BRFSS Behavioral Risk Factor Surveillance System 2001 Cumberland County BRFSS Survey Results State Center for Health Statistics Division of Public Health.

BRFSSBehavioral Risk Factor Surveillance System

2001 Cumberland 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



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 BRFSSData 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 QuestionsRequired by CDC and asked every year by all participants.

• Rotating Core QuestionsRequired 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 CDCIncluded if sponsored by state programs/agencies.

• State-Added QuestionsDeveloped by state programs/agencies that also sponsor them.

Survey Topics on the NC 2001 BRFSS

Core Sections• Health status• High Blood Pressure• Cholesterol• Asthma/Diabetes• Arthritis• Immunization• Tobacco/alcohol use• Firearms• Demographics• Prostate/colorectal• HIV/AIDs

Optional Modules • Oral health• Tobacco indicators• Heart attack/stroke• Cardiovascular

disease• Diabetes care• Fruits and vegetables• Folic acid

State-added• Substance abuse• Health care coverage• Cardiovascular

prevention• Cancer• Osteoporosis• Physical activity• Disability• Family Planning• Sexual behavior• 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 PresentationI. Sample size & demographicsII. Health care accessIII. Chronic diseasesIV. Use of preventive health servicesV. Oral healthVI. Cardiovascular HealthVII. Tobacco Use and PreventionVIII. Health Risk BehaviorsIX. Physical activityX. Health status & quality of lifeXI. Family PlanningXII. HIV/AIDS & sexual behaviorXIII. BRFSS tracked HP2010 objectivesXIV. Special topics

Note: all results are based on weighted data

I. Sample Size & Demographics

County or RegionNumber ofInterviews County

Number ofInterviews

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

Western NC 619Peidmont 670Eastern NC 621

State Total 6,205

2001 BRFSS Sample Size

BRFSS 2001 Sample Demographic Characteristics

Cumberland Co. North Carolina N %* N %* Total 429 100 6,205 100 Sex Male 176 55.7 2,382 47.8 Female 253 44.3 3,823 52.2 Race White 251 54.3 4,698 74.3 Black 127 30.5 1,114 19.9 Other minority 38 15.2 264 5.8 Age 18-44 yrs. 243 66.9 2,994 51.9 45-64 yrs. 106 19.6 1,957 31.0 65+ yrs. 77 13.5 1,191 17.1 *weighted percentages

BRFSS 2001 Sample Demographic Characteristics (Continued)

Cumberland Co. North Carolina N %* N %* Education < H.S. 42 12.9 833 15.9 H.S./G.E.D. 140 33.4 1,860 33.0 Post H.S./College 246 53.7 3,480 51.1 Household Income < $20,000 74 18.8 1,016 20.9 $20,000-$34,999 115 31.9 1,469 29.0 $35,000+ 159 49.3 2,558 50.1 Employment Employed 260 66.3 3,730 62.1 Retired 76 13.6 1,282 17.8 Other 93 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

85.3

83.3

79.883.7

85.5

87.4

80.3

79.889.9

87.7

85.1

90.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Health Insurance Coverage*

XIII. HP 2010 Objectives

HP 2010 Target: 100%

*Adults < 65 yrs old

Health Insurance Coverage by Race & Sex North Carolina, 1991-2001

50

55

60

65

70

75

80

85

90

95

100

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

Percent

WhitesAfrican AmericansMalesFemales

II Health Care Access

Health Insurance Coverage by Sex, Race, & Age: Cumberland & NC (adults <65 yrs. old)


74.4

88.4 86.778.6

85.985.684.982.3 82.184.3 81.087.2

0

10

20

30

40

50

60

70

80

90

100

Males Females Whites Blacks 18-44 yrs. 45-64 yrs.

percent

Cumberland NC

11.5

8.3

17.5

9.8

12.4

12.4

13.6

8.3

7.6

6.9

8.6

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent

0 2 4 6 8 10 12 14 16 18 20

Could not See a Doctor Due to Cost in Past Year


78.1

80.2

79.3

80.1

71.7

82.7

77.8

86.4

80.0

74.1

79.0

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Has a Usual Source of Medical care*


HP 2010 Target:

96%*includes clinic, health center, doctor’s office

79.780.7

68.7

85.579.5

76.067.4

81.090.0

83.8

77.6

82.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Has Personal Health Care Provider(s)*


