1. Sources for Local Public Health Data Montana Public Health Association Annual Meeting September 30, 2014

2. AMERICAN COMMUNITY SURVEY (ACS)

3. American Community Survey Decennial Census – Conducted once every 10 years by the US Census Bureau and is a point-in-time count Provides an official count of the entire US population for Congress American Community Survey – Conducted every year in a rolling sample design by the US Census Bureau Estimates the characteristics of how people live- education, housing, income, disability, and more

4. American Community Survey Gender Age Race &Hispanic Origin Education Marital Status Fertility Grandparent/Other caregiver Veteran Status Disability Status Place of Birth Citizenship Status Year of Entry into the US Language Spoken at Home Ancestry/Tribal Affiliation

5. American Community Survey Income & Benefits Employment Status Occupation/Industry Community to Work Place of work/residence Housing Tenure Housing Characteristics Housing Values Housing Taxes & Insurance Mortgage/Monthly Rent Utilities

6. American Community Survey Data collected between… Data pooled to produce Data published for areas with January 1, 2012 and December 31, 2012 ACS 1-year estimates Year:2012 Populations of 65,000+ January 1, 2010 and December 31, 2012 ACS 3-year estimates Year:2010-2012 Populations of 20,000+ January 1, 2008 and December 31, 2012 ACS 5-year estimates Year:2008-2012 Populations of almost any size

7. American Community Survey Available Montana 1-year estimates – State – Counties Cascade, Flathead, Gallatin, Missoula, Yellowstone – Cities Billings, Missoula

8. American Community Survey Available Montana 3-year estimates – State – Counties Cascade, Flathead, Gallatin, Missoula, Yellowstone Lake, Lewis & Clark, Ravalli, Silver Bow – Cities Billings, Missoula Bozeman, Great Falls, Helena, Kalispell

9. American Community Survey Margin of error because survey is only a sample Comparing data years – Do not compare overlapping years or different combinations of years (1 year estimate with 3 year estimate) http://www.census.gov/acs/www/guidance_for_ data_users/comparing_data/ http://www.census.gov/acs/www/guidance_for_ data_users/comparing_data/ www.factfinder2.census.gov

10. MONTANA CENTRAL TUMOR REGISTRY

11. Central Tumor Registry Registry for information on new cancer cases, cancer treatment, and cancer death – All health care facilities and providers must report new cases per MT law – Have collected data since 1979, 95% of all cancers recorded

12. Central Tumor Registry Data available on demographics, treatment information, cancer site and type, stage at diagnosis Easily compared with other states Not duplicated Limited on the level of information that can be released to external parties

13. Central Tumor Registry Contact Laura Williamson, MPH – lwilliamson@mt.gov lwilliamson@mt.gov – 406-444-0064 – http://www.dphhs.mt.gov/publichealth/cancer/ datastatistics.shtml http://www.dphhs.mt.gov/publichealth/cancer/ datastatistics.shtml

14. STATE TRAUMA REGISTRY

15. State Trauma Registry Registry of severe injuries – Includes only those that activate the trauma system Excludes things like poisoning Reporting is voluntary, though quite complete Includes transfers to multiple hospitals – Report on number of hospitalizations, not people

16. State Trauma Registry Data available on – Demographics – Mechanism of injury Other information available – Toxicology screen Alcohol, controlled substances, prescription drugs – Protective devices used Seatbelt, helmet, PFD, protective clothing

17. State Trauma Registry Contact Luke Baertlein, MPH – lbaertlein@mt.gov lbaertlein@mt.gov – 406-444-4592 WISQARS (data on injury and injury deaths) – http://www.cdc.gov/injury/wisqars/ http://www.cdc.gov/injury/wisqars/

18. VITAL STATISTICS

19. Death Data Data on all resident deaths and deaths that occurred in State – Cause of death: underlying vs. multiple causes – Location of residence(down to county) – Location of death(hospital, home, nursing home, or other) – Demographic information – Did tobacco use contribute to death (yes, no, probably, unknown) – Manner of death

20. Birth Data Data on all resident births – Parental characteristics – Location of birth (hospital, birthing center, home ect) – Prenatal care – Smoking/alcohol during pregnancy – Method of delivery – Birth outcomes (weight, apgar, abnormal conditions) – Breastfeeding status at discharge

21. Accessing Vital Stats CDC Wonder – http://wonder.cdc.gov/ http://wonder.cdc.gov/ Montana Vital Statistics Office – Carol Ballew, cballew@mt.gov, 406-444-6988cballew@mt.gov – http://www.dphhs.mt.gov/publichealth/epidemiology/ http://www.dphhs.mt.gov/publichealth/epidemiology/

22. BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)

23. BRFSS Random Digit Dialed Telephone Survey Data is available annually Asks adults about chronic conditions and health-related behaviors State-Level Estimates are available at – www.brfss.mt.gov www.brfss.mt.gov – www.cdc.gov/brfss/ www.cdc.gov/brfss/

24. SMART BRFSS Some counties in MT are oversampled to get direct county level estimates – See SMART Data Query on www.brfss.mt.gov to see which counties have data availablewww.brfss.mt.gov

25. Small Area Estimation Use population characteristics & statistics magic to get estimates at the county level Currently available for: – Diabetes – Obesity – Physical Inactivity http://www.cdc.gov/diabetes/atlas/countydata/atlas.html

26. BRFSS Questions Contact Emily Ehrlich – eehrlich@mt.gov eehrlich@mt.gov – 406-444-2973

27. YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM

28. YRBS School-based survey of high school students Done every two year Asks youth about: – Alcohol, tobacco, and other drug use – Sexual behavior – Nutrition and physical activity – Injury and violence

29. YRBS http://www.cdc.gov/HealthyYouth/yrbs/index.htm Montana YRBS Coordinator: Susan Court, OPI – scourt@mt.gov scourt@mt.gov – (406) 444-3178

30. COUNTY HEALTH RANKINGS

31. County Health Rankings Developed by Robert Wood Johnson Foundation Use a variety of data sources – BRFSS small area estimation – ACS – Vital Statistics – Many more Ranks should be interpreted with caution

32. County Health Rankings Have county level estimates of – Health Outcomes Length of Life Quality of Life – Health Factors Clinical Care Health Behaviors Social & Economic Factors Physical Environment http://www.countyhealthrankings.org

33. Let’s Practice! What is the overall prevalence of disability in Yellowstone county? How many deaths due to diabetes occurred in 2010 among Cascade County residents? What percent of Montana adults are current cigarette smokers?

34. Let’s Practice! What is the overall prevalence of disability in Yellowstone county? – ACS 2013 1-year estimate 15.4% How many deaths due to diabetes occurred in 2010 among Cascade County residents? – 21 What percent of Montana adults are current cigarette smokers? – 2012 estimate 19.7%