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NC 2003 BRFSS Mountain AHEC BRFSS Behavioral Risk Factor Surveillance System Mountain Area Health Education Center Service Region - 2003 NC BRFSS Survey Results State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services Slide 2 NC 2003 BRFSS Mountain AHEC 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. Slide 3 NC 2003 BRFSS Mountain AHEC BRFSS in the U.S., 1984 Slide 4 NC 2003 BRFSS Mountain AHEC BRFSS in the U.S., 1990 Slide 5 NC 2003 BRFSS Mountain AHEC BRFSS in the U.S., 1994 Guam Puerto Rico Virgin Islands Slide 6 NC 2003 BRFSS Mountain AHEC The 2003 North Carolina BRFSS For the 2003 survey, the North Carolina BRFSS Program conducted interviews in both English and Spanish and interviewed a total of 9,455 adults. The 2003 sample design included over-sampling of five counties and 12 regions consisting of more than 50 smaller counties to produce county or regional BRFSS estimates. In addition, estimates were produced for three, broad regions of the state: Western, Piedmont, and Eastern. The 2003 results for each question are available on the BRFSS web site by sex, race, Hispanic origin and language (English, Spanish-only), age group, education level, household income, and county and region. The 2003 data provide estimates on the health of Native Americans and Spanish-speaking only Hispanics, see: www.schs.state.nc.us/SCHS/healthstats/brfss /2003/highlights.html Slide 7 NC 2003 BRFSS Mountain AHEC 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. Note: all results are based on weighted data Slide 8 NC 2003 BRFSS Mountain AHEC 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 Slide 9 NC 2003 BRFSS Mountain AHEC 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 and sponsored by state programs/agencies. Slide 10 NC 2003 BRFSS Mountain AHEC Survey Topics on the NC 2003 BRFSS Core Sections Health status Health care access Diabetes Hypertension Cholesterol Weight control Asthma Immunization Tobacco/alcohol Arthritis/disability Demographics Physical Activity Veterans status HIV/AIDs Optional Modules Diabetes Influenza Heart Attack & Stroke Cardiovascular disease Tobacco indicators Other tobacco products Binge drinking State-added Arthritis Disability & aging Tobacco tax Diabetes screening Weight loss products Violence Slide 11 NC 2003 BRFSS Mountain AHEC About this 2003 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. Survey questions: the BRFSS survey questions are 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. Slide 12 NC 2003 BRFSS Mountain AHEC About this 2002 BRFSS Presentation (cont.) 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 16 oversampled counties and regions 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. Slide 13 NC 2003 BRFSS Mountain AHEC Geographical Analysis Used in this Presentation In this presentation, we show the results for the featured county or region of interest with those of North Carolina, the states urban and rural counties, three regions of the state including the Western, Eastern and Piedmont regions, and the results for the United States, when BRFSS questions appear in Core Section or in standard Modules. Urban and rural counties are defined as follows: Urban counties include Buncombe, Cumberland, Davidson, Durham, Forsyth, Gaston, Guilford, Mecklenburg, Onslow