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<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-1">1. About Health Statistics</a>
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<a class="nav-link" href="01-000.html">Overview</a>
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<a class="nav-link" href="02-900.html">Standard Deviation</a>
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<a class="nav-link" href="02-910.html">z-score</a>
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<a class="nav-link" href="02-920.html">t-test</a>
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<a class="nav-link" href="02-930.html">Significance Level</a>
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<a class="nav-link" href="02-950.html">Confidence Intervals</a>
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<a class="nav-link" href="02-960.html">Incorporation into Health Subjects</a>
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<a class="nav-link" href="02-970.html">Knowledge Check</a>
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<a class="nav-link" href="03-000.html">Overview</a>
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<a class="nav-link" href="03-100.html">Surveys</a>
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<a class="nav-link" href="03-200.html">Medical Records</a>
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<a class="nav-link" href="03-300.html">Claims Data</a>
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<a class="nav-link" href="03-400.html">Vital Records</a>
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<a class="nav-link" href="03-500.html">Surveillance</a>
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<a class="nav-link" href="03-600.html">(Other) Grey Literature</a>
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<a class="nav-link" href="03-700.html">Peer-Reviewed Literature</a>
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<a class="nav-link" href="04-000.html">Overview</a>
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<a class="nav-link" href="04-800.html">United States Census Bureau</a>
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<a class="nav-link" href="04-900.html">HealthData.gov</a>
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<a class="nav-link" href="04-910.html">Dartmouth Atlas of Health Care (DAHC)</a>
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<a class="nav-link" href="04-920.html">Academic Journal Databases</a>
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<a class="nav-link" href="04-930.html">Search Engines</a>
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<h2>3. Health Data Sources
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<h3>Knowledge Check</h3>
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<h4><i class="fas fa-user-edit"></i> Exercises</h4>
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<p>Now its time to see what you learned! You can check your answers to each question by clicking the Show Answer button, and then move on to the next section.</p>
<p><em>For questions 16, pick the source that best corresponds to the statistic, figure, or table.</em></p>
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<li><strong>Pick the source that best corresponds to the statistic, figure, or table.</strong></li>
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<p style="text-align: center"><strong>ANTHRAX. Number of reported cases, by year - United States, 19602015*<sup><a href="#fn1" id="anch_01">1</a></sup></strong></p>
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<a href="img/Anthrax.png" target="_blank" id="anch_115"><img class="img-fluid" src="img/Anthrax.png" alt="Line graph showing number of cases for Anthrax between 1960 and 2015. The graph shows a jump in cases in 2001 to around 25 reported cases."></a>
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b) Medical Records
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c) Surveillance
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d) Vital Records
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<p><strong>c) Surveillance.</strong> Anthrax cases are reported through disease registries, which are an aspect of public health surveillance.
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<li><strong>Pick the source that best corresponds to the statistic, figure, or table.</strong></li>
</ol>
<p style="text-align: center"><strong>Table. Rates for congestive heart failure hospitalization, by age in years: United States, 2000 and 2010<sup><a href="#fn2" id="anch_02">2</a></sup></strong></p>
<table class="table table-bordered">
<caption><strong>†Change from 2000 to 2010 was statistically significant at the 0.05 level using a weighted least squares regression method, including all years of data, to measure linear trends over time.</strong>
</caption>
<thead class=" ">
<tr>
<th scope="col"><!-- --></th>
<th style="text-align: center" scope="col">2000</th>
<th style="text-align: center" scope="col">2010</th>
</tr>
<tr>
<th scope="col"><!-- --></th>
<th style="text-align: center" colspan="2" scope="col">Rate per 10,000 population</th>
</tr>
</thead>
<tbody>
<tr>
<th scope="row">Total</th>
<td>35.5</td>
<td>32.8</td>
</tr>
<tr>
<th scope="row">&nbsp;&nbsp;Under age 65<sup></sup>
</th>
<td>9.4</td>
<td>10.8</td>
</tr>
<tr>
<th scope="row">&nbsp;&nbsp;65 and over<sup></sup>
</th>
<td>218.6</td>
<td>177.7</td>
</tr>
<tr>
<th scope="row">&nbsp;&nbsp;&nbsp;&nbsp;6574<sup></sup>
</th>
<td>130.3</td>
<td>85.7</td>
</tr>
<tr>
<th scope="row">&nbsp;&nbsp;&nbsp;&nbsp;7584</th>
<td>260.2</td>
<td>214.6</td>
</tr>
<tr>
<th scope="row">&nbsp;&nbsp;&nbsp;&nbsp;85 and over<sup></sup>
</th>
<td>475.9</td>
<td>430.7</td>
</tr>
</tbody>
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b) Vital Records
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c) Peer-Reviewed Literature
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d) Grey Literature
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<p><strong>a) Provider Survey.</strong> Patients ages are collected by providers and would be gathered in provider surveys.
