Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Behind Bars II: Substance Use and America’s Prison PopulationCenter on Addiction
The document is a report by CASAColumbia that analyzes substance use among America's prison population. Some key findings are that in 2006, 85% of inmates were substance-involved, 65% met criteria for substance use disorders, and only 11% received treatment. Failure to treat addiction increases crime and government costs. The growth in the substance-involved inmate population from 1996 to 2006 increased faster than the general US and total inmate populations.
This document discusses health issues for three age groups: adolescents and young adults (15-24), adults (25-64), and older adults (65+). For adolescents and young adults, leading causes of death include injuries, homicide, and suicide. Health behaviors like risky sex, substance use, and lack of exercise are established during these years. Community strategies target these behaviors. Adults experience most chronic diseases. Leading causes of death are cancer, heart disease and behaviors like smoking, inactivity and diet impact risk. Community efforts focus on screening and managing conditions. Lifestyle changes can improve health for all age groups.
National Survey of American Attitudes on Substance Abuse XVII: TeensCenter on Addiction
This document summarizes the results of a national survey of 1,003 teenagers on substance abuse issues. Key findings include:
- 86% of high school students say classmates use drugs at school, with 17% using daily. Over half know of a place to use drugs at school without getting caught.
- Nearly half of high school students know someone who sells drugs at their school. Marijuana and prescription drugs are most commonly sold.
- Teen substance use is higher among those who know a school drug dealer or attend a "drug-infected" school where drugs are used/sold on campus.
- Most teens say social media images of partying and drug use encourage other teens to do the same, and those
Addiction Medicine: Closing the Gap between Science and PracticeCenter on Addiction
These slides accompany CASAColumbia's report, Addiction Medicine: Closing the Gap between Science and Practice, published in June 2012, which found that, despite the prevalence of addiction, the enormity of its consequences, the availability of effective solutions and the evidence that addiction is a disease, both screening and early intervention for risky substance use are rare, and only about 1 in 10 people with addiction involving alcohol or drugs other than nicotine receive any form of treatment.
This document provides a community health assessment of Frio County, Texas from 2016. It finds that the overall health ranking of Frio County is low at 232 out of 241 counties in Texas. Key issues include a high adult obesity rate, lack of nutrition and access to exercise facilities, and a low average household income. Diabetes deaths are almost double the national median. Disparities exist for conditions like diabetes, STIs, and poverty. Recommendations are made to address priorities like increasing access to healthcare, exercise, and healthy foods.
This document summarizes a presentation about addressing health equity in rural communities. It discusses exploring issues of health equity and social determinants of health. It provides examples of how social factors like income, education and housing affect health outcomes. It also describes the PLACE MATTERS initiative which helps communities address social conditions that impact health and discusses challenges to addressing social determinants of health.
Healthy Communities: Multnomah county is one of the 36 counties in the state of Oregon, located with Portland as its county seat. Portland is the second largest city in Oregon and the most populous metropolitan area in the state (U.S. Census Bureau [USCB], 2008, p. 1). As of 2007, Multnomah County's population is 681,454 people (Sperling, 2008). For the purpose of this study, the community focus will be primarily on the sector of Multnomah County in the 97212 area code, which will be called the Rose Sector.
The document discusses the role of statistics and mathematicians in public health practice and HIV/AIDS surveillance. It provides examples of how HIV/AIDS data is collected through disease reporting and used by statisticians to analyze trends, identify at-risk groups, and inform prevention strategies. Specific projects highlighted include using population attributable risk to quantify how social determinants influence racial disparities in HIV incidence among women and analyzing mediators of behavioral interventions.
Behind Bars II: Substance Use and America’s Prison PopulationCenter on Addiction
The document is a report by CASAColumbia that analyzes substance use among America's prison population. Some key findings are that in 2006, 85% of inmates were substance-involved, 65% met criteria for substance use disorders, and only 11% received treatment. Failure to treat addiction increases crime and government costs. The growth in the substance-involved inmate population from 1996 to 2006 increased faster than the general US and total inmate populations.
This document discusses health issues for three age groups: adolescents and young adults (15-24), adults (25-64), and older adults (65+). For adolescents and young adults, leading causes of death include injuries, homicide, and suicide. Health behaviors like risky sex, substance use, and lack of exercise are established during these years. Community strategies target these behaviors. Adults experience most chronic diseases. Leading causes of death are cancer, heart disease and behaviors like smoking, inactivity and diet impact risk. Community efforts focus on screening and managing conditions. Lifestyle changes can improve health for all age groups.
National Survey of American Attitudes on Substance Abuse XVII: TeensCenter on Addiction
This document summarizes the results of a national survey of 1,003 teenagers on substance abuse issues. Key findings include:
- 86% of high school students say classmates use drugs at school, with 17% using daily. Over half know of a place to use drugs at school without getting caught.
- Nearly half of high school students know someone who sells drugs at their school. Marijuana and prescription drugs are most commonly sold.
- Teen substance use is higher among those who know a school drug dealer or attend a "drug-infected" school where drugs are used/sold on campus.
- Most teens say social media images of partying and drug use encourage other teens to do the same, and those
Addiction Medicine: Closing the Gap between Science and PracticeCenter on Addiction
These slides accompany CASAColumbia's report, Addiction Medicine: Closing the Gap between Science and Practice, published in June 2012, which found that, despite the prevalence of addiction, the enormity of its consequences, the availability of effective solutions and the evidence that addiction is a disease, both screening and early intervention for risky substance use are rare, and only about 1 in 10 people with addiction involving alcohol or drugs other than nicotine receive any form of treatment.
