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PLACE MATTERS TEAM PLACE MATTERS TEAM ABC HEAT ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN TOM SCHARMEN MAY 2009 MAY 2009
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PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

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Page 1: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS TEAM PLACE MATTERS TEAM

ABC HEATABC HEATALBUQUERQUE / BERNALILLO COUNTYALBUQUERQUE / BERNALILLO COUNTY

HEALTH EQUITY ASSESSMENT HEALTH EQUITY ASSESSMENT TOOLTOOL

TOM SCHARMENTOM SCHARMEN

MAY 2009MAY 2009

Page 2: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

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

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

Page 3: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

LONG TERM GOAL:

A CENTER FOR COMMUNITY HEALTH ASSESSMENT IN ALBUQUERQUE /

BERNALILLO COUNTYFUNCTIONS:

Comprehensive Profiles for County-wide efforts

Issue Specific Profiles

Support to Priority Setting, Grant Proposals, Program Evaluations

Health and Social Determinant Assessments

Environmental and Health Impact, Cumulative Impact,

Permitting Processes, Social Equity Impact

Rapid Response / Support for Planning and Development

Health Policy ResearchBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT

TOOL

Page 4: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Environmental Justice Forums Health Equity Assessment

8 FOCUS GROUPS with Diverse Participants

INPUT & Discussion on Land Use and

Health Policy

ANALYSIS of Focus Group

ConversationsTOWN HALL Discussion of Results with

Community and Policy Makers

Formulation of POLICY Recommendations for

Action

ANALYSIS of Priority Indicators

MAPS & TABLES of Social

Determinants and Health Outcomes

Strategy Meetings – ACQUISITION of Data and

Selection of Indicators

Preliminary HEALTH EQUITY TOOL in

Accessible Formats

REPORTS for Policy Makers and Community Advocates

||

||

INTEGRATED

PROCESSES

||

||

COMMUNITY INPUT to the Health Equity Assessment

Team

Link DATA TO ACTION for the Environmental Justice

Forums and other Social Determinants Efforts

1 2

3

4

5

6

7

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

Page 5: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PARTNERS ON THE ABC HEAT TEAM

Bernalillo County Environmental Health Office

NM Dept of Health, Local Region, Office of Community Assessment

Will Athas, UNM HSC

Bryan Patterson, UNM MPH Student

UNM Bureau of Business and Economic Research

UNM Institute for Public Health

NM Dept of Health, Community Assessment Initiative

NM Dept of Health, Bureau of Vital Records and Health Statistics

South Valley Partners for Environmental Justice

Bernalillo County Community Health CouncilBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT

TOOL

Page 6: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Social DeterminantsEconomic Security

Livelihood

Education

Environmental Quality

Health Care Access

Housing

Civic Involvement

Community Safety

Transportation

THREE CLASSES OF INDICATORS

Health OutcomesAge Adjusted Mortality Rates

Morbidity (multiple causes)

Maternal and Child Health

Demographics Race/ Ethnicity

Median Household Income

Female-headed Households with Children

Households w/ Children

Educational Attainment

Average Age

(CADH – 2007)

2 - SELECTION OF INDICATORS

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

Page 7: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Income & Poverty

Median Household Income

% Households Below Poverty

% Individuals with Income <Poverty

% Children <18 in Poverty

 

Wealth/ Assets

Media Value - Owner Occupied Homes

Land/Building Assessed Value

Sales Prices

Average # of Vehicles

Public Assistance

Food stamps

MEDICAID Enrollment

TANF

Local Programs – e.g., UNMCare

 

Access to Capital

Approval Rates- Home Purchase Mortgages

# of Home Purchase Mortgages

Foreclosures

Delinquent Property Taxes

DETAIL OF ONE SOCIAL DETERMINANT

Economic Security/Financial Resources

ACQUIRED (or in process) =

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

Page 8: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

2 - SELECTION OF INDICATORS

INDICATOR LINK:

The Healthy Development Measurement Tool is a comprehensive evaluation metric to consider health needs in urban 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/master_list.php(see handout or send an e-mail for a LARGE LIST of links)

Page 9: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

1 - ACQUISITION OF DATA

Cooperation of MANY agencies, each with its own set of barriers and concerns

Sub-County Levels – Addresses or Census Tracts converted to Census Tract or Community Geographies – Different Agencies hold different pieces of same dataset, for example City and County.

Protecting Confidentiality – Public Health Mandate and Authority

INDICATORS COMPILED SO FAR

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

A. Health Outcomes Birth Death B. Socio-economic Indicators 1. Economic Security and Financial Resources 2. School Readiness and Educational Attainment 3. Adequate, Affordable and Safe Housing 4. Criminal ActivitiesC. Health Outcome Indicators 1. Availability and Utilization of Quality Health Care Services 2. Nutrition \ Life StyleD. Other 1. Transportation 2. Community Agencies and Resources 3. Other

Page 10: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

1 - ACQUISITION OF DATA

‘NOT-SO-LOW’ HANGING FRUIT:

Medicaid EnrollmentOther Health Care Access or Insurance Indicators

Food Stamp EnrollmentHospitalization and other Morbidity

Asthma in the EREnvironmental Indicators

Permits to PolluteSourcesMonitoring Levels

Incarceration. . . And many more

Page 11: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

3 - ANALYSIS OF PRIORITY INDICATORS

THE HEAVY LIFTING

Cleaning of datasets

Geocoding of Addresses

Creation of Census Tract and HEAT Community Level Measures

Creation of Rapid Assessment ToolsSEERStat – calculates birth rates and age-adjusted

death rates at census tract or other levels for specific populations and causes

BUILD DENOMINATORS!

(WE’LL COME BACK TO SEERStat)

Page 12: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

3 - ANALYSIS OF PRIORITY INDICATORS

BUILD DENOMINATORSPOPULATION COUNTS FOR EACH . . .

