behavioral risk factor surveillance system
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BRFSSBehavioral Risk Factor Surveillance System
2001 Wake County BRFSS Survey Results
State Center for Health Statistics Division of Public Health
North Carolina Department of Health and Human Services
History of the BRFSS Survey
• Developed by the Centers for Disease Control and Prevention (CDC) and state health departments in the early 1980s in response to the need for:
1. on-going assessment of adult health-risk behaviors and health practices;
2. provision of state and regional (and now county) estimates for targeting high-risk groups.
• It is the largest and longest running telephone health survey in the world.
BRFSS in the U.S., 1984
BRFSS in the U.S., 1990
BRFSS in the U.S., 1994
Guam
Puerto Rico
Virgin Islands
The Expansion of the North Carolina 2001 BRFSS
• The annual sample size was increased from 2,000+ respondents to 6,000+ respondents.
• Ten of the largest counties in North Carolina were oversampled to produce county-specific estimates (Buncombe, Cumberland, Durham, Forsyth, Gaston,
Guilford, Mecklenburg, New Hanover, Onslow, Wake)
• The remaining counties were stratified into three regions of the state: Western, Piedmont, and Eastern. (Regional estimates do not include the respective
oversampled counties.)
• The NC 2001 BRFSS contained close to 250 survey questions, nearly twice the number of any previous survey.
Standard BRFSSData Collection Methods
• Ongoing monthly telephone interviews using random digit dialing
• Computer-assisted telephone interviewing (CATI)
• Probability sampling of noninstitutionalized adults (18+ years) in households with telephones
Weighting the BRFSS Data
• BRFSS data are directly weighted for the probability of selection of a telephone number, the number of adults (18+ yrs.) in a household, and the number of phones in a household.
• Additional weights are developed for non-coverage, i.e. households with no telephones, and for differences between the sample characteristics and the state population characteristics.
• A final weight is assigned to each respondent so that the weighted proportion and weighted number of respondents by sex, age, and race matches the state population.
The BRFSS Questionnaire
• Standard Core QuestionsRequired by CDC and asked every year by all participants.
• Rotating Core QuestionsRequired by CDC and asked every other year by all participants.
• Emerging Core Questions
Required by CDC and asked every one time by all participants.
• Optional Modules offered and supported by CDCIncluded if sponsored by state programs/agencies.
• State-Added QuestionsDeveloped by state programs/agencies that also sponsor them.
Survey Topics on the NC 2001 BRFSS
Core Sections• Health status• High Blood Pressure• Cholesterol• Asthma/Diabetes• Arthritis• Immunization• Tobacco/alcohol use• Firearms• Demographics• Prostate/colorectal• HIV/AIDs
Optional Modules • Oral health• Tobacco indicators• Heart attack/stroke• Cardiovascular
disease• Diabetes care• Fruits and vegetables• Folic acid
State-added• Substance abuse• Health care coverage• Cardiovascular
prevention• Cancer• Osteoporosis• Physical activity• Disability• Family Planning• Sexual behavior• Sexual assault
About this 2001 BRFSS Slide Presentation
• Objectives: (1) promote BRFSS data use and dissemination by North Carolina public health professionals; and (2) by mixing or selecting specific slides, presentations may be tailored or modified to suit the needs of the county/presenter.
• Talking points: slides include talking points to help with interpretation of the results and offer further explanations.
• Survey questions: for reference purposes, the BRFSS survey question(s) is quoted verbatim in the talking points.
• Nationwide data: for core topics, nationwide estimates (means) are provided for comparison.
• Calculations: only weighted data are presented and all “unknowns/refusals” are excluded from calculations.
About this 2001 BRFSS Slide Presentation(continued)
• Cautionary Notes:– These results need to be viewed as estimates and not the actual
or true value of the outcome of interest.
– With any estimate based on a random sample, there is a margin of error. For the 10 oversampled counties the margin of error is about 5% if the question was asked of all respondents. This means that we can expect the true value to lie somewhere between the sample estimate plus or minus 5 percent.
– When county results are subset by age or race, for example, the margin of error increases as a function of the resulting smaller sample size.
– Use caution when comparing the results across counties, as the margin of error may not be the same for all counties.
Contents of PresentationI. Sample size & demographicsII. Health care accessIII. Chronic diseasesIV. Use of preventive health servicesV. Oral healthVI. Cardiovascular HealthVII. Tobacco Use and PreventionVIII. Health Risk BehaviorsIX. Physical activityX. Health status & quality of lifeXI. Family PlanningXII. HIV/AIDS & sexual behaviorXIII. BRFSS tracked HP2010 objectivesXIV. Special topics
Note: all results are based on weighted data
I. Sample Size & Demographics
County or RegionNumber ofInterviews County
Number ofInterviews
Buncombe 424 Guilford 418Cumberland 429 Mecklenburg 431Durham 400 New Hanover 405Forsyth 457 Onslow 436Gaston 467 Wake 428
Western NC 619Peidmont 670Eastern NC 621
State Total 6,205
2001 BRFSS Sample Size
BRFSS 2001 Sample Demographic Characteristics
Wake County North Carolina N %* N %* Total 428 100 6,205 100 Sex Male 179 53.0 2,382 47.8 Female 249 47.0 3,823 52.2 Race White 322 71.7 4,698 74.3 Black 79 21.1 1,114 19.9 Other minority 21 7.2 264 5.8 Age 18-44 yrs. 259 66.2 2,994 51.9 45-64 yrs. 116 25.3 1,957 31.0 65+ yrs. 49 8.5 1,191 17.1 *weighted percentages
BRFSS 2001 Sample Demographic Characteristics (Continued)
Wake County North CarolinaN %* N %*
Education< H.S. 22 6.4 833 15.9H.S./G.E.D. 91 23.3 1,860 33.0Post H.S./College 311 70.3 3,480 51.1Household Income< $20,000 38 12.0 1,016 20.9$20,000-$34,999 80 22.3 1,469 29.0$35,000+ 225 65.7 2,558 50.1EmploymentEmployed 298 70.6 3,730 62.1Retired 53 8.9 1,282 17.8Other 75 20.1 1,172 19.6
*weighted percentages
II. Health Care Access
• Health insurance coverage• Cost of seeing a doctor• Usual source of care• Personal provider• Place of care
85.3
83.3
79.883.7
85.5
87.4
80.3
79.889.9
87.7
85.1
90.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Health Insurance Coverage*
XIII. HP 2010 Objectives
HP 2010 Target: 100%
*Adults < 65 yrs old
Health Insurance Coverage by Race & Sex North Carolina, 1991-2001
50
55
60
65
70
75
80
85
90
95
100
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Percent
WhitesAfrican AmericansMalesFemales
II Health Care Access
Health Insurance Coverage by Sex, Race, & Age: Wake and NC (adults <65 yrs. old)
II. Health Care Access
82.3 84.9 82.387.288.8
80.0
91.7
69.2
83.190.1
81.084.4
0
10
20
30
40
50
60
70
80
90
100
Males Females Whites Blacks 18-44 yrs. 45-64 yrs.
