# Presentation: 359818

## Galveston’s Report Card for Vulnerable Population

- Daniel H. Freeman, Jr., Ph.D.
- Department of Preventive Medicine and Community Health
- Funded in part through a President’s Cabinet Award

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Presentation to United Way Board February 10, 2003.  Work supported by UTMB Department of Preventive Medicine and Community Health and a President’s Cabinet Award.  

Draft – Not for publication – Draft – Not for publication

## Let not the needy, O Lord, be forgotten;

*Let not the needy, O Lord, be forgotten;*
*Nor the hope of the poor be taken away.  BCP 1979*

- Prepared by UTMB: Office of Biostatistics and PMCH

## Strategy for Report Card

- United Way Agency statements of need
- Focus groups conducted by Family, Youth and Children Board, a city chartered board
- Census 2000
- Healthy People 2010 Health Objectives
- Children’s Report Card
- Assemble available data
- Display and map needs

- Prepared by UTMB: Office of Biostatistics and PMCH

## United Way Agency Objectives:Identified Areas of Need

- The _Indigent_
- _Youth Education and Fostering_
- _Mental Health_
- _Emergency Weather and Disaster Relief_
- _General Community Assistance_

- Prepared by UTMB: Office of Biostatistics and PMCH

## Needs Identified through Focus Groups

- Meetings with citizens during the Spring of 2003
- Conducted by the Galveston Family, Youth and Children Board, a City Chartered Board
- _Education__, __Health__, __Safety__, __Infrastructure__, __Youth Participation_

- Prepared by UTMB: Office of Biostatistics and PMCH

## Summary of Presentation

- Population of Galveston
- Qualitative need summary
- Quantitative need assessment
- Outcomes summary
- Conclusion

- Prepared by UTMB: Office of Biostatistics and PMCH

## Galveston’s Population 2000: 57,614

- Prepared by UTMB: Office of Biostatistics and PMCH

## Galveston’s Population: 1970 to 2000

- Total Population
-      61,900		61,200 	          58,600 	   56,500

- Prepared by UTMB: Office of Biostatistics and PMCH

## Galveston’s Neighborhoods

- Prepared by UTMB: Office of Biostatistics and PMCH

## Galveston’s Ethnic Structure 2000

- Table

- Prepared by UTMB: Office of Biostatistics and PMCH

## Galveston’s Change Since 1990

- Prepared by UTMB: Office of Biostatistics and PMCH

## Needs Identified through Focus Groups

- Meetings with citizens during the Spring of 2003
- Conducted by the Galveston Family, Youth and Children Board, a City Chartered Board
- _Education__, __Health__, __Safety__, __Infrastructure__, __Youth Participation_

- Prepared by UTMB: Office of Biostatistics and PMCH

## Indicators: Administrative Data

- Local
- Comparable
- Believable
- Useful

- City of Galveston

- County – State – Nation
- Time trends

- Monitor process and outcomes

- Known strengths and weaknesses

- Prepared by UTMB: Office of Biostatistics and PMCH

## Economic Indicators

- Unemployment
- Poverty Location
- Children in Poverty

- Prepared by UTMB: Office of Biostatistics and PMCH

## Average Monthly Unemployment

- Prepared by UTMB: Office of Biostatistics and PMCH

## 1999 Household Incomes Below Poverty: City County State and Nation

- Prepared by UTMB: Office of Biostatistics and PMCH

## Percent of Persons in Poverty 

- Prepared by UTMB: Office of Biostatistics and PMCH

## Children in Poverty

- http://www.census.gov/

- Prepared by UTMB: Office of Biostatistics and PMCH

## Education Indicators

- Parent’s Education
- Graduation Rates
- TASS Performance
- Attendance

- Prepared by UTMB: Office of Biostatistics and PMCH

## Adults Without High School Diploma or Equivalent: 2000 Race/Ethnicity

- Prepared by UTMB: Office of Biostatistics and PMCH

## Adults Without High School Diploma or Equivalent: 2000

- Prepared by UTMB: Office of Biostatistics and PMCH

## High School Graduation Rates

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 7-1:  To increase high school completion to 90%.

