Table of Contents
Goals and Objectives of the BRFSS
Interview Process and Quality Assurance Measures
Weighting of Data
National BRFSS Prevalence Summary
State Prevalence Rankings: BRFSS 2006
Core 1: Health StatusC01Q01 Would you say that in general your health is ...
Core 2: Healthy Days -- Health-Related Quality of LifeC02Q01 Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good?
C02Q02 Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?C02Q03 During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?
Core 3: Health Care AccessC03Q01 Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?
C03Q02 Do you have one person you think of as your personal doctor or health care provider?C03Q03 Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
C03Q04 About how long has it been since you last visited a doctor for a routine checkup? A routine checkup is a general physical exam, not an exam for a specific injury, illness, or condition.Core 4: Exercise
C04Q01 During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?Core 5: Diabetes
C05Q01 Have you ever been told by a doctor that you have diabetes?Module 4: Diabetes
M04Q01 How old were you when you were told you have diabetes?M04Q02 Are you now taking insulin?
M04Q03 Are you now taking diabetes pills?M04Q04 About how often do you check your blood for glucose or sugar? Include times when checked by a family member or friend, but do not include times when checked by a health professional.
M04Q05 About how often do you check your feet for any sores or irritations? Include times when checked by a family member or friend, but do not include times when checked by a health professional.M04Q06 Have you ever had any sores or irritations on your feet that took more than four weeks to heal?
M04Q07 About how many times in the past 12 months have you seen a doctor, nurse, or other health professional for your diabetes?M04Q08 A test for "A one C" measures the average level of blood sugar over the past three months. About how many times in the past 12 months has a doctor, nurse, or other health professional checked you for "A one C"?
M04Q09 About how many times in the past 12 months has a health professional checked your feet for any sores or irritations?M04Q10 When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light.
M04Q11 Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?M04Q12 Have you ever taken a course or class in how to manage your diabetes yourself?
Core 6: Oral HealthC06Q01 How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists.
C06Q02 How many of your permanent teeth have been removed because of tooth decay or gum disease? Include teeth lost to infection, but do not include teeth lost for other reasons, such as injury or orthodontics.C06Q03 How long has it been since you had your teeth cleaned by a dentist or dental hygienist?
Core 7: Cardiovascular Disease PrevalenceHas a doctor, nurse, or other health professional ever told you that you had any of the following?
C07Q01 (Ever told) you had a heart attack, also called a myocardial infarction?
C07Q02 (Ever told) you had angina or coronary heart disease?C07Q03 (Ever told) you had a stroke?
Core 8: AsthmaC08Q01 Have you ever been told by a doctor, nurse, or other health professional that you had asthma?
C08Q02 Do you still have asthma?Core 9: Disability
C09Q01 Are you limited in any way in any activities because of physical, mental, or emotional problems?C09Q02 Do you now have any health problem that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?
Core 10: Tobacco UseC10Q01 Have you smoked at least 100 cigarettes in your entire life?
C10Q02 Do you now smoke cigarettes every day, some days, or not at all?C10Q03 During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?
Core 11: DemographicsC11Q12 What county do you live in?
C11Q18 To your knowledge, are you now pregnant?Core 12: Veteran’s Status
C12Q01 Have you ever served on active duty in the United States Armed Forces, either in the regular military or in a National Guard or military reserve unit?Core 13: Alcohol Consumption
C13Q01 During the past 30 days, have you had at least one drink of any alcoholic beverage such as beer, wine, a malt beverage, or liquor?C13Q02 During the past 30 days, how many days per week or per month did you have at least one drink of any alcoholic beverage?
C13Q03 One drink is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor. During the past 30 days, on the days when you drank, about how many drinks did you drink on the average?C13Q04 Considering all types of alcoholic beverages, how many times during the past 30 days did you have 5 or more (men) or 4 or more (women) drinks on an occasion?
C13Q05 During the past 30 days, what is the largest number of drinks you had on any occasion?Core 14: Immunization/Adult Influenza Supplement
C14Q01 A flu shot is an influenza vaccine injected into your arm. During the past 12 months, have you had a flu shot?C14Q02 During the past 12 months, have you had a flu vaccine that was sprayed in your nose? The flu vaccine sprayed in the nose is also called FluMist®.
