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					             BRFSS
Behavioral Risk Factor Surveillance System

       2001 Wake County BRFSS Survey
                Results
                 State Center for Health Statistics
                     Division of Public Health
     North Carolina Department of Health and Human Services
         History of the BRFSS Survey
• Developed by the Centers for Disease Control and
  Prevention (CDC) and state health departments in the
  early 1980s in response to the need for:
  1. on-going assessment of adult health-risk behaviors and health
    practices;
  2. provision of state and regional (and now county) estimates for
    targeting high-risk groups.

• It is the largest and longest running telephone health
  survey in the world.
BRFSS in the U.S., 1984
BRFSS in the U.S., 1990
BRFSS in the U.S., 1994




                          Guam
                          Puerto Rico
                          Virgin Islands
The Expansion of the North Carolina 2001 BRFSS
• The annual sample size was increased from 2,000+
  respondents to 6,000+ respondents.

• Ten of the largest counties in North Carolina were
  oversampled to produce county-specific estimates
 (Buncombe, Cumberland, Durham, Forsyth, Gaston, Guilford, Mecklenburg,
 New Hanover, Onslow, Wake)


• The remaining counties were stratified into three regions
  of the state: Western, Piedmont, and Eastern. (Regional
 estimates do not include the respective oversampled counties.)


• The NC 2001 BRFSS contained close to 250 survey
  questions, nearly twice the number of any previous
  survey.
               Standard BRFSS
            Data Collection Methods

• Ongoing monthly telephone interviews using
  random digit dialing

• Computer-assisted telephone interviewing (CATI)

• Probability sampling of noninstitutionalized adults
  (18+ years) in households with telephones
              Weighting the BRFSS Data
• BRFSS data are directly weighted for the probability of
  selection of a telephone number, the number of adults
  (18+ yrs.) in a household, and the number of phones in a
  household.
• Additional weights are developed for non-coverage, i.e.
  households with no telephones, and for differences
  between the sample characteristics and the state
  population characteristics.
• A final weight is assigned to each respondent so that the
  weighted proportion and weighted number of respondents
  by sex, age, and race matches the state population.
              The BRFSS Questionnaire

• Standard Core Questions
   Required by CDC and asked every year by all participants.
• Rotating Core Questions
   Required by CDC and asked every other year by all participants.
• Emerging Core Questions
   Required by CDC and asked every one time by all participants.
• Optional Modules offered and supported by CDC
   Included if sponsored by state programs/agencies.
• State-Added Questions
   Developed by state programs/agencies that also sponsor them.
          Survey Topics on the NC 2001 BRFSS
Core Sections           Optional Modules          State-added
• Health status         • Oral health             • Substance abuse
• High Blood Pressure   • Tobacco indicators      • Health care coverage
• Cholesterol           • Heart attack/stroke     • Cardiovascular
• Asthma/Diabetes       • Cardiovascular            prevention
• Arthritis               disease                 • Cancer
• Immunization          • Diabetes care           • Osteoporosis
• Tobacco/alcohol use   • Fruits and vegetables   • Physical activity
• Firearms              • Folic acid              • Disability
• Demographics                                    • Family Planning
• Prostate/colorectal                             • Sexual behavior
• HIV/AIDs                                        • Sexual assault
     About this 2001 BRFSS Slide Presentation
• Objectives: (1) promote BRFSS data use and dissemination
  by North Carolina public health professionals; and (2) by
  mixing or selecting specific slides, presentations may be
  tailored or modified to suit the needs of the county/presenter.
• Talking points: slides include talking points to help with
  interpretation of the results and offer further explanations.
• Survey questions: for reference purposes, the BRFSS survey
  question(s) is quoted verbatim in the talking points.
• Nationwide data: for core topics, nationwide estimates
  (means) are provided for comparison.
• Calculations: only weighted data are presented and all
  “unknowns/refusals” are excluded from calculations.
   About this 2001 BRFSS Slide Presentation
                        (continued)
• Cautionary Notes:
  – These results need to be viewed as estimates and not the actual
    or true value of the outcome of interest.
  – With any estimate based on a random sample, there is a margin
    of error. For the 10 oversampled counties the margin of error is
    about 5% if the question was asked of all respondents. This
    means that we can expect the true value to lie somewhere
    between the sample estimate plus or minus 5 percent.
  – When county results are subset by age or race, for example, the
    margin of error increases as a function of the resulting smaller
    sample size.
  – Use caution when comparing the results across counties, as the
    margin of error may not be the same for all counties.
       Contents of Presentation
       I.      Sample size & demographics
       II.     Health care access
       III.    Chronic diseases
       IV.     Use of preventive health services
       V.      Oral health
       VI.     Cardiovascular Health
       VII.    Tobacco Use and Prevention
       VIII.   Health Risk Behaviors
       IX.     Physical activity
       X.      Health status & quality of life
       XI.     Family Planning
       XII.    HIV/AIDS & sexual behavior
       XIII.   BRFSS tracked HP2010 objectives
       XIV.    Special topics
Note: all results are based on weighted data
I. Sample Size & Demographics
              2001 BRFSS Sample Size

                     Number of               Number of
County or Region     Interviews County       Interviews

Buncombe                424    Guilford         418
Cumberland              429    Mecklenburg      431
Durham                  400    New Hanover      405
Forsyth                 457    Onslow           436
Gaston                  467    Wake             428

Western NC              619
Peidmont                670
Eastern NC              621

State Total            6,205
BRFSS 2001 Sample Demographic Characteristics
                 Wake County               North Carolina
                  N           %*             N      %*
Total            428          100          6,205    100
Sex
Male             179          53.0         2,382    47.8
Female           249          47.0         3,823    52.2
Race
White            322          71.7         4,698    74.3
Black            79           21.1         1,114    19.9
Other minority   21            7.2          264      5.8
Age
18-44 yrs.       259          66.2         2,994    51.9
45-64 yrs.       116          25.3         1,957    31.0
65+ yrs.         49            8.5         1,191    17.1

                   *weighted percentages
BRFSS 2001 Sample Demographic Characteristics
               (Continued)
                    Wake County             North Carolina
                       N             %*      N        %*
Education
< H.S.                 22            6.4     833     15.9
H.S./G.E.D.            91           23.3    1,860    33.0
Post H.S./College     311           70.3    3,480    51.1
Household Income
< $20,000              38           12.0    1,016    20.9
$20,000-$34,999        80           22.3    1,469    29.0
$35,000+              225           65.7    2,558    50.1
Employment
Employed              298           70.6    3,730    62.1
Retired                53            8.9    1,282    17.8
Other                  75           20.1    1,172    19.6
                    *weighted percentages
II. Health Care Access
•   Health insurance coverage
•   Cost of seeing a doctor
•   Usual source of care
•   Personal provider
•   Place of care
                   Health Insurance Coverage*
                                   Percent
               0   10   20    30    40       50   60   70   80     90     100

      Wake                                                      85.1
Mecklenburg                                                         90.4
    Guilford                                                      87.7
     Forsyth                                                        89.9
  Buncombe                                                   79.8
 Cumberland                                                  80.3
New Hanover                                                       87.4
    Durham                                                       85.5
     Gaston                                                    83.7
     Onslow                                                  79.8
                                                                         HP 2010
        NC                                                       83.3
        US                                                        85.3
                                                                         Target:
                                                                          100%
                             *Adults < 65 yrs old


                         XIII. HP 2010 Objectives
           Health Insurance Coverage by Race & Sex
                   North Carolina, 1991-2001
    100
     95
     90
P    85
e
r    80
c    75
e                          Whites
     70
n                          African Americans
t    65                    Males
     60                    Females
     55
     50
          1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

                           II Health Care Access
Health Insurance Coverage by Sex, Race, & Age:
         Wake and NC (adults <65 yrs. old)
    100
                      91.7          88.8                                      90.1 87.2
    90                       84.4          84.9                  83.1 81.0
          80.0 82.3                                       82.3
    80
p                                                  69.2
    70
e
r   60
c   50
e   40
n
t   30
    20
    10
      0
            Males     Females        Whites            Blacks    18-44 yrs.   45-64 yrs.

                                     Wake         NC



                                II. Health Care Access
Could not See a Doctor Due to Cost in Past Year
                                      Percent
                 0   2     4    6     8    10           12      14         16   18     20

        Wake                        6.9

  Mecklenburg                               8.6
      Guilford                        7.6

      Forsyth                             8.3

    Buncombe                                                        13.6

   Cumberland                                                12.4

  New Hanover                                                12.4

      Durham                                      9.8
       Gaston                                                                   17.5

      Onslow                              8.3



          NC                                            11.5




                         II. Health Care Access
           Has a Usual Source of Medical care*
                                          Percent
                    0   10    20     30     40      50   60   70      80       90   100

           Wake                                                     74.1
    Mecklenburg                                                        79.0
         Guilford                                                       80.0
         Forsyth                                                             86.4
      Buncombe                                                         77.8
     Cumberland                                                           82.7
    New Hanover                                                    71.7
         Durham                                                         80.1
          Gaston                                                       79.3
         Onslow                                                         80.2
                                                                                 HP 2010
             NC                                                       78.1       Target:
*includes clinic, health center, doctor’s office                                  96%



                              II. Health Care Access
          Has Personal Health Care Provider(s)*
                                          Percent
                 0     10     20     30     40       50   60   70     80        90    100

        Wake                                                           77.6
  Mecklenburg                                                             82.5
      Guilford                                                             83.8
       Forsyth                                                                 90.0
    Buncombe                                                             81.0
   Cumberland                                                  67.4
  New Hanover                                                         76.0
      Durham                                                            79.5
       Gaston                                                               85.5
       Onslow                                                  68.7

            NC                                                           80.7
            US                                                          79.7

*one or more persons regarded as a personal doctor


                                    II. Health Care Access
III. Chronic Diseases
  •   Arthritis
  •   Asthma
  •   Cancer
  •   Diabetes
  •   Disability
  •   High cholesterol
  •   High Blood
      Pressure
Arthritis
                   Doctor-Diagnosed Arthritis
                                         Percent
               0    5     10     15       20      25         30   35   40   45   50

      Wake                     11.5
Mecklenburg                       14.2
    Guilford                              18.5
    Forsyth                                  21.1
  Buncombe                                            25.2
 Cumberland                               18.7
New Hanover                                    21.1
    Durham                         15.1
     Gaston                                              28.0
    Onslow                                18.4

        NC                                       23.3
         US                                      23.0




                        III. Chronic Diseases: Arthritis
         Arthritis Prevalence by Sex, Race, & Age:
                       Wake and NC
    50
    45
    40                                                                                38.4
p   35
e                             28.7
r   30                                                                         27.3
                                             24.3
c   25                                                     22.1
e   20          17.4
n                      15.2
t   15                                12.2
          8.2                                                           9.4
    10                                               7.9
     5                                                            3.4

