Purpose: 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.
Methods: 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.
Results: 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%.
Conclusion: 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.
Keywords: A1C (or HbA1c), hemoglobin A1c; ACASI, audio computer assisted self-interview; Biomarkers; CARI, computer assisted recorded interview; CUNY SPH, City University of New York School of Public Health; DOHMH, Department of Health and Mental Hygiene; Electronic health records; GIS, Geographic Information Systems; Health and nutrition examination survey; Methodology; NHANES, National Health and Nutrition Examination Survey; NYC HANES; NYC HANES, New York City Health and Nutrition Examination Survey; NYC, New York City; New York City; PHQ-9, Patient Health Questionnaire-9; PSU, Primary Sampling Unit; Population-based study; Study design; Study protocol; Surveillance; WHODAS, World Health Organization Disability Assessment Scale.