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• 1. THE COMMUNITY AS PATIENT Health and Social Indicators of Albuquerque Neighborhoods TOM SCHARMEN ABC HEAT Albuquerque - Bernalillo County Health Equity Assessment Tool BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL

2. Assigned Communities Albuquerque & Bernalillo County, NM YOU ARE ASSIGNED TO PROFILE A COMMUNITYThis map can be found in the SharePoint Directory 2 Assigned Communities & Selected Boundaries 3. A Project of the Bernalillo CountyPlace Matters Team ABC HEATis a collaborative health equity initiative with the goal of providing communities and decision-makers in our city & county withevidence to build healthinto public and private policies and practices. We believe that decision-makers must have reliable dataon health status, disparities, and the effects of social determinants of health.These data must be monitored at thelocal levelin collaboration with the people and families who live there, andfundingmust be available to promotecommunity participatory assessmentto understand these health effects and to promote the application of findings to decision-makers. ALBUQUERQUE - BERNALILLO COUNTYHEALTH EQUITY ASSESSMENT TOOL BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 4. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL Patients have a right to know their past and present medical status and to be free of any mistaken beliefs concerning their conditions.Only through full disclosure is a patient able to make informed decisions regarding future medical care. -AMA Code of Medical Ethics Patients have the right to know their treatment options and take part in decisions about their care. Patients have the right to accurate and easily-understood information about their health plan, health care professionals, and health care facilities. -Patient's Bill of Rights Communities also have the right to know . . . strategies in the health field need to be connected with strategies in sectors such as education, housing, public safety, economic development, and community planning.-Joint Center for Political and Economic Study 5. Assigned Communities Albuquerque & Bernalillo County, NM YOU ARE ASSIGNED TO PROFILE A COMMUNITY DEFINED BYZIP CODEANDCOMMUNITY CENTER. . .The following maps can be found in the SharePoint Directory 2 Assigned Communities & Selected Boundaries 6. Zip Codes Albuquerque & Bernalillo County, NM THE REFERENCE MATERIALS ON SHAREPOINT ARE MAPS AND TABLES: SOMETIMES AT THEZIP CODELEVEL . . . 7. Zip Codes and Census Tracts Albuquerque & Bernalillo County, NM SOMETIMES AT THECENSUS TRACTLEVEL . . . 8. Zip Codes and Elementary Schools Albuquerque & Bernalillo County, NM SOMETIMES AT THEELEMENTARY SCHOOLLEVEL . . . 9. Zip Codes and HEAT Communities Albuquerque & Bernalillo County, NM AND SOMETIMES AT THEHEAT COMMUNITYLEVEL . .. HEAT COMMUNITIESARE AGGREGATIONS OF 4-8 CENSUS TRACTS EACH. 10. This COLLECTION OF ZIP CODE MAPS & TABLES can be found in the SharePoint Directory 3 Zip Code Maps and Tables, 2005 11. SHAREPOINT DIRECTORIES: YOUR ASSIGNED COMMUNITY OLDER ZIP CODE MAPS HEALTH COUNCIL DOCS (FOR WEDNESDAY) YOUR WORKSHEETS NEWER CENSUS TRACT MAPS LINKS (OPTIONAL ACTIVITY) 12. A Project of the Bernalillo CountyPlace Matters Team ABC HEATis a collaborative health equity initiative with the goal of providing communities and decision-makers in our city & county withevidence to build healthinto public and private policies and practices. We believe that decision-makers must have reliable dataon health status, disparities, and the effects of social determinants of health.These data must be monitored at thelocal levelin collaboration with the people and families who live there, andfundingmust be available to promotecommunity participatory assessmentto understand these health effects and to promote the application of findings to decision-makers. ALBUQUERQUE - BERNALILLO COUNTYHEALTH EQUITY ASSESSMENT TOOL BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 13. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 14. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 15. This map can be found in the SharePoint Directory 4 ABC HEAT COMMUNITY FILES, 2008-2010 4 ABC Mortality Indicators >>> 3 Chronic Disease Mortality 16. PLACE MATTERS ABC HEATSource:Deaths - NMDOH-BVRHS; Population - Geolytics, Inc.Life Expectancy Comparisons USA (2003)* 77.4 years NM (2001-03)*77.3 years Bernalillo County (2001-05)77.6 years *Source: NCHS, US Born OnlyLife 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 BIRTHBoth Sexes, 2001-2005 Bernalillo County HEAT Communities (Range 9 years) BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL DOES WHERE WE LIVE INFLUENCE HOW LONG WE LIVE? 17. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL HOW MUCH DOESRACE INFLUENCE HOW LONG WE LIVE? Difference = 1 - 4 yrs 18. PLACE MATTERS ABC HEATSource:Deaths - NMDOH-BVRHS; Population - Geolytics, Inc.Census Tracts left blank had either insufficient data or a standard error less than 2.5 LIFE EXPECTANCY AT BIRTHBoth Sexes, 2001-2005 Bernalillo County CENSUS TRACTS (Range 22+ years) Life Expectancy Comparisons USA (2003)* 77.4 years NM (2001-03)*77.3 years Bernalillo County (2001-05)77.6 years *Source: NCHS, US Born Only 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). BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL HOW MUCH DOESPLACE INFLUENCE HOW LONG WE LIVE? 19. 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 Americaand CDC,Healthy People 2020 . BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 20. PLACE MATTERS ABC HEATSource: GeoLytics. 2008 High School Education CompletedBERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 21. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL This map can be found in the SharePoint Directory 4 ABC HEAT COMMUNITY FILES, 2008-2010 2 ABC Social Indicators >>> Neighborhood Social Indicators 22. FREE OR REDUCED-PRICE LUNCH BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 23. FOURTH GRADE READING SCORES (% PROFICIENT) BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 24.

