Health Profiles 2009 - The City of San Antonio

101 Pages·2012·4.14 MB·English

Health Profiles 2009
EEvveerryybbooddyy ccaann bbee aa ppaarrtt
of a healthier San Antonio
Fernando A. Guerra, M.D., M.P.H.
Director of Health
San Antonio Metropolitan Health District
Healthy People
Make Healthy Communities
www.sanantonio.gov/health/
2009 Health Profiles Acknowledgments
We would like to extend our gratitude to everyone who contributed data in the
development of this year's San Antonio Health Profiles. The U.S. Census
Department, the Texas Education Agency, the Texas Department of State Health
Services, the Texas Department of Protective and Regulatory Services, Bexar
County Juvenile Probation, and the San Antonio Police Department (SAPD)
provided invaluable assistance in making data available for this report.
I would like to thank my staff John Berlanga MPA for analyzing birth and death
certificate data, compiling demographics and social indicators. I would like to
thank Roger Sanchez, Cara Hausler MPA and Walter Widish for analyzing data
on Reportable Communicable Diseases, Sexually Transmitted Diseases and
Immunizations Rates. I would like to thank Jim Thomas, Christine Rutherford-
Stuart, MPH, Executive Assistant, Bryan Alsip, MD and Charles Pruski MBA
Assistant Directors for reviewing the Health Profiles documents.
We appreciate the input and suggestions provided by residents in the
Occupational and Preventive Medicine residency, United States Air Force School
of Aerospace Medicine (USAFSAM), Brooks City-Base. TX.
Finally, special appreciation is extended to Sheryl L. Sculley, City Manager;
Sharon De La Garza, Assistant City Manager; and my staff at Metro Health for
their guidance and support throughout this process.

Sincerely,
Fernando A. Guerra, M.D., M.P.H.
Director of Health

1) Internet access to the complete report is available at:
http://www.sanantonio.gov/health/Healthprofiles-Main.html

Questions or comments regarding this report should be directed to:

John Berlanga, MPA
Sr. Management Analyst
Telephone: [phone]
Facsimile: [phone]
Email: [email protected]

