142nd APHA Annual Meeting and Exposition

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Mapping health access in recovery: A spatial analysis of health needs in central New Orleans

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Peter Cummings, MPH , South Broad Community Health, New Orleans, LA
Sarah Wiant, BSPH Candidate Spring 2015 , Public Health, Tulane University, New Orleans, LA
Elizabeth Tracy, BSPH Candidate December 2015 , Tulane Univeristy, New Orleans, LA
  
Background: Louisiana's health rankings have been consistently ranked among the poorest performing states in the United Health Foundation's annual report. Central New Orleans in particular suffers from consistently high levels of chronic disease as well as a lack of access points to primary and preventative healthcare.

Methods: Investigators orchestrated the first post-2010 census health needs assessment of 18 census tracts throughout central New Orleans in collaboration with the community organization South Broad Community Health. 2013-2014 data builds on a Health Resources and Service Agency (HRSA) needs assessment also conducted in central New Orleans collecting information on health access and chronic disease. The current survey was a convenience sample of 28 households within each census tract (504 total). Open Data Kid (ODK) was employed as a novel method of rapid and low cost community data collection. Data was assessed using SPSS v. 21 and ArcGIS v. 10.1 for descriptive and proportional analysis. Comparisons were made to the state of Louisiana and the greater New Orleans area based on data from the 2010 census and the 2008 HRSA report.

Results: Preliminary results show wide disparities in access in different but adjacent neighborhoods in central New Orleans. 36.8% of respondents without access to primary care physician and 14.7% lacked insurance coverage. (Study slated for completion 4/15/14).

Conclusion: Local access to primary healthcare services in central New Orleans can be supported by collaborative community data collection that highlights gaps in access to care.

Learning Areas:

Assessment of individual and community needs for health education
Program planning
Provision of health care to the public

Learning Objectives:
Identify specific health issues related to central New Orleans compared to data collected from a 2008 Heath Resources and Service Agency (HRSA) health needs assessment conducted in the same area also including Central City, Zion City, Gert Town, Freret, and Hoffman Triangle. Compare and contrast current needs assessment data to 2010 census data, and map a consistent lack of access to essential services and chronic disease management. Test and deploy novel methods of rapid, low cost community data collection for health indicators.

Keyword(s): Community Health Centers, Needs Assessment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a current MPH graduate in epidemiology. Currently I am employed by Rush University Medical Center in Chicago as a Clinical Research Coordinator. I have organized and personally managed the entire needs assessment conducted in this presentation. Additionally, I have prepared and conducted all of the primary data analysis for the South Broad Community Health Center.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4271.0: Statistical Methods and Applications in Public Health