*one or more persons regarded as a personal doctor

III. Chronic Diseases

• Arthritis• Asthma• Cancer• Diabetes• Disability• High cholesterol• High Blood

Pressure

Arthritis

23.0

23.3

18.4

28.0

15.1

21.1

18.7

25.2

21.1

18.5

11.5

14.2

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Doctor-Diagnosed Arthritis

III. Chronic Diseases: Arthritis

Arthritis* Prevalence by Sex, Race, & Age: Cumberland County & NC


9.4

14.6

24.0 23.5

5.4

44.2

16.0

24.3

38.4

17.8

28.7

22.1

0

5

10

15

20

25

30

35

40

45

50

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

percent

Cumberland NC* doctor-diagnosed

22.6

22.1

19.0

23.0

18.7

21.2

19.5

24.5

19.9

19.7

16.8

14.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Chronic Joint Symptoms (CJS)


33.1

32.5

27.1

35.8

25.7

30.9

26.4

34.2

30.2

27.4

21.2

21.3

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Total Arthritis (CJS and/or Doctor Diagnosed)


41.6

51.5

49.3

48.7

45.7

60.0

60.2

46.8

48.4

54.5

57.4

46.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Currently Treated by a Doctor for Arthritis


Arthritis and Quality of Life: North Carolina

9.7 9.97.5

4.2

18.8

33.3

14.2

38.0

0

5

10

15

20

25

30

35

40

45

50

Fair/poor health Poor mental health(8+ days/month)

Poor physical health(8+ days/month)

Activity limitation(8+ days/month)

percent

ArthritisNo Arthritis

Arthritis, Obesity and Physical Activity: North Carolina

19.5

24.3

33.334.0

0

5

10

15

20

25

30

35

40

45

50

Obesity Engage in leisure physical activity

percent

Arthritis

No Arthritis

Asthma

11.1

10.1

10.1

6.8

10.8

9.77.5

11.2

12.6

10.2

9.1

7.2

U S

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Ever Diagnosed with Asthma

III. Chronic Diseases: Asthma

Asthma (ever had) Prevalence by Sex, Race, & Age: Cumberland County & NC


9.7

4.9

10.7

7.38.7

5.2

10.1

12.3

9.310.8

8.5

11.4

0

2

4

6

8

10

12

14

16

18

20


percent

Cumberland NC

7.2

6.4

5.5

5.46.8

6.44.5

6.58.0

5.9

6.5

5.3

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Currently Has Asthma


Cancer

11.3

9.6

10.8

15.6

12.4

14.5

14.0

9.7

7.0

5.8

9.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Ever Diagnosed with Cancer (Age 40 +)

III. Chronic Diseases: Cancer

Cancer Prevalence (all types): North Carolina


4.1

0.8

3.82.6

4.2

0

2

4

6

8

10

12

14

16

18

20

Breast Colorectal Prostate Skin Other

percent

Cancer Prevalence (Age 40+) by Sex, Race, & Age: Cumberland County & NC


6.5

21.6

16.7

9.5

20.8

9.5

5.46.6

12.911.610.9

19.1

0

5

10

15

20

25

30

35


percent

Cumberland NC

12.0

13.7

13.1

11.510.0

9.19.9

6.312.0

8.4

13.2

8.7

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Family History of Prostate Cancer*


* Asked of male respondents age 40+

Diabetes

6.8

5.2

7.9

6.5

5.07.7

7.1

5.9

7.3

4.6

6.9

4.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Diabetes

III. Chronic Diseases: Diabetes

Prevalence of Diabetes by Race & SexNorth Carolina, 1990-2001

0

2

4

6

8

10

12

14

16

18

20

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent


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

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?

A positive response to one or more of the following screener questions:

15.5

12.8

16.6

12.3

15.8

14

16.3

16.0

12.2

9.7

11.0

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Activity Limitation b/c Physical or Emotional Problems

III. Chronic Diseases: Disability

6.2

6.1

5.3

4.8

4.7

3.6

4.8

5.4

6.2

3.1

5.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Health Problem that Requires Use of Special Equipment


14.1

9.3

15.0

12.6

14.5

13.0

15.7

12.5

10.7

9.4

9.8

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Self-Perceived Disability


10.1

6.8

10.1

8.3

11.8

8.6

10.9

10.9

11.0

6.8

10.0

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Trouble Learning and Remembering


25.3

20.7

26.6

22.4

24.7

24.4

26.8

25.8

20.1

16.9

20.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Prevalence of Disability - Any Type


Disability Prevalence by Sex, Race & Age: Cumberland County & NC


25.1

40.0

15.216.4

21.8

27.7 26.7

35.9

25.624.2

26.923.6

0

5

10

15

20

25

30

35

40

45

50


percent

Cumberland NC

Health, Work, & Health Care Access among Adults with Disabilities (18-64 yrs.): Cumberland & NC


84.4

73.376.2

65.9

54.4

80.5

51.459.6

0

10

20

30

40

50

60

70

80

90

100

Excellent-good health

Employed Has healthins.

