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Texas Behavioral Risk Factor Surveillance System (BRFSS). Turning Information Into Health. What We Do. Promote the use of objective health information for state and community decision making Decisions at all levels of public health from policy-making to what people do in their everyday lives. - PowerPoint PPT Presentation
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Texas Behavioral Risk Factor Surveillance System (BRFSS)
Turning Information Into Health
What We Do
• Promote the use of objective health information for state and community decision making
• Decisions at all levels of public health from policy-making to what people do in their everyday lives
What is BRFSS
• Monitors major health risks at the state, region, and county level
• All 50 states participate
• Data gathered from telephone interviews with thousands of adults using standardized methods
• Largest telephone survey in the world
BRFSS History
• Created in the early 1980s by CDC
• Fills need for state level data
• Expanded to all 50 states and four territories
• Began continuous operation in Texas in 1987
• Focus is shifting to the local level
• Administered through a state / federal partnership
Federal (CDC) Role
• Develop, test, and validate survey questions
• Distribute technical instructions to states and their contractors
• Provide resources, support, coordination, and training
State Role
• CDC calls us field operations
• Tailor survey to meet state and local needs
• Identify additional funding resources
• Oversee ongoing collection of data
• Disseminate data and analytical products
• Coordinate with stakeholders
Texas BRFSS Overview
• Only comprehensive statewide system for monitoring health risk factors, health practices, and chronic diseases among adult Texans
• Stakeholders from all levels of public health
• Addresses major Texas public health priorities
BRFSS Question Modules
• Tobacco use
• Physical activity, nutrition, and obesity
• Use of preventive health services
• Major chronic diseases
• HIV / AIDS
• Alcohol consumption
• Access to health care
• Health related quality of life
• Demographics
Statewide BRFSS: Scope
• 150 Questions (80 Core, 70 Optional)
• 20 – 25 minute interview
• 500 completed interviews per month
Statewide BRFSS: Timeline
• February – Input from State Coordinators
• March/April – Data release from previous year
• July/August – Release of draft questionnaire
• October – Survey documentation due to CDC
• November – Survey finalized
• December – Contract developed
• January – Survey goes into the field
Texas BRFSS Resources• Base funding from CDC cooperative agreement
– Core survey modules– Minimum sample size
• Funding from stakeholders – Add questions– Increase sample size– State and federal sources
• Staff Resources– 2 FTEs through Preventive Health Block Grant– Center for Health Statistics
Texas BRFSS Products
• Statewide BRFSS Survey
• Special point-in-time community surveys
• Data requests
• Texas Risk Factor Reports
• Website: http://www.cdc.gov/brfss
Overweight / Obesity RateAmong Texas AdultsBRFSS, 1990 – 2002
0
10
20
30
40
50
60
70
1990 1990 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Per
cent
BMI 25 and Over (Overweight)
BMI 30 and Over (Obesity)
Current Smoking Among Texas AdultsBy Age GroupBRFSS, 2002
24 24 25
13
0
10
20
30
18-29 30-44 45-64 65+
Per
cent
Ever Had a Sigmoidoscopy or ColonoscopyAdults Age 50 and Over
BRFSS, 2002
50
42
30
0
10
20
30
40
50
60
White African American Hispanic
Per
cen
t
Adults with No InsuranceTexas Vs. US
BRFSS, 1991 – 2002
0
10
20
30
40
1991 1992 1993 1994 1995 1996 1997 1988 1999 2000 2001 2002
Per
cent
Texas
US
Women Counseled About OsteoporosisBy Age Group
Texas Adults, Osteoporosis Survey, 2001
53
2535
0
20
40
60
80
18 to 29 30 to 44 45 to 55
Wei
ghte
d P
erce
nt
.
Percentage of Texas Adults Who Always Wear a Seatbelt
50
60
70
80
90
100
1995 1997 2002
Disability Indicators (Age & Gender Adjusted) With vs. Without Arthritis Texas Adults, BRFSS 2003
13
3
31
3735
15
0
10
20
30
40
50
60
With
With
out
With
With
out
With
With
out
Wei
ghte
d %
Needs Special Equipment
Limited in Activities Not employed (<65)
Obesity (Body Mass Index BMI >= 30)Potter vs. Randall County
BRFSS, 2002
25 26
16
0
10
20
30
Texas (2001) Potter Randall
Per
cent
Current SmokingPotter vs. Randall County
BRFSS, 2002
22
39
24
0
10
20
30
40
50
Texas (2001) Potter Randall
Per
cent
Potter & Randall counties differ statistically (P < 0.05)
No Mammogram in Past Two YearsWomen Age 40 and OlderPotter vs. Randall County
BRFSS, 2002
31
46
19
0
10
20
30
40
50
Texas (2000) Potter Randall
Per
cent
Potter & Randall counties differ statistically (P < 0.05)
BRFSS Contact Information
Jimmy Blanton, M.P.Aff.
Coordinator
512-458-7111 x6593
Program Websites: www.tdh.state.tx.us/chronicd/default.htm
www.cdc.gov/brfss
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