The Survey of the Health of Wisconsin (SHOW), a novel infrastructure for population health research: rationale and methods

Nieto, F Javier; Peppard, Paul E.; Engelman, Corinne D.; McElroy, Jane A.; Galvao, Loren W.; Friedman, Elliot M; Bersch, Andrew J.; Malecki, Kristen C.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p785
Academic Journal
Background: Evidence-based public health requires the existence of reliable information systems for priority setting and evaluation of interventions. Existing data systems in the United States are either too crude (e.g., vital statistics), rely on administrative data (e.g., Medicare) or, because of their national scope (e.g., NHANES), lack the discriminatory power to assess specific needs and to evaluate community health activities at the state and local level. This manuscript describes the rationale and methods of the Survey of the Health of Wisconsin (SHOW), a novel infrastructure for population health research. Methods/Design: The program consists of a series of independent annual surveys gathering health-related data on representative samples of state residents and communities. Two-stage cluster sampling is used to select households and recruit approximately 800-1,000 adult participants (21-74 years old) each year. Recruitment and initial interviews are done at the household; additional interviews and physical exams are conducted at permanent or mobile examination centers. Individual survey data include physical, mental, and oral health history, health literacy, demographics, behavioral, lifestyle, occupational, and household characteristics as well as health care access and utilization. The physical exam includes blood pressure, anthropometry, bioimpedance, spirometry, urine collection and blood draws. Serum, plasma, and buffy coats (for DNA extraction) are stored in a biorepository for future studies. Every household is geocoded for linkage with existing contextual data including community level measures of the social and physical environment; local neighborhood characteristics are also recorded using an audit tool. Participants are re-contacted bi-annually by phone for health history updates. Discussion: SHOW generates data to assess health disparities across state communities as well as trends on prevalence of health outcomes and determinants. SHOW also serves as a platform for ancillary epidemiologic studies and for studies to evaluate the effect of community-specific interventions. It addresses key gaps in our current data resources and increases capacity for etiologic, applied and translational population health research. It is hoped that this program will serve as a model to better support evidence-based public health, facilitate intervention evaluation research, and ultimately help improve health throughout the state and nation.


Related Articles

  • Health Care. Acomb, Deborah L. // National Journal;7/19/2003, Vol. 35 Issue 29, p2354 

    Presents the results of a health care survey in the U.S. conducted by the Pew Research Center in 2003. Percentage of respondents who want enhanced policy to address health care problems; Problems associated with prescription drugs; Health care issues that must be addressed.

  • National Health Care Trend Survey: Midyear 1999(Book).  // Benefits Quarterly;2000 First Quarter, Vol. 16 Issue 1, p94 

    The article presents an abstract of the paper "National Health Care Trend Survey: Midyear 1999," related to a survey on health care in the United States. Trend factors used by health insurers to project employers' future health care costs for 1999 and 2000 were analyzed. Sixty-one health...

  • Prevalence of Physician-Diagnosed Systemic Lupus Erythematosus in the United States: Results from the Third National Health and Nutrition Examination Survey. Ward, Michael M. // Journal of Women's Health (15409996);Jul2004, Vol. 13 Issue 6, p713 

    Objective: To determine the prevalence of physician-diagnosed systemic lupus erythematosus (SLE) in a national population-based sample in the United States. Methods: Data from the Third National Health and Nutrition Examination Survey (NHANES III) were used to estimate the prevalence of...

  • Consumers Unconvinced Of Improvements In Healthcare Quality.  // Quality Progress;Feb2005, Vol. 38 Issue 2, p15 

    The article reports that five years after the Institute of Medicine issued its report focusing attention on medical errors in hospitals, Americans say they do not believe the nation's quality of care has improved. The survey of more than 2,000 adults, conducted during the summer of 2004, found...

  • Cross-Cultural Comparison of Visitors to CAM Practitioners in the United States and Norway. Steinsbekk, Aslak; Rise, Marit By; Aickin, Mikel // Journal of Alternative & Complementary Medicine;Nov2009, Vol. 15 Issue 11, p1201 

    Objectives: The United States and Norway are among the countries that have the highest total expenditure on health per capita and also high utilization of complementary and alternative medicine (CAM). However, these countries have fundamentally different health care systems. The aim was...

  • Burden of peripheral arterial disease in Europe and the United States: a patient survey. Marrett, Elizabeth; daCosta DiBonaventura, Marco; Qiaoyi Zhang // Health & Quality of Life Outcomes;2013, Vol. 11 Issue 1, p1 

    Background The aim of the current study was to quantify the burden of peripheral arterial disease (PAD) with respect to health-related quality of life, work productivity and activity impairment, and healthcare resource utilization. Methods Data were obtained from the 2010 EU National Health and...

  • Advance from prevention efforts to elimination of infections. Bolch, Matt // Managed Healthcare Executive;Feb2012, Vol. 22 Issue 2, p28 

    The article reports on the significant impact of health-acquired infections (HAIs) programs on healthcare spending and human suffering in the U.S. It highlights the development of the Comprehensive Unit-based Safety Program (CUSP) in Michigan that stresses a safety culture, increased...

  • Reinstitution of Diet Therapy in PKU Patients from Twenty-two US Clinics. Schuett, Virginia E.; Brown, Eleanor S.; Michals, Kimberlee // American Journal of Public Health;Jan1985, Vol. 75 Issue 1, p39 

    Abstract: In a nationwide survey we found 72 PKU (phenylketonuria) patients who had terminated diet but later returned to diet. Sixty-one patients resumed diet due to clinical problems. Age at initial diet discontinuation ranged from three to 20 years. The most prevalent problems reported were...

  • Neighborhoods and Obesity in Later Life. Grafova, Irina B.; Freedman, Vicki A.; Kumar, Rizie; Rogowski, Jeannette // American Journal of Public Health;Nov2008, Vol. 98 Issue 11, p2065 

    Objectives. We examined the influence of neighborhood environment on the weight status of adults 55 years and older. Methods. We conducted a 2-level logistic regression analysis of data from the 2002 wave of the Health and Retirement Study. We included 8 neighborhood scales: economic advantage,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics