Generating Subcounty Health Data Products: Methods and Recommendations From a Multistate Pilot Initiative.

Background: County Health Rankings & Roadmaps (CHR&R) makes data on health determinants and outcomes available at the county level, but health data at subcounty levels are needed. Three pilot projects in California, Missouri, and New York explored multiple approaches for defining measures and producing data at subcounty geographic and demographic levels based on the CHR&R model. This article summarizes the collective technical and implementation considerations from the projects, challenges inherent in analyzing subcounty health data, and lessons learned to inform future subcounty health data projects.

Association Between Food Distress and Smoking Among Racially and Ethnically Diverse Adults, Schenectady, New York, 2013-2014.

Introduction: Smoking and poor nutrition are 2 leading preventable causes of death. This study investigated associations between smoking and indicators of individual- and neighborhood-level food distress among racially and ethnically diverse urban adults.

Methods: We analyzed data from a health interview survey and a food environment assessment collected in 2013 and 2014 in Schenectady, New York.

Longitudinal Trends in Tobacco Availability, Tobacco Advertising, and Ownership Changes of Food Stores, Albany, New York, 2003-2015.

Introduction: Frequency of visiting convenience and corner grocery stores that sell tobacco is positively associated with the odds of ever smoking and the risk of smoking initiation among youth. We assessed 12-year trends of tobacco availability, tobacco advertising, and ownership changes in various food stores in Albany, New York.

Methods: Eligible stores were identified by multiple government lists and community canvassing in 2003 (n = 107), 2009 (n = 117), 2012 (n = 135), and 2015 (n = 137).

Food Shopping Venues, Neighborhood Food Environment, and Body Mass Index Among Guyanese, Black, and White Adults in an Urban Community in the US.

Objective: To investigate relationships among food shopping venues, food environment, and body mass index (BMI).

Design: Cross-sectional survey data and directly assessed food environment data were linked at the neighborhood level.

Setting: Schenectady, NY.

Spatial Access to Faith-based Diabetes Intervention for Guyanese Adults in Schenectady, New York.

Purpose: The purpose of this study is to examine whether travel distance would pose a barrier to participation in proposed diabetes intervention programs for Guyanese immigrants at faith-based organizations (FBOs). This study also suggests the most collectively accessible set of FBOs that could serve as intervention sites.

Methods: Data were extracted from a cross-sectional health interview survey conducted in Schenectady, New York, in 2011.