1. HEALTH OF MATTAPAN Community Meeting “Social Wellness” October 24, 2013 Dr. Barbara Ferrer Commissioner

2. MAP CREATED BY: Boston Public Health Commission Research and Evaluation Office

4. DATA SOURCE: US Census Bureau, 2007-2011 American Community Survey DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

5. *Includes French, French Creole, Patois, and Cajun †Includes Spanish Creole DATA SOURCE: US Census Bureau, 2007-2011 American Community Survey DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

6. DATA SOURCE: US Census Bureau, 2007-2011 American Community Survey DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

7. Families with Income Below Poverty Level by Family Type Boston and Mattapan, 2007-2011 * Insufficient sample size DATA SOURCE: US Census Bureau, 2007-2011 American Community Survey DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

8. NOTE: Data are presented as average annual age-adjusted rates. DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

9. NOTE: Data are presented as average annual age-adjusted rates. DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

10. NOTE: Data are presented as average annual age-adjusted rates. DATA SOURCE: Boston resident deaths, Massachusetts Department of Public Health DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

11. NOTE: Survey question reads “During the past 30 days, for how many days have you felt sad, blue, or depressed? DATA SOURCE: Boston Behavioral Risk Factor Survey, 2010, Boston Behavioral Risk Factor Surveillance System (BBRFSS), Boston Public Health Commission DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

12. NOTE: Calculated as adults who have done moderate physical activities for at least 30 minutes per day on five days of a usual week or vigorous physical activities for at least 20 minutes per day on three days of a usual week. DATA SOURCE: Boston Behavioral Risk Factor Survey,2010, Boston Behavioral Risk Factor Surveillance System (BBRFSS), Boston Public Health Commission DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

13. Health Inequities Differences in health that are not only unnecessary and avoidable but, in addition, are considered unfair and unjust. 13 References: Braveman P. Health disparities and health equity: concepts and measurement. Annual Review of Public Health 2006;27:167-194: Whitehead M, Dahlgren G. Levelling Up (Part 1): A Discussion Paper on Concepts and Principles for Tackling Social Inequities in Health. World Health Organization. Available at http://www.euro.who.int/ document/e89383.pdf. Health Disparities Differences in the presence of disease, health outcomes, or access to health care between population groups.

14. A Health Equity Framework Racism Transportation Food Access Socioeconomic Status Environmental Exposure Health Behaviors Access to Health Services Housing Public Safety Health Outcomes Employment Social Capital Education 14

15. People Help Each Other, 2012 The Question Reads: How much do you agree or disagree with this statement about your neighborhood or community (definitely agree, somewhat agree, somewhat disagree, definitely disagree, don’t know): People in this neighborhood help each other out. NOTE: This chart shows the percentage of children whose parents or caregivers definitely agree or somewhat agree. * Data for Fenway are not presented due to insufficient sample size. †Includes Beacon Hill, Downtown, the North End, and the West End ‡Includes Chinatown DATA SOURCES: Boston Survey of Children's Health, 2012 DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office *

16. People Watch Out For Each Other’s Children, 2012 The Question Reads: How much do you agree or disagree with this statement about your neighborhood or community (definitely agree, somewhat agree, somewhat disagree, definitely disagree, don’t know): We watch out for each other’s children in this neighborhood. NOTE: This chart shows the percentage of children whose parents or caregivers definitely agree or somewhat agree. * Data for Fenway are not presented due to insufficient sample size. †Includes Beacon Hill, Downtown, the North End, and the West End ‡Includes Chinatown DATA SOURCES: Boston Survey of Children's Health, 2012 DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

17. Adults Nearby Would Help My Child If My Child Were Outside Playing And Got Hurt Or Scared, 2012 The Question Reads: How much do you agree or disagree with this statement about your neighborhood or community (definitely agree, somewhat agree, somewhat disagree, definitely disagree, don’t know): If my child were outside playing and got hurt or scared, there are adults nearby whom I trust to help my child. NOTE: This chart shows the percentage of children whose parents or caregivers definitely agree or somewhat agree. * Data for Fenway are not presented due to insufficient sample size. †Includes Beacon Hill, Downtown, the North End, and the West End ‡Includes Chinatown DATA SOURCES: Boston Survey of Children's Health, 2012 DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

18. High Neighborhood Cohesion, 2012 * NOTES: The neighborhood cohesion variable was derived from responses to three statements: “People in this neighborhood help each other out”; “We watch out for each other’s children in this neighborhood”; “If my child were outside playing and got hurt or scared, there are adults nearby whom I trust to help my child”. Respondents were asked whether they definitely agree, somewhat agree, somewhat disagree, or definitely disagree with each statement. Only children with valid responses on all three items were included in the denominator. Based on the responses to the three statements, the high neighborhood cohesion variable was created by the following criterion: Definitely or somewhat agree on all three statements=high neighborhood cohesion * Data for Fenway are not presented due to insufficient sample size. †Includes Beacon Hill, Downtown, the North End, and the West End ‡Includes Chinatown DATA SOURCES: Boston Survey of Children's Health, 2012 DATA ANALYSIS: Boston Public Health Commission Research and Evaluation Office

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20. Questions/Comments??? 20

21. Small Group Questions What are the barriers to social wellness in Mattapan? For individuals? For the community? What is being done already to eliminate the barriers and improve the health of people living and working in Mattapan? What is Mattapan doing well? What more can we do? What could Mattapan be doing better?