1. Dallas Dooley Dana Hogan

3.   Topeka’s Population in 2009= 124,331  Increase of 1.6% from 2000  Female= 64,634  Male= 59,697  Median Age= 36.5 years old Sociodemographic Information

4.  Sociodemographic Health Issues  White alone - 88,620 (71.3%)  Hispanic - 15,022 (12.1%)  Black alone - 13,396 (10.8%)  Two or more races - 4,661 (3.7%)  Asian alone - 1,264 (1.0%)  American alone - 1,124 (0.9%)  Other race alone - 148 (0.1%)  Native Hawaiian and Other Pacific Islander alone - 116 (0.09%)  Read more: http://www.city- data.com/city/Topeka- Kansas.html#ixzz1ZB4JHWavhttp://www.city- data.com/city/Topeka- Kansas.html#ixzz1ZB4JHWav

5.   Median Household Income- $39,109  Average Home Value- $107,060  Increase from 2000- $67,700  Average Rent- $642 Sociodemographic Information

6.   Topeka = 7.1%  United States= 8.5% Unemployment Rates

7.   Elevation- 1000 ft above sea level  Land Area- 56 sq miles  Pop. Density- 2220 people per sq. mile  Manhattan, New York, 66,000 per sq. mile Demographics

8.  Topeka Crime Rate Crimes per 100,000 people

9.  Primary Health Issues  Cardiovascular Disease is the leading cause of death in Kansas and the United States  Two components of Cardiovascular Disease  Coronary Heart Disease  Stroke

10.   Disease Kansas (2003) ¶ Kansas Females (2003) ¶ U.S Females (2002) ¶¶  CHD 136.0/100,000* 102.1/100,000* 142/100,000*  Stroke 56.5/100,000* 54.5/100,000* 55/100,000* Cardiovascular Disease

11.   Hypertension  11.7% of adults age 25-44 years old had hypertension  32.6% of adults age 45-64 years old had hypertension  54.3% of adults aged 65 and older had hypertension.  Scientific evidence has shown that adequate control of hypertension reduces the risk of CVD and death due to CVD.  24.0% of hypertensive patients reported that they were not currently taking medicine for their high blood pressure. Primary Health Issues

12.   Hyperlipidemia or High Cholesterol  In 2004, among Kansans who had ever been tested for serum cholesterol levels, almost 1/3 (29.4%) were told by their health care provider that they had high serum cholesterol levels.  Diabetes  In 2004, 6.4% of Kansans have been diagnosed with diabetes, which was approximately 130,689 adult Kansans.  Highest prevalence of diabetes was seen in African Americans (12.1%) Primary Health Issues

13.   Smoking  In 2004, 19.8% of Kansans currently smoked cigarettes.  In 2002,  5% reported cigar use.  10.5% of males used chewing tobacco or snuff.  · According to the 2002 Youth Tobacco Survey:  1 in 5 high school students and 6% of middle school students Primary Health Issues

14.   Obesity  Overweight is idefined as having a Body Mass Index (BMI) between 25- 29.9. Obese is defined as having a BMI greater than or equal to 30.  In 2004, 60.9% of adults were overweight or obese.  40% of adults between 45-64 years of age and 44% of adults 65 years and older were overweight.  In 2004, 22.3% of adults were obese compared with only 13% in 1992.  Highest prevalence of obesity was seen among African Americans with 1/3 of this population being obese. Primary Health Issues

15.   Increased homelessness and poverty rates  Shawnee County Health Agency (SCHA) and the Marian clinic are over booked, under staffed, and unable to keep up with demand.  High provider to patient ratios  Shawnee County Primary Care Providers (PCP) to patient ratio is 1 : 1500  Surrounding primarily rural counties (Wabaunsee, Pottawatomie, and Jackson) ratio of 1 : 1500-3500 while Osage ratio is 1 : >3500 Gap Analysis

16.   Aging health care personnel  40.93 percent of those Registered Nurses (RN's) working full time in the state of Kansas are 56 years old or older  In the state of Kansas this shortage due to age and decrease of new RN's will increase the nursing deficit from 351 RN's per 100,000 citizens to 1,950 per 100,000 citizens  Lack of disease prevention and health promotion  Shortage of staffing, harsh economic times, and an increase in age for both citizens and patients results in a gap  Both PCP's and RN's lack the time that it takes to properly address chronic conditions and educate the patients  Vicious circle resulting in an increased need for more providers secondary to poor prevention education Gap Analysis

17.  Increased funding for careers in health care  Increased number of staff  Increased time with patients for education  Decreased knowledge deficit of patients  Increased health promotion and disease prevention  Less health care needs and cost of care Strategies

18.   City Data, (2011, October 1). Topeka, Kansas. Retrieved from http://www.city-data.com/city/Topeka- Kansas  City of Topeka. (2011). History and landmarks of Topeka. Retrieved from http://www.topeka.org/planning/landmarks_comm.shtml  Community Resource Council, (2011). 2009 Shawnee County Progress Report. Topeka, KS: Community Resources Council.  Community Resource Directory (36th ed.). (2009). Topeka, Kansas: Community Resources Council of Shawnee County, Inc.  Kansas Association for the Medically Underserved (2011). 2011 directory of Kansas community health centers and primary care clinics. KS: KAMU.  Kansas Association for the Medically Underserved. (2011, October 1). Kansas Safety Net Clinics. Retrieved from http://www.kspca.org/  Kansas Department of Health and Environment. (2010). Registered nurse shortages predicted in the US and Kansas for 2010 and 2020. Retrieved from Kansas Department of Health and Environment: http://www.kdheks.gov  Kansas Department of Social and Rehabilitation Services. (2010, June 3). Srs services. Retrieved from http://www.srs.ks.gov/services/Pages/default.aspx  Kansas Heart Disease and Stroke Prevention Program. (n.d.). Cardiovascular disease in Kansas. Retrieved from http://www.kdheks.gov/cardio/download/CVHFACT06.pdf  State Health Access Data Assistance Center. (2011, August). Primary care provider capacity analysis: Potential gaps in the availability of primary care physicians under health reform (Issue Brief). Retrieved from State Health Access Data Assistance Center: http://www.shadac.org  United States Department of Labor: Bureau of Labor Statistics. (n.d). http://www.bls.gov References