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标题：Contributions of a Local Health Examination Survey to the Surveillance of Chronic and Infectious Diseases in New York City
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作者：R. Charon Gwynn ; Renu K. Garg ; Bonnie D. Kerker 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2009
卷号：99
期号：1
页码：152-159
DOI：10.2105/AJPH.2007.117010
语种：English
出版社：American Public Health Association
摘要：Objectives. We sought to evaluate the contribution of the New York City Health and Nutrition Examination Survey (NYC-HANES) to local public health surveillance. Methods. Examination-diagnosed estimates of key health conditions from the 2004 NYC-HANES were compared with the National Health and Nutrition Examination Survey (NHANES) 2003–2004 national estimates. Findings were also compared with self-reported estimates from the Community Health Survey (CHS), an annually conducted local telephone survey. Results. NYC-HANES estimated that among NYC adults, 25.6% had hypertension, 25.4% had hypercholesterolemia, 12.5% had diabetes, and 25.6% were obese. Compared with US adults, NYC residents had less hypertension and obesity but more herpes simplex 2 and environmental exposures ( P < .05). Obesity was higher and hypertension was lower than CHS self-report estimates ( P < .05). NYC-HANES and CHS self-reported diabetes estimates were similar (9.7% vs 8.7%). Conclusions. NYC-HANES and national estimates differed for key chronic, infectious, and environmental indicators, suggesting the need for local data. Examination surveys may provide more accurate information for underreported conditions than local telephone surveys. Community-level health and nutrition examination surveys complement existing data, providing critical information for targeting local interventions. The principal source of examination-verified health information for the nation is the National Health and Nutrition Examination Survey (NHANES) conducted by the National Center for Health Statistics.¹ To objectively assess health indicators, NHANES captures population-level health information through face-to-face interviews, clinical examination, and laboratory testing. These data are critical for national health policy formulation²; however, health estimates are available at the national level only, limiting the local application of these data. Most local jurisdictions monitor health conditions by surveillance of mortality and reportable diseases and, in some areas, through telephone surveys.³ In New York City (NYC), health estimates are collected through the Community Health Survey (CHS), an annual telephone survey of NYC adults.⁴ Together with surveillance data, these data guide local public health programs and policies;⁵ however, they may under- or overestimate the burden of conditions best assessed by a physical examination. To obtain more-comprehensive local health information, the NYC Department of Health and Mental Hygiene conducted the Health and Nutrition Examination Survey (NYC-HANES), which to our knowledge is the first community-level health and nutrition survey to capture information on key conditions including obesity, diabetes, hypertension, high cholesterol, infectious diseases, and environmental exposures. Although some information on these conditions is available through other routine data sources, NYC-HANES provides objective population-based prevalence estimates. The standardized data-collection methodology also allows for direct comparison with national estimates from NHANES. In our analyses, we summarize key health indicators obtained from NYC-HANES and compare them to national estimates and local telephone-based estimates.