     0
            Males      Females         Whites            Blacks   18-44 yrs.    45+ yrs.

                                       Wake         NC


                                III. Chronic Diseases: Arthritis
          Chronic Joint Symptoms (CJS)
                                    Percent
               0   5     10    15    20       25      30   35   40   45   50

      Wake                        16.8
Mecklenburg                     14.8
    Guilford                          19.7
    Forsyth                           19.9
  Buncombe                                     24.5
 Cumberland                           19.5
New Hanover                             21.2
    Durham                           18.7
     Gaston                                23.0
    Onslow                           19.0

        NC                                22.1
         US                                22.6




                       III. Chronic Diseases: Arthritis
Total Arthritis (CJS and/or Doctor Diagnosed)
                                    Percent
               0   5    10     15    20       25      30        35       40   45   50

      Wake                                21.2
Mecklenburg                               21.3
    Guilford                                         27.4
    Forsyth                                              30.2
  Buncombe                                                        34.2
 Cumberland                                        26.4
New Hanover                                                30.9
    Durham                                         25.7
     Gaston                                                          35.8
    Onslow                                          27.1

        NC                                                   32.5
         US                                                   33.1




                   III. Chronic Diseases: Arthritis
  Currently Treated by a Doctor for Arthritis
                                   Percent
               0   10   20    30    40       50      60     70   80   90   100

      Wake                                           57.4
Mecklenburg                                46.5
    Guilford                                     54.5
    Forsyth                                  48.4
  Buncombe                                  46.8
 Cumberland                                          60.2
New Hanover                                         60.0
    Durham                                 45.7
     Gaston                                  48.7
    Onslow                                    49.3

        NC                                        51.5
         US                              41.6




                    III. Chronic Diseases: Arthritis
     Arthritis and Quality of Life: North Carolina
    50
    45
                            Arthritis
    40     38.0
p                           No Arthritis
    35
                                                    33.3
e
r   30
c   25
                                                                        18.8
e   20
n                              14.2
    15
t                 9.7                 9.9
    10                                                     7.5
                                                                               4.2
    5
    0
         Fair/poor health   Poor mental health Poor physical health Activity limitation
                             (8+ days/month)     (8+ days/month)     (8+ days/month)
Arthritis, Obesity and Physical Activity: North Carolina
      50
      45                   Arthritis
      40                   No Arthritis
  p          34.0                                 33.3
      35
  e
      30
  r
                                                          24.3
  c   25
  e                 19.5
      20
  n   15
  t
      10
      5
      0
               Obesity                 Engage in leisure physical activity
Asthma
               Ever Diagnosed with Asthma
                                  Percent
               0   2     4    6     8       10          12     14   16   18   20

      Wake                                9.1
Mecklenburg                        7.2
    Guilford                                     10.2
     Forsyth                                                 12.6
  Buncombe                                          11.2
 Cumberland                         7.5
New Hanover                                 9.7
    Durham                                        10.8
     Gaston                       6.8
     Onslow                                     10.1

        NC                                      10.1
        US                                         11.1




                   III. Chronic Diseases: Asthma
Asthma (ever had) Prevalence by Sex, Race, & Age:
                  Wake and NC
     20
     18
     16
 p   14
 e                                                     12.3
     12                     11.4
 r                                                                  10.8
          9.2                             9.7    9.8                       9.2 9.3
 c   10               8.9                                     9.1
                8.5                 8.5
 e   8
 n
 t   6
     4
     2
     0
            Males     Females       Whites           Blacks   18-44 yrs.   45+ yrs.

                                     Wake       NC



                              III. Chronic Diseases: Asthma
                       Currently Has Asthma
                                            Percent
               0   2      4         6           8         10   12   14   16   18   20

      Wake                                6.5
Mecklenburg                     5.3
    Guilford                      5.9
     Forsyth                                        8.0
  Buncombe                                6.5
 Cumberland                   4.5
New Hanover                               6.4
    Durham                                 6.8
     Gaston                         5.4
     Onslow                         5.5

        NC                                6.4
        US                                  7.2




                       III. Chronic Diseases: Asthma
Cancer
 Ever Diagnosed with Cancer (Age 40+)
                                    Percent
              0    2    4     6       8       10      12      14      16     18   20

      Wake                    5.8
Mecklenburg                               9.3
   Guilford                         7.0
    Forsyth                                   9.7
  Buncombe                                                        14.0
Cumberland                                                         14.5
New Hanover                                                12.4
    Durham                                                            15.6
     Gaston                                         10.8
    Onslow                                    9.6

        NC                                           11.3




             III. Chronic Diseases: Cancer
     Cancer Prevalence (Age 40+): North Carolina

    20
    18
    16
p   14
e
r   12
c   10
e   8
n
t   6
          4.1                      3.8                   4.2
    4                                             2.6
    2                0.8
    0
         Breast   Colorectal     Prostate         Skin   Other


                  III. Chronic Diseases: Cancer
Cancer (Age 40+) Prevalence by Sex, Race, & Age:
              Wake County & NC
     20                                                                           19.2 19.1
     18
     16
 p   14                                          12.9
 e                           11.6
 r   12         10.9
 c   10                8.6
 e   8                                     7.1                             6.6
 n                                                             5.4
 t   6
     4    2.3
     2                                                               1.6
                                                         0.0
     0
           Males       Females              Whites       Blacks      40-59 yrs.    60+ yrs.

                                           Wake         NC



                                    III. Chronic Diseases: Cancer
              Family History of Prostate Cancer*
                                             Percent
                   0     2       4     6         8      10        12      14      16   18   20

          Wake                                                            13.2
    Mecklenburg                                       8.7
        Guilford                                     8.4
         Forsyth                                                   12.0
      Buncombe                             6.3
     Cumberland                                           9.9
    New Hanover                                        9.1
        Durham                                             10.0
         Gaston                                                   11.5
         Onslow                                                          13.1

              NC                                                           13.7
              US                                                   12.0

* Asked of male respondents age 40+


                             III. Chronic Diseases: Cancer
Diabetes
                               Diabetes
                                            Percent
               0    2     4      6           8         10   12   14   16   18   20

      Wake                    4.6
Mecklenburg                    4.9
    Guilford                                7.3
     Forsyth                         5.9
  Buncombe                                  7.1
 Cumberland                                   7.7
New Hanover                    5.0
    Durham                             6.5
     Gaston                                      7.9
     Onslow                     5.2

        NC                                 6.9
        US                                 6.8




                   III. Chronic Diseases: Diabetes
            Prevalence of Diabetes by Race & Sex
                 North Carolina, 1990-2001
    20
    18
    16                         Whites
P   14                         African Americans
e                              Males
r   12                         Females
c   10
e
     8
n
t    6
     4
     2
     0
         1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                    Year

                        III. Chronic Diseases: Diabetes
        Diabetes Indicators: North Carolina & U.S.

                                                    North Carolina   Nationwide
                                                          %              %
Now taking insulin                                       28.7           26.7
Now taking diabetes pills                                65.7           66.8
Check blood for glucose (1 or more times/day)            55.0           53.2
Check feet for sores (1 or more times/day)               72.3           64.8
Had dilated eye exam in past year                        75.1           71.5
Ever diagnosed with retinopathy                          24.5           23.9
Diabetes onset before age 50                             46.3           48.2
Checked hemoglobin ‘A one C’(1 or more times/yr)         91.9           87.3
Feet checked by health professional (annual exam)        73.7           67.0
Ever taken diabetes management course                    54.8           51.3
Disability
        North Carolina’s Definition of Disability
A positive response to one or more of the following
screener questions:
      1. Are you limited in any activities because of
         physical, mental, or emotional problems?
      2. Do you now have any health problem that requires
         you to use special equipment, such as a cane or
         wheelchair, a special bed, or a special telephone?
      3. A disability can be physical, mental, emotional, or
         communication related. Do you consider yourself
         to have a disability?
      4. Because of any impairment or health problem, do
         you have any trouble learning, remembering, or
         concentrating?
Activity Limitation b/c Physical or Emotional Problems
                                     Percent
                   0   2   4    6     8        10     12        14     16      18   20

           Wake                                9.7
     Mecklenburg                                     11.0
        Guilford                                         12.2
         Forsyth                                                        16.0
       Buncombe                                                          16.3
     Cumberland                                                   14
     New Hanover                                                        15.8
         Durham                                            12.3
          Gaston                                                            16.6
         Onslow                                             12.8

             NC                                                        15.5




               III. Chronic Diseases: Disability
Health Problem that Requires Use of Special Equipment
                                                Percent
                  0       2     4        6         8      10   12   14   16   18   20

          Wake                 3.1
    Mecklenburg                         5.5
       Guilford                            6.2
        Forsyth                         5.4
      Buncombe                        4.8
    Cumberland                  3.6
    New Hanover                       4.7
        Durham                        4.8
         Gaston                        5.3
        Onslow                            6.1

            NC                               6.2




                      III. Chronic Diseases: Disability
                          Self-Perceived Disability
                                      Percent
              0       2     4     6     8       10    12      14         16     18   20

      Wake                                   9.4
Mecklenburg                                   9.8
   Guilford                                      10.7
    Forsyth                                                12.5
  Buncombe                                                               15.7
Cumberland                                                  13.0
New Hanover                                                        14.5
    Durham                                                 12.6
     Gaston                                                         15.0
    Onslow                                   9.3

        NC                                                        14.1




                  III. Chronic Diseases: Disability
          Trouble Learning and Remembering
                                 Percent
              0   2    4     6     8         10      12     14   16   18   20

      Wake                       6.8
Mecklenburg                                   10.0
   Guilford                                      11.0
    Forsyth                                      10.9
  Buncombe                                       10.9
Cumberland                             8.6
New Hanover                                          11.8
    Durham                             8.3
     Gaston                                   10.1
    Onslow                       6.8

        NC                                    10.1




                      III. Chronic Diseases: Disability
              Prevalence of Disability - Any Type
                                 Percent
              0   5   10   15     20          25      30   35   40   45   50

      Wake                      16.9
Mecklenburg                            20.2
   Guilford                            20.1
    Forsyth                                     25.8
  Buncombe                                       26.8
Cumberland                                    24.4
New Hanover                                   24.7
    Durham                               22.4
     Gaston                                        26.6
    Onslow                             20.7

        NC                                     25.3




                       III. Chronic Diseases: Disability
         Disability Prevalence by Sex, Race & Age:
                     Wake County & NC
    50
    45
    40                                          Wake           NC
p                                                                                         35.9
    35
e                                                                                  29.2
r   30                        26.9              25.6          24.2
                23.6
c   25
                                                       20.4
e                      19.0
    20                                   16.4                               15.2
n        15.0
    15
t                                                                    10.8
    10
    5
    0
          Males        Females             Whites      Blacks        18-44 yrs. 45+ yrs.