The data and documents which accompany the data in this report are based upon information gathered by the 2000
census and have been assembled by the City of San Antonio for its internal purposes only. All data and documents are
released without any express or implied warranty by the City of San Antonio as to accuracy, reliability, or fitness for any
particular application. Other persons are cautioned to independently verify any data or other information if it is used for
any other purpose.
ii
Table of Contents
Acknowledgments
Demographics
2008 Selected Demographics Bexar County
2008 Population Estimate Bexar County
Projected Population by Race and Ethnicity 2000 to 2040 Bexar County
Education Statistics by Bexar County School Districts
Students Receiving Special Education Services by District Bexar County
Behavioral Risk Factor Surveillance System
San Antonio Ten zip codes
2001-2008 Births by Zip Code Bexar County
Maternal and Child Health Indicators
2008 Bexar County Birth Indicators
Maternal Health Trends Bexar County, 1995-2008
2008 Bexar County Maternal Indicators by Race/Ethnicity
Maternal Health Indicator Charts by Race/Ethnicity
2008 Bexar County Maternal Indicators by Age
2008 Bexar County Births by Funding Source
2008 Bexar County Maternal Health Indicators by Hospital
2008 Bexar County Teen Births by Race/Ethnicity
2008 Bexar County Births by Age of Mother and Birth Order
2008 Bexar County Births by Age of Hispanic Mother and Birth Order
2008 Bexar County Births by Age of Non-Hispanic White Mother and Birth Order
2008 Bexar County Births by Age of African American Mother and Birth Order
2008 Bexar County Births by Age for Asian American Mothers and Birth Order
2008 Bexar County Births to Single Mothers by Age and Birth Order
2008 Bexar County Births to Mothers <20 by Age of Father
2008 Bexar County Maternal Indicators by Zip Code
2008 Bexar County Maps of Maternal Indicators by Zip Code
Maternal Health Indicators by City Council District
Maternal Health Indicator Charts by City Council District
2008 San Antonio Births by Age of Mother and City Council District
2008 San Antonio Births to Single Mothers by Age & City Council District
Maternal Health Indicators by Commissioners Court Precinct
2000 - 2008 Multiple Births, Bexar County
Bexar County Births Reporting Late or No Prenatal Care
2008 Bexar County Births and Obesity
2008 Bexar County Births by Cesarean Delivery
Other Health Indicators
Confirmed Victims of Child Abuse/Neglect in Bexar County
Juvenile Probation Bexar County
Family Violence Bexar County
Child Abuse/Neglect, Juvenile Probation & Family Violence by Zip Code
Children age 19 - 35 month Immunization rates by zip codes
Bexar County's Head Start Oral Health Program
Bexar County Overweight/Underweight WIC Children by Zip Code
Communicable Diseases
Reportable Diseases in Bexar County
Selected Reportable Communicable Diseases - Confirmed Cases Tables
Selected Reportable Communicable Diseases - Confirmed Cases Graphs
Sexually Transmitted Diseases (STDs) by Year of Report, Bexar County
Gonorrhea & Chlamydia Cases by Year of Report Bexar County
Syphilis Cases by Year of Report Bexar County
Tuberculosis (TB) Cases by Year of Report Bexar County
TB and STD Reported Case Rates, Bexar Texas and US
HIV & AIDS Cases by Year of Report Bexar County
HIV and AIDS Reported Case Rates, Bexar, Texas and US
Deaths 2009
Bexar County Leading Causes of Death, 2001-2008
Population used in Analyses
Bexar County 2008 Deaths by Age Distribution
Life Expectancy by Race/Ethnicity and Gender - Bexar County
Infant Mortality
Bexar County Sudden Infant Death Syndrome & Sudden Unexpected Deaths in Infancy
Infant Mortality by Race & Ethnicity
2008 Bexar County Leading Causes of Death by Age Groups
2008 Bexar County Causes of Death by Age Groups
2008 Bexar County Charts of Death by Age and Race/Ethnicity
2008 Bexar County Premature Deaths age <65 years
2008 Bexar County Age Adjusted Death Rates
2008 Bexar County leading Causes of Early Death age 45 to 64
All Causes of Death by Race & Ethnicity for Females
All Causes of Death by Race & Ethnicity for Males
Selected Causes of Deaths by Council District
Charts by Council District
Leading Causes of Death by Bexar County Precinct
Leading Causes of Death by Zip Code

