CiTY PROFILE
SHAKOPEE
(Twin Cities Region)
CULTURE CARE CONNECTION is an online learning and resource center
designed to increase the cultural competence of health care providers, administrators,
and health care organization staff in serving diverse populations. Simply put,
“culture” can refer to a variety of factors, including age, education level, income
level, place of birth, length of residency in a country, individual experiences, and
identification with community groups. “Competence” refers to knowledge that
enables a person to effectively communicate, and “care” refers to the ability to
provide effective clinical care.
Through Stratis Health’s Culture Care Connection City Profiles, health care
organizations can better understand their geographic service areas by observing the
characteristics of the city, surrounding region, greater Minnesota, and the nation with
respect to demographic, socioeconomic, and health status data. The quantitative and
qualitative data in this profile can broaden understanding and help users consider
actions for responding to the area’s most pressing needs.
Use this information to advance your organization’s implementation of the Office of
Minority Health’s Culturally and Linguistically Appropriate Services (CLAS)
Standards. The 14 CLAS standards serve as guiding principles for ensuring
accessibility and appropriateness of health care services delivered to diverse
populations. This information also is valuable if your organization uses less formal
approaches in providing culturally sensitive services, or if you just are interested in
learning more about health disparities in your city.
Region is defined as Economic Development Region (EDR), the multi-county groupings established by the
Minnesota Department of Employment and Economic Development.
The Twin Cities Metropolitan EDR is composed of Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and
Washington counties.
To prevent inaccurate extrapolation, careful attention should be paid to identifiers in graphs and narrative, which
delineate between city, county, region, and state level data.
Demographics
Age • Gender • Race • Foreign Born • Language
Demographic data reveal the following state-level trends:
• Minnesota’s population is projected to grow substantially by 2035, with slight growth
in younger age groups and substantial growth in older age groups. These changes will
influence the overall age composition of the state.
• Gender is evenly distributed across age groups, with notable exceptions in the older
age groups which have a larger proportion of females.
• Minnesota’s population continues to become more diverse. Between 2000 and 2010,
the Asian, Black, and Hispanic/Latino populations increased at a rate of 50.9%,
59.8%, and 74.5% respectively, as compared with the white population which
increased by only 2.8%.
In 2010, the city of Shakopee had a population of 39,500, up from 20,568 in 2000. In the Twin Cities, the
population increased by 7.9%, growing from 2,642,062 to 2,849,567 based on economic development region
(EDR) data during the same decade. In Scott County, the population increased by 45.2%.
Shakopee's population is projected to grow to 52,000 by 2030. Estimates from 2005 project that the entire
Twin Cities metro area's population will increase by 20.6% between 2005 and 2035, growing from just
over 3 million people in 2005 to 3,352,500 in 2035.
Sources: Metropolitan Council Community Profiles viewed on 6/7/2011
http://stats.metc.state.mn.us/profile/Default.aspx
Minnesota Population Change by Region 2000-2010
Minnesota Population Change by County 2000-2010
http://www.demography.state.mn.us/
Age
Projected Population - Minnesota: 2005 - 2035
Between 2005 and 2035, the population of Minnesotans
over age 65 is predicted to more than double due to
greater longevity. By contrast, the population under age
65 will grow by only 10%. As a result, the age
composition of all parts of the state, including Shakopee,
will be much older in 2035.
Population
1,500,000
1,200,000
900,000
600,000
300,000
0
0-14
Between 2005 and 2009, the median age in Shakopee was
estimated at 32.2 years, compared to 36.5 years for the
United States as a whole, with 6.8% of Shakopee residents
over age 65 and 10.3% under age 5. According to 2010
Census data, the median age in Minnesota is 37.4 years.
15-24
25-44
45-64
65-84
85+
Age Group
2005
2015
2035
What providers need to know:
The proportion of Minnesota’s older population, as well as ethnic and immigrant communities, will
grow faster than the rest of the state’s population in the next 25 years. Consider whether your
organization is prepared to meet the special needs of these populations.
Suggestions:
Become familiar with the needs of older populations, as well as individuals from diverse backgrounds,
and develop strategies to accommodate them, including: referrals to transportation services, allowing
more time for patient encounters, incorporating age related issues such as hearing screens into preventive
services, and providing patient education materials in alternative formats.
Sources: U.S. Census Bureau, 2005-2009 American Community Survey viewed on 5/25/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Minneosta Population Projections 2005-2035
http://www.demography.state.mn.us/projections.html
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CITY REPORT: SHAKOPEE
Gender
Projected Gender Distribution: Minnesota 2035
1,000,000
Population
According to 2010 Census data, Shakopee's gender
distribution was estimated to be 50.3% male and 49.7%
female. In 2035, projections indicate the overall gender
distribution for Minnesota to be 49.4% male and 50.5%
female.
