Cayucos and Oceano COMMUNITY HEALTH PLANSHealth Commission Presentation June 9, 2014

• Collaborative effort between San Luis Obispo Health Agency, and Cal Poly, San Luis Obispo

• The leading causes of death are chronic, preventable conditions

• Social and root determinants of health account for 70% of health outcomes

• This plan seeks opportunities for improving these factors in Cayucos and Oceano

Community Health Plan Overview

Sept - Dec: Backgroun

d Repor

t

Jan - May

: Plan Creation

Apr - June:Final Document

Community Engagement

Community Health Plan Process

Pop. Median Household Income Median Age Poverty

Levels

Education Attainment

( ≥ High School

Diploma)

Residency Status (U.S.

citizens)

Oceano 7,286$41,865

($34,938 for Hispanic households)

35.4 16.5%73.3%

(14.7% < 9th grade)

23.2%

Cayucos 2,431 $62,961 57.2 15.8% 94.5% 76.7%

COMMUNITY COMPARATIVE TABLE

Cayucos Community Health Plan

Features that contribute to health, as identified through outreach:

• Sense of community• Improvements from the

grassroots level• Environmental quality• Transit options• Availability of Healthy Food• Access to Healthcare• Housing affordability and

vacation rentals• Tobacco and drug use is a

concern• Sidewalks and bike

infrastructure• Access to recreational/exercise

equipment and facilities

Important Findings:• Many residential neighborhoods are

not within walking distance to the grocery store

• Only 46% of teens and 48% of adults in the County are eating enough fruits and vegetables

• “Food access” was the number one most selected feature that could contribute to health

Opportunities:• Community Gardens and edible school

yards• Support transit to grocery stores

nearby• Incentives for food retailers to offer

healthy options

Food Access

Important Findings• “Pollution or concerns about

environmental quality” was one of the frequently noted issues detracting from health

• Runoff contributes to microbial contamination of water supply

• Major sources of non-point source pollution include runoff from farms, parking lots, streets, and golf courses

Opportunities:• Water pollution education• Recycling and composting programs• Runoff management to slow and clean

water

Environmental Quality

Important Findings:• Pedestrian-friendly areas allow for

exercise, economic activity, and social interaction.

• “Sidewalk improvements” was an option chosen frequently as a feature to contribute to health.

• However, injuries may increase if people are walking more, especially on inadequate footpaths or sidewalks.

• Pedestrian safety is an issue for those on the east side of Highway 1, along South Ocean Avenue, and near the school.

• The commercial core, while highly walkable, ranked slightly lower for safety factors

Opportunities:• Maintenance and improvement in existing

areas• Strengthen pedestrian network• Work with the Health Agency for injury

prevention

Improved Sidewalks

Oceano Community Health Plan

Factors impacting active living behaviors, as identified through outreach:

• Pedestrian network• Perceptions of Safety and Security• Lack of park and recreation

facilities• Obesity and poor fitness levels• Safe access to healthy & affordable

foods• Cultural barriers• Access to healthcare• Unincorporated and SES status

PERCEPTIONS OF SAFETY & SECURITY– Important Findings

• Perceptions of safety and security are behavioral motivators (Minnesota Dept. of Health, 2012; Jackson & Sinclair, 2012)

• Both Oceano adults and children identified safety as a primary issue in the community

• No streetlights in residential areas

– Opportunities:

• Street illumination in residential areas must be prioritized

• Incorporate Crime Prevention Through Environmental Design (CPTED) principles into design guidelines

• Increase patrols; seek grant funding to increase staff

OPPORTUNITIES FOR ACTIVE LIVING– Important Findings• Increased physical activity levels correlates

with positive health outcomes (U.S. Surgeon General’s Report on Physical Activity and Health, 1996; Physical Activity Guidelines for Americans, 2008)

• Residents want to be active• Oceano children are at risk• Incomplete, disconnected and poorly

maintained sidewalk network• Lack of safely accessible and affordable park

and recreation facilities• Oceano Elementary is unofficially used as a

recreation space

– Opportunities:• Place an emphasis on creating an active

transportation network• Land use patterns and zoning strategies• Joint-Use agreements• Make use of space and existing facilities

– Important Findings• Low-income populations have less access to

healthcare facilities; children of low-SES backgrounds have poorer health outcomes (Design for Health; 2007; Schwartz, 2009)

• Oceano has no primary care or community health care facilities in the community

• Cultural and generational barriers may be hindering active living behaviors

– Opportunities:• Developers’ incentives programs to help

recruit medical service and health care providers

• Development guidelines• Partnerships• Explore low-cost health strategies

ACCESS TO HEALTHCARE + EDUCATION

Questions and Comments?