This document provides a community health assessment of Frio County, Texas from 2016. It finds that the overall health ranking of Frio County is low at 232 out of 241 counties in Texas. Key issues include a high adult obesity rate, lack of nutrition and access to exercise facilities, and a low average household income. Diabetes deaths are almost double the national median. Disparities exist for conditions like diabetes, STIs, and poverty. Recommendations are made to address priorities like increasing access to healthcare, exercise, and healthy foods.
This document summarizes a presentation about addressing health equity in rural communities. It discusses exploring issues of health equity and social determinants of health. It provides examples of how social factors like income, education and housing affect health outcomes. It also describes the PLACE MATTERS initiative which helps communities address social conditions that impact health and discusses challenges to addressing social determinants of health.
Healthy Communities: Multnomah county is one of the 36 counties in the state of Oregon, located with Portland as its county seat. Portland is the second largest city in Oregon and the most populous metropolitan area in the state (U.S. Census Bureau [USCB], 2008, p. 1). As of 2007, Multnomah County's population is 681,454 people (Sperling, 2008). For the purpose of this study, the community focus will be primarily on the sector of Multnomah County in the 97212 area code, which will be called the Rose Sector.
The document discusses the role of statistics and mathematicians in public health practice and HIV/AIDS surveillance. It provides examples of how HIV/AIDS data is collected through disease reporting and used by statisticians to analyze trends, identify at-risk groups, and inform prevention strategies. Specific projects highlighted include using population attributable risk to quantify how social determinants influence racial disparities in HIV incidence among women and analyzing mediators of behavioral interventions.
In this presentation Dr Jonathan Campion, Director of Public Mental Health and Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust, shows how appropriate public mental health commissioning can prevent mental health problems, promote wellbeing and improve outcomes for services and the people who use them.
Find out more http://mentalhealthpartnerships.com/?p=13135
This powerpoint presentation was put together by Teri Covington, Senior Program Director at the Michigan Pubic Health Institute, and presented on January 15 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at sudden and unexpected child deaths and the 2013 Child Fatality Report.
Violence against women and girls in LAC and recent health system mandatesWebmaster PAHO-WHO
This document outlines a presentation on violence against women in Latin America and the Caribbean and recent health system mandates to address it. It discusses the high prevalence and health impacts of violence against women globally and in the region. It also summarizes key elements of the PAHO Regional Strategy and Plan of Action and the WHO Global Plan of Action to strengthen health systems' role in preventing and responding to violence against women. The presentation reviews how the regional strategy was developed and outlines its objectives and indicators to monitor progress in collecting data, strengthening policies and budgets, improving health services and increasing prevention of violence against women.
This powerpoint presentation was put together by Arleymah Gray, MPH, Child Fatality Specialist at the Georgia Bureau of Investigation for the Child Fatality Review Unit, and presented on January 15 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at sudden and unexpected child deaths and the 2013 Child Fatality Report.
Karen Minyard, GHPC Director, presented "Social Determinants of Health Equity and Levels of Potential Impact in the System: Opportunities for Leverage" at the Georgia Grantmakers Alliance in Macon, GA on August 25, 2011.
This powerpoint presentation was put together by Martha Duke, Child Death Liaison, Division of Family and Children Services and presented on August 8 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at Deconstructing Child Deaths in Georgia: A Discussion of the 2013 DFCS Child Fatality Report
Adolescent Substance Use: America’s #1 Public Health ProblemCenter on Addiction
These slides accompany the CASAColumbia report, Adolescent Substance Use: America's #1 Public Health Problem (http://www.casacolumbia.org/addiction-research/reports/adolescent-substance-use), which reveals that adolescence is the critical period for the initiation of substance use and its consequences. The CASA report finds 1 in 4 Americans who began using any addictive substance before age 18 are addicted, compared to 1 in 25 Americans who started using at age 21 or older.
1) Social assistance recipients in Ontario have significantly poorer health outcomes than both the working poor and non-poor across a wide range of health measures, even after controlling for other socioeconomic factors.
2) Both social assistance recipients and the working poor in Ontario are less likely to access preventative health care services and have higher rates of unmet health care needs than the non-poor, with cost and transportation being common barriers.
3) The report recommends expanding Ontario's poverty reduction strategy, increasing social assistance and minimum wage rates, improving access to health care including coverage of dental and vision services, and addressing other socioeconomic determinants of health.
This document provides an overview of data collected on adverse childhood experiences (ACEs) in South Carolina. Some key points:
- 62% of South Carolinians reported experiencing at least one ACE, with 22% experiencing 2 or more and 16% experiencing 4 or more.
- Experiencing ACEs is associated with increased risk of physical and mental health problems in adulthood like heart disease, diabetes, depression, and poorer overall health.
- ACEs are also linked to higher rates of behavioral risks in adulthood like smoking, binge drinking, and not wearing a seatbelt.
- Those with ACEs were more likely to face barriers to healthcare access as adults such as
This study examined the association between enrollment in high-deductible health plans (HDHPs) and behavioral risk factors like smoking and obesity using a nationally representative survey. The results showed lower rates of smoking and obesity among HDHP enrollees overall, but these associations varied depending on the ability to self-select plans. There was no association where plan choice was limited, but negative associations existed where self-selection was possible, suggesting these relationships may be driven more by self-selection than health-promoting effects of HDHPs.
The document discusses cardiovascular disease (CVD) mortality rates and risk factors across different age groups and genders. It shows that CVD mortality increases with age, and is higher in men than women until after age 65, when it becomes higher in women. The major modifiable risk factors for CVD are discussed, along with approaches for primary and secondary prevention at both the population and individual level through lifestyle and medical treatment interventions.