and Wake. All other counties are classified as rural. Slide 14 NC 2003 BRFSS Mountain AHEC Geographical Analysis (cont.) The three regions are defined accordingly: The Western region includes Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, McDowell, Macon, Madison, Mitchell, Polk, Rutherford, Surry, Swain, Transylvania, Watauga, Wilkes, and Yancey counties. The Eastern region includes Beaufort, Bertie, Bladen, Brunswick, Camden, Carteret, Chowan, Columbus, Craven, Cumberland, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Halifax, Harnett, Hertford, Hoke, Hyde, Johnston, Jones, Lenoir, Martin, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Robeson, Sampson, Scotland, Tyrrell, Washington, Wayne, and Wilson counties. The Piedmont region includes Alamance, Alexander, Anson, Cabarrus, Caswell, Catawba, Chatham, Cleveland, Davidson, Davie, Durham, Forsyth, Franklin, Gaston, Granville, Guilford, Iredell, Lee, Lincoln, Mecklenburg, Montgomery, Moore, Mountain AHEC, Person, Randolph, Richmond, Rockingham, Rowan, Stanly, Stokes, Union, Vance, Wake, Warren, and Yadkin counties. Slide 15 NC 2003 BRFSS Mountain AHEC Contents of Presentation i. Sample Size & DemographicsSample Size & Demographics I.Health Status/Healthy DaysHealth Status/Healthy Days II.Health Care AccessHealth Care Access III.Chronic DiseasesChronic Diseases IV.DisabilityDisability V.Care for AgingCare for Aging VI.ImmunizationImmunization VII.Physical ActivityPhysical Activity VIII.Tobacco UseTobacco Use IX.Tobacco PreventionTobacco Prevention X.Rules About SmokingRules About Smoking XI.Other Tobacco ProductsOther Tobacco Products XII.Tobacco TaxTobacco Tax XIII. Risk FactorsRisk Factors XIV. HIV/AIDSHIV/AIDS XV. ObesityObesity XVI. Weight ControlWeight Control XVII. Weight Loss ProductsWeight Loss Products XVIII. Knowledge of Signs & Symptoms of Heart Attack & StrokeKnowledge of Signs & Symptoms of Heart Attack & Stroke XIX. Cardiovascular DiseaseCardiovascular Disease XX. Excess Sun ExposureExcess Sun Exposure XXI. Binge DrinkingBinge Drinking XXII. FallsFalls XXIII. Physical AssaultPhysical Assault XXIV. 2003 BRFSS Tracked HP2010 Objectives2003 BRFSS Tracked HP2010 Objectives Slide 16 NC 2003 BRFSS Mountain AHEC i. Sample Size & Demographics Slide 17 NC 2003 BRFSS Mountain AHEC 2003 NC BRFSS Sample Size Slide 18 NC 2003 BRFSS Mountain AHEC 2003 NC BRFSS Sample Demographic Characteristics *weighted percentages Slide 19 NC 2003 BRFSS Mountain AHEC 2002 NC BRFSS Sample Demographic Characteristics (cont.) *weighted percentages Slide 20 NC 2003 BRFSS Mountain AHEC I. Health Status/Healthy Days Perceived Fair/Poor Health Poor Physical Health Days Poor Mental Health Days Restricted Activity Days I. Health Status/Healthy Days Slide 21 NC 2003 BRFSS Mountain AHEC Perceived Fair or Poor Health I. Health Status/Healthy Days Slide 22 NC 2003 BRFSS Mountain AHEC Fair or Poor Health by Sex, Race, Age, Education & Income: Mountain AHEC & NC % I. Health Status/Healthy Days Slide 23 NC 2003 BRFSS Mountain AHEC Poor Physical Health Days (8+ days out of past 30 days) I. Health Status/Healthy Days Slide 24 NC 2003 BRFSS Mountain AHEC Poor Mental Health Days (8+ days out of past 30 days) I. Health Status/Healthy Days Slide 25 NC 2003 BRFSS Mountain AHEC Restricted Activity Days (8+ days past 30 days)* I. Health