Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Knutson, Kirsten ; Zhang, Weihong ; Tabnak, Farzaneh ;
Knutson, Kirsten ; Zhang, Weihong ; Tabnak, Farzaneh ; Less -
Description:
Introduction Populations eligible for public health programs are often narrowly defined and, therefore, difficult to describe quantitatively, particularly at the local level, because of lack of data. This information, however, is vital for program planning and evaluation. We demonstrate the application of a statistical method using multiple sources of data to generate county estimates of women eligible for free breast cancer screening and diagnostic services through California's Cancer Detection Programs: Every Woman Counts. Methods We used the small-area estimation method to determine the proportion of eligible women by county and racial/ethnic group. To do so, we included individual and community data in a generalized, linear, mixed-effect model. Results Our method yielded widely varied estimated proportions of service-eligible women at the county level. In all counties, the estimated proportion of eligible women was higher for Hispanics than for whites, blacks, Asian/Pacific Islanders, or American Indian/Alaska Natives. Across counties, the estimated proportions of eligible Hispanic women varied more than did those of women of other races. Conclusion The small-area estimation method is a powerful tool for approximating narrowly defined eligible or target populations that are not represented fully in any one data source. The variability and reliability of the estimates are measurable and meaningful. Public health programs can use this method to estimate the size of local populations eligible for, or in need of, preventive health services and interventions.
Subject:
[+]
Adult
Breast Neoplasms
Ethnicity
Female
Health Care Surveys
Health Services Accessibility
Humans
Mammography
Mass Screening
Middle Aged
Monte Carlo Method
Needs Assessment
Preventive Health Services
Public Health
Risk Assessment
Small-Area Analysis
Statistics As Topic
Women's Health Services

Source:
Prev Chronic Dis. 2008 ; 5(1).;
Document Type:
Journal Article ;
Place as Subject:
California ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:0d7e64bba5feb5c391c4f7b16854c3d0700c7971c83bd4d8bdc8714c40c5a041
File Type:

Supporting Files

• 	license.txt	txt
  	PCD51A10.nxml	txt
  	PCD51A10s01.gif	gif
  	PCD51A10s01.jpg	jpeg

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