National BRFSS Prevalence Summary Tables
Core 01: Health Status
C01.01 Would you say that in general your health is:
Core 02: Healthy Days—Health-Related Quality of Life
C02.01
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?
C02.02
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?
C02.03
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 03: Health Care Access
C03.01
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare, or Indian
Health Service?
C03.02
Do you have one person you think of as your personal doctor or health care
provider?
C03.03
Was there a time in the past 12 months when you needed to see a doctor but could
not because of cost?
C03.04
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 04: Exercise
C04.01
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 05: Inadequate Sleep
C05.01 On average, how many hours of sleep do you get in a
24-hour period?
Core 06: Chronic
Health Conditions
C06.01
Ever told you that you had a heart attack also called a myocardial infarction?
C06.02 Ever told you had angina or
coronary heart disease?
C06.03 Ever told you had a stroke?
C06.04 Ever told you had asthma?
C06.05 Do you still have asthma?
C06.06 Ever told you had skin cancer?
C06.07 Ever told you had any other types of
cancer?
C06.08 Ever told you have (COPD) chronic
obstructive pulmonary disease, emphysema or chronic bronchitis?
C06.09 Ever told you have some form of
arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
C06.10 Ever told you have a depressive
disorder including depression, major depression, dysthymia, or minor depression?
C06.11 Ever told you have kidney
disease? Do NOT include kidney stones, bladder infection or incontinence.
C06.12 Ever told you have diabetes?
C06.13 How old were you when you were told you have diabetes?
Core 07: Dental Visit
C07.01 How long has
it been since you last visited a dentist or a dental clinic? Include visits to
dental specialists, such as orthodontists.
C07.02 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.
Core 8: Demographics
C08.05 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? Active duty does not include
training for the Reserves or National Guard, but DOES include activation, for
example, for the Persian Gulf War.
C08.13 What county do you live in?
C08.20 Do you own or rent your
home?
C08.23 Are you
limited in any way in any activities because of physical, mental, or emotional
problems?
C08.24 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?
C08.25 Are you
blind or do you have serious difficulty seeing, even when wearing glasses?
C08.26 Because
of a physical, mental, or emotional condition, do you have serious difficulty
concentrating, remembering or making decisions?
C08.27 Do you
have serious difficulty walking or climbing stairs?
C08.28 Do you
have difficulty dressing or bathing?
C08.29 Because
of a physical, mental, or emotional condition, do you have difficulty doing
errands alone such as visiting a doctor's office or shopping?
Core 09: Tobacco Use
C09.01
Have you smoked at least 100 cigarettes in your entire life?
C09.02
Do you now smoke cigarettes every day, some days, or not at all?
C09.03
During the past 12 months, have you stopped smoking for one day or longer
because you were trying to quit smoking?
C09.04 How long has it been since you last smoked a
cigarette, even one or two puffs?
C09.05
Do you currently use chewing tobacco, snuff, or snus every day, some days, or
not at all? (Snus (Swedish for snuff) is a moist smokeless tobacco)
Core 10: Alcohol Consumption
C10.01
During the past 30 days, how many days did you have at
least one drink of any alcoholic beverage?
C10.02
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?
C10.03
Considering all types of alcoholic beverages, how many times during the past 30
days did you have 5 or more drinks for men or 4 or more drinks for women on an
occasion?
C10.04 During the past 30 days, what is the
largest number of drinks you had on any occasion?
Core 11: Immunization
C11.01 During the past 12 months, have you had
either a flu shot or a flu vaccine that was sprayed in your
nose?
C11.03
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??
C11.04 Have you ever had
the shingles or zoster vaccine?
Core 12: Falls
C12.01 In the past
12 months, how many times have you fallen? (Denominator is respondents who are
greater than 44 years of age.)
C12.02 In the past
12 months, how many times have you fallen? (Denominator is respondents who are
greater than 44 years of age and who had a fall in the past 12 months.)
