206453 Tobacco and death certificate real estate

Tuesday, November 10, 2009

Jennifer D. Keith, MPH , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Gary Klein, PhD , IS, Public Health Management Corporation, Philadelphia, PA
Michelle Henry , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
Janet Bargh , Division of Statistical Support, Pennsylvania Department of Health, Harrisburg, PA
Kristin O. Minot, MS , Research & Evaluation, Public Health Management Corporation, Philadelphia, PA
In 2006, the Commonwealth of Pennsylvania added a tobacco related question (Q28. Did Tobacco Use Contribute to Death? Yes, No, Probably, Unknown) to all certificates of death authorized by the Department of Health Vital Records. This addition offers an opportunity to collect specific data on the role of tobacco in a death supplementing ICD10 codes. Public Health Management Corporation (PHMC) with the support of the Department of Health, Division of Tobacco Prevention and Control, examined the 2006 final death file's reporting on the new death certificate variable. The purpose of this poster is to examine Q28 reporting differences and identify recommendations related to inconsistent or low Q28 completion. PHMC examined the full final file of de-identified 2006 deaths. Demographic, geographic and certifier variables were examined in relation to Q28. Of the 126,511 deaths to residents in 2006, a "yes," "probably," or "no" Q28 response was found for 54,930 (43.4%) deaths. The tobacco field was answered more for females (45.6%) than males (41.1%); more for whites (44.8%) than blacks (31.0%) and other (39.8%); and more for children 0-17 (55.2%) than for ages 18+ (44.3%), with little variation among adults. The most variation in completing Q28 was by geographic location. Among the six health districts and the two most populated counties (Allegheny and Philadelphia), Philadelphia was a far outlier with only 27.7% completion. No other region was below 40%. These and other findings can inform educational efforts for those completing and certifying death certificates, in Philadelphia and throughout the Commonwealth.

Learning Objectives:
1) Explain the need for variable completion on death certificates. 2) Discuss recommendations related to death certificate completion. 3) Assess differences in Q28 completion during its first full year on Commonwealth death certificates.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in the field of tobacco evaluation and research for 4 years and have experience in working with death certificate data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.