800,000
600,000
400,000
200,000
0
More variations appear when data are viewed by age range:
• 25 to 44: 48.5% male, 51.4% female
• 65 to 84: 48% male, 52% female
• 85 and above: 40% male, 60% female
0-14
15-24
25-44
45-64
65-84
85+
Age Group
Females
Males
Sources: Metropolitan Council Community Profiles viewed on 6/7/2011
http://stats.metc.state.mn.us/Default.aspx
Minnesota Population Projections 2005-2035
http://www.demography.state.mn.us/projections.html
Race
Population by Race and Ethnicity - Shakopee: 2010
Minnesota’s population is considerably less diverse
than the U.S. population. Minnesota’s populations of
color accounted for 17% of the population in 2009,
compared with 34% of the national population.
However, populations of color are growing faster in
Minnesota, 28% compared with 19% nationally.
White (74%)
Asian (10%)
Black or African American (4%)
Two or more races (2.2%)
American Indian & Alaska Native (1%)
Some other race (0.2%)
In the Twin Cities metro area between 2005 and 2015,
the population is expected to grow 9% . The white
population is not expected to change while populations
of color are expected to grow 44.5%.
What providers need to know:
Hispanic or Latino (of any race) (7.8%)
Projected Populations of Color - Twin Cities: 2005-2035
400,000
Number of People
In 2010, 74% of Shakopee's population was white, 4%
black/African American, 10% Asian, 2.2% two or more
races, 1% American Indian/Alaska native and 0.01%
Native Hawaiian/Pacific Islander. Almost 1 in 10
Burnsville residents, or 7.8%, were Hispanic/Latino.
Native Hawaiian & Pacific Islander (0.01%)
200,000
100,000
0
The health issues, health-seeking behaviors, cultural
norms, and communication preferences of populations
of color vary considerably. As Minnesota’s population
becomes more diverse, patient populations and the
work force within the state’s health care organizations
will become more diverse as well.
STRATIS HEALTH - WWW.CULTURECARECONNECTION.ORG
300,000
American
Indian
Asian
2005
3
Black
2020
Hispanic/
Latino
2035
CITY REPORT: SHAKOPEE
Suggestions:
Get to know your patients and staff on an individual level. Not all your patients and staff from diverse populations
conform to commonly known culture-specific behaviors, beliefs, and actions. Understanding an individual’s practice
of cultural norms can allow providers to quickly build rapport and ensure effective health care communication.
Sources: Minnesota Population Projections 2005-2035
http://www.demography.state.mn.us/
Metropolitan Council Community Profiles viewed on 6/7/2011
http://stats.metc.state.mn.us/Default.aspx
Foreign Born
Immigrant Population by Region of Birth - Minnesota: 2009
Minnesota's population growth between 2000 and
2010 was driven by an increase in minority residents
that accounted for more than 80% of the state's
growth. Minority residents now make up about one of
every seven state residents. In 2009, one third
Minnesota's immigrant population came from four
countries: Somalia (23%), Ethopia (9%), Kenya (6%)
and Liberia (6%).
During the period 2005-2009, 13.4% of Shakopee's population, or 4,380 people, were estimated to have been
born outside the U.S - higher than the 12.4% estimate for the U.S. as a whole.
What providers need to know:
Important factors to consider in providing care to immigrant populations include: nutritional status, mental
health (especially in refugee populations), infectious diseases such as Hepatitis B status, dental screening,
and preventive health measures, including cancer screenings which are not often available in third world
countries. Specific health care screening recommendations depend on an individual’s country of origin and
immigration status.
Suggestions:
Provide information to patients not familiar with the western medical system such as guidance on obtaining
health insurance, setting up initial and follow-up appointments, and practicing preventive health, including
cancer screenings. Become familiar with health screening recommendations for your patients based on their
country of origin and immigration status.
Conduct a CLAS (Culturally and Linguistically Appropriate Services) Standards Assessment to identify
strengths and opportunities for improvement in the services your organization offers to diverse populations.
An online assessment, which offers customized evaluation and recommendations, can be found at:
CLAS Standards Assessment .
Sources: U.S. Census Bureau, 2005-2009 American Community Survey viewed on 6/20/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Report immigrants to Minnesota by region and selected country of birth
http://www.demography.state.mn.us/resource.html?Id=18679
Star Tribune, Minnesota's Changing face news viewed on 9/23/2011
http://www.startribune.com/local/118100959.html
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CITY REPORT: SHAKOPEE
Language
According to the Minnesota Department of Education, during the period 2008-2009, the most common languages
spoken other than English in the Twin Cities metro area were Spanish (8.4%), Asian and Pacific Islander
languages (3.6%), other Indo-European languages (2.8%) and other languages (4.3%).