GENDER (2)ETHNICITY (2)RACE (5)5-YEAR AGE GROUP + INFANTS (18)CENSUS TRACT (141)YEAR, 1990-2005 (16)

= 812,160 DENOMINATORS (Bernalillo County only!)

1990 thru 2000 – Extrapolated from Census2001 thru 2005 – Purchased from

Geolytics

Need to repeat for Census Block Groups and for entire state.

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

Page 13: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

4 - MAPS & TABLES OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES

Indicators at CENSUS TRACT LEVELSfor uniformity and analysis

Indicators at HEAT COMMUNITY LEVELSfor participatory assessment

presentations

Indicators at OTHER LEVELSSchool Boundaries, Zip Codes, State

Representative Districts, Police Beats

Indicators of SOCIAL and DEMOGRAPHIC STATUS

Indicators of HEALTH STATUSBERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL

Page 14: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Low Birth Weight BirthsAlbuquerque Census Tracts, 2001 - 2005

Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment

Census Tract Boundaries

Low Birth Weight BirthsMothers of All Ages, 2001 - 2005

0.0 - 6.6%

6.7 - 8.0%

8.1 - 9.3%

9.4 - 10.5%

10.6 - 17.5%

Percent low birth weight births equals the number of births of infants weighing less than 2500 grams (5.5 lbs) divided by the total number of births among the same population.

Low Birth Weight Births, 2003

U.S.A. 7.8%

N.M. 8.1%

Bernalillo County 8.4% Source: NMDOH, BVRHS

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

CENSUS TRACTS (141)

Page 15: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

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3

7

IRVING

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COMANCHE

ACADEMY

LOU

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NK

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CH

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MENAUL

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LOMAS

TR

AM

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MO

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AR

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TR

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SE

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MO

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OR

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SA

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RO

EU

BA

NK

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LOMASU

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EU

BA

NK

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CANDELARIA

CA

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LOU

I SIA

NA

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Premature Death from Chronic Disease Non-Hispanic Whites, 1990-2005

76.50 or less per 100,000

76.51 - 87.30

87.31 - 99.10

99.11 - 121.40

Greater than 121.41 per 100,000

Age-Adjusted Death Rates, Persons aged 5 to 64, Years 1990 through 2005, n = 3413

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

HEAT COMMUNITY BOUNDARIES

(33)

Premature Death from

Chronic Disease Whites 1990 - 2005

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

Page 16: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Premature Death from

Chronic Disease Hispanics 1990-2005

HEAT COMMUNITY BOUNDARIES

(33)

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

I-25

I-40

I-25

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SA

N M

AT

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3

7

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4TH

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NK

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Y

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ACADEMY

BR

OA

DW

AY

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GR

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EU

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NK

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LOMAS

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CA

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12T

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28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Premature Death from Chronic Disease Hispanics, 1990-2005

76.50 or less per 100,000

76.51 - 87.30

87.31 - 99.10

99.11 - 121.40

Greater than 121.41 per 100,000

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, Persons aged 5 to 64, Years 1990 through 2005, n = 2274

I-25

I-40

I-25

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SA

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JUA

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2ND

MENAUL

EU

BA

NK

4TH

EU

BA

NK

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JUA

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UNSER

LOMAS

CENTRAL

TR

AM

WA

Y

MO

ON

2ND

2ND

ISLE

TA

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

4TH

4TH

UN

SE

R

MO

ON

AT

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CO

PARADISE

CO

OR

S

CO

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MO

RR

IS

SA

N P

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RO

MONTANO

GIBSON

EU

BA

NK

ED

ITH

LOMASU

NIV

ER

SIT

Y

OSUNA

ACADEMY

BR

OA

DW

AY

RIO

GR

AN

DE

UNSER

EU

BA

NK

OURAY

LOMAS

CANDELARIA

CA

RL

ISL

E

12T

H

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ITH

LOU

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NA

CENTRAL

ED

ITH

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Premature Death from Chronic Disease Hispanics, 1990-2005

76.50 or less per 100,000

76.51 - 87.30

87.31 - 99.10

99.11 - 121.40

Greater than 121.41 per 100,000

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, Persons aged 5 to 64, Years 1990 through 2005, n = 2274

Page 17: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

ALBUQUERQUE AND THE HEAT

COMMUNITY BOUNDARIES

Place Matters – Albuquerque / Bernalillo County Health Equity Assessment Tool

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SA

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NK

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ACADEMY

BR

OA

DW

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EU

BA

NK

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LO

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30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries &

Numbers

Downtown Albuquerque

Big “I”

Rio Grande River

Interstate Highways

NW To Santa Fe NE

SESW

Airport

I-25

I-40

I-25

I-40

SA

N M

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BR

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RIO BRAVO

2N

DMENAUL

EU

BA

NK

4T

H

EU

BA

NK

BLUEWATER

JUA

N T

AB

O

WY

OM

ING

4T

H

YA

LE

CEN

TRAL

MENAUL

CO

OR

S

LOM

AS

WY

OM

ING

UN

SER

LOMAS

CENTRAL

TR

AM

WA

Y

MO

ON

2N

D

2N

D

ISLE

TA

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

4T

H

4TH

UN

SE

R

MO

ON

AT

RIS

CO

PARADISE

CO

OR

S

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

MONTANO

GIBSON

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

OSUNA

ACADEMY

BR

OA

DW

AY

RIO

GR

AN

DE

UNSER

EU

BA

NK

OURAY

LOMAS

CANDELARIA

CA

RL

ISL

E

12

TH

ED

ITH

LO

UI S

I AN

A

CENTRAL

ED

ITH

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries &

Numbers

Downtown Albuquerque

Big “I”

Rio Grande River

Interstate Highways

NW To Santa Fe NE

SESW

Airport

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

Page 18: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 62,902

Community Boundaries

All Races and Ethnic Groups Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

ALL RACES

Page 19: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 40,603

Community Boundaries

Non-Hispanic Whites Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

WHITES

Page 20: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 19,238

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF C

OU

RS

E

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Hispanics Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

HISPANICS

Page 21: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 1322

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Native Americans Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

NATIVE AMERICANS

Page 22: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 1454

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF C

OU

RS

E

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

African Americans Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

AFRICAN AMERICANS

Page 23: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 371

Community Boundaries

Asians Death Rate, All Causes

Less than 721.1 per 100,000

721.1 - 808.4

808.4 - 885.1

885.1 - 980.1

980.1 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

ALL CAUSES OF DEATH

ASIANS

Page 24: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

WHY DOES PLACE MATTER?

