# Presentation: 076859

## Healthy Women: State Trends in Health and Mortality

***CD-ROM training***

**Kate Brett**
**Joanna Skilogianis**

**Centers for Disease Control and Prevention**
**National Center for Health Statistics**

## Purpose

- This product is useful as a tool to look at mortality and health statistics among specific population groups within a state.
- All data available concurrently by:
- State,
- Race and ethnicity,
- Sex, and
- Age

## Development Considerations

- All estimates are 3-year averages.
- Pooling avoids confidentiality issues and gives the estimates greater precision.
- Estimates with large standard errors are suppressed.
- This product released as interactive data tables, not static paper publication.
- User can format tables as desired.
- Updates of the data can be released on the Internet easily.

## Technical Issues

- Precision: based on relative standard error (RSE)
- RSE = SE/estimate
- Mortality: suppression of estimates with less than 20 deaths (approximate RSE>23%).
- BRFSS: suppression of estimates with RSE>30%.
- Age-adjustment: All estimates are age-adjusted to the year 2000 standard population.

## Data Sources

- 1994-1998 Mortality
- 1996-1999 Behavioral Risk Factor Surveillance System (BRFSS)
- 2000 BRFSS updates now available on the website:
- www.cdc.gov/nchs/healthywomen.htm

## Beyond 20/20TM software

- Software privately developed to allow interactive presentation of data.
- The section of the software necessary to read the data is distributed with the data.
- Information on how to use the software available:
- on the CD-ROM insert,
- in this presentation, and
- on the web at:
- www.cdc.gov/nchs/healthywomen.htm

## Beyond 20/20 Concepts

- Table: a presentation of multi-dimensional data and descriptive text.
- Dimension: an attribute of the table’s data, e.g., sex, race, or State.
- Item: an element of a dimension, e.g., Alaska is an item of the state dimension.
- Tile: a rectangle in the table that shows the dimension name or the label of the item currently displayed.

**Notes:**
***Have Health Coverage Table, Hlthcov.ivt, minimized so I can toggle to it after Trina reads each bullet.***
1st Bullet:  Trina will read the first bullet.
	Me:
	After 1st bullet:  Toggle to Health Coverage Table (Hlthcov.ivt), so they can see what a typical Beyond 20/20 table looks like.

2nd Bullet:  Trina will read the second bullet about “dimension.”
	Me:  I will toggle back to the Hlthcov Table to show the various table dimensions.

3rd Bullet:  Trina will read the third bullet about “item.”
	Me:  I will toggle back to the Hlthcov Table to illustrate the various items in a couple of the dimensions.

4th Bullet:  Trina will read the 4th bullet about “tiles.”
	Me:  I will toggle back to the Hlthcov Table to show that “tile” is just a word that B20/20 gives to the rectangles which have the labels for the dimensions or the items.

## Parts of a Beyond 20/20TM table

**Notes:**
Trina:  Trina will say that this particular slide is just illustrating once again the various parts of a B20/20 table.
	***No need to spend much time with this slide...just repetitious.***

	Me:  I’ll quickly point out the different parts of the table that we have covered and will be covering in future slides.

## Demonstration: Opening Tables

- Open Beyond 20/20.
- The Find Files box opens.
- Choose type of data.
- Choose subject matter.
- If need help, look at table summary.
- Highlight table, and press “OK”.
- The Find File button can be used to go to this feature to find additional tables.

**Notes:**
***Before continuing with slide presentation, I should make sure I have closed out of the Hlthcov Table and have the Browser minimized.***
  Trina:  Trina will first of all begin by telling the participants that they should focus on the demonstration.  Phyllis will be showing you how to do it, but don’t do it yet on your pcs. You will have an opportunity to do this later before the end of this session.
Me:  After Trina reads the first and second bullet, I will open Beyond 20/20 from my desktop icon.
2. Trina:  (She will tell about the first part of this slide:  the first 4 bullets) Notice that when you open B20/20, the Find Files box opens which allows you to choose the type of data and subject matter.  Table summaries can be viewed from this box too.
	Me:  The Find Files Box allows you to choose the type of data you’re 	interested in and to also choose the subject matter for which you 	want.  If you need further help, then you can look at the table 	summary which gives a description as to what the table is about as 	well as from where the data came.
Once you have decided on what subject matter interests you, then either highlight the table and press “OK,” OR double click on the table and the table will open.
3.  Trina:  After Trina reads the last bullet about the “Find File button,” I should toggle back to the FIND FILE BOX and give an example by selecting a different table, such as Diabetes. ***After the table has been opened, remember to close it before minimizing B20/20 Browser.***

## Summaries

- Summaries contain information useful to understand the data being presented.
- Any level of the table may have summary information.
- If a summary is available, the label will be highlighted in blue.