                              III. Chronic Diseases: Disability
Health, Employment, & Health Care Access among
Adults with Disabilities (18-64 yrs.): Wake County
                & North Carolina
     100
     90      83.1                                            82.3   84.2
                                              78.3 80.2
     80
 p
 e   70                        64.8                                         Wake
                    59.7
 r   60                               51.5
                                                                            NC
 c   50
 e   40
 n   30
 t   20
     10
      0
           Excellent-good     Employed       Has health ins. Has personal
               health                                         doctor(s)




                            III. Chronic Diseases: Disability
High cholesterol
                        High Cholesterol
                                   Percent
               0    5    10   15    20    25        30      35   40   45   50

      Wake                                     26.3
                                             24.9
    Guilford                                 24.8
                                               26.3
  Buncombe                                     26.5
                                                27.4
New Hanover                                     27.2
                                   18.2
     Gaston                                              31.3
                                             24.5

                                                    28.9
         US                                            30.9




                   III. Chronic Diseases: High Cholesterol
Prevalence of High Blood Cholesterol by Sex, Race,
          and Age: Wake County & NC
     50

     45                        Wake   NC
                                                                                  40.7   38.2
     40
 p   35
 e                         30.5               30.2
          26.3 27.1 26.3               26.5
     30
 r
                                                     24.1 24.4
 c   25
 e   20                                                          17.0 17.5
 n
     15
 t
     10

     5

     0
            Males    Females               Whites     Blacks         18-44 yrs.     45+ yrs.




                     III. Chronic Diseases: high blood cholesterol
         Prevalence of High Cholesterol by Race & Sex
                  North Carolina, 1990-2001*
    50
    45                              Whites
                                    African Americans
    40                              Males
P   35                              Females
e
r   30
c   25
e   20
n
t   15
    10
     5                            * Data not available for 1994, 1996, 1998, 2000.
     0
         1990   1991       1992        1993    1995          1997       1999         2001
                                          Year

                       III. Chronic Diseases: High Cholesterol
Cholesterol Checked Past Year among Adults with
             High Blood Cholesterol
                                       Percent
                   0   10    20   30    40   50   60   70    80       90         100

          Wake                                              75.0
    Mecklenburg                                                      84.8
        Guilford                                                       88.3
        Forsyth                                                           87.7
      Buncombe                                                        87.4
     Cumberland                                             75.5
    New Hanover                                                    81.6
        Durham                                                       85.4
         Gaston                                                      85.8
        Onslow                                              75.8

            NC                                                      84.5
             US                                                    82.1




                  III. Chronic Diseases: High Cholesterol
High Blood Pressure
                        High Blood Pressure

                                   Percent
               0   5    10    15    20       25      30    35     40    45   50

      Wake                         17.5
Mecklenburg                           19.8
    Guilford                                   26.8
     Forsyth                                      28.8
  Buncombe                                   25.3
 Cumberland                                    26.9
New Hanover                                23.9
    Durham                                23.8
     Gaston                                        29.8
     Onslow                              22.5
                                                                HP 2010 Target
         NC                                         27.2         (reduce to 16%)
         US                                       25.8




               III. Chronic Diseases: High Blood Pressure
         Prevalence of High Blood Pressure by Race & Sex
                    North Carolina, 1991-2000
    50
    45
    40                   Whites
                         African Americans
P   35                   Males
e                        Females
r   30
c   25
e
    20
n
t   15
    10                      * Data not available for 1994, 1996, 1998, 2000.
     5
     0
          1990    1991      1992       1993    1995          1997       1999   2001
                                          Year

                 III. Chronic Diseases: High Blood Pressure
Currently Taking Medicine for High Blood Pressure
                                       Percent
                  0    10    20   30    40       50   60   70      80     90   100

         Wake                                                     77.0
   Mecklenburg                                                71.4
       Guilford                                                 73.6
        Forsyth                                                  75.7
     Buncombe                                                  72.5
    Cumberland                                                70.8
   New Hanover                                                     78.5
        Durham                                                    76.8
         Gaston                                               71.3
        Onslow                                             66.6

            NC                                                    74.9
            US                                                  71.6




                  III. Chronic Diseases: High Blood Pressure
    Prevalence of High Blood Pressure by Demographic
      Characteristics: Wake County & North Carolina
    50.0
    45.0                                                              Wake               43.1

    40.0                                                     37.4     NC
p                                                                                 33.8
    35.0
e
                                 28.9
r   30.0
                  25.4                         25.3   23.8
c   25.0                  21.7
e   20.0
                                        15.1
n   15.0
           13.8
                                                                           12.4
t                                                                   8.9
    10.0
     5.0
     0.0
             Males          Females       Whites        Blacks      18-44 yrs.     45+ yrs.




                     III. Chronic Diseases: High Blood Pressure
IV. Preventive Health Care

  •   Prostate Cancer screening
  •   Colorectal Cancer screening
  •   Cholesterol screening
  •   Immunizations
Ever Had a PSA (Prostate-Specific Antigen) Test
                         (male respondents age 40+)
                                        Percent
                    0    10   20   30    40       50      60         70      80      90   100

           Wake                                           57.4
     Mecklenburg                                                63.8
         Guilford                                               63.1
         Forsyth                                                     67.8
       Buncombe                                        52.4
      Cumberland                                                             76.3
     New Hanover                                              59.6
         Durham                                                               78.4
          Gaston                                          57.4
          Onslow                                                      68.8

             NC                                                62.5
              US                                              60.5




                        IV. Preventive Health Care
     Ever Had a Digital Rectal Exam
                    (male respondents age 40+)
                                   Percent
               0    10   20   30    40       50   60     70      80       90      100

      Wake                                               67.8
Mecklenburg                                                     75.7
    Guilford                                                    75.2
    Forsyth                                                     74.9
  Buncombe                                             64.3
 Cumberland                                                             82.9
New Hanover                                                       78.0
    Durham                                                                 88.0
     Gaston                                              67.8
     Onslow                                                71.9

        NC                                                    71.6
         US                                                      76.3




                   IV. Preventive Health Care
         Ever Had a Blood Stool Test
                         (all respondents age 50+)
                                     Percent
               0    10     20   30    40       50      60       70     80   90   100

      Wake                                                  60.7
Mecklenburg                                                  61.6
    Guilford                                         54.3
    Forsyth                                                          73.4
  Buncombe                                          52.1
 Cumberland                                             57.8
New Hanover                                              60.2
    Durham                                            56.2
     Gaston                                         52.8
     Onslow                                44.4

        NC                                            55.1
         US                                44.6




                   IV. Preventive Health Care
           Ever Had a Colonoscopy Exam
                        (all respondents age 50+)
                                  Percent
               0   10   20   30    40       50     60       70   80   90   100

      Wake                                          58.6
Mecklenburg                                         59.0
    Guilford                            45.6
    Forsyth                                             62.6
  Buncombe                              44.4
 Cumberland                                 50.2
New Hanover                                          60.3
    Durham                                   52.2
     Gaston                               48.6
     Onslow                             44.5

        NC                               47.6
         US                              47.3




                    IV. Preventive Health Care
Ever Had Blood Cholesterol Checked
                         (all respondents age 18+)
                                     Percent
               0    10     20   30    40       50   60   70      80      90     100

      Wake                                                         80.4
Mecklenburg                                                        80.8
    Guilford                                                         84.5
    Forsyth                                                              86.5
  Buncombe                                                            81.3
 Cumberland                                               70.2
New Hanover                                                        79.2
    Durham                                                        78.1
     Gaston                                                          83.0
     Onslow                                                   72.5

        NC                                                        79.0
         US                                                      77.8




                   IV. Preventive Health Care
        Prevalence of Ever Having Blood Cholesterol
     Checked by Race & Sex, North Carolina 1990-2001*
    100
     95                  Whites
     90                  African Americans
                         Males
P    85                  Females
e
r    80
c    75
e
     70
n
t    65
     60
     55
                           * Data not available for 1994, 1998, 2000.
     50
          1990   1991   1992    1993    1995       1997      1999       2001
                                   Year


                          IV. Preventive Health Care
   Blood Cholesterol Checked in Past 5 Years
                           (all respondents age 18+)
                                    Percent
               0   10    20    30    40       50   60   70       80       90   100

      Wake                                                             76.3
Mecklenburg                                                             77.4
    Guilford                                                            81.2
     Forsyth                                                            84.6
  Buncombe                                                              78.9
 Cumberland                                              68.4
New Hanover                                                            75.8
    Durham                                                             76.0
     Gaston                                                             80.6
     Onslow                                             65.9
                                                                               HP 2010
        NC                                                      75.1           Target:
        US                                                     73.8
                                                                                80%




                        IV. Preventive Health Care
                   Had Flu Shot in Past 12 Months
                              (all respondents age 18+)
                                     Percent
               0     5   10     15    20       25   30      35     40   45   50

      Wake                                          27.4
Mecklenburg                                           29.9
    Guilford                                             31.8
    Forsyth                                                      36.6
  Buncombe                                           29.5
 Cumberland                                                      36.3
New Hanover                                          28.8
    Durham                                                       36.4
    Gaston                                             30.8
    Onslow                                            29.9

        NC                                             31.0
        US                                            30.1




                         IV. Preventive Health Care
     Prevalence of Having an Annual Flu Shot by Race
            & Sex, North Carolina, 1993-2001*
    50
    45          Whites
    40          African Americans
                Males
P   35
e               Females
r   30
c   25
e
    20
n
t   15
    10
     5
                                     * Data not available for 1994, 1996, 1998.
     0
         1993       1995            1997          1999       2000          2001
                                           Year

                        IV. Preventive Health Care
                   Ever Had a Pneumonia Shot
                         (all respondents age 18+)
                                       Percent
               0     5    10      15      20          25          30   35   40   45   50

      Wake                         15.0
Mecklenburg                         16.3
    Guilford                          17.1
    Forsyth                                            25.1
  Buncombe                                     20.5
 Cumberland                                                25.5
New Hanover                               18.4
    Durham                                18.4
     Gaston                                  21.0
     Onslow                        15.2

        NC                                     21.1
         US                                     21.9




                               IV. Preventive Health Care
Prevalence of Ever Having a Pneumonia Vaccination by
       Race & Sex, North Carolina 1993-2001*
    50
    45
    40                 Whites
P                      African Americans
    35                 Males
e
r   30                 Females
c   25
e
    20
n
t   15
    10
     5
                           * Data not available for 1994, 1996, 1998.
     0
         1993   1995          1997          1999         2000           2001
                                     Year

                       IV. Preventive Health Care
V. Oral Health

•   Dental insurance
•   Dental visits
•   Dental cleaning
•   Tooth loss
                   Dental Insurance Coverage

                                    Percent
               0    10   20    30    40       50      60          70   80   90   100

      Wake                                                  63.1
Mecklenburg                                                    67.6
    Guilford                                               61.7
    Forsyth                                                  65.8
  Buncombe                                     50.1
 Cumberland                                                60.8
New Hanover                                        53.8
    Durham                                                  63.2
     Gaston                                        53.4
    Onslow                                                    66.7

        NC                                         54.7




                              V. Oral health
Dental Insurance Coverage by Sex, Race, & Age:
         Wake County & North Carolina
    100
     90
                              Wake   NC
     80
p
     70   63.7                            64.0                      66.0 63.5
e                57.2 62.4                                   59.9
r    60                      52.5                53.6 53.0                      57.1
c    50                                                                                45.2
e    40
n
     30
t
     20
     10
      0
          Males       Females              Whites       Blacks      18-44 yrs. 45-64 yrs.




