UK Small Area Health Statistics Unit, MRC-PHE Centre for Environment and Health, Imperial College London, St Mary's Campus, London, UK.
School of Geography and Environmental Science, University of Southampton, Southampton, UK.
Int J Epidemiol. 2020 Apr 1;49 Suppl 1(Suppl 1):i15-i25. doi: 10.1093/ije/dyz179.
Temporally and spatially highly resolved information on population characteristics, including demographic profile (e.g. age and sex), ethnicity and socio-economic status (e.g. income, occupation, education), are essential for observational health studies at the small-area level. Time-relevant population data are critical as denominators for health statistics, analytics and epidemiology, to calculate rates or risks of disease. Demographic and socio-economic characteristics are key determinants of health and important confounders in the relationship between environmental contaminants and health. In many countries, census data have long been the source of small-area population denominators and confounder information. A strength of the traditional census model has been its careful design and high level of population coverage, allowing high-quality detailed data to be released for small areas periodically, e.g. every 10 years. The timeliness of data, however, becomes a challenge when temporally and spatially highly accurate annual (or even more frequent) data at high spatial resolution are needed, for example, for health surveillance and epidemiological studies. Additionally, the approach to collecting demographic population information is changing in the era of open and big data and may eventually evolve to using combinations of administrative and other data, supplemented by surveys. We discuss different approaches to address these challenges including (i) the US American Community Survey, a rolling sample of the US population census, (ii) the use of spatial analysis techniques to compile temporally and spatially high-resolution demographic data and (iii) the use of administrative and big data sources as proxies for demographic characteristics.
在小区域层面进行观察性健康研究时,需要获得有关人口特征的时间和空间上高度精确的信息,包括人口概况(例如年龄和性别)、种族和社会经济地位(例如收入、职业、教育)。与时间相关的人口数据对于健康统计、分析和流行病学来说至关重要,可用于计算疾病的发病率或风险。人口统计学和社会经济特征是健康的关键决定因素,也是环境污染物与健康之间关系的重要混杂因素。在许多国家,人口普查数据长期以来一直是小区域人口分母和混杂因素信息的来源。传统人口普查模型的一个优势在于其精心设计和高人口覆盖率,可定期为小区域提供高质量的详细数据,例如每 10 年一次。然而,当需要在时间和空间上具有高度准确性且空间分辨率较高的年度(甚至更频繁)数据时,例如用于健康监测和流行病学研究,数据的及时性就会成为一个挑战。此外,在开放和大数据时代,收集人口统计学信息的方法正在发生变化,最终可能会演变为使用行政和其他数据的组合,并辅以调查。我们将讨论解决这些挑战的不同方法,包括 (i) 美国社区调查,这是美国人口普查的滚动样本,(ii) 使用空间分析技术来编制时间和空间上高度精确的人口数据,以及 (iii) 使用行政和大数据来源作为人口特征的代理。