Haspersonaldoctor(s)

percent

Forsyth NC

High cholesterol

30.9

28.9

24.5

31.3

18.2

27.2

27.4

26.5

26.3

24.8

26.3

24.9

US

Gaston

New Hanover

Buncombe

Guilford

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

High Cholesterol

III. Chronic Diseases: High Cholesterol

Prevalence of High Blood Cholesterol by Sex, Race, and Age: Cumberland County & NC

III. Chronic Diseases: high blood cholesterol

17.5

39.0

29.432.1

23.7 24.024.427.1

38.2

17.5

30.230.5

0

5

10

15

20

25

30

35

40

45

50


percent

Cumberland NC

Prevalence of High Cholesterol by Race & SexNorth Carolina, 1990-2001*

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1995 1997 1999 2001Year

Percent



* Data not available for 1994, 1996, 1998, 2000.

82.1

84.5

75.8

85.8

85.4

81.6

75.5

87.4

87.7

88.3

75.0

84.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Cholesterol Checked Past Year among Adults with High Blood Cholesterol


High Blood Pressure

25.8

27.2

22.5

29.8

23.823.9

26.9

25.3

28.8

26.8

17.519.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

High Blood Pressure

III. Chronic Diseases: High Blood Pressure

HP 2010 Target(reduce to 16%)

Prevalence of High Blood Pressure by Race & SexNorth Carolina, 1991-2000

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1995 1997 1999 2001Year

Percent




71.6

74.9

66.6

71.3

76.8

78.570.8

72.5

75.773.6

77.0

71.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Currently Taking Medicine for High Blood Pressure


Prevalence of High Blood Pressure by Sex, Race, and Age: Cumberland County & NC

III. Chronic Diseases: high blood pressure

13.7

52.3

26.431.9

22.9

35.4 37.4

25.4

43.1

12.4

25.328.9

0

10

20

30

40

50

60

70

80

90

100


percent

Cumberland NC

IV. Preventive Health Care

• Prostate Cancer screening• Colorectal Cancer screening• Cholesterol screening• Immunizations

60.5

62.5

68.8

57.4

78.4

59.6

76.3

52.4

67.8

63.1

57.4

63.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Had a PSA (Prostate-Specific Antigen) Test (male respondents age 40+)


76.3

71.6

71.9

67.8

88.0

78.0

82.9

64.3

74.9

75.2

67.8

75.7

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Had a Digital Rectal Exam (male respondents age 40+)


44.6

55.1

44.4

52.8

56.2

60.2

57.8

52.1

73.4

54.3

60.7

61.6

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Had a Blood Stool Test (all respondents age 50+)


47.3

47.6

44.5

48.6

52.2

60.3

50.2

44.4

62.6

45.6

58.6

59.0

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Had a Colonoscopy Exam (all respondents age 50+)


77.8

79.0

72.5

83.0

78.1

79.2

70.2

81.3

86.5

84.5

80.4

80.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Had Blood Cholesterol Checked (all respondents age 18+)


Prevalence of Ever Having Blood Cholesterol Checked by Race & Sex, North Carolina 1990-2001*

50

55

60

65

70

75

80

85

90

95

100

1990 1991 1992 1993 1995 1997 1999 2001Year

Percent



* Data not available for 1994, 1998, 2000.

