Albuquerque - Bernalillo County Health Equity Assessment Tool ABC HEAT Bernalillo County Place Matters Team

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Albuquerque - Bernalillo County Health
Equity Assessment ToolABC HEAT Bernalillo
County Place Matters Team
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• AGENDA . . .
• THE PLACE MATTERS NATIONAL INITIATIVE
• THE BERNALILLO COUNTY PLACE MATTERS TEAM
• THE HEALTH EQUITY ASSESSMENT TOOL
• Its Model, the Health Development Measurement
  Tool
• Interactive Demo
• Sample Applications of ABC-HEAT Social and Health
  Indicators
• QUESTIONS FROM and FOR YOU
• INVITATION TO PLAN A WORKSHOP

BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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Place Matters Communities The Fair Health
Movement
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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Definitions

• Health Disparities Statistical differences in
  health that occur among populations defined by
  specific characteristics. Could be from any
  cause.
• Health Inequity Differences in health that are
  avoidable, unfair, or stemming from injustice.
• Public Health Surveillance Information for
  action and policy advocacy
• Research Discovery, via scientific methods, of
  new knowledge (e.g., causation) that will have
  broad applications

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

• Social Determinants of Health
• Land Use Planning
• Economic Development
• Housing
• Parks and Recreation
• Education
• Racism/Discrimination
• Crime

BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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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
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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/tool.php
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http//www.thehdmt.org/
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SAN FRANCISCO, HDMT
ALBUQUERQUE, HEAT
http//www.thehdmt.org/master_list.php
http//www.nmpha.org/Social_Determinants.html
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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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.
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• What is the Health Equity Assessment Tool?
• A large inventory of datasets ( 70 indicators
  currently)
• Information on the social and health conditions
  of local communities
• Geo-coded death files (15 yrs)
• Organized by Bernalillo County Census Tracts
  (141), and by
• Aggregations of tracts into meaningful community
  boundaries (33)

The indicators are being developed as
multi-purpose, rapid response tools, ready for
program planning, priority setting and
targeting, funding opportunities, policy
discussions, environmental and health impact
assessments, and multiple other forms of
community decision-making.
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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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 Median 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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CATEGORIES OF HEAT INDICATORS
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 3. BMI in Children D. Other 1.
Transportation 2. Community Agencies and
Resources 3. Other
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALBUQUERQUE AND THE HEAT COMMUNITY BOUNDARIES
HOW DO YOU DEFINE YOUR COMMUNITY?
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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33 HEAT COMMUNITIES 141 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
Communities Input 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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ABC HEAT WILL SOON BE ONLINE
http//map4change.org/
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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BRIEF INTERLUDE GEOGRAPHIC INFORMATION SYSTEMS
(GIS) INTERACTIVE MAP SESSION
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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SAMPLE APPLICATIONS And Clients TEEN BIRTHS AND
POVERTY New Mexicans for Responsible Sexuality
Education INJURY PREVENTION AND POVERTY NM Injury
Prevention Coalition ACADEMIC ACHIEVEMENT,
DROPOUTS AND YOUTH IN PRISON Youth
Advocates ALCOHOL LICENSING Southeast Heights
Coalition HEALTHY WEIGHT AND FOOD
STORES Communities Putting Prevention to Work
(CDC Grant Proposal) ASTHMA AND STATIONARY
SOURCES OF POLLUTION North Valley Neighborhood
Associations
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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SAMPLE APPLICATION TEEN BIRTH AND POVERTY
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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TEEN BIRTH RATES INCREASE BASED ON POVERTY AND
PLACE
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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TEEN BIRTH RATES INCREASE BASED ON POVERTY AND
PLACE AND RACE
W. ATHAS, PLACE MATTERS ABC HEAT


Source NMDOH, BVRHS
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SAMPLE APPLICATION INJURY PREVENTION AND POVERTY
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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WHERE DO PEOPLE IN EXTREME POVERTY LIVE?
PERCENT OF PERSONS IN EXTREME POVERTY 2000 (less
than 100 of the Federal Poverty
Level) BERNALILLO COUNTY CENSUS TRACTS US CENSUS
2000
PLACE MATTERS ABC HEAT

