Screening Disparity Atlas

The American Cancer Society Screening Disparity Atlas is a state-of-the-art dashboard, developed by the Geospatial Solutions Team (GST) in collaboration with the Early Detection Team. This new tool provides vital insights into cancer mortality, incidence, demographics, screening and risk factors, enriched with detailed data on Federally Qualified Health Centers (FQHCs), including their associated sites, screening rates, patient characteristics, and informative charts, pning from 2014 to 2022. It is a powerful tool that can assist in identifying and addressing gaps to eliminate disparities in cancer screening and outcomes.

Data Sources

Data sources and links are embedded in the Screening Disparity Atlas. On the FQHC popup, you will find a link to the health center's 2023 HRSA profile.

HRSA Profile View Data

Each map has data sources linked by clicking the Information outline Info icon found in the upper right of the map window.

Info Popout Data Sources

Source	Map(s)	Description	Data Included
Health Resources and Services Administration (HRSA) Uniform Data System	FQHC(s) data popup on all maps	Data on HRSA supported health centers across the United States, including patient demographics, services provided, and clinical quality measures	Health Center Program UDS Data (2022) Special Populations Funded Programs (2022) Patient Characteristics Snapshot (2022)
NCI GIS Portal for Cancer Research	Mortality, Incidence	Cancer mortality and incidence rates by cancer type by U.S. County and Territory	Health Center Program UDS Data (2022) Special Populations Funded Programs (2022) Patient Characteristics Snapshot (2022) Breast Cancer Incidence Rate (2017-2021) Cervix Cancer Incidence Rate (2017-2021) Colon and Rectum Cancer Incidence Rate (2017-2021) Lung and Bronchus Cancer Incidence Rate (2017-2021) Prostate Cancer Incidence Rate (2017-2021)
Census American Community Survey (ACS)	Demographics	Data on educational levels (persons aged 25 years and over, languages spoken at home, and poverty status)	Educational Attainment Data Variables (2018-2022) - Updated by Esri Demographics Team Language Spoken at Home Data Variables (2018-2022) - Updated by Esri Demographics Team Poverty Status (2018-2022) - Updated by Esri Demographics Team
Census Demographic and Housing Characteristics File (DHC)	Demographics	Data on age and sex demographics as well as ta on racial and ethnic composition of the U.S.	Age and Sex Characteristics (2020) - Updated by Esri Demographics Team Race and Ethnicity Characteristics (2020) - Updated by Esri Demographics Team
CDC/ATSDR - Place and Health	Demographics	Data on social vulnerability, socioeconomic status, household composition, minority language, housing, and transportation in the U.S.	Overall Social Vulnerability Index (SVI 2022) Socioeconomic Theme Household Composition Disability Theme Minority Language Theme Housing Transportation Theme
CDC PLACES: Local Data for Better Health	Screening & Risk Factors	Screening rates and risk factor prevalence based on data from the Behavioral Risk Factor Surveillance System (BRFSS)	Cervical Cancer Screening (BRFSS 2021) Colorectal Cancer Screening (BRFSS 2021) Mammography (BRFSS 2021) Binge Drinking (BRFSS 2022) Current Smoking (BRFSS 2022) Obesity (BRFSS 2022)

Main Functions

Explore the four interactive choropleth maps for insights into cancer mortality, incidence, demographics, screening & risk factors. Specify different parameters in the query panel. Zoom in and out of the maps and customize the data visualizations to user needs.

Default Map View

Upon accessing the Atlas, you will be presented with the default map view. From this view, you will see the (1) main map interface, the (2) query panel, (3) legend, and (4) side panel.

Default Map View of the ACS Screening Disparity Atlas

Interactivity and Zooming

Each (1) symbol represents an FQHC. Click on any of the FQHC symbols to be presented with a popout menu containing data relevant to that specific FQHC. Use the (2) "+" icon to zoom in and the (3) "-" icon to zoom out.

Zoomed-in view of the Atlas

Zoomed-out view of the Atlas

Query Panel

The query panel allows users to filter and display specific data. Each of the four maps has its own query panel in which there are slight variations:

Screening & Risk Factors Map Query Panel

Demographics Map Query Panel

Incidence Map Query Panel

Mortality Map Query Panel

Screening & Risk Factors

Expanded view of Screening & Risk Factors Map Query Panel

Demographics

Expanded view of Demographics Map Query Panel

Incidence

Expanded view of Incidence Map Query Panel (Cancer Type)

Expanded view of Incidence Map Query Panel (Race/Ethnicity)

Mortality

Expanded view of Mortality Map Query Panel (Cancer Type)

Expanded view of Mortality Map Query Panel (Race/Ethnicity)

Toggle Options

Turn the (1) FQHC toggle off or on to change whether FQHCs are visible on the map.

Interface of the Atlas with the FQHC toggle off

Interface of the Atlas with the FQHC toggle on

Legend

The (1) legend a explains what each version of the "H" symbol means. An (2) symbol represents an urban FQHC. An (3) symbol represents a rural FQHC.