DOH-Palm Beach Community Health Assessment
Palm Beach County, Florida Community Health Assessment December 2016
PALM BEACH COUNTY COMMUNITY HEALTH ASSESSMENT REPORT DECEMBER 2016 HEALTH Palm Beach county Health Care District PALM BEACH COUNTY Revised June 2019 Revised June 2020 HCSEF Contributing Staff Andrea Stephenson-Royster, MBA, MHS Chief Executive Officer Caroline Valencia, MPH Sr. Health Planner & Program Manager Brittani Coore, MPH, CHES Health Planner & Special Projects Manager Health Council of Southeast Florida 600 Sandtree Drive, Suite 101 Palm Beach Gardens, FL 33403 Phone: 561-844-4220 Melanie Chen, MPH Health Planner & Special Projects Manager Ricardo Jaramillo, MPH Health Planner & Special Projects Manager
TABLE OF CONTENTS Acknowledgements.14 Executive Summary .15 Methodology .17 Demographic and Socioeconomic Profile .19 Demographic Characteristics .20 Population .20 Socioeconomic Characteristics .31 Poverty.31 Income .33 Homeless .37 Education .40 Business and Employment.43 Public Assistance Benefits .46 Housing.50 Transportation.52 Crime .53 Health Status Profile .55 Maternal and Child Health.55 Prenatal Care.55 Overweight and Obesity.58 WIC .59 Birth Rates .60 Birth Weight.66 Preterm Births .67 Infant Mortality.68 Breastfeeding.74 Immunization.75 Behavioral Health.78 Mental Health.78 Alcohol Consumption and Substance Abuse .86 Violence and Injury.90 Palm Beach County, Florida, Community Health Assessment 3 Page
Morbidity .92 Coronary Heath Disease.92 Diabetes.95 Stroke.99 Chronic Lower Respiratory Disease (CLRD).100 Cancer .102 Alzheimer’s Disease.109 Enteric Disease.109 Overweight and Obesity.110 Infectious Disease.112 Mortality .115 Leading Causes of Death.115 Heart Disease Deaths .116 Stroke Deaths .118 Cancer Deaths .118 Unintentional Injury Deaths .119 HIV/AIDS Deaths .120 Health Resource Availability and Access.121 Hospital Utilization.121 Health Care Provider Supply.126 Physicians.126 Dentists .126 Nurses.127 Federal Health Professional Shortage Area (HPSA).128 Primary Care Health Professional Shortage Area.129 Dental Care Health Professional Shortage Area.130 Mental Health Care Professional Shortage Area .131 Federal Medically Underserved Areas/Populations .132 Health Insurance.133 Uninsured.135 Medicaid.141 Florida KidCare .141 Federally Qualified Health Centers (FQHC).143 Palm Beach County, Florida, Community Health Assessment 4 Page
Community Perspective . 144 The Local Public Health System Assessment.144 Background. 144 Purpose. 145 Methodology. 145 Results . 147 Conclusion . 175 Community Themes and Strengths Assessment .176 Community Health Assessment Focus Groups.176 Community Health Assessment Key Informant Interviews.183 Community Health Improvement Plan Focus Groups – 2018 .185 Community Health Improvement Plan & Effects of COVID-19 on the Community’s Health Survey – 2020.187 Identification of Strategic Health Issues & Priorities.212 Summary of Changes. 213 Conclusion . 215 Appendices.216 Palm Beach County, Florida, Community Health Assessment 5 Page