percent
Wake NC
11.5
8.3
17.5
9.8
12.4
12.4
13.6
8.3
7.6
6.9
8.6
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent
0 2 4 6 8 10 12 14 16 18 20
Could not See a Doctor Due to Cost in Past Year
II. Health Care Access
78.1
80.2
79.3
80.1
71.7
82.7
77.8
86.4
80.0
74.1
79.0
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Has a Usual Source of Medical care*
II. Health Care Access
HP 2010 Target:
96%*includes clinic, health center, doctor’s office
79.780.7
68.7
85.579.5
76.067.4
81.090.0
83.8
77.6
82.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Has Personal Health Care Provider(s)*
II. Health Care Access
*one or more persons regarded as a personal doctor
III. Chronic Diseases
• Arthritis• Asthma• Cancer• Diabetes• Disability• High cholesterol• High Blood
Pressure
Arthritis
23.0
23.3
18.4
28.0
15.1
21.1
18.7
25.2
21.1
18.5
11.5
14.2
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Doctor-Diagnosed Arthritis
III. Chronic Diseases: Arthritis
Arthritis Prevalence by Sex, Race, & Age: Wake and NC
III. Chronic Diseases: Arthritis
12.2
17.4
28.7
24.322.1
9.4
38.4
8.2
15.2
7.9
3.4
27.3
0
5
10
15
20
25
30
35
40
45
50
Males Female s White s Blacks 18-44 yrs . 45+ yrs .
percent
Wake NC
22.6
22.1
19.0
23.0
18.7
21.2
19.5
24.5
19.9
19.7
16.8
14.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Chronic Joint Symptoms (CJS)
III. Chronic Diseases: Arthritis
33.1
32.5
27.1
35.8
25.7
30.9
26.4
34.2
30.2
27.4
21.2
21.3
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Total Arthritis (CJS and/or Doctor Diagnosed)
III. Chronic Diseases: Arthritis
41.6
51.5
49.3
48.7
45.7
60.0
60.2
46.8
48.4
54.5
57.4
46.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Currently Treated by a Doctor for Arthritis
III. Chronic Diseases: Arthritis
Arthritis and Quality of Life: North Carolina
9.7 9.97.5
4.2
18.8
33.3
14.2
38.0
0
5
10
15
20
25
30
35
40
45
50
Fair/poor health Poor mental health(8+ days/month)
Poor physical health(8+ days/month)
Activity limitation(8+ days/month)
percent
ArthritisNo Arthritis
Arthritis, Obesity and Physical Activity: North Carolina
19.5
24.3
33.334.0
0
5
10
15
20
25
30
35
40
45
50
Obesity Engage in leisure physical activity
percent
Arthritis
No Arthritis
Asthma
11.1
10.1
10.1
6.8
10.8
9.77.5
11.2
12.6
10.2
9.1
7.2
U S
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Ever Diagnosed with Asthma
III. Chronic Diseases: Asthma
Asthma (ever had) Prevalence by Sex, Race, & Age: Wake and NC
III. Chronic Diseases: Asthma
8.58.5
11.4
9.7
12.310.8
9.39.28.9
9.8 9.1 9.2
0
2
4
6
8
10
12
14
16
18
20
Males Females Whites Blacks 18-44 yrs. 45+ yrs.
percent
Wake NC
7.2
6.4
5.5
5.46.8
6.44.5
6.58.0
5.9
6.5
5.3
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Currently Has Asthma
III. Chronic Diseases: Asthma
Cancer
11.3
9.6
10.8
15.6
12.4
14.5
14.0
9.7
7.0
5.8
9.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Ever Diagnosed with Cancer (Age 40+)
III. Chronic Diseases: Cancer
Cancer Prevalence (Age 40+): North Carolina
III. Chronic Diseases: Cancer
4.1
0.8
3.82.6
4.2
0
2
4
6
8
10
12
14
16
18
20
Breast Colorectal Prostate Skin Other
percent
Cancer (Age 40+) Prevalence by Sex, Race, & Age: Wake County & NC
III. Chronic Diseases: Cancer
10.911.6
12.9
5.46.6
2.3
8.67.1
1.6
19.2
0.0
19.1
0
2
4
6
8
10
12
14
16
18
20
Males Females Whites Blacks 40-59 yrs. 60+ yrs.
percent
Wake NC
12.0
13.7
13.1
11.510.0
9.19.9
6.312.0
8.4
13.2
8.7
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Family History of Prostate Cancer*
III. Chronic Diseases: Cancer
* Asked of male respondents age 40+
Diabetes
6.8
5.2
7.9
6.5
5.07.7
7.1
5.9
7.3
4.6
6.9
4.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Diabetes
III. Chronic Diseases: Diabetes
Prevalence of Diabetes by Race & SexNorth Carolina, 1990-2001
0
2
4
6
8
10
12
14
16
18
20
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
III. Chronic Diseases: Diabetes
Diabetes Indicators: North Carolina & U.S.
