Health Atlas and the Community Health and Equity Index: An - PowerPoint PPT Presentation

Health Atlas and the Community Health and Equity Index: An Examination of Health Conditions in the City of Los Angeles Presented by Eric Yurkovich, Raimi + Associates March 13, 2014

Purpose  Spatial analysis that is a snapshot of the City today  Identify locational disparities in:  Health problems  Environmental conditions  Socio-economics  Point us to targeted outreach and policy development

Health Element and Atlas Topics Demographics Socio-economics Education Health and healthcare Land use and employment Transportation Food systems Crime Housing Environmental health

Health Framework Source: Social Determinants of Health: How Social and Economic Factors Affect Health, LA County Public Health Department

Metrics – Health & Socio-Economic Health Socio-Economic / Housing / Education – Hardship Index  Life Expectancy at Birth  Percentage of Housing Units with  Percent Childhood Obesity More than 1 Person per Room  Rate of Heart Disease Deaths  Percentage of Population with per 100,000 Residents Income Less than the Federal  Rate of Heart Attacks in Poverty Level Population 45 and Over per  Percentage of Unemployed 10,000 Residents Workers Age 16 and Over  Rate of Asthma-Related  Percentage of Population Over Emergency Department Visits in 25 That Did Not Graduate High Population 17 and Under per School 10,000  Percentage of Population Over  Percent Very Low [<1,500g] and Age 65; & Percentage of Low Birth Weight Rate [1,500g Population Under Age 18 to 2,500g]  Median Household Income  Rate of Respiratory Disease Deaths per 100,000 Residents

Metrics – Land Use and Community Character Walkability Index Complete Communities Index  Housing Units per Acre of  Food Retail (Supermarket, Residential Land other food store)  Intersections per Square Mile  Services (Bank, Gym, Restaurant)  Composite score of six land use categories [SF, MF, retail,  Community Serving Retail office, education, ((Clothing store, convenience entertainment] store, hardware store, pharmacy, other retail)  Retail Building Square Feet per Acre of Retail Land  Community and Civic Facilities (Number of Libraries, Community Centers, Churches, Senior Centers, etc.)

Metrics – Transportation, Environmental Health, Crime and Food Systems Transportation Additional Metrics  Percentage of Workers  Pollution Burden Score Walking and Biking to (CalEnviroScreen) Work  mRFEI (Ratio of Healthy to  Total Daily Boardings at Unhealthy Food Retailers Metro Transit Stops  Rate of Violent and  Linear Miles of Class I and Property Crime per II Bicycle Facilities 10,000 Residents  Bus Stops with Transit Frequencies Less than 15 Minutes during the Peak Periods  Motor Vehicle Crashes with Pedestrians/Cyclists per 10,000 Residents

Health Variables Health Key Issues related to  Life Expectancy at Birth the Health Variables  Percent Childhood Obesity  Rate of Heart Disease Deaths  Data accessibility per 100,000 Residents  Rate of Heart Attacks in  Geographic scale Population 45 and Over per 10,000 Residents  Issues addressed in  Rate of Asthma-Related the Health Element of Emergency Department Visits in Population 17 and Under per the General Plan 10,000  Percent Very Low [<1,500g] and Low Birth Weight Rate [1,500g to 2,500g]  Rate of Respiratory Disease Deaths per 100,000 Residents

Community Health and Equity Index Weighting Demographic, Socio-- Hardship Index (Standardized Index Score for Overcrowding, Poverty, Employment Status, Educational 35 economics, Housing, Attainment, Age Dependency, and Income) and Education Life Expectancy at Birth Health 15 Health Outcomes (Respiratory Disease, Heart Disease, Heart Attacks, Asthma, Low Birth Weight) Health 10 Walkability Index (Standardized Index Score for Housing Density, Retail Density, Street Connectivity, Land Use 5 and Land Use Mix) Land Use 2.5 Complete Communities Index (Index Score of the Diversity of Amenities and Establishments) Multi-Modal Transportation Index (Walk and Bike Commuting, Transit Ridership, Street Transportation 7.5 Connectivity, Bicycle Facilities, High-Frequency Transit Service, Collisions with Bicyclists and Pedestrians) Modified Retail Food Environment Index (Index Score of the Ratio of Healthy to Unhealthy Food 10 Food Retailers) Crime Rate Index (Rate of Violent and Property Crime per 10,000 Residents) Crime 7.5 Pollution Burden Index (Index Score for Pollution Exposure and Environmental Effects) Environmental Health 7.5 Subtotal: Demographic, Economic, Housing, and Education Indicators 35 Subtotal: Health 25 Subtotal: Land Use 7.5 Subtotal: Transportation 7.5 Subtotal: Food 10 Subtotal: Crime 7.5 Subtotal: Environmental Health 7.5

Community Health and Equity Index

Community Health and Equity Index – Top Quintile

Community Health and Equity Index – Community Health and Equity Index – Community Health and Equity Index Community Health and Equity Index Unweighted Version Unweighted Version

Community Health and Equity Index – Community Health and Equity Index – Community Health and Equity Index Community Health and Equity Index Excluding Health Variables Excluding Health Variables

Discussion / Additional Maps

Economic Hardship Index Economic Hardship Index Community Health and Equity Index Community Health and Equity Index

Economic Hardship Economic Hardship Index Index

Life Expectancy at Birth Life Expectancy at Birth Community Health and Equity Index Community Health and Equity Index

Community Health and Equity Index Community Health and Equity Index Modified Retail Food Environment Index Modified Retail Food Environment Index

Community Health and Equity Index Community Health and Equity Index CalEnviroScreen Pollution Burden Score CalEnviroScreen Pollution Burden Score

Discussion