Status/Healthy Days Slide 26 NC 2003 BRFSS Mountain AHEC II. Health Care Access No Health Insurance Coverage No Personal Doctor Cost Prevented Access Slide 27 NC 2003 BRFSS Mountain AHEC No Health Insurance Coverage (ages 18 to 64) II. Health Care Access Slide 28 NC 2003 BRFSS Mountain AHEC No Health Insurance Coverage by Sex, Race, Age (18-64 yrs.), Education & Income: Mountain AHEC & NC % II. Health Care Access Slide 29 NC 2003 BRFSS Mountain AHEC No Health Insurance Coverage (all ages) II. Health Care Access Slide 30 NC 2003 BRFSS Mountain AHEC Does Not Have a Personal Doctor* II. Health Care Access Slide 31 NC 2003 BRFSS Mountain AHEC Time When Needed To See Doctor But Could Not Because of Cost II. Health Care Access Slide 32 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases Arthritis Asthma Diabetes High Blood Pressure High Cholesterol III. Chronic Diseases Slide 33 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases Arthritis Slide 34 NC 2003 BRFSS Mountain AHEC Ever Told by a Doctor You Have Some Form of Arthritis III. Chronic Diseases Slide 35 NC 2003 BRFSS Mountain AHEC The Prevalence of Arthritis by Sex, Race, Age, Education & Income: Mountain AHEC & NC % III. Chronic Diseases Slide 36 NC 2003 BRFSS Mountain AHEC Joint Pain in Past 30 Days III. Chronic Diseases Slide 37 NC 2003 BRFSS Mountain AHEC Joint Symptoms Began More than Three Months Ago* III. Chronic Diseases Slide 38 NC 2003 BRFSS Mountain AHEC Ever Seen a Health Professional for Joint Symptoms* III. Chronic Diseases Slide 39 NC 2003 BRFSS Mountain AHEC Now Limited Because of Joint Symptoms or Arthritis III. Chronic Diseases Slide 40 NC 2003 BRFSS Mountain AHEC Joint Symptoms or Arthritis Now Affects Work-related Activities III. Chronic Diseases Slide 41 NC 2003 BRFSS Mountain AHEC Doctor Suggested Losing Weight to Help with Arthritis or Joint Symptoms III. Chronic Diseases Slide 42 NC 2003 BRFSS Mountain AHEC Doctor Suggested Physical Activity to Help with Arthritis or Joint Symptoms III. Chronic Diseases Slide 43 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases Asthma Slide 44 NC 2003 BRFSS Mountain AHEC Ever Diagnosed with Asthma III. Chronic Diseases Slide 45 NC 2003 BRFSS Mountain AHEC Ever Diagnosed with Asthma by Sex, Race, Age, Education & Income: Mountain AHEC & NC % III. Chronic Diseases Slide 46 NC 2003 BRFSS Mountain AHEC Currently has Asthma* III. Chronic Diseases Slide 47 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases Diabetes Slide 48 NC 2003 BRFSS Mountain AHEC Diabetes Prevalence III. Chronic Diseases Slide 49 NC 2003 BRFSS Mountain AHEC The Prevalence of Diabetes by Sex, Race, Age, Education & Income: Mountain AHEC & NC % III. Chronic Diseases Slide 50 NC 2003 BRFSS Mountain AHEC Ever Had a Blood Test for Diabetes III. Chronic Diseases Slide 51 NC 2003 BRFSS Mountain AHEC Had a Blood Test for Diabetes in the Past Three Years III. Chronic Diseases Slide 52 NC 2003 BRFSS Mountain AHEC Diabetes Management Indicators NC & US III. Chronic Diseases % Slide 53 NC 2003 BRFSS Mountain AHEC Diabetes Risk Indicators NC & US III. Chronic Diseases % State Quest. Only Slide 54 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases High Blood Pressure Slide 55 NC 2003 BRFSS Mountain AHEC Ever Told by Health Professional that You Have High Blood Pressure III. Chronic Diseases Slide 