Healthy Cities GIS Assignment

Author

EYONG

Load the libraries and set the working directory

library(tidyverse)
library(tidyr)
library(leaflet)
library(sf)         
library(tigris)   
setwd("C:/Users/eyong/OneDrive - montgomerycollege.edu/Desktop/data110/DATASETS")
cities500 <- read_csv("500CitiesLocalHealthIndicators.cdc.csv")
data(cities500)

The GeoLocation variable has (lat, long) format

Split GeoLocation (lat, long) into two columns: lat and long

latlong <- cities500|>
  mutate(GeoLocation = str_replace_all(GeoLocation, "[()]", ""))|>
  separate(GeoLocation, into = c("lat", "long"), sep = ",", convert = TRUE)
head(latlong)
# A tibble: 6 × 25
   Year StateAbbr StateDesc  CityName  GeographicLevel DataSource Category      
  <dbl> <chr>     <chr>      <chr>     <chr>           <chr>      <chr>         
1  2017 CA        California Hawthorne Census Tract    BRFSS      Health Outcom…
2  2017 CA        California Hawthorne City            BRFSS      Unhealthy Beh…
3  2017 CA        California Hayward   City            BRFSS      Health Outcom…
4  2017 CA        California Hayward   City            BRFSS      Unhealthy Beh…
5  2017 CA        California Hemet     City            BRFSS      Prevention    
6  2017 CA        California Indio     Census Tract    BRFSS      Health Outcom…
# ℹ 18 more variables: UniqueID <chr>, Measure <chr>, Data_Value_Unit <chr>,
#   DataValueTypeID <chr>, Data_Value_Type <chr>, Data_Value <dbl>,
#   Low_Confidence_Limit <dbl>, High_Confidence_Limit <dbl>,
#   Data_Value_Footnote_Symbol <chr>, Data_Value_Footnote <chr>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>

Filter the dataset

Remove the StateDesc that includes the United Sates, select Prevention as the category (of interest), filter for only measuring crude prevalence and select only 2017.

latlong_clean <- latlong |>
  filter(StateDesc != "United States") |>
  filter(Category == "Prevention") |>
  filter(Data_Value_Type == "Crude prevalence") |>
  filter(Year == 2017)
head(latlong_clean)
# A tibble: 6 × 25
   Year StateAbbr StateDesc  CityName   GeographicLevel DataSource Category  
  <dbl> <chr>     <chr>      <chr>      <chr>           <chr>      <chr>     
1  2017 AL        Alabama    Montgomery City            BRFSS      Prevention
2  2017 CA        California Concord    City            BRFSS      Prevention
3  2017 CA        California Concord    City            BRFSS      Prevention
4  2017 CA        California Fontana    City            BRFSS      Prevention
5  2017 CA        California Richmond   Census Tract    BRFSS      Prevention
6  2017 FL        Florida    Davie      Census Tract    BRFSS      Prevention
# ℹ 18 more variables: UniqueID <chr>, Measure <chr>, Data_Value_Unit <chr>,
#   DataValueTypeID <chr>, Data_Value_Type <chr>, Data_Value <dbl>,
#   Low_Confidence_Limit <dbl>, High_Confidence_Limit <dbl>,
#   Data_Value_Footnote_Symbol <chr>, Data_Value_Footnote <chr>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>

What variables are included? (can any of them be removed?)

names(latlong_clean)
 [1] "Year"                       "StateAbbr"                 
 [3] "StateDesc"                  "CityName"                  
 [5] "GeographicLevel"            "DataSource"                
 [7] "Category"                   "UniqueID"                  
 [9] "Measure"                    "Data_Value_Unit"           
[11] "DataValueTypeID"            "Data_Value_Type"           
[13] "Data_Value"                 "Low_Confidence_Limit"      
[15] "High_Confidence_Limit"      "Data_Value_Footnote_Symbol"
[17] "Data_Value_Footnote"        "PopulationCount"           
[19] "lat"                        "long"                      
[21] "CategoryID"                 "MeasureId"                 
[23] "CityFIPS"                   "TractFIPS"                 
[25] "Short_Question_Text"       

