Health risks and preventive behaviors : results from the Behavioral Risk Factor Surveillance System (1994-1999) : Community Partners for Health, Greater Milford CHNA

76 Pages·2001·3.8 MB·English

by  Massachusetts. Chronic Disease Surveillance Program

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Health Risks and Preventive
Behaviors
Results from the Behavioral Risk Factor Surveillance System
(1994-1999)
COMMUNITY PARTNERS FOR
HEALTH
CHNA^
Greater Milford
Chronic DiseaseSurveillance Program 4
Bureau of Heal th Sta tistics, Researchand Evalua tion 4
Massachusetts Department of Public Heal th
March 2001
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CHNA 23 South Shore Community Partners in Prevention, Greater Plymouth CHNA
CHNA 24 Greater Attleboro-Taunton Health and Education Response (GATHER)
CHNA 25 Partners for a Healthier Community, Greater Fall River CHNA
CHNA 26 Greater New Bedford Health & Human Services Coalition
CHNA 27 Cape and Islands CHNA
HEALTH RISKS AND PREVENTIVE BEHAVIORS
Results from the Behavioral Risk Factor Surveillance System
(1994-1999)
Community Partners for Health, Greater Milford CHNA
Argeo Paul Cellucci, Governor
William D. O'Leary. Secretary ofHealth and Human Services
Howard K. Koh, MD. MPH. Commissioner ofPublic Health
Daniel J. Friedman, Assistant Commissioner. Bureau ofHealth Statistics. Research and Evaluation
Bruce B. Cohen. Director, Research and Epidemiology
Daniel Brooks. Director, Chronic Disease Surveillance Program
Massachusetts Department ofPublic Health
617-624-5699
March 2001
Acknowledgements
This report was prepared by staff ofthe Chronic Disease Surveillance Program: Daniel
Brooks, Phyllis Brawarsky. Karen Clements, Lorelei Mucci. Jane West, Michelle Benson,
Brian Bradbury, Jason Yeaw, and Diana Ventura. We wish to thank Jennifer Norton for
production ofthe maps and Supriya Krishman for her work on this report through a
collaborative program with the Department of Biostatistics and Epidemiology, School of
Public Health and Health Sciences, University ofMassachusetts, Amherst.
We also wish to express our gratitude to the residents of Massachusetts who participated
in this survey.
For further information about this report, about the BRFSS, or the Chronic Disease
Surveillance Program, please contact: Daniel Brooks, MPH. Chronic Disease
Surveillance Program. Bureau of Health Statistics, Research, and Evaluation.
Massachusetts Department of Public Health. 250 Washington Street. 6th floor. Boston.
MA
02108-4619. telephone: [phone]. email: [email protected]
To obtain additional copies of this report contact:
Massachusetts Department ofPublic Health
Bureau ofHealth Statistics, Research and Evaluation
250 Washington Street
MA
Boston, 02108
[phone]
TABLE OF CONTENTS
INTRODUCTION
1
RISK FACTORS
3
Smoking 3
Alcohol 8
Weight Control 14
Physical Activity 16
Fruits and Vegetables 20
CHRONIC CONDITIONS/PREVENTIVE HEALTH 22
Hypertension Awareness 22
Cholesterol Screening 26
Diabetes 30
Health Status 32
Health Insurance. Access, and Utilization 36
CANCER SCREENING
43
Breast Cancer 43
Cervical Cancer 49
Colorectal Cancer 52
HIV/AIDS 54
SUMMARY OF DATA
58
TECHNICAL NOTES
59
GLOSSARY
61
APPENDIX
Digitized by the Internet Archive
2014
in
https://archive.org/details/healthriskspreve00mass_16
INTRODUCTION
In 1994, the Massachusetts Department of Public Health (MDPH) first published
reports detailing the sociodemographics. health status indicators, and distribution of
deaths in each Community Health Network Area (CHNA).1 MDPH is now expanding the
scope ofthe data available to CHNAs by providing information on: (1) the prevalence of
risk factors for disease and injury; (2) chronic conditions/preventive health; (3) cancer
screening; and (4) HIV/AIDS.
Many of the risk factors and behaviors that contribute to the leading causes of
death in Massachusetts, which include heart disease, cancer, stroke, pneumonia and
influenza, chronic obstructive pulmonary disease (COPD), diabetes, and injury, are well
known. Information on the prevalence of these factors helps in identifying and
prioritizing areas of greatest need for health intervention and in planning effective health
promotion and disease prevention programs.
The data in this report come from the Behavioral Risk Factor Surveillance System
(BRFSS). an ongoing, random-digit dial statewide telephone survey of adult residents age
18 and older. The BRFSS is currently conducted in all states as a cooperative effort
between the national Centers for Disease Control and Prevention and state health
departments. The BRFSS includes questions about a wide variety ofhealth issues, from
personal behaviors and access to medical care to opinions on health-related policy issues.
(See Technical Notes for a more detailed description of the survey and for important
information on limitations of the data.)
This report summarizes results of the BRFSS for the Community Partners for
CHNA A
Health, Greater Milford for the years 1994 through 1999. total of 308 residents
