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Using the BRFSS to Track Healthy People 2010 Objectives

Using the BRFSS to Track Healthy People 2010 Objectives. Highlights from the 2004 Massachusetts Behavioral Risk Factor Surveillance System Health Survey Program Center for Health Information, Statistics, Research, and Evaluation Center for Community Health

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Using the BRFSS to Track Healthy People 2010 Objectives

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  1. Using the BRFSS to Track Healthy People 2010 Objectives Highlights from the 2004 Massachusetts Behavioral Risk Factor Surveillance System Health Survey Program Center for Health Information, Statistics, Research, and Evaluation Center for Community Health Massachusetts Department of Public Health March 2006 Source: Massachusetts BRFSS Prepared by: Health Survey Program 1

  2. What is the BRFSS? • Random digit dial telephone survey • Adults ages 18 and older • Collaboration between CDC and States • Massachusetts BRFSS since 1986 • Data are weighted: provide population-based estimates of health • 2004 Sample Size: 8,203 Source: Massachusetts BRFSS Prepared by: Health Survey Program 2

  3. CANCER CONTROL OBESITY/ OVERWEIGHT HEALTH CARE ACCESS TOBACCO ORAL HEALTH DRUG &ALCOHOL BRFSS WOMEN’S HEALTH QUALITY OF LIFE 50 OTHER TOPICS DISABILITY DIABETES Source: Massachusetts BRFSS Prepared by: Health Survey Program 3

  4. Risk Factors Smoking Binge drinking Use of Preventive Services Immunization Cancer screening Health Care Personal health care provider Conditions Diabetes Obesity HP2010 Objectives Tracked by BRFSS Source: Massachusetts BRFSS Prepared by: Health Survey Program 4

  5. Massachusetts and HP2010 Source: Massachusetts BRFSS Prepared by: Health Survey Program 5

  6. Selected Topics • Tobacco • Alcohol • Obesity • Diabetes Source: Massachusetts BRFSS Prepared by: Health Survey Program 6

  7. Tobacco Use • All respondents were asked if they had smoked 100 cigarettes in their lifetime. • A current smoker was defined as someone who smoked at least 100 cigarettes in their lifetime and currently smoked either some days or everyday. Source: Massachusetts BRFSS Prepared by: Health Survey Program 7

  8. Trend in the percentage of adults who are current smokers, MA vs. US, 1990-2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 8

  9. Percentage of current smokers, by age, MA 2004 MA 18.5% Source: Massachusetts BRFSS Prepared by: Health Survey Program 9

  10. Percentage of current smokers who quit for 1 day or more in the past year, by age, MA 2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 10

  11. Percentage of current smokers, by education, MA 2004 MA 18.5% Source: Massachusetts BRFSS Prepared by: Health Survey Program 11

  12. Program Implications • Compliance of 92% with the Smoke Free Workplace Law • Focus on populations that experience higher tobacco prevalence • Medicaid, uninsured, high-school education or less • Southeast, Central, and Western regions • Develop intensive community interventions in areas with high smoking prevalence • Youth pilot projects to promote tobacco free schools and reduce youth smoking • Partner with health care providers to ensure smokers receive cessation services Source: Massachusetts BRFSS Prepared by: Health Survey Program 12

  13. Alcohol Use • All respondents were asked about their consumption of alcohol in the past month • A drink of alcohol was defined as one can or bottle of beer, one glass of wine, one can or bottle of wine cooler, one cocktail, or one shot of liquor • Binge drinking was defined as consumption of five or more drinks on any one occasion in the past month Source: Massachusetts BRFSS Prepared by: Health Survey Program 13

  14. Trend in the percentage of adults who binge drink, MA vs. US, 2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 14

  15. Percentage of adults who binge drink, by age, MA 2004 MA 17.0% Source: Massachusetts BRFSS Prepared by: Health Survey Program 15

  16. Percentage of adults who binge drink, by race/ethnicity, MA 2004 MA 17.0% Source: Massachusetts BRFSS Prepared by: Health Survey Program 16

  17. Percentage of adults who binge drink, by region, MA 2004 MA 17.0% Source: Massachusetts BRFSS Prepared by: Health Survey Program 17

  18. Program Implications • Implementation of the Strategic Plan for Substance Use including broader intergovernmental collaboration. • Provide a broad spectrum of regional and community-based prevention programs and a treatment services across the continuum • Partner with state institutions of higher education to focus on college age drinking and associated problems • Targeted specific prevention and treatment strategies to combat high use rates such as media effort focused on Oxycontin and other prescription drugs. Source: Massachusetts BRFSS Prepared by: Health Survey Program 18

