Use of Local Surveys in NYC
|
|
- Melina Evans
- 5 years ago
- Views:
Transcription
1 Population-Based Surveys to Conduct CVD and Chronic Disease Surveillance Use of Local Surveys in NYC Lorna Thorpe, PhD Associate Professor Director, Epi & Bios Dept City University of New York School of Public Health
2 At the NYC Dept of Health and Mental Hygiene. Until 2002, virtually no infrastructure for chronic disease epidemiology or programs No local surveillance of chronic health conditions or risk behaviors
3 The Gap in Funding $45 CDC Funding ($ Mill.) Deaths < CDC Funding ($ Millions) $40 $35 $30 $25 $20 $15 $10 $ NYC Deaths Under Age 65 $0 Vaccine Prev Diseases Bioterrorism HIV TB STDs Lead Poisoning Communicable Disease Diabetes CVD Tobacco Cancer 0 Source: NYC Dept of Health, Office of the Commissioner
4 In 2002, Smoking Killed An Estimated 10,000 NYers # of Deaths Suicide Homicide Kidney Disease Psychoactive Subs Accident Diabetes* HIV/AIDS Stroke* Flu/Pneumonia* Smoking (All Causes) Source: NYC Dept of Health and Mental Hygiene * Total includes smoking-related deaths (2002)
5
6 Building Local Surveillance to Address Leading Causes New systemsto monitor health and health programs Community Health Survey (telephone) NYC HANES (biomarker and exam-based) Youth Behavior Risk Survey (self-administered) Childhood obesity Height and weight surveys (periodic) Fitnessgram (annual school exam) HbA1C Registry (electronic laboratory reporting) Subsidized electronic health records Source: NYC Dept of Health and Mental Hygiene
7 A Need for Small Area Data Community Health Survey Initiated in 2002 Random digit dial telephone survey Sampling frame = 33 NYC Neighborhoods Robust estimates by neighborhood Disparity focus Questions Based on the Behavioral Risk Factor Surveillance Survey (BRFSS) Healthy People 2010 goals in mind
8 % of adults NYC Adult Smoking Prevalence yr average 3-yr average 3-yr average 21.6% 21.5% 21.7% 21.6% 19.2% City and State tax increases Smoke-free workplaces Free patch programs Media campaigns 18.9% 18.4% 17.5% 16.9% 15.8% Source: CDC BRFSS; NYC Dept of Health and Mental Hygiene, Community Health Survey
9 Current Smoking in NYC, 2002
10 Self-Reported Diabetes Prevalence Up 250% in the Past Decade 12 % Reporting Diabetes US (2006)=7.5% Sources: CDC, BRFSS, ; NYC Dept of Health and Mental Hygiene, Community Health Survey,
11 Self-Reported Diabetes by Neighborhood Source: NYC Dept of Health and Mental Hygiene CHS,
12 Chronic Disease Management in NYC Diabetes Profile from CHS Among NYC adults with diagnosed diabetes: 24% smoked (higher rate than overall NYC average) 77% did not take aspirin to prevent heart disease 60% did not get physical activity at least 3x/wk 60% did not receive a flu shot in the last year Only 11% of adults with diabetes knew their A1C level. Of these: Most (82%) reported an A1C >7%, or poorly controlled 68% reported poor lipid control 43% reported poor blood pressure control Source: NYC Dept of Health and Mental Hygiene
13 What we still wanted to know Extent of undiagnosed chronic conditions among NYC residents Full distribution of CVD risk factors (BP, chol, glucose), and identification of groups at high risk of developing disease Population-based information on successful disease management among those diagnosed
14 Local Surveillance Taken One Step Further New York City Health and Nutrition Examination Survey
15 NYC HANES Objectives 1) To estimate the prevalence of selected health conditions in NYC using objective measures 2) To estimate city-wide awareness, treatment, and control of selected health conditions 3) To monitor prevalence of environmental exposures in NYC
16 2004 NYC HANES Design Time Frame:June December 2004 Population:non-institutionalized NYC adult residents aged 20+ years Sampling: Population-based, cross-sectional, 3- stage cluster sample across 144 randomly selected neighborhoods Recruitment, Interview and Examination:Data were collected in participants homes and at four field clinics