Human rights watch scpg presentation 11.10.11mellarocomolter
This is a presentation I made to the NC Statewide Community Planning Group, HIV Group. The Human Rights Watch performed a study entitled "We Know What to Do: Harm Reduction and Human Rights in North Carolina."
Getting to scale: How we can achieve the reach required of prevention service...HopkinsCFAR
This document discusses disparities in HIV/STI rates among Black and White MSM in Atlanta from 2009-2014. The study found significantly higher rates of new HIV infections, prevalent HIV infections, and STIs among Black MSM compared to White MSM. Factors contributing to the disparities included higher community-level HIV prevalence among Black MSM networks, increased likelihood of Black MSM encountering an HIV-positive partner, geographic clustering of Black MSM in high-poverty/high-stigma neighborhoods, and higher rates of condom failures or incomplete use among Black MSM. The document advocates for scaling up multiple prevention interventions like PrEP to achieve sufficient coverage levels to meaningfully reduce new HIV transmissions.
The 2016 Nepal Demographic and Health Survey collected data on key health and demographic indicators in Nepal. Some key findings include:
- 56% of children under 5 have their births registered.
- Nearly half of households have access to improved sanitation and drinking water sources. However, 66% rely on solid fuels for cooking.
- Educational attainment is low, with two in five women and one in five men having no education. Net school attendance is 80% for primary but only 67% for secondary school.
- Regarding employment, 57% of women and 78% of men reported current employment. Most women work in agriculture compared to most men working outside of agriculture.
The document outlines how the Wellesley Institute supports research and policy analysis to drive social change and reduce health inequities. It discusses:
- Applying a range of research methodologies, from community-based to quantitative.
- Translating research into policy impact by identifying policy implications and options based on findings.
- The complexity of social determinants of health and how factors like income, education, employment, housing and social supports interact and cumulatively impact individual and community health.
- The need to understand the policy process and environment to effectively influence policy and maximize the impact of research.
Gender Analysis for Global Health_10.15.13CORE Group
This document provides an overview of gender analysis for global health programs. It defines key gender-related terms and discusses how gender influences health experiences and outcomes. Gender integration aims to remove barriers to good health by considering gender roles and norms. The document reviews USAID's policy on gender equality and female empowerment, which has the goals of reducing gender disparities and increasing women's empowerment. It also discusses how gender analysis can be applied to better understand the different roles and needs of women and men in a community in order to improve health program design and impact.
CDC works to prevent fetal alcohol spectrum disorders (FASDs) by promoting alcohol screening and brief interventions (SBI) for pregnant women and women of childbearing age. SBI involves screening patients for risky drinking and providing brief counseling for those who screen positive. CDC also promotes the CHOICES program to help women reduce or stop drinking and use contraception effectively. CDC collaborates with various partners like healthcare organizations and NOFAS to educate providers and advance FASD prevention strategies. CDC analyzes national data to monitor alcohol use among women and assess provider practices around alcohol SBI.
Transforming Gender Norms, Roles, and Power Dynamics to Reduce GBV: A Systema...MEASURE Evaluation
This document summarizes a systematic review of gender-integrated programming that aims to reduce gender-based violence (GBV). The review identified 55 interventions globally, with 12 located in South Asia. Most interventions engaged men and boys and employed transformative strategies like challenging gender norms and empowering vulnerable groups. Transformative programs effectively changed attitudes around GBV while accommodating strategies mobilized communities against practices like female genital mutilation. The review recommends continued involvement of men and boys in GBV programs combined with empowerment strategies and structural opportunities to achieve health and gender outcomes.
This study analyzed data from the 2007 Health Tracking Household Survey to examine associations between enrollment in high-deductible health plans (HDHPs) and behavioral risk factors like obesity and smoking. The results showed lower overall rates of obesity and smoking among HDHP enrollees compared to traditional plan enrollees. However, these associations varied depending on the potential for individuals to self-select their health plans. There were no associations found among those without a choice of plans. Negative associations between HDHP enrollment and risk factors were only seen among those able to self-select, suggesting the associations may be driven by selection effects rather than the plans themselves promoting healthier behaviors.
The document discusses homelessness and health in Canada. It provides an overview of Dr. James Frankish's research interests related to homelessness, poverty, and marginalized groups. It summarizes data on the characteristics of homeless populations in Vancouver and BC, including health issues, reasons for homelessness, and needed services. It also discusses strategies for addressing homelessness, including changing public discourse, using housing to facilitate intersectoral collaboration, and specific housing and support policies.
Zina Ibrahim - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Chris Hollis - Big Data in Mental Health - 23rd July 2014 - 1kclcompbio
MindTech is a NIHR Healthcare Technology Co-operative focused on accelerating the development and adoption of innovative mental healthcare technologies. It aims to transform service delivery, enhance the patient experience, and improve outcomes through needs-led technology development with partners like patients, industry, and researchers. MindTech focuses on clinical areas like mood disorders, neurodevelopmental disorders, and dementia, and brings together experts from psychiatry, computer science, and other fields to work on technologies and their implementation.
In this presentation Dr Jonathan Campion, Director of Public Mental Health and Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust, shows how appropriate public mental health commissioning can prevent mental health problems, promote wellbeing and improve outcomes for services and the people who use them.
Find out more http://mentalhealthpartnerships.com/?p=13135
This powerpoint presentation was put together by Teri Covington, Senior Program Director at the Michigan Pubic Health Institute, and presented on January 15 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at sudden and unexpected child deaths and the 2013 Child Fatality Report.
