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									  2004 Falls County Health Survey
Texas Behavioral Risk Factor Surveillance
           System (BRFSS)
  BRFSS Survey of Falls County:
    Introduction and Methods
The data presented in this report were gathered from telephone interviews with
residents of Falls County using a questionnaire and survey methods modeled
closely on the Texas Behavioral Risk Factor Surveillance System (BRFSS).
BRFSS surveys, administered through a federal state partnership, pose questions
relating to health status, personal health habits, and the use of preventive health
services. The surveys adhere to the highest scientific standards and yield data
that policymakers and public health professionals rely on to identify major health
risks, design interventions, set performance goals, and measure progress toward
those goals.
The final Falls county BRFSS dataset includes completed interviews with
approximately 326 non-institutionalized adult residents. All interviews were
conducted during August 2004.
Interview subjects were selected in two stages. First, telephone numbers for the
 geographic region were randomly called until a household was identified.
 Second, after contacting a household, one household member age 18 years or
 older was randomly selected for the interview.
     BRFSS Survey of Falls County:
     Introduction and Methods Cont.
Prior to analysis, the data were weighted to adjust for unequal probabilities of selection
among individuals who live in households with different numbers of telephones and
adults. The final data also were poststratified to account for unequal response rates
among members of various demographic groups. Weights for the number of adults and
telephones in a household were needed because we wanted to make statistically valid
inferences about individuals, but we were sampling telephone numbers. Demographic
poststratification was applied to make the final data more representative of Falls county.
The outcome of the weighting and poststratification process is that each record in the
database represents a known number of individuals in the Falls county population who
share selected household and personal characteristics with the respondent.

All statistical analyses included in this report were run on the weighted data using
SUDAAN software and are reported with 95 % confidence intervals.
       BRFSS Survey of Falls County:
       Introduction and Methods Cont.
Modern telephone survey methods have several advantages that make them a useful tool for
health policy makers, including a substantial degree of quality control made possible by
computer assisted telephone interviewing systems, their relatively low cost, and a high
speed of data collection. The methods used for BRFSS have been evaluated by the Centers
for Disease Control and Prevention (CDC) and participating states for nearly 20 years. The
content of survey questions, data collection procedures, and analytical techniques have been
carefully developed and refined to improve data quality and reduce the potential for bias.

However, BRFSS surveys are not without limitations. As with all telephone surveys, a
small number of households without working phones are excluded from the sample.
Moreover, BRFSS data are self-reported. Thus, respondents may have a tendency to under-
report behaviors that are socially undesirable, unhealthy, or illegal while over-reporting
desirable behaviors. Also, the accuracy of self-reported information often depends on the
ability of respondents to fully recall past behaviors and health screening results.
           Falls County Health Survey
      Demographic Distribution, Adults, 2004
                     (with 95% confidence intervals)
                                                                               95% CI
 Ge nde r Gr oup                   No                  %             Low e r             Uppe r
        M ale s                                      44.2               37.6               51.1
      Fe m ale s                                     55.8               48.9               62.4
        Tota l                    326              100.0              100.0              100.0


    Age gr oup
         18-44                                       49.8               43.2               56.4
         45-64                                       29.0               23.7               35.0
          65+                                        21.1               16.7               26.3
        Tota l                    323              100.0              100.0              100.0


    Race gr oup
        White                                        58.9               52.0               65.4
         Black                                       22.3               17.0               28.6
      His panic                                      16.2               11.4               22.5
        Othe r                                       2.6                1.2                5.6
        Tota l                    326              100.0              100.0              100.0