Core 13: Seatbelt Use
C13.01 How often do you use seat belts when you drive or ride in a car?
Core 14: Alcohol
C14.01 During
the past 30 days, how many times have you driven when you have had perhaps too
much to drink?
Core 15: Mammogram
C15.01 A mammogram is an x-ray of each breast to look for breast cancer. Have
you ever had a mammogram?
C15.02 How long
has it been since you had your last mammogram?
C15.03 A clinical breast exam is when a doctor, nurse, or other health
professional feels the breast for lumps. Have you ever had a clinical breast
exam?
C15.04 How long has it been since your last breast exam?
C15.05 A Pap test is a test for cancer of the cervix. Have you ever had a Pap
test?
C15.06 How long has it been since you had your last Pap test?
C15.07 Have you ever had a hysterectomy?
Core 16: PSA testing
C16.01 Has a doctor, nurse, or other health professional EVER talked with you
about the advantages of the PSA test?
C16.02 Has a doctor, nurse, or other healthcare professional EVER talked with
you about the disadvantages of the PSA test?
C16.03 Has a doctor, nurse, or other healthcare professional EVER recommended
that you have a PSA test?
C16.04 Have you EVER HAD a PSA test?
C16.05 How long has it been since you had your last PSA test?
C16.06 What was the MAIN reason you had this PSA test - was it...?
Core 17: Blood Stool
C17.01
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 test
kit?
C17.02 How long has it been since you had your last blood stool test using a
home kit?
C17.03 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 those exams?
C17.04 Was your most recent exam a sigmoidoscopy or a colonoscopy?
C17.05 How long has it been since you had your last sigmoidoscopy or
colonoscopy?
Core 18: HIV
C18.01 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.
C18.03 Where did you
have your last HIV test - at a private doctor or HMO office, at a counseling and
testing site, in the emergency room, as an inpatient in a hospital, in a clinic,
in a jail or prison, at a drug treatment facility, at home, or somewhere else?
Calculated Variables and Risk Factors:
CLV01.01 Adults with good or better health
CLV03.01 Respondents aged 18-64 that have any form of health care coverage
CLV04.01 Adults that report doing physical activity or
exercise during the past 30 days other than their regular job
CLV06.01 Adults who have ever been told they have asthma
CLV06.02 Adults who have been told they currently have
asthma
CLV06.03
Computed asthma status
CLV06.04 Respondents that have had a doctor diagnose them
as having some form of arthritis
CLV07.01 Adults aged 18+ who have had permanent teeth
extracted
CLV07.02 Adults aged 65+ who have had all their natural
teeth extracted
CLV07.03 Adults who have visited a dentist, dental
hygienist or dental clinic within the past year
CLV08.18 Four-level categories of Body Mass Index (BMI)
CLV08.19 Adults who have a body mass index greater than
25.00 (overweight or obese)
CLV09.01 Four-level smoker
status: everyday smoker, someday smoker, former smoker, never smoked
CLV09.02 Adults who are current
smokers
CLV10.01 Adults who reported
having had at least one drink of alcohol in the past 30 days
CLV10.03 Binge drinkers (males
having five or more drinks on one occasion, females having four or more drinks
on one occasion)
CLV10.06 Heavy
drinkers (adult men having more than two drinks per day and adult women having
more than one drink per day)
CLV10.07 Adult men who are heavy drinkers (having more than two drinks per day)
CLV10.08 Adult women who are heavy drinkers (having more than one drink per day)
CLV11.01 Adults aged 65+ years who have had a flu shot
within the past year
CLV11.02 Adults aged 65+ years who have ever had a
pneumonia vaccination
CLV14.01 Always or nearly always
wear seat belts
CLV14.02 Always wear seat belts
CLV15.01
Women respondents aged 40+ that have had a mammogram in the past two years
CLV15.02
Women respondents aged 50+ that have had a mammogram in the past two years
CLV15.03
Women respondents ages 50-74 that have had a mammogram in the past two years
CLV15.04 Women respondents aged 18+ that have had a Pap
test in the past three years.
