Transcript Dating Violence among Public High School Students

Data Informing Practice
How could/should DOHMH
numbers be used?
Fatima Ashraf, MPH
Carolyn Olson, MPH
Catherine Stayton, DrPH, MPH
Division of Epidemiology
NYC Department of
Health and Mental Hygiene
Overview

How are data used at the Health
Department?
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Accessing DOHMH data
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Take Care New York (TCNY)
Outreach campaigns
Provider training
Improved surveillance
What’s out there?
How can you get to it?
Discussion questions
Take Care New York
Take Care New York (TCNY) Goals
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Have a regular primary care provider
Be tobacco-free
Keep your heart healthy
Know your HIV status
Get help for depression
Live free of dependence on alcohol and drugs
Get checked for cancer
Get the immunizations you need
Make your home safe and healthy
Have a healthy baby
TCNY Goals:
Criteria for Selection
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Large burden:
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Best addressed through coordinated action
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Killing many NYers
Causing thousands of preventable illnesses or
disabilities each year
City agencies, public-private partnerships, health care
providers, businesses, individuals
Proven amenability to intervention or
prevention

Verdict still out for intimate partner violence
Intimate Partner Violence
TCNY Target
TCNY
Agenda
Item
Make
Your
Home
Safe &
Healthy
Indicator
Status:
2002
Status:
2003
Status:
2004
2008
Goal
Women
who die
from
intimate
partner
homicide
20002002
3-yr
average
1.0 per
100,000
women
age 12+
in NYC
20012003
3-yr
average
1.0 per
100,000
women
age 12+
in NYC
20022004
3-yr
average
1.0 per
100,000
women
age 12+
in NYC
20062008
3-yr
average
< 1 per
100,000
women
age 12+
in NYC
(10%
reduction)
Bystander Campaign
Central Brooklyn
South Bronx
Central and South
Brooklyn
The Rockaways
Bystander Campaign in
Central Brooklyn
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GOALS
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Immediate: to engage & empower bystanders to help
victims get the help they need to get and keep themselves
safe
Long term: to break the silence & inaction around domestic
violence
OBJECTIVES
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Deliver the message that domestic violence is not a private
matter
Educate bystanders that there are resources to guide them
through how to help a victim get help safely and sensibly
Encourage bystanders to discuss the situation with
professionals
Bystander
Campaign in
Central
Brooklyn
Health Care Provider
Outreach
Provider Outreach
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Injury surveillance need for better
documentation of violence
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Too many unknowns in charts
Two-fold message for providers
1. IPV is a public health concern
 Upcoming IPV Report
2. Screen for IPV
When identified: DOCUMENT, assess, refer
 Upcoming CHI
 Public Health Detailing campaign
Improving
IPV Surveillance
Pursuing New Data Sources
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Additions to YRBS in 2007
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Evaluation of quality of sexual violence data
from ED surveillance system
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Perpetrator information for forced-sex experience
Age of partner at last sex
Are we getting all those charts?
Sexual violence on the Community Health
Survey
Further analysis of qualitative data
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Exploration of new qualitative research initiatives
Accessing
DOHMH Data
Available Data
from the Health Department
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Census data
Birth & death registry data (Vital Statistics)
Hospital discharge data (SPARCS)
Surveillance data (ISS)
Youth Risk Behavior Survey
Community Health Survey
How can you access
our data?
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Community Health Profiles
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Longer “chartbooks”
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Women at Risk
Upcoming: Intimate Partner
Violence in NYC
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Vital Signs and other reports
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Smoking in Teens
Upcoming: Violence and
Victimization in NYC Public
High Schools
Learn More!
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Web-based, interactive query system
Ask & answer your own questions about the
health of New Yorkers
Epi Query
 nyc.gov/health
(My Community’s Health)
What’s on EpiQuery?
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CHS 2002, 2003, 2004
YRBS 1999, 2001, 2003, 2005
SPARCS 2002
Census 1990-2000
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Intercensal estimates (linear)
Gender, age, race
COMING SOON
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Vital Statistics
More recent SPARCS data
CHS 2005
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Demographic Subgroups:
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Borough, sex, age groups, race, grade
SPARCS on EpiQuery
Discussion Questions

How are you using DOHMH data now
(if at all)?
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Ways to think about the data to inform
practice/programs:
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Group of interest?
What questions would you still like to see
answered? What data do you need?
Group of Interest:
Gang members or those who’ve
experienced forced sex
%gang in forced sex vs. not
%forced sex in gang vs. not
50
40
30
26
20
10
10
0
% of HS students
who report gang membership
% of HS students
who report forced sex
50
40
30
20
17
10
6
0
Gang member
Not in gang
New York City YRBS 2005
Estimates are weighted to NYC public high school population.
Report forced sex
Do not report forced
sex
Contact us! Get more info!
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Visit nyc.gov/health
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Click on “My Community’s Health”
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Call 311
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Email
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Catherine Stayton at [email protected]
Fatima Ashraf at [email protected]
Cari Olson at [email protected]
THANK YOU!!