Community Health Assessment 2012. Chelsea Health Indicators Updated August 2012 (in process)
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Transcript of Community Health Assessment 2012. Chelsea Health Indicators Updated August 2012 (in process)
Community Health Assessment2012
Chelsea Health Indicators
Updated August 2012 (in process)
Table of ContentsIndicator Slide Number
Map 4
Demographics 5-9
Economic Factors
Education 11-15
Employment and Income 16-18
Health Outcomes
Morbidity and Mortality 20-29
Health Behaviors
Tobacco Use 31-32
Diet and Exercise 33-34
Alcohol Use 41-45
Other Drug Use 46-61
Sexual Activity 62-76
Mental Health 77-81
Clinical Care
Access to Care 83-88
Quality of Care 89-96
Cancer 97-110
Maternal and Infant Health
111-114
Social Factors
Family and Social Support
115-117
Community Safety 118-132
Physical Environment
Environmental Quality 134-151
Built Environment 152
Qualitative Data 153-157
Conclusion 158
Map of Chelsea
DEMOGRAPHICS
Population by Race/Ethnicity:Over Half Latino
2010 Census
Other1.2%
White25.3%
Multiracial1.6%
Asian3.0%
Latino62.2%
Black6.7%
Total Population in 2010: 35,177 – 0.27% increase from 2000; 22.5% increase from 2010Population Density very high**: 17,540 persons per square mile (MA rate: 812)
*Source: MA Department of Education 2010-2011**Source: 2005 Regional Epidemiologic Services Health Data Watch Supplement, prepared for Chelsea HHS
81.3% of Chelsea Public
School Students are Latino*
Population by Race2010 Census Data
Asian, 3.1% White, 47.8%
Native Hawaiian and Other Pacific
Islander, 0.0%
Other, 33.6%
Two or More Races, 5.9%
American Indian and Alaskan Native, 1.1%
Black or African American, 8.5%
Total Population in 2010: 35,177– 0.28% increase from 2000
Chart does not include Hispanic/Latino Population
Hispanic or Latino Population in 2010: 21,855 (62.1% of Total
Population)–Up from 28.3% of total population in 2000
Foreign-Born Residents by Place of Birth:Most from Latin America
2000 Census
Latin America72.4%
Europe10.5%
Asia6.0%
Other0.9%Africa
10.2% 36.1% total foreign born (triple 12.1% state rate)
58.4% speak language other than English at home (triple 18.7% state rate) 43.8% of total population age 5 and older speak Spanish (43.8% Spanish; 9.1% Indo-European Languages; 3.8% Asian/Pacific Islander languages) 30.8% of total population age 5 and older speak English “less than very well”
Population by Age Group Cities in Boston Region and Massachusetts: 2010
Chelsea Generally Young compared to surrounding communities
Ages City of Boston
Chelsea Everett Lynn Revere MA Total
0-19 years
22% 28% 25% 28% 23% 25%
20-24 years
14% 8% 7% 8% 7% 7%
25-44 years
33% 35% 32% 28% 31% 27%
45-64 years
20% 20% 24% 25% 25% 28%
65+ years
10% 9% 12% 11% 15% 14%
Source: 2010 Census
SOCIAL AND ECONMIC FACTORS
Education Graduation Rates, Educational Attainment, Population Breakdowns
Educational Attainment 2007-2011 American Community Survey (US Census Bureau)
*Given for those ages 25 and older.American Community Survey 5 year estimates
8.8% 5.7%
23.7%
11.0%
34.2%
22.1%16.6%
4.9% 6.2%
26.3%
0%
20%
40%
60%
80%
100%
Less than 9thGrade
Never Graduatedfrom High School
High SchoolDegree or Higher
Bachelor'sDegree or Higher
Graduate orProfessional
Degree
Per
cen
t
ChelseaMass.
Chelsea School Indicators Compared to State
2011-2012 MA Dept. of Education
54.6%
4.4%
12.3%
78.1%81.9%
18.1%
83.4%
2.1%
17.0%
35.2%
16.7%
7.3%
0%10%20%30%40%50%60%70%80%90%
100%
Limited EnglishProficiency
First Languagenot English
Low-Income SpecialEducation
Retention Rate*(2010-2011)
Graduation Rate(2010-2011)
Per
cen
t
Chelsea
Mass.
*Retention Rate is the percentage of enrolled students who were repeating the grade in which they were enrolled the previous year. Source: Massachusetts Department of Education.
Chelsea School District
Cohort 2011 Graduation Rates
Plans of High School Graduates: 2010-2011*
*Source: 2010-2011 MA Department of Elementary and Secondary Education
Chelsea Public SchoolsNew Student Origins - 2011
2%13%
55%
30%
Returning Dropouts Other US States
Other Cities/Towns Immigrants
Chelsea Public Schools had 155 new immigrant students representing 24 different countries including:
•El Salvador (55)•Honduras (16)•Puerto Rico (15)•Guatemala (14)•Santo Domingo (12)•Sudan (5)•Cape Verde (5)
Source: Chelsea Public Schools – New Student Data 2011 Calendar Year
Public School Enrollment Over Time2001-2012*
*Dates represent the ending year of the academic calendar. Source: Massachusetts Department of Elementary and Secondary Education
5,692
5,570
5,638
5,602
5,493
5,566
5,495
5,533
5,678
5,7775,7495,741
5,350
5,400
5,450
5,500
5,550
5,600
5,650
5,700
5,750
5,800
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Employment and Income Poverty Rates, Unemployment Rates, Temporary Aid
High Poverty & Unemployment2007-2010 American Community Survey, US Census Bureau
Chelsea’s very low per capita income ($14,628) ranks Chelsea 349th out of all 351 Massachusetts municipalities (2000 Census)
The median household income for Chelsea is $40,487 compared to the statewide median household income of $64,509. (2010 5-Year ACS)
9.6%
35.0%
16.2%
7.4%
13.5%10.7%
0%5%
10%15%20%25%30%35%40%45%50%
All Below Poverty Level Children Below PovertyLevel
Unemployed Persons inLabor Force (2011)*
Group
Per
cent
ChelseaMass.
* 2011 Unemployment Rate, Massachusetts Labor and Workforce Development.
Source: 2010 American Communities Survey (3-year Estimate), US Census Bureau
*Source: 2011 Labor and Workforce Development, Massachusetts.
City of Boston
Chelsea Everett Lynn Revere MA Total
Per Capita Income
$32,261 $18,630 $23,066 $21,764 $23,346 $33,969
Those living below 100% poverty
21.1% 25.6% 13.2% 19.5% 16.6% 10.8%
Less than a High School Education
15.5% 36.3% 23.1% 21.7% 22.5% 11.1%
Speak language other than English at home
35.5% 70.1% 47.8% 40.9% 45.0% 21.5%
Foreign born 26.7% 46.1% 38.2% 28.5% 32.3% 14.8%
Percent Unemployed (2011)*
7.1% 9.6% 7.5% 8.4% 8.3% 7.4%
Socio-Demographic IndicatorsCities in Boston Region and Massachusetts: 2010
HEALTH OUTCOMES
Mortality and Morbidity Morality Rates by Disease, Level of Health, Low Birth Weight Births
Mortality: Overall & Chronic DiseaseHigher than State for Heart Disease,
Stroke and Diabetes2006-2010 Vital Records
822.6
690.2
178.7 159.3
40.6 30.8
195.9 177.3
32.0 14.5
0100200300400500600700800900
1000
Age
-Ad
just
ed R
ate
per
10
0,00
0 in
div
idu
als
OverallMortality
Heart Disease Stroke Cancer (all) Diabetes
Mortality Indicator
ChelseaMass.
Source: MassCHIP, Mortality (Vital records) Accessed: 6/19/13
Overall Mortality2000-2010*
0
200
400
600
800
1000
1200
Age
Adj
uste
d R
ate
per
100,
000 Chelsea
MA
Chelsea 900.78 973.1 942.88 939.95 944.17 898.54 812.39 728.47 797.97 842.44 931.96
MA 809.4 799.87 790.1 768.47 735.26 715.01 713.57 699.74 699.06 670.68 667.77
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Mass Dept. of Public Health MassCHIP database (Vital Records) Accessed: 6/18/13
Cancer Mortality Rates2000-2010*
0
200
400
600
800
1000
1200
Age
Adj
uste
d R
ate
per
100,
000 Chelsea
MA
Chelsea 900.78 973.1 942.88 939.95 944.17 898.54 812.39 728.47 797.97 204.6 192.47
MA 809.4 799.87 790.1 768.47 735.26 715.01 713.57 699.74 699.06 173.69 170.32
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)
Accessed: 8/25/12, 6/19/13
Heart Disease Mortality Rates2000-2010*
0
50
100
150
200
250
Age
Adj
uste
d R
ate
per
100,
000 Chelsea
MA
Chelsea 196.76 227.8 212.07 229.42 215.61 229.64 224 134.28 140.76 177.95 216.51
MA 215.85 209.86 200.01 195.31 181.65 170.81 167.44 164.23 163.18 153.85 147.98
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)
Accessed: 8/25/12, 6/19/13
Diabetes Mortality Rates2000-2010*
0
10
20
30
40
50
Age
Adj
uste
d R
ate
per
100,
000 Chelsea
MA
Chelsea 30.82 27.45 29.66 34.22 43.01 45.82 35.38 46.89 23.07 31.46 23.34
MA 19.55 20.21 20.06 19.83 18.24 17.25 15.28 16.49 14.54 13 13.18
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)
Accessed: 8/25/12, 6/19/13
Health Status Poor (self-reported)2008 BRFSS*
*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008)
28.1%
71.9%
12.7%
87.3%
0%
20%
40%
60%
80%
100%
Health Status Excellent / VeryGood / Good
Health Status Fair or Poor
Wei
ghte
d P
erce
ntag
e of
adu
lts
(age
s 18
-64) Chelsea Mass.