Violence against women and girls in LAC and recent health system mandatesWebmaster PAHO-WHO
This document outlines a presentation on violence against women in Latin America and the Caribbean and recent health system mandates to address it. It discusses the high prevalence and health impacts of violence against women globally and in the region. It also summarizes key elements of the PAHO Regional Strategy and Plan of Action and the WHO Global Plan of Action to strengthen health systems' role in preventing and responding to violence against women. The presentation reviews how the regional strategy was developed and outlines its objectives and indicators to monitor progress in collecting data, strengthening policies and budgets, improving health services and increasing prevention of violence against women.
This powerpoint presentation was put together by Arleymah Gray, MPH, Child Fatality Specialist at the Georgia Bureau of Investigation for the Child Fatality Review Unit, and presented on January 15 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at sudden and unexpected child deaths and the 2013 Child Fatality Report.
Karen Minyard, GHPC Director, presented "Social Determinants of Health Equity and Levels of Potential Impact in the System: Opportunities for Leverage" at the Georgia Grantmakers Alliance in Macon, GA on August 25, 2011.
This powerpoint presentation was put together by Martha Duke, Child Death Liaison, Division of Family and Children Services and presented on August 8 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at Deconstructing Child Deaths in Georgia: A Discussion of the 2013 DFCS Child Fatality Report
Adolescent Substance Use: America’s #1 Public Health ProblemCenter on Addiction
These slides accompany the CASAColumbia report, Adolescent Substance Use: America's #1 Public Health Problem (http://www.casacolumbia.org/addiction-research/reports/adolescent-substance-use), which reveals that adolescence is the critical period for the initiation of substance use and its consequences. The CASA report finds 1 in 4 Americans who began using any addictive substance before age 18 are addicted, compared to 1 in 25 Americans who started using at age 21 or older.
1) Social assistance recipients in Ontario have significantly poorer health outcomes than both the working poor and non-poor across a wide range of health measures, even after controlling for other socioeconomic factors.
2) Both social assistance recipients and the working poor in Ontario are less likely to access preventative health care services and have higher rates of unmet health care needs than the non-poor, with cost and transportation being common barriers.
3) The report recommends expanding Ontario's poverty reduction strategy, increasing social assistance and minimum wage rates, improving access to health care including coverage of dental and vision services, and addressing other socioeconomic determinants of health.
This document provides an overview of data collected on adverse childhood experiences (ACEs) in South Carolina. Some key points:
- 62% of South Carolinians reported experiencing at least one ACE, with 22% experiencing 2 or more and 16% experiencing 4 or more.
- Experiencing ACEs is associated with increased risk of physical and mental health problems in adulthood like heart disease, diabetes, depression, and poorer overall health.
- ACEs are also linked to higher rates of behavioral risks in adulthood like smoking, binge drinking, and not wearing a seatbelt.
- Those with ACEs were more likely to face barriers to healthcare access as adults such as
This study examined the association between enrollment in high-deductible health plans (HDHPs) and behavioral risk factors like smoking and obesity using a nationally representative survey. The results showed lower rates of smoking and obesity among HDHP enrollees overall, but these associations varied depending on the ability to self-select plans. There was no association where plan choice was limited, but negative associations existed where self-selection was possible, suggesting these relationships may be driven more by self-selection than health-promoting effects of HDHPs.
The document discusses cardiovascular disease (CVD) mortality rates and risk factors across different age groups and genders. It shows that CVD mortality increases with age, and is higher in men than women until after age 65, when it becomes higher in women. The major modifiable risk factors for CVD are discussed, along with approaches for primary and secondary prevention at both the population and individual level through lifestyle and medical treatment interventions.
Human rights watch scpg presentation 11.10.11mellarocomolter
This is a presentation I made to the NC Statewide Community Planning Group, HIV Group. The Human Rights Watch performed a study entitled "We Know What to Do: Harm Reduction and Human Rights in North Carolina."
Getting to scale: How we can achieve the reach required of prevention service...HopkinsCFAR
This document discusses disparities in HIV/STI rates among Black and White MSM in Atlanta from 2009-2014. The study found significantly higher rates of new HIV infections, prevalent HIV infections, and STIs among Black MSM compared to White MSM. Factors contributing to the disparities included higher community-level HIV prevalence among Black MSM networks, increased likelihood of Black MSM encountering an HIV-positive partner, geographic clustering of Black MSM in high-poverty/high-stigma neighborhoods, and higher rates of condom failures or incomplete use among Black MSM. The document advocates for scaling up multiple prevention interventions like PrEP to achieve sufficient coverage levels to meaningfully reduce new HIV transmissions.
The 2016 Nepal Demographic and Health Survey collected data on key health and demographic indicators in Nepal. Some key findings include:
- 56% of children under 5 have their births registered.
- Nearly half of households have access to improved sanitation and drinking water sources. However, 66% rely on solid fuels for cooking.
- Educational attainment is low, with two in five women and one in five men having no education. Net school attendance is 80% for primary but only 67% for secondary school.
- Regarding employment, 57% of women and 78% of men reported current employment. Most women work in agriculture compared to most men working outside of agriculture.
The document outlines how the Wellesley Institute supports research and policy analysis to drive social change and reduce health inequities. It discusses:
- Applying a range of research methodologies, from community-based to quantitative.
- Translating research into policy impact by identifying policy implications and options based on findings.
- The complexity of social determinants of health and how factors like income, education, employment, housing and social supports interact and cumulatively impact individual and community health.
- The need to understand the policy process and environment to effectively influence policy and maximize the impact of research.
Gender Analysis for Global Health_10.15.13CORE Group
This document provides an overview of gender analysis for global health programs. It defines key gender-related terms and discusses how gender influences health experiences and outcomes. Gender integration aims to remove barriers to good health by considering gender roles and norms. The document reviews USAID's policy on gender equality and female empowerment, which has the goals of reducing gender disparities and increasing women's empowerment. It also discusses how gender analysis can be applied to better understand the different roles and needs of women and men in a community in order to improve health program design and impact.
