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        Prevalence of Selected Risk Behaviors and Chronic Diseases and Conditions---Steps Communities, United States, 2006--2007

        Stella Cory, MD1

        Ann Ussery-Hall, MPH2

        Shannon Griffin-Blake, PhD1

        Alyssa Easton, PhD1

        Justin Vigeant3

        Lina Balluz, MPH1

        William Garvin1

        Kurt Greenlund, PhD1

        1Division of Adult and Community Health, National Center for Chronic Disease and Prevention

        2Ginn Group, Atlanta, Georgia

        3Northrop Grumman, Atlanta, Georgia


        Corresponding author: Stella Cory, MD, MPH, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, MS K-93, 4770 Buford Hwy, N.E., Atlanta, GA 30341. Telephone: 770-488-4187; Fax: 770-488-8488; E-mail: spk9@cdc.gov.


        Abstract

        Problem: At least one chronic disease or condition affects 45% of persons and account for seven of the 10 leading causes of death in the United States. Persons who suffer from chronic diseases and conditions, (e.g., obesity, diabetes, and asthma) experience limitations in function, health, activity, and work, affecting the quality of their lives as well as the lives of their family. Preventable health-risk factors (e.g., insufficient physical activity, poor nutrition, and tobacco use and exposure) contribute substantially to the development and severity of certain chronic diseases and conditions.

        Reporting Period Covered: 2006--2007

        Description of the System: CDC's Healthy Communities Program funds communities to address chronic diseases and related risk factors through policy, systems, and environmental change strategies. As part of the Healthy Communities Program, 40 Steps communities were funded nationwide to address six focus areas: obesity, diabetes, asthma, physical inactivity, poor nutrition, and tobacco use and exposure. During 2006--2007, 38 and 39 of the 40 communities conducted a survey to collect adult health outcome data. The survey instrument was a modified version of the Behavioral Risk Factor Surveillance System (BRFSS) survey, a state-based, random-digit--dialed telephone survey. The survey instrument collected information on chronic diseases and conditions, health risk behaviors, and preventive health practices related to Steps community outcomes from noninstitutionalized community members aged ≥18 years.

        Results: Prevalence estimates of chronic diseases and conditions and risk behaviors varied among Steps communities that reported data for 2006 and 2007. The proportion of the population that achieved Healthy People 2010 (HP 2010) objectives also varied among the communities.

        In 2006, the estimated prevalence of respondents aged ≥18 years being overweight or obese as calculated from self-reported weight and height ranged from 51.8% to 73.7%. The nationwide 2006 BRFSS median was 62.3%; a total of 20 communities exceeded this median. In 2007, the estimated prevalence being overweight or obese ranged from 50.5% to 77.2%. The nationwide 2007 BRFSS median was 63.0%; a total of 18 communities exceeded this median.

        In 2006, the estimated prevalence of diagnosed diabetes (excluding gestational diabetes) ranged from 3.7% to 19.7%. None of the communities achieved the HP 2010 objective of increasing to 91% the proportion of adults with diabetes who have at least an annual clinical foot examination. Six communities reached the HP 2010 objective of increasing to 76% the proportion of adults with diabetes who have an annual dilated eye examination; 20 communities reached the HP 2010 objective of increasing to 65% the proportion of adults who have a glycosylated hemoglobin measurement (A1c) at least once a year.

        In 2007, the estimated prevalence of diagnosed diabetes (excluding gestational diabetes) ranged from 4.4% to 17.9%. None of the communities achieved the HP 2010 objective of increasing to 91% the proportion of adults with diabetes who have at least an annual clinical foot examination, eight communities achieved the HP 2010 objective of increasing to 76% the proportion of adults with diabetes who have an annual dilated eye examination, and 16 communities achieved the HP 2010 objective of increasing to 65% the proportion of adults who have an A1c at least once a year.

        In 2006, the prevalence of reported asthma ranged from 6.5% to 18.9%. Among those who reported having asthma, the prevalence of having no symptoms of asthma during the preceding 30 days ranged from 11.5% to 29.5% for five communities with sufficient data for estimates.

        In 2007, the estimated prevalence of reported asthma ranged from 7.5% to 18.9%. Among those who reported having asthma, the prevalence of having no symptoms of asthma during the preceding 30 days ranged from 10.3% to 36.1% for 12 communities with sufficient data for estimates.

        In 2006, the prevalence of respondents who engaged in moderate physical activity for ≥30 minutes at least five times a week or who reported vigorous physical activity for ≥20 minutes at least three times a week ranged from 42.3% to 59.9%. The prevalence of consumption of fruits and vegetables at least five times/day ranged from 11.1% to 30.2%.

        In 2007, the prevalence of moderate or vigorous physical activity ranged from 40.6% to 69.8%; 25 communities reached the HP 2010 objective to increase the proportion of adults who engage in physical activity to 50%. The prevalence of consumption of fruits and vegetables ≥5 times/day ranged from 14.6% to 37.6%.

        In 2006, the estimated prevalence among respondents aged >18 years who reported having smoked >100 cigarettes in their lifetime and who were current smokers on every day or some days at the time of the survey ranged from 12.5% to 48.0%. Among smokers, the prevalence of having stopped smoking for ≥1 day because of trying to quit smoking during the previous 12 months ranged from 48.4% to 67.9% for 31 communities. No communities reached the HP 2010 target of increasing to 75% smoking cessation attempts by adult smokers.

        In 2007, the estimated prevalence of current smokers ranged from 11.2% to 33.7%. Two communities reached the HP 2010 objective to reduce the proportion of adults who smoke. Among smokers, the prevalence of having stopped smoking for ≥1 day because of trying to quit smoking during the preceding 12 months ranged from 50.8% to 69.6% for 26 communities. No communities reached the HP 2010 objective of increasing to 75% smoking cessation attempts by adult smokers.

        Interpretation: The findings in this report indicate variations in health risk behaviors, chronic diseases and conditions, and use of preventive health screenings and health services among Steps communities. These findings underscore the continued need to evaluate prevention interventions at the community level and to design and implement policies to promote and encourage healthy behaviors.

        Public Health Action: Steps BRFSS data monitored the prevalence of health behaviors, conditions, and use of preventive health services. CDC (at the national level), and Steps staff at state, local, and tribal levels can use BRFSS data to demonstrate accountability to stakeholders; monitor progress in meeting objectives; focus activities on policy, systems and environmental change strategies with the greatest promise of results; identify collaboration opportunities; and identify and disseminate successes and lessons learned.

        Introduction

        At least one chronic disease or condition affects 45% of persons (1) and account for seven of the 10 leading causes of death in the United States (2). Chronic diseases and conditions (e.g., heart disease, stroke, diabetes, cancer, obesity, and arthritis) account for >75% of the $2 trillion spent annually on medical care in the United States and cost the economy approximately $1 trillion a year in lost productivity (1). Preventable health-risk factors (e.g., insufficient physical activity, poor nutrition, and tobacco use and exposure) substantially contribute to the development and severity of certain chronic diseases and conditions. In 2007, <50% (3) of adults met the recommended levels for physical activity and only 24% (4) reported eating 5 or more servings of fruits and vegetables/day. In addition, an estimated 20.6% (46 million) of U.S. adults were current cigarette smokers (5).

        The Steps program was funded through CDC's Healthy Communities Program to use population-based community-level approaches (e.g., policy, systems, and environmental change strategies) that address multiple determinants of health (6). During 2003--2009, the Healthy Communities Program operated two Steps cooperative agreements that funded 40 communities nationwide. In 2003, CDC's Healthy Communities Program funded 12 awardees representing 24 Steps communities; in 2004, the program funded 10 additional awardees representing 16 communities. Key elements of the CDC's Healthy Communities Program include implementing evidence-based strategies; responding to community needs; reaching diverse population groups; working across multiple sectors (e.g., schools, work sites, health care, and the community); creating nontraditional partnerships; (e.g., media, businesses, transportation, public safety, and planning and development departments), and using policy, systems, and environmental change strategies to affect sustainable, community-level change. All of these elements aim to accelerate positive health changes in communities and reduce chronic diseases and conditions.

        Steps communities' efforts supported policies and interventions that focused on six priority areas, comprising three health conditions or diseases (i.e., obesity, diabetes, and asthma) and three related risk behaviors (i.e., physical inactivity, poor nutrition, and tobacco use and exposure). Communities were selected as part of a Request for Funding Announcement (RFA) designed to ensure inclusion of populations disproportionately affected by chronic diseases and associated risk factors; inclusion of geographic areas with high age-adjusted rates of chronic disease and associated risk factors; geographic distribution of communities nationwide; and inclusion of communities of varying sizes, including rural, suburban, and urban communities. Steps sites included small cities and rural communities (with sites coordinated at the state level), large cities and urban communities, and tribal communities. As part of the RFA, grantees participated in the Steps Behavioral Risk Factor Surveillance System (BRFSS) to collect data on health conditions and diseases and on related risk factors at the community level and tracked Steps communities' health outcomes and behaviors over time. This report presents data from the second and third years of funding for the Steps communities as they implemented policies and interventions to address Steps priority chronic diseases and conditions.

        Methods

        The Steps BRFSS survey instrument is a modified version of the BRFSS state-based survey and includes standardized questions related to the three diseases and outcomes (obesity, diabetes, and asthma) and the three related risk factors (physical inactivity, poor nutrition, and tobacco use and exposure). BRFSS uses a disproportionate stratified sample design to select a representative sample of the civilian, noninstitutionalized population aged ≥18 years. To ensure coordinated efforts and efficient use of resources, most Steps communities used BRFSS infrastructure and capacity already in place at the national, state, and local levels to collect data. The survey instrument included standard 2006 and 2007 BRFSS questions (available at http://www.cy118119.com/brfss/) related to the six priority areas. Data collection procedures or processes varied by community because of each community's particular characteristics. For example, certain Steps communities conducted a stand-alone survey whereas others coordinated data collection with the state or local BRFSS. Certain communities adapted their data collection methods to respond to local cultural needs. For the majority of communities, CDC provided technical assistance, data cleaning, weighting, and analysis of surveillance data.

        Questionnaire

        The 2006 and 2007 Steps BRFSS questionnaire comprised three parts: 1) core questions, 2) optional supplemental modules containing sets of questions on specific topics (e.g., diabetes, health-related quality of life, and arthritis management), and 3) community-specific questions. The questionnaires asked core and optional questions related to risk factors associated with obesity, diabetes, and asthma and the accompanying underlying risk factors of physical inactivity, poor nutrition, and tobacco use and exposure. Questions from the following Core Sections of the 2006 and 2007 BRFSS National Survey were used: Healthy Days, Health Care Access, Diabetes, Asthma, Tobacco Use, Demographics, Fruit and Vegetable Consumption, and Physical Activity. In addition, certain questions from the following optional modules were part of the survey: Diabetes Self Management, Adult Asthma History, and Smoking Cessation. Additional information regarding the national BRFSS standard questions is available at http://www.cy118119.com/brfss/ questionnaires.

        Data Collection and Processing

        Thirty eight communities collected data in 2006 and 39 communities collected data in 2007* using trained interviewers to administer the survey via computer-assisted telephone interviewing (CATI) system. In 2006, a total of 29 communities submitted their data to CDC for data reliability checks and preparation for analyses, and nine communities conducted analysis at the local level, of which seven sent weighted data to CDC's Healthy Communities Program. Among the tasks included in data reliability checks, CDC validates responses based on expected values for categorical variables. In addition, CDC checks the reliability of the disposition code assigned by the community. However, a record marked as complete might not have enough data according to CDC standards and will need to be reassigned as an incomplete record. For each community, data were collected either monthly or over a fixed period as a point in time.

        Data Weighting and Analysis

        Upon completion of data collection, communities submitted their data to CDC, which edited and aggregated the data files to create a sample for each community. For this analysis, each sample was weighted to the respondent's probability of selection and to the age- and sex-specific population or age-, sex-, and race-specific population data using current population estimates provided by the community or 2006 and 2007 intercensal estimates provided by Claritas, Inc., a private data vendor that uses census projections to develop yearly population estimates. These sampling weights were then used to calculate community-level prevalence estimates. Detailed weighting and analytic methodologies used for BRFSS have been reported previously (7).

        Statistical Analyses

        SAS(r) (release 9.1.3) and SUDAAN(r) were used in the analyses to account for the complex sampling design and to calculate prevalence estimates, standard errors, and 95% confidence intervals (CIs) (8,9). Statistics for selected communities were reported as "not available" if the unweighted sample size for the denominator was <50 or the confidence interval half width was >10. Because those data are not included in this report and certain communities did not measure every indicator, the number of communities represented varies in 2006 (range: 5--38), and in 2007(range: 12--38).

        Data Presented

        Because of the slightly different methodologies, populations of interest, and primary goal of Steps projects, this report presents yearly data for Steps communities. Given the early stages of Steps, rather than compare with nonintervention communities, Healthy People 2010 (HP 2010) goals were used as a benchmark. HP 2010 objectives were analyzed separately for each year so that communities could continue to track their progress. The tables in this report contain the weighted percentage, sample size, standard error, and CIs. Data for the communities that conducted their own data analysis are reported without standard errors. Standard errors are reported for the five communities that conducted their own data analysis and sent their data to CDC to produce estimates from the weighted data set that they provided. When BRFSS data and HP 2010 objective statements were comparable, nationwide BRFSS median prevalence estimates and HP 2010 targets are presented (10--12). For several questions, comparative HP 2010 goals are not presented because BRFSS data definitions are not comparable to the HP 2010 definitions.

        Results

        Overweight and Obesity

        Prevalence of Overweight and Obesity Among Adults Aged ≥18 Years

        Self-reported weight and height were used to calculate body mass index (BMI) (weight[kg]/height [m]). Being overweight or obese was defined as having a BMI of ≥25.0 kg/m2; obesity alone was classified as BMI of ≥30.0 kg/ m2.

        In 2006, the estimated prevalence of respondents aged ≥18 years being overweight or obese ranged from 51.8% (95% CI = 46.9--56.8) in Teller, Colorado, to 73.7% (95% CI = 69.4--78.0) in SouthEast Alaska Regional Health Consortium, Alaska (median: 62.6) (Table 1). The nationwide 2006 BRFSS median was 62.3%; 20 communities exceeded this median.

        In 2007, the estimated prevalence among respondents aged ≥18 years who had a BMI ≥25.0 kg/m2 ranged from 50.5% (95% CI = 45.6--55.4) in Teller County, Colorado, to 77.2% (95% CI = 71.5--83.0) in Inter-Tribal Council, Michigan (median: 63.2%) (Table 2). The 2007 nationwide BRFSS median was 63.0%; 18 communities exceeded this median.

        Prevalence of Obesity Among Adults Aged ≥18 Years

        In 2006, the estimated prevalence of obesity (BMI ≥30.0 kg/m2) among respondents aged ≥18 years ranged from 14.6% (95% CI = 11.2--18.0) in Teller County, Colorado, to 38.3% (95% CI = 32.3--44.2) in Inter-Tribal Council, Michigan (median: 24.8%) (Table 3). The 2006 nationwide BRFSS median was 25.1%; 17 communities exceeded this median. One community (Teller County, Colorado) achieved the HP 2010 objective of reducing to 15% the proportion of adults who are obese (objective 19.2).

        In 2007, the estimated prevalence of adults who were obese ranged from 16.6% (95% CI = 13.1--20.1) in Teller County, Colorado, to 41.0% (95% CI = 34.0--47.9) in Inter-Tribal Council, Michigan (median: 25.4%) (Table 4). The 2007 nationwide BRFSS median was 26.3%; 17 communities exceeded this median. No communities reached the HP 2010 objective.

        Diabetes

        Overall Rate of Diabetes Among Adults Aged ≥18 Years

        In 2006, the estimated prevalence of respondents aged ≥18 years who reported ever having been told by a doctor that they have diabetes (other than during pregnancy) ranged from 3.7% (95% CI = 2.2--5.1) in Teller, Colorado, to 19.7% (95% CI = 15.1--24.3) in Inter-Tribal Council, Michigan (median: 7.6%) (Table 5). The nationwide 2006 BRFSS median was 7.5%; 19 communities exceeded this median.

        In 2007, the estimated prevalence of adults who reported ever having been told by a doctor that they had diabetes (other than during pregnancy) ranged from 4.4% (95% CI = 3.3--5.5) in Minneapolis, Minnesota, to 17.9% (95% CI = 12.5--23.2) in Inter-Tribal Council, Michigan (median: 8.2%) (Table 6). The nationwide 2007 BRFSS median was 8.1%; 19 communities exceeded this median.

        Clinical Foot Examination Among Adults Aged ≥18 Years with Diabetes

        In 2006, among adults in 27 Steps communities who were ever told by a doctor that they have diabetes (excluding women who were pregnant), the estimated prevalence who reported having a clinical foot examination during the preceding 12 months ranged from 68.2% (95% CI = 61.4--74.9) in San Antonio-Bexar County, Texas, to 89.3% (95% CI = 82.8--95.7) in Willmar, Minnesota (median: 77.4%) (Table 7). The nationwide BRFSS median was 71.6%; 27 communities exceeded this median. No Steps communities achieved the HP 2010 objective of increasing to 91% the proportion of adults with diabetes who have at least an annual clinical foot examination (objective 5-14).

        In 2007, among adults with diabetes in 26 communities, the estimated prevalence who reported having a clinical foot examination during the preceding 12 months ranged from 51.1% (95% CI = 41.9--60.4) in Santa Clara County, California, to 83.5% (95% CI = 75.9--91.1) in Minneapolis, Minnesota (median: 77.1%) (Table 8). The nationwide BRFSS median was 73.2%; 19 communities exceeded this median. No communities achieved the HP 2010 objective.

        Dilated Eye Examination Among Adults Aged ≥18 Years with Diabetes

        In 2006, among adults with diabetes aged ≥18 years in 22 Steps communities, the estimated prevalence who reported having received a dilated eye examination during the preceding 12 months ranged from 63.2% (95% CI = 54.3--72.1) in Cherokee Nation, Oklahoma, to 84.4% (95% CI = 78.7--90.1) in Cleveland, Ohio (median: 72.55%) (Table 9). The nationwide BRFSS median was 70.9%; 11 communities exceeded this median. Six Steps communities achieved the HP 2010 objective of increasing to 76% the proportion of adults with diabetes who have an annual dilated eye examination (objective 5-13).

        In 2007, among 26 Steps communities, the estimated prevalence of adults with diabetes who received a dilated eye examination during the preceding 12 months ranged from 60.3% (95% CI = 51.5--69.1) in Cherokee Nation, Oklahoma, to 85.4% (95% CI = 78.5--92.3) in Rochester, Minnesota (median: 72.9%) (Table 10). The nationwide BRFSS median was 71.3%; 16 communities exceeded this median. Eight communities achieved the HP 2010 objective.

        Glycosylated Hemoglobin Measurement at Least Once a Year Among Adults Aged ≥18 Years with Diabetes

        In 2006, among adults with diabetes aged ≥18 years in 23 Steps communities, the estimated prevalence who reported having received a glycosylated hemoglobin measurement (A1c) at least once a year ranged from 62.5% (95% CI = 53.5--71.4) in Hillsborough, Florida, to 85.1% (95% CI = 76.7--93.5) in Rockland, New York (median: 70.7%) (Table 11). The nationwide BRFSS median was 66.3%; 17 communities exceeded this median. Twenty Steps communities achieved the HP 2010 objective of increasing to 65% the proportion of adults with diabetes who have an A1c at least once a year (objective 5-12).

        In 2007, among adults with diabetes in 22 communities, the estimated prevalence who reported having received an A1c at least once a year ranged from 54.5% (95% CI = 46.7--62.2) in San Antonio, Texas, to 90.4% (95% CI = 85.6--95.2) in Boston, Massachusetts (median: 69.9%) (Table 12). The nationwide BRFSS median was 66.3%; 16 communities exceeded this median. Sixteen communities achieved the HP 2010 objective.

        Self Blood-Glucose Monitoring Among Adults Aged ≥18 Years with Diabetes

        In 2006, among adults with diabetes aged ≥18 years in 19 Steps communities, the estimated prevalence who reported self-blood glucose monitoring at least 2 times daily ranged from 24.8% (95% CI = 17.7--31.9) in St. Petersburg-Pinellas County, Florida, to 51.6% (95% CI = 42.0--61.1) in Broome County, New York (median: 43.5%) (Table 13). The nationwide BRFSS median was 38.8%; 11 communities exceeded this median.

        In 2007, among adults with diabetes in 23 communities, the estimated prevalence who reported self-blood glucose monitoring at least 2 times daily ranged from 28.9% (95% CI = 20.9--36.9) in Santa Clara County, California, to 53.3% (95% CI = 43.4--63.1) in Rockland County, New York (median: 41.4%) (Table 14). The nationwide BRFSS median was 38.6%; 16 communities exceeded this median.

        Self-Foot Examination Among Adults Aged ≥18 Years with Diabetes

        In 2006, among adults aged ≥18 years with diabetes in 21 Steps communities, the estimated prevalence who reported checking their feet at least one time daily for any sore or irritations ranged from 57.5% (95% CI = 47.6--67.5) in Minneapolis, Minnesota, to 88% (95% CI = 81.6--94.5) in Austin-Travis County, Texas (median: 69.3%) (Table 15). The nationwide BRFSS median was 68.8%; 11 communities exceeded this median.

        In 2007, among adults with diabetes in 22 communities, the estimated prevalence who reported checking their feet at least once daily for any sores or irritations ranged from 59.2% (95% CI = 49.7--68.8) in Jefferson County, New York, to 80.6% (95% CI = 75.4--85.7) in Cherokee Nation, Oklahoma (median: 68.5%) (Table 16). The nationwide BRFSS median was 69.1%; nine communities exceeded this median.

        Asthma

        Told by Health Professional that they had Asthma Among Adults Aged ≥18 Years

        In 2006, the estimated prevalence among respondents aged ≥18 years who reported being told by a health professional that they have asthma ranged from 6.5% (95% CI = 3.2--9.8) in Santa Cruz County, Arizona, to 18.9% (95% CI = 16.0--21.9) in Philadelphia, Pennsylvania (median: 13.1%) (Table 17). The nationwide 2006 BRFSS median was 13.0%; 19 communities exceeded this median.

        In 2007, the estimated prevalence of reported asthma in the Steps communities ranged from 7.5% (CI = 4.7--10.2) in Santa Cruz County, Arizona, to 18.9% (95% CI = 16.1--21.7) in Cleveland, Ohio (Table 18). The nationwide 2007 BRFSS median was 13.0%; 18 communities exceeded this median.

        Symptom-Free Days Among Adults Aged ≥18 Years with Asthma

        In 2006, among five steps communities, of those adults with asthma who reported having had an episode of asthma or asthma attack during the preceding 12 months, the estimated prevalence with no symptoms of asthma during the preceding 30 days ranged from 11.5% (95% CI = 6.4--16.6) in Cherokee Nation, Oklahoma, to 29.5% (95% CI = 20.8--38.1) in Jefferson County, New York. Among five communities, the median was 25.6% (Table 19). The nationwide BRFSS median was 26.2%; one community exceeded this median.

        In 2007, among 12 Steps communities, of those adults with asthma who reported having had an episode of asthma or an asthma attack during the preceding 12 months, the estimated prevalence who reported having no symptoms during the preceding 30 days ranged from 10.3% (95% CI = 4.8--15.7) in Cherokee Nation, Oklahoma, to 36.1% (95% CI = 26.7--45.4) in DeKalb County, Georgia. Among 12 communities, the median was 21.5% (Table 20). The nationwide BRFSS median was 27.1%; two communities exceeded this median.

        Physical Activity

        Recommended Physical Activity Among Adults Aged ≥18 Years

        In 2006, among 22 Steps communities, the estimated prevalence among adults who reported engaging in moderate physical activity for ≥30 minutes at least five times/week or who reported vigorous physical activity for ≥20 minutes at least three times/week ranged from 42.3% (95% CI = 37.5--47.1) in Cherokee Nation, Oklahoma, to 59.9% (95% CI = 55.2--64.7) in SouthEast Alaska Regional Health Consortium, Alaska. Among these 22 communities, the median was 52.4% (Table 21). Seventeen Steps communities achieved the HP 2010 objective of increasing to 50% the proportion of adults engaging in moderate or vigorous physical activity (objective 22-02)

        In 2007, the estimated prevalence of adults who reported moderate or vigorous physical activity ranged from 40.6% (95% CI = 36.3--44.8) in Southeast Alabama, to 69.8% (95% CI = 62.4--77.2) in Inter-Tribal Council, Michigan (median: 51.5%) (Table 22). The nationwide 2007 BRFSS median was 49.2%; 26 communities exceeded this median. A total of 25 Steps communities achieved the HP 2010 objective.

        Fruits and Vegetables

        Fruit and Vegetable Consumption Among Adults Aged ≥18 Years

        In 2006, among 22 Steps communities, the percentage of respondents aged 18 years who reported eating at least five fruits and vegetables/day ranged from 11.1% (95% CI = 8.0--14.2) in Inter-Tribal Council, Michigan, to 30.2 (95% CI = 27.6--32.8) in St. Paul-Ramsey County, Minnesota (median: 26.4%) (Table 23)§.

        In 2007, the estimated prevalence among respondents aged ≥18 years who reported eating fruits and vegetables ≥5 times/day ranged from 14.6% (95% CI = 2.3--16.9) in Cherokee Nation, Oklahoma, to 37.6% (95% CI = 34.3--40.9) in Salinas-Monterey County, California (median: 26.4%) (Table 24). The nationwide 2007 BRFSS median was 24.3%; 25 communities exceeded this median.

        Tobacco Use

        Cigarette Smoking Among Adults Aged ≥18 Years

        In 2006, among 37 Steps communities, the estimated prevalence of respondents aged 18 years who reported having smoked 100 cigarettes in their lifetime and were current smokers on every day or certain days ranged from 12.5% (95% CI = 10.4--14.7) in Rochester-Olmstead County, Minnesota, to 48.0% (95% CI = 27.0--69.6) in Colville Confederated Tribes, Washington (median: 19.6%) (Table 25). The nationwide 2006 BRFSS median was 20.1; 18 communities exceeded this median. No Steps community achieved the HP 2010 objective of reducing to 12% the proportion of adults who smoke cigarettes (objective 27-1a).

        In 2007, the estimated prevalence of adult current smokers ranged from 11.2% (95% CI = 9.0--13.4) in Rockland County, New York, to 33.7% (95% CI = 30.3--37.0) in Cleveland, Ohio (median: 21.1%) (Table 26). The nationwide 2007 BRFSS median was 19.7%; 21 communities exceeded this median. Two Steps communities achieved the HP 2010 objective.

        Tobacco Use Cessation Attempts by Adult Smokers Aged ≥18 Years

        In 2006, among adult smokers in 31 Steps communities, the estimated prevalence of who reported having stopped smoking for one day or longer because they were trying to quit smoking during the preceding 12 months ranged from 48.4% (95% CI = 42.2--54.5) in St. Petersburg-Pinellas County, Florida, to 67.9% (95% CI = 59.3--76.5) in Austin-Travis County, Texas (median: 58.4%) (Table 27). No Steps communities achieved the HP 2010 objective of increasing to 75% smoking cessation attempts by adult smokers (objective 27-5).

        In 2007, among adult smokers in 26 communities, the estimated prevalence of smokers who reported having stopped smoking for one day or longer during the preceding 12 months because they were trying to quit smoking ranged from 50.8% (95% CI = 43.4--58.2) in Chautauqua County, New York, to 69.6% (95% CI = 62.2--77.1) in Pueblo County, Colorado (median: 55.4%) (Table 28). The nationwide BRFSS median was 57.6%; eight communities exceeded this median. No communities achieved the HP 2010 objective.

        Discussion

        CDC's Healthy Communities Program responds to community needs and works to affect change at the population level using community-based approaches that include policy, systems, and environmental change. As part of the Healthy Communities Program, Steps communities were funded across the country to demonstrate how local initiatives across sectors (e.g., schools, work sites, health care, and the community) in collaboration with traditional and nontraditional partners (e.g., media, businesses, transportation, public safety, and departments of planning and development) can impact the burden of chronic diseases and conditions (e.g., obesity, diabetes, and asthma), and the underlying risk factors of physical inactivity, poor nutrition, and tobacco use and exposure. For example, approximately 100 work site interventions, advancing policy, systems, and environmental changes were implemented, including implementation of health risk assessments and policies promoting increased access to nutritious foods in vending machines and at meetings. Other strategies used in work sites included development of smoke-free policies and onsite space for exercise. By focusing on joining resources and perspectives of a wide range of sectors and entities dedicated to collaboration for health improvement, the Healthy Communities Program draws on common interests and accelerates progress toward health promotion efforts. Such efforts create measurable improvements in the health of Steps communities through the selection, implementation, and evaluation of interventions promoting policy, systems, and environmental change. For example, the Steps Program in Austin, Texas, partnered with Capital Metro, the Austin transit authority, to implement a worksite wellness program. As a result of worksite wellness program implementation, the Capital Metro has experienced substantial reductions in its health care costs.

        The findings in this report indicate variations in the estimated prevalence of chronic diseases and conditions, health-risk behaviors, and use of preventive screening practices across Steps communities. In 2006, six communities achieved the HP 2010 objective of increasing to 76% the proportion of adults with diabetes who have an annual dilated eye examination; eight communities achieved the objective in 2007. In 2006, a total of 20 communities achieved the HP 2010 objective of increasing to 65% the proportion of adults who have an A1c at least once a year; 16 communities achieved the objective in 2007. In 2006, no Steps community achieved the HP 2010 objective of reducing to 12% the proportion of adults who smoke; two communities achieved the objective in 2007. In 2006, a total of 17 communities achieved the HP 2010 objective of increasing to 50% the proportion of adults who engage in moderate physical activity ≥30 minutes/day at least 5 days a week, or vigorous physical activity ≥20 minutes/day at least 3 days a week; 25 communities achieved the objective in 2007. In 2006, one community achieved the HP 2010 objective of reducing to 15% the proportion of adults who are obese; no communities achieved this objective in 2007. No communities achieved the HP 2010 objective of increasing to 75% smoking cessation attempts by adult smokers in 2006 or 2007. In 2007, no communities achieved the HP 2010 objective of increasing to 91% the proportion of adults with diabetes who have at least an annual clinical foot examination.

        The direct estimates might be different from those using similar geographic units but based on other small area analysis methods (12). For example, estimates of diabetes and obesity presented here might be slightly different from those using small area analysis methods. Steps communities will need to continue to monitor data and continue to focus on improving health to achieve and maintain these improvements.

        Steps communities' use of BRFSS questions for community-specific surveys permits useful collection of data at the local level. Data presented in this report indicate that prevalence rates of important chronic disease indicators vary widely among the communities. This variability might reflect differences in state and local laws and policies, enforcement practices, availability of effective community policies and interventions, prevailing behavioral and social norms, demographic and adult practices, characteristics of the population, and other social determinants of health.

        Collection of Steps BRFSS data will provide trend estimates that will enable community-to-community, nationwide, and HP 2010 comparisons. These data also will provide useful information for decision making at the community, district, and state levels and guide local health officials and decision makers in intervention planning and evaluation. CDC staff and other public health and education practitioners can use these data to assess changes in these behaviors over time and assist in evaluating the effectiveness of Steps communities' interventions. An examination of the variations among communities can identify which ones would benefit from additional technical assistance related to effective community policies and interventions. Differences also can alert community representatives to the opportunity to learn from each other by taking advantage of the national Steps network. Communities can use these data to identify, prioritize, and develop community-specific activities to address obesity, diabetes, and asthma by increasing physical activity, encouraging healthy eating, and reducing tobacco use and exposure.

        Limitations

        The findings in this report are subject to at least five limitations. First, the Steps BRFSS survey is a telephone-based survey, which only queries persons with landline telephone access. Differences might exist in the characteristics of persons who reside in households with telephones compared with those without telephone access or those households that use cell phones only. Therefore, the data might not be generalizable to persons who reside in households without landline telephones. Second, prevalence estimates are self-reported and, for certain behaviors, the reported estimates might be subject to recall and social desirability biases. Third, each Steps community has the option to administer its own data collection method, which might preclude standardization in certain cases. Fourth, the number of interviews ranged from 464 to 2,934. Therefore, estimates for certain communities are based on small sample sizes, and for relatively rare events might yield unstable estimates. Fifth, Steps BRFSS does not collect information from institutionalized persons, thereby excluding persons residing in nursing homes, long-term care, and correctional facilities.

        BRFSS offers important benefits for making community-to-community comparisons because of its standardized questionnaire and data collection. BRFSS provides data to guide additional analysis on selected risk factors. The information is invaluable for assisting local health officials in intervention planning and evaluation.

        Conclusion

        Steps BRFSS data collected in the communities will be used to examine whether the Steps communities made progress on intended health outcomes in the selected intervention areas. BRFSS is a unique surveillance tool that demonstrates its usefulness at gathering comparable state-specific and local area health behavioral data, monitoring health risk behaviors over time, and supporting focused prevention interventions. Steps staff at the national, state, local, and tribal levels will use these data for decision-making, planning, and enhancing technical assistance. CDC's Healthy Communities Program, through Steps and other community funding models, strives toward achieving the established HP 2010 objectives by using BRFSS data to enhance existing program activities, focus efforts on activities with the greatest promise of results, identify opportunities for strategic collaboration, and disseminate lessons learned.

