Prevalence of selected risk behaviors and chronic diseases--Behavioral Risk Factor Surveillance System (BRFSS), 39 steps communities, United States, 2005.

摘要: PROBLEM Behavioral risk factors (e.g., tobacco use, poor diet, and physical inactivity) can lead to chronic diseases. In 2005, of the 10 leading causes death in United States, seven (heart disease, cancer, stroke, lower respiratory diseases, diabetes, Alzheimer's kidney disease) were attributable disease. Chronic diseases also adversely affect quality life an estimated 90 million persons resulting illness, disability, extended pain suffering, major limitations daily living. REPORTING PERIOD COVERED 2005. DESCRIPTION OF THE SYSTEM CDC's Steps Program funds 40 selected U.S. communities address six disability rising health-care costs States: obesity, asthma, inactivity, nutrition, use. a total 39 conducted survey collect adult health outcome data. The instrument was modified version Risk Factor Surveillance System (BRFSS) survey, community-based, random-digit--dialing telephone with multistage cluster design. collected information on behaviors preventive practices among noninstitutionalized adults aged >/=18 years. RESULTS Prevalence estimates conditions varied that reported data for proportion population achieved Healthy People 2010 (HP 2010) objectives communities. prevalence obesity (defined as having body mass index [BMI] >/=30.0 kg/m(2) calculated from self-reported weight height) ranged 15.6% 44.0%. No reached HP2010 objective reducing who are obese 15.0%. diagnosed diabetes (excluding gestational diabetes) 4.3% 16.6%. Eighteen increase have at least annual foot examination 75.0%; five dilated eye 75.0%. asthma 7.0% 17.6%. Among those no symptoms during preceding 30 days 15.4% 40.3% sufficient estimates. respondents engaged moderate activity >/=30 minutes times week or vigorous >/=20 three 42.0% 62.2%. consumption fruits vegetables day 30.3%. years smoked >/=100 cigarettes their lifetime current smokers every some time 11.0% 39.7%. One community reduce smoke 12.0%. smokers, stopped smoking >/=1 result trying quit previous 12 months 47.8% 63.3% 31 increasing cessation attempts by 75%. INTERPRETATION findings this report indicate variations behaviors, conditions, use screenings services. These underscore continued need evaluate intervention programs level design implement policies morbidity mortality caused PUBLIC HEALTH ACTION BRFSS be used monitor specific staff national, state, local, tribal levels demonstrate accountability stakeholders, progress meeting program objectives, focus activities greatest promise results, identify opportunities strategic collaboration, disseminate successes lessons learned.