CDC works to prevent fetal alcohol spectrum disorders (FASDs) by promoting alcohol screening and brief interventions (SBI) for pregnant women and women of childbearing age. SBI involves screening patients for risky drinking and providing brief counseling for those who screen positive. CDC also promotes the CHOICES program to help women reduce or stop drinking and use contraception effectively. CDC collaborates with various partners like healthcare organizations and NOFAS to educate providers and advance FASD prevention strategies. CDC analyzes national data to monitor alcohol use among women and assess provider practices around alcohol SBI.
Transforming Gender Norms, Roles, and Power Dynamics to Reduce GBV: A Systema...MEASURE Evaluation
This document summarizes a systematic review of gender-integrated programming that aims to reduce gender-based violence (GBV). The review identified 55 interventions globally, with 12 located in South Asia. Most interventions engaged men and boys and employed transformative strategies like challenging gender norms and empowering vulnerable groups. Transformative programs effectively changed attitudes around GBV while accommodating strategies mobilized communities against practices like female genital mutilation. The review recommends continued involvement of men and boys in GBV programs combined with empowerment strategies and structural opportunities to achieve health and gender outcomes.
This study analyzed data from the 2007 Health Tracking Household Survey to examine associations between enrollment in high-deductible health plans (HDHPs) and behavioral risk factors like obesity and smoking. The results showed lower overall rates of obesity and smoking among HDHP enrollees compared to traditional plan enrollees. However, these associations varied depending on the potential for individuals to self-select their health plans. There were no associations found among those without a choice of plans. Negative associations between HDHP enrollment and risk factors were only seen among those able to self-select, suggesting the associations may be driven by selection effects rather than the plans themselves promoting healthier behaviors.
The document discusses homelessness and health in Canada. It provides an overview of Dr. James Frankish's research interests related to homelessness, poverty, and marginalized groups. It summarizes data on the characteristics of homeless populations in Vancouver and BC, including health issues, reasons for homelessness, and needed services. It also discusses strategies for addressing homelessness, including changing public discourse, using housing to facilitate intersectoral collaboration, and specific housing and support policies.
Zina Ibrahim - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Chris Hollis - Big Data in Mental Health - 23rd July 2014 - 1kclcompbio
MindTech is a NIHR Healthcare Technology Co-operative focused on accelerating the development and adoption of innovative mental healthcare technologies. It aims to transform service delivery, enhance the patient experience, and improve outcomes through needs-led technology development with partners like patients, industry, and researchers. MindTech focuses on clinical areas like mood disorders, neurodevelopmental disorders, and dementia, and brings together experts from psychiatry, computer science, and other fields to work on technologies and their implementation.
Sean Maskey - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Richard Jackson - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Maxim Osipov - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Chris Hollis - Big Data in Mental Health - 23rd July 2014 - 2kclcompbio
MindTech is an organization that can offer various services related to mental health technologies, including clinical and user perspectives, research expertise, governance and funding advice, and access to the NHS. They have expertise in areas like facial analysis, ambient patient monitoring, app development, serious games, and more. Their research approach involves identifying clinical problems, developing technological solutions, evaluating clinical and cost effectiveness, and disseminating solutions in the NHS. They collaborate with various partners like academics, SMEs, NHS trusts, and patients. They are working on projects involving technologies like e-mental health apps, online therapy, ambient monitoring, neuromodulation, serious games, and more to address issues like treatment adherence, assessment/diagnosis,
Will Spooner - Big Data in Mental Health - 23rd July 2014kclcompbio
Organised by the Bioinformatics group at the BRCMH, IoP, SLaM and Maudsley Digital, this symposium showcased talks regarding the important roles of big data in mental health biomedical research and treatments.
Amos Folarin - Big Data in Mental Health - 23rd July 2014kclcompbio
This document discusses using wearable and mobile phone sensors to automatically track sleep for clinical purposes. It notes that current clinical devices are expensive and limited, while consumer devices like Fitbit are cheaper but have shorter battery life. Mobile phones have a wide range of sensors. The document proposes using a mobile phone linked to a wearable monitor like Fitbit for self-monitoring, measuring treatment response, triggering interventions, and stratifying patients in clinical trials. It describes collecting sensor data from Fitbit and a mobile phone, preprocessing the data, and using machine learning to classify sleep and wake states from the sensor readings in order to automatically measure sleep duration and quality.
This document discusses surveillance of risk factors for non-communicable diseases (NCDs) in India. It describes the need for NCD risk factor surveillance given the increasing burden of NCDs. Surveillance of risk factors like tobacco use, alcohol consumption, obesity, diet, physical activity and blood glucose/cholesterol levels is recommended through periodic sample surveys. The role of district surveillance officers includes organizing such surveys involving collection of demographic, behavioral and biological data on NCD risk factors from the community. Ensuring valid and reliable surveillance methods is important to generate accurate data on trends and patterns of NCD risk factors.
This document discusses adolescent risk behaviors and provides data on common risks such as injuries, violence, suicide, substance use, sexual behaviors, and obesity. It notes that risk-taking is part of adolescent development as teens separate from parents and form their identity. While some risk is normal, behaviors like drinking, drugs, unprotected sex can lead to significant health issues. The document reviews national and local data on the prevalence of different risks and associated morbidity and mortality. It discusses screening and counseling approaches and conceptual models like the Transtheoretical Model of behavior change to help address risk behaviors in clinical practice.
