Rob Paral & Associates: Chronic Disease and Risk Factors among Seniors by Erica Knox

Chronic Disease and Risk Factors Among Seniors: Estimates Presented to

Age Options, Inc. By Rob Paral and Associates February, 2019

This report was prepared for AgeOptions to provide current information on the growing senior population of suburban Cook County, Illinois. AgeOptions helps older adults in suburban Cook County live their lives to the fullest by empowering them with information and resources. AgeOptions partners with a network of other nonprofit community-based organizations that serve older adults and their caregivers, and the organization connects seniors with programs and services in their community, such as: • In-home care • Adult day services • Telephone assistance to answer questions and link callers to the resources they need • Problem solving with information specialists concerning care needs • Nutritious meals • Intervention and education to prevent fraud, abuse, and neglect • Advocacy to protect the rights of older adults and assure that critical services are available • Employment and volunteering opportunities

Notes Sources of Data • The information in this report is primarily derived from data collected by the National Health Interview Survey in 2017. Data estimates of seniors with particular chronic diseases or risk factors were developed by Rob Paral and Associates. Geographic Area • This report focuses on suburban Cook County, Illinois, which is the portion of the county that excludes the city of Chicago. Population Definition • The term “seniors” in this report includes all persons aged 60 or more years.

Table of Contents Tables of Chronic Disease Breast Cancer Colon Caner Skin Cancer Cervical Cancer Ovarian Cancer Uterine Cancer Heart Condition/Disease Hypertension Stroke Obesity Pre-diabetes Diabetes Epilepsy Arthritis/rheumatoid arthritis/gout/lupus/fibromyalgia Tables of Risk Factors Current Smoker Physically Inactive Binge Drinker Methodology

Chronic Diseases National survey data was used to find the rates of chronic disease for the total senior population, and for senior populations by race and ethnicity. National Chronic Disease Rates by Race/Ethnicity Total

Ever had Breast Cancer Ever had cancer: Colon Skin cancer (any type)

Asian Black Hispanic or White - Other Not Not Latino Not Not Latino Latino Latino Latino 4.11% 3.67% 3.06% 3.08% 4.40% 4.01% 1.18% 2.82% 0.70% 0.56% 1.24% 0.25% 9.01% 0.65% 0.26% 1.71% 11.64% 2.76%

Ever Had Cervical Cancer*

1.02%

0.00%

0.68%

0.44%

1.19%

3.14%

Ever Had Ovarian Cancer*

0.35%

0.95%

0.07%

0.39%

0.00%

Ever Had Uterine Cancer*

0.83%

0.09%

0.54%

0.59%

0.91%

3.37%

Ever told had heart condition/disease Ever told had hypertension

15.36%

8.88%

11.91%

10.23%

16.93%

8.22%

57.80%

56.33%

74.34%

56.01%

55.91%

60.58%

Ever told had a stroke Obese

7.49% 31.67%

5.16% 13.57%

9.99% 39.15%

7.91% 31.59%

7.24% 31.72%

9.17% 38.17%

Ever told had prediabetic condition Ever told had diabetes

11.50%

16.15%

11.50%

13.24%

10.99%

12.13%

18.72%

20.84%

26.43%

31.89%

15.77%

35.91%

Ever had epilepsy or seizures Ever told had arthritis/rheumatoid arthritis/gout/lupus/fibromyalgia

1.51% 47.77%

0.49% 31.82%

2.28% 50.49%

0.52% 38.68%

1.57% 49.41%

3.16% 56.37%

*Rate for the female population.

Breast Cancer This table displays the estimated number of seniors who have ever had breast cancer per township by race/ethnicity. Township

Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+)

Breast Cancer Asian (60+)

39,593 181 350 722 934 137 16,798 325 864 621 680 248 800 1,030 1,482 602 1,290 1,135 335 412 1,118 961 647 1,187 659 110 156 1,162 346 1,191 1,630 1,480

2,434 28 16 7 19 1,048 7 71 20 100 5 20 23 182 32 242 97 13 14 42 75 13 33 7 2 1 173 6 11 103 26