CLV15.05 Women respondents ages 21-65 that have had a Pap test in the past three
years
CLV16.01 Male respondents aged 40+ that have had a PSA test in the past two
years
CLV17.01 Respondents aged 50+ that have had a blood stool
test within the past two years
CLV17.02 Respondents aged 60-75 that have had a blood stool test
CLV17.03 Respondents aged 50 or older that have had a
sigmoidoscopy or colonoscopy
CLV17.04 Respondents aged 50-75 who have had a
colonoscopy in the past 10 years
CLV17.05 Respondents aged 50-75 who have had a blood
stool test within the past three years
CLV17.06 Respondents aged 50-75 who have had a
sigmoidoscopy within the past five years
CLV17.07
Respondents aged 50-75 who have had a blood stool test within the past 3 years
and a sigmoidoscopy within the past 5 years
CLV17.08
Respondents aged 50-75 who have fully met the USPSTF recommendation
CLV18.1 Adults who
have ever been tested for HIV
Module 01: Pre-Diabetes
M01.01 Have you had a test for high
blood sugar or diabetes within the past three years?
M01.02 Have you ever been told by a
doctor or other health professional that you have pre-diabetes or borderline
diabetes?
Module 02: Diabetes
M02.01
Are you now taking insulin?
M02.02
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.
M02.03
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.
M02.04
About how many times in the past 12 months have you seen a doctor, nurse, or
other health professional for your diabetes?
M02.05
About how many times in the past 12 months has a health
professional checked you for 'A one C'?
M02.06
About how many times in the past 12 months has a health professional checked
your feet for any sores or irritations?
M02.07
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.
M02.08
Has a doctor ever told you that diabetes has affected your eyes or that you had
retinopathy?
M02.9
Have you ever taken a course or class in how to manage your diabetes yourself?
Module 04: Health Care Access
M04.01 Do you have Medicare?
M04.02
What is the primary source of your health care coverage? Is it...
M04.03 Have you delayed getting needed medical care for any of the following
reasons in the past 12 months? Select the most important reason.
M04.04 In the past 12 months, was there any time when you did not have any
health insurance or coverage?
M04.05 About how long has it been since you last had health care coverage?
M04.06 How many times have you been to a doctor, nurse, or other health
professional in the past 12 months?
M04.07 Was there a time in the past 12 months when you did not take your
medication as prescribed because of cost? Do not include over-the-counter
medication.
M04.08 In general, how satisfied are you with the health care you received?
M04.09 Do you currently have medical bills that are being paid off over time?
Module 05: Alcohol?
M05.01
You told me that your last routine checkup was [within the past year/within the
past two years]. At that checkup, were you asked in person or on a form if you
drink alcohol?
M05.02 Did the
healthcare provider ask you in person or on a form how much you drink?
M05.03 Did the healthcare provider specifically ask wether you drank [5 for
men/4 for women] or more alcoholic drinks on an occasion?
M05.04 Were you offered advice about what level of drinking is harmful or risky
for your health?
M05.05 At your last routine checkup, were you advised to reduce or quit your
drinking?
Module 11: HPV Vaccination
M11.01 Have
you ever had the HPV vaccination?
M11.02 How many
HPV shots did you receive?
Module 16: Sexual Orientation
M16.01 Do you
consider yourself to be -
M16.02 Do you
consider yourself to be transgender?
Module 18: Childhood Asthma?
M18.01 Has a doctor,
nurse or other health professional ever said that the child has asthma?
M18.02 Does the
child still have asthma?
Appendices:
Appendix A
- Healthy
People 2020 in Indiana
Appendix B - 2014 Behavioral Risk Factor Surveillance Survey
Questionnaire
Back
to BRFSS Index