For the Public's Health The Role of Measurement in Action and Accountability (2011) / Chapter Skim
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Appendix B: National and Community Health Data Sets
Appendix B: National and Community Health Data Sets
Pages 147-170
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From page 147... ...
. The goals of BRFSS are to assess public health status, define public health priorities, evaluate programs, stimulate research, and monitor trends (Balluz, 2010)
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From page 148... ...
. Limitations of the Behavioral Risk Factors Surveillance System, the National Health Information Survey, and the National Health and Nutrition Examination Survey BRFSS, NHIS, and NHANES all have limitations and challenges.
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From page 149... ...
to gather and report relevant local data from multiple sources in a useful way. NHIS does provide health status information on a representative sample of Americans, but it does not provide state or local estimates.
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From page 150... ...
project, which is likely to be the repository for the Key National Indicators required by the Affordable Care Act in subjects including health and managed by the 1 Partners include the Centers for Disease Control and Prevention, the National Institutes of Health National Library of Medicine, the Health Resources Services Administration, the Public Health Foundation, the Association of State and Territorial Health Officials, the National Association of County and City Health Officials, the National Association of Local Boards of Health, and the Johns Hopkins University School of Public Health (County Health Rankings, 2010b)
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From page 151... ...
Oakland, CA: Alameda County Public Health Department. America's Health Rankings.
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Saskatoon, Canada: Saskatoon Regional Health Authority. Seattle and King County Public Health.
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From page 154... ...
departments and community leaders outside the public health sector to improve community health. Primary data Public, federal Public, federal sources sectora sector,b local-area data Population- Mortality Mortality Mortality · remature death · remature · ll causes of health outcome P P A measures Morbidity death death Morbidity Quality of life Health-related · oor–physical P Health-related quality of life · verage life health days A quality of life · oor–mental- · oor or fair P P expectancy · elf-rated health days health S · oor or fair · oor–physical P P health status · nhealthy days health health days U · oor–mental P Poor birth outcomes · ow birth L health days weight Birth outcomes · ow birth L weight
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From page 155... ...
20 32 The purpose of HP2020 The purpose of SUSA is to The purpose of TFAH's state is to provide the nation assist people in tracking data is to rank states on with science-based, progress in health and various public health issues 10-year objectives for health care in the United and health outcomes to promoting health and States by using high-quality prevent communicable and preventing disease and in statistical data and to chronic diseases and to hold doing so to increase the compare the United States officials accountable for their population's quality of with other countries. performance on public health life and eliminate health issues and activities.
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From page 156... ...
I status H · ommunity- · ardiovascular · isabled C C D graduation · ollege degrees · omicide health deaths H C · ancer deaths · otor-vehicle measures Employment C M · hronic · remature · nemployment C P injury U · nfant health Income deaths I · ccupational · hildren in conditions mortalitye O C · ocial factors · nintentional S fatalities U poverty · conomic · ncome E Morbidity injury I · nfectious · ersons living factors I P inequality Family and social below povertyf disease Chronic disease support Chronic diseases, · troke · nadequate health problems S I · igh cholesterol · iabetes H D social support · ypertension · ingle-parent · igh blood H H S · eart attack H pressure households · oronary heart · besity C Community safety O · iolent-crime · oronary heart disease C V · iabetes D disease rate · troke Environmental, Physical S · ancerg community environment C · ir pollution · ir pollution: Environmental A A · hildren in health C particulate · nfectious poverty I matter days · iolent crime · ir pollution: diseasesh V A · oxic Economic T ozone days · ersonal Income Built Environment P chemicals · nder- · ccess to U released A employment rate annually health foods · nemployment · iquor-store · ational U N L rate air-quality density · edian standards meti M household income
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From page 157... ...