                                     V. Oral health
 Visited Dentist Past Year for Any Reason
                                   Percent
               0   10   20    30    40       50   60   70      80      90   100

      Wake                                                      80.0
Mecklenburg                                                    77.3
    Guilford                                                71.3
    Forsyth                                                   75.0
  Buncombe                                             68.4
 Cumberland                                               72.7
New Hanover                                            67.6
    Durham                                                71.1
     Gaston                                            66.8
    Onslow                                                   74.4

        NC                                              69.4




                             V. Oral health
                        Teeth Cleaned Past Year
                                   Percent
               0   10    20   30    40       50   60   70      80         90   100

      Wake                                                      78.9
Mecklenburg                                                    77.3
    Guilford                                            69.8
    Forsyth                                                        79.5
  Buncombe                                              70.1
 Cumberland                                                 72.3
New Hanover                                                  73.6
    Durham                                                   73.7
     Gaston                                                 71.9
    Onslow                                                    75.0

        NC                                                  71.0




                                   V. Oral health
                   All Permanent Teeth Extracted
                                              Percent
               0    2         4     6           8       10    12    14    16   18   20

      Wake              2.7
Mecklenburg                       4.9
    Guilford                              6.7
    Forsyth                                   7.2
  Buncombe                                              9.8
 Cumberland                             6.0
New Hanover                                     7.8
    Durham                                    7.0
     Gaston                                                        13.1
     Onslow                         5.6


        NC                                            9.1




                                               V. Oral health
VI. Cardiovascular Health
  • History of heart disease, High
    Blood Pressure, high cholesterol
  • Disease prevention
  • Knowledge of symptoms of
    heart attack, stroke
           History of Cardiovascular Disease*
                                         Percent
               0   2   4       6          8          10      12   14   16   18   20

      Wake             3.7
Mecklenburg                  5.1
    Guilford                                   8.4
    Forsyth                                   8.1
  Buncombe                           6.8
 Cumberland                         6.4
New Hanover                          6.9
    Durham                         6.1
     Gaston                                           10.0
     Onslow                    5.8


        NC                                     8.6

                                   *doctor-diagnosed heart attack, stroke, and/or angina


                           VI. Cardiovascular Health
       Ever Been Told* Blood Pressure is High
                                      Percent
                 0   5      10   15    20       25      30   35   40    45   50

        Wake                          17.5
  Mecklenburg                            19.8
      Guilford                                    26.8
      Forsyth                                        28.8
    Buncombe                                    25.3
   Cumberland                                     26.9
  New Hanover                                23.9
      Durham                                 23.8
       Gaston                                         29.8
       Onslow                               22.5
                                                                  HP 2010 Target
           NC                                         27.2         (reduce to 16%)
           US                                        25.8
* by health professional



                           VI. Cardiovascular Health
             Ever Told* Blood Cholesterol is High
                                      Percent
                  0   5    10    15    20    25        30      35   40   45   50

          Wake                                    26.3
    Mecklenburg                                 24.9
       Guilford                                 24.8
        Forsyth                                   26.3
      Buncombe                                    26.5
    Cumberland                                     27.4
   New Hanover                                     27.2
        Durham                        18.2
        Gaston                                              31.3
        Onslow                                  24.5

            NC                                         28.9
            US                                            30.9
* by health professional



                           VI. Cardiovascular Health
Eating Less Fat Foods to Lower Risk of Heart Disease
                                      Percent
                  0   10    20   30    40       50   60     70      80       90   100

         Wake                                             64.6
   Mecklenburg                                                 71.9
       Guilford                                             66.9
       Forsyth                                                   71.0
     Buncombe                                                        77.3
    Cumberland                                            63.3
   New Hanover                                             65.5
       Durham                                                         79.2
        Gaston                                            64.4
       Onslow                                             65.3

           NC                                               67.5




                           VI. Cardiovascular Health
More Active to Lower Risk of Heart Disease

                                  Percent
               0   10   20   30    40       50   60     70      80       90   100

      Wake                                            64.4
Mecklenburg                                                71.9
    Guilford                                            66.9
    Forsyth                                                  71.0
  Buncombe                                                       77.3
 Cumberland                                           63.3
New Hanover                                            65.5
    Durham                                                        79.2
     Gaston                                           64.4
    Onslow                                            65.3

        NC                                              67.5




                        VI. Cardiovascular Health
Told by Health Professional to Eat Less Fat Foods

                                        Percent
                  0   5      10    15    20       25          30          35     40   45   50

         Wake                                            27.8
   Mecklenburg                                              30.3
       Guilford                                                30.1
       Forsyth                                    24.4
     Buncombe                                     24.4
    Cumberland                                                            33.9
   New Hanover                                    23.9
       Durham                                                      31.1
        Gaston                                         25.5
       Onslow                                      24.9

           NC                                                      30.4




                          VI. Cardiovascular Health
Told by Health Professional to Eat more Fruits & Veggies
                                      Percent
                    0   5   10   15    20       25     30       35          40     45   50

           Wake                                               33.0
     Mecklenburg                                             32.1
         Guilford                                             33.2
         Forsyth                                       28.3
       Buncombe                                         29.5
      Cumberland                                                                 41.5
     New Hanover                                            30.8
         Durham                                                    34.4
          Gaston                                         30.1
         Onslow                                 24.3

             NC                                                      35.4




                            VI. Cardiovascular Health
Told by Health Professional to be More Active
                                 Percent
               0   5   10   15    20       25    30     35       40     45   50

      Wake                                                       38.7
Mecklenburg                                               34.2
    Guilford                                                     38.1
    Forsyth                                        30.7
  Buncombe                                        29.7
 Cumberland                                                    37.3
New Hanover                                      29.1
    Durham                                                   35.9
     Gaston                                             33.8
    Onslow                                      27.7

        NC                                                   35.8




                       VI. Cardiovascular Health
    Take Aspirin Daily or Every Other Day*
                                   Percent
               0   5    10    15    20       25      30      35         40     45   50

      Wake                                23.3
Mecklenburg                              22.7
    Guilford                                                     34.5
    Forsyth                                                  33.6
  Buncombe                                           29.0
 Cumberland                                                             38.7
New Hanover                                                  33.6
    Durham                                                      35.7
     Gaston                                   24.5
    Onslow                                                31.1

        NC                                            30.1

                                                  * Adults age 35+


                       VI. Cardiovascular Health
  Percent Who Recognized Signs & Symptoms of a
       Heart Attack : Wake & North Carolina

                                                                            87.4
arms or shoulder pain
                                                                           85.9


                                                                             89.9
  shortness of breath
                                                                                  92.3


                                                                                    95.6
           chest pain
                                                                                     97.0


        feeling weak,                                          67.8
         lightheaded                                          65.5

                        0   10    20    30    40    50   60    70     80    90       100

                                       Wake        NC



                                 VI. Cardiovascular Health
Percent Who Recognized Signs & Symptoms of a
        Stroke : Wake & North Carolina

   severe headache / no                                                     68.4
       known cause                                                            70.4


sudden numbness/face,                                                                               93.3
       arm, leg                                                                                    92.0


sudden trouble seeing in                                                     69.5
   one or both eyes                                                                73.4


sudden trouble walking /                                                                    87.8
      dizziness                                                                             86.8

                           0.0   10.0   20.0   30.0   40.0   50.0   60.0   70.0      80.0   90.0      100.0

                                               Wake          NC



                   VI. Cardiovascular Health: knowledge of symptoms
VII. Tobacco Use and Prevention
      •   Smoking status
      •   Smokeless tobacco use
      •   Quit smoking
      •   Medical care for smokers
      •   Cigar smoking
      •   Prevention
    Smoked at Least 100 Cigarettes in Lifetime
                                  Percent
               0   10   20   30    40       50        60       70   80   90   100

      Wake                              43.6
Mecklenburg                             42.7
    Guilford                             45.2
    Forsyth                                 49.0
  Buncombe                                            55.9
 Cumberland                             43.1
New Hanover                                       54.5
    Durham                        36.9
     Gaston                                    49.4
     Onslow                                             59.8

        NC                                 49.6
         US                               47.2




                         VII. Tobacco Use and Prevention
                   First Smoked at Age 16 or Younger
                                     Percent
               0     10    20   30    40       50   60      70          80      90   100

      Wake                                                       72.3
Mecklenburg                                                  70.4
    Guilford                                                     70.9
    Forsyth                                                       73.2
  Buncombe                                                   69.9
 Cumberland                                                  69.4
New Hanover                                                 68.6
    Durham                                                               79.2
     Gaston                                                        74.0
     Onslow                                          60.1


        NC                                                   70.0




                          VII. Tobacco Use and Prevention
First Started Smoking Regularly: North Carolina

    50
    45
    40
p                                                         34.2
    35
e
r   30
                                 24.1         24.9
c   25
e   20
n                  12.9
    15
t
    10
         3.9
    5
    0
         Never   Age 14 or     Age 15-16    Age 17-18   Age 19 or
                 younger                                  older


                 VII. Tobacco Use and Prevention
                      Current smokers* (age 18+)
                                     Percent
                  0   5    10   15    20       25          30          35     40   45   50

         Wake                            21.9
   Mecklenburg                         19.9
       Guilford                         21.0
       Forsyth                                 24.1
     Buncombe                                                   30.7
    Cumberland                                       26.5
  New Hanover                                  24.5
       Durham                        18.2
        Gaston                                        27.4
        Onslow                                                         34.3

           NC                                       25.7
            US                              22.7



*includes everyday and occasional smokers

                          VII. Tobacco Use and Prevention
             Prevalence of Smoking by Race & Sex,
                   North Carolina, 1990-2001
    50
    45
    40
P   35
e
r   30
c   25
e
    20                      Whites
n
t   15                      African Americans
                            Males
    10                      Females
     5
     0
         1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                    Year

