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Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress (2013)

Chapter: Appendix D: Table of Indicator Data Sources

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Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
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Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
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TABLE D-1 Table of Indicator Data Sources*

Data Source and Website Sponsor Frequency of Data Updates Sample Design and Sample Size (if applicable) Target Population (or Components) Level of Estimates or Data Available Comments
American Community Survey (ACS) http://www.census.gov/acs U.S. Census Bureau Annual Cross-sectional More than 2 million households in 2011 All households 50 states, DC, Puerto Rico National State County City zIP Code Selected American Indian/Alaskan Native areas County, city, and zIP Code estimates available in 1-, 3-, and 5-year increments based on the jurisdiction size
Behavioral Risk Factor Surveillance System (BRFSS) http://www.cdc.gov/brfss HHS/CDC Annual Cross-sectional Sampling frame: 50 states, DC, Puerto Rico, Virgin Islands, Guam, and other U.S. territories ~506,000 interviews in 2011 Civilian, households with land-line or cellular telephones, respondents must be age 18+ National State Selected MMSAs Selected counties
Bridging the Gap (BTG) http://www.bridgingthegapresearch.org Robert Wood Johnson Foundation Annual Tax data begin in 1997; all other data begin with school year 2006-07 Coded state laws related to food and beverage taxation; school food, nutrition, physical education, and physical activity environments; state safe routes to school-related laws; state farm-to-school-related laws

50 states and DC

National State Coded state policy surveillance data based on codified state statutory and administrative (regulatory) laws
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
CDC Chronic Disease State Policy Tracking System http://apps.nccd.cdc.gov/CDPHPPolicySearch/Default.aspx HHS/CDC Ongoing 4,788 nutrition, physical activity, and obesity policies (as of 3/18/2013) Regulation and legislative bills related to nutrition, physical activity, and obesity prevention State Individual bill-level tracking
CDC State Indicator Report on Fruits and Vegetables http://www.cdc.gov/nutrition/downloads/StateIndicator-Report-Fruits-Vegetables-2013.pdf HHS/CDC Annual Data indicators constructed from several other national and state databases

50 states and DC

National State Individual-level diet behavioral indicators, policy, and environmental indicators
Classification of Laws Associated with School Students (CLASS) http://class.cancer.gov HHS/NIH/NCI 2003-2008 2010 Every 2 years State school-based physical education, recess, and nutrition-related laws

50 states and DC

National State Coded state law policy surveillance data system
County and zIP Code Business Patterns (CzCBP) http://www.census.gov/econ/cbp/index.html U.S. Census Bureau Annual Cross-sectional business trends Businesses with paid employees National State County MMSA zIP Code
Federal appropriations laws http://thomas.loc.gov/home/approp/app13.html U.S. Government Annual NA NA National
General Services Administration (GSA) http://www.gsa.gov U.S. Government NA NA NA National
Healthcare Effectiveness Data and Information Set (HEDIS) http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures.aspx NCQA Ongoing

