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BRFSS Behavioral Risk Factor Surveillance System 2001 Onslow County BRFSS Survey Results State Center for Health Statistics Division of Public Health North.

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Presentation on theme: "BRFSS Behavioral Risk Factor Surveillance System 2001 Onslow County BRFSS Survey Results State Center for Health Statistics Division of Public Health North."— Presentation transcript:

1 BRFSS Behavioral Risk Factor Surveillance System 2001 Onslow County BRFSS Survey Results State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services

2 History of the BRFSS Survey Developed by the Centers for Disease Control and Prevention (CDC) and state health departments in the early 1980s in response to the need for: 1. on-going assessment of adult health-risk behaviors and health practices; 2. provision of state and regional (and now county) estimates for targeting high-risk groups. It is the largest and longest running telephone health survey in the world.

3 BRFSS in the U.S., 1984

4 BRFSS in the U.S., 1990

5 BRFSS in the U.S., 1994 Guam Puerto Rico Virgin Islands

6 The Expansion of the North Carolina 2001 BRFSS The annual sample size was increased from 2,000+ respondents to 6,000+ respondents. Ten of the largest counties in North Carolina were oversampled to produce county-specific estimates (Buncombe, Cumberland, Durham, Forsyth, Gaston, Guilford, Mecklenburg, New Hanover, Onslow, Wake) The remaining counties were stratified into three regions of the state: Western, Piedmont, and Eastern. (Regional estimates do not include the respective oversampled counties.) The NC 2001 BRFSS contained close to 250 survey questions, nearly twice the number of any previous survey.

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8 Standard BRFSS Data Collection Methods Ongoing monthly telephone interviews using random digit dialing Computer-assisted telephone interviewing (CATI) Probability sampling of noninstitutionalized adults (18+ years) in households with telephones

9 Weighting the BRFSS Data BRFSS data are directly weighted for the probability of selection of a telephone number, the number of adults (18+ yrs.) in a household, and the number of phones in a household. Additional weights are developed for non-coverage, i.e. households with no telephones, and for differences between the sample characteristics and the state population characteristics. A final weight is assigned to each respondent so that the weighted proportion and weighted number of respondents by sex, age, and race matches the state population.

10 The BRFSS Questionnaire Standard Core Questions Required by CDC and asked every year by all participants. Rotating Core Questions Required by CDC and asked every other year by all participants. Emerging Core Questions Required by CDC and asked every one time by all participants. Optional Modules offered and supported by CDC Included if sponsored by state programs/agencies. State-Added Questions Developed by state programs/agencies that also sponsor them.

11 Survey Topics on the NC 2001 BRFSS Core Sections Health status High Blood Pressure Cholesterol Asthma/Diabetes Arthritis Immunization Tobacco/alcohol use Firearms Demographics Prostate/colorectal HIV/AIDs Optional Modules Oral health Tobacco indicators Heart attack/stroke Cardiovascular disease Diabetes care Fruits and vegetables Folic acid State-added Substance abuse Health care coverage Cardiovascular prevention Cancer Osteoporosis Physical activity Disability Family Planning Sexual behavior Sexual assault

12 About this 2001 BRFSS Slide Presentation Objectives: (1) promote BRFSS data use and dissemination by North Carolina public health professionals; and (2) by mixing or selecting specific slides, presentations may be tailored or modified to suit the needs of the county/presenter. Talking points: slides include talking points to help with interpretation of the results and offer further explanations. Survey questions: for reference purposes, the BRFSS survey question(s) is quoted verbatim in the talking points. Nationwide data: for core topics, nationwide estimates (means) are provided for comparison. Calculations: only weighted data are presented and all unknowns/refusals are excluded from calculations.

