San Joaquin County - sjcphs.org

1 San Joaquin County COMMUNITY health STATUS report 2011 A description of the health status and mortality of San Joaquin County residents A Division of San Joaquin County health Care Services Agency This report was primarily compiled by the following individuals: Karen Pfister, MS, Supervising Epidemiologist Nirali Shah, MPH, Epidemiologist Sarah Tait, Communicable Disease Investigator Additional contributors: Geneva Bell-Sanford, MSW, Program Coordinator, HIV/AIDS Program and STD Control Shen Bowie, DrPH, MPH, Program Manager, health Promotion and Chronic Disease Prevention Wendi J. Dick, MD, MSPH, Assistant health Officer Karen Furst, MD, MPH, County Public health Officer Ginger Wick, RN, MSN, Program Manager, Communicable Disease & Tuberculosis Control Mary Woelfel, MPH, IBCLC, Coordinator, Public health Breastfeeding Initiative We value your comments, questions and suggestions. Please send them to: San Joaquin County Public health Services Box 2009 / 1601 E.

2 Hazelton Avenue Stockton, CA 95201 Email: Telephone: (209) 468-3411 Fax: (209) 468-3823 Website: *To access the full report from our website, click on the Data and Reports tab in the left margin. ACKNOWLEDGEMENTS 5 TABLE OF CONTENTS Community Profile 8 Population Demographics 8 Population Projections 11 Income 11 Poverty 13 Education

3 14 health Insurance and Unemployment 18 Maternal, Child, and Adolescent health 19 Overview 19 Live Births & Birth Rates of SJC 19 Source of Payment for Prenatal Care and Deliveries 20 Prenatal Care 21 Preterm Birth

4 24 Low Birthweight 27 Teen Births 30 Infant Mortality 33 Breastfeeding 35 Childhood Nonfatal Hospitalized Injuries 36 Childhood Unintentional Fatal Injuries 37 Communicable Disease 39 Overview 39 Coccidioidomycosis 41 Adequately Immunized Two-Year Olds 43 Viral Hepatitis Hepatitis A 44 Pertussis

5 45 Tuberculosis 46 HIV/AIDS 49 Overview .. 49 Rates .. 49 Cases by Race/Ethnicity .. 50 Cases by Mode of Transmission .. 51 HIV/AIDS Transmission by Race/Ethnicity and Gender .. 52 Sexually Transmitted Diseases (STD) 54 Chlamydia .. 54 Gonorrhea .. 57 Syphilis .. 59 Chronic Disease 60 Overview 60 Chronic Disease Prevalence 60 Cancer Incidence 61 Contributing Factors 62 Maternal Smoking

6 62 Physical Activity & Nutrition 63 Sugar-Sweetened Beverage 64 Obesity During Pregnancy 65 Mortality 67 Overview 67 Leading Causes of Death 67 Deaths by 68 Deaths by Race.

7 69 References 70 6 TABLE OF CONTENTS List of Figures Figure 1: Race/Ethnicity Projections, SJC, 2000-2050 ..11 Figure 2: Household Income by Race/Ethnicity, SJC, 2009 ..12 Figure 3: Percent of Individuals Living in Poverty by Race/Ethnicity, SJC and CA, 2009 ..13 Figure 4: Educational Attainment of Adults Aged 25+ Years, SJC, 2009 ..14 Figure 5: Percent of Adults (>25 years) without a High School Education by Race/Ethnicity, SJC and CA, 2009 ..15 Figure 6: Percent of Adults (>18 years) without health Insurance by Race/Ethnicity, SJC and CA, 2009 ..18 Figure 7: Medi-Cal or Other Government Insurance as Payment for Delivery by Race/Ethnicity, SJC, Figure 8: First Trimester Prenatal Care, SJC and CA, 2000-2009 ..21 Figure 9: First Trimester Prenatal Care by Race/Ethnicity and Age of Mother, SJC, 2009.

