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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: [email protected]
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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
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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 ?
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Place Matters Communities The Fair Health MovementBERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOL
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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
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Social Determinants of Health
Land Use Planning Economic DevelopmentHousingParks and
RecreationEducationCrimeRacism/Discrimination
BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOLDefinitions
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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
Chart1
0.05
0.3
0.1
0.55
What Determines Health Status?
Sheet1
What Determines Health Status?
Genetics5%
Behavior30%
Heath Care10%
Social Conditions55%
To resize chart data range, drag lower right corner of
range.
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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/
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http://www.thehdmt.org/
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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
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOLALBUQUERQUE AND THE HEAT COMMUNITY BOUNDARIESHOW DO
YOU DEFINE YOUR COMMUNITY?
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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
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http://map4change.org/ABC HEAT WILL SOON BE ONLINEBERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOL
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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 ?
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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
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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.
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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
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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
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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
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1. Choose the Cause of DeathSEERStat ToolBERNALILLO COUNTY PLACE
MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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2. Set the Table Layout - DIABETES, by RACE and HEAT
COMMUNITYSEERStat ToolBERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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3. Run the RatesWHITEHISPANICSEERStat ToolBERNALILLO COUNTY
PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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4-a. Create the Maps HEAT Community Rates - DIABETESBERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOLSEERStat Tool
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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
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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
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SAMPLE APPLICATION
TEEN BIRTH AND POVERTYBERNALILLO COUNTY PLACE MATTERS TEAM - - -
- - HEALTH EQUITY ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOLTEEN BIRTH RATES INCREASE BASED ON POVERTY AND
PLACE
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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
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SAMPLE APPLICATION
INJURY PREVENTION AND POVERTYBERNALILLO COUNTY PLACE MATTERS
TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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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
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOLUNINTENTIONAL INJURY DEATH RATES, ALL AGES, RACES
AND ETHNICITIESPLACE MATTERS ABC HEAT Source: NMDOH, BVRHS
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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
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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
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YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005WHITEHISPANICNATIVE
AMERICANAFRICAN AMERICAN
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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
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SAMPLE APPLICATION
ACADEMIC ACHIEVEMENT, DROPOUTS AND YOUTH IN PRISONBERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOL
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FREE OR REDUCED-PRICE LUNCHBERNALILLO COUNTY PLACE MATTERS TEAM
- - - - - HEALTH EQUITY ASSESSMENT TOOL
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FOURTH GRADE READING SCORES (% PROFICIENT)BERNALILLO COUNTY
PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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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
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SAMPLE APPLICATION
ALCOHOL LICENSINGBERNALILLO COUNTY PLACE MATTERS TEAM - - - - -
HEALTH EQUITY ASSESSMENT TOOL
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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
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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
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DWI Resource Center:
http://www.dwiresourcecenter.org/downloads/naap/ABQ_Map11.gif
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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
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SAMPLE APPLICATION
HEALTHY WEIGHT AND FOOD STORESBERNALILLO COUNTY PLACE MATTERS
TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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DIABETES DEATH RATES, ALL RACES AND ETHNICITIESTOTAL DEATHS =
1882BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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PLACE MATTERS ABC HEAT Source: NMDOH, BVRHSYears 1990 through
2005, N = 960WHITES, DIABETES DEATH RATESBERNALILLO COUNTY PLACE
MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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PLACE MATTERS ABC HEAT Source: Farm to Table, 2008BERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOLFOOD STORE DENSITY
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PLACE MATTERS ABC HEAT Source: Farm to Table, 2008BERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOLFOOD STORE DENSITY + LOCATION
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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
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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
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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
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SAMPLE APPLICATION
ASTHMA AND STATIONARY SOURCES OF POLLUTIONBERNALILLO COUNTY
PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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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
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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
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EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREARates =
Deaths per 100,000 ResidentsBERNALILLO COUNTY PLACE MATTERS TEAM -
- - - - HEALTH EQUITY ASSESSMENT TOOL
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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
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http://www.koat.com/news/22805273/detail.html
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SAMPLE APPLICATION
DAY CARE CAPACITY and CHILD POPULATIONSBERNALILLO COUNTY PLACE
MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY
ASSESSMENT TOOL
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Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - -
- - HEALTH EQUITY ASSESSMENT TOOL
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Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - -
- - HEALTH EQUITY ASSESSMENT TOOL
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Source: GeoLytics, 2005BERNALILLO COUNTY PLACE MATTERS TEAM - -
- - - HEALTH EQUITY ASSESSMENT TOOL
- Day Care Capacity Children
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Source: NM CYFD, 2009;US Census, 2000BERNALILLO COUNTY PLACE
MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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Source: NM CYFD, 2009BERNALILLO COUNTY PLACE MATTERS TEAM - - -
- - HEALTH EQUITY ASSESSMENT TOOL
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Source: GeoLytics, 2005Source: NM CYFD, 2009BERNALILLO COUNTY
PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT TOOL
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SAMPLE APPLICATION
LANGUAGE LEVEL and FOREIGN BORNNote: This file replaces an
earlier version dated Mar 26 2010
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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)
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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)
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The US Department of Homeland Security Estimates the Number of
Undocumented:http://www.dhs.gov/xlibrary/assets/statistics/publications/ois_ill_pe_2009.pdf
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Using the following proportions:How many unauthorized immigrants
reside in Bernalillo County in 2009?
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HOW MANY RESIDENTS ARE FOREIGN BORN BUT NOT CITIZENS?BERNALILLO
COUNTY PLACE MATTERS TEAM - - - - - HEALTH EQUITY ASSESSMENT
TOOL
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WHAT PROPORTION OF RESIDENTS ARE FOREIGN BORN BUT NOT
CITIZENS?BERNALILLO COUNTY PLACE MATTERS TEAM - - - - - HEALTH
EQUITY ASSESSMENT TOOL
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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
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HOW MANY MOTHERS GIVING BIRTH ARE FOREIGN-BORN?
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HOW MANY RESIDENTS WHO DIE ARE FOREIGN-BORN?
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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 ?
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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: [email protected] George Schroeder, MPH,
MS, REHSEnvironmental Health ManagerBernalillo County Office of
Environmental Health111 Union Square Street SE; Third
FloorAlbuquerque, NM 87102505-314-0326E-mail:
[email protected] 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*