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3 Review of Relevant Data Issues
Pages 11-14

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From page 11...
... Additional research databases exist that cover many important health and non-health topics such as motor vehicle accident rates, injuries, and deaths by the National Traffic Safety Board, environmental data collected by the Environmental Protection Agency, tobacco consumption data collected by the Internal Revenue Service, patient counseling about primary prevention captured by the National Ambulatory Medical Care Survey, and nutrition data collected by the Continuing Survey of Food Intake by Individuals, U.S. Department of Agnculture.
From page 12...
... PHYSIOLOGICAL MEASURES Theoretically, it might be of great interest to have leading indicators represented by physiological or biochemical measures. Examples might include blood pressure levels, blood levels of antibodies representing exposure to designated infectious diseases, blood levels of important nutrients such as vitamins, or population-average muscle strength or physical balance capacity as a reflection of physical dysfunction.
From page 13...
... However, it may be extremely difficult to infer local findings from national sample survey data and, depending on the indicators, there should be plans to assist local communities to interpret them and find alternate sources of similar information or conduct local surveys that will be responsive to the specific indicators. For the most part, this is a matter ofthe statistical stability ofthe measures, and when the number of events in a given tune period and jurisdiction is small, confidence in the local estimated indicator measure may be low.
From page 14...
... Examples of important social exposures that are referent to the community include crime rates, poverty rates, the quality of primary and secondary education, and the availability of employment. Examples from the physiochemical environment include air or water pollution levels or the prevalence of workplace safety programs.


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