COMMUNITY PROFILE Miami Gardens, Florida

Document technical information

Format pdf
Size 379,0 kB
First found мар 11, 2016

Document content analysis

Category Also themed
Language
English
Type
not defined
Concepts

Miami-Dade County, Florida wikipedia, lookup

Florida wikipedia, lookup

South Florida metropolitan area wikipedia, lookup

Broward County, Florida wikipedia, lookup

University of Miami wikipedia, lookup

Miami wikipedia, lookup

Persons

Dorothy Parker
Dorothy Parker

wikipedia, lookup

Organizations

Places

Transcript

Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami COMMUNITY PROFILE Miami Gardens, Florida
April 2015
Miami Gardens
0
TABLE OF CONTENTS
Page
Introduction
2
Community Description: Miami Gardens
Miami Gardens Community Partners
Map of Miami Gardens
3-4
3
4
Demographics
Table 1: Population Data
Table 2: Socioeconomic Measures
5-6
Cancer Data
Cancer Incidence
Table 3: Average annual number of cases
Table 4: Age-adjusted incidence rates
Late Stage at Diagnosis
Table 5: Percent of cancers diagnosed
Cancer Mortality
Table 6: Age-adjusted mortality rates
7-10
7
9
10
Appendices
Appendix A – Miami Gardens Census Tract List
11
Appendix B – Resources
12
Appendix C – Summary tables for all communities
13
Acknowledgements and References
16
Miami Gardens
1
Introduction
The Jay Weiss Institute for Health Equity (JWI) was established in 2013 to support the
Sylvester Comprehensive Cancer Center’s scientific and programmatic efforts to reduce
cancer disparities. The mission of the JWI is to make meaningful progress towards health
equity through outreach, community partnerships, research, advocacy, and training. The JWI
consists of three inter-related program areas: research, community outreach, and training. In
all areas, the JWI collaborates with community partners who offer critical insight regarding
risk conditions affecting health and healthcare utilization.
For more information, please visit our web site: www.sylvester.org/jw
Erin Kobetz, PhD, MPH,
JWI Director
Associate Professor, Department of Medicine, UM Miller School of Medicine
Associate Director, Disparities and Community Outreach, Sylvester Comprehensive Cancer
Center
Olveen Carrasquillo, MD, MPH
JWI Co-Director
Professor, Medicine and Public Health Sciences, UM Miller School of Medicine
Director, Division of Health Services Research and Policy, Department of Public Health
Sciences Chief, Division of General Internal Medicine
Purpose of community profiles
This profile is one of a series of reports with demographic and cancer data for South Florida
communities within the Sylvester Comprehensive Cancer Center catchment area that
experience higher rates of cancer, barriers to routine health care and cancer screening, or
other factors that contribute to disparities. The profiles present basic information for
researchers and community partners to use in planning evidence-based interventions to
reduce these disparities. We encourage researchers and community partners to work
together to use this information for common goals of improving the health status of our
community. Online resources for local, state and national data are listed in Appendix B.
Profiles are also available for the following communities: Hialeah, Liberty City, Little
Havana, Miami Gardens, Opa Locka, Miami Gardens, and South Dade.
Tables with demographic and cancer data for all eight communities and Miami Dade County
can be found in Appendix C.
Miami Gardens
2
Community Description: Miami Gardens
The City of Miami Gardens (http://www.miamigardens-fl.gov/) was incorporated in 2003. It is
the third largest of the 34 municipalities within Miami Dade County. It is located in the
north-central part of the county, just south of the Broward County line. It includes the
communities of Andover, Bunche Park, Carol City, Lake Lucerne, Norland, Opa-Locka North,
and Scott Lake, which were previously part of unincorporated areas of Miami-Dade County.
Miami Gardens covers approximately 20 square miles, with a high population density of
