using federal data to op#mize and inform preven#on programs and research · 2018. 4. 1. ·...
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Na#onalCenterforInjuryPreven#onandControl
UsingFederalDatatoOp#mizeandInformPreven#onProgramsandResearch
MickBallesteros,PhDBranchChiefSta#s#cs,Programming,andEconomicsBranchDivisionofAnalysis,Research,andPrac#ceIntegra#onNa#onalCenterforInjuryPreven#onandControlCentersforDiseaseControlandPreven#on
3rdAnnualInjuryPreven0onCoordinatorsSymposiumMay15,2017
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InventoryofNa#onalInjuryDataSystemshAps://www.cdc.gov/injury/wisqars/InventoryInjuryDataSys.html
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BehavioralRiskFactorSurveillanceSystem(BRFSS)
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BehavioralRiskFactorSurveillanceSystem(BRFSS)§ CDC’sChronicDiseaseCenter(NCCDPHP)§ Scope:Startedin1984;na0onwidein1993;now50states,DC,andseveralUSterritories§ Methods
– Telephone(landandcell)interviews(>500,000/year)– U.S.adults18yearsandolder– FixedCore,rota0ngcore,op0onalmodulesforself-reportedhealthbehaviors
§ Access– Publicusedatafiles(1984-2015)(
hAps://www.cdc.gov/brfss/annual_data/annual_data.htm)– Onlinequerying(hAps://www.cdc.gov/brfss/data_tools.htm)
• PrevalenceandTrends• Crosstabula0onsandsomeregressioncapabili0es
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BRFSSInjuryQues#ons§ CoreQues0ons
– DrinkandDrive(2010,2012,2014)– SeatBeltUse(2011-2015)
§ RecentOp0onalModules– AdverseChildhoodExperiences(2004,2009-2012)– CarbonMonoxideDetectors(2009)– In0matePartnerViolence(2005-2007)– SexualViolence(2005-2007)– Residen0alFires(2003)
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§ Datafrom2012BRFSS
§ Prevalenceoffallinginpast12monthssignificantlyhigheramongadultswitharthri0s.
§ Among>45yearswitharthri0s,46statesandDCfallprevalence>30%and16states>40%
Ref:MMWR.2014;63(17):379-383.
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YouthRiskBehaviorSurveillanceSystem(YRBSS)
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YouthRiskBehaviorSurveillanceSystem(YRBSS)§ CDC’sChronicDiseaseCenter(NCCDPHP)§ Scope
– Developedin1990;Na0onaldatacollec0on;Somerepresenta0veState-leveldataavailable;Someci0esalsoavailable
§ Methods– Schoolbasedsurvey– 9ththrough12thgradestudents(publicandprivateschools)– Na0onalsample>15,000students
§ Access– Publicusedatafiles(1993-2015)(
hAps://www.cdc.gov/healthyyouth/data/yrbs/data.htm)– Onlinequerying(hAps://nccd.cdc.gov/youthonline/App/Default.aspx)
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YRBSSInjuryQues#ons§ Uninten0onalInjuries
– Usedbicyclehelmets– Usesseatbelts– Rodewithdriverwhohadbeen
drinking– Drinkanddrive– Textedwhiledrivingcar
§ Violence– Carriedweapon,gun– Threatenedorinjuredwith
weapononschoolproperty– Wasinphysicalfight,injured
– Feltunsafetogotoschool– Waselectronicallybullied– Experiencedphysicalorsexualda0ng
violence§ Suicide-Related
– Feltsadorhopeless– SeriouslyconsideredaAemp0ngsuicide– Madeaplanforsuicide– AAemptedsuicide– AAemptedsuicidethatresultedin
injury,poisoning,oroverdose
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Any TWD in past 30 days (>1d) % (95% CI)
TWD every day (30d) % (95% CI)
Overall (n=8,505)
45.5 (40.8-48.2) 11.5 (10.1-13.1)
Age (years) 16 17
>18
32.6 (28.8-36.6) 50.0 (44.9-55.1) 57.7 (53.6-61.7)
7.4 (5.9-9.3)
12.3 (10.5-14.5) 18.1 (15.4-21.2)
Sex Female
Male
42.3 (38.0-46.8) 46.4 (42.8-50.0)
10.3 (8.5-12.3) 12.6 (11.2-14.2)
Race/ethnicity White*
Black*
Hispanic
