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Biomedical subjects

Joy L Wood

Publications and source records attributed to Joy L Wood.

3 recordsLinked to original sources

Historical measures of social context in life course studies: retrospective linkage of addresses to decennial censuses.

BACKGROUND: There is evidence of a contribution of early life socioeconomic exposures to the risk of chronic diseases in adulthood. However, extant studies investigating the impact of the neighborhood social environment on health tend to characterize only the current social environment. This in part may be due to complexities involved in obtaining and geocoding historical addresses. The Life Course Socioeconomic Status, Social Context, and Cardiovascular Disease Study collected information on childhood (1930-1950) and early adulthood (1960-1980) place of residence from 12,681 black and white middle-aged and older men and women from four U.S. communities to link participants with census-based socioeconomic indicators over the life course. RESULTS: Most (99%) participants were linked to 1930-50 county level socioeconomic census data (the smallest level of aggregation universally available during this time period) corresponding to childhood place of residence. Linkage did not vary by race, gender, birth cohort, or level of educational attainment. A commercial geocoding vendor processed participants' self-reported street addresses for ages 30, 40, and 50. For 1970 and 1980 censuses, spatial coordinates were overlaid onto shape files containing census tract boundaries; for 1960 no shape files existed and comparability files were used. Several methods were tested for accuracy and to increase linkage. Successful linkage to historical census tracts varied by census (66% for 1960, 76% for 1970, 85% for 1980). This compares to linkage rates of 94% for current addresses provided by participants over the course of the ARIC examinations. CONCLUSION: There are complexities and limitations in characterizing the past social context. However, our results suggest that it is feasible to characterize the earlier social environment with known levels of measurement error and that such an approach should be considered in future studies.

Journal Article↗

Accuracy and repeatability of commercial geocoding.

The authors estimated accuracy and repeatability of commercial geocoding to guide vendor selection in the Life Course Socioeconomic Status, Social Context and Cardiovascular Disease study (2001-2002). They submitted 1,032 participant addresses (97% in Maryland, Minnesota, Mississippi, or North Carolina) to vendor A twice over 9 months and measured repeatability as agreement between levels of address matching, discordance (%) between statistical tabulation areas, and median distance (d, in meters) and bearing (theta;, in degrees) between coordinates assigned on each occasion (H(o):Sigma(i)( = 1 -->) (n) [theta;(i) /n] = 180 degrees ). They also submitted 75 addresses of nearby air pollution monitors (77% urban/suburban; 69% residential/commercial) to vendors A and B and then measured accuracy by comparing vendor- and US Environmental Protection Agency (EPA)-assigned geocodes using the above measures. Repeatability of geocodes assigned by vendor A was high (kappa = 0.90; census block group discordance = 5%; d < 1 m; theta; = 177 degrees ). The match rate for EPA monitor addresses was higher for vendor B versus A (88% vs. 76%), but discordance at census block group, tract, and county levels also was, respectively, 1.4-, 1.9-, and 5.0-fold higher for vendor B. Moreover, coordinates assigned by vendor B were further from those assigned by the EPA (d = 212 m vs. 149 m; theta; = 131 degrees vs. 171 degrees ). These findings suggest that match rates, repeatability, and accuracy should be used to guide vendor selection.

Aged↗

Change in the prevalence of leisure activity with the number of activities recalled.

PURPOSE: The purpose of this study was to examine how the estimated prevalence of leisure activity changed when respondents self-reported up to four activities, compared with using information only from the respondent's one, two, and three most commonly performed leisure activities. METHODS: Information on leisure activities, sociodemographics, and body mass index (BMI) categories was collected in the year 2000 during a telephone interview of 1813 randomly selected adults living in six North Carolina counties. Recommended activity was defined as moderate leisure activity > or =5x wk(-1) for > or =30 min per session or vigorous leisure activity > or =3x wk(-1) for > or =20 min per session. RESULTS: Among respondents, 32.1% reported participation in no leisure activity, 41.7% reported one activity, 21.5% reported two activities, 3.8% reported three activities, and 0.9% reported four activities during the past month. The largest change in prevalence occurred when using two activities compared with one activity for recommended activity, overall and by sociodemographic and BMI categories. The prevalence of recommended activity determined by using 1, 2, 3, or 4 activities was 21.0%, 26.0%, 26.5%, and 26.7%, respectively. CONCLUSION: In this study, collecting information on two leisure activities was the most efficient balance for population specific accuracy of recommended activity.

Adolescent↗