5,878 per square mile. It is home to SunLife Stadium and Calder Race Track. It has several
commercial corridors along the Palmetto Expressway and U.S. 441. Miami Gardens is a
predominantly African American community (76%), including many residents from the
Caribbean. The community has recently started changing demographically with an influx of
Hispanics.
There are no hospitals within the city limits, however there are numerous private health
centers, a branch of a Federally-Qualified Health Center, the Jessie Trice Community Health
Center, Jackson Health System’s North Dade Health Center, and UHI CommunityCare Clinic
that provides free health care to low-income uninsured residents.
Miami Gardens is within a Medically Underserved Area/Population, defined by the US
Department of Health and Human Services’ Health Resources and Services Administration
(HRSA) as “areas or populations … having too few primary care providers, high infant
mortality, high poverty or a high elderly population.” (http://hpsafind.hrsa.gov/). Miami
Gardens is also a Health Professional Shortage Areas for primary care.
(http://www.hrsa.gov/shortage/mua/)
Census Tracts: A list of the 19 Census Tracts included in this Miami Gardens profile are
listed in Appendix A.
Miami Gardens Community Partners
City of Miami Gardens
Commission on Women
Dolphin’s Cycling Challenge
Miami Gardens
3
Map of Miami Gardens
Source: Google Maps
Miami Gardens
4
DEMOGRAPHICS
Tables 1 and 2 present demographic and socioeconomic data for Miami Gardens, with data
for Miami Dade County and State of Florida for comparison.
As shown in Table 1, Miami Gardens is a predominantly African American community (74%).
Almost one-quarter (24%) of the population is Hispanic. The percentage of Hispanics from
Central American countries in Miami Gardens is slightly higher than for the county, as a
whole. The percentage of people age 65+ is slightly lower than for the county.
Table 1. Population, Race, Hispanic Origin and Age
Total Population
Miami Gardens
Miami Dade County
Florida
111,761
Number Percent
2,549,075
Number
Percent
19,091,156
Number
Percent
Race
White
Black
Other
24,367
83,148
4,162
22%
74%
4%
1,916,250
480,201
152,624
75%
19%
6%
14,568,521
3,056,152
1,466,483
76%
16%
8%
Ethnicity
Hispanic
Non-Hispanic
27,080
84,681
24%
76%
1,653,390
895,685
65%
35%
4,369,920
14,721,236
23%
77%
Country of Origin for Hispanics
Cuba
Central America
South America
Puerto Rico
Dominican Republic
Mexico
10,522
5,116
3,122
3,519
3,032
907
39%
19%
12%
13%
11%
3%
876,855
232,589
288,180
100,942
60,382
55,303
53%
14%
17%
6%
4%
3%
1,286,325
482,364
735,600
898,953
188,024
629,945
29%
11%
17%
21%
4%
14%
Language
Speak language other than
English at home
29%
72%
Age
Percent Age 65+
11%
15%
Source: American Community Survey 2013 5 year estimates, Tables B01003, B02001, B03002, B03001
Miami Gardens
27%
19%
5
Table 2 shows socioeconomic measures. The median family income in Miami Gardens is
slightly lower than for the county, and the percentage of people in poverty is comparable to
the county. The percentage of owner-occupied units is higher, reflecting the proportion of
people who own their own homes. The percentage of people with no health insurance is
high.
Table 2: Socioeconomic Measures
Income, Education and Employment
Median household income
High school/GED diploma
Age 16+ unemployed
Population below the Federal Poverty limit
Health Insurance
Population with no health insurance (before the
Affordable Care Act)
Household and Housing
Number of Housing Units
Average Household Size
Owner occupied units
Miami Gardens
Miami Dade County
Florida
$42,763
37%
16%
$43,100
28%
12%
$46,956
30%
12%
21%
20%
16%
28%
30%
20%
31,902
3.5
64%
828,031
3.0
56%
7,158,980
2.6
67%
Source: American Community Survey 2013 5 year estimates, Tables B19013, B15003, S2301, S1701, S2701,
S1601, S1101
Miami Gardens
6
CANCER DATA
This profile presents data for all cancer sites combined as well as for 7 cancer sites – female
