2003 Behavioral Health Risks Of Adults Collaborative Board Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 1
Introduction The Centers for Disease Control and Prevention (CDC) and the Pennsylvania Department of Health began the Pennsylvania Behavioral Risk Factor Surveillance System (BRFSS) in 1989. The BRFSS survey consists of telephone interviews using randomly generated telephone numbers to determine the households contacted. The survey contains a core set of questions provided by CDC to gather comprehensive, standard information nationwide. The questions asked concern health status, access to health care, health awareness, use of preventive health services, and knowledge and attitude assessment. In an effort to provide local BRFSS data, the Pennsylvania Department of Health instituted the Pennsylvania BRFSS Over Sampling Program in 2002. Participation in the program was open to Pennsylvania s State Health Improvement Plan (SHIP) affiliated partnerships located statewide. Eight partnerships chose to participate in the 2003 program: Blair County Health & Welfare Council, Elk County Family Resource Network, Healthy Adams County, Healthy York County Coalition, Huntingdon County Healthy Communities Partnership, Lycoming County Health Improvement Coalition, Collaborative Board, and Schuylkill County s Vision. These partnerships were given the opportunity to select 56 questions of their choice in addition to the core questions asked by all who participated in BRFSS. The survey of adults living in asked questions about health and health-related behaviors including general health, health care access, exercise, asthma, diabetes, hypertension, cholesterol, immunization, tobacco use, alcohol consumption, and arthritis. This allows for some comparison of the county survey results to state results and it also allows the county to get data specific to its individual needs. Report Organization A brief Survey Highlights section includes prevalence estimates referring to health status and exercise in McKean County that are statistically different compared to the Pennsylvania estimates. Select prevalence estimates are included in Table 1: Core Questions, and Pennsylvania Adults, 2003. They are estimated from questions asked of all 2003 Pennsylvania BRFSS questionnaire respondents. data are presented alongside Pennsylvania data to assist with comparison (see Table 1 footnote). The topics in Table 1 include Health Status, Health Care Access, Exercise, Diabetes, Hypertension Awareness, Cholesterol Awareness, Nutrition, Weight Control, Asthma, Immunization, Tobacco Use, Alcohol Consumption, Excess Sun Exposure, Arthritis, Disability, Veteran s Status, HIV/AIDS, and Sexually Transmitted Disease. The topics in Table 2: Module Questions,, 2003 include prevalence estimates that were requested specifically for. Topics include: Oral Health and Cardiovascular Disease. (refer to Table 2 footnotes for additional information). Table 3: County Added, and Pennsylvania Adults, 2003 includes estimates that were also specifically requested for. The topics included in the table were Smoke Detectors and Other Tobacco Products. Table 4: Year 2010 Health Objectives for the Nation: & Pennsylvania BRFSS Data, 2003 includes estimates for objective goals available for. Objective goals include: Health Care Access, Diabetes, Education, Hypertension Awareness, Immunization, Weight, Nutrition, Oral Health, Exercise, Alcohol Consumption, and Tobacco Use. Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 1
Survey Highlights Health Status: 20 percent of adults reported having fair or poor health. This was significantly higher compared to Pennsylvania adults (15 percent). Percent With Fair or Poor Health and Pennsylvania, 2003 percent 22 11 20 15 0 Pennsylvania Exercise: 29 percent of adults reported having no leisure time physical activity. This was significantly higher compared to Pennsylvania adults (23 percent). Percent Who Had No Leisure Time Physical Activity and Pennsylvania, 2003 percent 30 15 29 23 0 Pennsylvania Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 2