• Health Disparities : Statistical differences in health that occur among populations defined by specific characteristics.

• Health Inequalities : The systematic and avoidable differences in health outcomes between social groups such that poorer and/or more disadvantaged people are more likely to have illnesses and disabilities and shorter lives than those who are more affluent.

• Health Inequity :Differences in health that are avoidable, unfair, or stemming from injustice.

• 1 Whitehead, WHO, 1990

25. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 26. Average Annual Age-Adjusted Death Rates in Persons 35-74 YearsBy Race/Ethnicity and Poverty Level Bernalillo County, 1996-2005 HEART DISEASE MORTALITYby Census Tract Poverty Level BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 27. This map can be found in the SharePoint Directory 4 ABC HEAT COMMUNITY FILES, 2008-2010 4 ABC Mortality Indicators >>> 4 Injury Mortality 28. UNINTENTIONAL INJURY MORTALITY Average Annual Age-Adjusted Death Rates in Persons < 75 Years By Census Tract Poverty Level, Bernalillo County, 1996-2005 W. ATHAS, PLACE MATTERS ABC HEATSource: NMDOH, BVRHS BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL POVERTY 29. PEDESTRIAN DEATHS BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS ABC HEATSource: NMDOH, BVRHHS 30. This map can be found in the SharePoint Directory 4 ABC HEAT COMMUNITY FILES, 2008-2010 4 ABC Mortality Indicators >>> 3 Chronic Disease Mortality 31. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 32. 33. PLACE MATTERS ABC HEATSource: Farm to Table, 2008 BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL FOOD STORE DENSITY 34. In a healthy population of normal children, the expected proportion overweight or obese is 15%. - CDC, 2000 OVERWEIGHT OR OBESE ELEMENTARY SCHOOL CHILDREN APS HEALTHY ASSESSMENT PROJECTPANAC 35. FAST FOOD RESTAURANTS, ALBUQUERQUE CITY BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS ABC HEATSource: City of Albuquerque, Environmental Health Dept 36. A COMMUNITY PROFILE A DESCRIPTIVE EXERCISE a multi-purpose tool for community decision-making

