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National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June 7, 2006 Leroy Frazier, Jr., MSPH, CHES Etiology and Surveillance Branch Division of Violence Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention TM TM

National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

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Page 1: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

National Violent Death Reporting System (NVDRS)

2006 Update

National Association of Public Health Statistics and Information Systems Annual Meeting

June 7, 2006

Leroy Frazier, Jr., MSPH, CHESEtiology and Surveillance BranchDivision of Violence Prevention

National Center for Injury Prevention and ControlCenters for Disease Control and Prevention

TMTM

Page 2: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

NVDRS Funding

$3.34 million appropriated for NVDRS in the FY 2006 federal budget. No new funds appropriated.

Senators Arlen Spector and Tom Harbin have requested a $5 million set-aside in the CDC FY 07 budget for the expansion of NVDRS.

TMTM

Page 3: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

NVDRS States as of June, 2006

FY 02 (6 states)

FY 03 (7 states)

FY 04 (4 states) CA funded to collect data in 4 counties

Page 4: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Importation of Data

All vital records related data elements can be imported into the database (incorporated in 2004)

Ability to import coroner/medical examiner data was added in 2005

Ability to import law enforcement data is planned for January 2007 software update release

TMTM

Page 5: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Availability of NVDRS Data

Public Use Dataset (PUD) is scheduled to be available Summer of ’06 (will include data for 2003 and 2004)

Currently developing a data query system similar to CDC WISQARS- scheduled to be complete by Spring ’08

Preliminary data will be available 9 months after the data year and final analysis files will be available 21 months after the data year starting with the 2006 data year.

TMTM

Page 6: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Preliminary NVDRS Results

Frequency 2004 *2005

# of States included in analysis 13 17

# of Incidents 13845 13459

# of Deaths 14215 13777

# of Live Suspects 3779 2310

(NVDRS, as of March 2006)

*Approximately ¾ of preliminary data for 2005 has been entered

Page 7: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

0.6

0.8

1.0

15.5

27.7

54.5

0 10 20 30 40 50 60

UnintentionalNonFirearm

Unintentional Firearm

Legal intervention

Undetermined

Homicide

Suicide

Ab

str

ac

tor

As

sig

ne

d M

an

ne

r o

f D

ea

th

Percent

Preliminary NVDRS Results:Manner of Death; 13 states, 2004, N=13

For 44 cases Abstractor Assigned Manner of death is missing, mostly pending cases.

(NVDRS, as of March 2006)

Page 8: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Preliminary NVDRS Results:Selected Manner* by State; 2004, 13 states

State Suicide Homicide Undetermined

# % # % # %

AK 152 70.1% 45 20.7 % 18 8.3 %

CO 815 70.2% 222 19.1 % 104 9.0 %

GA 1041 51.3 % 702 34.6 % 163 8.0 %

MD 485 30.1 % 502 31.2 % 597 37.1 %

MA 486 35.2 % 184 13.3 % 705 51.1 %

NJ 537 56.7 % 381 40.2 % 4 0.4 %

NC 1044 60.2 % 612 35.3 % 40 2.3 %

OK 516 56.1 % 225 24.5 % 156 17.0 %

OR 588 70.4 % 122 14.6 % 105 12.6 %

RI 86 35.0 % 35 14.2 % 124 50.4 %

SC 501 55.2 % 331 36.5 % 37 4.1 %

VA 831 61.7 % 406 30.1 % 79 5.9 %

WI 647 73.4 % 157 17.8 % 66 7.5 %

Total 7729 54.4 % 3924 27.6 % 2198 15.5 %

(NVDRS, as of March 2006)* NVDRS Abstractor Assigned Manner of Death

Page 9: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element

and categories

All cases (N=14,215) Homicides (N=3,924) Suicides (N=7,729)

# % # % # %

Person Type (CDC)

VictimSuspect/Victim

14047

168

98.8%

1.2%

3911

13

99.7%

0.3%

7584

145

98.1%

1.9%

Sex (CDC)

MaleFemale

Unknown

10868

3340

7

76.5%

23.5%

0.1%

3018

905

1

76.9%

23.1%

0.0%

6051

1676

2

78.3%

21.7%

0.0%

Race (CDC)

White

African-American

American Indian

Asian/Pacific Islander

Other/Unknown

10483

3196

237

192

107

73.8%

22.5%

1.7%

1.4%

0.8%

1689

2079

66

52

38

43.0%

53.0%

1.7%

1.3%

1.0%

6839

606

127

122

35

88.5%

7.8%

1.6%

1.6%

0.5%

Hispanic Origin (CDC)

Yes

No

Unknown

889

13100

226

6.3%

92.2%

1.6%

451

3423

50

11.5%

87.2%

1.3%

295

7376

58

3.8%

95.4%

0.8%

(NVDRS, as of March 2006)

