Incidence of Sexually Transmitted Diseases and HI
25 V/AIDSTable 7: Primary Care Incidence of
V/AIDSTable 7: Primary Care Incidence of Sexually T
26 ransmitted Disease and HIV/AIDSTable 8:
ransmitted Disease and HIV/AIDSTable 8: Primary Car
27 e Area Incidence Rate of Vaccine-Prevent
e Area Incidence Rate of Vaccine-Preventable Diseas
28 esTable 9:Table 10: Table 12: Table 13:T
esTable 9:Table 10: Table 12: Table 13:Table 14:Tab
29 le 15: Table 16: Table 17: 4 5 Table of
le 15: Table 16: Table 17: 4 5 Table of Figures Pi
30 ma County, Arizona Pima County Populatio
ma County, Arizona Pima County Population Density b
31 y Census Tract, American Community Surve
y Census Tract, American Community Survey Tuberculo
32 sis Incidence Rate, Pima County I. Execu
sis Incidence Rate, Pima County I. Executive Summar
33 yPima Countys collaborative approa
yPima Countys collaborative approach to condu
34 cting a community health needs assessmen
cting a community health needs assessment has enabl
35 ed 2015 relied on the collection and ana
ed 2015 relied on the collection and analysis of se
36 condary, quantitative morbidity and mort
condary, quantitative morbidity and mortality data
37 from a variety of local, state and natio
from a variety of local, state and national sources
38 as well as primary, qualitative data co
as well as primary, qualitative data collected fro
39 m community Assessment Advisory Team, wh
m community Assessment Advisory Team, which is comp
40 rised of public health, health system, a
rised of public health, health system, and academic
41 and a web-based community health survey
and a web-based community health survey. Key Findi
42 ngs: How Are We Doing?Pima County ranks
ngs: How Are We Doing?Pima County ranks the best am
43 ong Arizonas 15 counties for Wood
ong Arizonas 15 counties for Wood Johnson Fou
44 ndation measures the health of nearly al
ndation measures the health of nearly all U.S. coun
45 ties and ranks them within states, and i
ties and ranks them within states, and is frequentl
46 y utilized by public health professional
y utilized by public health professionals throughou
47 t the country. that contribute to health
t the country. that contribute to health outcomes (
48 tobacco use, adult overweight or obesity
tobacco use, adult overweight or obesity, physical
49 inactivity and 80% of Pima County reside
inactivity and 80% of Pima County residents report
50 being physically activea walkable, bikea
being physically activea walkable, bikeable communi
51 ty, combined with year-round weather con
ty, combined with year-round weather conducive to p
52 hysical activity, 6 Tobacco use among P
hysical activity, 6 Tobacco use among Pima County
53 adults is approximately 16%. While compa
adults is approximately 16%. While comparable to th
54 e state, The percentage of uninsured adu
e state, The percentage of uninsured adults has dec
55 lined signicantly in Pima County, f
lined signicantly in Pima County, from 14.4% i
56 n 2012 to 10% in 2014, thanks to a stron
n 2012 to 10% in 2014, thanks to a strong county-wi
57 de collaboration. Southern Arizona
de collaboration. Southern Arizonas major hea
58 lthcare Southern Arizona Cares - a colla
lthcare Southern Arizona Cares - a collaborative ef
59 fort sponsored in part by Tucson Medical
fort sponsored in part by Tucson Medical Center, Un
60 iversity of Arizona Medical Center, Caro
iversity of Arizona Medical Center, Carondelet Heal
61 th Network, Northwest Healthcare, Walgre
th Network, Northwest Healthcare, Walgreens and Tuc
62 son The Healthcare I Can Afford?
son The Healthcare I Can Afford? campai
63 gn included TV, billboards, radio (Engli
gn included TV, billboards, radio (English/Spanish)
64 , Walgreens store posters/yers and
, Walgreens store posters/yers and online comp
65 onents. In 2013, there were 12.7 per 100
onents. In 2013, there were 12.7 per 100,000 cases
66 of vaccine-preventable diseases in Pima
of vaccine-preventable diseases in Pima County, res
67 pectively. mortality rate. However, the
pectively. mortality rate. However, the county has
68 a lower percentage than the state of mot
a lower percentage than the state of mothers who re
69 ceive Where Do We Need To Focus?perform
ceive Where Do We Need To Focus?performing wellof
70 persons living below the Federal Poverty
persons living below the Federal Poverty Levelprima
71 ry care, mental health care and dental h
ry care, mental health care and dental health care.
72 Transportation and a shortage of primar
Transportation and a shortage of primary HIV/AIDS
73 and gonorrhea. However, rates of both ch
and gonorrhea. However, rates of both chlamydia and
74 gonorrhea throughout Pima County 8 per
gonorrhea throughout Pima County 8 performs poorl
75 y against the Air Quality Index in annua
y against the Air Quality Index in annual ozone air
76 quality, while performing well in annua
quality, while performing well in annual particle
77 pollution. Another indicator, Recognized
pollution. Another indicator, Recognized Carcinogen
78 s Released Into Air, measures the quanti
s Released Into Air, measures the quantity (in poun
79 ds) of reported and recognized carcinoge
ds) of reported and recognized carcinogens (compoun
80 ds with strong scientic evidence th
ds with strong scientic evidence that they can
81 induce cancer). Pima County is performi
induce cancer). Pima County is performing poorly,
82 access to a grocery store. However, Pima
access to a grocery store. However, Pima County per
83 forms betterperforms poorlysevere housin
forms betterperforms poorlysevere housing problems,
84 violent crime rates and social supportI
violent crime rates and social supportIn total the
85 process involved 29 key informant inter
process involved 29 key informant interviews, 61 f
86 ocus group participants, and 42 stakehol
ocus group participants, and 42 stakeholders includ
87 ed in the participation exercise on Apri
ed in the participation exercise on April 15, 2015.
88 Of the 14 health issues identied b
Of the 14 health issues identied by key infor
89 mants, County. An important result of t
mants, County. An important result of this initiat
90 ive was the identication of critica
ive was the identication of critical health pr
91 iorities facing Pima County healt
iorities facing Pima County healthy lifestyl
92 es, health literacy, access to care, and
es, health literacy, access to care, and health equ
93 ity and the development of a comm
ity and the development of a community healt
94 h improvement plan around which our comm
h improvement plan around which our community partn
95 ers have mobilized. Together with behavi
ers have mobilized. Together with behaviors survey.
96 CHNA partners felt that engaging the ge
CHNA partners felt that engaging the general popul