56 NC 2003 BRFSS Mountain AHEC The Prevalence of High Blood Pressure by Sex, Race, Age, Education & Income: Mountain AHEC & NC % III. Chronic Diseases Slide 57 NC 2003 BRFSS Mountain AHEC Currently Taking Medicine for High Blood Pressure III. Chronic Diseases Slide 58 NC 2003 BRFSS Mountain AHEC III. Chronic Diseases High Cholesterol Slide 59 NC 2003 BRFSS Mountain AHEC Told by a Doctor that Your Blood Cholesterol is High III. Chronic Diseases Slide 60 NC 2003 BRFSS Mountain AHEC The Prevalence of High Cholesterol by Sex, Race, Age, Education & Income: Mountain AHEC & NC % III. Chronic Diseases Slide 61 NC 2003 BRFSS Mountain AHEC Have Had Blood Cholesterol Checked III. Chronic Diseases Slide 62 NC 2003 BRFSS Mountain AHEC IV. Disability Some type of disability Disability Measures: Self-perceived Need for special equipment Activity limitation Learning/memory problem IV. Disability Slide 63 NC 2003 BRFSS Mountain AHEC Has Some Type of Disability IV. Disability Slide 64 NC 2003 BRFSS Mountain AHEC The Prevalence of Disability (some type) by Sex, Race, Age, Education & Income: Mountain AHEC & NC % IV. Disability Slide 65 NC 2003 BRFSS Mountain AHEC Measure: Self - perceived* Disability IV. Disability Slide 66 NC 2003 BRFSS Mountain AHEC Measure: Health Problem Requires Use of Special Equipment IV. Disability Slide 67 NC 2003 BRFSS Mountain AHEC Measure: Activity Limitation Because of Physical, Mental, or Emotional Problems IV. Disability Slide 68 NC 2003 BRFSS Mountain AHEC Measure: Trouble Learning and Remembering IV. Disability Slide 69 NC 2003 BRFSS Mountain AHEC V. Care for Aging Assistance provided to aging family member/friend Memory loss of aging care recipient V. Care for Aging Slide 70 NC 2003 BRFSS Mountain AHEC Provided Care/Assistance to a Family Member w/Long Term Illness V. Care for Aging Slide 71 NC 2003 BRFSS Mountain AHEC Demographics of Care-giver for Mountain AHEC & NC % V. Care for Aging Slide 72 NC 2003 BRFSS Mountain AHEC Person Who Received Care Had a Problem with Memory Loss* V. Care for Aging Slide 73 NC 2003 BRFSS Mountain AHEC VI. Immunization Had flu shot past year Had flu shot in health dept. Ever had pneumonia shot Slide 74 NC 2003 BRFSS Mountain AHEC Had Flu Shot in Past Year VI. Immunization Slide 75 NC 2003 BRFSS Mountain AHEC Recent* Flu Shot by Sex, Race, Age, Education & Income: Mountain AHEC & NC % VI. Immunization *past year Slide 76 NC 2003 BRFSS Mountain AHEC Had Flu Shot in Health Department VI. Immunization Slide 77 NC 2003 BRFSS Mountain AHEC Ever Had a Pneumonia Shot (all ages) VI. Immunization Slide 78 NC 2003 BRFSS Mountain AHEC Ever Had a Pneumonia Shot (age 65+) VI. Immunization Slide 79 NC 2003 BRFSS Mountain AHEC VII. Physical Activity No leisure time physical activity Does not meet recommendation Moderate physical activity Vigorous physical activity Work activity Slide 80 NC 2003 BRFSS Mountain AHEC No Leisure Time Physical Activity VII. Physical Activity Slide 81 NC 2003 BRFSS Mountain AHEC No Leisure Time Activity by Sex, Race, Age, Education & Income: Mountain AHEC & NC % VII. Physical Activity Slide 82 NC 2003 BRFSS Mountain AHEC Does Not Meet Recommendation for Physical Activity VII. Physical Activity Slide 83 NC 2003 BRFSS Mountain AHEC Engages in Moderate Physical Activity VII. Physical Activity Slide 84 NC 2003 BRFSS Mountain