Level of Health (self-reported)2012 Quality of Life Survey
15.4%
40.4%
32.8%
10.3%
1.1%0%5%
10%15%20%25%30%35%40%45%
Per
cent
Excellent VeryGood
Good Fair Poor
LevelSource: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a
more White, educated, female perspective and is not representative of the community at large.
10.3%7.8% 9.8%
7.2%12.1% 10.8% 9.8% 8.6%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Per
cent
of
Bir
ths
Overall Whites Blacks Latinas
Racial/Ethnic Group
ChelseaMass.
Low Birth Weight Births High for Blacks and Whites
2009 Vital Records*
Very low birth weight births high: 2.4% Chelsea rate (vs. 1.4% statewide) (2007)**
*Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2009)**Very low birth weight births defined as births 1500g or 3lbs, 5 oz., % by birth weight. Source: MassCHIP Vital Records (2007)
Low Birth Weight Births2000-2009 Vital Records*
0%
2%
4%
6%
8%
10%
12%
Per
cent
of
Bir
ths
Chelsea
MA
Chelsea 7.19% 6.29% 5.03% 6.85% 7.67% 7.09% 7.85% 9.85% 8.72% 10.25% 6.70%
MA 7.00% 7.15% 7.52% 7.62% 7.81% 7.90% 7.91% 7.90% 7.74% 7.75% 8.24%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Mass Dept. of Public Health MassCHIP database (Vital Records)Date accessed: 5/30/13
Low birth weight is defined as an infant with a birth weight of less than 2500 grams (5 lb 8 oz)Calculated by percent by birthweight in grams
HEALTH BEHAVIORS
Diet & Exercise Obesity Indicators, Physical Activity, Fruit & Vegetable Consumption
Obesity-Related Indicators (Self-Reported)2008 BRFSS*
21.2%
26.4%28.8%
35.6%
10.8%
7.4%
28.8%
0%
10%
20%
30%
40%
50%
Wei
ghte
d P
erce
ntag
e of
Sur
vey
Res
pond
ents
tol
d th
ey h
ad s
aid
indi
cato
r by
a
Hea
lth
Pro
fess
iona
l
High Blood Pressure High Cholesterol Diabetes Advised to LoseWeight (in past year)Condition/Indicator
ChelseaMass.
78.4% of these respondents currently on blood pressure medications
45.4% of these respondents currently on cholesterol medications
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Source: MassCHIP, UHDDS Hospital Discharges, 2006
28.5% of these respondents currently taking insulin
High obesity hospitalization rate**: 67.8 (age-adjusted per 100,000) (state rate 48.3) (2006)
MA Data not available
Overweight or Obese StudentsChelsea Public Schools 2010
0%
10%
20%
30%
40%
50%
60%
% o
f S
tud
ents
wh
o ar
e O
verw
eigh
t or
Ob
ese
1st Grade 4th Grade 7th Grade 10th Grade
*Chelsea Public Schools Nurses Data, 2010
•34.3% of MA students are overweight or obese•19% of MA children ages 6-11 are overweight or obese
Physical Activity (Self-Reported)2008 BRFSS*
40.6%
79.6%86.9%
0%
20%
40%
60%
80%
100%
Surv
ey R
espo
nden
ts
No Physical Activity Past 30Days
Did Not Meet ModerateActivity Recommendations**
Did Not Meet VigorousActivity
Recommendations***
Indicator
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Moderate Physical Activity Recommendations: 30 min/day, 5+ days/week
***Vigorous Physical Activity Recommendations: 20 min/day, 3+ days/week
Chelsea High School YRBS: Fitness and Wellness
2009-2011 YRBS
69% 66%
51%46%
50%42%
0%10%20%30%40%
50%60%70%80%
90%100%
% o
f 9-
12th
Gra
de
You
th
Have Exercised inPast Week
Tried to Lose Weight Played on SportsTeam in Past Year
20092011
Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011 1,078 completed surveys of students with parental permission )
Frequency of Physical Activity in a Typical Week
2012 Quality of Life Survey*
17.5%
10.6%
29.6% 29.9%
12.5%
0%
5%
10%
15%
20%
25%
30%
Per
cen
t
Everyday 5-6 Days 3-4 Days 1-2 Days 0 Days
Number of Days in Week
Chelsea
Physical activity consists of exercising for at least 30 minutes or more (such as running, swimming, gardening, walking)
*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Fruit and Vegetable Consumption2012 Quality of Life Survey*
9.0%4.1%
36.2%34.2%
44.2%48.5%
10.6%13.2%
0%5%
10%15%20%25%30%35%40%45%50%
No consumption A couple timesper week
1-3 timeseveryday
4 or more timesevery day
Fruit**Vegetable***
*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
**Fruit consumption question: “During the past 7 days, how many times did you eat fruit or drink 100% fruit juices? (Do not count punch, Kool-Aid, sports drinks, or other fruit-flavored drinks.)” / ***Vegetable consumption question: “During the past 7 days, how many times did you eat
other vegetables such as carrots, peas, broccoli, green salad, etc? (Do not count potatoes)”
WIC Nutrition Program ParticipationHigh Percentage of Child Participants in Chelsea
2007*
2,671
1,408
587676
0
500
1000
1500
2000
2500
3000
Num
ber
of A
ctiv
e P
arti
cipa
nts
Total Children Infants Women
*Source: MassCHIP WIC Program Utilization, 2007.
129,917
68,053
30,096 31,768
0
25000
50000
75000
100000
125000
150000
Num
ber
of A
ctiv
e P
arti
cipa
nts
Total Children Infants Women
Chelsea Participation Massachusetts Participation
Participants Participants
Tobacco UseCurrent, Lifetime, Age of Onset
Smoking Rates (Self-Reported)2008 BRFSS*
19.2%16.4%
12.9%12.0%
6.3% 4.4%
22.1%
28.5%
0%
10%
20%
30%
40%
50%
Wei
ghte
d P
erce
nta
ge o
f R
esp
ond
ents
Current Smokers Current Smoker -Smokes Everyday
Current Smoker -Smokes Some Days
Former Smoker
Indicator
ChelseaMass.
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
During the past year: 64.5% of current smokers trying to quit 63.8% of current smokers advised not to smoke by healthcare professional
Alcohol Use Current, Lifetime, and Excessive Drinking, Parental Perception
Chelsea High School YRBS: Alcohol & Driving
2005-2007-2009-2011 YRBS
28%
16%
32%
24%
9%10% 9% 10%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Rode With a Drinking Driver in Past 30 Days Drove After Drinking in Past 30 Days
2005
2007
2009
2011
Source: Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)
Substance Use Rates (Self-Reported)2008 BRFSS*
19.2%22.1%
38.3%33.9%
6.2%
11.8%
0%
10%
20%
30%
40%
50%
Per
cent
of
Res
pond
ents
CurrentSmokers
FormerSmokers
Alcohol Use: At Least One
Drink in Past 30days
Ever UsedMarijuana
Ever Used PainKillers (non-prescribed)
Ever UsedOther Drugs***
Substance Abuse Indicator*Source: 501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
**Binge Drinking defined as: 5 or more drinks (male) and 4 or more drinks (female) at one time***Other Drugs defined as: powder cocaine; crack cocaine; heroin; methamphetamine; Hallucinogens; MDMA/Ecstasy; Other
Of these respondents: 38.0% had engaged in binge drinking** in past 30 days
Amongst these respondents, top three drugs ever used were: • Powder Cocaine (71.7%); • Hallucinogens (32.1%), • Heroin (24.5%)
Substance Use Rates (self-reported)2012 Quality of Life Survey*
12.2%
56.3%
19.9%
4.9%
0%
10%
20%
30%
40%
50%
60%
Smoke part or all ofcigarette in past 30
days
Drink one or morealcoholic beverage in
past 30 days
5 or more drinks in arow in past 2 weeks
Taken unprescribeddrugs in past 30 days
Per
cent
of
Res
pond
ents
*Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of
the community at large.