In Scott County during the period 2008-2009, Spanish was the primary language in 858 homes, while Russian was
spoken in 273 homes and Cambodian in 163 homes.
During the period 2005-2009, nearly 1 in 5 Shakopee residents, or 18.5%, was estimated to speak a language other
than English at home. According to the 2010-2011, Primary Home Language report from the Minnesota Department
of Education, Spanish was the number one language spoken, other than English, in Shakopee ISD 720.
What providers need to know:
Language barriers pose a challenge to even the most basic clinical encounters. According to the U.S
Department of Health and Human Services, Office of Minority Health:
• Health care organizations must offer and provide language assistance services, including bilingual staff or
interpreter services, at no cost to each patient/consumer with limited English proficiency (LEP) at all
points of contact, in a timely manner, during all hours of operation.
• Family and friends should not be used to provide interpretation services.
Suggestions:
Provide an interpreter to patients who do not speak English or who have Limited English Proficiency as a
way to encourage them to freely communicate expectations and preferences.
For all patients, especially those who speak English as a second language, use simple language, avoid
technical terms, abbreviations, and professional jargon.
Sources: Minnesota Department of Education 2008-09 PDF maps viewed on 6/20/2011
http://education.state.mn.us/MDE/Data/Maps/
U.S Department of Health and Human Services, Think Cultural Health viewed on 10/3/2011
https://www.thinkculturalhealth.hhs.gov/content/clas.asp
Primary Home Language Totals - District 2010-2011 viewed 6/20/2011
https://education.state.mn.us/MDEAnalytics/Data.jsp
U.S. Census Bureau, 2005-2009 American Community Survey viewed on 6/20/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Socioeconomic Status
Education • Income • Occupation
Socioeconomic status is a measure of an individual’s economic and social position relative to others, based
on education, income, and occupation. It provides valuable insights about diverse populations.
Education influences occupational opportunities and earning potential in addition to providing knowledge
and life skills that may promote health. Income provides a means for purchasing health care coverage and
also may determine eligibility for assistance programs for those who cannot afford coverage.
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CITY REPORT: SHAKOPEE
Education
Across Minnesota, high school graduation rates increased between 2005 and 2009. While projections indicate
a continuous decline for the general population, high school graduation rates in populations of color will
increase as much as 40% between 2005 and 2015.
In 2009, an estimated 91% of Shakopee residents over age 25 had a high school diploma or higher. An estimated
35% had at least a bachelor's degree.
Source: U.S. Census Bureau, 2005-2009 American Community Survey viewed on 5/25/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Income
In Shakopee, the median household income, based on
2005-2009 estimates, was $75,065 - higher than the
national median income of $51,425 per household.
Percent of Population
Poverty - All Ages - Minnesota: 2002-2006
Income level influences an individual’s access to
health insurance and health care, and is used to
determine poverty status, which may determine
eligibility for various assistance programs. Rates of
uninsured can be difficult to measure. Wide
variability exists across racial and ethnic groups.
Historically, white populations are the most likely to
be insured and Hispanic/Latino populations are the
least likely to be insured.
10%
8%
6%
4%
2%
0%
2002
2003
Scott
2004
2005
Twin Cities
2006
Minnesota
Source: U.S. Census Bureau, 2005-2009 American Community Survey viewed on 5/25/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Employment
According to 2005-2009 estimates, 79% of Shakopee residents over 16 years of age were employed,
compared to 65% for the U.S. as a whole. For current, quarterly unemployment data, visit the
Minnesota Department of Employment and Economic Development.
Uninsured by Race - Minnesota: 2001-2010
Percent of Population
Employment or lack of employment influences a
variety of social and health risks, such as access to
health care insurance, or psychological needs. For
example, employed individuals in office-based
occupations are at risk for repetitive stress injuries
and musculoskeletal disorders due to the sedentary
nature of this work. Individuals who are unemployed
or experience job insecurity may face health risks
such as increased blood pressure and stress.
70%
60%
50%
40%
30%
20%
10%
0%
American
Indian
2001
STRATIS HEALTH - WWW.CULTURECARECONNECTION.ORG
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Asian
2004
Black
2007
Hispanic/
Latino
White
2010
CITY REPORT: SHAKOPEE
What providers need to know:
Chronic stress associated with lower socioeconomic status can contribute to morbidity and mortality and is
linked to a wide range of health problems, including arthritis, cancer, cardiovascular disease, hypertension,
and low birthweight.