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<li><strong>From 20122018, the lung cancer survival rate was 22.9%.<sup><a href="#fn3" id="anch_03">3</a></sup> Which is the best source that corresponds with this data?</strong></li>
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a) Survey
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<label class="form-check-label" for="flexRadioDefault3b">
b) Vital Records
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ3" id="flexRadioDefault3c">
<label class="form-check-label" for="flexRadioDefault3c">
c) Claims Data
</label>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ3" id="flexRadioDefault3d">
<label class="form-check-label" for="flexRadioDefault3d">
d) Disease Registry
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<p><strong>d) Disease Registry.</strong> Information on a specific disease, like lung cancer, is reported via disease registries.
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<li><strong>Pick the source that best corresponds to the statistic, figure, or table.</strong></li>
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<p style="text-align: center"><strong>Figure 11. Past Year Marijuana Use: Among People Aged 12 or Older; 20022020<sup><a href="#fn4" id="anch_04">4</a></sup></strong></p>
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<a href="img/MariUse.png" target="_blank" id="anch_186"><img class="img-fluid" src="img/MariUse.png" alt="Line graph showing marijuana use of several age groups over past years with the 18-25 age group having the largest percentage"></a>
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a) Population Survey
</label>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ4" id="flexRadioDefault4b">
<label class="form-check-label" for="flexRadioDefault4b">
b) Provider Survey
</label>
</div>
<div class="form-check mb-1">
<input class="form-check-input" type="radio" name="flexRadioDefaultQ4" id="flexRadioDefault4c">
<label class="form-check-label" for="flexRadioDefault4c">
c) Surveillance
</label>
</div>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ4" id="flexRadioDefault4d">
<label class="form-check-label" for="flexRadioDefault4d">
d) Vital Records
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<p><strong>a) Population Survey.</strong> This information would be collected by speaking directly to people, such as in a population survey.
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<li><strong>Pick the source that best corresponds to the statistic, figure, or table.</strong></li>
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<p style="text-align: center"><strong>Table 5. Medicare Payments by Days of Care Stratified from 20122018<sup><a href="#fn5" id="anch_05">5</a></sup></strong></p>
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<a href="img/medicare.png" target="_blank" id="anch_174"><img class="img-fluid" src="img/medicare.png" alt="Image of a table showing the Day Stratifications groups over several years. The column for 2018 is highlighted."></a>
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a) Population Survey
</label>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ5" id="flexRadioDefault5b">
<label class="form-check-label" for="flexRadioDefault5b">
b) Provider Survey
</label>
</div>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ5" id="flexRadioDefault5c">
<label class="form-check-label" for="flexRadioDefault5c">
c) Claims Data
</label>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ5" id="flexRadioDefault5d">
<label class="form-check-label" for="flexRadioDefault5d">
d) Vital Records
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<p><strong>c) Claims Data.</strong> This information covers a huge number of records, including what would be collected as Medicare claims data.
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<li><strong>In 2020, there were a total of 3,613,647 births in the United States. The birth rate for teenagers aged 1519 fell 8% from 2019 to 2020.<sup><a href="#fn6" id="anch_06">6</a></sup> Which is the best source that corresponds with this data?</strong></li>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ6" id="flexRadioDefault6a">
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a) Surveillance
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ6" id="flexRadioDefault6b">
<label class="form-check-label" for="flexRadioDefault6b">
b) Disease Registries
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ6" id="flexRadioDefault6c">
<label class="form-check-label" for="flexRadioDefault6c">
c) Vital Records
</label>
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ6" id="flexRadioDefault6d">
<label class="form-check-label" for="flexRadioDefault6d">
d) Population Survey
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<p><strong>c) Vital Records.</strong> Vital records include birth, death, and marriage records.
