Beruflich Dokumente
Kultur Dokumente
Esperanza Cantú,
from the Detroit Health
Department, leads the
youth visioning session
with a young artist.
Many residents, stakeholders, and organizations contributed to this report. We thank them for their contributions and expertise.
For more information, please contact the Detroit Health Department at detroitcha@detroitmi.gov.
3
Table of Contents
Letter from Mayor..............................................................2 What does a healthy Detroit look like to you?....................10
Community members discuss ‘What a Healthy Detroit Means to The Detroit Health Department’s Lead Community Outreach team
Me’ during the Detroit Health Department visioning session. walks door-to-door in the community to provide lead education.
Our Timeline
SisterFriends Detroit
Ms. Joyce Penn, a SisterFriends Detroit
volunteer, holds baby Camry during the
SisterFriends Detroit Baby Shower. Mentors
are key in providing community-based
support to pregnant moms and their babies.
Community Events
The Detroit Health Department attends
community events throughout the year.
The Safe Summer Youth Jam is an annual
event held at Butzel Family Center in
June and encourages youth to have a
safe, healthy, and peaceful summer.
DETROIT AT A GLANCE Our living conditions and access to resources affect our health
and quality of life. One way to assess community health is by
• Geography: 139 square miles of land, 143 square miles measuring how long we are expected to live. The average life
including water
expectancy in Michigan is 78 years; Detroit’s life expectancy
• Population: 651,802 residents is lower in nearly every neighborhood. Another way to assess
• Population Breakdown: Race – 83.2% African-American, community health is through self-rated health status. Between
14.4% White, 7% Asian & Pacific Islander, and 0.7% Native 2014 and 2016, twenty-eight percent (28%) of Detroiters ranked
American; Ethnicity – 8.4% Hispanic or Latinx (Any Race) their health as“fair or poor” in comparison to 18% statewide.
• Strength: Deep and rich cultural history providing great Together we can use these data to build highly-localized and
scholarship, cultural and industrial legacies across the nation. community-relevant interventions to improve the health and
• Challenges: Faced with structural injustices such as red-lining quality of life of our residents.
and historical disinvestment continually impacting Detroiters
today. Detroit has the highest percentage of poverty in any
major U.S. city, with 38% of all Detroiters living in poverty.
Michigan
78 YRS 62 69 73 76 87
Maternal Mortality
32
12
Detroit Michigan
Source: Michigan Department of Health Cerenzi and her baby Camry participate in the SisterFriends Baby
and Human Services (2011-2015) Shower. Little Sisters (pregnant women) receive access to resources
to support healthy pregnancy and birth experience.
0.0 - 12.0
12.0 - 18.0
18.0 - 23.8
No Data/Unavailable
No Data/Unavailable
% of immunization coverage, % of children meeting school
19-35 months* immunization requirements
Source: Michigan Department of Health and Human Services (2016)
Detroit Michigan
70 27%
27
15%
Teen pregnancy rate % of youth who did not use any method to prevent
(per 1,000 births) pregnancy during last sexual intercourse
50% 32 39
8 24
31%
Adults with no dental visit in the past year Incident Rate of HIV per 100,000 Drug poisoning deaths related to
Heroin or Opioids per 100,000
Detroit Michigan Detroit Michigan
Detroit Michigan
Source: Michigan Behavioral Risk Factor Source: Michigan Department of Health
Surveillance System (2014-2016) and Human Services (2017) Source: Michigan Department of Health
and Human Services (2016)
Health Behaviors
Living conditions and our access to social and health services activity, contributing to higher rates of obesity than those at the
impact health behaviors. People living under strained conditions state level. Detroit adults are also more likely to smoke. Detroit
without these services are more likely to abuse drugs and alcohol, high school students are more likely to get a low amount of physical
and less likely to develop habits that prevent injuries and promote activity and eat vegetables less regularly, contributing to higher
safety. Detroit adults are more likely to get no regular physical rates of obesity.
35% 37%
33% 31%
25% 24%
21% 19%
16% 17%
10%
7%
No physical Currently Obesity Low physical Does not regularly Obesity
activity smoking activity eat vegetables
Detroit Michigan Detroit Michigan
Source: Michigan Behavioral Risk Factor Surveillance System (2014-2016) Source: Michigan Youth Risk Behavioral Surveillance System (2017)
10
Social and
Clinical Care Economic
Factors
20%
10% 40%
Behavior Social
30%
Physical “ Health is a state of complete physical, mental and
Environment social wellbeing and not merely the absence of
disease or infirmity.”
Behaviors From “A System of Prevention:
– World Health Organization, 1946.
