Population and health geography of New York City public school students.

Authors: Konty Kevin*, NYC Department of Health and Mental Hygiene , Stuart H Sweeney, University of California, Santa Barbara
Topics: Population Geography, Medical and Health Geography, Geography and Urban Health
Keywords: Population geography, health geography, local government, public health, education
Session Type: Paper
Day: 4/5/2019
Start / End Time: 3:05 PM / 4:45 PM
Room: Tyler, Marriott, Mezzanine Level
Presentation File: No File Uploaded

Population registries(registers) exist in a number of countries, particularly in Northern Europe, but not in the United States. We describe a joint effort by the New York City Departments of Health and Mental Hygiene (DOHMH) and Education (DOE) to develop and integrated data system to support the efforts of the Office of School Health (OSH). Taking the student registry as the frame, OSH has integrated health data from a variety of sources including the internal electronic health record (ASHR-Automated Student Health Record), vital records, educational outcomes, the Citywide Immunization Registry, Medicaid and other health services information covering all emergency department and hospitalizations in New York City. Ongoing efforts include incorporation of other health sources such as the A1C/diabetes and blood lead testing registries. These records cover ~1.1 million students per year and over 3 million unique individuals across 12 years.

The resulting longitudinal data system, the Student Population Health Registry (SPHR), has the potential to greatly impact OSH efforts including the targeting and evaluation of policies and interventions, measuring and monitoring disparities, and establishing important links between health and educational outcomes. Simultaneously, the registry aspects of SPHR aid a number of ongoing efforts that are affected by population dynamics, including, for example, establishing neighborhood-level vaccination rates, identifying children not appropriately tested for lead exposure, and estimating racial disparities in diabetes control. This presentation will focus on the use of the registry aspects of SPHR to improve mapping of a variety of health and educational outcomes and to describe demographic patterns.

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