breast, cervical, colorectal, lung, oral, prostate, and oral cancers (oral cavity and pharynx).
These sites represent either the most common types of cancer or those for which screening
and early detection is available.
Age-Adjusted Rates
Age-adjusted rates are used to compare populations. They reduce the effect of different age
distributions. Age-adjusted rates a weighted average of the age-specific rates, where the
weights are the proportions of persons by age group in a standard population.
Rate Calculation for Census Tract and Community
The Census Tract and county population from the 2010 US Census by five-year age groups
were used to calculate age-adjusted incidence rates using the formula from the National
Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) program.1
All rates are per 100,000 population, and are age-adjusted to the US 2000 Standard
Population. For gender-specific cancers, the denominator used to calculate rates is the
population for that gender, e.g., breast and cervical cancer rates are based on the female
population and prostate cancer rates are based on the male population.
Comparison to County, State and US
Data for each community is compared to Miami Dade County, Florida and the US. Data for
each community is included in the county data, just as data for Miami Dade County is
included in Florida rates. However, Florida is not part of the NCI SEER program, and
therefore not reflected in the US rates.
Cancer Incidence
In Florida, as in all states, cancer is a reportable disease. All newly diagnosed cases in Florida
are reported to the Florida Cancer Data System (FCDS), as required by state law.2
Number of Cancer Cases
New (incident) cancer cases were selected by the address of residence at the time of
diagnosis using FCDS data geo-coded at the Census Tract level. The number of cases for
each Census Tract (Appendix A) was combined to calculate the community rate. Data from
FCDS for the most recent 10 year period were used to ensure numbers large enough for
small geographic areas such as the communities in our profile series.
Miami Gardens
7
Table 3 shows the average annual number of new cancers among Miami Gardens residents
during the 10-year period, 2004-2013.
Table 3: Average annual number of cases
by cancer site: Miami Gardens, 2004-2013
Cancer Site
Avg. Annual Number
Breast
82
Cervical
8
Colorectal
45
Lung
46
Oral
8
Prostate
82
Others
211
ALL CANCERS
481
Source: Florida Cancer Data System (FCDS)
NOTE: Rates based on less than 10 cases may be unreliable.
Table 4 compares age-adjusted incidence rates for Miami Gardens with Miami Dade County,
Florida and the US. Sites for which the rate is at least 1% higher than the county rate are
marked with an arrow ().
Table 4: Age-adjusted incidence rates by cancer site: Miami Gardens, Miami Dade County,
Florida and US
Miami Gardens
Miami Dade County
Florida
US
Age- Adjusted Rates
Cancer Site
Breast
140.4 
102.5
111.2
124.6
Cervical
14.2 
10.2
8.8
7.8
Colorectal
47.3 
44.7
40.0
43.7
Lung
50.3 
46.4
64.3
60.1
Oral
Prostate
ALL CANCERS
7.8 
10.2
12.3
11.0
190.6 
124.6
113.3
147.8
490.8 
404.3
428.3
460.4
Source: FCDS (local and state), SEER (US)
Miami Gardens
8
Late Stage at Diagnosis
The percent of cases diagnosed at late stages is an indicator of the need to increase early
detection of cancers for which screening tests are available. The Summary Staging system
reports cases as in-situ, local, regional, distant or unknown stage. Late stage is defined as
regional plus distant stage. In-situ and unknown stage cases were excluded from the
calculations.
The significance of the percentage of late stage cancers varies by type of cancer. For
example, most lung cancers are found at late stage, while few prostate cancers are. For
cervical cancer, the numbers do not include pre-cancerous and in-situ cases, only invasive
cancers.
Table 5 compares the percent of cases diagnosed at late stage in Miami Gardens with Miami
Dade County, Florida and the US. Sites for which the rate is at least 1% higher than the
county rate are marked with an arrow ().