Chelsea High School YRBS: High Alcohol & Gateway Drug Use
2005-2007-2009-2011 YRBS**
44%39%39%
66% 64%66%
37%34%
48%
34%
23%24%
30%
21%
31% 30%32%
16%19%
21%23%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Ever SmokedCigarettes
Ever DrankAlcohol
DrankAlcohol in
Past 30 Days
BingeDrinking*
Ever UsedMarijuana
UsedMarijuana inPast 30 Days
2005
2007
2009
2011
*Binge Drinking defined as drinking 5 or more alcoholic beverages in one night in past 30 daysChelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)
**Methods of the Chelsea YRBS have changed, the most reliable data available is from 2011.
Other Drug UseAge of Onset, Treatment Admissions, Overdoses, Hospitalizations
Age of Onset of Other Drug Use* 2008 BRFSS (self-reported)**
14.6%
24.0%22.6% 23.4%
0%
5%
10%
15%
20%
25%
30%
Per
cent
of
Res
pond
ents
Ages 12 to 14 Ages 15 to 16 Ages 17 to 18 Ages 19 to 25
Age When Used for the First Time
*Given as age of onset for those who had ever used un-prescribed illegal drugs, pain killers, sedatives, or tranquilizers (n=171)**501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
Chelsea High School YRBS: Other Drug Use
2005-2007 YRBS
7%
5%
7%
4% 4%3%
6% 6%
4%3%
0%
5%
10%
15%
Ever UsedCocaine
UsedInhalants in
Past 30 Days
Ever UsedSteroids
Ever usedEcstasy
Ever UsedHeroin
2005
2007
Chelsea YRBS High School Data from 2005-2007 (Grades 9-12, In 2007, 406 completed surveys of students with parental permission)
Substance Abuse Admissions
1907.5
1589.9
709.1500.1
0200400600800
100012001400160018002000
Cru
de R
ate
per
100,
000
indi
vidu
als
Admission to DPH Treatment Programs(2010 BSAS*)
IDU Admissions to DPH TreatmentPrograms (2010 BSAS*)
Indicator
ChelseaMass.
Crude rates of 3238.2 in Boston, 2889.1 in Revere, 2239.9 in Everett
*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea – 2010 BSAS
Admission to DPH Treatment Programs
2000-2010*
0.0
500.0
1000.0
1500.0
2000.0
2500.0
3000.0
Cru
de R
ate
per
100,
000
Indi
vidu
als
ChelseaMA
Chelsea 2464.9 2075.3 2225.5 2323.3 1706.2 1462.1 1309.8 1617.4 1922.2 1772.7 1907.5
MA 1872.5 1883.8 1920.2 1793.6 1569.7 1601.2 1568.5 1636.5 1621.6 1564.1 1589.9
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea – 2010 BSASAccessed: 8/29/12
IDU Admission to DPH Treatment Programs
2000-2010*
0.0
100.0
200.0
300.0
400.0
500.0
600.0
700.0
800.0
Cru
de R
ate
per
100,
000
Indi
vidu
als
ChelseaMA
Chelsea 736.9 547.9 616.3 677.7 533.9 480.5 404.4 480.5 697.4 594.8 709.1
MA 426.1 434.1 461.2 461.0 422.3 433.8 412.0 425.3 424.3 454.3 500.1
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: MassCHIP CHNA Health Status Indicators Report for Chelsea 2000 – 2010 BSAS
Date accessed: 8/29/12
Heroin, 44.8%
Alcohol, 35.2%
Crack/Cocaine, 5.2%
Marijuana, 2.5%
Other, 12.4%
Substance Abuse Treatment Admissions: Primary Substances
2010*
Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2010.
651 total admissions to treatment programs in 2010
683
1060
477
671 668607
0
200
400
600
800
1000
1200
City ofBoston
Chelsea Everett Revere Winthrop MA
Tre
atm
en
ts p
er
10
0,0
00
(C
rud
e R
ate
s)
Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2010.
Substance Abuse Treatments –Alcohol Primary Substance
Cities in Boston Region & Massachusetts: 2010
Substance Abuse Treatments –Alcohol Primary Substance
2000-2010*
0
200
400
600
800
1000
Cru
de
Rat
e p
er 1
00,0
00
Ind
ivid
ual
s
Chelsea
MA
Chelsea 888.28 806.29 813.17 792.61 574.54 486.4 518.63 627.05 545 553.79 671
MA 892.44 875.13 862.4 764.81 660.74 661.21 639.69 665.89 654.08 607.35 606.71
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2000-2010.
Accessed: 8/29/12
Substance Abuse Treatments –Heroin Primary Substance
2000-2010*
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
Cru
de
Rat
e p
er 1
00,0
00
Ind
ivid
ual
s
Chelsea
MA
Chelsea 1171.1 951.1 1015.8 1065.4 780.6 632.9 518.6 621.2 940.6 776.5 852.7
MA 649.2 677.0 709.0 683.8 597.6 608.5 582.1 587.4 593.0 602.7 634.3
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2000-2010.
Accessed: 8/29/12
Substance Abuse Admissions by Primary Substance
2010
852.7
1688.2
634.3
146.587.9 83.5
694.4
1279.9
480.8
0200400
600800
10001200
14001600
1800
Cru
de R
ate
per
100,
000
Heroin Other Drugs Heroin(Injected)
ChelseaRevereMA
Source: MassCHIP, Substance Abuse (BSAS) DPH Funded Program Utilization (2010)
1688.21586.0
1339.6
852.7
1359.4
634.3
0
200
400
600
800
1000
1200
1400
1600
1800
City ofBoston
Brookline Chelsea Revere Winthrop MA
Tre
atm
en
ts p
er
10
0,0
00
(C
rud
e R
ate
s)
Substance Abuse Treatments –Heroin Primary Substance
Cities in Boston Region & Massachusetts: 2010
Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2010.
Substance Abuse Hospitalizations:Alcohol/Substance-Related & Opioid-Related High
2009468.31
330.99 354.19305.18
0
100
200
300
400
500
Age
-Adj
uste
d R
ate
per
100,
000
indi
vidu
als
Alcohol / Substance-RelatedHospitalizations
Opioid-Related Hospitalizations
Indicator
ChelseaMass.
Source: MassCHIP, Hospital Discharges (UHDDS), 2009.
Opioid-Related Hospitalization in Chelsea up from 277.1 in 2006; MA (267.2 in 2006).
Alcohol/Substance Related Hospitalizations
2000-2010*
0
100
200
300
400
500
600
Age
Ad
just
ed R
ate
per
100
,000
In
div
idu
als
Chelsea
MA
Chelsea 540.05 416.53 596.15 504.41 416.99 440.95 437.85 558.32 486.19 468.31
MA 327.31 340.25 346.36 358.45 347.14 340.91 351.2 338.05 332.16 330.99
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2000-2010.
Accessed: 8/29/12
Opioid Related Hospitalizations 2000-2010*
0
100
200
300
400
500
600
Age
Ad
just
ed R
ate
per
10
0,00
0 In
div
idu
als
Chelsea
MA
Chelsea 407.75 329.83 525.8 500.06 336.51 277.12 338.32 418.86 419.6 354.19
MA 193.03 222.36 241.13 278.81 264.36 267.13 247.38 273.01 274.33 305.18
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*Source: MassCHIP, Massachusetts Department of Public Health. BSAS Substance Abuse Treatment Programs 2000-2010.
Date accessed: 8/29/12
Opioid-Related Fatal OverdosesCities in Boston Region & Massachusetts: 2006-2010
9.2
24.6
14.5 13.912.6
21.0
0
5
10
15
20
25
30
City ofBoston
Chelsea Everett Revere Winthrop MA
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0
Age-adjusted to the 2000 US standard population.
Source: MassCHIP, Mortality (Vital Records), 2006-20010
Accessed: 6/19/13
Sexual ActivitySexually Transmitted Infections, Teen Birth Rates
Chelsea High School YRBS: Sexual Activity
2005-2007-2009-2011 YRBS
46%
42%
50%
46%
36%
26%
9%
11%
9%11%
12%
7%
10%11%
0%
10%
20%
30%
40%
50%
Per
cen
t of
9th
- 1
2th
Gra
de
You
th
Ever Had Sex Had Sex in Past 30Days
Had Sex Before Age13
Ever ExperiencedSexual Contact Against
Will
2005
2007
2009
2011
Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011 1,078 completed surveys of students with parental permission )
79.0
21.3
82.0
22.0
97.0
20.1
76.0
19.6
0102030405060708090
100110120
Rat
es p
er 1
,000
wom
en
ages
15-
19
2006 2007 2008 2009Year
ChelseaMass.
Teen* Pregnancy Rates High:3rd Highest Rate in the State**
2006-2009 Vital Records
*Women, ages 15 – 19 years**Source: MA Alliance on Teen Pregnancy (2009)
***Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2008)
For 2008: Percent of births to adolescent mothers higher than state rates for Whites and Blacks - lower for Latinas***
Whites: 8.5% of Chelsea adolescent births (3.9% statewide) Blacks: 11.7% of Chelsea adolescent births (8.9% statewide) Latinas: 14.4% of Chelsea adolescent births (15.6% statewide)
Comparison of Teen Birth Rates Across Communities:
Cities in Boston Region & Massachusetts: 2007-2009
50
21
55
39
28
85
30
0
25
50
75
100
City ofBoston
Chelsea Everett Lynn Revere BostonRegion
MA
Bir
ths
pe
r 1
,00
0 w
om
en
ag
es
15
-19
Source: Births 2007-2009, Vital Records, MassCHIPTeen birth rates are number of births to women ages 15-19 per 1000 females ages 15-19.
Teen Birth Rates2000-2010*
0
20
40
60
80
100
Age
Ad
just
ed R
ate
per
100
,000
In
div
idu
als
ChelseaMA
Chelsea 81.75 88.61 93.32 70.07 74.29 74.99 78.99 81.99 96.98 75.99 51.8
MA 25.89 24.89 23.28 22.95 22.2 21.74 21.33 22.03 20.08 19.55 17.15
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: Teen Births (age 15-19) 2000-2009, Vital Records, MassCHIP
Accessed: 8/29/12, 6/19/13
278.4
133.3
298.9
141.1
0
50
100
150
200
250
300
350
Cru
de R
ate
per
100,
000
2005*** 2006**
Year
ChelseaMass.