AHEC Adequate Moderate Physical Activity per Week VII. Physical Activity Slide 85 NC 2003 BRFSS Mountain AHEC Engages in Vigorous Physical Activity VII. Physical Activity Slide 86 NC 2003 BRFSS Mountain AHEC Adequate Vigorous Physical Activity per Week VII. Physical Activity Slide 87 NC 2003 BRFSS Mountain AHEC Mostly Sitting or Standing at Work VII. Physical Activity Slide 88 NC 2003 BRFSS Mountain AHEC VIII. Tobacco Use Current smoker Smoked 100+ cigarettes Age first started smoking Slide 89 NC 2003 BRFSS Mountain AHEC Current Smoker VIII. Tobacco Use Slide 90 NC 2003 BRFSS Mountain AHEC Current Smoking by Sex, Race, Age, Education & Income: Mountain AHEC & NC % VIII. Tobacco Use Slide 91 NC 2003 BRFSS Mountain AHEC Smoked at Least 100 Cigarettes in Lifetime VIII. Tobacco Use Slide 92 NC 2003 BRFSS Mountain AHEC First Started Smoking Regularly at Age 14 or Younger VIII. Tobacco Use Slide 93 NC 2003 BRFSS Mountain AHEC IX. Tobacco Prevention Quit smoking Advised to quit Medical care for smokers Slide 94 NC 2003 BRFSS Mountain AHEC Quit Smoking One Day or Longer in Past Year / Trying to Quit IX. Tobacco Prevention Slide 95 NC 2003 BRFSS Mountain AHEC Advised by Health Professional to Quit Smoking in Past Year* IX. Tobacco Prevention Slide 96 NC 2003 BRFSS Mountain AHEC Regular Smokers* Who Received Medical Care in Past Year IX. Tobacco Prevention Slide 97 NC 2003 BRFSS Mountain AHEC X. Rules about Smoking Rules about smoking at home Rules about smoking at work Slide 98 NC 2003 BRFSS Mountain AHEC Smoking Not Allowed in the Home X. Rules about Smoking Slide 99 NC 2003 BRFSS Mountain AHEC Smoking Not Allowed at Home by Sex, Race, Age, Education & Income: Mountain AHEC & NC % X. Rules about Smoking Slide 100 NC 2003 BRFSS Mountain AHEC At Work, Smoking Not Allowed in Work Areas* X. Rules about Smoking Slide 101 NC 2003 BRFSS Mountain AHEC Worksites Prohibit Smoking in Both Public and Work Areas* X. Rules about Smoking Slide 102 NC 2003 BRFSS Mountain AHEC XI. Other Tobacco Products Ever used smokeless tobacco Ever smoked a cigar Current smokeless tobacco user Slide 103 NC 2003 BRFSS Mountain AHEC Ever Use Smokeless Tobacco XI. Other Tobacco Products Slide 104 NC 2003 BRFSS Mountain AHEC Ever Used Smokeless Tobacco by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XI. Other Tobacco Products Slide 105 NC 2003 BRFSS Mountain AHEC Ever Smoked a Cigar XI. Other Tobacco Products Slide 106 NC 2003 BRFSS Mountain AHEC Current Smokeless Tobacco User XI. Other Tobacco Products Slide 107 NC 2003 BRFSS Mountain AHEC XII. Tobacco Tax Support for tobacco tax Amount of tax by smoking status Slide 108 NC 2003 BRFSS Mountain AHEC Support for Tobacco Tax (any amount) XII. Tobacco Tax Slide 109 NC 2003 BRFSS Mountain AHEC Support for Tobacco Tax (any amount) by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XII. Tobacco Tax Slide 110 NC 2003 BRFSS Mountain AHEC Support for Amount of Tax on Pack of Cigarettes by Smoking Status* XII. Tobacco Tax % Slide 111 NC 2003 BRFSS Mountain AHEC XIII. Risk Factors Overweight/obese Binge/heavy drinking Smoking Physical inactivity No leisure time XIII. Risk Factors Slide 112 NC 2003 BRFSS Mountain AHEC Obese XIII. Risk Factors Slide 113 NC 2003 BRFSS Mountain AHEC Overweight or Obese XIII. Risk Factors Slide 114 NC 2003 BRFSS Mountain AHEC Binge Drinking* XIII. Risk