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.


Subjects:
[+]
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
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:0d7e64bba5feb5c391c4f7b16854c3d0700c7971c83bd4d8bdc8714c40c5a041
Download URL:
https://stacks.cdc.gov/view/cdc/20199/cdc_20199_DS1.pdf
File Type:

Supporting Files

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

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