An overview of social factors contributing to HIV risk, including Philadelphia-specific information and maps.

1. WHERE WE LIVE MATTERS:
SOCIAL DETERMINANTS OF HIV RISK
Presented by

2. TOPICS TO BE DISCUSSED
• Racial/Ethnic Populations Distribution
• Socio-economic Status
 Poverty
 Educational Attainment
• Neighborhood Stability
• Crime/Violence
• Theft
• Assault
• Homicide
• STDs
• HIV/AIDS

3. OUR PLACE DETERMINES OUR HEALTH
SOCIAL/
But all of POLITICAL /
these factors ECONOMIC
determine our DEMOGRAPHICS
ENVIRONMENT
place
INCOME

4. WHAT FACTORS IMPACT HEALTH?
• Genetics
• Access to medical care
• Health literacy
• Social networks
• Stress levels/coping mechanisms
• Income
• Social Stigma (racism, sexism, ageism, etc.)
• Education
• Safety/Violence
• Water, air, and soil quality
• Access to healthy foods
• Working conditions
• Transportation

6. SOCIAL DETERMINANTS – WHAT?
 Health is impacted by where
we live, work, play and learn
 Many factors outside of our
control impact health and
well being
 Our early life experiences
affect later health

7. SOCIAL DETERMINANTS
• Social and economic factors are extremely powerful
predictors of death and ill-health across a wide
range of diseases and injuries
• Three distinct components:
– Socio-economic determinants
• Age, sex, education
– Psycho-social risk factors
• Social support, self esteem, chronic stress
– Community and societal characteristics
• Income inequality, level of trust, social capital

8. SOCIOECONOMIC DETERMINANTS
 Age  Occupation
 Gender  Income
 Race  Religion
 Ethnicity  Housing
 Education
 Employment

9. PSYCHOSOCIAL RISK FACTORS
 Poor social networks  High physical/
 Low self-esteem psychological demand
 Self-efficacy  Chronic stress
 Depression  Isolation
 Anxiety  Anger/hostility
 Insecurity  Coping
 Loss of sense of  Perception/ expectations
control

10. COMMUNITY AND SOCIETAL
CHARACTERISTICS
 Social networks  Poverty
 Social and community  Residence (urban,
participation rural)
 Civic and political  Income inequality
involvement  Crime rate
 Trust in people and  Domestic violence
social institutions  Unemployment rate
 Tolerance of diversity
 Altruism, charity work

11. SOCIO-ECONOMIC STATUS AND HEALTH
 Association between health and socio-
economic status is causal
 Our social and economic status can be the cause of
either declining health or illness/disease
 As income/education/status increase, health and well
being increases
(Ansari, Carson et. al, 2003)

12. SOCIAL DETERMINANTS AND HIV
• Where we live affects health and HIV risk behaviors
– Living in a socially disadvantaged neighborhood can
lead to fatalism, risky coping mechanisms (substance
abuse, risky sexual behaviors)
– Some communities have limited or no access to health
information or medical/mental health services
– Social networks impact sexual and drug use behaviors
and health

13. SOCIAL NETWORKS

14. WHO’S IN OUR SOCIAL NETWORK MATTERS
Composition of social networks impacts HIV risk
 Individual risk is not determined by personal risk behavior
alone, but also the “pool” of disease in their sexual/drug using
networks
(Augustine and Bridges, 2008; Adimora & Schoenbach, 2005; Aral, Adimora, Fenton, 2008)

15. WHO’S IN OUR SOCIAL NETWORK MATTERS
Composition of social networks impacts HIV risk
 Factors impacting the intensity of HIV in a network:
 Density – how many people in a network have
had sexual contact with each other
 Sorting – tendency of people with similar
characteristics (race, age, neighborhood) to
associate with one another and not others
outside the community
 Mixing – when someone has sexual contact with
someone outside their primary network
 Concurrent partnerships – having more than one
sexual partner at a time

16. CONCURRENT PARTNERSHIPS
 Concurrent sexual partnerships or partnerships that
overlap in time raise HIV transmission risks more
than having multiple consecutive monogamous
partnerships.
 Recent research found that African American men
had 2.56 higher odds of engaging in concurrent
relationships as White men.
 Poverty, substance use and abuse, and
incarceration are associated with concurrent
partnerships
(Nunn, Dickman, Cornwall, et. al 2011)

