Table of Contents
Introduction:
Tables: C01Q01 Would you say that in general your health is ...Background
Goals and Objectives of the BRFSS
Questionnaire Design
Methodology
Interview Process and Quality Assurance Measures
Response Rates
Survey Limitations
Weighting of Data
National BRFSS Prevalence Summary
State Prevalence Rankings: BRFSS 2006
Core 2: Healthy Days -- Health-Related Quality of Life
C02Q01 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? 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? C03Q01 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? Core 4: Exercise Core 5: DiabetesC05Q01 Have you ever been told by a doctor that you have diabetes?
Module 4: DiabetesM04Q01 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. M04Q06 Have you ever had any sores or irritations on your feet that took more than four weeks to heal? 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"? 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? C06Q01 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. C06Q03 How long has it been since you had your teeth cleaned by a dentist or dental hygienist?Core 7: Cardiovascular Disease Prevalence
Has 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? C08Q01 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 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? C10Q01 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? C11Q12 What county do you live in?C11Q18 To your knowledge, are you now pregnant?
Core 12: Veteran’s Status Core 13: Alcohol Consumption 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? 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 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®. 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:
-You
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.
C16Q01 How often do you use seat belts when you drive or ride in a car? Would you say ...
Core 17: Drinking and Driving Core 18: Women’s Health C18Q02 How long has it been since you had your last mammogram? 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 C19Q02 How long has it been since you had your last PSA test? C19Q04 How long has it been since your last digital rectal exam? Core 20: Colorectal Cancer Screening C20Q02 How long has it been since you had your last blood stool test using a home kit? C20Q04 How long has it been since you had your last sigmoidoscopy or colonoscopy? C21Q01 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. C21Q04 Was it a rapid test where you could get your results within a couple of hours?Core 22: Emotional Support and Life Satisfaction
C22Q01 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 SelectionModule 3: Childhood Asthma Prevalence
M03Q01 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 PolicyM10Q01 Which statement best describes the rules about smoking inside your home?
M10Q02 While working at your job, are you indoors most of the time? M10Q04 Which of the following best describes your place of work’s official smoking policy for work areas?Module 14: Anxiety and Depression
M14Q01 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? 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? 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? Calculated Variables and Risk FactorsCV01 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 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) CV15 Calculated number of alcoholic beverages consumed per day (Computed total number of drinks per day) 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) 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. Appendices:Appendix A - Healthy People 2010 in Indiana
Appendix B - 2006 Behavioral Risk Factor Surveillance Survey Questionnaire