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Research and Data Gathering for the
Grant Writing Process Helena VonVille
Texas Public Health AssociationAnnual ConferenceFebruary 25, 2007
Problem Lack of access to health data and the
research literature can have a negative impact on the ability of PH practitioners to write effective grants
Objectives Participants will learn how to access and
use: Health data Research literature Resources for evidence-based public health
To accomplish the objectives Case scenario:
You’ve come across a great grant opportunity Diabetes-related project
You’re pretty sure you have a diabetes problem in your community
Requires collaboration Lots o’ money for 2 years
Renewable for 2 more years for a smaller amount
Now What? Start gathering data
Can’t go by gut feeling
Where to begin?? Go to UTSPH Library http://www.sph.uth.tmc.edu/library/ Click on Health Data Library
Health Data Library One-stop source for freely accessible:
State data CHARTing Health Information for Texas
Federal data
Regularly updated
Health Data Library
Begin with Federal data
Why Federal Data First? CDC grant Most likely refers to Healthy People 2010
Healthy People 2010 publications available at http://www.healthypeople.gov
Need to get HP 2010 data
Good way to set goals of project Help define reasonable objectives
Federal Data Web Site Includes links to major national data sets
CDC: NHANES, NHIS, BRFSS, YRBSS CDC Wonder
SAMHSA: NSDUH (NHSDA), DAWN Census Bureau: 2000 census, American
Community Survey, State & Metropolitan Area Data Book
Not organized by subject Laundry list approach
More Help Finding Federal Data
Produced by the National Library of Medicine
Deep indexing of surveys, data sets, and software
Healthy People 2010
Includes data by focus areas 28 focus areas, 467 objectives
HP 2010 Data Site
1. Click here to select focus area
2. Click here to select state (county data not available)
3. Read objective specification info
Objective Specification Info
Describes how objective defined ICD-10 codes used for mortality Target setting method What data is used Helps you compare apples to apples when you
gather county or community data
Diabetes Objective 5-5 Reduce diabetes death rate ICD-10 codes E10 – E14 43% improvement from baseline year Data derived from multiple-cause-of-
death files, not underlying cause 3 times as likely to be listed Most data tables use underlying cause
HP 2010 data for TX: 91.4 per 100,000 (2003) TX Health Data: 31.4 per 100,000 (2003)
HP 2010Data Results Page Base line year and data Data for 1998 – 2006
2004 tends to be most current
HP 2010 target and target setting method Sources of data Comments
Save Data Results in Excel Bottom of data results page Save data results Add data for your community or county
Diabetes: Multiple-Cause of Death
On CD-ROM with SETS (Statistical Export and Tabulation System)
Contact CDC Mortality Statistics Branch, Division of Vital Statistics for 2000-2003 data
County-level data available
Now that you have HP 2010 data Impact of diabetes on TX/your county/your
community County level data typically available
Census data is exception MSA level data available on many sites
Go back to Health Data Library page Select “Texas Data (CHARTing Health
Information for Texas)”
Texas Data
CHARTing Health Information for Texas
Organized by broad categories Illness/Disease Community and Sociodemographic
Characteristics
Links only to freely accessible data County or MSA level Minimal data by Census tract or zip code
Sources: US, Texas, non-profits
http://www.sph.uth.tmc.edu/charting
Data for: Cause of Illness or Death
Broken out by morbidity, mortality, and other resources
Start with morbidity
Chronic Disease
Includes: link to data; producer/provider; dates covered; geography
Diabetes: Morbidity
Diabetes: Mortality
Data uses underlying cause of death Can’t use it to compare HP 2010 objective
Diabetes: Mortality
Can use it to demonstrate trends and/or health disparities
Harris County Death Statistics for diabetes mellitus (E10-E14) from TX Health Data
What About the Community? Sociodemographic
& community characteristics is broken out in 8 broad areas
Sociodemographic & Community Characteristics
Circled items are those probably most relevant for diabetes
Access to Health Care
Includes: Insurance & CHIP; Medicare & Medicaid enrollment; Medically Underserved Areas; special reports, etc.
Risk Behaviors
BRFSS includes ?’s on diabetes and overweight/obesity
Sociodemographic DataData includes:
Poverty/income
Language spoken at home
Disabilities
Place of birth
Age
Other Components of CHARTing Common Data Problems
Explores data anomalies If it looks too weird to be true, check it out!
Frequently used public health formulas Incidence rate, mortality rate, pregnancy rate,
etc.
Brief glossary of terms
Researching the Literature TexShare database program Evidence-Based Public Health (EBPH)http://www.sph.uth.tmc.edu/library/default.asp?id=2909
Links to evidence-based practice Web sites Lots of abstracts Some full text
Document delivery of articles
TexShare Database Program Funded by (your) tax dollars Public and academic libraries Extensive collection of relevant databases
Online access to thousands of journals, and newspapers
Selective TexShare Databases Academic Search
Premier Alt HealthWatch Business Source
Complete Consumer Health
Complete Health and Wellness
Resource Center with Alternative Health
Health Reference Center Academic
Health Source: Consumer
Health Source: Nursing/Academic
Medline MedicLatina Newspaper Source
TexShare Databases Academic Search Premier: 3,610+ FT peer-
reviewed titles American Journal of Public Health; AIDS
Education & Prevention; Drugs: Education, Prevention & Policy; Journal of Public Health Management & Practice
Medline Subset of PubMed with indexing to more than
4,800 current biomedical journals
TexShare Databases Health Reference Center Academic: 750+
FT titles AIDS and Behavior; Behavioral Medicine;
Journal of School Health; Prevention Science
Health Source: Nursing/Academic: 540+ FT titles American Journal of Health Behavior;
Contemporary Drug Problems; Mental Health Practice
TexShare Databases Completely free through your public library
Get a library card!
Ex: Houston PL database access
ASP Sample Search
Each line covers a different concept OR used to connect similar concepts
ASP Results (37 total)
EBPH Site from UTSPH Libraryhttp://www.sph.uth.tmc.edu/library/default.asp?id=2909
EBPH Web Site: Contents
Resources of note: PHpartners.org
Includes pre-defined PubMed searches for HP 2010 focus areas
Cochrane Reviews Systematic reviews on many health interventions
TRIP (Turning Research Into Practice) Searches multiple EB databases in one fell swoop
Document Delivery of Articles TDSHS Library Flexible policy Available to DSHS & DARS employees
Is your health department funded by DSHS? If so, you are eligible (but contact them to be sure)
Home page:http://www.dshs.state.tx.us/library/default.shtm
