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Final Community Health Assessment Report
Census Tract 1073
TCL 321 - Fall 2014
Morganne O’Brien, Karen Hatten, Chandler Nick, and Andre Varela
Arizona State University
Introduction
A.
Census tract 1073 in Phoenix is bordered by Bethany Home Road to the north,
Camelback Road to the south, 27th Avenue to the west, and 19th Avenue to the east. According to
Zillow, many of the homes within this census tract were built at some point in the 1950’s. The
entire area shows signs of age, and only a few new developments have been added throughout
the years, including a redevelopment at the Christown Spectrum Mall, formerly known as Chris-
Town Mall.
The Chris-Town Mall opened in 1961 as the first enclosed mall in Arizona, providing
shoppers near and far a great opportunity for shopping and socializing (Bueker). In 2007, the
mall changed to the “Spectrum” name as part of an effort to revitalize the space after a noticeable
downturn in customers (Bueker). Nevertheless, the mall still provides a convenient outlet for
residents of the area with major stores like Walmart and Costco.
The Phoenix area had managed many years without a light rail system, but in the year
2008 the inauguration of the Metro Light Rail ushered in a system that ranged from the western
side of Mesa through the Christown Spectrum Mall. The cheapest fare was originally $1.25 for a
1-way trip (Creno, 2008). Census tract 1073 has benefitted from the system over the years with
convenient stops at 19th Avenue/Montebello and 19th Ave/Camelback stations. The Metro Light
Rail offers an affordable means of transportation for citizens who would like an alternative to the
high price of automobile travel.
All of the statistics referred to in this section of the assessment were gathered from tables
published on the United States Census Bureau website. The table titled “Selected Economic
Characteristics” shows that, at the beginning of the millennium, 12.3% of families in Census
Tract 1073 reported a total income of less than $10,000, 21.4% of families had a total income of
$50,000-$74,999, and 1.6% of families had a total income of $150,000-$199,999. On average,
the total family income for this census tract was $48,795. A table titled “Families (Hispanic or
Latino Householder)” states that in the year 2000 roughly 530 families identified as Latino or
Hispanic, the largest identifying group in this community. Also, there were a total of 633 of
Hispanic or Latino householders in this same year according to the table entitled “Households
(Hispanic or Latino).” One of the most outstanding demographics in this tract are the children; in
the year 2000 100% of children aged 3 year and over were enrolled in school according the table
titled “School Enrollment: 2000” whereas only 59.8% of those between the ages of 16-19 years
were enrolled in high school. In 1999, there were 1,079 Hispanic or Latino children who were
related to their respective household holders. 315 were below the poverty level, while 764 were
at or above the poverty level, all according to the table entitled “Poverty Status in 1999 of
Related Children Under 18 Years by Family Type by Age (Hispanic or Latino).”
As stated earlier, though the number of lower income families within this census tract is
not necessarily alarming, a significant percentage of the community does not report an income
exceeding $10,000 annually (12.3%). The literature has shown that low levels of physical
activity are reported in low-income households because the providers in these households must
focus on family survival rather than on individual health promotion (Ainsworth et al., 2013).
Furthermore, studies have concluded that in some communities the neighborhood environment,
apart from economic concerns, has been responsible for a 5-6% change in HOMA scores, the
HOMA score being a measure of insulin resistance (Hsieh et al., 2014). Although this change in
insulin resistance has been attributed to the effects of fast-food establishments, rather than a lack
of physical activity, this test nevertheless illustrates that economic concerns are not the only
significant, influential variable to be considered when assessing the health of a community. For
this reason aspects of the built environment must be analyzed as well. With these considerations
in mind, an assessment has been performed on Census Tract 1073, and based on findings that
point to a general and serious lack of recreational facilities and walkable streets, it has become
crucial that a community health assessment be done in order to determine how these facilities
and aspects of the built environment may be secured and thereby reduce the number of
hindrances to physical activity in Census Tract 1073.
B.
The aims of this community health assessment are: 1) to distinguish the social, economic,
and built environment barriers that are limiting physical activity within census tract 1073; 2) to
identify which strengths on this census tract are contributing to the prevalence of physical
activity; 3) to determine what the residents of this community feel restricts their personal
physical activity and the overall communities physical activity; 4) to determine the residents
proposed solutions and recommendations for these issues; 5) to define proper recommendations
to improve physical activity within this census tract at the meso- and macro- level.
Method
The first approach to this community health assessment was a detailed analysis of this
census tract’s history, sociodemographic, geographic, and epidemiological profile and
characteristics. Extrapolating tables from the U.S. Census and American Community Survey
data, it became clear that this census tract has a high prevalence of children and foreign born
Latinos/as. Google searches helped to locate maps, businesses and services within the
community. Literary reviews gave further history and insight of the tract’s situation. Next was
performed two different windshield and walking surveys. Observations regarding strengths and
weaknesses, especially in the built environment were noted. Two impromptu interviews with
residents were conducted, as well as a meet-and-greet with workers at both the YMCA and the
Boys and Girls Club.
The Social Ecological (SEM) model was chosen because of its integrative nature. The
policy, community and organizational levels allow for primary prevention strategies that focus
on recommendations at higher scales. This model effectively examines the social determinants of
health, allowing for meaningful solutions to fundamental problems.
Thematic analysis was difficult to conduct due to the varying kinds of information
garnered by the interviews. Common themes among the residents were concerns related to
safety, while themes from the association and organization drifted more toward issues such as
the economic environment, health concerns and education. (See Appendix C. Thematic Analysis
of Interviews)
Results:
The impromptu interviews that were conducted on the walking/windshield surveys
targeted residents. Dave is a white, middle-aged home owner. He is part of the demographic
profile because he lives there. Chris and his three goddaughters, ages 7, 8 and 10 also reside in
the census tract. They were found wandering around the neighborhood. The girls were an
especially valuable source of information because they represent a large portion of the
demographic profile. In fact, children ages 5 to 10 make up over 20% of the tract’s population
according to the demographic profile. As seen in the population pyramid (see Appendix F), girls
outnumber boys by almost 5%. Both residents were interviewed on Veteran’s Day.
Another resident was specifically chosen as a key stakeholder in the community. He
serves in various neighborhood associations such as the Canyon corridor Community Coalition,
the Canyon Corridor Weed & Seed committees, and the Cordova Neighborhood Association. He
provided key subject matter on certain topics.
The Boys and Girls Club was designated for an interview due to the fact that there are a
good percentage of elementary school aged children in the census tract. The Boys and Girls Club
is an after-school youth development programs for youth ages, kindergarten through high school.