Factors Slide 115 NC 2003 BRFSS Mountain AHEC Heavy Drinking* XIII. Risk Factors Slide 116 NC 2003 BRFSS Mountain AHEC Current Smoker XIII. Risk Factors Slide 117 NC 2003 BRFSS Mountain AHEC Physically Inactive* XIII. Risk Factors Slide 118 NC 2003 BRFSS Mountain AHEC No Leisure Time Activity* XIII. Risk Factors Slide 119 NC 2003 BRFSS Mountain AHEC Less than 5 Daily Servings of Fruits/Vegetables* XIII. Risk Factors Slide 120 NC 2003 BRFSS Mountain AHEC Cholesterol Never Checked or Checked > 5 Years Ago* XIII. Risk Factors Slide 121 NC 2003 BRFSS Mountain AHEC XIV. HIV/AIDS Ever Tested for HIV Knowledge of AIDS Treatment STD Prevention Sexual risk/intravenous drug use XIV. HIV/AIDS Slide 122 NC 2003 BRFSS Mountain AHEC Ever Tested for HIV/AIDS* XIV. HIV/AIDS Slide 123 NC 2003 BRFSS Mountain AHEC Ever Tested for AIDS by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XIV. HIV/AIDS Slide 124 NC 2003 BRFSS Mountain AHEC A Pregnant Woman w/HIV Can Get Treatment to Reduce Chances that Baby Will Acquire Virus* XIV. HIV/AIDS Slide 125 NC 2003 BRFSS Mountain AHEC There Are Medical Treatments to Help Those w/HIV to Live Longer * XIV. HIV/AIDS Slide 126 NC 2003 BRFSS Mountain AHEC In Past Year, Counseled About Condom Use to Prevent STDs* XIV. HIV/AIDS Slide 127 NC 2003 BRFSS Mountain AHEC At Risk for HIV/AIDS: Sexual Risk or Intravenous Drug Use* XIV. HIV/AIDS Slide 128 NC 2003 BRFSS Mountain AHEC XV. Obesity Obesity by Race & Education Obesity by Chronic Disease Status Obesity by Health Risk Factors Obesity by Limited Access to Health Care Special Section XV. Obesity-Special Sect. Slide 129 NC 2003 BRFSS Mountain AHEC Obese XV. Obesity-Special Sect. Slide 130 NC 2003 BRFSS Mountain AHEC Prevalence of Obesity by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XV. Obesity-Special Sect. Slide 131 NC 2003 BRFSS Mountain AHEC Obesity by Race/Ethnicity & Education XV. Obesity-Special Sect. % Slide 132 NC 2003 BRFSS Mountain AHEC Obesity by Chronic Disease Status XV. Obesity-Special Sect. % Slide 133 NC 2003 BRFSS Mountain AHEC Obesity by Health Risk Factors XV. Obesity-Special Sect. % % Slide 134 NC 2003 BRFSS Mountain AHEC Obesity by Limited Access to Health Care XV. Obesity-Special Sect. % Slide 135 NC 2003 BRFSS Mountain AHEC XVI. Weight Control Ever tried to lose weight Now trying to lose weight Using physical activity to lose wt. Eating fewer calories to lose wt. Advised to lose weight Slide 136 NC 2003 BRFSS Mountain AHEC Ever Tried to Lose Weight XVI. Weight Control Slide 137 NC 2003 BRFSS Mountain AHEC Ever Tried to Lose Weight by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XVI. Weight Control Slide 138 NC 2003 BRFSS Mountain AHEC Now Trying to Lose Weight XVI. Weight Control Slide 139 NC 2003 BRFSS Mountain AHEC Now Trying to Maintain Current Weight XVI. Weight Control Slide 140 NC 2003 BRFSS Mountain AHEC Using Physical Activity to Lose Weight or Keep from Gaining Weight* XVI. Weight Control Slide 141 NC 2003 BRFSS Mountain AHEC Eating Fewer Calories & Less Fat to Lose Weight or Keep from Gaining Weight* XVI. Weight Control Slide 142 NC 2003 BRFSS Mountain AHEC Advised by Health Professional to Lose Weight XVI. Weight Control Slide 143 NC 2003 BRFSS Mountain AHEC XVII. Weight Loss Products Taken over-the-counter weight loss pills Taken wt. loss pills prescribed