Community Health Needs Assessment (CHNA) Denver and Colorado Springs: Food Environment and Behavior Report Area Denver County, CO; El Paso County, CO Data Category Demographics | Social & Economic Factors | Physical Environment | Health Behaviors | Health Outcomes Demographics Current population demographics and changes in demographic composition over time play a determining role in the types of health and social services needed by communities. Data Indicators Total Population Families with Children Total Population A total of 1,279,484 people live in the 2,279.9 square mile report area defined for this assessment according to the U.S. Census Bureau American Community Survey 2010-14 5-year estimates. The population density for this area, estimated at 561.2 persons per square mile, is greater than the national average population density of 88.93 persons per square mile. Report Area Total Population Report Area Total Land Area Population Density (Square Miles) (Per Square Mile) 1,279,484 2,279.9 561.2 Denver County, CO 633,777 153.04 4,141.25 El Paso County, CO 645,707 2,126.86 303.6 5,197,580 103,640.22 50.15 314,107,083 3,531,932.26 88.93 Colorado United States Data Source: US Census Bureau, American Community Survey. 2010-14. Source geography: Tract Population, Density (Persons per Sq Mile) by Tract, ACS 2010-14 Over 5,000 1,001 - 5,000 501 - 1,000 51 - 500 Under 51 No Data or Data Suppressed Report Area Total Population by Gender Report Area Male Female Percent Male Percent Female Report Area 640,949 638,535 50.09% 49.91% Denver County, CO 316,841 316,936 49.99% 50.01% El Paso County, CO 324,108 321,599 50.19% 49.81% Community Commons Page 1 / 17 Report Area Male Colorado United States Female Percent Male Percent Female 2,608,270 2,589,310 50.18% 49.82% 154,515,152 159,591,920 49.19% 50.81% Total Population by Age Groups, Total Report Area Age 0-4 Report Area Age 18-24 Age 25-34 Age 35-44 Age 45-54 Age 55-64 Age 65 90,267 208,536 131,906 231,232 178,709 164,108 138,744 135,982 44,386 89,122 59,150 135,913 97,123 74,695 66,358 67,030 45,881 119,414 72,756 95,319 81,586 89,413 72,386 68,952 337,435 897,262 509,480 764,384 710,650 724,166 639,858 614,345 19,973,712 53,803,944 31,273,296 42,310,184 40,723,040 44,248,184 38,596,760 43,177,960 Denver County, CO El Paso County, CO Colorado United States Age 5-17 Total Population by Age Groups, Percent Report Area Age 0-4 Report Area Denver County, CO El Paso County, CO Colorado Community Commons Age 5-17 Age 18-24 Age 25-34 Age 35-44 Age 45-54 Age 55-64 Age 65 7.05% 16.3% 10.31% 18.07% 13.97% 12.83% 10.84% 10.63% 7% 14.06% 9.33% 21.44% 15.32% 11.79% 10.47% 10.58% 7.11% 18.49% 11.27% 14.76% 12.64% 13.85% 11.21% 10.68% 6.49% 17.26% 9.8% 14.71% 13.67% 13.93% 12.31% 11.82% Page 2 / 17 Report Area Age 0-4 United States Age 5-17 6.36% Age 18-24 17.13% Age 25-34 9.96% Age 35-44 13.47% Age 45-54 12.96% Age 55-64 14.09% 12.29% Age 65 13.75% Total Population by Race Alone, Total Native Native Report Area White Black Asian American / Alaska Native Hawaiian / Pacific Some Other Race Multiple Races Islander Report Area 994,549 100,374 39,396 11,164 2,541 73,755 57,705 Denver County, CO 473,269 61,868 22,301 7,045 613 46,828 21,853 El Paso County, CO 521,280 38,506 17,095 4,119 1,928 26,927 35,852 4,364,911 209,062 146,561 49,917 6,641 240,282 180,206 231,849,712 39,564,784 15,710,659 2,565,520 535,761 14,754,895 9,125,751 Colorado United States Total Population by Race Alone, Percent Native Report Area White Black Asian American / Alaska Native Native Hawaiian / Some Other Multiple Pacific Race Races Islander Report Area 