Progress Report of March 2010

Albuquerque - Bernalillo CountyHealth Equity Assessment Tool

ABC HEAT Bernalillo County Place Matters Team Thomas N. Scharmen, MA, MPH, EpidemiologistRegions 1 & 3, Office of Community Assessment, Planning and EvaluationPublic Health Division, New Mexico Department of HealthNorth Valley Public Health Office7704-A 2nd St, NW Albuquerque, NM 87107Telephone: 897-5700 ext 126; Fax: 897-1010E-mail: thomas.scharmen@state.nm.us

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

AGENDA . . .

THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORTHOW CAN WE COLLABORATE?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLWHAT 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 ?

Place Matters Communities The Fair Health MovementBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

DefinitionsHealth 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

Social Determinants of Health

Land Use Planning Economic DevelopmentHousingParks and RecreationEducationCrimeRacism/Discrimination

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLDefinitions

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

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What Determines Health Status?

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What Determines Health Status?

Genetics5%

Behavior30%

Heath Care10%

Social Conditions55%

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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/

http://www.thehdmt.org/

http://www.thehdmt.org/master_list.php SAN FRANCISCO, HDMT ALBUQUERQUE, HEAThttp://www.nmpha.org/Social_Determinants.htmlBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLALBUQUERQUE AND THE HEAT COMMUNITY BOUNDARIESHOW DO YOU DEFINE YOUR COMMUNITY?

33 HEAT COMMUNITIES141 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 CommunitiesInput is appreciated regarding better ways to define the geography of your community.BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

http://map4change.org/ABC HEAT WILL SOON BE ONLINEBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

AGENDA . . .

THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORTHOW CAN WE COLLABORATE?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLWHAT 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 ?

Call us to set up a workshop for your project or group.

Tom 897-5700 x126George: 314-0326BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

What is the Health Equity Assessment Tool?

A large inventory of datasets (> 90 indicators currently)Information on the social and health conditions of local communitiesGeo-coded birth & death files (16 yrs)Organized by Bernalillo County Census Tracts (141), and byAggregations of tracts into meaningful community boundaries (33)

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLThe 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.

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLA. Health Outcomes Birth Death Morbidity BMI in ChildrenB. Socio-economic Indicators Economic Security and Financial Resources School Readiness and Educational Attainment Adequate, Affordable and Safe Housing Law enforcement, incarcerationC. Resources and Services Health Care Services Nutrition, Recreation, Schools Day Care, Food stores, TransportationD. Environment Stationary Sources of Pollution Air Quality Zoning, Permitting CATEGORIES OF HEAT INDICATORS

Public AssistanceFood Stamp enrollmentMEDICAID EnrollmentTANFLocal Programs e.g., UNMCare

Access to CapitalApproval Rates- Home Purchase Mortgages# of Home Purchase MortgagesForeclosuresDelinquent Property Taxes

Income & Poverty Median Household Income% Households Below Poverty% Individuals with Income

The HEAT - SEERStat Tool Age-Adjusted Mortality Rates by PLACE

For Any -Cause of Death By Any - Age Group SexRace/Ethnicity Year (1990 to 2005)Census Tract (or combination of)BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLhttp://seer.cancer.gov/resources

1. Choose the Cause of DeathSEERStat ToolBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

2. Set the Table Layout - DIABETES, by RACE and HEAT COMMUNITYSEERStat ToolBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

3. Run the RatesWHITEHISPANICSEERStat ToolBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

4-a. Create the Maps HEAT Community Rates - DIABETESBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLSEERStat Tool

DIABETES MORTALITY UNDER 65 YEARS Age-Adjusted Death Rates, Bernalillo County, 2001-2005W. ATHAS, PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL4-b. Correlate Place / Poverty with Race and SexSEERStat Tool

SAMPLE APPLICATIONS

TEEN BIRTHS and POVERTYINJURY PREVENTION and POVERTYACADEMIC ACHIEVEMENT, DROPOUTS and YOUTH IN PRISON ALCOHOL LICENSINGHEALTHY WEIGHT and FOOD STORESASTHMA and STATIONARY SOURCES OF POLLUTIONDAY CARE CAPACITY and CHILD POPULATIONSFOREIGN BORN, LANGUAGE LEVEL and UNAUTHORIZED RESIDENTS

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

SAMPLE APPLICATION

TEEN BIRTH AND POVERTYBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLTEEN BIRTH RATES INCREASE BASED ON POVERTY AND PLACE

W. ATHAS, PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSTEEN BIRTH RATES INCREASE BASED ON POVERTY AND PLACE AND RACEBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

SAMPLE APPLICATION

INJURY PREVENTION AND POVERTYBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

PERCENT OF PERSONS IN EXTREME POVERTY 2000 (less than 100% of the Federal Poverty Level)BERNALILLO COUNTY CENSUS TRACTSUS CENSUS 2000

PLACE MATTERS ABC HEAT Source: U.S. CensusWHERE DO PEOPLE IN EXTREME POVERTY LIVE?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLUNINTENTIONAL INJURY DEATH RATES, ALL AGES, RACES AND ETHNICITIESPLACE MATTERS ABC HEAT Source: NMDOH, BVRHS

UNINTENTIONAL INJURY MORTALITY Average Annual Age-Adjusted Death Rates in Persons < 75 Years By Race/Ethnicity and Poverty Level, Bernalillo County, 1996-2005W. ATHAS, PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

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, 1995-97BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005WHITEHISPANICNATIVE AMERICANAFRICAN AMERICAN

DRUG INDUCED DEATHS, BERNALILLO COUNTY, 1990 - 2005Includes 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, BVRHSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

SAMPLE APPLICATION

ACADEMIC ACHIEVEMENT, DROPOUTS AND YOUTH IN PRISONBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

FREE OR REDUCED-PRICE LUNCHBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

FOURTH GRADE READING SCORES (% PROFICIENT)BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

FACTS ABOUT ADULT PRISON ADMISSIONSResidents from neighborhoods that have the most people going to prison (incarcerated) are imprisoned up to 30 times more often than the lowest.Two of Albuquerques 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 CUSTODYIn 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 Albuquerques 16 neighborhood areas.

