2004 fannin county health survey texas behavioral risk factor surveillance system (brfss)

2004 Fannin County Health Survey Texas Behavioral Risk Factor Surveillance

System (BRFSS)

BRFSS Survey of Fannin County: Introduction and Methods

The data presented in this report were gathered from telephone interviews with residents of Fannin County using a questionnaire and survey methods modeled closely on the Texas Behavioral Risk Factor Surveillance System (BRFSS). BRFSS surveys, administered through a federal state partnership, pose questions relating to health status, personal health habits, and the use of preventive health services. The surveys adhere to the highest scientific standards and yield data that policymakers and public health professionals rely on to identify major health risks, design interventions, set performance goals, and measure progress toward those goals.

The final Fannin county BRFSS dataset includes completed interviews with approximately 315 non-institutionalized adult residents. All interviews were conducted during May 2004.

Interview subjects were selected in two stages. First, telephone numbers for the geographic region were randomly called until a household was identified. Second, after contacting a household, one household member age 18 years or older was randomly selected for the interview.

BRFSS Survey of Fannin County: Introduction and Methods Cont.

Prior to analysis, the data were weighted to adjust for unequal probabilities of selection among individuals who live in households with different numbers of telephones and adults. The final data also were poststratified to account for unequal response rates among members of various demographic groups. Weights for the number of adults and telephones in a household were needed because we wanted to make statistically valid inferences about individuals, but we were sampling telephone numbers. Demographic poststratification was applied to make the final data more representative of Fannin county. The outcome of the weighting and poststratification process is that each record in the database represents a known number of individuals in the Fannin county population who share selected household and personal characteristics with the respondent. All statistical analyses included in this report were run on the weighted data using SUDAAN software and are reported with 90 % confidence intervals.

BRFSS Survey of Fannin County: Introduction and Methods Cont.

Modern telephone survey methods have several advantages that make them a useful tool for health policy makers, including a substantial degree of quality control made possible by computer assisted telephone interviewing systems, their relatively low cost, and a high speed of data collection. The methods used for BRFSS have been evaluated by the Centers for Disease Control and Prevention (CDC) and participating states for nearly 20 years. The content of survey questions, data collection procedures, and analytical techniques have been carefully developed and refined to improve data quality and reduce the potential for bias. However, BRFSS surveys are not without limitations. As with all telephone surveys, a small number of households without working phones are excluded from the sample. Moreover, BRFSS data are self-reported. Thus, respondents may have a tendency to under-report behaviors that are socially undesirable, unhealthy, or illegal while over-reporting desirable behaviors. Also, the accuracy of self-reported information often depends on the ability of respondents to fully recall past behaviors and health screening results.

Fannin County Health Survey Demographic Distribution, Adults, 2004

(with 90% confidence intervals)

Note: Survey results (%) are weighted by county demographics and for the probability of selection

Gender Group No % Lower Upper

Males 117 53.9 48.4 59.4

Females 198 46.1 40.6 51.6

Total 315 100.0 100.0 100.0

Age group

18-44 127 48.8 43.1 54.5

45-64 113 30.6 25.8 35.4

65+ 72 20.6 16.4 24.8

Total 312 100.0 100.0 100.0

Race group

White 276 82.8 77.4 88.2

Black 12 4.8 2.2 7.4

Hispanic 16 9.6 4.7 14.5

Other 9 2.8 1.1 4.6

Total 313 100.0 100.0 100.0

90% CI

Fannin County Health Survey Health Risk Factors, Texas Adults, 2004



Risk Factors % Lower Upper % Lower Upper

Fair or poor health 312 22 17 27 20 19 21

5 or more days poor physical health 301 21 16 26 19 18 20

5 or more days poor mental health 309 17 13 22 20 19 21

No health coverage 312 31 25 37 27 25 28

Had rountine checkup within past year 313 66 60 72 67 65 68

Needed medical care but could not get it 315 10 7 13 9 8 10

Needed care for mental health proble but did not recieve it 314 3 1 5 NA NA NA

*Lifetime smoking 314 52 46 58 44 42 45

*Current smoking 314 31 26 36 22 21 23

Current use of smokeless tobacco 314 7 4 11 4 3 5

Binge Drinking 313 20 15 25 16 15 17

Diabetes 315 8 5 10 8 7 9

*High blood pressure 315 28 24 33 25 24 26

High blood cholesterol 242 41 36 47 34 33 36

Had cholesterol checked within past 5 years 293 63 57 69 68 67 70

Heart Disease 314 11 8 14 9 8 10Have some form of arthritis 313 29 24 34 24 23 25