77.73% 7.84% 3.08% 0.87% 0.2% 5.76% 4.51% Denver County, CO 74.67% 9.76% 3.52% 1.11% 0.1% 7.39% 3.45% El Paso County, CO 80.73% 5.96% 2.65% 0.64% 0.3% 4.17% 5.55% Colorado 83.98% 4.02% 2.82% 0.96% 0.13% 4.62% 3.47% United States 73.81% 12.6% 5% 0.82% 0.17% 4.7% 2.91% Total Population by Ethnicity Alone Report Area Report Area Total Population Hispanic or Latino Population Percent Population Hispanic or Latino Non-Hispanic Population Percent Population Non-Hispanic 1,279,484 299,163 23.38% 980,321 76.62% Denver County, CO 633,777 197,760 31.2% 436,017 68.8% El Paso County, CO 645,707 101,403 15.7% 544,304 84.3% 5,197,580 1,088,602 20.94% 4,108,978 79.06% Colorado Community Commons Page 3 / 17 Report Area United States Hispanic or Latino Population Total Population 314,107,072 Percent Population Hispanic or Latino 53,070,096 Non-Hispanic Population 16.9% Percent Population Non-Hispanic 261,036,992 83.1% Hispanic Population by Race Alone, Total Report Area White Black Native American / Asian Alaska Native Native Hawaiian / Pacific Islander Some Other Multiple Race Races Report Area 200,723 3,958 784 4,878 371 71,786 16,663 Denver County, CO 138,288 1,881 527 3,270 96 45,694 8,004 El Paso County, CO 62,435 2,077 257 1,608 275 26,092 8,659 759,712 10,110 2,980 21,465 720 232,319 61,296 34,690,220 1,104,187 174,450 482,752 42,606 14,143,014 2,432,866 Colorado United States Hispanic Population by Race Alone, Percent Report Area White Black Asian Native American / Alaska Native Native Hawaiian / Pacific Islander Some Other Race Multiple Races Report Area 67.09% 1.32% 0.26% 1.63% 0.12% 24% 5.57% Denver County, CO 69.93% 0.95% 0.27% 1.65% 0.05% 23.11% 4.05% El Paso County, CO 61.57% 2.05% 0.25% 1.59% 0.27% 25.73% 8.54% Community Commons Page 4 / 17 Report Area White Black Asian Native American / Alaska Native Native Hawaiian / Pacific Islander Some Other Race Multiple Races Colorado 69.79% 0.93% 0.27% 1.97% 0.07% 21.34% 5.63% United States 65.37% 2.08% 0.33% 0.91% 0.08% 26.65% 4.58% Non-Hispanic Population by Race Alone, Total Native Report Area White Black Asian American / Alaska Native Native Hawaiian / Pacific Some Other Race Multiple Races Islander Report Area 793,826 96,416 38,612 6,286 2,170 1,969 41,042 Denver County, CO 334,981 59,987 21,774 3,775 517 1,134 13,849 El Paso County, CO 458,845 36,429 16,838 2,511 1,653 835 27,193 3,605,199 198,952 143,581 28,452 5,921 7,963 118,910 197,159,488 38,460,600 15,536,209 2,082,768 493,155 611,881 6,692,885 Colorado United States Non-Hispanic Population by Race Alone, Percent Native Report Area White Black Asian American / Alaska Native Native Hawaiian / Pacific Islander Some Other Multiple Race Races Report Area 80.98% 9.84% 3.94% 0.64% 0.22% 0.2% 4.19% Denver County, CO 76.83% 13.76% 4.99% 0.87% 0.12% 0.26% 3.18% El Paso County, CO 84.3% 6.69% 3.09% 0.46% 0.3% 0.15% 5% Colorado 87.74% 4.84% 3.49% 0.69% 0.14% 0.19% 2.89% United States 75.53% 14.73% 5.95% 0.8% 0.19% 0.23% 2.56% Families with Children According to the most recent the American Community Survey estimates, 29.92% of all occupied households in the report area are family households with one or more child(ren) under the age of 18. As defined by the US Census Bureau, a family household is any housing unit in which the householder is living with one or more individuals related to him or her by birth, marriage, or adoption. A Community Commons Page 5 / 17 non-family household is any household occupied by the householder alone, or by the householder and one or more unrelated individuals. Report Area Total Households Total Family Households Families with Children (Under Age 18) Families with Children (Under Age 18), Percent of Total Households Report Area 511,208 294,021 152,945 29.92% Denver County, CO 271,054 130,387 68,367 25.22% El Paso County, CO 240,154 163,634 84,578 35.22% 1,998,314 1,282,425 640,287 32.04% 116,211,088 76,958,064 37,554,348 32.32% Colorado United States Data Source: US Census Bureau, American Community Survey. 