73.8

75.1

65.980.6

76.0

75.8

68.478.9

84.6

81.2

76.377.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Blood Cholesterol Checked in Past 5 Years (all respondents age 18+)


HP 2010 Target:

80%

30.1

31.0

29.9

30.8

36.4

28.8

36.3

29.536.6

31.8

27.4

29.9

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Had Flu Shot in Past 12 Months (all respondents age 18+)


Prevalence of Having an Annual Flu Shot by Race & Sex, North Carolina, 1993-2001*

0

5

10

15

20

25

30

35

40

45

50

1993 1995 1997 1999 2000 2001Year

Percent




21.9

21.1

15.2

21.0

18.4

18.4

25.5

20.5

25.1

17.1

15.0

16.3

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Had a Pneumonia Shot (all respondents age 18+)


Prevalence of Ever Having a Pneumonia Vaccination by Race & Sex, North Carolina 1993-2001*

0

5

10

15

20

25

30

35

40

45

50

1993 1995 1997 1999 2000 2001Year

Percent




V. Oral Health

• Dental insurance• Dental visits• Dental cleaning• Tooth loss

54.7

66.7

53.4

63.2

53.8

60.8

50.1

65.8

61.7

63.1

67.6

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Dental Insurance Coverage

V. Oral health

Dental Insurance Coverage by Sex, Race, & Age: Cumberland County & NC

V. Oral health

63.757.2 59.3

67.0

47.6

69.5

45.2

63.559.953.652.5

57.2

0

10

20

30

40

50

60

70

80

90

100


percent

Cumberland NC

69.4

74.4

66.8

71.1

67.6

72.7

68.4

75.0

71.3

80.0

77.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Visited Dentist Past Year for Any Reason

V. Oral health

71.0

75.0

71.9

73.7

73.6

72.3

70.1

79.5

69.8

78.9

77.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Teeth Cleaned Past Year

V. Oral health

9.1

5.6

13.1

7.0

7.8

6.0

9.8

7.2

6.7

2.7

4.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

All Permanent Teeth Extracted

V. Oral health

VI. Cardiovascular Health

• History of heart disease, High Blood Pressure, high cholesterol

• Disease prevention• Knowledge of symptoms of

heart attack, stroke

8.6

5.8

10.0

6.1

6.9

6.4

6.8

8.1

8.4

3.7

5.1

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

History of Cardiovascular Disease*


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

25.8

27.2

22.5

29.8

23.8

23.9

26.9

25.3

28.8

26.8

17.5

19.8

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Been Told* Blood Pressure is High


* by health professional

HP 2010 Target(reduce to 16%)

30.9

28.9

24.5

31.3

18.2

27.2

27.4

26.5

26.3

24.8

26.3

24.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Told* Blood Cholesterol is High


* by health professional

67.5

65.3

64.4

79.2

65.5

63.3

77.3

71.0

66.9

64.6

71.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Eating Less Fat Foods to Lower Risk of Heart Disease


67.5

65.3

64.4

79.2

65.5

63.3

77.3

71.0

66.9

64.4

71.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

More Active to Lower Risk of Heart Disease


30.4

24.9

25.5

31.1

23.9

33.9

24.4

24.4

30.1

27.8

30.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Told by Health Professional to Eat Less Fat Foods


35.4

24.3

30.1

34.4

30.8

41.5

29.5

28.3

33.2

33.0

32.1

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Told by Health Professional to Eat more Fruits & Veggies


35.8

27.7

33.8

35.9

29.1

37.3

29.7

30.7

38.1

38.7

34.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Told by Health Professional to be More Active


30.1

31.1

24.5

35.7

33.6

38.7

29.0

33.6

34.5

23.3

22.7

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Take Aspirin Daily or Every Other Day*


* Adults age 35+

Percent Who Recognized Signs & Symptoms of a Heart Attack : Cumberland County & NC

74.5

90.0

86.5

67.8

95.6

89.9

87.4

96.4

0 10 20 30 40 50 60 70 80 90 100

feeling weak,lightheaded

chest pain

shortness of breath

arms or shoulder pain

Cumberland NC


Percent Who Recognized Signs & Symptoms of a Stroke: Cumberland County & NC

88.6

76.8

93.3

72.4

87.8

69.5

93.3

68.4

0 10 20 30 40 50 60 70 80 90 100

sudden trouble walking /dizziness

sudden trouble seeing inone or both eyes

sudden numbness/face,arm, leg

severe headache / noknown cause

Cumberland NC

VI. Cardiovascular Health: knowledge stroke of symptoms

VII. Tobacco Use and Prevention

• Smoking status• Smokeless tobacco use• Quit smoking• Medical care for smokers• Cigar smoking• Prevention

47.2

49.6

59.8

49.4

36.9

54.5

43.1

55.9

49.0

45.2

43.6

42.7

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Smoked at Least 100 Cigarettes in Lifetime