Note: Survey results (%) are weighted by county demographics and for the probability of selection
                          Falls County Health Survey
                     Health Risk Factors, Texas Adults, 2004
                                      (with 95% confidence intervals)
                                                                           Falls                              Texas
                                                                                 95% CI                              95% CI
Risk Factors                                               N       %       Low er         Upper     %         Low er      Upper
* General health only fair or poor                        325      26       21            32        20          19            22
5 or m ore days poor physical health                      303      21       16            28        19          18            21
5 or m ore days poor m ental health                       315      22       17            28        20          19            21
Days poor physical or m ental health kept you from
                                                          317      12       8             17
doing usual activities                                                                              11          10            12
No health coverage                                        324      27       22            34        27          25            28
Had routine checkup w ithin past year                     324      74       67            79        N/A
Lifetim e sm oking (sm oked 100 cigarettes in entire
life)                                                     324      37       31            43        41          39            42
Current sm oking                                          323      20       15            25        21          19            22
                                       1
Current use of sm okeless tobacco                         326      6        3             12         4          3             5
Binge drinking (5 or m ore drinks on at least one
                                                          323      11       7             16
occasion in past 30 days)                                                                           16          15            17
Told have Diabetes by a doctor                            326      10       7             15         8          7             9
* Told have high blood pressure by a health
                                                          325      33       27            39
professional1                                                                                       25          23            26
Had cholesterol checked w ithin past 5 years 1            307      70       64            76        69          67            70
Told have high cholesterol by a health professional1      257      32       26            40        34          33            36
Heart Disease 1                                           324      8        6             11         9          8             10
*Statistically Signaficant (p<0.05)
1
    Texas data from the 2003.

          Note: Survey results (%) are weighted by county demographics and for the probability of selection
                     Falls County Health Survey
               Health Risk Factors, Texas Adults, 2004
                                  (with 95% confidence intervals)
                                                                                 Falls                  Texas

                                                                                    95% CI                   95% CI

Risk Factors                                                          N     %    Low er   Upper   %    Low er     Upper
Overw eight (BMI betw een 25.0-29.9)                                  298   32    26         38   37    36            39
* Obesity (BMI >= 30)                                                 298   37    30         44   26    24            27
Overw eight or obesity (BMI>=25)                                      298   69    62         75   63    61            65
No flu shot in past 12 m onths (ages 65+)                             99    32    21         46   33    30            36
Visited a Dental or Dental Clinic Within the Past Year                319   52    45         60   61    60            63
No leisure tim e Physical Activity                                    326   35    29         42   26    25            28
Physical activity recom m endations:                                  300

 * Meets recommendations for moderate or vigorous physical activity         31    25         37
                                                                                                  44    43            46
 * Some physical activity but does not meet recommendations                 49    42         56   40    39            42

   No physical activity of at least 10 minutes duration                     20    15         27   16    14            17



*Statistically Signaficant (p<0.05)

  Note: Survey results (%) are weighted by county demographics and for the probability of selection
                    2004 Falls County Health Survey


               60
                           Reports only Fair or Poor General Health


               40
Weighted % .




               20
                                                             26
                           20


               0
                       Texas (2003)                        Falls
                     2004 Falls County Health Survey


               60
                    Reports 5 or More Days of Poor Physical Health in the Past 30 Days



               40
Weighted % .




               20

                                  19                                21

               0
                             Texas (2003)                         Falls
                    2004 Falls County Health Survey


               60
                    Reports 5 or More Days of Poor Mental Health in the Past 30 Days



               40
Weighted % .




               20
                                 20
                                                                  20

               0
                           Texas (2003)                         Falls
                    2004 Falls County Health Survey


               60
                                        No Health Coverage



               40
Weighted % .




               20
                             27
                                                              27


               0
                         Texas (2003)                        Falls
                     2004 Falls County Health Survey


               100
                              Had Routine Checkup Within Past Year
               80
Weighted % .




               60
                                                              74
                              67
               40


               20


                0
                          Texas (2000)                      Falls
                    2004 Falls County Health Survey


               60
                         Unable to Get Medical Care During Past 12 Months



               40
Weighted % .




               20



                               9                              11
               0
                         Texas (2002)                        Falls
                    2004 Falls County Health Survey


               60
                                  Ever Told Has High Blood Pressure



               40
Weighted % .




                                                             33
               20
                             25



               0
                         Texas (2003)                       Falls
                     2004 Falls County Health Survey


               100
                           Had Cholesterol Checked Within past 5 Years
               80
Weighted % .




               60
                                68                              70

               40


               20


                0
                          Texas (2003)                        Falls
                    2004 Falls County Health Survey