According to their website, they place an emphasis on physical fitness. The Harry & Rosenzweig
Branch is located at 2242 W Missouri Avenue, just across from Simpson elementary school. The
unit director, a Latina woman, was interviewed on December 1, 2014 at 3 pm. She provided
crucial insight to challenges that both children and their parents face.
Findings of the walking/windshield surveys corroborated common themes from the
interviews. The first survey was done early Saturday morning on October 21st. It included of a
long drive through the neighborhood streets and around the perimeter a few times, and a short
walk. The second walking/windshield survey on Veteran’s Day was taken via a long walk
around the tract, beginning and ending at the light rail. Many children were not observed to be
out playing on either day. This can be attributed to many weaknesses in the community.
The built environment is not conducive to physical activities in many ways. Although
there are sidewalks, they are sporadic throughout the neighborhood and in various stages of
disrepair. As learned in the interviews with the residents, traffic through the residential streets is
too fast and heavy to be safe for the kids to play outside. With the light rail, traffic is diverted
down these smaller streets. There are practically no speed bumps to slow it down. This problem
is exacerbated because there is a good deal of construction as the light rail is being extended
north three miles to Dunlap Road. Resident Chris did not feel comfortable letting his
goddaughters walk around alone. He also did not let his girls out at night because of the
inadequate lighting and the homeless in the area. The walking/windshield surveys supported his
claims. There was evidence of empty liquor bottles in Solano Park, across 19th avenue. These
safety concerns could be a reason why there are so many guard dogs in the back yards
throughout the tract.
Other negative environmental issues include above ground power lines, litter and graffiti
especially at the bus stops, yard clippings and other waste piled high at various locations. When
asked, resident Dave indicated that waste management removed the piles on a quarterly basis.
Also, there was a large fallen metal overhang by a Laundromat that looked to be unsafe.
Two of the interviewees pointed to the economic situation as a major downfall to the
community. Larry from the neighborhood associations commented on the “food desert”. He
claimed that due to poverty, families have to walk to nearby convenience stores and carnicerias
to buy their groceries. Because of this, they consume low-quality food. Indeed many
convenience/liquor stores and carnicerias were observed all around the perimeter of the tract.
There are also many fast food restaurants, including a walk-up McDonalds. The Boys and Girls
Club unit director is concerned about nutrition as well. She spoke of the well-balanced dinners
that they serve. This helps the parents who seem to be overwhelmed in general. She contends
that because of their economic position, parents do not have adequate resources to raise their
children. They do not have the proper education and awareness of the types of services that are
available. Although eager to participate in events and spend time with their children, they do not
have enough time and money for their families. She stated that some parents “have a couple jobs
just to survive”. She insists that parent education and encouragement is key to a better
community. The Boys and Girls Club helps by networking with other non-profit services in the
area, and referring parents when needed.
Arguably the characteristic that has the biggest negative impact on physical activity and
health is the lack of readily available green space within the boundaries of the census tract. As
previously stated, children were not observed playing outside on the walking/windshield surveys,
despite it being a weekend or holiday. Simpson and Montebello schools are fenced and were
locked up. The resident Chris and his goddaughters complained that there was “nowhere to go”
and “nothing to do”. The closest parks are across major streets such as Bethany Home Road and
19th Avenue. The girls were not allowed to go play unsupervised.
Local businesses and organizations are a mixed bag of both positive and negative impact
on the community. During the walking/windshield surveys, many churches of differing
denominations were spotted. Many of them contribute positively by providing services such as
donation centers. There is a fire department and power facility just north of Camelback. All
around the perimeter of the tract are many medical facilities such as urgent cares, children’s
clinics, and dentists. The Phoenix Baptist Hospital is on Bethany Home Road and 19th Avenue.
In addition to Montebello and Simpson elementary schools are Imagine Camelback
Middle School, Omega Academy and Panda Bear Learning Center. The YMCA is just east of the
census tract. They are a good resource for recreation activities for residents of many ages.
Centered in the tract is the Homeward Bound Transitional Center. They help people in the
community with housing, day care, money management and jobs. They are DES qualified,
meaning that their fees are discounted or waived. Just down the street is the Boys and Girls
Club/Virginia G. Piper Teen Center. This organization offers Healthy Habits, an age-based
curriculum that teaches children about physical activity and eating right. They also have a dental
clinic that visits the branches. They give visual examinations and income-based referrals to those
in need. Perhaps the best aspect of the Boys and Girls Club is the availability of facilities for
physical activity. There is a basketball court and a gym. The kids rotate by age groups through
the gym. There is a different activity every day such as “Crab soccer”, “Relay Scooter Race” and
Hula-hoop Dodgeball”. They also sponsor Flag Football with practice every Wednesday and
games on Thursdays.
Many pawn shops and check cashing places were observed, as well as dollar stores and
Laundromats. These businesses reflect the poor economic demographic profile of the census
tract. Food City is on the perimeter and is the only grocery store in the area. As stated previously,
there is an abundance of corner/convenience and liquor stores, fast food restaurants and
carnicerias.
The Grand Canyon University administration section is on the west side of the census
tract. There are many re-zoning signs posted in adjacent empty lots. According to the interview
with the neighborhood association’s member, the expansion has acquired 35 acres east of 27th
Avenue, displacing hundreds of households. While it seems as though different businesses help
the economy of the community, some also bring further issues to the area.
Most notably is Christown Mall on the east side of the census tract. According to various
interviews, people in the community spend much of their time in and around the mall. Mall
entrances open Monday through Saturday at 6:00 a.m. and Sunday at 7:00 a.m. for mall
walking.1 This is very supportive for physical activity especially during very hot or cold times of
the year. It gives walkers a respite from the unyielding heat of the summers. Additionally,
according to Adam, MA et al., proximity to shops in general is an enabler for physical activity.2
Other factors of the built environment that are supportive of physical activity include bike
paths and availability of transit in the census tract. There are many bike lanes throughout the
area. Many residents were observed at various bus stops throughout the tract. Residents also use
the light rail that begins/ends at Montebello and 19th Avenue.
There are many strengths in the social environment of this community. A general theme
among the interviews is the strong sense of family. Many people spend much of their time at
home or at events with family members. Housing is comprised mainly of smaller, older homes
and apartments, with some trailer parks. A sense of pride, however, can be seen. People were
observed working in their yards and hanging up Christmas lights on the walking/windshield
surveys. Homes are well-kept for the most part. Many residents had ongoing yard sales, most
likely serving as a supplement to their income. The interactions outside, among residents further
strengthen bonds within the community.