13 About this 2001 BRFSS Slide Presentation (continued) Cautionary Notes: –These results need to be viewed as estimates and not the actual or true value of the outcome of interest. –With any estimate based on a random sample, there is a margin of error. For the 10 oversampled counties the margin of error is about 5% if the question was asked of all respondents. This means that we can expect the true value to lie somewhere between the sample estimate plus or minus 5 percent. –When county results are subset by age or race, for example, the margin of error increases as a function of the resulting smaller sample size. –Use caution when comparing the results across counties, as the margin of error may not be the same for all counties.

14 Contents of Presentation I.Sample size & demographics II.Health care access III.Chronic diseases IV.Use of preventive health services V.Oral health VI.Cardiovascular Health VII.Tobacco Use and Prevention VIII.Health Risk Behaviors IX.Physical activity X.Health status & quality of life XI.Family Planning XII.HIV/AIDS & sexual behavior XIII.BRFSS tracked HP2010 objectives XIV.Special topics Note: all results are based on weighted data

15 I. Sample Size & Demographics

16 2001 BRFSS Sample Size

17 BRFSS 2001 Sample Demographic Characteristics *weighted percentages

18 BRFSS 2001 Sample Demographic Characteristics (Continued) *weighted percentages

19 II. Health Care Access Health insurance coverage Cost of seeing a doctor Usual source of care Personal provider Place of care

20 Health Insurance Coverage* XIII. HP 2010 Objectives HP 2010 Target: 100% *Adults < 65 yrs old

21 Health Insurance Coverage by Race & Sex North Carolina, II Health Care Access

22 Health Insurance Coverage by Sex, Race, & Age: Onslow County & NC (adults <65 yrs. old) II. Health Care Access

23 Could not See a Doctor Due to Cost in Past Year II. Health Care Access

24 Has a Usual Source of Medical care* II. Health Care Access HP 2010 Target: 96% *includes clinic, health center, doctors office

25 Has Personal Health Care Provider(s)* II. Health Care Access * one or more persons regarded as a personal doctor

26 III. Chronic Diseases Arthritis Asthma Cancer Diabetes Disability High cholesterol High Blood Pressure

27 Arthritis

28 Doctor-Diagnosed Arthritis III. Chronic Diseases: Arthritis

29 Arthritis* Prevalence by Sex, Race, & Age: Onslow County & NC III. Chronic Diseases: Arthritis * doctor-diagnosed

30 Chronic Joint Symptoms (CJS) III. Chronic Diseases: Arthritis

31 Total Arthritis (CJS and/or Doctor Diagnosed) III. Chronic Diseases: Arthritis

32 Currently Treated by a Doctor for Arthritis III. Chronic Diseases: Arthritis

33 Arthritis and Quality of Life: North Carolina

34 Arthritis, Obesity and Physical Activity: North Carolina

35 Asthma

36 Ever Diagnosed with Asthma III. Chronic Diseases: Asthma

37 Asthma (ever had) Prevalence by Sex, Race, & Age: Onslow County & NC III. Chronic Diseases: Asthma

38 Currently Has Asthma III. Chronic Diseases: Asthma

39 Cancer

40 Ever Diagnosed with Cancer (Age 40+) III. Chronic Diseases: Cancer

41 Cancer Prevalence (Age 40+) : North Carolina III. Chronic Diseases: Cancer

42 Cancer (any type) Prevalence by Sex, Race, & Age: Onslow County & NC III. Chronic Diseases: Cancer

43 Family History of Prostate Cancer* III. Chronic Diseases: Cancer * Asked of male respondents age 40+

44 Diabetes

45 III. Chronic Diseases: Diabetes

46 Prevalence of Diabetes by Race & Sex North Carolina, III. Chronic Diseases: Diabetes

47 Diabetes Indicators: North Carolina & U.S.

48 Disability

49 North Carolinas Definition of Disability 1.Are you limited in any activities because of physical, mental, or emotional problems? 2.Do you now have any health problem that requires you to use special equipment, such as a cane or wheelchair, a special bed, or a special telephone? 3.A disability can be physical, mental, emotional, or communication related. Do you consider yourself to have a disability? 4.Because of any impairment or health problem, do you have any trouble learning, remembering, or concentrating? A positive response to one or more of the following screener questions:

50 Activity Limitation b/c Physical or Emotional Problems III. Chronic Diseases: Disability

51 Health Problem that Requires Use of Special Equipment III. Chronic Diseases: Disability

52 Self-Perceived Disability III. Chronic Diseases: Disability

53 Trouble Learning and Remembering III. Chronic Diseases: Disability

54 Prevalence of Disability - Any Type III. Chronic Diseases: Disability

55 Disability Prevalence by Sex, Race & Age : Onslow County & NC III. Chronic Diseases: Disability

56 Health, Employment, & Health Care Access among Adults with Disabilities (18-64 yrs.) : Onslow & NC III. Chronic Diseases: Disability

57 High cholesterol

58 High Cholesterol III. Chronic Diseases: High Cholesterol

59 Prevalence of High Blood Cholesterol by Sex, Race, and Age: Onslow County & NC III. Chronic Diseases: high blood cholesterol

60 Prevalence of High Cholesterol by Race & Sex North Carolina, * III. Chronic Diseases: High Cholesterol * Data not available for 1994, 1996, 1998, 2000.

61 Cholesterol Checked Past Year among Adults with High Blood Cholesterol III. Chronic Diseases: High Cholesterol

62 High Blood Pressure

63 III. Chronic Diseases: High Blood Pressure HP 2010 Target (reduce to 16%)

64 Prevalence of High Blood Pressure by Race & Sex North Carolina, III. Chronic Diseases: High Blood Pressure * Data not available for 1994, 1996, 1998, 2000.

65 Currently Taking Medicine for High Blood Pressure III. Chronic Diseases: High Blood Pressure

66 Prevalence of High Blood Pressure by Sex, Race, and Age: Onslow County & NC III. Chronic Diseases: high blood pressure

67 IV. Preventive Health Care Prostate Cancer screening Colorectal Cancer screening Cholesterol screening Immunizations

68 Ever Had a PSA (Prostate-Specific Antigen) Test (male respondents age 40+) IV. Preventive Health Care

69 Ever Had a Digital Rectal Exam (male respondents age 40+) IV. Preventive Health Care

70 Ever Had a Blood Stool Test (all respondents age 50+) IV. Preventive Health Care

71 Ever Had a Colonoscopy Exam (all respondents age 50+) IV. Preventive Health Care

72 Ever Had Blood Cholesterol Checked (all respondents age 18+) IV. Preventive Health Care

73 Prevalence of Ever Having Blood Cholesterol Checked by Race & Sex, North Carolina * IV. Preventive Health Care * Data not available for 1994, 1998, 2000.

74 Blood Cholesterol Checked in Past 5 Years (all respondents age 18+) IV. Preventive Health Care HP 2010 Target: 80%

75 Had Flu Shot in Past 12 Months (all respondents age 18+) IV. Preventive Health Care

76 Prevalence of Having an Annual Flu Shot by Race & Sex, North Carolina, * IV. Preventive Health Care * Data not available for 1994, 1996, 1998.

77 Ever Had a Pneumonia Shot (all respondents age 18+) IV. Preventive Health Care

78 Prevalence of Ever Having a Pneumonia Vaccination by Race & Sex, North Carolina * IV. Preventive Health Care * Data not available for 1994, 1996, 1998.