17 Sampling Design and Response Rate SEGMENT ~20,000 Segments in NYC HOUSEHOLD 144 Segments randomly selected 4026 households approached Response Rate 3388/4026 = 84% 3388 completed eligibility interview 638 did not complete eligibility interview Overall Response Rate 84% x 66% = 55% PARTICIPANT 3047 participants identified Response Rate 1999/3047 = 66% 1999 participants examined 1048 participants refused Source: NYC Dept of Health and Mental Hygiene
18 2004 Recruitment Effort by Borough 10 Mean Attempts/Household Total Visits = 26,538 Total Calls = 9,099 Total Letters Sent = 2,268 Visits Letters Calls 1 0 Bronx Brooklyn Manhattan Staten Island Source: NYC Dept of Health and Mental Hygiene Queens Overall
19 Procedures Exam Blood Pressure Anthropometry (BMI, waist circumference) Blood draw Urine collection
20 2004 NYC HANES Lab Tests Whole Blood Glychohemoglobin Heavy metals Urine Pesticides Trace Metals Mercury Repository Sera Cholesterol Cotinine HSV HCV Repository Plasma Fasting Glucose
21 Thorpe et al, Diabetes Care 2009 Diagnosed and Undiagnosed Diabetes Prevalence, NYC HANES % Total Diabetes = 12.5% (95% Confidence Interval, 10.2% %) 25% 9.5% Undiagnosed Diabetes Diagnosed Diabetes 20% Percent 15% 10% 5% 0% 2.4% 4.7% 5.1% 3.8% 4.2% 3.5% 3.4% 3.3% 18.8% 4.6% 3.4% 4.6% 3.2% 12.1% 11.4% 11.9% 8.7% 9.2% 9.8% 8.4% 9.0% 8.8% 8.1% 0.6% 6.2% 5.9% 1.9% US Born Asian Hispanic Black White > Women Men Total Foreign Born <$20,000 Undiagnosed (ref) --- (ref) p<0.01 p<0.001 (ref) (ref) (ref) Diagnosed (ref) --- (ref) p<0.001 p<0.001 (ref) p< (ref) --- p<0.01 (ref)
22 Distribution of Glucose Levels among NYC Adults, NYC HANES % Impaired Fasting Glucose (100<=FPG <=125) Diabetes (FPG>125 or self-report) 12.5% Normal (FPG<100) 64% Thorpe et al, Diabetes Care 2009
23 70 60 Adjusted Prevalence of Diabetes and IFG, by BMI and Race* Non-Hisp White Non-Hisp Black 57 c 58 d 60 Percent Non-Hisp Asian Hispanic 37 a b Normal Weight Overweight Obese a Estimate is higher than all other racial/ethnic groups at p<0.05 b Estimate is higher than whites at p<0.05 c Estimate is higher than whites (p<0.001) and Hispanics (p<0.05) d Estimate is higher than blacks at p<0.05 BMI Category Models adjusted for sex, age, place of birth, income and physical activity
24 A1C Control among Adults with Diagnosed Diabetes, NYC HANES % 17% >9 7-9 <7 Of adults with diagnosed diabetes, only 12% reported being on insulin (with or without oral agents) 38% 16% of adults with diagnosed diabetes were not taking any medication Source: Thorpe et al Diabetes Care 2009
25 How did we do NYC HANES? Reassigned Health Dept staff as field screeners and interviewers Paid overtime to school nurses and other staff to run clinics 100% internally funded with significant inkind and contracted support from NCHS Costs spread over 3 fiscal years >$3 million in direct costs, near $5 million total Institutional leadership support
26 Dissemination of Local Survey Data Web-based query systems Public use data sets Calls for proposals to use serum repository Press releases Reports for the public Peer-review literature
27
28
29 NYC HANES Web Site Designing and Implementing a Community HANES- Manual NYC HANES Datasets Questionnaires and related documents NYC HANES publications and presentations Solicitation Notice for NYC HANES Repository Proposals
30
31 TAKE CARE NEW YORK: 10 steps to live longer, healthier lives. 1. Have a Regular Doctor or Other Health Care Provider 2. Be Tobacco Free 3. Keep Your Heart Healthy 4. Know Your HIV Status 5. Get Help for Depression 6. Live Free of Dependence on Alcohol and Drugs 7. Get Checked for Cancer 8. Get the Immunizations You Need 9. Make Your Home Safe and Healthy 10. Have a Healthy Baby
32 Opportunities High level of interest and trust in neighborhood and objective data from local communities Triangulation between self-report and objective measure surveys is informative Repeat cross-sectional studies are powerful designs to set priorities and evaluate structural policies or programmatic initiatives Important resources for broad research community
33 Challenges Many local jurisdictions lack capacity NYC HANES, as designed, is costly to repeat. Consider Alternate designs New partnerships Uncertainty regarding ideal interval of periodicity Difficult to design messages involving 2 different prevalence estimates Are such systems justified if some conditions have levels comparable to national prevalence?
