142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Combining Clinical and Population-Level Data to Understand the Health of Neighborhoods

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:15 AM - 11:30 AM

Earle C. Chambers, PhD, MPH , Department of Family and Social Medicine, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY
Barbara Candalla, MPH , Bronx District Public Health Office, NYC Department of Health and Mental Hygiene, Bronx, NY
Rachael Riley, MPH , Office of Community Health/ Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY
Nicole Hollingsworth, PhD , Office of Community Health/ Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY
Arthur E. Blank, PhD , Department of Family Medicine and Social Medicine, Center for the Evaluation of Health Programs/Division of Research, Bronx, NY
Christa Myers, MPH , Bureau of the District Public Health Offices, NYC Department of Health and Mental Hygiene, New York, NY
Jane F. Bedell, MD , Bronx District Public Health Office, NYC Department of Health and Mental Hygiene, Bronx, NY
Peter Selwyn, MD, MPH , Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
Background.  Primary care centers and public health agencies rarely work in alignment to effectively increase wellness at both the patient and population levels; due in part to the lack of a data infrastructure that coordinates patient and population health.

Purpose. To describe the first year results of using a set of common behavioral health metrics at both the patient and population levels.

Methods. Health behavior questions assessing physical activity and dietary intake were integrated into the electronic health records of three primary care centers in the Bronx, New York.  Patient responses for adults attending one of the three health centers between February and December 2012 were analyzed and compared to 2012 NYC Community Health Survey neighborhood data.

Results. Across the three health centers, 35%-43% of patients reported no physical activity in the past 30 days.  In the neighborhood surrounding the health centers, 18%-29% of residents reported no physical activity in the last 30 days. Approximately half of patients reported walking or biking for transportation in the last 30 days, compared to 80% of residents living in the neighborhoods surrounding the health centers. Most patients reported consuming sugary drinks daily and 1-4 fruits and/or vegetables on average, which is comparable to that of the residents of their health center neighborhood. 

Conclusions. There was a higher proportion of unhealthy behaviors among health center patients in relation to neighborhood-level data.

Learning Areas:

Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the data infrastructure used to compare patient and population physical activity and dietary behaviors

Keyword(s): Urban Health, Public/Private Partnerships

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an epidemiologist with experience analyzing population data. I have been working together with the other authors to develop the infrastructure to collect the data presented in this abstract.
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.