Barbara Seitz de Martinez, PhD, MLS, CPP Desiree Goetze, MPH, CHES, CPP Kaigang Li www.drugs.indiana.edu Partnerships to Facilitate Prevention and Recovery: Transformation Where It Counts! The Potential of Geographic Information Systems (GIS) to Facilitate Data-Driven Prevention
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The Potential of Geographic Information Systems (GIS) to Facilitate Data-Driven Prevention
The Potential of Geographic Information Systems (GIS) to Facilitate Data-Driven Prevention. Barbara Seitz de Martinez, PhD, MLS, CPP Desiree Goetze, MPH, CHES, CPP Kaigang Li www.drugs.indiana.edu. Partnerships to Facilitate Prevention and Recovery: Transformation Where It Counts!. - PowerPoint PPT Presentation
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Barbara Seitz de Martinez, PhD, MLS, CPPDesiree Goetze, MPH, CHES, CPP
Kaigang Li www.drugs.indiana.edu
Partnerships to Facilitate Prevention and Recovery: Transformation Where It Counts!
The Potential of Geographic Information Systems (GIS)
to Facilitate Data-Driven Prevention
23年 4月 22日 www.drugs.indiana.edu 2
What You Will Learn:Components of GIS system
How GIS Helps with Strategic Planning
How GIS Can Help You with Program Evaluation Surveillance System Track Change over Time and Space
How GIS Plays a Role in Research: Example: Impact of Smoking and Coalitions Morbidity and Mortality Making Sense of the Data
Minimal Equipment and Personnel Skill Requirements
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GIS System: Levels of Complexity
Level 3: Complex data import & analyze
Level 2: Simple data imports & analysis
Level 1: Extract data
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Level 1 – Extract Data
Equipment: Hardware and Software
Data: Purchased Databases
www.tetrad.com
Kinds of Skills (Capacity Building)
MapInfo, PCensus, Maploader
(1)
Purchased GIS data
(1)
Basic ComputerAnd Printer
(1)
Basic ComputerSkills(1)
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Level 1 – Extract Data
MapInfo, PCensus, Maploader
(1)
Purchased GIS data
(1)
Basic ComputerSkills(1)
Single Parent Families 2006, Percent (AGS, 2006 est., 2007)
County Lake Co. IN U.S.Lone Parent Male (percent) 10.9 6.7 7.4Lone Parent Female (Percent) 28.9 23.2 25.6Single Parent Families (M+F) % 39.8 29.9 33
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Alcohol Spending per HouseholdPer Household Spending on Alcohol, 2006 est. (AGS, 2007)
Adams Indiana U.S.
Spending on Alcohol 529.8 664.9 621.7
Beer and ale not at home 73.9 93 87
Wine away from home 36.1 45.4 42.5
Whiskey away from home 60.1 75.6 70.7
Alcohol On Out-Of-Town Trips 65.4 81.7 76.4
Spending on Alcohol for Consumption in the Home 292.9 367.2 343.4
Beer and ale at home 157.2 197.1 184.3
Wine at home 84.7 106.2 99.3
Whiskey at home 20.7 25.9 24.2
Whiskey and other Liquor at Home 51.1 63.9 59.7
Median Household Income
45,791.50 54,272.10
48,276.60
Total Spending Per HH as % of Median HH income 1.155 1.225 1.288
Rank for Spending as % of Median HH Income 67 40th of 51
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Adults without a High School Diploma
Educational Attainment, 2006 est. (AGS, 2007) Lake Co. Indiana U.S.Less than 9th grade 3 5 5.89th to 12th grade, no diploma 9.5 9.7 8.9Total, Less Than 9th or less than HS Diploma 12.5 14.6 14.7High school graduate 40.4 36.5 29.8Some college, no degree 20.8 19.7 19.9Associate degree 8.5 6.7 7.4Bachelor's degree 11.4 14.2 17.9Graduate or profession degree 6.4 8.2 10.3
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Data can seem overwhelmingToo much data can seem overwhelming.
