Download - Sources for Local Public Health Data
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Sources for Local Public Health Data
Montana Public Health Association Annual Meeting
September 30, 2014
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AMERICAN COMMUNITY SURVEY (ACS)
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American Community Survey
• Decennial Census– Conducted once every 10 years by the US Census
Bureau and is a point-in-time count• Provides an official count of the entire US population
for Congress
• American Community Survey– Conducted every year in a rolling sample design
by the US Census Bureau• Estimates the characteristics of how people live-
education, housing, income, disability, and more
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American Community Survey• Gender• Age Race &Hispanic
Origin• Education• Marital Status• Fertility• Grandparent/Other
caregiver• Veteran Status
• Disability Status• Place of Birth• Citizenship Status• Year of Entry into the
US• Language Spoken at
Home• Ancestry/Tribal
Affiliation
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American Community Survey• Income & Benefits• Employment Status• Occupation/Industry• Community to Work• Place of work/residence
• Housing Tenure• Housing Characteristics• Housing Values• Housing Taxes &
Insurance• Mortgage/Monthly Rent• Utilities
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American Community Survey
Data collected between…
Data pooled to produce Data published for areas with
January 1, 2012 and December 31, 2012
ACS 1-year estimates Year:2012
Populations of 65,000+
January 1, 2010 and December 31, 2012
ACS 3-year estimates Year:2010-2012
Populations of 20,000+
January 1, 2008 and December 31, 2012
ACS 5-year estimates Year:2008-2012
Populations of almost any size
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American Community Survey
• Available Montana 1-year estimates– State– Counties• Cascade, Flathead, Gallatin, Missoula, Yellowstone
– Cities• Billings, Missoula
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American Community Survey
• Available Montana 3-year estimates– State– Counties• Cascade, Flathead, Gallatin, Missoula, Yellowstone• Lake, Lewis & Clark, Ravalli, Silver Bow
– Cities• Billings, Missoula• Bozeman, Great Falls, Helena, Kalispell
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American Community Survey
• Margin of error because survey is only a sample• Comparing data years– Do not compare overlapping years or different
combinations of years (1 year estimate with 3 year estimate)
• http://www.census.gov/acs/www/guidance_for_data_users/comparing_data/
• www.factfinder2.census.gov
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MONTANA CENTRAL TUMOR REGISTRY
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Central Tumor Registry
• Registry for information on new cancer cases, cancer treatment, and cancer death– All health care facilities and providers must
report new cases per MT law– Have collected data since 1979, 95% of all
cancers recorded
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Central Tumor Registry
• Data available on demographics, treatment information, cancer site and type, stage at diagnosis
• Easily compared with other states• Not duplicated• Limited on the level of information that can
be released to external parties
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Central Tumor Registry
• Contact Laura Williamson, MPH– [email protected]– 406-444-0064– http://
www.dphhs.mt.gov/publichealth/cancer/datastatistics.shtml
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STATE TRAUMA REGISTRY
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State Trauma Registry
• Registry of severe injuries– Includes only those that activate the trauma
system• Excludes things like poisoning
• Reporting is voluntary, though quite complete
• Includes transfers to multiple hospitals– Report on number of hospitalizations, not
people
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State Trauma Registry
• Data available on – Demographics– Mechanism of injury
• Other information available – Toxicology screen• Alcohol, controlled substances, prescription drugs
– Protective devices used• Seatbelt, helmet, PFD, protective clothing
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State Trauma Registry
• Contact Luke Baertlein, MPH– [email protected]– 406-444-4592
• WISQARS (data on injury and injury deaths)– http://www.cdc.gov/injury/wisqars/
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VITAL STATISTICS
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Death Data
• Data on all resident deaths and deaths that occurred in State– Cause of death: underlying vs. multiple causes– Location of residence(down to county)– Location of death(hospital, home, nursing home, or
other)– Demographic information– Did tobacco use contribute to death (yes, no,
probably, unknown)– Manner of death
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Birth Data
• Data on all resident births– Parental characteristics– Location of birth (hospital, birthing center, home
ect)– Prenatal care– Smoking/alcohol during pregnancy– Method of delivery– Birth outcomes (weight, apgar, abnormal conditions)– Breastfeeding status at discharge
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Accessing Vital Stats
• CDC Wonder – http://wonder.cdc.gov/
• Montana Vital Statistics Office– Carol Ballew, [email protected], 406-444-6988– http://www.dphhs.mt.gov/publichealth/epidemiology/
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BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)
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BRFSS
• Random Digit Dialed Telephone Survey• Data is available annually• Asks adults about chronic conditions and
health-related behaviors• State-Level Estimates are available at– www.brfss.mt.gov– www.cdc.gov/brfss/
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SMART BRFSS
• Some counties in MT are oversampled to get direct county level estimates– See SMART Data Query on www.brfss.mt.gov to
see which counties have data available
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Small Area Estimation
• Use population characteristics & statistics magic to get estimates at the county level
• Currently available for:– Diabetes– Obesity– Physical Inactivity
http://www.cdc.gov/diabetes/atlas/countydata/atlas.html
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YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM
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YRBS
• School-based survey of high school students• Done every two year• Asks youth about:– Alcohol, tobacco, and other drug use– Sexual behavior– Nutrition and physical activity– Injury and violence
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YRBS
• http://www.cdc.gov/HealthyYouth/yrbs/index.htm
• Montana YRBS Coordinator: Susan Court, OPI– [email protected]– (406) 444-3178
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COUNTY HEALTH RANKINGS
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County Health Rankings• Developed by Robert Wood Johnson
Foundation• Use a variety of data sources– BRFSS small area estimation– ACS– Vital Statistics– Many more
• Ranks should be interpreted with caution
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County Health Rankings• Have county level estimates of– Health Outcomes• Length of Life• Quality of Life
– Health Factors• Clinical Care• Health Behaviors• Social & Economic Factors• Physical Environment
http://www.countyhealthrankings.org
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Let’s Practice!
• What is the overall prevalence of disability in Yellowstone county?
• How many deaths due to diabetes occurred in 2010 among Cascade County residents?
• What percent of Montana adults are current cigarette smokers?
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Let’s Practice!
• What is the overall prevalence of disability in Yellowstone county? – ACS 2013 1-year estimate 15.4%
• How many deaths due to diabetes occurred in 2010 among Cascade County residents?– 21
• What percent of Montana adults are current cigarette smokers?– 2012 estimate 19.7%