Running head: POPULATION ANALYSIS

Population Analysis
Tayler Lamagna
California State University, Stanislaus

POPULATION ANALYSIS

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Population Analysis
Location

Boundaries of the community

Parent Resource Center (PRC) is located in West Modesto on 5th street. It is an organization
that serves families within this area. Some of the services they offer are parenting classes, a free
clothes closet and help with counseling. Boundaries surrounding the community include
Highway 99, the Tuolumne River, and streets around 5th street including 4th street, 6th street, H
street, and I street. PRC is located in the 95351 zip code. The zip codes surrounding PCR are
95350, 95354, 95358, 95307, and 95326 (Google, 2014).
Location of health services
The vast majority of West Modestos population relies on the bus or walking as
transportation. Several health services located within walking distance from PRC are presented
in Table 1.0. They range from 3 minutes to 50 minutes walking time and a distance of 0.1 miles
to 2.6 miles.
Table 1.0
Location of Health Services in Relation to PRC
Facility Name
Healthcare Clinical Laboratories
Salvation Army
Westside Plaza Pharmacy
Golden Valley Health Center: Soriano Elaine
MD
Paradise Medical Clinic
Global Healthcare Services
Aegis Medical Systems Incorporated
Stanislaus County Pediatrics
Stanislaus County Public Health
OBGYN at Modesto Arts Medical Group
Doctors Medical Center
Nirvana Drug and Alcohol Treatment Center
New Hope Recovery

Distance in
Miles
0.1
0.1
0.2
0.3

Walking Time in
Minutes
3
3
4
7

0.8
0.8
1.6
1.3
1.3
2.4
2.5
2.1
2.6

17
17
26
26
26
47
48
40
50

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Geographic features
There are several geographic areas surrounding the Modesto community including
Woodward Reservoir, Modesto Reservoir, Lake Don Pedro, Tulloch Reservoir, and Stanislaus
National Forest (Google, 2014).
Climate
The average warmest month in Modesto is July, whereas the average coolest month
occurs in January (The Weather Channel, 2012). The highest recorded temperature was 113F in
2006, and the lowest recorded temperature was 18F in 1949. The month with the highest rainfall
in 2012 was January at 2.61 inches (The Weather Channel, 2012). The average temperature
overall in Modesto is 61.7F, 13.10 inches of precipitation, 16.13 miles per hour wind speed, and
79.81% humidity. Average monthly temperatures for Modesto are shown in Table 1.1 (World
Media Group, 2014).
Table 1.1
Average Monthly Temperatures in Modesto, CA
Month
Average Temp.
January
48F
February
53F
March
58F
April
62F
May
69F
June
75F
July
79F
August
78F
September
74F
October
66F
November
56F
December
48F
Flora and fauna
Modesto contains a few critters that may cause health concerns. Black widows often live
in cool dry places like closets, wood piles and under sinks (Mayo Clinic, 2012). They are rarely

POPULATION ANALYSIS

lethal but do require emergency attention right away. The spider is black with a red mark on the
underside. The bite feels like a pinprick and may appear red and swelled immediately after the
bite. After a few hours, the person bit will feel an intense pain and stiffness. Brown recluse spider
can be identified by its violin shape on its back. A fluid-filled bump forms at the bite site which
eventually falls off to leave a deep ulcer in skin. Death is rare but more common in children
(Mayo Clinic, 2012). Mosquitoes are also abundant in Modesto and may be carriers of different
diseases. Much like the H1N1 spread, mosquitoes can be the vectors that implant the bacteria in
humans. Poison oak can also be a concern in the Modesto area. After exposure to the plant, the
skin will appear red and raised with intense itching (United States Department of Agriculture,
2014).
Human-made environment
Modesto has a total of 73,918 housing units with 5,638 houses unoccupied. There are 1,805
mobile homes. 50,320 homes have heating and utility gas. There are 19,315 five bedroom
houses, 12,366 four bedroom houses, and 32,861 three bedroom houses (United States Census
Bureau, 2013).
Population
Size
The 2012 population estimate for Modesto was 203,547 (United States Census Bureau,
2013). The population of the West Modesto area was estimated 5,682 in 2010 (World Media
Group, 2014). According to these statistics, West Modesto contains about 38.8% of Modestos
population. Compared to the population estimate of 203,547, that would mean that about 3
people live in each house. Sadly, this is not true due to the homeless population who do not live
in a home at all.
Density