Skills (Capacity Building) Patience, precision Microsoft Excel, Microsoft Access
Software Required
MapInfo, PCensus, Maploader
(1)
Mapmarker Geocoding software, Excel & Access
(2)
Data Complexity
Purchased GIS data
(1)
Imported data (free or purchased)
(2)
Examples of Data
AGS, Claritas™,Map files
(1)
Program Data, Address Data, Health Data (public
or purchased)(2)
Skills Required
Basic Computer(1)
Geocoding, Excel and Access
(2)
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Afternoons R.O.C.K. in Indiana
Indiana Prevention Resource Center
Afternoons R.O.C.K. Programs, 2005-2006 School Year
Afternoons R.O.C.K. in Indiana, 2006
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Places of Worship
Indiana Prevention Resource Center
Places of Worship, 2005
Info USA, American Church List, 2005
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Youth Serving Agencies
Info USA, American Church List, 2005
Youth Serving Agencies, 2005
Indiana Prevention Resource Center
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Public Libraries and Branches
Indiana State Library, 2006
Main Library, 2006
Branch Library, 2006
Indiana Prevention Resource Center
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Schools
Indiana Department of Education, 2005
School
Indiana Prevention Resource Center
23年 4月 22日 www.drugs.indiana.edu 31Marion County Schools, Alcohol Retail Outlets by School District
Public SchoolOther SchoolAlcohol Retail Outlet
Marion County Alcohol Retail Outlets by Census Tract
23年 4月 22日 www.drugs.indiana.edu 32Marion County Schools, Alcohol Retail Outlets by School District
Public SchoolOther SchoolAlcohol Retail Outlet
Marion County Alcohol Retail Outlets by School District
23年 4月 22日 www.drugs.indiana.edu 33Marion County Schools, Alcohol Retail Outlets by School District
Public SchoolOther SchoolAlcohol Retail Outlet
Marion County Alcohol Retail Outlets by School District
Franklin Township School DistrictPublic SchoolOther SchoolAlcohol Retail Outlet
M S D Perry Township School DistrictPublic SchoolOther SchoolAlcohol Retail Outlet
MSD Washington Township SchoolsPublic SchoolOther SchoolAlcohol Retail Outlet
Indianapolis Public SchoolsPublic SchoolOther SchoolAlcohol Retail Outlet
23年 4月 22日 www.drugs.indiana.edu 38Marion County Universities and Alcohol Retail Outlets
UniversityAlcohol Retail Outlet Butler
Indianapolis Downtown Campus of Ivy Tech
IUPUI
Marion College
U of Indy
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1 Mile Radius around Butler University
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1 Mile around University of Indianapolis
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1 Mile around Downtown Campus of IVY TECH
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1 Mile around Marion College
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1 Mile around IUPUI
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1 and 2 Miles around IUPUI
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Jefferson County Profile, 6.9
TRIP Inspection Data (using data for 2005 from IN State Excise Police), ATC 2006
Jefferson IndianaIntensity of Inspection 2 1No. Insp per 1,000 Youth, 10-17 13 12Population 10-17 3,686 726,218Total Population 32,343 6,270,352Total No. of Tobacco Retail Outlets 2005 33 6,401Total inspections Completed 49 8,503Total Failed Inspections 10 1,076Percent, Failed Inspections 20 13Percent, Passed Inspections 80 87Ranking (1-81) for % Failed Inspections 22 Ranking (1-81) for % Passed Inspections 62
Table 6.9: Intensity of TRIP Inspections and Related Statistics, Calculations for 2005 Based on Data from the TRIP Program (ATC, Indiana State Excise Police, 2006)
Schools in Proximity to Failed Trip Inspections – Close-up
Jefferson County
Tobacco Outlets That Failed TRIP Inspections in 2006Children at School
Schools in Proximity to Failed Trip Inspections – Close-up
Madison, Indiana
Pope John XXIII School
Grace Baptist School
Shawe Memorial High School
Tobacco Outlets That Failed TRIP Inspections in 2006Children at School
Source: Indiana State Department of Health, October 19, 2007
CW and CE regions Top 2 counties (CW) 3 of the top 5 counties
Only 20 counties reported deaths from bronchitis. All reported less than 5 deaths, making the rates “unstable.” But by using 2 regions, CW+CE compared to the rest of the state, the results are more reliable.
Region Deaths Mean Age-Adj Rate/100,000
CW+CE 8 3.05
Other 6 regions
15 2.0
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Chronic Airway Obstruction
Source: Indiana State Department of Health, October 19, 2007
CW and CE regions 3 of the top 4 counties 4 of the top 6 counties 5 of the top 9 (=10% of IN counties) 2 more of these 9 border these regions 7 of the top 9 counties in or border
Source: Indiana State Department of Health, October 19, 2007
CW region Top county by more than 8 points
Age-adjusted emphysema mortality rate, 2005
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Malignant Neoplasm of the Trachea, Lung, Bronchus
CW and CE regions 4 of the top 10% of counties (9) 4 of the top 6 counties
Age-adjusted lung cancer mortality rate, 2005
33.8% 31.8%
Source: Indiana State Department of Health, October 19, 2007
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Ischemic Heart Disease
CW and CE regions Top county in CW 3 of the top 4 counties in CW 5 of the top 10 in CW or CE 8 of the top 16 in CW or CE 12 of the top 16 either in or borderingthe CW or CE regions.
Source: Indiana State Department of Health, October 19, 2007
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Malignant Neoplasm of the Esophagus
Age-adjusted malignant neoplasm of the esophagus mortality rate, 2005
Malignant Neoplasm of the EsophagusDoes not SEEM REMARKABLE.
