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dc.contributor.authorHawkins, Summer Sherburneen_US
dc.contributor.authorGillman, Matthew W.en_US
dc.contributor.authorRifas-Shiman, Sheryl L.en_US
dc.contributor.authorKleinman, Ken P.en_US
dc.contributor.authorMariotti, Meganen_US
dc.contributor.authorTaveras, Elsie M.en_US
dc.date.accessioned2016-04-01T15:49:59Z
dc.date.issued2016en_US
dc.identifier.citationHawkins, Summer Sherburne, Matthew W. Gillman, Sheryl L. Rifas-Shiman, Ken P. Kleinman, Megan Mariotti, and Elsie M. Taveras. 2016. “The Linked CENTURY Study: linking three decades of clinical and public health data to examine disparities in childhood obesity.” BMC Pediatrics 16 (1): 32. doi:10.1186/s12887-016-0567-0. http://dx.doi.org/10.1186/s12887-016-0567-0.en
dc.identifier.issn1471-2431en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:26318778
dc.description.abstractBackground: Despite the need to identify the causes of disparities in childhood obesity, the existing epidemiologic studies of early life risk factors have several limitations. We report on the construction of the Linked CENTURY database, incorporating CENTURY (Collecting Electronic Nutrition Trajectory Data Using Records of Youth) Study data with birth certificates; and discuss the potential implications of combining clinical and public health data sources in examining the etiology of disparities in childhood obesity. Methods: We linked the existing CENTURY Study, a database of 269,959 singleton children from birth to age 18 years with measured heights and weights, with each child’s Massachusetts birth certificate, which captures information on their mothers’ pregnancy history and detailed socio-demographic information of both mothers and fathers. Results: Overall, 74.2 % were matched, resulting in 200,343 children in the Linked CENTURY Study with 1,580,597 well child visits. Among this cohort, 94.0 % (188,334) of children have some father information available on the birth certificate and 60.9 % (121,917) of children have at least one other sibling in the dataset. Using maternal race/ethnicity from the birth certificate as an indicator of children’s race/ethnicity, 75.7 % of children were white, 11.6 % black, 4.6 % Hispanic, and 5.7 % Asian. Based on socio-demographic information from the birth certificate, 20.0 % of mothers were non-US born, 5.9 % smoked during pregnancy, 76.3 % initiated breastfeeding, and 11.0 % of mothers had their delivery paid for by public health insurance. Using clinical data from the CENTURY Study, 22.7 % of children had a weight-for-length ≥ 95th percentile between 1 and 24 months and 12.0 % of children had a body mass index ≥ 95th percentile at ages 5 and 17 years. Conclusions: By linking routinely-collected data sources, it is possible to address research questions that could not be answered with either source alone. Linkage between a clinical database and each child’s birth certificate has created a unique dataset with nearly complete racial/ethnic and socio-demographic information from both parents, which has the potential to examine the etiology of racial/ethnic and socioeconomic disparities in childhood obesity.en
dc.language.isoen_USen
dc.publisherBioMed Centralen
dc.relation.isversionofdoi:10.1186/s12887-016-0567-0en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784443/pdf/en
dash.licenseLAAen_US
dc.subjectBirth certificatesen
dc.subjectElectronic health recordsen
dc.subjectHealth status disparitiesen
dc.subjectMedical record linkageen
dc.subjectPediatric obesityen
dc.titleThe Linked CENTURY Study: linking three decades of clinical and public health data to examine disparities in childhood obesityen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalBMC Pediatricsen
dash.depositing.authorGillman, Matthew W.en_US
dc.date.available2016-04-01T15:49:59Z
dc.identifier.doi10.1186/s12887-016-0567-0*
dash.contributor.affiliatedRifas-Shiman, Sheryl
dash.contributor.affiliatedKleinman, Kenneth Paul
dash.contributor.affiliatedGillman, Matthew
dash.contributor.affiliatedTaveras, Elsie


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