8 22 Figure 10: Percent of Live Births with Preterm Delivery, SJC and CA, 2000-2009 ..24 Figure 11: Preterm Birth by Race/Ethnicity and Age of Mother, SJC, 2009 ..25 Figure 12: Low Birthweight Infants, SJC and CA, 2000-2009 ..27 Figure 13: Low and Very Low Birthweight Infants, SJC, 2009 ..28 Figure 14: Live Birth Rate for 15 19 Year Olds, SJC, 2000-2009 ..30 Figure 15: Live Birth Rate for 15 19 Year Olds by Maternal Race/Ethnicity, SJC, 2006-2009 ..32 Figure 16: Infant Mortality Rate, SJC and CA, 1999-2008 ..33 Figure 17: Infant Mortality by Maternal Race/Ethnicity, SJC, 2000-2008 ..34 Figure 18: Chlamydia Rate by Race/Ethnicity, CA, 2009 ..39 Figure 19: Gonorrhea Rate by Race/Ethnicity, CA, 2009 ..39 Figure 20: Coccidioidomycosis Rate, SJC and CA, 2000-2009 ..41 Figure 21: Coccidioidomycosis Cases by Residence, SJC, 2009-2009 ..42 Figure 22: Percent of Two-Year Olds Adequately Immunized, Northern Central Valley Region and CA, 2000-2009.

9 43 Figure 23: Hepatitis A Rate, SJC and CA, 1993-2009 ..44 Figure 24: Pertussis Rate, SJC and CA, 1997-2010 ..45 Figure 25: Tuberculosis Rate, SJC, CA, and the , 2000-2009 ..46 Figure 26: Characteristics of Tuberculosis Cases, SJC, 2005-2009 ..47 Figure 27: Drug Resistant Tuberculosis, SJC, 2005-2009 ..48 Figure 28: AIDS Rate, SJC and CA, 1990-2009 ..49 Figure 29: Cumulative Adult and Pediatric AIDS and HIV Cases by Race/Ethnicity, SJC, 1983-2009 ..50 Figure 30: Cumulative Adult and Pediatric AIDS and HIV Cases by Transmission Category, SJC, 1983-2009 ..51 Figure 31: Name-Based Adult HIV Cases by Transmission Category, Gender, and Race/Ethnicity, SJC, 2006-2009 ..52 Figure 32: Cumulative Adult AIDS Cases by Transmission Category, Gender, and Race/Ethnicity, SJC, 1983-2009 ..53 Figure 33: Chlamydia Rate, SJC and CA, 2000-2009 ..54 Figure 34: Chlamydia Rate by Age Group and Gender, SJC, 2009 ..55 Figure 35: Gonorrhea Rate, SJC and CA, 2000-2009.

10 57 Figure 36: Gonorrhea Rate by Age Group and Gender, SJC, 2009 ..57 Figure 37: Primary and Secondary Syphilis Cases, SJC, 1991-2010 ..59 7 TABLE OF CONTENTS List of Figures Continued Figure 38: Cancer Incidence Rates by Race/Ethnicity, SJC 2004-2008 .. 61 Figure 39: Percentage of Children, Adolescents, and Adults Fast Food Consumption, SJC and CA, 2007 .. 64 Figure 40: Percentage of Children, Adolescents, and Adults Soda Consumption, SJC and CA, 2005 .. 65 Figure 41: Percent of Mothers that were Overweight of Obese Prior to Pregnancy by Race/Ethnicity, SJC, 2009 .. 66 Figure 42: Leading Causes of Death by Race/Ethnicity, SJC, 2008 .. 69 List of Tables Table 1: SJC Population by Age, 2000 and 2009 .. 8 Table 2: SJC Race Breakdown, 2000 and 2009 .. 9 Table 3: Income and Poverty, SJC, 2000 and 2009 .. 12 Table 4: Number of Live Births and Birth Rates, SJC and CA, 2000-2009 .. 19 Table 5: In-hospital Breastfeeding by Maternal Race/Ethnicity, SJC and CA, 2009.