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Submitted to:
Dr. Monideepa Becerra
Submitted by:
Community Description...Page 3
Methods............Page 4
Key Indicators
A. Demographic ...Page 5
D. Healthcare Page 10
Recommendations.Page 13
References.....Page 14
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COMMUNITY DESCRIPTION
Santa Barbara County is bordered by the Pacific Ocean, and one third of the County in Los
Cruz Island, Santa Rosa Island and Santa Source: County of Santa Barbara website
Barbara Island make up another portion of the county. The County is divided into three major
regions: 1) North County which is composed of the cities of Guadalupe, Orcutt and Santa Maria;
2) Mid County, which consist of different cities such as: Buelton, Los Alamos, Los Olivos,
Solvang, Santa Ynez and Lompoc; and 3) South Countys cities are Goleta, Isla Vista, Santa
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METHODS
The data for this community health assessment was gathered by the process of running an
indicator report of Santa Barbara County on the CHNA (Community Health Needs Assessment)
website. In addition, other sources that helped us gather more information to assess the
communitys health included the US Census Bureau American Community, County of Santa
Barbara, and Centers for Disease Control and Prevention. A list of health indicators categorized
as: demographics, social and economic factors, physical environment, clinical care, health
behaviors and health outcomes was used as a guide to further analyze the communitys health.
Within these categories, we picked the appropriate indicators that were considered to have the
most impact on the countys population. We looked at each sub-group, and looked for both positive
and negative indicators, by looking at the red zones and high percentages. In addition, we chose
two to three health indicators from each category and provided a simple descriptive analysis. Based
on the data from the health indicators report, charts and tables were generated using the Excel
software and then transferred from the CHNA website to provide a visual comparison of the
county's data compared to the state of California and the United States.
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KEY INDICATORS
A. Demographic
1) Population
Santa Barbara County is heavily populated with a total population of 435,850 people in
a 2,735.12 mi area, according to the U.S Census Bureau American Community Survey 2011-15
estimate. In comparison to the national average population density of 89.61 persons per mile, Santa
Analyzing this designated geographic area, it predicts a positive increase in the total
population. According to the United States Census Bureau Decennial Census, between 2000 and
2010 the population grew by 24,547 persons, a change of 6.15%. Changes in the size of the
population is based on the total number of births, deaths, and migrants. This may affect health care
providers and the use of community resources. In addition, the population age helps provide a
population of those 18-64 years old. A small percentage of youth age 18-24 years old make up this
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geographic area with a 5-6 percent higher population age of young adults compared to both
Data Source: US Census Bureau, American Community Survey. 2011-15. Source geography: Tract
Looking at the health indicator report, we can see a positive increase in the Asian
population and a negative shift within the Black population. Overtime, change in population
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B. Social Indicators
Social indicators such as income, insurance coverage, education, and economic support are
health determinants that impact the daily life of the populations community. As defined by the US
Census Bureau, a family household is any housing unit in which the householder is living with one
or more individuals related to him or her by birth, marriage, or adoption. A non-family household
is any household occupied by the householder alone, or by the householder and one or more
unrelated individuals. The average family income for this geographic location in which families
earn more than $75,000 results in almost half the population (49.89%). Compared to California
and United States family income of Over $75,000, Santa Barbara County is greater.
With approximately half the populations family income over $75,000, education plays a
attainment has proven to have positive health impacts and lower unemployment rates. In addition,
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educational level contributes to economic growth and the high levels of living standards that exist
The lack or presence of insurance is an indicator for poor or good health outcomes in a
population. The barriers such as access to health care and affordable insurance coverage are the
primary barrier to
uninsured. This is important because it provides a foundation of the health status in the population
compared to the United States and California. In the State of California and the United States, 14%
and 12% of the population are uninsured respectively, it can be concluded that the need for health
system, families and communities cannot thrive. San Barbara County population will have access
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to these resources can improve the communities ability to engage in healthy behaviors, sustain
good health, and economic stability. Analyzing data from the Centers of Disease Control,
Behavioral Risk Factor Surveillance System for Santa Barbara, an estimated 25% of the total
population reported a lack of adequate social and emotional support. This percent was reported by
young adults 18 years of age and older, higher than the National and California age-adjusted
percentage.
