Health Data and Resources NYC Department of Health and Mental Hygiene Somjen Frazer.

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