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<li><strong>Historically, public health surveillance has focused on _________________.</strong></li>
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a) non-communicable diseases
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b) chronic disease
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c) disease risk factors
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d) infectious diseases
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<p><strong>d) infectious diseases.</strong> Surveillance gathers information from disease registries, which have information on infectious diseases.
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<li><strong>Data from _________________ may have lower validity, compared to the others.</strong></li>
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a) disease registries
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b) vital records
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<input class="form-check-input" type="radio" name="flexRadioDefaultQ8" id="flexRadioDefault8c">
<label class="form-check-label" for="flexRadioDefault8c">
c) public health surveillance
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d) claims data
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<p><strong>d) claims data.</strong> Due to some illegal billing practices, claims data has a lower validity than information that comes from registries and records.
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<li><strong>Non-response is a potential bias that is unique to __________.</strong></li>
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a) public health surveillance
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b) surveys
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c) peer-reviewed literature
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d) medical records
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<p><strong>b) Surveys.</strong> Since surveys are voluntary, as opposed to the others, non-response is a potential bias.
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<li><strong> ________________ comes from a direct encounter between a patient and health care provider.</strong></li>
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a) Surveys
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b) Medical Records
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c) Claims Data
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d) Both B and C
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e) All of the above
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<p><strong>d) Both B and C.</strong> Surveys come from either a patient or a provider, where medical records and claims data come directly from appointments, diagnoses, tests, and other interactions between the patient and provider.
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<hr>
<p class="small">
<a name="fn1" id="anch_101"></a>1. Adams DA, Thomas KR, Jajosky RA, et al. Summary of Notifiable Infectious Diseases and Conditions — United States, 2015. MMWR Morb Mortal Wkly Rep 2017;64:1143. <a href="https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm" title="https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm" target="_blank">https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm</a>.</p>
<p class="small">
<a name="fn2" id="anch_102"></a>2. Hall MJ, Levant S, DeFrances CJ. Hospitalization for congestive heart failure: United States, 20002010. NCHS data brief, no 108. Hyattsville, MD: National Center for Health Statistics. 2012. <a href="https://www.cdc.gov/nchs/products/databriefs/db108.htm" title="https://www.cdc.gov/nchs/products/databriefs/db108.htm" target="_blank">https://www.cdc.gov/nchs/products/databriefs/db108.htm</a></p>
<p class="small">
<a name="fn3" id="anch_103"></a>3. &quot;Cancer of the Lung and Bronchus - Cancer Stat Facts.&quot; <em>National Cancer Institute SEER</em>, <a href="https://seer.cancer.gov/statfacts/html/lungb.html" title="https://seer.cancer.gov/statfacts/html/lungb.html" target="_blank">https://seer.cancer.gov/statfacts/html/lungb.html</a>.</p>
<p class="small">
<a name="fn4" id="anch_104"></a>4. Substance Abuse and Mental Health Services Administration. (2021). <em>Key substance use and mental health indicators
in the United States: Results from the 2020 National Survey on Drug Use and Health</em> (HHS Publication No.
PEP21-07-01-003, NSDUH Series H-56). Rockville, MD: Center for Behavioral Health Statistics and Quality,
Substance Abuse and Mental Health Services Administration. <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf" title="https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf" target="_blank">https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf</a></p>
<p class="small">
<a name="fn5" id="anch_105"></a>5. &quot;NHPCO Facts and Figures.&quot; <em>National Hospice and Palliative Care Organization</em>, 20 Aug. 2020, <a href="http://www.nhpco.org/wp-content/uploads/NHPCO-Facts-Figures-2020-edition.pdf" title="www.nhpco.org/wp-content/uploads/NHPCO-Facts-Figures-2020-edition.pdf" target="_blank">www.nhpco.org/wp-content/uploads/NHPCO-Facts-Figures-2020-edition.pdf</a>.</p>
<p class="small">
<a name="fn6" id="anch_106"></a>6. Martin JA, Hamilton BE, Osterman MJK. &quot;Births in the United States, 2020.&quot; NCHS Data Brief, no 418. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: https://dx.doi.org/10.15620/cdc:109213. Available from: <a href="https://www.cdc.gov/nchs/products/databriefs/db418.htm" title="https://www.cdc.gov/nchs/products/databriefs/db418.htm" target="_blank">https://www.cdc.gov/nchs/products/databriefs/db418.htm</a>.</p>
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