Achieving Health Safety, and
Wellbeing for All”, 2019
Community Gardens
Community Gardens
Large-Scale Urban
Farming (>1 acre)
City Council Districts
Source: Detroit Food Map Initiative based on data from Keep Growing Detroit,
City Commons, and Detroit Agriculture Network. Note that this map may not
capture all community gardens in Detroit.
12
District #1 Health
16% District #1
Did not graduate high school
20% Detroit
Residents of District 1 report strong social support Source: American
in their community, and the district has higher 20%
Households without a vehicle Community Survey
levels of education and lower poverty than the 25% (2013-2017)
city overall. District 1 residents care about their 30%
schools, and recognize the importance of Families living in poverty
33%
addressing mental health in their community.
41%
Households without internet
45%
Social Support
Community Story: One way social networks support Someone to confide in or talk
36% 12%
residents’ success is by providing positive relation- to about myself or my problems
ships that result in a connection to other social service Someone to take me to the
supports. We talked to a resident who believes there 42% 20%
doctor if I had to go
should be more support for programs like Detroit Police
Someone to help me with my
Athletic League (PAL), which helped him develop 32% 23%
daily chores if I was sick
positive relationships in his neighborhood. “…I played
PAL football on a neighborhood team, which allowed Someone to loan me a small
22% 22%
amount of money if I needed it
me to have some interaction and develop relationships
with kids in my neighborhood since I didn’t go to 0% 20% 40% 60% 80% 100%
school with them.”
All of the time A little of the time
– Resident, 48235 All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time
Community Story: People in District 1 agreed What District 1 residents said was very important to
public transportation was one of the top five their quality of life
0% 20% 40% 60% 80%
things supporting their neighborhood quality
of life. One resident tells the story of her fellow Schools 81%
church-goer and neighbor who struggles with his Grocery Stores 78%
diabetes and often feels isolated. She recognizes Programs to help people find jobs 77%
it takes resources to help people stay in their Public Transportation 75%
homes and engaged in their communities. Of Childcare for babies and young children 69%
her neighbor she says, “He would love to come Community Organizations 69%
out and socialize but transportation is a real Parks and Recreation Centers 68%
challenge for him. He is handicapped, and he Small Businesses 66%
has to find someone [to help him get] in and out of Places of Worship 62%
the car.” Fortunately, his church is able to provide Art or Cultural Institutions 55%
him transportation so that he can go to church Block Clubs 53%
and socialize with others while he is there.
– Resident, 48219 0% 20% 40% 60% 80%
District #2 Health
15% District #2
Did not graduate high school
20% Detroit
District 2 residents care about the health and wellbeing
Source: American
of the children in their community. Children’s health is 22%
Households without a vehicle Community Survey
a top priority for District 2, where schools were most 25% (2013-2017)
frequently cited as a quality of life asset. Furthermore,
28%
child abuse, neglect, childhood lead poisoning prevention, Families living in poverty
33%
and healthcare for infants and children were consistent
public health priorities. 42%
Households without internet
45%
Social Support
Community Story: One challenge faced by our older Someone to confide in or talk
43% 15%
adult residents is social isolation. The need for to about myself or my problems
support and connection emphasizes the importance Someone to take me to the
of community places where people can gather and 49% 15%
doctor if I had to go
connect. One of our older adult residents who lives
Someone to help me with my
in an assisted living facility discussed with us how 42% 11%
daily chores if I was sick
nice it is to live close to the Northwest Activity Center.
“[The] community center provides games such as Someone to loan me a small
26% 26%
amount of money if I needed it
checkers and family feud. It’s a lot of fun.”