Source: Indiana State Department of Health, October 19, 2007
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CVD
CVD SEEMS NOT REMARKABLE.
33.8%
Age-adjusted CVD mortality rate, 2005
Source: Indiana State Department of Health, October 19, 2007
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Morbidity Data
Cancer of Trachea, Lung, BronchusChronic Airway ObstructionBronchitis/EmphysemaCancer of the LipCancer of the EsophagusCancer of the LarynxAortic AneurysmSIDS
Source: Indiana State Department of Health, October 19, 2007
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Lung Cancer Incidence
CW region – rate of lung cancer incidence top county 2 of the top 5 counties 3 of the top 7counties
NE and NC region 2 lowest counties (NE) 3 of the 4 lowest counties 4 of the 6 lowest counties
Rank for rate of lung cancer incidence, 2003
33.8%31.8%
25.1%
25.1%
Source: Health Service Demand Estimates 2005. Franking, TN: Planning 2.0, 2006.
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Lung Cancer Incidence
Region Smoking Mean Rate Tob-PrCos
CW 34% 79.7 1/12CE 31% 70.2 3/11
SE 31% 78.1 13/14
C 29% 73.3 1/12
NW 28% 70.1 0/5
SW 27% 70.2 7/16
NC 25% 67.6 0/5NE 26% 60 0/9
Perhaps tobacco production is associated with heavier smoking?IN State Department of Health, published in: Indiana Cancer Facts & Figures, 2006. American Cancer Society, Great Lakes Division, Inc., 2006.
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Cancer of the Trachea, Lung, Bronchus
CW and CE regions 2 of top 3 (CW) 4 of top 9 counties (CW or CE) 6 of top 11 counties (CW or CE) 8 of top 11 counties (in or bordering CW or CE)
Rate/100,000 of DRG082 (C33), Cancer, 2005
33.8% 31.8%
Region Counties % IN Cos % T-R
CW/CE 24 26% of 92 66% of 3
CW/CE 24 26% of 92 44% of 9
CW/CE 24 26% of 92 54% of 11Source: Health Service Demand Estimates 2005. Franking, TN: Planning 2.0, 2006.
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DRG088 Bronchitis, Emphysema and Chronic Airway Obstruction
CW and CE regions 3 of top 9 (top 10% of IN counties) (3 additional counties border CW or CE) 6 of the top 9 are in or border CW or CE 11 of top 18 counties (top 20%) in CW or CE
Rate/100,000 of DRG088, 2005
33.8%31.8%
Region Counties % IN Cos % T-R
CW/CE 24 26% of 92 33% of 9
CW/CE 24 26% of 92 61% of 18
Source: Health Service Demand Estimates 2005. Franking, TN: Planning 2.0, 2006.
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DRG172 Malignant Neoplasm of the Esophagus
Rate/100,000 of DRG172, 2005
33.8% 31.8%
CW and CE regions 3 of top 9 (top 10% of IN counties) (3 additional counties border CW or CE) 6 of the top 9 are in or border CW or CE 10 of top 18 counties (top 20%) in CW or CE 55.5% of the top 18 counties are in CW/CE. These 2 regions constitute 26% of IN counties.
Source: Health Service Demand Estimates 2005. Franking, TN: Planning 2.0, 2006.
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Elements Used for this Study
Community CoalitionPublic Education / Marketing Cessation ProgramsSchool – Based Programs Indoor Air PoliciesYouth Use Law EnforcementHigh Risk PopulationFunding Level
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Guiding PrinciplesIs it comprehensive?
Is it well funded?
Is it sustainable over time?
Does it operate free of the tobacco industry?
Does it address high risk populations?
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Regional FindingsCOUNTY SMOKING
RATESMOKING RATE RANK (1 = low)
COALITION STRENGTH RANK (1 = high)
NORTHWEST 28% 4 8
NORTH CENTRAL 25% 1 3
NORTH EAST 26% 2 6
CENTRAL 29% 5 1
CENTRAL EAST 32% 7 7
SOUTH WEST 27% 3 2
SOUTH EAST 31% 6 4
CENTRAL WEST 34% 8 5http://www.in.gov/itpc/Research2.asp?CatID=8
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Tobacco Coalition Strength
2825 26
2932
2731
34
0
5
10
15
20
25
30
35
40
NW NC
NE C
CE
SW SE
CW
TOBACCO COALITION SMOKING RATE INDIANA
http://www.in.gov/itpc/Research2.asp?CatID=8
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What You Have Learned:Components of GIS systemHow GIS Helps with Strategic Planning
Demographics Assessment – Needs and Resources Relationship Identification (where/who) Decision-Making Cultural Competency Obtain Funding
How GIS Can Help You with Program Evaluation Surveillance System Track Change over Time and Space