Transcript CHARTING Health Information for Texas

Research and Data
Gathering for the
Grant Writing Process
Helena VonVille
Texas Public Health Association
Annual Conference
February 25, 2007
Problem

Lack of access to health data and the
research literature can have a negative
impact on the ability of PH practitioners to
write effective grants
Objectives

Participants will learn how to access and
use:



Health data
Research literature
Resources for evidence-based public health
To accomplish the objectives

Case scenario:


You’ve come across a great grant opportunity
Diabetes-related project



You’re pretty sure you have a diabetes problem in
your community
Requires collaboration
Lots o’ money for 2 years

Renewable for 2 more years for a smaller amount
Now What?

Start gathering data


Can’t go by gut feeling
Where to begin??



Go to UTSPH Library
http://www.sph.uth.tmc.edu/library/
Click on Health Data Library
Health Data Library

One-stop source for freely accessible:

State data



CHARTing Health Information for Texas
Federal data
Regularly updated
Health Data Library
Begin with
Federal data
Why Federal Data First?


CDC grant
Most likely refers to Healthy People 2010



Healthy People 2010 publications available at
http://www.healthypeople.gov
Need to get HP 2010 data
Good way to set goals of project

Help define reasonable objectives
Federal Data Web Site

Includes links to major national data sets

CDC: NHANES, NHIS, BRFSS, YRBSS




CDC Wonder
SAMHSA: NSDUH (NHSDA), DAWN
Census Bureau: 2000 census, American
Community Survey, State & Metropolitan Area
Data Book
Not organized by subject

Laundry list approach
More Help Finding Federal Data


Produced by the National Library of
Medicine
Deep indexing of surveys, data sets, and
software
Healthy People 2010

Includes data by focus areas

28 focus areas, 467 objectives
HP 2010 Data Site
1. Click here
to select
focus area
2. Click here
to select state
(county data
not available)
3. Read objective
specification info
Objective Specification Info

Describes how objective defined




ICD-10 codes used for mortality
Target setting method
What data is used
Helps you compare apples to apples when you
gather county or community data
Diabetes Objective 5-5




Reduce diabetes death rate
ICD-10 codes E10 – E14
43% improvement from baseline year
Data derived from multiple-cause-ofdeath files, not underlying cause


3 times as likely to be listed
Most data tables use underlying cause


HP 2010 data for TX: 91.4 per 100,000 (2003)
TX Health Data: 31.4 per 100,000 (2003)
HP 2010Data Results Page


Base line year and data
Data for 1998 – 2006




2004 tends to be most current
HP 2010 target and target setting method
Sources of data
Comments
Save Data Results in Excel



Bottom of data results page
Save data results
Add data for your community or county
Diabetes: Multiple-Cause of Death



On CD-ROM with SETS (Statistical Export and
Tabulation System)
Contact CDC Mortality Statistics Branch, Division
of Vital Statistics for 2000-2003 data
County-level data available
Now that you have HP 2010 data


Impact of diabetes on TX/your county/your
community
County level data typically available



Census data is exception
MSA level data available on many sites
Go back to Health Data Library page

Select “Texas Data (CHARTing Health
Information for Texas)”
Texas Data
CHARTing Health Information for
Texas

Organized by broad categories



Links only to freely accessible data



Illness/Disease
Community and Sociodemographic
Characteristics
County or MSA level
Minimal data by Census tract or zip code
Sources: US, Texas, non-profits
http://www.sph.uth.tmc.edu/charting
Data for: Cause of Illness or Death
Chronic Disease


Broken out by morbidity, mortality, and
other resources
Start with morbidity
Diabetes: Morbidity

Includes: link to data; producer/provider;
dates covered; geography
Diabetes: Mortality

Data uses underlying cause of death

Can’t use it to compare HP 2010 objective
Diabetes: Mortality
Harris County Death Statistics for diabetes mellitus (E10-E14) from TX Health Data

Can use it to demonstrate trends and/or
health disparities
What About the Community?

Sociodemographic
& community
characteristics is
broken out in 8
broad areas
Sociodemographic & Community
Characteristics

Circled
items are
those
probably
most
relevant for
diabetes
Access to Health Care

Includes: Insurance & CHIP; Medicare & Medicaid enrollment;
Medically Underserved Areas; special reports, etc.
Risk Behaviors

BRFSS includes ?’s on diabetes and
overweight/obesity
Sociodemographic Data
Data includes:
Poverty/income
Language
spoken at home
Disabilities
Place of birth
Age
Other Components of CHARTing

Common Data Problems



Frequently used public health formulas


Explores data anomalies
If it looks too weird to be true, check it out!
Incidence rate, mortality rate, pregnancy rate,
etc.
Brief glossary of terms
Researching the Literature


TexShare database program
Evidence-Based Public Health (EBPH)
http://www.sph.uth.tmc.edu/library/default.asp?id=2909

Links to evidence-based practice Web sites

Lots of abstracts

Some full text

Document delivery of articles
TexShare Database Program



Funded by (your) tax dollars
Public and academic libraries
Extensive collection of relevant databases

Online access to thousands of journals, and
newspapers
Selective TexShare Databases





Academic Search
Premier
Alt HealthWatch
Business Source
Complete
Consumer Health
Complete
Health and Wellness
Resource Center with
Alternative Health






Health Reference
Center Academic
Health Source:
Consumer
Health Source:
Nursing/Academic
Medline
MedicLatina
Newspaper Source
TexShare Databases

Academic Search Premier: 3,610+ FT peerreviewed titles


American Journal of Public Health; AIDS
Education & Prevention; Drugs: Education,
Prevention & Policy; Journal of Public Health
Management & Practice
Medline

Subset of PubMed with indexing to more than
4,800 current biomedical journals
TexShare Databases

Health Reference Center Academic: 750+
FT titles


AIDS and Behavior; Behavioral Medicine;
Journal of School Health; Prevention Science
Health Source: Nursing/Academic: 540+ FT
titles

American Journal of Health Behavior;
Contemporary Drug Problems; Mental Health
Practice
TexShare Databases

Completely free through your public library


Get a library card!
Ex: Houston PL database access
ASP Sample Search


Each line covers a different concept
OR used to connect similar concepts
ASP Results (37 total)
http://www.sph.uth.tmc.edu/library/default.asp?id=2909
EBPH Site from UTSPH Library
EBPH Web Site: Contents

Resources of note:

PHpartners.org


Cochrane Reviews


Includes pre-defined PubMed searches for HP 2010 focus
areas
Systematic reviews on many health interventions
TRIP (Turning Research Into Practice)

Searches multiple EB databases in one fell swoop
Document Delivery of Articles



TDSHS Library
Flexible policy
Available to DSHS & DARS employees

Is your health department funded by DSHS?


If so, you are eligible (but contact them to be sure)
Home page:
http://www.dshs.state.tx.us/library/default.shtm
Thank you!
Please feel free to contact me:
[email protected]
713.500.9131