The map above shows a color scheme that indicates Estimated % Uninsured. Additional factors that may lead to being underinsured or to having health access issues appear when you click on an icon. These include Estimated % Below Poverty, Estimated % with No Vehicle, Estimated % Limited English and Estimated % Disabled.  The colors on this map tell you where each census tract falls on the Estimated % Uninsured. The darkest blue icon is the highest Estimated % Uninsured and the lightest colored icon is the lowest Estimated % Uninsured. Click on any icon to read the percentages in each category. The number at the top of the box that appears when you click on an icon is the number for the Estimated % Uninsured.

Healthcare Survey Results – MHI Newtown Community Ambassador Shatrevia Spikes

Community Voice as expressed in survey comments and community dialogue

Community Voice Questionnaire

Health Care Responses

2021

What is your main insurance?

  • None/uninsured 23.5% 23.5%
  • Medicaid 15.7% 15.7%
  • CHIP Medicaid 1.7% 1.7%
  • Medicare 20.9% 20.9%
  • Other public insurance (non-CHIP) 5.2% 5.2%
  • Other public insurance (CHIP) 2.6% 2.6%
  • Private insurance 19.1% 19.1%
  • Unsure 11.3% 11.3%

Stress is when someone feels tense, nervous, anxious, or can’t sleep at night because their mind is troubled. How stressful is this for your family? Dealing with your own mental health or mental health care.

  • 0 – The issue is not applicable to my family 19.2% 19.2%
  • 1 – Not at all stressful 40.0% 40.0%
  • 2 – a little stressful 13.3% 13.3%
  • 3 – moderately stressful 10.0% 10.0%
  • 4 – very stressful 9.2% 9.2%
  • 5 – extremely stressful 5.0% 5.0%

If you had some emotional or family problems, would you go to a mental health center?

  • Yes 56.3% 56.3%
  • No 37.8% 37.8%
  • Prefer not to answer 5.9% 5.9%

If all are equally well-trained, do you think that you would be helped most in a mental health center that had:

  • An all-Black staff and Board of Directors 14.5% 14.5%
  • A racially mixed staff and Board of Directors 40.0% 40.0%
  • A non-Black staff and board of Directors 2.8% 2.8%
  • There would be no difference to me 32.7% 32.7%
  • prefer not to answer 10.0% 10.0%
  • Other 0% 0%

At your most recent appointment with your health care provider were you asked if you understood health information you were given?

  • Yes 74.8% 74.8%
  • No 15.7% 15.7%
  • Maybe 3.4% 3.4%
  • Not applicable 6.1% 6.1%

At your most recent appointment with your health care provider did your health care provider involve you in decisions as much as you wanted?

  • Yes 76.7% 76.7%
  • No 13.8% 13.8%
  • Maybe 1.7% 1.7%
  • Not Applicable 7.8% 7.8%

How would you characterize your communication with your health care provider?

  • Excellent 35.7% 35.7%
  • Good 34.8% 34.8%
  • Fair 17.0% 17.0%
  • Poor 5.4% 5.4%
  • Other 7.1% 7.1%

Do you want to get vaccinated for COVID?

  • Yes 11.8% 11.8%
  • No 42.7% 42.7%
  • Maybe 6.4% 6.4%
  • I have already received my first dose. 5.5% 5.5%
  • I am fully vaccinated. 30.0% 30.0%
  • Prefer not to answer 0.9% 0.9%

If you answered no to the question above, what would make you want to get the shot?

Responses:

Would get if offered

Just haven’t gotten it

Not right now, maybe in the future

I just got my shot

I need to make up my mind to do it

I’m thinking about it.

I don’t want it but the doctor said yes; so, I’m going to get it.

No side effects

Not right now, maybe in the future

Already had COVID and waiting until eligible

I need to get the second shot

I just got my shot

When could I go?

If the law makes me

Ordered to take it

None, I’ve already had COVID

Never Shot

Nothing

None, I’ve already had COVID

I just don’t want to

I believe in Jesus Christ

I’m scared of the vaccine

I don’t know

Prefer not to answer

Comments  About

Health Care

2021

 Some clinics have lazy or rushed employees who come across to patients as rude or uncaring (Lives in E, Worships in F, Works in F)

Good (Lives in E.)

