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Using GIS to Evaluate the Social Determinants of Health

Using GIS to Evaluate the Social Determinants of Health. Michael Dulin. Disclosures. I have no relationships to disclose. I will not discuss off label use and/or investigational use in my presentation. Funding from: NIH (R01 MD006127) The Robert Wood Johnson Foundation NIH (R24 MD004930).

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Using GIS to Evaluate the Social Determinants of Health

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  1. Using GIS to Evaluate the Social Determinants of Health Michael Dulin

  2. Disclosures • I have no relationships to disclose. • I will not discuss off label use and/or investigational use in my presentation. • Funding from: • NIH (R01 MD006127) • The Robert Wood Johnson Foundation • NIH (R24 MD004930)

  3. Background

  4. Goal • Examine the relationship between social determinants and health outcomes • Design and validate GIS models that can identify areas within our community in need of health resources • Implement community-based interventions to improve appropriate healthcare utilization

  5. Community-Based Participatory Research Community Advisory Board (CAB)

  6. Community Advisory Board (CAB) • Healthcare System (Providers, Administrators) • School Board • City/County Management • Parks Department • Law Enforcement • Community • Academic (Social Sciences, Statistical Support, GIS) • Health Department

  7. Variables • Race / Ethnicity • Income • Access to Grocery Stores • Distance to Green Space • Access to Public Transportation • Access to Healthcare • Social Network • Hospitalizations • ED Visits • Primary Care Treatable ED Visits • Utilization of Primary Care • Quality of Life

  8. Survey Variable Selection Process Research Team Key Actors CAB Latino Community & Healthcare Providers

  9. Themes Identified / Data Elements Selected • Education – Hispanic Population Speaking Spanish at Home and Not Proficient in English • Economic Status - Hispanic/Latino Families below the Poverty Line • Acculturation - Time of Arrival/Latin American-born Population who Entered U.S. in 2000 or Later and are Not U.S. Citizens • Safety - Violent Crime Rate

  10. Percent Hispanic (2010)

  11. Access to Public Transportation

  12. Violent Crime Rate

  13. Emergency Department for Primary Care

  14. Latin American Born Population who Entered the US after 2000 and not US Citizens

  15. Hispanic Renter-OccupiedHousing

  16. Hispanic Hospitalization Rate

  17. Median Household Income

  18. Hispanic Children Speaking Spanish at Home - Not Proficient in English

  19. Hispanic Families below thePoverty Line

  20. Hispanic Patients Using a Safety Net Clinic

  21. Hispanic Families

  22. Hispanic High School Graduation Rate

  23. Hispanic Population that Moved from Abroad in the Past Year

  24. Hispanic Single Mother Families

  25. Hispanic Unemployment Rate

  26. Latin American-Born Population

  27. Latin American-Born Population that Entered the U.S. in 2000 or Later

  28. Latin American-Born Population who are not U.S. Citizens

  29. Combining Variables • Variables Identified are Normalized • CAB asked to Weigh Each Variable • Variables are combined • CAB Adds Exclusion Criteria • Composite Map Created Dulin MF, et. al. Geographic Information Systems (GIS) demonstrating primary care needs for a transitioning Hispanic community. J Am Board Fam Med. 2010 Jan-Feb;23(1):109-20. Dulin MF, et. al. Using Geographic Information Systems (GIS) to understand a community’s primary care needs. J Am Board Fam Med. 2010 Jan-Feb;23(1):13-21

  30. Composite Map

  31. Neighborhood Evaluation / Ground Truthing • Drill Down to the Neighborhood Level • Validation Process Started • Qualitative / Photovoice • Quantitative • Begin to Build Intervention Team

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