The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity...
Transcript of The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity...
![Page 1: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/1.jpg)
The Health Opportunity Index; Version 2 (2015)—A Methodological, Analytical and Policy Perspective
Justin Crow, MPA Designation & GIS Manager
Wednesday, 16th, 2015
Anna Riggan, MPH Research Analyst,
Rexford Anson-Dwamena, MPH Social Epidemiologist & GIS Analyst
![Page 2: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/2.jpg)
![Page 3: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/3.jpg)
Place Matters
![Page 4: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/4.jpg)
![Page 5: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/5.jpg)
The Methodology Process Variables (Actionable)
![Page 6: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/6.jpg)
Structure 30+ Variables
13 Indicators
4 Clusters
1 Health Opportunity Index
![Page 7: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/7.jpg)
Affordability Index
• The affordability index is developed to measure the proportion of income spent on housing and transportation. The index of affordability is calculated by combining housing and transportation costs in a neighborhood and dividing that number by income.
![Page 8: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/8.jpg)
Income Inequality (GINI) Index
the GINI coefficient (also known as the index of income concentration). Measures inequality of income. Measures how homogeneous or diversity of actual earned income by neighborhood (0 is
homogeneous and 10 means more diversity in income earning positions.
![Page 9: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/9.jpg)
Townsend Dep. Index * • Townsend deprivation index is a measure of material deprivation. According to Townsend,
“Material deprivation entails the lack of goods, services, resources, amenities and physical environment which are customary, or at least widely approved in the society under consideration.
* The four variables were combined into one indicator using principal component analysis (using the natural log of the variables)
![Page 10: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/10.jpg)
Job Participation Index
• Job Participation Rate is the percentage of individuals 16-64 years of age in the active labor force. The job participation rate is often used by economics as an indicator for economic development and growth.
![Page 11: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/11.jpg)
Employment Access Index Poor job access leads to difficulties in job search or job retention and, consequently, to poverty
and socioeconomic disadvantages Employment accessibility index: you may have a workforce but how accessible are they to the
potential jobs --- how far are you (distance) from a potential job. In other words, the index is based on jobs and distance decay function
Ownership of a vehicle plays a function
![Page 12: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/12.jpg)
Education Index • The majority of the empirical literature uses average years of education as a proxy of the
human capital stock • higher level of human capital stock leads to faster technological development and ultimately
higher growth rates Preschool through doctorate (this index is weighted based upon how far you have advanced in
education) Higher the number the higher average number of schooling in the area
![Page 13: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/13.jpg)
Population Churning Index
Population churning rates relate the combined inflow and outflow for an area to the resident population. The rates can provide a useful measure of the potential disruption to local services caused by migration into and out of the Census tract.
![Page 14: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/14.jpg)
Population-Weighted Density Index
Weighted density is to capture the density at which the average person lives (aka Dysmetric).
It is necessary to differential between urban and rural in the model
Std Pop-Density - 392.1 per SQMI
![Page 15: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/15.jpg)
Segregation Index (Spatial Dissimilarity)
Calculates a segregation or dissimilarity index that measures how different the population composition of a subarea (CT) is from the population composition of the State as a whole
![Page 16: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/16.jpg)
Food Accessibility Index Limited access to supermarkets, supercenters, grocery stores, or other sources of healthy and
affordable food may make it harder for some Americans to eat a healthy diet
Low access was measured as living far from a supermarket, where 1 mile was used in urban areas and 10 miles was used in rural areas to demarcate those who are far from a supermarket.
The index was calculated based on the share (proportion of the target population) of the population that fit the USDA criteria rather than using the binary indicator.