        References

        1. Partnership to Fight Chronic Disease (PFCD). Almanac of chronic disease, 2008 edition. Available at http://www.fightchronicdisease.org. Accessed January 28, 2010.
        2. Heron M, Hoyert D, Murphy S, et al. Deaths: final data for 2006. Natl Vital Stat Rep 2009;57(14). Available at http://www.cy118119.com/nchs/data/nvsr/nvsr57/nvsr57_14.pdf. Accessed January 8, 2010.
        3. Behavior Risk Factor Surveillance System. Prevalence and trends data, nationwide---2007 physical activity. Available at http://apps.nccd.cdc.gov/brfss/display.asp?cat=&yr=2007&qkey=4418&state=US. Accessed January 8, 2010.
        4. Behavior Risk Factor Surveillance System. Prevalence and trends data, nationwide---2007 fruits and vegetables. Available at http://apps.nccd.cdc.gov/brfss/display.asp?cat=&yr=2007&qkey=4415&state=. Accessed January 8, 2010.
        5. CDC. Cigarette smoking among adults and trends in smoking cessation---United States, 2008. MMWR 2009; 58:1227--32.
        6. CDC Healthy communities program. Available at http://www.cy118119.com/healthycommunitiesprogram. Accessed January 8, 2010.
        7. CDC. Behavioral Risk Factor Surveillance System operational and user's guide, version 3.0. Atlanta, GA: US Department of Health and Human Services, CDC; 2004.
        8. SAS Institute, Inc. SAS(r) version 8.02 [software and documentation]. Cary, NC: SAS Institute; 2001.
        9. Research Triangle Institute. SUDAAN(r), version 9 [software and documentation]. Triangle Park, NC: Research Triangle Institute; 2004.
        10. US Department of Health and Human Services. Healthy people 2010: national health promotion and disease prevention objective---full report, with commentary. Washington, DC: US Department of Health and Human Services, US Public Health Service; 2000. Available at http://www.cy118119.com/nchs/about/otgeract/hpdata2010/abouthp.htm. Accessed January 8, 2010.
        11. CDC Wonder. The healthy people 2010 database. Available at http://wonder.cdc.gov/data2010. Accessed January 14, 2010.
        12. Demeny P, McNicoll G, eds. Encyclopedia of Population. Farmington Hills, MI: Macmillan Reference; 2003:898--901.

        * In 2006, Orleans Parish, Louisiana did not collect data because of displacement of population after Hurricane Katrina. In 2006 and 2007, the Tohono O'odham Tribe, did not report data because BRFSS does not include persons residing in households without telephones. The community's low telephone coverage precluded reaching the numbers required for standard sampling methodology.

        The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.

        § BRFSS did not have a nationwide estimate for fruits and vegetables for 2006.


        TABLE 1. Estimated prevalence of respondents aged ≥18 years who had a body mass index (BMI) of ≥25.0 kg/m2 calculated from self-reported weight and height, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        982

        67.4

        2.0

        (63.5--71.3)

        Southeast Alabama, Alabama

        1,073

        68.0

        2.0

        (64.1--71.9)

        SouthEast Alaska Regional Health Consortium, Alaska

        587

        73.7

        2.2

        (69.4--78.0)

        Cochise County, Arizona

        466

        60.9

        3.1

        (54.9--66.9)

        Santa Cruz County, Arizona

        446

        63.4

        3.0

        (57.6--69.3)

        Yuma County, Arizona

        474

        71.3

        2.5

        (66.3--76.2)

        Salinas County, California

        1,560

        63.9

        1.6

        (60.8--67.0)

        Santa Clara County, California

        1,342

        58.4

        1.8

        (54.8--61.9)

        Mesa County, Colorado

        1,041

        57.7

        1.9

        (54.0--61.4)

        Pueblo County, Colorado

        1,020

        61.5

        1.8

        (58.0--65.0)

        Teller County, Colorado

        555

        51.8

        2.5

        (46.9--56.8)

        Weld County, Colorado

        1,015

        62.5

        1.9

        (58.8--66.2)

        Tampa-Hillsborough, Florida

        1,504

        63.9

        1.5

        (60.9--66.9)

        St. Petersburg-Pinellas County, Florida

        1,617

        61.4

        1.4

        (58.5--64.2)

        DeKalb County, Georgia

        3,527

        56.2

        1.4

        (53.5--58.8)

        Boston, Massachusetts

        1,568

        54.0

        §

        (50.2--57.9)

        Inter-Tribal Council of Michigan, Michigan

        550

        69.7

        3.2

        (63.5--75.9)

        St. Paul-Ramsey County, Minnesota

        1,681

        56.3

        1.5

        (53.4--59.3)

        Minneapolis, Minnesota

        1,534

        56.3

        1.5

        (53.3--59.3)

        Rochester-Olmstead County, Minnesota

        1,453

        55.6

        1.7

        (52.3--58.9)

        Willmar, Minnesota

        1,137

        63.5

        1.9

        (59.8--67.2)

        Broome County, New York

        1,401

        60.0

        1.8

        (56.5--63.5)

        Chautauqua County, New York

        1,432

        59.6

        1.8

        (56.1--63.1)

        Jefferson County, New York

        1,439

        62.6

        1.9

        (58.8--66.4)

        Rockland County, New York

        1,411

        56.7

        1.7

        (53.4--59.9)

        Cleveland, Ohio

        1,409

        68.9

        1.7

        (65.6--72.1)

        Cherokee Nation, Oklahoma

        4,365

        69.0

        1.8

        (65.4--72.6)

        Philadelphia, Pennsylvania

        1,459

        66.8

        1.8

        (63.4--70.2)

        Fayette County, Pennsylvania

        2,581

        66.6

        1.1

        (64.3--68.8)

        Luzerne County, Pennsylvania

        2,583

        63.3

        1.1

        (61.1--65.5)

        Tioga County, Pennsylvania

        1,417

        63.6

        1.7

        (60.2--66.9)

        Austin-Travis County, Texas

        1,433

        62.8

        2.6

        (57.7--67.9)

        San Antonio-Bexar County, Texas

        1,566

        70.4

        1.6

        (67.1--73.6)

        Chelan-Douglas-Okanogan Counties, Washington

        1,457

        59.8

        1.8

        (56.4--63.3)

        Clark County, Washington

        1,463

        63.2

        1.6

        (60.1--66.3)

        Colville Confederated Tribes, Washington

        36

        ---

        §

        ---

        Seattle-King County, Washington

        1,012

        56.3

        1.9

        (52.6--59.9)

        Thurston County, Washington

        1,502

        59.9

        1.6

        (56.7--63.1)

        Range

        51.8--73.7

        Median

        62.6

        BRFSS Nationwide Range

        54.6--67.0

        BRFSS Nationwide Median

        62.3

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.


        TABLE 2. Estimated prevalence of respondents aged ≥18 years who had a body mass index (BMI) of ≥25.0 kg/m2 calculated from self-reported weight and height, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,331

        68.0

        1.8

        (64.4--71.6)

        Southeast Alabama, Alabama

        1,102

        71.6

        2.0

        (67.7--75.5)

        SouthEast Alaska Regional Health Consortium, Alaska

        571

        74.1

        2.3

        (69.7--78.5)

        Cochise County, Arizona

        445

        62.9

        3.2

        (56.6--69.2)

        Santa Cruz County, Arizona

        498

        64.5

        2.8

        (59.0--70.0)

        Yuma County, Arizona

        527

        71.1

        2.7

        (65.9--76.4)

        Salinas-Monterey County, California

        1,603

        70.3

        1.6

        (67.2--73.5)

        Santa Clara County, California

        1,345

        62.5

        1.8

        (58.9--66.0)

        Mesa County, Colorado

        1,017

        60.5

        1.9

        (56.8--64.2)

        Pueblo County, Colorado

        1,036

        62.8

        2.0

        (58.9--66.6)

        Teller County, Colorado

        572

        50.5

        2.5

        (45.6--55.4)

        Weld County, Colorado

        979

        63.7

        2.0

        (59.7--67.6)

        Tampa-Hillsborough, Florida

        1,445

        61.8

        1.9

        (58.1--65.4)

        St. Petersburg-Pinellas County, Florida

        1,518

        64.0

        1.8

        (60.5--67.5)

        DeKalb County, Georgia

        2,194

        58.1

        1.6

        (55.1--61.2)

        New Orleans, Louisiana

        1,424

        54.3

        2.0

        (50.4--58.2)

        Boston, Massachusetts

        1,490

        57.5

        §

        (53.5--61.5)

        Inter-Tribal Council of Michigan, Michigan

        563

        77.2

        2.9

        (71.5--83.0)

        St. Paul-Ramsey County, Minnesota

        1,462

        57.1

        1.9

        (53.4--60.9)

        Minneapolis, Minnesota

        1,487

        51.6

        1.9

        (47.9--55.2)

        Rochester-Olmstead County, Minnesota

        1,514

        57.0

        2.0

        (53.0--61.0)

        Willmar, Minnesota

        939

        60.6

        2.3

        (56.0--65.2)

        Broome County, New York

        1,411

        58.5

        1.9

        (54.8--62.1)

        Chautauqua County, New York

        1,422

        61.7

        1.8

        (58.1--65.2)

        Jefferson County, New York

        1,432

        64.6

        1.8

        (61.1--68.0)

        Rockland County, New York

        1,420

        57.5

        1.8

        (54.0--60.9)

        Cleveland, Ohio

        1,155

        69.6

        1.8

        (66.1--73.1)

        Cherokee Nation, Oklahoma

        2,848

        66.8

        1.7

        (63.5--70.1)

        Philadelphia, Pennsylvania

        1,431

        64.8

        1.8

        (61.4--68.2)

        Fayette County, Pennsylvania

        1,732

        66.7

        1.4

        (64.0--69.5)

        Luzerne County, Pennsylvania

        2,296

        64.8

        1.2

        (62.5--67.1)

        Tioga County, Pennsylvania

        1,452

        68.2

        1.7

        (64.9--71.5)

        Austin-Travis County, Texas

        1,379

        56.6

        2.5

        (51.7--61.5)

        San Antonio-Bexar County, Texas

        1,443

        70.6

        1.7

        (67.2--74.0)

        Chelan-Douglas-Okanogan Counties, Washington

        1,503

        63.0

        1.7

        (59.7--66.3)

        Clark County, Washington

        1,602

        64.9

        1.7

        (61.6--68.1)

        Colville Confederated Tribes, Washington

        35

        ---

        §

        ---

        Seattle-King County, Washington

        1,400

        60.0

        1.7

        (56.7--63.3)

        Thurston County, Washington

        1,860

        63.3

        1.5

        (60.5--66.2)

        Range

        50.5--77.2

        Median

        63.2

        BRFSS Nationwide Range

        55.3--69.1

        BRFSS Nationwide Median

        63.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.


        TABLE 3. Estimated prevalence of respondents aged ≥18 years who had a body mass index (BMI) of ≥30.0 kg/m2 calculated from self-reported weight and height, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        982

        29.2

        1.9

        (25.5--33.0)

        Southeast Alabama, Alabama

        1,073

        35.8

        1.9

        (32.0--39.6)

        SouthEast Alaska Regional Health Consortium, Alaska

        587

        36.6

        2.4

        (31.9--41.4)

        Cochise County, Arizona

        466

        26.2

        2.8

        (20.7--31.6)

        Santa Cruz County, Arizona

        446

        25.6

        2.7

        (20.2--30.9)

        Yuma County, Arizona

        474

        30.9

        3.1

        (24.9--36.9)

        Salinas County, California

        1,560

        23.5

        1.3

        (21.0--26.0)

        Santa Clara County, California

        1,342

        22.0

        1.4

        (19.1--24.8)

        Mesa County, Colorado

        1,041

        24.3

        1.7

        (21.0--27.6)

        Pueblo County, Colorado

        1,020

        25.5

        1.6

        (22.2--28.7)

        Teller County, Colorado

        555

        14.6

        1.7

        (11.2--18.0)

        Weld County, Colorado

        1,015

        24.0

        1.6

        (20.9--27.1)

        Tampa-Hillsborough, Florida

        1,504

        27.1

        1.5

        (24.2--29.9)

        St. Petersburg-Pinellas County, Florida

        1,617

        22.0

        1.2

        (19.7--24.4)

        DeKalb County, Georgia

        3,527

        21.5

        1.0

        (19.5--23.5)

        Boston, Massachusetts

        1,568

        22.1

        §

        (19.3--24.8)

        Inter-Tribal Council of Michigan, Michigan

        550

        38.3

        3.0

        (32.3--44.2)

        St. Paul-Ramsey County, Minnesota

        1,681

        21.0

        1.2

        (18.8--23.3)

        Minneapolis, Minnesota

        1,534

        19.7

        1.2

        (17.4--22.0)

        Rochester-Olmstead County, Minnesota

        1,453

        20.0

        1.2

        (17.6--22.3)

        Willmar, Minnesota

        1,137

        22.6

        1.5

        (19.7--25.6)

        Broome County, New York

        1,401

        22.9

        1.4

        (20.1--25.7)

        Chautauqua County, New York

        1,432

        24.8

        1.5

        (21.9--27.6)

        Jefferson County, New York

        1,439

        24.8

        1.4

        (21.9--27.6)

        Rockland County, New York

        1,411

        20.2

        1.3

        (17.6--22.8)

        Cleveland, Ohio

        1,409

        33.9

        1.7

        (30.6--37.3)

        Cherokee Nation, Oklahoma

        4,365

        35.9

        1.9

        (32.2--39.5)

        Philadelphia, Pennsylvania

        1,459

        31.9

        1.6

        (28.8--34.9)

        Fayette County, Pennsylvania

        2,581

        29.3

        1.0

        (27.3--31.4)

        Luzerne County, Pennsylvania

        2,583

        26.4

        1.0

        (24.4--28.4)

        Tioga County, Pennsylvania

        1,417

        29.1

        1.5

        (26.2--32.0)

        Austin-Travis County, Texas

        1,433

        26.3

        2.0

        (22.3--30.3)

        San Antonio-Bexar County, Texas

        1,566

        33.8

        1.6

        (30.7--36.9)

        Chelan-Douglas-Okanogan Counties, Washington

        1,457

        23.2

        1.4

        (20.5--25.9)

        Clark County, Washington

        1,463

        24.7

        1.3

        (22.1--27.3)

        Colville Confederated Tribes, Washington

        36

        ---

        §

        ---

        Seattle-King County, Washington

        1,012

        20.8

        1.5

        (17.8--23.8)

        Thurston County, Washington

        1,502

        24.1

        1.3

        (21.5--26.7)

        Range

        14.6--38.3

        Median

        24.8

        BRFSS Nationwide Range

        18.2--31.4

        BRFSS Nationwide Median

        25.1

        Healthy People 2010 (HP 2010) objective**

        15.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 4. Estimated prevalence of respondents aged ≥18 years who had a body mass index (BMI) of ≥30.0 kg/m2 calculated from self-reported weight and height, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,331

        34.1

        1.8

        (30.6--37.7)

        Southeast Alabama, Alabama

        1,102

        37.0

        2.1

        (32.8--41.1)

        SouthEast Alaska Regional Health Consortium, Alaska

        571

        36.2

        2.6

        (31.1--41.2)

        Cochise County, Arizona

        445

        25.5

        2.8

        (20.0--31.0)

        Santa Cruz County, Arizona

        498

        25.5

        2.5

        (20.6--30.4)

        Yuma County, Arizona

        527

        24.4

        2.2

        (20.1--28.7)

        Salinas-Monterey County, California

        1,603

        30.6

        1.6

        (27.4--33.8)

        Santa Clara County, California

        1,345

        25.0

        1.7

        (21.7--28.2)

        Mesa County, Colorado

        1,017

        22.9

        1.6

        (19.8--26.0)

        Pueblo County, Colorado

        1,036

        25.2

        1.7

        (21.9--28.4)

        Teller County, Colorado

        572

        16.6

        1.8

        (13.1--20.1)

        Weld County, Colorado

        979

        26.5

        1.7

        (23.1--29.8)

        Tampa-Hillsborough, Florida

        1,445

        24.2

        1.5

        (21.3--27.2)

        St. Petersburg-Pinellas County, Florida

        1,518

        24.3

        1.6

        (21.2--27.4)

        DeKalb County, Georgia

        2,194

        23.5

        1.3

        (21.0--26.0)

        New Orleans, Louisiana

        1,424

        22.9

        1.5

        (20.0--25.8)

        Boston, Massachusetts

        1,490

        22.8

        §

        (19.8--25.8)

        Inter-Tribal Council of Michigan, Michigan

        563

        41.0

        3.5

        (34.0--47.9)

        St. Paul-Ramsey County, Minnesota

        1,462

        23.9

        1.5

        (20.9--26.9)

        Minneapolis, Minnesota

        1,487

        17.9

        1.4

        (15.2--20.7)

        Rochester-Olmstead County, Minnesota

        1,514

        21.7

        1.5

        (18.7--24.7)

        Willmar, Minnesota

        939

        23.2

        1.7

        (19.9--26.6)

        Broome County, New York

        1,411

        24.7

        1.5

        (21.8--27.6)

        Chautauqua County, New York

        1,422

        23.6

        1.5

        (20.8--26.4)

        Jefferson County, New York

        1,432

        29.1

        1.6

        (26.0--32.3)

        Rockland County, New York

        1,420

        18.9

        1.3

        (16.4--21.3)

        Cleveland, Ohio

        1,155

        34.7

        1.8

        (31.2--38.1)

        Cherokee Nation, Oklahoma

        2,848

        31.8

        1.6

        (28.6--35.0)

        Philadelphia, Pennsylvania

        1,431

        32.7

        1.7

        (29.5--35.9)

        Fayette County, Pennsylvania

        1,732

        30.6

        1.3

        (28.0--33.2)

        Luzerne County, Pennsylvania

        2,296

        27.9

        1.1

        (25.7--30.1)

        Tioga County, Pennsylvania

        1,452

        31.4

        1.5

        (28.4--34.3)

        Austin-Travis County, Texas

        1,379

        23.6

        1.8

        (20.0--27.1)

        San Antonio-Bexar County, Texas

        1,443

        33.3

        1.7

        (30.0--36.7)

        Chelan-Douglas-Okanogan Counties, Washington

        1,503

        26.4

        1.6

        (23.3--29.5)

        Clark County, Washington

        1,602

        28.6

        1.5

        (25.7--31.4)