Remove the variables that will not be used in the assignment

prevention <- latlong_clean |>
  select(-DataSource,-Data_Value_Unit, -DataValueTypeID, -Low_Confidence_Limit, -High_Confidence_Limit, -Data_Value_Footnote_Symbol, -Data_Value_Footnote)
head(prevention)
# A tibble: 6 × 18
   Year StateAbbr StateDesc  CityName  GeographicLevel Category UniqueID Measure
  <dbl> <chr>     <chr>      <chr>     <chr>           <chr>    <chr>    <chr>  
1  2017 AL        Alabama    Montgome… City            Prevent… 151000   Choles…
2  2017 CA        California Concord   City            Prevent… 616000   Visits…
3  2017 CA        California Concord   City            Prevent… 616000   Choles…
4  2017 CA        California Fontana   City            Prevent… 624680   Visits…
5  2017 CA        California Richmond  Census Tract    Prevent… 0660620… Choles…
6  2017 FL        Florida    Davie     Census Tract    Prevent… 1216475… Choles…
# ℹ 10 more variables: Data_Value_Type <chr>, Data_Value <dbl>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>
md <- prevention |>
  filter(StateAbbr=="MD")
head(md)
# A tibble: 6 × 18
   Year StateAbbr StateDesc CityName  GeographicLevel Category  UniqueID Measure
  <dbl> <chr>     <chr>     <chr>     <chr>           <chr>     <chr>    <chr>  
1  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Chole…
2  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Visit…
3  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Visit…
4  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Curre…
5  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Curre…
6  2017 MD        Maryland  Baltimore Census Tract    Preventi… 2404000… "Visit…
# ℹ 10 more variables: Data_Value_Type <chr>, Data_Value <dbl>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>
unique(md$CityName)
[1] "Baltimore"

The new dataset “Prevention” is a manageable dataset now.

For your assignment, work with a cleaned dataset.

1. Once you run the above code, filter this dataset one more time for any particular subset with no more than 900 observations.

Filter chunk here

examining ohio

prevention <- latlong_clean |>
  select(-DataSource,-Data_Value_Unit, -DataValueTypeID, -Low_Confidence_Limit, -High_Confidence_Limit, -Data_Value_Footnote_Symbol, -Data_Value_Footnote)
head(prevention)
# A tibble: 6 × 18
   Year StateAbbr StateDesc  CityName  GeographicLevel Category UniqueID Measure
  <dbl> <chr>     <chr>      <chr>     <chr>           <chr>    <chr>    <chr>  
1  2017 AL        Alabama    Montgome… City            Prevent… 151000   Choles…
2  2017 CA        California Concord   City            Prevent… 616000   Visits…
3  2017 CA        California Concord   City            Prevent… 616000   Choles…
4  2017 CA        California Fontana   City            Prevent… 624680   Visits…
5  2017 CA        California Richmond  Census Tract    Prevent… 0660620… Choles…
6  2017 FL        Florida    Davie     Census Tract    Prevent… 1216475… Choles…
# ℹ 10 more variables: Data_Value_Type <chr>, Data_Value <dbl>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>
oh <- prevention |>
  filter(StateAbbr=="OH")
head(oh)
# A tibble: 6 × 18
   Year StateAbbr StateDesc CityName  GeographicLevel Category  UniqueID Measure
  <dbl> <chr>     <chr>     <chr>     <chr>           <chr>     <chr>    <chr>  
1  2017 OH        Ohio      Canton    City            Preventi… 3912000  "Chole…
2  2017 OH        Ohio      Cleveland Census Tract    Preventi… 3916000… "Curre…
3  2017 OH        Ohio      Cleveland Census Tract    Preventi… 3916000… "Chole…
4  2017 OH        Ohio      Columbus  Census Tract    Preventi… 3918000… "Takin…
5  2017 OH        Ohio      Dayton    Census Tract    Preventi… 3921000… "Visit…
6  2017 OH        Ohio      Dayton    Census Tract    Preventi… 3921000… "Chole…
# ℹ 10 more variables: Data_Value_Type <chr>, Data_Value <dbl>,
#   PopulationCount <dbl>, lat <dbl>, long <dbl>, CategoryID <chr>,
#   MeasureId <chr>, CityFIPS <dbl>, TractFIPS <dbl>, Short_Question_Text <chr>