Surveillance for Hepatitis C Among Youth in NYC. Kate Prussing Harlem Hep C Task Force Meeting, June 4, 2014
Surveillance for Hepatitis C Among Youth in NYC Kate Prussing Harlem Hep C Task Force Meeting, June 4, 2014 Rationale for Investigating Hepatitis C in NYC Youth Increases in other jurisdictions: what is
More informationCreating Policy to Promote and Support Individual Change. Ann Albright, PhD, RD
Creating Policy to Promote and Support Individual Change Ann Albright, PhD, RD Director, Division of Diabetes Translation Centers for Disease Control and Prevention The findings and conclusions in this
More informationDavid V. McQueen. BRFSS Surveillance General Atlanta - Rome 2006
David V. McQueen Associate Director for Global Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Atlanta BRFSS Surveillance General Atlanta - Rome 2006 Behavioral Risk
More informationHEPATITIS C SURVEILLANCE IN NYC AN OVERVIEW OF PROJECTS
HEPATITIS C SURVEILLANCE IN NYC AN OVERVIEW OF PROJECTS P E R M I N D E R K H O S A, M P H S T A T E N I S L A N D H E P C T A S K F O R C E M E E T I N G, D A T E 0 3 / 2 6 / 2 0 1 5 HEPATITIS C SURVEILLANCE
More informationBehavioral Risk Factor Surveillance System (BRFSS)
Behavioral Risk Factor Surveillance System (BRFSS) LINA BALLUZ, MPH, Sc.D. Chief Proposed Office of Surveillance, Epidemiology and Laboratory Services Behavior Surveillance Division Overview Background
More informationBronx Community Health Dashboard: Breast Cancer
Bronx Community Health Dashboard: Breast Cancer Last Updated: 1/19/18 See last slide for more information about this project. While breast cancer can occur among men, it is very rare. This dashboard focuses
More informationPierce County Health Indicators
Pierce County Health Indicators 3629 S. D. St., Tacoma WA 98418-6813 Phone: 253-798-7668 email: oapi@tpchd.org Demographics Characteristics Latest Year count Percent WA State count Percent Data Source
More informationPierce County Health Indicators
Pierce County Health Indicators Updated 11/10/2016 Demographics Characteristics Latest Year count Percent WA State count Percent Total Population 2015 830,120 7,061,408 2015 Total Percent Total Percent
More informationCambodian CHRNA (Community Health Resources and Needs Assessment)
Cambodian CHRNA (Community Health Resources and Needs Assessment) Between 2013 and 2015, the Center for the Study of Asian American Health (CSAAH) and Mekong NYC collected 100 surveys in the Cambodian
More informationVietnamese CHRNA (Community Health Resources and Needs Assessment)
Vietnamese CHRNA (Community Health Resources and Needs Assessment) Between 2013 and 2015, the Center for the Study of Asian American Health (CSAAH) and Mekong NYC collected 103 surveys in the Vietnamese
More informationIndian CHRNA (Community Health Resources and Needs Assessment)
(Community Health Resources and Needs Assessment) Between 2014 and 2015, the Center for the Study of Asian American Health collected 113 surveys in the Indian community in NYC in partnership with community
More informationNYC: Promising and Innovative Cross-Sector Solutions
NYC: Promising and Innovative Cross-Sector Solutions Jeni Clapp, MPA Director of Healthy Eating Initiatives, Bureau of Chronic Disease Prevention & Tobacco Control New York City Department of Health and
More informationBronx Community Health Dashboard: Influenza (Flu)
Bronx Community Health Dashboard: Influenza (Flu) Last Updated: 1/24/218 See last slide for more information about this project. 1 215 deaths Flu/pneumonia is the 3 rd leading cause of death in Bronx 2,5
More informationCommunity Health Needs Assessment for UI Health Hospital & Clinics
Community Health Needs Assessment for UI Health Hospital & Clinics Office of the Vice Chancellor for Health Affairs Community Engagement & Neighborhood Health Health Policy & Strategy Population Health
More informationKorean CHRNA (Community Health Resources and Needs Assessment)
Korean CHRNA (Community Health Resources and Needs Assessment) Between November 2013 and August 2014, the Center for the Study of Asian American Health (CSAAH) collected 161 surveys in the Korean community
More informationOverview of Health Disparities in Arkansas
Overview of Health Disparities in Arkansas Annual Critical Access Hospital Conference August 9, 2018 Joyce Biddle, MPH, MPA Chronic Disease Epidemiologist Office of Minority Health and Health Disparities
More informationCenters for Disease Control and Prevention (CDC) Coalition C/o American Public Health Association 800 I Street NW Washington, DC,
Centers for Disease Control and Prevention (CDC) Coalition C/o American Public Health Association 800 I Street NW Washington, DC, 20001 202-777-2514 Donald Hoppert, Director of Government Relations, American
More informationChinese CHRNA (Community Health Resources and Needs Assessment)
