Evidence map›Paper›PMID 27149070›Full record

ArticlePreventing chronic disease2016

Using Small-Area Estimation to Calculate the Prevalence of Smoking by Subcounty Geographic Areas in King County, Washington, Behavioral Risk Factor Surveillance System, 2009-2013.

Lin Song, Laina Mercer, Jon Wakefield, Amy Laurent, David Solet

Abstract read
In one paragraph

Article in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
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  3. State-Level Firearm Laws and Firearm Homicide in US Cities: Heterogenous Associations by City Characteristics.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
  4. Article
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  7. Small-Area Estimation of Smoke-Free Workplace Policies and Home Rules in US Counties.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  8. Article
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  10. Article
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  13. Article
  14. Building a Data Platform for Cross-Country Urban Health Studies: the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2019
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lin SongPublic Health - Seattle & King County, 501 5th Ave, Ste 1300, Seattle, WA 98104. Email: lin.song@kingcounty.gov.
Laina MercerDepartment of Statistics, University of Washington, Seattle, Washington.
Jon WakefieldDepartment of Statistics and Department of Biostatistics, University of Washington, Seattle, Washington.
Amy LaurentPublic Health - Seattle & King County, Seattle, Washington.
David SoletPublic Health - Seattle & King County, Seattle, Washington.

Funding

Population Research TrainingT32HD007543 · NICHD · UNIVERSITY OF WASHINGTON · PI CURRAN, SARA R. · 2002 to 2016
$2.3M
SPATIO-TEMPORAL EPIDEMIOLOGY: METHODS AND APPLICATIONSR01CA095994 · NCI · UNIVERSITY OF WASHINGTON · PI WAKEFIELD, JONATHAN C · 2005 to 2017
$1.6M
NCI NIH HHS R01 CA095994NICHD NIH HHS T32 HD007543
6 · The paper itself

Abstract

introductionKing County, Washington, fares well overall in many health indicators. However, county-level data mask disparities among subcounty areas. For disparity-focused assessment, a demand exists for examining health data at subcounty levels such as census tracts and King County health reporting areas (HRAs).

methodsWe added a "nearest intersection" question to the Behavioral Risk Factor Surveillance System (BRFSS) and geocoded the data for subcounty geographic areas, including census tracts. To overcome small sample size at the census tract level, we used hierarchical Bayesian models to obtain smoothed estimates in cigarette smoking rates at the census tract and HRA levels. We also used multiple imputation to adjust for missing values in census tracts.

resultsDirect estimation of adult smoking rates at the census tract level ranged from 0% to 56% with a median of 10%. The 90% confidence interval (CI) half-width for census tract with nonzero rates ranged from 1 percentage point to 37 percentage points with a median of 13 percentage points. The smoothed-multiple-imputation rates ranged from 5% to 28% with a median of 12%. The 90% CI half-width ranged from 4 percentage points to 13 percentage points with a median of 8 percentage points.

conclusionThe nearest intersection question in the BRFSS provided geocoded data at subcounty levels. The Bayesian model provided estimation with improved precision at the census tract and HRA levels. Multiple imputation can be used to account for missing geographic data. Small-area estimation, which has been used for King County public health programs, has increasingly become a useful tool to meet the demand of presenting data at more granular levels.

Indexed as

Behavioral Risk Factor Surveillance SystemCensusesAdolescentAdultAgedAged, 80 and overBayes TheoremFemaleHumansMaleMiddle AgedSmokingSocioeconomic FactorsWashingtonYoung Adult

Identifiers

PMID27149070
PMCPMC4858449

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.