HIV/AIDS Rates:High Compared to State
7.69.93
17.6
6.8
0
5
10
15
20
25
30
Rat
e p
er 1
00,0
00 in
div
idu
als
Incidence Rate (2003-2005*)
Newly Diagnosed CasesCrude Rate (2006**)
Indicator
ChelseaMass.
201 cumulative AIDS cases in 2006** 2 HIV/AIDS related deaths in 2006** 52.3% ages 18 and older have ever been tested for HIV (self-reported, 2008 BRFSS****)
*2007-2009 Incidence Source: MA HIV/AIDS Surveillance Program (by request: March 2011) **Source: 2006 AIDS Surveillance Program
***2005 Regional Epidemiological Services Health Data Watch Supplement, prepared for Chelsea HHS ****501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
Persons Living with AIDSHIV/AIDS Incidence & New Cases
HIV Incidence Rates2000-2009*
0
10
20
30
40
50
60
Cru
de
Rat
e p
er 1
00,0
00
Ind
ivid
ual
s
ChelseaMA
Chelsea 42.84 28.39 57.06 22.97 29.02 20.51 32.23 N/A N/A N/A
MA 18.74 15.58 16.42 14.64 14.33 13.44 11.74 9.86 9.53 8.6
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*MassCHIP HIV/AIDS Program BCDC Files 2000-2009
Accessed: 8/29/12
HIV Prevalence Rates2000-2009*
0
100
200
300
400
500
600
Cru
de
Rat
e p
er 1
00,0
00
Ind
ivid
ual
s
ChelseaMA
Chelsea 394.16 397.47 453.66 459.48 481.69 489.33 515.7 521.56 521.56 524.56
MA 199.99 207.91 217.99 226.28 235.38 243.97 250.79 255.84 259.37 260.98
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*MassCHIP HIV/AIDS Program BCDC Files 2000-2009
Accessed: 8/29/12
Other Infectious Diseases:High Hepatitis B & Tuberculosis Rates
14.65
9.46
17.6
4.02
0
5
10
15
20
25
Cru
de
Rat
e p
er 1
00,0
00 in
div
idu
als
Hepatitis B (2006) Tuberculosis (2008)Indicator
ChelseaMass.
Source: MassCHIP, Epidemiology Program 2006 and 2007.
-Cannot combine TB rates by year, 2007 rate = 14.7, Ma=3.5.
Tuberculosis Prevalence Rates2005-2008*
0
5
10
15
20
Cru
de
Rat
e p
er 1
00,0
00
Ind
ivid
ual
s
ChelseaMA
Chelsea 17.58 4.65 14.65 17.58
MA 4.13 4.02 3.47 4.02
2005 2006 2007 2008
*MassCHIP HIV/AIDS Program BCDC Files 2000-2009
Accessed: 8/29/12
511.21
277.44
40.86 35.34 15.2 7.1
050
100150200250300350400450500550600
Cru
de R
ate
per
100,
000
indi
vidu
als
Chlamydia Gonorrhea Syphilis
Sexually Transmitted Disease
ChelseaMass.
High STD Rates:Especially for Chlamydia, amongst teens
2007-2009: 3-year Incidence Rates
In 2006: Chlamydia age-specific rate for 15-19 year olds at 2563.7 – two and a half times state rate of 1079.6
Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011
Chlamydia
511.21
277.44
638.77
322.07
2810.24
1310.93
0
500
1000
1500
2000
2500
3000
2007-2009* 2010** 2010 Ages 15-19**
ChelseaMA
*Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011
**Source: MassCHIP, Sexually Transmitted Disease Program (2010)
Gonorrhea
40.8635.34
105.48
37.87
295.81
76.63
0
50
100
150
200
250
300
2007-2009 2010 2010 Ages 15-19
ChelseaMA
*Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011
**Source: MassCHIP, Sexually Transmitted Disease Program (2010)
Syphilis
15.2
7.1
23.44
9.42
0
3.89
0
5
10
15
20
25
2007-2009 2010 2010 Ages 15-19
ChelseaMA
*Source: MA DPH Division of Sexually Transmitted Disease Prevention – by Request March 2011
**Source: MassCHIP, Sexually Transmitted Disease Program (2010)
STD Incidence Rates2000-2010*
0
200
400
600
800
Cru
de
Rat
e p
er
100,
000
Ind
ivid
ual
s Chlamydia Gonorrhea Syphilis
Chlamydia 408.44 457.09 462.22 488.2 452.67 533.28 547.93 547.93 509.84 518.63 638.63
Gonorrhea 54.27 59.62 88.45 45.95 63.84 43.95 38.09 55.67 35.16 35.16 105.48
Syphilis 37.13 45.42 45.95 66.05 31.92 26.37 29.3 17.58 14.65 14.65 23.44
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Source: MassCHIP, Sexually Transmitted Disease Program 2000-2010
Mental HealthDepression Rates, Services Needed
Mental Disorders High, Suicides Low
*Source: MassCHIP, 2006 Hospital Discharges (UHDDS) & Vital Records 2006-2007
High Mental Disorder hospitalization rate (2007-2009*) Chelsea rate: 1251.61 (age-adjusted, per 100,000) State rate 779.7
High Mental Disorder death rate (2006-2008*) Chelsea rate: 55.74 (age-adjusted, per 100,000) State rate 36.69
Suicide rate low compared to state (2006-2008*) Chelsea rate of 4.4 (age-adjusted, per 100,000) State rate 7.06
6.6%
28.8%
14.0%
0%
10%
20%
30%
40%
50%
Wei
ghte
d P
erce
nt
of R
esp
ond
ents
Felt depressed all or mostdays in past 30 days
Felt depressed some or a fewdays in past 30 days
Currently Taking Medicineor Receiving Treatment for
Any Mental Health Condition
Mental Health (self-reported)Depressed Feelings High
2008 BRFSS*
3.4% of surveyed respondents reported being unable to afford needed mental health care or counseling
*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008)
Mental Health Services Needed in Past Year
2012 Quality of Life Survey*
69.7%
8.8%
0.9% 0.9%
19.6%
0%
10%
20%
30%
40%
50%
60%
70%
Per
cen
t of
Res
pon
den
ts
None Treatment fromPrimary Care
Crisis Care Hospitalization Counseling/ Therapy
Type of Treatment
13.5% of respondents reported feeling sad or hopeless almost everyday for 2 weeks or more in a row that they stopped doing usual activities
41% were unable to get mental health services if they were needed
Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Chelsea High School YRBS: Depression & Suicide2005-2007-2009-2011 YRBS
12%
7%
26%
34%
14%12%12%
15%13%
15%16%
9%
0%
5%
10%
15%
20%
25%
30%
Felt Sad / Hopeless for2+Weeks in Past Year
Seriously ConsideredSuicide in Past Year
Attempted Suicide inPast Year
2005
2007
2009
2011
Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission )
CLINICAL CARE
Access to CareInsurance Coverage, Utilization
Health Care Coverage (self-reported)Medicaid & Medicare Coverage/Uninsurance High
2008 BRFSS*
*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008)
88.0%
43.0%
3.3%11.9%
22.3%
1.7% 2.4% 3.5%12.0%
0%
20%
40%
60%
80%
100%
Wei
ghte
d P
erce
ntag
e of
ad
ults
(ag
es 1
8-64
)
Any Cov
erag
e
Empl
oyer
-Bas
ed
Self-P
urch
ase
Med
icare
Med
icaid
/Mas
sHea
lth
Comm
onwea
lth C
are
Other
Gov
ernm
ent
Other
No Cov
erag
e
State rate of coverage: 92.8% State uninsurance rate: 7.2%
Health Care Utilization (self-reported)High Community Health Center Utilization
2008 BRFSS*
79.7%
8.9% 4.0% 6.2%1.3%
0%
20%
40%
60%
80%
100%
Wei
ghte
d %
of a
dult
s (a
ges
18-6
4)
Within PastYear
Within 1-2Years
Within 2-5Years
Five orMoreYears
Never
*Source: 2008 Five-City Behavioral Risk Factor Surveillance (BRFSS) Survey (501 Chelsea residents contacted between 1/25/08 and 5/27/08)**Place of last routine checkup given for those who had one within past 5 years
During past year, 19.8% of adults reported needing medical care but being unable to afford it. Of these:
42.5% were unable to afford a needed doctor’s appointment 43.5% were unable to afford needed prescription medications
Time Since Last Routine Checkup
40.5%49.0%
10.5%
0%
20%
40%
60%
80%
100%
Wei
ghte
d %
of a
dult
s (a
ges
18-6
4)
Doctor's Office CommunityHealth Center
Other
Place of Last Routine Checkup**
Percent Able to Receive Needed Medical Care2012 Quality of Life Survey
6.0% 7.7%
16.7% 14.8%
54.7%
0%
10%
20%
30%
40%
50%
60%
Per
cent
Never Seldom Sometimes Often Always
Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Where Chelsea Survey Respondents Receive Routine Health Care
2012 Quality of Life Survey
18.4%
9.5%
2.9%
34.5%
1.1%2.7%
0%
5%
10%
15%
20%
25%
30%
35%
MGH ChelseaHealthCenter
Beth IsrealDeaconessHealthCare
Chelsea
Medicalpractice inChelsea
Medicalpractice outside
of Chelsea
ER/Urgent Care Do not receiveroutine care
Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Last Time Survey Respondents Received Dental Care or Eye Exam
2012 Quality of Life Survey
0%
10%
20%
30%
40%
50%
60%
70%
80%
Within PastYear
2-5 Years Ago 5 or MoreYears Ago
Never
DentalEye Exam
Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Quality of Care Cancer Screenings, Hospitalization Rates, Maternal & Infant Health
Chronic Disease Hospitalization 2007-2009 Vital Records
1332.9
1057.6
412.8 379.8
239.3 234.7 241.0
135.5
557.5
361.4
0
500
1000
1500
Age
-Ad
just
ed R
ate
per
100,
000
ind
ivid
ual
s
Heart Disease CoronaryHeart Disease
Stroke Diabetes COPD
ChelseaMass.
