1. A Profile of Health among Massachusetts Adults: 2000-2001 Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) Health Survey Program Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation Massachusetts Department of Public Health September 2003

2. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 2 Overview What is the BRFSS? Selected topics - Health Risks - Preventive Health Behaviors - Health Conditions Summary

3. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 3 What is the BRFSS? Random digit dial telephone survey Adults ages 18 and older Collaboration between CDC and States Massachusetts BRFSS since 1986 Data are weighted: provide population-based estimates of health Sample Size: 7,000 - 8,000 annually

4. BRFSS TOBACCO CANCER SCREENING DRUG & ALCOHOL ASTHMA CHOLESTEROL NUTRITION & EXERCISE HEALTH CARE ACCESS HYPERTENSION DIABETES 50 OTHER TOPICS WEIGHT

5. Selected Topics Weight, Nutrition & Physical Activity Cancer Screening Smoking Chronic Disease Prevalence Hypertension and Cholesterol

6. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 6 Weight, Nutrition and Physical Activity Massachusetts, 2001 * 2000 data

7. Overweight Obesity Height BMI 25.0-29.9 BMI > 30 5’128 lbs.153 lbs. 5’2’’136164 5’4’’145174 5’6’’155186 5’8’’164197 6’184221 Overweight and Obese by Height

8. Overweight Obesity Height BMI 25.0-29.9 BMI > 30 5’ 128 lbs.153 lbs. 5’2’’ 136164 5’4’’ 145174 5’6’’ 155186 5’8’’ 164197 6’ 184221 Overweight and Obese by Height

9. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 9 Percentage of Massachusetts Adults Who Are Obese by Sex and Race/Ethnicity, 2001 MA average ** * non-Hispanic ** insufficient numbers

10. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 10 Percentage of Adults Who Are Overweight by EOHHS Health Service Region, Massachusetts 2001

11. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 11 Percentage of Massachusetts Adults Who Reported Regular Physical Activity in the Past Month, by Race/Ethnicity, 2001 MA average *non-Hispanic

12. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 12 Percentage of Massachusetts Adults Ages 25+ Who Reported Regular Physical Activity in the Past Month, by Education and Sex, 2001 MA average

13. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 13 Cancer Screening Massachusetts, 2001 * women 40+ (2000) ** adults 50+ *** men 50+

14. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 14 Percentage of Women Ages 40+ Who Had a Mammogram in the Past Two Years, by Race/Ethnicity, 2000 MA average * non-Hispanic ** insufficient numbers **

15. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 15 Percentage of Women Ages 18+ Who Received a Pap Smear in the Past 3 Years, by Race/Ethnicity, 2001 MA average ** * non-Hispanic ** insufficient numbers

16. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 16 Percentage of Massachusetts Women Ages 18+ Who Received a Pap Smear in the Past 3 Years, by Household Income, 2001 MA average

17. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 17 Percentage of Massachusetts Adults Ages 50+ Who Had a Sigmoidoscopy or Colonoscopy in the Past 5 Years, by Race/Ethnicity, 2001 MA average ** * non-Hispanic ** insufficient numbers

18. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 18 Percentage of Current Smokers by Age Massachusetts 2001 MA average

19. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 19 Percentage of Current Smokers by Household Income, Massachusetts 2001 MA average

20. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 20 Percentage of Current Smokers by EOHHS Health Service Region, Massachusetts 2001

21. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 21 Chronic Disease Prevalence Massachusetts, 2001 * adults 35+

22. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 22 Percentage of Massachusetts Adults with Diabetes, by Household Income, 2001 MA average

23. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 23 Percentage of Massachusetts Adults Ages 35+ Who Had a Heart Attack, Angina, or Coronary Heart Disease, by Household Income, 2001 MA average

24. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 24 Hypertension and Cholesterol Massachusetts, 2001

25. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 25 Percentage of Massachusetts Adults with High Blood Pressure Who Took Blood Pressure Medication, by Race/Ethnicity, 2001 MA average ** * non-Hispanic ** insufficient numbers

26. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 26 Percentage of Massachusetts Adults Who Had Their Cholesterol Checked in the Last 5 Years, by Race/Ethnicity, 2001 MA average * non-Hispanic

27. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 27 Percent Change for Selected Indicators Massachusetts 1990-2001 1990 (%) 2001 (%) % Change Worse overweight 40 54 + 35% Better 5+ fruits/vegetables 25 31* + 24% mammogram 68** 84* + 24% colorectal screening 27*** 45 + 67% current smoking 24 20 - 17% *2000 **1992 ***1993

28. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 28 Summary Massachusetts is doing well when compared to other states: - cholesterol checks (the best in US) - current smoking (4th best) - obesity (2nd best) - breast cancer screening (3rd best) - colorectal cancer screening (9th best) - prostate cancer screening (DRE 2nd, PSA 6th) There is still room for improvement. We have not yet met Healthy People 2010 Objectives for: - smoking - obesity - diabetes

29. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 29 Summary Disparities in health risks and preventive health behaviors exist in Massachusetts with regard to age, sex, race/ethnicity, education, income, and geography: - chronic disease prevalence higher in low income groups - overweight/obesity higher among Black and Hispanic women - smoking higher in Western, Central and Southeast regions in Massachusetts

30. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 30 Contents of BRFSS Reports * Percent estimates of key variables by age, sex, race/ethnicity, education, income, and health service region * Trends over time * Comparisons of MA data to: - National median - Healthy People 2010 objectives

31. Source: Health Survey Program, Division of Research and Epidemiology Bureau of Health Statistics, Research and Evaluation, MDPH 31 How to obtain these data? For access to reports and data: * Visit BRFSS web site: http://www.state.ma.us/dph/bhsre/cdsp/brfss/brfss.htm * MassCHIP: 2000 and 2001 BRFSS data will be available late in 2003 For more information about BRFSS, please contact: Zi Zhang, Director of Health Survey Program Tel: (617) 624-5623 E-mail: zi.zhang@state.ma.ushttp://www.state.ma.us/dph/bhsre/cdsp/brfss/brfss.htm