North Carolina Nationwide
% %
Now taking insulin 28.7 26.7
Now taking diabetes pills 65.7 66.8
Check blood for glucose (1 or more times/day) 55.0 53.2
Check feet for sores (1 or more times/day) 72.3 64.8
Had dilated eye exam in past year 75.1 71.5
Ever diagnosed with retinopathy 24.5 23.9
Diabetes onset before age 50 46.3 48.2
Checked hemoglobin ‘A one C’(1 or more times/yr) 91.9 87.3
Feet checked by health professional (annual exam) 73.7 67.0
Ever taken diabetes management course 54.8 51.3
Disability
North Carolina’s Definition of Disability
1. Are you limited in any activities because of physical, mental, or emotional problems?
2. Do you now have any health problem that requires you to use special equipment, such as a cane or wheelchair, a special bed, or a special telephone?
3. A disability can be physical, mental, emotional, or communication related. Do you consider yourself to have a disability?
4. Because of any impairment or health problem, do you have any trouble learning, remembering, or concentrating?
A positive response to one or more of the following screener questions:
15.5
12.8
16.6
12.3
15.8
14
16.3
16.0
12.2
9.7
11.0
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Activity Limitation b/c Physical or Emotional Problems
III. Chronic Diseases: Disability
6.2
6.1
5.3
4.8
4.7
3.6
4.8
5.4
6.2
3.1
5.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Health Problem that Requires Use of Special Equipment
III. Chronic Diseases: Disability
14.1
9.3
15.0
12.6
14.5
13.0
15.7
12.5
10.7
9.4
9.8
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Self-Perceived Disability
III. Chronic Diseases: Disability
10.1
6.8
10.1
8.3
11.8
8.6
10.9
10.9
11.0
6.8
10.0
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Trouble Learning and Remembering
III. Chronic Diseases: Disability
25.3
20.7
26.6
22.4
24.7
24.4
26.8
25.8
20.1
16.9
20.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Prevalence of Disability - Any Type
III. Chronic Diseases: Disability
Disability Prevalence by Sex, Race & Age: Wake County & NC
III. Chronic Diseases: Disability
29.2
20.4
10.8
15.0
19.016.4 15.2
35.9
25.6 24.226.923.6
0
5
10
15
20
25
30
35
40
45
50
Males Females Whites Blacks 18-44 yrs. 45+ yrs.
percent
Wake NC
Health, Employment, & Health Care Access among Adults with Disabilities (18-64 yrs.): Wake County
& North Carolina
III. Chronic Diseases: Disability
80.2 82.378.3
64.8
83.1
59.751.5
84.2
0
10
20
30
40
50
60
70
80
90
100
Excellent-goodhealth
Employed Has health ins. Has personaldoctor(s)
percent
Wake
NC
High cholesterol
30.9
28.9
24.5
31.3
18.2
27.2
27.4
26.5
26.3
24.8
26.3
24.9
US
Gaston
New Hanover
Buncombe
Guilford
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
High Cholesterol
III. Chronic Diseases: High Cholesterol
Prevalence of High Blood Cholesterol by Sex, Race, and Age: Wake County & NC
III. Chronic Diseases: high blood cholesterol
17.0
40.7
26.526.326.324.1 24.4
27.1
38.2
17.5
30.230.5
0
5
10
15
20
25
30
35
40
45
50
Males Females Whites Blacks 18-44 yrs. 45+ yrs.
percent
Wake NC
Prevalence of High Cholesterol by Race & SexNorth Carolina, 1990-2001*
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1995 1997 1999 2001Year
Percent
WhitesAfrican AmericansMalesFemales
III. Chronic Diseases: High Cholesterol
* Data not available for 1994, 1996, 1998, 2000.
82.1
84.5
75.8
85.8
85.4
81.6
75.5
87.4
87.7
88.3
75.0
84.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Cholesterol Checked Past Year among Adults with High Blood Cholesterol
III. Chronic Diseases: High Cholesterol
High Blood Pressure
25.8
27.2
22.5
29.8
23.823.9
26.9
25.3
28.8
26.8
17.519.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
High Blood Pressure
III. Chronic Diseases: High Blood Pressure
HP 2010 Target(reduce to 16%)
Prevalence of High Blood Pressure by Race & SexNorth Carolina, 1991-2000
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1995 1997 1999 2001Year
Percent
WhitesAfrican AmericansMalesFemales
III. Chronic Diseases: High Blood Pressure
* Data not available for 1994, 1996, 1998, 2000.