C14Q09 A pneumonia shot or pneumococcal vaccine is usually given only once or twice in a person’s lifetime and is different from the flu shot. Have you ever had a pneumonia shot?C14Q10 Have you ever received the hepatitis B vaccine? The hepatitis B vaccine is completed after the third shot is given.
The next question is about behaviors related to Hepatitis B.C14Q11 Tell me if any of these statements is true for you. Do not tell me which statement or statements are true for you, just if any of them are:
have hemophilia and have received clotting factor concentrate.
-You are a man who has had sex with other men, even just one time.
-You have taken street drugs by needle, even just one time.
-You traded sex for money or drugs, even just one time.
-You have tested positive for HIV.
-You have had sex (even just one time) with someone who would answer "yes" to any of these statements.
-You had more than two sex partners in the past year.
Core 15: FallsC15Q01 The next questions ask about recent falls. By a fall, we mean when a person unintentionally comes to rest on the ground or another lower level. In the past 3 months, how many times have you fallen?
C15Q02 Did this fall cause an injury? /or/ How many of these falls caused an injury? By an injury, we mean the fall caused you to limit your regular activities for at least a day or to go see a doctor.Core 16: Seatbelt Use
C16Q01 How often do you use seat belts when you drive or ride in a car? Would you say ...Core 17: Drinking and Driving
C17Q01 During the past 30 days, how many times have you driven when you’ve had perhaps too much to drink?Core 18: Women’s Health
C18Q01 A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?C18Q02 How long has it been since you had your last mammogram?
C18Q03 A clinical breast exam is when a doctor, nurse, or other health professional feels the breasts for lumps. Have you ever had a clinical breast exam?C18Q04 How long has it been since your last breast exam?
C18Q05 A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?C18Q06 How long has it been since you had your last Pap test?
C18Q07 Have you had a hysterectomy?Core 19: Prostate Cancer Screening
C19Q01 A Prostate-Specific Antigen test, also called a PSA test, is a blood test used to check men for prostate cancer. Have you ever had a PSA test?C19Q02 How long has it been since you had your last PSA test?
C19Q03 A digital rectal exam is an exam in which a doctor, nurse, or other health professional places a gloved finger into the rectum to feel the size, shape, and hardness of the prostate gland. Have you ever had a digital rectal exam?C19Q04 How long has it been since your last digital rectal exam?
C19Q05 Have you ever been told by a doctor, nurse, or other health professional that you had prostate cancer?Core 20: Colorectal Cancer Screening
C20Q01 A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?C20Q02 How long has it been since you had your last blood stool test using a home kit?
C20Q03 Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams?C20Q04 How long has it been since you had your last sigmoidoscopy or colonoscopy?
Core 21: HIV/AIDSC21Q01 Have you ever been tested for HIV? Do not count tests you may have had as part of a blood donation. Include testing fluid from your mouth.
C21Q03 Where did you have your last HIV test -- at a private doctor or HMO office, at a counseling and testing site, at a hospital, at a clinic, in a jail or prison, at a drug treatment facility, at home, or somewhere else?C21Q04 Was it a rapid test where you could get your results within a couple of hours?
Core 22: Emotional Support and Life SatisfactionC22Q01 How often do you get the social and emotional support you need?
C22Q02 In general, how satisfied are you with your life?Module 1: Random Child Selection
Module 3: Childhood Asthma PrevalenceM03Q01 Has a doctor, nurse, or other health professional ever said that the child has asthma?
M03Q02 Does the child still have asthma?Module 10: Secondhand Smoke Policy
M10Q01 Which statement best describes the rules about smoking inside your home?M10Q02 While working at your job, are you indoors most of the time?
M10Q03 Which of the following best describes your place of work’s official smoking policy for indoor public or common areas, such as lobbies, restrooms, and lunchrooms?M10Q04 Which of the following best describes your place of work’s official smoking policy for work areas?