by a doctor Taken weight loss pills that contain ephedra Slide 144 NC 2003 BRFSS Mountain AHEC In Past Two Years, Taken Over-the- Counter (OTC) Weight Loss Pills* XVII. Weight Loss Products Slide 145 NC 2003 BRFSS Mountain AHEC Taken OTC Weight Loss Pills (past 2 yrs.) by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XVII. Weight Loss Products Slide 146 NC 2003 BRFSS Mountain AHEC In Past Two Years, Taken Weight Loss Pills Prescribed by a Doctor* XVII. Weight Loss Products Slide 147 NC 2003 BRFSS Mountain AHEC Taking Over-the-counter Weight Loss Pills that Contain Ephedra* XVII. Weight Loss Products Slide 148 NC 2003 BRFSS Mountain AHEC XVIII. Knowledge of Signs & Symptoms of Heart Attack and Stroke XVIII. Heart Attack & Stroke Knew all symptoms/heart attack Knew all symptoms/stroke Call 911 as first response Slide 149 NC 2003 BRFSS Mountain AHEC Knew All Heart Attack Symptoms XVIII. Heart Attack & Stroke Slide 150 NC 2003 BRFSS Mountain AHEC Knew All Stroke Symptoms XVIII. Heart Attack & Stroke Slide 151 NC 2003 BRFSS Mountain AHEC Percent Who Recognized Individual Symptoms* of a Heart Attack: Mountain AHEC & NC XVIII. Heart Attack & Stroke Slide 152 NC 2003 BRFSS Mountain AHEC Percent Who Recognized Individual Symptoms* of a Stroke: Mountain AHEC & NC XVIII. Heart Attack & Stroke Slide 153 NC 2003 BRFSS Mountain AHEC Call 911 as First Response, if Someone Was Having a Heart Attack or Stroke* XVIII. Heart Attack & Stroke Slide 154 NC 2003 BRFSS Mountain AHEC XIX. Cardiovascular Disease History of any cardiovascular disease (CVD) Diet changes to lower risk of CVD Physical activity changes to lower risk of CVD Aspirin use to lower risk of CVD Slide 155 NC 2003 BRFSS Mountain AHEC History of Any Cardiovascular Diseases* XIX. Cardiovascular Disease Slide 156 NC 2003 BRFSS Mountain AHEC History of Cardiovascular Disease by Sex, Race, Age, Education & Income: Buncombe & NC % XIX. Cardiovascular Disease Slide 157 NC 2003 BRFSS Mountain AHEC History of Heart Attack XIX. Cardiovascular Disease Slide 158 NC 2003 BRFSS Mountain AHEC History of Angina or Coronary Heart Disease XIX. Cardiovascular Disease Slide 159 NC 2003 BRFSS Mountain AHEC History of Stroke XIX. Cardiovascular Disease Slide 160 NC 2003 BRFSS Mountain AHEC Eating Fewer High Fat or Cholesterol Foods to Lower Risk of Cardiovascular Disease XIX. Cardiovascular Disease Slide 161 NC 2003 BRFSS Mountain AHEC Eating More Fruits/Vegetables to Lower Risk of Cardiovascular Disease XIX. Cardiovascular Disease Slide 162 NC 2003 BRFSS Mountain AHEC Being More Physically Active to Lower Risk of Cardiovascular Disease XIX. Cardiovascular Disease Slide 163 NC 2003 BRFSS Mountain AHEC Past 12 months, Health Professional Suggested Eating More Fruits/Vegetables XIX. Cardiovascular Disease Slide 164 NC 2003 BRFSS Mountain AHEC Past 12 months, Health Professional Suggested Being More Physically Active XIX. Cardiovascular Disease Slide 165 NC 2003 BRFSS Mountain AHEC Take Aspirin Daily or Every Other Day* XIX. Cardiovascular Disease Slide 166 NC 2003 BRFSS Mountain AHEC Take Aspirin Daily or Every Other Day* by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XIX. Cardiovascular Disease Slide 167 NC 2003 BRFSS Mountain AHEC Take Aspirin to Relieve Pain* XIX. Cardiovascular Disease Slide 168 NC 2003 BRFSS Mountain AHEC Take Aspirin to Reduce