Summary
The Rural Association of Northern California Health Officers (RANCHO) region experiences significant health disparities compared to California overall, characterized by higher rates of premature death, disability, and behavioral risk factors. An analysis of multiple data sources reveals these disparities primarily stem from three main challenges: elevated tobacco use, substance use, and mental health issues.
The region has disproportionate numbers of at-risk populations, including those living in poverty, individuals experiencing homelessness, people with lower educational attainment, those living alone, and individuals with multiple Adverse Childhood Experiences (ACEs). These challenges particularly affect people of color, disabled groups, and lesbian, gay, and bisexual individuals.
To address these disparities, the report recommends three key policy focus areas:
1. Smoking Prevention, Education, and Cessation
2. Substance Use Prevention and Treatment
3. Suicide Prevention and Access to Mental Health Care
Addressing these concerns in the RANCHO region is imperative to bridge health care disparities and enhance the overall well-being of its residents.
This report uses 2011–2015 and 2011–2021 California Health Interview Survey (CHIS) data.