NCHS 113 Cause of Deaths/ICD 10 or ICD 9 codes
2009 Selected Demographics Bexar County
Bexar County Population Bexar County Births
Hispanic Hispanic
White NH White NH
African Am. NH African Am. NH
Other NH Other NH
2009 Race and Ethnicity Total % of total 2009 Births Total % of total
Total 1,651,448 100% Total 26,687 100%
Hispanic 962,600 58% Hispanic 18,179 68%
White NH 516,932 31% White NH 6,083 23%
African American NH 111,859 7% African American NH 1,608 6%
Other NH 60,057 4% Other NH 817 3%
NH= Non Hispanic
Population Growth 1960-2009, Bexar County
1,800,000
1,600,000
1,400,000
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0
1960 1970 1980 1990 2000 2009
Bexar Co. Population 2009 Bexar Co. Age Total
Growth Population % Change Distribution Population
2009 1,651,448 19% Total 1,651,448
2000 1,392,931 18% Age 0 to 4 years 138,335
1990 1,185,394 20% Age 5 to 9 years 131,663
1980 988,800 19% Age 10 to 14 years 120,396
1970 830,460 21% Age 15 to 19 years 120,834
1960 687,151 Age 20 to 24 years 124,458
Age 25 to 29 years 131,632
Age Distribution Bexar County Age 30 to 34 years 117,085
Age 35 to 39 years 115,274
Age 80 to 84 yrs Age 40 to 44 years 108,292
Female Male
Age 45 to 49 years 112,239
Age 70 to 74 yrs
Age 50 to 54 years 100,755
Age 60 to 64 yrs Age 55 to 59 years 8 7,926
Age 50 to 54 yrs Age 60 to 64 years 7 1,444
Age 65 to 69 years 5 0,962
Age 40 to 44 yrs
Age 70 to 74 years 3 8,989
Age 30 to 34 yrs
Age 75 to 79 years 3 2,682
Age 20 to 24 yrs Age 80 to 84 years 2 4,629
Age 85 years or older 2 3,853
Age 10 to 14 yrs
Age 0 to 4 yrs 2009 Births as of 7/27/2010
75000 25000 25000 75000
Source: U.S. Census Bureau, 2009 Source: Texas Department of State Health Services
Source: U.S. Census Bureau
Health Profiles 2009 Page 1
Age Distribution Bexar County
Hispanic White NH African Am. NH
Female Male Female Male Female Male
Age 80 to 84 yrs
Age 80 to 84 yrs Age 80 to 84 yrs
Age 70 to 74 yrs Age 70 to 74 yrs Age 70 to 74 yrs
Age 60 to 64 yrs Age 60 to 64 yrs Age 60 to 64 yrs
Age 50 to 54 yrs Age 50 to 54 yrs Age 50 to 54 yrs
Age 40 to 44 yrs Age 40 to 44 yrs Age 40 to 44 yrs
Age 30 to 34 yrs Age 30 to 34 yrs Age 30 to 34 yrs
Age 20 to 24 yrs Age 20 to 24 yrs Age 20 to 24 yrs
Age 10 to 14 yrs Age 10 to 14 yrs Age 10 to 14 yrs
Age 0 to 4 yrs Age 0 to 4 yrs Age 0 to 4 yrs
50000 30000 10000 10000 30000 50000 35000 15000 5000 25000 10000 5000 0 5000 10000
Source: U.S. Census Bureau, 2009