17. SEX RATIO IMBALANCE
 Some African American communities have more
females than males
 Due to high infant mortality and death to violence and
disease, as well as high incarceration rates
 Imbalance grows as the population age increases –
more boys for children, less males in elderly population
 Imbalance affects behavior of both males and females,
in terms of concurrency and risk behaviors
 Women may perceive a shortage of men and tolerate
behavior/risk they might not otherwise
 Men have some leverage in relationships, because there are
other women available

18. PHILADELPHIA FACTORS - CONCURRENCY
 Philly has the 4th highest incarceration rate in the
U.S. – 5.7 per 100 residents
 Nearly 45% of African Americans have never been
married
 Fewer than 10% of individuals living below the
poverty line are married
 Philly has sex ratio of .82 for African Americans
(Nunn, Dickman, Cornwall, et. al 2011)

19. HEALTH/MORTALITY

20. HEALTHCARE SYSTEM
• Most socioeconomically disadvantaged populations
tend to use more primary and secondary health
services, but make less use of prevention services
like: prenatal care, immunizations, health screening
and dental services
• Primary health services – regular doctor visits
• Secondary health services – treatment of specialists to
manage/cure disease

21. MORTALITY
 Black:White ratios of mortality from coronary heart
disease, cancer and diabetes were larger in 1990s
than 1950s.
 Researchers at CDC estimated that 38% of the
excess mortality among Black adults compared to
White adults was related to differences in income
 Krieger et. al estimated if everyone experienced the
mortality of the wealthiest 20% of Whites, between
1960 and 2002 we would have avoided:
 14% of premature deaths among Whites
 30% of premature deaths for Blacks
(Williams & Collins, 2001; Woolf & Braverman, 2011)

22. RACE AND ETHNICITY
Segregation and social factors

23. RACIAL/ETHNIC COMPOSITION
 Philadelphia population: 1,526,006
 White: 626,221 or 41.0 %,
 46,893 Male & 66,239 Female below the poverty
level (2009)
 Black: 661,839 or 43.4 %
 79,976 Male & 111,335 Female below the poverty
level (2009)
 Hispanic: 172,483 or 11.3%
 31,600 Male & 37,799 Female below the poverty
level (2009)
 Asian: 96,405 or 6.3%
 Male 9,877 & 9,835 Female below the poverty
level (2009)
(US Census Data)

24. RACIAL/ETHNIC DISPARITIES
Compared with Whites, Black and Hispanics:
Generally
 Earn less income and have less schooling
 At the same educational level, have lower
incomes
 At the same educational/income level, are more
likely to have grown up in disadvantaged
circumstances
 At a given income level
 Have less wealth (all earnings, properties, investments)
 Live in unstable neighborhoods
(RWJF 2011)

25. RACIAL SEGREGATION AND SOCIAL FACTORS
 Race may help determine place, but people of different
ethnic/racial groups experience similar health outcomes in
severely disadvantaged neighborhoods
 Segregation is the primary cause of racial differences in socio-
economic status (SES)
 The worst urban context in which Whites live is better than the
average context for Black communities.
 Many segregated areas have high levels of multiple sources
of stress including:
 Violence
 Financial stress
 Family separation
 Chronic illness
 Death
 Family turmoil
(Williams & Collins, 2001; Woolf & Braverman, 2011)

26. EDUCATIONAL ATTAINMENT AND
INCOME

27. EDUCATIONAL ATTAINMENT
 Educational attainment affects health through:
 Health knowledge
 Employment and income
 Sense of control
 Social networks
 People with more education are more likely to:
 Live longer
 Experience better health outcomes
 Practice health-promoting behaviors
 Have close friends on whom they can rely
 Have greater family stability and supportive marriages
(RWJ, 2011)

28. EDUCATIONAL ATTAINMENT
 Residential segregation has led
to highly segregated primary
and secondary schools and is
the fundamental cause of racial
differences in the quality of
education
 Children’s health is strongly
linked to their parents’
education, particularly mother’s

29. PHILADELPHIA- EDUCATIONAL ATTAINMENT
 80% of Philadelphians 25 years and
older have HS diploma/GED or greater
 6% less than 9th grade
 13.4% have 9-12th grade
 16.6% Some college/no degree
 12.8% Bachelor’s degree
 9.8% Graduate degree
 Philadelphia drop out rate is 3.37% in 2010,
highest in PA