Table 5: Percent of cancers diagnosed at late stage by cancer site: Miami
Gardens, Miami Dade County, Florida and US
Miami Gardens
Miami Dade County
Florida
US
Percent Late Stage
Cancer Site
Breast
48% 
39%
35%
38%
Cervical
67% 
56%
54%
51%
Colorectal
67% 
60%
58%
58%
Lung
67%
79%
78%
84%
Oral
71%
70%
67%
68%
Prostate
10%
13%
13%
16%
Source: Liberty City, Miami Dade and Florida data (2004-2013) from FCDS. US data from SEER (2007-2011)
Miami Gardens
9
Cancer Mortality
Cancer is the second leading cause of death in the US, Florida and Miami Dade County. 3,4
Death certificates are the source of data on mortality; if cancer is listed as the cause of death,
it is counted.
The number of deaths by Census Tract for 2006-2010 is available on the Florida CHARTS5 for
all cancer combined, as well as for breast, lung, colorectal and prostate cancers. Their tables
use 2000 Census Tracts which are all not compatible with 2010 Tract numbers. Since this
profile combines Census Tracts using the 2010 tract numbers, we are not able to show
mortality data at the community level at this time.
Table 6 shows age-adjusted mortality rates for Miami Dade County, Florida and the US.
Overall, rates in Miami Dade County are lower than for Florida and the US.
Table 6: Age-adjusted mortality rates by cancer site: Miami Dade County,
Florida and US
Cancer Site
Miami Dade
Florida
US
Breast
18.0
18.6
22.2
Cervix
2.4
2.4
2.3
Colorectal
14.0
13.0
15.9
Lung
28.7
42.1
48.4
Oral cancer
1.6
2.4
2.5
Prostate
20.2
16.9
22.3
All Cancers
129.8
146.5
173.8
Source: Florida Cancer Data System, Florida CHARTS
Miami Gardens
10
APPENDIX A
Miami Gardens Census Tracts
4.02
4.14
5.01
94
95.01
95.03
95.04
98.07
99.01
99.03
99.04
99.05
99.06
100.01
100.06
100.09
100.10
100.11
100.12
Miami Gardens
11
APPENDIX B
Resources
University of Miami Sylvester Comprehensive Cancer Center
Jay Weiss Institute for Health Equity
www.sylvester.org/jw
Disparities and Community Outreach Core
http://sylvester.org/shared-resources/disparities-and-community-outreach
CENSUS DATA
U.S. Census Bureau
www.census.gov
American Community Survey
American Fact Finder
http://www.census.gov/acs/www/
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
Maps & Geographic Data
www.census.gov/geography.html
Population & Economic Data
www.census.gov/topics.html
NATIONAL CANCER INSTITUTE
Surveillance, Epidemiology and End Results (SEER)
http://seer.cancer.gov/
Center for Disease Control and Prevention - Cancer Datawww.cdc.gov/cancer/dcpc/data/
Behavioral Risk Factor Surveillance System
www.cdc.gov/brfss/
FLORIDA DEPARTMENT OF HEALTH
Florida Cancer Data System
http://fcds.med.miami.edu
Community Health Assessment Resource Tool Set (CHARTS)
http://www.floridacharts.com/charts/default.aspx
SOUTH FLORIDA
Health Council of South Florida – Miami Maters
www.miamidadematters.org/
Switchboard Miami
http://switchboardmiami.org/
OTHER RESOURCES
Community Commons, Maps and data: http://www.communitycommons.org/maps-data/
Community Health Needs Assessments: http://assessment.communitycommons.org/CHNA/
Health Communities Institute:
Miami Gardens
http://www.healthycommunitiesinstitute.com/
12
APPENDIX C
Summary Tables for All Communities and Miami Dade County
Table 1. Population, Race, Hispanic Origin and Age for Miami Dade County Communities
Hialeah
Total Population
226,430
Liberty
City
39,585
Little
Miami
Havana
Gardens
30,642
73,464
111,761
Little Haiti
Opa Locka Overtown
28,365
13,070
South
Miami Dade
Dade
County
208,491
2,549,075
Race
White
94%
13%
21%
89%
22%
41%
33%
71%
76%
Black
2%
84%
75%
7%
74%
56%
62%
22%
16%
Other
4%
2%
5%
4%
4%
3%
5%
6%
8%
Ethnicity
Hispanic
95%
15%
21%
95%
24%
43%
33%
63%
23%
Non-Hispanic
5%
85%
79%
5%
76%
57%
67%
37%
77%
Country of Origin for Hispanics
Cuba
78%
14%
22%
43%
39%
61%
36%
46%
29%
Central America
9%
45%
31%
41%
19%
15%
32%
15%
11%
South America
7%
4%
15%
7%
12%
3%
6%
11%
17%
Puerto Rico
Dominican
3%
2%
17%
12%
17%
10%
2%
3%
13%
11%
9%
8%
14%
9%
10%
4%
21%
4%
Mexico
1%
7%
3%
2%
3%
4%
3%
13%
14%
93%
19%
62%