70.0

60.1

74.0

79.2

68.6

69.4

69.9

73.2

70.9

72.3

70.4

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

First Smoked at Age 16 or Younger


First Started Smoking Regularly: North Carolina


3.9

12.9

24.1 24.9

34.2

0

5

10

15

20

25

30

35

40

45

50

Never Age 14 oryounger

Age 15-16 Age 17-18 Age 19 orolder

percent

22.7

25.7

34.3

27.4

18.2

24.5

26.5

30.7

24.1

21.0

21.9

19.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Current smokers* (age 18+)


*includes everyday and occasional smokers

Prevalence of Smoking by Race & Sex,North Carolina, 1990-2001

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent



Current Smoker by Sex, Race, & Education: Cumberland County & NC


29.226.826.2

27.5

18.1

33.1 33.1

23.1

28.6

21.7

26.5

18.7

0

5

10

15

20

25

30

35

40

45

50

Males Females Whites Blacks <= H.S. H.S.+

percent

Cumberland NC

Smoking Status (all respondents): Cumberland, North Carolina, & US

52.8

24.5

5.7

56.8

7.0

19.6

50.4

23.8

4.5

21.3

17.0

16.6

0 10 20 30 40 50 60 70 80 90 100

Never smoked

Former smoker

Smoke some days

Smoke everyday

US Cumberland NC


55.8

55.8

53.5

59.1

57.4

60.4

59.5

60.1

41.3

54.3

60.6

60.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Quit Smoking One Day or Longer


Prevalence of Quit-Smoking Attempts by Race & Sex, North Carolina, 1990-2001

0

10

20

30

40

50

60

70

80

90

100

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent Whites

African AmericansMalesFemales


65.7

58.1

65.2

66.8

73.1

73.9

61.7

87.6

58.7

52.2

69.7

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Regular Smokers* Who Received Medical Care in Past Year


*smoked regularly within the past year

19.2

32.2

17.9

8.7

17.8

21.9

23.8

14.4

13.6

19.5

19.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Used Smokeless Tobacco Products


4.9

7.7

6.6

0.6

3.9

4.1

4.5

1.0

4.5

2.3

2.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Smokeless Tobacco User


38.2

48.3

35.4

31.4

34.3

34.0

38.5

30.7

34.2

48.6

34.8

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Smoked a Cigar


62.1

65.8

59.8

75.1

72.6

68.9

68.9

55.5

63.6

76.1

68.7

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Smoking Not Allowed Anywhere in the Home


74.8

83.5

77.5

89.5

74.8

89.6

83.7

72.3

79.9

79.4

83.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Smoking Not Allowed in the Workplace, Both Common Areas and Work Areas*


*asked of respondents who reported working indoors

VIII. Health Risk Behaviors

• Overweight• Cholesterol not checked• Smoking• Binge/heavy drinking• Physical inactivity

37.1

35.9

39.7

36.8

38.5

37.7

37.3

33.2

35.4

35.0

34.8

38.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Overweight


Prevalence of Overweight by Race & Sex,North Carolina, 1990-2001

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent



21.6

22.9

18.3

26.5

20.7

16.9

21.4

19.2

21.6

20.6

19.2

18.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Obesity


Prevalence of Obesity by Race & Sex,North Carolina, 1990-2001

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent



22.5

21.2

28.0

17.1

22.1

21.0

30.3

18.7

13.6

15.6

20.0

19.3

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Cholesterol Never Checked


Prevalence of Never Having Cholesterol Checked by Race & Sex, North Carolina, 1990-2001*

0

5

10

15

20

25

30

35

40

45

50

1990 1991 1992 1993 1995 1997 1999 2001Year

Percent




22.7

25.7

34.3

27.4

18.2

24.5

26.5

30.7

24.1

21.0

21.9

19.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Smoking*


*includes everyday and occasional smokers

Prevalence of Smoking by Race & Sex,North Carolina, 1990-2001

0

5

10

15

20

25

30

35

40

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent



14.5

9.8

15.1

10.0

13.5

16.5

12.1

10.7

8.5

10.6

15.8

10.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Binge Drinking


5.2

4.1

3.8

2.8

2.0

8.9

3.0

4.1

4.2

5.4

4.9

4.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Heavy Drinking


15.9

16.9

15.8

17.6

10.8

16.2

12.3

16.6

15.6

17.9

12.3

15.1

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Physically Inactive


26.4

26.4

24.4

29.3

22.4

18.8

21.0

22.7

26.0

24.6

20.9

21.1

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

No Leisure Time Physical Activity


IX. Physical Activity & Nutrition

• Work activity• Leisure time activity• Moderate physical activity• Vigorous physical activity• Physical activity status• Daily fruit & vegetable consumption