Chinese CHRNA (Community Health Resources and Needs Assessment) Between 2013 and 2014, the Center for the Study of Asian American Health collected 203 surveys in the Chinese community in New York City
More informationNew Mexico Department of Health. Racial and Ethnic Health Disparities Report Card
New Mexico Department of Health Racial and Ethnic Health Disparities Report Card August 30, 2006 Acknowledgments Many individuals contributed to the production of this report card and the Office of Policy
More informationExpanded HIV testing coverage is associated with decreases in late HIV diagnoses, New York City (NYC), (Oral abstract #182)
Expanded HIV testing coverage is associated with decreases in late HIV diagnoses, New York City (NYC), 2001-2010 (Oral abstract #182) Yusuf Ransome 1, Arpi Terzian 2,3, Diane Addison 5, Sarah Braunstein
More informationVaccine Preventable Diseases in San Francisco. Susan Fernyak, MD MPH CDCP Section Director and Deputy Health Officer August 17, 2010
Vaccine Preventable Diseases in San Francisco Susan Fernyak, MD MPH CDCP Section Director and Deputy Health Officer August 17, 2010 Section Responsibilities Communicable Disease Control Unit (CDCU): Communicable
More informationMississippi Stroke Systems of Care
Stroke Initiatives Mississippi State Department of Health Cassandra Dove, Chronic Disease Bureau 19 th Annual Stroke Belt Consortium March 1, 2014 Mississippi Stroke Systems of Care Heart Disease and Stroke
More informationHealthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012
Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012 Prepared by: Rachel Simpson, BS Colleen Ryan Smith, MPH Ruth Martin, MPH, MBA Hawa Barry, BS Executive Summary Over
More informationFACT SHEET % 15.0% Percent 10.0%
FACT SHEET The Branch addresses the impact of diabetes in Alabama by developing, policies, recommendations, and programs about the disease and related issues. The program is funded through a five-year
More informationWilliamsburg - Bushwick
Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11206, 11221, 11237 Neighborhood Profiles 2015 : 11206, 11221, 11237 Population: 210,468 TBHC Service Areas: Primary service
More informationGonorrhea, Chlamydia, and Syphilis in Alaska
Department of Health and Social Services Division of Public Health Section of Epidemiology Karen Perdue, Commissioner Karen Pearson, Director John Middaugh, MD, Editor 361 C Street, Suite 54, P.O. Box
More information1. Introduce the Culture of Health Framework. 2. Become acquainted with the the Robert Wood Johnson Foundation Public Health Nurse Leadership Program
1. Introduce the Culture of Health Framework. 2. Become acquainted with the the Robert Wood Johnson Foundation Public Health Nurse Leadership Program (PHNL). 3. Increase awareness of diabetes/prediabetes
More informationHEALTH PROMOTION AND CHRONIC DISEASE PREVENTION PROGRAM OREGON STATE OF THE HEART AND STROKE REPORT 2001 PREPARED BY.
OREGON STATE OF THE HEART AND STROKE REPORT 2001 PREPARED BY THE OREGON DEPARTMENT OF HUMAN SERVICES HEALTH SERVICES HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION PROGRAM www.healthoregon.org/hpcdp Contents
More informationKeeping Brooklyn Healthy by Assessing Population Health and Driving Innovation. Neighborhood Health Profiles Greenpoint 11211, 11222
Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11211, 11222 Population: 127,051 TBHC Service Areas: Primary service area: 11211 Neighborhood Profiles 2015 : Williamsburg
More informationObesity in Cleveland Center for Health Promotion Research at Case Western Reserve University. Weight Classification of Clevelanders
Obesity in Cleveland 2005-2006 March 2008 Report Contents Weight Classification of Clevelanders Local, State and National Trends in the Prevalence of Obesity Obesity by Demographic Characteristics Nutrition,
More information2010 Mecklenburg County Health Department Community Report Appointments: General Information:
2010 Mecklenburg County Health Department Community Report Appointments: 704-336-6500 General Information: 704-336-4700 meckhealth.org twitter.com/meckhealth Table of Contents Message from the Health Director
More informationDiabetes Prevention and Control A Comprehensive Process. Commissioner John Auerbach Massachusetts Department of Public Health
Diabetes Prevention and Control A Comprehensive Process Commissioner John Auerbach Massachusetts Department of Public Health Like everywhere else, Massachusetts has a growing diabetes problem Diabetes
More informationColorado s Progress toward Year 2000 Objectives
Colorado s Progress toward Year Objectives An update from the Survey Research Unit No. 26 November 1998 Two major roles of Public Health are to reduce preventable death and disability and to enhance quality