2010-14. Source geography: Tract Households with Children (Age 0-17), Percent by Tract, ACS 2010-14 Over 35.0% 31.6 - 35.0% 28.1 - 31.5% Under 28.1% No Data or Data Suppressed Report Area Family Households with Children by Ethnicity Alone Report Area Total Hispanic / Latino Total Not Hispanic / Latino Percent Hispanic / Latino Percent Not Hispanic / Latino Report Area 41,720 110,722 68.51% 47.49% Denver County, CO 28,085 40,084 69.54% 44.54% El Paso County, CO 13,635 70,638 66.49% 49.35% 154,411 483,739 68.14% 45.82% 7,289,959 30,122,004 67.18% 45.57% Colorado United States Family Households with Children by Race Alone, Percent Community Commons Page 6 / 17 Report Area White Black or Native African American American / Alaska Native Asian Native Hawaiian / Pacific Some Other Race Multiple Race Islander Report Area 49.31% 58.99% 62.95% 52.77% 69.48% 73.21% 59.24% Denver County, CO 48.79% 58.52% 63.16% 51.77% 89.13% 75.94% 57.17% El Paso County, CO 49.67% 59.65% 62.6% 53.98% 67.89% 68.75% 60.59% Colorado 47.68% 61.61% 60.68% 56.69% 56.62% 70.84% 62% United States 45.18% 59.09% 59.52% 54.18% 65.41% 70.66% 60.67% Family Households with Children by Race Alone, Total Report Area Report Area White Black or Native African American American / Alaska Native Asian Native Hawaiian / Pacific Islander Some Other Race Multiple Race 116,538 13,323 1,658 4,315 428 11,374 4,806 Denver County, CO 47,912 7,728 1,027 2,316 41 7,318 1,827 El Paso County, CO 68,626 5,595 631 1,999 387 4,056 2,979 530,773 27,378 6,703 18,570 830 37,039 16,857 26,855,960 5,205,837 334,775 1,971,685 70,274 2,156,532 816,904 Colorado United States Community Commons Page 7 / 17 Social & Economic Factors Economic and social insecurity often are associated with poor health. Poverty, unemployment, and lack of educational achievement affect access to care and a community’s ability to engage in healthy behaviors. Without a network of support and a safe community, families cannot thrive. Ensuring access to social and economic resources provides a foundation for a healthy community. Children Eligible for Free/Reduced Price Lunch Within the report area 104,602 public school students or 51.51% are eligible for Free/Reduced Price lunch out of 203,059 total students enrolled. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. Additionally, when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report Area Total Students Report Area Number Free/Reduced Percent Free/Reduced Percent Students Eligible Price Lunch Eligible Price Lunch Eligible for Free or Reduced Price Lunch 203,059 104,602 51.51% Denver County, CO 86,884 62,113 71.49% El Paso County, CO 116,175 42,489 36.57% Colorado 876,147 367,665 41.98% 50,195,195 26,012,902 52.35% United States Note: This indicator is compared with the state average. Data Source: National Center for Education Statistics, NCES - Common Core of Data. 2013-14. Source geography: Address Report Area (51.51%) Colorado (41.98%) United States (52.35%) Students Eligible for Free or Reduced-Price Lunch, NCES CCD 2013-14 Over 80.0% 60.1 - 80.0% 40.1 - 60.0% 20.1 - 40.0% Under 20.1% Not Reported Report Area Children Eligible for Free Lunch (Alone) by Year, 2009-10 through 2013-14 The table below shows local, state, and