Geographic Disparities based on geographic location were the most frequently discussed among the assessments. In total, 26 assessments listed specific geographic disparities, such as rates of mortality, rates of diseases, rates of violence, etc. Racial Inequities based on race were the second most frequently discussed, with a total of 20 assessments. Racial inequities listed in the assessments included: income, employment, rates of depression, rates of low birth weight, rates of obesity, rates of cancer, access to care, etc. Economic Disparities based on income or economic status were the third most frequently mentioned, with a total of 17 assessments. Economic disparities discussed in the assessments included: rates of asthma, housing burden, rates of obesity, access to care, etc. Age Disparities based on age were discussed in 15 assessments. These disparities included: youth being disproportionately impacted by mental health, elderly being disproportionately impacted by lack of transportation, etc. Sex Inequities based on sex were highlighted in 5 assessments. This included disparities in the data based solely on the sex of an individual. Immigration Inequities based on immigration were mentioned in 4 assessments. This included disparities in data based on nationality or immigration status. Gender and Sexuality Inequities based on gender and sexuality were mentioned in 2 assessments. This included disparities in data based on gender or sexual orientation. Priority Populations This section includes any group of people which assessments chose to highlight as priority populations. These populations are usually targets for interventions based on their current health status or outcomes. Wording was aligned with language used in most assessments and may not be the preferred terminology. A full list of priority populations can be found below. Priority Populations Ranked by Number of Assessments in which they Appear Elderly 28 Youth 25 Poor / Economically Challenged 20 Immigrant Communities 20 Refugees 6 Latino 12 Black 11 Homeless 11 10 Non-English Speaking 9 People with Substance Use Issues 8 Minority 6 People with Mental Health Issues 6 Uninsured 5 Asian 4 People with Disabilities 4 Unemployed 4 Medically Underserved 3 At Risk Adults 2 Veterans 2 Women 2 Caregivers 1 Families 1 Pregnant Women and Children 1 Previously Incarcerated 1 Rural Residents 1
Wales, Westfield, West Springfield, Wilbraham Nutrition, Lack of Physical Activity, Tobacco Use, Obesity, Hypertension, STIs, Teen Pregnancy, Crime Providers, Stigma, Access to Healthy Food, Cost of Care, Lack of Education, Racism and Segregation Baystate Noble Hospital Agawam, Blanford, Chester, Granville, Huntington, Russell, Southwick, West Springfield, Westfield Mental Health, Alcohol and Substance Use, Obesity, Poor Nutrition, Lack of Physical Activity, Hypertension, Prenatal and Infant Health, Respiratory Disease, Diabetes, Asthma, Disease, Homelessness, Housing Conditions Insurance Coverage, Transportation, Language Barriers, Cultural Sensitivity Issues, Poverty, Unemployment, Lack of Affordable Housing, Lack of Care Coordination, Lack of Services or Providers, Health Literacy, Access to Healthy Food, Cost of Care, Lack of Education, Lack of Clinic – Community Links, Lack of Prevention and Wellness Services Key Informant Interviews: 17 Focus Groups: 8 Baystate Wing Hospital Barre, Belchertown, Brimfield, Brookfield, Hampden, Hardwick, Holland, Ludlow, Monson, New Braintree, North Brookfield, Palmer, Wales, Ware, Warren, West Brookfield, Wilbraham Asthma, Hypertension, Domestic Violence, Oral Health, Poor Nutrition, Lack of Physical Activity, Respiratory Disease, Prenatal and Infant Health, Heart Disease, Homelessness, Tobacco Use, Obesity, Alcohol and Substance Use, Housing Conditions, Mental Health Insurance Coverage, Transportation, Health Literacy, Cultural Sensitivity Issues, Poverty, Lack of Affordable Housing, Lack of Care Coordination, Lack of Services or Providers, Stigma, Access to Healthy Food, General Access to Care, Cost of Care, Lack of Education, Lack of Clinic – Community Key Informant Interviews: 26 Focus Groups: 7
