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BRFSS 2002
Behavioral Risk Factor Surveillance System
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BRFSS

• The largest continuously conducted telephone
  health survey in the world
• CDC developed standard core questionnaire for
  states to use to provide data that could be
  compared across states.
• Enables the CDC, state health departments, and
  other health and education agencies to monitor
  risk behaviors related to chronic diseases,
  injuries and death
• About half of all deaths in the United States are
  caused by health risk behaviors (McGinnis and
  Foege, 1993).

http//www.cdc.gov/brfss
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BRFSS

• People aged 18 and older are randomly called and
  asked to take part in the survey. They remain
  completely anonymous.
• Nationwide, survey items remain relatively
  constant from year to year. In contrast, state
  specific questions can be changed quickly to
  track immediate health concerns.
• BRFSS relies on a sample of the population. The
  sampling method used assures comparability of
  data across states and over time.

http//www.cdc.gov/brfss
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CT has used the BRFSS to

• Track the progress of Healthy People 2000 and
  Healthy Connecticut 2000 Objectives
• Help identify 25 priorities for improving the
  quality and length of life for Connecticut
  residents
• Provide baseline data for the new Abstinence Only
  education program on adult attitudes toward
  sexual abstinence as an option for unmarried
  persons
• Describe the prevalence of cancer risk factors
  among the Connecticut population, including
  identifying population groups and age groups at
  increased risk based on their behaviors

http//www.cdc.gov/brfss
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CT has used the BRFSS to

• Obtain funding for an anti-smoking intervention
  that targeted African-American and Hispanic
  adults
• Monitor the effect of recent bicycle helmet
  legislation in Connecticut
• Provide information on tobacco consumption and
  estimates of the burden of smoking to support the
  states lawsuit against tobacco companies to
  recover Medicaid costs due to smoking
• Assist the Department of Social Services in
  monitoring the risk behaviors of recipients of
  social service programs, including Medicaid,
  AFDC, subsidized housing, welfare, food stamps,
  and SSI

http//www.cdc.gov/brfss
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BRFSS
Turning Information Into Health
The following data from the The Selected
Metropolitan/Micropolitan Area Risk Trends
(SMART) project uses the BRFSS to analyze the
data of selected metropolitan and micropolitan
statistical areas (MMSAs) with 500 or more
respondents. Only 7 of Connecticuts Counties had
a large enough sample size to be included.
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How Is Your General Health?

• Total respondents 5,537
• More Connecticut residents (62.0) reported that
  their health is excellent or very good than in
  all but three states
• In CT, no differences between self-assessments
  of males vs. females

Source 2002 Behavioral Risk Factor Surveillance
System
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How Is Your General Health?
Source 2002 Behavioral Risk Factor Surveillance
System
9
Do You Have Any Kind of Health Care Coverage?

• Total respondents 5,546
• More Connecticut residents (89.1) have a health
  care plan than the U.S. as a whole
• More Whites had health coverage than other race

Source 2002 Behavioral Risk Factor Surveillance
System
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Do You Have Any Kind of Health Care Coverage?
Source 2002 Behavioral Risk Factor Surveillance
System
11
During the Past Month, Did You Participate in Any
Physical Activities?

• Total respondents 5,558
• Slightly more Connecticut residents (78) report
  participating in any physical during the past
  month than the U.S. as a whole
• Males participated in more physical activities
  than females

Source 2002 Behavioral Risk Factor Surveillance
System
12
During the Past Month, Did You Participate in Any
Physical Activities?
Source 2002 Behavioral Risk Factor Surveillance
System
13
What Is Your Average Frequency of Fruit and
Vegetable Consumption Per Day?

• Total Respondents 5,559
• More Connecticut residents (30.3) report eating
  5 or more servings of fruit or vegetables per day
  on average than in any other state
• In CT, Education level was a positive factor in
  fruit and vegetable consumption

Source 2002 Behavioral Risk Factor Surveillance
System
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What Is Your Average Frequency of Fruit and
Vegetable Consumption Per Day?
Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Been Told by a Health Professional
That You Have Asthma?