POPULATION ANALYSIS

The population density for Modesto is 5,423.37 people per square mile. The population
density for West Modesto is 2,796 people per square mile (World Media Group, 2014).
Composition
The number of people aged 16 years or older who are employed is 80,717 (World Media
Group, 2014). The top careers people are employed in are health care, social assistance,
manufacturing, retain trade, and education services. Educational services, health care and social
assistance careers are 20,606 or 25.53% of the employed population. People employed in
manufacturing are 10.8% or 8,715 people. 13.56% or 10,942 of employed people work in retain
trade (World Media Group, 2014).
The median age of residents living in Modesto is 34.2 years (World Media Group, 2014).
The types of different residents in Modesto are presented in Table 1.2 (World Media Group,
2014).
Table 1.2
Residents in Modesto, California
Resident Category
Males
Females
Native Born
Foreign Born

Number of Population
97,989
103,176
168,650
33,336

Percentage of Population
48.7%
51.3%
83.5%
16.5%

Most of Modestos population is married. Surprisingly, the percentage of widowed

individuals is high. Marital status within Modesto is shown in Table 1.3 (United Stated Census
Bureau, 2013).
Table 1.3
Marital Status in Modesto, California
Marital Status
Males > 15 years of age
Married
38,967 (52.27% of the total
male population)
Never Married
26,923 (36.11% of the total

Females > 15 years of age

39,346 (47.91% of the total
female population)
23,844 (29.03% of the total

POPULATION ANALYSIS

Divorced
Widowed

6
male population)
6,869 (9.21% of the total male
population)
1,796 (2.41% of the total male
population)

female population)
11,535 (14.05% of the total
female population)
7,399 (9.01% of the total
female population)

Rate of growth or decline

People are generally moving out of West Modesto as it has declined 6.79%, or 13,760
people since the year 2000 (World Media Group, 2014). Interestingly, Modestos population
overall has increased by 6.52% which is equal to 13,271 people (World Media Group, 2014). The
population moving to the city of Modesto does not seem to be residing in West Modesto. The
city of Modesto seems to be growing larger as a whole.
Cultural differences
Most of West Modestos population seems to be comprised of White and Hispanic race.
There are very little Native, Black and Asian people living around the PRC community. Table 1.4
shows the different races within West Modesto (World Media Group, 2014).
Table 1.4
Races within West Modesto, California
Race
Native
Black
Asian
White
Hispanic
Mexican
Puerto Rican
Central American
South American

Population
92
136
263
3,020
3,526
3,214
34
27
12

Percent of the Total Population

1.62%
2.39%
4.63%
53.15%
62.06%
91.15%
0.96%
0.77%
0.34%

Social class
The average income for Modestos population is $45,934 (City-Data, 2009). American
Indian and Alaska Native seem to make the highest median income whereas Hispanics seem to

POPULATION ANALYSIS

have one of the lowest household incomes. Since most of Modestos population is Hispanic, it
seems as though the majority of the population make less than $40,000 a year. Since Modesto is
a city, housing and living expenses tend to be high. It can be tough for a family making less than
$40,000 a year to get by financially. Table 1.5 shows the median household incomes from the
year 2009 in Modesto (City-Data, 2009).
Table 1.5
Median Household Income in Modesto, California in 2009
Race
American Indian and Alaska Native
Multirace
Black
White
Asian
Hispanic
Other

Income
$57,829
$52,654
$52,440
$46,728
$44,899
$38,067
$28,924

Mobility
In Modesto, 78,811 people 18 years and over were commuting to work every day in the
year 2013 (United States Census Bureau, 2013). 4,329 movers came from a different state into
Stanislaus County in 2013. 6,840 people moved from Stanislaus County to another state in the
United States. 16,211 people moved from a different county in California into Stanislaus County.
15,030 moved to a different county in California from Stanislaus County. Lastly, 2,607 movers
are from abroad (United States Census Bureau, 2013).
Poverty level
36.8% of the population in West Modesto was below poverty level in the year 2009
(City-Data, 2009). The city of Modesto had 38,912, or 19.55% of its population living in poverty.
The highest race living below poverty is Asians at an unbelievable 97.1%. Blacks are the second
highest at 39.3% and right below them are American Indians and Alaska Natives at 39.2%.