Berkshire Health System Alford, Becket, Cheshire, Clarksburg, Dalton, Egremont, Florida, Great Barrington, Hancock, Hinsdale, Lanesborough, Lee, Lenox, Monterey, Mount Washington, New Ashford, New Marlborough, North Adams, Otis, Peru, Pittsfield, Richmond, Sandisfield, Savoy, Sheffield, Stockbridge, Tyringham, Washington, West Stockbridge, Williamstown, Windsor Obesity, Hypertension, Lack of Physical Activity, Mental Health, Poor Nutrition, Tobacco Use, Teen Pregnancy, Youth Development, Crime, Motor Vehicle Accidents, Domestic Violence, Poverty, Alcohol and Substance Use, Diabetes Lack of Prevention and Wellness Services, Transportation, General Access to Care, Insurance Coverage N/P Beth Israel Deaconess Hospital - Milton Boston (Dorchester, Hyde Park), Braintree, Canton, Milton, Quincy, Randolph Cancer, Alcohol and Substance Use, Diabetes, Heart Disease, Stroke, Respiratory Disease, Lack of Physical Activity, Elder Health, Obesity, Tobacco Use, Poor Nutrition, Mental Health Lack of Prevention and Wellness Services, Lack of Affordable Housing, Access to Healthy Food Key Informant Interviews: 18 Beth Israel Deaconess Hospital – Needham Dedham, Dover, Needham, Westwood Alcohol and Substance Use, Mental Health, Lyme Disease, Social Isolation, Disease, Cancer, Injuries, Suicide Transportation, Health Literacy, Lack of Services or Providers, Cost of Care, Lack of Care Coordination, Insurance Coverage, Lack of Prevention and Wellness Services, Lack of Community Support, Lack of Affordable Housing, Stigma Key Informant Interviews: 10 Groups: 2 Beth Israel Deaconess Medical Center Boston (Allston, Brighton, Chinatown, Dorchester, Fenway/Kenmore, Roxbury, South End), Alcohol and Substance Use, Cancer, Poor Nutrition, Lack of Physical Activity, Immigration Status, Cultural Sensitivity Issues, Poverty, Lack of Clinic – Community Links, Key Informant Interviews: 13
Harwich, Provincetown, Quincy, Truro, Waltham, Wellfleet Mental Health, Hypertension, Asthma, Tobacco Use, Disease, Violence, Poverty Racism and Segregation, Transportation, Unemployment, General Access to Care, Insurance Coverage, Healthy Literacy Beverly & Addison Gilbert Hospitals Beverly, Boxford, Danvers, Essex, Gloucester, Hamilton, Ipswich, Middleton, Peabody, Rockport, Topsfield, Wenham Alcohol and Substance Use, Mental Health, Diabetes, Poverty, Cancer, Elder Health, Obesity, Tobacco Use, Hypertension, Asthma Poverty, Immigration Status, Lack of Affordable Housing, Cost of Care, General Access to Care, Insurance Coverage Key Informant Interviews: 20 Survey Responses: 400 Boston Children’s Hospital Boston (Fenway, Jamaica Plain, Mission Hill, Roxbury) Violence, Mental Health, Poverty, Asthma, Obesity, Lack of Physical Activity, Environmental Concerns, Domestic Violence Access to Healthy Food, Transportation, General Access to Care, Cost of Care, Lack of Affordable Housing, Health Literacy, Lack of Education, Language Barriers, Lack of Prevention and Wellness Services, Immigration Status Key Informant Interviews: 13 Focus Groups: 8 Brigham and Women’s Hospital Boston (Dorchester, Jamaica Plain, Mattapan, Mission Hill, Roxbury) Mental Health, Obesity, Disease, Alcohol and Substance Use, Cancer, Violence, Asthma, Diabetes, Stroke, Domestic Violence, Poor Nutrition, Prenatal and Infant Health, Housing Conditions, Teen Pregnancy, Poverty, STIs Cultural Sensitivity Issues, Poverty, Lack of Care Coordination, Lack of Services or Providers, Stigma, Access to Care, Language Barriers, Insurance Coverage, Unemployment, Lack of Affordable Housing, Health Literacy, Access to Healthy Food, Cost of Care Key Informant Interviews: 13 Groups: 3
