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Collecting Policy Relevant Data: Example from a GIS Mapping Effort. Sora Park Tanjasiri, DrPH, MPH Division of Kinesiology & Health Promotion California State University, Fullerton stanjasiri@fullerton.edu 10 th Anniversary APPEAL National Conference Washington, DC September 9, 2004.
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Collecting Policy Relevant Data: Example from a GIS Mapping Effort Sora Park Tanjasiri, DrPH, MPH Division of Kinesiology & Health Promotion California State University, Fullerton stanjasiri@fullerton.edu 10th Anniversary APPEAL National Conference Washington, DC September 9, 2004
BACKGROUND • Most policymakers do not understand the health problems and service needs of Asian American and Pacific Islanders (AAPIs) • They also believe in the “model minority myth” that AAPIs are healthier than other racial groups • Thus, we often need to conduct our own research to clearly show the needs of our communities
Research Method Options • Conduct surveys • Hold focus group discussions • Interview “key informants” • Geographic Information System (GIS) mapping
What are tobacco-related problems that can be geographically mapped?
Example: Cancer Screening and AAPIs in California • Policymakers in Los Angeles and Orange Counties believed that AAPI women were not affected by cancer, and therefore did not need special outreach for cancer screening services. • In 2000, UCLA eliminated their mobile screening unit that was used extensively to outreach for the Southeast Asian and Pacific Islander populations.
Our Solution: Community-Based Mapping of Cancer Needs • Our goal – to visually demonstrate the cancer screening needs of Southeast Asian and Pacific Islander women • Our method – geographic information system (GIS) mapping
Step #1: Creating maps of our communities • Photocopy maps from “Thomas Guides” or other street maps. • Get maps online – e.g., the U.S. Census • Go to www.census.gov • Click on “maps” • Click on “online mapping” • Click on “American Fact Finder” • Click on “Maps & Geography” • Click on “Reference Maps”
Step #2: Collecting data to place on community maps • We developed a data collection tool that we called an “Asset Inventory” of medical and social for each community • The inventory was completed by community health workers • We supplemented these inventories with county information on public cancer service providers. • Key is to have addresses for all data!
Step #3: Looking at the maps and interpreting the results • For the Thai community, we saw that there were many different kinds of health services nearby • 22 Thai-speaking health facilities • 15 Thai-speaking social service facilities • 22 Thai-speaking BCEDP providers • But, there was only 1 Thai-speaking BCEDP provider located where the concentration of Thais reside in North Hollywood, CA.
Results: Tongan Community • Worse picture for Tongans • 0 Tongan-speaking health facilities • 2 Tongan-speaking social service facilities • 2 Tongan-speaking BCEDP providers • And, there is only 1 Tongan-speaking cancer screening provider located where the concentration of Tongans live in the Lennox/Gardena area.
Outcomes • We have showed these results to county officials to urge increased AAPI language availability for publicly-funded screening locations. • We have also published our study methods in order to promote replication by other communities who are interested in applying to their areas.