        Colville Confederated Tribes, Washington

        35

        ---

        §

        ---

        Seattle-King County, Washington

        1,400

        23.2

        1.4

        (20.6--25.9)

        Thurston County, Washington

        1,860

        26.8

        1.3

        (24.3--29.3)

        Range

        16.6--41.0

        Median

        25.4

        BRFSS Nationwide Range

        19.3--32.6

        BRFSS Nationwide Median

        26.3

        Healthy People 2010 (HP 2010) objective**

        15.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 5. Estimated prevalence of respondents aged ≥18 years who reported ever having been told by a doctor that they had diabetes (other than during pregnancy), by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,027

        9.5

        1.0

        (7.5--11.4)

        Southeast Alabama, Alabama

        1,116

        9.4

        0.9

        (7.6--11.2)

        SouthEast Alaska Regional Health Consortium, Alaska

        610

        6.3

        1.0

        (4.3--8.3)

        Cochise County, Arizona

        493

        7.5

        1.2

        (5.1--10.0)

        Santa Cruz County, Arizona

        498

        7.6

        1.3

        (5.0--10.1)

        Yuma County, Arizona

        522

        10.0

        1.5

        (7.1--12.9)

        Salinas County, California

        1,640

        7.0

        0.7

        (5.6--8.4)

        Santa Clara County, California

        1,484

        8.5

        0.9

        (6.8--10.2)

        Mesa County, Colorado

        1,083

        6.8

        0.8

        (5.2--8.4)

        Pueblo County, Colorado

        1,081

        8.7

        0.9

        (7.0--10.5)

        Teller County, Colorado

        580

        3.7

        0.8

        (2.2--5.1)

        Weld County, Colorado

        1,071

        5.1

        0.7

        (3.7--6.4)

        Tampa-Hillsborough, Florida

        1,556

        10.2

        0.9

        (8.5--11.9)

        St. Petersburg-Pinellas County, Florida

        1,663

        9.2

        0.8

        (7.7--10.7)

        DeKalb County, Georgia

        3,761

        7.5

        0.6

        (6.3--8.6)

        Boston, Massachusetts

        1,668

        6.6

        §

        (5.5--7.7)

        Inter-Tribal Council of Michigan, Michigan

        565

        19.7

        2.3

        (15.1--24.3)

        St. Paul-Ramsey County, Minnesota

        1,746

        5.9

        0.6

        (4.8--7.0)

        Minneapolis, Minnesota

        1,604

        5.9

        0.6

        (4.7--7.0)

        Rochester-Olmstead County, Minnesota

        1,503

        5.1

        0.5

        (4.1--6.1)

        Willmar, Minnesota

        1,201

        6.2

        0.7

        (4.8--7.6)

        Broome County, New York

        1,487

        7.6

        0.7

        (6.2--9.1)

        Chautauqua County, New York

        1,495

        7.7

        0.7

        (6.4--9.1)

        Jefferson County, New York

        1,516

        7.8

        0.8

        (6.2--9.4)

        Rockland County, New York

        1,484

        7.3

        0.8

        (5.7--8.9)

        Cleveland, Ohio

        1,500

        10.8

        0.9

        (9.0--12.6)

        Cherokee Nation, Oklahoma

        4,497

        11.3

        1.0

        (9.3--13.3)

        Philadelphia, Pennsylvania

        1,526

        10.8

        0.9

        (9.0--12.6)

        Fayette County, Pennsylvania

        2,711

        10.6

        0.6

        (9.3--11.8)

        Luzerne County, Pennsylvania

        2,706

        8.8

        0.6

        (7.7--9.9)

        Tioga County, Pennsylvania

        1,503

        8.9

        0.8

        (7.4--10.4)

        Austin-Travis County, Texas

        1,574

        4.7

        0.7

        (3.3--6.1)

        San Antonio-Bexar County, Texas

        1,689

        13.5

        0.9

        (11.7--15.3)

        Chelan-Douglas-Okanogan Counties, Washington

        1,542

        6.9

        0.8

        (5.5--8.4)

        Clark County, Washington

        1,524

        6.6

        0.7

        (5.4--7.9)

        Colville Confederated Tribes, Washington

        37

        ---

        §

        ---

        Seattle-King County, Washington

        1,063

        7.1

        0.9

        (5.4--8.8)

        Thurston County, Washington

        1,582

        6.6

        0.7

        (5.3--7.8)

        Range

        3.7--19.7

        Median

        7.6

        BRFSS Nationwide Range

        5.3--12.1

        BRFSS Nationwide Median

        7.5

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.


        TABLE 6. Estimated prevalence of respondents aged ≥18 years who reported ever having been told by a doctor that they had diabetes (other than during pregnancy), by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,331

        68.0

        1.8

        (64.4--71.6)

        Southeast Alabama, Alabama

        1,102

        71.6

        2.0

        (67.7--75.5)

        SouthEast Alaska Regional Health Consortium, Alaska

        571

        74.1

        2.3

        (69.7--78.5)

        Cochise County, Arizona

        445

        62.9

        3.2

        (56.6--69.2)

        Santa Cruz County, Arizona

        498

        64.5

        2.8

        (59.0--70.0)

        Yuma County, Arizona

        527

        71.1

        2.7

        (65.9--76.4)

        Salinas-Monterey County, California

        1,603

        70.3

        1.6

        (67.2--73.5)

        Santa Clara County, California

        1,345

        62.5

        1.8

        (58.9--66.0)

        Mesa County, Colorado

        1,017

        60.5

        1.9

        (56.8--64.2)

        Pueblo County, Colorado

        1,036

        62.8

        2.0

        (58.9--66.6)

        Teller County, Colorado

        572

        50.5

        2.5

        (45.6--55.4)

        Weld County, Colorado

        979

        63.7

        2.0

        (59.7--67.6)

        Tampa-Hillsborough, Florida

        1,445

        61.8

        1.9

        (58.1--65.4)

        St. Petersburg-Pinellas County, Florida

        1,518

        64.0

        1.8

        (60.5--67.5)

        DeKalb County, Georgia

        2,194

        58.1

        1.6

        (55.1--61.2)

        New Orleans, Louisiana

        1,424

        54.3

        2.0

        (50.4--58.2)

        Boston, Massachusetts

        1,490

        57.5

        §

        (53.5--61.5)

        Inter-Tribal Council of Michigan, Michigan

        563

        77.2

        2.9

        (71.5--83.0)

        St. Paul-Ramsey County, Minnesota

        1,462

        57.1

        1.9

        (53.4--60.9)

        Minneapolis, Minnesota

        1,487

        51.6

        1.9

        (47.9--55.2)

        Rochester-Olmstead County, Minnesota

        1,514

        57.0

        2.0

        (53.0--61.0)

        Willmar, Minnesota

        939

        60.6

        2.3

        (56.0--65.2)

        Broome County, New York

        1,411

        58.5

        1.9

        (54.8--62.1)

        Chautauqua County, New York

        1,422

        61.7

        1.8

        (58.1--65.2)

        Jefferson County, New York

        1,432

        64.6

        1.8

        (61.1--68.0)

        Rockland County, New York

        1,420

        57.5

        1.8

        (54.0--60.9)

        Cleveland, Ohio

        1,155

        69.6

        1.8

        (66.1--73.1)

        Cherokee Nation, Oklahoma

        2,848

        66.8

        1.7

        (63.5--70.1)

        Philadelphia, Pennsylvania

        1,431

        64.8

        1.8

        (61.4--68.2)

        Fayette County, Pennsylvania

        1,732

        66.7

        1.4

        (64.0--69.5)

        Luzerne County, Pennsylvania

        2,296

        64.8

        1.2

        (62.5--67.1)

        Tioga County, Pennsylvania

        1,452

        68.2

        1.7

        (64.9--71.5)

        Austin-Travis County, Texas

        1,379

        56.6

        2.5

        (51.7--61.5)

        San Antonio-Bexar County, Texas

        1,443

        70.6

        1.7

        (67.2--74.0)

        Chelan-Douglas-Okanogan Counties, Washington

        1,503

        63.0

        1.7

        (59.7--66.3)

        Clark County, Washington

        1,602

        64.9

        1.7

        (61.6--68.1)

        Colville Confederated Tribes, Washington

        35

        ---

        §

        ---

        Seattle-King County, Washington

        1,400

        60.0

        1.7

        (56.7--63.3)

        Thurston County, Washington

        1,860

        63.3

        1.5

        (60.5--66.2)

        Range

        50.5--77.2

        Median

        63.2

        BRFSS Nationwide Range

        55.3--69.1

        BRFSS Nationwide Median

        63.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.


        TABLE 7. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having a clinical foot examination during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        116

        75.7

        4.7

        (66.5--84.9)

        Southeast Alabama, Alabama

        142

        72.7

        4.2

        (64.5--81.0)

        SouthEast Alaska Regional Health Consortium, Alaska

        50

        ---§

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        41

        ---

        ---

        ---

        Yuma County, Arizona

        56

        ---

        ---

        ---

        Salinas County, California

        142

        ---

        ---

        ---

        Santa Clara County, California

        Mesa County, Colorado

        86

        81.4

        4.6

        (72.5--90.3)

        Pueblo County, Colorado

        118

        77.3

        4.3

        (68.9--85.7)

        Teller County, Colorado

        27

        ---

        ---

        ---

        Weld County, Colorado

        74

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        173

        74.4

        3.8

        (67.0--81.9)

        St. Petersburg-Pinellas County, Florida

        160

        77.3

        3.6

        (70.1--84.4)

        DeKalb County, Georgia

        314

        84.3

        2.6

        (79.2--89.4)

        Boston, Massachusetts

        191

        84.5

        **

        (78.8--90.2)

        Inter-Tribal Council of Michigan, Michigan

        114

        ---

        **

        ---

        St. Paul-Ramsey County, Minnesota

        128

        83.0

        3.7

        (75.7--90.3)

        Minneapolis, Minnesota

        115

        79.8

        4.3

        (71.4--88.2)

        Rochester-Olmstead County, Minnesota

        108

        80.6

        3.9

        (72.9--88.2)

        Willmar, Minnesota

        94

        89.3

        3.3

        (82.8--95.7)

        Broome County, New York

        148

        79.3

        4.5

        (70.5--88.0)

        Chautauqua County, New York

        154

        87.7

        2.8

        (82.2--93.1)

        Jefferson County, New York

        157

        78.2

        3.9

        (70.6--85.8)

        Rockland County, New York

        126

        ---

        ---

        ---

        Cleveland, Ohio

        197

        77.4

        4.3

        (69.0--85.7)

        Cherokee Nation, Oklahoma

        534

        72.7

        4.4

        (64.2--81.2)

        Philadelphia, Pennsylvania

        189

        76.5

        3.8

        (69.2--83.9)

        Fayette County, Pennsylvania

        326

        77.8

        2.5

        (72.9--82.7)

        Luzerne County, Pennsylvania

        277

        77.3

        2.8

        (71.8--82.7)

        Tioga County, Pennsylvania

        154

        74.7

        3.9

        (67.1--82.3)

        Austin-Travis County, Texas

        140

        85.6

        4.8

        (76.2--94.9)

        San Antonio-Bexar County, Texas

        303

        68.2

        3.5

        (61.4--74.9)

        Chelan-Douglas-Okanogan Counties, Washington

        142

        77.2

        4.5

        (68.4--85.9)

        Clark County, Washington

        127

        89.1

        2.8

        (83.6--94.5)

        Colville Confederated Tribes, Washington

        Seattle-King County, Washington

        87

        77.0

        5.0

        (67.2--86.8)

        Thurston County, Washington

        137

        74.7

        5.0

        (65.0--84.4)

        Range

        68.2--89.3

        Median

        77.4

        BRFSS Nationwide Range

        44.6--88.3

        BRFSS Nationwide Median

        71.6

        Healthy People 2010 (HP 2010) objective††

        91.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if the community did not measure this indicator.

        ** Data analysis conducted by the community; SE not reported.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 8. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having a clinical foot examination during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        181

        66.2

        4.5

        (57.4--74.9)

        Southeast Alabama, Alabama

        173

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        51

        ---

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        59

        ---

        ---

        ---

        Yuma County, Arizona

        77

        ---

        ---

        ---

        Salinas-Monterey County, California

        171

        ---

        ---

        ---

        Santa Clara County, California

        193

        51.1

        4.7

        (41.9--60.4)

        Mesa County, Colorado

        70

        ---

        ---

        ---

        Pueblo County, Colorado

        125

        69.9

        4.9

        (60.4--79.4)

        Teller County, Colorado

        35

        ---

        ---

        ---

        Weld County, Colorado

        86

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        175

        77.3

        4.2

        (69.0--85.6)

        St. Petersburg-Pinellas County, Florida

        186

        69.5

        4.6

        (60.4--78.6)

        DeKalb County, Georgia

        242

        80.8

        3.6

        (73.8--87.7)

        New Orleans, Louisiana

        154

        72.8

        4.4

        (64.2--81.4)

        Boston, Massachusetts

        Inter-Tribal Council of Michigan, Michigan

        105

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        136

        79.6

        4.3

        (71.3--87.9)

        Minneapolis, Minnesota

        112

        83.5

        3.9

        (75.9--91.1)

        Rochester-Olmstead County, Minnesota

        111

        80.4

        3.9

        (72.6--88.0)

        Willmar, Minnesota

        91

        ---

        ---

        ---

        Broome County, New York

        152

        80.6

        3.8

        (73.1--88.1)

        Chautauqua County, New York

        185

        75.5

        4.1

        (67.5--83.6)

        Jefferson County, New York

        167

        72.2

        4.7

        (63.1--81.3)

        Rockland County, New York

        147

        83.3

        4.1

        (75.2--91.3)

        Cleveland, Ohio

        195

        81.0

        3.2

        (74.8--87.2)

        Cherokee Nation, Oklahoma

        411

        73.4

        3.2

        (67.1--79.7)

        Philadelphia, Pennsylvania

        176

        75.7

        4.1

        (67.7--83.7)

        Fayette County, Pennsylvania

        210

        79.4

        3.2

        (73.1--85.7)

        Luzerne County, Pennsylvania

        240

        79.6

        3.0

        (73.8--85.5)

        Tioga County, Pennsylvania

        163

        75.6

        4.1

        (67.6--83.6)

        Austin-Travis County, Texas

        167

        76.5

        4.9

        (66.8--86.1)

        San Antonio-Bexar County, Texas

        304

        72.2

        3.4

        (65.6--78.8)

        Chelan-Douglas-Okanogan Counties, Washington

        145

        82.1

        3.7

        (74.8--89.3)

        Clark County, Washington

        179

        77.6

        3.6

        (70.7--84.6)

        Colville Confederated Tribes, Washington

        Seattle-King County, Washington

        146

        78.7

        4.2

        (70.5--86.8)

        Thurston County, Washington

        178

        76.9

        4.2

        (68.7--85.2)

        Range

        51.1--83.5

        Median

        77.1

        BRFSS Nationwide Range

        40.0--87.1

        BRFSS Nationwide Median

        73.2

        Healthy People 2010 (HP 2010) objective**

        91.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if community did not measure this indicator.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 9. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having received a dilated eye examination during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        123

        ---§

        ---

        ---

        Southeast Alabama, Alabama

        149

        76.6

        4.2

        (68.3--84.9)

        SouthEast Alaska Regional Health Consortium, Alaska

        51

        ---

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        42

        ---

        ---

        ---

        Yuma County, Arizona

        60

        ---

        ---

        ---

        Salinas County, California

        142

        ---

        ---

        ---

        Santa Clara County, California

        142

        69.7

        5.1

        (59.7--79.6)

        Mesa County, Colorado

        89

        ---

        ---

        ---

        Pueblo County, Colorado

        118

        75.9

        4.7

        (66.7--85.0)

        Teller County, Colorado

        27

        ---

        ---

        ---

        Weld County, Colorado

        73

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        186

        68.4

        4.3

        (59.9--76.9)

        St. Petersburg-Pinellas County, Florida

        172

        75.4

        3.8

        (68.0--82.8)

        DeKalb County, Georgia

        331

        69.9

        4.5

        (61.1--78.7)

        Boston, Massachusetts

        199

        84.4

        (78.7--90.1)

        Inter-Tribal Council of Michigan, Michigan

        115

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        124

        81.5

        3.9

        (73.8--89.1)

        Minneapolis, Minnesota

        119

        69.5

        4.9

        (60.0--79.0)

        Rochester-Olmstead County, Minnesota

        110

        82.0

        4.1

        (74.0--90.0)

        Willmar, Minnesota

        96

        ---

        ---

        Broome County, New York

        150

        66.0

        5.0

        (56.3--75.7)

        Chautauqua County, New York

        157

        75.9

        3.9

        (68.3--83.5)

        Jefferson County, New York

        159

        65.9

        4.9

        (56.3--75.4)

        Rockland County, New York

        130

        ---

        ---

        Cleveland, Ohio

        195

        83.4

        3.6

        (76.2--90.5)

        Cherokee Nation, Oklahoma

        550

        63.2

        4.5

        (54.3--72.1)

        Philadelphia, Pennsylvania

        197

        76.1

        3.7

        (68.8--83.4)

        Fayette County, Pennsylvania

        336

        64.3

        3.0

        (58.4--70.2)

        Luzerne County, Pennsylvania

        285

        72.0

        3.1

        (66.0--78.1)

        Tioga County, Pennsylvania

        159

        68.6

        4.2

        (60.4--76.8)

        Austin-Travis County, Texas

        145

        ---

        ---

        San Antonio-Bexar County, Texas

        312

        70.9

        3.1

        (64.9--76.9)

        Chelan-Douglas-Okanogan Counties, Washington

        149

        ---

        ---

        Clark County, Washington

        133

        73.1

        4.6

        (64.1--82.1)

        Colville Confederated Tribes, Washington

        **

        **

        **

        **

        Seattle-King County, Washington

        89

        ---

        ---

        Thurston County, Washington

        140

        74.2

        4.8

        (64.9--83.6)

        Range

        63.2--83.4

        Median

        72.0

        BRFSS Nationwide Range

        58.7--80.6

        BRFSS Nationwide Median

        70.9

        Healthy People 2010 (HP 2010) objective††

        76.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Data analysis conducted by the community; SE not reported.