               60
                              Ever Told Has High Blood Cholesterol


               40
Weighted % .




               20            34
                                                             32


               0
                         Texas (2003)                      Falls
                    2004 Falls County Health Survey


               60

                                    Told Have Heart Disease
                     (Heart Attack, Angina or Coronary Heart Disease, or Stroke)

               40
Weighted % .




               20



                              9                                          8
               0
                      Texas (2003)                               Falls
                    2004 Falls County Health Survey


               60

                                Ever Told Has Diabetes


               40
Weighted % .




               20



                           8                              10
               0
                      Texas (2004)                       Falls
                    2004 Falls County Health Survey


               60
                       Overweight, Body Mass Index (BMI) Between 25.0-29.9


               40
Weighted % .




                               37
               20                                             32




               0
                         Texas (2004)                       Falls
                    2004 Falls County Health Survey


               60
                                Obesity, Body Mass Index (BMI) >=30


               40
Weighted % .




                                                           37
               20
                           26



               0
                       Texas (2004)                      Falls
                     2004 Falls County Health Survey


               100
                         Overweight or Obesity, Body Mass Index (BMI) >=25
               80
Weighted % .




               60
                                                             69
                              63
               40


               20


                0
                         Texas (2004)                      Falls
                     2004 Falls County Health Survey


               100
                              Lifetime Smoking
                      (Smoked 100 Cigarettes in Entire Life)
               80
Weighted % .




               60


               40

                                41
               20                                               37


                0
                         Texas (2004)                          Falls
                          2004 Falls County Health Survey


               60
                                                Current Smoking
                    (Smoked 100 Cigarettes in Entire Life & now Smokes Every Day or Some Days)


               40
Weighted % .




               20
                                    21
                                                                        20

               0
                              Texas (2004)                            Falls
                    2004 Falls County Health Survey


               60
                       Current Use of Smokeless Tobacco



               40
Weighted % .




               20

                                                                  6
                               4
               0
                      Texas (2004)                        Falls
                    2004 Falls County Health Survey


               60
                                       Binge Drinking
                      (5 or More Drinks on an Occasion in the Past 30 Days)


               40
Weighted % .




               20


                           16
                                                                 11
               0
                     Texas (2004)                              Falls
                     2004 Falls County Health Survey


               100
                            No Flu Shot During the Past 12 Months,
                                      65 years and older
               80
Weighted % .




               60


               40


               20
                            33                              33

                0
                        Texas (2004)                      Falls
                     2004 Falls County Health Survey


               100
                                  Leisure Time Physical Activity
               80
Weighted % .




               60
                            72
                                                            65
               40


               20


                0
                        Texas (2004)                       Falls
                     2004 Falls County Health Survey


               100
                            Meets Recommendations for Moderate
                               or Vigorous Physical Activity
               80
Weighted % .




               60


               40
                           44
               20
                                                         31
                0
                       Texas (2004)                    Falls
                     2004 Falls County Health Survey


               60
                        Does Some Physical Activity
                    but Does not Meet Recommendations


               40
Weighted % .




                                                          49
                                40

               20




               0
                          Texas (2004)                  Falls
                    2004 Falls County Health Survey


               60
                               Vision Only Fair or Poor


               40
Weighted % .




               20

                                                            27

                             NA
               0
                      Texas (2004)                        Fannin
                     2004 Falls County Health Survey


               100
                            Eyes Examined by Doctor Within the Past Year
               80
Weighted % .




               60


               40
                                                             53

               20

                             NA
                0
                         Texas (2004)                      Falls
                     2004 Falls County Health Survey


               100

                                  Visited Dentist in the Past Year
               80
Weighted % .




               60


               40
                             53
                                                                 53

               20


                0
                        Texas (2004)                           Falls
BRFSS Contact Information

    Jimmy Blanton, M.P.Aff., M.A.
             Coordinator
        512-458-7111 x6593
    jimmy.blanton@dshs.state.tx.us

         Program Website:
www.dshs.state.tx.us/chs/brfss/default.htm

								
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