TABLE 1 Core Questions and Pennsylvania Adults, 2003 (with 95% confidence interval) * Pennsylvania Total No. No. % CI Total No. No. % CI Health Status Fair or Poor Health 1,212 261 20 17-22 + 3,664 566 15 14-16 Physical Health Not Good 1+ Days in Past Month 1,178 451 39 35-42 3,588 1,273 36 34-38 Mental Health Not Good 1+ Days in Past Month 1,189 398 34 31-38 3,604 1,225 35 33-36 Obese 1,151 313 26 23-29 3,500 842 24 22-26 Health Care Access No Health Care Insurance, Age 18-64 896 123 17 13-20 2,833 323 13 12-15 Do Not Have a Personal Health Care Provider 1,213 128 13 10-15 3,668 339 11 9-12 Unable to Get Med. Care Due to Cost in Past Year 1,212 123 11 9-13 3,666 308 9 8-10 Exercise No Leisure Time Physical Activity 1,214 382 29 26-32 + 3,666 855 23 21-24 Diabetes Told They Had Diabetes 1,211 122 8 7-10 3,650 306 8 7-9 Hypertension Awareness Told They Have High Blood Pressure 1,201 401 30 27-33 3,637 1,053 27 25-28 Cholesterol Awareness Had Cholesterol Checked Past 5 Years 1,170 917 74 71-77 3,563 2,792 76 74-78 Told They Have High Cholesterol 983 373 34 31-38 2,948 1,088 35 33-37 Nutrition Eat Fruits and Vegetables 5+ Time/Day 1,217 274 21 18-23 3,670 925 25 23-26 Weight Control Obese Trying to Lose Weight 1,217 207 16 14-18 3,671 567 15 14-16 Obese Getting Doctor's Advice to Lose Weight in the Past Year 1,217 97 8 6-10 3,671 317 8 7-9 Asthma Told They Had Asthma 1,212 155 13 11-15 3,665 441 12 11-13 Immunization Had a Flu Shot in Past Year, Aged 65+ 319 223 69 64-75 831 572 69 66-73 Ever Had a Pneumonia Vaccination, Aged 65+ 314 183 59 53-65 811 540 66 63-70 Tobacco Use Current Smokers 1,213 321 28 25-31 3,659 853 25 24-27 Alcohol Consumption Binge Drinkers 1,197 193 21 18-24 3,641 574 18 17-20 Excess Sun Exposure Had a Sun Burn in the Past Year 1,214 441 40 37-44 3,665 1,272 37 35-39 Arthritis Told They Have Arthritis, Gout, Lupus, or Fibromyalgia 1,213 483 34 31-37 3,632 1,277 32 30-33 Disability Limited Due to Health Problems 1,204 267 20 18-23 3,606 709 19 17-20 Health Issues Require Use of Special Equipment 1,210 96 6 5-8 3,624 268 7 6-8 Veteren's Status Served on active duty in US Armed Forces 1,193 174 16 14-19 3,581 484 15 13-16 HIV/AIDS Ever Tested for HIV (except for blood donation), Age 18-64 853 288 35 31-39 2,682 1,076 40 38-42 Prevention of Sexually Transmitted Diseases Health Professional Told Them About Condom Use to Prevent STDs in the Past Year, Aged 18-64 867 62 10 7-13 2,732 273 13 11-15 Note: Excludes missing, don't know, and refused. * If a "+" is indicated, then the county has a significantly higher percentage compared to Pennsylvania. If a "-" is indicated, then the county has a significantly lower percentage compared to Pennsylvania. Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 3
TABLE 2 Module Questions Adults, 2003 (with 95% confidence interval) Total No. No. % CI Oral Health Visited Dentist or Dental Clinic in the Past Year 1,148 738 63 60-67 Had Teeth Cleaned by a Dentist or Dental Hygienist in the Past Year 969 661 65 62-69 Had 0 to 5 Permanent Teeth Removed 1,132 750 71 68-74 Had All Permanent Teeth Removed 1,188 232 16 14-19 Cardiovascular Disease Told By Health Care Professional to Eat Fewer High Fat or Cholesterol Foods in the Past 12 Months, Age 35+ 961 212 21 18-24 Told By Health Care Professional to Be More Physically Active in the Past 12 Months, Age 35+ 960 247 24 21-27 Told By Health Care Professional to Eat more Fruits and Vegetable in the Past 12 Months, Age 35+ 960 292 29 26-32 Ever Told By a Health Care Professional They Had a Myocardial Infarction or a Heart Attack, Age 35+ 961 62 7 5-9 Ever Told By a Health Care Professional They Have Angina or Heart Disease, Age 35+ 953 77 8 6-10 Ever Told By a Health Care Professional They Had a Stroke, Age 35+ 961 39 4 3-6 Take Aspirin Everyday or Every Other Day, Age 35+ 963 309 32 28-35 Do Not Take Asprin Everyday or Every Other Day Because of a Health Issue Making Asprin Unsafe, Age 35+ 644 124 18 14-21 Note: Excludes missing, don't know, and refused unless otherwise specified. TABLE 3 County Added Questions and Pennsylvania Adults, 2003 (with 95% confidence interval) Smoke Detector Pennsylvania Total No. No. % CI Total No. No. % CI Tested Smoke Detector Within the Past Month 1,090 311 31 28-34 NA NA NA NA Household Had Designed a Detailed Fire Escape Plan 1,151 563 48 45-52 NA NA NA NA Other Tobacco Products Ever Use Smokeless Tobacco 1,171 211 25 22-28 + 3,531 430 14 13-16 Current User of Smokeless Tobacco 1,171 61 8 6-10 + 3,530 89 3 2-4 Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 4
