This community in New Mexico took the effort to combat childhood trauma to new heights. A group of Dona Ana county agencies initiated a childhood trauma project using data on Adverse Childhood Experiences (ACEs). A high ACEs score can result in a child’s diminished capacity to learn in school, diminished work performance, or ability to establish healthy relationships. The project was in response to a community movement to end childhood trauma and maltreatment based on a real Protective Services Division of the New Mexico Children, Youth & Families Department Case.
The Adverse Childhood Experiences (ACEs) Prevention Project launched on Aug. 8, with a series of events in Las Cruces. The program includes a face-to-face classroom experience and five web-based lessons for participants to explore strategies for meeting the needs of families and preventing ACEs and trauma. The group believes through a data-driven citywide process, ACEs can be predictable and preventable.
Texas has one of the highest vaccination rates for childhood diseases overall, 97.4%, according to CDC. But the number of children not vaccinated because of their parents’ “personal beliefs”—as opposed to medical reasons—has risen since 2003, when such exemptions were introduced, to more than 44,000 so far in 2017 according to CDC. The 4:3:1:3:3:1:4 series is an overall measure that encompasses many vaccines that are recommended for children. Various demographic factors (sex, gender, race, availability of commercial health insurance) influence the decision to get vaccinated, were looked at.
The county-level data on the socioeconomic factors were obtained from US Census Bureau (American Factfinder). The health insurance data was obtained from Small Area Health Insurance Estimates (SAHIE). The vaccination rates were obtained from Texas Immunization registry through DSHS. The data was cleaned and geocoded to be analyzed in ArcGIS to produce maps as shown in Figure 1. Pearson’s correlation coefficient was used to analyze the relationship between vaccination rates and independent variable.
The non-vaccination rates are higher around the major cities of Dallas, Austin-San Antonio, Houston and some northwest Texas counties. Population density has a positive correlation with the non-vaccination rate. Other demographic factors have a positive correlation in certain counties as opposed to others.
Source: American FactFinder, Texas Immunisation Registry
The limitation on the immunization data is it being an optional registry so it would not be accurate to run statistics off this information to estimate an immunization rate. In future, it is productive to expand this concept to use regression analysis to try to find the odds of the relationship expressed in the maps and to find if there is a significant association.
Preventive oral health care is essential for one’s overall health. For children, it is important to address oral health needs earlier in life to prevent oral health issues from forming and progressing into adulthood. Below is a map of the percentage of children in Georgia with financial access to preventive dental care. This map comes from an article written by Cao, Gentili, Griffin, Griffin & Serban (2017) titled, “Disparities in Preventive Dental Care Among Children in Georgia.”
The authors of the article state that financial access is, “the percentage of children who either are eligible for public insurance or have the ability to afford dental care through commercial insurance or ability to pay out-of-pocket,” (Cao et al., 2017). Although there are plenty of children who are eligible to receive public funding for preventive dental care in GA, only 27.9% of the 4,123 dentists in GA who offer preventive dental services to children accept public insurance, (Cao et al., 2017).
What are your thoughts? What does financial access to preventive dental care mean to you? Is this an accurate representation of financial access? I invite you to read more of the article on the CDC’s website, here.
Source: Cao S, Gentili M, Griffin PM, Griffin SO, Serban N. Disparities in Preventive Dental Care Among Children in Georgia. Prev Chronic Dis 2017;14:170176. DOI: http://dx.doi.org/10.5888/pcd14.170176.
Check out this map that shows the average fine particulate matter (PM 2.5) (µg/m³) by county for the year 2011. From the map we can see clusters with a higher average indicated by the darker shading. For instance, we can see a cluster consisting counties within for Colorado, Nebraska, Kansas and Wyoming. It is also apparent there are higher concentrations in many Southern, Midwestern and Northeastern states compared to western states. States such as, Indiana, Ohio, Tennessee and Kentucky predominantly have a higher average.
By Julia Watson
Check out this map that shows the number of National Health Service Corps (NHSC) sites in Tennessee as of 10/6/17 and the number of National Committee for Quality Assurance certified Patient Center Medical Home (PCMH) sites in Tennessee as of 1/23/18.
For more information on the Patient Centered Medical Home click here.
By Julia Watson
Medicare beneficiaries have the option of enrolling in Medicare Part D to get assistance with covering the cost of their prescriptions drugs. Medicare Part D is not automatically include and is available in two ways, if you have Medicare Part A or Part B. Check out this map that shows the Medicare Part D opioid prescribing rate in Tennessee for the year of 2014 at the zipcode level.
For further information regarding opioids click here.
By Julia Watson
Check out this map that shows firearm mortality by state for the year of 2015 per 100,000 total population. From the map we can see a cluster of south states that had rates ranging between 13.51 – 23.50, indicated by the dark brown/brown shading. We can also see some western states such as, Arizona, Nevada, New Mexico, Wyoming, and Montana also had a high rate of firearm mortality. In contrast, some states, such as California, Hawaii, New York, New Jersey, Road Island, Iowa and Montana had a low mortality rate ranging between 3.00 – 7.50, indicated by the yellow shading.
By Julia Watson