Cambridge Public Health Department & Cambridge Health Alliance Cambridge Mental Health, Housing Conditions, Cancer, Environmental Concerns, Asthma, Disease, Obesity, Oral Health, Diabetes, Prenatal and Infant Health, STIs, Homelessness, Alcohol and Substance Use, Infectious Disease Lack of Services or Providers, Cost of Care, General Access to Care, Language Barriers, Lack of Prevention and Wellness Services, Cultural Sensitivity Issues, Lack of Affordable Housing, Stigma Key Informant Interviews: 18 Focus Groups: 8 Survey Responses: 1627 Cape Cod Healthcare Barnstable, Bourne, Brewster, Chatham, Dennis, Eastham, Falmouth, Harwich, Mashpee, Orleans, Provincetown, Sandwich, Wellfleet, Yarmouth Cancer, Heart Disease, Obesity, Alzheimer’s and Dementia, Poor Nutrition, Lack of Physical Activity, STIs, Mental Health, Lyme Disease, Elder Health, Suicide, Alcohol and Substance Use Lack of Prevention and Wellness Services, Cost of Care, Unemployment, Insurance Coverage, Health Literacy, Immigration Status, Language Barriers, Poverty, Transportation, Lack of Education, General Access to Care, Lack of Affordable Housing, Lack of Services or Providers Key Informant Interviews: 25 Focus Groups: 5 City of Everett Everett STIs, Mental Health, Infectious Disease, Cancer, Respiratory Disease, Poverty, Alcohol and Substance Use, Development, Asthma, Poor Nutrition, Tobacco Use, Homelessness, Violence, Heart Disease, Crime, Diabetes, Lack of Physical Activity Insurance Coverage, Lack of Affordable Housing, Cost of Care, Stigma, Lack of Disability Accommodations N/P
Cooley Dickinson Health Care Amherst, Ashfield, Belchertown, Chesterfield, Cummington, Deerfield, Easthampton, Goshen, Hadley, Hatfield, Huntington, Leverett, Northampton, Plainfield, Shutesbury, Southampton, Sunderland, Whately, Westhampton, Williamsburg, Worthington Alcohol and Substance Use, Obesity, Prenatal and Infant Health, Disease, Mental Health, Hypertension, Diabetes, Oral Health, Poor Nutrition, Lack of Physical Activity, Asthma, Teen Pregnancy, Homelessness, Tobacco Use, Housing Conditions Cultural Sensitivity Issues, Transportation, Lack of Services or Providers, Health Literacy, Insurance Coverage, Language Barriers, Poverty, Lack of Affordable Housing, Lack of Care Coordination, Stigma, Access to Healthy Food, General Access to Care, Cost of Care, Lack of Education, Lack of Clinic – Community Integration Key Informant Interviews: 17 Focus Groups: 19 Emerson Hospital Acton, Ayer, Bedford, Berlin, Bolton, Boxborough, Carlisle, Chelmsford, Concord, Groton, Harvard, Hudson, Lancaster, Lexington, Lincoln, Littleton, Lunenburg, Maynard, Pepperell, Shirley, Stow, Sudbury, Townsend, Wayland and Westford Mental Health, Alcohol and Substance Use, Cancer, Domestic Violence, Social Isolation Lack of Prevention and Wellness Services, Transportation, Lack of Care Coordination, Lack of Services or Providers, Health Literacy, Lack of Affordable Housing N/P Good Samaritan Medical Center Abington, Avon, Berkley, Bridgewater, Brockton, Canton, East Bridgewater, Easton, Halifax, Hanson, Holbrook, Mansfield, Middleborough, Norton, Randolph, Raynham, Stoughton, Taunton, West Bridgewater, Whitman Obesity, Alcohol and Substance Use, Mental Health, Diabetes, Cancer, Respiratory Disease, Asthma, Heart Disease, Crime, Violence, Suicide Insurance Coverage, Language Barriers, Cultural Sensitivity Issues, Lack of Education, Cost of Care, General Access to Care, Health Literacy N/P
Hallmark Health System Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Infectious Disease, Obesity, STIs, Alcohol and Substance Use, Violence, Heart Disease, Diabetes, Respiratory Disease, Mental Health, Cancer, Poor Nutrition, Lack of Physical Activity, Emergency Preparedness, Social Isolation, Injuries Transportation, Language Barriers, Cultural Sensitivity Issues, Poverty, Lack of Affordable Housing, Access to Healthy Food, Cost of Care, Health Literacy, Unemployment Focus Groups: 6 Harrington Healthcare System Brimfield, Brookfield, Charlton, Douglas, Dudley, East Brookfield, Holland, North Brookfield, Oxford, Palmer, Southbridge, Spencer, Sturbridge, Wales, Warren, Webster, West