Department of Medicine, Division of Preventive and Behavioral Medicine
Adolescent; Adult; Aged; Aged, 80 and over; Behavioral Risk Factor Surveillance System; Boston; Female; Health Services Research; Humans; Male; Middle Aged; Prevalence; Residence Characteristics; Smoking; Young Adult
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Epidemiology | Health Information Technology | Health Services Administration | Preventative Medicine
INTRODUCTION: Practice-Based Research Networks (PBRNs) and health systems may provide timely, reliable data to guide the development and distribution of public health resources to promote healthy behaviors, such as quitting smoking. The objective of this study was to determine if PBRN data could be used to make neighborhood-level estimates of smoking prevalence.
METHODS: We estimated the smoking prevalence in 32 greater Boston neighborhoods (population = 877,943 adults) by using the electronic health record data of adults who in 2009 visited one of 26 Partners Primary Care PBRN practices (n = 77,529). We compared PBRN-derived estimates to population-based estimates derived from 1999-2009 Behavioral Risk Factor Surveillance System (BRFSS) data (n = 20,475).
RESULTS: The PBRN estimates of neighborhood smoking status ranged from 5% to 22% and averaged 11%. The 2009 neighborhood-level smoking prevalence estimates derived from the BRFSS ranged from 5% to 26% and averaged 13%. The difference in smoking prevalence between the PBRN and the BRFSS averaged -2 percentage points (standard deviation, 3 percentage points).
CONCLUSION: Health behavior data collected during routine clinical care by PBRNs and health systems could supplement or be an alternative to using traditional sources of public health data.
Behavioral Disciplines and Activities Commons, Behavior and Behavior Mechanisms Commons, Community Health and Preventive Medicine Commons, Epidemiology Commons, Health Information Technology Commons, Health Services Administration Commons, Preventative Medicine Commons