Recommendations for Policy or Practice
The most cost-effective and immediate solutions to barriers of physical activity in this
community operate at the meso-level and primarily affect aspects of the community’s built and
social environments. Because primary prevention strategies yield the most effective and
sustainable results with regard to the health of any community, such a strategy will carry the
greatest weight in practice and therefore will constitute the preponderance of this section.
Specifically, the focus of these recommendations rests on creating high-quality sites of physical
activity without placing another significant financial burden on the members of the community.
With respect to creating these new sites of physical activity without importing more economic
stress, only a number of options present themselves, and they fundamentally require a
bureaucratic approach in order to be realized.
The most financially feasible, space-accommodating, and time-friendly sites of physical
activity that can be utilized by a community are those that already constitute the built
environment but have yet to be appropriated for the purpose of physical activity, at least among a
certain portion of the population, up to that point. Naturally, such locales are often private
residences or lots and therefore prove difficult to access. But, in the case of this census tract, a
number of public venues could be employed to the service of residents in the community by way
of policy amendments. Namely, three elementary schools in the school district with which this
census tract is associated (Alhambra Elementary School District) each maintains a playground,
all equipped with fields, courts, and climbing structures. Currently these playgrounds are not
open to the public after school hours, which we deem a missed opportunity and a waste of
valuable space and equipment that could be used to foster health among the children of the
community. Montebello School, for instance, underwent a renovation in 1998, refurbishing the
property to accommodate “state of the art” amenities, large shade structures, multiple sports
courts, and ball fields. Giving local children access to these playgrounds and fields after school
hours could increase the amount of time available to these children for play and other exercise by
nearly 4 hours per day during the summer months, when daylight lasts longer.
Policy measures designed to partner the interests of the school with those of its
neighboring community will be necessary in order to achieve this goal. Nevertheless, partnership
does not have to come by long, belabored discourse and formality. In this vein, we recommend
that the Alhambra Elementary School District consider and approve an open-use policy
pertaining to their playground and related sports facilities, as open-use policies are designed to
simplify the relationship between community and school. According to ChangeLab Solutions, a
law and policy innovation advocacy group, an open-use policy “refers to the practice of allowing
free community access to school district property for individual play and physical activity
without a formal partnership or agreement with another public entity or a third party” (2014, p.
3). Perhaps the most attractive asset of a policy such as this is its relative ease of application, and
such policy action boasts a successful precedent in other states, such as Wisconsin (ChangeLab
Solutions, 2014, p. 3). We believe that districts in Arizona, too, could enjoy similar positive
results and easily apply this policy. Fear of liability for injuries on school property is
unsubstantiated by any real threat because the legal system protects schools under these
conditions (ChangeLab Solutions, 2014, p. 4). Public entities, like elementary schools, are
protected by law when they share their property with others for recreational purposes
(ChangeLab Solutions, 2014, p. 4).
Our second recommendation does not involve policy change but considers how the
family can engage in physical activity together with the proper amenities. With this in mind, we
recommend the creation of a community recreational facility that is within walking distance to
all members and residents of this census tract. There are currently no community centers within
this tract, and the ones that are nearby are across major roads and are not easily accessible by the
children within this tract. This proposed community center would include some type of outdoor
park with weather and heat-proof playground equipment, a pool or splashpad, and a simple
music center. The music center would be indoors and would include non-removable instruments
for people to play with, an area for dancing, and a mock stage. The resources, events, services,
and other gatherings offered at this home may help in drawing people of all ages throughout the
tract to the community center to exercise. This recommendation, therefore, intends to address the
health issue in this tract from a holistic, cross-generational perspective.
Using funds already available to the community in order to construct and manage this
property is not a reasonable solution, and so an alternative source of funding will be necessary.
Fortunately, certain governmental programs are in place that may serve as helpful means by
which to realize the full expectations of the project. Specifically, the United State Department of
Agriculture has set up an initiative called Community Programs that seeks to “assist in the
development of essential community facilities” by providing grants to low-income communities
(2013). We recommend that an application for such a grant be submitted for review so that the
Dept. of Agriculture can determine whether Census Tract 1073 meets the requirements of the
initiative. If the community is offered a grant by the Department, grant money may cover up to
75% of production costs, greatly increasing the plausibility of a community center such as the
one described above being built (U.S. Department of Agriculture, 2013).
Besides the policy action, we have also utilized the social/ecological model to suggest
recommendations at the community and organizational levels. These neighborhoods need more
luminous street lighting; some streets have no street lights at all. We would also recommend the
number of speed bumps increase. Heavy traffic travels directly through residential
neighborhoods in this area, a phenomenon that dissuades parents of young children from
allowing them to play outside and engage in the exercise they need in order to stay healthy.
Furthermore, this area could use a more frequent waste removal service. The current policy
requires that waste management pick up waste quarterly (four times per calendar year). As a
result of this great passage of time between visits from the waste management service, a heavy
build up of landscaping waste, old furniture, liquor bottles, and other unseemly trash has
accumulated on the sidewalks and streets.
Lessons Learned:
As a group, we have realized that some of our most useful and valuable information was
gathered through impromptu interviews that were held with community residents. We got some
of our most brutally honest opinions about this census tract from the minds of the children. We
also discovered that by walking up and down inner streets of the neighborhood and nearby shops,
we were able to gather some great information about physical barriers and resident interactions.
It’s nearly impossible to really get a good feel and accurate depiction for the area by simply
looking at a Google map or by reading about its history. Research provides a good background,
but one cannot develop a sense of cultural humility or cultural competence from afar. Cultural
humility and competence come both naturally and purposefully only through ongoing practical
work in the community.
Conducting community health assessments seem to be a vital activity for the growth and
development of communities. They can also help to improve the information provided to public
health departments, hospitals, school, and other community based organizations.
References
Adam, M.A. et al. (2013). Patterns of neighborhood environmental attributes related to physical
activity across 11 countries: A latent class analysis. The International Journal of
Behavioral Nutrition and Physical Activity, 10(34), 1-11.
Ainsworth, B.E., Keller, C., Herrmann, S., Belyea, M., Records, K., Nagle-Williams, A., …
Coonrod, D.V. (2013). Physical activity and sedentary behaviors in postpartum latinas:
Madres para la salud. Medicine and Science in Sports Exercise, 45(7), 1298-1306.
Bueker, J. (n.d.). The glory days of Chris-town mall. Retrieved from http://www.chris-town.com/
ChangeLab Solutions. (2014). Model Open Use Policy for Wisconsin School. Districts.
Retrieved from changelabsolutions.org/publications/WI-open-use
Creno, G. (2008, Dec. 29). After Dec. 31, no more free rides on light rail. AZCentral.com.