WHY DOES RACE MATTER?

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

Page 25: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

2ND

4TH

CO

OR

S

CENTRAL

AT

& S

F R

R

LOMAS

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL

WY

OM

ING

TR

AM

WA

Y

ISL

ETA

CANDELARIAB

RO

AD

WA

Y

ALAMEDA

IRVING

SPAIN

COMANCHE

GIBSON

ZUNIBRIDGE

PASEO DEL NORTE

BLAKE

12T

H

RIO

GR

AN

DE ACADEMY

JU

AN

TA

BO

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

AT

RIS

CO

YA

LE

RIO BRAVO

ARENAL

SAGE

MONTANO

UN

IVE

RS

ITY

JE

FF

ER

SO

N

PARADISE

MO

ON

VE

NT

UR

A

GUN CLUB

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

98

TH

SA

N P

ED

RO

PAJARITO

PE

NN

SY

LV

AN

IA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

RAYMAC

CHAVEZ

OURAY

DELLYNE

DON FELIPE

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

GIR

AR

D

PE

NN

SY

LV

AN

IA

YA

LE

UN

SE

R

INDIAN SCHOOL

GIBSON

LO

WE

LL

CONSTITUTION

RIO

GR

AN

DE

BLUEWATERC

AR

LIS

LE

YA

LE

4TH

PASEO DEL NORTE

SA

N M

AT

EO

98TH

UN

IVE

RS

ITY

MONTANO

OSUNA

OSUNA

ED

ITH

MO

ON

MO

RR

IS

AT

RIS

CO

12T

H

TAP

IA

ATR

ISC

O

98TH

INDIAN SCHOOL

LO

UIS

I AN

A

Source: Real Trac Inc. and US Census 2000NMDOH and Bryan Patterson

Foreclosures Jan. 2006 to Sept. 2008 (33 months)

Census Tracts (141)

Place Matters - ABC HEAT

Less than 2% of mortgaged homes

2% to 3%

3% to 4.5%

4.5% to 7%

Greater than 7%

FORECLOSURES

PLACE MATTERS – ABC HEAT

2ND

4TH

CO

OR

S

CENTRAL

AT

& S

F R

R

LOMAS

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL

WY

OM

ING

TR

AM

WA

Y

ISL

ETA

CANDELARIAB

RO

AD

WA

Y

ALAMEDA

IRVING

SPAIN

COMANCHE

GIBSON

ZUNIBRIDGE

PASEO DEL NORTE

BLAKE

12T

H

RIO

GR

AN

DE ACADEMY

JU

AN

TA

BO

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

AT

RIS

CO

YA

LE

RIO BRAVO

ARENAL

SAGE

MONTANO

UN

IVE

RS

ITY

JE

FF

ER

SO

N

PARADISE

MO

ON

VE

NT

UR

A

GUN CLUB

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

98

TH

SA

N P

ED

RO

PAJARITO

PE

NN

SY

LV

AN

IA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

RAYMAC

CHAVEZ

OURAY

DELLYNE

DON FELIPE

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

GIR

AR

D

PE

NN

SY

LV

AN

IA

YA

LE

UN

SE

R

INDIAN SCHOOL

GIBSON

LO

WE

LL

CONSTITUTION

RIO

GR

AN

DE

BLUEWATERC

AR

LIS

LE

YA

LE

4TH

PASEO DEL NORTE

SA

N M

AT

EO

98TH

UN

IVE

RS

ITY

MONTANO

OSUNA

OSUNA

ED

ITH

MO

ON

MO

RR

IS

AT

RIS

CO

12T

H

TAP

IA

ATR

ISC

O

98TH

INDIAN SCHOOL

LO

UIS

I AN

A

Source: Real Trac Inc. and US Census 2000NMDOH and Bryan Patterson

Foreclosures Jan. 2006 to Sept. 2008 (33 months)

Census Tracts (141)

Place Matters - ABC HEAT

Less than 2% of mortgaged homes

2% to 3%

3% to 4.5%

4.5% to 7%

Greater than 7%

FORECLOSURES

2ND

4TH

CO

OR

S

CENTRAL

AT

& S

F R

R

LOMAS

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL

WY

OM

ING

TR

AM

WA

Y

ISL

ETA

CANDELARIAB

RO

AD

WA

Y

ALAMEDA

IRVING

SPAIN

COMANCHE

GIBSON

ZUNIBRIDGE

PASEO DEL NORTE

BLAKE

12T

H

RIO

GR

AN

DE ACADEMY

JU

AN

TA

BO

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

AT

RIS

CO

YA

LE

RIO BRAVO

ARENAL

SAGE

MONTANO

UN

IVE

RS

ITY

JE

FF

ER

SO

N

PARADISE

MO

ON

VE

NT

UR

A

GUN CLUB

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

98

TH

SA

N P

ED

RO

PAJARITO

PE

NN

SY

LV

AN

IA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

RAYMAC

CHAVEZ

OURAY

DELLYNE

DON FELIPE

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

GIR

AR

D

PE

NN

SY

LV

AN

IA

YA

LE

UN

SE

R

INDIAN SCHOOL

GIBSON

LO

WE

LL

CONSTITUTION

RIO

GR

AN

DE

BLUEWATERC

AR

LIS

LE

YA

LE

4TH

PASEO DEL NORTE

SA

N M

AT

EO

98TH

UN

IVE

RS

ITY

MONTANO

OSUNA

OSUNA

ED

ITH

MO

ON

MO

RR

IS

AT

RIS

CO

12T

H

TAP

IA

ATR

ISC

O

98TH

INDIAN SCHOOL

LO

UIS

I AN

A

Source: Real Trac Inc. and US Census 2000NMDOH and Bryan Patterson

Foreclosures Jan. 2006 to Sept. 2008 (33 months)

