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      Application of Geographic Information Systems and Asset Mapping to Facilitate Identification of Colorectal Cancer Screening Resources

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          Abstract

          Objective

          We sought to identify and map the geographic distribution of available colorectal cancer screening resources; following identification of this priority within a needs assessment of a local community-academic collaborative to reduce cancer health disparities in medically underserved communities.

          Methods:

          We used geographic information systems (GIS) and asset mapping tools to visually depict resources in the context of geography and a population of interest. We illustrate two examples, offer step-by-step directions for mapping, and discuss the challenges, lessons learned, and future directions for research and practice.

          Results:

          Our positive asset driven, community-based approach illustrated the distribution of existing colonoscopy screening facilities and locations of populations and organizations who might use these resources. A need for additional affordable and accessible colonoscopy resources was identified.

          Conclusion:

          These transdisciplinary community mapping efforts highlight the benefit of innovative community-academic partnerships for addressing cancer health disparities by bolstering infrastructure and community capacity-building for increased access to colonoscopies.

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          Most cited references39

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          Approaching health disparities from a population perspective: the National Institutes of Health Centers for Population Health and Health Disparities.

          Addressing health disparities has been a national challenge for decades. The National Institutes of Health-sponsored Centers for Population Health and Health Disparities are the first federal initiative to support transdisciplinary multilevel research on the determinants of health disparities. Their novel research approach combines population, clinical, and basic science to elucidate the complex determinants of health disparities. The centers are partnering with community-based, public, and quasi-public organizations to disseminate scientific findings and guide clinical practice in communities. In turn, communities and public health agents are shaping the research. The relationships forged through these complex collaborations increase the likelihood that the centers' scientific findings will be relevant to communities and contribute to reductions in health disparities.
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            Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project.

            We describe a method to facilitate routine monitoring of socioeconomic health disparities in the United States. We analyzed geocoded public health surveillance data including events from birth to death (c. 1990) linked to 1990 census tract (CT) poverty data for Massachusetts and Rhode Island. For virtually all outcomes, risk increased with CT poverty, and when we adjusted for CT poverty racial/ethnic disparities were substantially reduced. For half the outcomes, more than 50% of cases would not have occurred if population rates equaled those of persons in the least impoverished CTs. In the early 1990s, persons in the least impoverished CT were the only group meeting Healthy People 2000 objectives a decade ahead. Geocoding and use of the CT poverty measure permit routine monitoring of US socioeconomic inequalities in health, using a common and accessible metric.
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              Applying GPS to enhance understanding of transport-related physical activity.

              The purpose of the paper is to review the utility of the global positioning system (GPS) in the study of health-related physical activity. The paper draws from existing literature to outline the current work performed using GPS to examine transport-related physical activity, with a focus on the relative utility of the approach when combined with geographic information system (GIS) and other data sources including accelerometers. The paper argues that GPS, especially when used in combination with GIS and accelerometery, offers great promise in objectively measuring and studying the relationship of numerous environmental attributes to human behaviour in terms of physical activity and transport-related activity. Limitations to the use of GPS for the purpose of monitoring health-related physical activity are presented, and recommendations for future avenues of research are discussed.
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                Author and article information

                Journal
                Online J Public Health Inform
                Online J Public Health Inform
                OJPHI
                Online Journal of Public Health Informatics
                University of Illinois at Chicago Library
                1947-2579
                2010
                9 April 2010
                : 2
                : 1
                : ojphi.v2i1.2893
                Affiliations
                [1 ]Moffitt Cancer Center, Department of Health Outcomes and Behavior, Division of Population Sciences, Tampa, FL
                [2 ]BGW Associates, LLC, Tampa, Florida
                [3 ]Georgia Southern University, Jiann-Ping Hsu College of Public Health, Georgia
                [4 ]University of South Florida, Tampa, FL
                Article
                ojphi-02-6
                10.5210/ojphi.v2i1.2893
                3615755
                23569578
                85632236-e325-41e9-a607-22280b4a8ffb
                ©2010 the author(s)

                This is an Open Access article. Authors own copyright of their articles appearing in the Online Journal of Public Health Informatics. Readers may copy articles without permission of the copyright owner(s), as long as the author and OJPHI are acknowledged in the copy and the copy is used for educational, not-for-profit purposes.

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