BRFSS BRFSS What We Know About Adults with
BRFSS BRFSS What We Know About Adults with Disabilities: Public Health Resources for Planning bruce. steiner@illinois. net August 21, 2014 Bruce Steiner Illinois Department of Public Health BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Objectives 1. Reveal demographic characteristics of Illinois adults with disabilities 2. Illustrate how their health and well-being are affected. 3. Identify data resources to aid in planning. BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Behavioral Risk Factor Surveillance System BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS • Federally funded program operating in every state. • Conducts telephone interviews among Illinois adults • Sample include landline and cellular telephones BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS • Trained interviewers • Scripted interviews • Questions about health conditions and behaviors BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS • Carefully controlled data collection • Random sample drawn for telephone interviews. • Represents entire adult population BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Sample Size • Statewide – 5, 000 per year – Strata approx. 1, 000 per year • County – 400 per county – Aggregate approx. 40, 000 per round BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Data Preparation • Adherence to rigorous procedures • Weighting data – Equalizes probability of selection – Adjusts for variation of age/race/sex subgroups – Permits generalizations to entire adult population BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Uses of BRFSS data 1. Document need for public health interventions 2. Target resources for high risk populations. 3. Evaluate previous efforts 4. Establish public policy BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Topics • • • Alcohol Arthritis Asthma Cardiovascular Colorectal Diabetes Disability Health care coverage Health care utilization • Health status • • • Immunizations Injury control Nutrition Obesity Oral health Physical activity Quality of life Tobacco Weight control Women’s Health BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Search for Illinois BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS http: //app. idph. state. il. us/brfss/ BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
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BRFSS BRFSS Disability • Activity Limitation due to health problem • Health problems requiring special equipment = Disability BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Disability Limitation Equipment 16. 80% 7. 20% Disability 18. 70% 1, 841, 272 Adults BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Activities of Daily Living • Blind • Decisions • Walking • Dressing • Errands • Difficulty Seeing / Blind • Difficulty concentrating or remembering • Difficulty walking or climbing stairs • Difficulty dressing or bathing • Difficulty doing errands alone BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Limitation Blind Decisions Walking Dressing Errands 3. 9 % 8. 0 % 11. 4 % 2. 8 % 5. 5 % Any Impairment 19. 2 % 1, 892, 243 Adults BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Assumption People with one or more activity limitation are likely to require support from at least other individual. BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Assumption The greater the number of activity limitations a person has increases their reliance on others and decreases their independence. BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Percent Adults with 1 ADL Age Options 18. 8% Central Illinois 20. 0% Chicago DFSS 19. 8% East Central Illinois 15. 6% Egyptian Area 27. 5% Lincolnland 18. 1% Midland 19. 7% Northeastern 18. 5% Northwestern 19. 0% Southeastern Illinois 16. 6% Southwestern Illinois 23. 9% West Central Illinois 17. 2% Western Illinois 19. 2% BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
nt ra Ce he oi s Il lin l. I lli no as is te W rn es Il t lin Ce oi nt s ra l. I lli no is Li nc ol nl an N d or th ea st er A n ge O pt io N ns or th we W st es er n te rn Il lin oi s M id la Ch nd ic ag o D FS Ce nt S So ra l. I ut hw lli no es is te rn Il lin Eg oi yp s ti an A re a So ut Ea st BRFSS BRFSS Percent of Adults With ADL by Service Area 30, 0% 20, 0% 10, 0% BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
ge A l To ta ns io a s S D FS re A pt O go ca Ch i an ti yp Eg lin oi Il d la n id 2 rn as te he M s oi lin Il d 3 or More So ut rn st e is nl an ol nc Li is no lli l. I nt ra Ce lli no s oi lin Il s oi rn rn st e Il lin l. I al nt ra Ce we es t ut h So W st Ea Ce nt r n te r es W ea th or N st e we th or N BRFSS BRFSS Multiple ADLs by Service Area 1 30% 25% 20% 15% 10% 5% 0% BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Comparison of ADLs to Age Group Proportion ADLs Proportion 40% 35% 30% 25% 20% 15% 10% 5% 0% 18 -24 25 -44 45 -64 65+ BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Percent of ADLs by Race 30% 20% 10% 0% White Black Other BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
Percent with ADL by Income 40% 50% 40% 30% 20% 10% 0+ $7 5, 00 00 , 0 75 0 - , 0 $5 50 5 - $3 5 - 35 , 0 00 $1 College Grad $1 < HS HS Grad Some Grad Coll 5, 0% 00 0% 10% < BRFSS BRFSS Percent with ADL by Education BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Perceived Health by ADL Status 40% 30% 20% 10% 0% Excellent Very good Good Fair Poor BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Healthy Days by Number of ADL Status in Past Month 30 20 10 0 1 2 3 4 5 None BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Health Care Utilization by ADL Status 100% 80% 60% 40% 20% 0% Health Care Coverage Primary Care Provider Avoided Dr. Due to Cost Checkup within Past Year BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Chronic Diseases by ADL Status 50% 47, 6% 40% 36, 1% 30% 22, 1% 20% 17, 8% 14, 0% 10, 4% 10% 0% 12, 6% 7, 0% ARTHRITIS DEPRESSION DIABETES 6, 0% ASTHMA 4, 8% CANCER BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Cardiovascular Issues by ADL Status 12% 10% 8% 6% 4% 2% 0% HEART DISEASE HEART ATTACK STROKE BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Risk Factors by ADL Status 80% 60% 40% 20% 0% OBESE SMOKER EXERCISE 30 days BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
BRFSS BRFSS Percent Adults with 1 ADL Age Options 18. 8% Central Illinois 20. 0% Chicago DFSS 19. 8% East Central Illinois 15. 6% Egyptian Area 27. 5% Lincolnland 18. 1% Midland 19. 7% Northeastern 18. 5% Northwestern 19. 0% Southeastern Illinois 16. 6% Southwestern Illinois 23. 9% West Central Illinois 17. 2% Western Illinois 19. 2% BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
nt ra Ce he oi s Il lin l. I lli no as is te W rn es Il t lin Ce oi nt s ra l. I lli no is Li nc ol nl an N d or th ea st er A n ge O pt io N ns or th we W st es er n te rn Il lin oi s M id la Ch nd ic ag o D FS Ce nt S So ra l. I ut hw lli no es is te rn Il lin Eg oi yp s ti an A re a So ut Ea st BRFSS BRFSS Percent of Adults With ADL by Service Area 30, 0% 20, 0% 10, 0% BRFSS BRFSS BRFSS BRFSS BRFSS BRFSS
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