community health nursing

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NUR448_SecondaryDataTemplate2.docx

Secondary Data Table Template

The data obtained on this table is to be used to assess community health needs and to identify health disparities within a community.

City/Town/Village Name: ________________________State: _______________Zip Code: _______ Population: __________

Vital Statistics

County Statistics

State Statistics

Age Distribution

Race/Ethnicity

Births

Deaths

Gender/Sex

Add lines as needed

Health Behaviors

County Statistics

State Statistics

Example: Adult smoking

12%

14%

Adult Smoking

Physical inactivity

Excessive drinking

Alcohol-impaired driving deaths

Sexually transmitted infections

Teen births

Clinical Care (5)

County

State

Example: Uninsured

10%

12%

Uninsured

Example: Primary Care Physicians

680:1

1,200:1

Primary care physicians

Dentists

Mental health providers

Preventable hospital stays

Diabetic monitoring

Mammography screening

Social & Economic Factors

County

State

High school graduation

Some college

Unemployment

Children in poverty

Income inequality

Children in single-parent households

Social associations

Violent crime

Injury deaths

Physical Environment

County

State

Air pollution - particulate matter

Drinking water violations

Severe housing problems

Driving alone to work

Long commute - driving alone