79 V. Oral Health Dental insurance Dental visits Dental cleaning Tooth loss

80 Dental Insurance Coverage V. Oral health

81 Dental Insurance Coverage by Sex, Race, & Age : Onslow County & NC V. Oral health

82 Visited Dentist Past Year for Any Reason V. Oral health

83 Teeth Cleaned Past Year V. Oral health

84 All Permanent Teeth Extracted V. Oral health

85 VI. Cardiovascular Health History of heart disease, High Blood Pressure, high cholesterol Disease prevention Knowledge of symptoms of heart attack, stroke

86 History of Cardiovascular Disease* VI. Cardiovascular Health *doctor-diagnosed heart attack, stroke, and/or angina

87 Ever Been Told* Blood Pressure is High VI. Cardiovascular Health * by health professional HP 2010 Target (reduce to 16%)

88 Ever Told * Blood Cholesterol is High VI. Cardiovascular Health * by health professional

89 Eating Less Fat Foods to Lower Risk of Heart Disease VI. Cardiovascular Health

90 More Active to Lower Risk of Heart Disease VI. Cardiovascular Health

91 Told by Health Professional to Eat Less Fat Foods VI. Cardiovascular Health

92 Told by Health Professional to Eat more Fruits & Veggies VI. Cardiovascular Health

93 Told by Health Professional to be More Active VI. Cardiovascular Health

94 Take Aspirin Daily or Every Other Day* VI. Cardiovascular Health * Adults age 35+

95 Percent Who Recognized Signs & Symptoms of a Heart Attack: Onslow & North Carolina VI. Cardiovascular Health

96 Percent Who Recognized Signs & Symptoms of a Stroke: Onslow & North Carolina VI. Cardiovascular Health: knowledge stroke of symptoms

97 VII. Tobacco Use and Prevention Smoking status Smokeless tobacco use Quit smoking Medical care for smokers Cigar smoking Prevention

98 Smoked at Least 100 Cigarettes in Lifetime VII. Tobacco Use and Prevention

99 First Smoked at Age 16 or Younger VII. Tobacco Use and Prevention

100 First Started Smoking Regularly: North Carolina VII. Tobacco Use and Prevention

101 Current smokers* (age 18+) VII. Tobacco Use and Prevention *includes everyday and occasional smokers

102 Prevalence of Smoking by Race & Sex, North Carolina, VII. Tobacco Use and Prevention

103 Current Smoker by Sex, Race, & Education: Onslow County & NC VII. Tobacco Use and Prevention

104 Smoking Status (all respondents) : Onslow, North Carolina, & US VII. Tobacco Use and Prevention

105 Quit Smoking One Day or Longer VII. Tobacco Use and Prevention

106 Prevalence of Quit-Smoking Attempts by Race & Sex, North Carolina, VII. Tobacco Use and Prevention

107 Regular Smokers* Who Received Medical Care in Past Year VII. Tobacco Use and Prevention *smoked regularly within the past year

108 Ever Used Smokeless Tobacco Products VII. Tobacco Use and Prevention

109 Smokeless Tobacco User VII. Tobacco Use and Prevention

110 Ever Smoked a Cigar VII. Tobacco Use and Prevention

111 Smoking Not Allowed Anywhere in the Home VII. Tobacco Use and Prevention

112 Smoking Not Allowed in the Workplace, Both Common Areas and Work Areas* VII. Tobacco Use and Prevention *asked of respondents who reported working indoors

113 VIII. Health Risk Behaviors Overweight Cholesterol not checked Smoking Binge/heavy drinking Physical inactivity

114 Overweight VIII. Health Risk Behaviors

115 Prevalence of Overweight by Race & Sex, North Carolina, VIII. Health Risk Behaviors

116 Obesity VIII. Health Risk Behaviors

117 Prevalence of Obesity by Race & Sex, North Carolina, VIII. Health Risk Behaviors

118 Cholesterol Never Checked VIII. Health Risk Behaviors

119 Prevalence of Never Having Cholesterol Checked by Race & Sex, North Carolina, * VIII. Health Risk Behaviors * Data not available for 1994, 1996, 1998, 2000.