• Total Respondents 5,554
• More Connecticut residents (13.2) have been told
  that they have asthma than the U.S. as a whole
• In CT, those with asthma were more likely to have
  an income less than 15,000 per year

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Been Told by a Health Professional
That You Have Asthma?
Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Been Told by a Health Professional
That You Have Diabetes?

• Total Respondents 5,553
• Fewer CT residents (5.9) have been told by a
  doctor that they have diabetes than in the U.S.
  as a whole
• In CT, a higher percentage of African-Americans/Bl
  acks (8.0) have been told they have Diabetes
  than any other race

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Been Told by a Health Professional
That You Have Diabetes?
Source 2002 Behavioral Risk Factor Surveillance
System
19
Have You Visited the Dentist or Dental Clinic
Within the Past Year for Any Reason?

• Total Respondents 5,535
• More Connecticut residents (80.2) reported
  visiting a dentist or clinic in the past year
  than in any other state
• In CT, Education and Income Levels were factors
  influencing visits to a dentist or dental clinic

Source 2002 Behavioral Risk Factor Surveillance
System
20
Have You Visited the Dentist or Dental Clinic
Within the Past Year for Any Reason?
Source 2002 Behavioral Risk Factor Surveillance
System
21
Have You Lost 6 or More Teeth Due to Decay or
Gum Disease?

• Total Respondents 5,482
• Fewer persons in Connecticut (14.9) reported
  having lost 6 or more teeth to gum disease than
  the U.S. as a whole
• No gender differences

Source 2002 Behavioral Risk Factor Surveillance
System
22
Have You Lost 6 or More Teeth Due to Decay or
Gum Disease?
Source 2002 Behavioral Risk Factor Surveillance
System
23
Have You Had Your Teeth Cleaned by a Dentist or
Dental Hygienist Within the Past Year?

• Total Respondents 5,240
• More Connecticut residents (80.0) have had their
  teeth cleaned in the past year than in any other
  state
• In CT, Whites were more likely to have had teeth
  cleaned within past year

Source 2002 Behavioral Risk Factor Surveillance
System
24
Have You Had Your Teeth Cleaned by a Dentist or
Dental Hygienist Within the Past Year?
Source 2002 Behavioral Risk Factor Surveillance
System
25
During the Past 12 Months, Have You Had a Flu
Shot?

• Total Respondents 5,552
• More Connecticut residents (34.0) have had a Flu
  Shot in the past year than the U.S. as a whole
• In CT, Residents older than 45 were more likely
  to have had a Flu Shot

Source 2002 Behavioral Risk Factor Surveillance
System
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During the Past 12 Months, Have You Had a Flu
Shot?
Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Pneumonia Vaccine?

• Total Respondents 5,240
• More Connecticut residents (22.6) have had a
  Pneumonia Vaccine than the U.S. as a whole
• Of CT residents older than 65 yrs, 64.5 have had
  a Pneumonia Vaccine

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Pneumonia Vaccine?
Source 2002 Behavioral Risk Factor Surveillance
System
29
During the Past Month, How Many Days Per Month
Did You Drink Any Alcoholic Beverages, on the
Average?

• Total Respondents 3,669
• More Connecticut residents (21.7) report
  drinking at least one alcoholic beverage per day
  for more than 15 days of the month on average
  than the U.S. as a whole
• In CT, males reported drinking more days out of
  the month than females

Source 2002 Behavioral Risk Factor Surveillance
System
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During the Past Month, How Many Days Per Month
Did You Drink Any Alcoholic Beverages, on the
Average?
Source 2002 Behavioral Risk Factor Surveillance
System
31
On the Days When You Drank, About How Many Drinks
Did You Drink on the Average?

• Total Respondents 3,657
• More Connecticut residents (46.5) reported
  drinking on average only 1 alcoholic beverage per
  day than in all but one other state
• Males reported drinking on average more than 1
  drink per day compared to females

Source 2002 Behavioral Risk Factor Surveillance
System
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On the Days When You Drank, About How Many Drinks
Did You Drink on the Average?
Source 2002 Behavioral Risk Factor Surveillance
System
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How Many Times During the Past Month Did You Have
5 or More Drinks on an Occasion?

