Progress Report of March 2010 Albuquerque - Bernalillo County Health Equity Assessment Tool ABC HEAT   Bernalillo County P...
A Project of the Bernalillo County  Place Matters Team   ABC HEAT  is a collaborative health equity initiative with the go...
AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS ...
Place Matters Communities  The Fair Health Movement BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASS...
Definitions <ul><li>Health Disparities : Statistical differences in disease, health outcomes or health access that occur a...
<ul><li>Social Determinants of Health </li></ul><ul><ul><ul><ul><li>Land Use Planning  </li></ul></ul></ul></ul><ul><ul><u...
Source: World Health Organization,  Report of the Commission on the Social Determinants of Health , 2008.  See also Robert...
A MODEL AREA-BASED INDICATORS PROJECT The  Healthy Development Measurement Tool  is a comprehensive evaluation metric to c...
http://www.thehdmt.org/
http://www.thehdmt.org/master_list.php SAN FRANCISCO,  HDMT   ALBUQUERQUE,  HEAT http://www.nmpha.org/Social_Determinants....
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL ALBUQUERQUE AND THE  HEAT  COMMUNITY BO...
33 HEAT COMMUNITIES 141 Census Tracts were aggregated into 33 communities representing coherent neighborhoods in the city ...
http://map4change.org/ ABC HEAT WILL SOON BE ONLINE BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASS...
AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS ...
Call us to set up a workshop for your project or group. Tom 897-5700 x126 George: 314-0326 BERNALILLO COUNTY PLACE MATTERS...
<ul><li>What is the Health Equity Assessment Tool? </li></ul><ul><li>A large inventory of datasets (> 90 indicators curren...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL A. Health Outcomes  Birth  Death  Morbi...
Public Assistance Food Stamp enrollment MEDICAID Enrollment TANF Local Programs – e.g., UNMCare   Access to Capital Approv...
<ul><li>The HEAT - SEERStat Tool </li></ul><ul><li>Age-Adjusted Mortality Rates by  PLACE </li></ul><ul><li>  For Any - </...
1. Choose the Cause of Death SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT T...
2. Set the Table Layout -  DIABETES, by RACE and HEAT COMMUNITY SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  ...
3. Run the Rates WHITE HISPANIC SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMEN...
4-a. Create the Maps – HEAT Community Rates - DIABETES BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ...
DIABETES MORTALITY – UNDER 65 YEARS   Age-Adjusted Death Rates, Bernalillo County, 2001-2005 W. ATHAS, PLACE MATTERS – ABC...
SAMPLE APPLICATIONS TEEN BIRTHS and POVERTY INJURY PREVENTION and POVERTY ACADEMIC ACHIEVEMENT, DROPOUTS and YOUTH IN PRIS...
SAMPLE APPLICATION TEEN BIRTH AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL Teen Birth Rates, Albuquerque Census Tr...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL Source: NMDOH, BVRHS; Analysis: T Schar...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL TEEN BIRTH RATES INCREASE BASED ON POVE...
W. ATHAS, PLACE MATTERS – ABC HEAT  Source: NMDOH, BVRHS TEEN BIRTH RATES INCREASE BASED ON POVERTY AND PLACE AND  RACE BE...
Las Cruces Las Cruces 16-yr Cumulative Rates, Census Tracts Data Source: NMDOH, BVRHS Analysis: T Scharmen, NMDOH HISPANIC...
SAMPLE APPLICATION INJURY PREVENTION AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESS...
PERCENT OF PERSONS IN EXTREME POVERTY 2000 (less than 100% of the Federal Poverty Level) BERNALILLO COUNTY  CENSUS TRACTS ...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL UNINTENTIONAL INJURY DEATH RATES,  ALL ...
UNINTENTIONAL INJURY MORTALITY   Average Annual Age-Adjusted Death Rates in Persons < 75 Years By Race/Ethnicity and Pover...
KEY INDICATOR: The  percent of people in poverty  has been shown to be a representative and understandable proxy measure o...
YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005 WHITE HISPANIC NATIVE AMERICAN AFRICAN AMERICAN
DRUG INDUCED DEATHS, BERNALILLO COUNTY, 1990 - 2005 Includes accidental deaths, intentional deaths (suicide, homicide), an...
SAMPLE APPLICATION ACADEMIC ACHIEVEMENT, DROPOUTS AND YOUTH IN PRISON BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  - ...
FREE OR REDUCED-PRICE LUNCH BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
FOURTH GRADE READING SCORES (% PROFICIENT) BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT T...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL Source: APS-SIS, January 2009 ; Map: NM...
<ul><li>FACTS ABOUT ADULT PRISON ADMISSIONS </li></ul><ul><li>Residents from neighborhoods that have the most people going...
SAMPLE APPLICATION ALCOHOL LICENSING BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS – ABC HEAT  Source: NMRLD...
ALCOHOL AVAILABILITY 2008 South East Heights Albuquerque PLACE MATTERS – ABC HEAT  Source: NMRLD, Alcohol and Gaming Divis...
DWI Resource Center: http://www.dwiresourcecenter.org/downloads/naap/ABQ_Map11.gif   Proposed CVS Liquor License
At Wednesday night's City Council meeting, councilors approved an appeal by the La Mesa Community Improvement Association ...
SAMPLE APPLICATION HEALTHY WEIGHT AND FOOD STORES BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSES...
DIABETES DEATH RATES, ALL RACES AND ETHNICITIES TOTAL DEATHS = 1882 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  H...
PLACE MATTERS – ABC HEAT  Source: NMDOH, BVRHS Years 1990 through 2005, N = 960 WHITES, DIABETES DEATH RATES BERNALILLO CO...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS – ABC HEAT  Source: NMDOH...
PLACE MATTERS – ABC HEAT  Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY A...
PLACE MATTERS – ABC HEAT  Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY A...
State Representative Districts (Park, Chasey & Stapleton) PLACE MATTERS – ABC HEAT  Source: Farm to Table, 2008 BERNALILLO...
DIABETES MORTALITY – UNDER 65 YEARS   Age-Adjusted Death Rates, Bernalillo County, 2001-2005 W. ATHAS, PLACE MATTERS – ABC...
In a healthy population of normal children, the expected proportion overweight or obese is 15%. -CDC, 2000 OVERWEIGHT OR O...
SAMPLE APPLICATION ASTHMA AND STATIONARY SOURCES OF POLLUTION BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH ...
If the permit is extended, PM 2.5 in this area will increase by 59.1%. BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -...
PLACE MATTERS – ABC HEAT  Source: NMDOH, BVRHS Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 166 ASTHMA...
EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREA Rates = Deaths per 100,000 Residents BERNALILLO COUNTY PLACE MATTERS TEAM...
By Elaine D. Briseno, ABQJournal Staff Writer  The two sides involved in a dispute over a 24-hour cement operation in a No...
 