More informationSanta Clara County Highlights
Santa Clara County Highlights Data and Partnerships: Pivotal Elements to Create Healthy Communities November 6th, 2009 David Hill, PhD, MPH Cities of Santa Clara County 2 The pivotal elements Data evidence-based
More informationReport on the 2007 Northern Michigan Diabetes Initiative Community Diabetes Survey
Report on the 2007 Northern Michigan Diabetes Initiative Community Diabetes Survey Table of Contents I. Executive Summary...2 II. Background & Introduction to the NMDI and survey.5 III. Process and Methodology...5
More informationCanarsie / Flatlands
Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11234, 11236, 11239 Neighborhood at a glance Population: 195,027 TBHC Service Areas: Outside the Service Area for The Brooklyn
More informationChronic disease surveillance in South Australia
From the SelectedWorks of Anne Taylor 2006 Chronic disease surveillance in South Australia Anne Taylor Available at: https://works.bepress.com/anne_taylor/67/ 13. National Public Health Partnership. Be
More information2018 Community Health Assessment
2018 Community Health Assessment Community Health Status Assessment Linn County, IA Prepared by Amy Hockett, PhD, MPH, CHES Epidemiologist Linn County Public Health August 9, 2018 Community Health Status
More informationConey Island. Neighborhood Health Profiles Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation
Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11223, 11224, 11229, 11235 Neighborhood at a glance Population: 285,502 TBHC Service Areas: Outside the Service Area for The
More informationThe North West Adelaide Health Study
North Diabetes can ruin your day Quality of life after diagnosis Catherine Chittleborough, Patrick Phillips, Maria Drakoulas, Katherine Baldock, Anne Taylor, & the North Team The North Biomedical cohort
More informationReport Card of Community Health Indicators March 2001
Report Card of Community Health Indicators March 2001 Building Healthier Communities Janet S. Owens County Executive Frances B. Phillips, R.N., M.H.A. Health Officer Anne Arundel County Department of Health
More informationANALYSIS OF THE ADMINISTRATION S FISCAL YEAR 2004 BUDGET FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION
ANALYSIS OF THE ADMINISTRATION S FISCAL YEAR 2004 BUDGET FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION OVERVIEW: On February 20, 2003, President Bush signed the Omnibus Appropriations bill for FY
More informationCommunity Health Assessment. May 21, 2014
Community Health Assessment May 21, 2014 1 Presenters Stacey Adams, MS Co-Leader Domain 1 Carol Heier, LCSW Accreditation Coordinator Dale Quinney, MPH Co-Leader Domain 1 2 Recording available There is
More informationTackling Type 2 Diabetes in the US: Translating Science into Public Policies and Actions
Tackling Type 2 Diabetes in the US: Translating Science into Public Policies and Actions Edward Gregg, PhD Division of Diabetes Translation Centers for Disease Control and Prevention Atlanta, GA The findings
More informationChronic Diseases, Injury Kansas Department of Health and Environment, Bureau of Health Promotion
Chronic Diseases, Injury Kansas Department of Health and Environment, Bureau of Health Promotion Topeka, Kansas Assignment Description The CDC/CSTE applied chronic disease epidemiology fellow position
More informationDP Program 2 National Comprehensive Cancer Control Program. Objective Reviewer s Tool March 2017
DP17-1701 Program 2 National Comprehensive Cancer Control Program Objective Reviewer s Tool March 2017 Approach (0-40 total points) Describes the cancer burden in the applicant s jurisdiction? (5) Clearly
More informationAnnual Report. Fiscal Year 2010 July 1, 2009 June 30, Dorchester County Health Department
Annual Report Dorchester County Health Department Fiscal Year 2010 July 1, 2009 June 30, 2010 Dorchester County Health Department 3 Cedar Street Cambridge, MD 21613 (410) 228-3223; Fax (410) 228-9319 Dorchester
More informationA Socioeconomic Analysis of Obesity and Diabetes in New York City
, A108 ESSAY A Socioeconomic Analysis of Obesity and Diabetes in New York City Jonathan B. Wallach; Mariano J. Rey, MD Suggested citation for this article: Wallach JB, Rey MJ. A socioeconomic analysis
More informationRegion VI. Health Initiative Overview
Region VI Health Initiative Overview National Health Committee Region VI Health and Wellness Coordinators Chapters Objectives Health Awareness Health Disparities Education Prevention Health Focus of the
More informationDiabetes: A Costly Problem
NCSL Legislative Summit - July 23, 2009 Diabetes: Taming a Spreading Disease Ann Albright, PhD, RD Director, Division of Diabetes Translation Centers for Disease Control and Prevention The findings and
More informationWhat is the strategy?