This document discusses adolescent substance abuse, including:
- Common drugs of abuse such as alcohol, marijuana, and tobacco and emerging trends like bath salts and e-cigarettes.
- How the adolescent brain is still developing which can increase risk-taking behaviors and substance abuse.
- The co-morbidity of substance abuse with mental health conditions like depression and anxiety.
- Prevention strategies are needed to address the myths surrounding substance use and the health risks to adolescents.
190910_Social Determinants of Health.pptxCalvin Kaaya
This document discusses collecting information on social determinants of health in general practice systems. It notes current risk factors like smoking status are inconsistently collected. Social determinants include income, education, environment and others that influence health. Collecting this data could improve risk prediction, care plans, outcomes measurement and social prescribing. However, issues around privacy and informed consent require consideration. The document recommends starting with data standardization efforts through coding systems to integrate social determinants into electronic health records.
- Add Health is a longitudinal study that began in 1994 to examine the health and behaviors of adolescents in the United States from adolescence into adulthood. It utilizes a nationally representative sample and collects extensive data through in-home interviews and biological specimens.
- The study collects data on the social, family, school, and neighborhood environments of participants and how these impact health outcomes. It also examines genetic and biological factors. This allows for analysis of gene-environment interactions and pathways from social experiences to health.
- Add Health has completed 4 waves of data collection from adolescence through age 42. It includes measures of physical health, mental health, substance use, relationships, attitudes, and more. This provides a valuable resource for understanding
A keynote talk I gave at the Opening Doors Annual Conference on the challenges and opportunities for the future for tackling issues affecting lesbian, gay, bisexual and trans older people in England.
Looking Forward, Looking Back - presentation on Older Lesbian, Gay, Bisexual ...Dr Justin Varney
A presentation in June 2018 at the Opening Doors Conference. The presentation covers some of the issues and challenges for older LGBT people and some of the opportunities looking to the future.
This document discusses the prevention and management of non-communicable diseases (NCDs) in India. It notes that NCDs now account for nearly half of all deaths in India due to their gradual onset and links to modifiable risk factors like tobacco use, unhealthy diet, and physical inactivity. The document proposes a surveillance system to monitor these risk factors through periodic surveys measuring indicators such as blood pressure, body mass index, and cholesterol levels in a representative sample of the population. The data collected would help inform NCD prevention and control programs by documenting risk factor trends, developing targeted interventions, and guiding resource allocation.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
Presentation for prevention specialists to present to individuals, businesses and organizations focusing on underage/youth binge drinking and substance abuse. (graphs and data still incomplete).
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
Key Data Sources for Public Health - Local Perspective - Irina HollandSouth West Observatory
National data has advantages like comparability between areas and standard indicators/targets, but local data provides more granular, timely, and useful information for public health. Local data sources in Somerset include population statistics, lifestyle surveys, screening and vaccination rates, deprivation indices, and disease registers from general practices. Examples shown how local cervical cancer and childhood vaccination data can identify poorly performing areas for intervention, and how smoking and deprivation data were used to target communities for smoking cessation programs.
This document summarizes a presentation given to youth leaders on HIV risks and vulnerabilities. It discusses definitions of key terms, facts about HIV and AIDS, how HIV is transmitted, risks faced by out-of-school youth, impacts of HIV/AIDS, epidemiology of HIV in the Philippines, and examples of interventions youth can support like peer education and promoting condom use. The overall goal is to inform youth leaders so they can help prevent the spread of HIV in their communities.
Journal Club Critical Appraisal observational.pptxsIMY10
This study examined the prevalence of self-reported diagnosed diabetes among adolescents in the United Arab Emirates using data from a national health survey of adolescents. The results showed a prevalence of diabetes was 0.9%, with males having a higher prevalence of 1.5% compared to 0.5% in females. Risk factors for diabetes included gender, parental marital status, smoking, illegal drug use, and poor psychological health. The study highlights the need for better diabetes education and management programs for adolescents in the UAE given the identified risk factors and cultural influences on the disease.
The epidemiology workgroup aims to assess drug abuse patterns, trends, and emerging problems in order to reduce substance abuse and related consequences in communities. The group is charged with four core tasks: identifying drug abuse patterns and changes over time, detecting emerging substances, and communicating findings. The workgroup meets to discuss available data repositories and indicators that can help assess substance abuse issues.
1) Gender issues in health include biological, physical and social differences between males and females that can impact health outcomes.
2) Key statistics provided on population and vital statistics for India show males outnumber females and females have lower sex ratios and higher mortality rates.
3) Many health conditions like heart disease, stroke, malaria and tuberculosis disproportionately impact males and females due to differences in risk factors, social roles and access to care.
Gender issues can impact health in several ways. Biologically, men and women have differences in chromosomes, hormones, physiology and risk factors for certain diseases. Socially, gender roles and inequalities influence access to resources and health outcomes. For many diseases like heart disease, stroke and tuberculosis, prevalence and mortality rates differ between men and women. Gender also affects exposure and vulnerability to conditions like malaria, HIV and road traffic accidents. Addressing gender in health policies, programs and research is crucial to promote equality and improve health for all.
The document discusses the health dimensions and implications of substance abuse. It notes that substance abuse leads to various health, social, and economic costs. Adolescents are more prone to substance use due to immature decision making and peer pressure. Substance abuse can negatively impact individuals, families, and communities through increased medical costs, lost productivity, crime, and other issues. Prevention efforts focus on reducing risk factors and increasing protective factors at the biological, psychological, social, and environmental levels.