Census Tracts (141)

Place Matters - ABC HEAT

Less than 2% of mortgaged homes

2% to 3%

3% to 4.5%

4.5% to 7%

Greater than 7%

FORECLOSURES

PLACE MATTERS – ABC HEAT

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

CENSUS TRACTS (141)

FORECLOSURES

Page 26: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

APS 4TH GRADE READING SCORES

2N

D

4TH

CO

OR

S

CENTRAL

LOMAS

AT

& S

F R

R

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL WY

OM

ING

TR

AM

WA

Y

CANDELARIA

ISL

ETA

ALAMEDA

BR

OA

DW

AY

SPAIN

IRVING

COMANCHE

GIBSON

BLAKE

ZUNIBRIDGE

PASEO DEL NORTE

12T

H

RIO

GR

AN

DE

JUA

N T

AB

O

ACADEMY

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

YA

LE

AT

RIS

CO

RIO BRAVO

ARENAL

SAGE

MONTANO

JEF

FE

RS

ON

UN

IVE

RS

ITY

PARADISE

MO

ON

GUN CLUB

VE

NT

UR

A

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

SA

N P

ED

RO

98

TH

PE

NN

SY

LVA

NIA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

CHAVEZ

OURAY

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

98TH

PE

NN

SY

LVA

NIA

RIO

GR

AN

DE

INDIAN SCHOOL

UN

SE

R

GIBSON

SAN ANTONIO

4THBLUEWATER

LO

WE

LL

UN

IVE

RS

ITY

CA

RL

ISL

E

12T

H

GIR

AR

D

98TH

SAN ANTONIO

SA

N M

AT

EO

AT

RIS

CO

MONTANO

OSUNA

ED

ITH

OSUNA

MO

RR

IS

PASEO DEL NORTE

SA

N P

ED

RO

MO

ON

YA

LE

ATRIS

CO

CONSTITUTION

LO

UIS

IAN

A

INDIAN SCHOOL

Less than 36%

36 to 47%

47 to 57%

57 to 68%

68 to 88%

4th Grade Reading

% Proficient 06-07

Elementary School Boundaries

PLACE MATTERS – ABC HEAT Source: Albuquerque Public Schools

2ND

4TH

CO

OR

S

CENTRAL

LOMAS

AT

& S

F R

R

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL WY

OM

ING

TR

AM

WA

Y

CANDELARIA

ISL

ETA

ALAMEDA

BR

OA

DW

AY

SPAIN

IRVING

COMANCHE

GIBSON

BLAKE

ZUNIBRIDGE

PASEO DEL NORTE

12T

H

RIO

GR

AN

DE

JUA

N T

AB

O

ACADEMY

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

YA

LE

AT

RIS

CO

RIO BRAVO

ARENAL

SAGE

MONTANO

JEF

FE

RS

ON

UN

IVE

RS

ITY

PARADISE

MO

ON

GUN CLUB

VE

NT

UR

A

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

SA

N P

ED

RO

98

TH

PE

NN

SY

LVA

NIA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

CHAVEZ

OURAY

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

98TH

PE

NN

SY

LVA

NIA

RIO

GR

AN

DE

INDIAN SCHOOL

UN

SE

R

GIBSON

SAN ANTONIO

4THBLUEWATER

LO

WE

LL

UN

IVE

RS

ITY

CA

RL

ISL

E

12T

H

GIR

AR

D

98TH

SAN ANTONIO

SA

N M

AT

EO

AT

RIS

CO

MONTANO

OSUNA

ED

ITH

OSUNA

MO

RR

IS

PASEO DEL NORTE

SA

N P

ED

RO

MO

ON

YA

LE

ATRIS

CO

CONSTITUTION

LO

UIS

IAN

A

INDIAN SCHOOL

Less than 36%

36 to 47%

47 to 57%

57 to 68%

68 to 88%

4th Grade Reading

% Proficient 06-07

Elementary School Boundaries

PLACE MATTERS – ABC HEAT Source: Albuquerque Public Schools

ELEMENTARY SCHOOL

BOUNDARIES(87)