• • • • • participatory research,

• • • • • program planning,

• • • • • priority setting and targeting,

• • • • • grant proposals,

• • • • • policy discussions,

• • • • • environmental and health impact assessments,

ONE NEIGHBORHOOD, MANY MEASURES AND INDICATORS JUXTAPOSITION OF SOCIAL ISSUES AND HEALTH OUTCOMES THE FIRST STEPS OF A DIAGNOSIS, BUT WITHOUT THE SURE-FIRE PRESCRIPTION 37. AN EXAMPLE OF ACOUNTYPROFILE: This PROFILE can be found in the SharePoint Directory 6 Bernalillo County Community Health Council Files, 2009 38. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL NUMBER OF PUBLIC CLINICS 39. Source: NM CYFD, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL DAY CARE SERVICE CAPACITY, 2009 40. Source: GeoLytics, 2005 BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL NUMBER OF CHILDREN UNDER 10 YRS 41. BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL PLACE MATTERS ABC HEATSource: NMRLD, Alcohol and Gaming Division, 2008 ALCOHOL AVAILABILITY, 2008 BERNALILLO COUNTYHEAT COMMUNITIES LICENSED LIQUOR ESTABLISHMENTS 42. PLACE MATTERS ABC HEATSource: UNMInstitute for Social Research, APD only Serious Crimes = Homicide, Rape, Arson, Aggravated Assault, Robbery, Burglary, Motor Vehicle Theft and Larceny. MAJOR CRIME, ALBUQUERQUE CITY BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 43.

• 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 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 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 Albuquerques 16 neighborhood areas.

PRISON ADMISSION: ADULTS & YOUTH BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 44. Source: City of Albuquerque, Environmental Health Dept., Air Quality Division, July 2009 PERMITTED STATIONARY SOURCES OF POLLUTION, 2009 BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 45. 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 46. PLACE MATTERS ABC HEATSource: NMDOH, BVRHS Age-Adjusted Death Rates, All ages, Years 1990 through 2005, N = 166 ASTHMA MORTALITY The neighborhoods east of the American Cement Corp plant registered the 3rd highest asthma death rate in the county for the period 1990-2005.-NM Vital Records From 1998 to 2002, 163 children under age 5 living in zip code 87107 were hospitalized for acute asthma.- NM Health Policy Commission BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL American Cement Corporation 47. EXISTING BURDEN OF ILLNESS & DEATH IN LOCAL AREA Rates = Deaths per 100,000 Residents BERNALILLO COUNTY PLACE MATTERS TEAM-----HEALTH EQUITY ASSESSMENT TOOL 48. http://www.koat.com/news/22805273/detail.html 49. SHAREPOINT DIRECTORIES: YOUR ASSIGNED COMMUNITY OLDER ZIP CODE MAPS HEALTH COUNCIL DOCS (FOR WEDNESDAY) YOUR WORKSHEETS NEWER CENSUS TRACT MAPS LINKS (OPTIONAL ACTIVITY) 50. Assigned Communities Albuquerque & Bernalillo County, NM YOU ARE ASSIGNED TO PROFILE A COMMUNITY DEFINED BYZIP CODEANDCOMMUNITY CENTER. . .The following maps can be found in the SharePoint Directory 2 Assigned Communities & Selected Boundaries 51. Zip Codes Albuquerque & Bernalillo County, NM THE REFERENCE MATERIALS ON SHAREPOINT ARE MAPS AND TABLES: SOMETIMES AT THEZIP CODELEVEL . . . 52. Zip Codes and Census Tracts Albuquerque & Bernalillo County, NM SOMETIMES AT THECENSUS TRACTLEVEL . . . 53. Zip Codes and Elementary Schools Albuquerque & Bernalillo County, NM SOMETIMES AT THEELEMENTARY SCHOOLLEVEL . . . 54. Zip Codes and HEAT Communities Albuquerque & Bernalillo County, NM AND SOMETIMES AT THEHEAT COMMUNITYLEVEL . .. HEAT COMMUNITIESARE AGGREGATIONS OF 4-8 CENSUS TRACTS EACH. 55. This COLLECTION OF ZIP CODE MAPS & TABLES can be found in the SharePoint Directory 3 Zip Code Maps and Tables, 2005 56.

• LEARN HOW TO FIND YOUR OWN DATA

• Online Tools for Community Assessment

• Optional Activity (extra credit to earn A)

• Computer Lab, MED 2(next to the cafeteria)

• 2 SESSIONS:

• • Monday, July 26, 6:00-7:30

• • Tuesday, July 27, 6:00-7:30

57. 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_address] JULY 2010 Thank You 58. 59.