BiostatisticsAssignment1AnalysisofMetropolitanStatistical.pptVIP

Biostatistics Assignment 1 Analysis of Metropolitan Statistical Area (MSA) data from the Behavioral Risk Factor Surveillance System (BRFSS), 2007 Presentation Overview Health-Related Quality of Life (HRQOL): concepts and measurement CDC HRQOL Surveillance Program’s Healthy Days Measures Geographic trends in unhealthy days Assignment overview: BRFSS MSA data analysis Measuring Health-Related Quality of Life (HRQOL) Broad outcome measures designed to measure physical, emotional, and social dimensions of health (McDowell Newell, 1996). No one definition of HRQOL is agreed upon, but generally assessed with generic measures (e.g., Short-Form 36) or disease-specific measures (e.g., Quality of Life in Epilepsy Scale-10 (Ware Sherbourne, 1992; Cramer et al., 1996). Quality of Life Instruments Database (QOLID): Online database of generic and disease-specific measures. What is Health-Related Quality of Life (HRQOL)? For public health surveillance purposes, HRQOL was defined as…“an individual’s or group’s perceived physical and mental health over time.” (Measuring Healthy Days, CDC 2000) /hrqol /brfss 1. Would you say that in general your health is excellent, very good, good, fair, or poor? 2. Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? 3. Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? 4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? Core Healthy Days Measures Unhealthy Days = days in the past 30 days when both physical and mental health were not good = Healthy day = Physically unhealthy day = Mentally unhealthy day 1996-1998 1999-2001 2002-2008 Trends in Unhealthy Days in the U.S., BRFSS 1