Black (60+) Hispanic White Other or Latino (60+) (60+) (60+) 7,442 4,015 25,405 298 1 3 148 17 93 222 2 213 55 441 7 212 35 664 4 71 24 41 2 5,138 2,651 7,810 151 9 200 108 1 6 42 739 6 92 18 483 8 14 64 496 6 1 4 236 2 13 120 639 8 33 69 899 6 19 64 1,205 14 3 8 556 3 33 45 958 13 8 13 1,008 8 2 12 308 1 72 13 309 4 16 30 1,030 1 10 30 840 6 10 20 599 5 361 114 669 9 301 10 336 4 2 2 105 2 6 146 1 12 39 927 10 6 50 284 0 657 62 453 8 7 41 1,474 5 100 78 1,272 4

Colon Cancer This table displays the estimated number of seniors who have ever had colon cancer per township by race/ethnicity. Township

Total (60+)

Colon Cancer Asian (60+) Black (60+)

11,462 64 95 188 256 32 4,666 74 272 176 232 71 220 291 495 183 472 363 99 117 331 302 184 317 171 32 43 404 95 298 503 415

1,870 22 12 5 14 805 5 55 15 77 4 15 17 140 24 186 75 10 11 32 58 10 25 6 1 1 133 4 8 79 20

1,703 0 4 49 49 16 1,176 2 1 21 3 0 3 8 4 1 8 2 0 16 4 2 2 83 69 1 0 3 1 150 2 23

Hispanic or White Other Latino (60+) (60+) (60+) 726 7,144 18 0 42 17 63 0 10 124 0 6 187 0 4 11 0 479 2,196 9 36 30 0 8 208 0 3 136 1 12 139 0 1 66 0 22 180 0 12 253 0 12 339 1 1 156 0 8 269 1 2 283 1 2 87 0 2 87 0 5 290 0 5 236 0 4 168 0 21 188 1 2 95 0 0 29 1 41 0 7 261 1 9 80 0 11 127 1 7 414 0 14 358 0

Skin Cancer This table displays the estimated number of seniors who have ever had any type of skin cancer per township by race/ethnicity. Township

Skin Cancer Total (60+) Asian (60+) Black (60+) Hispanic or White Other Latino (60+) (60+) (60+) 431 634 2,229 67,185 205 70,683 5 0 1 392 399 3 1 52 588 1 645 1 18 31 1,165 4 1,220 3 18 20 1,756 2 1,800 6 13 107 1 128 186 438 1,471 20,655 104 22,854 1 1 111 285 1 399 13 1 23 1,954 4 1,995 3 8 10 1,276 6 1,303 18 1 36 1,311 4 1,369 1 0 2 624 1 628 4 1 66 1,691 5 1,767 4 3 38 2,378 4 2,427 32 2 35 3,186 9 3,265 6 0 4 1,470 2 1,483 43 3 25 2,533 9 2,612 17 1 7 2,666 6 2,696 2 0 7 816 1 825 2 6 7 817 3 836 7 1 16 2,724 0 2,749 13 1 17 2,222 4 2,256 2 1 11 1,583 3 1,601 6 31 63 1,768 7 1,875 1 26 5 890 3 925 0 0 1 277 279 0 0 3 385 0 390 31 1 22 2,452 7 2,513 1 0 28 752 0 781 2 56 35 1,198 6 1,296 18 1 23 3,897 4 3,942 5 9 43 3,365 3 3,424

Cervical Cancer This table displays the estimated number of female seniors who have ever had cervical cancer per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Cervical Cancer Total (60+) Asian (60+) Black (60+) 9,331 41 79 179 235 32 3,748 61 212 160 151 66 199 265 350 155 283 283 86 105 287 238 171 285 162 29 41 268 86 283 410 381

1,642 0 4 47 47 16 1,134 2 1 20 3 0 3 7 4 1 7 2 0 16 4 2 2 80 66 0 0 3 1 145 2 22

Hispanic or Latino (60+) 577 0 13 8 5 3 381 29 6 3 9 1 17 10 9 1 6 2 2 2 4 4 3 16 1 0 1 6 7 9 6 11

White (60+) 6,879 40 60 119 180 11 2,115 29 200 131 134 64 173 243 326 151 259 273 84 84 279 227 162 181 91 28 39 251 77 123 399 345

Other (60+) 233 1 5 3 1 118 1 5 6 5 1 6 5 11 2 10 6 1 3 0 5 4 7 3 0 8 0 7 4 3

Ovarian Cancer This table displays the estimated number of female seniors who have ever had ovarian cancer per township by race/ethnicity. Township

Total (60+)

Ovarian Cancer Asian (60+) Black (60+)

