The Best WritersRochester, New HampshireWindshield SurveyLauren Brown RN BSNNorwich University March 2022Epidemiology and Population HealthDemographics Overview of the CityPopulation of 32,492 in 2020 the largest in city in the “Seacoast” New England area.Downtown, four small villages, small airport (privately owned), a recreational lake, and one hospital that has 112 acute care beds.Many elementary schools, large cooperative middle and high school.Full time police and fire department, emergency medical services provided by the privately owned for-profit hospital.Focus area: DowntownHigh level of homelessness.High level of substance abuse specifically IV drug use. Heroin, fentanyl, and methamphetamine have plagued the county and specifically Rochester for years.Small, family owned restaurants that offer relatively unhealthy “bar food” most of which serve alcohol.No gyms downtown much of the affordable housing/state housing for the city is there.Easily accessible area, walking distance to the hospital. No urgent care or clinic nearby.Socio-economic, cultural, and environmental concernsPoverty rate: 10.4% in 2019 vs. the average State of New Hampshire 7.3%Employment: 15,611/30,955 (2019)Home ownership is only 67.3% and the city has a high rental property rate.White (non-hispanic) citizens 92.3% not a culturally diverse city whatsoever.Many buildings are not maintained, there is a lot of trash and breakdown throughout the community.Many failed businesses are boarded up. Empty buildings for the homeless to live in and unfortunately steal from.Social and Community NetworksChurch downtown signs for substance abuse help.Police and fire department are both downtown and have high visibility.Zero gyms, community centers, or schools within the downtown.Substance abuse center is located downtown, which provides many with resources for treatment but also creates an area that lends to criminal activity and insecurities for many.Individual lifestyle factorsMany individuals are overweight, not a fit community. Very few gyms or recreational areas.Majority of restaurants are fast food/drive through/bar food. There are five major groceries stores and a local market, so fresh food is an option but fresh food is expensive.Substance abuse levels are high throughout the city. There is a relatively high level of drug sales in this community, which lends to individuals who use drugs to stay local and live together or on the street.Treatment for substance abuse is available yet highly limited.ConclusionRochester, New Hampshire is an average city on the larger size in the state. It does have higher rate of poverty and unemployment than other areas of comparable size. The hardest socio-economic struggle is substance abuse and homelessness, much of which are related to one another.Healthcare lacks because there is no urgent care or clinic, just a hospital with an emergency department which is very small for the size of the community. Further, substance abuse and mental health treatment are incredibly limited and unavailable to most, unless it is an acute basis at the hospital (i.e. overdose or suicidal ideations).I look forward to diving into this community that I have lived in for eight years. I have worked at the hospital within the city, but work nearby in the emergency department in a nearby city. I do still see many patients from Rochester, as it is only a ten minute drive.ResourcesCommunity Action Partnership of Strafford County. 2022. Accessed at:Data USA. 2019. Accessed at: