health data and resources nyc department of health and mental hygiene somjen frazer
TRANSCRIPT
Health Data and Resources
NYC Department of Health and Mental Hygiene
Somjen Frazer
Epidemiology Services
A division within the NYC DOHMH Our Mission: To combine cutting-edge
research and data analysis with policy development and strengthen epidemiologic capacity throughout the DOHMH in order to improve the health of New Yorkers
What we will cover today
What can we use health data for? What health data are available?
NYC DOHMHOther data sources
How can we use the available data?Finding dataDisplaying data
Other resources
Compile health information
Focus on preventable causes of illness and death Identify disparities Improve health within populations
Planning programs Writing grants
What are data for?
Population(s)Many data sources
Clear and concise conclusions
Population(s)Many data sources
Clear and concise conclusions
Where can I get health data?
Nationalhttp://www.cdc.gov/nchs/
Statehttp://www.health.state.ny.us/statistics/
New York City http://www.nyc.gov/health/mycommunityshealth
NYC DOHMH Health Data
Survey DataCommunity Health Survey (CHS)Youth Risk Behavior Survey (YRBS)NYC Health and Nutrition Examination Survey
(HANES)World Trade Center Health Registry
Vital StatisticsMortality Birth
DOHMH Data con’t
Surveillance DataSPARCS (hospital discharge data)HIVSTDTuberculosisLead Poisoning
Maternal and child healthPRAMS
Community Health SurveyBased on the Behavioral Risk Factor Surveillance
System (BRFSS) – DOHMH program input Annual since 2002 Telephone: 20-30 minutes Costs around $500,000 per year Multi-lingual
2002: English, Spanish, Russian, Cantonese, Mandarin, Korean, Creole, Yiddish, Greek
2003-2007: English, Spanish, Russian – 23 other languages through language line
Data are collected by United Hospital Fund Neighborhood
Health Topics Included in 2007
General health Access to care Physical activity Diabetes Asthma Immunizations (flu/pneumonia) Tobacco use & cessation Alcohol consumption (binge drinking) Weight (obesity) Cancer screening Sexual behavior Domestic Violence Mental Health
YRBS: Students in Public High Schools
Cross-sectional survey Restricted to Public High or Middle School
Students Conducted every two years (most recent 2007) Self-administered in the classroom Two-stage cluster sample
High schools Classrooms
Information Collected
Demographics Unintentional Injury and Violence Tobacco, Alcohol and Drug Use Mental Health Sexual Behaviors and Pregnancy Dietary Behaviors Physical Activity Social Measures
NYC HANES
Who is included? 2000 adults from ~4000 households in 144
neighborhoods Population-based, cross-sectional, 3-stage cluster
sample Types of data
Exam Laboratory Analysis Interview
Last conducted in 2004, plans to repeat in 2009
NYC HANES Topics
Exam Blood Pressure Anthropometry Venipuncture & Urine Collection
Laboratory Analysis Blood Lipid Profile - Fasting plasma glucose Glycohemoglobin - Hepatitis C virus Herpes simplex 2 - Serum Cotinine Heavy metals - Pesticides
Computer assisted interviewing Sensitive questions asked with audio headset Other questions by interviewer Many of the same as the Community Health Survey
Strengths and Limitations of Data Sources CHS/YRBS
Self report Social desirability bias Difficulty recalling past behaviors
Cross-sectional Unable to establish temporality, incidence
Sensitive questions Sexual behaviors, drug use
HANES Smaller sample
Disease Surveillance: Two More Data Sources SPARCS
Discharge summaries from hospitalsProvided by the state
Vital StatisticsBirth and death data Includes causes of death
Ways to access our data
OnlineReports on topics (Vital Signs and CHI) and populations
(Reports)Query systemDownload data
Make data requests
Scenario: You want to write a report for a funder on obesity in NYC.
Online
My Community’s Health Page: http://nyc.gov/html/doh/html/community/community.shtml
Links to publications Online query system Other data tables Downloadable data
Publications
Other data tables
HIV/STD reports Tuberculosis reports Neighborhood numbers
View demographics, mortality, hospitalizations, maternal and child health, adult health status, preventive services by UHF neighborhood
Injuries and deaths Unintentional injuries (deaths & hospitalizations) Self-inflicted injuries (suicides & hospitalizations) Assaults (homicides, hospitalizations & Emergency Department visits)
Pregnancy Risk Assessment Monitoring System Maternal experiences and behaviors before during and after pregnancy
Childhood Lead Poisoning• Newly identified cases among children by UHF neighborhood and borough (rates
and crude numbers) More to Come
Analyzing Data
Downloading Click on the name of the surveyData, codebook and questionnaire
AnalyzingSAS/SAS-callable SUDAANCorrects for cluster samplingWeighting and age-adjusting
Contact Us!
Designing or implementing a study and need expert epidemiological input
Need data not found online Email us [email protected]
Data Requests
Detailed Include specific subpopulations and yearsEx. Obesity among 18-24 year olds from 2007
CHS Data requests can take 2-4 weeks to
complete
Strengths and Limitations of Methods to Access Data Vital Signs and published reports only
have specific numbers, but are more in-depth and include interpretation of results
Epiquery allows you access from your desk but does not include all variables or trends over time
Data requests are very specific and can be extensive but take longer
Links you saw in this presentation
My Community’s Healthhttp://www.nyc.gov/health/mycommunityshealth The Immigrant Health Reporthttp://www.nyc.gov/html/doh/downloads/
pdf/episrv/episrv-immigrant-report.pdf Epiquerywww.nyc.gov/health/epiquery
Thank you
Community EpidemiologyUnit director: Carolyn [email protected]
My contact [email protected] 788 4340125 Worth St. Rm. 315, New York, NY 10013