Source: MassCHIP, Incidence (Vital records)
Heart & Lung Disease High Hospitalization Rates
2007-2009*
13.3
10.57
14.9
10.32
0
5
10
15
20
Rat
e p
er 1
,000
Heart Disease Lung Disease
Disease
ChelseaMass.
*Source: MassCHIP Hospital Discharges (UHDDS) (2007-2009)
Heart Disease Hospitalization Rates2000-2009*
1604.7
1467.01344.8
1463.1
1620.5
1435.81525.2
1280.81387.6
1330.2
1027.61060.71085.91148.01145.0
1219.41256.21260.11275.61290.0
0
200
400
600
800
1000
1200
1400
1600
1800
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Age
Ad
just
ed R
ate
per
100
,000
In
div
idu
als
ChelseaMA
*Source: MassCHIP Hospital Discharges (UHDDS) (2000-2009)Date accessed: 8/29/12
COPD Hospitalization Rates2000-2009*
535.8516.2
567.6
505.0
413.6
498.4 488.3 504.4
619.5
548.6
378.3376.6
328.4331.6329.3319.2344.1
322.7332.0346.8
0
100
200
300
400
500
600
700
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Age
Ad
just
ed R
ate
per
100
,000
In
div
idu
als Chelsea
MA
*Source: MassCHIP Hospital Discharges (UHDDS) (2000-2009)Date accessed: 8/29/12
High Preventable Hospitalization* Rates 2005-2008**
21.9
19.1
24
19.9
0
5
10
15
20
25
30
Rat
e p
er 1
,000
2005-2006 2007-2008
Years
ChelseaMass.
*There are 24 “preventable hospitalization” illnesses, including: angina, asthma, bacterial pneumonia, chronic obstructive pulmonary disease, congestive heart failure, and diabetes.
**Source: Partners Community Benefit Report (
Preventable Hospitalization Rates1999-2009*
0
100
200
300
400
500
600A
ge A
dju
sted
Rat
e p
er 1
00,0
00
Angina Hospitalizations 27.23 38.6 37.65 30.15 35.61 N/A N/A 33.86 N/A N/A 23.87
Asthma Hospitalizations 207.38 236.59 204.91 206.9 216.66 148.43 142.02 204.71 218.96 240.29 163.06
Bacterial Pneumonia Hospitalizations 518.52 451.64 477.95 528.22 373.55 415.51 413.66 429.42 460.4 424.12 382.55
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Angina, Asthma and Bacterial Pneumonia are considered potentially preventable conditions.
Source: MassCHIP Uniform Hospital Discharge Dataset System
Date accessed: 8/29/12
Oral Health2008 BRFSS*
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Permanent Tooth Removal due to tooth decay or gum disease
63.3% 64.8%
37.8%
11.6% 7.4%
56.8%
0%
20%
40%
60%
80%
100%
Per
cent
of
Res
pond
ents
Visited Dentist /Dental Clinic in
Past Year
Last TeethCleaning Within
Past Year
1-5 PermanentTeeth
Removed**
2-6 (but not all)Permanent Teeth
Removed**
All PermanentTeeth
Removed**
At Least OnePermanent Tooth
Removed**
Indicator
78.1% statewide In 2008, 12% of surveyed
respondents reported being unable to afford needed dental care (including checkups)
CancerScreenings, Mortality & Incidence Rates
Cancer Incidence & Mortality: Chelsea vs. Mass.
119.6
132.5
16.5621.47
11.0 6.0 2.48 1.24
53.2 51.4
16.6716.13
90.1
72.3
47.51 50.94
0
25
50
75
100
125
150
Age
-Adj
uste
d R
ate
per
100,
000
indi
vidu
als
Breast(invasive)
Cervical Colorectal(invasive)
Lung
Chelsea Incidence Mass IncidenceChelsea Mortality Mass Mortality
Mortality rates are aggregate age-adjusted rates for 2006-2008 (Vital Records)Incidence rates are aggregate age-adjusted rates for 2003-2007(Vital Records)
Breast Cancer Incidence & Mortality Amongst Females
2000-2008*
0
50
100
150
200
250
Age
Ad
just
ed R
ate
per
100
,000
2000 166.36 194.4 9.78 26.8
2001 81.64 185.96 18.58 26.49
2002 119.93 183.96 20.8 26.26
2003 181.12 178.48 28.76 24.31
2004 133.72 178.92 17.64 24.03
2005 184.89 177.06 30.98 22.98
2006 148.9 177.44 10.85 23.11
2007 110.29 182.41 8.43 20.14
2008 30.39 21.2
Breast Cancer Incidence in Chelsea
Breast Cancer Incidence in MA
Breast Cancer Mortality in Chelsea
Breast Cancer Mortality in MA
*Source: MassCHIP Cancer Registry
Date accessed: 8/29/12
Comparison of Breast Cancer Mortality Across Communities:
Cities in Boston Region & Massachusetts, 2006-2008
21.521.1
18.6
16.6
23.0
19.9
0
5
10
15
20
25
City ofBoston
Brookline Chelsea Revere Winthrop MA
De
ath
s p
er
10
0,0
00
Source: Mass Chip , Mortality (Vital Records) 2006-2008
Age-adjusted to the 2000 US standard population
Colorectal Cancer Mortality by Gender / Race
58.2 60.6
15.0319.39
48.044.3
17.2313.81
63.251.8
20.2116.21
50.7
61.79
19.4237.133.1
8.4210.96
0
25
50
75
100
125
150
Age
-Adj
uste
d R
ate
per
100,
000
indi
vidu
als
Male Female White,Non-
Hispanic
Black, Non-Hispanic
Hispanic
Chelsea Incidence Mass IncidenceChelsea Mortality Mass Mortality
Mortality rates are aggregate age-adjusted rates for 2006-2008 (Vital Records)Incidence rates are aggregate age-adjusted rates for 2003-2007(Vital Records)
Colorectal Cancer Incidence & Mortality 2000-2008*
0
10
20
30
40
50
60
70
80
Age
Ad
just
ed R
ate
per
100
,000
2000 51.6 64.37 20.72 21.89
2001 74.49 65.38 16.21 20.71
2002 66.81 64.08 14.52 21.35
2003 62.98 62.94 13.92 18.71
2004 57.73 60.64 15.77 17.72
2005 55.17 56.84 23.97 17.44
2006 46.05 53.47 11.46 17.06
2007 44.12 50.5 17.72 18.85
2008 20.83 15.5
Colorectal Cancer Incidence in Chelsea
Colorectal Cancer Incidence in MA
Colorectal Cancer Mortality in Chelsea
Colorectal Cancer Mortality in MA
*Source: MassCHIP Cancer Registry
Date accessed: 8/29/12
Comparison of Colorectal Cancer Mortality Across Communities:
Cities in Boston Region & Massachusetts, 2006-2008
50.9
77.6
28.5
47.549.0
66.6
0
10
20
30
40
50
60
70
80
90
City ofBoston
Brookline Chelsea Revere Winthrop MA
De
ath
s p
er
10
0,0
00
Source: Mass Chip , Mortality (Vital Records) 2006-2008
Age-adjusted to the 2000 US standard population
Lung Cancer Incidence & Mortality 2000-2008*
0
20
40
60
80
100
120
140
Age
Ad
just
ed R
ate
per
100
,000
2000 70.44 71.61 65.65 55.87
2001 70.76 72.44 57.46 54.32
2002 60.99 72.79 70.92 54.96
2003 121.76 71.35 78.5 54.37
2004 76.5 72.25 70.9 52.06
2005 77.27 75 47.17 52.37
2006 90.49 72.41 26.69 52.71
2007 83.74 70.72 42.93 50.81
2008 69.92 49.4
Lung Cancer Incidence in Chelsea
Lung Cancer Incidence in MALung Cancer Mortality in
ChelseaLung Cancer Mortality in MA
*Source: MassCHIP Cancer Registry
Date accessed: 8/29/12
Comparison of Lung Cancer Mortality Across Communities:
Cities in Boston Region & Massachusetts, 2006-2008
50.9
77.6
28.5
47.549.0
66.6
0
10
20
30
40
50
60
70
80
90
City ofBoston
Brookline Chelsea Revere Winthrop MA
De
ath
s p
er
10
0,0
00
Source: Mass Chip , Mortality (Vital Records) 2006-2008
Age-adjusted to the 2000 US standard population
Comparison of Cervical Cancer Mortality Across Communities:
Cities in Boston Region & Massachusetts, 2006-2008
1.2
0.0
0.5
2.5
1.6
2.2
0
2
4
City ofBoston
Brookline Chelsea Revere Winthrop MA
De
ath
s p
er
10
0,0
00
Source: Mass Chip , Mortality (Vital Records) 2006-2008
Age-adjusted to the 2000 US standard population
Cancer Incidence & Mortality Amongst FemalesCervical Cancer: High Incidence and Mortality
Incidence rates 2003-2007; Mortality rates 2006-2008
119.6132.5
16.6 21.511.0
6.0 2.5 1.2
48.0 44.3
17.2 13.8
78.0
64.6
32.742.5
020406080
100120140160180
Age
-Adj
uste
d R
ate
per
100,
000
indi
vidu
als
Breast Cancer Cervical Cancer Colorectal Cancer- Females
Lung/ BroncialCancer - Females
Cancer Type
Chelsea Incidence Mass. Incidence
Chelsea Mortality Mass. Mortality
Source: MassCHIP, Cancer Registry (2003-2007) and Vital Records (2006-2008)
Chelsea female Lung cancer mortality down from 40.5 (2004-2006)
Cancer Incidence & Mortality Amongst MalesProstate Cancer: Low Incidence, High Mortality
Incidence rates 2003-2007; Mortality rates 2006-2008
58.24 60.6
15.019.4
104.3
83.8
65.9 63.3
126.28
165.7
26.0 23.4
020406080
100120140160180
Age
-Adj
uste
d R
ate
per
100,
000
indi
vidu
als
ColorectalCancer - Males
Lung/ BroncialCancer - Males
Prostate Cancer
Cancer Type
Chelsea Incidence Mass. IncidenceChelsea Mortality Mass. Mortality
Source: MassCHIP, Cancer Registry (2003-2007) and Vital Records (2006-2008)
Female Cancer Screening Rates (Self-Reported)
2008 BRFSS*
87.3% 89.0% 87.5%94.6%
0%
20%
40%
60%
80%
100%
Wei
ghte
d P
erce
nta
ge o
f E
ligi
ble
R
esp
ond
ents
wh
o E
ver
Had
S
cree
nin
g E
xam
Mammogram (Women Ages40+) (Breast Cancer)
Mammogram (Women Ages50+) (Breast Cancer)
Pap Smear (All Women)(Cervical Cancer)
Screening Exam
Chelsea
Mass.