61.4

57.3

60.3

69.2

59.0

55.7

61.1

63.9

70.1

71.7

74.1

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Mostly Sitting/Standing at Work


73.6

73.6

75.6

70.7

77.6

81.2

79.0

77.3

74.0

75.4

79.1

78.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Engage in Leisure Time Physical Activity


Prevalence of Leisure Time Physical Activity by Race & Sex, North Carolina, 1990-2001*

0

10

20

30

40

50

60

70

80

90

100

1990 1991 1992 1994 1996 1998 2000 2001Year

Percent



*Data not available for 1993, 1995, 1997, 1999.

45.4

42.4

55.2

42.4

44.6

44.8

51.6

44.4

42.4

35.5

45.5

35.0

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Moderate Physical Activity


24.1

20.4

29.8

19.1

28.1

29.8

26.6

24.3

21.9

19.4

24.1

20.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Vigorous Physical Activity


Physical Activity Status: Cumberland County, North Carolina, & US

51.6

12.3

42.4

40.7

16.9

45.2

38.7

15.9

36.1

0 10 20 30 40 50 60 70 80 90 100

Meets recommendation

Some physical activity

Physically inactive

Cumberland NC US


Daily Fruit & Vegetable Consumption: Cumberland County & North Carolina

3.3

45.7

24.6

3.5

30.0

41.4

25.2

26.4

0 10 20 30 40 50 60 70 80 90 100

Less than once or never

1 to less than 3 times

3 to less than 5 times

5 or more times

Cumberland NC


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

15.7

16.4

11.8

16.7

10.5

11.6

13.7

17.1

16.8

16.4

8.0

10.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Self-perceived Fair or Poor Health

X. Health Status & Quality of life

Prevalence of Fair/Poor Health by Race & Sex,North Carolina, 1993-2001

0

5

10

15

20

25

30

35

40

45

50

1993 1994 1995 1996 1997 1998 1999 2000 2001Year

Percent



12.8

14.6

12.2

15.2

8.9

15.0

11.6

14.3

16.1

13.7

11.0

9.3

US

NC

Onslow

Gaston

Durham

Ne w Hanove r

Cumbe rland

Buncombe

Forsyth

Guilford

Me ckle nburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

7+ Days in Past 30 Days of Not Good Physical Health


13.2

12.2

10.8

15.6

9.2

12.3

10.0

13.0

11.7

12.0

9.0

11.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

7+ Days in Past 30 Days of Not Good Mental Health


84.5

83.5

82.5

80

85.2

83

82.5

83.7

83

88.2

82.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Always/Usually Gets Emotional Support


96.6

98.3

96.0

95.6

97.9

95.9

94.5

94.8

95.7

97.3

96.4

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Satisfied with Life


12.6

11.1

13.9

7.0

14.2

10.9

15.5

11.8

10.1

7.0

6.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

7+ Days in Past 30 Days When Pain Prevented Activities


17.6

20.5

23.5

14.5

16.9

19.9

22.6

20.9

17.7

17.7

19.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

7+ Days in Past 30 Days When Worried or Anxious


11.7

9.2

16.2

10.1

12.0

12.9

9.9

13.0

11.1

7.9

11.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

7+ Days in Past 30 days When Depressed


36.2

43.2

37.3

39.6

37.1

40.0

42.3

37.2

32.7

36.9

33.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

7+ Days in Past 30 Days When Not Enough Sleep


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.

31.6

43.4

37.2

37.2

31.5

38.3

24.5

25.7

34.9

25.1

28.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Pregnant in the Last Five Years

XI. Family Planning

8.3

8.5

6.2

3.9

5.6

2.9

7.4

5.9

4.6

4.3

9.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Ever Had a Hysterectomy

XI. Family Planning

61.4

67.6

67.1

62.6

64.6

52.3

73.7

51.0

54.0

62.7

61.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Currently Using Some Type of Birth Control

XI. Family Planning

Types of Birth Control Used: North Carolina

XI. Family Planning

23.4

8.0

35.6

20.4

12.5

0

5

10

15

20

25

30

35

40

45

50

Tubes Tied Vasectomy Birth ControlPill

Condoms Other

percent

9.6

15.2

11.8

3.7

8.4

7.3

15.4

3.2

5.0

8.1

4.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Use Health Department for Female Health