71.6
74.9
66.6
71.3
76.8
78.570.8
72.5
75.773.6
77.0
71.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Currently Taking Medicine for High Blood Pressure
III. Chronic Diseases: High Blood Pressure
Prevalence of High Blood Pressure by Demographic Characteristics: Wake County & North Carolina
III. Chronic Diseases: High Blood Pressure
25.4
28.9
25.3
37.4
12.4
43.1
33.8
8.9
13.8
21.7
15.1
23.8
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
Males Females Whites Blacks 18-44 yrs. 45+ yrs.
percent
Wake
NC
IV. Preventive Health Care
• Prostate Cancer screening• Colorectal Cancer screening• Cholesterol screening• Immunizations
60.5
62.5
68.8
57.4
78.4
59.6
76.3
52.4
67.8
63.1
57.4
63.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Had a PSA (Prostate-Specific Antigen) Test (male respondents age 40+)
IV. Preventive Health Care
76.3
71.6
71.9
67.8
88.0
78.0
82.9
64.3
74.9
75.2
67.8
75.7
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Had a Digital Rectal Exam (male respondents age 40+)
IV. Preventive Health Care
44.6
55.1
44.4
52.8
56.2
60.2
57.8
52.1
73.4
54.3
60.7
61.6
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Had a Blood Stool Test (all respondents age 50+)
IV. Preventive Health Care
47.3
47.6
44.5
48.6
52.2
60.3
50.2
44.4
62.6
45.6
58.6
59.0
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Had a Colonoscopy Exam (all respondents age 50+)
IV. Preventive Health Care
77.8
79.0
72.5
83.0
78.1
79.2
70.2
81.3
86.5
84.5
80.4
80.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Had Blood Cholesterol Checked (all respondents age 18+)
IV. Preventive Health Care
Prevalence of Ever Having Blood Cholesterol Checked by Race & Sex, North Carolina 1990-2001*
50
55
60
65
70
75
80
85
90
95
100
1990 1991 1992 1993 1995 1997 1999 2001Year
Percent
WhitesAfrican AmericansMalesFemales
IV. Preventive Health Care
* Data not available for 1994, 1998, 2000.
73.8
75.1
65.980.6
76.0
75.8
68.478.9
84.6
81.2
76.377.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Blood Cholesterol Checked in Past 5 Years (all respondents age 18+)
IV. Preventive Health Care
HP 2010 Target:
80%
30.1
31.0
29.9
30.8
36.4
28.8
36.3
29.536.6
31.8
27.4
29.9
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Had Flu Shot in Past 12 Months (all respondents age 18+)
IV. Preventive Health Care
Prevalence of Having an Annual Flu Shot by Race & Sex, North Carolina, 1993-2001*
0
5
10
15
20
25
30
35
40
45
50
1993 1995 1997 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
IV. Preventive Health Care
* Data not available for 1994, 1996, 1998.
21.9
21.1
15.2
21.0
18.4
18.4
25.5
20.5
25.1
17.1
15.0
16.3
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Had a Pneumonia Shot (all respondents age 18+)
IV. Preventive Health Care
Prevalence of Ever Having a Pneumonia Vaccination by Race & Sex, North Carolina 1993-2001*
0
5
10
15
20
25
30
35
40
45
50
1993 1995 1997 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
IV. Preventive Health Care
* Data not available for 1994, 1996, 1998.
V. Oral Health
• Dental insurance• Dental visits• Dental cleaning• Tooth loss
54.7
66.7
53.4
63.2
53.8
60.8
50.1
65.8
61.7
63.1
67.6
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Dental Insurance Coverage
V. Oral health
Dental Insurance Coverage by Sex, Race, & Age: Wake County & North Carolina
V. Oral health
63.7 62.4 64.0 66.0
57.153.053.652.557.2
63.5
45.2
59.9
0
10
20
30
40
50
60
70
80
90
100
Males Females Whites Blacks 18-44 yrs. 45-64 yrs.
percent
Wake NC
69.4
74.4
66.8
71.1
67.6
72.7
68.4
75.0
71.3
80.0
77.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Visited Dentist Past Year for Any Reason
V. Oral health
71.0
75.0
71.9
73.7
73.6
72.3
70.1
79.5
69.8
78.9
77.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Teeth Cleaned Past Year
V. Oral health
9.1
5.6
13.1
7.0
7.8
6.0
9.8
7.2
6.7
2.7
4.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
All Permanent Teeth Extracted
V. Oral health
VI. Cardiovascular Health
• History of heart disease, High Blood Pressure, high cholesterol
• Disease prevention• Knowledge of symptoms of
heart attack, stroke
8.6
5.8
10.0
6.1
6.9
6.4
6.8
8.1
8.4
3.7
5.1
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
History of Cardiovascular Disease*
VI. Cardiovascular Health
*doctor-diagnosed heart attack, stroke, and/or angina
25.8
27.2
22.5
29.8
23.8
23.9
26.9
25.3
28.8
26.8
17.5
19.8
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Been Told* Blood Pressure is High
VI. Cardiovascular Health
* by health professional
HP 2010 Target(reduce to 16%)
30.9
28.9
24.5
31.3
18.2
27.2
27.4
26.5
26.3
24.8
26.3
24.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Told* Blood Cholesterol is High
VI. Cardiovascular Health
* by health professional
67.5
65.3
64.4
79.2
65.5
63.3
77.3
71.0
66.9
64.6
71.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Eating Less Fat Foods to Lower Risk of Heart Disease
VI. Cardiovascular Health
67.5
65.3
64.4
79.2
65.5
63.3
77.3
71.0
66.9
64.4
71.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
More Active to Lower Risk of Heart Disease
VI. Cardiovascular Health
30.4
24.9
25.5
31.1
23.9
33.9
24.4
24.4
30.1
27.8
30.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Told by Health Professional to Eat Less Fat Foods
VI. Cardiovascular Health
35.4
24.3
30.1
34.4
30.8
41.5
29.5
28.3
33.2
33.0
32.1