30. POVERTY AND CHRONIC STRESS
 Poverty/near poverty is often stressful because so much
time/energy devoted to daily tasks and securing
necessities
 Stress can lead to harmful coping mechanisms like
smoking, drug use and risky sex
 Chronic stress or stress during critical periods can lead to
illness in adulthood through the neuroendocrine (nervous
system transmitters), immune, inflammatory
pathways/systems
 Chronic diseases like diabetes and heart disease
 Low birth weight, prematurity
 Neuroendocrine problems with lifelong effects (some cancers
(RWJF, 2011)

31. POVERTY AND FAMILIES
Total Married Male Female
Families Couple Householder Householder
Families with no wife no husband
own children present with present with
under 18 own children own children
present under 18 under 18
311,055 64,488 or 13,818 or 64,800 or
20.73% 4.44% 20.83%
Families below 59,827 8,056 or 4,271 or 33,734 or
poverty line in 13.47% 7.14% 56.39%
2009 inflation-
adjusted $
 Average Family Income -$45,842 (in 2009 inflation adjusted $’s)
 Philadelphia has highest poverty rate of the 10 largest cities

32. THE GAP WIDENS
Between 2005 and 2009 the average net worth
of households decreased considerably:
• Fell by 16%
Whites • From $134,992 to $113,149
• Fell by 53%
Blacks • From $12,124 to $5,677
• Fell by 66%
Hispanics • From $18,359 to $6,325
(Woolf & Braverman, 2011)

33. VIOLENCE AND SOCIAL
DISADVANTAGE

34. SOCIAL DISADVANTAGE AND VIOLENCE
People with limited income and social
support/resources are more likely to:
 Have social networks which
include others of limited means
and ability to provide support and
comfort
 Experience social disorganization
 Experience conditions which
deepen feelings of
anger, frustration, hopelessness
which may make it more likely to
resort to violence
 Have peers who engage in and
encourage violent responses to
conflict
(RWJF, 2011)

35. LINKS BETWEEN VIOLENCE AND HEALTH
 Violence can affect health-related behaviors
 Violence-associated stress affects motivation and capability
to adopt and adhere to health-promoting behaviors and/or
increases the use of health-harming coping behaviors
 Violence-related stress may lead to poorer health
 Chronic stress has been linked to more rapid onset and
progression of chronic illnesses and bodily wear and tear
(which accelerates aging)
 Violence can influence health through its impact on
social and economic conditions
 Violence can lead to widespread feelings of fear, distrust and
isolation
 Violence can act as an obstacle to investments in health-
promoting community resources and opportunities
(supermarkets, jobs, parks)
(RWJ, 2011)

36. NEIGHBORHOOD CHARACTERISTICS
 Extremely disadvantaged neighborhoods are characterized by a high
degree of social isolation from mainstream society
 Most profound effects of living conditions may be delayed
consequences that unfold over a lifetime
 Higher vacancy rates and greater prevalence of renters produce
significantly higher levels of property crime
 Many studies have found relationships between neighborhood
disadvantage and health, even after considering individual
characteristics (behavior, income, etc.)
 Distressed homes and neighborhoods can induce disease
(lead, allergens, pollution)
 Shortage of health care providers, especially primary care
(Krivo & Peterson, 1993; Woolf & Braverman, 2011)

37. HOMICIDE
 Higher levels of relative and
absolute deprivation are
associated with higher levels of
homicide
 Black-White segregation leads to
higher rates of Black killing
(stranger and acquaintance
homicides)
 Social isolation may act as the
mechanism
(Peterson & Krivo, 1993)

38. STIS AND HIV

39. SEXUALLY TRANSMITTED INFECTIONS
Social determinants create the epidemiological context for
individual behaviors and STI transmission:
 SES is one of the most important determinants of sexual
health
 High unemployment rates, low mean income and low
education levels are associated with higher STI rates
 Disparities in incarceration rates and high mortality for Black
males have lead to disproportionate sex ratios in some
communities (more women than men)
(Hogben and Leichter, 2008; Thomas, Torrone, et al., 2009)

40. STIS AND HIV
 CDC identified higher HIV prevalence among
heterosexual individuals who had previously
received an STI diagnosis (4.0%) vs. those who did
not (1.7%)
 Transmission and acquisition of HIV may be
increased up to 10 times by the presence of other
sexually transmitted infections
(CDC MMWR 8/12/2011, Logan, Cole & Leukefield, 2002)

