The geographic distribution of cardiovascular health in the stroke prevention in healthcare delivery environments (SPHERE) study

Journal of Biomedical Informatics
Caryn RothRandi E Foraker

Abstract

Community-level factors have been clearly linked to health outcomes, but are challenging to incorporate into medical practice. Increasing use of electronic health records (EHRs) makes patient-level data available for researchers in a systematic and accessible way, but these data remain siloed from community-level data relevant to health. This study sought to link community and EHR data from an older female patient cohort participating in an ongoing intervention at the Ohio State University Wexner Medical Center to associate community-level data with patient-level cardiovascular health (CVH) as well as to assess the utility of this EHR integration methodology. CVH was characterized among patients using available EHR data collected May through July of 2013. EHR data for 153 patients were linked to United States census-tract level data to explore feasibility and insights gained from combining these disparate data sources. Analyses were conducted in 2014. Using the linked data, weekly per capita expenditure on fruits and vegetables was found to be significantly associated with CVH at the p<0.05 level and three other community-level attributes (median income, average household size, and unemployment rate) were associated with CVH at...Continue Reading

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Citations

Oct 9, 2019·JMIR Public Health and Surveillance·Elizabeth GolembiewskiJoshua R Vest
Dec 6, 2018·Family Medicine and Community Health·Heather AngierJennifer E DeVoe
Oct 1, 2018·Journal of Medical Systems·Clemens Scott KruseHarmander Kaur
Aug 10, 2020·American Journal of Obstetrics and Gynecology·Amanda M PerakUNKNOWN Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study Cooperative Research Group

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