National trends in student free and reduced lunch eligibility. Note: Data for the 2011-12 school year are omitted due to lack of data for some states. Report Area 2009-10 2010-11 2012-13 2013-14 Report Area 49.59% 50.22% 51.01% 51.73% Denver County, CO 70.67% 71.74% 71.17% 71.81% El Paso County, CO 34.86% 34.94% 36.17% 36.72% Colorado 38.74% 40.22% 41.74% 42.19% United States 47.76% 49.24% 51.77% 52.45% Community Commons Page 8 / 17 Population Receiving SNAP Benefits (SAIPE) This indicator reports the average percentage of the population receiving the Supplemental Nutrition Assistance Program (SNAP) benefits between the months of July 2012 and July 2013. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs; when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report Area Population Receiving SNAP Benefits Total Population Report Area Percent Population Receiving SNAP Benefits 1,269,336 160,728 12.7% Denver County, CO 634,599 89,885 14.2% El Paso County, CO 634,737 70,843 11.2% 5,157,760 505,745 9.8% 295,309,825 46,732,618 15.8% Colorado United States Note: This indicator is compared with the state average. Data Source: US Census Bureau, Small Area Income & Poverty Estimates. 2013. Source geography: County Percent Population Receiving SNAP Benefits Report Area (12.7%) Colorado (9.8%) United States (15.8%) Population Receiving SNAP Benefits, Percent by County, SAIPE 2013 Over 22.0% 14.1 - 22.0% 6.1 - 14.0% Under 6.1% No Data or Data Suppressed Report Area Percent Population Receiving SNAP Benefits by Year, 2005 through 2013 Report Area 2005 2006 2007 2008 2009 2010 2011 2012 2013 Report Area 7.11% 7.31% 7.19% 8.36% 10.74% 11.74% 12.19% 12.76% 12.66% Denver County, CO 8.67% 8.59% 8.13% 9.68% 12.15% 13.32% 13.87% 14.44% 14.16% El Paso County, CO 5.57% 6.05% 6.24% 7.03% 9.31% 10.21% 10.54% 11.11% 11.16% Colorado 5.56% 5.43% 5.24% 6.11% 7.88% 8.94% 9.69% 9.99% 9.81% Community Commons Page 9 / 17 Report Area 2005 United States Community Commons 9.05% 2006 2007 9% 9.38% 2008 10.68% 2009 12.94% 2010 14.5% 2011 15.19% 2012 15.49% 2013 15.82% Page 10 / 17 Physical Environment A community’s health also is affected by the physical environment. A safe, clean environment that provides access to healthy food and recreational opportunities is important to maintaining and improving community health. Food Access - SNAP-Authorized Food Stores This indicator reports the number of SNAP-authorized food stores as a rate per 100,000 population. SNAP-authorized stores include grocery stores as well as supercenters, specialty food stores, and convenience stores that are authorized to accept SNAP (Supplemental Nutrition Assistance Program) benefits. Report Area Report Area Total SNAP-Authorized Total Population Retailers SNAP-Authorized Retailers, Rate per 10,000 Population 1,222,421 717 5.87 Denver County, CO 600,158 386 6.43 El Paso County, CO 622,263 331 5.32 5,029,196 2,811 5.59 312,411,142 258,959 8.29 Colorado United States SNAP-Authorized Retailers, Rate (Per 10,000 Population) Report Area (5.87) Colorado (5.59) United States (8.29) Note: This indicator is compared with the state average. Data Source: US Department of Agriculture, Food and Nutrition Service, USDA - SNAP Retailer Locator. Additional data analysis by CARES. 