        ** Not available if community did not measure this indicator.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 10. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having received a dilated eye examination during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        183

        65.5

        4.6

        (56.4--74.6)

        Southeast Alabama, Alabama

        180

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        53

        ---

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        60

        ---

        ---

        ---

        Yuma County, Arizona

        83

        ---

        ---

        ---

        Salinas-Monterey County, California

        175

        ---

        ---

        ---

        Santa Clara County, California

        192

        64.4

        4.9

        (54.8--74.0)

        Mesa County, Colorado

        69

        ---

        ---

        ---

        Pueblo County, Colorado

        123

        ---

        ---

        ---

        Teller County, Colorado

        36

        ---

        ---

        ---

        Weld County, Colorado

        91

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        185

        76.4

        4.2

        (68.1--84.7)

        St. Petersburg-Pinellas County, Florida

        198

        74.3

        4.1

        (66.4--82.3)

        DeKalb County, Georgia

        250

        70.1

        4.1

        (62.1--78.0)

        New Orleans, Louisiana

        157

        66.2

        5.0

        (56.4--76.0)

        Boston, Massachusetts

        172

        80.0

        (71.9--88.2)

        Inter-Tribal Council of Michigan, Michigan

        105

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        139

        ---

        ---

        ---

        Minneapolis, Minnesota

        118

        81.0

        4.7

        (71.9--90.1)

        Rochester-Olmstead County, Minnesota

        114

        85.4

        3.5

        (78.5--92.3)

        Willmar, Minnesota

        93

        79.4

        4.8

        (69.9--88.8)

        Broome County, New York

        155

        77.5

        3.6

        (70.5--84.6)

        Chautauqua County, New York

        184

        69.9

        4.3

        (61.5--78.3)

        Jefferson County, New York

        171

        73.3

        4.0

        (65.4--81.2)

        Rockland County, New York

        145

        76.7

        4.3

        (68.2--85.1)

        Cleveland, Ohio

        190

        73.6

        3.9

        (66.0--81.2)

        Cherokee Nation, Oklahoma

        414

        60.3

        4.5

        (51.5--69.1)

        Philadelphia, Pennsylvania

        188

        68.1

        4.5

        (59.2--77.0)

        Fayette County, Pennsylvania

        223

        64.8

        3.8

        (57.5--72.2)

        Luzerne County, Pennsylvania

        246

        75.9

        3.0

        (70.0--81.9)

        Tioga County, Pennsylvania

        167

        68.9

        4.4

        (60.3--77.5)

        Austin-Travis County, Texas

        166

        79.2

        4.5

        (70.5--88.0)

        San Antonio-Bexar County, Texas

        313

        72.5

        3.1

        (66.4--78.6)

        Chelan-Douglas-Okanogan Counties, Washington

        149

        74.6

        4.3

        (66.1--83.1)

        Clark County, Washington

        180

        72.0

        4.0

        (64.1--79.9)

        Colville Confederated Tribes, Washington

        5

        ---

        ---

        Seattle-King County, Washington

        153

        63.9

        4.6

        (54.9--73.0)

        Thurston County, Washington

        183

        71.7

        4.4

        (63.1--80.3)

        Range

        60.3--85.4

        Median

        72.9

        BRFSS Nationwide Range

        60.0--82.2

        BRFSS Nationwide Median

        71.3

        Healthy People 2010 (HP 2010) objective**

        76.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Data analysis conducted by the community; SE not reported.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 11. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having received a glycosylated hemoglobin measurement (A1c) at least twice a year, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        105

        72.3

        5.1

        (62.4--82.2)

        Southeast Alabama, Alabama

        122

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        50

        ---

        ---

        ---

        Cochise County, Arizona

        42

        ---

        ---

        ---

        Santa Cruz County, Arizona

        33

        ---

        ---

        ---

        Yuma County, Arizona

        50

        ---

        ---

        ---

        Salinas County, California

        134

        ---

        ---

        ---

        Santa Clara County, California

        Mesa County, Colorado

        84

        ---

        ---

        ---

        Pueblo County, Colorado

        109

        75.7

        4.5

        (66.9--84.5)

        Teller County, Colorado

        24

        ---

        ---

        ---

        Weld County, Colorado

        72

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        163

        62.5

        4.6

        (53.5--71.4)

        St. Petersburg-Pinellas County, Florida

        140

        70.5

        4.4

        (61.9--79.0)

        DeKalb County, Georgia

        308

        67.1

        4.6

        (58.1--76.1)

        Boston, Massachusetts

        183

        70.1

        **

        (62.5--77.7)

        Inter-Tribal Council of Michigan, Michigan

        107

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        121

        ---

        ---

        ---

        Minneapolis, Minnesota

        104

        70.8

        5.1

        (60.8--80.8)

        Rochester-Olmstead County, Minnesota

        101

        71.6

        4.7

        (62.3--80.9)

        Willmar, Minnesota

        91

        81.6

        4.2

        (73.5--89.8)

        Broome County, New York

        138

        75.8

        4.8

        (66.4--85.1)

        Chautauqua County, New York

        146

        79.8

        3.7

        (72.5--87.1)

        Jefferson County, New York

        148

        72.4

        4.4

        (63.8--80.9)

        Rockland County, New York

        125

        85.1

        4.3

        (76.7--93.5)

        Cleveland, Ohio

        163

        66.4

        5.1

        (56.5--76.3)

        Cherokee Nation, Oklahoma

        522

        71.0

        4.3

        (62.6--79.5)

        Philadelphia, Pennsylvania

        178

        62.6

        4.3

        (54.1--71.1)

        Fayette County, Pennsylvania

        312

        66.6

        3.1

        (60.5--72.7)

        Luzerne County, Pennsylvania

        260

        65.3

        3.3

        (58.7--71.8)

        Tioga County, Pennsylvania

        151

        66.3

        4.3

        (58.0--74.6)

        Austin-Travis County, Texas

        131

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        273

        65.5

        3.4

        (58.8--72.3)

        Chelan-Douglas-Okanogan Counties, Washington

        138

        67.5

        5.1

        (57.5--77.4)

        Clark County, Washington

        124

        77.8

        4.1

        (69.7--85.9)

        Colville Confederated Tribes, Washington

        4

        ---

        **

        ---

        Seattle-King County, Washington

        81

        ---

        ---

        ---

        Thurston County, Washington

        137

        ---

        ---

        ---

        Range

        62.5--85.1

        Median

        70.65

        BRFSS Nationwide Range

        46.8--76.7

        BRFSS Nationwide Median

        66.3

        Healthy People 2010 (HP 2010) objective††

        72.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if community did not measure this indicator.

        ** Data analysis conducted by the community; SE not reported.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 12. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported having received a glycosylated hemoglobin measurement (A1c) at least twice a year, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        162

        63.3

        4.7

        (54.0--72.5)

        Southeast Alabama, Alabama

        164

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        47

        ---

        ---

        ---

        Cochise County, Arizona

        46

        ---

        ---

        ---

        Santa Cruz County, Arizona

        55

        ---

        ---

        ---

        Yuma County, Arizona

        75

        ---

        ---

        ---

        Salinas-Monterey County, California

        166

        62.4

        4.9

        (52.7--72.0)

        Santa Clara County, California

        Mesa County, Colorado

        65

        ---

        ---

        ---

        Pueblo County, Colorado

        108

        ---

        ---

        ---

        Teller County, Colorado

        35

        ---

        ---

        ---

        Weld County, Colorado

        83

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        167

        66.5

        4.8

        (57.1--76.0)

        St. Petersburg-Pinellas County, Florida

        181

        69.2

        4.7

        (59.9--78.4)

        DeKalb County, Georgia

        228

        68.9

        4.7

        (59.6--78.2)

        New Orleans, Louisiana

        141

        63.5

        4.8

        (54.0--73.0)

        Boston, Massachusetts

        172

        90.4

        **

        (85.6--95.2)

        Inter-Tribal Council of Michigan, Michigan

        93

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        135

        ---

        ---

        ---

        Minneapolis, Minnesota

        109

        ---

        ---

        ---

        Rochester-Olmstead County, Minnesota

        105

        ---

        ---

        ---

        Willmar, Minnesota

        92

        ---

        ---

        ---

        Broome County, New York

        147

        72.5

        4.5

        (63.8--81.2)

        Chautauqua County, New York

        173

        69.4

        4.6

        (60.5--78.4)

        Jefferson County, New York

        163

        71.5

        4.8

        (62.2--80.8)

        Rockland County, New York

        139

        78.4

        3.8

        (71.0--85.9)

        Cleveland, Ohio

        156

        74.3

        4.0

        (66.3--82.2)

        Cherokee Nation, Oklahoma

        395

        72.6

        4.3

        (64.2--81.0)

        Philadelphia, Pennsylvania

        166

        64.8

        5

        (55.0--74.5)

        Fayette County, Pennsylvania

        202

        72.9

        3.5

        (65.9--79.8)

        Luzerne County, Pennsylvania

        230

        66.8

        3.7

        (59.5--73.9)

        Tioga County, Pennsylvania

        154

        61.3

        4.7

        (52.1--70.6)

        Austin-Travis County, Texas

        145

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        277

        54.5

        4

        (46.7--62.2)

        Chelan-Douglas-Okanogan Counties, Washington

        141

        78.7

        4.1

        (70.7--86.8)

        Clark County, Washington

        175

        74.8

        3.8

        (67.3--82.2)

        Colville Confederated Tribes, Washington

        5

        ---

        **

        ---

        Seattle-King County, Washington

        143

        73.1

        4.5

        (64.3--81.9)

        Thurston County, Washington

        185

        70.4

        3.8

        (62.8--77.9)

        Range

        54.5--90.4

        Median

        69.9

        BRFSS Nationwide Range

        46.9--78.6

        BRFSS Nationwide Median

        66.3

        Healthy People 2010 (HP 2010) objective††

        72.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if community did not measure this indicator in 2007.

        ** Data analysis conducted by the community; SE not reported.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 13. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported self-blood glucose monitoring at least two times daily, by community --- United States Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        123

        30.9

        5.0

        (21.0--40.7)

        Southeast Alabama, Alabama

        147

        47.4

        4.9

        (37.7--57.0)

        SouthEast Alaska Regional Health Consortium, Alaska

        52

        ---§

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        43

        ---

        ---

        ---

        Yuma County, Arizona

        59

        ---

        ---

        ---

        Salinas County, California

        142

        ---

        ---

        ---

        Santa Clara County, California

        139

        ---

        ---

        ---

        Mesa County, Colorado

        88

        ---

        ---

        ---

        Pueblo County, Colorado

        118

        ---

        ---

        ---

        Teller County, Colorado

        27

        ---

        ---

        ---

        Weld County, Colorado

        75

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        184

        36.4

        4.3

        (28.1--44.8)

        St. Petersburg-Pinellas County, Florida

        168

        24.8

        3.6

        (17.7--31.9)

        DeKalb County, Georgia

        334

        37.0

        3.7

        (29.7--44.2)

        Boston, Massachusetts

        195

        47

        (38.9--55.1)

        Inter-Tribal Council of Michigan, Michigan

        113

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        127

        43.7

        5.0

        (33.9--53.5)

        Minneapolis, Minnesota

        115

        ---

        ---

        ---

        Rochester-Olmstead County, Minnesota

        110

        ---

        ---

        ---

        Willmar, Minnesota

        95

        ---

        ---

        ---

        Broome County, New York

        148

        51.6

        4.9

        (42.0--61.1)

        Chautauqua County, New York

        158

        35.5

        4.3

        (27.1--44.0)

        Jefferson County, New York

        160

        ---

        ---

        ---

        Rockland County, New York

        128

        ---

        ---

        ---

        Cleveland, Ohio

        210

        43.5

        4.5

        (34.7--52.2)

        Cherokee Nation, Oklahoma

        552

        45.2

        4.9

        (35.6--54.9)

        Philadelphia, Pennsylvania

        199

        50.4

        4.4

        (41.8--58.9)

        Fayette County, Pennsylvania

        340

        35.0

        2.9

        (29.3--40.7)

        Luzerne County, Pennsylvania

        283

        47.4

        3.4

        (40.9--54.0)

        Tioga County, Pennsylvania

        158

        46.6

        4.5

        (37.8--55.4)

        Austin-Travis County, Texas

        147

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        311

        39.5

        3.5

        (32.7--46.4)

        Chelan-Douglas-Okanogan Counties, Washington

        146

        37.1

        4.6

        (28.1--46.1)

        Clark County, Washington

        128

        41.3

        4.9

        (31.7--50.9)

        Colville Confederated Tribes, Washington

        4

        ---

        **

        ---

        Seattle-King County, Washington

        90

        ---

        ---

        ---

        Thurston County, Washington

        136

        ---

        ---

        ---

        Range

        24.8--51.6

        Median

        42.4

        BRFSS Nationwide Range

        22.9--46.8

        BRFSS Nationwide Median

        38.8

        Healthy People 2010 (HP 2010) objective**

        61.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Data analysis conducted by the community; SE not reported.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 14. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant) who reported self-blood glucose monitoring at least two times daily, by community --- United States Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        182

        32.2

        4.2

        (23.9--40.5)

        Southeast Alabama, Alabama

        179

        41.3

        4.8

        (32.0--50.6)

        SouthEast Alaska Regional Health Consortium, Alaska

        50

        ---§

        ---

        ---

        Cochise County, Arizona

        46

        ---

        ---

        ---

        Santa Cruz County, Arizona

        57

        ---

        ---

        ---

        Yuma County, Arizona

        82

        ---

        ---

        ---

        Salinas-Monterey County, California

        174

        34.7

        4.7

        (25.5--43.8)

        Santa Clara County, California

        190

        28.9

        4.1

        (20.9--36.9)

        Mesa County, Colorado

        69

        ---

        ---

        ---

        Pueblo County, Colorado

        123

        ---

        ---

        ---

        Teller County, Colorado

        36

        ---

        ---

        ---

        Weld County, Colorado

        91

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        184

        34.5

        4.3

        (26.0--43.0)

        St. Petersburg-Pinellas County, Florida

        200

        31.4

        4.5

        (22.7--40.2)

        DeKalb County, Georgia

        250

        38.0

        3.9

        (30.3--45.7)

        New Orleans, Louisiana

        156

        ---

        ---

        ---

        Boston, Massachusetts

        169

        50.9

        (40.5--61.3)

        Inter-Tribal Council of Michigan, Michigan

        106

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        138

        ---

        ---

        ---

        Minneapolis, Minnesota

        117

        ---

        ---

        ---

        Rochester-Olmstead County, Minnesota

        114

        ---

        ---

        ---

        Willmar, Minnesota

        94

        ---

        ---

        ---

        Broome County, New York

        153

        43.4

        4.7

        (34.3--52.6)

        Chautauqua County, New York

        184

        42.3

        4.5

        (33.4--51.1)

        Jefferson County, New York

        173

        44.1

        4.6

        (35.0--53.2)

        Rockland County, New York

        146

        53.3

        5.0

        (43.4--63.1)

        Cleveland, Ohio

        200

        49.5

        4.4

        (40.9--58.1)

        Cherokee Nation, Oklahoma

        415

        43.2

        4.2

        (35.0--51.4)

        Philadelphia, Pennsylvania

        187

        42.0

        4.8

        (32.6--51.5)

        Fayette County, Pennsylvania

        224

        45.2

        3.9

        (37.6--52.8)

        Luzerne County, Pennsylvania

        250

        44.7

        3.7

        (37.6--51.9)

        Tioga County, Pennsylvania

        167

        38.3

        4.9

        (28.6--47.9)

        Austin-Travis County, Texas

        165

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        310

        39.5

        3.5

        (32.5--46.4)

        Chelan-Douglas-Okanogan Counties, Washington

        142

        41.4

        5.0

        (31.6--51.3)

        Clark County, Washington

        179

        45.3

        4.4

        (36.6--53.9)

        Colville Confederated Tribes, Washington

        5

        ---

        ---

        Seattle-King County, Washington

        154

        40.6

        4.7

        (31.3--49.8)

        Thurston County, Washington

        184

        39.2

        4.3

        (30.7--47.6)

        Range

        28.9--53.3

        Median

        41.4

        BRFSS Nationwide Range

        9.3--46.8

        BRFSS Nationwide Median

        38.6

        Healthy People 2010 (HP 2010) objective**

        61.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Data analysis conducted by the community; SE not reported.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 15. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant, refusals, and unknowns) who reported checking their feet at least one time daily for any sores or irritations, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        119

