State-specific prevalence of selected chronic disease-related characteristics--Behavioral Risk Factor Surveillance System, 2001.

摘要: PROBLEM: High-risk behaviors and lack of preventive care are associated with higher rates morbidity mortality in the United States. Without continued monitoring these factors, state health departments would have difficulty tracking evaluating progress toward Healthy People 2010 their own objectives. Monitoring chronic disease-related is also key to developing targeted education intervention programs at national, state, local levels improve public. REPORTING PERIOD COVERED: Data collected 2001 compared data from 1991 2000, targets assessed. DESCRIPTION OF SYSTEM: The Behavioral Risk Factor Surveillance System (BRFSS) an ongoing, state-based, telephone survey persons aged > or =18 years. State collect collaboration CDC. In 2001, participants collection included all 50 states, District Columbia, Guam, U.S. Virgin Islands, Commonwealth Puerto Rico. BRFSS used track prevalence characteristics monitor national objectives related 1) decreasing high-risk behaviors, 2) increasing awareness medical conditions, 3) use services. For certain objectives, only source data. RESULTS: indicate changes 2001. Among findings substantial increases obesity among adults =20 classified as obese ranged 15.5% Colorado 27.1% Mississippi. From median for participating states territories increased 12.9% 21.6%. 1991, no had =20%; 37 a =20%. Percentage obesity, 24.9% Columbia 140.2% New Mexico. variations existed regarding other conditions. Ranges included, leisure-time physical activity, 16.5% (Utah) 49.2% (Puerto Rico); cigarette smoking, 9.6% (Virgin Islands) 31.2% (Guam); binge drinking, 6.8% (Tennessee) 25.7% (Wisconsin); heavy 2.5% 8.7% ever told they diabetes, 4% (Alaska) 9.8% high blood pressure, 20% (New Mexico) 32.5% (West Virginia); cholesterol, 24.8% 37.7% Virginia). Substantial using =50 years screened colorectal cancer by sigmoidoscopy colonoscopy, 30.5% 62% (Minnesota); =65 who received influenza vaccination past year, 36.8% Rico) 79% (Hawaii); pneumococcal vaccination, 24.1% 70.9% (Oregon). 13 Islands women's module. women Papanicolaou (Pap) smear test 3 years, 79.8% 89.6% =40 mammogram, 71.9% 93% (Rhode Island); mammogram 2 57.2% 85.1% Island). indicated sex, race ethnicity, age group. Greater percentages men than reported were overweight; greater activity. racial ethnic groups, black non-Hispanics groups being professional pressure obese; white cholesterol. 18-24 those older smoking cigarettes, drinking drinking; younger Also, comparison 12 indicates that, met receiving fecal occult within annual vaccinations, Pap tests. Certain already having cholesterol checked 5 years. INTERPRETATION: this report that despite improvements, proportion continue engage do not making sufficient practices. (i.e., group, race/ethnicity) services need factors assess reducing mortality. PUBLIC HEALTH ACTIONS: can be guide public actions local, levels. reliable chronic-disease-related, risk-behavioral data. enable design, implement, evaluate, health-promotion strategies, targeting specific populations experiencing burdens disease. sources assessing both