Term Project

GIS Analysis of Census Data and Health Care Facilities in Cameron and Hidalgo Counties, Texas

by Michele Simpson

msimpson@mail.utexas.edu

CE397 GIS in Water Resources

University of Texas at Austin


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1. Background & Objectives

The Texas-Mexico border is a region of concern for the Texas Department of Health (TDH). Given the high rates of poverty in this area, public health dynamics along the border are complicated. Specific issues along the border include (but are not limited to) environmental health, maternal and child health, prenatal care, family planning, and immunizations (Hatcher, 1995). In particular, two counties along the border have experienced high incidences of Neural Tube Defects (NTDs), birth defects that are serious and often fatal, and are the focus of a TDH study. NTD rates in Cameron and Hidalgo counties are as high as three times the national average. The TDH NTD surveillance intervention project hopes to reduce the number of pregnancies affected by NTDs. The TDH plans to use Geographic Information Systems (GIS) in this investigation. Kris Martinez is currently working with the TDH to implement this component of the investigation. The objectives of this term project are to contribute to this study by:

Cameron and Hidalgo Counties in Texas (click image for larger scale)

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2. Geocoding

ArcView3.0 was used to geocode the facilities. Carolyn Nobel has written a Geocoding Exercise as her term project which explains how to geocode in ArcView. The exercise focuses on Brownsville, which is in Cameron county.

Procedure

The following procedure was used to geocode the primary care facilities and the maternity facilities in Cameron and Hidalgo counties.

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Problems Encountered

Five out of 23 maternity facilities and 13 out of 37 primary care facilities were not matched. Potential reasons for this include: 1) addresses which are not street addresses could not be located (i.e., addresses with Rt. and Box number), 2) the street database may not include the streets that the facilities are located on, and 3) the addresses given may be incorrect. The facilities which were not matched were forwarded to the TDH for clarification. After the addresses had been checked by the TDH, ArcView was used again to geocode them. Unfortunately, the addresses were still not matched by ArcView, even with the sensitivities relaxed in Interactive Re-Match. Thus, the following facilities are not geocoded:

Primary Care Facilities

. . . .
Brownsville Community Health Center 2137 E. 22nd Street Brownsville Cameron 78521
Brownsville Community Health Center Satellite Clinic 2100 Avenida Gregory Brownsville Cameron 78521
Heart Clinic Inc. 1330 E. Sixth West Weslaco Hidalgo 78596
Heart Clinic Inc. 954 W. Price Rd. Brownsville Cameron 78596
Los Fresnos Family Medical Clinic 725 Ocean Blvd Hwy 100 Los Fresnos Cameron 78566
McAllen Medical Center 301 W. Expressway 83 McAllen Hidalgo 78503
Mercedes Health Clinic 330 N. Ohio Mercedes Hidalgo 78570
Port Isabel Satellite Clinics 705 S. Longoria St. Port Isabel Cameron 78578
Rio Hondo Health Clinic Hwy 106 Rt. 1 Box 211 Rio Hondo Cameron 78583
Su Clinica Familiar Raymondville Clinic 131 FM 3168 Raymondville Cameron 78580
Su Clinica Familiar Family Health Services Program 4000 FM 511 Brownsville Cameron 78521
Valley Procare Clinic E. 77 Sunshine Strip San Benito Cameron 78586
Valley Regional Island Clinic 3000 Padre Blvd Port Isabel Cameron 78578

Maternity Facilities

. . . .
Nueva Esperanza Maternity Clinic 8004 S. Cage Blvd Pharr Hidalgo 78577
Vicky's Birthing Center 1 Royal Palm Brownsville Cameron 78520
Holy Family Birthing Center Rt. 1 Box 257 Weslaco Hidalgo 78596
Knapp Medical Center 1401 E. 8th St. Weslaco Hidalgo 78559
McAllen Medical Center 301 W. Expressway 83 McAllen Hidalgo 78503

In addition to geocoding by street address, ArcView can also geocode by latitude and longitude. Therefore, once the latitude and longitude for these facilities is known, they can be geocoded.

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Results

The following figures depict the location of primary care facilities and maternity facilities in Cameron and Hidalgo counties.

Primary Care Facilities in Hidalgo County

Maternity Facilities in Hidalgo County

Primary Care Facilities in Cameron County

Maternity Facilities in Cameron County

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3. Census Data

To achieve the highest resolution of census data, two sources of data had to be joined. Tiger data consists of census data at the tract level, while Census data gives information at the block level. An average of five blocks make up one tract, therefore data at the block level is more detailed geographically. Census data is given as a database file containing demographic data, but no geographic data, while Tiger data does include geographic data. Therefore, the census information had to be joined to the Tiger data in order to display census data at the block level. A unique field, identical in Tiger and Census, had to be created to make this join possible.

