Geocoding Precision of Birth Records from 2008 to 2017 in Kentucky, USA

Details

• Personal Author:
  Browning SR ; Christian WJ ; Levy JE ; Walker CJ
• Description:
  Maternal address information captured on birth records is increasingly used to estimate residential environmental exposures during pregnancy. However, there has been limited assessment of the geocoding precision of birth records, particularly since the adoption of the 2003 standard birth certificate in 2015. To address this gap, this study evaluated the geocoding precision of live and stillbirth records of Kentucky residents over ten years, from 2008 through 2017. This study summarized the demographic characteristics of imprecisely geocoded records and, using a bivariate logistic regression, identified covariates associated with poor geocoding precision among three population density designations-metro, non-metro, and rural. We found that in metro areas, after adjusting for area deprivation, education, and the race, age and education of both parents, records for Black mothers had 48% lower odds of imprecise geocoding (aOR=0.52, 95% CI: 0.48, 0.56), while Black women in rural areas had 96% higher odds of imprecise geocoding (aOr=1.96, 95% CI: 1.68, 2.28). This study also found that over the study period, rural and non-metro areas began with a high proportion of imprecisely geocoded records (38% in rural areas, 19% in non-metro), but both experienced an 8% decline in imprecisely geocoded records over the study period (aOr=0.92, 95% CI: 0.92, 0.94). This study shows that, while geocoding precision has improved in Kentucky, further work is needed to improve geocoding in rural areas and address racial and ethnic disparities. [Description provided by NIOSH]
• Subjects:
  Demography Environmental Exposure Healthcare Disparities Occupational Health Pregnancy Safety
• Keywords:
  Author Keywords: Birth Demographic Characteristics Environmental Exposure Geocode Health Disparities Kentucky Logistic Regression Ruralurban Continuum Codes USA
• ISSN:
  1827-1987
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Kentucky ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  17
• Issue:
  1
• NIOSHTIC Number:
  nn:20067916
• Citation:
  Geospat Health 2022 Jun; 17(1):1020
• Contact Point Address:
  Courtney J. Walker, Department of Epidemiology, University of Kentucky, College of Public Health, Lexington, KY, United States
• Email:
  courtney.walker@uky.edu
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Kentucky
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  Geospatial Health
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0775c30341f70cd32f0a3cef7870f1cddb67d4d9577da19cfcef1bb4c62e7dce5b4b288da4a284cc4963c012fd5e8f88b4c8a0719bf39ea41f744962e8b957ed
• Download URL:
  https://stacks.cdc.gov/view/cdc/230150/cdc_230150_DS1.pdf
• File Type:
  [PDF - 629.50 KB ]