Abc heat roadshow june 2010 t scharmen

  • 386 views
Uploaded on

Presentation to NM Dept of Health, Epidemiology and Response Division Staff, June 2010

Presentation to NM Dept of Health, Epidemiology and Response Division Staff, June 2010

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
386
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
0
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide
  • Today we hope to describe how we can use existing data from government agencies of all kinds to support policies that enable health…..and to enlist your interest and support to develop the HEAT….and to show how policy changes across a broad spectrum, from education to crime to housing to environmental permitting, can improve the health status of our communities. (Explain the roles of the parties represented here by their logos…)
  • Here is the HEAT vision (or mission) statement. (Adapted from the RWJF Report - Beyond Health Care:  New Directions to a Healthier America )
  • Place Matters is an effort by the Joint Center to create a fair health movement. 16 counties from around the nation are identifying their health inequities and looking “upstream” for policy-oriented solutions. Some are looking at diabetes, obesity…others at breast cancer, others at traffic fatalities…. Our team started from an upstream location…looking at land use policy…and is asking what health inequities might be attributable to that?
  • When we are talking about health equity and health disparities, it is important to define the terms. Disparities are the statistical differences…..inequities occur when the difference in health between one group and another is unfair and preventable. The disparity is just a measurement…the inequity is where we aim policy. PH Surveillance or Community Assessment is concerned with putting existing knowledge into the hands of decision makers – including members of specific communities – whereas research is more concern with discovering new knowledge, with universal applications. ABC-HEAT is a community assessment tool that can inform public practice and policy. It benefits from the research of others, but is not research in the pure, or academic, sense.
  • We want to enlist the assistance of your advocacy group to build and improve the HEAT. We want the HEAT to be used by you and to be useful to you. Public Health has had limited success using the “behavior change” approach to disease prevention and health promotion. PH has learned that the things we do in these policy areas can affect human health positively or negatively. HEAT is looking for root causes of health problems to help advocacy groups bring about social/environmental conditions that improve health. Public policy is the mechanism that improves or degrades the conditions that promote health. Of course you can’t deny the importance of individual behavior in the health equation, but we must also consider the policy realm: If a person needs to improve their diet for better health, the wealthy person will have an easier time of it than the poor person, or the person who lives in a neighborhood that is not served by a high quality grocery store. The slides that follow show how we are developing the HEAT to show relationships between health and other social conditions. As you see the slides that follow, ask yourselves if this info is useful to your organization…does it help you advocate for solutions to the problems you are trying to solve? Does it add ammunition to your arsenal of information that shows your cause is important?
  • A wonderful model for our ABC HEAT is the San Francisco HDMT
  • You’ll find a collection of maps on over 100 key indicators, as well as community profiles for each neighborhood of the city.
  • We are a long way away from achieving what SF has, but we are off to a start.
  • When we are talking about health equity and health disparities, it is important to define the terms. Disparities are the statistical differences…..inequities occur when the difference in health between one group and another is unfair and preventable. The disparity is just a measurement…the inequity is where we aim policy. PH Surveillance or Community Assessment is concerned with putting existing knowledge into the hands of decision makers – including members of specific communities – whereas research is more concern with discovering new knowledge, with universal applications. ABC-HEAT is a community assessment tool that can inform public practice and policy. It benefits from the research of others, but is not research in the pure, or academic, sense.
  • Under development
  • Here is another example of the use of existing data to demonstrate a health inequity. Death from diabetes is greatest where people are poorest. This is true for Whites and Hispanics, both male and female.
  • Here is another example of the use of existing data to demonstrate a health inequity. Death from diabetes is greatest where people are poorest. This is true for Whites and Hispanics, both male and female.
  • The major question we would like to ask is How can we collaborate? HEAT (as you will see) is at a very early stage compared to other projects around the nation. We can not achieve our vision without sharing tasks, goals and resources with partners like the Center for Health Policy
  • We are able to calculate age-adjusted death rates for any age group, race, sex and cause of death for the years 1990-2005 FOR ANY CENSUS TRACT OR COMBINATION OF CENSUS TRACTS. This is a special adaptation of CDC’s SEERStat software, developed by Will Athas for the ABC HEAT Project. Studying mortality by small areas reveals disparities that would otherwise be averaged out of the picture.
  • Here is another example of the use of existing data to demonstrate a health inequity. Death from diabetes is greatest where people are poorest. This is true for Whites and Hispanics, both male and female.

Transcript

  • 1. Albuquerque - Bernalillo County Health Equity Assessment Tool ABC HEAT Bernalillo County Place Matters Team Thomas N. Scharmen , MA, MPH, Epidemiologist Regions 1 & 3, Office of Community Assessment, Planning and Evaluation Public Health Division, New Mexico Department of Health North Valley Public Health Office 7704-A 2nd St, NW Albuquerque, NM 87107 Telephone: 897-5700 ext 126; Fax: 897-1010 E-mail: [email_address]
  • 2. MOST OF THIS PRESENTATION IS AVAILABLE ON-LINE AT: NMPHA.ORG >>> PRIORITY AREAS >>> SOCIAL DETERMINANTS >>> ABC HEAT ABC HEAT
  • 3. A Project of the Bernalillo County Place Matters Team   ABC HEAT is a collaborative health equity initiative with the goal of providing communities and decision-makers in our city & county with evidence to build health into public and private policies and practices.   We believe that decision-makers must have reliable data on health status, disparities, and the effects of social determinants of health. These data must be monitored at the local level in collaboration with the people and families who live there, and funding must be available to promote community participatory assessment to understand these health effects and to promote the application of findings to decision-makers. ABC HEAT ALBUQUERQUE - BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL
  • 4. Place Matters Communities Eliminating Health Disparities by Addressing the Social Determinants of Health BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 5. Source: World Health Organization, Report of the Commission on the Social Determinants of Health , 2008.  See also Robert Wood Johnson Foundation Report, Beyond Health Care:  New Directions to a Healthier America and CDC, Healthy People 2020 . BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 6. Definitions
    • Health Disparities : Statistical differences in disease, health outcomes or health access that occur among populations defined by specific characteristics
    • Health Inequity : Differences in health that are systematic and avoidable, unfair, or stemming from injustice
    • Research : Discovery, via scientific methods, of new knowledge (e.g., causation) that will have broad applications
    • Public Health Surveillance : Information for action and policy advocacy
    BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 7.
    • Social Determinants of Health
          • Land Use Planning
          • Economic Development
          • Housing
          • Parks and Recreation
          • Education
          • Crime
          • Racism/Discrimination
    BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Definitions
  • 8. Upstream . . . Downstream
  • 9. Defining Community Geography at Neighborhood Level Building Capacity and Resources Defining Key Indicators Data Access and Acquisition Data Quality Geo-Coding, Building Tools & Denominators Disseminating Information Social Media, Community Engagement Building Comprehensive Indexes COMMUNITY ASSESSMENT FOR CHANGE KEY WORK COMPONENTS THIS IS HARD WORK!
  • 10. A MODEL AREA-BASED INDICATORS PROJECT The Healthy Development Measurement Tool is a comprehensive evaluation metric to consider health needs in urban San Francisco development plans and projects. The HDMT explicitly connects public health to urban development planning in efforts to achieve a higher quality social and physical environment that advances health. http://www.thehdmt.org/
  • 11. http://www.thehdmt.org/
  • 12. http://www.thehdmt.org/master_list.php SAN FRANCISCO, HDMT ALBUQUERQUE, HEAT http://www.nmpha.org/Social_Determinants.html BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 13. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL ALBUQUERQUE AND THE HEAT COMMUNITY BOUNDARIES HOW DO YOU DEFINE YOUR COMMUNITY? Community Boundaries & Numbers Downtown Albuquerque Big “I” Rio Grande River Interstate Highways NW To Santa Fe NE SE SW Airport
  • 14. 33 HEAT COMMUNITIES 141 Census Tracts were aggregated into 33 communities representing coherent neighborhoods in the city of Albuquerque and surrounding county. Each HEAT community contains roughly 3 to 6 whole census tracts. Social determinant and health outcome data are calculated for each of those 33 communities to produce data tables and maps for community decision makers. ABC HEAT will explore other definitions of communities, for example: coalitions of neighborhood associations, police beats, state representative districts, etc. The table at right gives the names and codes for each of the 33 communities. Each name corresponds to a major intersection within the community. The adjacent map points out familiar landmarks in Albuquerque. Red lines mark the HEAT Communities Input is appreciated regarding better ways to define the geography of your community. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 15. 33 HEAT COMMUNITIES? Or 19 SUB-DIVISIONS FOR THE COUNTY, AND 64 FOR THE STATE A working group of state epidemiologists is studying ways of subdividing the state into 64 areas in order to produce a finer focus in standard reports: STATEWIDE SMALL AREA ANALYSIS GROUP BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 16. http://map4change.org/ ABC HEAT WILL SOON BE ONLINE BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 17.
    • What is the Health Equity Assessment Tool?
    • A large inventory of datasets (> 90 indicators currently)
    • Information on the social and health conditions of local communities
    • Geo-coded birth & death files (16 yrs)
    • Organized by Bernalillo County Census Tracts (141), and by
    • Aggregations of tracts into meaningful community boundaries (33)
    BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
    • The indicators are being developed as multi-purpose, rapid response tools , ready for
      • participatory research,
      • program planning,
      • priority setting and targeting,
      • grant proposals,
      • policy discussions,
      • environmental and health impact assessments,
      • . . .and multiple other forms of community decision-making.
    << the SEERStat Tool
  • 18. Current Support to Bernalillo County Place Matters
    • Numerous Partners Utilizing ABC HEAT: 6 Depts at UNM; Albuquerque Public Schools; 12+ proposals in 2010; 20+ Non-Profits in Albuquerque; Data sharing with local and state agencies
    • Capacity Building Grant : Acquire and geo-code key datasets (Medicaid and Food Stamp Enrollment); Conduct 25 workshops with organized community groups to promote health equity, participatory assessment, and the social determinants of health (1 year, $16,000)
    • On-Line Mapping Tool Grant: Establish an on-line presence; acquire databases; build tools; disseminate information via social media and community engagement (pending, 5 years, $150,000-250,000)
    • Health Impact Assessment Grant : Train organize community groups to conduct Health Impact Assessments; Engage public agencies; conduct a model HIA; promote support for HIAs (pending, I year, $60,000)
    BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 19. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL A. Health Outcomes Birth Death Morbidity BMI in Children B. Socio-economic Indicators Economic Security and Financial Resources School Readiness and Educational Attainment Adequate, Affordable and Safe Housing Law enforcement, incarceration C. Resources and Services Health Care Services Nutrition, Recreation, Schools Day Care, Food stores, Transportation D. Environment Stationary Sources of Pollution Air Quality Zoning, Permitting CATEGORIES OF HEAT INDICATORS
  • 20. Public Assistance Food Stamp enrollment MEDICAID Enrollment TANF Local Programs – e.g., UNMCare   Access to Capital Approval Rates- Home Purchase Mortgages # of Home Purchase Mortgages Foreclosures Delinquent Property Taxes Income & Poverty Median Household Income % Households Below Poverty % Individuals with Income <Poverty % Children <18 in Poverty   Wealth/ Assets Median Value - Owner Occupied Homes Land/Building Assessed Value Sales Prices Average # of Vehicles DETAIL OF ONE SOCIAL DETERMINANT Economic Security and Financial Resources ACQUIRED (or in process) = BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL <<Next in Line
  • 21.