http://www.koat.com/news/22805273/detail.html
SAMPLE APPLICATION DAY CARE CAPACITY and CHILD POPULATIONS BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQU...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
Source: GeoLytics, 2005 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
Day Care Capacity   Children <10 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL Less  ...
Source: NM CYFD, 2009; US Census, 2000 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL ...
Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL
Source: GeoLytics, 2005 Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMEN...
SAMPLE APPLICATION LANGUAGE LEVEL and FOREIGN BORN Note: This file replaces an earlier version dated Mar 26 2010
WHAT PROPORTION OF POPULATION IS HISPANIC OR LATINO? BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY AS...
WHAT PROPORTION OF HISPANICS / LATINOS SPEAK ENGLISH ‘NOT WELL’ OR ‘NOT AT ALL’? BERNALILLO COUNTY PLACE MATTERS TEAM  -  ...
The US Department of Homeland Security Estimates the Number of Undocumented: http://www.dhs.gov/xlibrary/assets/statistics...
Using the following proportions: How many ‘unauthorized’ immigrants reside in Bernalillo County in 2009? Includes Naturali...
HOW MANY RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY A...
WHAT PROPORTION OF RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALT...
HOW MANY RESIDENTS ARE ‘UNAUTHORIZED’ IMMIGRANTS? Method: Estimated national proportions from DHS are applied to NM and  B...
HOW MANY MOTHERS GIVING BIRTH ARE FOREIGN-BORN?
HOW MANY RESIDENTS WHO DIE ARE FOREIGN-BORN?
AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS ...
BERNALILLO COUNTY PLACE MATTERS TEAM  -  -  -  -  -  HEALTH EQUITY ASSESSMENT TOOL THANK YOU   ALBUQUERQUE / BERNALILLO CO...
Upcoming SlideShare
Loading in …5
×