**Notes:**
	***Use Hlthcov Table for illustration of this slide.***

Me:
1st bullet: Trina reads the sentence after the first bullet. 
	Me:  I’ll toggle back to the Hlthcov table and say:  As Trina was saying, table summaries are useful in that they provide additional information about the table and explain how the data is used and where it came from.  To display the Table Summary, you would go to View Summary. 
	***THEN TOGGLE BACK TO PP SLIDE SHOW.***
2nd bullet and 3rd bullet:  After Trina reads both bullets I will toggle back to the Hlthcov Table and say:  
	Me:    What Trina means by this is that there can be 	summaries for not only the table, but for the dimensions 	and items within the various dimensions as well. 

	Me:  Remember to look for underlined blue text, because 	if a summary is available, the label or text will be 	underlined and highlighted in blue.
	Me:  In the Hlthcov.ivt Table, point out the various dimensions 	and items having summaries.

					Or

Trina:  She will read the entire slide first.
Me:  I will toggle to the Hlthcov Table to demonstrate the concepts of table summary, dimension summary, and item summary and how to know if a summary accompanies a dimension or item.

## Navigating Tables

- Active dimension box: dimension that is “active”.
- Note that the active dimension tile is highlighted.
- Arrow keys allow one to move through the items in that dimension.
- Highlighting different dimension tiles will change the active dimension.

**Notes:**
	***Use Hlthcov Table for demo with this slide.***

1st and 2nd bullets:  Trina will read these bullets.
Me:  I will toggle back to the Hlthcov Table to point out the active dimension box and show how that dimension is also highlighted.

Trina:  She will read the remaining 2 bullets.
Me:  I will toggle back to the Hlthcov Table to demo the previous item button and the next item button.  I will also point out that the active dimension box changes whenever different dimension tiles are highlighted. 
Point out the arrow keys that Trina was talking about located to the right and left of the active dimension box.  These arrow keys allow you to browse through the items in the active dimension.  At this point use the arrow forward key to browse the dimension which appears in the active dimension box, and then use the arrow back key to go backwards.

## Changing Table Views

- Selecting data
- Hiding and showing data using the item menu
- Resetting view back to original using ‘view’ and ‘reset’
- Switching table dimensions
- Nesting table dimensions

**Notes:**
Trina:  (***Trina will now proceed to read the first and second bullet on this slide.***)
1st and 2nd Bullets:  Trina will read these bullets.
	Me:  I’ll toggle back to the Hlthcov Table after Trina has read the second 	bullet to demo.
Trina:  She will read the 3rd bullet about resetting.
	Me:  ***Toggle back to the Hlthcov Table.***
	Me:  To take the dimension back to its original view, you go to 	‘Dimension’, ‘Reset.’
Trina:  Trina will read the 4th bullet about Switching table dimensions.
	Me:  I’ll toggle back to the Hlthcov Table to demo the concept of 	switching table dimensions.
Trina:  Trina will read the 5th bullet on Nesting table dimensions.
	Me:  I’ll toggle back to the Hlthcov Table to demo the concept of 	“Nesting table dimensions.”

***While still in the Hlthcov.ivt table, I’ll say:
	Before continuing with the next slide, I think now would be a good time for a quick review to make sure the concepts of Beyond 20/20 are being understood by everyone.  I’m going to bring up another BRFSS table to use for this review. 
	Me:
I’ll go to the Find Files Box, select BRFSS for category, highlight the Cholesterol table, Cholest.ivt table and click on OK to open the table.  (Show them that double clicking would have opened the table too).  Once the table is open, proceed with the following lessons:
**I’ll ask the following questions about the Cholest.ivt table:
1.  How many dimensions are in this table?  Yes, that is correct...there are 6 of them.  Point out the row dimension, column dimension, and the remaining dimensions 	across the top.
2.  Does a Dimension Summary accompany any of these dimensions?  How could you tell? 
3.  Demonstrate the concepts of selecting, hiding and showing data, resetting view, switching table dimensions, and nesting table dimensions.

## Charting

- Create a chart using the chart button.
- Change chart options using right mouse button.
- Browse through a series of charts.
- Select one of the headings in the title of the chart.
- Use the arrow buttons to chart the previous or next item.

## Mapping

- Create a map using the map button.
- Change map options using right mouse button.
- Browse through a series of maps.
- Select one of the headings in the title of the map.
- Use the arrow buttons to chart the previous or next item.

## http://www.cdc.gov/nchs

## Slide 16

## Slide 17

## Slide 18

## Slide 19

## Technical Support

- To receive technical support for using the Beyond 20/20 software, contact:
- Phyllis Chappell		*or*	Connie Banks
- _PChappell@cdc.gov_		 _CBanks@cdc.gov_
- (919) 541-4466			(919) 541-3624
- For information on the data itself, contact:
- Joanna Skilogianis	*or*	Kate Brett
- _JSkilogianis@cdc.gov_		_KBrett@cdc.gov_
- (301) 458-4735			(301) 458-4113

## Mortality Example

- Mortality by State, Race/Ethnicity, Sex, Age and Cause, 1994-1998
- Incidence of breast cancer mortality among various age groups of Hispanic white women in California and Florida in 1996-1998

## BRFSS Example

- Smoking Status by State, Race/Ethnicity, Sex and Age, 1996-1999
- Smoking status among white women aged
- 	18-44 in 1997-1999