XI. Family Planning

66.8

48.5

61.9

58.6

77.8

48.1

50.1

75.3

74.1

70.5

73.0

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Use Private Gynecologist for Female Health

XI. Family Planning

36.9

33.1

21.5

39.1

31.8

30.0

30.3

28.3

31.7

30.3

36.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Used Services of a Family Planning Clinic

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: Cumberland,

North Carolina, & US

28.7

17.9

53.452.2

28.1

21.0

50.9

27.5

20.3

0 10 20 30 40 50 60 70 80 90 100

don't know

false

true

US Cumberland NC

XII. HIV/AIDS & Sexual Behavior

Medical Treatments Available to Help a Person with HIV to Live Longer: Cumberland, North Carolina & US

7.9

3.3

88.892.1

8.8

3.9

87.3

5.7

2.2

0 10 20 30 40 50 60 70 80 90 100

don't know

false

true

US Forsyth NC


21.1

23.3

20.2

20.1

34.6

23.6

21.4

21.8

22.9

22.6

26.2

29.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Believe that Treatments for Persons w/HIV are Effective


90.0

92.1

93.4

90.7

95.1

92.3

94.2

91.5

87.7

91.3

92.1

92.6

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Knowing HIV Status by Getting Tested is Important


47.3

49.5

67.2

53.7

55.7

54.9

71.6

50.3

45.9

55.4

48.6

49.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Been Tested for HIV/AIDS


Prevalence of Ever Been Tested for HIV by Race & Sex, North Carolina, 1995-2001

0

10

20

30

40

50

60

70

80

90

100

1995 1996 1997 1998 1999 2000 2001Year

Percent



Reason for HIV/AIDS Testing: North Carolina


31.0

6.4

13.9

19.3

29.3

0

5

10

15

20

25

30

35

40

45

50

Routinecheckup

Just to find out Due topregnancy

Militaryinduction

Other

percent

21.5

19.3

9.3

19.6

18.4

22.9

15.4

27.0

25.9

28.6

25.4

22.8

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Tested for HIV/AIDS Just to Find Out HIV Status


Testing Place for HIV/AIDS: North Carolina


15.0

7.3

14.015.8

47.9

0

5

10

15

20

25

30

35

40

45

50

Private Doctor HealthDepartment

Hospital MilitaryIndcution Site

Other

percent

7.9

15.8

13.6

19.7

19.0

15.1

11.2

27.1

13.6

15.6

18.9

12.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Had HIV Test in Health Department


16.2

17.3

26.0

15.4

23.7

18.1

26.4

18.9

17.0

22.2

15.1

15.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Health Professional Counseled About Preventing STDs


20.0

16.2

23.3

23.6

25.4

20.7

13.9

21.4

21.3

21.7

21.4

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Condom Was Used Last Time Sexual Intercourse


50.7

50.8

46.8

61.2

57.7

51.2

45.3

57.0

49.9

59.0

53.8

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Properly Used Condom Effective in Preventing HIV


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

85.3

83.3

79.883.7

85.5

87.4

80.3

79.889.9

87.7

85.1

90.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Health Insurance Coverage*


HP 2010 Target: 100%

*Adults < 65 yrs old

79.780.7

68.7

85.579.5

76.067.4

81.0

83.8

77.6

90.0

82.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Specific Source of On-going Medical Care*


HP 2010 Target:

96%*Adults 18+ yrs old

31.7

43.1

32.843.0

47.7

50.6

48.744.1

60.5

46.3

47.7

44.1

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Fecal Occult Blood Test in Past 2 Years*


HP 2010 Target:

50%

*Adults 50+ years old

47.3

47.6

44.548.6

52.260.3

50.244.4

62.6

45.6

58.659.0

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Received Colonoscopy Exam*


HP 2010 Target:

50%


73.8

75.1

65.980.6

76.0

75.868.4

78.9

84.6

81.2

76.377.4

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Blood Cholesterol Checked Past 5 Years*

XIII. HP 2010 Objectives: quality health care services

HP 2010 Target:

80%


64.6

66.1

51.957.8

63.3

66.6

66.0

61.5

52.2

85.0

73.5

66.3

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Annual Flu Vaccine*


HP 2010 Target:

