Data for Social Change and Health Equity. Rural Health Conference 2017 July 25, 26 Flagstaff, Arizona

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1 Data for Social Change and Health Equity Rural Health Conference 2017 July 25, 26 Flagstaff, Arizona

2 Introductions Bryna Koch, MPH Special Projects Coordinator Phone: Jennifer Peters Manager, State Office of Rural Health Program Phone: /25/17 2

3 Learning Objectives 1. Describe effective strategies to present data Understanding metaphors and frames Creating the message Primacy of visual processing 7/25/17 3

4 Learning Objectives 2. Use a health equity approach to identify multiple dimensions and sectors to understand what information and partnerships are key to better understanding a health issue 7/25/17 4

5 Learning Objectives 3. Identify publicly available population health data tools that offer compelling visualizations 7/25/17 5

research, discovery, and solutions advocacy, education, and

6 History of Data & Visualization Data & visualization used since the foundation of public health Essential to: research, discovery, and solutions advocacy, education, and awareness Information and data surrounds us John Snow s Map 7/25/17 6

7 Effective Data Presentation Tell a Story People will Hear Audience Beliefs, perceptions and values What is the take away HaikuDeck 7/25/17 7

8 Effective Data Presentation Our conceptual system (thinking and acting) governs our everyday and helps us understand the world, metaphors connect concepts across domains Metaphors help make experiences coherent and create social realities and therefore guide future action 7/25/17 8

9 Effective Data Presentation So what does this have to do with health? The way we think and talk about health reflects our values The frames & metaphors that reach an Personal Responsibility audience align with values 7/25/17 9

10 Metaphor Frames Democratic frames for SDH SYSTEM CONTAINER BALANCE 7/25/17 10 Robert Wood Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. HaikuDeck

11 Metaphor Frames Republican frames for SDH JOURNEY RESOURCE BALANCE 7/25/17 11 Robert Wood Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. HaikuDeck

12 Lessons from RWJF Social Determinants of Health does not resonate, people don t understand it, don t connect to it Why? What did RWJF learn? Starting with a shared/believed message makes other concepts more believable Robert Wood 7/25/17 Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. 12

13 Lessons from RWJF How can we better talk about Social Determinants of Health? Health starts where we live, learn, work and play RWJF 7/25/17 13 Robert Wood Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health.

14 How to Talk About SDH Health starts - long before illness in our homes, schools, and job All Americans should have the opportunity to make the choices that allow them to live a long, healthy life, regardless of their income, education or ethnic background Your neighborhood or job shouldn t be hazardous to your health Robert Wood 7/25/17 Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. 14

15 How to Talk About SDH Your opportunity for health starts long before you need medical care Health begins where we live, learn, work and play The opportunity for health begins in our families, neighborhood, schools, and jobs Robert Wood 7/25/17 Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. 15

any mental math Evergreen, 7/25/17 S. D. (2017).

16 How to Use Data Primacy of visual processing Pictorial superiority effect Easy to understand graphics + what you say Audience should not have to do any mental math Evergreen, 7/25/17 S. D. (2017). Presenting data effectively: Communicating your findings for maximum impact. SAGE Publications. 16 HaikuDeck

17 How to Use Data Less is More More facts make people think they are being spun Use Complementary - not Competing Data 1 killer fact and offer a solution Context is King A fact that is a critique is likely to be rejected. Add acceptable context. Specific Examples Matter Consider comparisons Don t let Numbers be Forgettable Shorter the better, precision matters less Robert Wood 7/25/17 Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. 17

18 How to Use Data Break down Big Numbers What does a million or trillion look like The Value of a Number is in its Values Create a picture of what the number feels like, what experience is it describing Imagine Why Someone Might Cry Foul Does a comparison seem cherry-picked or intuitive Overall Messaging Rules Still Apply Data, numbers are part of a story Robert Wood 7/25/17 Johnson Foundation. (2010). A New Way to Talk About the Social Determinants of Health. 18

19 Data Viz Checklist Anne K Emery Stephanie Evergreen Checklist 7/25/17 19

20 Health Equity Framework A Health Equity framework considers the link between health and social inequities that stem from socio-demographic factors Leads to cross-sectoral work and a Health Equity in All Policies approach Looks at living conditions: physical, social, economic/work service AND institutional policies: tax, housing, zoning, education, immigration, marriage 7/25/17 20

21 Health Equity Framework 7/25/17 21

22 Exploring Inequities Using Data Who is affected? What are the factors? How many factors can you think of? Which are most important and aligned with your mission? RACE AGE ZIP CODE GENDER MENTAL HEALTH STATUS HOUSEHOLD INCOME EMPLOYMENT IMMIGRATION STATUS RESIDENTIAL STABILITY EDUCATION SEXUAL ORIENTATION FOOD SECURITY INCARCERATION ENVIRONMENTAL TOXICS TRAUMA CLASS DISABILITY STATUS 7/25/17 22

23 Data Sources Community and population health data Typically easiest to find National, State, County data Zipcode or census block data for some measures 7/25/17 23

24 Data Sources County Health Rankings 7/25/17 24

25 Data Sources Census American Fact Finder Advanced Search 7/25/17 25

26 Data Sources Kaiser Family Foundation State Health Facts 7/25/17 26

27 Data Sources University of Washington Institute for Health Metrics and Evaluation County Profile Page 7/25/17 27

28 Data Sources usafacts 7/25/17 28

29 Resources AzCRH Training, technical assistance and capacity building Access to research, library system Program and policy expertise 7/25/17 29

30 Resources ADHS Health Disparities Center Health Equity Plan CDC RWJF Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Health Disparities in Health Care A New Way to Talk About the Social Determinants of Health Prevention Institute Place Matters 7/25/17 30

31 Resources National Partnership for Action to End Health Disparities Unnatural Causes documentary series APPLYING SOCIAL DETERMINANTS OF HEALTH INDICATOR DATA FOR ADVANCING HEALTH EQUITY: A Guide for Local Health Department Epidemiologists and Public Health Professionals. This is a huge resource developed by the Bay Area Regional Health Inequities Initiative and, as such, has California-specific information, but it is also a valuable guide to process. See also many resources on the barhii.org website 7/25/17 31

32 One Last Question Turn to your neighbor and share A key point from the session One thing you will change based on this session 7/25/17 32

33 Questions? 7/25/17 33

Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant

Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant Deborah van Olst, MPH Epidemiologist What is Health Equity?