1. Public Health Department Quality of Life Index 2011 Pasadena Public Health Department Eric Walsh MD MPH Director/Health Officer

2. Public Health Department The Rose That Grew From Concrete Did you hear about the rose that grew from a crack in the concrete? Proving nature's law is wrong it learned to walk with out having feet. Funny it seems, but by keeping it's dreams, it learned to breathe fresh air. Long live the rose that grew from concrete when no one else ever cared. Tupac Shakur

3. Public Health Department Disparities Gradient

4. Public Health Department Equity DC’d With each mile you travel, life expectancy increases about a year and a half. Disparities Gradient

5. Public Health Department Equity DC’d The average suburbanite near the Shady Grove station will live 20 years longer than the typical city dweller around Capitol Heights. Disparities Gradient

6. Public Health Department Health Disparities Health disparities are the inequities in social, economic, and environmental conditions that increase risk of illness and injury, and reduce opportunities for good health.

7. Public Health Department CDC Infant Mortality Data

8. Public Health Department The short drive to inequity Dahlgren and Whitehead (1991)

9. Public Health Department What is needed According to Sir Michael Marmot Social participation Respect of others Individual Autonomy Access to a community Rewarding relationships These are the things that are missing along the geological gradient

10. Public Health Department What is the Quality of Life Index? 10 The Quality of Life Index was first produced in 1992, with an update of the data in 1998. Last completed in 2002. The audience for the Index is mainly professional, used most often for grant writing, and, to a lesser extent, as an aid to policy development. The index is a gauge to look at social determinants of health in the local area. The index covers Pasadena (and Altadena as much as possible).

11. Public Health Department Living Wage

12. Public Health Department Source: United Way Zip Code Data Book Estimated Household Income Levels of Pasadena and Altadena Combined (2005)

13. Public Health Department Living Wage There is a wide range of income levels in Pasadena and Altadena. – According to updated data, approximately 54% of households earned a combined salary of more than $50,000. – The Median household income 2005-2009 $62,242, compared to $60,392 (CA) & 26,983 (Los Angeles County). Living wage status affects all members of a household. – The National Health Interview Survey of 2009 reported that about 65% of children in non-impoverished families were in excellent health, compared with only 44% of children in poor families. – Children in poor and near-poor families were more likely to be uninsured, have unmet medical needs, and have delayed medical care. – Approximately 55% of the students in the Pasadena Unified School District live in households that are below the federal poverty guideline thresholds.

14. Public Health Department *Preliminary Data ^Not seasonally adjusted Source: Employment Development Department & US Bureau of Labor & Statistics 14 199019952000200320052008200920102011 Pasadena 4.40%6.10%4.10%5.30%4.00%5.40%8.9%9.9% ^ 8.8% *^ LA County 5.80%8.00%5.40%7.00%5.30%7.20%11.6%13%11.5% *^ California 5.80%7.90%4.90%6.80%5.40%7.20%11.4%12.5%11.3%* National 5.20%5.60%4.00%6.00%5.10%5.80%9.3%9.8%8.6%* Unemployment Rates for 1990-2011

15. Public Health Department Housing Affordability

16. Public Health Department Housing Affordability: Average Housing Prices in Pasadena and Altadena Aug-01Aug-07Aug-08Jun-09Jun-10 Altadena$260,500$640,000$490,000$492,500$534,500 Pasadena$324,500$650,000$585,000$533,500$536,500 L.A. County$251,508$540,000$440,000$325,000$335,000 Source: California Association of Realtors 16

17. Public Health Department Homelessness

18. Public Health Department Homeless Adults by Ethnicity (2010) Source: Pasadena 2010 Homeless County Preliminary Report 18

19. Public Health Department 19 Homelessness The City of Pasadena, like many large cities, has a substantial number of households that are at risk for homelessness. According to the U.S. Census Bureau, in 2000, there were approximately 30,000 residents (nearly one of every four residents) who were members of a household whose income was $15,000 a year or less. Of these households, approximately half (15,000 residents) were members of a household whose income was less than $10,000. These data indicate that there is a continued need to ensure programs like the Shelter Plus Care Program, the HOME Investment Project, and Pasadena’s Mortgage Credit Certificate (MCC) Program remain.

20. Public Health Department Academic Achievement in Public Education

21. Public Health Department PUSD Ethnic Diversity Source: California Department of Education 21 English Language Learning Students (students for whom English is not their first language) account for 21% of PUSD students, or a little more than one in five students.

22. Public Health Department Source: California Department of Education 22 Of the 1,120 graduates in 2009, 446 (39.8%) students met course requirements for the University of California/California State University application process. This is higher than both the County and State average, 32.6% and 33.9%, respectively. Verbal/ Math 2003-2004 Verbal/ Math 2004-2005 Verbal/ Math 2005-2006 Verbal/ Math/ Writing 2006-2007 Critical Reading/ Math/Writing 2007-2008 Critical Reading/ Math/Writing 2008-2009 PUSD 449/458441/452452/454442/451/441450/449/446445/448/441 Los Angeles 473/499478/503475/495492/474/453472/490/475474/488/475 California 496/519499/521495/516513/491/494494/513/493495/513/494 Average SAT I score of PUSD

23. Public Health Department Community Involvement in Public Education

24. Public Health Department Pupil-Teacher Ratio for Local Jurisdictions (2009-2010)

25. Public Health Department Per-Pupil Expenditure (2009-2010)

26. Public Health Department Public Education The Pasadena Education Foundation (PEF) which in 2009-2010 raised more than $4.22 million from private and corporate donors (and $6.9 million in governmental grants), with 2,520 donors in all. Pasadena LEARNs serves more than 3,000 students daily at 22 elementary, middle and high school campuses in PUSD.

27. Public Health Department Civic Involvement

28. Public Health Department Voter Participation Rates for the November 2004, 2006, 2008, and 2010 General Elections

29. Public Health Department Census Participation Rates in Pasadena, 2010

30. Public Health Department Community Safety

31. Public Health Department Source: Pasadena Police Department 31 Incidence of Crime in Pasadena

32. Public Health Department Air and Water Quality

33. Public Health Department Source: California Air Resources Board 33 Annual Number of Days that Pollutant Levels Exceed the Government Standards in Pasadena* ^ * There was unavailable/insufficient data for the PM2.5 levels for the City of Pasadena in 2010

34. Public Health Department Access to Health Care

35. Public Health Department Source: MIS 35 Hospital Use in Pasadena (Huntington Emergency Department)

36. Public Health Department Sources: MIS 36 Low Cost Clinic Use in Pasadena

37. Public Health Department Maternal Health and Early Development

38. Public Health Department Percent Distribution of Births by Race/Ethnicity by Jurisdiction ^National Center For Health Statistics, Final Natality Data, Retrieved November 23, 2011, From Www.Marchofdimes.Com/Peristats. March Of Dimes Breakdown Of Ethnicity. Average For Years 2006-2008Www.Marchofdimes.Com/Peristats †,‡ Table 2-33. Live Births By Race/Ethnic Group1 Of Mother, California Counties And Selected City Health Departments, 2009 (By Place Of Residence). Other Ethnicity Includes ‘2 Or More Race Groups’, ‘American Indian’, ‘Pacific Islander’, ‘Other’ and ‘Unknown’.

39. Public Health Department Infant Mortality Percent of Live Births by Jurisdiction 2005-2007 Pasadena Public Health Department *Total Pasadena births (2005-2007) is 6651. Total infant mortalities totaled 34. Source: State of California, Department of Health Services, Birth Records 2005-2007

40. Public Health Department Community Health Improvement

41. Public Health Department Physical Fitness Report for Grade 5

42. Public Health Department Physical Fitness Report for Grade 9

43. Public Health Department Source: California Healthy Kids Survey 43 Percent of Students who have ever Used Alcohol, Tobacco, or Drugs (Grade 5) (2009-2010)

44. Public Health Department Source: California Healthy Kids Survey 44 Percent of Students who used Alcohol and Other Drugs at least once in their life- 2009-2010

45. Public Health Department Source: California Department of Public Health, Office of Aids 45 Number of New and Cumulative Cases of HIV/AIDS in Pasadena

46. Public Health Department Ten Leading Causes of Death in California in 2008 Source: State of California and Los Angeles County Department of Health Services, Death Records 46

47. Public Health Department What are the next steps? 47 If you have any questions or concerns, please contact Dr. Eric Walsh at ewalsh@cityofpasadena.net or (626) 744-6166. ewalsh@cityofpasadena.net To receive an electronic copy, please email Erika Davies (edavies@cityofpasadena.net).edavies@cityofpasadena.net