Source U.S.
Census
BERNALILLO 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, 1995-97
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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UNINTENTIONAL INJURY DEATH RATES, ALL AGES,
RACES AND ETHNICITIES
PLACE MATTERS ABC HEAT

Source NMDOH, BVRHS
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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UNINTENTIONAL INJURY MORTALITY Average Annual
Age-Adjusted Death Rates in Persons lt 75 Years By
Race/Ethnicity and Poverty Level, Bernalillo
County, 1996-2005
W. ATHAS, PLACE MATTERS ABC HEAT

Source NMDOH, BVRHS
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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YOUTH HOMICIDE RATES, ALBUQUERQUE, 1990-2005
WHITE
HISPANIC
AFRICAN AMERICAN
NATIVE AMERICAN
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SAMPLE APPLICATION ACADEMIC ACHIEVEMENT,
DROPOUTS AND YOUTH IN PRISON
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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FREE OR REDUCED-PRICE LUNCH
BERNALILLO 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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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.

Source NM Dept of Corrections, NM CYFD
Analysis The After Prison Initiative, Open
Society Institute, 2003
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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SAMPLE APPLICATION ALCOHOL LICENSING
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALCOHOL AVAILABILITY, 2008 BERNALILLO COUNTY
CENSUS TRACTS
PLACE MATTERS ABC HEAT
Source
NMRLD, Alcohol and Gaming Division, 2008
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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ALCOHOL AVAILABILITY 2008 South East
Heights Albuquerque
Liquor License for On/Off Premises
PLACE MATTERS ABC HEAT

Source NMRLD, Alcohol and Gaming
Division, 2008
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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Neighborhood wins liquor license fight
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.
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 STORES
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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DIABETES DEATH RATES, ALL RACES AND ETHNICITIES
TOTAL DEATHS 1882
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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WHITES, DIABETES DEATH RATES
PLACE MATTERS ABC HEAT

Source NMDOH,
BVRHS Years 1990 through 2005, N 960
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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FOOD STORE DENSITY
PLACE MATTERS ABC HEAT

Source
Farm to Table, 2008
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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FOOD STORE DENSITY LOCATION
PLACE MATTERS ABC HEAT

Source
Farm to Table, 2008
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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FOOD STORE DENSITY LOCATION ACCOUNTABILITY
State Representative Districts (Park, Chasey
Stapleton)
PLACE MATTERS ABC HEAT

Source
Farm to Table, 2008
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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DIABETES MORTALITY UNDER 65 YEARS Age-Adjusted
Death Rates, Bernalillo County, 2001-2005
W. ATHAS, PLACE MATTERS ABC HEAT

Source NMDOH, BVRHS
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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SAMPLE APPLICATION ASTHMA AND STATIONARY SOURCES
OF POLLUTION
BERNALILLO 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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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
PLACE MATTERS ABC HEAT

Source NMDOH, BVRHS
Age-Adjusted Death Rates, All ages, Years 1990
through 2005, N 166
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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EXISTING BURDEN OF ILLNESS DEATH IN LOCAL AREA
Rates Deaths per 100,000 Residents
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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Questions?
What kinds of projects are you working on or
planning to work on? Do you see a need for
community indicators in order to prioritize
problems, target populations, write successful
grants, etc.? What is your strategy for
gathering and applying data.  Can HEAT be of
use? To what extent are your projects trying to
influence policy? What types of collaboration
can you envision with the added benefit of
HEAT? Would you support the development of HEAT
indicators? ARE YOU INTERESTED IN A WORKSHOP
TO EXPLORE YOUR ASSESSMENT NEEDS AND RESOURCES?
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL
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THANK YOU
ALBUQUERQUE / BERNALILLO COUNTY HEALTH EQUITY
ASSESSMENT TOOL
Thomas N. Scharmen, MA, MPH, Epidemiologist Region
s 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 [phone] ext 126 Fax
897-1010 E-mail thomas.scharmen_at_state.nm.us
George Schroeder, MPH, MS, REHS Environmental
Health Manager Bernalillo County Office of
Environmental Health 111 Union Square Street SE
Third Floor Albuquerque, NM 87102 505-314-0326 E-m
ail schroeder_at_bernco.gov
BERNALILLO COUNTY PLACE MATTERS TEAM - - - -
- HEALTH EQUITY ASSESSMENT TOOL