Module 14: Anxiety and DepressionM14Q01 Over the last 2 weeks, how many days have you had little interest or pleasure in doing things?
M14Q02 Over the last 2 weeks, how many days have you felt down, depressed, or hopeless?M14Q03 Over the last 2 weeks, how many days have you had trouble falling asleep or staying asleep or sleeping too much?
M14Q04 Over the last 2 weeks, how many days have you felt tired or had little energy?M14Q05 Over the last 2 weeks, how many days have you had a poor appetite or eaten too much?
M14Q06 Over the last 2 weeks, how many days have you felt bad about yourself or that you were a failure or had let yourself or your family down?M14Q07 Over the last 2 weeks, how many days have you had trouble concentrating on things, such as reading the newspaper or watching the TV?
M14Q08 Over the last 2 weeks, how many days have you moved or spoken so slowly that other people could have noticed? Or the opposite -- being so fidgety or restless that you were moving around a lot more than usual?M14Q09 Has a doctor or other healthcare provider ever told you that you had an anxiety disorder including acute stress disorder, anxiety, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, phobia, posttraumatic stress disorder, or social anxiety disorder?
M14Q10 Has a doctor or other healthcare provider ever told you that you have a depressive disorder including depression, major depression, dysthymia, or minor depression?Calculated Variables and Risk Factors
CV01 Calculated variable for health status (Health status calculated variable)CV02 Adults who report doing physical activity or exercise during the past 30 days other than their regular job (Leisure time physical activity calculated variable)
CV03 Risk factor for having had permanent teeth extracted.CV04 Adults aged 65+ who have had all their natural teeth extracted.
CV05 Adults who have visited a dentist, dental hygenist or dental clinic within the past year.CV06 Adults who have ever been told they have asthma (Lifetime asthma calculated variable)
CV07 Adults who have been told they currently have asthma (Current asthma calculated variable)CV08 Computed asthma status
CV09 Four-level smoker status: Every-day smoker, Some-day smoker, Former smoker, Non-smoker (Computed smoking status)CV10 Adults who are current smokers (Current smoking calculated variable)
CV12 Three categories of Body Mass Index (BMI) (Computed body mass index categories)CV13 Adults who have a body mass index greater than 25.00 (overweight or obese) (Overweight or obese calculated variable)
CV14 Binge drinkers (males having five or more drinks on one occasion, females having four or more drinks on one occasion) (Binge drinking calculated variable)CV15 Calculated number of alcoholic beverages consumed per day (Computed total number of drinks per day)
CV16 Calculated number of alcoholic beverages consumed per month (Computed total number of drinks per month)CV17 Heavy drinkers (adult men having more than two drinks per day and adult women having more than one drink per day) (Heavy alcohol consumption calculated variable)
CV18 Adult men who are heavy drinkers (having more than two drinks per day) (Adult men heavy alcohol consumption calculated variable)CV19 Adult women who are heavy drinkers (having more than one drink per day) (Adult women heavy alcohol consumption calculated variable)
CV20 Adults aged 65+ who have had a flu shot within the past year (Flu shot calculated variable)CV21 Adults aged 65+ who have ever had a pneumonia vaccination (Pneumonia vaccination calculated variable)
CV22 Always or nearly always wear seat belts calculated variable.CV23 Always wear seat belts calculated variable.
CV24 Women respondents aged 40+ who have had a mammogram in the past two years.CV25 Women respondents aged 50+ who have had a mammogram in the past two years.
CV26 Women respondents aged 18+ who have had a Pap test in the past three years.CV27 Male respondents aged 40+ who have had a PSA test in the past 2 years.
CV28 Respondents aged 50+ who have had a blood stool test within the past two years.CV29 Respondents aged 50 or older who have had a sigmoidoscopy or colonoscopy.
CV30 Adults aged 18-64 who have ever been tested for HIV (Ever been tested for HIV calculated variable)Appendices:
Appendix A - Healthy People 2010 in Indiana
ProgressAppendix B - 2006 Behavioral Risk Factor Surveillance Survey Questionnaire