Behavioral Risk Factor Surveillance System

Behavioral Risk Factor
Surveillance System
the Factor Surveillance System Behavioral Risk
(BRFSS) telephone survey is the world’s largest.
BRFSS tracks the health risks throughout
throughout the United States. Survey information
is used to improve the health of the US population.
Factor Surveillance Behavioral Risk of Hawaii
System (BRFSS) is performed and managed
by the Department of Hawaii Health in collaboration
with the Centers for Disease control and
Prevention (CDC). The results of the BRFSS are
used by the state to help formulate public health
policy advocacy, prevention and health programs.
Communities (Geographic regions sub-county)
this report are defined by aggregating next
zip codes with at least one school complex in
area. A list of zip codes of the community can be
found at:
Adult Respondents were asked: “Have you ever been
said a doctor who has diabetes?” If
respondent is a female and her answer to that
question is “Yes”, then she also asked: “Was

this only when you were pregnant? ”

[19459007gestacional] diabetes is excluded from diabetes in this report.
diabetes prevalence
• prevalence rate
prevalence rate of diabetes is defined as the expected
number of adults with diabetes divided
by the estimated adult population. All
percentages or prevalence rates presented in all
tables, except mortality tables are
weighted percentages .

• Age -adjusted prevalence rate
is often necessary to compare rates of diabetes
different populations and / or years.
However, since rates of diabetes increases with age
, a higher rate of diabetes in a population
compared to the other may simply reflect the different
age distributions within the population.
statistical techniques are used to “set” or
“normalize” low in populations
compared, eliminating the effect of different distributions
age in different populations.
prevalence rates calculated with these techniques
standardized prevalence rates by age or age-adjusted. An age-adjusted prevalence
rate is not a true measure of the condition
within a given population, but rather an artificial measure
used for comparison.
In this report, prevalence rates with age
setting employs the age distribution # 9
2000 Projection of the US population
(/ CDC / NCHS, 2001 DHHS).
End-stage renal disease in terminal stage (ESRD)
• incidence rate
incidence rate of ESRD raw equals the number
people newly diagnosed receive
chronic therapy ESRD (dialysis) per million
in 2002.
• prevalence rate
crude ESRD prevalence rate of dialysis
equal to the total number of people currently
on dialysis per million inhabitants in 2002. Ethnicity

respondents were asked to choose a career race list
to answer the question: “what is your
race” the career list includes Caucasian, Hawaiian,
Chinese, Filipino, Japanese, Korean, Samoan,
Black, Alaska /
native / American / Inuit, Vietnamese, Indian, Asian Indian Eskimos,
Portuguese, Guam / Chamorro, Puerto Rico,
Mexico, Tonga, Laos, Cambodia, Malaysia,
Fiji, Micronesia, and other Asian. In addition,
a respondent can specify their own ethnicity if
does not appear, or you can say they do not know, they
are not sure, or refuse to answer. For simplicity,
re-categorizes this report ethnicity White
(includes Portuguese), Hawaiian, Filipino,
Japanese, and “Other” (including China).
• The diabetes mortality rate
mortality rate is the frequency of occurrence
death (related to diabetes) in a defined population
. The population denominators (916,580
adults) were estimated from Hawaii
Behavioral Risk Factor Surveillance System
2000 ~ 2002.
• contributory cause of death (CCD)
contributing cause of death is defined as the conditions
not initiate the chain of events
leads to death, but as a result of direct death
or indirectly; or any other significant conditions
adversely influenced the course of
the disease process and thereby contributing to
fatal outcome.
• The underlying cause of death (UCD)
leading cause of death is defined as
disease / condition that started the chain of
events leading to death.
Survey (BRFSS) Definitions
• body weight status
BRFSS uses the body mass index (BMI) as a
measure of body weight. Cutoffs for weight status
are defined as follows: normal weight (BMI
25 and 30)
• education of diabetes
The BRFSS uses the following question to
define education of diabetes: “Ten
have you ever taken a course or class in how
controlled diabetes yourself”
• eye condition related to diabetes
BRFSS uses next question to define
eye ​​complications related to diabetes, “have a doctor
has told you that diabetes has affected your
eyes or that you had retinopathy”
• related diabetes the complication foot
BRFSS uses the following question to
set foot complications related to diabetes:
“have you ever had any sores or irritations on
feet that took more than four weeks to
cure? ”
• general health
The BRFSS uses the following question to
define and quantify the overall health status
“would you say that in general your health is:
1) Excellent, 2) Very good 3) good 4) Fair, or
5) Poor? “
• physical activity (leisure activity)
BRFSS defines” any leisure activity “as
those who answered no to the question: “During
last month, apart from your regular job,
participate in any physical activity or
exercise such as running, calisthenics, golf, gardening,
or walking for exercise? “
• the consumption of snuff
the BRFSS defines a” current smoker “as a person
who responds affirmatively to the question
” have you smoked at least 100 cigarettes in
their lifetime, “and still smoke every day or
few days. A “former smoker” is a person
who smoked at least 100 cigarettes before, but
no longer smoke.
• Vegetable / fruit consumption
The BRFSS estimates that the number of daily servings
fruit / vegetable asking the following
series of questions “Not counting juice, how
what often do you eat fruit? how often do you eat
green? how often do you eat potatoes not
including fries, chips, fries or
chips? how often do you eat carrots? No
counting carrots, potatoes or salad, how many
serving of vegetables usually eat? “

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