(TFAH) · aternal, infant, M Alzheimer's disease Chronic diseases, health child health · ral health problems O · ocial determinants of · ancer S C · sthma: adult, percentage health A Chronic disease, health of high-school students · besity: adult, high-school problems O · rthritis, A students, children 10–17 osteoporosis, chronic years old · ypertension back pain H · lood disorders, · iabetes B D Communicable, infectious blood safety · ancer diseases C · idney disease · est Nile virus K W · iabetes · uberculosis D T · isability, secondary Sexually transmitted diseases D · IDS: 13 years old and conditions A · earing, other H older, less than 13 years sensory or old · hlamydia infection communication C · yphilis disorders S · eart disease, stroke Community H · IV · iving in poverty H L · mmunization, · edian family Income I M infectious diseases · espiratory diseases R · exually transmitted S diseases · ision V Environmental, community · ducational, E community-based programs · nvironmental health E · amily planning F · ood safety F · lobal health G · njury, violence I prevention · ccupational safety, O health Continued
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From page 158... ...
P A N · ew fruits, Diet and exercise smoking F · revalence of · dult obesity P A vegetables · moking Alcohol use binge drinking S · holesterol · inge drinking · epression C B D · otor-vehicle– · ecent drug check M R · ental visit D crash death use · ecent dental R rate Unsafe sex visit · aily fruits and · hlamydia D C vegetables infection rate · hysical activity · een birth rate P T · iet D · een birth rate T · renatal care · rimary-care Health care Access to care P P · reventable · ninsured domain: access, P physicians in U use, services, hospitalizations community adults · rimary-care · rimary-care– · entists in other P D P physicians community provider rate · ommunity, Quality care C · reventable migrant health P centers hospital stays · iabetic · ealth H D professional– screening · ospice use shortage area H Preventive-service use · nfectious I diseasej · hild C prevention servicesk · dult A prevention servicesl · No care in first trimester
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From page 159... ...
(TFAH) · utrition, weight · moking · obacco smoking: adults, N S T · hysical activity status P high-school students · hysical activity, · xcess drinking · nfluenza vaccine rate 65 P E I · utrition fitness N years old and older · ubstance abuse · besity · dult physical inactivity S O A · obacco use · · reastfeeding at 6 months T Condom use B · ruit and vegetable intake F · arly, middle · reventable Access to Care E P · ninsured, total childhood hospitalizations U · enomics · hildhood G C population and under age · ealth H immunization 18 years old · ealth care · mmunization gap, 19–35 communication, H I health information expenditures months old without all · nsurance coverage technology I immunizations · ealth care– · nmet medical, dental, · hortage of professions: H U S associated infections prescription-drug needs primary care, mental health care, dental care, · reventive servicesm P nursing · hronic-disease C prevalencen Continued
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From page 160... ...
c Data sources include BRFSS; NHANES; NCHS; World Health Organization: Statistical Information System and Report on Global Tobacco Epidemic; National Survey on Drug Use and Health; Global Database on Body Mass Index; Centers for Medicaid and Medicare Services; National Health Expenditure Account, Organisation for Economic Co-operation and Development; Medical Expenditure Panel Survey; Census Bureau Current Population Survey; American Community Survey, Agency for Healthcare Research and Quality. d Data sources include Census Bureau; CDC HIV/AIDS Surveillance Report; Alzheimer's Association Report; BRFSS; National Immunization Survey at CDC; American Cancer Society, HHS; CDC Division of Vector-Borne Infectious Diseases; CDC STI Disease Surveillance; NCHS; Health Resources Services Administration Geospatial Data Warehouse.
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From page 161... ...
p Under 18 years old, 40–54 years old, unmarried. SOURCES: America's Health Rankings, 2009, 2010; Community Health Status Indicators, 2009; Community Health Status Indicators Project Working Group, 2009; HHS, 2009a,b; SUSA, 2010a; Trust for America's Health, 2010.
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From page 162... ...
· All causes of mortality · Self-reported health status · Life expectancy at birth
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From page 163... ...