the Chance of a Heart Attack* XIX. Cardiovascular Disease Slide 169 NC 2003 BRFSS Mountain AHEC Take Aspirin to Reduce the Chance of a Stroke* XIX. Cardiovascular Disease Slide 170 NC 2003 BRFSS Mountain AHEC XX. Excess Sun Exposure Had sunburn Had four or more sunburns in past year Slide 171 NC 2003 BRFSS Mountain AHEC Had Sunburn in Past 12 Months XX. Excess Sun Exposure Slide 172 NC 2003 BRFSS Mountain AHEC Had Sunburn in Past Year by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XX Excess Sun Exposure Slide 173 NC 2003 BRFSS Mountain AHEC Had Four or More Sunburns in Past 12 Months XX. Excess Sun Exposure Slide 174 NC 2003 BRFSS Mountain AHEC XXI. Binge Drinking Special Section Binge drinking by demographics Location of most recent binge drinking How alcohol was obtained for most recent binge drinking XXI. Binge Drinking Slide 175 NC 2003 BRFSS Mountain AHEC Binge Drinking* XXI. Binge Drinking Slide 176 NC 2003 BRFSS Mountain AHEC Binge Drinking by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XXI. Binge Drinking Slide 177 NC 2003 BRFSS Mountain AHEC Location for Most Recent Binge Drinking Occasion XXI. Binge Drinking Slide 178 NC 2003 BRFSS Mountain AHEC How Alcohol Was Obtained, During Most Recent Binge Drinking Occasion XXI. Binge Drinking Slide 179 NC 2003 BRFSS Mountain AHEC XXII. Falls Had fall in last 3 months Injured from last fall Slide 180 NC 2003 BRFSS Mountain AHEC Had a Fall in Past Three Months (ages 45+) XXII. Falls Slide 181 NC 2003 BRFSS Mountain AHEC Injured in the Fall XXII. Falls Slide 182 NC 2003 BRFSS Mountain AHEC XXIII. Physical Assault Ever physically assaulted Person who committed most recent assault Persons told about most recent assault XXIII. Physical Assault Slide 183 NC 2003 BRFSS Mountain AHEC Ever Physically Assaulted* XXIII. Physical Assault Slide 184 NC 2003 BRFSS Mountain AHEC Ever Physically Assaulted by Sex, Race, Age, Education & Income: Mountain AHEC & NC % XXIII. Physical Assault Slide 185 NC 2003 BRFSS Mountain AHEC Person Who Committed Most Recent Assault XXIII. Physical Assault Slide 186 NC 2003 BRFSS Mountain AHEC All Persons You Told About Most Recent Assault XXIII. Physical Assault Slide 187 NC 2003 BRFSS Mountain AHEC XIV. Healthy People 2010 Objectives (tracked by 2003 BRFSS data) Access to Health Insurance Cancer Prevention Immunizations Overweight Physical Activity Substance Abuse Tobacco Use XXIV. HP 2010 Objectives Slide 188 NC 2003 BRFSS Mountain AHEC Health Insurance Coverage (ages 18 to 64) XXIV. HP 2010 Objectives HP 2010 Target: 100% Slide 189 NC 2003 BRFSS Mountain AHEC Had Flu Shot in Past Year (age 65+) XXIV. HP 2010 Objectives HP 2010 Target: 80% Slide 190 NC 2003 BRFSS Mountain AHEC Ever Had a Pneumonia Shot (age 65+) XXIV. HP 2010 Objectives HP 2010 Target: 90% Slide 191 NC 2003 BRFSS Mountain AHEC Reduce Obesity (age 20+) XXIV. HP 2010 Objectives HP 2010 Target: 15% Slide 192 NC 2003 BRFSS Mountain AHEC Reduce No Leisure Time Activity* XXIV. HP 2010 Objectives HP 2010 Target: 20% Slide 193 NC 2003 BRFSS Mountain AHEC Vigorous Physical Activity/3 Times Week* HP 2010 Target: 30% XXIV. HP 2010 Objectives Slide 194 NC 2003 BRFSS Mountain AHEC Reduce Binge Drinking* XXIV. HP 2010 Objectives HP 2010 Target: 6% Slide 195 NC 2003 BRFSS Mountain AHEC Reduce Smoking XXIV. HP 2010 Objectives HP 2010 Target: 12%