Social and Behavioral History Information in Public Health Datasets
Social and Behavioral History Information in Public Health Datasets
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发表时间：
2012
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通讯作者：
G. Melton;S. Manaktala;I. Sarkar;Elizabeth S. Chen
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作者：
G. Melton;S. Manaktala;I. Sarkar;Elizabeth S. Chen
社会和行为史越来越被认为是了解疾病的重要决定因素所不可或缺的，对患者护理、研究、临床指南和公共卫生政策至关重要。公共卫生领域的社会和行为历史信息，特别是大型公共卫生调查，没有得到很好的描述。本研究对三种广泛使用的公共健康调查：BRFSS(行为危险因素监测系统)、NHANES(国民健康与营养检查调查)和NHIS(国民健康访谈调查)进行了内容分析，构建了信息模型，并与临床模型进行了对比。调查项目主要与酒精使用、毒品使用、职业和烟草使用有关。尽管临床社会史信息模型相似，但公共卫生社会史在编码时间性、暴露程度和确定性方面表现出额外的复杂性。我们的结果有助于我们深入了解正在进行的整合临床和公共卫生信息资源以改善和衡量健康状况的努力。
Social and behavioral history is increasingly recognized as integral for understanding important determinants of disease and critical for patient care, research, clinical guidelines, and public health policies. Social and behavioral history information in the public health domain, specifically large public health surveys, has not been well described. In this study, a content analysis was performed and information model constructed and contrasted with clinically-based models for each of three widely used public health surveys: BRFSS (Behavioral Risk Factor Surveillance System), NHANES (National Health and Nutrition Examination Survey), and NHIS (National Health Interview Survey). Survey items were predominantly related to alcohol use, drug use, occupation, and tobacco use. Although the clinical social history information model was similar, public health social history demonstrated additional complexity in coding temporality, degree of exposure, and certainty. Our results give insight into ongoing efforts to integrate clinical and public health information resources for improving and measuring health.