POPULATION ANALYSIS

21.3% of the White race are living below poverty. Hispanics have 20.8% of their population
living below poverty. (City-Data, 2009). The location of PRC is accessible to the population
living below poverty level in the West Modesto area which is very convenient. This can be
helpful to families who need help with signing up for Cal Fresh, Women, Infants and Children
(WIC), and Medical Insurance. They provide many different parenting classes, nutritional
classes, and assistance to people in need. PRC is free to anyone in need of its services, so
families living in poverty do not have to worry about paying for their services.
Education level
80.0% of Modestos population is a high school graduate of higher. 18.3% have a
bachelors degree or higher (United States Census Bureau, 2013). People ages 18-24 with less
than a high school diploma is 15.3% of 20,970 total in that age range. People 25 years and older
with less than a high school diploma is 20% of 125,965 total in that age range (United States
Census Bureau, 2013).
Unemployment Rate
The unemployment rate in Modesto was 12.2%% in December of 2013 (Bureau of Labor
Statistics, 2014).
Population by age
Modestos population seems to be evenly distributed for the most part from birth
to age 59. Once at age 60 and above, rates start to decrease. There are dramatic decreases from
ages 50-59 to 60-69 as well as 60-69 to 70-79. Table 1.6 shows Modestos population by age
(United States Census Bureau, 2013).
Table 1.6
Population by Age in Modesto, California
Age Range in Years
Birth-9
10-19
20-29

Population by Number
29,400
30,912
29,193

POPULATION ANALYSIS
30-39
40-49
50-59
60-69
70-79
80-89
90 and above

9
25,535
26,901
25,635
17,106
9,444
5,811
1,237

Health status
The health concerns of Stanislaus County regarding sexually transmitted diseases are
presented below in Table 1.7 (California Department of Public Health, 2014).
Table 1.7
Sexually Transmitted Diseases in Stanislaus County in 2013
Disease
Number of Cases
Chlamydia
1,822.7
Gonorrhea (female)
70.7
Gonorrhea (male)
68.3
AIDS (age 13 and over)
19.0
Tuberculosis
15.0

Rank in California
42
37
39
40
29

The total number of mortalities in Stanislaus County was 3,601.3 in 2013 (California
Department of Public Health, 2014). The top 4 causes of death are presented in Table 1.8.
Table 1.8
Top 4 Mortalities in Stanislaus County in 2013
Cause of Death
Number of Deaths
Drugs
86.3
Chronic Lower Respiratory
217.0
Disease
All Cancers
758.7
Coronary Heart Disease
760.3

Rank in California
40
38
33
58

Approximately 28,700 people have diabetes in Stanislaus County in the year 2013 which is a
total cost of 192 million dollars (County Health Calculator, 2014). Obesity is also a huge cause
for concern in the United States today. According to Karen Walk, a Registered Wound Nurse at
Doctors Medical Center in Modesto, obesity plays a huge role in wound healing. When people

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are obese, it takes their skin and bodies way longer to heal because of their lack of circulation
and abundance of adipose tissue (K. Walk, personal communication, March 2, 2014). In Table
1.9, percentages of obese individuals in different age ranges in the year 2009 in Stanislaus
County is presented. In Stanislaus County, 48.7% of people said they eat 5 or more vegetables a
day (California Department of Public Health, 2014). This is surprising that if so many people
claim to eat vegetables regularly that Stanislaus would have such a high rate of obesity.
Table 1.9
Obesity Rates in Stanislaus County in 2009
Age Range
12-17 years old
18-64 years old
65 years and older

Percentage in Population
17.0%
72.4%
77.7%

The average infant mortality including all races is 44.3 from the year 2013 in Stanislaus
County (California Department of Public Health, 2014). This ranks 37 compared to all counties
in California. The highest infant mortality rate among different races is Hispanics at 28.7 ranking
50 compared to other counties. Low birth infants averaged at 481.3 in Stanislaus County in 2013.
There were 792.7 mothers aged 15-19 years old in 2013. The ratio of primary care doctors to
people in Stanislaus County is 916:1. This is a huge concern as there needs to be more doctors
for such a large population of people. It can be very difficult for doctors to have to care for that
many people. Although some of those 916 people do not see primary care doctors at all because
of health insurance unavailability and many more reasons (California Department of Public
Health, 2014).
Crime and violence can affect the community in a negative way. According to City-Data,
the most committed crime in 2012 in Modesto was thefts. Table 2.0 lists crime and violence in
Modesto in the year 2012 (City-Data, 2014).

