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Appendix B

Definitions of BRFSS Risk Factors
and Preventive Health Measures

 

AIDS Knowledge/Attitudes

            HIV Test – Respondents, age 18-64, who have never had a test for HIV

            infection.

 

            Chances of Getting HIV – Respondents, age 18-64, who believe that

            their chances of getting infected with HIV, the virus that causes AIDS, are

            medium or high.

 

            Teen Condom Use – Respondents, age 18-64, who would not encourage

            sexually active teenagers to use a condom.

Asthma

            Asthma Awareness – Respondents who report they were ever told by a

            doctor, nurse or other health professional that they had asthma.

 

            Childhood Asthma Awareness – Respondents who report that one or

            more children age 17 years and younger living in the household have

            been diagnosed with asthma.

Breast Exam

            Breast Exam (1) – Female respondents, age 18 and older, who report

            that they have never had a breast exam by a doctor.

 

            Breast Exam (2) – Female respondents, age 40 and older, who report

            that they have never had a breast exam by a doctor.

 

            Breast Exam Within 2 Years – Female respondents, age 50 and older,

            who report that they have not had a breast exam within the past two

            years.

Cardiovascular Disease

            Heart Attack or Myocardial InfarctionRespondents who report they

            were told by a doctor that they have had a heart attack or myocardial

            infarction.

 

            Stroke – Respondents who report they were told by a doctor that they

            have had a stroke.

Cervical Cancer

            Pap Smear (1) Female respondents, age 18 and older who report that

            they have never had a Pap smear. Year 2010 Objective – Target >=97%

            females age 18 and older who have had a Pap smear.

 

            Pap Smear, with Uterine Cervix (2) – Female respondents, with uterine

            cervix, age 18 and older, who report that they have never had a Pap

            smear.

 

            Pap Smear Within 3 Years – Female respondents, with uterine cervix,

            age 18 and older, who report that they did not have a Pap smear within

            the last three years.

Cholesterol Screening and Awareness

            Cholesterol Screening (1) – Respondents who have never had their

            cholesterol checked.

 

            Cholesterol Screening (2) – Respondents who have not had their

            cholesterol checked within the past five years. Year 2010 Objective -

            Target >= 80% who have had their cholesterol checked within the past five

            years.

 

            Cholesterol AwarenessRespondents who report that their cholesterol

            has been checked and they have been told their cholesterol is high by a

            health professional.

Clinical Breast Exam See Breast Exam

Colorectal Cancer Screening

            Sigmoidoscopy – Respondents, age 50 and over, who report they have

            never had a sigmoidoscopy or colonoscopy. Year 2010 Objective - Target

            >= 50% age 50 and over who have had a sigmoidoscopy/colonoscopy.

 

            Blood Stool Test – Respondents, age 50 and over, who report they have

            not used a home blood stool kit in the past two years.  Year 2010

            Objective - Target >= 50% age 50 and over who have had a blood stool

            test.

Diabetes

            Diabetes AwarenessRespondents who report they were ever told by a

            doctor that they have diabetes.  Year 2010 Objective - Target >= 80% of

            adults with diabetes whose condition has been diagnosed.

Drinking Status

            Current Drinkers – Respondents who report they had alcoholic

            beverages in the past month.

 

            Binge Drinking (Acute Drinking) – Respondents who report having had

            five or more drinks on an occasion, one or more times in the past month. 

            Year 2010 Objective - Target <=6% of adults engaging in binge drinking

            during the past month.

 

            Chronic Drinking – Respondents who report drinking 60 or more

            alcoholic beverages a month (men) or 30 or more alcoholic beverages a

            month (women).

 

            Drinking and Driving Respondents who report having driven after

            having too much to drink, one or more times in the past month.

 

Family Planning

 

            Contraceptive Use - Respondents (females less than age 45, males less

            than age 60) that do not use contraception to prevent an unintended

            pregnancy.  Year 2010 Objective – Target = 100%.

 

Firearms

 

            Firearms – Respondents who report that they have firearms in or around

            the home that are loaded and unlocked.  Year 2010 Objective – Target =

            16%.