                         VII. Tobacco Use and Prevention
         Current Smoker by Sex, Race, & Education:
              Wake County & North Carolina
    50
    45
    40                         Wake     NC
p   35
                                                                  33.8 33.1
e                28.6
r   30    26.6                               26.5   25.2
c   25                         23.1                        21.7
e                                     19.6                                           18.7
    20                  16.6                                                  16.6
n
t   15
    10
    5
    0
            Males        Females        Whites        Blacks      <= H.S.       H.S.+




                         VII. Tobacco Use and Prevention
     Smoking Status (all respondents): Wake County,
              North Carolina, & US
                                  21.3
 Smoke everyday              16.5
                              17.1

                      4.5
Smoke some days        5.4
                       5.7

                                     23.8
  Former smoker                    21.5
                                     24.5

                                                       50.4
   Never smoked                                               56.6
                                                           52.8

                  0     10    20         30   40      50       60    70   80   90   100

                                         US    Wake           NC



                         VII. Tobacco Use and Prevention
                   Quit Smoking One Day or Longer
                                   Percent
               0    10   20   30    40       50     60        70   80   90   100

      Wake                                             60.6
Mecklenburg                                           60.4
    Guilford                                      54.3
    Forsyth                              41.3
  Buncombe                                            60.1
 Cumberland                                           59.5
New Hanover                                            60.4
    Durham                                          57.4
     Gaston                                           59.1
     Onslow                                       53.5

        NC                                         55.8
         US                                        55.8




                     VII. Tobacco Use and Prevention
     Prevalence of Quit-Smoking Attempts by Race &
             Sex, North Carolina, 1990-2001
    100
     90
     80
P    70
e
r    60
c    50
e
     40
n
     30                                       Whites
t
                                              African Americans
     20                                       Males
     10                                       Females
      0
          1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                     Year

                         VII. Tobacco Use and Prevention
Regular Smokers* Who Received Medical Care in Past Year
                                          Percent
                      0   10    20   30    40       50      60          70       80     90     100

             Wake                                        52.2
       Mecklenburg                                                       69.7
           Guilford                                             58.7
           Forsyth                                                                      87.6
         Buncombe                                                61.7
        Cumberland                                                             73.9
       New Hanover                                                            73.1
           Durham                                                       66.8
            Gaston                                                     65.2
            Onslow                                          58.1


               NC                                                      65.7 *smoked regularly within
                                                                               the past year



                               VII. Tobacco Use and Prevention
      Ever Used Smokeless Tobacco Products
                                    Percent
               0   5   10    15      20      25      30    35    40   45   50

      Wake                            19.5
Mecklenburg                           19.9
    Guilford                 13.6
    Forsyth                  14.4
  Buncombe                                    23.8
 Cumberland                                21.9
New Hanover                         17.8
    Durham             8.7
     Gaston                         17.9
     Onslow                                               32.2


        NC                           19.2




                       VII. Tobacco Use and Prevention
                             Smokeless Tobacco User
                                                   Percent
               0         2         4          6         8     10   12   14   16   18   20

      Wake                   2.3
Mecklenburg                  2.2
    Guilford                            4.5
    Forsyth         1.0
  Buncombe                              4.5
 Cumberland                            4.1
New Hanover                        3.9
    Durham         0.6
     Gaston                                       6.6
     Onslow                                             7.7


        NC                               4.9




                         VII. Tobacco Use and Prevention
                        Ever Smoked a Cigar
                                    Percent
               0   10   20   30      40         50     60   70   80   90   100

      Wake                                      48.6
Mecklenburg                         34.8
    Guilford                       34.2
    Forsyth                   30.7
  Buncombe                               38.5
 Cumberland                        34.0
New Hanover                        34.3
    Durham                        31.4
     Gaston                         35.4
     Onslow                                     48.3


        NC                               38.2




                   VII. Tobacco Use and Prevention
Smoking Not Allowed Anywhere in the Home
                                  Percent
               0   10   20   30    40       50    60       70          80    90   100

      Wake                                                            76.1
Mecklenburg                                                    68.7
    Guilford                                            63.6
    Forsyth                                      55.5
  Buncombe                                                     68.9
 Cumberland                                                    68.9
New Hanover                                                      72.6
    Durham                                                            75.1
     Gaston                                        59.8
     Onslow                                               65.8


        NC                                              62.1




                   VII. Tobacco Use and Prevention
 Smoking Not Allowed in the Workplace, Both
      Common Areas and Work Areas*
                                        Percent
                    0    10   20   30    40       50   60   70      80         90      100

           Wake                                                         79.4
     Mecklenburg                                                           83.9
         Guilford                                                       79.9
         Forsyth                                                 72.3
       Buncombe                                                           83.7
      Cumberland                                                                89.6
    New Hanover                                                   74.8
         Durham                                                                 89.5
          Gaston                                                    77.5
          Onslow                                                          83.5


             NC                                                   74.8



*asked of respondents who reported working indoors

                        VII. Tobacco Use and Prevention
VIII. Health Risk Behaviors
      •   Overweight
      •   Cholesterol not checked
      •   Smoking
      •   Binge/heavy drinking
      •   Physical inactivity
                               Overweight
                                     Percent
               0     5    10    15    20       25   30   35       40      45   50

      Wake                                                 34.8
Mecklenburg                                                       38.2
    Guilford                                               35.0
    Forsyth                                                35.4
  Buncombe                                               33.2
 Cumberland                                                      37.3
New Hanover                                                      37.7
    Durham                                                        38.5
     Gaston                                                     36.8
     Onslow                                                        39.7

        NC                                                    35.9
         US                                                    37.1




                   VIII. Health Risk Behaviors
          Prevalence of Overweight by Race & Sex,
                 North Carolina, 1990-2001
    50
    45
    40
P   35
e
r   30
c   25
e
    20                           Whites
n
    15                           African Americans
t
                                 Males
    10                           Females
     5
     0
         1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                    Year

                         VIII. Health Risk Behaviors
                                  Obesity
                                  Percent
               0   5   10   15     20      25      30   35   40   45   50

      Wake                         19.2
Mecklenburg                        18.9
    Guilford                         20.6
    Forsyth                           21.6
  Buncombe                          19.2
 Cumberland                            21.4
New Hanover                      16.9
    Durham                            20.7
     Gaston                                      26.5
     Onslow                       18.3

        NC                                22.9
         US                              21.6




                       VIII. Health Risk Behaviors
             Prevalence of Obesity by Race & Sex,
                  North Carolina, 1990-2001
    50
    45               Whites
    40               African Americans
P                    Males
    35               Females
e
r   30
c   25
e
    20
n
t   15
    10
     5
     0
         1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                    Year


                          VIII. Health Risk Behaviors
                   Cholesterol Never Checked
                                   Percent
               0   5    10    15       20      25   30       35   40   45   50

      Wake                              20.0
Mecklenburg                            19.3
    Guilford                    15.6
    Forsyth                   13.6
  Buncombe                           18.7
 Cumberland                                           30.3
New Hanover                                 21.0
    Durham                                   22.1
     Gaston                        17.1
     Onslow                                         28.0

        NC                                  21.2
         US                                  22.5




                   VIII. Health Risk Behaviors
    Prevalence of Never Having Cholesterol Checked by
         Race & Sex, North Carolina, 1990-2001*
    50
    45
    40
P   35
e
r   30
c   25
e                      Whites
    20
n                      African Americans
t   15                 Males
    10                 Females
     5
                            * Data not available for 1994, 1996, 1998, 2000.
     0
         1990   1991    1992     1993    1995        1997      1999      2001
                                    Year

                   VIII. Health Risk Behaviors
                                     Smoking*
                                     Percent
               0   5      10    15    20     25     30       35         40   45   50

      Wake                               21.9
Mecklenburg                            19.9
    Guilford                            21.0
    Forsyth                                 24.1
  Buncombe                                                30.7
 Cumberland                                      26.5
New Hanover                                    24.5
    Durham                           18.2
     Gaston                                        27.4
     Onslow                                                      34.3

        NC                                      25.7
         US                                 22.7



  *includes everyday and occasional smokers
                       VIII. Health Risk Behaviors
             Prevalence of Smoking by Race & Sex,
                   North Carolina, 1990-2001
    40
    35

P   30
e   25
r
c   20
e
n   15                      Whites
t                           African Americans
    10                      Males
                            Females
     5
     0
         1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
                                    Year

                          VIII. Health Risk Behaviors
                           Binge Drinking
                                 Percent
               0   2   4     6    8         10      12          14      16         18   20

      Wake                                                                  15.8
Mecklenburg                                      10.5
    Guilford                                     10.6
    Forsyth                           8.5
  Buncombe                                        10.7
 Cumberland                                              12.1
New Hanover                                                                   16.5
    Durham                                                      13.5
     Gaston                                  10.0
     Onslow                                                            15.1

        NC                                  9.8
         US                                                          14.5




                   VIII. Health Risk Behaviors
                                  Heavy Drinking
                                              Percent
               0   2        4           6      8     10   12   14   16   18   20

      Wake                            4.9
Mecklenburg                           4.9
    Guilford                            5.4
    Forsyth                      4.2
  Buncombe                       4.1
 Cumberland               3.0
New Hanover                                        8.9
    Durham             2.0
     Gaston               2.8
     Onslow                     3.8

        NC                       4.1
         US                            5.2




                   VIII. Health Risk Behaviors
                        Physically Inactive
                                 Percent
               0   2   4     6    8    10     12      14    16          18      20

      Wake                                         12.3
Mecklenburg                                                15.1
    Guilford                                                             17.9
    Forsyth                                                 15.6
  Buncombe                                                     16.6
 Cumberland                                        12.3
New Hanover                                                      16.2
    Durham                                  10.8
     Gaston                                                             17.6
     Onslow                                                  15.8

        NC                                                      16.9
         US                                                  15.9




                   VIII. Health Risk Behaviors
        No Leisure Time Physical Activity

                                  Percent
               0   5    10   15    20      25         30       35   40   45   50

      Wake                              20.9
Mecklenburg                             21.1
    Guilford                                   24.6
    Forsyth                                      26.0
  Buncombe                                22.7
 Cumberland                             21.0
New Hanover                        18.8
    Durham                                22.4
     Gaston                                             29.3
     Onslow                                    24.4

        NC                                       26.4
         US                                      26.4




                   VIII. Health Risk Behaviors
IX. Physical Activity & Nutrition

   •   Work activity
   •   Leisure time activity
   •   Moderate physical activity
   •   Vigorous physical activity
   •   Physical activity status
   •   Daily fruit & vegetable consumption
                   Mostly Sitting/Standing at Work
                                    Percent
               0     10   20   30    40       50    60          70      80   90   100