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Table 2.0
Crime and Violence in 2012 in Modesto, California
Type
Murders
Rapes
Robberies
Assaults
Burglaries
Thefts

Total
20
59
450
1,061
2,571
6,906

Since immunizations can prevent so many different diseases, its important to look at the
communitys immunization status to see how many people are getting their immunizations. The
most recent data found was the year 2007 but according to the Centers for Disease Control and
Protection, many people do not get immunized. Less than 40% received the flu shot and only
about 20% received Tdap. The immunization status of individuals living in Stanislaus County
ages 18-49 are presented in Table 2.1 below (Centers for Disease Control and Prevention, 2008).
Table 2.1
Immunization Status of Individuals Ages 18-49 in Stanislaus
County in 2007
Immunization
Percentage Received
Influenza
37.3%
Tetanus in Past 10 Years
57.2%
Tdap
20.7%
HPV (Females)
10.2%
Hepatitus B (3+ Doses)
23.4%
Environmental health status
According to The American Lung Association, Stanislaus County earned an F for air
quality for 2011, ranking 12th worst among over 3,000 US counties for annual particle pollution
(Stanislaus County Health Services Agency, 2011). Modesto also ranked the 10th worst for yearround particle pollution out of 277 large United States Metropolitan Statistical Areas, 12th worst
for short-term particle pollution, and 14th worst for ozone pollution (Stanislaus County Health

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Services Agency, 2011). This poor air quality may contribute to the large amount of individuals
with asthma and other respiratory diseases.
Community Nursing Diagnoses
The statistics on Stanislaus County, Modesto as a whole city, and more specifically West
Modesto presents many areas for concern for individuals in the population. Altered nutrition,
more than body requirements is the first nursing diagnosis for Modesto. Nearly 72.4% of
individuals ages 18-49 are considered obese (County Health Calculator, 2014). Signs and
symptoms include weight 20% over ideal for height, dysfunctional eating patterns, eating for
other reasons than hunger, excessive intake related to caloric needs, and a sedentary lifestyle.
Another concern for this community is risk for respiratory complications related to poor air
quality. Since Stanislaus County scored an F in air quality, it plays an important role in the
populations respiratory health (Stanislaus County Health Services Agency, 2011). Signs and
symptoms of respiratory complications include wheezing, coughing, shortness of breath, trouble
breathing, and inability to engage in physical activity. Because 36.8% of the population in West
Modesto was below poverty level in the year 2009, this population is at risk for the inability to
identify, manage or seek help to maintain health (City-Data, 2009). This is very important as
homeless and others living below poverty tend to not have access to as many resources as
someone who lives above poverty levels. Signs and symptoms include failure to keep scheduled
appointments, failure to respond to important symptoms regarding health status, and inability to
follow instructions. As a nurse it is important to be aware of the community and areas
surrounding the community in order to better serve the population. In looking at the cities data
on health concerns, demographics and statuses, nurses can provide the best care possible.

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References

Bureau of Labor Statistics. (2014). Economy at a Glance. Retrieved from

www.bls.gov/eag/eag.ca_modesto_msa.htm
California Department of Public Health. (2014). County Health Status Profiles 2013. Retrieved
from http://www.cdph.ca.gov/programs/ohir/Pages/CHSPCountySheets.aspx#s
Centers for Disease Control and Prevention. (2008). Vaccination coverage among U.S. adults
National Immunization Survey. Retrieved from http://www.cdc.gov/vaccines/statssurv/nis/downloads/nis-adult-summer-2007.pdf
City-Data. (2009). Modesto, California (CA) income map, earnings map, and wages data.
Retrieved from http://www.city-data.com/income/income-Modesto-California.html
City-Data. (2014). Crime rate in Modesto, California. Retrieved from http://www.citydata.com/crime/crime-Modesto-California.html
County Health Calculator. (2014). Stanislaus County, California. Retrieved from
http://countyhealthcalculator.org/location/106099/
Google. (2014). Google maps. Retrieved from https://www.google.com/maps/@37.653141,120.9884361,12z
Mayo Clinic. (2012). Spider Bites: First Aid. Retrieved from http://www.mayoclinic.org/firstaid/first-aid-spider-bites/basics/art-20056618
Stanislaus County Health Services Agency. (2011). Community Health Needs Assessment of
Stanislaus County. Retrieved from http://www.schsa.org/
The Weather Channel. (2012). Monthly Average for Modesto, California. Retrieved from
http://www.weather.com/weather/wxclimatology/monthly/graph/USCA0714
United States Census Bureau (2011). Census Flows Mapper. Retrieved from

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http://flowsmapper.geo.census.gov/flowsmapper/map.html
United States Census Bureau (2013). American Fact Finder. Retrieved from
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
United States Department of Agriculture. (2014). National Resources Conservation Service.
Retrieved from https://plants.usda.gov/java/AdvancedSearchServlet
World Media Group. (2014). Modesto, California Population and Races. Retrieved from
http://www.usa.com/modesto-ca-population-and-races.htm
World Media Group. (2014). Modesto, California Weather. Retrieved from
http://www.usa.com/modesto-ca-weather.htm
World Media Group. (2014). West Modesto, California. Retrieved from
http://www.usa.com/west-modesto-ca.htm

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