50.7 (45.8-55.6) 30.1 (25.1-35.6) 38.8 (35.8-41.9)
13.0 (11.2-15.0) 8.6 (6.9-10.6) 9.9 (8.3-11.8) *Non-Hispanic
2011Na0onalYRBSData
Ref:Pediatrics.2013:131:e1708-e1715
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FatalAccidentRepor#ngSystem(FARS)
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FatalAccidentRepor#ngSystem(FARS)§ RunbytheNa0onalHighwayTrafficSafetyAdministra0on(NHTSA-DOT)§ Scope
– Establishedin1975– CensusofallMVcrashesonpublicroadsthatresultedinatleast1deathwithin50
states,DCandPuertoRico§ Methods
– StatescompileandreportdatatoNHTSA– Datasources:PoliceReports,VehicleReg.files,DriverLicensefiles,StateHighway
Depart.data,vitalrecords/deathcer0ficates,coroner/MEreports,EMSreports§ Access
– PublicusedatafilesfromFTPsite(kp://kp.nhtsa.dot.gov/fars/)– Onlinequerying(hAps://www-fars.nhtsa.dot.gov//QueryTool/QuerySec0on/SelectYear.aspx)
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FARSCrashInforma#onCollected§ Crash
– Date,0me,loca0on– Weathercondi0ons
§ Vehicles– Make,model,year,body
type– Impactpoints– Numberofoccupants– Sequenceofevents
§ PeopleInvolved– Driver
• Registra0onstate• Licensetypeandstatus• Previousviola0ons
– Occupants• Age,sex• Sea0ngposi0on• Restraintuse• Alcohol/druginvolvement• Injuryseverity
– Bicyclists/pedestrians
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Ref:MMWR.2014;63(5):113-118.
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Na#onalViolentDeathRepor#ngSystem(NVDRS)
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Na#onalViolentDeathRepor#ngSystem(NVDRS)§ NCIPC(InjuryCenter)atCDC§ Scope
– 2000:pilot– 2003:Datacollec0onbeginswith6states– 2014:32statestotal– 2016:8addi0onalstates,DC,andPuertoRicoadded
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IA
ME
WA
CA
NV
AZ
NE
KS
LA
MN
MI IL
MO
AL
IN
WV
NY
CurrentNVDRSStates
OR
AK
CO
GA
MD
MA
NJ
NCOK
RI
SC
VA
WI
UTKY
NM2002
2003
2004
2009
2014
2016
OH
HI
NH
CT
VT
PA
PR
DC DE
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Na#onalViolentDeathRepor#ngSystem(NVDRS)§ Methods
– Ac0ve,ongoingstate-basedsurveillancesystem– Informa0onabstractedusingaweb-basedapplica0on– Providescomprehensiveinforma0ononviolentdeathswithinpar0cipa0ngstatestofully
characterizeincidents§ Primaryrequireddatasources:
– Deathcer0ficates– Coronerormedicalexaminer(CME)reports(includingtoxicology)(havenarra0ves)– Lawenforcement(LE)reports(havenarra0ves)
§ Secondaryop0onaldatasources:– ChildFatalityReview(CFR)teamdata– In0matePartnerViolence(IPV)Reviewteamdata– Crimelabdata– SupplementaryHomicideReports– Hospitaldata
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Na#onalViolentDeathRepor#ngSystem(NVDRS)§ Access
– OnlinequeryingthroughWISQARS(hAps://www.cdc.gov/injury/wisqars/)– RestrictedAccessDatabaseavailableuponrequest(
hAps://www.cdc.gov/violencepreven0on/nvdrs/rad.html)
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SurveillanceforViolentDeaths–NVDRS,17States,2013BHLyons,KAFowler,SPDJack,CJBetz,JMBlairBHLyons,KAFowler,SPDJack,CJBetz,JMBlair
Male Female Total
Method Firearm
Hanging/Suffocation Poisoning
n=9,876 57% 25% 10%
n=2,869 32% 24% 35%
N=12,747 51% 25% 16%
Diagnosed Mental Health Problem Depression
Anxiety disorder Bipolar disorder
n=3,572 72% 14% 12%
n=1,632 76% 18% 17%
N=5,204 73% 15% 14%
Type of Recent Crisis Intimate Partner
Criminal Legal Physical Health
Family Relationship
n=2,929 44% 15% 13% 8%
n=715 39% 7%
12% 14%
N=3,644 43% 14% 13% 9%
LeadingKeyCircumstancesSuicideDeathsbyDecedent’sSex
Ref:MMWRSurveillanceSummaries.2016;65(10):113-118.