120 Smoking* VIII. Health Risk Behaviors *includes everyday and occasional smokers

121 Prevalence of Smoking by Race & Sex, North Carolina, VIII. Health Risk Behaviors

122 Binge Drinking VIII. Health Risk Behaviors

123 Heavy Drinking VIII. Health Risk Behaviors

124 Physically Inactive VIII. Health Risk Behaviors

125 No Leisure Time Physical Activity VIII. Health Risk Behaviors

126 IX. Physical Activity & Nutrition Work activity Leisure time activity Moderate physical activity Vigorous physical activity Physical activity status Daily fruit & vegetable consumption

127 Mostly Sitting/Standing at Work IX. Physical Activity & Nutrition

128 Engage in Leisure Time Physical Activity IX. Physical Activity & Nutrition

129 Prevalence of Leisure Time Physical Activity by Race & Sex, North Carolina, * IX. Physical Activity & Nutrition *Data not available for 1993, 1995, 1997, 1999.

130 Moderate Physical Activity IX. Physical Activity & Nutrition

131 Vigorous Physical Activity IX. Physical Activity & Nutrition

132 Physical Activity Status: Onslow County, North Carolina, & US IX. Physical Activity & Nutrition

133 Daily Fruit & Vegetable Consumption: Onslow County & North Carolina IX. Physical Activity & Nutrition

134 X. Health Status & Quality of Life Self-perceived fair/poor health Poor physical health days Poor mental health days Emotional support Satisfaction with life Pain days Worried days Sadness days Sleepless days

135 Self-perceived Fair or Poor Health X. Health Status & Quality of life

136 Prevalence of Fair/Poor Health by Race & Sex, North Carolina, X. Health Status & Quality of life

137 7+ Days in Past 30 Days of Not Good Physical Health X. Health Status & Quality of life

138 7+ Days in Past 30 Days of Not Good Mental Health X. Health Status & Quality of life

139 Always/Usually Gets Emotional Support X. Health Status & Quality of life

140 Satisfied with Life X. Health Status & Quality of life

141 7+ Days in Past 30 Days When Pain Prevented Activities X. Health Status & Quality of life

142 7+ Days in Past 30 Days When Worried or Anxious X. Health Status & Quality of life

143 7+ Days in Past 30 days When Depressed X. Health Status & Quality of life

144 7+ Days in Past 30 Days When Not Enough Sleep X. Health Status & Quality of life

145 XI. Family Planning* Pregnancy history History of hysterectomy Birth control Use of health department Access to private gynecologist Ever used family planning clinic * Questions pertain only to female respondents, ages 18 to 44.

146 Pregnant in the Last Five Years XI. Family Planning

147 Ever Had a Hysterectomy XI. Family Planning

148 Currently Using Some Type of Birth Control XI. Family Planning

149 Types of Birth Control Used: North Carolina XI. Family Planning

150 Use Health Department for Female Health XI. Family Planning

151 Use Private Gynecologist for Female Health XI. Family Planning

152 Ever Used Services of a Family Planning Clinic XI. Family Planning

153 XII. HIV/AIDS & Sexual Behavior* Understanding of HIV treatment Testing for HIV STD Counseling Condom use *Questions asked of respondents less than age 65.

154 A Pregnant Woman with HIV Can Get Treatment to Reduce HIV Transmission to Fetus: Onslow, North Carolina, & US XII. HIV/AIDS & Sexual Behavior

155 Medical Treatments Available to Help a Person with HIV to Live Longer: Onslow, North Carolina & US XII. HIV/AIDS & Sexual Behavior