3,141 21 26 47 69 6 1,139 16 85 50 72 22 65 88 156 58 149 115 31 33 103 95 57 79 39 10 13 128 28 59 158 124

628 7 4 2 5 270 2 18 5 26 1 5 6 47 8 62 25 3 4 11 19 3 9 2 0 0 45 1 3 27 7

167 0 0 5 5 2 115 0 0 2 0 0 0 1 0 0 1 0 0 2 0 0 0 8 7 0 0 0 0 15 0 2

Hispanic or Latino (60+) 90 0 2 1 1 1 60 4 1 0 1 0 3 2 1 0 1 0 0 0 1 1 0 3 0 0 0 1 1 1 1 2

White Other (60+) (60+) 2,255 13 20 39 59 4 693 10 66 43 44 21 57 80 107 49 85 89 27 27 91 75 53 59 30 9 13 82 25 40 131 113

Uterine Cancer This table displays the estimated number of female seniors who have ever had uterine cancer per township by race/ethnicity. Township

Total (60+)

7,635 32 69 145 185 27 3,175 63 168 127 124 51 164 211 280 120 229 222 67 83 223 188 134 232 128 22 32 214 70 229 321 300

Uterine Cancer Asian (60+) Black (60+)

57 1 0 0 0 24 0 2 0 2 0 0 1 4 1 6 2 0 0 1 2 0 1 0 0 0 4 0 0 2 1

1,310 0 3 37 37 13 904 2 1 16 2 0 2 6 3 1 6 1 0 13 3 2 2 64 53 0 0 2 1 116 1 18

Hispanic or Latino (60+) 764 0 18 11 7 5 504 38 8 4 12 1 23 13 12 2 9 2 2 3 6 6 4 22 2 0 1 7 10 12 8 15

White (60+)

Other (60+)

5,254 31 46 91 137 8 1,615 22 153 100 103 49 132 186 249 115 198 208 64 64 213 174 124 138 70 22 30 192 59 94 305 263

250 2 5 3 2 127 1 5 7 5 1 7 5 11 3 11 7 1 3 0 5 4 8 3 1 9 0 7 4 4

Heart Condition/Disease This table displays the estimated number of seniors who have ever been told they had a heart condition or disease per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Heart Condition/Disease Total (60+) Asian (60+) Black (60+) 146,491 653 1,272 2,735 3,550 516 61,676 1,134 3,191 2,340 2,428 942 2,973 3,883 5,385 2,261 4,572 4,204 1,264 1,554 4,223 3,562 2,449 4,455 2,525 422 593 4,184 1,297 4,547 6,090 5,612

5,887 69 38 17 45 2,535 17 172 48 243 12 49 55 439 77 585 236 30 34 101 182 31 80 18 4 2 418 14 26 249 62

28,942 5 65 827 826 276 19,981 37 25 358 53 4 52 128 72 13 129 32 6 279 62 38 38 1,405 1,172 9 8 48 22 2,554 27 389

Hispanic or Latino (60+) 13,352 9 310 184 117 79 8,815 664 140 61 214 14 397 229 212 27 150 43 39 45 98 100 68 379 33 6 21 130 167 208 135 259

White Other (60+) (60+) 97,700 610 571 855 4 1,694 13 2,554 7 156 4 30,036 310 415 2 2,841 12 1,856 17 1,906 12 907 3 2,459 16 3,458 13 4,633 28 2,138 6 3,683 26 3,877 17 1,186 2 1,188 8 3,961 1 3,231 12 2,302 10 2,572 19 1,294 9 403 560 1 3,566 21 1,093 0 1,742 17 5,668 11 4,893 9

Hypertension This table displays the estimated number of seniors who have ever been told they had hypertension per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+) 618,212 2,398 5,196 11,969 14,576 2,703 290,525 5,356 11,486 9,126 9,427 3,204 11,044 13,914 19,905 7,819 17,688 14,852 4,378 6,185 14,654 12,694 8,481 19,988 11,942 1,442 2,039 15,597 4,754 23,126 21,285 20,460

Hypertension Asian (60+) Black (60+) 37,343 437 243 107 288 16,078 107 1,091 302 1,541 79 308 349 2,787 487 3,708 1,494 193 213 639 1,155 196 508 114 24 15 2,651 88 166 1,581 393