in the Community Partners for Health, Greater Milford CHNA were interviewed during
1994 through 1999. Text and graphs in this report provide prevalence estimates for this
CHNA. comparison data for Massachusetts and. where available, comparable data for the
U.S. as a whole. In addition, where it exists, we provide the relevant national Healthy
People 2000 objective. (Refer to the Glossary for an explanation ofprevalence and the
Healthy People 2000 objectives.)
Analyses were based on six years of data whenever possible to produce more
stable estimates of prevalence, as the stability ofan estimate increases with an increasing
number of respondents. However, not all questions were asked every year, and some
analyses are based on less than six years ofdata. For each question, we provide the
prevalence estimate and a 95% c6nfidence interval around the estimate that shows the
range ofvalues that would be compatible with the data. (Refer to the Glossary for an
explanation ofconfidence intervals.)
Updated data is now available through MassCHIP. an internet accessible database information system,
developed and administered by the MDPH. Information on how to registeras a MassCHIP user is
available through the MDPH homepage located at http://www.magnet.state.ma.us/dph/dphhome.htm.
In addition, this report summarizes how the Community Partners for Health,
Greater Miiford CHNA, compares to other CHNAs on each health measure. For each
health topic, we provide a map of Massachusetts, which shows the CHNAs where the
prevalence estimate is significantly higher, or significantly lower, than the state average.
A test ofsignificance was based on a p-value of less than or equal to 0. 10. (Refer to the
We
Glossary for an explanation of p-value.) also provide the prevalence estimates for all
CHNA
variables for each in the Appendix.
Due to the limited number of respondents in some CHNAs, we have prepared two
versions ofthis report. The abridged version, prepared for CHNAs with fewer
respondents, includes data on questions that are asked of all respondents and questions
asked of large groups of respondents, such as questions that focus on all women. The full
version, prepared for the larger CHNAs. also includes questions asked ofgroups with
fewer respondents (e.g. individuals over the age of 50).
This report for the Community Partners for Health. Greater Miiford CHNA, is the
abridged version. Even though this report includes questions asked only of large groups
ofrespondents, readers should nevertheless exercise caution in their interpretation ofthe
data due to limited overall number ofrespondents in the Community Partners for Health,
Greater Miiford CHNA during this six-year period. The BRFSS provides a rich source of
information on the health of adults residing in Massachusetts and each CHNA. We hope
that the data presented in this report will contribute to the development and targeting of
medical, educational, and policy initiatives to improve the health status of the Community
Partners for Health. Greater Miiford CHNA.
2
RISK FACTORS
SMOKING
Tobacco use causes more deaths in the U.S. than any other preventable risk factor.
Smoking causes lung cancer as well as laryngeal, oral, esophageal, bladder, pancreatic,
kidney, and cervical cancers. Lung cancer mortality rates are about 22 times higher for
current male smokers and about 10-12 times higher for current female smokers compared
to lifelong never smokers. Each year in Massachusetts, approximately 4,300 residents are
diagnosed with lung cancer and 3,700 people die ofthe disease.
Smoking also is a major cause ofcoronary heart disease and stroke among both
men and women. Smokers have twice the risk ofhaving a heart attack and 2 to 4 times
the risk of sudden death from heart attack compared to nonsmokers. Smoking is a cause
ofCOPD, a leading cause of death in Massachusetts. Gastric ulcers, intrauterine growth
retardation, and low birthweight, among other conditions, are also related to smoking.
In September 1990, the Surgeon General reported that regardless of age, people
who quit smoking live longer than those who do not quit. Also, smokers who quit before
age 50 have half the risk of dying in the next 15 years compared to those who continue to
smoke.
3
In the Community Partners for Health. Greater Milford CHNA, 24% of adults
were current smokers (Figure 1 The percentage ofcurrent smokers was not statistically
different from the state average (see map).
Figure 1
Percentage of adults who were current smokers; BRFSS data for
the Greater Milford CHNA, Massachusetts, U.S.. 1994-1999,
Healthy People 2000 Objective
50
I—
CD 40
O
E
w 30
c
CD
i_
t_ 20
13
CJ
10
CHNA MA U.S. HP2000
CHNA MA US HP20003
Current smokers 23.9% 21.2% 22.9% ' 15.0%
95% CI4 18.4-29.3 20.4-21.9
" The bars within the CHNA and MA bar graphs are "error bars" and show the endpoints and width ofthe
confidence interval.
Healthy People 2000 Objectives (see Glossary)
4 Confidence Interval (see Glossary)
4