41. HIV/AIDS
National and Local Epidemiological Contexts

44. NATIONAL INCIDENCE DATA
 Estimated 48,100 HIV infections in 2009 in adults
and adolescents (95% CI, 42,200 – 54,000)
 Estimated incidence 19.0 infections per 100,000
population
 44% among blacks, 20% Latinos
 61% among MSM, 27% heterosexual
 39% among 13-29 year olds
(AACO, 2011)

45. HIV IN PHILADELPHIA
 25,563 people are living with HIV/AIDS in the Philadelphia 9
county region, almost 75% of those live in Philly
 Estimated another 5,000 HIV+ people are not aware of HIV+
status
 Philly’s HIV incidence rates are 4 times national average
 It is estimated that 2% of African Americans in Philly are HIV+

46. 2009 ESTIMATE OF HIV INCIDENCE -
PHILADELPHIA
 Local estimate of 941 new HIV infections in 2009 in
adults and adolescents (95% CI, 659 – 1,222)
 Case rate of 76.8 new HIV infections per 100,000
population
 4 times the national rate
 90% increase in incidence among youth, 13-24 between
2006 to 2009
 Driven by increases in young, black, MSM

47. LOCAL INCIDENCE ESTIMATE - RACE
2009 HIV Diagnoses 2009 HIV Incidence
N=913 N=941
38% 37%
62% 63%
Black Non-Black
Black Non-Black

48. LOCAL INCIDENCE ESTIMATE - AGE
2009 HIV Diagnoses 2009 HIV Incidence
N=913 N=941
17%
27% 25%
30%
48% 53%
13-24 25-44 45+ 13-24 25-44 45+

49. LOCAL INCIDENCE ESTIMATE - MODE
2009 HIV Diagnoses 2009 HIV Incidence
N=913 N=941
36% 39%
47%
50%
14% 14%
MSM IDU Hetero MSM IDU Hetero

50. Mistrust of
Health
Care
System
Social
Inequality
Historic and Modern
Inequality
Increased
Risk of HIV
and STD
Drug
and
Alcoho
l
Abuse Unprotected
Sex
Unsafe/
Unstable Concurrent
Incarceration
Neighborhoods
Partnerships
(Advocates for Youth, 2008)

51. NEIGHBORHOOD CHARACTERISTICS AND HIV
 Philadelphia neighborhoods with high rates of HIV
(GENERALLY) have these characteristics:
 Low socio-economic status
 High concentration of Black/African American residents
 High death rates due to homicide, AIDS, septicemia or
other illness
 High birth risk
 High neighborhood instability
 High crime rates of multiple types
(PHMC, 2011)

52. INCOME AND HIV
 Material poverty is associated with an increase in
risk behaviors
 CDC found HIV prevalence associated with
socioeconomic status:
 Prevalence higher among those :
 With less than high school education* (2.8%)
 Incomes at or below poverty* (2.3%)
 Unemployed *(2.6%)
 Homeless (3.1%)
*statistically significant differences
(CDC MMWR 8/12/2011)

53. Northeast
Fairmont Airport
Park
La Salle
Pennypack
Clark Park Park
Cobbs
Creek
Park
Phila Int.
Airport

54. BLACK POPULATION
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104 Legend
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Rivers and Streams
19145
19145 tracts
19148
19148 BLACK POP %
0.07% - 4.44%
4.45% - 12.75%
12.76% - 32.4%
19112
19112
19153
19153 32.41% - 69.17%
69.18% - 94.44%
94.45% - 98.65%
Zip Code Boundaries
19113
19113
0 0.40.8 1.6 Miles

55. HISPANIC POPULATION
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104 Legend
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Rivers and Streams
19145
19145 tracts
19148
19148 HISPANIC POP %
0.26% - 1.24%
1.25% - 1.88%
1.89% - 2.75%
19112
19112
19153
19153 2.76% - 4.22%
4.23% - 10.01%
10.02% - 88.49%
Zip Code Boundaries
19113
19113
0 0.40.8 1.6 Miles

