Kentucky Behavioral Risk Factor Surveillance System

1. Kentucky Behavioral Risk Factor Surveillance System Monitoring the health of Kentuckians: “A look at Mental Health Data” February 8, 2007

2. Kentucky BRFSS • BRFSS is an adult (age 18+) telephone survey • Co-sponsored by CDC and KDPH • Surveys households not businesses or group homes • Types of Questions • Core: Asked to all states • Modules: Questions developed by CDC, states have option to use them • State Added Questions: Developed by the states or health programs

3. Calls are made 6 days a week KentuckyBRFSS 2007 • Goal: 550completed interviews per month • 5,700 attempted calls per month • Goal : 6,600 completed interviews per year

4. Computer Assisted Telephone Interview (CATI)

5. Kentucky BRFSS Sample Size1985-2005

6. 2007 Questionnaire

7. Alcohol Consumption Arthritis Burden Asthma Cardiovascular Disease Prevalence Cholesterol Awareness Demographics Diabetes Disability Emotional Support and Life Satisfaction Exercise Fruits and Vegetables Gastronintestinal Disease Health Care Access Health Status Healthy Days HIV/AIDS Hypertension Awareness Immunization Physical Activity Tobacco Use BRFSS 2007 Core Questions

8. BRFSS 2007 Core Questions Demographics Income Age County of residence Sex Ethnicity Zip Code Pregnancy status Race Children <18 years Marital status in household Education level Height and Weight Employment Status

9. Cardiovascular Health Diabetes Actions To Control High Blood Pressure Arthritis Management Mental Illness & Stigma BRFSS 2007 Optional Modules

10. Mental Illness and Stigma • About how often during the past 30 days did you feel nervous? • During the past 30 days, about how often did you feel hopeless? • During the past 30 days, about how often do you feel restless or fidgety? • During the past 30 days, about how often did you feel so depressed that nothing could cheer you up? • During the past 30 days, about how often did you feel that everything was an effort? • During the past 30 days, about how often did you feel worthless?

11. Mental Illness and Stigma • During the past 30 days, for about how many days did a mental health condition or emotional problem keep you from doing your work or other usual activities? • Are you now taking medicine or receiving treatment from a doctor or other health professional or any type of mental health condition or emotional problem? • Treatment can help people with mental illness and lead normal lives. Do you agree slightly or strongly, or disagree slightly or strongly? • People are generally caring and sympathetic to people with mental illness. Do you agree slightly or strongly, or disagree slightly or strongly?

12. DMH Planned Uses of the New 2007 ModuleMental Illness & Stigma • Better describe the extent (prevalence) of depression & mental illness stigma among the general population, including elders. • Improve targeting of resources for anti-stigma efforts as well as for special mental health projects. • Improve targeting of interventions within KDMHMRS' Suicide Task Force Project.

13. Additional Uses / Analyses • Share with us your ideas for further analyses or linkages with other data sets. • Hope Barrett, KDMHMRS Hope.Barrett@ky.gov (502) 564-4860

14. BRFSS Data Access

15. Kentucky BRFSS Data Access • Kentucky BRFSS Web Site • http://chs.ky.gov/publichealth/BRFSS.htm • − http://chfs.ky.gov/dph/epi/brfss.htm • CDC BRFSS Web Site • http://www.cdc.gov/BRFSS

16. CDC BRFSS Web Site

17. Accessing Statewide Data from the CDC website

18. Kentucky BRFSS Data Access • CDC BRFSS Web Site • http://www.cdc.gov/BRFSS • Includes • Prevalence Estimates • Trend Data • SMART Data • Questionnaires • Training Module Example

19. Health Status: Frequent Mental Distress • From 1996 to present the health status questions were asked on the survey as a core questions. • The frequent mental distress question is part of a compounded health status question that asks:

20. Frequent Mental Distress Questions: • Individuals age 18 and older who stated that they had 14 or more days of poor mental health when responding to the question, “Now thinking about your mental health, which includes stress, depression and problems with emotions, for how many days during the past 30 days was mental health not good?”

21. Trend Data for Frequent Mental Distress

23. Kentucky Frequent Mental Distress Prevalence by Gender and Race(2004 KY BRFSS)

24. Kentucky Frequent Mental Distress Prevalence by Age Group(2004 KY BRFSS)

25. Kentucky Frequent Mental Distress Prevalence by Education(2004 KY BRFSS)

26. Kentucky Frequent Mental Distress Prevalence by Household Income(2004 KY BRFSS)

27. Contacts For data requests: • Yvonne.konnor@ky.gov • Tracey.Sparks@ky.gov Note: data for 2007 survey will be available after April 2008