  19. Obesity • All respondents were asked to report their height and weight to calculate their Body Mass Index (BMI) • Respondents were categorized based on their BMI using the Healthy People 2010 standards: • BMI 18.0 - 24.9 normal • BMI 25.0 - 29.9 overweight • BMI 30.0 + obese Source: Massachusetts BRFSS Prepared by: Health Survey Program 19

  20. Overweight and Obese by Height OverweightObesity Height BMI 25.0-29.9 BMI > 30 5’ 128 lbs. 153 lbs. 5’2’’ 136 164 5’4’’ 145 174 5’6’’ 155 186 5’8’’ 164 197 6’ 184 221 6’2” 195 234 Source: Massachusetts BRFSS Prepared by: Health Survey Program 20

  21. Trend in the percentage of adults who are obese, MA vs. US, 1990-2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 21

  22. Percentage of adults who are obese, by age, MA 2004 MA 18.4% Source: Massachusetts BRFSS Prepared by: Health Survey Program 22

  23. Percentage of adults who are obese, by sex and race/ethnicity, 2004 MA 18.4% White-NH Black-NH Hispanic Source: Massachusetts BRFSS Prepared by: Health Survey Program 23

  24. Percentage of adults who are obese, by education, MA 2004 MA 18.4% Source: Massachusetts BRFSS Prepared by: Health Survey Program 24

  25. Percentage of adults who are obese, by level of physical activity, MA 2004 MA 18.4% Source: Massachusetts BRFSS Prepared by: Health Survey Program 25

  26. Percentage of adults who are obese, by region, MA 2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 26

  27. Program Implications • Facilitate coordinated efforts to address overweight and obesity through the MA Partnership for Healthy Weight • Implement evidenced-based/evidence-informed interventions at multiple levels and across the lifespan • Healthy Choices a joint program with BCBS a statewide program involving 51,000 youth in 113 middle schools. • ACCENT a joint program with Office of Elderly Affairs, and Councils on Aging which provides motivational training for elders on nutrition, physical activity, injury prevention, etc. at 9 COA sites • Partnering with providers and community agencies and a CHC to reduce obesity among people with developmental disabilities in one community. Source: Massachusetts BRFSS Prepared by: Health Survey Program 27

  28. Diabetes • All respondents were asked if they had ever been told by a doctor that they had diabetes (Type 1 or Type 2) • Women who had reported that they had diabetes only during pregnancy (gestational diabetes) were excluded Source: Massachusetts BRFSS Prepared by: Health Survey Program 28

  29. Trend in the percentage of adults with diabetes, MA vs. US, 2004 Source: Massachusetts BRFSS Prepared by: Health Survey Program 29

  30. Percentage of adults with diabetes, by sex and race/ethnicity, MA 2004 MA 5.6% White-NH Black-NH Hispanic Source: Massachusetts BRFSS Prepared by: Health Survey Program 30

  31. Percentage of adults with diabetes, by education, MA 2004 MA 5.6% Source: Massachusetts BRFSS Prepared by: Health Survey Program 31

  32. Percentage of adults with diabetes, by level of physical activity, MA 2004 MA 5.6% Source: Massachusetts BRFSS Prepared by: Health Survey Program 32

  33. Percentage of adults with diabetes, by obesity/overweight status, MA 2004 MA 5.6% Source: Massachusetts BRFSS Prepared by: Health Survey Program 33

  34. Program Implications • Partner with key stakeholders to implement the Massachusetts Health Disparities Collaborative in 17 community health centers to reduce disparities in care. • Coordinate the development and dissemination of the Massachusetts Guidelines for Adult Diabetes Care to promote quality diabetes care to health care providers. • http://www.mass.gov/dph/diabetes/guidelin.pdf • Facilitate networking and community mobilization for diabetes prevention and control through the Diabetes Coalition of Massachusetts. • Participate (as one of five states nationally) in the design and pilot of a Diabetes Primary Prevention Initiative to address rising rates of obesity and diabetes. Source: Massachusetts BRFSS Prepared by: Health Survey Program 34

  35. Massachusetts and HP2010 Source: Massachusetts BRFSS Prepared by: Health Survey Program 35

  36. Summary • Overall, Massachusetts is doing better than the US, but has a way to go to meet HP2010 goals. • Need to maintain vigilance to reduce race/ethnicity, education, geographic, and gender disparities for these goals. • BRFSS offers historical trends in health risk and behaviors and it provides insight and direction for program developing and targeting of services. Source: Massachusetts BRFSS Prepared by: Health Survey Program 36

  37. Accessing BRFSS data • BRFSS Annual Report: A Profile of Health Among Massachusetts Adults, 2004 • Health Survey Program • http://www.mass.gov/dph/bhsre/cdsp/brfss/brfss.htm • MassCHIP • http://masschip.state.ma.us/ Source: Massachusetts BRFSS Prepared by: Health Survey Program 37

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