 

Fruits and Vegetables

            Fruits and VegetablesRespondents who report they are not

            consuming five or more servings of fruits and vegetables a day. Year 2010

            Objective - Target >=75% who are consuming two or more servings of

            fruits a day.  Year 2010 Objective - Target >=50% who are consuming

            three or more servings of vegetables a day.

Health Insurance

            Health Insurance (1) Respondents age 18 and older who report they

            have no health care coverage.

 

            Health Insurance (2) Respondents age 18-64 years who report they

            have no health care coverage.  Year 2010 Objective - Target 100% having

            coverage.

Health Status

            Activities Limited – Mean number of days in the past 30 days when

            activities were limited among respondents reporting days when physical

            health or mental health was not good.

 

            Mental Health Not Good – Mean number of days in the past 30 days

            when mental health was not good as reported by respondents.

 

            Physical Health Not Good – Mean number of days in the past 30 days

            when physical health was not good as reported by respondents.

 

            Self-Reported Health Status – Respondents who report having a general

            health status of fair or poor.

Hypertension

            Hypertension AwarenessRespondents who report that their blood

            pressure has been checked and they have been told they have high blood

            pressure.

 

            Hypertension Screening - Respondents who report their blood pressure

            has not been checked within the past two years.

Immunization

            Flu Shot – Respondents, age 65 and older, who report that they did not

            have a flu shot within the past 12 months. Year 2010 Objective – Target

            >= 90% who have had a flu shot in the past 12 months.

 

            Pneumonia Vaccination – Respondents, age 65 and older, who report

            they have never had a pneumonia vaccination. Year 2010 Objective –

            Target >= 90% who have had a pneumonia vaccination.

Mammography

            Mammogram (1) Female respondents age 18 and older, who report that

            they have never had a mammogram.

 

            Mammogram (2) – Female respondents, age 40 and older, who report

            that they have never had a mammogram.

 

            Mammogram Within 2 Years – Female respondents, age 40 and older,

            who report that they did not have a mammogram within the past two

            years.

Mammography and Breast Exam

            Mammogram & Breast Exam Female respondents, age 40 and older,

            who report that they have never had a mammogram and a breast exam.

 

            Mammogram & Breast Exam Within 2 Years – Female respondents,

            age 50 and older, who report that they did not have a mammogram and a

            breast exam within the past two years. Year 2010 Objective – Target >=

            70% of women, age 50 and over, who have had a mammogram and a

            breast exam in the preceding two years.

Obesity

            Obesity: By Body Mass Index – Respondents with a body mass index

            (BMI) >= 30.0. BMI is defined as weight in kilograms divided by height in

            meters squared (w/h**2). Year 2010 Objective – Target   <=15% at or

            above the BMI level of 30.0. This should be interpreted with extreme

            caution since people tend to under-report their weight.  BRFSS may

            underestimate the prevalence of overweight and obesity.

 

Oral Health

 

            Permanent Teeth Loss - Respondents who report that they have not had

            permanent teeth removed because of tooth decay or gum disease.  Year

            2010 Objective – Target = 42%.

 

Overweight

 

            Overweight:  By Body Mass Index – Respondents with a body mass

            index (BMI) between 25.0 and 29.9.  BMI is defined as weight in kilograms

            divided by height in meters squared (w/h**2).  This should be interpreted

            with extreme caution since people tend to under-report their weight. 

            BRFSS may underestimate the prevalence of overweight and obesity.

Pap Smear  - See Cervical Cancer

Prostate Cancer Screening

 

            Digital Rectal Exam – Male respondents, age 40 years and older, who

            report they have never had a digital rectal exam.

 

            Prostate-Specific Antigen (PSA) test – Respondents, age 40 years and

            older, who report they have never had a PSA test.

Sigmoidoscopy  - See Colorectal Cancer Screening

Smoking Status

            Ever Smoked – Respondents who have smoked at least 100 cigarettes in

            their lifetime.

 

            Current Smoker – Respondents who have smoked 100 cigarettes in their

            lifetime and reported smoking everyday or some days. Year 2010

            Objective – Target <= 12% who smoke cigarettes.

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