2016. Source geography: Tract SNAP-Authorized Retailers Access, Rate per 10,000 Population by Tract, USDA 2016 Over 12.0 6.1 - 12.0 Under 6.0 No SNAP-Authorized Retailers No Population or No Data Report Area Community Commons Page 11 / 17 Health Behaviors Health behaviors such as poor diet, a lack of exercise, and substance abuse contribute to poor health status. Physical Inactivity Within the report area, 131,529 or 13.8% of adults aged 20 and older self-report no leisure time for activity, based on the question: "During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?". This indicator is relevant because current behaviors are determinants of future health and this indicator may illustrate a cause of significant health issues, such as obesity and poor cardiovascular health. Report Area Total Population Age 20 Population with no Percent Population with Percent Population with Leisure Time Physical no Leisure Time Physical Activity Activity no Leisure Time Physical Activity Report Area 971,086 131,529 13.8% Denver County, CO 500,508 59,060 12.3% El Paso County, CO 470,578 72,469 15.4% 3,891,615 560,832 14.3% 468,415,238 104,295,786 21.8% Colorado United States Report Area (13.8%) Colorado (14.3%) United States (21.8%) Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 2013. Source geography: County No Leisure-Time Physical Activity, Adults Age 20 , Percent by County, CDC NCCDPHP 2013 Over 29.0% 26.1 - 29.0% 23.1 - 26.0% Under 23.1% No Data or Data Suppressed Report Area Adults with No Leisure-Time Physical Activity by Gender Report Area Total Males with No Percent Males with No Total Females with No Percent Females with No Leisure-Time Physical Leisure-Time Physical Leisure-Time Physical Leisure-Time Physical Activity Activity Activity Activity Report Area 59,981 12.74% 71,548 14.78% Denver County, CO 26,883 11.3% 32,177 13.1% El Paso County, CO 33,098 14.2% 39,371 16.5% 259,544 13.38% 301,285 15.17% 23,209,824 20.13% 28,938,104 23.22% Colorado United States Community Commons Page 12 / 17 Percent Adults Physically Inactive by Year, 2004 through 2012 Report Area 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 16.44% 15.89% 15.95% 16.94% 17.09% 17.23% 16.05% 15.54% 14.58% 13.83% 15.9% 15.2% 15.2% 16.1% 16.1% 16.3% 14.8% 14.2% 13% 12.3% 17% 16.6% 16.7% 17.8% 18.1% 18.2% 17.3% 16.9% 16.2% 15.4% Colorado 15.94% 15.75% 15.38% 16.08% 16.27% 16.84% 15.84% 15.18% 14.83% 14.32% United States 22.96% 22.82% 22.93% 23.2% 23.51% 23.67% 23.41% 22.47% 22.64% 21.75% Report Area Denver County, CO El Paso County, CO Fruit/Vegetable Consumption In the report area an estimated 661,415, or 75% of adults over the age of 18 are consuming less than 5 servings of fruits and vegetables each day. This indicator is relevant because current behaviors are determinants of future health, and because unhealthy eating habits may cause of significant health issues, such as obesity and diabetes. Community Commons Page 13 / 17 Report Area Total Population (Age 18 ) Total Adults with Percent Adults with Inadequate Fruit / Inadequate Fruit / Vegetable Consumption Vegetable Consumption Report Area 881,741 661,415 75% Denver County, CO 449,969 340,177 75.6% El Paso County, CO 431,772 321,238 74.4% 3,646,549 2,734,912 75% 227,279,010 171,972,118 75.7% Colorado United States Percent Adults with Inadequate Fruit / Vegetable Consumption Report Area (75%) Colorado (75%) United States (75.7%) Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the Health Indicators Warehouse. US Department of Health & Human Services, Health Indicators Warehouse. 