56. WHITE POPULATION
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104 Legend
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Rivers and Streams
19145
19145 tracts
19148
19148 WHITE / POP2000
0.28% - 2.41%
2.42% - 16.5%
16.51% - 45.3%
19112
19112
19153
19153 45.31% - 73.6%
73.61% - 90.16%
90.17% - 100%
Zip Code Boundaries
19113
19113
0 0.40.8 1.6 Miles

57. FEMALE-HEADED HOUSEHOLDS WITH
CHILDREN, 2010
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19122
19122
19151
19151 19125
19125 Legend
19130
19139
19139
19104
19104
19130
19102
19102
19123
19123 m
n La Salle, City Hall
19143
m
n
19103 19107
19103 19107
19106
19106
Zip Code Boundaries
Airport
19143
19146
19146
19147
19147 Runway
FCC
19142
19142
Parks
19145
19145 19148
19148 Rivers and Streams
tracts
19112
19112 FHH_CHILD / HOUSEHOLDS
19153
19153
0.34% - 3.99%
4% - 6.93%
19113
19113 6.94% - 11.34%
11.35% - 16.44%
0 0.40.8 1.6 Miles
16.45% - 20.32%
20.33% - 50%

58. LIVING BELOW POVERTY, 2010
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104 Legend
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Zip Code Boundaries
19145
19145 Rivers and Streams
19148
19148 tracts
TPOPBELP / POP2010
1.19% - 8.34%
8.35% - 13.04%
19112
19112
19153
19153 13.05% - 19.97%
19.98% - 29.04%
29.05% - 38.28%
38.29% - 83.13%
19113
19113
0 0.40.8 1.6 Miles

59. LESS THAN HIGH SCHOOL, MALES > 25, 2010
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104 Legend
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Zip Code Boundaries
19145
19145 Rivers and Streams
19148
19148 tracts
M12THGNL / POP2010
0%
0.01% - 5.85%
19112
19112
19153
19153 5.86% - 8.1%
8.11% - 10.73%
10.74% - 13.17%
13.18% - 56.79%
19113
19113
0 0.40.8 1.6 Miles

60. LESS THAN HIGH SCHOOL, FEMALES >25, 2010
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139 19123
19123
19139 Legend
19104
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Zip Code Boundaries
19145
19145 Rivers and Streams
19148
19148 tracts
F12THGNL / POP2010
0%
0.01% - 6.54%
19112
19112
19153
19153 6.55% - 10.07%
10.08% - 13.21%
13.22% - 16.73%
16.74% - 37.5%
19113
19113
0 0.40.8 1.6 Miles

61. LICENSE AND INSPECTION DEMO, 2005
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104
19104 Legend
19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Zip Code Boundaries
19145
19145 Rivers and Streams
19148
19148 tracts
LIDEMORATE05 / HSE_UNITS
0%
0.01% - 0.16%
19112
19112
19153
19153 0.17% - 0.68%
0.69% - 1.74%
1.75% - 4.79%
4.8% - 43.31%
19113
19113
0 0.40.8 1.6 Miles

62. L & I PENDING DEMO, 2005
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104
19104 Legend
19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106 m
n La Salle, City Hall
19143 Airport
19146
19146
19147
19147 Runway
FCC
Parks
19142
19142 Zip Code Boundaries
19145
19145 Rivers and Streams
19148
19148 tracts
.LIPENDDEMO05
0
1-4
19112
19112
19153
19153 5 - 10
11 - 20
21 - 36
37 - 128
19113
19113
0 0.40.8 1.6 Miles

63. THEFTS, 2011
19116
19116
19154
19154
19115
19115
19118
19118 19150
19150
19114
19114
19111
19111 19152
19152
19138
19138 19126
19126
19119
19119
19128
19128
19144
19144
m
n 19141
19141
19120
19120
19149
19149
19136
19136
19127
19127
19124 19135
19135
19124
19129
19129 19140
19140
19132
19132 19137
19137
19133
19133
19131
19131 19134
19134
19121
19121
19151
19151 19122
19122 19125
19125
19130
19130
19139
19139 19123
19123
19104
19104 19102
19102
19143
m
n
19103 19107
19103 19107
19106
19106
19143
19146
19146
19147
19147 Legend
Thefts
19142
19142
19145
19145 19148
19148
m
n La Salle, City Hall
Airport
Runway
19112
19112
19153
19153 FCC
Parks
Rivers and Streams
19113
19113
Zip Code Boundaries
0 0.40.8 1.6 Miles