Brookfield Mental Health, Maternal Health, Cancer, Diabetes, Alcohol and Substance Use, Youth Development, Obesity, Alzheimer’s and Dementia, Domestic Violence, Asthma, Heart Disease, Lyme Disease, Tobacco Use, Injuries, Teen Pregnancy Lack of Services or Providers, General Access to Care, Cost of Care, Language Barriers, Unemployment, Health Literacy, Insurance Coverage, Mistrust of Health System, Lack of Education, Transportation, Lack of Prevention and Wellness Services, Access to Healthy Food Survey Responses: 591 Heywood Healthcare Ashburnham, Ashby, Athol, Ayer, Bolton, Clinton, Erving, Fitchburg, Gardner, Groton, Harvard, Hubbardston, Lancaster, Leominster, Lunenberg, New Salem, Orange, Pepperell, Petersham, Phillipston, Princeton, Royalston, Shirley, Sterling, Templeton, Townsend, Warwick, Wendell, Westminster, Winchendon Alcohol and Substance Use, Mental Health, Homelessness, Domestic Violence, Prenatal and Infant Health, Diabetes, Obesity, Heart Disease, Poverty, Self-Injuries, Housing Conditions, Motor Vehicle Accidents, Poor Nutrition, Asthma, Chronic Liver Disease, Parkinson’s Disease, Cancer, Stroke, Tobacco Use, Social Unemployment, Language Barriers, Cultural Sensitivity Issues, Transportation, Lack of Education, Cost of Care, Stigma, Health Literacy, Poverty, Lack of Affordable Housing, Lack of Services or Providers Key Informant Interviews: 26 Focus Groups: 16
Isolation, Infectious Disease, Suicide, Youth Development Holyoke Medical Center Belchertown, Chicopee, Easthampton, Granby, Holyoke, South Hadley, Southampton, West Springfield, Westhampton Homelessness, Prenatal and Infant Health, Obesity, Poor Nutrition, Lack of Physical Activity, Asthma, Diabetes, Respiratory Disease, Mental Health, Heart Disease, STIs, Teen Pregnancy, Tobacco Use, Crime, Violence, Alcohol and Substance Use, Housing Conditions Insurance Coverage, Lack of Care Coordination, Transportation, Language Barriers, Cultural Sensitivity Issues, Poverty, Lack of Affordable Housing, Lack of Services or Providers, Stigma, Health Literacy, Access to Healthy Food, Cost of Care, Lack of Education, Racism and Segregation Key Informant Interviews: 21 Focus Groups: 15 Lahey Hospital and Medical Center Arlington, Bedford, Billerica, Burlington, Lexington, Reading, Stoneham, Tewksbury, Wakefield, Winchester, Woburn Alcohol and Substance Use, Cancer, Tobacco Use, Obesity, Asthma, Diabetes, Hypertension, Mental Health, Domestic Violence, Suicide, Elder Health General Access to Care, Lack of Prevention and Wellness Services, Cost of Care Key Informant Interviews: 28 Survey Responses: 1137 Lawrence General Hospital Andover, Boxford, Georgetown, Haverhill, Lawrence, Methuen, Middleton, North Andover, Tewksbury Obesity, Mental Health, Alcohol and Substance Use, Cancer, Poor Nutrition, Lack of Physical Activity, Asthma, STIs, Housing Conditions, Poverty, Teen Pregnancy Lack of Services or Providers, Lack of Prevention and Wellness Services, Cultural Sensitivity Issues, Unemployment, Transportation, Lack of Education, Cost of Care, Lack of Affordable Housing, Lack of Care Key Informant Interviews: 5 Focus Groups: 3
Coordination, Insurance Coverage, Health Literacy Survey Responses: 387 Lowell General Hospital Billerica, Chelmsford, Dracut, Dunstable, Lowell, Tewksbury, Tyngsborough, Westford Respiratory Disease, Diabetes, Mental Health, Obesity, Alcohol and Substance Use, Cancer, Heart Disease, Hypertension, Housing Conditions, Infectious Disease, Prenatal and Infant Health, Asthma, Homelessness, Tobacco Use Lack of Education, General Access to Care, Language Barriers, Cultural Sensitivity Issues, Lack of Affordable Housing, Lack of Care Coordination, Lack of Services or Providers, Health Literacy, Insurance Coverage, Access to Healthy Food, Transportation, Lack of Prevention and Wellness Services Key Informant Interviews: 4 Focus Groups: 16 Merrimac Valley Health Partnership