Cover image for Geographic information systems and public health : eliminating perinatal disparity
Title:
Geographic information systems and public health : eliminating perinatal disparity
Publication Information:
Hershey, PA : IRM Press, 2006
ISBN:
9781591407560

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30000010124953 RA566 G464 2006 Open Access Book Book
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Summary

Summary

Geographic Information Systems and Public Health: Eliminating Perinatal Disparity is designed to introduce a community health group to the potential of using a geographic information system (GIS) to improve birth outcomes. Chapters in this book provide an overview of why geography is important in the investigation of health, the importance of the four main components of a GIS (data input, manipulation, analysis and visualization), how important neighborhood context is when using a GIS, and the general differences found between urban and rural health environments. In addition, the reader is introduced to the importance of GIS and confidentially, how a mobile urban population may impact GIS findings, and why pregnant mothers should catered for when making disaster response plans. Examples are drawn heavily from the Baton Rouge Healthy Start program, with one chapter providing an overview guide as to how GIS can be incorporated in the initial grant writing stage for such a program.


Author Notes

Andrew Curtis, Ph.D. is an assistant professor in the Department of Geography and Anthropology at Louisiana State University. He is also Director of the World Health Organization's Collaborating Center for Remote Sensing and GIS for Public Health. Michael Leitner, Ph.D. is an assistant professor in the Department of Geography and Anthropology, Louisiana State University (LSU) in Baton Rouge. Dr. Leitner is the chair of the Cartography Specialty Group of the Association of American Geographers.