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

Page 27: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

2ND

4TH

CO

OR

S

CENTRAL

LOMAS

AT

& S

F R

R

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL WY

OM

ING

TR

AM

WA

Y

CANDELARIA

ISL

ETA

ALAMEDA

BR

OA

DW

AY

SPAIN

IRVING

COMANCHE

GIBSON

BLAKE

ZUNIBRIDGE

PASEO DEL NORTE

12T

H

RIO

GR

AN

DE

JUA

N T

AB

O

ACADEMY

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

YA

LE

AT

RIS

CO

RIO BRAVO

ARENAL

SAGE

MONTANO

JEF

FE

RS

ON

UN

IVE

RS

ITY

PARADISE

MO

ON

GUN CLUB

VE

NT

UR

A

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

SA

N P

ED

RO

98

TH

PE

NN

SY

LVA

NIA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

CHAVEZ

OURAY

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

98TH

PE

NN

SY

LVA

NIA

RIO

GR

AN

DE

INDIAN SCHOOL

UN

SE

R

GIBSON

SAN ANTONIO

4THBLUEWATER

LO

WE

LL

UN

IVE

RS

ITY

CA

RL

ISL

E

12T

H

GIR

AR

D

98TH

SAN ANTONIO

SA

N M

AT

EO

AT

RIS

CO

MONTANO

OSUNA

ED

ITH

OSUNA

MO

RR

IS

PASEO DEL NORTE

SA

N P

ED

RO

MO

ON

YA

LE

ATRIS

CO

CONSTITUTION

LO

UIS

IAN

A

INDIAN SCHOOL

Less than 33%

33 to 58%

58 to 73%

73 to 88%

88 to 99%

Free or Reduced Price Lunch

% Students 07-08

Elementary School Boundaries

PLACE MATTERS – ABC HEAT Source: Albuquerque Public Schools

2ND

4TH

CO

OR

S

CENTRAL

LOMAS

AT

& S

F R

R

UN

SE

R

ED

ITH

EU

BA

NK

MENAUL WY

OM

ING

TR

AM

WA

Y

CANDELARIA

ISL

ETA

ALAMEDA

BR

OA

DW

AY

SPAIN

IRVING

COMANCHE

GIBSON

BLAKE

ZUNIBRIDGE

PASEO DEL NORTE

12T

H

RIO

GR

AN

DE

JUA

N T

AB

O

ACADEMY

LAD

ERA

LO

UIS

IAN

A

OSUNA

GIR

AR

D

MONTGOMERY

MO

RR

IS

YA

LE

AT

RIS

CO

RIO BRAVO

ARENAL

SAGE

MONTANO

JEF

FE

RS

ON

UN

IVE

RS

ITY

PARADISE

MO

ON

GUN CLUB

VE

NT

UR

A

TAP

IAG

OL

F C

OU

RS

E

SU

NS

ET

GRIEGOS

SA

N P

ED

RO

98

TH

PE

NN

SY

LVA

NIA

CA

RL

ISL

E

DENNIS CHAVEZ

CONSTITUTION

INDIAN SCHOOL

BLUEWATER

LO

WE

LL

CHAVEZ

OURAY

SA

N M

AT

EO

SAN ANTONIO

WOODWARD

98TH

PE

NN

SY

LVA

NIA

RIO

GR

AN

DE

INDIAN SCHOOL

UN

SE

R

GIBSON

SAN ANTONIO

4THBLUEWATER

LO

WE

LL

UN

IVE

RS

ITY

CA

RL

ISL

E

12T

H

GIR

AR

D

98TH

SAN ANTONIO

SA

N M

AT

EO

AT

RIS

CO

MONTANO

OSUNA

ED

ITH

OSUNA

MO

RR

IS

PASEO DEL NORTE

SA

N P

ED

RO

MO

ON

YA

LE

ATRIS

CO

CONSTITUTION

LO

UIS

IAN

A

INDIAN SCHOOL

Less than 33%

33 to 58%

58 to 73%

73 to 88%

88 to 99%

Free or Reduced Price Lunch

% Students 07-08

Elementary School Boundaries

PLACE MATTERS – ABC HEAT Source: Albuquerque Public Schools

ELEMENTARY SCHOOL

BOUNDARIES(87)

APS FREE OR REDUCED PRICE

LUNCH

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

Page 28: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Capacity = Available Day Care slots per 100 resident children under 10 yrs.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

BLAKE

ISL

ETA

LAD

ERA

BRIDGE

COMANCHE

SPAIN

ARENAL

SAGE

2ND

UN

IVE

RS

ITY

ACADEMY

LOU

ISIA

NA

GO

LF C

OU

RS

E

OSUNA

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

GRIEGOS

SA

N P

ED

RO

PARADISE

PAJARITO

PE

NN

SY

LVA

NIA

CANDELARIA

MO

ON

LOMAS

GUN CLUB

LOW

EL

L

RAYMAC

CHAVEZ

DELLYNE

DON FELIPE

OURAY

MENAUL

ZUNI

RIDGECREST

JUA

N T

AB

O

98T

H

EU

BA

NK

SAN ANTONIO

TAP

IA

CONSTITUTION

BR

OA

DW

AY

BLUEWATER

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

SA

N M

AT

EO

ED

ITH

MONTGOMERY

TRAMWAY

ATR

ISC

O

PASEO DEL NORTE

YA

LE

CH

ELW

OO

D P

AR

K

12T

H

WY

OM

ING

INDIAN SCHOOL

MO

RR

IS

CO

OR

S

RIO BRAVO

2ND

MENAUL

EU

BA

NK

4TH

EU

BA

NK

BLUEWATER

JUA

N T

AB

O

WY

OM

ING

4TH

YA

L E

CEN

TRAL

MENAUL

CO

OR

S

LOM

AS

WY

OM

ING

UNSER

LOMAS

CENTRAL

TR

AM

WA

Y

MO

ON

2ND

2ND

ISLE

TA

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

4TH

4TH

UN

SE

R

MO

ON

ATR

ISC

O

PARADISE

CO

OR

S

CO

OR

S

MO

RR

IS

SA

N P

ED

RO

MONTANO

GIBSON

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

OSUNA

ACADEMY

BR

OA

DW

AY

RIO

GR

AN

DE

UNSER

EU

BA

NK

OURAY

LOMAS

CANDELARIA

CA

RL

ISLE

12T

H

ED

ITH

LOU

ISIA

NA

CENTRAL

ED

ITH

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

% Day Care Capacity

8% or less

8 - 15%

15 - 27%

27 - 40%

Greater than 40%

Community Boundaries

PLACE MATTERS – ABC HEAT Source: NM Children, Youth and Families Dept., 2007

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

DAY CARE CAPACITY

HEAT COMMUNITY BOUNDARIES

(33)

Page 29: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

LVA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Asthma Deaths, 1990 - 2005

1.2 or less per 100,000

1.3 - 1.9

2.0 - 2.3

2.4 - 2.9

3.0 or over

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHSAge-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 166

ASTHMA MORTALITY1990-2005

HEAT COMMUNITY BOUNDARIES

(33)

