Data Informing Practice

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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

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Overview

• How are data used at the Health Department?
• Take Care New York (TCNY)
• Outreach campaigns
• Provider training
• Improved surveillance
• Accessing DOHMH data
• Whats out there?
• How can you get to it?
• Discussion questions

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Take Care New York
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Take Care New York (TCNY) Goals

1. Have a regular primary care provider
2. Be tobacco-free
3. Keep your heart healthy
4. Know your HIV status
5. Get help for depression
6. Live free of dependence on alcohol and drugs
7. Get checked for cancer
8. Get the immunizations you need
9. Make your home safe and healthy
10. Have a healthy baby

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TCNY Goals Criteria for Selection

• Large burden
• Killing many NYers
• Causing thousands of preventable illnesses or
  disabilities each year
• Best addressed through coordinated action
• City agencies, public-private partnerships,
  health care providers, businesses, individuals
• Proven amenability to intervention or prevention
• Verdict still out for intimate partner violence

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Intimate Partner Violence TCNY Target
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Bystander Campaign

• Central Brooklyn

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South Bronx
Central and South Brooklyn
The Rockaways
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Bystander Campaign in Central Brooklyn

• GOALS
• 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
• 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

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Bystander Campaign inCentral Brooklyn
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Health Care Provider Outreach
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Provider Outreach

• Injury surveillance need for better documentation
  of violence
• Too many unknowns in charts
• Two-fold message for providers
• IPV is a public health concern
• Upcoming IPV Report
• Screen for IPVWhen identified DOCUMENT, assess,
  refer
• Upcoming CHI
• Public Health Detailing campaign

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Improving IPV Surveillance
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Pursuing New Data Sources

• Additions to YRBS in 2007
• Perpetrator information for forced-sex experience
• Age of partner at last sex
• Evaluation of quality of sexual violence data
  from ED surveillance system
• Are we getting all those charts?
• Sexual violence on the Community Health Survey
• Further analysis of qualitative data
• Exploration of new qualitative research
  initiatives

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Accessing DOHMH Data
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Available Data from the Health Department

• Census data
• Birth death registry data (Vital Statistics)
• Hospital discharge data (SPARCS)
• Surveillance data (ISS)
• Youth Risk Behavior Survey
• Community Health Survey

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How can you access our data?

• Community Health Profiles
• Longer chartbooks
• Women at Risk
• Upcoming Intimate Partner Violence in NYC

• Vital Signs and other reports
• Smoking in Teens
• Upcoming Violence and Victimization in NYC
  Public High Schools

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Learn More!

• Web-based, interactive query system
• Ask answer your own questions about the health
  of New Yorkers
• Epi Query
• nyc.gov/health (My Communitys Health)

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Whats on EpiQuery?

• CHS 2002, 2003, 2004
• YRBS 1999, 2001, 2003, 2005
• SPARCS 2002
• Census 1990-2000
• Intercensal estimates (linear)
• Gender, age, race
• COMING SOON
• Vital Statistics
• More recent SPARCS data
• CHS 2005

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• Demographic Subgroups
• Borough, sex, age groups, race, grade

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SPARCS on EpiQuery
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Discussion Questions

• How are you using DOHMH data now (if at all)?
• Ways to think about the data to inform
  practice/programs
• Group of interest?
• What questions would you still like to see
  answered? What data do you need?

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Group of InterestGang members or those whove
experienced forced sex
New York City YRBS 2005 Estimates are weighted to
NYC public high school population.
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Contact us! Get more info!

• Visit nyc.gov/health
• Click on My Communitys Health
• Call 311
• Email
• Catherine Stayton at cstayton_at_health.nyc.gov
• Fatima Ashraf at fashraf_at_health.nyc.gov
• Cari Olson at colson_at_health.nyc.gov
• THANK YOU!!