Amesbury, Georgetown, Groveland, Haverhill, Merrimac, Newbury, Newburyport, Rowley, Salisbury, West Newbury Alcohol and Substance Use, Homelessness, Oral Health, Poor Nutrition, Lack of Physical Activity, Hypertension, Diabetes, Asthma, Heart Disease, Cancer, Mental Health, Obesity, Suicide Lack of Services or Providers, Language Barriers, Cultural Sensitivity Issues, Transportation, Cost of Care, General Access to Care, Insurance Coverage Key Informant Interviews: 21 Focus Groups: 2 Survey Responses: 231 Martha’s Vineyard Hospital Aquinnah, Chilmark, Edgartown, Oak Bluffs, Tisbury, West Tisbury Alcohol and Substance Use, Mental Health, Lyme Disease, Environmental Concerns, Elder Health, Cancer Lack of Affordable Housing, Access to Healthy Food, Cultural Sensitivity Issues, General Access to Care, Lack of Services or Providers Key Informant Interviews: 12 Survey Responses: 319
Massachusetts General Hospital Boston (Charlestown), Chelsea, Revere Violence, Youth Development, Environmental Concerns, Obesity, Alcohol and Substance Use, Mental Health, Cancer, Crime, Homelessness, Domestic Violence, Poor Nutrition, Lack of Physical Activity Lack of Education, Poverty, Language Barriers, Lack of Affordable Housing, Insurance Coverage, Access to Healthy Food Focus Groups: 12 Survey Responses: 1737 Mercy Medical Center Agawam, Blanford, Brimfield, Chester, Chicopee, East Longmeadow, Granville, Hampden, Holland, Holyoke, Longmeadow, Ludlow, Monson, Montgomery, Palmer, Russell, Southwick, Springfield, Tolland, Wales, Westfield, West Springfield, Wilbraham Asthma, Obesity, Prenatal and Infant Health, Environmental Concerns, Bullying, Diabetes, Mental Health, Housing Conditions, Heart Disease, Poor Nutrition, Lack of Physical Activity, Alcohol and Substance Use, Violence, STIs, Teen Pregnancy, Crime, Tobacco Use Health Literacy, Language Barriers, Cultural Sensitivity Issues, Poverty, Unemployment, Lack of Affordable Housing, Lack of Care Coordination, Lack of Services or Providers, Access to Healthy Food, Lack of Education, Transportation, Racism and Segregation Key Informant Interviews: 24 Groups: 5 MetroWest Health Foundation Ashland, Foxborough, Framingham, Holliston, Hopkinton, Hudson, Marlborough, Maynard, Medfield, Millis, Natick, Norfolk, Northborough, Plainville, Sherborn, Southborough, Stow, Sudbury, Walpole, Wayland, Westborough, Wrentham Alcohol and Substance Use, Mental Health, Obesity, Heart Disease Transpiration, Lack of Affordable Housing, Lack of Services or Providers, Access to Healthy Food, Lack of Prevention and Wellness Services Key Informant Interviews: 18 Focus Groups: 11 Survey Responses: 607 Milford Regional Medical Center Bellingham, Blackstone, Douglas, Franklin, Grafton, Holliston, Hopedale, Hopkinton, Medfield, Medway, Mendon, Milford, Millis, Alcohol and Substance Use, Mental Health, Heart Disease, Alzheimer’s and Dementia, Infectious Disease, Transportation, Cost of Care, Unemployment, Lack of Affordable Housing, Lack of Services or Key Informant Interviews: 8
Millville, Northbridge, Upton, Uxbridge, Wrentham Cancer, Domestic Violence, Oral Health, Poor Nutrition, Lack of Physical Activity, Diabetes, Asthma, Obesity, Violence, Elder Health, Bullying, Injuries Providers, Insurance Coverage Survey Responses: 1013 Morton Hospital Berkley, Bridgewater, Carver, Dighton, East Bridgewater, Freetown, Lakeville, Mansfield, Middleboro, Norton, Raynham, Rehoboth, Taunton, West Bridgewater Obesity, Mental Health, Diabetes, Prenatal and Infant Health, Tobacco Use, Cancer, Heart Disease, Respiratory Disease Lack of Education, Lack of Prevention and Wellness Services, Transportation, Cost of Care, General Access to Care, Insurance Coverage, Health Literacy, Stigma, Lack of Services or Providers Focus Groups: 1 Mount Auburn Hospital Lack of Education, Lack of Prevention and Wellness Services, Transportation, Cost of Care, General Access to Care, Insurance Coverage, Health Literacy, Stigma, Lack of Services or Providers Alcohol and Substance Use, Tobacco