2009 Population Estimate Bexar County
African African
Hispanic Hispanic White NH White NH Am NH Am NH Other NH Other NH
All Male All Female Male Female Male Female Male Female Male Female
Total 807,703 843,745 473,396 489,204 252,363 264,569 53,767 58,092 28,177 31,880
Age 0 to 4 yrs 70,548 67,787 48,278 46,357 15,385 14,700 4,064 3,996 2,821 2,734
Age 5 to 9 yrs 67,105 64,558 44,436 43,207 16,192 15,215 3,885 3,701 2,592 2,435
Age 10 to 14 yrs 61,745 58,651 40,618 38,666 14,680 13,769 4,104 3,898 2,343 2,318
Age 15 to 19 yrs 62,035 58,799 38,757 37,484 16,225 14,564 4,832 4,667 2,221 2,084
Age 20 to 24 yrs 63,209 61,249 38,405 38,053 17,623 16,188 5,026 4,915 2,155 2,093
Age 25 to 29 yrs 65,747 65,885 41,301 40,027 17,817 18,603 4,453 4,746 2,176 2,509
Age 30 to 34 yrs 57,543 59,542 36,856 36,610 15,156 16,381 3,390 3,969 2,141 2,582
Age 35 to 39 yrs 56,620 58,654 34,436 35,449 16,312 16,690 3,593 3,907 2,279 2,608
Age 40 to 44 yrs 53,547 54,745 30,600 31,448 17,171 17,067 3,750 3,981 2,026 2,249
Age 45 to 49 yrs 54,889 57,350 29,268 30,617 19,733 20,085 4,025 4,504 1,863 2,144
Age 50 to 54 yrs 48,695 52,060 24,619 26,047 18,942 19,961 3,577 4,083 1,557 1,969
Age 55 to 59 yrs 41,359 46,567 19,858 22,821 17,266 18,679 2,953 3,227 1,282 1,840
Age 60 to 64 yrs 33,463 37,981 15,108 18,093 15,317 16,021 2,038 2,382 1,000 1,485
Age 65 to 69 yrs 23,316 27,646 10,268 12,675 10,899 12,045 1,436 1,914 713 1,012
Age 70 to 74 yrs 17,189 21,800 7,576 10,085 8,083 9,643 1,083 1,402 447 670
Age 75 to 79 yrs 13,925 18,757 5,830 8,520 6,961 8,433 859 1,228 275 576
Age 80 to 84 yrs 9,245 15,384 4,051 6,639 4,599 7,550 428 871 167 324
Age 85 yrs 7,523 16,330 3,131 6,406 4,002 8,975 271 701 119 248
NH= Non Hispanic
http://www.census.gov/acs/www/
Health Profiles 2009 Page 2
Projected Population of Bexar Co. by Race/Ethnicity and Migration Scenario
for 2000-2040
1,600,000
1,400,000
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0
2000 2005 2010 2015 2020 2025 2030 2035 2040
White Non-Hispanic African Am. Hispanic Other
Source: Texas State Data Center, February 2009-SCENARIO 2000-2007
2000 to 2008 Bexar County Population Growth
Projections illustrate plausible courses of future
population based on assumptions about future
births, deaths, international migration, and domestic
migration. Projected numbers are consistent with
32%
the most recent decennial census and projected
forward.
Births

