The California Healthy Places Index: Bill Sadler, JD, MURP Director of Operations, Data for Action Public Health Alliance of Southern California Los Angeles Neighborhood Commission Meeting August 17, 2020 1
Every Californian should have the opportunity to live a healthy life. 2
Life Expectancy at Birth in Los Angeles 3
Life Expectancy at Birth Disparities in California Across California, communities of color have lower life expectancies at birth. Life Expectancy at Birth (LEB), Quartiles > 2/3 majority > 1/2 majority non-White White Lowest Highest Average LEB 85.1 years 76.3 years 4
How can we QUANTIFY and COMMUNICATE the impact of community conditions to spur policy action? 5
California Healthy Places Index (HPI) HealthyPlacesIndex.org 6
Alignment with Social Determinants of Health CDC’s Social Determinants of Health California Healthy Places Index Policy Action Areas Neighborhood and Built Environment Economic Education Transportation Economic Health and Social Neighborhood Housing Stability Health Care Community Conditions Clean Environment Healthcare Social and Education Community Context 7
HPI’s Unique Approach Granular Validated Fine geographic resolution Each indicator – and the overall reveals the variation within index – is linked to a summary cities, counties, and health outcome: life expectancy communities at birth Policy Solutions Each indicator is supported by a wealth of policy solutions detailed in our Policy Guides 8
Indicator Selection • Criteria: – Informed by literature – Statewide data publicly available at the census tract – Actionable for policy, systems and environmental change – Optimize association with life expectancy at birth (LEB) 9
Final California Healthy Places Index Comprises 25 indicators that represent community conditions at the Census tract level, grouped into eight Policy Action Areas. Economic Education Transportation Social Neighborhood Housing Clean Healthcare 16% 8% 32% 19% 10% 5% Environment Access 5% 5% Automobile • Retail Density • Employed • In Pre- School • • Two Parent • Low-Income Access Household Renter Severe • Ozone • Insured Adults • Park Access • Income • In High School Housing Cost • Active • Voting in 2012 • PM 2.5 • Tree Canopy • Above Poverty • Bachelor’s Burden Commuting Education or • Diesel PM • Supermarket • Low-Income Higher Access • Water Homeowner Contaminants Severe Housing • Alcohol Outlets Cost Burden • Housing Habitability • Uncrowded Housing • Homeownership 10
From Data to Action Using HPI 11
From Data to Action Using HPI 12
Indicator Details Link to Policy Actions 13
Actionable Policy Guides Several policy recommendations to consider 14
HPI Policy Guides Employed Retail Density Ozone Median Income Park Access Fine Particulate Matter Above Poverty Tree Canopy Diesel Particulate Matter Preschool Enrollment Supermarket Access Safe Drinking Water HS Enrollment Alcohol Availability Insured Adults Bachelor’s Education Low-Income Renter Housing Extreme Heat Low-Income Homeowner Automobile Access Impervious Surfaces Housing Cost Burden Active Commuting Housing Habitability Outdoor Workers 2-Parent Households Uncrowded Housing Public Transit Access Voting Homeownership Sea Level Rise 15
Customizable Reports • Produce actionable, customizable reports with a click of a button • Easy-to-read data dashboards • Incorporates key policy actions for selected indicators 16
Do More With The HPI • View data at multiple geographies • Dive deep into local data with comprehensive decision support layers • Quickly identify high- and low- ranked places • Define custom project areas • Upload your own data 17
HPI Into Action Statewide 18
HPI Into Action Locally & Regionally 19
LA Community Profiles 20
LA PLACE Program 21
LA PLACE Program 22
Framing Matters: CES • Different indices have conceptual frames that can substantially shift the choice of those with the highest advantage/disadvantage. Top 25% Disadvantaged in HPI and CalEnviroScreen 3.0 HPI+ CES+ Agree 3.0 million 3.2 million 648 651 1300 CTs CTs CTs 6.1 million 23
Thank you! CONNECT WITH THE ALLIANCE BSadler@PHI.org HPI ON THE WEB HealthyPlacesIndex.org | Map.HealthyPlacesIndex.org THANKS TO OUR FUNDERS The California Endowment | Kaiser Permanente of Southern California | Blue Shield of California Foundation | California Department of Public Health 24
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