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Told by Health Professional to Eat more Fruits & Veggies
VI. Cardiovascular Health
35.8
27.7
33.8
35.9
29.1
37.3
29.7
30.7
38.1
38.7
34.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Told by Health Professional to be More Active
VI. Cardiovascular Health
30.1
31.1
24.5
35.7
33.6
38.7
29.0
33.6
34.5
23.3
22.7
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Take Aspirin Daily or Every Other Day*
VI. Cardiovascular Health
* Adults age 35+
Percent Who Recognized Signs & Symptoms of a Heart Attack : Wake & North Carolina
65.5
92.3
85.9
67.8
95.6
89.9
87.4
97.0
0 10 20 30 40 50 60 70 80 90 100
feeling weak,lightheaded
chest pain
shortness of breath
arms or shoulder pain
Wake NC
VI. Cardiovascular Health
Percent Who Recognized Signs & Symptoms of a Stroke : Wake & North Carolina
86.8
73.4
92.0
70.4
87.8
69.5
93.3
68.4
0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 100.0
sudden trouble walking /dizziness
sudden trouble seeing inone or both eyes
sudden numbness/face,arm, leg
severe headache / noknown cause
Wake NC
VI. Cardiovascular Health: knowledge of symptoms
VII. Tobacco Use and Prevention
• Smoking status• Smokeless tobacco use• Quit smoking• Medical care for smokers• Cigar smoking• Prevention
47.2
49.6
59.8
49.4
36.9
54.5
43.1
55.9
49.0
45.2
43.6
42.7
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Smoked at Least 100 Cigarettes in Lifetime
VII. Tobacco Use and Prevention
70.0
60.1
74.0
79.2
68.6
69.4
69.9
73.2
70.9
72.3
70.4
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
First Smoked at Age 16 or Younger
VII. Tobacco Use and Prevention
First Started Smoking Regularly: North Carolina
VII. Tobacco Use and Prevention
3.9
12.9
24.1 24.9
34.2
0
5
10
15
20
25
30
35
40
45
50
Never Age 14 oryounger
Age 15-16 Age 17-18 Age 19 orolder
percent
22.7
25.7
34.3
27.4
18.2
24.5
26.5
30.7
24.1
21.0
21.9
19.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Current smokers* (age 18+)
VII. Tobacco Use and Prevention
*includes everyday and occasional smokers
Prevalence of Smoking by Race & Sex,North Carolina, 1990-2001
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
VII. Tobacco Use and Prevention
Current Smoker by Sex, Race, & Education: Wake County & North Carolina
VII. Tobacco Use and Prevention
28.6
23.126.5
18.719.6
26.6
16.6
25.2
33.8
16.6
33.1
21.7
0
5
10
15
20
25
30
35
40
45
50
Males Females Whites Blacks <= H.S. H.S.+
percent
Wake NC
Smoking Status (all respondents): Wake County, North Carolina, & US
52.8
24.5
5.7
17.1
56.6
5.4
16.5
50.4
23.8
4.5
21.3
21.5
0 10 20 30 40 50 60 70 80 90 100
Never smoked
Former smoker
Smoke some days
Smoke everyday
US Wake NC
VII. Tobacco Use and Prevention
55.8
55.8
53.5
59.1
57.4
60.4
59.5
60.1
41.3
54.3
60.6
60.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Quit Smoking One Day or Longer
VII. Tobacco Use and Prevention
Prevalence of Quit-Smoking Attempts by Race & Sex, North Carolina, 1990-2001
0
10
20
30
40
50
60
70
80
90
100
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent Whites
African AmericansMalesFemales
VII. Tobacco Use and Prevention
65.7
58.1
65.2
66.8
73.1
73.9
61.7
87.6
58.7
52.2
69.7
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Regular Smokers* Who Received Medical Care in Past Year
VII. Tobacco Use and Prevention
*smoked regularly within the past year
19.2
32.2
17.9
8.7
17.8
21.9
23.8
14.4
13.6
19.5
19.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Used Smokeless Tobacco Products
VII. Tobacco Use and Prevention
4.9
7.7
6.6
0.6
3.9
4.1
4.5
1.0
4.5
2.3
2.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Smokeless Tobacco User
VII. Tobacco Use and Prevention
38.2
48.3
35.4
31.4
34.3
34.0
38.5
30.7
34.2
48.6
34.8
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Smoked a Cigar
VII. Tobacco Use and Prevention
62.1
65.8
59.8
75.1
72.6
68.9
68.9
55.5
63.6
76.1
68.7
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Smoking Not Allowed Anywhere in the Home
VII. Tobacco Use and Prevention
74.8
83.5
77.5
89.5
74.8
89.6
83.7
72.3
79.9
79.4
83.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Smoking Not Allowed in the Workplace, Both Common Areas and Work Areas*
VII. Tobacco Use and Prevention
*asked of respondents who reported working indoors
VIII. Health Risk Behaviors
• Overweight• Cholesterol not checked• Smoking• Binge/heavy drinking• Physical inactivity
37.1
35.9
39.7
36.8
38.5
37.7
37.3
33.2
35.4
35.0
34.8
38.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Overweight
VIII. Health Risk Behaviors
Prevalence of Overweight by Race & Sex,North Carolina, 1990-2001
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
VIII. Health Risk Behaviors
21.6
22.9
18.3
26.5
20.7
16.9
21.4
19.2
21.6
20.6
19.2
18.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Obesity
VIII. Health Risk Behaviors
Prevalence of Obesity by Race & Sex,North Carolina, 1990-2001
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
VIII. Health Risk Behaviors
22.5
21.2
28.0
17.1
22.1
21.0
30.3
18.7
13.6
15.6
20.0
19.3
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Cholesterol Never Checked
VIII. Health Risk Behaviors
Prevalence of Never Having Cholesterol Checked by Race & Sex, North Carolina, 1990-2001*
0
5
10
15
20
25
30
35
40
45
50
1990 1991 1992 1993 1995 1997 1999 2001Year
Percent
WhitesAfrican AmericansMalesFemales
VIII. Health Risk Behaviors
* Data not available for 1994, 1996, 1998, 2000.