What is the strategy? Multi-pronged approaches to reducing the health consequences of opioid use, New York City Northeast Epidemiology Conference Public health approach Track drug use and associated health
More informationBronx Community Health Dashboard: Smoking
Bronx Community Health Dashboard: Smoking Created: 6/12/217 Last Updated: 1/23/217 See last slide for more information about this project. 1 Percent Daily Smoking Prevalence, USA Daily smoking prevalence
More informationExecutive Summary To access the report in its entirety, visit
Executive Summary To access the report in its entirety, visit http://www.hpcswf.com/health-planning/health-planningprojects/. Demographic and Socioeconomic Characteristics Population Demographics has a
More informationOakwood Healthcare Community Health Needs Assessment Indicators
POPULATION Sub-Category Education Socioeconomic Violence High School High School Dropouts Graduation Rate (Percent) Some College Births to Unmarried Women Children in Poverty Children in Singleparent Households
More informationOverview of Hepatitis B Vaccination Pilot Project in New York City
Overview of Hepatitis B Vaccination Pilot Project in New York City National Adult Immunization Coordinators Partnership July 10, 2018 Edward Wake New York City Department of Health and Mental Hygiene Bureau
More informationKeeping Albertans healthy
Keeping Albertans healthy HEALTH AND WELLNESS Fall 24 How healthy are Albertans? Health is much more than just the absence of disease or disability. It is a state of physical, emotional and social well-being.
More information= AUDIO. Managing Diabetes for Improved Cardiovascular Health. An Important Reminder. Mission of OFMQ 8/18/2015. Jimmi Norris MS, RN, CDE
Managing Diabetes for Improved Cardiovascular Health Jimmi Norris MS, RN, CDE An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#. Step 3:
More informationA Summary Report: 2003
D iabetes in Idaho A Summary Report: 2003 Idaho Department of Health and Welfare Division of Health Bureau of Community and Environmental Health This publication was supported by Grant No. U32/CCU022691-02
More informationRacial and Ethnic Health Disparities Report Card, 7th Edition
Racial and Ethnic Health Disparities Report Card, 7th Edition September 2012 Department of Health 1190 South St. Francis Drive Santa Fe, NM 87502 www.nmhealth.org/opa/ Produced by the Office of Health
More informationHealth Department-assisted HIV Partner and Linkage Care Services
Health Department-assisted HIV Partner and Linkage Care Services Chi-Chi N. Udeagu, MPH HIV Epidemiology and Field Services program Bureau of HIV/AIDS Prevention and Control New York City Department of
More informationPHACS County Profile Report for Searcy County. Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center
PHACS County Profile Report for Searcy County Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center Contents Introduction... Page 2 Demographics...Page 3 Social Environment
More informationHeather Dacus, DO, MPH Preventive Medicine Physician Director, Bureau of Chronic Disease Control New York State Department of Health
Heather Dacus, DO, MPH Preventive Medicine Physician Director, Bureau of Chronic Disease Control New York State Department of Health Disclosure Heather Dacus has no real or perceived vested interests that
More informationHimalayan CHRNA (Community Health Resources and Needs Assessment)
Himalayan CHRNA (Community Health Resources and Needs Assessment) Between November 2013 and August 2014, the Center for the Study of Asian American Health (CSAAH) collected 156 surveys in the Himalayan
More informationPage 0 of 20. Health Profiles. Diabetes Montgomery County, OH. Public Health - Dayton & Montgomery County Epidemiology Section
Page 0 of 20 Health Profiles Diabetes Montgomery County, OH Public Health - Dayton & Montgomery County Epidemiology Section January 2014 Page 1 of 20 Prepared by: Epidemiology Section of Public Health
More informationCECIL COUNTY HEALTH DEPARTMENT ANNUAL REPORT FISCAL YEAR 2004 JULY 1, JUNE 30, 2004
CECIL COUNTY HEALTH DEPARTMENT ANNUAL REPORT FISCAL YEAR 2004 JULY 1, 2003 - JUNE 30, 2004 Message from the Board of Health It has been said that our most important asset is good health. The Cecil County
More informationIs there an association between waist circumference and type 2 diabetes or impaired fasting glucose in US adolescents?