Use, Cancer, Domestic Violence, Lack of Physical Activity, Asthma, Obesity, Homelessness, Mental Health, Social Isolation, Lyme Disease, Suicide Language Barriers, Lack of Care Coordination, Stigma, Lack of Community Support, Poverty, Transportation, Lack of Education, Cost of Care, Insurance Coverage, Lack of Services or Providers Key Informant Interviews: 25 Focus Groups: 7 Nantucket Cottage Hospital Nantucket Alcohol and Substance Use, Mental Health, Cancer, Lyme Disease Lack of Affordable Housing, Transportation Focus Groups: 2 Survey Responses: 301 Hospital Natick, Needham, Newton, Waltham, Wellesley, Weston Pediatric Asthma, Alcohol and Substance Use, Mental Health, Injuries, Crime Transportation, Cultural Sensitivity Issues, Lack of Affordable Housing, Lack of Care Coordination, Health Literacy, Cost of Care, Access to Key Informant Interviews: 12 Focus Groups:
Healthy Food, Lack of Prevention and Wellness Services 5 North Shore Medical Center Danvers, Lynn, Marblehead, Nahant, Peabody, Salem, Swampscott Mental Health, Diabetes, Teen Pregnancy, Obesity, Disease, Housing Conditions, Alcohol and Substance Use Health Literacy, Language Barriers, Cultural Sensitivity, Transportation, Cost of Care, Access to Care, Lack of Services or Providers Key Informant Interviews: 28 Focus Groups: 4 South Shore Health System Abington, Avon, Braintree, Bridgewater, Brockton, Canton, Carver, Cohasset, Duxbury, East Bridgewater, Easton, Halifax, Hanover, Hanson, Hingham, Holbrook, Hull, Kingston, Marshfield, Milton, Norwell, Norwood, Pembroke, Plymouth, Plympton, Quincy, Randolph, Rockland, Scituate, Sharon, Stoughton, West Bridgewater, Weymouth, Whitman Prenatal and Infant Health, Mental Health, Alcohol and Substance Use, Obesity, Heart Disease, Lack of Physical Activity, Teen Pregnancy, Poverty, Cancer, Social Isolation, Poor Nutrition, Diabetes, Respiratory Disease, Elder Health Lack of Services or Providers, Health Literacy, Language Barriers, Transportation, Cost of Care, General Access to Care Key Informant Interviews: 30 Southcoast Health System Acushnet, Dartmouth, Fairhaven, Fall River, Freetown, Marion, Mattapoiset, New Bedford, Rochester, Somerset, Swansea, Wareham, Westport Cancer, Obesity, Stroke, Hypertension, Poor Nutrition, Lack of Physical Activity, Prenatal and Infant Health, Diabetes, Asthma, Heart Disease, Tobacco Use, Environmental Concerns General Access to Care, Access to Healthy Food N/P Sturdy Memorial Hospital Attleboro, Foxborough, Mansfield, Attleboro, Norfolk, Norton, Plainville, Rehoboth, Seekonk, Mental Health, Poor Nutrition, Lack of Physical Activity, Respiratory Disease, Diabetes, Heart Disease, Cancer, Transportation, Language Barriers, Lack of Prevention and Wellness Services, Cost of Care, General Access Survey Responses: 58
Sharon, Walpole, Wrentham Obesity, Tobacco Use, Stroke, Suicide, Alcohol and Substance Use to Care, Health Literacy UMass Memorial Medical Center Grafton, Holden, Leicester, Millbury, Shrewsbury, West Boylston, Worcester Alcohol and Substance Use, Mental Health, Lack of Physical Activity, Diabetes, Asthma, STIs, Cancer, Heart Disease, Stroke, Infectious Disease Racism and Segregation, Cultural Sensitivity Issues, General Access to Care, Access to Healthy Food Key Informant Interviews: 24 Groups: 23 Survey Responses: 1250 West Suburban CHNA 18 Brookline, Dedham, Dover, Needham, Newton, Waltham, Weston Mental Health, Alcohol and Substance Use, Suicide, Elder Health Transportation, Immigration Status, Language Barriers, Lack of Education, Cost of Care, Lack of Affordable Housing, Insurance Coverage, Health Literacy Key Informant Interviews: 96 Winchester Hospital Medford, North Reading, Reading, Stoneham, Tewksbury, Wakefield, Wilmington, Winchester, Woburn Alcohol and Substance Use, Mental Health, Asthma, Cancer, Hypertension, Obesity, Tobacco Use, Diabetes Poverty, Cost of Care, General Access to Care, Insurance Coverage Key Informant Interviews: 28 Survey Responses: 1022