TABLE OF TABLES Table 1: Total Population, Palm Beach County and Florida, 2017.20 Table 2: Population by Age, Palm Beach County and Florida, 2017 .21 Table 3: Population by Race and Ethnicity, 2017.22 Table 4: Population by Gender, Palm Beach County and Florida, 2017.23 Table 5: Population by Place of Birth, Palm Beach County and Florida, 2014.24 Table 6: Population by Place of Birth, Palm Beach County and Florida, 2014.25 Table 7: Language Spoken at Home, Palm Beach County, 2014.26 Table 8: Households, Palm Beach County and Florida, 2014.26 Table 9: Population by Census County Division, Palm Beach County, 2014.27 Table 10: Population Living with a Disability, Palm Beach County CCDs, 2014 .28 Table 11: Population with a Disability by Age and Type, Palm Beach County 2014.29 Table 12: Population 65 with a Disability, Palm Beach County and Florida, 2018.30 Table 13: Poverty Status in the Past 12 Months by Age and Sex, Palm Beach County and Florida, 2018 .31 Table 14: Poverty Status in the Past 12 Months by Race and Ethnicity, Palm Beach County and Florida, 2018 .32 Table 15: Poverty Status in the Last 12 Months, Families, Palm Beach County and Florida, 2014.33 Table 16: Per Capita Income and Earnings, Palm Beach County and Florida, 2014.33 Table 17: Household Income, Palm Beach County and Florida, 2014.34 Table 18: Family Income and Benefits, Palm Beach County and Florida, 2014 .35 Table 19: Gini Index, Palm Beach County and Florida, 2014 .36 Table 20: Homeless Count by Continuum of Care, Palm Beach County and Florida, 2011-2016 .38 Table 21: Homeless Students by District, Palm Beach County and Florida, 2010-2015.39 Table 22: School Enrollment, Palm Beach County and Florida, 2014 .40 Table 23: Educational Attainment, Palm Beach County and Florida, 2014.41 Table 24: Graduation Rates, Palm Beach County and Florida, 2010-2011 through 2014-2015 .41 Table 25: School Grades by Year, Palm Beach County, 2010-2014 .42 Table 26: Employment Status, Palm Beach County and Florida, 2014 .43 Table 27: Unemployment Rate, Palm Beach County and Florida, 2010-2014.43 Table 28: Industry, Palm Beach County and Florida, 2014.44 Table 29: Occupation, Palm Beach County and Florida, 2014 .45 Table 30: Class of Worker, Palm Beach County and Florida, 2014 .45 Table 31: Free and Reduced Lunch Status, Palm Beach County and Florida, SY 2015-2016 .46 Table 32: SNAP and Free Lunch Participation, Palm Beach County, September, 2016 .48 Table 33: Older Americans Act, Meals Clients, Palm Beach County, 2013-2018.49 Table 34: Housing Occupancy, Palm Beach County and Florida, 2014 .50 Table 35: Householder Living Alone, Palm Beach County and Florida, 2014.50 Table 36: Housing Value, Owner-Occupied Units, Palm Beach County and Florida, 2014 .51 Table 37: Gross Rent, Palm Beach County and Florida, 2014 .51 Table 38: Vehicles Available by Household, Palm Beach County and Florida, 2014.52 Table 39: Total Arrests, Palm Beach County, 2014 and 2015 .53 Table 40: Arrests by Charge, Index Arrests, Palm Beach County, 2015.54 Table 41: Arrests by Charge, Part II Arrests, Palm Beach County, 2015.54 Palm Beach County, Florida, Community Health Assessment 6 Page
Table 42: Births to Mothers with 1st Trimester Prenatal Care, Palm Beach County and Florida, 2011- 2015.55 Table 43: Births to Mothers with 3rd Trimester or No Prenatal Care, Palm Beach County and Florida, 2011-2015 .56 Table 44: Births by Kotelchuck Prenatal Care Index by Mother’s Education, Palm Beach County, 2015.57 Table 45: Births to Overweight Mothers at the Time Pregnancy Occurred, Palm Beach County and Florida, 2011-2015 .58 Table 46: Births to Obese Mothers at the Time Pregnancy Occurred, Palm Beach County and Florida, 2011-2015.58 Table 47: WIC Eligibles Served, Palm Beach County and Florida, 2011-2015.59 Table 48: WIC Children 2 Who are Overweight or Obese, Palm Beach County and Florida, 