TABLE 4 Year 2010 Health Objectives for the Nation and Pennsylvania BRFSS Data, 2003 Healthy People 2010 Objective 1 Year 2010 McKean Objective Met 2 Sig. Diff. Pennsylvania Objective Met 2 Objective 2003 McKean to PA 3 2003 Pennsylvania 01-01: Percent of adults aged 18-64 with health insurance 100% 83±3 No 87±1 No,,, 01-04c: Percent of adults with specific sources of ongoing care 96% 87±3 No 89±1 No 05-03: Rate per 1000 of adults who have been diagnosed with diabetes 25 77±17 No 74±8 No 07-01: Percent of adults age 18-24 who completed high school 90% 81±12 Yes 88±4 Yes 12-09: Percent of adults age 20+ who ever were told their blood pressure was high 16% 27±3 No 25±1 No 14-29a: Percent of adults 65+ with a flu shot in the past year 90% 69±6 No 70±3 No 14-29b: Percent of adults 65+ who ever had a vaccination against pneumococcal disease 90% 59±6 No 67±3 No 14-29c: Percent of adults age 18-64 with a flu shot in the past year 60% 28±3 No 26±2 No 14-29d: Percent of adults 18-64 who ever had a vaccination against pneumococcal disease 60% 12±2 No 15±2 No 19-01: Percent of adults with a healthy weight (age 20+) 60% 35±3 No 37±2 No 19-02: Percent of obese adults (age 20+) 15% 26±3 No 24±1 No 19-05: Percent of adults who consume at least 2 daily servings of fruit 75% 29±3 No 33±2 No 1 Public Health Services. Healthy People 2010: National Health Promotion and Disease Prevention Objectives. Washington, DC: U.S. Department of Health and Human Services, 2000. 2 The "Yes" designation refers the 2003 percentage being significantly better compared to the Healthy People 2010 goal percentage. 3 If a "+" is indicated, then the particular subpopulation of the county has a significantly higher percentage compared to that subpopulation in Pennsylvania, If a "-" is indicated, then the particular subpopulation of the county has a significantly lower percentage compared to that subpopulation in Pennsylvania. Note: "NA" indicates the necessary data are "Not Available". Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 5
TABLE 4 (continued) Year 2010 Health Objectives for the Nation and Pennsylvania BRFSS Data, 2003 Healthy People 2010 Objective 1 Year 2010 McKean Objective Met 2 Sig. Diff. Pennsylvania Objective Met 2 Objective 2003 McKean to PA 3 2003 Pennsylvania 19-06: Percent of adults who consume at least 3 daily servings of vegetables 50% 19±3 No 23±2 No 21-03: Percent of adults (age 35-44) who have no permanent tooth extraction due to dental caries or periodontal disease 42% 44±8 Yes - 61±4 Yes 21-04: Percent of older adults (age 65-74) who had all their natural teeth extracted 20% 29±8 No 25±4 No 21-10: Percent of adults who have visited a dentist in the past year 56% 63±3 Yes - 72±2 Yes 22-01: Percent of adults who engage in no leisure-time physical activity 20% 28±3 Yes + 22±1 Yes 22-02: Percent of adults who engage in moderate physical activity 30% 80±4 Yes 74±2 Yes 22-03: Percent of adults who engage in vigorous physical activity 30% 35±5 Yes 29±2 Yes 26-11c: Percent adults who engaged in binge drinking in the past month 6% 21±3 No 18±1 No 26-13a: Percent of adult females who exceed guidelines for low-risk drinking 50% 13±3 Yes 13±2 Yes (8+ drinks per week or 4+ drinks per occasion) 26-13b: Percent of adult males who exceed guidelines for low-risk drinking 50% 34±5 Yes 28±3 Yes (15+ drinks per week or 5+ drinks per occasion) 27-01a: Percent of adults who smoke cigarettes 12% 29±3 No 26±2 No 27-01b: Percent of adults who use smokeless (spit) tobacco 0.40% 8±3 No + 3±1 No 27-05: Percent of adults who attempted to quit smoking 75% 51±7 No 53±4 No 1 Public Health Services. Healthy People 2010: National Health Promotion and Disease Prevention Objectives. Washington, DC: U.S. Department of Health and Human Services, 2000. 2 The "Yes" designation refers the 2003 percentage being significantly better compared to the Healthy People 2010 goal percentage. 3 If a "+" is indicated, then the particular subpopulation of the county has a significantly higher percentage compared to that subpopulation in Pennsylvania, If a "-" is indicated, then the particular subpopulation of the county has a significantly lower percentage compared to that subpopulation in Pennsylvania. Note: "NA" indicates the necessary data are "Not Available". Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 6
Collaborative Board C/O The Guidance Center 110 Campus Drive Bradford, PA 16701 Sponsored by Center for Rural Health Practice at the University of Pittsburgh at Bradford In cooperation with the Pennsylvania Department of Health Bureau of Health Statistics and Research 555 Walnut Street 6 th Floor Harrisburg, PA 17101-1914 www.health.state.pa.us/stats/ Pennsylvania Department of Health 2003 Behavioral Risks of Adults Page 7