Retrieved from
http://www.azcentral.com/news/traffic/lightrail/articles/2008/12/31/20081231metropay1
231.html
Ickes, MJ. & Sharma, M. (2012). A systematic review of physical activity interventions in
Hispanic adults. Journal of Environmental and Public Health, 2012. doi:
10.1155/2012/156435
U.S. Census Bureau. (2001). Families (Hispanic or Latino Householder), Census Tract
1073. Retrieved from
http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC
_00_SF1_P015H&prodType=table
U.S. Census Bureau. (2001). Households (Hispanic or Latino Householder), Census
Tract 1073. Retrieved from
http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC
_00_SF1_P015H&prodType=table
U.S. Census Bureau. (2001). Poverty Status in 1999 of Related Children Under 18 Years
by Family Type by Age (Hispanic or Latino), Census Tract 1073. Retrieved from
http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC
_00_SF3_PCT076H&prodType=table
U.S. Census Bureau. (2001). School Enrollment: 2000, Census Tract 1073. Retrieved
from
http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC
_00_SF3_QTP19&prodType=table
U.S. Census Bureau. (2008). Selected Economic Characteristics, Census Tract 1073.
Retrieved from
http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS
_12_5YR_DP03&prodType=table
U.S. Department of Agriculture (2013). Community Facility Grants. Retrieved from U.S.
Department of Agriculture website: http://www.rurdev.usda.gov/had-cf_grants.html
U.S. Department of Veterans Affairs. Phoenix VA Health Care System. Retrieved from
http://www.phoenix.va.gov/phoenix/patients/patiented.asp
Real Estate. (2014). Phoenix, AZ. Zillow. Retrieved from
http://www.zillow.com/homes/for_sale/days_sort/33.523226,-112.112638,33.520548,-
112.117412_rect/17_zm/
Appendix A - Semi-structured interview guide:
Community Health Assessment - Interview Guide
● Introduction
“I want to thank you for taking the time to meet with me today. My name is ______ and I would
like to talk to you about your experiences in this community. We are assessing determinants of
health in this community to help us devise policy or intervention recommendations. You should
know that this information is for a community health class at Arizona State University and our
findings will not be published. The interview should take less than an hour. All responses will be
kept confidential. This means that your responses will only be shared with my team members
and we will ensure that any information we include in our report does not identify you as the
respondent. Remember, we do not have to talk about anything that you prefer not to and you may
end the interview at any time. Are there any questions about what I have just explained? Are
you willing to participate in this interview?”
a. Tell me about your role/involvement/experience in the community.
● Community
a. How is this area unique/different from other areas in Phoenix (or Arizona)?
b. What are the strengths within this community?
c. Where do you feel the people in this community spend most of their free time?
d. Where do residents primarily shop for food and how do they get there?
e. Where would you obtain community health information?
● Children
a. What are some problems specifically affecting the health of children in the
community?
b. As director of Extended Care at this school, what policies/structures are in place
in order to ensure that students receive the daily exercise they need to stay fit?
c. How do you ensure that female students engage in the same amount of physical
activity relative to males who may be more interested in sports/ athletic activities?
d. Tell me about the parents’ involvement in (program name).
e. Do you see any special issues regarding children from single parent households?
i. How are these certain needs being met?
f. What special issues does (organization name) face in regards to disabled children?
i. How are these needs being met?
● Concerns/Suggestions
a. Do you feel that there are any health concerns within your community?
b. What suggestions do you have to make this community a healthier place?
i. What would you recommend as a possible area of research?
ii. What are some possible roadblocks that might be encountered?
c. What do you feel are some problems/issues/weaknesses within this community?
i. What are some possible solutions to these issues?
ii. How would you like to see these issues overcome?
● Conclusion
a. Is there anything else that you feel I should know about this community or that
you would like to add to this interview?
b. Thank you so much for your time and input!
Appendix B - Pictures from the walking/windshield surveys:
Appendix C - Thematic Analysis of Interviews:
Profile Data Item Initial Codes
Boys &
Girls
Club
Community strengths:
Non-profit services such as Homeward Bound Transitional
-help w/housing, daycare, money management, jobs
-DES qualified: fees discounted or paid
-B&G Club can refer parents
Parent participation in events
-spending time as family
Busy park North of Bethany Home Rd
Shopping Center
Weakness:
Nutrition-B&G Club offers well-balanced dinner
Behavioral Health
-parents do not have resources to deal (time, education,
services)
Dental Health
-B&G Club have clinic that visits: visual exams, referrals to
services (income-based)
Economic situation
-parents have "couple jobs just to survive"
-unable to provide needs to children such as doctor visits
Physical Activity:
Gym (rotations)*, basketball court @ B&G Club
Education:
Healthy Habits-curriculum @B&G Club
-program teaches about physical activity and eating right
Empower-AZ literacy & learning center
-Identifies learning disabilities, services to help children and
parents
Phoenix Children's Hospital
-teaches parents about healthcare system
General need by parents
-awareness, referral to services, and encouragement
non-profit
services
referrals/
networking
parent
participation
parent's needs
nutrition
behavioral issues
dental health
economic
situation
physical activity
education
Profile Data Item Initial Codes
David Light rail has caused too many problems
-traffic redirected down his street, unsafe for kids
-wants speed bumps
Likes his neighborhood
Waste management-quarterly
light rail
traffic
safety
Chris and girls Recreation:
"nothing fun to do"
closest park across Bethany Home Rd.