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
75% of these respondents had exam in past year
76.3% of these respondents had exam in past year
MA rate not available
MA rate not available
Colon Cancer Screening Rates (Self-Reported)Generally Low Rates
2008 BRFSS*
32.0%
60.2% 66.3%
0%
20%
40%
60%
80%
100%
Wei
ghte
d P
erce
ntag
e of
Eli
gib
le
Res
pon
den
ts**
who
E
ver
Had
S
cree
nin
g E
xam
Blood Stool Test using home kit Sigmoidoscopy or Colonoscopy
Screening Exam
ChelseaMass.
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**Eligible Respondents: all respondents age 50+ (n=240)
Of these respondents: 92.8% had a colonoscopy, and of these 28.6% had exam within past year
MA rate not available
Of these respondents: 45.5% had exam within past year
Maternal & Infant HealthBirth Rates, Inadequate Prenatal Care
Birth Rates High – Especially for Blacks and Latinas
2009 Vital Records
88.3
55.09 52.9 48.64
134.8
70.44
104.7
76.9
32.9
64.04
0102030405060708090
100110120
Bir
th R
ate
(per
1,0
00 w
omen
ag
es 1
5-44
)
Overall Whites Blacks Latinas Asians
Racial/Ethnic Group
ChelseaMass.
Low Infant Mortality Rates (per 1,000 births): 1.4 vs. 5.0 Statewide Low percentage of women smoking during pregnancy: 3.9% vs. 6.8% Statewide
Source: MassCHIP Births and Infant Deaths, Vital Records (2009)
14.4%
9.2%
14.9%
7.2%
21.5%17.3%
12.9% 12.0% 10.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Per
cen
tage
of
Bir
ths
Overall Whites Blacks Latinas Asians
Racial/Ethnic Group
ChelseaMass.
Inadequate or No Prenatal Care*: Especially High for White Mothers
2009 Vital Records
*Inadequate prenatal care defined as mothers not receiving “adequate prenatal care” (Classified by APNCU Index)Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2009)
n/a
Chelsea’s overall % of births with inadequate or no prenatal care decreased from 16.0% in 2005, while the Statewide % increased from 8.4% in 2005
Inadequate or No Prenatal Care2000-2009*
8.4%
14.0%
12.6%12.3%
15.4%15.4%14.6%
11.7%
15.4%15.5%
17.6%
8.9%9.9%
9.2%8.9%8.1%7.7%7.9%8.0%
8.5%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Per
cen
t b
y A
deq
uac
y of
Pre
nat
al C
are Chelsea
MA
*Inadequate prenatal care defined as mothers not receiving “adequate prenatal care” (Classified by Kotelchuck Index)Source: MassCHIP Perinatal Report for Chelsea, Vital Records (2000-2009)
Date accessed: 8/30/12
Family and Social SupportCommunity Cohesiveness, Single-Parent Households
Community Cohesiveness2012 Quality of Life Survey*
2.7 2.6 2.5
3.7
3.2
0
0.5
1
1.5
2
2.5
3
3.5
4
Good Place toGrow Old
Good Place toRaise Children
Safe Place to Live Networks ofSupport in Times
of Stress
Feel connected toCommunity
On a scale of 1-5 (1 Strongly Disagree to 5 Strongly Agree) respondents ranked Chelsea as a…
58% volunteer their time to community service
89% know at least some of their neighbors’ first names
Source: Chelsea 2012 Quality of Life Survey. Survey sample of 959 respondents represents a more White, educated, female perspective and is not representative of the community at large.
Children in Single-Parent Household
2006-2010 American Community Survey (US Census Bureau)
17.8%20.8%
5.1%
1.7%
15.0%
7.0%
0%
5%
10%
15%
20%
25%
Married with ChildrenUnder 18
Single Male Householderwith Children Under 18
Single FemaleHouseholder withChildren Under 18
Chelsea
MA
Source: American Community Survey 2006-2010 5 Year Estimates
Parent Disapproval Rates2010 & 2011 Chelsea High School YRBS
Percent of students that believe their parents would think it was very wrong if they used the following substances
59.6% 58.8%
71.5%
80.0%72.8%
80.4%86.7% 87.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Alcohol Cigarettes Marijuana Oxycontin orHeroin
20102011
Community SafetyCrime Rates, Offensives, Domestic Violence, ER Visits
Violence/Injuries:Very High Homicide & Violent Injury Rates Very high violent injury* rate at 100.7 (2004-2006**)
• Almost 3x state rate of 35.1
Very high homicide rate:• 4 homicides in 2007 – crude rate 11.7 (more than 4x state rate of 2.8)
Motor-vehicle related deaths and hospitalizations:• Injury deaths low: 2.9 crude rate (6.8 state rate) (2007***) • Motor-vehicle related hospitalization rate low: 66.4 age-adjusted rate (65.2 state
rate) (2007-2009****)
Weapon-related Injuries (2008-2010 WRISS*****)• Highest amongst ages 20-24 (26.9% vs. 28.0% statewide) and ages 15-19
(24.1% vs. 20.7% statewide)• Very high amongst males (95.9% vs. 88.1% statewide)• Approx. half happen on the street (56.8% vs. 42.9% statewide)
*Violent injuries defined as: gun and sharp instrument weapon injuries during violent incidents as seen in ED**Source: Partners Community Benefit Report
***Source: MassCHIP CHNA Health Status Indicators Report for Chelsea - 2007 Mortality (Vital Records) ICD-10 based****Source: MassCHIP Hospital Discharges (UHDDS), 2007-2009
*****WRISS data from MassCHIP WRISS Report for Chelsea, 2008-2010
Mortality from Injury2000-2009*
53.9
72.5
44.0
55.7
44.0
83.3
37.1
48.6
41.035.2
44.341.0 42.3 40.6
45.241.3 43.4
46.043.937.5
0
10
20
30
40
50
60
70
80
90
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Cru
de
Rat
e p
er 1
00,0
00 I
nd
ivid
ual
s
Chelsea
MA
*Source: MassCHIP, Vital Records (Mortality), All Injury & Poisoning Deaths 2000-2009
Date accessed: 04/23/13
Property & Violent Crimes Over Time2005-2011*
*Source: Chelsea Police Department Data
0
500
1,000
1,500
2,000
2,500
3,000
Violent 735 739 734 805 809 759 747
Property 1,428 1,629 1,618 1,902 1,798 1,594 1533
2005 2006 2007 2008 2009 2010 2011
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2005 2006 2007 2008 2009 2010
Year
Rat
e p
er 1
00,0
00
Violent Crime Property Crime
Crime Rates2005-2010
Data Source: Massachusetts Crime Reporting Unit, www.ucrstats.com.
22.1%21.4%21.4%22.1%20.0%19.2%16.2%15.7%
0%
5%
10%
15%
20%
25%
30%
35%
40%
2000 2001 2002 2003 2004 2005 2006 2007**
Year
Per
cent
of
Off
ense
sPercent of Offenses That Involved Weapons*
Chelsea Police Dept. 2000-2007**
*Includes: all firearms, sharp instruments, blunt objects, motor vehicle, personal (hands, feet, etc.), poison, and other/unknown.**Police data was only collected up to 10/17/2007.
Extrapolations were made using monthly averages from 2000-2006 for a full year estimate, which are presented in the graph above.