94%
29%
50%
40%
64%
27%
19%
14%
22%
26%
11%
12%
16%
9%
19%
Language
Speak language
other than English at
Age
Percent Age 65+
Miami Gardens
13
Table 2: Socioeconomic Measures
Hialeah
Liberty
City
Little Haiti
Little
Miami
Havana
Gardens
Opa Locka Overtown
South
Miami Dade
Dade
County
$43,100
Income, Education and
Employment
Median household income
$33,134
$21,671
$21,646
$23,019
$42,763
$27,894
$15,287
$45,322
High school/GED diploma
36%
42%
32%
34%
37%
36%
29%
31%
28%
Age 16+ unemployed
13%
27%
23%
10%
16%
13%
28%
15%
12%
25%
47%
45%
34%
21%
31%
51%
23%
20%
37%
27%
40%
44%
28%
35%
30%
32%
30%
Number of Housing Units
69,009
12,847
9,616
26,963
31,902
8,885
5,011
56,900
828,031
Average Household Size
3.3
3.1
3.1
2.7
3.5
3.2
2.4
3.6
3.0
Owner occupied units
48%
29%
22%
17%
64%
39%
9%
58%
56%
Population below the Federal
Poverty limit
Health Insurance
Population with no health
insurance (before ACA)
Household and Housing
Table 3: Average annual number of cases by cancer site: 2004-2013
Hialeah
Liberty
City
Little Haiti
Little
Miami
Havana
Gardens
Opa Locka Overtown
South
Miami Dade
Dade
County
Cancer Site
Breast
174
27
14
51
815
14
9
108
1439
Cervical
19
5
4
5
76
2
2
9
130
Colorectal
150
22
14
52
449
14
8
74
1104
Lung
146
25
12
53
459
14
11
82
1122
Oral
33
5
4
10
80
2
3
19
250
Prostate
ALL CANCERS
183
30
29
50
821
20
11
84
1423
1,272
189
141
420
481
114
85
721
11,106
NOTE: Rates based on less than 10 cases may be unreliable.
Miami Gardens
14
Table 4: Age-adjusted incidence rates by cancer type
Hialeah
Liberty
City
Little Haiti
Cancer Type
Little
Miami
Havana
Gardens
Opa Locka Overtown
South
Miami Dade
Dade
County
113.1 
102.5
Age- Adjusted Rates per 100,000
Breast
111.8 
Cervical
Colorectal
Lung
132.3 
83.7
106.5 
140.4 
91.7
111.6 
16.7 
24.3 
24.4 
12.1 
14.2 
11.3 
32.8 
9.5
10.2
48.3 
59.9 
45.1
51.2 
47.3 
50.8 
54.8 
44.4
44.7
46.9
68.6 
37.8
53.4 
50.3 
49.9 
72.6 
49.3 
46.4
Oral
11.9 
12.4 
13 
11.1
7.8 
9.3
19.9 
10.7
10.2
Prostate
131.6 
203.9 
185.8 
112.4
190.6 
168 
156 
108.2
124.6
ALL CANCERS
425.8 
523.4 
450.4 
438.8
490.8 
421.9 
564.2 
417 
404.3
South
Miami Dade
Dade
County
56% 
42% 
39%
Table 5: Percent of cancers diagnosed at late stage by cancer type
Hialeah
Liberty
City
Little Haiti
Little
Miami
Havana
Gardens
Percent Late Stage
Cancer Type
Breast
Opa Locka Overtown
42% 
49% 
50% 
Cervical
57%
58% 
59% 
47%
67% 
73% 
50% 
59% 
56%
Colorectal
60%
55% 
50%
58%
67% 
71% 
65% 
61%
60%
Lung
80%
83% 
86% 
85% 
67%
84% 
83% 
83% 
79%
Oral
71%
68%
62%
71%
71%
68%
74% 
72% 
70%
11% 
19% 
15% 
13%
10%
13%
19% 
15% 
13%
Prostate
Miami Gardens
42% 
48% 
39%
15
ACKNOWLEDGEMENTS
The following contributed to these Community Profiles:
Dorothy Parker, MHS, JWI Manager, Community Outreach
Cynthia Lebron, MPH, JWI Community Research Associate
Martha Gonzalez, MA, JWI Manager, Disparities and Community Outreach Core
Dinah Trevil, JWI Community Research Associate
Suzanne Lechner, PhD, Research Associate Professor, Department of Psychiatry
Joshua Sznol, MSPH
Huilin Yu, UM graduate student
Florida Department of Health and the Florida Cancer Data System
Data from the Florida Cancer Data System used to prepare this report was acquired
from the Florida Department of Health, with approval from Department of Health
Institutional Review Board and the Bureau of Epidemiology.
Florida Cancer Data System Statement
The Florida cancer incidence data used in this report were collected by the Florida
Cancer Data System under contract with the Department of Health (DOH). The views
expressed herein are solely those of the author(s), and do not necessarily reflect those of
the contractor of DOH.
REFERENCES
1
http://seer.cancer.gov/seerstat/tutorials/aarates/definition.html
2
http://fcds.med.miami.edu/inc/lawsrules.shtml
3
http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
4
http://www.floridacharts.com/Charts/atlas/mortality/2011/Leading_Cause_Age_Group_2011.pdf
5
http://www.floridacharts.com/maps/chart_ct_map/charts2.html
Miami Gardens
16
×

Report this document