180,646 30 403 5,163 5,157 1,724 124,713 228 156 2,236 334 28 322 800 451 81 806 200 41 1,742 390 236 237 8,770 7,314 54 49 303 139 15,943 170 2,426

Hispanic or White (60+) Other Latino (60+) (60+) 73,104 322,624 4,495 47 1,884 1,699 2,824 27 1,005 5,595 98 642 8,435 55 434 516 29 48,265 99,184 2,283 3,634 1,369 18 769 9,383 87 336 6,128 124 1,172 6,294 87 76 2,996 25 2,176 8,121 117 1,252 11,420 94 1,162 15,301 205 145 7,060 45 819 12,162 194 233 12,801 123 216 3,917 12 244 3,925 61 538 13,080 8 547 10,669 87 372 7,603 73 2,075 8,492 143 178 4,273 63 34 1,331 114 1,850 9 709 11,777 157 917 3,609 1 1,137 5,751 128 740 18,716 78 1,418 16,159 64

Stroke This table displays the estimated number of seniors who have ever been told they had a stroke per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+) 80,490 295 686 1,585 1,911 364 38,242 734 1,458 1,188 1,180 414 1,448 1,809 2,493 997 2,168 1,873 563 806 1,882 1,610 1,098 2,640 1,582 187 265 1,933 624 3,083 2,708 2,665

Stroke Asian (60+) 3,421 40 22 10 26 1,473 10 100 28 141 7 28 32 255 45 340 137 18 20 59 106 18 47 10 2 1 243 8 15 145 36

Black (60+) 24,279 4 54 694 693 232 16,762 31 21 301 45 4 43 107 61 11 108 27 5 234 52 32 32 1,179 983 7 7 41 19 2,143 23 326

Hispanic or White (60+) Other Latino (60+) (60+) 10,323 41,786 680 7 244 240 366 4 142 725 15 91 1,092 8 61 67 4 6,815 12,846 346 513 177 3 109 1,215 13 47 794 19 165 815 13 11 388 4 307 1,052 18 177 1,479 14 164 1,982 31 21 914 7 116 1,575 29 33 1,658 19 31 507 2 34 508 9 76 1,694 1 77 1,382 13 53 985 11 293 1,100 22 25 553 9 5 172 16 240 1 100 1,525 24 129 467 0 161 745 19 104 2,424 12 200 2,093 10

Obesity This table displays the estimated number of seniors who are obese per township by race/ethnicity. Obese is defined as having a body mass index (BMI) of 30 or higher. 1 Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+) 331,241 1,217 2,848 6,548 7,967 1,464 154,486 2,984 6,157 4,994 4,834 1,792 6,152 7,749 10,375 4,277 8,802 7,938 2,419 3,372 8,089 6,819 4,742 10,819 6,444 808 1,150 7,979 2,660 12,421 11,556 11,381

Obese Asian (60+) Black (60+) 9,000 105 59 26 69 3,875 26 263 73 371 19 74 84 672 117 894 360 46 51 154 278 47 122 27 6 4 639 21 40 381 95

95,131 16 212 2,719 2,716 908 65,676 120 82 1,178 176 14 169 421 237 43 425 106 21 917 205 124 125 4,618 3,852 28 26 159 73 8,396 90 1,278

Hispanic or Latino (60+) 41,232 26 958 567 362 245 27,222 2,049 434 189 661 43 1,227 706 655 82 462 131 122 138 303 309 210 1,170 101 19 64 400 517 641 417 800

White (60+) 183,047 1,069 1,602 3,175 4,786 293 56,274 777 5,324 3,477 3,571 1,700 4,608 6,479 8,681 4,006 6,900 7,263 2,222 2,227 7,421 6,053 4,314 4,818 2,424 755 1,050 6,682 2,048 3,263 10,619 9,168

Other (60+) 2,832 17 62 34 18 1,439 11 55 78 55 16 74 59 129 29 122 78 7 39 5 55 46 90 40 6 99 1 81 49 40

1https://www.cdc.gov/obesity/adult/defining.html

Pre-diabetes This table displays the estimated number of seniors who have ever been told they had a pre-diabetic condition per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Pre-Diabetes Total (60+) Asian (60+) Black (60+) 120,263 511 1,094 2,187 2,701 476 55,268 1,198 2,381 1,741 2,025 639 2,273 2,784 4,193 1,584 3,811 3,056 885 1,172 2,944 2,612 1,690 3,691 2,059 285 405 3,321 973 3,939 4,350 4,013