Abc heat roadshow mar 25 2010 t scharmen

655 views

Published on

Presentation to multiple community groups in Albuquerque, March - June 2010

  • Be the first to comment

  • Be the first to like this

Abc heat roadshow mar 25 2010 t scharmen

  1. 1. Progress Report of March 2010 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. 2. 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. ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL
  3. 3. AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL WHAT IS THE ROLE OF YOUR ORGANIZATION IN SUPPORT OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY? WHAT IS THE ROLE OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY IN SUPPORT OF YOUR ORGANIZATION ?
  4. 4. Place Matters Communities The Fair Health Movement BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  5. 5. Definitions <ul><li>Health Disparities : Statistical differences in disease, health outcomes or health access that occur among populations defined by specific characteristics </li></ul><ul><li>Health Inequity : Differences in health that are systematic and avoidable, unfair, or stemming from injustice </li></ul><ul><li>Research : Discovery, via scientific methods, of new knowledge (e.g., causation) that will have broad applications </li></ul><ul><li>Public Health Surveillance : Information for action and policy advocacy </li></ul>BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  6. 6. <ul><li>Social Determinants of Health </li></ul><ul><ul><ul><ul><li>Land Use Planning </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Economic Development </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Housing </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Parks and Recreation </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Education </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Crime </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Racism/Discrimination </li></ul></ul></ul></ul>BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Definitions
  7. 7. 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
  8. 8. 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/
  9. 9. http://www.thehdmt.org/
  10. 10. 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
  11. 11. 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
  12. 12. 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
  13. 13. http://map4change.org/ ABC HEAT WILL SOON BE ONLINE BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  14. 14. AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL WHAT IS THE ROLE OF YOUR ORGANIZATION IN SUPPORT OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY? WHAT IS THE ROLE OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY IN SUPPORT OF YOUR ORGANIZATION ?
  15. 15. Call us to set up a workshop for your project or group. Tom 897-5700 x126 George: 314-0326 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  16. 16. <ul><li>What is the Health Equity Assessment Tool? </li></ul><ul><li>A large inventory of datasets (> 90 indicators currently) </li></ul><ul><li>Information on the social and health conditions of local communities </li></ul><ul><li>Geo-coded birth & death files (16 yrs) </li></ul><ul><li>Organized by Bernalillo County Census Tracts (141), and by </li></ul><ul><li>Aggregations of tracts into meaningful community boundaries (33) </li></ul>BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL <ul><li>The indicators are being developed as multi-purpose, rapid response tools , ready for </li></ul><ul><ul><li>participatory research, </li></ul></ul><ul><ul><li>program planning, </li></ul></ul><ul><ul><li>priority setting and targeting, </li></ul></ul><ul><ul><li>grant proposals, </li></ul></ul><ul><ul><li>policy discussions, </li></ul></ul><ul><ul><li>environmental and health impact assessments, </li></ul></ul><ul><ul><li>. . .and multiple other forms of community decision-making. </li></ul></ul><< the SEERStat Tool
  17. 17. 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
  18. 18. 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/Financial Resources ACQUIRED (or in process) = BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL <<Next in Line
  19. 19. <ul><li>The HEAT - SEERStat Tool </li></ul><ul><li>Age-Adjusted Mortality Rates by PLACE </li></ul><ul><li> For Any - </li></ul><ul><ul><ul><ul><li>Cause of Death </li></ul></ul></ul></ul><ul><ul><ul><li>By Any - </li></ul></ul></ul><ul><ul><ul><ul><li>Age Group </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Sex </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Race/Ethnicity </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Year (1990 to 2005) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Census Tract (or combination of) </li></ul></ul></ul></ul>BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL http://seer.cancer.gov/resources ~900,000 Denominators for Bernalillo County
  20. 20. 1. Choose the Cause of Death SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  21. 21. 2. Set the Table Layout - DIABETES, by RACE and HEAT COMMUNITY SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  22. 22. 3. Run the Rates WHITE HISPANIC SEERStat Tool BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  23. 23. 4-a. Create the Maps – HEAT Community Rates - DIABETES BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL SEERStat Tool
  24. 24. 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
  25. 25. 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
  26. 26. SAMPLE APPLICATION TEEN BIRTH AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  27. 27. 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
  28. 28. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment
  29. 29. 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
  30. 30. 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
  31. 31. 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
  32. 32. SAMPLE APPLICATION INJURY PREVENTION AND POVERTY BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  33. 33. 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
  34. 34. 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
  35. 35. 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
  36. 36. 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
  37. 37. YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005 WHITE HISPANIC NATIVE AMERICAN AFRICAN AMERICAN
  38. 38. 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
  39. 39. SAMPLE APPLICATION ACADEMIC ACHIEVEMENT, DROPOUTS AND YOUTH IN PRISON BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  40. 40. FREE OR REDUCED-PRICE LUNCH BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  41. 41. FOURTH GRADE READING SCORES (% PROFICIENT) BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  42. 42. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Source: APS-SIS, January 2009 ; Map: NMDOH, OCAPE
  43. 43. <ul><li>FACTS ABOUT ADULT PRISON ADMISSIONS </li></ul><ul><li>Residents from neighborhoods that have the most people going to prison (incarcerated) are imprisoned up to 30 times more often than the lowest. </li></ul><ul><li>Two of Albuquerque’s 16 neighborhood areas (87102 and 87105) account for 35% of all prison admissions from the city. </li></ul><ul><li>24% of all prison admissions from Albuquerque were admitted on the basis of violations of parole. </li></ul>(Adults only) Source: NM Dept of Corrections, NM CYFD; Analysis: The After Prison Initiative, Open Society Institute, 2003 <ul><li>FACTS ABOUT YOUTH ADMITTED TO JUVENILE JUSTCE CUSTODY </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul>PRISON ADMISSION: ADULTS & YOUTH BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  44. 44. SAMPLE APPLICATION ALCOHOL LICENSING BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  45. 45. 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
  46. 46. 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
  47. 47. DWI Resource Center: http://www.dwiresourcecenter.org/downloads/naap/ABQ_Map11.gif Proposed CVS Liquor License
  48. 48. 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
  49. 49. SAMPLE APPLICATION HEALTHY WEIGHT AND FOOD STORES BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  50. 50. 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
  51. 51. 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
  52. 52. 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
  53. 53. PLACE MATTERS – ABC HEAT Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY
  54. 54. PLACE MATTERS – ABC HEAT Source: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY + LOCATION
  55. 55. 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
  56. 56. 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
  57. 57. 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
  58. 58. SAMPLE APPLICATION ASTHMA AND STATIONARY SOURCES OF POLLUTION BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  59. 59. 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
  60. 60. 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
  61. 61. EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREA Rates = Deaths per 100,000 Residents BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  62. 62. 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
  63. 64. http://www.koat.com/news/22805273/detail.html
  64. 65. SAMPLE APPLICATION DAY CARE CAPACITY and CHILD POPULATIONS BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  65. 66. BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  66. 67. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  67. 68. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  68. 69. Source: GeoLytics, 2005 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  69. 70. Day Care Capacity Children <10 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Less More
  70. 71. Source: NM CYFD, 2009; US Census, 2000 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL Population Distributions, 5-yr age groups, 2000
  71. 72. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  72. 73. Source: GeoLytics, 2005 Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  73. 74. SAMPLE APPLICATION LANGUAGE LEVEL and FOREIGN BORN Note: This file replaces an earlier version dated Mar 26 2010
  74. 75. 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)
  75. 76. 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)
  76. 77. The US Department of Homeland Security Estimates the Number of Undocumented: http://www.dhs.gov/xlibrary/assets/statistics/publications/ois_ill_pe_2009.pdf
  77. 78. Using the following proportions: How many ‘unauthorized’ immigrants reside in Bernalillo County in 2009? Includes Naturalized Citizens
  78. 79. HOW MANY RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  79. 80. WHAT PROPORTION OF RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
  80. 81. 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
  81. 82. HOW MANY MOTHERS GIVING BIRTH ARE FOREIGN-BORN?
  82. 83. HOW MANY RESIDENTS WHO DIE ARE FOREIGN-BORN?
  83. 84. AGENDA . . . THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORT HOW CAN WE COLLABORATE? BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL WHAT IS THE ROLE OF YOUR ORGANIZATION IN SUPPORT OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY? WHAT IS THE ROLE OF COMPREHENSIVE COMMUNITY ASSESSMENT IN BERNALILO COUNTY IN SUPPORT OF YOUR ORGANIZATION ?
  84. 85. 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

×