## Health Indicators

- Natality
- Immunization
- Sexually transmitted diseases
- Violence

- Prepared by UTMB: Office of Biostatistics and PMCH

## Births Without Timely Prenatal Care1994 Through 2002. 

*To reduce to 10% the proportion of pregnant women who do not receive early and adequate prenatal care.*

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 16-6:  To increase to 90% the proportion of pregnant women who receive early and adequate prenatal care.

## Low Birth Weight Infants

*To reduce the proportion of low birth weight births to 5.0%*

- Table 14

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 16-10:  To reduce the proportion of low birth weight births to 5.0% [95% of births should be above 5.5 lbs.].  

## Children Adequately Immunized Ages 2 Years, 5 Years and under 6 in Child Care

*To achieve and maintain effective vaccination coverage levels for universally recommended vaccines for 90% of children 19-35 months.*

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 14-22:  To achieve and maintain effective vaccination coverage levels for universally recommended vaccines for 90% of children 19-35 months.

Healthy People 2010 Objective 14-23:  To maintain vaccination coverage levels for 95% of children in kindergarten and 1st grade.

## Behavior and Social Indicators

- Smoking
- Alcohol
- Driving
- Violence

- Prepared by UTMB: Office of Biostatistics and PMCH

## Cigarette Use and Source for High School Students

- Prepared by UTMB: Office of Biostatistics and PMCH

## High School Students Alcohol Use

*Reduce  *
*Lifetime Use to 71%**	**Current Use to 11%  Binge Drinking to 2%*

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 26-9:  To increase to 29% the proportion of High School Seniors who have never had an alcoholic beverage [a target of only 71% ever having a drink].

Healthy People 2010 Objective 26-10:  To increase the proportion of adolescents not using alcohol during the past 30 days among adolescents aged 12-17 years to 89%.

Healthy People 2010 Objective 26-11:  To reduce the proportion of adolescents aged 12-17 years engaging in binge drinking of alcoholic beverages during past 30 days to 2.0%.

## High School Student's Risky Driving

*Increase seat belt usage to 92%*

*To reduce to 30% riding with a driver who had been drinking*

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Healthy People 2010 Objective 26-6:  To reduce to 30% the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol.

## Response to Need

- Non-governmental (NGO’s) and Governmental
- Statement of Need
- Target Audience
- Mission Statement

- Prepared by UTMB: Office of Biostatistics and PMCH

## Site Visits

- Total of 28 Agencies Site visit for 15
- Of the 15, Mission Statements – 9
- All could state a need and target audience
- City level data
- 2 of 21 NGO’s
- 6 of 7 GO’s

- Prepared by UTMB: Office of Biostatistics and PMCH

## Public Assistance: City – County – State – Nation 2000

- Public Assistance: City – County – State – Nation 2000

- Prepared by UTMB: Office of Biostatistics and PMCH

**Notes:**
Just over 34% of the citizens are  classified as living in poverty.  Majority are children. Over 9% of households in the City of Galveston and Texas City report receiving either Supplemental Security Income (SSI) or Public Assistance Income.  This compares to 7.8% for the United States, 7% for Texas, 6.8% in the County and only 2.2% in League City.

## Poverty and Public Assistance

- Prepared by UTMB: Office of Biostatistics and PMCH

## Poverty and Jesse Tree Clients

- Prepared by UTMB: Office of Biostatistics and PMCH

## Meals on Wheels Programs and Homebound Elderly

- Prepared by UTMB: Office of Biostatistics and PMCH

## Medically Vulnerable

- Prepared by UTMB: Office of Biostatistics and PMCH

## Slide 38

- Prepared by UTMB: Office of Biostatistics and PMCH

## Community Improvement ProcessDurch Bailey and Stoto 1997

- Prepared by UTMB: Office of Biostatistics and PMCH

## Analysis and Implementation Cycle

- Healthy People 2010

- National Health
-  Surveys

- Prepared by UTMB: Office of Biostatistics and PMCH