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

Page 30: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

BLAKE

ISL

ET A

LAD

ERA

BRIDGE

COMANCHE

SPAIN

ARENAL

SAGE

2ND

UN

IVE

RS

ITY

ACADEMY

LOU

ISIA

NA

GO

LF C

OU

RS

E

OSUNA

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

GRIEGOS

SA

N P

ED

RO

PARADISE

PAJARITO

PE

NN

SY

LVA

NIA

CANDELARIA

MO

ON

LOMAS

GUN CLUB

LOW

EL

L

RAYMAC

CHAVEZ

DELLYNE

DON FELIPE

OURAY

MENAUL

ZUNI

RIDGECREST

JUA

N T

AB

O

98T

H

EU

BA

NK

SAN ANTONIO

TAP

IA

CONSTITUTIONB

RO

AD

WA

Y

BLUEWATER

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

SA

N M

AT

EO

ED

ITH

MONTGOMERY

TRAMWAY

ATR

ISC

O

PASEO DEL NORTE

YA

LE

CH

ELW

OO

D P

AR

K

12T

H

WY

OM

ING

INDIAN SCHOOL

MO

RR

IS

CO

OR

S

RIO BRAVO

2ND

MENAUL

EU

BA

NK

4TH

EU

BA

NK

BLUEWATER

JUA

N T

AB

O

WY

OM

ING

4TH

YA

LE

CEN

TRAL

MENAUL

CO

OR

S

LOM

AS

WY

OM

ING

UN

SER

LOMAS

CENTRAL

TR

AM

WA

Y

MO

ON

2ND

2ND

ISLE

TA

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

4TH

4TH

UN

SE

R

MO

ON

ATR

ISC

O

PARADISE

CO

OR

S

CO

OR

S

MO

RR

IS

SA

N P

ED

RO

MONTANO

GIBSON

EU

BA

NK

ED

ITH

LOMASU

NIV

ER

SIT

Y

OSUNA

ACADEMY

BR

OA

DW

AY

RIO

GR

AN

DE

UNSER

EU

BA

NK

OURAY

LOMAS

CANDELARIA

CA

RLI

SL

E

12T

H

ED

ITH

LOU

ISIA

NA

CENTRAL

ED

ITH

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

PLACE MATTERS – ABC HEAT Source: Farm to Table, 2007Food Stores includes supermarkets, specialty grocery stores, small markets, health food stores, fresh produce stores, supercenters, and big box stores. Convenience stores are not included.

Community Boundaries

Food Markets per 10,000 Residents

0.4 or less

0.4 - 1.38

1.38 - 2.35

2.35 - 3.38

3.38 or greater

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

HEAT COMMUNITY BOUNDARIES

(33)

FOOD MARKETS

Page 31: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

H I G H L A N DH I G H L A N D

V A L L E YV A L L E Y

C I B O L AC I B O L A

L A C U E V AL A C U E V A

W E S T M E S AW E S T M E S A

R I O G R A N D ER I O G R A N D E

A L B U Q U E R Q U EA L B U Q U E R Q U E

S A N D I AS A N D I AD E L N O R T ED E L N O R T EE L D O R A D OE L D O R A D O

M A N Z A N OM A N Z A N O

6 %

13.3 %

7.5 %

8.6 %

14.1 %

12.8 %

15.5 %

12 % 5.1 %

9.2 %

6.1 %

§̈¦40

§̈¦25

BMI Percentile Categories by Race/Ethnicity 7,584 Youth at the Youth Risk and Resiliency Survey (YRRS, 2005)

2.69% 4.79% 3.61%

67.70%

79.24%73.14%

63.37%

78.87%74.72%

14.91%

8.19%13.46%

15.73%

10.64%12.29%

7.62% 10.77%17.75%

5.71% 9.38%

2.63%4.95% 3.15%

14.70%

0%5%

10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%

100%

AfricanAmerican

Asian Hispanic NativeAmerican

White Total

<5th Percentile 5th to 85th Percentile 85th to 95th Percentile >95th Percentile

Source: NM YRRS 2005; Analysis: T Scharmen

Percent Students above the 95th percentile for Body Mass Index

< = 6%

6 to 9%

9 to 12%

12 to 15%

> 15%

>95th percentile BMI is defined by the CDC as obese

HIGH SCHOOL BOUNDARIES

(11)

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

Page 32: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

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: 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

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H I G H L A N DH I G H L A N D

V A L L E YV A L L E Y

C I B O L AC I B O L A

L A C U E V AL A C U E V A

W E S T M E S AW E S T M E S A

R I O G R A N D ER I O G R A N D E

A L B U Q U E R Q U EA L B U Q U E R Q U E

S A N D I AS A N D I AD E L N O R T ED E L N O R T EE L D O R A D OE L D O R A D O

M A N Z A N OM A N Z A N O26.8%17%

23.3%

13.4%

23.7%

8.5%

14%

22.9%

24.3%

24.5% 16.5%

§̈¦40

§̈¦25

High School Dropout Rates(Average Rate, 2003- 2008)

10% or less

10 - 15%

15 - 20%

20 - 25%

25% or greater

Source: APS-SIS, January 2009 ; Map: NMDOH, OCAPE

High School 2003 2004 2005 2007 2008 AverageAlbuquerque 31.6% 23.1% 25.3% 22.1% 19.3% 24.3%Cibola 13.3% 10.5% 14.6% 13.8% 14.7% 13.4%Del Norte 26.8% 21.4% 23.1% 26.4% 24.6% 24.5%Eldorado 15.4% 10.2% 15.4% 13.0% 16.1% 14.0%Highland 27.9% 25.0% 21.5% 20.9% 23.3% 23.7%La Cueva 8.1% 6.4% 9.6% 11.1% 7.4% 8.5%Manzano 18.5% 14.1% 15.2% 15.8% 21.4% 17.0%Rio Grande 36.2% 26.1% 23.8% 19.2% 11.4% 23.3%Sandia 16.8% 18.3% 15.2% 17.8% 14.5% 16.5%Valley 25.7% 20.7% 26.9% 22.4% 18.7% 22.9%West Mesa 28.3% 25.6% 26.6% 29.0% 24.3% 26.8%

District 23.0% 18.4% 20.0% 19.2% 17.8% 19.7%*Students who completed 40 days of 9th grade, did not graduate with their class, did not return a subsequent year, and for whom no valid transfer can be validated (cohort method). No data reported for 2006. Source: APS-SIS, January 2009

