Do Socioeconomic Factors Influence Texans’ Decision to Get Vaccinated? – A cartographic Approach

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.

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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.

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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.

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Preventive Dental Care for Children in GA – A look at the disparities.

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

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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.

NHSC and NCQA Certified PCMH Sites In Tennessee

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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

Federal Bureau of Prison Sites- National Loan Repayment Locations 2017

Federal-Bureau-of-PrisonA National Health Service Corps (NHSC) Site is an approved health care facility that provides healthcare to populations residing in Health Professional Shortage Areas (HPSAs). Check out this density map which shows the total number of federal bureau of prison sites that are designated as national loan repayment locations. Eligible health care professionals that work at these sites receive a certain amount each year towards their school loans. From the map we see there are highly concentrated areas in the southeast and northeast regions of the country.

 

By Michael Paul

Rate of Self Reported Pesticide Related Illness By State 2014

 

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Today’s map shows the rate of self reported pesticide related illness by state for the year of 2014 per 100,000 person. From the map we can see some states had rates ranging as low as 0.00 to 0.27 indicated by the yellow shading. In contrast some states, such as Alaska, Florida, Alabama, Mississippi, Arkansas, New York, Kansas and Virginia had rates as high as 0.87 to 2.56 indicated by the dark blue shading. However, its important to note that because these are self-reported rates the date is subjected to under-reporting. In addition, because these exposures are self-reported both the type of pesticide and the degree of illness associated with the exposure may be mis-classified since the designation by the poison control center for both is based on the description provided by the caller.

According to the CDC farmworkers are among those when are subjected to pesticide exposure. For more information on migrant workers click here.

By Julia Watson

Number of Homes Built Between 1950 and 1979 By County 2000

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Check out this map that shows the number of homes built between 1950 and 1979 by county for year 2000. From the map we can see there were many new homes built in counties within the eastern states, such as New York, New Jersey, Road Island, Main  indicated by the darker shading.  There were also many new homes built in counties within some western states, such as California and Arizona. We can see states such as North and South Dakota, Nebraska, Montana and Kansas had fewer new homes built within the 29 year period indicated by the yellow/yellowish shading. This makes sense because when compared to the previous map of homes built prior to 1950 for the year of 2000 we see these states had a higher percentage of older homes.

By Julia Watson

Domestic Migration Patters of Highly-Educated Workers.

Research by two Iowa State University economists shows there are not enough high-skilled jobs in Iowa to keep qualified people from leaving the state. Researchers found Iowa was competitive in jobs requiring a high school degrees, but lacking in having skilled workers for jobs requiring a bachelors degree. Check out this interesting map which depicts the domestic migration patter of highly educated workers. For more information click here.

By Julia Watson