The Texas State Data Center reports that for Bexar
County between 2001 and 2008 the population Net Migration
grew by 229,968 individuals, 68% was from births. 68%
Making births a critical indicator for Bexar County.

Births by Race and Ethnicity 1995-2008 Bexar County
20000
15000
10000
5000
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Hispanic 140431440814433146161507915227151611625516628169561727417901187501863118179
White NH 6644 6572 6196 6378 6105 6396 6338 6341 6071 6022 6321 5988 6005 5879 6083
African Am. 1417 1439 1449 1463 1353 1416 1356 1446 1408 1437 1447 1610 1631 1616 1608
Other 234 311 400 409 403 453 468 535 523 585 540 695 770 814 817
NH= Non Hispanic, 2009 Births as of 7/27/2010
* The term “other” includes American Indians and individuals having origins in any of the original peoples of the
Middle East, Far East, Southeast Asia, or the Indian subcontinent (for example, Cambodia, China, India, Japan,
Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam).
Health Profiles 2009 Page 3
2009 Snapshot Education Statistics by Bexar County School Districts
Educational performance indicators are aggregate for districts and do not represent school or individual achievement levels.
% White
Total % African Non % Economically At/Above Mean SAT
DISTRICT NAME Students American % Hispanic Hispanic % Other Disadvantaged % Special Ed % Tested Criterion Score
Southside ISD 5,216 2% 85% 12% 1% 92% 10% 74% 9% 814
Edgewood ISD 12,392 1% 98% 1% 0% 91% 11% 63% 1% 780
Harlandale ISD 14,521 1% 96% 3% 0% 91% 10% 44% 3% 845
San Antonio ISD 55,327 8% 89% 3% 0% 90% 12% 72% 5% 811
South San Antonio ISD 9,974 2% 96% 2% 0% 87% 9% 53% 8% 848
Somerset ISD 3,726 3% 89% 7% 1% 82% 11% 51% 9% 862
Southwest ISD 11,531 1% 85% 13% 0% 77% 10% 47% 3% 835
East Central ISD 9,292 11% 60% 28% 1% 60% 11% 64% 18% 915
Judson ISD 21,750 28% 48% 21% 3% 57% 10% 64% 17% 928
Northside ISD 92,336 8% 64% 25% 4% 48% 12% 64% 26% 981
North East ISD 65,498 9% 49% 38% 4% 40% 10% 74% 38% 1037
Lackland ISD 936 21% 22% 51% 6% 32% 10% 58% 29% 993
Ft Sam Houston ISD 1,472 29% 19% 47% 5% 31% 12% 94% 39% 1028
Alamo Heights ISD 4,762 1% 34% 62% 3% 17% 6% 96% 59% 1125
Randolph Field ISD 1,198 23% 18% 54% 5% 11% 6% 92% 46% 1094
Total 309,931
Students % Economically Disadvantaged: Percentage of total students % Economically
SAT Mean Total Score by
reported as economically disadvantaged. Economically disadvantaged Disadvantaged Children
School District 2009
students are those who are reported as eligible for free or reduced-price by School District 2009
meals under the National School Lunch and Child Nutrition Program, or Randolph Field ISD
other public assistance. Alamo Heights ISD
College Admissions % At/Above Criterion (Class of 2008): The number Ft Sam Houston ISD
of examinees in the Class of 2008 who, on their most recent test,
Lackland ISD
scored at or above the criterion score (1110 on the SAT or 24 on the
North East ISD
ACT) expressed as a percent of all examinees.
Northside ISD
SAT - Mean Total Score (Class of 2008): The sum of the mathematics
Judson ISD
and critical reading SAT scores for all students divided by the number of
East Central ISD
examinees. Total scores for the SAT range from 400 to 1600 for
Southwest ISD
mathematics and critical reading combined. Despite the addition of the
Somerset ISD
writing portion of the SAT, the criterion score continues to be based on
South San Antonio ISD
mathematics and critical reading only. These results include only the
San Antonio ISD
most recent scores received by the Class of 2008 on an SAT test taken
Harlandale ISD
anytime during their high school years.
Edgewood ISD
http://ritter.tea.state.tx.us/perfreport/snapshot/2009/district.srch.html
Southside ISD