      Wake                                                           71.7
Mecklenburg                                                           74.1
    Guilford                                                     70.1
    Forsyth                                               63.9
  Buncombe                                               61.1
 Cumberland                                        55.7
New Hanover                                          59.0
    Durham                                                       69.2
     Gaston                                          60.3
     Onslow                                        57.3


        NC                                               61.4




                      IX. Physical Activity & Nutrition
 Engage in Leisure Time Physical Activity
                                    Percent
               0   10     20   30    40   50   60    70      80     90   100

      Wake                                                   79.1
Mecklenburg                                                  78.9
    Guilford                                               75.4
    Forsyth                                               74.0
  Buncombe                                                   77.3
 Cumberland                                                   79.0
New Hanover                                                    81.2
    Durham                                                   77.6
     Gaston                                           70.7
     Onslow                                                 75.6

        NC                                                73.6
         US                                               73.6




                        IX. Physical Activity & Nutrition
Prevalence of Leisure Time Physical Activity by Race &
           Sex, North Carolina, 1990-2001*
    100
     90
     80
P    70
e
r    60
c    50
e                                                               Whites
     40                                                         African Americans
n
t    30                                                         Males
                                                                Females
     20
     10   *Data not available for 1993, 1995, 1997, 1999.
      0
          1990       1991        1992         1994    1996    1998     2000         2001
                                                 Year

                                IX. Physical Activity & Nutrition
                   Moderate Physical Activity

                                   Percent
               0   10   20    30    40       50      60    70   80   90   100

      Wake                                  45.5
Mecklenburg                        35.0
    Guilford                       35.5
    Forsyth                               42.4
  Buncombe                                 44.4
 Cumberland                                       51.6
New Hanover                                44.8
    Durham                                 44.6
     Gaston                               42.4
     Onslow                                         55.2

        NC                                42.4
         US                                 45.4




                   IX. Physical Activity & Nutrition
                   Vigorous Physical Activity
                                  Percent
               0   5   10    15    20          25     30       35   40   45   50

      Wake                                     24.1
Mecklenburg                         20.2
    Guilford                       19.4
    Forsyth                              21.9
  Buncombe                                  24.3
 Cumberland                                    26.6
New Hanover                                             29.8
    Durham                                            28.1
     Gaston                        19.1
     Onslow                                             29.8

        NC                              20.4
         US                                    24.1




                   IX. Physical Activity & Nutrition
 Physical Activity Status: Wake County, North
                Carolina, & US

                                    15.9
   Physically inactive               16.9
                                  12.3


                                                 38.7
Some physical activity                            40.7
                                                   42.4


                                                        45.4
Meets recommendation                                  42.4
                                                        45.5

                         0   10      20     30   40      50    60   70   80   90   100

                                  Wake           NC            US




                 IX. Physical Activity & Nutrition
  Daily Fruit & Vegetable Consumption: Wake
           County and North Carolina

        5 or more times
                                             25.2
                                            24.1


  3 to less than 5 times
                                                         41.4
                                                        39.2


  1 to less than 3 times
                                                30.0
                                                 32.1


Less than once or never
                               3.5
                                4.7

                           0      10   20      30       40      50        60   70   80   90   100

                                        Wake                         NC



                     IX. Physical Activity & Nutrition
X. Health Status & Quality of Life

   •   Self-perceived fair/poor health
   •   Poor physical health days
   •   Poor mental health days
   •   Emotional support
   •   Satisfaction with life
   •   Pain days
   •   Worried days
   •   Sadness days
   •   Sleepless days
    Self-perceived Fair or Poor Health
                                     Percent
               0      2    4     6    8         10     12       14     16      18    20

      Wake                                8.0
Mecklenburg                                          10.8
    Guilford                                                                16.4
    Forsyth                                                                  16.8
  Buncombe                                                                    17.1
 Cumberland                                                     13.7
New Hanover                                              11.6
    Durham                                           10.5
     Gaston                                                                 16.7
     Onslow                                              11.8

         NC                                                              16.4
         US                                                            15.7




                   X. Health Status & Quality of life
         Prevalence of Fair/Poor Health by Race & Sex,
                  North Carolina, 1993-2001
    50
    45
                                        Whites
    40                                  African Americans
P                                       Males
    35
e                                       Females
r   30
c   25
e   20
n
t   15
    10
     5
     0
         1993   1994   1995     1996     1997      1998     1999   2000   2001
                                        Year


                       X. Health Status & Quality of life
7+ Days in Past 30 Days of Not Good Physical Health

                                     Percent
                     0   2   4   6    8    10    12      14       16     18   20

            Wake                                 11.0
      Mecklenburg                          9.3
          Guilford                                         13.7
          Forsyth                                                     16.1
        Buncombe                                               14.3
       Cumberland                                 11.6
      New Hanover                                               15.0
          Durham                          8.9
           Gaston                                                 15.2
           Onslow                                   12.2

               NC                                              14.6
               US                                       12.8




                X. Health Status & Quality of life
7+ Days in Past 30 Days of Not Good Mental Health
                                          Percent
                    0      2    4     6    8    10          12      14     16     18   20

           Wake                                9.0
     Mecklenburg                                            11.8
         Guilford                                            12.0
         Forsyth                                            11.7
       Buncombe                                                  13.0
      Cumberland                                     10.0
     New Hanover                                                 12.3
         Durham                                 9.2
          Gaston                                                           15.6
          Onslow                                       10.8

              NC                                                 12.2
              US                                                    13.2




                        X. Health Status & Quality of life
  Always/Usually Gets Emotional Support
                                    Percent
               0    10   20    30    40       50   60   70   80        90     100

      Wake                                                             88.2
Mecklenburg                                                       82.5
    Guilford                                                      83
    Forsyth                                                        83.7
  Buncombe                                                        82.5
 Cumberland                                                       83
New Hanover                                                        85.2
    Durham                                                    80
     Gaston                                                       82.5
     Onslow                                                       83.5


        NC                                                         84.5




               X. Health Status & Quality of life
                        Satisfied with Life
                                   Percent
               0   10    20   30    40       50   60   70   80   90    100

      Wake                                                             97.3
Mecklenburg                                                            96.4
    Guilford                                                          95.7
    Forsyth                                                           94.8
  Buncombe                                                            94.5
 Cumberland                                                           95.9
New Hanover                                                             97.9
    Durham                                                            95.6
     Gaston                                                           96.0
     Onslow                                                             98.3


        NC                                                             96.6




               X. Health Status & Quality of life
7+ Days in Past 30 Days When Pain Prevented Activities

                                             Percent
                      0    2     4    6       8    10         12      14         16      18   20

             Wake                            7.0
       Mecklenburg                        6.2
           Guilford                                    10.1
           Forsyth                                             11.8
         Buncombe                                                                 15.5
        Cumberland                                       10.9
       New Hanover                                                         14.2
           Durham                           7.0
            Gaston                                                        13.9
            Onslow                                        11.1

               NC                                                  12.6




                      X. Health Status & Quality of life
7+ Days in Past 30 Days When Worried or Anxious

                                    Percent
                  0   5   10   15       20          25   30   35   40   45   50

         Wake                          17.7
   Mecklenburg                           19.9
       Guilford                        17.7
       Forsyth                                20.9
     Buncombe                                   22.6
    Cumberland                           19.9
   New Hanover                      16.9
       Durham                   14.5
        Gaston                                   23.5
        Onslow                               20.5


           NC                       17.6




              X. Health Status & Quality of life
 7+ Days in Past 30 days When Depressed
                                   Percent
               0    2     4    6     8      10       12      14    16   18   20

      Wake                            7.9
Mecklenburg                                         11.2
    Guilford                                        11.1
    Forsyth                                                 13.0
  Buncombe                                    9.9
 Cumberland                                                12.9
New Hanover                                           12.0
    Durham                                    10.1
     Gaston                                                         16.2
     Onslow                                 9.2

        NC                                           11.7




               X. Health Status & Quality of life
7+ Days in Past 30 Days When Not Enough Sleep
                                      Percent
                 0    5    10    15    20       25   30    35       40         45     50

        Wake                                                     36.9
  Mecklenburg                                              33.9
      Guilford                                            32.7
      Forsyth                                                     37.2
    Buncombe                                                               42.3
   Cumberland                                                           40.0
  New Hanover                                                     37.1
      Durham                                                            39.6
       Gaston                                                     37.3
       Onslow                                                                  43.2


          NC                                                     36.2




                 X. Health Status & Quality of life
              XI. Family Planning*
                  •   Pregnancy history
                  •   History of hysterectomy
                  •   Birth control
                  •   Use of health department
                  •   Access to private gynecologist
                  •   Ever used family planning clinic



* Questions pertain only to female respondents, ages 18 to 44.
                   Pregnant in the Last Five Years
                                      Percent
               0    5      10    15    20     25       30       35          40     45     50

      Wake                                      25.1
Mecklenburg                                            28.3
    Guilford                                                         34.9
    Forsyth                                        25.7
  Buncombe                                      24.5
 Cumberland                                                                 38.3
New Hanover                                                   31.5
    Durham                                                             37.2
     Gaston                                                            37.2
     Onslow                                                                        43.4


        NC                                                    31.6




                        XI. Family Planning
                   Ever Had a Hysterectomy

                                               Percent
               0   2     4           6          8          10    12   14   16   18   20

      Wake                    4.3
Mecklenburg                                                9.5
    Guilford                   4.6
    Forsyth                           5.9
  Buncombe                                     7.4
 Cumberland            2.9
New Hanover                          5.6
    Durham                   3.9
     Gaston                              6.2
     Onslow                                          8.5


        NC                                           8.3




                                   XI. Family Planning
Currently Using Some Type of Birth Control

                                    Percent
                0    10   20   30    40       50          60      70       80   90   100

       Wake                                                    62.7
 Mecklenburg                                                   61.9
     Guilford                                       54.0
     Forsyth                                       51.0
   Buncombe                                                              73.7
  Cumberland                                       52.3
 New Hanover                                                     64.6
     Durham                                                    62.6
      Gaston                                                      67.1
      Onslow                                                      67.6


         NC                                                    61.4




                    XI. Family Planning
     Types of Birth Control Used: North Carolina

    50
    45
    40                                35.6
p
    35
e
r   30
c   25
           23.4
                                                   20.4
e   20
n   15                                                      12.5
t                        8.0
    10
     5
     0
         Tubes Tied   Vasectomy   Birth Control   Condoms   Other
                                       Pill


                      XI. Family Planning
  Use Health Department for Female Health
                                       Percent
               0   2    4          6    8          10    12     14   16     18   20

      Wake                                  8.1
Mecklenburg                  4.5
    Guilford                  5.0
    Forsyth            3.2
  Buncombe                                                           15.4
 Cumberland                            7.3
New Hanover                                  8.4
    Durham              3.7
     Gaston                                              11.8
     Onslow                                                          15.2