        ---§

        ---

        ---

        Southeast Alabama, Alabama

        143

        76.8

        4.3

        (68.5--85.2)

        SouthEast Alaska Regional Health Consortium, Alaska

        52

        ---

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        40

        ---

        ---

        ---

        Yuma County, Arizona

        60

        ---

        ---

        ---

        Salinas County, California

        139

        ---

        ---

        ---

        Santa Clara County, California

        Mesa County, Colorado

        89

        ---

        ---

        ---

        Pueblo County, Colorado

        111

        66.6

        4.8

        (57.2--76.1)

        Teller County, Colorado

        27

        ---

        ---

        ---

        Weld County, Colorado

        72

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        181

        74.2

        3.8

        (66.7--81.7)

        St. Petersburg-Pinellas County, Florida

        168

        65.2

        4.2

        (57.1--73.4)

        DeKalb County, Georgia

        318

        74.5

        3.5

        (67.5--81.3)

        Boston, Massachusetts

        196

        70.7

        **

        (63.3--78.1)

        Inter-Tribal Council of Michigan, Michigan

        114

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        127

        66.1

        5.0

        (56.3--75.9)

        Minneapolis, Minnesota

        117

        57.5

        5.1

        (47.6--67.5)

        Rochester-Olmstead County, Minnesota

        103

        ---

        ---

        ---

        Willmar, Minnesota

        92

        ---

        ---

        ---

        Broome County, New York

        145

        72.6

        4.1

        (64.6--80.5)

        Chautauqua County, New York

        154

        76.6

        3.8

        (69.2--83.9)

        Jefferson County, New York

        159

        ---

        ---

        ---

        Rockland County, New York

        126

        ---

        ---

        ---

        Cleveland, Ohio

        204

        68.5

        4.6

        (59.6--77.4)

        Cherokee Nation, Oklahoma

        546

        75.0

        3.7

        (67.7--82.1)

        Philadelphia, Pennsylvania

        195

        80.4

        3.3

        (74.0--86.8)

        Fayette County, Pennsylvania

        322

        65.7

        3.1

        (59.6--71.9)

        Luzerne County, Pennsylvania

        271

        69.3

        3.2

        (63.1--75.5)

        Tioga County, Pennsylvania

        156

        63.8

        4.4

        (55.2--72.3)

        Austin-Travis County, Texas

        141

        88.0

        3.3

        (81.6--94.5)

        San Antonio-Bexar County, Texas

        306

        73.8

        3.3

        (67.3--80.2)

        Chelan-Douglas-Okanogan Counties, Washington

        142

        ---

        ---

        ---

        Clark County, Washington

        129

        66.3

        4.7

        (57.0--75.5)

        Colville Confederated Tribes, Washington

        4

        ---

        ---

        ---

        Seattle-King County, Washington

        87

        ---

        ---

        ---

        Thurston County, Washington

        130

        60.5

        5.0

        (50.6--70.3)

        Range

        53.1--88.0

        Median

        70

        BRFSS Nationwide Range

        55.2--82.0

        BRFSS Nationwide Median

        68.8

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if the community did not measure this indicator.

        ** Data analysis conducted by the community; SE not reported.


        TABLE 16. Estimated prevalence of respondents aged ≥18 years ever told by a doctor that they had diabetes (excluding women who were told only when pregnant, refusals, and unknowns) who reported checking their feet at least one time daily for any sores or irritations, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        177

        66.7

        4.7

        (57.4--75.9)

        Southeast Alabama, Alabama

        176

        77.3

        5.0

        (67.6--87.0)

        SouthEast Alaska Regional Health Consortium, Alaska

        48

        ---§

        ---

        ---

        Cochise County, Arizona

        48

        ---

        ---

        ---

        Santa Cruz County, Arizona

        60

        ---

        ---

        ---

        Yuma County, Arizona

        75

        ---

        ---

        ---

        Salinas-Monterey County, California

        175

        ---

        ---

        ---

        Santa Clara County, California

        Mesa County, Colorado

        69

        ---

        ---

        ---

        Pueblo County, Colorado

        122

        ---

        ---

        ---

        Teller County, Colorado

        34

        ---

        ---

        ---

        Weld County, Colorado

        89

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        181

        67.1

        4.6

        (58.0--76.1)

        St. Petersburg-Pinellas County, Florida

        193

        69.7

        4.4

        (61.0--78.4)

        DeKalb County, Georgia

        247

        68.6

        4.2

        (60.4--76.8)

        New Orleans, Louisiana

        153

        64.7

        5.1

        (54.8--74.6)

        Boston, Massachusetts

        108

        65.4

        **

        (55.7--75.1)

        Inter-Tribal Council of Michigan, Michigan

        104

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        136

        69.8

        4.9

        (60.2--79.4)

        Minneapolis, Minnesota

        112

        ---

        ---

        ---

        Rochester-Olmstead County, Minnesota

        108

        ---

        ---

        ---

        Willmar, Minnesota

        89

        ---

        ---

        ---

        Broome County, New York

        153

        68.4

        4.3

        (60.0--76.9)

        Chautauqua County, New York

        183

        59.5

        4.6

        (50.6--68.5)

        Jefferson County, New York

        170

        59.2

        4.9

        (49.7--68.8)

        Rockland County, New York

        144

        62.7

        4.8

        (53.3--72.1)

        Cleveland, Ohio

        194

        71.9

        3.8

        (64.5--79.3)

        Cherokee Nation, Oklahoma

        413

        80.6

        2.6

        (75.4--85.7)

        Philadelphia, Pennsylvania

        186

        ---

        ---

        ---

        Fayette County, Pennsylvania

        214

        73.0

        3.6

        (66.0--80.1)

        Luzerne County, Pennsylvania

        243

        71.1

        3.4

        (64.6--77.7)

        Tioga County, Pennsylvania

        162

        68.5

        4.2

        (60.3--76.7)

        Austin-Travis County, Texas

        162

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        309

        78.4

        3.0

        (72.5--84.2)

        Chelan-Douglas-Okanogan Counties, Washington

        147

        67.9

        4.7

        (58.7--77.1)

        Clark County, Washington

        179

        69.2

        3.9

        (61.5--76.9)

        Colville Confederated Tribes, Washington

        5

        ---

        **

        ---

        Seattle-King County, Washington

        147

        61.8

        4.9

        (52.2--71.5)

        Thurston County, Washington

        174

        64.4

        4.8

        (55.0--73.8)

        Range

        59.2--80.6

        Median

        68.5

        BRFSS Nationwide Range

        54.6--80.1

        BRFSS Nationwide Median

        69.1

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if community did not measure this indicator.

        ** Data analysis conducted by the community; SE not reported.


        TABLE 17. Estimated prevalence of respondents aged ≥18 years who reported being told by health professional that they had asthma, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,024

        12.8

        1.3

        (10.1--15.4)

        Southeast Alabama, Alabama

        1,115

        9.2

        1.0

        (7.2--11.2)

        SouthEast Alaska Regional Health Consortium, Alaska

        608

        12.8

        1.6

        (9.7--15.9)

        Cochise County, Arizona

        493

        14.6

        1.9

        (10.8--18.4)

        Santa Cruz County, Arizona

        498

        6.5

        1.7

        (3.2--9.8)

        Yuma County, Arizona

        520

        14.4

        2.0

        (10.5--18.3)

        Salinas County, California

        1,639

        10.1

        0.9

        (8.3--12.0)

        Santa Clara County, California

        1,484

        14.5

        1.2

        (12.3--16.8)

        Mesa County, Colorado

        1,083

        14.3

        1.4

        (11.6--17.0)

        Pueblo County, Colorado

        1,080

        14.5

        1.3

        (11.9--17.0)

        Teller County, Colorado

        580

        12.7

        1.5

        (9.7--15.7)

        Weld County, Colorado

        1,070

        11.8

        1.2

        (9.5--14.1)

        Tampa-Hillsborough, Florida

        1,553

        13.8

        1.1

        (11.6--16.0)

        St. Petersburg-Pinellas County, Florida

        1,661

        13.2

        1.0

        (11.1--15.2)

        DeKalb County, Georgia

        3,762

        12.6

        0.9

        (10.8--14.4)

        Boston, Massachusetts

        §

        §

        §

        Inter-Tribal Council of Michigan, Michigan

        568

        15.2

        2.0

        (11.3--19.2)

        St. Paul-Ramsey County, Minnesota

        1,743

        13.1

        1.0

        (11.2--15.0)

        Minneapolis, Minnesota

        1,598

        11.9

        1.0

        (9.9--13.8)

        Rochester-Olmstead County, Minnesota

        1,504

        11.1

        1.1

        (9.0--13.2)

        Willmar, Minnesota

        1,200

        9.8

        1.1

        (7.6--11.9)

        Broome County, New York

        1,485

        15.4

        1.3

        (13.0--17.9)

        Chautauqua County, New York

        1,491

        14.9

        1.3

        (12.3--17.5)

        Jefferson County, New York

        1,516

        11.4

        1.0

        (9.4--13.3)

        Rockland County, New York

        1,485

        13.4

        1.1

        (11.2--15.6)

        Cleveland, Ohio

        1,498

        14.3

        1.1

        (12.1--16.5)

        Cherokee Nation, Oklahoma

        4,487

        17.1

        1.5

        (14.1--20.1)

        Philadelphia, Pennsylvania

        1,524

        18.9

        1.5

        (16.0--21.9)

        Fayette County, Pennsylvania

        2,707

        11.3

        0.7

        (9.9--12.7)

        Luzerne County, Pennsylvania

        2,701

        10.5

        0.7

        (9.1--11.8)

        Tioga County, Pennsylvania

        1,496

        13.3

        1.2

        (11.0--15.5)

        Austin-Travis County, Texas

        1,571

        12.3

        1.4

        (9.5--15.1)

        San Antonio-Bexar County, Texas

        1,686

        10.5

        1.1

        (8.3--12.6)

        Chelan-Douglas-Okanogan Counties, Washington

        1,544

        14.9

        1.2

        (12.6--17.2)

        Clark County, Washington

        1,520

        14.0

        1.1

        (11.9--16.1)

        Colville Confederated Tribes, Washington

        §

        §

        §

        §

        Seattle-King County, Washington

        1,062

        12.8

        1.2

        (10.5--15.0)

        Thurston County, Washington

        1,582

        15.3

        1.1

        (13.1--17.6)

        Range

        6.5--18.9

        Median

        13.1

        BRFSS Nationwide Range

        9.4--18.8

        BRFSS Nationwide Median

        13.0

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.


        TABLE 18. Estimated prevalence of respondents aged ≥18 years who reported being told by health professional that they had asthma, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,395

        11.7

        1.2

        (9.3--14.0)

        Southeast Alabama, Alabama

        1,154

        11.7

        1.4

        (9.0--14.3)

        SouthEast Alaska Regional Health Consortium, Alaska

        601

        11.5

        1.6

        (8.4--14.6)

        Cochise County, Arizona

        462

        13.4

        1.9

        (9.6--17.2)

        Santa Cruz County, Arizona

        544

        7.5

        1.4

        (4.7--10.2)

        Yuma County, Arizona

        580

        10.9

        1.5

        (8.1--13.8)

        Salinas-Monterey County, California

        1,674

        8.3

        0.8

        (6.7--9.9)

        Santa Clara County, California

        1,571

        13.9

        1.2

        (11.5--16.3)

        Mesa County, Colorado

        1,067

        15.8

        1.5

        (12.8--18.8)

        Pueblo County, Colorado

        1,076

        15.0

        1.6

        (12.0--18.0)

        Teller County, Colorado

        588

        13.5

        1.6

        (10.4--16.5)

        Weld County, Colorado

        1,055

        15.4

        1.6

        (12.3--18.6)

        Tampa-Hillsborough, Florida

        1,520

        14.2

        1.4

        (11.5--16.9)

        St. Petersburg-Pinellas County, Florida

        1,594

        12.5

        1.4

        (9.9--15.1)

        DeKalb County, Georgia

        2,352

        11.8

        0.9

        (10.0--13.5)

        New Orleans, Louisiana

        1,502

        9.3

        1.0

        (7.3--11.2)

        Boston, Massachusetts

        §

        §

        §

        §

        Inter-Tribal Council of Michigan, Michigan

        577

        17.1

        2.7

        (11.9--22.3)

        St. Paul-Ramsey County, Minnesota

        1,531

        12.6

        1.3

        (10.0--15.2)

        Minneapolis, Minnesota

        1,559

        11.6

        1.3

        (9.1--14.1)

        Rochester-Olmstead County, Minnesota

        1,583

        9.9

        1.1

        (7.9--12.0)

        Willmar, Minnesota

        999

        9.9

        1.2

        (7.6--12.2)

        Broome County, New York

        1,471

        13.1

        1.4

        (10.5--15.8)

        Chautauqua County, New York

        1,492

        15.8

        1.4

        (13.2--18.5)

        Jefferson County, New York

        1,490

        13.6

        1.2

        (11.2--16.1)

        Rockland County, New York

        1,494

        10.4

        0.9

        (8.6--12.2)

        Cleveland, Ohio

        1,253

        18.9

        1.4

        (16.1--21.7)

        Cherokee Nation, Oklahoma

        2,932

        15.0

        1.4

        (12.2--17.7)

        Philadelphia, Pennsylvania

        1,479

        16.4

        1.4

        (13.7--19.0)

        Fayette County, Pennsylvania

        1,813

        11.3

        0.9

        (9.6--13.0)

        Luzerne County, Pennsylvania

        2,392

        10.7

        0.8

        (9.2--12.2)

        Tioga County, Pennsylvania

        1,525

        13.4

        1.1

        (11.3--15.5)

        Austin-Travis County, Texas

        1,535

        11.7

        1.4

        (8.9--14.4)

        San Antonio-Bexar County, Texas

        1,547

        11.4

        1.1

        (9.2--13.6)

        Chelan-Douglas-Okanogan Counties, Washington

        1,595

        13.0

        1.1

        (10.8--15.1)

        Clark County, Washington

        1,674

        15.1

        1.1

        (12.9--17.3)

        Colville Confederated Tribes, Washington

        §

        §

        §

        §

        Seattle-King County, Washington

        1,477

        12.9

        1.1

        (10.8--15.0)

        Thurston County, Washington

        1,938

        15.6

        1.1

        (13.4--17.7)

        Range

        7.5--18.9

        Median

        12.9

        BRFSS Nationwide Range

        9.7--15.8

        BRFSS Nationwide Median

        13.0

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.


        TABLE 19. Estimated prevalence of respondents aged ≥18 years with asthma who reported having no symptoms of asthma during the preceding 30 days, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        §

        §

        §

        §

        Southeast Alabama, Alabama

        §

        §

        §

        §

        SouthEast Alaska Regional Health Consortium, Alaska

        47

        Cochise County, Arizona

        §

        ---

        §

        §

        Santa Cruz County, Arizona

        §

        §

        §

        §

        Yuma County, Arizona

        §

        §

        §

        §

        Salinas County, California

        92

        ---

        ---

        ---

        Santa Clara County, California

        §

        §

        §

        §

        Mesa County, Colorado

        92

        ---

        ---

        ---

        Pueblo County, Colorado

        95

        ---

        ---

        ---

        Teller County, Colorado

        41

        ---

        ---

        ---

        Weld County, Colorado

        80

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        124

        25.6

        4.4

        (17.0--34.1)

        St. Petersburg-Pinellas County, Florida

        134

        ---

        ---

        ---

        DeKalb County, Georgia

        §

        §

        §

        §

        Boston, Massachusetts

        §

        §

        §

        §

        Inter-Tribal Council of Michigan, Michigan

        66

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        §

        §

        §

        §

        Minneapolis, Minnesota

        §

        §

        §

        §

        Rochester-Olmstead County, Minnesota

        §

        §

        §

        §

        Willmar, Minnesota

        §

        §

        §

        §

        Broome County, New York

        163

        ---

        ---

        ---

        Chautauqua County, New York

        129

        ---

        ---

        ---

        Jefferson County, New York

        145

        29.5

        4.4

        (20.8--38.1)

        Rockland County, New York

        110

        ---

        ---

        ---

        Cleveland, Ohio

        176

        25.8

        4.1

        (17.8--33.8)

        Cherokee Nation, Oklahoma

        375

        11.5

        2.6

        (6.4--16.6)

        Philadelphia, Pennsylvania

        §

        §

        §

        §

        Fayette County, Pennsylvania

        §

        §

        §

        §

        Luzerne County, Pennsylvania

        §

        §

        §

        §

        Tioga County, Pennsylvania

        §

        §

        §

        §

        Austin-Travis County, Texas

        130

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        141

        19.4

        3.9

        (11.9--27.0)

        Chelan-Douglas-Okanogan Counties, Washington

        §

        §

        §

        §

        Clark County, Washington

        §

        §

        §

        §

        Colville Confederated Tribes, Washington

        §

        §

        §

        §

        Seattle-King County, Washington

        §

        §

        §

        §

        Thurston County, Washington

        §

        §

        §

        §

        Range

        11.5--29.5

        Median

        25.6

        BRFSS Nationwide Range

        21.7--34.4

        BRFSS Nationwide Median

        26.2

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.

        Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.