22.7
25.7
34.3
27.4
18.2
24.5
26.5
30.7
24.1
21.0
21.9
19.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Smoking*
VIII. Health Risk Behaviors
*includes everyday and occasional smokers
Prevalence of Smoking by Race & Sex,North Carolina, 1990-2001
0
5
10
15
20
25
30
35
40
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
VIII. Health Risk Behaviors
14.5
9.8
15.1
10.0
13.5
16.5
12.1
10.7
8.5
10.6
15.8
10.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Binge Drinking
VIII. Health Risk Behaviors
5.2
4.1
3.8
2.8
2.0
8.9
3.0
4.1
4.2
5.4
4.9
4.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Heavy Drinking
VIII. Health Risk Behaviors
15.9
16.9
15.8
17.6
10.8
16.2
12.3
16.6
15.6
17.9
12.3
15.1
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Physically Inactive
VIII. Health Risk Behaviors
26.4
26.4
24.4
29.3
22.4
18.8
21.0
22.7
26.0
24.6
20.9
21.1
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
No Leisure Time Physical Activity
VIII. Health Risk Behaviors
IX. Physical Activity & Nutrition
• Work activity• Leisure time activity• Moderate physical activity• Vigorous physical activity• Physical activity status• Daily fruit & vegetable consumption
61.4
57.3
60.3
69.2
59.0
55.7
61.1
63.9
70.1
71.7
74.1
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Mostly Sitting/Standing at Work
IX. Physical Activity & Nutrition
73.6
73.6
75.6
70.7
77.6
81.2
79.0
77.3
74.0
75.4
79.1
78.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Engage in Leisure Time Physical Activity
IX. Physical Activity & Nutrition
Prevalence of Leisure Time Physical Activity by Race & Sex, North Carolina, 1990-2001*
0
10
20
30
40
50
60
70
80
90
100
1990 1991 1992 1994 1996 1998 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
IX. Physical Activity & Nutrition
*Data not available for 1993, 1995, 1997, 1999.
45.4
42.4
55.2
42.4
44.6
44.8
51.6
44.4
42.4
35.5
45.5
35.0
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Moderate Physical Activity
IX. Physical Activity & Nutrition
24.1
20.4
29.8
19.1
28.1
29.8
26.6
24.3
21.9
19.4
24.1
20.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Vigorous Physical Activity
IX. Physical Activity & Nutrition
Physical Activity Status: Wake County, North Carolina, & US
45.5
12.3
42.4
40.7
16.9
45.4
38.7
15.9
42.4
0 10 20 30 40 50 60 70 80 90 100
Meets recommendation
Some physical activity
Physically inactive
Wake NC US
IX. Physical Activity & Nutrition
Daily Fruit & Vegetable Consumption: Wake County and North Carolina
4.7
39.2
24.1
3.5
30.0
41.4
25.2
32.1
0 10 20 30 40 50 60 70 80 90 100
Less than once or never
1 to less than 3 times
3 to less than 5 times
5 or more times
Wake NC
IX. Physical Activity & Nutrition
X. Health Status & Quality of Life
• Self-perceived fair/poor health• Poor physical health days• Poor mental health days• Emotional support• Satisfaction with life• Pain days• Worried days• Sadness days• Sleepless days
15.7
16.4
11.8
16.7
10.5
11.6
13.7
17.1
16.8
16.4
8.0
10.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Self-perceived Fair or Poor Health
X. Health Status & Quality of life
Prevalence of Fair/Poor Health by Race & Sex,North Carolina, 1993-2001
0
5
10
15
20
25
30
35
40
45
50
1993 1994 1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
X. Health Status & Quality of life
12.8
14.6
12.2
15.2
8.9
15.0
11.6
14.3
16.1
13.7
11.0
9.3
US
NC
Onslow
Gaston
Durham
Ne w Hanove r
Cumbe rland
Buncombe
Forsyth
Guilford
Me ckle nburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
7+ Days in Past 30 Days of Not Good Physical Health
X. Health Status & Quality of life
13.2
12.2
10.8
15.6
9.2
12.3
10.0
13.0
11.7
12.0
9.0
11.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
7+ Days in Past 30 Days of Not Good Mental Health
X. Health Status & Quality of life
84.5
83.5
82.5
80
85.2
83
82.5
83.7
83
88.2
82.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Always/Usually Gets Emotional Support
X. Health Status & Quality of life
96.6
98.3
96.0
95.6
97.9
95.9
94.5
94.8
95.7
97.3
96.4
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Satisfied with Life
X. Health Status & Quality of life
12.6
11.1
13.9
7.0
14.2
10.9
15.5
11.8
10.1
7.0
6.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
7+ Days in Past 30 Days When Pain Prevented Activities
X. Health Status & Quality of life
17.6
20.5
23.5
14.5
16.9
19.9
22.6
20.9
17.7
17.7
19.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
7+ Days in Past 30 Days When Worried or Anxious
X. Health Status & Quality of life
11.7
9.2
16.2
10.1
12.0
12.9
9.9
13.0
11.1
7.9
11.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
7+ Days in Past 30 days When Depressed
X. Health Status & Quality of life
36.2
43.2
37.3
39.6
37.1
40.0
42.3
37.2
32.7
36.9
33.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
7+ Days in Past 30 Days When Not Enough Sleep
X. Health Status & Quality of life
XI. Family Planning*
• Pregnancy history• History of hysterectomy• Birth control• Use of health department• Access to private gynecologist• Ever used family planning clinic
* Questions pertain only to female respondents, ages 18 to 44.