Suggestions:
Consider how a patient's socioeconomic status (education, income, occupation) may affect health risks and
ability to follow treatment plans. Become familiar with eligibility requirements and service offerings from
local health, housing, and social service programs, including medical assistance, food support, and cash
assistance. Dial 211 United Way First Call for Help to get information and referrals about employment,
health services, etc. Establish a culturally sensitive plan for identifying and referring patients who may benefit.
Source: U.S. Census Bureau, 2005-2009 American Community Survey viewed on 5/25/2011
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Health Status Data
Birth • Morbidity
The health status data concerning birth rates and factors contributing to the incidence of disease revealed the
following:
• A need for increased efforts to provide prenatal care in the general population as well as an awareness of
birth trends in populations of color.
• Greater potential for engagement in behaviors which increase the burden of poor health in populations of
color.
Births in Minnesota: 2006-2009
38,000
July-Dec 2009
Jan-June 2009
July-Dec 2008
Jan-June 2008
July-Dec 2007
Jan-June 2007
34,000
7
6.0%
4.0%
Black
Other
Asian/Pacific
American
Indian
Not Hispanic
0.0%
White
2.0%
Hispanic
Source: Minnesota Department of Health "2009 Minnesota Health
Statistics Report viewed on 5/25/2011
http://www.health.state.mn.us/
STRATIS HEALTH - WWW.CULTURECARECONNECTION.ORG
35,000
Decrease in Birth Rate in Minnesota Racial and Ethinic Group
from 2007-2009
Percent Fall in Births
The largest decreases from 2007 to 2009 were
among Latina/Hispanic mothers (5.2%) and white
mothers (5.0%). Births to mothers under age 20
(which involve more complications during
pregnancy and childbirth, more infant deaths, low
birth weights and congenital anomalies) decreased in
both 2008 and 2009, when they dropped by 10.6%.
36,000
July-Dec 2006
Between 2007 and 2009, birth rates in Minnesota
fell. The pattern of decline suggests a relationship to
the recession. The decrease in births was
concentrated among groups most vulnerable to
unemployment and financial uncertainty: the young
and less educated. However, the number of births
decreased in all racial/ethnic groups.
37,000
Jan-June 2006
Number of Births
Birth Rate
CITY REPORT: SHAKOPEE
Morbidity
Behavioral Risk Factors: 2011
30%
Behavioral risk factors such as use of alcohol and
tobacco, diet, exercise, and preventive health
practices play an important role in determining a
person’s overall health status. Control over such
factors can decrease a person’s risk for adverse health
outcomes including illness and premature death.
25%
20%
15%
10%
5%
0%
According to 2011 national county health rankings, Scott
County ranked 29 among 85 Minnesota counties in
health behaviors. Areas for improvement still exist as
15% of the county's population smokes, 28% are obese
and 23% drink excessively.
Adult smoking
Adult obesity
Scott
Excessive drinking
Minnesota
What providers need to know:
Patients from diverse cultures may have varying perceptions of the concepts of disease and preventive care.
Patients may not understand the reason for their illness or the importance of keeping follow-up appointments
and adhering to treatment plans even though they may no longer be feeling symptoms. Follow-up visits are
important in identifying changes in health due to treatment and to avoid potential disease reccurrence.
Suggestions:
Provide alternative treatment options and acknowledge that patients from diverse cultures may use traditional
cultural approaches to health care.
Source: County Health Rankings viewed on 5/25/2011 (85 of 87 MN counties ranked)
http://www.countyhealthrankings.org/
Next Steps CLAS Assessment • Visit www.culturecareconnection.org
1) Conduct a CLAS (Culturally and Linguistically Appropriate Services) Standards Assessment to identify
areas of strength and areas of opportunities for improvement in the services your organization offers to
diverse populations. An online assessment which offers customized evaluation and recommendations,
can be found at: CLAS Standards Assessment.
2) Visit the Culture Care Connection website, an online learning and resource center aimed at providing
Minnesota health care organizations with actionable tools in support of providing culturally and
linguistically appropriate services.
3) Contact Stratis Health to learn more about how we can assist in your organization's efforts to build
culturally and linguistically appropriate service offerings.
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CITY REPORT: SHAKOPEE
Contact us for assistance with your quality improvement and patient
safety needs related to reducing health care disparities.
Stratis Health is a nonprofit organization that leads collaboration and
innovation in health care quality and safety, and serves as a trusted
expert in facilitating improvement for people and communities.
Stratis Health works with the health care community as a quality
improvement expert, educational consultant, convenor, facilitator, and
data resource.
2901 Metro Drive, Suite 400
Bloomington, MN 55425-1525
(952) 854-3306 telephone
(952) 853-8503 fax
1-877-STRATIS (1-877-787-2847) toll-free
[email protected]
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CITY REPORT: SHAKOPEE