Public sectorb Public sectorc Public sector · Life expectancy at birth · Infant mortality Mortality · Life expectancy at age · · Deaths from smoking All causes of mortality · 65 years Life expectancy at birth related illnesses · · Premature deaths from Mortality Life expectancy at age · Leading causes of death 65 years major cardiovascular · Infant mortality · Self-rated health statusd disease · · HIV/AIDS–related deaths Overweight or obesee Health outcomes, overall · · Drug overdose death Physical activityf health · Fair or poor health · Diabetesg (unintentional) · Years of healthy life · · Colorectal-cancer death Injury hospitalization · · Infant mortalityh Cardiovascular-disease death Continued
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From page 164... ...
Environmental, community · Neighborhood poverty rate · Fast-food and convenience-store density · Density of off-sale liquor licenses · Social cohesioni Transportation · Income dedicated to transportation cost · Transit-dependent household · Public subsidies · Air quality · Annual motor-vehicle–related pedestrian injuries or deaths Housing · Home median sales price · Fair-market rents · Renting households under severe cost burden · Homeless service users · Homeownership rates · Housing-opportunity index · Home-loan denial · Foreclosure rate Air quality · Proximity to toxic-air release facilitiesj Behavior domain Physical activity · Inactivity · Place near home to walk, exercise · Safe to exercise outdoors
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· Physical activityz (teens) gg · Drinking Continued
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From page 166... ...
166 FOR THE PUBLIC'S HEALTH: MEASUREMENT TABLE B-2 Continued Alameda County · Health care access, use, services, other Uninsured (nonelderly adult) · Uninsured person · Usual source of care · Cancer screeninghh · Nativity, immigration status Other domains · Segregationpp · Employment health benefits · Employment by industry · Occupation · Median household income · Income level · Social supportqq School performance, condition · Reading and mathematics proficiency · English level · Reading scores · School conditions · Mealsrr · Student-reported well-beingss · Student-reported protective factorstt Criminal justice · Criminal rate · State-prison drug-offense admission rate · Incarceration rates under three-strikes law · County probation rate a Data sources include California Health Interview Survey 2003, 2005; FBI: Uniform Crime Report; Alameda County Sheriff's Office; California Department of Finance; Alameda County Probation Department; Census Bureau 2000; California Center for Public Health Advocacy; California Department of Alcohol Beverage and Control; Environmental Protection Agency; California Department of Education; California Office of Statewide Health Planning and Development; California Highway Patrol, National Transit Database; Communities for a Better Environment; Labor Market Information System; State of cities Data System;
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From page 167... ...
· Late or no prenatal care · Mammography · Dentist visit last year · Psychological Children 10–15 years old Nativityww · Self-reported health Overall health distress -- interferencezz · Activity limitation · Adults with hypertension status · Unhealthy daysxx · Depressed needing medication and · Anxious Maternal, child health taking it · Birth weight ratesyy · Bully comparison · Adults with high · Preterm births · Suicidal thoughts cholesterol taking · Maternal smoking · Low self-esteem medication · Smoking · Breastfeedingaaa during pregnancy · Alcohol use Reproductive health · Adolescent birth rate · Marijuana use · Adolescent pregnancy rate Injury, violence · Homicide · Assault · Firearms-related deaths · Motor-vehicle injuries · Motor-vehicle deaths · Suicide hospitalizations · Suicides DataQuick: Foreclosures; National Association of Homebuilders, Federal Financial Institutions Examination; Department of Housing and Urban Development; American Community Survey; Department of Commerce, Bureau of Economic Analysis; Census 2000 Equal Employment Opportunity Data. b D ata sources include Births, deaths, abortions, hospitalizations: Washington State Department of Health, Center for Health Statistics; BRFSS, Department of Health and Continued
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, Student health survey. d Percentage of population (12+ years old)
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aaa Mothers who breastfeed exclusively for at least 2 months. SOURCES: Alameda County Public Health Department, 2008; Saskatoon Regional Health Authority, 2007; Seattle and King County Public Health, 2010; Summers et al., 2009.
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