This document provides an outline for analyzing Kenya's policy environment for promoting healthy diets and preventing non-communicable diseases. It discusses the rising burden of NCDs in sub-Saharan Africa due to dietary shifts. Unhealthy diets are a major risk factor for NCDs. The objective is to review Kenya's policy environment and inform the development of a nutrition policy. A two-phase methodology is proposed involving stakeholder interviews, observation, and analysis using a policy framework. The expected results include an effective nutrition policy framework and long-term reduction in NCD deaths through lifestyle changes.
Similar to Michael Lynskey - Big Data in Mental Health - 23rd July 2014 (20)
The document discusses data requirements and standards for human tissue biobanks. It outlines regulations for inspecting statutory records related to human tissue under the Human Tissue Act. It also describes standards set by the Human Tissue Authority and National Cancer Research Institute for collecting and managing participant data, staff training, documentation, and quality assurance in biobanks. Historical issues with varying consent forms are discussed, as are efforts to standardize data sharing between biobanks through initiatives like MIABIS and the NCRI Biobank Data Standard. Progress on a combined surgical and research consent form is also mentioned.
The document describes a BioResource - a biobank and registry of volunteers for medical research. It aims to collect clinical and biological data from 50,000 volunteers by 2017 to better understand psychiatric and neurological illnesses. Having this large pre-established library will allow valuable research to begin quickly, saving time and money compared to traditional volunteer recruitment. The multi-disciplinary team leads collection efforts across several hospitals and clinics to recruit a diverse pool of volunteers. Researchers can then apply to anonymously use data or conduct follow-up studies with selected volunteers.
Ryan Little - Clinical Data Linkage Servicekclcompbio
CDLS is a service at the South London and Maudsley NHS Foundation Trust that provides information governance support, data linkage, data storage, and linked data extraction for research projects. It acts as an impartial third party to facilitate linking and sharing data securely. Some of the key services it offers include determining ethics and legal approvals for projects, linking clinical records from SLaM's mental health database to other datasets like hospital and mortality records, and securely storing and anonymizing linked data for analysis.
The document outlines the aims and approach to ensuring ethical and secure access to clinical records from the South London and Maudsley NHS Foundation Trust for research purposes through a system called CRIS. A dedicated security team was established to develop an opt-out anonymization model where all identifying information would be removed or modified and patients could opt out of having their data included. A communication plan was also put in place to inform patients and clinicians about the system and their right to opt out. The model was then approved by the required ethics boards and security standards were implemented before being expanded to other health providers.
Veronica Howe - Research Data Managementkclcompbio
This document discusses research data management at King's College London. It provides statistics on how grants and researchers currently manage data in terms of storage, volume, and plans after projects. Challenges for students and researchers managing data are also presented. The benefits of effective research data management are outlined as ensuring availability, demonstrating relevance, boosting reputation, and more. A table shows the current and ideal activities at each stage of the research process from concept to post-publication. Contact details are provided for the Research Data Manager to assist with data management questions.
Anne Cameron - An Introduction to the Data Protection Act for Researcherskclcompbio
This document provides an overview of the UK Data Protection Act for researchers. It discusses what constitutes personal and sensitive data, the responsibilities of data controllers and subjects, and the 8 data protection principles. Researchers must obtain proper consent, securely store data, only retain it as long as necessary, and ensure proper reuse and destruction. Anonymization and sharing data requires careful handling. The university's policies on research governance, ethics, information security and records management must also be followed. Failure to comply with these standards could result in sanctions from the Information Commissioner's Office.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. • Epidemiology
• A life course perspective
– 1265 used to be ‘big’
• Administrative data sets
– Birth records
– Driver’s licences
– Mortality
• Geographic and neighbourhood indices
Overview
3. Epidemiology is the study of the distribution and
determinants of health-related states or events
(including disease), and the application of this study to
the control of diseases and other health problems.
World Health Organisation
4. Some key child/adolescent/young adult
outcomes
Illicit Drug
Use
Teen
Pregnancy
Overweight
/Obesity
Psychiatric
disorders
Tobacco
Use
Alcohol
Use
6. Prenatal Influences
• Family history measures – e.g. parental
alcoholism, parental smoking, parental
obesity, maternal teen childbirth;
• Prenatal exposures – e.g. maternal
smoking during pregnancy; inadequate
prenatal care;
• Perinatal outcomes – e.g. low birth
weight/prematurity; congenital
abnormalities.
7. Major Environmental Exposures during
Childhood
• Parental separation
• Inter-partner conflict, violence
• Childhood physical/sexual abuse or neglect
• Blended families: Step-parent, step-sibling,
half-sibling presence in the home
8. Socioeconomic Influences
• Maternal, paternal educational levels
• Family income, household poverty
• Neighborhood socioeconomic factors:
– median household income
– household poverty
– educational levels
– occupational statuses
9.
10. Neighborhood influences
Age structure and
race/ethnic structure
Frequency of
overweight/ obesity
Frequency of teen
childbirth
Frequency of severe
alcoholism
Frequency of
smoking
Frequency of single
parent households
12. Imperfect indicators of many of these variables can be
derived from administrative data-bases:
• Birth/ marriage/ mortality records
• Driver’s licenses
• Crime statistics
• US Census/America Community Survey data.
14. Missouri Birth Record Data
• Mother’s age, educational level, marital status, race/
ethnicity.
• Number of previous births
• If father named, father’s educational level, father’s age.
• Maternal pre-pregnancy weight.
• Maternal smoking during pregnancy (now, by trimester;
also smoking prior to pregnancy).
• Birth weight & prematurity, birth complications
• Maternal state/country of birth, paternal if listed.
15. First Application: MOAFTS
Missouri Adolescent Female Twin Study
• Identify all female-female twin pairs born in Missouri
born July 1st 1975-June 30th 1985.