31.6
43.4
37.2
37.2
31.5
38.3
24.5
25.7
34.9
25.1
28.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Pregnant in the Last Five Years
XI. Family Planning
8.3
8.5
6.2
3.9
5.6
2.9
7.4
5.9
4.6
4.3
9.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Ever Had a Hysterectomy
XI. Family Planning
61.4
67.6
67.1
62.6
64.6
52.3
73.7
51.0
54.0
62.7
61.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Currently Using Some Type of Birth Control
XI. Family Planning
Types of Birth Control Used: North Carolina
XI. Family Planning
23.4
8.0
35.6
20.4
12.5
0
5
10
15
20
25
30
35
40
45
50
Tubes Tied Vasectomy Birth ControlPill
Condoms Other
percent
9.6
15.2
11.8
3.7
8.4
7.3
15.4
3.2
5.0
8.1
4.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Use Health Department for Female Health
XI. Family Planning
66.8
48.5
61.9
58.6
77.8
48.1
50.1
75.3
74.1
70.5
73.0
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Use Private Gynecologist for Female Health
XI. Family Planning
36.9
33.1
21.5
39.1
31.8
30.0
30.3
28.3
31.7
30.3
36.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Used Services of a Family Planning Clinic
XI. Family Planning
XII. HIV/AIDS & Sexual Behavior*
• Understanding of HIV treatment• Testing for HIV• STD Counseling• Condom use
*Questions asked of respondents less than age 65.
A Pregnant Woman with HIV Can Get Treatment to Reduce HIV Transmission to Fetus: Wake County,
North Carolina, & US
28.7
17.9
53.457.5
28.1
21.0
50.9
25.0
17.5
0 10 20 30 40 50 60 70 80 90 100
don't know
false
true
US Wake NC
XII. HIV/AIDS & Sexual Behavior
Medical Treatments Available to Help a Person with HIV to Live Longer: Wake County, North Carolina &
US
7.9
3.3
88.891.9
8.8
3.9
87.3
5.6
2.5
0 10 20 30 40 50 60 70 80 90 100
don't know
false
true
US Wake NC
XII. HIV/AIDS & Sexual Behavior
21.1
23.3
20.2
20.1
34.6
23.6
21.4
21.8
22.9
22.6
26.2
29.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Believe that Treatments for Persons w/HIV are Effective
XII. HIV/AIDS & Sexual Behavior
90.0
92.1
93.4
90.7
95.1
92.3
94.2
91.5
87.7
91.3
92.1
92.6
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Knowing HIV Status by Getting Tested is Important
XII. HIV/AIDS & Sexual Behavior
47.3
49.5
67.2
53.7
55.7
54.9
71.6
50.3
45.9
55.4
48.6
49.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Been Tested for HIV/AIDS
XII. HIV/AIDS & Sexual Behavior
Prevalence of Ever Been Tested for HIV by Race & Sex, North Carolina, 1995-2001
0
10
20
30
40
50
60
70
80
90
100
1995 1996 1997 1998 1999 2000 2001Year
Percent
WhitesAfrican AmericansMalesFemales
XII. HIV/AIDS & Sexual Behavior
Reason for HIV/AIDS Testing: North Carolina
XII. HIV/AIDS & Sexual Behavior
31.0
6.4
13.9
19.3
29.3
0
5
10
15
20
25
30
35
40
45
50
Routinecheckup
Just to find out Due topregnancy
Militaryinduction
Other
percent
21.5
19.3
9.3
19.6
18.4
22.9
15.4
27.0
25.9
28.6
25.4
22.8
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Tested for HIV/AIDS Just to Find Out HIV Status
XII. HIV/AIDS & Sexual Behavior
Testing Place for HIV/AIDS: North Carolina
XII. HIV/AIDS & Sexual Behavior
15.0
7.3
14.015.8
47.9
0
5
10
15
20
25
30
35
40
45
50
Private Doctor HealthDepartment
Hospital MilitaryIndcution Site
Other
percent
7.9
15.8
13.6
19.7
19.0
15.1
11.2
27.1
13.6
15.6
18.9
12.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Had HIV Test in Health Department
XII. HIV/AIDS & Sexual Behavior
16.2
17.3
26.0
15.4
23.7
18.1
26.4
18.9
17.0
22.2
15.1
15.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Health Professional Counseled About Preventing STDs
XII. HIV/AIDS & Sexual Behavior
20.0
16.2
23.3
23.6
25.4
20.7
13.9
21.4
21.3
21.7
21.4
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Condom Was Used Last Time Sexual Intercourse
XII. HIV/AIDS & Sexual Behavior
50.7
50.8
46.8
61.2
57.7
51.2
45.3
57.0
49.9
59.0
53.8
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Properly Used Condom Effective in Preventing HIV
XII. HIV/AIDS & Sexual Behavior
XIII. Healthy People 2010 Objectives(tracked by BRFSS data)
• Access to quality health services• Cancer• Heart disease and stroke• Immunizations and infectious diseases• Nutrition and overweight• Oral health• Physical activity and fitness• Substance abuse• Tobacco use
85.3
83.3
79.883.7
85.5
87.4
80.3
79.889.9
87.7
85.1
90.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Health Insurance Coverage*
XIII. HP 2010 Objectives
HP 2010 Target: 100%
*Adults < 65 yrs old
79.780.7
68.7
85.579.5
76.067.4
81.0
83.8
77.6
90.0
82.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Specific Source of On-going Medical Care*
XIII. HP 2010 Objectives
HP 2010 Target:
96%*Adults 18+ yrs old
31.7
43.1
32.843.0
47.7
50.6
48.744.1
60.5
46.3
47.7
44.1
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Fecal Occult Blood Test in Past 2 Years*