100 80 60 40 20 0 800 850 900 950 1000 1050 1100 1150
Source: Texas Education Agency
Health Profiles 2009 Page 4
2009-2010 Academic Year Students Receiving Special Education Services by District Bexar County
Orthopedic Other Health Auditory Visual Mental Emotional Learning Speech Traumatic Noncategorical
Impairment Impairment Impairment Impairment Retardation Disturbance Disability Impairment Autism Brain Injury Early Childhood Total
Alamo Heights ISD n/a 43 8 n/a 212 3 60 53 39 n/a 7 425
East Central ISD 15 148 13 7 59 146 298 221 65 n/a 8 980
Edgewood ISD 6 201 15 7 112 122 453 267 67 n/a 26 1,276
Ft Sam Houston ISD n/a 43 n/a n/a 5 15 49 40 30 n/a 13 195
Harlandale ISD 11 150 14 6 162 127 609 240 80 n/a 5 1,404
Judson ISD 30 278 22 14 193 224 784 328 174 9 44 2,100
Lackland ISD n/a 8 n/a * n/a 9 3 1 2 5 1 3 * * 86
North East ISD 71 1,160 97 45 447 527 2,268 1,306 573 17 169 6,680
Northside ISD 128 1,585 98 30 648 1,018 3,722 3,099 917 29 * 11,274
Randolph Field ISD 15 * n/a * n/a n/a 14 21 13 n/a n/a 63
San Antonio ISD 31 640 56 34 472 656 2,589 1,161 228 9 43 5,919
Somerset ISD 5 39 6 n/a 404 3 140 54 16 n/a n/a 667
South San Antonio ISD 14 80 40 10 838 7 353 135 41 n/a 12 1,530
Southside ISD n/a 54 n/a n/a 513 3 246 105 25 n/a n/a 946
Southwest ISD 8 136 8 13 138 101 537 223 77 7 11 1,259
Total 334 4,565 377 166 4,203 2,961 12,153 7,278 2,358 71 338 34,804
*Counts less than five are masked to protect student confidentiality
Rate per Rate per Rate per Rate per Rate per Rate per
100k Rate per 100k 100k Rate per Rate per 100k 100k 100k Rate per 100k Rate per 100k
Orthopedic Other Health Auditory 100k Visual 100k Mental Emotional Learning Speech 100k Traumatic Noncategorical Total # of
Impairment Impairment Impairment Impairment Retardation Disturbance Disability Impairment Autism Brain Injury Early Childhood Students
Alamo Heights ISD 903 168 4,452 63 1,260 1,113 819 147 4,762
East Central ISD 161 1,593 140 75 635 1,571 3,207 2,378 700 86 9,292
Edgewood ISD 48 1,622 121 56 904 985 3,656 2,155 541 210 12,392
Ft Sam Houston ISD 2,921 340 1,019 3,329 2,717 2,038 883 1,472
Harlandale ISD 76 1,033 96 41 1,116 875 4,194 1,653 551 34 14,521
Judson ISD 138 1,278 101 64 887 1,030 3,605 1,508 800 41 202 21,750
Lackland ISD 855 962 3,312 2,671 1,389 936
North East ISD 108 1,771 148 69 682 805 3,463 1,994 875 26 258 65,498
Northside ISD 139 1,717 106 32 702 1,102 4,031 3,356 993 31 92,336
Randolph Field ISD 1,252 1,169 1,753 1,085 1,198
San Antonio ISD 56 1,157 101 61 853 1,186 4,679 2,098 412 16 78 55,327
Somerset ISD 134 1,047 161 10,843 81 3,757 1,449 429 3,726
South San Antonio ISD 140 802 401 100 8,402 70 3,539 1,354 411 120 9,974
Southside ISD 1,035 9,835 58 4,716 2,013 479 5,216
Southwest ISD 69 1,179 69 113 1,197 876 4,657 1,934 668 61 95 11,531
The special education data in the table above is collected by the Texas Education Agency and focuses on conditions reported for the purposes of educational
services. Data related to other health conditions that may affect school performance such as Asthma or Attention Deficit and Hyperactivity Disorder (ADHD) are
not available.
Source: Texas Education Agency
Health Profiles 2009 Page 5
2009 Behavioral Risk Factor Surveillance System
The Behavioral Risk Factor Surveillance System (BRFSS) is a random telephone San Antonio MSA Population 2009
survey of state residents aged 18 and older in households with telephones. The Atascosa 44,633
(BRFSS) is a state-based surveillance system, administered by the Department of Bandera 20,560
State Health Services in Texas, in collaboration with the Centers for Disease Bexar 1,651,448
Control and Prevention (CDC). Comal 114,525
Guadalupe 121,432
BRFSS data is collected for Metropolitan Statistical Areas (MSAs) rather than
Kendall 34,053
individual counties. The San Antonio (MSA) in 2009 includes an eight county
Medina 44,728
region with a total population of 2,072,128 (see table). The BFRSS survey
Wilson 40,749
sampled 807 individuals in 2009. Because of this relatively small sample size for
Total 2,072,128
the MSA the local estimates are not as accurate as the national estimates and
may result in over or under reporting of health behaviors in San Antonio. Sample
size for African Americans is too small to report for San Antonio MSA.

Selected Indicators
San Antonio Metropolitan Statistical Area
29%
No Flu Shot age 65+
31%
22%
Alcohol Binge
22%
31%
No Health Insurance
10%
9%
Asthma
9%
36%
Obesity(BMI 30 or more)
19%
14%
Current Smoker
15%
10%
Diabetes
7%
0% 5% 10% 15% 20% 25% 30% 35% 40%
White NH Hispanic
http://www.dshs.state.tx.us/chs/brfss/
2009 SMART: BRFSS City and County Data
High Blood Pressure 26%
26%
No Flu Shot age 65+ 29%
29%
Alcohol Binge 16%
21%
No Health Insurance 15%
24%
Asthma 9%
9%
Obesity(BMI 30 or more) 27%
28%
Current Smoker 18%
14%
Diabetes 8%
8%
0% 5% 10% 15% 20% 25% 30% 35%
Bexar Nationwide (States and DC)
http://apps.nccd.cdc.gov/BRFSS-SMART/SelMMSAPrevData.asp
Sample size Bexar Co.= 652
Health Profiles 2009 Page 6