Effect of CDC adjustment of state-reported data on community water fluoridation statistics

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2023-07-04 DOI:10.1111/jphd.12579

Erin K. Hamilton PhD, Susan O. Griffin PhD, Lorena Espinoza DDS, MPH

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引用次数: 1

Abstract

Objectives

Advancing community water fluoridation (CWF) coverage is a national health objective. The Centers for Disease Control and Prevention began adjusting state-reported data to calculate CWF coverage in 2012, and then modified methods in 2016. We evaluate improvements attributable to data adjustment and implications for interpreting trends.

Methods

To assess adjustment, we compared the percentage deviation of state-reported data and data adjusted by both methods to the standard estimated by the U.S. Geological Survey. To assess effects on estimated CWF trends, we compared statistics calculated with data adjusted by each method.

Results

The 2016 method outperformed on all points of evaluation. The CWF national objective measure (percentage of community water system population receiving fluoridated water) was negligibly affected by method. Percentage of US population receiving fluoridated water was lower with the 2016 method versus the 2012.

Conclusions

Adjustment of state-reported data improved overall quality of CWF coverage measures and had minimal impact on key measures.

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美国疾病控制与预防中心对州报告数据的调整对社区饮水氟化统计的影响。

目标：提高社区氟化水（CWF）的覆盖率是国家卫生目标。2012年，美国疾病控制与预防中心开始调整州报告的数据，以计算CWF覆盖率，然后在2016年修改了方法。我们评估了数据调整带来的改进以及对解释趋势的影响。方法：为了评估调整，我们将州报告数据和两种方法调整的数据的百分比偏差与美国地质调查局估计的标准进行了比较。为了评估对估计CWF趋势的影响，我们将计算的统计数据与每种方法调整的数据进行了比较。结果：2016年的方法在所有评估点上都表现出色。CWF国家目标指标（接受含氟水的社区供水系统人口的百分比）受该方法的影响可忽略不计。与2012年相比，2016年的方法使接受含氟水的美国人口比例更低。结论：对州报告数据的调整提高了CWF覆盖措施的总体质量，对关键措施的影响最小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.