Thorpe Lorna E, Greene Carolyn, Freeman Amy, Snell Elisabeth, Rodriguez-Lopez Jesica S, Frankel Martin, Punsalang Amado, Chernov Claudia, Lurie Elizabeth, Friedman Mark, Koppaka Ram, Perlman Sharon E
City University of New York, School of Public Health, 2180 Third Avenue, New York, NY 10038, United States.
New York City Department of Health and Mental Hygiene, Division of Epidemiology, 42-09 28th St, Long Island City, NY 11101, United States.
Prev Med Rep. 2015 Jul 2;2:580-5. doi: 10.1016/j.pmedr.2015.06.019. eCollection 2015.
Capacity to monitor non-communicable diseases (NCDs) at state or local levels is limited. Emerging approaches include using biomeasures and electronic health record (EHR) data. In 2004, New York City (NYC) performed a population-based health study on adult residents using biomeasures (NYC Health and Nutrition Examination Study, or NYC HANES), modeled after NHANES. A second NYC HANES was launched in 2013 to examine change over time, evaluate municipal policies, and validate a proposed EHR-based surveillance system. We describe the rationale and methods of NYC HANES 2013-2014.
NYC HANES was a population-based, cross-sectional survey of NYC adults using three-stage cluster sampling. Between August 2013 and June 2014, selected participants completed a health interview and physical exam (blood pressure, body mass index, and waist circumference). Fasting biomeasures included diabetes, lipid profiles, kidney function, environmental biomarkers, and select infectious diseases.
Of the 3065 households approached, 2742 were eligible and 1827 were successfully screened (67%). A total of 1524 of eligible participants completed the survey (54%), for an overall response rate of 36%.
Completing a second NYC HANES a decade after the first study affords an opportunity to understand changes in prevalence, awareness and control of NCDs and evaluate municipal efforts to manage them.
州或地方层面监测非传染性疾病（NCDs）的能力有限。新出现的方法包括使用生物测量指标和电子健康记录（EHR）数据。2004年，纽约市（NYC）仿照美国国家健康与营养检查调查（NHANES），对成年居民开展了一项基于人群的健康研究（纽约市健康与营养检查调查，即NYC HANES）。2013年启动了第二次NYC HANES，以研究随时间的变化、评估市政政策，并验证一个提议的基于EHR的监测系统。我们描述了2013 - 2014年NYC HANES的基本原理和方法。
NYC HANES是一项基于人群的横断面调查，采用三阶段整群抽样法对纽约市成年人进行调查。在2013年8月至2014年6月期间，选定的参与者完成了健康访谈和体格检查（血压、体重指数和腰围）。空腹生物测量指标包括糖尿病、血脂谱、肾功能、环境生物标志物以及特定传染病。
在接触的3065户家庭中，2742户符合条件，1827户成功接受筛查（67%）。共有1524名符合条件的参与者完成了调查（54%），总体应答率为36%。
在首次研究十年后完成第二次NYC HANES，为了解非传染性疾病的患病率、知晓率和控制情况的变化以及评估市政管理这些疾病的努力提供了契机。
