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? Everyone has the opportunity to attain their highest level of health Inequities are created by barriers or challenges that prevent individuals from accessing these opportunities 2 Source: American Public Health Association
Get Healthy San Mateo County Building healthy, equitable communities for all Mission: Support policy change to prevent diseases and ensure everyone has equitable opportunities to live a long and healthy life 4 key priorities Healthy Housing Healthy Neighborhoods Healthy Schools Healthy Economy 3
Healthy Housing People who live in healthy, affordable housing live longer 4
Healthy Neighborhoods Make it easy to be healthy everyday 5
Healthy Schools The more education someone has, the healthier they are 6
Healthy Economy People with higher incomes live longer 7
Health in San Mateo County Obesity: 77% of adults are overweight or obese Diabetes: 10% of adults have diabetes Asthma: 18% of adults have asthma doubled in last 20 years Physical activity: 2/3 youth fail to meet basic physical fitness standards Source: The Healthy Community Collaborative of San Mateo County, 2013 Community Health Needs Assessment 8 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Socioeconomics in San Mateo County Educational attainment: 45% of adults have a bachelor s degree or higher Median household income: $91,421 Per capita income: $47,198 Poverty: 8% of individuals live below the federal poverty level Source: U.S. Census Bureau, 2010-2014 American Community Survey 5- year estimates 9 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Health Equity Indicators Project Purpose: how measure and visualize health equity Identify indicators for measuring health equity in San Mateo County from a place-based perspective Provide resources for exploring health and equity in San Mateo County to GHSMC partners and other San Mateo County stakeholders 10 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Process 1. Consulted subject matter experts to brainstorm indicators 2. Selected indicators 3. Compiled data 4. Cleaned/analyzed data in Excel and ArcMap 5. Mapped data in ArcGIS Online 6. Shared maps using Esri Story Maps 11 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Indicators Examples include: Demographics Age Race/Ethnicity Health Asthma Physical activity Housing Rent (burden) Displacement Neighborhoods Commute/ VMT Healthy food access Schools Reading proficiency Education attainment Economy Income Unemployment 12 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Data Sources US Census Bureau California Department of Education California Statewide Integrated Traffic Records System Centers for Disease Control & Prevention Healthy Community Collaborative of San Mateo County 13 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Data Challenges Selecting and operationalizing indicators How to measure health equity? Selecting indicators for which there are publicly available datasets 14 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Visualizing Data Moving data from ArcMap to ArcGIS Online Selecting the right web app to visualize data that will meet different needs Potential users Research staff Program staff Communications staff 15 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
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Visualization Challenges ArcMap vs ArcGIS Online Exploring Esri s many options Balancing needs, interests, and abilities of multiple stakeholders 25
Next Steps Expand indicators Conduct further analysis Add new indicators Develop a vulnerable community index tailored to San Mateo County 26 Visit our website: www.gethealthysmc.org Join the Get Healthy conversation and Like us on Facebook! www.facebook.com/gethealthysmc
Thank You! www.gethealthysmc.org/data Corina Chung cochung@smcgov.org Heather Arata harata@berkeley.edu