• Baseline interviews at ages 13, 15, 17, or 19, mid-
1990s, median age 15, (Wave 1)
• Five-year follow-up, at minimum age 18 (Wave 4)
• Eight-year follow-up (Wave 5)
• Ten(+)-year follow-up (Wave 7) – younger cohort
born 1979-1985.
16. 16
Rates of Participation and Predictors of Non-
Participation
93.1% of entire cohort participated in at least one
wave of the study
Geocoding data available for:
– 92.7% of AA families
– 94.3% of EA families
• No neighborhood factors predictive of AA family non-
participation
• Neighborhood poverty, family disruption and low
income/household poverty associated with EA family
non-participation
• BUT, differences in participation rates modest
17. Further Possible Applications
• Between-family matched controls for prenatal
tobacco exposure, prematurity, neighborhood
environment etc.
• Full sib pairs discordant for:
– low birth weight/ prematurity
– Maternal smoking during pregnancy
• Maternal half-sib pairs suggesting blended families.
18. Linking family members and data sets
• For birth records, we assign a unique ID for every child,
and mother IDs and, where possible, father IDs, to allow
reconstruction of sibships and pedigrees
– Not always possible for older births parental DOB is
not listed.
• We cross-link birth records and driver’s license records
• Allows identification of e.g.:
- DUI parents;
- Sibships discordant for young adult BMI
19. Missouri Driver’s License/ State ID Data-
base
• 1996-2012
• ~ 9-10 million unique individuals, 22 million records
• ~ 400,000 individuals with a drunk-driving
conviction, ~ 70,000 with recurrent convictions.
• NOTE: ~ 1/3rd traffic fatalities alcohol-related (used
to be ~ ½).
20. Driver’s license/state ID data-base
• Height and weight, at first application for license
– good correlation (~.80) with self-report in young adulthood
• History of drunk-driving and other convictions, license
suspensions, BAC for each DUI conviction.
• Interval censored data on change in residential address
over time (5 year renewal).
• Sometimes updated for moves out of state, or death
21. Driver’s License Data-base:
Data accuracy?
• Reasonable
• But socioeconomic factors, via access to a good
lawyer, play an important role in DUI convictions
• There may be long delays between incident and
conviction.
• In 2012, the state still has records with e.g. missing
gender information.
22. Applications?
• Clustering of DUI drivers in neighborhoods
• Mortality in DUI men, women
• Morbidity studies through medical record merges.
• Sampling and case identification. Matched control
identification.
23. – Availability/ sophistication of Geographic
Information Systems (GIS) has facilitated increasing
research focus on neighborhood/ built
environment and aspects of physical and mental
health
• Exercise/ obesity
• Crime
• Mental health
• Drug use – especially alcohol
Neighborhood Research
24. – Aspects of neighborhood environment
(disadvantage, outlet density) have been shown to
be independently associated with measures of
alcohol consumption and alcohol related harm:
• Injury/ accident
• Violence
– Associations assumed to be causal & neighborhood
interventions have been proposed as possible
means to reduce alcohol consumption/ harm
Neighborhoods and Alcohol
25. 25
Mapping Alcohol Outlets
• We obtained the street address of all alcohol
outlets in Missouri licensed by the Division of
Alcohol and Tobacco Control for each year from
1992-2011
• Approx. 10,500 each year
• Calculated the road network distance between
the study participant’s address of residence and
the nearest alcohol outlet using a GIS.
• Less than 0.1% of outlets could not be geocoded.
27. Mean number of alcohol outlets within a
3 mile radius & distance to nearest outlet
by level of alcohol consumption
Alcohol Consumption Mean Number of
Alcohol Outlets (3
miles)
Distance (Mi) to
nearest outlet
1 (Heaviest Drinking
25%)
63.5 .75
2 48.6 .98
3 (Lightest Drinking
25%)
39.9 1.09
27
28. 28
Alcohol outlet density and alcohol
consumption in breast cancer survivors.
• In a statewide sample of Missouri breast cancer
survivors, 18.4% reported consuming more than one
drink on average per day.
• Women who lived within 3 miles of an outlet had
higher adjusted odds of alcohol use (OR: 2.09; 95% CI:
1.08 – 4.05) than those who lived at least 3 miles
from the nearest outlet in adjusted models.
29. “Place affects health—neighborhood and
community environments exert their own
health influences, independent of the risk
factors associated with individuals and
households.”
Institute of Medicine, 2011, page 74
30. • Birth records:
– 70,000 a year
– 2.5 -3 million total.
• Drivers license records including same
individual over time: 22 million
• Approx. 9 million unique individuals
– including 400,000 with DUIs.
Population level Geocoding
31. • We aim to cross-link family members (both
parents, children when old enough)
• Address standardization software is important
– the number of addresses is more manageable than
the number of individuals.
• Estimate we can geocode 80-85% of addresses
at high-throughput
– use small sub samples for quality control.
Population level Geocoding
32. • Ultimate goal is to achieve scalability
– combine across many states birth record data (most use
variations on a standard CDC format) and state ID/driver's
license data
• Even working at the zip code level (a crude
categorization), there is considerable geographic
variation
– E.g., percentage of women with a DUI ranges from 0-14%
– E.g., zipcode explain 2.9% of the variance in self-report BMI
Population level Geocoding
33. 33
Conclusions
• Traditional epidemiological research can be
enhanced:
– Using administrative data sets to identify informative
cases
– Linking administrative data sets to address important
questions
– Linking epidemiological and administrative data sets to
geographic/ neighbourhood information
34. 34
Challenges
• Data quality (divorce records in Missouri,
although available, are of poor quality, precluding
their use)
• Changes to procedures across time
• Missouri birth records
• Access
• Computing