    • The HEAT - SEERStat Tool
    • Age-Adjusted Mortality Rates by PLACE
    • For Any -
          • Cause of Death
        • By Any -
          • Age Group
          • Sex
          • Race/Ethnicity
          • Year (1990 to 2005)
          • Census Tract (or combination of)
    BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL http://seer.cancer.gov/resources ~900,000 Denominators for Bernalillo County
  • 22. 1. Choose the Cause of Death SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 23. 2. Set the Table Layout - DIABETES, by RACE and HEAT COMMUNITY SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 24. 3. Run the Rates WHITE HISPANIC SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 25. 4-a. Create the Maps – HEAT Community Rates - DIABETES BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL SEERStat Tool
  • 26. DIABETES MORTALITY – UNDER 65 YEARS Age-Adjusted Death Rates, Bernalillo County, 2001-2005 W. ATHAS, PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL 4-b. Correlate Place / Poverty with Race and Sex SEERStat Tool POVERTY
  • 27. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL 4-c. Rank Major Causes by Ethnicity and Age SEERStat Tool
  • 28. PLACE MATTERS – ABC HEAT Source: Deaths - NMDOH-BVRHS; Population - Geolytics, Inc. Life Expectancy Comparisons USA (2003)* 77.4 years NM (2001-03)* 77.3 years Bernalillo County (2001-05) 80.3 years *Source: NCHS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Life expectancy is a key measure of the health status of a population. It is defined as the average number of years a baby born in a particular area or population can be expected to live if it experiences the current age-specific mortality rates of that particular area or population throughout its life. These estimates use the methods described by Chiang, 1968 (see references). LIFE EXPECTANCY AT BIRTH Bernalillo County HEAT Communities Both Sexes, 2001-2005 SEERStat Tool 4-d. Life Expectancy at the Neighborhood Level
  • 29. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 30.  
  • 31. SAMPLE APPLICATIONS TEEN BIRTHS and POVERTY INJURY PREVENTION and POVERTY ACADEMIC ACHIEVEMENT, DROPOUTS and YOUTH IN PRISON ALCOHOL LICENSING HEALTHY WEIGHT and FOOD STORES ASTHMA and STATIONARY SOURCES OF POLLUTION DAY CARE CAPACITY and CHILD POPULATIONS FOREIGN BORN, LANGUAGE LEVEL and ‘UNAUTHORIZED’ RESIDENTS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 32. SAMPLE APPLICATION TEEN BIRTH AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 33. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Teen Birth Rates, Albuquerque Census Tracts, 2001 - 2005 Teen Birth Rates, 2003 U.S.A. 41.6 N.M. 62.6 Bernalillo County 59.8 Source: NMDOH, BVRHS Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment
  • 34. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment
  • 35. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL TEEN BIRTH RATES INCREASE BASED ON POVERTY AND PLACE Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment POVERTY
  • 36. W. ATHAS, PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS TEEN BIRTH RATES INCREASE BASED ON POVERTY AND PLACE AND RACE BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL POVERTY
  • 37. Las Cruces Las Cruces 16-yr Cumulative Rates, Census Tracts Data Source: NMDOH, BVRHS Analysis: T Scharmen, NMDOH HISPANIC TEEN BIRTH RATES, DOÑA ANA COUNTY, 1990 - 2005
  • 38. SAMPLE APPLICATION INJURY PREVENTION AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 39. PERCENT OF PERSONS IN EXTREME POVERTY 2000 (less than 100% of the Federal Poverty Level) BERNALILLO COUNTY CENSUS TRACTS US CENSUS 2000 PLACE MATTERS – ABC HEAT Source: U.S. Census WHERE DO PEOPLE IN EXTREME POVERTY LIVE? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 40. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL UNINTENTIONAL INJURY DEATH RATES, ALL AGES, RACES AND ETHNICITIES PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS Unintentional Injury Deaths, 2000 U.S.A. 34.8 N.M. 53.6 Bernalillo County 46.4 Source: NCHS NVSR; NMDOH IBIS
  • 41. UNINTENTIONAL INJURY MORTALITY Average Annual Age-Adjusted Death Rates in Persons < 75 Years By Race/Ethnicity and Poverty Level, Bernalillo County, 1996-2005 W. ATHAS, PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL POVERTY
  • 42. KEY INDICATOR: The percent of people in poverty has been shown to be a representative and understandable proxy measure of socioeconomic position at the census tract level. (Kreiger, et al, 2003) Non-Fatal Intentional Weapons Related Injury, Massachusetts, 1995-97 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 43. YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005 WHITE HISPANIC NATIVE AMERICAN AFRICAN AMERICAN
  • 44. DRUG INDUCED DEATHS, BERNALILLO COUNTY, 1990 - 2005 Includes accidental deaths, intentional deaths (suicide, homicide), and deaths with undetermined intention from poisoning or exposure to illicit or legal drugs (prescription or over-the-counter). Rates are age-adjusted and calculated for all ages, sexes and racial / ethnic groups over the 16-year period of 1990-2005. N=986 deaths. T. Scharmen, PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 45. SAMPLE APPLICATION ACADEMIC ACHIEVEMENT, DROPOUTS AND YOUTH IN PRISON BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 46. FREE OR REDUCED-PRICE LUNCH BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 47. FOURTH GRADE READING SCORES (% PROFICIENT) BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 48. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Source: APS-SIS, January 2009 ; Map: NMDOH, OCAPE
  • 49.
