Using local data and GIS to analyze county level comprehensive tobacco prevention in Indiana

Using local data in Geographical Information System (GIS) software provides public health professionals with a unique perspective for describing basic demographic information and assessing needs and resources in their neighborhood, community, county, and state. Tailoring public health efforts to small areas can lead to greater cultural competency and buy in from the stakeholders in decision making. The Indiana Prevention Resource Center uses GIS software to support the state's efforts in substance abuse prevention program planning and policy development. Looking at comprehensive tobacco prevention programs in the state at the county level using GIS software and local data we are able to inform public health planning. Building upon our presentation last year we will evaluate not only the top ten tobacco producing counties in Indiana, but also local data regarding tobacco prevention for all counties in Indiana for multiple variables to answer the question: Are tobacco use rates lower in counties in Indiana that have enacted a comprehensive tobacco control program? We will again use local data and GIS to analyze the community and school-based elements of a comprehensive tobacco control program including: public education efforts; cessation programs; compliance inspections; adult smoking rates; and smoking policies. We will review data regarding funding changes per county, tobacco influence, and high risk or diverse population programs. Further, we will examine morbidity and mortality data for each county to determine tobacco use health impact in that community. By answering our initial question we will be able to offer some explanation to support the results.