PLACE MATTERS TEAM

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PLACE MATTERS TEAM ABC HEAT
ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY
ASSESSMENT TOOL TOM SCHARMEN MAY 2009
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ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY
ASSESSMENT TOOL
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.
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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LONG TERM GOAL A CENTER FOR COMMUNITY HEALTH
ASSESSMENT IN ALBUQUERQUE / BERNALILLO
COUNTY FUNCTIONS 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 Research
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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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 Council
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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2 - SELECTION OF INDICATORS
THREE CLASSES OF INDICATORS
Social Determinants Economic Security Livelihood E
ducation Environmental Quality Health Care
Access Housing Civic Involvement Community
Safety Transportation
Demographics Race/ Ethnicity Median Household
Income Female-headed Households with
Children Households w/ Children Educational
Attainment Average Age
Health Outcomes Age Adjusted Mortality Rates
Morbidity (multiple causes) Maternal and Child
Health
(CADH 2007)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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DETAIL OF ONE SOCIAL DETERMINANT Economic
Security/Financial Resources
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
Income Poverty Median Household Income
Households Below Poverty Individuals with
Income ltPoverty Children lt18 in Poverty
  Wealth/ Assets Media Value - Owner Occupied
Homes Land/Building Assessed Value Sales
Prices Average of Vehicles
ACQUIRED (or in process)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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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/mast
er_list.php (see handout or send an e-mail for a
LARGE LIST of links)
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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
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 Activities C. Health Outcome Indicators
1. Availability and Utilization of Quality
Health Care Services 2. Nutrition \ Life
Style D. Other 1. Transportation 2.
Community Agencies and Resources 3. Other
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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1 - ACQUISITION OF DATA
NOT-SO-LOW HANGING FRUIT Medicaid
Enrollment Other Health Care Access or
Insurance Indicators Food Stamp
Enrollment Hospitalization and other
Morbidity Asthma in the ER Environmental
Indicators Permits to Pollute Sources Monitorin
g Levels Incarceration . . . And many more
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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 Tools SEERStat calculates birth
rates and age-adjusted death rates at census
tract or other levels for specific populations
and causes BUILD DENOMINATORS! (WELL COME
BACK TO SEERStat)
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3 - ANALYSIS OF PRIORITY INDICATORS BUILD
DENOMINATORS POPULATION 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
Census 2001 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
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4 - MAPS TABLES OF SOCIAL DETERMINANTS AND
HEALTH OUTCOMES Indicators at CENSUS
TRACT LEVELS for uniformity and
analysis Indicators at HEAT COMMUNITY
LEVELS for participatory assessment
presentations Indicators at OTHER
LEVELS School Boundaries, Zip Codes, State

Representative
Districts, Police Beats Indicators of SOCIAL
and DEMOGRAPHIC STATUS Indicators of HEALTH
STATUS
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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CENSUS TRACTS (141)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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HEAT COMMUNITY BOUNDARIES (33)
Premature Death from Chronic Disease Whites
1990 - 2005
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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HEAT COMMUNITY BOUNDARIES (33)
Premature Death from Chronic Disease Hispanics
1990-2005
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALBUQUERQUE AND THE HEAT COMMUNITY BOUNDARIES
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH ALL RACES
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH WHITES
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH HISPANICS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH NATIVE AMERICANS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH AFRICAN AMERICANS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALL CAUSES OF DEATH ASIANS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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WHY DOES PLACE MATTER? WHY DOES RACE MATTER?
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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FORECLOSURES
CENSUS TRACTS (141)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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APS 4TH GRADE READING SCORES
ELEMENTARY SCHOOL BOUNDARIES (87)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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APS FREE OR REDUCED PRICE LUNCH
ELEMENTARY SCHOOL BOUNDARIES (87)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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DAY CARE CAPACITY
HEAT COMMUNITY BOUNDARIES (33)
PLACE MATTERS ABC HEAT
Source NM
Children, Youth and Families Dept., 2007
Capacity Available Day Care slots per 100
resident children under 10 yrs.
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ASTHMA MORTALITY 1990-2005
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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FOOD MARKETS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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HIGH SCHOOL BOUNDARIES (11)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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PRISON ADMISSION ADULTS YOUTH
(Adults only)

• 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.

• 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.

BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
Source The After Prison Initiative, Open Society
Institute, 2003
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HIGH SCHOOL BOUNDARIES (11)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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INFANT MORTALITY ALL RACES
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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INFANT MORTALITY AFRICAN AMERICANS
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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D R A F T
LIFE EXPECTANCY AT BIRTH Bernalillo County HEAT
Communities Both Sexes, 2001-2005
Life Expectancy Comparisons USA (2003)
77.4 years NM (2001-03)
77.3 years Bernalillo County (2001-05)
80.3 years Source NCHS
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).
PLACE MATTERS ABC HEAT
Source Deaths -
NMDOH-BVRHS Population - Geolytics, Inc.
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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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
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POVERTY
HEAT COMMUNITY BOUNDARIES (33)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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CENSUS BLOCK GROUPS (450)
POVERTY AND HEALTH OUTCOMES
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.
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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CENSUS TRACTS (141)
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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CENSUS TRACTS (141)
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 TOOL
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6 - REPORTS FOR POLICY MAKERS AND COMMUNITY
ADVOCATES Policy Makers Not Yet Community
Advocates Bernalillo County Health
Council Pathways Project Local 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
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THANKS TO THE NUMBERS CRUNCHERS WILL
ATHAS BRYAN PATTERSON DAREN RUIZ DOLESWAR
BHANDARI DAVID BROUDY ERIN PHIPPS LEORA JAEGER
ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY
ASSESSMENT TOOL
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 COMMUNITY HEALTH
COUNCIL COUNTY PROFILE PRIORITY SETTING OPEN
HOUSES April 21st, 300-700 (Northeast
Quadrant) Location TBD April 23rd, 300-700
(Southeast Quadrant) Location TBD April 27th,
300-700 (Northwest Quadrant) Los Griegos
Community Center, 12th and Candelaria April
29th, 300-700 (Southwest Quadrant) South
Valley Health Commons, 2001 Centro Familiar,
SW May 4th, 300-700 (East Mountains) Los
Vecinos Community Center, 478 1/2 Old Hwy. 66,
Tijeras 87059
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL