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Sources for Local Public Health Data

Sources for Local Public Health Data. Montana Public Health Association Annual Meeting September 30, 2014. American Community Survey (ACS). American Community Survey. Decennial Census C onducted once every 10 years by the US Census Bureau and is a point-in-time count

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Sources for Local Public Health Data

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  1. Sources for Local Public Health Data Montana Public Health Association Annual Meeting September 30, 2014

  2. American Community Survey (ACS)

  3. 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

  4. 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

  5. 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

  6. American Community Survey

  7. American Community Survey • Available Montana 1-year estimates • State • Counties • Cascade, Flathead, Gallatin, Missoula, Yellowstone • Cities • Billings, Missoula

  8. 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

  9. 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

  10. Montana Central Tumor Registry

  11. 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

  12. 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

  13. Central Tumor Registry • Contact Laura Williamson, MPH • lwilliamson@mt.gov • 406-444-0064 • http://www.dphhs.mt.gov/publichealth/cancer/datastatistics.shtml

  14. State Trauma Registry

  15. 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

  16. 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

  17. State Trauma Registry • Contact Luke Baertlein, MPH • lbaertlein@mt.gov • 406-444-4592 • WISQARS (data on injury and injury deaths) • http://www.cdc.gov/injury/wisqars/

  18. Vital Statistics

  19. 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

  20. 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

  21. Accessing Vital Stats • CDC Wonder • http://wonder.cdc.gov/ • Montana Vital Statistics Office • Carol Ballew, cballew@mt.gov, 406-444-6988 • http://www.dphhs.mt.gov/publichealth/epidemiology/

  22. Behavioral Risk Factor Surveillance System (BRfss)

  23. 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/

  24. 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

  25. 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

  26. BRFSS Questions • Contact Emily Ehrlich • eehrlich@mt.gov • 406-444-2973

  27. Youth Risk Behavior Surveillance System

  28. 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

  29. YRBS • http://www.cdc.gov/HealthyYouth/yrbs/index.htm • Montana YRBS Coordinator: Susan Court, OPI • scourt@mt.gov • (406) 444-3178

  30. County Health Rankings

  31. 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

  32. 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

  33. 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?

  34. 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%

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