Abstract
This communication presents the results of defining a tribal health jurisdiction by a combination of tribal affiliation (TA) and case address. Through a county-tribal partnership, Geographic Information System (GIS) software and custom code were used to extract tribal data from county data by identifying reservation addresses in county extracts of COVID-19 case records from December 30, 2019, to December 31, 2022 (n = 374653) and COVID-19 vaccination records from December 1, 2020, to April 18, 2023 (n = 2355058). The tool identified 1.91 times as many case records and 3.76 times as many vaccination records as filtering by TA alone. This method of identifying communities by patient address, in combination with TA and enrollment, can help tribal health jurisdictions attain equitable access to public health data, when done in partnership with a data sharing agreement. This methodology has potential applications for other populations underrepresented in public health and clinical research.
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