    • FACTS ABOUT ADULT PRISON ADMISSIONS
    • Residents from neighborhoods that have the most people going to prison (incarcerated) are imprisoned up to 30 times more often than the lowest.
    • Two of Albuquerque’s 16 neighborhood areas (87102 and 87105) account for 35% of all prison admissions from the city.
    • 24% of all prison admissions from Albuquerque were admitted on the basis of violations of parole.
    (Adults only) Source: NM Dept of Corrections, NM CYFD; Analysis: The After Prison Initiative, Open Society Institute, 2003
    • FACTS ABOUT YOUTH ADMITTED TO JUVENILE JUSTCE CUSTODY
    • In Martinez Town / Barelas (87102) and West Mesa (87121), youth are placed in detention at nearly 10 times the rate of youth in the West Side (87120) and Paradise Hill (87114) neighborhoods.
    • The South Valley (87105), SE Heights (87108) , West Mesa (87121), Martinez Town / Barelas (87102) neighborhood areas account for 50% of all juveniles admitted to custody from Albuquerque’s 16 neighborhood areas.
    PRISON ADMISSION: ADULTS & YOUTH BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 50. SAMPLE APPLICATION ALCOHOL LICENSING BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 51. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS – ABC HEAT Source: NMRLD, Alcohol and Gaming Division, 2008 ALCOHOL AVAILABILITY, 2008 BERNALILLO COUNTY CENSUS TRACTS
  • 52. ALCOHOL AVAILABILITY 2008 South East Heights Albuquerque PLACE MATTERS – ABC HEAT Source: NMRLD, Alcohol and Gaming Division, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Liquor License for On/Off Premises New CVS Liquor License
  • 53. DWI Resource Center: http://www.dwiresourcecenter.org/downloads/naap/ABQ_Map11.gif Proposed CVS Liquor License
  • 54. At Wednesday night's City Council meeting, councilors approved an appeal by the La Mesa Community Improvement Association to reject any approval for a liquor license at the new CVS Pharmacy near Central and Louisiana. Neighborhood wins liquor license fight Neighbors who had joined the fight against the pharmacy getting a liquor license rejoiced following the decision, including Nancy Bearse, President of the neighborhood association. &quot;I'm just so happy, I feel like crying,&quot; said Bearse. &quot;Yes, this is a long struggle, this is why we do community grassroots efforts, this is what it's all about.&quot; KOB, Eyewitness News 4 01/20/2010
  • 55. SAMPLE APPLICATION HEALTHY WEIGHT AND FOOD STORES BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 56. DIABETES DEATH RATES, ALL RACES AND ETHNICITIES TOTAL DEATHS = 1882 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Diabetes Deaths, 2000 U.S.A. 24.6 N.M. 29.8 Bernalillo County 23.5 Source: NCHS NVSR; NMDOH IBIS
  • 57. PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS Years 1990 through 2005, N = 960 WHITES, DIABETES DEATH RATES BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 58. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS Years 1990 through 2005, N = 776 HISPANICS, DIABETES DEATH RATES
  • 59. PLACE MATTERS – ABC HEAT Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY
  • 60. PLACE MATTERS – ABC HEAT Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY + LOCATION
  • 61. State Representative Districts (Park, Chasey & Stapleton) PLACE MATTERS – ABC HEAT Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY + LOCATION + ACCOUNTABILITY
  • 62. DIABETES MORTALITY – UNDER 65 YEARS Age-Adjusted Death Rates, Bernalillo County, 2001-2005 W. ATHAS, PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL POVERTY
  • 63. In a healthy population of normal children, the expected proportion overweight or obese is 15%. -CDC, 2000 OVERWEIGHT OR OBESE ELEMENTARY SCHOOL CHILDREN APS HEALTHY ASSESSMENT PROJECT PANAC
  • 64. SAMPLE APPLICATION ASTHMA AND STATIONARY SOURCES OF POLLUTION BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 65. If the permit is extended, PM 2.5 in this area will increase by 59.1%. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 66. PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 166 ASTHMA MORTALITY The neighborhoods east of the American Cement Corp plant registered the 3rd highest asthma death rate in the county for the period 1990-2005. - NM Vital Records From 1998 to 2002, 163 children under age 5 living in zip code 87107 were hospitalized for acute asthma. - NM Health Policy Commission BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL American Cement Corporation
  • 67. EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREA Rates = Deaths per 100,000 Residents BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 68. By Elaine D. Briseno, ABQJournal Staff Writer The two sides involved in a dispute over a 24-hour cement operation in a North Valley neighborhood have agreed to try to resolve their differences. Neighbors near the American Cement transfer station and company representatives, through their attorneys, have agreed to postpone an appeal hearing that could have led to repeal of a recent permit that allows the company to operate 24 hours. The station, owned by Grupo Cementos de Chihuahua, is near Griegos and the railroad tracks in the Greater Gardner neighborhood . That Gardner neighborhood association is joined by four others -- Stronghurst, Los Griegos, Monkbridge and the North Valley Coalition -- in opposing around-the-clock operations. . . . http://www.abqjournal.com/west/13235642west02-13-10.htm Progress Made in Cement Dispute
  • 69.  
  • 70. http://www.koat.com/news/22805273/detail.html
  • 71. SAMPLE APPLICATION DAY CARE CAPACITY and CHILD POPULATIONS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 72. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 73. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 74. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 75. Source: GeoLytics, 2005 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 76. Day Care Capacity Children <10 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Less More
  • 77. Source: NM CYFD, 2009; US Census, 2000 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Population Distributions, 5-yr age groups, 2000
  • 78. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 79. Source: GeoLytics, 2005 Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 80. SAMPLE APPLICATION LANGUAGE LEVEL and FOREIGN BORN Note: This file replaces an earlier version dated Mar 26 2010
  • 81. WHAT PROPORTION OF POPULATION IS HISPANIC OR LATINO? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Bernalillo County Census Tracts, US Census, 2000 (Includes native-born and foreign-born Hispanics and Latinos)
  • 82. WHAT PROPORTION OF HISPANICS / LATINOS SPEAK ENGLISH ‘NOT WELL’ OR ‘NOT AT ALL’? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Bernalillo County Census Tracts, US Census, 2000 (Includes native-born and foreign-born Hispanics and Latinos)
  • 83. The US Department of Homeland Security Estimates the Number of Undocumented: http://www.dhs.gov/xlibrary/assets/statistics/publications/ois_ill_pe_2009.pdf
  • 84. Using the following proportions: How many ‘unauthorized’ immigrants reside in Bernalillo County in 2009? Includes Naturalized Citizens
  • 85. HOW MANY RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 86. WHAT PROPORTION OF RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 87. HOW MANY RESIDENTS ARE ‘UNAUTHORIZED’ IMMIGRANTS? Method: Estimated national proportions from DHS are applied to NM and Bernalillo County foreign-born populations from the 2000 Census (lower bound) and the 2006-2008 American Community Survey (upper bound). Neighborhood estimates use the same method based on the lower bound only. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  • 88. HOW MANY MOTHERS GIVING BIRTH ARE FOREIGN-BORN?
  • 89. HOW MANY RESIDENTS WHO DIE ARE FOREIGN-BORN?
  • 90. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL THANK YOU ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL Thomas N. Scharmen , MA, MPH, Epidemiologist Regions 1 & 3, Office of Community Assessment, Planning and Evaluation Public Health Division, New Mexico Department of Health North Valley Public Health Office 7704-A 2nd St, NW Albuquerque, NM 87107 Telephone: 897-5700 ext 126; Fax: 897-1010 E-mail: [email_address] George Schroeder , MPH, MS, REHS Environmental Health Manager Bernalillo County Office of Environmental Health 111 Union Square Street SE; Third Floor Albuquerque, NM 87102 505-314-0326 E-mail: gschroeder@bernco.gov For more information, visit the New Mexico Public Health Association’s Social Determinants of Health webpage: http://www.nmpha.org/Default.aspx?pageId=491264