Neda Soleimanvandiazar, Seyed Hossein Mohaqeqi Kamal, Mehdi Basakha, SalahEddin Karim, Sina Ahmadi, Gholamreza Ghaedamini Harouni, Homeira Sajjadi, Ameneh Setareh Forouzan
Decomposition of Healthcare Utilization Inequality in Iran: The Prominent Role of Health Literacy and Neighborhood Characteristics
Inquiry : a journal of medical care organization, provision and financing
communitylevel data necessary inform community health assessments plan appropriate interventions however data derived public health surveys may limited unavailable rural locations compared 2 sources data community health assessment rural colorado electronic health records ehrs routine public health surveys comparison crosssectional measures childhoodyouth obesity prevalence data quality two rural colorado counties la plata prowers ehr cohort comprised patients 2 19 years age underwent visit largest health care provider county data included sex age weight height race ethnicity insurance status public health survey data obtained 2 surveys colorado child health survey 214 years age healthy kids colorado survey 1519 years age included caregiver selfreported height weight estimates calculated body mass index percentile patient survey respondent determined overweightobesity prevalence county evaluated data source quality indicators according rubric developed analysis ehr sample captured approximately 35 n 3965 70 n 2219 children living la plata prowers counties respectively ehr prevalence estimates overweightobesity greater precision survey data counties among children 2 14 years age addition ehr data timely geographically representative survey data provided directly measured height weight conversely survey data easier access demographically representative overall population electronic health records describing prevalence obesity among childrenyouth living rural colorado may complement public health survey data community health assessment health improvement planning