2005-09. Source geography: County Inadequate Fruit/Vegetable Consumption, Percent of Adults Age 18 by County, BRFSS 2005-09 Over 85.0% 80.1 - 85.0% 75.1 - 80.0% Under 75.1% No Data or Data Suppressed Report Area Community Commons Page 14 / 17 Health Outcomes Measuring morbidity and mortality rates allows assessing linkages between social determinants of health and outcomes. By comparing, for example, the prevalence of certain chronic diseases to indicators in other categories (e.g., poor diet and exercise) with outcomes (e.g., high rates of obesity and diabetes), various causal relationship may emerge, allowing a better understanding of how certain community health needs may be addressed. Obesity 19.4% of adults aged 20 and older self-report that they have a Body Mass Index (BMI) greater than 30.0 (obese) in the report area. Excess weight may indicate an unhealthy lifestyle and puts individuals at risk for further health issues. Report Area Total Population Age 20 Adults with BMI > 30.0 Percent Adults with BMI > Percent Adults with BMI > (Obese) 30.0 (Obese) 30.0 (Obese) Report Area 971,361 187,052 19.4% Denver County, CO 501,043 82,171 16.7% El Paso County, CO 470,318 104,881 22.2% 3,893,462 786,276 20.1% 468,376,406 129,769,830 27.5% Colorado United States Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 2013. Source geography: County Report Area (19.4%) Colorado (20.1%) United States (27.5%) Obese (BMI >= 30), Adults Age 20 , Percent by County, CDC NCCDPHP 2013 Over 34.0% 30.1 - 34.0% 26.1 - 30.0% Under 26.1% No Data or Data Suppressed Report Area Adults Obese (BMI > 30.0) by Gender Report Area Total Males Obese Percent Males Obese Total Females Obese Percent Females Obese Report Area 95,031 19.74% 92,021 18.95% Denver County, CO 40,202 16.4% 41,969 16.9% El Paso County, CO 54,829 23.2% 50,052 21.1% 401,306 20.51% 384,971 19.61% 32,051,606 27.92% 32,833,321 27.06% Colorado United States Community Commons Page 15 / 17 Percent Adults Obese (BMI > 30.0) by Year, 2004 through 2012 Report Area 2004 Report Area 2005 2006 2007 2008 2009 2010 2011 2012 15.33% 16.38% 17.3% 17.93% 18.09% 19.56% 19.74% 19.28% 19.22% Denver County, CO 14.1% 14.53% 15.8% 16.3% 17% 18.2% 18.3% 17.1% 17.3% El Paso County, CO 16.6% 18.27% 18.8% 19.6% 19.2% 21% 21.2% 21.5% 21.2% Colorado 15.99% 16.88% 17.94% 18.28% 18.48% 19.67% 20.11% 20.23% 19.91% United States 23.07% 23.79% 24.82% 25.64% 26.36% 27.35% 27.29% 27.19% 27.14% Overweight 34.9% of adults aged 18 and older self-report that they have a Body Mass Index (BMI) between 25.0 and 30.0 (overweight) in the report area. Excess weight may indicate an unhealthy lifestyle and puts individuals at rist for further health issues. Community Commons Page 16 / 17 Report Area Survey Population (Adults Age 18 ) Total Adults Overweight Percent Adults Overweight Report Area 797,612 278,005 34.9% Denver County, CO 402,135 132,278 32.9% El Paso County, CO 395,477 145,727 36.8% 3,651,756 1,288,366 35.3% 224,991,207 80,499,532 35.8% Colorado United States Note: This indicator is compared with the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Additional data analysis by CARES. 2011-12. Source geography: County Percent Adults Overweight Report Area (34.9%) Colorado (35.3%) United States (35.8%) Overweight (BMI 25.0-29.9), Adults Age 18 , Percent by County, BRFSS 2011-12 Over 39.0% 36.1 - 39.0% 33.1 - 36.0% Under 33.1% No Data or Data Suppressed Report Area Adults Overweight, Percent by Race / Ethnicity Report Area Non-Hispanic White Non-Hispanic Black Non-Hispanic Other Race Hispanic or Latino Colorado 34.62% 30.83% 29.01% 40.4% United States 35.85% 34.31% 31.61% 38.43% Note: No county data available. See FOOTNOTES for more details. Please see Denver and Colorado Springs: Food Environment and Behavior footnotes for information about the data background, analysis methodologies and other related notes. Report prepared by Community Commons, July 27, 2016. Community Commons Page 17 / 17
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