Crime 2005 2006 2007 2008 2009 2010 2011 2005-2007
2009-2011 %Change
Motor Vehicle Theft 286 310 210 254 238 180 192 238.57 203.33-14.8%
Motor Vehicle Theft
Theft from a Motor Vehicle 29 29 9 13 12 10 17 17.00 13.00
-23.5%Theft from a Motor Vehicle
Burglary/Breaking & Entering 291 359 384 414 445 454 406 393.29 435.00
10.6%Burglary/Breaking &
Entering
Shoplifting 34 44 54 88 105 108 121 79.14 111.3340.7%
Shoplifting
Vandalism 994100
7110
6122
7105
4 977 924 1041.29 985.00-5.4%
vandalism
Gun Robbery 17 27 30 37 31 31 28.83 31.007.5%
Gun Robbery
Forcible Rape 21 26 19 29 26 34 33 26.86 31.0015.4%
Forcible Rape
Weapons law violations 62 44 62 68 57 83 62 62.57 67.33
7.6%Weapons law violations
Aggrevated Assault 344 339 340 379 330 352 306 341.43 329.33-3.5%
Aggrevated Assault
DUI 22 38 26 27 36 45 33 32.43 38.0017.2%
DUI
Drug/Narcotic Violations 73 95 122 125 98 117 115 106.43 110.00
3.4%Drug/Narcotic Violations
Drunkeness 486 498 465 434 452 508 410 464.71 456.67-1.7%
Drunkeness
UCR crime data for following slides
0
50
100
150
200
250
300
350
400
2005 2006 2007 2008 2009 2010 2011
Year
Rat
e pe
r 10
0,00
0
Gun Robbery Forcible Rape Aggrevated Assault
Selected Violent Crime Rates 2005-2011
Data Source: Massachusetts Crime Reporting Unit, www.ucrstats.com.
0
100
200
300
400
500
600
2005 2006 2007 2008 2009 2010 2011
Year
Rat
e p
er 1
00,0
00
DUI Drug/Narcotic Violations Drunkeness
Selected ETOD Crime Rates2005-2011
Data Source: Massachusetts Crime Reporting Unit, www.ucrstats.com.
0
50
100
150
200
250
Off
ense
s
All Firearms** 64 79 70 65 98 130 110 138
Sharp Instrument 202 207 217 174 237 204 222 223
Blunt Object 125 138 168 142 145 153 129 187
2000 2001 2002 2003 2004 2005 2006 2007*
Offenses by Weapon Involved:Firearms Offenses Increasing
Chelsea Police Dept. 2000-2007*
*Data for 2007 was only collected up to 10/17/2007. Extrapolations were made using monthly averages from 2000-2006 for a full year estimate, which are presented in the graph above.
**Includes automatic firearms, handguns, automatic handguns, automatic rifles, and other automatic firearms
Emergency Room Visits for Assault-Related Injuries by Type of Wound
1998-2010*
0
10
20
30
40
50
60
Em
erge
ncy
Roo
m V
isit
s
Firearms** 8 na 5 7 7 6 8 14 7 9 14 10 11
Sharp Instruments 28 44 35 37 32 29 21 26 24 24 49 34 30
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
*Source: MA DPH, MassCHIP, 1998-2010 data / **Firearms include firearms, non-powder airguns, and other guns.
1057
1149
1198
1033
1148
11951175
1150
600
650
700
750
800
850
900
950
1000
1050
1100
1150
1200
2000 2001 2002 2003 2004 2005 2006 2007*
Year
Nu
mb
er o
f A
rres
ts
Arrests By Gender:Female Arrests Increasing
Chelsea Police Dept. 2000-2007*
*Data for 2007 was only collected up to 10/17/2007. Extrapolations were made using monthly averages from 2000-2007 for full year estimates, which are presented in the graph above.
294311
241258248240217
235
0
50
100
150
200
250
300
350
400
450
500
550
600
2000 2001 2002 2003 2004 2005 2006 2007*
Year
Nu
mb
er o
f A
rres
ts
Males Females
Chelsea High School YRBS: Violence-Related Behaviors
2005-2007-2009-2011 YRBS
21%24%
19%
26%
12%
7%7% 7%
14%10%12%
14%
10%9%10%10%
0%
10%
20%
30%
40%
50%
Bullied at Schoolin Past Year
Involved in aGang in Past Year
Carried aWeapon in Past
30 Days
Ever ExperiencedDating Violence*
2005
2007
2009
2011
Chelsea YRBS High School Data from 2005-2011 (Grades 9-12, In 2011, 1,078 completed surveys of students with parental permission)
*Dating Violence is defined as having been hurt physically or sexually by a date or someone going out with
270225
367
442
326
0
100
200
300
400
500
Cou
nt
Avg. Calls per Year(2005-2008*)
Avg. Incidence perYear (2005-2008*)
Avg. RestrainingOrders per Year
(2005-2008*)
Children AllegedlyAbused / Neglected
(unduplicated)(2006**)
Children withVerified
Investigations ofAbuse/Neglect(duplicated)
(2006**)Indicator
Domestic Violence / Child Abuse
*DV data source: Chelsea Police Department**Child Abuse data source: 2006 Department of Children and Families, from MassCHIP Kids Count Report for Chelsea
For 2008: 215 restraining orders issued; 137 still active as of 12/31/08
Allegations and Investigation of Child Abuse1996-1997 & 2006-2009*
747
445
787
448
656
326
675
364
698
427
717
352
0
100
200
300
400
500
600
700
800
Cou
nt
1996 1997 2006 2007 2008 2009
Children AllegedlyAbused/Neglected(unduplicated)
Children with VerifiedInvestigations ofAbuse/Neglect (duplicatedcount of children)
**Child Abuse data source: 1996-2009 Department of Children and Families, from MassCHIP Kids Count Report for Chelsea
Dispatch Calls Received for Domestic Disturbances*
Chelsea Police Dept. 2000-2006
799
690717
761
827
785 786
600
650
700
750
800
850
2000 2001 2002 2003 2004 2005 2006
Year
Dis
pat
ch C
alls
*These calls were received by the police dept. as domestic disturbances, however not all were determined to be domestic disturbances after responding to the call.
PHYSICAL ENVIRONMENT
Environmental Quality Air Pollution, Blood Lead Count, Asthma Hospitalizations
Environmental Health Issues* Chelsea is the only city/town in the state with every neighborhood designated as
an “environmental justice population” by the Executive Office of Environmental Affairs (EOEA)**
Oil Spills in Chelsea Creek***:• Since Dec. 2005, ~41,866 gallons of oil have spilled into the Chelsea Creek• There have been a total of 35 oil spills in the last 15 years – totaling 96,653
gallons of oil
Diesel Exhaust & Cancer****: • Chelsea’s overall levels exceed the U.S. average by five times• Chelsea’s high levels of diesel exhaust exceed the EPA’s established “reference
concentration” (maximum level before cancer-causing health effects occur) by 20%
• Chelsea falls in the Clean Air Task Force’s highest category for “expected lifetime cancer cases from diesel pollution” – 501+ Chelsea residents likely to develop cancer from diesel pollution*****
*Source: all information above taken from January 2007 Chelsea City Council Meeting Minutes, http://www.chelseama.gov/Public_Documents/ChelseaMA_CouncilMin/I00DAB445.0/Chelsea%20City%20Council%20Januar.doc
**Source cited: http://www.mass.gov/envir/ej***Source cited: U.S. Coast Guard Lieutenant Commander Claudia Gelzer
****Source cited: Environmental Protection Agency (EPA), http://www.epa.gov/ne/eco/airtox/diesel.html*****Source cited: Clean Air Task Force database used The Lingering Thread Report (2005)
Symptoms or Illness in Past Yeardue to Outdoor Air Pollution*
2008 BRFSS
Yes 10.4%
Don't know 3.2%
No 86.4%
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008
Air Quality Index1999-2009*
“Air quality indices (AQI) are numbers used by government agencies to characterize the quality of the air at a given location. As the AQI increases, an increasingly large percentage of the population is likely to experience increasingly severe adverse health effects.. The Environmental Protection Agency (EPA) uses the following AQI range: 0-50=Good, 51-100=Moderate, 101-150= Unhealthy for Sensitive Groups, 151-200=Unhealthy, 201-300 Very Unhealthy, 301-500=Hazardous
Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm
Levels of Sulfur Dioxide1999-2009*
Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm based on the air quality database from the U.S. Environmental Protection Agency
Levels of Nitrogen Dioxide1999-2009*
Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm based on the air quality database from the U.S. Environmental Protection Agency
Levels of Particulate Matter1999-2009*
Source: Chelsea, MA Air Quality http://www.usa.com/chelsea-ma-air-quality.htm based on the air quality database from the U.S. Environmental Protection Agency
Asthma
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**In households with children under 18 only: n=203 (out of 501) respondents
***Source: 2005 Hospital Discharges (UHDDS), from MassCHIP CHNA Health Status Indicators Report for Chelsea****Source: Regional Epidemiological Services Health Data Watch Supplement, prepared for Chelsea HHS
17.3%
10.8%
18.7%
0%
10%
20%
30%
40%
50%
Per
cen
t of
Res
pon
den
ts
Ever Told by HealthProfessioal that Have
Asthma
Told Currently HaveAsthma
Have At Least One ChildWho Has Been Diagnosed
With Asthma**
Self-Reported Asthma Status – 2008 BRFSS*
Of these respondents: 37.8% reported their asthma interfering with their daily activities at least moderately in the past month
Asthma
*501 Chelsea residents were contacted for the 2008 BRFSS survey between January 25th and May 27th, 2008**In households with children under 18 only
17.3%14.8%13.8%
10.8% 9.6%8.5%
18.7%
13.3%13.3%
0%
5%
10%
15%
20%
25%
30%
Per
cen
t of
R
esp
ond
ents
Ever Told by HealthProfessioal that Have
Asthma
Told Currently HaveAsthma
Have At Least OneChild Who Has Been
Diagnosed WithAsthma**
Chelsea Mass US
Self-Reported Asthma Status – 2008 BRFSS*
148.4 142.0
204.7219.0
240.3
211.9204.9 206.9
216.7
236.6
207.4
159.2147.0146.9140.1137.7
160.2
130.7 126.8
154.2
127.9135.2
0
50
100
150
200
250
300
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Age
Ad
just
ed R
ate
per
100
,000
In
div
idu
als
Chelsea Massachusetts
Asthma Hospitalizations*
*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization; Age-Adjusted Rates. Source: 2002-2009 Hospital Discharges (UHDDS), from MassCHIP
1999-2009
Chelsea asthma hospitalization rates were significantly higher than the Massachusetts State rates in 2002, 2003, 2006, 2007, 2008 and 2009.
