Data for Community Health Assessment in Rural Colorado: A Comparison of Electronic Health Records to Public Health Surveys to Describe Childhood Obesity
Data for Community Health Assessment in Rural Colorado: A Comparison of Electronic Health Records to Public Health Surveys to Describe Childhood Obesity
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DOI：
10.1097/phh.0000000000000589
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发表时间：
2017-07-01
影响因子：
3.3
通讯作者：
Magzamen, Sheryl
中科院分区：
文献类型：
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作者：
Gutilla, Margaret J.;Davidson, Arthur J.;Magzamen, Sheryl
背景：社区一级的数据对于社区卫生评估和规划适当的干预措施是必要的。然而，来自公共卫生调查的数据可能是有限的或不可用的农村location.Objective：我们比较了社区健康评估在农村科罗拉多，电子健康记录（EHRs）和常规的公共卫生调查的数据来源。设计：儿童/青少年肥胖患病率和数据质量的横截面措施的比较。设置：两个农村科罗拉多县，拉普拉塔和Prowers。参与者：EHR队列包括2至19岁的患者，他们接受了每个县最大的医疗保健提供者的访问。这些数据包括性别、年龄、体重、身高、人种、种族和保险状况。公共卫生调查数据来自2项调查，科罗拉多儿童健康调查（2-14岁）和健康儿童科罗拉多调查（15-19岁），包括照顾者和自我报告的身高和体重estimations.Main结果测量：我们计算每个患者和调查对象的体重指数百分位数，并确定县超重/肥胖患病率。我们评估了数据源质量指标，根据一个专为这个analysis.Results：EHR样本捕获约35%（n = 3965）和70%（n = 2219）的所有儿童生活在拉普拉塔和Prowers县，分别。在两个县2至14岁儿童中，EHR对超重/肥胖患病率的估计精度高于调查数据。此外，电子健康记录数据比调查数据更及时，更具有地域代表性，并提供了直接测量的身高和体重。相反，调查数据更容易访问和人口统计学上的代表性的整体population.Conclusions：电子健康记录描述的儿童/青少年肥胖的患病率生活在农村科罗拉多可能补充公共卫生调查数据的社区健康评估和健康改善规划。
Context: Community-level data are necessary to inform community health assessments and to plan for appropriate interventions. However, data derived from public health surveys may be limited or unavailable in rural locations.Objective: We compared 2 sources of data for community health assessment in rural Colorado, electronic health records (EHRs) and routine public health surveys.Design: Comparison of cross-sectional measures of childhood/youth obesity prevalence and data quality.Setting: Two rural Colorado counties, La Plata and Prowers.Participants: The EHR cohort comprised patients 2 to 19 years of age who underwent a visit with the largest health care provider in each county. These data included sex, age, weight, height, race, ethnicity, and insurance status. Public health survey data were obtained from 2 surveys, the Colorado Child Health Survey (2-14 years of age) and the Healthy Kids Colorado Survey (15-19 years of age) and included caregiver and self-reported height and weight estimates.Main Outcome Measures: We calculated body mass index percentile for each patient and survey respondent and determined overweight/obesity prevalence by county. We evaluated data source quality indicators according to a rubric developed for this analysis.Results: The EHR sample captured approximately 35% (n = 3965) and 70% (n = 2219) of all children living in La Plata and Prowers Counties, respectively. The EHR prevalence estimates of overweight/obesity were greater in precision than survey data in both counties among children 2 to 14 years of age. In addition, the EHR data were more timely and geographically representative than survey data and provided directly measured height and weight. Conversely, survey data were easier to access and more demographically representative of the overall population.Conclusions: Electronic health records describing the prevalence of obesity among children/youth living in rural Colorado may complement public health survey data for community health assessment and health improvement planning.