        NC                                         9.6




                   XI. Family Planning
    Use Private Gynecologist for Female Health
                                  Percent
               0   10   20   30    40       50      60      70         80     90   100

      Wake                                                      70.5
Mecklenburg                                                      73.0
    Guilford                                                       74.1
    Forsyth                                                        75.3
  Buncombe                                   50.1
 Cumberland                                 48.1
New Hanover                                                            77.8
    Durham                                          58.6
     Gaston                                              61.9
     Onslow                                 48.5


        NC                                                  66.8




                   XI. Family Planning
Ever Used Services of a Family Planning Clinic
                                  Percent
                0   5   10   15    20       25   30       35       40     45   50

       Wake                                        30.3
 Mecklenburg                                                    36.3
     Guilford                                           31.7
     Forsyth                                     28.3
   Buncombe                                        30.3
  Cumberland                                       30.0
New Hanover                                             31.8
     Durham                                                        39.1
      Gaston                            21.5
      Onslow                                             33.1


         NC                                                     36.9




                    XI. Family Planning
    XII. HIV/AIDS & Sexual Behavior*

           •   Understanding of HIV treatment
           •   Testing for HIV
           •   STD Counseling
           •   Condom use




*Questions asked of respondents less than age 65.
A Pregnant Woman with HIV Can Get Treatment to
Reduce HIV Transmission to Fetus: Wake County,
             North Carolina, & US
                                                           50.9
        true                                                      57.5
                                                            53.4

                                21.0
       false               17.5
                          17.9

                                       28.1
  don't know                       25.0
                                       28.7

               0   10      20          30     40      50          60        70   80   90   100

                                   US              Wake                NC



                        XII. HIV/AIDS & Sexual Behavior
Medical Treatments Available to Help a Person with HIV
 to Live Longer: Wake County, North Carolina & US
                                                                                87.3
         true                                                                        91.9
                                                                                 88.8

                    3.9
        false       2.5
                    3.3

                          8.8
   don't know        5.6
                          7.9

                0         10       20    30    40      50   60        70   80   90      100

                                        US          Wake         NC



                               XII. HIV/AIDS & Sexual Behavior
Believe that Treatments for Persons w/HIV are Effective
                                       Percent
                     0   5   10   15    20      25       30         35      40   45   50

            Wake                                      26.2
      Mecklenburg                                            29.8
          Guilford                            22.6
          Forsyth                              22.9
        Buncombe                             21.8
       Cumberland                            21.4
      New Hanover                               23.6
          Durham                                                     34.6
           Gaston                        20.1
           Onslow                        20.2

              NC                                23.3
               US                            21.1




                         XII. HIV/AIDS & Sexual Behavior
Knowing HIV Status by Getting Tested is Important
                                    Percent
                 0   10   20   30    40   50   60   70   80   90    100
        Wake                                                     92.1
  Mecklenburg                                                    92.6
      Guilford                                                  91.3
      Forsyth                                                 87.7
    Buncombe                                                    91.5
   Cumberland                                                      94.2
  New Hanover                                                    92.3
      Durham                                                       95.1
       Gaston                                                   90.7
      Onslow                                                      93.4

          NC                                                    92.1
           US                                                  90.0




                      XII. HIV/AIDS & Sexual Behavior
          Ever Been Tested for HIV/AIDS
                                  Percent
               0   10   20   30    40       50     60    70      80   90   100

      Wake                                  48.6
Mecklenburg                                 49.2
    Guilford                                     55.4
    Forsyth                             45.9
  Buncombe                                 50.3
 Cumberland                                                   71.6
New Hanover                                       54.9
    Durham                                        55.7
     Gaston                                      53.7
     Onslow                                              67.2

        NC                               49.5
         US                             47.3




                   XII. HIV/AIDS & Sexual Behavior
     Prevalence of Ever Been Tested for HIV by Race &
              Sex, North Carolina, 1995-2001
    100
     90          Whites
     80          African Americans
P                Males
     70          Females
e
r    60
c    50
e
     40
n
t    30
     20
     10
      0
          1995   1996      1997       1998   1999    2000   2001
                                     Year


                   XII. HIV/AIDS & Sexual Behavior
    Reason for HIV/AIDS Testing: North Carolina

    50
    45
    40
p
    35                                                        31.0
e         29.3
r   30
c   25
                        19.3
e   20
n                                       13.9
    15
t
    10                                              6.4
    5
    0
         Routine   Just to find out     Due to     Military   Other
         checkup                      pregnancy   induction


                     XII. HIV/AIDS & Sexual Behavior
Tested for HIV/AIDS Just to Find Out HIV Status
                                      Percent
                  0   5   10     15      20    25       30     35   40   45   50

         Wake                                    25.4
   Mecklenburg                                22.8
       Guilford                                         28.6
       Forsyth                                      25.9
     Buncombe                                        27.0
    Cumberland                    15.4
   New Hanover                                22.9
       Durham                         18.4
        Gaston                         19.6
        Onslow             9.3

           NC                            19.3
            US                              21.5




                      XII. HIV/AIDS & Sexual Behavior
     Testing Place for HIV/AIDS: North Carolina

    50       47.9
    45
    40
p
    35
e
r   30
c   25
e   20                      15.8
n                                        14.0                      15.0
    15
t
    10                                                 7.3
    5
    0
         Private Doctor     Health     Hospital      Military      Other
                          Department              Indcution Site


                          XII. HIV/AIDS & Sexual Behavior
       Had HIV Test in Health Department
                                       Percent
               0   5    10      15         20       25     30   35   40   45   50

      Wake                                  18.9
Mecklenburg                   12.2
    Guilford                      15.6
    Forsyth                     13.6
  Buncombe                                               27.1
 Cumberland                  11.2
New Hanover                         15.1
    Durham                                  19.0
     Gaston                                  19.7
     Onslow                     13.6

        NC                           15.8
         US            7.9




                   XII. HIV/AIDS & Sexual Behavior
Health Professional Counseled About Preventing STDs
                                         Percent
                   0   5      10   15       20     25      30   35   40   45   50

          Wake                      15.1
    Mecklenburg                     15.2
        Guilford                                 22.2
        Forsyth                         17.0
      Buncombe                            18.9
     Cumberland                                         26.4
    New Hanover                           18.1
        Durham                                     23.7
         Gaston                      15.4
         Onslow                                         26.0

            NC                           17.3
             US                         16.2




                           XII. HIV/AIDS & Sexual Behavior
Condom Was Used Last Time Sexual Intercourse
                                     Percent
                 0   5   10   15      20         25          30   35   40   45   50
        Wake                                21.7
  Mecklenburg                              21.4
      Guilford                             21.3
      Forsyth                              21.4
    Buncombe                  13.9
   Cumberland                              20.7
  New Hanover                                         25.4
      Durham                                     23.6
       Gaston                                    23.3
      Onslow                       16.2

          NC                              20.0




                     XII. HIV/AIDS & Sexual Behavior
Properly Used Condom Effective in Preventing HIV
                                    Percent
                 0   10   20   30    40       50          60          70   80   90   100
         Wake                                             59.0
   Mecklenburg                                      53.8
      Guilford                                 49.9
       Forsyth                                        57.0
     Buncombe                             45.3
   Cumberland                                      51.2
  New Hanover                                             57.7
       Durham                                                  61.2
       Gaston                             46.8
       Onslow                                  50.8

           NC                                  50.7




                      XII. HIV/AIDS & Sexual Behavior
XIII. Healthy People 2010 Objectives
      (tracked by BRFSS data)
      •   Access to quality health services
      •   Cancer
      •   Heart disease and stroke
      •   Immunizations and infectious diseases
      •   Nutrition and overweight
      •   Oral health
      •   Physical activity and fitness
      •   Substance abuse
      •   Tobacco use
                   Health Insurance Coverage*
                                   Percent
               0   10   20    30    40       50   60   70   80     90     100

      Wake                                                      85.1
Mecklenburg                                                         90.4
    Guilford                                                      87.7
     Forsyth                                                        89.9
  Buncombe                                                   79.8
 Cumberland                                                  80.3
New Hanover                                                       87.4
    Durham                                                       85.5
     Gaston                                                    83.7
     Onslow                                                  79.8
                                                                         HP 2010
        NC                                                       83.3
        US                                                        85.3
                                                                         Target:
                                                                          100%
                             *Adults < 65 yrs old


                         XIII. HP 2010 Objectives
 Specific Source of On-going Medical Care*
                                  Percent
               0   10   20   30    40       50   60   70     80          90    100

      Wake                                                    77.6
Mecklenburg                                                      82.5
    Guilford                                                      83.8
     Forsyth                                                              90.0
  Buncombe                                                        81.0
 Cumberland                                           67.4
New Hanover                                                  76.0
    Durham                                                     79.5
     Gaston                                                        85.5
     Onslow                                           68.7
                                                                              HP 2010
        NC                                                      80.7
                                                                              Target:
        US                                                     79.7
                                                                               96%
                             *Adults 18+ yrs old



                         XIII. HP 2010 Objectives
     Fecal Occult Blood Test in Past 2 Years*
                                     Percent
               0   10   20    30      40       50      60          70   80   90   100

      Wake                                           47.7
Mecklenburg                                         44.1
    Guilford                                         46.3
     Forsyth                                                60.5
  Buncombe                                          44.1
 Cumberland                                           48.7
New Hanover                                            50.6
    Durham                                           47.7
     Gaston                                         43.0
     Onslow                        32.8                       HP 2010
                                                              Target:
        NC                                 43.1                50%
        US                         31.7

                             *Adults 50+ years old



                        XIII. HP 2010 Objectives
           Ever Received Colonoscopy Exam*
                                    Percent
               0   10   20     30    40       50       60      70   80   90   100

      Wake                                                  58.6
Mecklenburg                                                 59.0
    Guilford                                       45.6
     Forsyth                                                 62.6
  Buncombe                                         44.4
 Cumberland                                           50.2
New Hanover                                              60.3
    Durham                                          52.2
     Gaston                                         48.6
     Onslow                                        44.5       HP 2010
                                                              Target:
        NC                                    47.6             50%
        US                                    47.3

                        *Adults 50+ years old



                             XIII. HP 2010 Objectives
   Blood Cholesterol Checked Past 5 Years*
                                  Percent
               0   10   20   30    40       50   60   70       80       90    100

      Wake                                                           76.3
Mecklenburg                                                           77.4
    Guilford                                                           81.2
     Forsyth                                                           84.6
  Buncombe                                                            78.9
 Cumberland                                            68.4
New Hanover                                                          75.8
    Durham                                                           76.0
     Gaston                                                           80.6
     Onslow                                           65.9
                                                                              HP 2010
        NC                                                    75.1            Target:
        US                                                   73.8              80%
                         *Adults 18+ years old