80 measures across 5 domains of health care

Data provided by health plans National Regional State Includes measures related to diabetes care and childhood and adult weight/ body mass index (BMI) assessment
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Data Source and Website Sponsor Frequency of Data Updates Sample Design and Sample Size (if applicable) Target Population (or Components) Level of Estimates or Data Available Comments
Infant Feeding Practices Study II (IFPS-II) http://www.cdc.gov/breastfeeding/data/infant_feeding.htm HHS/FDA, CDC 1992-1993 2005-07 periodic Pregnant women and their infants sampled from a national consumer panel and followed longitudinally (2,000 women in IFPS-II) Pregnant women and their infants National Individual-level diet and health behaviors and practices
National Ambulatory Medical Care Survey (NAMCS) http://www.cdc.gov/nchs/ahcd.htm HHS/CDC Annual Cross-sectional Nonfederal employed office-based physicians National Health care office visits
National College Health Assessment (NCHA) http://www.acha-ncha.org American College Health Association Biannual National sample, but not nationally representative because schools self-select (141 institutions in 2012) College students National Self-reported height and weight, diet and activity behaviors
National Compensation Survey–Benefits (NCS) http://www.bls.gov/ncs/ebs Bureau of Labor Statistics Annual Employer-provided programs Workplaces National Selected MMSAs Census regions Census divisions Data on employer-provided benefits, compensation, and earnings
National Consumer Panel (formerly known as A.C. Nielsen Homescan) http://ncppanel.com/content/ncp/ncphome.html Nielsen/ Symphony IRI Joint Venture Quarterly Representative sample Consumers National Household purchasing of food and beverage items in retail outlets
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
National Farm-to-School Network http://www.farmtoschool.org Tides Center, San Francisco, CA Ongoing Tracks farm-to-school programs in 50 states National K-12 schools and local farms National State
National Health and Nutrition Examination Survey (NHANES) “What We Eat in America” http://www.cdc.gov/nchs/nhanes.htm HHS/CDC USDA/ARS Continuous Annual since 1999 Cross-sectional ~5,000 persons examined annually Civilian, household population all ages since 1999 Oversample of low-income, Hispanics, and Asians National Individual-level estimates of behaviors and measured health status
National Health Interview Survey (NHIS) http://www.cdc.gov/nchs/nhis.htm HHS/CDC Annual (weekly and monthly probability samples) Cross-sectional ~39,500 households (HHs); ~101,900 persons in ~40,500 families, all ages (2011) Civilian, household population Oversample of African Americans, Hispanics, and Asians National Selected state estimates w/years combined Household- and individual-level estimates
National Household Travel Survey (NHTS) http://nhts.ornl.gov DOT/FHWA 2009 Periodic (every 5-7 years) Cross-sectional ~150,000 HHs; 351,000 persons Civilian, household population Daily travel for persons 5+ years National Selected states (if they choose to add-on) Household- and individual-level estimates
National Immunization Survey (NIS) http://www.cdc.gov/nchs/nis.htm HHS/CDC Annual Cross-sectional Children aged 19-35 months Health care providers of children National State Selected large urban areas Data on breastfeeding practices
National Profile of Local Health Departments http://www.naccho.org/topics/infrastructure/profile/index.cfm NACCHO Semi-regularly (last survey conducted in 2013) The core questionnaire is sent to every LHD in the United States; a random sample of LHDs also receive supplemental modules Local health departments National Local health department infrastructure
National Resource Center for Health and Safety in Child Care and Early Education—State Licensing Information http://nrckids.org/STATES/states.htm National Resource Center for Health and Safety in Child Care and Early Education At least 2× per year Census Early child care centers State Links to state laws containing licensing standards for early child care programs
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Data Source and Website Sponsor Frequency of Data Updates Sample Design and Sample Size (if applicable) Target Population (or Components) Level of Estimates or Data Available Comments
National Survey of Children’s Health (NSCH) http://childhealthdata.org/learn/NSCH HHS/HRSA/ MCHB Every 4 years; possibly annual in future Cross-sectional ~91,642 surveys of children (0-17 yrs old); between 1,700-1,900 for each state Noninstitutionalized children aged 0-17 yrs old National State HRSA region
National Survey of Employer-Sponsored Health Plans http://www.mercer.com/ushealthplansurvey Mercer Annual Employer health care policies Employers National
National Survey of Maternity Practices in Infant Nutrition and Care (mPINC) http://www.cdc.gov/breastfeeding/data/mpinc/index.htm HHS/CDC Every 2 years since 2007 Birth facilities, practices, and program All U.S. states and territories National State
National Survey on Energy Balance-related Care Among Primary Care Physicians http://outcomes.cancer.gov/surveys/energy HHS/NIH/ NCI, NICHD, NIDDK, OBSSR, CDC 2008 (unclear when next survey will occur) Cross-sectional Primary care physicians treating children and/or adults National
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
National Vital Statistics System http://www.cdc.gov/NCHS/nvss.htm HHS/CDC Ongoing Collected during vital events—births, deaths, marriages, divorces, and fetal deaths Legal authority for the registration of vital events resides individually with 50 states, 2 cities (Washington, DC, and New York City), and 5 territories (Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands) National State
Nielsen Media Research http://www.nielsen.com The Nielsen Company Ongoing Longitudinal panel Each household panel member participates for 2 years. Random digit dialing and online panel recruitment to obtain a sample that is as nationally representative as possible. Stratified sampling and oversampling of certain populations (e.g., youth, racial/ ethnic minorities) Approximately 25,000 households Households in the 48 contiguous states National Metropolitan Market groups (constructed by Nielsen) Contains data on exposure to food and beverage advertising as well as data on the frequency of television viewing, videogame, and Internet use each day (sedentary behaviors)
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Data Source and Website Sponsor Frequency of Data Updates Sample Design and Sample Size (if applicable) Target Population (or Components) Level of Estimates or Data Available Comments
NPD Group https://www.npd.com/wps/portal/npd/us/home NPD Group Ongoing Nationally representative sample of consumers Online consumer panel with more than 2 million participants Consumers National
Pregnancy Risk Assessment Monitoring System (PRAMS) http://www.cdc.gov/prams HHS/CDC Annual Random sample from birth certificates Women with a recent live birth (and their infants) in 40 participating states and New York City State Breastfeeding Maternal diet and activity behaviors Pre-pregnancy weight Gestational diabetes
Quarterly Food-at-Home Price Database (QFAHPD) http://www.ers.usda.gov/data-products/quarterly-food-at-home-price-database.aspx#.UUNs3BfkuSo USDA/ERS 1999-2006 (version 1) 2004-2010 (version 2) 26 metropolitan and 9 nonmetropolitan markets for 2004-2010 Food prices for 54 food groups Local
School Health Policies and Practices Study (SHPPS) http://www.cdc.gov/HealthyYouth/shpps/index.htm HHS/CDC Every 6 years Nationally represented sample of 50 states and DC Randomly selected classes (classroom-level data) Public school state agencies; public school administration; public and private school faculty and staff; teachers National State Selected large districts
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
School Nutrition Dietary Assessment Survey (SNDA) http://www.mathematicampr.com/nutrition/snda_IV.asp USDA/FNS Periodic SNDA-III: 2004-2005 SNDA-IV: 2009-2010 SNDA-V: planned Cross-sectional SNDA-III: 2,314 public school students in grades 1-12 from 287 sampled schools SNDA IV: 595 school food authorities and 902 sampled schools Nationally representative samples of districts, schools, and students (in SNDA III) in 48 contiguous states and DC National Student-level behaviors in SNDA-III and V; School-level indicators in SNDA-III, IV, and V
State Birth Registries/Birth Records Databases http://www.cdc.gov/nchs/nvss/state_health_departments.htm U.S. Government Ongoing Collected during vital events—births Pregnant women and newborns State
State SNAP-Ed Plans http://snap.nal.usda.gov/state-gates USDA Annual Census SNAP-Ed programs State State-level plans for SNAP-Ed programs
State SNAP Policy Database http://www.ers.usda.gov/data-products/snap-policydatabase.aspx USDA Ongoing Census SNAP state program policies State SNAP Policy Database http://www.ers.usda.gov/dataproducts/snap-policy-database.aspx
Yale Rudd Center for Food Policy and Obesity—Legislative Database http://www.yaleruddcenter.org/legislation Yale Rudd Center for Food Policy & Obesity 2010-present Census Legislation introduced, enacted, vetoed, failed, or repealed National State Selected large metropolitan areas Food policy and obesity-related legislative tracking database
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Data Source and Website Sponsor Frequency of Data Updates Sample Design and Sample Size (if applicable) Target Population (or Components) Level of Estimates or Data Available Comments
Youth Risk Behavior Surveillance System (YRBSS) http://www.cdc.gov/HealthyYouth/yrbs/index.htm HHS/CDC Biennial Cross-sectional school-based survey samples (47 states, 5 territories, 2 tribal, 22 local regions) ~15,500 youth in 2011 Youth in public and private schools, grades 9-12; ages 12-21 yrs old National State Local Individual-level behaviors

* This table provides detailed information on each of the data sources listed in Chapter 4, Table 4-2, including the sponsoring organization, study design, periodicity, and populations studied. Appendix F, Table F-2 lists examples of national surveillance and evaluation system data sources that can be considered for their potential based on the specific measures, target population, and level of the data desired for indicators.

NOTES: ARS = Agricultural Research Service; CDC = U.S. Centers for Disease Control and Prevention; DOT = U.S. Department of Transportation; ERS = Economic Research Service; FDA = U.S. Food and Drug Administration; FHWA = U.S. Federal Highway Administration; FNS = Food and Nutrition Service; HH = household; HHS = U.S. Department of Health and Human Services; HRSA = Health Resources and Services Administration; IRI = Information Resources, Inc.; LHD = local health department; MCHB = Maternal and Child Health Bureau; MMSA = metropolitan and micropolitan statistical area; NACCHO = National Association of County and City Health Officials; NCI = National Cancer Institute; NCQA = National Center for Quality Assurance; NICHD = National Institute of Child Health and Human Development; NIDDK = National Institute of Diabetes and Digestive and Kidney Diseases; NIH = National Institutes of Health; OBSSR = Office of Behavioral and Social Sciences Research; SNAP = Supplemental Nutrition Assistance Program; USDA = U.S. Department of Agriculture.

Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
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Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 322
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 323
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 324
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 325
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 326
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 327
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 328
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 329
Suggested Citation:"Appendix D: Table of Indicator Data Sources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 330
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Obesity poses one of the greatest public health challenges of the 21st century, creating serious health, economic, and social consequences for individuals and society. Despite acceleration in efforts to characterize, comprehend, and act on this problem, including implementation of preventive interventions, further understanding is needed on the progress and effectiveness of these interventions.

Evaluating Obesity Prevention Efforts develops a concise and actionable plan for measuring the nation's progress in obesity prevention efforts—specifically, the success of policy and environmental strategies recommended in the 2012 IOM report Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. This book offers a framework that will provide guidance for systematic and routine planning, implementation, and evaluation of the advancement of obesity prevention efforts. This framework is for specific use with the goals and strategies from the 2012 report and can be used to assess the progress made in every community and throughout the country, with the ultimate goal of reducing the obesity epidemic. It offers potentially valuable guidance in improving the quality and effect of the actions being implemented.

The recommendations of Evaluating Obesity Prevention Efforts focus on efforts to increase the likelihood that actions taken to prevent obesity will be evaluated, that their progress in accelerating the prevention of obesity will be monitored, and that the most promising practices will be widely disseminated.

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