Demographic data and geographic information systems for decision making: The case of public health

Recent changes in the United States health care system include a broadened definition of health and renewed focus on public health. Increasingly, demographic analyses are incorporated into public health decision-making. Analysts also are using geographic information more routinely, because Geographic Information System (GIS) software is becoming easier to use. The paper describes three cases in which demographers used GIS to analyze the spatial distribution of public health data. The first case, from Santa Clara County, California, focuses on adolescent sexually transmitted diseases in secondary school districts. The second case, also from Santa Clara County, maps preventable hospitalizations of senior citizens. The third examines the distribution of premature births in Tennessee counties. The researchers applied demographic techniques and perspectives in each case, and each case produced information that is being used by officials who plan health education campaigns and services.