PRISON ADMISSION: ADULTS & YOUTHBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

SAMPLE APPLICATION

ALCOHOL LICENSINGBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLPLACE MATTERS ABC HEAT Source: NMRLD, Alcohol and Gaming Division, 2008ALCOHOL AVAILABILITY, 2008 BERNALILLO COUNTY CENSUS TRACTS

ALCOHOL AVAILABILITY 2008

South East HeightsAlbuquerquePLACE MATTERS ABC HEAT Source: NMRLD, Alcohol and Gaming Division, 2008BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLLiquor License for On/Off Premises

DWI Resource Center: http://www.dwiresourcecenter.org/downloads/naap/ABQ_Map11.gif

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. "I'm just so happy, I feel like crying," said Bearse. "Yes, this is a long struggle, this is why we do community grassroots efforts, this is what it's all about." KOB, Eyewitness News 4 01/20/2010

SAMPLE APPLICATION

HEALTHY WEIGHT AND FOOD STORESBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

DIABETES DEATH RATES, ALL RACES AND ETHNICITIESTOTAL DEATHS = 1882BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSYears 1990 through 2005, N = 960WHITES, DIABETES DEATH RATESBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

PLACE MATTERS ABC HEAT Source: Farm to Table, 2008BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLFOOD STORE DENSITY

PLACE MATTERS ABC HEAT Source: Farm to Table, 2008BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLFOOD STORE DENSITY + LOCATION

State Representative Districts (Park, Chasey & Stapleton)PLACE MATTERS ABC HEAT Source: Farm to Table, 2008BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLFOOD STORE DENSITY + LOCATION + ACCOUNTABILITY

DIABETES MORTALITY UNDER 65 YEARS Age-Adjusted Death Rates, Bernalillo County, 2001-2005W. ATHAS, PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

In a healthy population of normal children, the expected proportion overweight or obese is 15%.-CDC, 2000OVERWEIGHT OR OBESE ELEMENTARY SCHOOL CHILDRENAPS HEALTHY ASSESSMENT PROJECT PANAC

SAMPLE APPLICATION

ASTHMA AND STATIONARY SOURCES OF POLLUTIONBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

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

PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSAge-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 166ASTHMA MORTALITYThe 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 CommissionBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREARates = Deaths per 100,000 ResidentsBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

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.htmProgress Made in Cement Dispute

http://www.koat.com/news/22805273/detail.html

SAMPLE APPLICATION

DAY CARE CAPACITY and CHILD POPULATIONSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Source: GeoLytics, 2005BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Day Care Capacity Children

Source: NM CYFD, 2009;US Census, 2000BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Source: GeoLytics, 2005Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

SAMPLE APPLICATION

LANGUAGE LEVEL and FOREIGN BORNNote: 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 ASSESSMENT TOOLBernalillo County Census Tracts, US Census, 2000(Includes native-born and foreign-born Hispanics and Latinos)

WHAT PROPORTION OF HISPANICS / LATINOS SPEAK ENGLISH NOT WELL OR NOT AT ALL?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLBernalillo County Census Tracts, US Census, 2000(Includes native-born and foreign-born Hispanics and Latinos)

The US Department of Homeland Security Estimates the Number of Undocumented:http://www.dhs.gov/xlibrary/assets/statistics/publications/ois_ill_pe_2009.pdf

Using the following proportions:How many unauthorized immigrants reside in Bernalillo County in 2009?

HOW MANY RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

WHAT PROPORTION OF RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

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

HOW MANY MOTHERS GIVING BIRTH ARE FOREIGN-BORN?

HOW MANY RESIDENTS WHO DIE ARE FOREIGN-BORN?

AGENDA . . .

THE HEALTH EQUITY ASSESSMENT TOOL NEEDS YOUR SUPPORTHOW CAN WE COLLABORATE?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLWHAT 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 ?

BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOLTHANK YOU ALBUQUERQUE / BERNALILLO COUNTY

HEALTH EQUITY ASSESSMENT TOOLThomas N. Scharmen, MA, MPH, EpidemiologistRegions 1 & 3, Office of Community Assessment, Planning and EvaluationPublic Health Division, New Mexico Department of HealthNorth Valley Public Health Office7704-A 2nd St, NW Albuquerque, NM 87107Telephone: 897-5700 ext 126; Fax: 897-1010E-mail: thomas.scharmen@state.nm.us George Schroeder, MPH, MS, REHSEnvironmental Health ManagerBernalillo County Office of Environmental Health111 Union Square Street SE; Third FloorAlbuquerque, NM 87102505-314-0326E-mail: gschroeder@bernco.govFor more information, visit the New Mexico Public Health Associations Social Determinants of Health webpage: http://www.nmpha.org/Default.aspx?pageId=491264

*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 )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*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, obesityothers at breast cancer, others at traffic fatalities. Our team started from an upstream locationlooking at land use policyand 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 measurementthe 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 cant 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 organizationdoes 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 HDMTYoull 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.*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*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**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. **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 CDCs 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. *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*