– Resident, 48235 0% 20% 40% 60% 80% 100%
Community Story: Residents in District 2 indicate What District 2 residents said was very important to
schools, grocery stores, jobs, transportation, and their quality of life
0% 20% 40% 60% 80%
community organizations are vital to the health
of the community. We talked with a resident who Schools 88%
discussed the importance of after school programs Grocery Stores 86%
for children. He says, “When I was growing up, a Programs to help people find jobs 82%
village raised a child.” He says more after-school Public Transportation 81%
programs are needed and children need more Community Organizations 76%
parental support at home. “After-school programs Small Businesses 74%
keep our children out of trouble.” Parks and Recreation Centers 72%
– Resident, 48235 Childcare for babies and young children 69%
Places of Worship 69%
Block Clubs 52%
Art or Cultural Institutions 52%
The GOAL (Get On And Learn) Line is one Child abuse/neglect 72%
example of a city initiative aiming to address Childhood lead poisoning 70%
the after-school challenges. Since August 2018, Health care for infants and children 69%
Northwest Detroit families have benefited from Affordable housing 69%
an unprecedented partnership between charter Access to healthy food 68%
school operators, Detroit Public Schools Elder abuse/neglect 67%
Community District, teachers, parents, multiple Mental health 65%
foundations, and city leaders to improve Pollution of air and water 65%
educational opportunity for Detroit students. Domestic violence 64%
The GOAL Line transports K-8 students from Illegal drug use 63%
ten schools to the participating school of their Health care for pregnant women 62%
choice and then to the after-school program Diabetes 59%
located at Northwest Activity Center. For more Services for returning citizens 58%
information, please visit the following link: Unintended teen pregnancy 58%
goaldetroit.org/ Alcohol abuse 57%
Tobacco use 50%
Stray animals 50%
District #3 Health
20% District #3
Did not graduate high school
20% Detroit
Residents of District 3 show a strong concern for the
Source: American
most vulnerable members of their community. A very Households without a vehicle
20%
Community Survey
high proportion of residents cited abuse and neglect for 25% (2013-2017)
children and older adults as their top two priorities to
33%
improve community health. Many residents in District 3 Families living in poverty
33%
also have strong social support networks compared to
the other districts. 49%
Households without internet
45%
Social Support
Community Story: Residents in District 3 What District 3 residents said was very important to
identified access to healthy, affordable their quality of life
food as a significant priority improving 0% 20% 40% 60% 80%
District #4 Health
19% District #4
Did not graduate high school
20% Detroit
District 4 residents reported having strong social Source: American
support and concern for the health and wellbeing 24%
Households without a vehicle Community Survey
of young children. They identified schools, parks, 25% (2013-2017)
and recreation centers as their top quality of life 36%
assets. They ranked child abuse and neglect, mental Families living in poverty
33%
health, and healthcare for infants and young children
among their top three priorities. 47%
Households without internet
45%
Social Support
Community Story: One resident describes how his Someone to confide in or talk
35% 20%
neighborhood has become less populated, but is to about myself or my problems
getting better overall. He said, “Houses in the area are Someone to take me to the
being restored all the time.” He also acknowledged 44% 18%
doctor if I had to go
Hope House as a community resource where
Someone to help me with my
adolescents can learn important life skills. 35% 32%
daily chores if I was sick
– Resident, 48215 Someone to loan me a small
26% 33%
amount of money if I needed it
Hope House’s activities and programs include
Teen Council, Bible Study, Girls’ Club, Guy’s Group, 0% 20% 40% 60% 80% 100%
and more. For more information, please visit:
All of the time A little of the time
hopehousedetroit.org/ All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time
Community Highlight: The importance of parks What District 4 residents said was very important to
and green space was identified by District 4 their quality of life
0% 20% 40% 60% 80%
residents as an important contributor to health
and quality of life. Eastside Community Network Schools 84%
(ECN), formerly known as the Warren/Conner Parks and Recreation Centers 84%
Development Coalition, is an organization Programs to help people find jobs 83%
working with residents and partners driving Public Transportation 80%
lasting, positive change in neighborhoods and Grocery Stores 80%
communities. Their mission is to develop people, Community Organizations 76%
places, and plans for sustainable neighborhood Childcare for babies and young children 74%
growth on Detroit’s Eastside. In 2015, ECN Small Businesses 72%
worked with multiple community partners such Places of Worship 68%
as St. John Providence Hospital, Chandler Park Block Clubs 56%
Conservancy, Detroit Community Academic Art or Cultural Institutions 55%
Urban Research Center, Gensler, and DHD. ECN
enhanced the social and urban infrastructure at 0% 20% 40% 60% 80%
Chandler Park, and made an impact on physical
activity and other lifestyle changes. They continue Source: University of Michigan Detroit
to work with residents and other community District #4 Detroit Metropolitan Area Community Study (2018)
partners to drive positive transformations on
the east side of Detroit. For more information,
please visit: ecn-detroit.org
District #5 Health
20% District #5
Did not graduate high school
20% Detroit
District 5 residents consider grocery stores an Source: American
35%
important quality of life asset in their community. Households without a vehicle Community Survey
25% (2013-2017)
They also consider access to healthy food as the
most important priority to address. Residents in 34%
Families living in poverty
this district struggle with access to transportation, 33%
ranking it as another important priority to address.
49%
Households without internet
45%
Social Support
Community Story: Residents in District 5 agree What District 5 residents said was very important to
grocery stores and access to healthy food are their quality of life
0% 20% 40% 60% 80%
important contributors to health in their
neighborhoods. One resident describes his Grocery Stores 82%
challenges with food, saying that “[he] shops Parks and Recreation Centers 78%
everywhere because [he] is mobile,” but overall Public Transportation 78%
says we are disconnected from our food. He says Schools 74%
that WIC and Project Fresh are good programs, Programs to help people find jobs 67%
but “[there is a] lack of information. People Small Businesses 66%
don’t know what’s out there.” Art or Cultural Institutions 65%
– Resident, 48206 Childcare for babies and young children 63%
Community Organizations 60%
This lack of information about healthy food Places of Worship 59%
access and the connection to chronic disease Block Clubs 46%
is a challenge for residents and other decision
makers. This resident leader has stepped up 0% 20% 40% 60% 80%
to the challenge by creating a learning market
teaching people how to shop and cook, Source: University of Michigan Detroit
District #5 Detroit Metropolitan Area Community Study (2018)
emphasizing the importance of eating
together with others.