Suggestions:
-want pool
-community center (somewhere to all go play together)
-music center
Safety:
homeless and crime, especially at night
not enough streetlights
park
pool
community
center
music center
safety
homeless
streetlights
Neighborhood
Association
Community:
"ordinary low to middle income"
mostly single-family housing
Change: (past five years or so)
expansion of institutions such as Grand Canyon
University
-acquired 35 acres east of 27th ave
-displacing hundreds of households
Strengths:
Families-people spend time at home
Food:
food desert
-due to poverty families have one or no cars and do
their grocery shopping at nearby convenient stores and
carnicerias-low food quality
Health concerns:
Diabetes, high blood pressure,
"obesity due to inadequate health education, poor
nutrition and inadequate exercise"
expansion of
institutions
families
food desert
low quality
food
poverty
diabetes
high blood
pressure
obesity
health
education
nutrition
exercise
Appendix D. Field Notes of Interview at Boys and Girls Club
Informant: Unit Director, Harry & Rosenzweig Branch
Interview name: Karen Hatten
Date: December 1, 2014
Location of Interview: Boys and Girls Club
Time of interview: 3 pm (Monday)
Observational notes:
Her office, no other people
She was calm, seemed at ease with answering most questions
Methodological notes:
Left out a couple questions
About 40 minutes
Mostly uninterrupted (phone rang but she did not answer)
Personal notes:
Forgot my reading glasses and pens!! (I was a little embarrassed, had to borrow a pen)
Appendix E - Map of Census Tract 1073:
(Bethany Home Road/Camelback Road/27th Avenue/19th Avenue)
Appendix F - Population Pyramid (US Census Tract 1073 population profile Age by Sex):

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CHA Tract 1073 paper

  • 1. Final Community Health Assessment Report Census Tract 1073 TCL 321 - Fall 2014 Morganne O’Brien, Karen Hatten, Chandler Nick, and Andre Varela Arizona State University
  • 2. Introduction A. Census tract 1073 in Phoenix is bordered by Bethany Home Road to the north, Camelback Road to the south, 27th Avenue to the west, and 19th Avenue to the east. According to Zillow, many of the homes within this census tract were built at some point in the 1950’s. The entire area shows signs of age, and only a few new developments have been added throughout the years, including a redevelopment at the Christown Spectrum Mall, formerly known as Chris- Town Mall. The Chris-Town Mall opened in 1961 as the first enclosed mall in Arizona, providing shoppers near and far a great opportunity for shopping and socializing (Bueker). In 2007, the mall changed to the “Spectrum” name as part of an effort to revitalize the space after a noticeable downturn in customers (Bueker). Nevertheless, the mall still provides a convenient outlet for residents of the area with major stores like Walmart and Costco. The Phoenix area had managed many years without a light rail system, but in the year 2008 the inauguration of the Metro Light Rail ushered in a system that ranged from the western side of Mesa through the Christown Spectrum Mall. The cheapest fare was originally $1.25 for a 1-way trip (Creno, 2008). Census tract 1073 has benefitted from the system over the years with convenient stops at 19th Avenue/Montebello and 19th Ave/Camelback stations. The Metro Light Rail offers an affordable means of transportation for citizens who would like an alternative to the high price of automobile travel. All of the statistics referred to in this section of the assessment were gathered from tables published on the United States Census Bureau website. The table titled “Selected Economic Characteristics” shows that, at the beginning of the millennium, 12.3% of families in Census
  • 3. Tract 1073 reported a total income of less than $10,000, 21.4% of families had a total income of $50,000-$74,999, and 1.6% of families had a total income of $150,000-$199,999. On average, the total family income for this census tract was $48,795. A table titled “Families (Hispanic or Latino Householder)” states that in the year 2000 roughly 530 families identified as Latino or Hispanic, the largest identifying group in this community. Also, there were a total of 633 of Hispanic or Latino householders in this same year according to the table entitled “Households (Hispanic or Latino).” One of the most outstanding demographics in this tract are the children; in the year 2000 100% of children aged 3 year and over were enrolled in school according the table titled “School Enrollment: 2000” whereas only 59.8% of those between the ages of 16-19 years were enrolled in high school. In 1999, there were 1,079 Hispanic or Latino children who were related to their respective household holders. 315 were below the poverty level, while 764 were at or above the poverty level, all according to the table entitled “Poverty Status in 1999 of Related Children Under 18 Years by Family Type by Age (Hispanic or Latino).” As stated earlier, though the number of lower income families within this census tract is not necessarily alarming, a significant percentage of the community does not report an income exceeding $10,000 annually (12.3%). The literature has shown that low levels of physical activity are reported in low-income households because the providers in these households must focus on family survival rather than on individual health promotion (Ainsworth et al., 2013). Furthermore, studies have concluded that in some communities the neighborhood environment, apart from economic concerns, has been responsible for a 5-6% change in HOMA scores, the HOMA score being a measure of insulin resistance (Hsieh et al., 2014). Although this change in insulin resistance has been attributed to the effects of fast-food establishments, rather than a lack of physical activity, this test nevertheless illustrates that economic concerns are not the only
  • 4. significant, influential variable to be considered when assessing the health of a community. For this reason aspects of the built environment must be analyzed as well. With these considerations in mind, an assessment has been performed on Census Tract 1073, and based on findings that point to a general and serious lack of recreational facilities and walkable streets, it has become crucial that a community health assessment be done in order to determine how these facilities and aspects of the built environment may be secured and thereby reduce the number of hindrances to physical activity in Census Tract 1073. B. The aims of this community health assessment are: 1) to distinguish the social, economic, and built environment barriers that are limiting physical activity within census tract 1073; 2) to identify which strengths on this census tract are contributing to the prevalence of physical activity; 3) to determine what the residents of this community feel restricts their personal physical activity and the overall communities physical activity; 4) to determine the residents proposed solutions and recommendations for these issues; 5) to define proper recommendations to improve physical activity within this census tract at the meso- and macro- level. Method The first approach to this community health assessment was a detailed analysis of this census tract’s history, sociodemographic, geographic, and epidemiological profile and characteristics. Extrapolating tables from the U.S. Census and American Community Survey data, it became clear that this census tract has a high prevalence of children and foreign born Latinos/as. Google searches helped to locate maps, businesses and services within the community. Literary reviews gave further history and insight of the tract’s situation. Next was performed two different windshield and walking surveys. Observations regarding strengths and
  • 5. weaknesses, especially in the built environment were noted. Two impromptu interviews with residents were conducted, as well as a meet-and-greet with workers at both the YMCA and the Boys and Girls Club. The Social Ecological (SEM) model was chosen because of its integrative nature. The policy, community and organizational levels allow for primary prevention strategies that focus on recommendations at higher scales. This model effectively examines the social determinants of health, allowing for meaningful solutions to fundamental problems. Thematic analysis was difficult to conduct due to the varying kinds of information garnered by the interviews. Common themes among the residents were concerns related to safety, while themes from the association and organization drifted more toward issues such as the economic environment, health concerns and education. (See Appendix C. Thematic Analysis of Interviews) Results: The impromptu interviews that were conducted on the walking/windshield surveys targeted residents. Dave is a white, middle-aged home owner. He is part of the demographic profile because he lives there. Chris and his three goddaughters, ages 7, 8 and 10 also reside in the census tract. They were found wandering around the neighborhood. The girls were an especially valuable source of information because they represent a large portion of the demographic profile. In fact, children ages 5 to 10 make up over 20% of the tract’s population according to the demographic profile. As seen in the population pyramid (see Appendix F), girls outnumber boys by almost 5%. Both residents were interviewed on Veteran’s Day.
