1. 2004 Fannin County Health Survey Texas Behavioral Risk Factor Surveillance System (BRFSS)

2. BRFSS Survey of Fannin County: Introduction and Methods The data presented in this report were gathered from telephone interviews with residents of Fannin County using a questionnaire and survey methods modeled closely on the Texas Behavioral Risk Factor Surveillance System (BRFSS). BRFSS surveys, administered through a federal state partnership, pose questions relating to health status, personal health habits, and the use of preventive health services. The surveys adhere to the highest scientific standards and yield data that policymakers and public health professionals rely on to identify major health risks, design interventions, set performance goals, and measure progress toward those goals. The final Fannin county BRFSS dataset includes completed interviews with approximately 315 non-institutionalized adult residents. All interviews were conducted during May 2004. Interview subjects were selected in two stages. First, telephone numbers for the geographic region were randomly called until a household was identified. Second, after contacting a household, one household member age 18 years or older was randomly selected for the interview.

3. BRFSS Survey of Fannin County: Introduction and Methods Cont. Prior to analysis, the data were weighted to adjust for unequal probabilities of selection among individuals who live in households with different numbers of telephones and adults. The final data also were poststratified to account for unequal response rates among members of various demographic groups. Weights for the number of adults and telephones in a household were needed because we wanted to make statistically valid inferences about individuals, but we were sampling telephone numbers. Demographic poststratification was applied to make the final data more representative of Fannin county. The outcome of the weighting and poststratification process is that each record in the database represents a known number of individuals in the Fannin county population who share selected household and personal characteristics with the respondent. All statistical analyses included in this report were run on the weighted data using SUDAAN software and are reported with 90 % confidence intervals.

4. BRFSS Survey of Fannin County: Introduction and Methods Cont. Modern telephone survey methods have several advantages that make them a useful tool for health policy makers, including a substantial degree of quality control made possible by computer assisted telephone interviewing systems, their relatively low cost, and a high speed of data collection. The methods used for BRFSS have been evaluated by the Centers for Disease Control and Prevention (CDC) and participating states for nearly 20 years. The content of survey questions, data collection procedures, and analytical techniques have been carefully developed and refined to improve data quality and reduce the potential for bias. However, BRFSS surveys are not without limitations. As with all telephone surveys, a small number of households without working phones are excluded from the sample. Moreover, BRFSS data are self-reported. Thus, respondents may have a tendency to under- report behaviors that are socially undesirable, unhealthy, or illegal while over-reporting desirable behaviors. Also, the accuracy of self-reported information often depends on the ability of respondents to fully recall past behaviors and health screening results.

5. Fannin County Health Survey Demographic Distribution, Adults, 2004 (with 90% confidence intervals)

6. Fannin County Health Survey Health Risk Factors, Texas Adults, 2004 (with 90% confidence intervals)

8. 2004 Fannin County Health Survey Reports only Fair or Poor General Health

9. 2004 Fannin County Health Survey Reports 5 or More Days of Poor Physical Health in the Past 30 Days

10. 2004 Fannin County Health Survey Reports 5 or More Days of Poor Mental Health in the Past 30 Days

11. 2004 Fannin County Health Survey No Health Coverage

12. 2004 Fannin County Health Survey Had Routine Checkup Within Past Year

13. 2004 Fannin County Health Survey Unable to Get Medical Care During Past 12 Months

14. 2004 Fannin County Health Survey Ever Told Has High Blood Pressure

15. 2004 Fannin County Health Survey Had Cholesterol Checked Within past 5 Years

16. 2004 Fannin County Health Survey Ever Told Has High Blood Cholesterol

17. 2004 Fannin County Health Survey Told Have Heart Disease (Heart Attack, Angina or Coronary Heart Disease, or Stroke)

18. 2004 Fannin County Health Survey Ever Told Has Diabetes

19. 2004 Fannin County Health Survey Overweight, Body Mass Index (BMI) Between 25.0-29.9

20. 2004 Fannin County Health Survey Obesity, Body Mass Index (BMI) >=30

21. 2004 Fannin County Health Survey Overweight or Obesity, Body Mass Index (BMI) >=25

22. 2004 Fannin County Health Survey Lifetime Smoking (Smoked 100 Cigarettes in Entire Life)

23. 2004 Fannin County Health Survey Current Smoking (Smoked 100 Cigarettes in Entire Life & now Smokes Every Day or Some Days)

24. 2004 Fannin County Health Survey Current Use of Smokeless Tobacco

25. 2004 Fannin County Health Survey Binge Drinking (5 or More Drinks on an Occasion in the Past 30 Days)

26. 2004 Fannin County Health Survey Told Have Some Form of Arthritis

27. 2004 Fannin County Health Survey Current Asthma

28. 2004 Fannin County Health Survey No Flu Shot During the Past 12 Months

29. 2004 Fannin County Health Survey Leisure Time Physical Activity

30. 2004 Fannin County Health Survey Meets Recommendations for Moderate or Vigorous Physical Activity

31. 2004 Fannin County Health Survey Does Some Physical Activity but Does not Meet

32. 2004 Fannin County Health Survey Vision Only Fair or Poor NA

33. 2004 Fannin County Health Survey Diagnosed or Treated by a Health Professional for ADHD/ADD NA

34. 2004 Fannin County Health Survey Eyes Examined by Doctor Within the Past Year NA

35. 2004 Fannin County Health Survey Visited Dentist in the Past Year

36. 2004 Fannin County Health Survey Had 6 or More Permanent Teeth Removed Due to Tooth Decay or Gum Disease

37. 2004 Fannin County Health Survey Had Teeth Cleaned in the Past Year

38. BRFSS Contact Information Jimmy Blanton, M.P.Aff., M.A. Coordinator 512-458-7111 x6593 jimmy.blanton@tdh.state.tx.us Program Website: www.tdh.state.tx.us/chronicd/default.htm www.tdh.state.tx.us/chronicd/default.htm