10,704 125 70 31 83 4,609 31 313 87 442 23 88 100 799 139 1,063 428 55 61 183 331 56 146 33 7 4 760 25 48 453 113

27,939 5 62 799 798 267 19,289 35 24 346 52 4 50 124 70 13 125 31 6 269 60 36 37 1,356 1,131 8 8 47 22 2,466 26 375

Hispanic or White Other Latino (60+) (60+) (60+) 17,285 63,434 900 11 370 402 555 5 238 1,100 20 152 1,658 11 103 101 6 11,412 19,502 457 859 269 4 182 1,845 17 79 1,205 25 277 1,238 17 18 589 5 515 1,597 23 296 2,245 19 275 3,008 41 34 1,388 9 194 2,391 39 55 2,517 25 51 770 2 58 772 12 127 2,572 2 129 2,098 17 88 1,495 15 491 1,670 29 42 840 13 8 262 27 364 2 168 2,316 31 217 710 0 269 1,131 26 175 3,680 16 335 3,177 13

Diabetes This table displays the estimated number of seniors who have ever been told they had diabetes per township by race/ethnicity. Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+) 213,345 730 2,013 4,085 4,717 1,023 107,109 2,587 3,595 2,900 3,183 942 3,827 4,403 6,290 2,310 5,670 4,441 1,321 1,981 4,375 3,884 2,557 6,968 3,987 423 616 4,907 1,623 8,076 6,392 6,411

Diabetes Asian (60+) Black (60+) 13,817 162 90 40 107 5,949 40 404 112 570 29 114 129 1,031 180 1,372 553 71 79 236 427 73 188 42 9 6 981 33 62 585 145

64,236 11 143 1,836 1,834 613 44,347 81 56 795 119 10 114 284 160 29 287 71 14 619 139 84 84 3,119 2,601 19 18 108 50 5,669 61 863

Hispanic or Latino (60+) 41,626 27 967 572 365 247 27,482 2,069 438 191 667 43 1,239 713 662 83 466 133 123 139 306 312 212 1,181 102 19 65 404 522 648 421 808

White (60+) 91,002 532 797 1,578 2,379 145 27,977 386 2,647 1,728 1,775 845 2,291 3,221 4,316 1,992 3,430 3,611 1,105 1,107 3,689 3,009 2,144 2,395 1,205 375 522 3,322 1,018 1,622 5,279 4,558

Other (60+) 2,664 16 58 32 17 1,354 11 52 73 52 15 69 55 121 27 115 73 7 36 5 52 43 85 37 6 93 1 76 46 38

Epilepsy This table displays the estimated number of seniors who have ever had epilepsy or seizures per township by race/ethnicity. Township

Total (60+)

15,815 58 111 330 406 73 7,304 81 289 253 216 88 267 364 489 209 416 387 115 171 390 326 230 538 350 40 55 377 115 668 555 548

Epilepsy Asian (60+)

324 4 2 1 2 139 1 9 3 13 1 3 3 24 4 32 13 2 2 6 10 2 4 1 0 0 23 1 1 14 3

Black (60+)

5,530 1 12 158 158 53 3,817 7 5 68 10 1 10 24 14 2 25 6 1 53 12 7 7 268 224 2 2 9 4 488 5 74

Hispanic or Latino (60+) 673 0 16 9 6 4 444 33 7 3 11 1 20 12 11 1 8 2 2 2 5 5 3 19 2 0 1 7 8 10 7 13

White (60+)

9,055 53 79 157 237 14 2,784 38 263 172 177 84 228 320 429 198 341 359 110 110 367 299 213 238 120 37 52 331 101 161 525 454

Other (60+)

