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EPE

EPE. Epidemiology, Planning and Evaluation Unit. EPE was Created in 1989 to Fulfill the Second Goal of Public Health - Seattle & King County. Assess and monitor the health status of our communities. Quantitative Data Assessment. Quantitative data assessment Measures include counts and rates

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EPE

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  1. EPE Epidemiology, Planning and Evaluation Unit

  2. EPE was Created in 1989 to Fulfill the Second Goal of Public Health - Seattle & King County • Assess and monitor the health status of our communities

  3. Quantitative Data Assessment • Quantitative data assessment • Measures include counts and rates • Analysis of who is at greatest risk in the population as a whole • Data source: Surveys and statistical files

  4. Qualitative Data Analysis • Qualitative data • Data sources: Structured interviews, focus groups and participant observations

  5. For Community Health Assessment Quantitative and qualitative data together provide a more complete picture than either alone

  6. Quantitative Data Analysis Unintended Pregnancy • Quantitative Data Analysis Findings: • Fewer than half of all pregnancies to King County residents are intended • Unintended pregnancy percent is lower in King County compared to Washington State • Higher in women under 20 years old

  7. Qualitative Data Analysis Unintended Pregnancy • Qualitative Data Analysis findings: • Wantedness of pregnancy is not fixed at conception and changes over time • The term “intended” pregnancy carried highly negative connotations for a substantial group of participants • The phrase “if it happens, it happens” was expressed as a widely held stance towards pregnancy

  8. Recent Community Health Assessment Reports • Disparities in Infant Mortality • Adolescent Pregnancy and Childbirth • Bullying/harassment • Obesity/overweight • Health insurance coverage • Healthy youth • Domestic violence in ethnic and hard-to-reach populations • Racial discrimination in health care settings

  9. Quantitative Data:Descriptive Epidemiology • Understand the pattern and frequency of health events in a population, for example: • Motor Vehicle Accidents • Asthma • Smoking During Pregnancy • Drug Related Mortality

  10. Person • Which groups of people have the greatest risk of getting a disease or other health condition, outcome or behavior? Place • Where is the disease health outcome occurring most frequently? Time • Is the frequency of the disease or health outcome changing over time?

  11. Motor Vehicle Injury Hospitalization Rates by Age King County, 1989-1993 65+ 65+ 45-64 45-64 25-44 25-44 Age 15-24 15-24 1-14 1-14 <1 <1 0 50 100 150 200 250 Rate per 100,000

  12. Motor Vehicle Injury Hospitalization Rates by Age and Sex King County, 1989-1993 65+ 65+ females 45-64 45-64 males 25-44 25-44 Age 15-24 15-24 1-14 1-14 <1 <1 0 50 100 150 200 250 300 Rate per 100,000

  13. Asthma Hospitalizations for Ages 1-17 in King County,Three Year Average, 1994-1996 Rate per 100,000 50.5 to 116.6116.7 to 252.9253.0 to 565.9566.0 to 567.6

  14. Maternal Smoking During Pregnancy: 1993-95 Percent of Births 0.0% to 7.9% 8.0% to 11.9% 12.0% to 17.9% 18.0% to 44.9%

  15. Drug-Related MortalityKing County, 1990 to 2001

  16. Examples of EPE Reports

  17. EPE Staff • Jim Krieger, MD MPH, Unit Chief • David Solet, PhD, Assistant Chief • Gloria Albetta, MPH, Program Manager • Plus a team of over 35 highly skilled and dedicated full- and part-time staff members • This presentation prepared by Mike Smyser, Christie Spice and David Solet

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