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Core State PCH Indicators: A Preliminary Report of Multi-State Findings Using Data from the BRFSS

Core State PCH Indicators: A Preliminary Report of Multi-State Findings Using Data from the BRFSS. CDR Lauren B. Zapata, PhD , MSPH Division of Reproductive Health, CDC. Core State PCH Indicators. Effort to improve data and surveillance activities to monitor women’s PCH

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Core State PCH Indicators: A Preliminary Report of Multi-State Findings Using Data from the BRFSS

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  1. Core State PCH Indicators: A Preliminary Report of Multi-State Findings Using Data from the BRFSS CDR Lauren B. Zapata, PhD , MSPH Division of Reproductive Health, CDC

  2. Core State PCH Indicators • Effort to improve data and surveillance activities to monitor women’s PCH • 45 indicators were collaboratively identified by a committee from 7 states • CA, DE, FL, MI, NC, TX and UT • Published in MCHJ Feb 2011

  3. Core State PCH Indicators

  4. BRFSS Overview • State-based system of telephone health surveys • Designed to gather information on • Health risk behaviors, clinical preventive health practices, and health-care access • Women & men 18+ years living in households • General population of reproductive age women (18-44) • For many states, only source of timely data

  5. BRFSS Overview • Data collected monthly in all 50 states, DC & US territories • 430,000+ adults were interviewed in 2010 • States use data to: • Identify emerging health problems • Establish and monitor health objectives • Develop and evaluate programs and policies • http://www.cdc.gov/brfss

  6. Purpose • Present preliminary descriptive data from a multi-state, comprehensive report summarizing the full set of PCH indicators • MMWR Surveillance Summary – Jan 2012 • Several data systems: • BRFSS, PRAMS, ASEC, NSTD, NVSS

  7. Purpose • Present preliminary descriptive data from a multi-state, comprehensive report summarizing the full set of PCH indicators • MMWR Surveillance Summary – Jan 2012 • Several data systems: • BRFSS, PRAMS, ASEC, NSTD, NVSS

  8. Study Questions • What is the prevalence of select PCH indicators? • Do they vary by state or by select demographic characteristics?

  9. Methods • 2009 BRFSS data from 50 states & DC • Non-pregnant women aged 18-44 years • Prevalence of select core state PCH indicators for U.S., by state, and stratified by age and race/ethnicity • Analyses conducted using SUDAAN and weighted to provide unbiased national and state estimates

  10. Selected Indicators

  11. RESULTS

  12. Access to Health CarePercentage of Women Who Currently Have Some Type of Health Care Coverage Non-Pregnant Women Aged 18-44 years, BRFSS, 200909

  13. Utilization of Health CarePercentage of women who had a routine checkup in the past year Non-Pregnant Women Aged 18-44 years, BRFSS, 200909

  14. Overweight & ObesityPercentage of women who are overweight or obese based on BMI >= 25 kg/m2 Non-Pregnant Women Aged 18-44 years, BRFSS, 200909

  15. DiabetesPercentage of women ever been told by a health care provider that they had diabetes, not including GDM Non-Pregnant Women Aged 18-44 years, BRFSS, 200909

  16. Stratified results

  17. Access to Health CarePercentage of Women Who Currently Have Some Type of Health Care Coverage

  18. Utilization of Health CarePercentage of women who had a routine checkup in the past year

  19. Overweight & ObesityPercentage of women who are overweight or obese based on BMI >= 25 kg/m2

  20. DiabetesPercentage of women ever been told by a health care provider that they had diabetes, not including GDM

  21. Conclusions • Data provide a brief and preliminary glimpse into a forthcoming CDC surveillance summary • Findings document variations by state and demographic characteristics • Findings document need for further efforts to improve women’s PCH status

  22. Implications • Data on the core state PCH indicators can be used by states to: • Identify needs • Set priorities • Evaluate implementation and impact of PCH-related policies and initiatives • States can also use the data to compare their indicators with other states

  23. THANK YOU! Contact Information: Lauren Zapata lzapata@cdc.gov

  24. Challenges • Increased use of cellular telephones • Increased use of call-screening devices • Decreased # of land-line telephones • Availability of the “Do Not Call Registry” • Societal concerns about privacy • Population diversity

  25. Challenges

  26. Strengths of BRFSS • Indicators can be monitored over time • Findings are state-representative • Data can be combined to generate national estimates • Data are timely • Allows comparisons between states • Availability of online query system

  27. Limitations of BRFSS • Data are self-reported • Response rates are generally low and declining • Online query system does allow 2-level stratification of indicators

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