Fine healthy (Lives, worships and works in North Sarasota)

I have health insurance and really don’t know how to use it. (Lives and worships in North Sarasota)

We need more young doctors. (Lives and works in B, worships in F)

We need improved access and affordability (Lives in A)

No healthcare provider. (Lives in North Sarasota, works in A)

Insurance: has both Medicaid & Medicare (Lives in E, worships in B)

Mental health: my Faith is in God for my health. It would be better if health care more affordable; I love Obamacare ! (Worships in B)

I get good care (Lives in C)

I pay out of pocket. I do not qualify for Medicaid for me or my kids (Lives in B, worships in E)

I don’t have healthcare (Lives, works, and worships in North Sarasota)

I don’t have insurance (Lives in B, worships in E)

I need healthcare (Lives in E)

No urgency care in the area (Lives in North Sarasota)

Doctors are not educated about the effects on the body of organic remedies; there are no specialists with training and knowledge about natural medicines. (Lives and worships in North Sarasota)

Need real people on the phone (Works in A)

too expensive (Lives in B and worships in C)

 

Health Care Story

Shatrevia Spikes didn’t have the greatest experiences growing up an “At-Risk” child. By the age of seven, she was already living an adult life caring for 2 younger brothers, cooking, cleaning, plowing a field, and finding a way to keep her family together without the state getting involved. She often asked herself, “why me?” Most kids couldn’t wait to be an adult, and she wasn’t looking forward to being one because she was already tired of the adult life. In her last year of high school, Shatrevia was faced with an at-risk pregnancy which had her in and out of the hospital. Being under a great deal of stress, with no family support, still striving to graduate, and carrying a child who was putting both their lives at risk, Shatrevia kept persevering. During the 26th week of her pregnancy, she was admitted into the hospital. Trust me, she was glad to hear the doctor say she was doing good, but they wanted to monitor her for one more night. Who would have known things would then turn for the worst? Around 11 o’clock that last night she thought she was just having really bad contractions, but she had gone into full blown labor. She pushed the call button multiple times, and there was no answer. She called her father’s house and was told she was alright, it’s just pregnancy. It seemed like every number she called after that went to voicemail, and she cried and screamed as loud as she could while pushing the call button. She thought about getting out of the bed and going out into the hallway, but the crown of her baby’s head was already forcing it’s way out. Shatrevia made one more call. She didn’t think the call would matter because it was out of town, but she called an uncle who answered the phone who helped her stay calm as he got on 3 way to call the hospital and get help. He couldn’t reach anyone, so he stayed on the phone until someone finally came in the room.

At 7 o’clock in the morning, the doctor came into Shatrevia’s room and found her laying in shock, tired, and nearly unresponsive. All Shatrevia remembers is the doctor yelling. The nurses and doctors were moving fast around her and speaking to her but it all sounded like she was in a tunnel and being ran down a hallway on the bed and waking up to a nurse telling her she did good. “Where is my baby? Is she alive?” Her baby survived, but was placed in the Neonatal Intensive Care Unit (NICU), and she wasn’t able to see her for a few hours. No one, not even family was by her side.  Not knowing if the the baby she decided to have would make it out alive, so much ran across her mind.When the time finally came to see her baby, all she could do was cry. Seeing a baby that’s not fully developed was hard, but to see that child struggling to breathe with tubes and IV’s attached to it was painful for a teenager to see. Shatrevia kept telling herself she was just fine, and in one more night she could go home. One of the most traumatic events happened in less than 24 hours. Her 2.5 lb baby ended up staying in the hospital for months. Some of you reading this must be wondering, “What happened to the nurse?” Well, when the doctor came into the room and found that I was in labor and shock, he yelled, “Where is the nurse that’s supposed to be caring for this child?” She left. When she was finally called, she told a nurse she didn’t want to care for me because I was black. The Doctor fired her, at least that’s what I was told. Usually when a new nurse comes into the patient’s room, they introduce themselves and write their name on the white board on the wall. Shatrevia had never met the nurse and there was no name.

Shatrevia had told friends and family about her experience. She called lawyers’ offices for help and her last resort was contacting and eventually going to the NAACP office. Help was nowhere to be found. The attorney’s office told her she would never get an attorney in Florida to help her go up against the hospital. When she went to the NAACP office, no one answered, and the door was locked with lights on and cars parked outside. So you see, not only is there a healthcare issue for people of color, but there is no justice when you are harmed. The community puts in place a system for injustice and people like Shatrevia are looked over. The more Shatrevia shared her story, she discovered that so many other women shared her experience. When does this end? Is this an issue of race? Was she faced with this because she had Medicaid? Or did this happen to Shatrevia because her family and the system failed her? There’s  a lack of trust on all sides. People don’t have trust in doctors due to systemic neglect, and lack trust in themselves. The more that people told me to give up and take care of my baby, the more I wanted to fight. I got tired of doors getting shut in my face and began to do what people said to – focus on my baby and take care of her. It’s like I grew conditioned to believe like others in my community believed. They believed there was no use in fighting. I was even told that if I didn’t put the issue aside I would cause more trouble for myself. In theory, there are many reasons why people are afraid of this system, but the truth is there are people, corporations, and systems that work together to bring about a particular result for good or bad. – Submitted by Shatrevia Spikes

 

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