Priority Area: Physical Health
Goal 1: People of all ages engage in behaviors that promote physical health and reduce the risk of chronic diseases.
Objective 1.1 More infants are fed human breastmilk.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
1.1.1.% of infants fed human breastmilk 81.7% of infants fed human breastmilk(2019)3% increase 84% of infants fed human breastmilk PA Birth Certificates 1.1.2. % of infants fed human breastmilk for 8+ weeks 80.7% of infants fed human breastmilk for 8+ weeks(2015)N/A Pending 2022 Allegheny County Pregnancy Risk Assessment PRAMS
Objective 1.2 More children, teens, and adults have healthy eating behaviors.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Source
1.2.1.
% of adolescents who weekly consume fruit
91% of adolescents weekly consume fruit
(2018)
3% increase
93.7% of adolescents weekly consume fruit
YRBS
1.2.1.
% of adolescents who weekly consume vegetables
84% of adolescents weekly consume vegetables
(2018)
3% increase
86.5% of adolescents weekly consume vegetables
YRBS
1.2.2.
% of adolescents who weekly consume sugar-sweetened beverages
68% of adolescents weekly consume sugar-sweetened beverages
(2018)
5% decrease
64.6% of adolescents weekly consume sugar-sweetened beverages
YRBS 1.2.3.
% of adults who consume 5+ servings of fruits and/or vegetables per day
11% of adults daily consume 5+ servings of fruits and/or vegetables
(2019)
45% increase
16% of adults daily consume 5+ servings of fruits and/or vegetables
BRFSS
1.2.4.
11.2% of residents are food insecure
(2020)
10% decrease
10.1% of residents are food insecure
Feeding America
Objective 1.3 More children, teens, and adults are physically active.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
1.3.1.
% of adolescents who are physically active
84% of adolescents report being physically active each week
(2018)
5% increase
88% of adolescents report being physically active each week
YRBS
1.3.2.
22% of adults report no leisure-time physical activity in the past month
(2020)
9% decrease
20% of adults report no leisure-time physical activity in the past month
BRFSS
1.3.3.
Miles of accessible recreational trails
N/A N/A
+50 miles of trails with at least 15 miles in environmental justice communities
Allegheny County Economic Development (ACED)
Objective 1.4 Fewer people use tobacco products, including vaping.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
1.4.1.
% of adolescents using tobacco
12% of adolescents report tobacco use
(2018)
10% decrease
10.8% of adolescents report tobacco use
YRBS
1.4.1.
% of adolescents using e-cigarettes
27% of adolescents report e-cigarette use
(2018)
10% decrease
24.3% of adolescents report e-cigarettes use
YRBS
1.4.2.
12% of adults report daily tobacco use
(2020)
10% decrease
10.8% of adults report daily tobacco use
BRFSS
Strategies
Increase the number of trained lactation support professionals, especially people of color.
Increase healthy food choices at child care programs, preschools, schools, after-school programs, family centers, senior centers, home-delivered meals and health care facilities.
Provide assistance to community groups to promote healthier food and drink choices.
Expand access to and affordability of groceries that include fresh fruits and vegetables in the county, including increasing WIC approved grocery stores.
Expand participation in Live Well Allegheny, and similar programs that promote physical activities, and increase access to outdoor and indoor walking paths or sites that include access for those with physical and behavioral needs.
Promote the use of tobacco free services and the PA Quit Helpline and educate the community on the impact of second-hand smoke.
Support health insurer and employer-based wellness programs, including programs that support breastfeeding, healthy diets and physical activity.
Goal 2: All people have appropriate places to obtain medical and dental care.
Objective 2.1 More infants and children have age-appropriate preventive medicine visits as recommended by the American Academy of Pediatrics.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
2.1.1.
% of infants and children who meet HEDIS guidelines for preventive medicine visits
Pending
5% increase
Pending
Pennsylvania Pediatric Health Network
2.1.2.
% of teens have annual preventive medicine visit
72% of teens have annual preventive medicine visit
(2018)
8% increase
78% of teens have annual preventive medicine visit
Pregnancy Risk Assessment Monitoring System (PRAMS)
Objective 2.2 More people have at least one dental visit a year.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Healthy People 2030 Target
Data Source
2.2.1.
% of children who had dental visit in past year
Pending
5% increase
Pending
N/A
PA Medicaid data, PA Pediatric Health Network
2.2.2.
% of teens who had dental visit in past year
71% of teens had dental visit in past year
(2018)
5% increase
74.5% of teens had a dental visit in the past year
N/A
YRBS 2.2.3.
