Pediatric Behavioral Epidemiology Xinguang (Jim) Chen, MD, PhD Pediatric Prevention Research Center

Slides:

Advertisements

Similar presentations

Trends in Adult Vaccination Coverage Internal for NAIIS Provider Workgroup March Meeting Preliminary Data National Health Interview Survey

Advertisements

Source: CDC Behavioral Risk Factor Surveillance System Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2007 (*BMI 30, or about 30 lbs. overweight.

Laurin Kasehagen, MA, PhD MCH Epidemiologist / CDC Assignee to CityMatCH Maternal & Child Health Epidemiology Program Applied Sciences Branch, Division.

National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Healthy Communities: Healthy.

Childhood Obesity Landscape. Objectives for This Session  Define childhood obesity (CHO) and understand its scope and effects  Share who some of the.

Purpose of the Meeting Insert Title of Meeting and Date Provide an overview of Healthy People 2010 and the Leading Health Indicators Discuss approaches.

Leading Health Indicators Ten Major Public Health Issues Physical activity Overweight and obesity Tobacco use Substance abuse Responsible sexual behavior.

Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1985 No Data

Chapter Objectives Define maternal, infant, and child health.

Are You Overweight? Source: Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 1995, pages ’6” 6’5” 6’4”

American College Health Association - Task Force on National Health Objectives2 What are Healthy People 2010 and Healthy Campus 2010: Making It Happen?

Enhancing Surveillance with the Colorado Child Health Survey Jodi Drisko, MSPH Jason Gannon Alyson Shupe, MSW, PhD Colorado Department of Public Health.

Puerto Rico: Overweight and Obesity Facts Madeline Reyes, MD, MPH Deputy Secretary Secretariat for Health Promotion Puerto Rico Department of Health PACO.

The Burden of Chronic Diseases in Missouri: Opportunities and Challenges for Public Health Shumei Yun, MD, PhD Chronic Disease Public Health Epidemiologist.

Indicators of health and disease frequency measures

Kenya’s Youth Today From the 2003 Kenya Demographic and Health Survey.

Determinants of Health Catalysts Towards Community Health June 2, 2008.

The Burden of Diabetes 1. Prevalence of Diabetes and Prediabetes in the United States 2 1. CDC. National diabetes fact sheet, 2008.

Chronic Disease in Missouri: Progress and Challenges Shumei Yun, MD, PhD Public Health Epidemiologist and Team Leader Chronic Disease and Nutritional Epidemiology.

1 Prediabetes Burden. 2 Epidemiology: Health Performance Gaps Prevalence Risk factors –Metabolic syndrome –Obesity Clinical risks of prediabetes –Progression.

Prediabetes Burden.

Press Release FOR IMMEDIATE RELEASE:CONTACT: Roseanne Pawelec, Tuesday, July 23, 2002(617) NEARLY HALF OF ALL MASSACHUSETTS RESIDENTS OVERWEIGHT.

Overweight/Obesity & Physical Inactivity Healthy Kansans 2010 Steering Committee Meeting April 22, 2005.

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 22 School-Age Children and Adolescents.

Oregon Public Health Data: What’s in it for CCOs? Katrina Hedberg, MD, MPH Health Officer & State Epidemiologist March 10, 2014.

Healthy Youth, Healthy Future: MCH Needs Assessment for Children and Adolescents.

A Profile of Health among Massachusetts Adults: Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) Health Survey.

CATCH grant: Pediatric Obesity and Weight Management Community Assessment Naya Antink, MD June 25, 2008.

Sustaining Healthy Communities - A Challenge Maria Torroella Carney, MD, FACP March 23, 2010 Long Island Center for Health Policy.

Women’s Health in Massachusetts Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS): Health Survey Program Bureau.

Reducing Risk of Heart Disease & Stroke - A Life Long Quest Jeffrey P. Gold, M.D. University of Toledo Medical Center.

Risk Assessment. Definition of Risk Assessment A scientific process of evaluating the adverse effects caused by a substance, activity, lifestyle, or natural.

HEALTHY PEOPLE 2010 Objectives for Improving Health Richard Harvey, Ph.D. VA National Center for Health Promotion and Disease Prevention (NCP)

Carrie Dawson PAS 646 Spring 2007 Advisor: Eileen Van Dyke Negative Effects of Prenatal Smoking on School Aged Children.

Perinatal Health: From a women’s health lifespan perspective Diana Cheng, M.D. Medical Director, Women’s Health Center for Maternal and Child Health 1.

Why Health?. Center for Disease Control and Prevention CDC –Gathers statistics for the nation Addresses the six behaviors that research shows contribute.

Health Risks Being aware of certain risks to your health is part of becoming an adult. Risk Behaviors- are actions that can potentially threaten your.

6. Determinants affecting children’s health

Affordable Care Act: Implications for Public Health Marty Fenstersheib, MD, MPH Health Officer Santa Clara County.