80%*Adults 65+ years old

59.665.8

47.5

66.565.1

68.868.7

63.5

54.0

66.8

71.4

63.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Ever Received Pneumococal Vaccine*


HP 2010 Target:

90%*Adults 65+ years old

22.1

23.1

19.3

18.726.0

21.917.7

22.419.5

22.1

21.3

19.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Reduce Obesity


HP 2010 Target: reduce to 15%


26.4

26.4

20.9

24.429.3

22.418.8

21.022.7

26.024.6

21.1

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Reduce No Leisure Time Physical Activity*




24.1

20.4

24.1

29.819.1

28.1

29.8

26.6

24.3

21.9

19.4

20.2

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Vigorous Physical Activity/3 Times Week


HP 2010 Target: 30%


14.5

9.8

15.8

15.110.0

13.516.5

12.110.7

8.510.6

10.5

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Reduce Binge Drinking*




22.7

25.7

21.9

34.327.4

18.224.5

26.530.7

24.121.0

19.9

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Reduce Cigarette Smoking




5.6

5.8

7.17.0

4.27.2

7.75.7

3.5

4.5

6.4

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Meck lenburg

Wak e

Percent0 2 4 6 8 10 12 14 16 18 20

Reduce Cigar Smoking*

XIII. HP 2010 Objectives: quality health care services

HP 2010 Target: reduce to 1.2%


XIV. Special Topics

• Alternative medicine• Skin Cancer• Osteoporosis prevention• Firearms• Sexual/physical assault• Birth defect prevention

19.9

17.0

19.2

25.9

24.0

15.5

27.5

17.2

23.7

31.1

17.6

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Used Medicinal Herbs, Such as Ginseng

XIV. Special Topics

8.9

7.6

14.3

3.4

9.3

6.5

13.7

4.2

9.2

4.3

7.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Tried to Get a Tan Using a Tanning Lamp

XIV. Special Topics

23.0

29.3

23.1

17.3

35.9

21.1

26.1

19.1

20.1

30.5

28.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Tried to Get a Tan from the Sun

XIV. Special Topics

30.1

23.8

31.6

26.4

35.5

37.3

32.4

32.4

31.4

31.0

29.8

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Always Protect Skin from Sun When Outdoors

XIV. Special Topics

21.7

26.6

19.2

17.0

38.4

15.3

26.9

18.5

13.9

28.2

25.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Sunburn in the Past Year

XIV. Special Topics

47.9

49.9

47.9

42.6

53.5

51.4

50.1

55.4

45.5

58.9

50.2

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

M ecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Take Vitamin Pills w/Calcium to Reduce Osteoporosis*

XIV. Special Topics

*Question asked of female respondents age 45 and older

31.7

41.3

40.8

42.9

20.9

32.5

27.4

34.6

32.5

30.1

22.1

24.7

US

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Firearms Kept in or Around Home

XIV. Special Topics

5.2

10.0

6.1

3.0

7.1

3.7

5.5

6.7

5.9

4.6

3.4

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Received Treatment for Substance Abuse Problem

XIV. Special Topics

14.2

19.9

13.4

18.2

17.2

12.6

16.8

15.1

15.8

10.6

15.3

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Family Member Received Tx for Substance Abuse

XIV. Special Topics

6.8

7.3

7.6

6.3

6.9

6.7

10.2

6.5

7.0

6.5

6.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 2 4 6 8 10 12 14 16 18 20

Ever Sexually Assaulted*

XIV. Special Topics

*Male and female respondents

17.5

32.7

22.6

14.2

23.7

16.9

22.8

19.3

16.9

15.6

15.9

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 5 10 15 20 25 30 35 40 45 50

Ever Physically Assaulted

XIV. Special Topics

41.4

47.4

45.9

49.4

38.6

27.9

60.5

32.1

47.1

52.2

44.5

NC

Onslow

Gaston

Durham

New Hanover

Cumberland

Buncombe

Forsyth

Guilford

Mecklenburg

Wake

Percent0 10 20 30 40 50 60 70 80 90 100

Believe Folic Acid Helps Prevent Birth Defects*

XIV. Special Topics

*Ages 18-44 included here

BRFSS Behavioral Risk Factor Surveillance System 2001 Cumberland County BRFSS Survey Results State Center for Health Statistics Division of Public Health.

Documents

brfss data brfss data

brfss survey questions

cardiovascular health

brfss data use

weighted data slide

telephones slide

telephone health survey

state health departments