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Prev Med Rep. 2015 Jul 2;2:580-5. doi: 10.1016/j.pmedr.2015.06.019. eCollection 2015.

Rationale, design and respondent characteristics of the 2013-2014 New York City Health and Nutrition Examination Survey (NYC HANES 2013-2014).

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City University of New York, School of Public Health, 2180 Third Avenue, New York, NY 10038, United States.
New York City Department of Health and Mental Hygiene, Division of Epidemiology, 42-09 28th St, Long Island City, NY 11101, United States.
City University of New York, Baruch College, 55 Lexington Avenue, New York, NY 10010, United States.
New York City Department of Health and Mental Hygiene, Public Health Laboratory, 455 First Ave., New York, NY 10016, United States.



Capacity to monitor non-communicable diseases (NCDs) at state or local levels is limited. Emerging approaches include using biomeasures and electronic health record (EHR) data. In 2004, New York City (NYC) performed a population-based health study on adult residents using biomeasures (NYC Health and Nutrition Examination Study, or NYC HANES), modeled after NHANES. A second NYC HANES was launched in 2013 to examine change over time, evaluate municipal policies, and validate a proposed EHR-based surveillance system. We describe the rationale and methods of NYC HANES 2013-2014.


NYC HANES was a population-based, cross-sectional survey of NYC adults using three-stage cluster sampling. Between August 2013 and June 2014, selected participants completed a health interview and physical exam (blood pressure, body mass index, and waist circumference). Fasting biomeasures included diabetes, lipid profiles, kidney function, environmental biomarkers, and select infectious diseases.


Of the 3065 households approached, 2742 were eligible and 1827 were successfully screened (67%). A total of 1524 of eligible participants completed the survey (54%), for an overall response rate of 36%.


Completing a second NYC HANES a decade after the first study affords an opportunity to understand changes in prevalence, awareness and control of NCDs and evaluate municipal efforts to manage them.


A1C (or HbA1c), hemoglobin A1c; ACASI, audio computer assisted self-interview; Biomarkers; CARI, computer assisted recorded interview; CUNY SPH, City University of New York School of Public Health; DOHMH, Department of Health and Mental Hygiene; Electronic health records; GIS, Geographic Information Systems; Health and nutrition examination survey; Methodology; NHANES, National Health and Nutrition Examination Survey; NYC HANES; NYC HANES, New York City Health and Nutrition Examination Survey; NYC, New York City; New York City; PHQ-9, Patient Health Questionnaire-9; PSU, Primary Sampling Unit; Population-based study; Study design; Study protocol; Surveillance; WHODAS, World Health Organization Disability Assessment Scale

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