ATHENS HIGH SCHOOL HEALTH CLASS. Chapter 1 Living a Healthy Life.

Prevalence of Tobacco Use. Current user: A person who has smoked once in the last 30 days Prevalence of tobacco use: The proportion of current users in.

Chapter 9 Social and Behavioral Epidemiology. Figure F01: Illustration of brain under stress. Stress is hypothesized to impact the brain, causing physical.

HEALTHY KANSANS 2010 PROCESS OVERVIEW Encourage Change Improve the Health of all Kansans February 16 th, 2007.

Epidemiology 242: Cancer Epidemiology Zuo-Feng Zhang, MD, PhD Fall Quarter, 2009.

Eric Schmidt. Comprehensive School Health Education  A social science that draws from the biological, environmental, psychological, physical, and medical.

Maternal and Child Health and Chronic Disease Donna F. Stroup, PhD., M.Sc. Acting Director Coordinating Center for Health Promotion.

Childhood Obesity Slides. Top 10 Countries: Diabetes Prevalence International Diabetes Federation, Ages 20 to 79 years, 2013.

Disease Prevention and Control HIV attacks the cell… 1.

Children Aged 5 to

Source: Behavioral Risk Factor Surveillance System, CDC. South Lake Pediatrics Committee on Nutrition and Healthy Lifestyles “Juggling a healthy diet”

Reducing Health Risks 6/13/ Effective ways to reduce the risks from other factors Take action to avoid or reduce known risks Obtain regular check-ups.

Improving the Health of All Kansans. 3/4/50 Rule That Contribute to 50% of all US Deaths Contribute to Four Chronic Diseases Cardiovascular Disease DiabetesLung.

11 Evidence-Based Prevention Interventions Involves assessing evidence of the effectiveness of two categories of preventive services: 1.Clinical preventive.

Yolo County Obesity Data Yolo County Childhood Nutrition and Fitness Forum September 18, 2004 Samrina Marshall, MD, MPH Assistant Health Officer, Yolo.

Secondhand smoke (SHS) is environmental tobacco smoke (ETS) that is inhaled involuntarily and passively. SHS is a combination of “sidestream” smoke, which.

This study demonstrates why our children need to develop healthy daily living habits at an early age. Kim Hall Briarwood Physical Education Teacher.

The Burden of Diabetes.

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

The determinants of health and individual human development of Australian’s children Chapter 7.

Substance Use and Abuse

The Burden of Tobacco Use

Obesity Trends* Among U.S. Adults BRFSS,

2008 NORTH CAROLINA Children Aged 5 to <20 Years

- Death rates: US Mortality Volumes 1930 to 1959, US Mortality Data 1960 to 2015, National Center for Health Statistics, Centers for Disease Control and.

2018 COMMUNITY HEALTH IMPROVEMENT PLAN

Prediabetes Burden.

Determinants of Health

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

Copyright © 2016 Elsevier Inc. All rights reserved.

Presentation transcript:

Pediatric Behavioral Epidemiology Xinguang (Jim) Chen, MD, PhD Pediatric Prevention Research Center

Behavior, Morbidity and Mortality  Rates of disease morbidity and premature mortality reflect people's behavioral practices (Healthy People 2010).  Substance use: Tobacco, alcohol and illegal drugs  HIV risk behaviors: Sexual risk, needle sharing,  Physical activity: Overweight/obesity, mental health  Eating behavior: Nutrition and metabolic syndrome

Why Epidemiology?  To grasp a fuller picture of an issue (including, tobacco exposure, asthma, obesity, leukemia, etc)  To detect disease etiology at various levels, ranging from molecular, genetic, to behavioral, environmental & social  To take measures for health promotion and disease prevention at group levels (e.g., tobacco control campaigns, vaccination programs, etc)  To understand mechanisms involved in behavioral change (e.g., dynamic progression), disease spreading and disease prevention (e.g., Herd immunity) via modeling analysis.

Geographic Distribution of Obese Children 3-5 Years Old from Low Income Families Data source: CDC Pediatric Nutrition Surveillance System (PedNSS)

Trends in the Prevalence of Obesity ( BMI>95 th Percentile ) in Pre-School Children (2-5 Years Old) Data source: CDC Pediatric Nutrition Surveillance System (PedNSS)

Trends in the Prevalence of Obesity (BMI≥30) among US Adults (20-39 Years Old) Created using data from: Flegal et al, JAMA, 2010, 303 (3): Original data: The National Health and Nutrition Examination Survey (NHANES)

Changes in Smoking Behavior During Pregnancy Among Smoking Mothers (N=160) Data source : Chen & Woodcroft, 2009, Nicotine and Tobacco Research, 11(3):

Polymorphic CYP2A6 and Changes in Maternal Smoking Behavior During Pregnancy Data source : Chen & Woodcroft, 2009, Nicotine and Tobacco Research, 11(3):

Questions and Answers  Thank You