Dropout* Rates, Albuquerque Public High Schools, 2003 - 2008

African American 18%Asian 7%Hispanic 20%Native American 25%White, Non-Hispanic 15%

ALL 17.8%

Dropout Rate by Race and Ethnicity, 2008

HIGH SCHOOL BOUNDARIES

(11)

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

Page 34: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Years 1990 through 2005, N = 934

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Infant Deaths, All Races, 1990 - 2005

0.0 - 4.8 per 1000 live births

4.9 - 6.4

6.5 - 7.7

7.8 - 9.2

9.3 - 10.6

INFANT MORTALITYALL RACES

HEAT COMMUNITY BOUNDARIES

(33)

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

Page 35: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

PLACE MATTERS – ABC HEAT Source: NMDOH, BVRHS

Years 1990 through 2005, N = 70

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ET A

COMANCHE

ACADEMY

LO

UIS

IAN

A

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NI A

GUN CLUB

LO

WE

LL

DELLYNE

ZUNI

JUA

N T

AB

O

98

TH

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LO

UI S

IAN

A

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

Infant Deaths, African American 0.0 - 4.8 per 1000 live births

4.9 - 6.4

6.5 - 7.7

7.8 - 9.2

9.3 or greater

INFANT MORTALITY

AFRICAN AMERICANS

HEAT COMMUNITY BOUNDARIES

(33)

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

Page 36: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

BLAKE

ISLE

TA

LADERA

BRIDGE

COMANCHE

SPAIN

ARENAL

SAGE

2ND

UN

IVE

RS

ITY

ACADEMY

LOU

ISIA

NA

GO

LF

CO

UR

SE

OSUNA

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

GRIEGOS

SA

N P

ED

RO

PARADISE

PE

NN

SY

L VA

NIA

CANDELARIA

MO

ON

LOMAS

GUN CLUBLO

WE

LL

CHAVEZ

DELLYNE

DON FELIPE

OURAY

MENAUL

ZUNI

RIDGECREST

JUA

N T

AB

O

98T

H

EU

BA

NK

SAN ANTONIOTA

PIA

CONSTITUTION

BR

OA

DW

AY

BLUEWATER

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

SA

N M

AT

EO

ED

ITH

MONTGOMERY

ATRIS

CO

PASEO DEL NORTE

YA

LE

CH

ELW

OO

D P

AR

K

12T

H

WY

OM

ING

INDIAN SCHOOL

MO

RR

IS

CO

OR

S

RIO BRAVO

2ND

MENAUL

EU

BA

NK

4TH

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

4TH

YA

LE

CEN

TRAL

MENAUL

CO

OR

S

LOM

AS

WY

OM

ING

UNSER

LOMAS

CENTRAL

TR

AM

WA

Y

MO

ON

2ND

2ND

ISLE

TA

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

4TH

4TH

UN

SE

R

MO

ON

ATR

ISC

O

PARADISE

CO

OR

S

CO

OR

S

MO

RR

IS

SA

N P

ED

RO

MONTANO

GIBSON

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

OSUNA

ACADEMY

BR

OA

DW

AY

RIO

GR

AN

DE

UNSER

EU

BA

NK

OURAY

LOMAS

CANDELARIA

CA

RLI

SLE

12T

H

ED

ITH

LOU

I SIA

NA

CENTRAL

ED

ITH

9

7

3

2

31

26

15

6

32

29

4

11

17

1

8

13

5

28

30

19

20

25

14

18

22

10

2721

24

16

23

33

LIFE EXPECTANCYBernalillo County HEAT Communities

2001 - 2005

73.9 - 76.0 years

76.0 - 78.0

78.0 - 80.0

80.0 - 82.0

82.0 years or more

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

D R A F TD R A F T

Page 37: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

5 - PRELIMINARY HEALTH EQUITY INDEX

Correlation of Social Indicators with Health Outcome Indicators

Factor Analysis and Regression Analysis of Groups of Indicators

Creation of a single, combined score for each community

EXAMPLE – POVERTY AND BIRTH OUTCOMES

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

Page 38: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

I-25

I-40

I-25

I-40

SA

N M

AT

EO

3

7

IRVING

ISL

ETA

COMANCHE

ACADEMY

LOU

ISIA

NA

GO

LF

CO

UR

SE

DENNIS CHAVEZ

SU

NS

ET

VE

NT

UR

A

SA

N P

ED

RO

PE

NN

SY

L VA

NIA

GUN CLUB

LOW

EL

L

DELLYNE

ZUNI

JUA

N T

AB

O

98T

H

EU

BA

NK

SAN ANTONIO

GIR

AR

D

MONTANO

WOODWARD

ALAMEDA

GIBSON

MONTGOMERY

YA

LE

CH

ELW

OO

D P

AR

K

WY

OM

ING

MO

RR

IS

RIO BRAVO

MENAUL

EU

BA

NK

EU

BA

NK

JUA

N T

AB

O

WY

OM

ING

YA

LE

MENAUL

WY

OM

ING

LOMAS

TR

AM

WA

Y

MO

ON

GIR

AR

D

EU

BA

NK

TR

AM

WA

Y

UN

SE

R

MO

ON

CO

OR

S

MO

RR

I S

SA

N P

ED

RO

EU

BA

NK

ED

ITH

LOMAS

UN

IVE

RS

ITY

EU

BA

NK

OURAY

CANDELARIA

CA

RL

ISL

E

LOU

I SIA

NA

28

27

9

7

11

32

15

3

30

26

31

2

6

10

29

33

4

17

1

8

13

5

19

20

25

14

18

22

21

24

16

23

Community Boundaries

% Population Below Federal Poverty Level, 2000 5% or less

6 - 10%

11 - 15%

16 - 20%

Greater that 20%

PLACE MATTERS – ABC HEAT Source: U.S. Census

POVERTY

HEAT COMMUNITY BOUNDARIES

(33)

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

Page 39: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Poverty is presented on this map in five categories, using a small geography (census block groups). Imagine if these categories of non-adjacent block groups were each a ‘community’ and we calculated the same health indicator for each one. The bar graph on the right represents the teen birth rate of each of those ‘communities’. It shows a strong relationship with poverty: Wherever there is a higher percent of the population living in poverty, there is a higher teen birth rate. We call this a social determinant of health.