234 1 5 3 1 119 1 5 6 5 1 6 5 11 2 10 6 1 3 0 5 4 7 3 0 8 0 7 4 3

Arthritis/rheumatoid/arthritis/gout/lupus/fibromyalgia This table displays the estimated number of seniors who have ever been told they had Arthritis, rheumatoid arthritis, gout, lupus or fibromyalgia, per township by race/ethnicity. Arthritis/rheumatoid arthritis/gout/lupus/fibromyalgia Total (60+) Asian (60+) Black (60+) Hispanic or White Latino (60+) (60+) Total (Cook County) 483,589 21,097 122,682 50,487 285,140 Barrington township 1,965 247 20 32 1,665 Berwyn township 4,105 137 274 1,173 2,496 Bloom township 9,298 60 3,506 694 4,945 Bremen township 11,613 163 3,502 443 7,455 Calumet township 1,953 1,171 300 456 Chicago city 216,898 9,083 84,696 33,333 87,661 Cicero township 3,952 60 155 2,510 1,210 Elk Grove township 9,627 616 106 531 8,293 Evanston city 7,452 171 1,519 232 5,416 Hanover township 7,550 870 227 809 5,563 Lemont township 2,787 45 19 52 2,648 Leyden township 9,181 174 218 1,503 7,177 Lyons township 11,785 197 543 864 10,093 Maine township 16,397 1,575 306 802 13,523 New Trier township 6,713 275 55 100 6,240 Niles township 14,137 2,095 548 566 10,749 Northfield township 12,570 844 136 161 11,314 Norwood Park township 3,758 109 28 149 3,461 Oak Park township 4,998 120 1,183 168 3,469 Orland township 12,564 361 265 371 11,560 Palatine township 10,701 653 160 378 9,429 Palos township 7,316 111 161 257 6,719 Proviso township 15,314 287 5,956 1,433 7,506 Rich township 8,990 64 4,967 123 3,776 River Forest township 1,250 14 37 23 1,176 Riverside township 1,765 9 34 79 1,636 Schaumburg township 12,747 1,498 205 490 10,408 Stickney township 3,968 50 95 633 3,190 Thornton township 16,909 94 10,827 785 5,083 Wheeling township 18,134 893 116 511 16,541 Worth township 17,190 222 1,648 980 14,282 Township

Other (60+) 4,182 25 92 51 27 2,125 17 81 115 81 23 109 87 191 42 180 115 11 57 7 81 68 133 58 9 146 1 119 72 59

Risk Factors National survey data was used to find the rates of risk factors for the total senior population, and for senior populations by race and ethnicity.

National Risk Factor Rates by Race/Ethnicity

Total

Current Smoker Physically Inactive Binge Drinker

Asian - Not Latino

Black Not Latino

Hispanic or Latino

10.31% 33.81%

8.00% 39.12%

13.69% 46.14%

8.38% 41.29%

2.19%

0.35%

1.56%

1.48%

White Not Latino

Other Not Latino 10.14% 18.34% 30.98% 32.15% 2.49%

1.47%

Current Smoker This table displays the estimated number of seniors who are current smokers per township by race/ethnicity. Number of Current Smokers per Township by Race/Ethnicity

Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township

Total (60+)

109,407 416 883 2,162 2,633 485 51,162 855 2,027 1,654 1,624 579 1,937 2,484 3,491 1,401 3,063 2,644 781

Asian (60+) Black Hispanic or White Other (60+) Latino (60+) (60+) (60+) 5,304 33,274 10,938 58,530 1,361 62 6 7 342 34 74 254 512 8 15 951 150 1,015 30 41 950 96 1,530 17 318 65 94 9 2,284 22,971 7,221 17,994 691 15 42 544 248 5 155 29 115 1,702 26 43 412 50 1,112 38 219 61 175 1,142 26 11 5 11 544 8 44 59 326 1,473 35 50 147 187 2,072 28 396 83 174 2,776 62 69 15 22 1,281 14 527 148 123 2,206 59 212 37 35 2,322 37 27 7 32 711 4

Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township

1,118 2,618 2,251 1,529 3,582 2,184 260

30 91 164 28 72 16 3

321 72 43 44 1,615 1,347 10

36 80 82 56 310 27 5

712 2,373 1,935 1,379 1,541 775 241

19 2 26 22 43 19 -

Riverside township Schaumburg township

367 2,722

2 377

9 56

17 106

336 2,137

3 48

Stickney township Thornton township Wheeling township Worth township

830 4,212 3,786 3,666

12 24 225 56

26 2,937 31 447

137 170 111 212

655 1,043 3,395 2,932

0 39 24 19

Physically Inactive This table displays the estimated number of seniors who are physically inactive per township by race/ethnicity. Physically Inactive Population per Township by Race/Ethnicity Township

Total (60+)