1182.3
1371.6
1547.0 1504.4
1105.11058.2
941.2
1167.71088.0
977.4921.4 938.0902.2898.9865.7
814.5773.3
627.4670.2
760.1
588.3544.1
0
200
400
600
800
1000
1200
1400
1600
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Age
Adj
uste
d R
ate
per
100,
000
Indi
vidu
als Chelsea Massachusetts
Asthma- Related Hospitalizations*
*Asthma ( ICD 9: 493) , Asthma is primary cause or Asthma is an associated cause of hospitalization; Age-Adjusted Rates. Source: 2002-2009 Hospital Discharges (UHDDS), from MassCHIP
1999-2009*
Chelsea asthma hospitalization rates were significantly higher than the Massachusetts State rates 2002-2009
19.6
14.7 14.9
0
5
10
15
20
25
Rat
e p
er 1
0,00
0 In
div
idu
als
2006
Year
ChelseaMassachusettsUS
Asthma Hospitalizations*
*Asthma ( ICD 9: 493) , Asthma is primary cause hospitalization. Chelsea and Mass Rates. Source: 2006 Hospital Discharges (UHDDS), from MassCHIP
National Rates Source: 2006 Hospital Discharges (UHDDS), from CDC website: http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf
2006 Crude Rates per 10,000
34.9
22.5 23.9
0
5
10
15
20
25
30
35
40
Rat
e p
er 1
0,00
0 In
div
idu
als
2006
ChelseaMassachusettsUS
Child Asthma Hospitalizations*
*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization.** Unclear if National Rates are Age-Adjusted.
Chelsea and Mass Rates. Source: 2006 Hospital Discharges (UHDDS), from MassCHIPNational Rates Source: 2006 Hospital Discharges (UHDDS), from CDC website: http://www.cdc.gov/nchs/data/nhsr/nhsr005.pdf
2006 Age-Adjusted Rates per 10,000**
Age < 15
**
Source: Division of Health Care Finance and Policy. Calendar Year 2005. Hospital Discharges
Pediatric Asthma Hospitalization Rates by Town Children Ages <5
Boston, Massachusetts Region, 2004-2005
BOSTON646.8
REVERE403.5
BROOKLINE359.8
WINTHROP593
CHELSEA208.8
Hospitalization Rates by Townsper 100,000
Significantly higher than state rate
Not different from state rate
Significantly lower than state rate
Massachusetts State Total: 337.5
Pediatric Asthma Hospitalization Rates by TownsAmong Children Ages <5
Boston Region - Massachusetts 2004-2005
Pediatric Asthma Hospitalization Rates by Town Children Ages <5
Boston, Massachusetts Region, 2007-2009
429.7
211.6
351.9
795.9
937.5
422.4
0
100
200
300
400
500
600
700
800
900
1000
City ofBoston
Chelsea Everett Revere Winthrop MA
Ag
e-A
dju
ste
d R
ate
pe
r 1
00
,00
0
*Asthma ( ICD 9: 493) , Asthma is primary cause of hospitalization; Age-Adjusted Rates. Source: 2007-2009 Hospital Discharges (UHDDS), from MassCHIP
Pediatrics Asthma Hospitalizations Children <5
2000-2009*
465.2
205.3
273.0
312.8 322.6
381.3351.9
219.9260.6
417.4
326.7
410.0
317.4
483.6
395.2395.0357.0356.5
269.7
0
100
200
300
400
500
600
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Age
Sp
ecif
ic r
ate
per
100
,000
Chelsea
MA
Source: 2000-2009 Hospital Discharges (UHDDS), from MassCHIPDate accessed 8/30/12
N/A
Blood Lead Counts in Young Children (6 months – 5 years):
Much Higher than State Rates2008-2010 CLPPP*
*Source: 2006 Lead Poisoning Prevention Program (CLPPP), in MassCHIP Kids Count Report. Rates expressed per 1,000 children screened.**Immediate Risk of Lead Poisoning defined as 20-24 ug/dL
***Elevated Blood Levels defined as >15 ug/dL****Lead poisoning blood levels defined as >=25 ug/dL
2.3
1.4
0.10.3
0.8
0.3
0.0
0.5
1.0
1.5
2.0
2.5
3.0
Rat
e p
er 1
,000
Ch
ildre
n
Scr
een
ed
Elevated BloodLevels*
Immediate Risk ofLead Poisoning
(Elevated Blood LeadLevels***)
Lead Poisoning****Cases
ChelseaMass.
Blood Lead Counts in Young Children (6 months – 5 years):
Lead Poisoning Cases**, 2000-2010 CLPPP*
*Source: 200-2010 Lead Poisoning Prevention Program (CLPPP),, in MassCHIP Kids Count Report. Rates expressed per 1,000 children screened.
**Total lead poisoning blood levels defined as >=15 ug/dLDate accessed 8/28/12
5.5
4.8
3.0
1.4
2.42.3
3.4
6.1
4.4
2.4
4.0
2.01.8 1.6
1.2 1.4
4.2
3.1 3.12.5
2.3 2.3
0.00.51.01.52.02.53.03.54.04.55.05.56.06.5
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Rat
e p
er 1
,000
Ch
ild
ren
Scr
een
ed ChelseaMass.
Built Environment Access to Recreational Facilities, Health Foods, and Fast Food
2012 Focus Group FindingsTop Most Important Problems in Chelsea
1. Crime & Violence 2. Housing – high cost, no rentals, no affordable housing,
crowded, unclean3. Environment – cleanliness and associated health issues
like asthma. Road maintenance & parking issues4. Health Issues (asthma) – related to environment5. Language Barriers – especially around unemployment,
not enough ESL or skills training, school issues, prejudice
Source: Focus groups reached 109 diverse residents between February and March 2012
Data presented at the Community Health Assessment Strategic Planning Meeting on June 13 th, 2012.
2012 Focus Group FindingsTop Most Important Problems in Chelsea
6. Drug Use7. Teen Pregnancy8. Poverty9. Education – adult and teen resources needed. Parent
classes needed. School configuration not ideal.10. Access to healthy food / Obesity
Source: Focus groups reached 84 diverse residents between February and March 2012
Data presented at the Community Health Assessment Strategic Planning Meeting on June 13 th, 2012.
2012 Quality of Life Survey FindingsTop 10 Most Important Problems in Chelsea
1. Drug abuse/addiction/overdose (47%)2. Crime & Violence (46%)3. Alcohol abuse & addiction (32%)4. Education (20%)5. Domestic Violence (15%)6. Mental Health (14%)7. Teen Pregnancy (14%)8. Environment (13%) & Asthma (8%)9. Poor Diet/inactivity (11%) Obesity (10%)10. Housing / Homelessness (8%)
*Source: 2012 Quality of Life Survey. Surveys were distributed in February and March through the web and in print—available in English, Spanish and Mandarin. 959 surveys were received and respondents represented a more White, educated, female perspective.
Data presented at the Community Health Assessment Strategic Planning Meeting on June 13th, 2012.
ConclusionThe Evaluation and Research staff at the MGH Center for Community Health Improvement (CCHI) compiled and summarized all information in this report. Both primary and secondary data sources were used in order to produce a comprehensive report on the leading health issues facing Chelsea as of August 31, 2012.
The main source of data is listed within each chart as well as the date range and any other important information relevant to the data. The MGH Center for Community Health Improvement has made efforts to ensure the accuracy of all data in this report. Some of the numbers and rates contained in this report were obtained from MassCHIP, The Massachusetts Department of Public Health’s internet-accessible data warehouse. MassCHIP is regularly updated so the numbers and rates contained in this report may differ slightly from those reported in the current version of MassCHIP. Other sources include the Youth Risk Behavior Survey, the Behavioral Risk Factor Surveillance System, U.S. Census, and community Quality of Life Surveys and Focus Groups completed as part of CCHI’s 2012 Community Health Assessment.
Please contact Maddie Eagan, [email protected], with any questions regarding the data in this presentation.
MGH CCHI Evaluation and Research
Danelle Marable, Director [email protected] / 617-724-6857
Erica Clarke, Project [email protected] / 617-643-3955
Nessa Regan, Project [email protected] / 617-643-7178
Maddie Eagan, Research [email protected] / 617-724-7016