Is there an association between waist circumference and type 2 diabetes or impaired fasting glucose in US adolescents? Meghann M. Moore, RD, CD Masters Thesis Maternal & Child Health Track School of Public
More informationMaryland s Health Enterprise Zones Addressing Social Determinants of Health
Maryland s Health Enterprise Zones Addressing Social Determinants of Health Michelle Spencer, MS Associate Director, Bloomberg American Health Initiative Associate Scientist, Health Policy and Management
More informationIndiana Cancer Control Plan,
Indiana Cancer Control Plan, 2018-2020 Data Compendium Contents About this Document... 1 Data Sources... 1 Primary Measures... 4 GOAL AREA: Primary Prevention... 4 Objective 1: Increase percentage of Hoosiers
More informationRacial and Ethnic Health Disparities Report Card
Racial and Ethnic Health Disparities Report Card August 2010 Acknowledgements Many individuals contributed to the production of this report card. The Division of Policy and Performance wishes to particularly
More informationPlatte Valley Medical Center Page 0
Platte Valley Medical Center Page 0 Table of Contents Introduction 4 Background and Purpose... 4 Service Area... 4 Map of the Service Area...5 Project Oversight...5 Consultants... 6 Identification of Community
More informationThe Opioid Epidemic: Overdose Data in NYC
The Opioid Epidemic: Overdose Data in NYC Sindhu Shamasunder, MPH Bureau of Alcohol and Drug Use Prevention, Care and Treatment NYC Department of Health and Mental Hygiene The burden of drug overdose Nationally,
More informationEating Better to Prevent Heart Disease and Stroke. Michelle Karn Communications Director in Southern New England Rhode Island and Southeastern, MA
Eating Better to Prevent Heart Disease and Stroke Michelle Karn Communications Director in Southern New England Rhode Island and Southeastern, MA Smoking BMI Physical Activity Healthy Diet Score Total
More informationFirst Annual Tobacco Study
Maryland Department of Health & Mental Hygiene First Annual Tobacco Study Cigarette Restitution Fund Program Tobacco Use Prevention and Cessation Program September, 2002 Table of Contents Page Executive
More informationRacial and Ethnic Health Disparities Report Card, 6th Edition
Racial and Ethnic Health Disparities Report Card, 6th Edition September 2011 Acknowledgements Many individuals contributed to the production of this report card. The Office of Policy and Performance wishes
More informationPrevalence and Control of Diabetes and Impaired Fasting Glucose in New York City
Epidemiology/Health Services Research O R I G I N A L A R T I C L E Prevalence and Control of Diabetes and Impaired Fasting Glucose in New York City LORNA E. THORPE, PHD 1 USHMA D. UPADHYAY, PHD 1 SHADI
More information2014 PRC Community Health Needs Assessment
2014 PRC Community Health Needs Assessment, New York Results Among the Total Population & Target Population (Medicaid/Self-Pay Patients) Prepared for: Stony Brook Medicine By Professional Research Consultants,
More informationHealth Disparities Research. Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration
Health Disparities Research Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration Outline on Health Disparities Research What is a health disparity? (DETECT)
More informationTHE NEW YORK CITY AIDS FUND
Request for Proposals Date Issued: Thursday, August 23, 2012 Proposal Deadline: Wednesday, October 10, 2012 BACKGROUND Founded in 1989, the New York City AIDS Fund (the AIDS Fund) is a group of grantmaking
More informationCommunity Health Assessment at the New York City Department of Health and Mental Hygiene. Adam Karpati, MD, MPH Division of Epidemiology
Community Health Assessment at the New York City Department of Health and Mental Hygiene Adam Karpati, MD, MPH Division of Epidemiology Background Public Health Surveillance Ongoing and systematic collection,
More informationCommunity Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 2006
Community Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 26 This report is produced by: The Great Lakes EpiCenter If you would like to reproduce any of the information contained in
More informationPre Diabetes Screening in Primary Care
University of San Diego Digital USD Doctor of Nursing Practice Final Manuscripts Theses and Dissertations Spring 5-21-2016 Pre Diabetes Screening in Primary Care Christine Rieger crieger@sandiego.edu Follow
More informationBaptist Health Jacksonville Community Health Needs Assessment Implementation Plans. Health Disparities. Preventive Health Care.
Baptist Health Jacksonville Community Health Needs Assessment Implementation Plans Health Disparities Infant Mortality Prostate Cancer Heart Disease and Stroke Hypertension Diabetes Behavioral Health Preventive
More information2016 Collier County Florida Health Assessment Executive Summary
2016 Florida Health Assessment Executive Summary Prepared by: The Health Planning Council of Southwest Florida, Inc. www.hpcswf.com Executive Summary To access the report in its entirety, visit http://www.hpcswf.com/health-planning/health-planningprojects/.