        TABLE 20. Estimated prevalence of respondents aged ≥18 years with asthma who reported having no symptoms of asthma during the preceding 30 days, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        100

        21.4

        5.0

        (11.7--31.1)

        Southeast Alabama, Alabama

        86

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        Cochise County, Arizona

        49

        ---

        ---

        ---

        Santa Cruz County, Arizona

        25

        ---

        ---

        ---

        Yuma County, Arizona

        52

        ---

        ---

        ---

        Salinas-Monterey County, California

        107

        ---

        ---

        ---

        Santa Clara County, California

        117

        ---

        ---

        ---

        Mesa County, Colorado

        85

        11.0

        3.5

        (4.1--17.8)

        Pueblo County, Colorado

        96

        17.6

        4.7

        (8.3--26.8)

        Teller County, Colorado

        53

        ---

        ---

        ---

        Weld County, Colorado

        86

        ---

        ---

        ---

        Tampa-Hillsborough, Florida

        St. Petersburg-Pinellas County, Florida

        116

        ---

        ---

        ---

        DeKalb County, Georgia

        181

        36.1

        4.8

        (26.7--45.4)

        New Orleans, Louisiana

        79

        ---

        ---

        ---

        Boston, Massachusetts

        186

        32.0

        **

        (21.3--42.7)

        Inter-Tribal Council of Michigan, Michigan

        64

        ---

        ---

        ---

        St. Paul-Ramsey County, Minnesota

        105

        ---

        ---

        ---

        Minneapolis, Minnesota

        109

        ---

        ---

        ---

        Rochester-Olmstead County, Minnesota

        102

        ---

        ---

        ---

        Willmar, Minnesota

        74

        ---

        ---

        ---

        Broome County, New York

        137

        17.3

        3.7

        (11.3--25.7)

        Chautauqua County, New York

        158

        ---

        ---

        ---

        Jefferson County, New York

        126

        ---

        ---

        ---

        Rockland County, New York

        104

        ---

        ---

        ---

        Cleveland, Ohio

        180

        26.5

        4.1

        (18.5--34.6)

        Cherokee Nation, Oklahoma

        270

        10.3

        2.8

        (4.8--15.7)

        Philadelphia, Pennsylvania

        161

        ---

        ---

        ---

        Fayette County, Pennsylvania

        149

        21.9

        4.3

        (13.5--30.3)

        Luzerne County, Pennsylvania

        181

        26.5

        4.3

        (18.2--34.9)

        Tioga County, Pennsylvania

        156

        21.6

        3.8

        (14.1--29.0)

        Austin-Travis County, Texas

        123

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        117

        ---

        ---

        ---

        Chelan-Douglas-Okanogan Counties, Washington

        Clark County, Washington

        Colville Confederated Tribes, Washington

        **

        Seattle-King County, Washington

        88

        17.2

        4.5

        (8.3--26.1)

        Thurston County, Washington

        Range

        10.3--36.1

        Median

        21.5

        BRFSS Nationwide Range

        21.9--34.3

        BRFSS Nationwide Median

        27.1

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Not available if community did not measure this indicator.

        ** Data analysis conducted by the community; SE not reported.


        TABLE 21. Estimated prevalence of number of adults aged ≥18 years who reported moderate physical activity for ≥30 minutes at least five times a week or who reported vigorous physical activity for ≥20 minutes at least three times a week, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        §

        §

        §

        §

        Southeast Alabama, Alabama

        §

        §

        §

        §

        SouthEast Alaska Regional Health Consortium, Alaska

        583

        59.9

        2.4

        (55.2--64.7)

        Cochise County, Arizona

        430

        55.6

        3.2

        (49.4--61.8)

        Santa Cruz County, Arizona

        431

        51.4

        3.1

        (45.2--57.6)

        Yuma County, Arizona

        432

        52.1

        3.0

        (46.2--58.0)

        Salinas County, California

        §

        §

        §

        §

        Santa Clara County, California

        1,426

        47.1

        1.8

        (43.7--50.6)

        Mesa County, Colorado

        §

        §

        §

        §

        Pueblo County, Colorado

        §

        §

        §

        §

        Teller County, Colorado

        §

        §

        §

        §

        Weld County, Colorado

        §

        §

        §

        §

        Tampa-Hillsborough, Florida

        1,446

        43.7

        1.7

        (40.4--47.0)

        St. Petersburg-Pinellas County, Florida

        1,535

        46.7

        1.6

        (43.7--49.7)

        DeKalb County, Georgia

        3,477

        51.0

        1.3

        (48.4--53.6)

        Boston, Massachusetts

        1,572

        57

        (53.3--60.7)

        Inter-Tribal Council of Michigan, Michigan

        393

        52.6

        3.9

        (45.0--60.1)

        St. Paul-Ramsey County, Minnesota

        1,659

        57.5

        1.5

        (54.5--60.4)

        Minneapolis, Minnesota

        1,522

        55.2

        1.5

        (52.2--58.2)

        Rochester-Olmstead County, Minnesota

        1,442

        58.0

        1.6

        (54.8--61.2)

        Willmar, Minnesota

        1,131

        49.4

        1.9

        (45.7--53.1)

        Broome County, New York

        1,416

        51.9

        1.8

        (48.4--55.4)

        Chautauqua County, New York

        1,389

        54.8

        1.8

        (51.4--58.2)

        Jefferson County, New York

        1,445

        58.5

        1.9

        (54.8--62.1)

        Rockland County, New York

        1,407

        52.2

        1.7

        (48.9--55.5)

        Cleveland, Ohio

        1,423

        52.2

        1.8

        (48.7--55.7)

        Cherokee Nation, Oklahoma

        2,770

        42.3

        2.5

        (37.5--47.1)

        Philadelphia, Pennsylvania

        §

        §

        §

        §

        Fayette County, Pennsylvania

        §

        §

        §

        §

        Luzerne County, Pennsylvania

        §

        §

        §

        §

        Tioga County, Pennsylvania

        §

        §

        §

        §

        Austin-Travis County, Texas

        1,469

        54.7

        2.5

        (49.8--59.6)

        San Antonio-Bexar County, Texas

        1,572

        54.2

        1.7

        (50.9--57.5)

        Chelan-Douglas-Okanogan Counties, Washington

        §

        §

        §

        §

        Clark County, Washington

        §

        §

        §

        §

        Colville Confederated Tribes, Washington

        §

        §

        §

        §

        Seattle-King County, Washington

        §

        §

        §

        §

        Thurston County, Washington

        §

        §

        §

        §

        Range

        42.3--59.9

        Median

        52.4

        BRFSS Nationwide Range

        **

        BRFSS Nationwide Median

        **

        Healthy People 2010 (HP 2010) objective††

        50.0

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.

        Data analysis conducted by the community; SE not reported.

        ** Not available if the optional module questions for certain sectors are not used on even years.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 22. Estimated prevalence of number of adults aged ≥18 years who reported moderate physical activity for ≥30 minutes at least five times a week or who reported vigorous physical activity for ≥20 minutes at least three times a week, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,309

        44.2

        1.9

        (40.4--48.0)

        Southeast Alabama, Alabama

        1,063

        40.6

        2.2

        (36.3--44.8)

        SouthEast Alaska Regional Health Consortium, Alaska

        578

        64.7

        2.4

        (60.0--69.5)

        Cochise County, Arizona

        427

        51.1

        3.3

        (44.6--57.6)

        Santa Cruz County, Arizona

        498

        56.2

        2.9

        (50.5--61.9)

        Yuma County, Arizona

        528

        53.8

        2.8

        (48.4--59.2)

        Salinas-Monterey County, California

        1,529

        58.0

        1.8

        (54.5--61.5)

        Santa Clara County, California

        432

        52.1

        3.0

        (46.2--58.0)

        Mesa County, Colorado

        §

        §

        §

        §

        Pueblo County, Colorado

        960

        53.6

        2.1

        (49.5--57.6)

        Teller County, Colorado

        541

        59.7

        2.4

        (54.9--64.5)

        Weld County, Colorado

        949

        51.0

        2.1

        (46.8--55.2)

        Tampa-Hillsborough, Florida

        1,409

        46.9

        1.9

        (43.1--50.6)

        St. Petersburg-Pinellas County, Florida

        1,468

        45.4

        2

        (41.6--49.2)

        DeKalb County, Georgia

        2,129

        47.6

        1.6

        (44.5--50.7)

        New Orleans, Louisiana

        1,397

        46.5

        2

        (42.6--50.3)

        Boston, Massachusetts

        1,558

        52.8

        (49.0--56.6)

        Inter-Tribal Council of Michigan, Michigan

        406

        69.8

        3.8

        (62.4--77.2)

        St. Paul-Ramsey County, Minnesota

        1,443

        56.1

        1.9

        (52.4--59.8)

        Minneapolis, Minnesota

        1,477

        59.8

        2.0

        (56.0--63.7)

        Rochester-Olmstead County, Minnesota

        1,521

        55.5

        2.0

        (51.6--59.5)

        Willmar, Minnesota

        934

        52.8

        2.3

        (48.4--57.3)

        Broome County, New York

        1,386

        48.7

        1.9

        (45.0--52.3)

        Chautauqua County, New York

        1,391

        54.5

        1.8

        (50.9--58.1)

        Jefferson County, New York

        1,402

        61.5

        1.7

        (58.2--64.9)

        Rockland County, New York

        1,420

        47.9

        1.8

        (44.4--51.4)

        Cleveland, Ohio

        1,189

        50.5

        1.9

        (46.8--54.1)

        Cherokee Nation, Oklahoma

        2,851

        48.2

        1.8

        (44.7--51.7)

        Philadelphia, Pennsylvania

        1,320

        45.2

        1.9

        (41.5--48.9)

        Fayette County, Pennsylvania

        1,661

        50.5

        1.5

        (47.6--53.4)

        Luzerne County, Pennsylvania

        2,182

        47.9

        1.3

        (45.4--50.5)

        Tioga County, Pennsylvania

        1,395

        49.5

        1.7

        (46.1--52.9)

        Austin-Travis County, Texas

        1,441

        55.6

        2.4

        (51.0--60.3)

        San Antonio-Bexar County, Texas

        1,422

        51.2

        1.9

        (47.5--54.8)

        Chelan-Douglas-Okanogan Counties, Washington

        1,494

        51.5

        1.7

        (48.0--54.9)

        Clark County, Washington

        1,575

        54.6

        1.7

        (51.4--57.9)

        Colville Confederated Tribes, Washington

        36

        ---**

        ---

        Seattle-King County, Washington

        1,409

        50.1

        1.7

        (46.8--53.4)

        Thurston County, Washington

        1,841

        56.4

        1.5

        (53.5--59.3)

        Range

        40.6--69.8

        Median

        51.5

        BRFSS Nationwide range

        30.9--60.8

        BRFSS Nationwide median

        49.2

        Healthy People 2010 (HP 2010) objective††

        50.0

        * Standard error.

        Confidence interval.

        § Not available if community did not measure this indicator in 2007.

        Data analysis conducted by the community; SE not reported.

        ** Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 23. Estimated prevalence of respondents aged ≥18 years who reported eating at least five fruits and vegetables/day, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        §

        §

        §

        §

        Southeast Alabama, Alabama

        §

        §

        §

        §

        SouthEast Alaska Regional Health Consortium, Alaska

        610

        19.0

        1.9

        (15.4--22.7)

        Cochise County, Arizona

        463

        28.5

        2.7

        (23.2--33.8)

        Santa Cruz County, Arizona

        449

        28.7

        2.8

        (23.2--34.1)

        Yuma County, Arizona

        454

        24.7

        2.4

        (20.1--29.3)

        Salinas County, California

        §

        §

        §

        §

        Santa Clara County, California

        1,483

        26.8

        1.5

        (23.9--29.7)

        Mesa County, Colorado

        §

        §

        §

        §

        Pueblo County, Colorado

        §

        §

        §

        §

        Teller County, Colorado

        §

        §

        §

        §

        Weld County, Colorado

        §

        §

        §

        §

        Tampa-Hillsborough, Florida

        1,489

        23.7

        1.3

        (21.0--26.3)

        St. Petersburg-Pinellas County, Florida

        1,589

        26.1

        1.3

        (23.5--28.6)

        DeKalb County, Georgia

        3,688

        28.8

        1.2

        (26.5--31.1)

        Boston, Massachusetts

        1,664

        26.7

        (23.5--29.9)

        Inter-Tribal Council of Michigan, Michigan

        567

        11.1

        1.6

        (8.0--14.2)

        St. Paul-Ramsey County, Minnesota

        1,728

        30.2

        1.3

        (27.6--32.8)

        Minneapolis, Minnesota

        1,594

        28.9

        1.3

        (26.3--31.4)

        Rochester-Olmstead County, Minnesota

        1,499

        29.8

        1.4

        (27.0--32.6)

        Willmar, Minnesota

        1,189

        22.6

        1.4

        (19.8--25.4)

        Broome County, New York

        1,491

        27.8

        1.6

        (24.8--30.8)

        Chautauqua County, New York

        1,494

        25.5

        1.5

        (22.5--28.4)

        Jefferson County, New York

        1,517

        25.1

        1.5

        (22.2--28.1)

        Rockland County, New York

        1,485

        27.2

        1.4

        (24.5--30.0)

        Cleveland, Ohio

        1,499

        21.8

        1.4

        (19.1--24.5)

        Cherokee Nation, Oklahoma

        4,495

        13.7

        1.3

        (11.1--16.2)

        Philadelphia, Pennsylvania

        §

        §

        §

        §

        Fayette County, Pennsylvania

        §

        §

        §

        §

        Luzerne County, Pennsylvania

        §

        §

        §

        §

        Tioga County, Pennsylvania

        §

        §

        §

        §

        Austin-Travis County, Texas

        1,528

        28.8

        2.4

        (24.1--33.5)

        San Antonio-Bexar County, Texas

        1,637

        25.9

        1.4

        (23.1--28.6)

        Chelan-Douglas-Okanogan Counties, Washington

        §

        §

        §

        §

        Clark County, Washington

        §

        §

        §

        §

        Colville Confederated Tribes, Washington

        §

        §

        §

        §

        Seattle-King County, Washington

        §

        §

        §

        §

        Thurston County, Washington

        §

        §

        §

        §

        Range

        11.1--30.2

        Median

        26.4

        BRFSS Nationwide Range

        **

        BRFSS Nationwide Median

        **

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.

        Data analysis conducted by the community; SE not reported.

        ** Not available if the optional module questions for certain sectors are not used on even years.


        TABLE 24. Estimated prevalence of respondents aged ≥18 years who reported eating at least five fruits and vegetables/day, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,375

        23.8

        1.5

        (20.8--26.8)

        Southeast Alabama, Alabama

        1,127

        17.9

        1.5

        (15.0--20.8)

        SouthEast Alaska Regional Health Consortium, Alaska

        604

        22.3

        2.2

        (18.0--26.6)

        Cochise County, Arizona

        452

        27.3

        2.9

        (21.6--33.1)

        Santa Cruz County, Arizona

        532

        24.0

        2.2

        (19.7--28.2)

        Yuma County, Arizona

        563

        28.8

        2.5

        (23.9--33.8)

        Salinas-Monterey County, California

        1,674

        37.6

        1.7

        (34.3--40.9)

        Santa Clara County, California

        §

        §

        §

        §

        Mesa County, Colorado

        1,033

        25.2

        1.6

        (22.1--28.3)

        Pueblo County, Colorado

        1,032

        21.7

        1.7

        (18.4--25.0)

        Teller County, Colorado

        569

        25.3

        2.1

        (21.2--29.4)

        Weld County, Colorado

        1,013

        25.6

        1.8

        (22.1--29.1)

        Tampa-Hillsborough, Florida

        1,468

        29.6

        1.7

        (26.2--32.9)

        St. Petersburg-Pinellas County, Florida

        1,532

        28.4

        1.7

        (25.1--31.7)

        DeKalb County, Georgia

        2,250

        30.9

        1.4

        (28.2--33.6)

        New Orleans, Louisiana

        1,471

        25.0

        1.6

        (22.0--28.1)

        Boston, Massachusetts

        1,601

        26.6

        (23.2--30.0)

        Inter-Tribal Council of Michigan, Michigan

        578

        21.4

        3.0

        (15.5--27.2)

        St. Paul-Ramsey County, Minnesota

        1,522

        29.5

        1.7

        (26.2--32.8)

        Minneapolis, Minnesota

        1,549

        30.5

        1.7

        (27.1--33.9)

        Rochester-Olmstead County, Minnesota

        1,580

        34.6

        1.7

        (31.3--38.0)

        Willmar, Minnesota

        993

        28.0

        2.0

        (24.0--31.9)

        Broome County, New York

        1,473

        28.3

        1.5

        (25.3--31.3)

        Chautauqua County, New York

        1,494

        27.3

        1.6

        (24.2--30.4)

        Jefferson County, New York

        1,491

        28.6

        1.6

        (25.5--31.8)

        Rockland County, New York

        1,496

        28.0

        1.4

        (25.2--30.7)

        Cleveland, Ohio

        1,258

        29.2

        1.6

        (26.1--32.4)

        Cherokee Nation, Oklahoma

        2,934

        14.6

        1.2

        (12.3--16.9)

        Philadelphia, Pennsylvania

        1,425

        26.9

        1.6

        (23.8--30.1)

        Fayette County, Pennsylvania

        1,773

        20.4

        1.1

        (18.3--22.5)

        Luzerne County, Pennsylvania

        2,335

        21.6

        1.0

        (19.7--23.6)

        Tioga County, Pennsylvania

        1,497

        24.5

        1.4

        (21.9--27.2)

        Austin-Travis County, Texas

        1,493

        26.7

        2.2

        (22.5--30.9)

        San Antonio-Bexar County, Texas

        1,479

        24.1

        1.5

        (21.2--27.0)

        Chelan-Douglas-Okanogan Counties, Washington

        1,582

        22.2

        1.4

        (19.6--24.9)

        Clark County, Washington

        1,664

        26.2

        1.4

        (23.4--29.0)

        Colville Confederated Tribes, Washington

        38

        **

        **

        Seattle-King County, Washington

        1,470

        24.3

        1.3

        (21.8--26.9)

        Thurston County, Washington

        1,925

        26.4

        1.3

        (23.9--28.9)

        Range

        14.6--37.6

        Median

        26.4

        BRFSS Nationwide Range

        13.7--32.5

        BRFSS Nationwide Median

        24.3

        * Standard error.