Asian Black Hispanic or White Other (60+) (60+) Latino (60+) (60+) (60+) 53,895 178,806 2,385 373,153 25,939 112,129 303 19 34 1,044 1,401 169 250 1,253 1,565 14 3,251 74 3,205 741 3,101 52 7,174 200 3,201 473 4,675 29 8,578 1,070 320 286 15 1,691 35,583 54,970 1,212 180,343 11,168 77,411 74 142 2,679 759 9 3,663 758 97 567 5,200 46 6,668 210 1,388 247 3,396 66 5,307 207 864 3,488 46 5,676 1,070 55 17 56 1,661 13 1,802 214 200 1,604 4,501 62 6,581 243 496 923 6,329 50 8,040 280 857 8,480 109 11,661 1,936 338 51 107 3,913 24 4,433 500 604 6,740 103 10,523 2,575 1,038 124 172 7,095 65 8,494 134 25 159 2,171 6 2,495 148 1,081 180 2,175 33 3,617 444 242 396 7,249 4 8,335 802 146 403 5,913 46 7,311 136 147 274 4,214 39 4,810 353 5,444 1,529 4,707 76 12,109 79 4,540 132 2,368 33 7,152 17 33 25 738 812 11 31 84 1,026 5 1,156 188 523 6,527 83 9,162 1,842 61 87 676 2,000 1 2,824 116 9,896 838 3,187 68 14,105 1,098 106 545 10,373 41 12,163 273 1,506 1,046 8,956 34 11,814

Binge Drinker This table displays the estimated number of seniors who are binge drinkers per township by race/ethnicity. Binge drinkers are people who have five alcoholic drinks or more during a single occasion, on an average of once a month or greater. Binge Drinker Population per Township by Race/Ethnicity Township Total (Cook County) Barrington township Berwyn township Bloom township Bremen township Calumet township Chicago city Cicero township Elk Grove township Evanston city Hanover township Lemont township Leyden township Lyons township Maine township New Trier township Niles township Northfield township Norwood Park township Oak Park township Orland township Palatine township Palos township Proviso township Rich township River Forest township Riverside township Schaumburg township Stickney township Thornton township Wheeling township Worth township

Total (60+) 20,422 88 181 387 504 71 8,460 163 450 333 330 137 431 563 744 324 608 593 182 220 609 504 356 623 350 61 87 570 188 624 868 812

Asian (60+) Black Hispanic or White Other (60+) Latino (60+) (60+) (60+) 232 3,784 1,933 14,364 109 3 1 1 84 2 8 45 126 1 1 108 27 249 2 2 108 17 376 1 36 11 23 1 100 2,612 1,276 4,416 55 1 5 96 61 0 7 3 20 418 2 2 47 9 273 3 10 7 31 280 2 0 1 2 133 1 2 7 58 362 3 2 17 33 508 2 17 9 31 681 5 3 2 4 314 1 23 17 22 541 5 9 4 6 570 3 1 1 6 174 0 1 4 7 1 3 1 0 0 16 1 1 10 2

36 8 5 5 184 153 1 1 6 3 334 4 51

6 14 14 10 55 5 1 3 19 24 30 20 38

175 582 475 338 378 190 59 82 524 161 256 833 719

1 0 2 2 3 2 0 4 0 3 2 2 23

Methodology

Methodology National rates for chronic diseases and risk factors were obtained from the 2017 National Health Interview Survey. With exception of gynecological cancers, the universe was all adults 60 and over. The data universe for uterine, ovarian and cervical cancers was only for female adults 60 and over. Individual-level data was available from the Integrated Public Use Microdata Series (IPUMS) population database. IPUMS provides race and ethnicity data, and a value to weight in each sample case. Weighted individual data was then used to calculate the national rate for each variable by each race/ethnicity group, e.g. the national rate of colon cancer among Asians. Notably, the “obesity” variable denoted individuals with a body mass index (BMI) of 30 or higher, based on the Center for Disease Center definition of obesity.1 Individuals were identified as “physically inactive” if they said they never did or were unable to do moderate, vigorous and strengthening activity. Individuals were identified as “binge drinkers” if they consumed five or more drinks during a single occasion greater than 12 times a year. These national rates by race/ethnicity group were then multiplied by American Community Survey (ACS) 2013-2017 population data for each race/ethnicity group in every township in Cook County. ACS provides population in age categories; the category 55 to 64 was divided by two to estimate the number of seniors 60 to 64. The multiplication of national rates by population resulted in the estimated raw number of seniors with a particular health variable for each race/ethnicity group in every Cook County Township. 1https://www.cdc.gov/obesity/adult/defining.html