C. Physical Environment
The physical geographic location of Santa Barbara County is made up of several small
stores and supermarkets. Having access to healthy food items at affordable prices is important to
provide alternative health foods and dietary habits. The indicator reports 133 grocery store
establishments per 100,000 populations. This is 33% of the population who has access to healthy
foods. In comparison to California (21.75%) and United States (21.19%), Santa Barbara physical
environment provides a variety of healthy food options to improve the community. In contrast,
food access for low income population is very poor. Santa Barbara County has an estimated (6%)
food access rate compared to California and the United States low income population. This means
low income population is living in a food desert environment. Therefore, resulting in poor health
outcomes due to the lack of multiple affordable and accessible food establishments like
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supermarkets. Having a community with healthy food options contributes in eliminating food
Recreational opportunities is another physical indicator for community health status. The
County of Santa Barbara has 3,789 square miles of land and water, the
D. Healthcare
A lack of access to care presents barriers to good health. According the Community
Needs Assessment Health Indicator report, rates of morbidity, mortality, and emergency
hospitalizations can be reduced if community residents access services such as health screenings,
routine tests, and vaccinations. Prevention indicators can call attention to a lack of access or
knowledge regarding one or more health issues and can inform program interventions. Access to
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the dentist is another health indicator for Santa Barbara County. This population has approximately
(76%) dentists establishments rate, per 100,000 population. This indicator reports a higher dentists
rate per 100,000 population than the National rate of (65%). Having access to clinical care such as
dentist establishments is important to prevent and control potential dental disease in the community
as well as the overall appearance and quality of life in within the population.
limitations affect the access to healthcare. For this reason, this health indicator reports the lack of
prenatal care as a direct health care indicator for Santa Barbara County. The lack of prenatal care
accounts for (28%) of mothers who have late or not started prenatal care. This percentage is
approximately (10%) higher than the state of California and U.S rate. This is a health concern
because the lack of access of prenatal care is associated with low births rates an increased
E. Behaviors
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Daily exercise is important for a
years of age and older, who walks or rides a bike to work. This is (5%) higher than California and
the United States percentage. Walking or riding a bike to work is a great way to engage in
2) Alcohol Consumption
Santa Barbara.
Disease Control and Prevention, alcohol consumption is (defined as more than two drinks per day
on average for men and one drink per day on average for women). This is a health concern for the
population that causes significant health issues such as cirrhosis, cancers, and untreated mental
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RECOMMENDATIONS
Overall, based on the data gathered, Santa Barbara Countys has general good
health. However, poor health indicators that exist in the county, raise concern for new policies
and recommendations to enhance the communities health outcomes in the areas of physical
environment, and health care. In the physical environment, the low-income population
experiences low access to healthy foods. Approximately (30%) of the population is a food desert.
Because Santa Barbara is such a huge county, there is a need for more supermarket establishments
in the low-income neighborhoods and community. Although we want to limit the amount of fast
foods and corner stores, implementing affordable but health food options in the low-income areas,
transportation routes besides bike trails, where those in the low-income community can access
supermarkets.
Based on the behavior indicator, we determined the adult population to be heavy drinkers.
program with screening, feedback on clients behavior, and alternative solutions, a foundation of
a support system can encourage change. In addition, if the county can lower adult heavy drinkers
by having a written policy for employers that promote an alcohol-free workplace, employers will
be educated about alcohol and drug use as part of general employee wellness. Also, the local
government can implement a policy wherein the establishment like restaurants, local diners, and
supermarkets not to sell liquor /alcohol every Sunday of the month. Lastly, the lack of prenatal
care can be improved by providing a free clinic for the pregnant mothers throughout the county
at local pharmacies, schools, and workplace where mothers can receive prenatal and information
and on taking care of their own health to reduce mother and child health risks.
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References
Websites:
CDC-Centers for Disease Control and Prevention. (n.d). Retrieved October 25, 2017 from
http://www.cdc.gov
Community Health Need Assessments -Community Commons. (n.d). Retrieved October 13,
County of Santa Barbara. (n.d) Retrieved October 20, 2017 from http://www.countyofsb.org
US Census Bureau American Community. (n.d) Retrieved October 13, 2017 from
https://www.census.gov/programs-surveys/acs/
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