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    Use of practice-based research network data to measure neighborhood smoking prevalence

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    Authors
    Linder, Jeffrey A.
    Rigotti, Nancy A.
    Brawarsky, Phyllis
    Kontos, Emily Z.
    Park, Elyse R.
    Klinger, Elissa V
    Marinacci, Lucas
    Li, Wenjun
    Haas, Jennifer S.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2013-05-23
    Keywords
    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Behavioral Risk Factor Surveillance System
    Boston
    Female
    Health Services Research
    Humans
    Male
    Middle Aged
    Prevalence
    Residence Characteristics
    Smoking
    Young Adult
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Epidemiology
    Health Information Technology
    Health Services Administration
    Preventive Medicine
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    Link to Full Text
    http://www.cdc.gov/pcd/issues/2013/pdf/12_0132.pdf
    Abstract
    INTRODUCTION: Practice-Based Research Networks (PBRNs) and health systems may provide timely, reliable data to guide the development and distribution of public health resources to promote healthy behaviors, such as quitting smoking. The objective of this study was to determine if PBRN data could be used to make neighborhood-level estimates of smoking prevalence. METHODS: We estimated the smoking prevalence in 32 greater Boston neighborhoods (population = 877,943 adults) by using the electronic health record data of adults who in 2009 visited one of 26 Partners Primary Care PBRN practices (n = 77,529). We compared PBRN-derived estimates to population-based estimates derived from 1999-2009 Behavioral Risk Factor Surveillance System (BRFSS) data (n = 20,475). RESULTS: The PBRN estimates of neighborhood smoking status ranged from 5% to 22% and averaged 11%. The 2009 neighborhood-level smoking prevalence estimates derived from the BRFSS ranged from 5% to 26% and averaged 13%. The difference in smoking prevalence between the PBRN and the BRFSS averaged -2 percentage points (standard deviation, 3 percentage points). CONCLUSION: Health behavior data collected during routine clinical care by PBRNs and health systems could supplement or be an alternative to using traditional sources of public health data.
    Source
    Linder JA, Rigotti NA, Brawarsky P, Kontos EZ, Park ER, Klinger EV, Marinacci L, Li W, Haas JS. Use of practice-based research network data to measure neighborhood smoking prevalence. Prev Chronic Dis. 2013 May 23;10:E84. doi: 10.5888/pcd10.120132. Link to article on publisher's site
    DOI
    10.5888/pcd10.120132
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44859
    PubMed ID
    23701721
    Related Resources
    Link to Article in PubMed
    Rights
    This publication is in the public domain per the publisher policy posted at http://www.cdc.gov/pcd/for_authors/general_information.htm.
    ae974a485f413a2113503eed53cd6c53
    10.5888/pcd10.120132
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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