Epidemiology Division, Pima County Health Department, Tucson, AZ 85714, United States.
Pima County Health Department, Tucson, AZ 85714, United States.
J Am Med Inform Assoc. 2024 Nov 1;31(11):2716-2721. doi: 10.1093/jamia/ocae235.
This communication presents the results of defining a tribal health jurisdiction by a combination of tribal affiliation (TA) and case address.
Through a county-tribal partnership, Geographic Information System (GIS) software and custom code were used to extract tribal data from county data by identifying reservation addresses in county extracts of COVID-19 case records from December 30, 2019, to December 31, 2022 (n = 374 653) and COVID-19 vaccination records from December 1, 2020, to April 18, 2023 (n = 2 355 058).
The tool identified 1.91 times as many case records and 3.76 times as many vaccination records as filtering by TA alone.
This method of identifying communities by patient address, in combination with TA and enrollment, can help tribal health jurisdictions attain equitable access to public health data, when done in partnership with a data sharing agreement. This methodology has potential applications for other populations underrepresented in public health and clinical research.
本通讯通过部落归属 (TA) 和病例地址的组合来定义部落卫生管辖范围。
通过县部落伙伴关系，使用地理信息系统 (GIS) 软件和自定义代码，从县数据中提取部落数据，方法是通过识别县 COVID-19 病例记录（2019 年 12 月 30 日至 2022 年 12 月 31 日）和 COVID-19 疫苗接种记录（2020 年 12 月 1 日至 2023 年 4 月 18 日）中县摘录的保留地址。
该工具确定的病例记录数量是仅通过 TA 过滤的记录数量的 1.91 倍，疫苗接种记录数量是仅通过 TA 过滤的记录数量的 3.76 倍。
当与数据共享协议合作时，通过患者地址识别社区，结合 TA 和登记，这种方法可以帮助部落卫生管辖范围获得公平获得公共卫生数据的机会。这种方法具有在公共卫生和临床研究中代表性不足的其他人群中的潜在应用。