Medicine use for HBP

In this step, I filtered out individuals taking HBP medication, which resulted in a separate column. I then further segmented the population into those who use the medication only and also as made the data value to be a % which also created a separate column too which you will see below .

MHBP <- oh %>%
  filter(Measure == "Taking medicine for high blood pressure control among adults aged >=18 Years with high blood pressure") %>%
  mutate(
    data_value_decimal = Data_Value / 100,
    estimated_users = round(data_value_decimal * PopulationCount)
  ) %>%
  drop_na()
oh_tracts <- tracts(state = "OH", cb = TRUE) %>%
  st_transform(4326)
Retrieving data for the year 2022

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2. Based on the GIS tutorial (Japan earthquakes), create one plot about something in your subsetted dataset.

First plot chunk here

creating a bargraph for those who use HBP meds according to the city

options(scipen = 999)
bar2 <- MHBP |>
  ggplot(aes(CityName, estimated_users)) +
  geom_col()
bar2

3. Now create a map of your subsetted dataset.

First map chunk here creating a map for HBP med usage

leaflet(MHBP) %>%
  addProviderTiles(providers$CartoDB.Positron) %>%
  addCircleMarkers(
    ~long, ~lat,
    radius = sqrt(MHBP$PopulationCount/100),
    color = "red",
    fillOpacity = 0.3
  )

4. Refine your map to include a mouse-click tooltip

Refined map chunk here

pal <- colorNumeric(
  palette = "viridis",
  domain = MHBP$Data_Value
)

leaflet(MHBP) %>%
  addProviderTiles(providers$Esri.WorldStreetMap) %>% 
  addCircleMarkers(
    ~long, ~lat,
    radius =  sqrt(MHBP$PopulationCount/100), #~sqrt(PopulationCount)/100, 
    color = ~pal(Data_Value),
    popup = ~paste0(
      "<strong>", CityName, "</strong><br>",
      "City FIPS: ", CityFIPS, "<br>",
      "Population: ", scales::comma(PopulationCount), "<br>",
      "HBP Medicine Usage: ", round(Data_Value, 1), "%<br>",
      "Estimated Users: ", scales::comma(estimated_users)
    ),
    fillOpacity = 0.7
  ) %>%
  addLegend(
    position = "bottomright",
    pal = pal,
    values = ~Data_Value,
    title = "HBP Medicine Usage (%)",
    opacity = 1
  )

5. Write a paragraph

In a paragraph, describe the plots you created and what they show.

Analysis

The aim of my research was to investigate the prevalence of high blood pressure (HBP) medication use in Ohio. Specifically, I focused on identifying the population aged 18 and older who are using HBP medication.

During my analysis, I found that the city of Columbus has the highest number of individuals using this medication. This suggests that a significant portion of the population in Columbus may be suffering from high blood pressure.

As part of the analysis, I created an interactive map that allows users to explore the data more deeply. By clicking on the map, you can view population data for specific cities in Ohio. For each city, you can see the total population, the number of people using HBP medication, and the percentage of the population that uses it.

When focusing on Columbus, the data clearly shows that a large percentage of its residents are using HBP medication. This trend is also observable across many cities in Ohio, indicating that high blood pressure is a widespread health issue in the state.

Worries

My main challenge was working with the tract FIPS codes. While these codes are useful for representing geographic areas on the map, they only appear as numbers, which can be confusing. While locals might understand what these numbers represent, it didn’t make sense to me. I wish the FIPS codes were represented by actual names instead of just numbers, as this would have provided a clearer and more intuitive analysis of the data