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InjuryDeaths:Na#onalVitalSta#s#csSystem(DeathCer#ficateData)
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Na#onalVitalSta#s#csSystem(DeathCer#ficateData)§ CDC’sNa0onalCenterforHealthSta0s0cs§ Scope
– Censusofalldeathcer0ficatesforU.S.residents§ Methods
– StatessendtoNCHS,crea0onofna0onaldatabase– Singleunderlyingcauseofdeath
• Upto20addi0onalmul0plecauses• 1999-present:ICD-10coded
– Age,race,ethnicity– Placeofresidence(state,county)– Placeofdeath,monthandweekdayofdeath– Whetheranautopsywasperformed
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Na#onalVitalSta#s#csSystem(DeathCer#ficateData)§ Access
– Publicusedatafiles(1968-2015)hAps://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm#Mortality_Mul0ple
– Onlinequerying• WISQARS• WONDERhAps://wonder.cdc.gov/
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Ref:MMWR.2017;66(10):270-273.
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Non-fatalInjuriesNa#onalElectronicInjurySurveillanceSystem–AllInjuryProgram(NEISS-AIP)Useforsec0onheaders
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Na#onalElectronicInjurySurveillanceSystem–AllInjuryProgram(NEISS-AIP)
§ U.S.ConsumerProductSafetyCommission(CPSC)andCDC’sInjuryCenter(NCIPC)§ Scope
– Na0onalEs0matesofInjury-relatedEmergencyDepartmentVisitsandHospitaliza0ons§ Methods
– NEISS-AIPStartedin2000– First0me,injury-relatedvisitsonalltypesandcausesofinjuries
• Injurieswherenoproductismen0oned(e.g.,fellonground)• Injuriesrelatedtoproductsnotcurrentlycollected
(e.g.,motorvehicles)• Inten0onalinjuries;assaultsorsuicideaAempts
– Na0onallyrepresenta0vesampleof66of100NEISSU.S.hospitalswith>6bedsandanED
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NEISS All Injury Program Hospitals
Lanham, MD
Patchogue, NY
Santurce, PR
Very Large Hospitals
Large Hospitals
Medium Hospitals
Small Hospitals
Children’s Hospitals
Data Source: U.S. CPSC
Pittsfield, MA
Bridgeton, NJ
Claremont, NH
Brooklyn, NY
New York, NY
Rockville, MD
Yale, CT
Bronx, NY
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Na#onalElectronicInjurySurveillanceSystem–AllInjuryProgram(NEISS-AIP)
§ Methods– Approximately500,000casesperyear($3.40USDpercase)– Dedicatedcodersabstractmedicalrecords– Extensivetrainingandqualityassurancemeasureswithbothautomatedandvisual
edits– Dataonmechanismandintentofinjury
§ Access– Publicusedatasets(hAps://www.icpsr.umich.edu/icpsrweb/ICPSR/series/198)– Onlinequerying
• WISQARS
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TrendsinSports-andRecrea#on-RelatedTrauma#cBrainInjuriesTreatedinU.S.EmergencyDepartments:NEISS-AIP2001-2012VCoronado,THaileyesus,TCheng,JBell,JHaarbauer-Krupa,MLionbarger,JFlores-Herrara,LMcGuire,JGilchrist
Ref:JHeadTraumaRehabil.2015.30(3):185-197
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Web-basedInjurySta#s#csQueryandRepor#ngSystem
hbps://www.cdc.gov/injury/wisqars
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Data:NVSS
Data:NVSSData:NEISS-AIP
Data:NVDRS
Data:NVSS,NEISS-AIP
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Medical $79,025,584,000
Work Loss $126,145,699,000
Total Cost $205,171,282,000
Uninten#onalFalls,AllAges,UnitedStates,2015
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