Preliminary Results: Deaths; 2004, 13 states

Page 10: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element and categoriesAll cases

(N=14,215)

Homicide (N=3,924)

Marital status(CDC)

Married

Never married

Widowed

Divorced

Married, but separated

Single, NOS*

Unknown

30.2%

44.4%

5.2%

18.3%

0.3%

0.2%

1.5%

21.0%

62.5%

3.4%

11.4%

0.2%

0.2%

1.5%

Homeless (CDC) Yes 1.3% 1.4%

Pregnant at time of death (Females) (CDC)

Yes 60 cases 32 cases

Preliminary Homicide Results: Deaths; 2004, 13 states

(NVDRS, as of March 2006)

*NOS = not otherwise specified

Page 11: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element and categories All Cases(N=14,215)

Homicide (N=3,924)

Place of injury(CDC)

House/apartment

Street/road

Natural area

Motor vehicle

Other

Unknown

65.1%

9.4%

3.3%

4.3%

12.7%

5.3%

50.0%

24.1%

2.0%

6.1%

14.9%

3.0%

At/during work (CDC) Yes 1.3% 2.8%

Alcohol use suspected (CME) Yes 27.5% 27.7%

CME Circumstances known Yes 73.6% 55.5%

Preliminary Homicide Results: Injury event; 2004, 13 states

(NVDRS, as of March 2006)

Page 12: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element and categories # %(n varies)

Unknown(N=7,729)

Person Type(CDC)

VictimSuspect/Victim

7,584

145

98.1%

1.9%

0

Marital status(CDC, n=7,665)

Married

Never married

Widowed

Divorced

Married, but separated

Single, not further specified

2914

2533

518

1670

23

7

38.0%

33.0%

6.8%

21.8%

0.3%

0.1%

64

(0.9%)

Immigrant status(CDC, n=7,289)

Born in USABorn outside of the USA

6880

409

94.4%

5.6%

440

(5.7%)

Preliminary Suicide Results:Decedent; 2004, N=7,729, 13 states

(NVDRS, as of March 2006)

Page 13: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element and categories # %(n varies)

Unknown(n=7,729)

Pregnancy status(CDC data for females, n=1676)

Pregnant at death, 1yr/NOS

Not pregnant 1 year before

Not pregnant, NOS

24

383

81

4.9%

78.5%

16.6%

1188

(70.9%)

Veteran status(DC data, n=6,862)

Yes

No

1604

5258

23.4%

76.6%

867

(11.2%)

Years of education(CDC, n=2,092)

Some high school or lower

High school graduate

Undergraduate degree

Higher than undergrad degree

539

880

557

116

25.8%

42.1%

26.6%

5.5%

5637

(72.9%)

Homeless (CDC, n=7,050)

Yes

No

54

6996

0.8%

99.2%

679

(8.8%)

Preliminary Suicide Results:Decedent; 2004, N=7,729, 13 states

(NVDRS, as of March 2006)

Page 14: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Data element and categories # %(n varies)

Unknown(N=7,729)

Alcohol use suspected(CME, n=5,530)

YesNo

Not applicable

1983

3429

118

35.9%

62.0%

2.1%

1667

(21.6%)

At/during work (CDC, n=7,657)

Yes

No

Not applicable

55

7530

72

0.7%

98.3%

0.9%

72

(0.9%)

At home(CDC, n=7,279)

Yes

No

5323

1956

73.1%

26.9%

450

(5.8%)

Place of injury(CDC, n=7,556)

House/apartment

Natural area

Motor vehicle

Other

5743

303

564

946

76.0%

4.0%

7.5%

12.5%

173

(2.2%)

Preliminary Suicide Results: Injury event; 2004, N=7,729, 13 states

(NVDRS, as of March 2006)

Page 15: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Publications

MMWR regarding 2004 data

NVDRS Supplement for the Journal, Injury Prevention

TMTM

Page 16: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

Future Plans for NVDRS• Work with NAPHSIS to include NVDRS in the Inter-

Jurisdictional Exchange Agreement

• Work with NAPHSIS to better understand the potential implications of the Intelligence Reform Act.

• Finalize and disseminate NVDRS Five Year Strategic Plan

• Incorporation into Public Health Information Network (PHIN)

• Development of an IPV module.

• Eventually fund all 50 states, District of Columbia and territories, assuming funding is available.

TMTM

Page 17: National Violent Death Reporting System (NVDRS) 2006 Update National Association of Public Health Statistics and Information Systems Annual Meeting June

For Additional Information, Contact:

TMTM

Leroy Frazier, Jr., MSPH, CHESNVDRS Program Manager(770) 488-1507Email: [email protected]