1. Texas Behavioral Risk Factor Surveillance System (BRFSS) Turning Information Into Health

2. What We Do Promote the use of objective health information for state and community decision making Decisions at all levels of public health from policy-making to what people do in their everyday lives

3. What is BRFSS Monitors major health risks at the state, region, and county level All 50 states participate Data gathered from telephone interviews with thousands of adults using standardized methods Largest telephone survey in the world

4. BRFSS History Created in the early 1980s by CDC Fills need for state level data Expanded to all 50 states and four territories Began continuous operation in Texas in 1987 Focus is shifting to the local level Administered through a state / federal partnership

5. Federal (CDC) Role Develop, test, and validate survey questions Distribute technical instructions to states and their contractors Provide resources, support, coordination, and training

6. State Role CDC calls us field operations Tailor survey to meet state and local needs Identify additional funding resources Oversee ongoing collection of data Disseminate data and analytical products Coordinate with stakeholders

7. Texas BRFSS Overview Only comprehensive statewide system for monitoring health risk factors, health practices, and chronic diseases among adult Texans Stakeholders from all levels of public health Addresses major Texas public health priorities

8. BRFSS Question Modules Tobacco use Physical activity, nutrition, and obesity Use of preventive health services Major chronic diseases HIV / AIDS Alcohol consumption Access to health care Health related quality of life Demographics

9. Statewide BRFSS: Scope 150 Questions (80 Core, 70 Optional) 20 – 25 minute interview 500 completed interviews per month

10. Statewide BRFSS: Timeline February – Input from State Coordinators March/April – Data release from previous year July/August – Release of draft questionnaire October – Survey documentation due to CDC November – Survey finalized December – Contract developed January – Survey goes into the field

11. Texas BRFSS Resources Base funding from CDC cooperative agreement –Core survey modules –Minimum sample size Funding from stakeholders –Add questions –Increase sample size –State and federal sources Staff Resources –2 FTEs through Preventive Health Block Grant –Center for Health Statistics

12. Texas BRFSS Products Statewide BRFSS Survey Special point-in-time community surveys Data requests Texas Risk Factor Reports Website: http://www.cdc.gov/brfsshttp://www.cdc.gov/brfss

13. Overweight / Obesity Rate Among Texas Adults BRFSS, 1990 – 2002 BMI 25 and Over (Overweight) BMI 30 and Over (Obesity)

14. Current Smoking Among Texas Adults By Age Group BRFSS, 2002

15. Ever Had a Sigmoidoscopy or Colonoscopy Adults Age 50 and Over BRFSS, 2002

16. Adults with No Insurance Texas Vs. US BRFSS, 1991 – 2002 Texas US

17. Women Counseled About Osteoporosis By Age Group Texas Adults, Osteoporosis Survey, 2001

18. Percentage of Texas Adults Who Always Wear a Seatbelt

19. Disability Indicators (Age & Gender Adjusted) With vs. Without Arthritis Texas Adults, BRFSS 2003 Needs Special Equipment Limited in ActivitiesNot employed (<65)

20. Obesity (Body Mass Index BMI >= 30) Potter vs. Randall County BRFSS, 2002

21. Current Smoking Potter vs. Randall County BRFSS, 2002 Potter & Randall counties differ statistically (P < 0.05)

22. No Mammogram in Past Two Years Women Age 40 and Older Potter vs. Randall County BRFSS, 2002 Potter & Randall counties differ statistically (P < 0.05)

23. BRFSS Contact Information Jimmy Blanton, M.P.Aff. Coordinator 512-458-7111 x6593 jimmy.blanton@tdh.state.tx.us Program Websites: www.tdh.state.tx.us/chronicd/default.htm www.tdh.state.tx.us/chronicd/default.htm www.cdc.gov/brfss