2011-2015.59 Table 49: Total Resident Live Births, Palm Beach County and Florida, 2011-2015.60 Table 50: Total Resident Live Births, Palm Beach County, Florida, and Surrounding Counties, 2015 .60 Table 51: Births by Mothers Age and Race, Palm Beach County, 2015.61 Table 52: Repeat Births to Mothers Ages 15-17, Palm Beach County and Florida, 2011-2015 .62 Table 53: Repeat Births to Mothers Ages 15-17 by Race, Palm Beach County and Florida, 2011-2015 .63 Table 54: Repeat Births to Mothers Ages 15-17 by Ethnicity, Palm Beach County and Florida, 2011-2015 .64 Table 55: Repeat Births to Mothers Ages 18-19, Palm Beach County and Florida, 2011-2015 .64 Table 56: Repeat Births to Mothers Ages 18-19 by Race, Palm Beach County and Florida, 2011-2015 .65 Table 60: Repeat Births to Mothers Ages 18-19 by Ethnicity, Palm Beach County and Florida, 2011-2015 .65 Table 61: Live Births Under 1500 Grams (Very Low Birth Weight), Palm Beach County and Florida, 2011-2015 .66 Table 62: Live Births Under 2500 Grams (Low Birth Weight), Palm Beach County and Florida, 2011-2015.67 Table 62: Preterm Births, Palm Beach County and Florida, 2011-2015.67 Table 63: Preterm Births by Race, Palm Beach County and Florida, 2011-2015 .68 Table 64: Infant Deaths, Palm Beach County and Florida, 2014-2018 .68 Table 65: Infant Deaths by Race, Palm Beach County and Florida, 2014-2018.69 Table 66: Infant Deaths by Race, Palm Beach County, 2014-2018.69 Table 67: Infant Deaths by Ethnicity, Palm Beach County and Florida, 2014-2018.70 Table 68: Infant Deaths by Ethnicity, Palm Beach County, 2014-2018.71 Table 69: Fetal Deaths per 1,000 Deliveries, Palm Beach County and Florida, 2011-2015 .72 Table 70: Fetal Deaths per 1,000 Deliveries by Race, Palm Beach County, 2011-2015 .72 Table 71: Fetal Deaths per 1,000 Deliveries by Ethnicity, Palm Beach County, 2011-2015.73 Table 72: Mothers who Initiate Breastfeeding, Palm Beach County and Florida, 2014-2018 .74 Table 73: Fully Immunized Children Age Two, Palm Beach County and Florida, 2011-2015.75 Table 74: Immunization Levels in Kindergarten, Palm Beach County and Florida, 2012-2016 .76 Table 75: Selected Vaccine Preventable Disease Rate, Palm Beach County and Florida .77 Table 76: Adults with Good Mental Health, Palm Beach County and Florida, 2007, 2010, 2013.78 Table 77: Adults Whose Poor Physical or Mental Health Kept Them from Usual Activities ( 14 of past 30 days), Palm Beach County and Florida, 2007, 2010, 2013.80 Table 78: Hospitalizations for Mental Disorders, Palm Beach County Residents, 2017-2018 .81 Table 79: Emergency Department Visits Due to Mental Disorders, Palm Beach County Residents, 2017-2018 .81 Table 80: Hospitalizations for Mental Disorders Except Drug and Alcohol-Induced Mental Disorders, Palm Beach County Residents, 2017-2018.82 Table 81: Emergency Department Visits Due to Mental Disorders Except Drug and Alcohol-Induced Mental Disorders, Palm Beach County Residents, 2017-2018 .82 Table 82: Hospitalizations for Mental Disorders By Admission Source, Palm Beach County Residents, 2018 .83 Table 83: Hospitalizations for Mental Disorders by Principal Payer, Palm Beach County Residents, 2018 .84 Palm Beach County, Florida, Community Health Assessment 7 Page