31% of adults did not have dental visit in the past year
(2020)
10% decrease
28% of adults did not have a dental visit in the past year
N/A
BRFSS
Objective 2.3 More adults identify a usual source for primary care services.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
2.3.1.
83% of adults have a personal health care provider
(2020)
5% increase
87% of adults have a personal health care provider
BRFSS
2.3.2.
6% of adults (age 18-64) do not have health insurance
(2020)
10% decrease
5.4% of adults (age 18-64) do not have health insurance
BRFSS
Strategies
Increase the use of community health workers (CHWs), peer navigators, or other services that connect individuals to needed health care services, especially preventive care.
Advocate to get the work of CHWs designated as reimbursable costs by Medicare and Medicaid.
Increase the number of dental providers who accept Medicaid.
Increase the number of dental providers (dental assistants, dental hygienists and dentists) in the county.
Promote the use of Pennsylvania’s online health and dental insurance marketplace (PENNIE) and the work of community-based organizations to help enroll people in health insurance, including Medicaid, Children’s Health Insurance Program (CHIP), and the marketplace, including people recently released from incarceration.
Promote and support use of telemedicine when appropriate, especially for primary care clinics, that care for people with public health insurance or are uninsured.
Identify and reduce gaps in care needs and support policy changes to Medicaid and Medicare.
Increase access to transportation to get people to medical appointments.
Goal 3: Decrease disparities in life expectancy and chronic diseases in Allegheny County.
Objective 3.1 Reduce the racial disparity in infant and maternal mortality.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
3.1.1. Infant mortality rate for Black children 16.2 infant deaths per 1,000 live births(2019)40% decrease 10 infant deaths per 1,000 live births PA Death Certificate 3.1.2. Sleep-related infant mortality rate (3-year average) 7.5 sleep-related infant deaths per 10,000 live births(2017-2019)20% decrease 6.0 sleep-related infant deaths per 10,000 live births(2025-2027)PA Death Certificate 3.1.3. Disparity in 5-year average death rate among people who gave birth in past 3 years Pending Decrease Pending PA Death Certificate
Objective 3.2 Reduce the disparity in mortality rates from chronic diseases (diabetes, hypertension, heart disease, cancer).
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Data Source
3.2.1. Heart disease mortality rate for all residents 186 deaths per 100,000 residents(2019)9% decrease 170 deaths per 100,000 residents PA Death Certificate 3.2.2. Heart disease mortality rate for Black residents 267.9 deaths per 100,000 Black residents(2019)7% decrease 250 deaths per 100,000 Black residents PA Death Certificate 3.2.3. Diabetes mortality rate for all residents 17 deaths per 100,000 residents(2019)12% decrease 15 deaths per 100,000 residents PA Death Certificate 3.2.4. Diabetes mortality rate for Black residents 34.1 deaths per 100,000 Black residents(2019)12% decrease 30 deaths per 100,000 Black residents PA Death Certificate
Objective 3.3 Reduce the disparity in life expectancy.
Outcome Indicators
Outcome Indicator
Baseline
PHA Impact
PHA Target
Healthy People 2030 Target
Data Source
3.3.1. Life expectancy for Black residents 71.4 years of age(2018-2020)4% increase 74 years of age N/A County Health Rankings 3.3.2. Premature mortality rate for Black residents 660 premature deaths per 100,000 Black residents(2018-2020)6% increase 620 premature deaths per 100,000 Black residents N/A County Health Rankings 3.3.3. Life expectancy for all residents 77.9 years of age(2018-2020)1.5% increase 79 years of age N/A County Health Rankings
Strategies
Support and promote the Allegheny County BIRTH Plan for Black Babies and Families: Battling Inequities & Realizing Transformational Health Outcomes.
Increase participation in Allegheny County’s Hello Baby program and other programs that support the creation of healthy and safe family environments, including those that work to reduce sleep-related deaths.
Increase community-based screening and education for diabetes, hypertension and cancer.
Support and promote programs that reduce all tobacco product use.
Support regional transportation providers to expand services in areas with a higher proportion of residents of color and reduce fares for low-income residents.
Support and promote efforts to reduce air pollution and other environmental exposures in environmental justice communities.
Increase the number of health care providers of color.
Abbreviations
- YRBS: Youth Risk Behavior Surveillance System
- BRFSS: Behavioral Risk Factor Surveillance System
- PRAMS: Pregnancy Risk Assessment Monitoring System
- HEDIS: Healthcare Effectiveness Data and Information Set