1. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Assessing the Health Risks Faced by the Patients of an Urban Free Medical Clinic Kristin Broderick, BA Renee Cadzow, MA

2. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Background The Lighthouse Free Medical Clinic is a student run initiative to provide free basic medical care and triage to residents of the East side community of Buffalo The Lighthouse Free Medical Clinic is a student run initiative to provide free basic medical care and triage to residents of the East side community of Buffalo Because this is a low income population with many uninsured or underinsured people, there are higher frequencies of certain health problems and health risks Because this is a low income population with many uninsured or underinsured people, there are higher frequencies of certain health problems and health risks

3. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Goals To describe the patient population of a free clinic in inner-city Buffalo To describe the patient population of a free clinic in inner-city Buffalo To identify subpopulations that suffer the greatest health risks and the demographic and behavioral characteristics that are associated with those risks To identify subpopulations that suffer the greatest health risks and the demographic and behavioral characteristics that are associated with those risks To assess the population’s perception of health problems in the community surrounding the Lighthouse Free Medical Clinic To assess the population’s perception of health problems in the community surrounding the Lighthouse Free Medical Clinic

4. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Methods De-identified database from Lighthouse Free Clinic De-identified database from Lighthouse Free Clinic Data source: HRA questionnaire Data source: HRA questionnaire Structured interview with patients at the clinic (18 and older) Structured interview with patients at the clinic (18 and older) Data source: Audio recorded interviews Data source: Audio recorded interviews

5. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group RESULTS

6. Description of the Patient Population Race/Ethnic Background African American/black 89.1% White6.7% Hispanic3.4% American Indian 0.5% Asian0.3% GenderMale49.4% Female50.6% Age0-913% 10-1935% 20-2915.3% 30-3914.2% 40-4913.6% 50-595.9% 60 and older 2.9%

7. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Income Distribution of the Patient Population-only those 18 and over N=405

8. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Prevalence of Chronic Disease in Patients 40 and older

9. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Prevalence of Asthma based on Age

10. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Prevalence of Health Conditions based on Age group

11. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Health Risk MaleFemale DepressionAnxiety8.3%8.3%13.9%9.8% ObesityHypertension High Cholesterol Arthritis Heart Condition 32.3%41.7%18.1%18.1%1.4%51%50%23.8%25.4%6.6% Prevalence of Certain Health Risks Based on Gender in Patients 40 and Older

12. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Mental Health and Age

13. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Health Conditions and Smoking Status

14. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Smoking and Income, only those age 18 and over N=394

15. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group BMI and Patients with Hypertension and Diabetes N=635, p=.001

16. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Perceived Health Problems in the Community Health Problem Number of Times Mentioned HIV/AIDS5 Hypertension3 Diabetes3 Drug Abuse 3 Alcoholism2 High Cholesterol 1 Cancer1 Heart Problems 1 Mental Health 1 Other Health Problems mentioned once: Herpes, Dental Problems, MS, and Lead Paint Other Health Problems mentioned once: Herpes, Dental Problems, MS, and Lead Paint

17. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Conclusions The patient population most frequently seen at the Lighthouse clinic are low-income, African Americans between the ages of 10-19 The patient population most frequently seen at the Lighthouse clinic are low-income, African Americans between the ages of 10-19 The chronic conditions most prevalent in this community are hypertension and obesity The chronic conditions most prevalent in this community are hypertension and obesity HIV/AIDS, Hypertension and Diabetes are the main perceived health problems in the community surrounding the clinic HIV/AIDS, Hypertension and Diabetes are the main perceived health problems in the community surrounding the clinic The subpopulations that suffer the greatest health risks are low income; females; smokers; and people of increasing age The subpopulations that suffer the greatest health risks are low income; females; smokers; and people of increasing age Anxiety and Depression consistently increase with age. Reasons for this should be explored in future research Anxiety and Depression consistently increase with age. Reasons for this should be explored in future research

18. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Limitations Potential reporter bias, gender Potential reporter bias, gender Wording of HRA form Wording of HRA form Incomplete HRA forms/ Errors in data entry of HRA form Incomplete HRA forms/ Errors in data entry of HRA form

19. © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group Implications/Further Research Target grammar schools with educational programs Target grammar schools with educational programs Attack Obesity to prevent Diabetes, Hypertension Attack Obesity to prevent Diabetes, Hypertension Increase Availability of Medical Services Increase Availability of Medical Services Children’s Obesity Status Children’s Obesity Status Reasons for the consistent increase of anxiety and depression with age Reasons for the consistent increase of anxiety and depression with age