156 Believe that Treatments for Persons w/HIV are Effective XII. HIV/AIDS & Sexual Behavior

157 Knowing HIV Status by Getting Tested is Important XII. HIV/AIDS & Sexual Behavior

158 Ever Been Tested for HIV/AIDS XII. HIV/AIDS & Sexual Behavior

159 Prevalence of Ever Been Tested for HIV by Race & Sex, North Carolina, XII. HIV/AIDS & Sexual Behavior

160 Reason for HIV/AIDS Testing: North Carolina XII. HIV/AIDS & Sexual Behavior

161 Tested for HIV/AIDS Just to Find Out HIV Status XII. HIV/AIDS & Sexual Behavior

162 Testing Place for HIV/AIDS: North Carolina XII. HIV/AIDS & Sexual Behavior

163 Had HIV Test in Health Department XII. HIV/AIDS & Sexual Behavior

164 Health Professional Counseled About Preventing STDs XII. HIV/AIDS & Sexual Behavior

165 Condom Was Used Last Time Sexual Intercourse XII. HIV/AIDS & Sexual Behavior

166 Properly Used Condom Effective in Preventing HIV XII. HIV/AIDS & Sexual Behavior

167 XIII. Healthy People 2010 Objectives (tracked by BRFSS data) Access to quality health services Cancer Heart disease and stroke Immunizations and infectious diseases Nutrition and overweight Oral health Physical activity and fitness Substance abuse Tobacco use

168 Health Insurance Coverage* XIII. HP 2010 Objectives HP 2010 Target: 100% *Adults < 65 yrs old

169 Specific Source of On-going Medical Care* XIII. HP 2010 Objectives HP 2010 Target: 96% *Adults 18+ yrs old

170 Fecal Occult Blood Test in Past 2 Years* XIII. HP 2010 Objectives HP 2010 Target: 50% *Adults 50+ years old

171 Ever Received Colonoscopy Exam* XIII. HP 2010 Objectives HP 2010 Target: 50% *Adults 50+ years old

172 Blood Cholesterol Checked Past 5 Years* XIII. HP 2010 Objectives: quality health care services HP 2010 Target: 80% *Adults 18+ years old

173 Annual Flu Vaccine* XIII. HP 2010 Objectives HP 2010 Target: 80% *Adults 65+ years old

174 Ever Received Pneumococal Vaccine* XIII. HP 2010 Objectives HP 2010 Target: 90% *Adults 65+ years old

175 Reduce Obesity XIII. HP 2010 Objectives HP 2010 Target: reduce to 15% *Adults 20+ years old

176 Reduce No Leisure Time Physical Activity* XIII. HP 2010 Objectives HP 2010 Target: reduce to 20% *Adults 18+ years old

177 Vigorous Physical Activity/3 Times Week XIII. HP 2010 Objectives HP 2010 Target: 30% *Adults 18+ years old

178 Reduce Binge Drinking* XIII. HP 2010 Objectives HP 2010 Target: reduce to 6% *Adults 18+ years old

179 Reduce Cigarette Smoking XIII. HP 2010 Objectives HP 2010 Target: reduce to 12% *Adults 18+ years old

180 Reduce Cigar Smoking* XIII. HP 2010 Objectives: quality health care services HP 2010 Target: reduce to 1.2% *Adults 18+ years old

181 XIV. Special Topics Alternative medicine Skin Cancer Osteoporosis prevention Firearms Sexual/physical assault Birth defect prevention

182 Ever Used Medicinal Herbs, Such as Ginseng XIV. Special Topics

183 Tried to Get a Tan Using a Tanning Lamp XIV. Special Topics

184 Tried to Get a Tan from the Sun XIV. Special Topics

185 Always Protect Skin from Sun When Outdoors XIV. Special Topics

186 Sunburn in the Past Year XIV. Special Topics

187 Take Vitamin Pills w/Calcium to Reduce Osteoporosis* XIV. Special Topics *Question asked of female respondents age 45 and older

188 Firearms Kept in or Around Home XIV. Special Topics

189 Received Treatment for Substance Abuse Problem XIV. Special Topics

190 Family Member Received Tx for Substance Abuse XIV. Special Topics

191 Ever Sexually Assaulted* XIV. Special Topics *Male and female respondents

192 Ever Physically Assaulted XIV. Special Topics

193 Believe Folic Acid Helps Prevent Birth Defects* XIV. Special Topics * Ages included here


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