TABLE 2—
Results of Indicator Validation by Comparing NYC Macroscope 2013 (n = 648 816) with NYC HANES 2013–2014 (n = 1135) and the 2013 Community Health Survey (n = 6166) for NYC Adults in Care in the Past Year
Indicator |
|||||||
Hypertension | Diabetes | Smoking | Obesity | Hypercholesterolemia | Depression | Influenza Vaccination | |
NYC Macroscope, % (95% CI) | 32.3 (32.2, 32.4) | 13.9 (13.8, 14.0) | 15.2 (15.1, 15.3) | 27.9 (27.7, 27.9) | 49.3 (49.1, 49.5) | 8.2 (8.1, 8.2) | 20.9 (20.8, 21.0) |
NYC HANES, % (95% CI) | 32.5 (29.4, 35.7) | 12.6 (10.6, 14.8) | 17.7 (15.1, 20.8) | 31.3 (28.5, 34.5) | 46.9 (42.6, 51.3) | 19.0 (16.4, 21.9) | 47.6 (44.0, 51.3) |
Community Health Survey, % (95% CI) | 31.6 (30.2, 33.0) | 12.5 (11.5, 13.6) | 14.9 (13.6, 16.3) | 24.7 (23.2, 26.3) | 47.9 (45.7, 50.1) | NA | 47.3 (45.5, 49.0) |
NYC Macroscope vs NYC HANES | |||||||
Absolute difference < 5 | ✓ (0.15) | ✓ (1.36) | ✓ (2.55) | ✓ (3.46) | ✓ (2.36) | X (10.80) | X (26.71) |
Prevalence ratio of 0.85–1.15 | ✓(1.00) | ✓ (1.11) | ✓ (0.86) | ✓ (0.89) | ✓ (1.05) | X (0.43) | X (0.44) |
Test of difference (t test), P ≥ .05 | ✓(P = .93) | ✓ (P = .19) | ✓ (P = .08) | X (P = .02) | ✓ (P = .29) | X (P < .01) | X (P < .01) |
Test of equivalence, P < .05 | ✓ (P < .01) | ✓ (P < .001) | ✓ (P = .04) | X (P = .14) | X (P = .12) | X (P = .99) | X (P = .99) |
Recommendation | Ready for use | Ready for use | Ready for use | Ready for use | Use with cautiona | Not ready for use | Not ready for use |
Note. ✓ = criterion met; X = criterion not met; CI = confidence interval; HANES = Health and Nutrition Examination Survey; NA = not available in this data set; NYC = New York City.
Caution for hypercholesterolemia prevalence is on the basis of the tests shown here and lower sensitivity and specify in the chart review study (data not shown).