  • 6. Another resident was specifically chosen as a key stakeholder in the community. He serves in various neighborhood associations such as the Canyon corridor Community Coalition, the Canyon Corridor Weed & Seed committees, and the Cordova Neighborhood Association. He provided key subject matter on certain topics. The Boys and Girls Club was designated for an interview due to the fact that there are a good percentage of elementary school aged children in the census tract. The Boys and Girls Club is an after-school youth development programs for youth ages, kindergarten through high school. According to their website, they place an emphasis on physical fitness. The Harry & Rosenzweig Branch is located at 2242 W Missouri Avenue, just across from Simpson elementary school. The unit director, a Latina woman, was interviewed on December 1, 2014 at 3 pm. She provided crucial insight to challenges that both children and their parents face. Findings of the walking/windshield surveys corroborated common themes from the interviews. The first survey was done early Saturday morning on October 21st. It included of a long drive through the neighborhood streets and around the perimeter a few times, and a short walk. The second walking/windshield survey on Veteran’s Day was taken via a long walk around the tract, beginning and ending at the light rail. Many children were not observed to be out playing on either day. This can be attributed to many weaknesses in the community. The built environment is not conducive to physical activities in many ways. Although there are sidewalks, they are sporadic throughout the neighborhood and in various stages of disrepair. As learned in the interviews with the residents, traffic through the residential streets is too fast and heavy to be safe for the kids to play outside. With the light rail, traffic is diverted down these smaller streets. There are practically no speed bumps to slow it down. This problem
  • 7. is exacerbated because there is a good deal of construction as the light rail is being extended north three miles to Dunlap Road. Resident Chris did not feel comfortable letting his goddaughters walk around alone. He also did not let his girls out at night because of the inadequate lighting and the homeless in the area. The walking/windshield surveys supported his claims. There was evidence of empty liquor bottles in Solano Park, across 19th avenue. These safety concerns could be a reason why there are so many guard dogs in the back yards throughout the tract. Other negative environmental issues include above ground power lines, litter and graffiti especially at the bus stops, yard clippings and other waste piled high at various locations. When asked, resident Dave indicated that waste management removed the piles on a quarterly basis. Also, there was a large fallen metal overhang by a Laundromat that looked to be unsafe. Two of the interviewees pointed to the economic situation as a major downfall to the community. Larry from the neighborhood associations commented on the “food desert”. He claimed that due to poverty, families have to walk to nearby convenience stores and carnicerias to buy their groceries. Because of this, they consume low-quality food. Indeed many convenience/liquor stores and carnicerias were observed all around the perimeter of the tract. There are also many fast food restaurants, including a walk-up McDonalds. The Boys and Girls Club unit director is concerned about nutrition as well. She spoke of the well-balanced dinners that they serve. This helps the parents who seem to be overwhelmed in general. She contends that because of their economic position, parents do not have adequate resources to raise their children. They do not have the proper education and awareness of the types of services that are available. Although eager to participate in events and spend time with their children, they do not have enough time and money for their families. She stated that some parents “have a couple jobs
  • 8. just to survive”. She insists that parent education and encouragement is key to a better community. The Boys and Girls Club helps by networking with other non-profit services in the area, and referring parents when needed. Arguably the characteristic that has the biggest negative impact on physical activity and health is the lack of readily available green space within the boundaries of the census tract. As previously stated, children were not observed playing outside on the walking/windshield surveys, despite it being a weekend or holiday. Simpson and Montebello schools are fenced and were locked up. The resident Chris and his goddaughters complained that there was “nowhere to go” and “nothing to do”. The closest parks are across major streets such as Bethany Home Road and 19th Avenue. The girls were not allowed to go play unsupervised. Local businesses and organizations are a mixed bag of both positive and negative impact on the community. During the walking/windshield surveys, many churches of differing denominations were spotted. Many of them contribute positively by providing services such as donation centers. There is a fire department and power facility just north of Camelback. All around the perimeter of the tract are many medical facilities such as urgent cares, children’s clinics, and dentists. The Phoenix Baptist Hospital is on Bethany Home Road and 19th Avenue. In addition to Montebello and Simpson elementary schools are Imagine Camelback Middle School, Omega Academy and Panda Bear Learning Center. The YMCA is just east of the census tract. They are a good resource for recreation activities for residents of many ages. Centered in the tract is the Homeward Bound Transitional Center. They help people in the community with housing, day care, money management and jobs. They are DES qualified, meaning that their fees are discounted or waived. Just down the street is the Boys and Girls
  • 9. Club/Virginia G. Piper Teen Center. This organization offers Healthy Habits, an age-based curriculum that teaches children about physical activity and eating right. They also have a dental clinic that visits the branches. They give visual examinations and income-based referrals to those in need. Perhaps the best aspect of the Boys and Girls Club is the availability of facilities for physical activity. There is a basketball court and a gym. The kids rotate by age groups through the gym. There is a different activity every day such as “Crab soccer”, “Relay Scooter Race” and Hula-hoop Dodgeball”. They also sponsor Flag Football with practice every Wednesday and games on Thursdays. Many pawn shops and check cashing places were observed, as well as dollar stores and Laundromats. These businesses reflect the poor economic demographic profile of the census tract. Food City is on the perimeter and is the only grocery store in the area. As stated previously, there is an abundance of corner/convenience and liquor stores, fast food restaurants and carnicerias. The Grand Canyon University administration section is on the west side of the census tract. There are many re-zoning signs posted in adjacent empty lots. According to the interview with the neighborhood association’s member, the expansion has acquired 35 acres east of 27th Avenue, displacing hundreds of households. While it seems as though different businesses help the economy of the community, some also bring further issues to the area. Most notably is Christown Mall on the east side of the census tract. According to various interviews, people in the community spend much of their time in and around the mall. Mall entrances open Monday through Saturday at 6:00 a.m. and Sunday at 7:00 a.m. for mall walking.1 This is very supportive for physical activity especially during very hot or cold times of