Data Acquisition

Both the Tiger data and the census data were acquired from TNRIS. The TNRIS ftp site includes the txcensus.dbf table (Census information) in the support directory and Tiger files in the tx directory. The following steps are necessary to get the desired files from the TNRIS ftp site:

Another option for obtaining census data is Ceisin census data, which includes census data for the entire United States.

Data Manipulation

To display census data at the block level, a unique field, identical in Tiger and Census, had to be created so that the two could be joined; the Tiger coverage had to be dissolved and then projected in the same projection as the geocoded facilities; and the two tables had to be joined in ArcView. The following steps summarize the data manipulation.

STEPS

1. Choose a unique field

2. Create the unique field in Census

3. Manipulate the Tiger data

4. Join tables in ArcView

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1. Choose a unique field

2. Create the unique field in Census

3. Manipulate the Tiger data

4. Join tables in ArcView

Problems Encountered

Results

The following figures show the difference between census data at the tract level (just using the Tiger files) and census data at the block level (Census data joined with Tiger data). As the figures indicate, displaying census data at the block level provides much higher resolution.

Comparison of Census Data at the Tract and Block Level, Cameron County

Comparison of Census Data at the Tract and Block Level, Hidalgo County

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4. Results

The procedure described in this report results in census coverages at the block level and geocoded health facilities for Cameron and Hidalgo counties. Using these together, useful maps can be created which provide a decision-making tool for the TDH. Graphical representation of census information, along with the located facilities, can assist the TDH in better understanding its patients and optimizing the location of any new facilities. The following figures are examples of layouts that can be created using the census data and the located facilities together.

Total Persons in Cameron County (primary care and maternity facilities included)

Total Persons in Cameron County (primary care and maternity facilities included)

Percent Children (0-4 years old) in Cameron County (primary care facilities included)

Percent Children (0-4 years old) in Hidalgo County (primary care facilities included)

Percent Hispanic Population in Cameron County (primary care and maternity facilities included)

Percent Hispanic Population in Hidalgo County (primary care and maternity facilities included)

When used in ArcView, the two county coverages and the located facilities, along with their attribute tables, allow the user to obtain useful, detailed information on each facility and each block of census data. For Cameron county, for instance, if the Cam, Primary Care theme is highlighted in the view and the Attributes of Cameron Primary Care Fac. table is open, the user can click on a particular facility in the view and the corresponding record in the Attributes of Cameron Primary Care Fac. table will be highlighted, giving the facility name and address. Likewise, if the Cam, Census theme is highlighted in the view and the Attributes of Cameron Census Data table is open, the user can click on a particular block in the view and the corresponding record in the Attributes of Cameron Census Data table will be highlighted, giving all of the census data for that block (i.e., population by age, ethnicity, etc.). Also, once the user has located the particular facility (as described above) or region of interest, the view can be zoomed in for greater detail. The following figures show the ArcView screen when these applications are performed.

Obtaining detailed information on a particular facility

Zooming in on a region of interest and obtaining detailed census information on a particular block

Additionally, there is a feature in ArcView within the Theme menu that allows the user to select features of a theme (i.e., census data) that are within a specified distance of a selected feature (i.e., a particular facility). To apply this in Cameron county for instance, the user would:

The following table indicates the names of the Views, Themes (and associated shape files), and Tables in the ArcView project final.apr, which is the final ArcView application including census data at the block level and geocoded primary care facilities and maternity facilities.

Item in final.apr Cameron County Hidalgo County
Views Cameron (mat. & p.c. facilities, census) Hidalgo (mat. & p.c. facilities, census)
Themes . .

    Census

Cam, census Hid, census

      (source)

cam_block.shp (Polygon) hid_block.shp (Polygon)

    Maternity Facilities

Cam, Maternity Hid, Maternity

      (source)

cam_mat.shp (Point) hid_mat.shp (Point)

    Primary Care Facilities

Cam, Primary Care Hid, Primary Care

      (source)

cam_pc.shp (Point) hid_pc.shp (Point)
Attribute Tables . .

    Census

Attributes of Cameron Census Data Attributes of Hidalgo Census Data

    Maternity Facilities

Attributes of Cameron Maternity Fac. Attributes of Hidalgo Maternity Fac.

    Primary Care Facilities

Attributes of Cameron Primary Care Fac. Attributes of Hidalgo Primary Care Fac.

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5. Thanks

I was fortunate to have assistance from several people on this project, including:

Thank you for your contribution to this project!

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6. Data Dictionary

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7. References

Hatcher, Jeanette, Jillian Hopewell, Adriana Guardiola, Kathy Jacquart, Walter Moreau, Jeff Stys, Louis DeNino, and David Warner, The Border Health authority: Issues and Design, U.S.-Mexican Occasional paper No. 6, U.S.-Mexican Policy Studies Program, Lyndon B. Johnson School of Public Affairs, the University of Texas at Austin, February 1995.

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