Table of Contents

Prefacep. ix
Acknowledgmentsp. xxi
Chapter I Explaining the Geography of Infant Healthp. 1
Geographic Variations in Infant Healthp. 2
Smoking is Badp. 9
What Does It Mean to Be Poor?p. 10
Stressp. 11
The Geography of Healthp. 12
Referencesp. 18
Chapter II An Introduction to GIS (All Things Data)p. 21
Data Inputp. 24
Health Datap. 24
Confidentiality Issuesp. 27
Address Matching/Geocodingp. 28
Other Useful Data 1 Socioeconomic Datap. 31
Other Useful Data 2 Boundary and Background Datap. 32
Data Manipulationp. 37
Aggregating into Spatial Unitsp. 37
Data Reductionp. 41
Creating New Datap. 42
Calculating Deprivation Indexesp. 42
Improving Health Outcome Informationp. 44
Perinatal Periods of Risk (PPOR)p. 45
Referencesp. 47
Chapter III An Introduction to GIS (All Things Spatial)p. 52
Visualizing the Datap. 52
Choropleth Mapp. 57
Common Dot Mapp. 60
Isarithmic (Isoline) Mapp. 61
Proportional (Graduated) Point Symbol Mapp. 61
Spatial Analysisp. 62
CrimeStatp. 64
GeoDap. 65
Geographically Weighted Regression (GWR)p. 65
SaTScanp. 66
GIS as a Management Information Systemp. 68
What is a Neighborhood?p. 69
Including Geography in the Analysisp. 70
Holistic Neighborhood Investigationsp. 72
Spatially Synthesizing Previous Researchp. 73
Referencesp. 73
Chapter IV The Geography of Health Risksp. 79
Infant Deaths, Low Birth Weight, and Short Gestation Deliveriesp. 83
Medical Risksp. 85
Behavioral Risksp. 87
So What Can We Do With GIS?p. 91
Cohort or Social Risksp. 95
Social Risks: Disparities in African American Neighborhoodsp. 96
Spatial Cohortp. 98
Neighborhood Risksp. 99
Suffer the Childrenp. 100
Environmental Risksp. 103
GIS Analyses of Environmental Risksp. 107
GIS, Cancer, and Low Birth Weight Research in Louisianap. 110
Cancer and Birth Outcome Co-Investigation Templatep. 111
Summarizing It All: The Relationship Between Risk and Stressp. 113
So What Can Be Done?p. 114
Referencesp. 119
Chapter V GIS and Spatial Analysis: Keeping It Simplep. 146
Exploratory Analysis vs. Hypothesis Testingp. 146
Spatial Designp. 148
Spatial Samplingp. 149
Aggregation Effectsp. 153
Three Simple Techniques: Overlay, Density, and a Difference of Proportions Testp. 154
Overlay as Analysisp. 154
A Cautionary Talep. 157
Density Analysisp. 157
Difference of Proportions Testp. 160
Results for Year One (Table 1)p. 165
Results for Year Two (Table 2)p. 165
Results for Year Three (Table 3)p. 167
Under-18 Pregnancies (Table 4)p. 169
Referencesp. 172
Chapter VI Advanced Spatial Analysisp. 174
Spatial Autocorrelationp. 174
Global Spatial Autocorrelationp. 175
Local Spatial Autocorrelationp. 178
Cluster Analysisp. 179
Cluster Techniquesp. 182
Spatial Filtering (DMAP)p. 182
Nearest Neighbor Hierarchical Clustering (NNHC)p. 183
Kernel Density Estimationp. 184
Infant Mortality and Prenatal Risks: The Case of East Baton Rougep. 188
Regressing Selected Prenatal Risk Factors on the Infant Mortality Ratep. 192
Geographically Weighted Regressionp. 194
Referencesp. 199
Chapter VII Spatial/Temporal Stability in Neighborhoods of Risk: The Mobility of Mothersp. 203
How Far Do the Mothers Move?p. 204
Temporal Stability and Implications for Outreachp. 208
Developing a Neighborhood Categorization Scheme Based on Temporal Stabilityp. 208
Constructing Neighborhoods Around Mortality Locationsp. 210
Temporal Stability in Risks Around Infant Deathsp. 211
Temporal Stability in a Global Risk Investigationp. 216
Temporal Stability in the Four Neighborhoodsp. 218
Results from the Difference of Proportions t-testp. 219
Conclusions on Temporal Stabilityp. 221
Referencesp. 222
Chapter VIII Patient Confidentialityp. 224
Confidentiality in Mapsp. 226
Statistical (Attribute) Confidentialityp. 226
Spatial (Locational) Confidentialityp. 227
Preserving Confidentiality in Governmental Agenciesp. 227
U.S. Department of Health and Human Servicesp. 228
U.S. Censusp. 229
U.S. Department of Justicep. 229
Geographically Masking the Location of Confidential Point Datap. 230
Experimental Testingp. 230
Results for Global Geographic Maskingp. 231
Results for Local Geographic Maskingp. 232
Preserving Spatial Confidentiality of Two Locally Masked Point Patternsp. 237
Manipulating Both Area Boundaries and the Location of Confidential Point Datap. 240
Referencesp. 243
Chapter IX Creating the Baton Rouge Healthy Start GISp. 245
Beginningsp. 246
Determining the Program Areap. 258
Identifying Areas With No Prenatal Carep. 259
Neighborhood Profilingp. 262
Creating the Databasep. 262
Data Inputp. 264
Reaching Outp. 265
What Next?p. 266
Post Scriptp. 266
Referencesp. 266
Chapter X Bioterrorism, Pregnancy, and Old White Menp. 268
Vulnerability in the U.S.p. 268
Bioterrorism and Pregnancy Riskp. 269
GIS and Vulnerability Mappingp. 271
Identifying the Vulnerablep. 272
So How Do We Bring Healthy Start into This?p. 274
Are Pregnant Women Really Vulnerable?p. 275
Criticisms of Syndromic Surveillancep. 279
Referencesp. 282
Chapter XI Rural Health Issues and Their Investigation in a GIS Environmentp. 287
Introductionp. 287
The Complexity of Ruralityp. 288
Rural Places and Healthp. 289
An Overview of Some Rural Health Issuesp. 290
Rural Geography and Dealing With Rural Datap. 295
Conclusionp. 300
Referencesp. 301
About the Authorsp. 305
Indexp. 307