  • 10. the year. It gives walkers a respite from the unyielding heat of the summers. Additionally, according to Adam, MA et al., proximity to shops in general is an enabler for physical activity.2 Other factors of the built environment that are supportive of physical activity include bike paths and availability of transit in the census tract. There are many bike lanes throughout the area. Many residents were observed at various bus stops throughout the tract. Residents also use the light rail that begins/ends at Montebello and 19th Avenue. There are many strengths in the social environment of this community. A general theme among the interviews is the strong sense of family. Many people spend much of their time at home or at events with family members. Housing is comprised mainly of smaller, older homes and apartments, with some trailer parks. A sense of pride, however, can be seen. People were observed working in their yards and hanging up Christmas lights on the walking/windshield surveys. Homes are well-kept for the most part. Many residents had ongoing yard sales, most likely serving as a supplement to their income. The interactions outside, among residents further strengthen bonds within the community. Recommendations for Policy or Practice The most cost-effective and immediate solutions to barriers of physical activity in this community operate at the meso-level and primarily affect aspects of the community’s built and social environments. Because primary prevention strategies yield the most effective and sustainable results with regard to the health of any community, such a strategy will carry the greatest weight in practice and therefore will constitute the preponderance of this section. Specifically, the focus of these recommendations rests on creating high-quality sites of physical activity without placing another significant financial burden on the members of the community. With respect to creating these new sites of physical activity without importing more economic
  • 11. stress, only a number of options present themselves, and they fundamentally require a bureaucratic approach in order to be realized. The most financially feasible, space-accommodating, and time-friendly sites of physical activity that can be utilized by a community are those that already constitute the built environment but have yet to be appropriated for the purpose of physical activity, at least among a certain portion of the population, up to that point. Naturally, such locales are often private residences or lots and therefore prove difficult to access. But, in the case of this census tract, a number of public venues could be employed to the service of residents in the community by way of policy amendments. Namely, three elementary schools in the school district with which this census tract is associated (Alhambra Elementary School District) each maintains a playground, all equipped with fields, courts, and climbing structures. Currently these playgrounds are not open to the public after school hours, which we deem a missed opportunity and a waste of valuable space and equipment that could be used to foster health among the children of the community. Montebello School, for instance, underwent a renovation in 1998, refurbishing the property to accommodate “state of the art” amenities, large shade structures, multiple sports courts, and ball fields. Giving local children access to these playgrounds and fields after school hours could increase the amount of time available to these children for play and other exercise by nearly 4 hours per day during the summer months, when daylight lasts longer. Policy measures designed to partner the interests of the school with those of its neighboring community will be necessary in order to achieve this goal. Nevertheless, partnership does not have to come by long, belabored discourse and formality. In this vein, we recommend that the Alhambra Elementary School District consider and approve an open-use policy pertaining to their playground and related sports facilities, as open-use policies are designed to
  • 12. simplify the relationship between community and school. According to ChangeLab Solutions, a law and policy innovation advocacy group, an open-use policy “refers to the practice of allowing free community access to school district property for individual play and physical activity without a formal partnership or agreement with another public entity or a third party” (2014, p. 3). Perhaps the most attractive asset of a policy such as this is its relative ease of application, and such policy action boasts a successful precedent in other states, such as Wisconsin (ChangeLab Solutions, 2014, p. 3). We believe that districts in Arizona, too, could enjoy similar positive results and easily apply this policy. Fear of liability for injuries on school property is unsubstantiated by any real threat because the legal system protects schools under these conditions (ChangeLab Solutions, 2014, p. 4). Public entities, like elementary schools, are protected by law when they share their property with others for recreational purposes (ChangeLab Solutions, 2014, p. 4). Our second recommendation does not involve policy change but considers how the family can engage in physical activity together with the proper amenities. With this in mind, we recommend the creation of a community recreational facility that is within walking distance to all members and residents of this census tract. There are currently no community centers within this tract, and the ones that are nearby are across major roads and are not easily accessible by the children within this tract. This proposed community center would include some type of outdoor park with weather and heat-proof playground equipment, a pool or splashpad, and a simple music center. The music center would be indoors and would include non-removable instruments for people to play with, an area for dancing, and a mock stage. The resources, events, services, and other gatherings offered at this home may help in drawing people of all ages throughout the
  • 13. tract to the community center to exercise. This recommendation, therefore, intends to address the health issue in this tract from a holistic, cross-generational perspective. Using funds already available to the community in order to construct and manage this property is not a reasonable solution, and so an alternative source of funding will be necessary. Fortunately, certain governmental programs are in place that may serve as helpful means by which to realize the full expectations of the project. Specifically, the United State Department of Agriculture has set up an initiative called Community Programs that seeks to “assist in the development of essential community facilities” by providing grants to low-income communities (2013). We recommend that an application for such a grant be submitted for review so that the Dept. of Agriculture can determine whether Census Tract 1073 meets the requirements of the initiative. If the community is offered a grant by the Department, grant money may cover up to 75% of production costs, greatly increasing the plausibility of a community center such as the one described above being built (U.S. Department of Agriculture, 2013). Besides the policy action, we have also utilized the social/ecological model to suggest recommendations at the community and organizational levels. These neighborhoods need more luminous street lighting; some streets have no street lights at all. We would also recommend the number of speed bumps increase. Heavy traffic travels directly through residential neighborhoods in this area, a phenomenon that dissuades parents of young children from allowing them to play outside and engage in the exercise they need in order to stay healthy. Furthermore, this area could use a more frequent waste removal service. The current policy requires that waste management pick up waste quarterly (four times per calendar year). As a result of this great passage of time between visits from the waste management service, a heavy
  • 14. build up of landscaping waste, old furniture, liquor bottles, and other unseemly trash has accumulated on the sidewalks and streets. Lessons Learned: As a group, we have realized that some of our most useful and valuable information was gathered through impromptu interviews that were held with community residents. We got some of our most brutally honest opinions about this census tract from the minds of the children. We also discovered that by walking up and down inner streets of the neighborhood and nearby shops, we were able to gather some great information about physical barriers and resident interactions. It’s nearly impossible to really get a good feel and accurate depiction for the area by simply looking at a Google map or by reading about its history. Research provides a good background, but one cannot develop a sense of cultural humility or cultural competence from afar. Cultural humility and competence come both naturally and purposefully only through ongoing practical work in the community. Conducting community health assessments seem to be a vital activity for the growth and development of communities. They can also help to improve the information provided to public health departments, hospitals, school, and other community based organizations.