![Page 17: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/17.jpg)
Walkability Index (4Ds) Methodology was adopted from International Physical Activity and the Environment Network
(IPEN)
* Design of the built environment
Land use diversity
Distance to transit
Residential and employment density
* Variable was weighted twice
![Page 18: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/18.jpg)
Access to Care (2SFCA) It first assesses “physician availability” at the physicians' (supply) locations as the ratio of
physicians to their surrounding population (i.e., within a threshold travel time from the physicians)
It sums up the ratios (i.e., physician availability derived in the first step) around (i.e., within the same threshold travel time from) each residential (demand) location. Based on Population-weighted centriod
% of Healthcare Uninsured Population was also combined with the FTEs to form the indicator
![Page 19: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/19.jpg)
Environmental Quality Index (EPA) * National-Scale Air Toxics Assessment (NATA) provides estimates of the risk of cancer and
other serious health effects from breathing (inhaling) air toxics in order to inform both national and more localized efforts to identify and prioritize air toxics, emission source types and locations which are of greatest potential concern in terms of contributing to population risk
* The six databases were transformed into one indicator using principal component analysis
![Page 20: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/20.jpg)
Data Reduction Technique Reducing the Dimensions of the Data
![Page 21: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/21.jpg)
![Page 22: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/22.jpg)
![Page 23: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/23.jpg)
![Page 24: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/24.jpg)
![Page 25: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/25.jpg)
Air Quality Index (EPA)
Neurological Risk
Cancer Risk
Respiration Risk
On-road Pollution
Non-road
Non-point
Population Churning Index
Inflow Mobility
Outflow Mobility
Population-Weighted Density
Workability Index
Density
Diversity (Land-
use)
Design (Connecti
vity)
Distance to Transit
Community Environmental Profile
![Page 26: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/26.jpg)
Consumer Opportunity Profile Affordability
Index
Housing Cost
Transportation Costs
Average Income
Education Index
Ave. Years of Schooling
Food Accessibility
Index
% Low Income
% Low Access to
Major Grocery
Store Distance to
Grocery Store
Material Deprivation
Index
Unemployment
Autoless Homes
Home Ownership
Overcrowding
![Page 27: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/27.jpg)
Economic Opportunity Profile Employment Access Index
Number of Jobs
Distance to Jobs
Income Inequality Index
GINI Coefficient
Job Participation Index
% of Working Age Population in the
Labor Force
![Page 28: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/28.jpg)
Wellness Disparity Profile Access to Care
Index
% Uninsured
Primary Care Physician FTEs within 30 miles
Segregation Index
Race/Ethnicity
Population
Spatial Influence Weighting
![Page 29: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/29.jpg)
Health Opportunity Index
Community Environmental Profile
Economic Opportunity Profile
Consumer Opportunity Profile
Wellness Disparity Profile
The 13 Original Indices
![Page 30: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/30.jpg)
HOI Spatial Modeling (Analytical)
Place Matters
![Page 31: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/31.jpg)
![Page 32: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/32.jpg)
![Page 33: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/33.jpg)
![Page 34: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/34.jpg)
![Page 35: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/35.jpg)
![Page 36: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/36.jpg)
Action Matters - HPTAs Policy Perspective
![Page 37: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/37.jpg)
![Page 38: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/38.jpg)
![Page 39: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/39.jpg)
9.6
6.7 6.3
5.1 4.9
0
2
4
6
8
10
12
Low HOI SecondQuintile
Third Quintile Four Quintile High HOI
Infant Mortality per 1,000 Live Births
![Page 40: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/40.jpg)
9.5
8.4
7.8
7.2 6.8
0
1
2
3
4
5
6
7
8
9
10
Low HOI Second Quintile Third Quintile Four Quintile High HOI
Low Birth Weight (%)
![Page 41: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/41.jpg)
![Page 42: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/42.jpg)
Predictive Analytics
![Page 43: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/43.jpg)
Predictive Analytics for Low Birth Weight (Low HOI)
![Page 44: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/44.jpg)
Predictive Analytics for Low Birth Weight (High HOI)
![Page 45: The Health Opportunity Index; Version 2 (2015)— A … · 2016-03-09 · The Health Opportunity Index; Version 2 (2015)— A Methodological, Analytical and Policy Perspective. Justin](https://reader030.fdocuments.in/reader030/viewer/2022011903/5f149504cf6b65555e04c378/html5/thumbnails/45.jpg)
Thank you!!
Rexford Anson-Dwamena [email protected]
Justin Crow, MPA [email protected]
Anna Riggan [email protected]
Brendan Noggle [email protected]
HOI Technical
Workgroup Graham Truelove
Joseph Grubbs Brittany Cox
Dr. McFadden
Special Thanks to Dr. Derek Chapman for
his constructive suggestions