POVERTY AND HEALTH OUTCOMES

Teen Birth Rates by Neighborhood Poverty 2001-2005, Bernalillo County, NM

24

38

56.868.9

104.5

0

20

40

60

80

100

120

Less than 5% 5 to 10% 10 to 15% 15 to 25% 25 to 63%

% Population Below Poverty Level

Rat

e p

er 1

000

Tee

n G

irls

Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment

PLACE MATTERS – ABC HEAT Source: US Census 2000

Percent Population Under the Federal Poverty Level

(Block Groups)

5% or Less

5 - 10%

10 - 15%

15 - 25%

25% or Greater

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

CENSUS BLOCK GROUPS (~450)

Page 40: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Census Tract Boundaries

Teen (15-19) Birth RatesBernalillo County, 2001 - 2005

Less than 25 per 1000

25.1 - 50.0

50.1 - 75.0

75.1 - 100.0

Greater than 100 per 1000

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, BVRHSSource: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community

Assessment

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

CENSUS TRACTS (141)

Page 41: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

Low Birth Weight BirthsAlbuquerque Census Tracts, 2001 - 2005

Source: NMDOH, BVRHS; Analysis: T Scharmen, NMDOH, Region 3, Office of Community Assessment

Census Tract Boundaries

Low Birth Weight BirthsMothers of All Ages, 2001 - 2005

0.0 - 6.6%

6.7 - 8.0%

8.1 - 9.3%

9.4 - 10.5%

10.6 - 17.5%

Percent low birth weight births equals the number of births of infants weighing less than 2500 grams (5.5 lbs) divided by the total number of births among the same population.

Low Birth Weight Births, 2003

U.S.A. 7.8%

N.M. 8.1%

Bernalillo County 8.4% Source: NMDOH, BVRHS

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

CENSUS TRACTS (141)

Page 42: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

LOW BIRTHWEIGHT

Figure 5. Low Birth Weight Rate Ratios by Poverty Level and Maternal Race/Ethnicity Bernalillo County, 1996-2005

(Reference group = <10.0% poverty group)

Percent of Census Tract Population Below Poverty Level in 2000

1.3

1.1

1.3 1.3

1.41.4

1.2

1.4

1.5

1.0

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

White Hispanic American Indian

African- American

Asian and PacificIslander

Per

cen

t Lo

w B

irth

Wei

ght

<10.0% 10.0%-19.9% 20.0%+

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

Page 43: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

DIABETES MORTALITY

Figure x. Average Annual Age-Adjusted Death Rates in Whites and Hispanics 35-74 Years By Sex, Race/Ethnicity, and Poverty Level

Bernalillo County, 1996-2005

Percent of Census Tract Population Below Poverty Level in 2000

17.8

27.5

8.3

22.725.7

39.7

15.5

24.6

27.8

47.150.6

44.0

0

10

20

30

40

50

60

White Hispanic White Hispanic

Male Female

Rat

e p

er

100

,000

<10.0% 10.0%-19.9% 20.0%+

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

Page 44: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

6 - REPORTS FOR POLICY MAKERS AND COMMUNITY ADVOCATES

Policy Makers – Not Yet

Community Advocates –

Bernalillo County Health Council Pathways ProjectLocal Neighborhood Collaboratives Health Equity Working Group Local Issue Specific Programs Local Grant Efforts APS School Health Advisory Council Local Non-Profits

7 - LINK DATA TO ACTION for the Environmental Justice Forums and other Social Determinants Efforts

Comprehensive Community Assessment Tools contribute to planning, priority setting, targeting and program evaluation.

Check out the new Bernalillo County Community Health Profile, due out in mid May, 2009.

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

Page 45: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

THANKS TO THANKS TO THE NUMBERS THE NUMBERS CRUNCHERS:CRUNCHERS:

WILL ATHASWILL ATHAS

BRYAN PATTERSONBRYAN PATTERSON

DAREN RUIZDAREN RUIZ

DOLESWAR BHANDARIDOLESWAR BHANDARI

DAVID BROUDYDAVID BROUDY

ERIN PHIPPSERIN PHIPPS

LEORA JAEGERLEORA JAEGER

ALBUQUERQUE / BERNALILLO COUNTYALBUQUERQUE / BERNALILLO COUNTY

HEALTH EQUITY ASSESSMENT HEALTH EQUITY ASSESSMENT TOOLTOOL

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

Page 46: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

THANK YOU THANK YOU

ALBUQUERQUE / BERNALILLO COUNTYALBUQUERQUE / BERNALILLO COUNTY

HEALTH EQUITY ASSESSMENT HEALTH EQUITY ASSESSMENT TOOLTOOL

Thomas N. Scharmen, M.A., M.P.H., 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 protected]

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

Page 47: PLACE MATTERS TEAM ABC HEAT ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY ASSESSMENT TOOL TOM SCHARMEN MAY 2009 MAY 2009.

BERNALILLO COUNTY COMMUNITY HEALTH COUNCILCOUNTY PROFILE PRIORITY SETTING – OPEN HOUSES:

April 21st, 3:00-7:00 – (Northeast Quadrant) Location TBDApril 23rd, 3:00-7:00 – (Southeast Quadrant) Location TBDApril 27th, 3:00-7:00 – (Northwest Quadrant) Los Griegos Community Center, 12th and CandelariaApril 29th, 3:00-7:00 – (Southwest Quadrant) South Valley Health Commons, 2001 Centro Familiar, SWMay 4th, 3:00-7:00 – (East Mountains) Los Vecinos Community Center, 478 1/2 Old Hwy. 66, Tijeras 87059

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