Table 84: Emergency Department Visits Due to Mental Disorders by Principal Payer, Palm Beach County Residents, 2018. 85 Table 85: Adults who Engage in Heavy or Binge Drinking, Palm Beach County and Florida, Select Years 2007-2016 . 86 Table 86: Percent of Middle School Students who Have Used Alcohol in the Past 30 Days, Palm Beach County and Florida, Select Years 2010-2016. 86 Table 87: Percent of Middle School Students Reporting Binge Drinking, Palm Beach County and Florida, Select Years 2010-2016. 87 Table 88: Percent of High School Students who Have Used Alcohol in the Past 30 days, Palm Beach County and Florida, Select Years 2010-2016. 87 Table 89: Percent of High School Students Reporting Binge Drinking, Palm Beach County and Florida, Select Years 2010-2016. 88 Table 90: Drug Overdose Deaths, Palm Beach County, 2015-2018.88 Table 91: Opioid Overdose Deaths, Palm Beach County, 2015-2018 .89 Table 92: Suspected Non-Fatal All Drug Overdose, Palm Beach County, 2015-2018 .89 Table 93: Suspected Non-Fatal Opioid-Involved Overdose, Palm Beach County, 2015-2018 .90 Table 94: Age-Adjusted Suicide Death Rate, Palm Beach County and Florida, 2014-2018 .90 Table 95: Suicide Death Count by Age, Palm Beach County, 2012-2018 (3-Year Rolling) .91 Table 96: Crude Suicide Death Rate by Age, Palm Beach County, 2012-2018 (3-Year Rolling).91 Table 97: Age-Adjusted Hospitalizations From or With Coronary Heart Disease, Palm Beach County and Florida, 20102014. 92 Table 98: Adults Who Have Ever Been Told They Had Hypertension, Palm Beach County and Florida, 2002, 2007, 2010, 2013 . 92 Table 99: Preventable Hospitalizations Under 65 from Hypertension, Palm Beach County and Florida, 2010-2014 .93 Table 100: Hospitalizations From or With Coronary Heart Disease, Palm Beach County and Florida, 2010-2014 .93 Table 101: Adult Who Have Ever Been Told They Had Angina or Coronary Heart Disease, Palm Beach County and Florida, 2013 . 94 Table 102: Hospitalizations from Congestive Heart Failure, Palm Beach County and Florida, 2010-2014.94 Table 103: Hospitalizations From or With Diabetes, Palm Beach County and Florida, 2014-2018.95 Table 104: Hospitalizations From or With Diabetes by Race, Palm Beach County and Florida, 2014-2018 .96 Table 105: Hospitalizations From or With Diabetes by Ethnicity, Palm Beach County and Florida, 2014-2018 .96 Table 106: Hospitalizations from Diabetes by Age, Palm Beach County and Florida, 2017 .97 Table 107: Adults Who Have Ever Been Told They Had Diabetes, Palm Beach County and Florida, Select Years 20072016. 97 Table 108: Preventable Hospitalizations Under 65 from Diabetes, Palm Beach Co
Table 42: Births to Mothers with 1 st Trimester Prenatal Care, Palm Beach County and Florida, 2011- 2015.55 Table 43: Births to Mothers with 3 rd Trimester or No Prenatal Care, Palm Beach County and Florida, 2011-2015.56 Table 44: Births by Kotelchuck Prenatal Care Index by Mother's Education, Palm Beach County, 2015 57 Table 45: Births to Overweight Mothers at the Time Pregnancy .
North Palm Beach Ocean Ridge Pahokee Palm Beach Palm Beach Gardens Palm Beach Shores Palm Springs Riviera Beach Royal Palm Beach South Bay South Palm Beach Tequesta Unincorporated P.B.C. Wellington West Palm Beach Grand Total Board of County Commissioners Summary of Impac
1978-1997 Dr. Edward Eissey was Palm Beach Junior College President. 1978 Palm Beach Junior College in Belle Glade opened. 1980 Palm Beach Junior College in Palm Beach Gardens opened. 1983 Palm Beach Junior College in Boca Raton opened. 1988 The Board of Trustees approved a name change to Palm Beach Community College to more accurately reflect the
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