        Confidence interval.

        § Not available if the community did not measure this indicator.

        Data analysis conducted by the community; SE not reported.

        ** Not available if the optional module questions for certain sectors are not used on even years.


        TABLE 25. Estimated prevalence of respondents aged ≥18 years who reported having smoked ≥100 cigarettes in their lifetime and who are current smokers on every day or certain days, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,019

        19.0

        1.7

        (15.7--22.3)

        Southeast Alabama, Alabama

        1,114

        19.3

        1.8

        (15.8--22.8)

        SouthEast Alaska Regional Health Consortium, Alaska

        609

        35.6

        2.5

        (30.8--40.5)

        Cochise County, Arizona

        487

        19.6

        2.5

        (14.7--24.4)

        Santa Cruz County, Arizona

        495

        18.1

        2.5

        (13.3--22.9)

        Yuma County, Arizona

        520

        13.5

        1.9

        (9.8--17.2)

        Salinas County, California

        1,639

        15.4

        1.2

        (12.9--17.8)

        Santa Clara County, California

        1,480

        14.2

        1.4

        (11.4--16.9)

        Mesa County, Colorado

        1,080

        21.8

        1.6

        (18.7--24.9)

        Pueblo County, Colorado

        1,076

        21.8

        1.6

        (18.8--24.8)

        Teller County, Colorado

        579

        23.3

        2.4

        (18.6--28.0)

        Weld County, Colorado

        1,069

        18.1

        1.5

        (15.3--20.9)

        Tampa-Hillsborough, Florida

        1,551

        22.0

        1.4

        (19.4--24.7)

        St. Petersburg-Pinellas County, Florida

        1,656

        24.1

        1.3

        (21.6--26.7)

        DeKalb County, Georgia

        3,756

        13.4

        0.9

        (11.7--15.2)

        Boston, Massachusetts

        1,660

        17.3

        §

        (14.6--19.9)

        Inter-Tribal Council of Michigan, Michigan

        St. Paul-Ramsey County, Minnesota

        1,739

        18.2

        1.2

        (15.8--20.6)

        Minneapolis, Minnesota

        1,599

        17.1

        1.1

        (15.0--19.3)

        Rochester-Olmstead County, Minnesota

        1,503

        12.5

        1.1

        (10.4--14.7)

        Willmar, Minnesota

        1,202

        16.3

        1.5

        (13.4--19.2)

        Broome County, New York

        1,484

        24.8

        1.6

        (21.7--27.9)

        Chautauqua County, New York

        1,494

        22.9

        1.5

        (20.0--25.8)

        Jefferson County, New York

        1,515

        24.3

        1.8

        (20.8--27.7)

        Rockland County, New York

        1,484

        13.5

        1.2

        (11.2--15.8)

        Cleveland, Ohio

        1,493

        31.5

        1.7

        (28.3--34.8)

        Cherokee Nation, Oklahoma

        4,489

        31.4

        1.8

        (27.9--34.8)

        Philadelphia, Pennsylvania

        1,518

        24.3

        1.5

        (21.5--27.2)

        Fayette County, Pennsylvania

        2,707

        26.2

        1.0

        (24.2--28.2)

        Luzerne County, Pennsylvania

        2,704

        26.0

        1.0

        (24.0--28.0)

        Tioga County, Pennsylvania

        1,496

        23.7

        1.5

        (20.9--26.6)

        Austin-Travis County, Texas

        1,566

        17.0

        1.7

        (13.8--20.2)

        San Antonio-Bexar County, Texas

        1,680

        21.2

        1.4

        (18.4--23.9)

        Chelan-Douglas-Okanogan Counties, Washington

        1,534

        18.0

        1.4

        (15.3--20.8)

        Clark County, Washington

        1,518

        17.7

        1.2

        (15.2--20.1)

        Colville Confederated Tribes, Washington

        36

        48.0

        §

        (27.0--69.6)

        Seattle-King County, Washington

        1,056

        16.4

        1.4

        (13.6--19.1)

        Thurston County, Washington

        1,579

        20.8

        1.4

        (18.1--23.4)

        Range

        12.5--48.0

        Median

        19.6

        BRFSS Nationwide Range

        08.9--28.5

        BRFSS Nationwide Median

        20.1

        Healthy People 2010 (HP 2010) objective**

        12.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if the community did not measure this indicator.

        ** The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 26. Estimated prevalence of respondents aged ≥18 years who reported having smoked ≥100 cigarettes in their lifetime and who are current smokers on every day or certain days, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        1,389

        21.6

        1.6

        (18.5--24.7)

        Southeast Alabama, Alabama

        1,151

        21.9

        2.0

        (18.0--25.8)

        SouthEast Alaska Regional Health Consortium, Alaska

        600

        28.3

        2.5

        (23.3--33.2)

        Cochise County, Arizona

        463

        24.2

        3.1

        (18.2--30.3)

        Santa Cruz County, Arizona

        546

        21.2

        2.5

        (16.3--26.1)

        Yuma County, Arizona

        576

        15.2

        2.2

        (10.9--19.5)

        Salinas-Monterey County, California

        1,674

        12.5

        1.2

        (10.1--15.0)

        Santa Clara County, California

        1,566

        13.2

        1.3

        (10.7--15.7)

        Mesa County, Colorado

        1,068

        26.0

        1.8

        (22.5--29.5)

        Pueblo County, Colorado

        1,075

        23.5

        1.8

        (20.0--26.9)

        Teller County, Colorado

        584

        21.1

        2.1

        (16.9--25.2)

        Weld County, Colorado

        1,055

        17.8

        1.5

        (14.9--20.7)

        Tampa-Hillsborough, Florida

        1,513

        23.4

        1.7

        (20.0--26.8)

        St. Petersburg-Pinellas County, Florida

        1,594

        24.4

        1.7

        (21.1--27.7)

        DeKalb County, Georgia

        2,343

        12.1

        1.0

        (10.1--14.1)

        New Orleans, Louisiana

        1,497

        16.2

        1.6

        (13.1--19.4)

        Boston, Massachusetts

        1,601

        17.9

        §

        (14.8--21.0)

        Inter-Tribal Council of Michigan, Michigan

        St. Paul-Ramsey County, Minnesota

        1,526

        15.9

        1.3

        (13.3--18.6)

        Minneapolis, Minnesota

        1,559

        17.8

        1.7

        (14.5--21.2)

        Rochester-Olmstead County, Minnesota

        1,583

        11.8

        1.2

        (9.4--14.1)

        Willmar, Minnesota

        997

        14.2

        1.6

        (11.2--17.2)

        Broome County, New York

        1,467

        21.5

        1.5

        (18.5--24.4)

        Chautauqua County, New York

        1,486

        24.2

        1.5

        (21.2--27.2)

        Jefferson County, New York

        1,489

        22.6

        1.5

        (19.6--25.6)

        Rockland County, New York

        1,491

        11.2

        1.1

        (9.0--13.4)

        Cleveland, Ohio

        1,253

        33.7

        1.7

        (30.3--37.0)

        Cherokee Nation, Oklahoma

        2,931

        29.1

        1.6

        (25.9--32.3)

        Philadelphia, Pennsylvania

        1,471

        26.0

        1.5

        (22.9--29.0)

        Fayette County, Pennsylvania

        1,811

        27.1

        1.3

        (24.7--29.6)

        Luzerne County, Pennsylvania

        2,387

        24.3

        1.1

        (22.2--26.4)

        Tioga County, Pennsylvania

        1,520

        21.7

        1.5

        (18.8--24.6)

        Austin-Travis County, Texas

        1,530

        20.6

        2.0

        (16.6--24.5)

        San Antonio-Bexar County, Texas

        1,539

        20.3

        1.6

        (17.3--23.4)

        Chelan-Douglas-Okanogan Counties, Washington

        1,593

        17.8

        1.3

        (15.2--20.4)

        Clark County, Washington

        1,667

        17.2

        1.3

        (14.7--19.7)

        Colville Confederated Tribes, Washington

        38

        ---**

        §

        ---

        Seattle-King County, Washington

        1,473

        15.9

        1.2

        (13.4--18.3)

        Thurston County, Washington

        1,933

        17.5

        1.2

        (15.1--19.8)

        Range

        11.2--33.7

        Median

        21.1

        BRFSS Nationwide range

        8.7--31.0

        BRFSS Nationwide median

        19.7

        Healthy People 2010 (HP 2010) objective††

        12.0

        * Standard error.

        Confidence interval.

        § Data analysis conducted by the community; SE not reported.

        Not available if community did not measure this indicator.

        ** Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 27. Estimated prevalence of respondents aged ≥18 years who reported having stopped smoking for ≥1 day because they were trying to quit smoking during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 38 Steps Communities, 2006

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        184

        66.7

        4.2

        (58.4--75.0)

        Southeast Alabama, Alabama

        204

        ---§

        ---

        ---

        SouthEast Alaska Regional Health Consortium, Alaska

        196

        61.2

        4.3

        (52.9--69.6)

        Cochise County, Arizona

        89

        ---

        ---

        ---

        Santa Cruz County, Arizona

        80

        ---

        ---

        ---

        Yuma County, Arizona

        74

        ---

        ---

        ---

        Salinas County, California

        210

        55.2

        4.5

        (46.5--64.0)

        Santa Clara County, California

        182

        ---

        ---

        ---

        Mesa County, Colorado

        216

        56.1

        4.1

        (48.0--64.2)

        Pueblo County, Colorado

        217

        59.7

        4.0

        (51.8--67.5)

        Teller County, Colorado

        120

        ---

        ---

        ---

        Weld County, Colorado

        180

        61.8

        4.3

        (53.3--70.3)

        Tampa-Hillsborough, Florida

        338

        55.3

        3.4

        (48.7--61.8)

        St. Petersburg-Pinellas County, Florida

        386

        48.4

        3.1

        (42.2--54.5)

        DeKalb County, Georgia

        473

        58.5

        3.6

        (51.5--65.5)

        Boston, Massachusetts

        303

        60.6

        (52.2--69.0)

        Inter-Tribal Council of Michigan, Michigan

        **

        **

        **

        **

        St. Paul-Ramsey County, Minnesota

        293

        57.1

        3.6

        (50.1--64.2)

        Minneapolis, Minnesota

        278

        54.3

        3.5

        (47.4--61.2)

        Rochester-Olmstead County, Minnesota

        184

        52.4

        4.7

        (43.1--61.6)

        Willmar, Minnesota

        178

        57.4

        4.9

        (47.7--67.1)

        Broome County, New York

        319

        57.6

        3.6

        (50.5--64.7)

        Chautauqua County, New York

        290

        54.8

        3.7

        (47.5--62.0)

        Jefferson County, New York

        303

        58.9

        4.1

        (50.8--67.0)

        Rockland County, New York

        185

        52.5

        4.6

        (43.4--61.6)

        Cleveland, Ohio

        425

        58.6

        3.2

        (52.2--64.9)

        Cherokee Nation, Oklahoma

        1,062

        58.8

        3.3

        (52.4--65.3)

        Philadelphia, Pennsylvania

        380

        65.3

        3.3

        (58.9--71.7)

        Fayette County, Pennsylvania

        668

        52.1

        2.3

        (47.5--56.6)

        Luzerne County, Pennsylvania

        656

        54.3

        2.4

        (49.7--58.9)

        Tioga County, Pennsylvania

        314

        60.0

        3.4

        (53.3--66.6)

        Austin-Travis County, Texas

        261

        67.9

        4.4

        (59.3--76.5)

        San Antonio-Bexar County, Texas

        317

        58.6

        3.7

        (51.5--65.8)

        Chelan-Douglas-Okanogan Counties, Washington

        260

        58.4

        4.2

        (50.2--66.7)

        Clark County, Washington

        240

        61.1

        3.7

        (53.8--68.4)

        Colville Confederated Tribes, Washington

        15

        61.9

        (30.4--85.8)

        Seattle-King County, Washington

        159

        53.0

        4.7

        (43.8--62.2)

        Thurston County, Washington

        278

        58.3

        3.7

        (51.1--65.6)

        Range

        48.4--67.9

        Median

        58.4

        BRFSS Nationwide Range

        48.3--68.0

        BRFSS Nationwide Median

        57.4

        Healthy People 2010 (HP 2010) objective††

        80.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10."

        Data analysis conducted by the community; SE not reported.

        ** Not available if the community did not measure this indicator.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


        TABLE 28. Estimated prevalence of respondents aged ≥18 years who reported having stopped smoking for ≥1 day because they were trying to quit smoking during the preceding 12 months, by community --- United States, Behavioral Risk Factor Surveillance System (BRFSS), 39 Steps Communities, 2007

        Community

        Sample size

        Weighted %

        SE*

        (95% CI)

        River Region, Alabama

        265

        58.5

        4.2

        (50.2--66.8)

        Southeast Alabama, Alabama

        199

        65.3

        5.1

        (55.3--75.2)

        SouthEast Alaska Regional Health Consortium, Alaska

        152

        ---§

        ---

        ---

        Cochise County, Arizona

        91

        ---

        ---

        ---

        Santa Cruz County, Arizona

        101

        ---

        ---

        ---

        Yuma County, Arizona

        85

        ---

        ---

        ---

        Salinas-Monterey County, California

        187

        ---

        ---

        ---

        Santa Clara County, California

        183

        ---

        ---

        ---

        Mesa County, Colorado

        223

        53.3

        4.1

        (45.2--61.4)

        Pueblo County, Colorado

        233

        69.6

        3.8

        (62.2--77.1)

        Teller County, Colorado

        114

        ---

        ---

        ---

        Weld County, Colorado

        190

        50.8

        4.6

        (41.8--59.8)

        Tampa-Hillsborough, Florida

        307

        53.8

        4.3

        (45.3--62.2)

        St. Petersburg-Pinellas County, Florida

        369

        53.8

        4.0

        (45.9--61.7)

        DeKalb County, Georgia

        263

        56.7

        4.5

        (48.0--65.4)

        New Orleans, Louisiana

        225

        ---

        ---

        ---

        Boston, Massachusetts

        280

        55.7

        (46.1--65.3)

        Inter-Tribal Council of Michigan, Michigan

        **

        **

        **

        **

        St. Paul-Ramsey County, Minnesota

        238

        55.7

        4.6

        (46.8--64.7)

        Minneapolis, Minnesota

        250

        63.1

        4.8

        (53.7--72.4)

        Rochester-Olmstead County, Minnesota

        170

        65.5

        4.2

        (57.2--73.8)

        Willmar, Minnesota

        129

        ---

        ---

        ---

        Broome County, New York

        285

        52.7

        4.0

        (44.9--60.5)

        Chautauqua County, New York

        308

        50.8

        3.8

        (43.4--58.2)

        Jefferson County, New York

        297

        51.5

        4.0

        (43.7--59.2)

        Rockland County, New York

        158

        ---

        ---

        ---

        Cleveland, Ohio

        400

        62.0

        3.0

        (56.1--68.0)

        Cherokee Nation, Oklahoma

        703

        53.9

        3.5

        (47.0--60.8)

        Philadelphia, Pennsylvania

        378

        67.8

        3.2

        (61.6--74.0)

        Fayette County, Pennsylvania

        470

        54.0

        2.8

        (48.6--59.3)

        Luzerne County, Pennsylvania

        571

        57.4

        2.5

        (52.4--62.3)

        Tioga County, Pennsylvania

        287

        57.0

        3.9

        (49.4--64.6)

        Austin-Travis County, Texas

        269

        ---

        ---

        ---

        San Antonio-Bexar County, Texas

        260

        53.9

        4.4

        (45.4--62.5)

        Chelan-Douglas-Okanogan Counties, Washington

        266

        51.0

        4.2

        (42.7--59.2)

        Clark County, Washington

        252

        60.5

        4.0

        (52.7--68.3)

        Colville Confederated Tribes, Washington

        16

        ---

        ---

        Seattle-King County, Washington

        226

        55.1

        4.3

        (46.7--63.5)

        Thurston County, Washington

        290

        53.7

        3.8

        (46.1--61.2)

        Range

        50.8--69.6

        Median

        55.4

        BRFSS Nationwide Range

        49.5--65.2

        BRFSS Nationwide Median

        57.6

        Healthy People 2010 (HP 2010) objective††

        80.0

        * Standard error.

        Confidence interval.

        § Not available if the unweighted sample size for the denominator was <50 or if the CI half width is >10.

        Data analysis conducted by the community; SE not reported.

        ** Not available if community did not measure this indicator.

        †† The HP 2010 objective refers to adults aged ≥20 years whereas Steps data are collected for adults aged ≥18 years.


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