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7 Use as Denominators for Rates and Baseline for Estimates
Pages 85-96

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From page 85...
... Her presentation addressed four issues, each illustrated by empirical examples using census data for monitoring, analyzing, and improving population health and health inequities: (1) counts, which were critical for denominators for rates; (2)
From page 86...
... Equally longstanding has been the inerconnectedness of census data and health equity, as illustrated by the pathbreaking study published in 1826 by Louis-René Villermé, a prominent French physician and economist. For his work, he used the new and unprecedented Parisian census data of 1826 to calculate for the first time mortality rates in relation to socioeconomic measures, specifically a neighborhood measure of wealth.
From page 87...
... Krieger cited another example of the use of census tract data as part of examining health outcomes by their societal determinants: the national databases supported by the Robert Wood Johnson Foundation and the U.S. Centers for Disease Control and Prevention, which included the County Health Rankings, 500 Cities, and City Health Dashboard databases.2 1 Seehttps://www.hsph.harvard.edu/thegeocodingproject/.
From page 88...
... Because redlining maps cut across census tracts, it would be necessary to apportion the percent of population in a given census tract in relation to these areas using census block data. How would differential privacy affect such analyses?
From page 89...
... The data collected include patient demographics, primary tumor sites, tumor morphology, stage at diagnosis, first course of treatment, and follow-up for vital analysis. SEER is widely used for research and can provide information for policy making and public health surveillance.
From page 90...
... 7.2.3 Implications of Differential Privacy SEER users will be concerned about the effects of differential privacy methods on the time series of population estimates from the Census Bureau, just as they would be with any new methodology that could affect trends. As an example, the 2010 Census implemented improved editing procedure for race and ethnicity, which resulted in a larger number of Hispanics who checked "some other race" being assigned to AIAN using internal data.
From page 91...
... Translating the data into ratios of the mortality rates in the two data sets, a mortality rate ratio above 100 meant that the original 2010 data had a higher rate than the DDP data, while a rate below 100 meant that the original data had a lower rate than the DDP data. For the total population, there was little variation by county in the ratios and similarly for non-Hispanic whites (they were all close to 100)
From page 92...
... All these groups are critical for understanding and reducing public health problems and health disparities. 7.3.3 Concluding Comments Santos-Lozada said his bottom line was that the application of differential privacy methods in the 2010 DDP injected patterns of change in the denominators for mortality rates.
From page 93...
... State-produced population estimates are tied to several key variables from the census, as well as some local data. The census supplied housing unit counts to compare to local assessor counts, plus occupancy rates and persons per household.
From page 94...
... 7.4.2 Households with Different Service Needs Hardcastle showed differences in distributions across census tracts between the 2010 Summary File 1 (SF1) data and the DDP for households containing married families with children, for which there was quite a variation.
From page 95...
... Systematic changes in denominators across the country would matter for monitoring trends, which in turn would matter for population health programs. Moreover, there is a question of resources available to understand the effect, which is not something that each and every place should have to figure out on its own.
From page 96...
... 96 2020 CENSUS DATA PRODUCTS used census denominators for racial and ethnic minorities. Krieger added that one naturally has to deal with issues of uncertainty, but if one added imprecision in systematic ways, then it would be hard to understand the actual population health situation.


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