           XIII. HP 2010 Objectives: quality health care services
                        Annual Flu Vaccine*
                                      Percent
               0   10    20      30    40       50      60    70       80    90    100

      Wake                                                                  85.0
Mecklenburg                                                  66.3
    Guilford                                         52.2
     Forsyth                                                         73.5
  Buncombe                                                 61.5
 Cumberland                                                   66.0
New Hanover                                                   66.6
    Durham                                                  63.3
     Gaston                                              57.8
     Onslow                                          51.9
                                                                   HP 2010
        NC                                                    66.1 Target:
        US                                                   64.6   80%
                              *Adults 65+ years old




                         XIII. HP 2010 Objectives
        Ever Received Pneumococal Vaccine*
                                  Percent
               0   10   20   30    40       50       60     70      80     90   100

      Wake                                                  66.8
Mecklenburg                                               63.9
    Guilford                                       54.0
     Forsyth                                                     71.4
  Buncombe                                                63.5
 Cumberland                                                  68.7
New Hanover                                                  68.8
    Durham                                                 65.1
     Gaston                                                 66.5
     Onslow                                 47.5

        NC                                                65.8           HP 2010
        US                                            59.6               Target:
                         *Adults 65+ years old                            90%



                         XIII. HP 2010 Objectives
                            Reduce Obesity
                                  Percent
               0   5   10    15    20       25      30     35   40   45    50

      Wake                          19.3
Mecklenburg                         19.5
    Guilford                           21.3
     Forsyth                            22.1
  Buncombe                          19.5
 Cumberland                              22.4
New Hanover                       17.7
    Durham                              21.9
     Gaston                                      26.0
     Onslow                        18.7
                                                         HP 2010 Target:
        NC                                 23.1           reduce to 15%
        US                                22.1

                                   *Adults 20+ years old



                        XIII. HP 2010 Objectives
  Reduce No Leisure Time Physical Activity*
                                    Percent
               0   5   10      15    20       25        30        35   40   45      50

      Wake                                20.9
Mecklenburg                               21.1
    Guilford                                        24.6
     Forsyth                                        26.0
  Buncombe                                   22.7
 Cumberland                                21.0
New Hanover                               18.8
    Durham                                   22.4
     Gaston                                                29.3
     Onslow                                      24.4
                                                                  HP 2010 Target:
        NC                                          26.4           reduce to 20%
        US                                          26.4

                        *Adults 18+ years old



                            XIII. HP 2010 Objectives
    Vigorous Physical Activity/3 Times Week
                                  Percent
               0   5   10    15    20          25     30          35   40      45   50

      Wake                                     24.1
Mecklenburg                          20.2
    Guilford                         19.4
     Forsyth                           21.9
  Buncombe                                24.3
 Cumberland                                  26.6
New Hanover                                                 29.8
    Durham                                                 28.1
     Gaston                         19.1
     Onslow                                                29.8

        NC                              20.4                                 HP 2010
        US                                     24.1                         Target: 30%

                        *Adults 18+ years old



                       XIII. HP 2010 Objectives
                   Reduce Binge Drinking*
                                    Percent
               0    2     4     6     8     10          12      14         16       18   20
      Wake                                                                   15.8
Mecklenburg                                       10.5
    Guilford                                            10.6
     Forsyth                              8.5
  Buncombe                                            10.7
 Cumberland                                                  12.1
New Hanover                                                                       16.5
    Durham                                                          13.5
     Gaston                                     10.0
     Onslow                                                                15.1
                                                              HP 2010 Target: reduce to 6%
        NC                                      9.8
        US                                                            14.5
                              *Adults 18+ years old




                        XIII. HP 2010 Objectives
                   Reduce Cigarette Smoking
                                  Percent
               0    5   10   15    20       25      30      35         40   45   50

      Wake                            21.9
Mecklenburg                         19.9
    Guilford                          21.0
     Forsyth                              24.1
  Buncombe                                               30.7
 Cumberland                                      26.5
New Hanover                                  24.5
    Durham                        18.2
     Gaston                                       27.4
     Onslow                                                     34.3

        NC                                   25.7
                                                                  HP 2010 Target:
        US                               22.7                      reduce to 12%

                             *Adults 18+ years old



                        XIII. HP 2010 Objectives
                        Reduce Cigar Smoking*
                                            Percent
               0    2     4           6       8       10   12   14      16   18   20
      Wake                            5.8
Mecklenburg                             6.4
    Guilford                    4.5
    Forsyth               3.5
  Buncombe                            5.7
 Cumberland                                    7.7
New Hanover                                   7.2
    Durham                    4.2
     Gaston                                 7.0
     Onslow                                 7.1
                                                      HP 2010 Target:
         NC                           5.6             reduce to 1.2%


                                    *Adults 18+ years old



               XIII. HP 2010 Objectives: quality health care services
XIV. Special Topics
 •   Alternative medicine
 •   Skin Cancer
 •   Osteoporosis prevention
 •   Firearms
 •   Sexual/physical assault
 •   Birth defect prevention
Ever Used Medicinal Herbs, Such as Ginseng
                                      Percent
               0   5   10      15          20      25      30       35   40   45   50

       Wake                                                      31.1
 Mecklenburg                          17.6
    Guilford                                       23.7
     Forsyth                          17.2
   Buncombe                                               27.5
 Cumberland                         15.5
New Hanover                                        24.0
     Durham                                             25.9
     Gaston                                19.2
     Onslow                          17.0


         NC                                 19.9




                            XIV. Special Topics
  Tried to Get a Tan Using a Tanning Lamp
                                      Percent
               0   2   4         6         8       10   12   14      16   18   20

      Wake                 4.3
Mecklenburg                            7.3
    Guilford                                     9.2
    Forsyth                4.2
  Buncombe                                                   13.7
 Cumberland                          6.5
New Hanover                                       9.3
    Durham             3.4
     Gaston                                                       14.3
    Onslow                                 7.6


        NC                                       8.9




                             XIV. Special Topics
           Tried to Get a Tan from the Sun
                                   Percent
               0   5   10     15    20       25       30          35      40   45   50

      Wake                                                 30.5
Mecklenburg                                           28.5
    Guilford                          20.1
    Forsyth                          19.1
  Buncombe                                         26.1
 Cumberland                               21.1
New Hanover                                                            35.9
    Durham                         17.3
     Gaston                                 23.1
    Onslow                                                29.3


        NC                                  23.0




                            XIV. Special Topics
Always Protect Skin from Sun When Outdoors
                                   Percent
                0   5   10    15    20       25      30         35          40   45   50

       Wake                                               31.0
 Mecklenburg                                             29.8
     Guilford                                              31.4
     Forsyth                                                32.4
   Buncombe                                                 32.4
  Cumberland                                                           37.3
 New Hanover                                                         35.5
     Durham                                       26.4
      Gaston                                               31.6
     Onslow                              23.8


         NC                                              30.1




                             XIV. Special Topics
                   Sunburn in the Past Year
                                   Percent
               0   5   10   15       20       25          30   35   40     45   50

      Wake                                            28.2
Mecklenburg                                        25.2
    Guilford                13.9
    Forsyth                          18.5
  Buncombe                                           26.9
 Cumberland                   15.3
New Hanover                                                         38.4
    Durham                       17.0
     Gaston                          19.2
    Onslow                                          26.6


        NC                                  21.7




                            XIV. Special Topics
Take Vitamin Pills w/Calcium to Reduce Osteoporosis*
                                                    Percent
                       0    10       20       30      40        50       60        70   80   90   100

              Wake                                                          58.9
      Mecklenburg                                                 50.2
            Guilford                                           45.5
            Forsyth                                                    55.4
         Buncombe                                                 50.1
        Cumberland                                                   51.4
      New Hanover                                                     53.5
            Durham                                         42.6
             Gaston                                             47.9
            Onslow                                                49.9


                NC                                              47.9

      *Question asked of female respondents age 45 and older




                                           XIV. Special Topics
        Firearms Kept in or Around Home
                                           Percent
               0   10   20          30      40       50   60   70   80   90   100

      Wake                   22.1
Mecklenburg                   24.7
    Guilford                      30.1
    Forsyth                            32.5
  Buncombe                               34.6
 Cumberland                         27.4
New Hanover                              32.5
    Durham                   20.9
     Gaston                                       42.9
     Onslow                                      40.8

        NC                                       41.3
         US                              31.7




                             XIV. Special Topics
Received Treatment for Substance Abuse Problem
                                                 Percent
                 0   2     4           6           8       10      12   14   16   18   20

        Wake                     4.6
  Mecklenburg             3.4
      Guilford                          5.9
      Forsyth                                6.7
    Buncombe                           5.5
   Cumberland              3.7
  New Hanover                                    7.1
      Durham             3.0
       Gaston                              6.1
      Onslow                                                10.0


          NC                      5.2




                                  XIV. Special Topics
Family Member Received Tx for Substance Abuse
                                     Percent
                  0   2   4      6    8        10      12      14          16      18          20

         Wake                                       10.6
   Mecklenburg                                                         15.3
       Guilford                                                            15.8
       Forsyth                                                        15.1
     Buncombe                                                                   16.8
    Cumberland                                              12.6
   New Hanover                                                                    17.2
       Durham                                                                           18.2
        Gaston                                                13.4
       Onslow                                                                                   19.9


           NC                                                       14.2




                              XIV. Special Topics
                   Ever Sexually Assaulted*
                                  Percent
               0   2   4    6          8    10          12   14   16   18   20

      Wake                      6.5
Mecklenburg                     6.5
    Guilford                      7.0
    Forsyth                     6.5
  Buncombe                                       10.2
 Cumberland                      6.7
New Hanover                      6.9
    Durham                      6.3
     Gaston                           7.6
    Onslow                            7.3


        NC                       6.8

                                  *Male and female respondents


                           XIV. Special Topics
                   Ever Physically Assaulted
                                    Percent
               0   5   10   15          20      25     30    35    40   45   50

      Wake                       15.6
Mecklenburg                      15.9
    Guilford                      16.9
    Forsyth                             19.3
  Buncombe                                     22.8
 Cumberland                       16.9
New Hanover                                     23.7
    Durham                   14.2
     Gaston                                    22.6
    Onslow                                                  32.7


        NC                          17.5




                            XIV. Special Topics
Believe Folic Acid Helps Prevent Birth Defects*
                                      Percent
                0   10   20    30      40          50       60         70   80   90   100

       Wake                                              52.2
 Mecklenburg                                  44.5
     Guilford                                     47.1
     Forsyth                        32.1
   Buncombe                                                     60.5
  Cumberland                   27.9
 New Hanover                               38.6
     Durham                                         49.4
      Gaston                                      45.9
     Onslow                                       47.4


         NC                                 41.4

     *Ages 18-44 included here



                              XIV. Special Topics

				
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