More informationOverview of Hepatitis B Vaccination Pilot Project in New York City. National Adult and Influenza Immunization Summit May 10, 2016
Overview of Hepatitis B Vaccination Pilot Project in New York City National Adult and Influenza Immunization Summit May 10, 2016 Edward Wake New York City Department of Health and Mental Hygiene Bureau
More informationCardiovascular Disease in Tennessee. Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health
Cardiovascular Disease in Tennessee Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health Practical Strategies in Medication Adherence for Cardiac and Stroke
More informationAlmost 1 in 10 adults have been diagnosed with diabetes. Alabama is ranked fifth in prevalence of diabetes in the United States and its territories.
2008 FACT SHEET The Diabetes Branch addresses the impact of diabetes in Alabama by developing policies, recommendations, and programs about the disease and related issues. The program is funded through
More informationMultnomah County Health Department. Report Card on Racial and Ethnic Health Disparities. April 2011
Multnomah County Health Department Report Card on Racial and Ethnic Health Disparities April 2011 Lillian Shirley, Director, Multnomah County Health Department Sandy Johnson, Office of Health and Social
More informationTexas Chronic Disease Burden Report. April Publication #E
Texas Chronic Disease Burden Report April 2010 Publication #E81-11194 Direction and Support Lauri Kalanges, MD, MPH Medical Director Health Promotion and Chronic Disease Prevention Section, Texas Department
More informationMARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT. Maricopa County Board of Health July 23, 2012 Eileen Eisen-Cohen, PhD
MARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT Maricopa County Board of Health July 23, 2012 Eileen Eisen-Cohen, PhD 1 What? Why? We Are Here 2 Local Public Health System Faith Instit. Military Dentists Labs
More informationBronx Community Health Dashboard: HIV and AIDS
Bronx Community Health Dashboard: HIV and AIDS Created: 5/4/17 Last Updated: 3//19 See last slide for more information about this project. 1 Overview of HIV/AIDS in the Bronx Disparities exist in early
More informationPennsylvania Department of Health 2006 Behavioral Risks of Chester County Adults Page 1
2006 Behavioral Health Risks Of Adults Healthy Communities Partnership Department of Health 2006 Behavioral Risks of Adults Page 1 Introduction The Centers for Disease Control and Prevention (CDC) and
More informationPublic Health and the Promise of Prevention
Public Health and the Promise of Prevention Director of Health Policy Research Office of Statewide Initiatives University of Nevada School of Medicine March 23, 2016 Public Health and the Public Health
More informationKnow Your Number Aggregate Report Single Analysis Compared to National Averages
Know Your Number Aggregate Report Single Analysis Compared to National s Client: Study Population: 2242 Population: 3,000 Date Range: 04/20/07-08/08/07 Version of Report: V6.2 Page 2 Study Population Demographics
More informationAchieving a Healthier Gloucester County 2010
Gloucester County Department of Health and Senior Services Division of Health Services Freeholder Director Robert M. Damminger Freeholder Deputy Director Warren S. Wallace, Ed.D. Freeholder Liaison Tamarisk
More informationHealth Concern. Obesity Guilford County Department of Public Health Community Health Assessment
2012-2013 Guilford County Department of Public Health Community Health Assessment 10 Health Concern The leading causes of death in Guilford County are chronic degenerative diseases, especially cancer and
More informationWorcester County Report Card 2012
Worcester County Report Card 2012 W H Deborah Goeller, R.N., M.S. Health Officer Introduction This community health 2012 Report Card is the fourth published by the Worcester County Health Department. There
More informationNational health-care expenditures are projected to rise to $5.2 trillion by 2023
National health-care expenditures are projected to rise to $5.2 trillion by 2023 US$ trillions 6 5 4 3 2.3 2.5 2.7 2.9 3.2 3.6 4.0 4.6 5.2 2 1 0 2007 2011 2015* 2019* 2023* * Projected. Source: Centers
More information- contact tracing (source)
TB Control in New York City: Current status and progress towards elimination Chrispin Kambili, MD Assistant Commissioner of Health Director, Bureau of TB Control, NYC DOHMH Every 2 Seconds someone somewhere
More informationHEALTH DISPARITIES By Hana Koniuta November 19, 2010
HEALTH DISPARITIES By Hana Koniuta November 19, 2010 "We need to focus on the uninsured and those who suffer from health care disparities that we so inadequately addressed in the past." Sen. Bill Frist
More informationLiving Well with Diabetes
Living Well with Diabetes What is diabetes? Diabetes Overview Diabetes is a disorder of the way the body uses food for growth and energy. Most of the food people eat is broken down into glucose, the form
More information