Fannin County Texas

N

90% CI 90% CI

* Fannin County & Texas differ statistically (P < 0.1)

Fannin County Health Survey Health Risk Factors, Texas Adults, 2004



Risk Factors % Lower Upper % Lower Upper

Current asthma 314 8 5 11 7 6 8

Overweight (BMI) between 25.0-29.9 285 38 32 44 37 36 38

Obesity (BMI) >= 30 285 23 19 28 25 24 26

Overweight or obesity (BMI>=25) 285 61 56 67 62 60 63

*No flu shot during the past 12 months 314 55 50 61 67 66 69

Diagnosed or treated by a health professional for ADHD/ADD 314 9 6 12 NA NA NA

Leisure time physical activity 315 67 62 73 72 71 74

Moderate or Vigorous Physical Activity 288 Meets recommendations for Moderate or Vigorous Physical Activity 49 43 55 45 43 46

Does some Physical Activity but does not Meet 33 27 38 38 36 39

Vision only fair or poor 313 27 22 32 NA NA NA

Eyes examined by doctor w ithin the past year 315 48 43 54 NA NA NA

*Visited dentist in the past year 313 46 40 51 60 59 61

*Had 6 or more permanent teeth removed 304 23 18 27 14 13 15*Teeth cleaned in the past year 305 41 36 46 58 57 59

N

90% CI 90% CI

Fannin County Texas

* Fannin County & Texas differ statistically (P < 0.1)

2004 Fannin County Health Survey

20 22

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Reports only Fair or Poor General Health


2119

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Reports 5 or More Days of Poor Physical Health in the Past 30 Days


1720

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Reports 5 or More Days of Poor Mental Health in the Past 30 Days


3127

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

No Health Coverage


6667

0

20

40

60

80

100

Texas (2000) Fannin

Wei

ghte

d %

.

Had Routine Checkup Within Past Year


1090

20

40

60

Texas (2002) Fannin

Wei

ghte

d %

.

Unable to Get Medical Care During Past 12 Months


2825

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Ever Told Has High Blood Pressure


6368

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Had Cholesterol Checked Within past 5 Years


4134

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Ever Told Has High Blood Cholesterol


1190

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Told Have Heart Disease(Heart Attack, Angina or Coronary Heart Disease, or Stroke)


880

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Ever Told Has Diabetes


3837

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Overweight, Body Mass Index (BMI) Between 25.0-29.9


2325

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Obesity, Body Mass Index (BMI) >=30


6162

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Overweight or Obesity, Body Mass Index (BMI) >=25


5244

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Lifetime Smoking(Smoked 100 Cigarettes in Entire Life)


31

22

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Current Smoking(Smoked 100 Cigarettes in Entire Life & now Smokes Every Day or Some Days)


47

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Current Use of Smokeless Tobacco


2016

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Binge Drinking (5 or More Drinks on an Occasion in the Past 30 Days)


2924

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Told Have Some Form of Arthritis


870

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Current Asthma


55

67

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

No Flu Shot During the Past 12 Months


6772

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Leisure Time Physical Activity


4945

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Meets Recommendations for Moderate or Vigorous Physical Activity


33

38

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Does Some Physical Activity but Does not Meet


27

0

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Vision Only Fair or Poor

NA


90

20

40

60

Texas (2003) Fannin

Wei

ghte

d %

.

Diagnosed or Treated by a Health Professional for ADHD/ADD

NA


48

0

20

40

60

80

100

Texas (2003) Fannin

Wei

ghte

d %

.

Eyes Examined by Doctor Within the Past Year

NA


46

60

0

20

40

60

80

100

Texas (2002) Fannin

Wei

ghte

d %

.

Visited Dentist in the Past Year


23140

20

40

60

80

100

Texas (2002) Fannin

Wei

ghte

d %

.

Had 6 or More Permanent Teeth Removed Due to Tooth Decay or Gum Disease


41

58

0

20

40

60

80

100

Texas (2002) Fannin

Wei

ghte

d %

.

Had Teeth Cleaned in the Past Year

BRFSS Contact Information

Jimmy Blanton, M.P.Aff., M.A.

Coordinator

512-458-7111 x6593

[email protected]

Program Website: www.tdh.state.tx.us/chronicd/default.htm

mailto:[email protected]

2004 fannin county health survey texas behavioral risk factor surveillance system (brfss)

Documents

final data

residents of fannin

data quality

brfss surveys

weighted data

fannin county population

yield data

telephone surveys