  • 15. References Adam, M.A. et al. (2013). Patterns of neighborhood environmental attributes related to physical activity across 11 countries: A latent class analysis. The International Journal of Behavioral Nutrition and Physical Activity, 10(34), 1-11. Ainsworth, B.E., Keller, C., Herrmann, S., Belyea, M., Records, K., Nagle-Williams, A., … Coonrod, D.V. (2013). Physical activity and sedentary behaviors in postpartum latinas: Madres para la salud. Medicine and Science in Sports Exercise, 45(7), 1298-1306. Bueker, J. (n.d.). The glory days of Chris-town mall. Retrieved from http://www.chris-town.com/ ChangeLab Solutions. (2014). Model Open Use Policy for Wisconsin School. Districts. Retrieved from changelabsolutions.org/publications/WI-open-use Creno, G. (2008, Dec. 29). After Dec. 31, no more free rides on light rail. AZCentral.com. Retrieved from http://www.azcentral.com/news/traffic/lightrail/articles/2008/12/31/20081231metropay1 231.html Ickes, MJ. & Sharma, M. (2012). A systematic review of physical activity interventions in Hispanic adults. Journal of Environmental and Public Health, 2012. doi: 10.1155/2012/156435 U.S. Census Bureau. (2001). Families (Hispanic or Latino Householder), Census Tract 1073. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC _00_SF1_P015H&prodType=table U.S. Census Bureau. (2001). Households (Hispanic or Latino Householder), Census Tract 1073. Retrieved from
  • 16. http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC _00_SF1_P015H&prodType=table U.S. Census Bureau. (2001). Poverty Status in 1999 of Related Children Under 18 Years by Family Type by Age (Hispanic or Latino), Census Tract 1073. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC _00_SF3_PCT076H&prodType=table U.S. Census Bureau. (2001). School Enrollment: 2000, Census Tract 1073. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC _00_SF3_QTP19&prodType=table U.S. Census Bureau. (2008). Selected Economic Characteristics, Census Tract 1073. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS _12_5YR_DP03&prodType=table U.S. Department of Agriculture (2013). Community Facility Grants. Retrieved from U.S. Department of Agriculture website: http://www.rurdev.usda.gov/had-cf_grants.html U.S. Department of Veterans Affairs. Phoenix VA Health Care System. Retrieved from http://www.phoenix.va.gov/phoenix/patients/patiented.asp Real Estate. (2014). Phoenix, AZ. Zillow. Retrieved from http://www.zillow.com/homes/for_sale/days_sort/33.523226,-112.112638,33.520548,- 112.117412_rect/17_zm/
  • 17. Appendix A - Semi-structured interview guide: Community Health Assessment - Interview Guide ● Introduction “I want to thank you for taking the time to meet with me today. My name is ______ and I would like to talk to you about your experiences in this community. We are assessing determinants of health in this community to help us devise policy or intervention recommendations. You should know that this information is for a community health class at Arizona State University and our findings will not be published. The interview should take less than an hour. All responses will be kept confidential. This means that your responses will only be shared with my team members and we will ensure that any information we include in our report does not identify you as the respondent. Remember, we do not have to talk about anything that you prefer not to and you may end the interview at any time. Are there any questions about what I have just explained? Are you willing to participate in this interview?” a. Tell me about your role/involvement/experience in the community. ● Community a. How is this area unique/different from other areas in Phoenix (or Arizona)? b. What are the strengths within this community? c. Where do you feel the people in this community spend most of their free time? d. Where do residents primarily shop for food and how do they get there? e. Where would you obtain community health information? ● Children a. What are some problems specifically affecting the health of children in the community? b. As director of Extended Care at this school, what policies/structures are in place in order to ensure that students receive the daily exercise they need to stay fit? c. How do you ensure that female students engage in the same amount of physical activity relative to males who may be more interested in sports/ athletic activities?
  • 18. d. Tell me about the parents’ involvement in (program name). e. Do you see any special issues regarding children from single parent households? i. How are these certain needs being met? f. What special issues does (organization name) face in regards to disabled children? i. How are these needs being met? ● Concerns/Suggestions a. Do you feel that there are any health concerns within your community? b. What suggestions do you have to make this community a healthier place? i. What would you recommend as a possible area of research? ii. What are some possible roadblocks that might be encountered? c. What do you feel are some problems/issues/weaknesses within this community? i. What are some possible solutions to these issues? ii. How would you like to see these issues overcome? ● Conclusion a. Is there anything else that you feel I should know about this community or that you would like to add to this interview? b. Thank you so much for your time and input!
  • 19. Appendix B - Pictures from the walking/windshield surveys:
  • 20. Appendix C - Thematic Analysis of Interviews: Profile Data Item Initial Codes Boys & Girls Club Community strengths: Non-profit services such as Homeward Bound Transitional -help w/housing, daycare, money management, jobs -DES qualified: fees discounted or paid -B&G Club can refer parents Parent participation in events -spending time as family Busy park North of Bethany Home Rd Shopping Center Weakness: Nutrition-B&G Club offers well-balanced dinner Behavioral Health -parents do not have resources to deal (time, education, services) Dental Health -B&G Club have clinic that visits: visual exams, referrals to services (income-based) Economic situation -parents have "couple jobs just to survive" -unable to provide needs to children such as doctor visits Physical Activity: Gym (rotations)*, basketball court @ B&G Club Education: Healthy Habits-curriculum @B&G Club -program teaches about physical activity and eating right Empower-AZ literacy & learning center -Identifies learning disabilities, services to help children and parents Phoenix Children's Hospital -teaches parents about healthcare system General need by parents -awareness, referral to services, and encouragement non-profit services referrals/ networking parent participation parent's needs nutrition behavioral issues dental health economic situation physical activity education
  • 21. Profile Data Item Initial Codes David Light rail has caused too many problems -traffic redirected down his street, unsafe for kids -wants speed bumps Likes his neighborhood Waste management-quarterly light rail traffic safety Chris and girls Recreation: "nothing fun to do" closest park across Bethany Home Rd. Suggestions: -want pool -community center (somewhere to all go play together) -music center Safety: homeless and crime, especially at night not enough streetlights park pool community center music center safety homeless streetlights Neighborhood Association Community: "ordinary low to middle income" mostly single-family housing Change: (past five years or so) expansion of institutions such as Grand Canyon University -acquired 35 acres east of 27th ave -displacing hundreds of households Strengths: Families-people spend time at home Food: food desert -due to poverty families have one or no cars and do their grocery shopping at nearby convenient stores and carnicerias-low food quality Health concerns: Diabetes, high blood pressure, "obesity due to inadequate health education, poor nutrition and inadequate exercise" expansion of institutions families food desert low quality food poverty diabetes high blood pressure obesity health education nutrition exercise
  • 22. Appendix D. Field Notes of Interview at Boys and Girls Club Informant: Unit Director, Harry & Rosenzweig Branch Interview name: Karen Hatten Date: December 1, 2014 Location of Interview: Boys and Girls Club Time of interview: 3 pm (Monday) Observational notes: Her office, no other people She was calm, seemed at ease with answering most questions Methodological notes: Left out a couple questions About 40 minutes Mostly uninterrupted (phone rang but she did not answer) Personal notes: Forgot my reading glasses and pens!! (I was a little embarrassed, had to borrow a pen)
  • 23. Appendix E - Map of Census Tract 1073: (Bethany Home Road/Camelback Road/27th Avenue/19th Avenue) Appendix F - Population Pyramid (US Census Tract 1073 population profile Age by Sex):