District #6 Health
35% District #6
Did not graduate high school
20% Detroit
District 6 residents consider grocery stores as an
Source: American
important quality of life asset in their community. 25%
Households without a vehicle Community Survey
Furthermore, they consider access to healthy food 25% (2013-2017)
as a very important priority. District 6 residents also 36%
place a significant value on programs helping people Families living in poverty
33%
find jobs in their community.
46%
Households without internet
45%
Social Support
Community Story: While we benefit from our social Someone to confide in or talk
39% 11%
networks and relationships, we also need coordinated to about myself or my problems
health and social services. One resident said, “There Someone to take me to the
are more health issues and barriers in the poor areas 39% 14%
doctor if I had to go
than in the growing neighborhoods, so as the city
Someone to help me with my
continues to grow we can’t continue to forget the basic 32% 19%
daily chores if I was sick
necessities those in the poor parts of the city need.”
Someone to loan me a small
– Resident, 48210 17% 21%
amount of money if I needed it
This is why it is important to focus services and 0% 20% 40% 60% 80% 100%
outreach in neighborhoods with the greatest needs.
All of the time A little of the time
All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time
District #7 Health
20% District #7
Did not graduate high school
20% Detroit
District 7 residents highlighted public transportation Source: American
as a very important asset to their quality of life in 22%
Households without a vehicle Community Survey
the community. Furthermore, they share a citywide 25% (2013-2017)
concern about the wellbeing of infants and children. 35%
They ranked child abuse and neglect as the highest Families living in poverty
33%
community health priority to address.
44%
Households without internet
45%
Social Support
The City has hundreds of block clubs and community 0% 20% 40% 60% 80% 100%
organizations that could use your support and activism.
All of the time A little of the time
We encourage residents to find out more by getting All of the time Most of the time Some of the time
Most of the time None of the time
engaged with your local Detroit Department of
A little
Some of the time
of the time None of the time
Neighborhood District Manager at detroitmi.gov/
departments/department-neighborhoods
Source: University of Michigan Detroit Metropolitan Area Community Study (2018)
25
Community Highlight: The Cody Rouge What District 7 residents said was very important to
Community Action Alliance Community their quality of life
0% 20% 40% 60% 80%
Development Corporation is a nonprofit
organization charged with achieving Public Transportation 81%
sustainable economic growth for the Schools 78%
entire Cody Rouge community. In Grocery Stores 77%
partnership with the Detroit Planning Programs to help people find jobs 73%
and Development Department, the Parks and Recreation Centers 73%
Skillman Foundation, General Motors, Community Organizations 69%
Joy-Southfield Community Development 68%
Childcare for babies and young children
Corporation, Trinity Health System, 66%
Places of Worship
and others, they are creating a community 59%
Art or Cultural Institutions
centered on children’s wellbeing. 57%
Small Businesses
For more information about the Cody Rouge 53%
Block Clubs
Community Action Alliance, please visit:
codyrouge.org/
0% 20% 40% 60% 80%
Many factors impact how long and how well we live. These The steps we take over the next couple of years to address the
include our socioeconomic status, where we live, living conditions, issues raised by our residents will undoubtedly define our city
access to social and health services, stress, health behaviors, and for generations to come. No government or organization can do
genetics. All these factors impact our health outcomes and quality this work alone, but together our vision for a city that allows all
of life. To make an impact on health equity, we need to improve people to have the opportunity to live the healthiest lives possible
the social determinants of health impacting our residents and can be achieved.
neighborhoods.
The Detroit Health Department will continue working with
We have tremendous residents, community partners, and local community stakeholders prioritizing our community health
assets helping us achieve our community’s vision for a healthier goals. Together, we will develop community action plans building
Detroit. While we acknowledge there are many challenges, we upon our current strengths and resources.
have also encountered many opportunities to positively impact
health. Our vision for this work is challenging but achievable: to establish
accountability for achieving healthy and thriving communities,
After reviewing input from almost 2,000 people, we are left with where all Detroiters engage and participate in a compassionate,
the goals identified below. Three of these goals will be prioritized coordinated public health system supporting complete well-being.
by the community and will become the foundation for a health
improvement plan.
3 Ensure the basic housing needs and health of residents are supported and sustained
by increasing access to safe and affordable homes in all neighborhoods.
4 Build safe and supportive neighborhoods with all residents through collaborative
social networks and community partners.