• Total Respondents 3,641
• Fewer Connecticut residents (5.4) report never
  drinking more than 5 alcoholics beverages on one
  occasion in the past 30 days than in all but two
  other states
• Males reported drinking more than 5 alcoholic
  beverages on one occasion more often than females

Source 2002 Behavioral Risk Factor Surveillance
System
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How Many Times During the Past Month Did You Have
5 or More Drinks on an Occasion?
Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Used a Home Blood Stool Test Kit?

• Total Respondents 2,408 age 50 and over
• More Connecticut residents (50.6) reported using
  a home blood stool test than the U.S. as a whole
• In CT, 45.1 of 50 59 yr olds and 50.6 of
  60-64 yrs olds have used a test kit

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Used a Home Blood Stool Test Kit?
Source 2002 Behavioral Risk Factor Surveillance
System
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When Did You Have Your Last Home Blood Stool
Test Kit?

• Total Respondents 1,182 age 50 and over
• More Connecticut residents (54.4) reported using
  a home blood stool test within the past year than
  the U.S. as a whole
• CT residents exceed the Healthy People 2010
  objective of 50 receiving a test kit within the
  past 2 years, at 72.5

Source 2002 Behavioral Risk Factor Surveillance
System
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When Did You Have Your Last Home Blood Stool
Test Kit?
Source 2002 Behavioral Risk Factor Surveillance
System
39
Have You Ever Had a Sigmoidoscopy or Colonoscopy
Exam?

• Total Respondents 2,398 age 50 and over
• More Connecticut residents (56.4) report ever
  having a sigmoidoscopy or colonoscopy exam than
  in all but 2 states
• This figure exceeds the Healthy People 2010
  objective of 50 ever having had a sigmoidoscopy

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Sigmoidoscopy or Colonoscopy
Exam?
Source 2002 Behavioral Risk Factor Surveillance
System
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When Was Your Last Sigmoidoscopy or Colonoscopy
Exam?

• Total Respondents 1,248 age 50 and over
• More Connecticut residents (38.1) report having
  their last sigmoidoscopy or colonoscopy exam
  within the past year than the U.S. as a whole

Source 2002 Behavioral Risk Factor Surveillance
System
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When Was Your Last Sigmoidoscopy or Colonoscopy
Exam?
Source 2002 Behavioral Risk Factor Surveillance
System
43
Have You Ever Had a Pap Smear?

• Total Respondents 3,217 women
• Fewer Connecticut women (94.0) report ever
  having a Pap Smear test than the U.S. as a whole
  (95.2)
• Income and Education Levels were positive factors
  of CT women ever having had a Pap Smear

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Pap Smear?
Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Pap Smear?

• Total Respondents 3,023 women
• More Connecticut women (74.4 ) report having had
  a Pap Smear test within the past year than the
  U.S. as a whole
• CT meets the Health People 2010 objective of 90
  of women having had a Pap Smear within the past 3
  years, at 91.1

Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Pap Smear?
Source 2002 Behavioral Risk Factor Surveillance
System
47
Have You Ever Had a Mammogram?

• Total Respondents 3,239 women
• More Connecticut women (67.7 ) report ever
  having had a mammogram than the U.S. as a whole
• In CT, more White women reported ever having a
  Mammogram than other races

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Mammogram?
Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Mammogram?

• Total Respondents 2,309 women
• More Connecticut women (72.3 ) report having had
  a mammogram within the past year than the U.S. as
  a whole
• 88.3 of CT women have had their last mammogram
  within the past 2 years

Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Mammogram?
Source 2002 Behavioral Risk Factor Surveillance
System
51
Have You Ever Had a Clinical Breast Exam?

• Total Respondents 3,225 women
• Connecticut women (91.1) report having a
  clinical breast exam at approximately the same
  rate as the national average (91.0)

Source 2002 Behavioral Risk Factor Surveillance
System
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Have You Ever Had a Clinical Breast Exam?
Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Clinical
Breast Exam?

• Total Respondents 2.944 women
• More Connecticut women (82.2 ) report having had
  a clinical breast exam within the past year than
  the U.S. as a whole

Source 2002 Behavioral Risk Factor Surveillance
System
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How Long Has It Been Since Your Last Clinical
Breast Exam?
Source 2002 Behavioral Risk Factor Surveillance
System