XIII. HP 2010 Objectives
HP 2010 Target:
50%
*Adults 50+ years old
47.3
47.6
44.548.6
52.260.3
50.244.4
62.6
45.6
58.659.0
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Received Colonoscopy Exam*
XIII. HP 2010 Objectives
HP 2010 Target:
50%
*Adults 50+ years old
73.8
75.1
65.980.6
76.0
75.868.4
78.9
84.6
81.2
76.377.4
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Blood Cholesterol Checked Past 5 Years*
XIII. HP 2010 Objectives: quality health care services
HP 2010 Target:
80%
*Adults 18+ years old
64.6
66.1
51.957.8
63.3
66.6
66.0
61.5
52.2
85.0
73.5
66.3
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Annual Flu Vaccine*
XIII. HP 2010 Objectives
HP 2010 Target:
80%*Adults 65+ years old
59.665.8
47.5
66.565.1
68.868.7
63.5
54.0
66.8
71.4
63.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Ever Received Pneumococal Vaccine*
XIII. HP 2010 Objectives
HP 2010 Target:
90%*Adults 65+ years old
22.1
23.1
19.3
18.726.0
21.917.7
22.419.5
22.1
21.3
19.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Reduce Obesity
XIII. HP 2010 Objectives
HP 2010 Target: reduce to 15%
*Adults 20+ years old
26.4
26.4
20.9
24.429.3
22.418.8
21.022.7
26.024.6
21.1
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Reduce No Leisure Time Physical Activity*
XIII. HP 2010 Objectives
HP 2010 Target: reduce to 20%
*Adults 18+ years old
24.1
20.4
24.1
29.819.1
28.1
29.8
26.6
24.3
21.9
19.4
20.2
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Vigorous Physical Activity/3 Times Week
XIII. HP 2010 Objectives
HP 2010 Target: 30%
*Adults 18+ years old
14.5
9.8
15.8
15.110.0
13.516.5
12.110.7
8.510.6
10.5
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Reduce Binge Drinking*
XIII. HP 2010 Objectives
HP 2010 Target: reduce to 6%
*Adults 18+ years old
22.7
25.7
21.9
34.327.4
18.224.5
26.530.7
24.121.0
19.9
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Reduce Cigarette Smoking
XIII. HP 2010 Objectives
HP 2010 Target: reduce to 12%
*Adults 18+ years old
5.6
5.8
7.17.0
4.27.2
7.75.7
3.5
4.5
6.4
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Meck lenburg
Wak e
Percent0 2 4 6 8 10 12 14 16 18 20
Reduce Cigar Smoking*
XIII. HP 2010 Objectives: quality health care services
HP 2010 Target: reduce to 1.2%
*Adults 18+ years old
XIV. Special Topics
• Alternative medicine• Skin Cancer• Osteoporosis prevention• Firearms• Sexual/physical assault• Birth defect prevention
19.9
17.0
19.2
25.9
24.0
15.5
27.5
17.2
23.7
31.1
17.6
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Used Medicinal Herbs, Such as Ginseng
XIV. Special Topics
8.9
7.6
14.3
3.4
9.3
6.5
13.7
4.2
9.2
4.3
7.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Tried to Get a Tan Using a Tanning Lamp
XIV. Special Topics
23.0
29.3
23.1
17.3
35.9
21.1
26.1
19.1
20.1
30.5
28.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Tried to Get a Tan from the Sun
XIV. Special Topics
30.1
23.8
31.6
26.4
35.5
37.3
32.4
32.4
31.4
31.0
29.8
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Always Protect Skin from Sun When Outdoors
XIV. Special Topics
21.7
26.6
19.2
17.0
38.4
15.3
26.9
18.5
13.9
28.2
25.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Sunburn in the Past Year
XIV. Special Topics
47.9
49.9
47.9
42.6
53.5
51.4
50.1
55.4
45.5
58.9
50.2
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
M ecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Take Vitamin Pills w/Calcium to Reduce Osteoporosis*
XIV. Special Topics
*Question asked of female respondents age 45 and older
31.7
41.3
40.8
42.9
20.9
32.5
27.4
34.6
32.5
30.1
22.1
24.7
US
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Firearms Kept in or Around Home
XIV. Special Topics
5.2
10.0
6.1
3.0
7.1
3.7
5.5
6.7
5.9
4.6
3.4
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Received Treatment for Substance Abuse Problem
XIV. Special Topics
14.2
19.9
13.4
18.2
17.2
12.6
16.8
15.1
15.8
10.6
15.3
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Family Member Received Tx for Substance Abuse
XIV. Special Topics
6.8
7.3
7.6
6.3
6.9
6.7
10.2
6.5
7.0
6.5
6.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 2 4 6 8 10 12 14 16 18 20
Ever Sexually Assaulted*
XIV. Special Topics
*Male and female respondents
17.5
32.7
22.6
14.2
23.7
16.9
22.8
19.3
16.9
15.6
15.9
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 5 10 15 20 25 30 35 40 45 50
Ever Physically Assaulted
XIV. Special Topics
41.4
47.4
45.9
49.4
38.6
27.9
60.5
32.1
47.1
52.2
44.5
NC
Onslow
Gaston
Durham
New Hanover
Cumberland
Buncombe
Forsyth
Guilford
Mecklenburg
Wake
Percent0 10 20 30 40 50 60 70 80 90 100
Believe Folic Acid Helps Prevent Birth Defects*
XIV. Special Topics
*Ages 18-44 included here
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