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Surveillance of Certain Health Behaviors and Conditions Among States and Selected Local Areas --- Behavioral Risk Factor Surveillance System, United States, 2007

Please note: An erratum has been published for this article. To view the erratum, please click here.

Prepared by

Pranesh Chowdhury MBBS, MPH, Lina Balluz, ScD, MPH, Machell Town, MS, Farah M Chowdhury, MBBS, MPH, William Bartoli, William Garvin, Haci Akcin, MS, Kurt J. Greenlund, PhD, Wayne Giles, MD

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


Corresponding author: Lina Balluz, ScD , MPH, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, MS K-66, 4770 Buford Hwy, N.E., Atlanta, GA 30341. Telephone: 770-488-2466; Fax: 770-488-8150; E-mail: lballuz@cdc.gov.

Abstract

Problem: Chronic diseases (e.g., heart disease, cancer, stroke, and diabetes) are the leading causes of death in the United States. Controlling health risk behaviors (e.g., smoking, physical inactivity, poor diet, and excessive drinking) and using preventive health-care services (e.g., cancer, hypertension, and cholesterol screenings) can reduce morbidity and mortality from chronic diseases. Monitoring health-risk behaviors, chronic health conditions, and preventive care practices is essential to develop health promotion activities, intervention programs, and health policies at the state, city, and county levels.

Reporting Period Covered: January 2007--December 2007

Description of the System: The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based, on-going, random--digit-dialed household telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. BRFSS collects data on health-risk behaviors and use of preventative health services related to the leading causes of death and disability in the United States. This report presents results for 2007 for all 50 states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, 184 metropolitan and micropolitan statistical areas (MMSAs), and 298 counties.

Results: In 2007, prevalence estimates of risk behaviors, chronic conditions, and the use of preventive services varied substantially by state and territory, MMSA, and county. The following is a summary of results listed by BRFSS question topic. Each set of proportions refers to the range of estimated prevalence for the disease, condition, or behavior, as reported by the survey subject. Adults who reported fair or poor health: 11% to 32% for states and territories and 6% to 31% for MMSAs and counties. Adults with health-care coverage: 71% to 94% for states and territories and 51% to 97% for MMSAs and counties. Annual influenza vaccination among adults aged ≥65 years: 32% to 80% for states and territories, 48% to 83% for MMSAs, and 44% to 88% for counties. Pneumococcal vaccination among adults aged ≥65 years: 26% to 74% for states and territories, 44% to 83% for MMSAs, and 39% to 87% for counties. Adults who had their cholesterol checked within the preceding 5 years: 66% to 85% for states and territories and 58% to 90% for MMSAs and counties. Adults who consumed at least 5 servings of fruits and vegetables per day: 14% to 33% for states and territories, 16% to 34% for MMSAs and 14% to 37% for counties. Adults who reported no leisure-time physical activity: 17% to 44% for states and territories and 9% to 38% for MMSAs and counties. Adults who engaged in moderate or vigorous physical activity: 31% to 61% for states and territories and 36% to 67% for MMSAs and counties. Adults who engaged in only vigorous physical activity: 19% to 40% for states and territories and 15% to 45% for MMSAs and counties. Cigarette smoking among adults: 9% to 31% for states and territories, 7% to 34% for MMSAs, and 7% to 30% for counties. Binge drinking among adults: 3% to 8% for states and territories. Adults classified as overweight: 33% to 40% for states and territories and 26% to 47% for MMSAs and counties. Adults aged ≥20 years who were obese: 20% to 34% for states and territories and 14% to 38% for MMSAs and counties. Adults who were told of a diabetes diagnosis: 5% to 13% for states and territories and 2% to 17% for MMSAs and counties. Adults with high blood pressure diagnosis: 21% to 35% for states and territories and 16% to 38% for MMSAs and counties. Adults who had high blood cholesterol: 28% to 43% for states and territories, 29% to 49% for MMSAs, and 26% to 51% for counties. Adults with a history of coronary heart disease: 2% to 14% for states and territories, MMSAs, and counties. Adults who were told of a stroke diagnosis: 1% to 7% for states and territories, MMSAs, and counties. Adults who were diagnosed with arthritis: 14% to 36% for states and territories and 16% to 40% for MMSAs and counties. Adults who had asthma: 5% to 10% for states and territories and 3% to 13% for MMSAs and counties. Adults with activity limitation associated with physical, mental, or emotional problems: 10% to 26% for states and territories. Adults who required special equipment because of health problems: 3% to 10% for states and territories and 3% to 14% for MMSAs and counties.

Interpretation: The findings in this report indicate substantial variation in self-reported health status, health-care coverage, use of preventive health-care services, health behaviors leading to chronic health conditions, and disability among U.S. adults at the state and territory, MMSA, and county levels. The findings underscore the continued need for surveillance of health-risk behaviors, chronic diseases and conditions, and the use of preventive services.

Public Health Actions: Healthy People 2010 (HP 2010) objectives have been established to monitor health behaviors and the use of preventive health services. Local and state health departments and federal agencies use BRFSS data to identify populations at high risk for certain health behaviors, chronic diseases and conditions and to evaluate the use of preventive services. In addition, BRFSS data are used to direct, implement, monitor, and evaluate public health programs and policies that can lead to a reduction in morbidity and mortality.

Introduction

Chronic diseases (e.g., heart disease, cancer, stroke and diabetes) are the leading causes of death (1) and disability in the United States (2). Engaging in healthy behaviors (e.g., reducing smoking, being more physically active, and eating a nutritious diet) and using preventive services (e.g., screening for blood pressure, blood cholesterol and cancer and receiving recommended vaccinations) can reduce morbidity and premature mortality from chronic diseases (3). The estimated prevalence of health behavior risk factors, chronic conditions, and use of preventive care services varies substantially across the United States. Ongoing surveillance is essential to identify groups at highest risk and to design and implement appropriate public health programs and policies.

BRFSS is a state-based, ongoing telephone survey of adults aged ≥18 years conducted by the state health departments with assistance from CDC. It is the largest continuously conducted telephone survey in the world with more than 350,000 adult interviews completed each year. Since 1984, BRFSS has been the main source for states on health-risk behaviors, chronic health conditions, and preventive health services primarily related to chronic disease and injury. BRFSS data are used to set health goals and to monitor progress and success of public health programs and policies at the national and state levels. Since 2002, the large sample size in BRFSS facilitated calculation of prevalence estimates for selected metropolitan and micropolitan statistical areas (MMSAs), metropolitan divisions, and selected counties. This report provides comparable prevalence estimates for selected risk behaviors, preventive services, and chronic conditions by states and territories, and MMSAs and counties.

HP 2010 sets forth a national agenda to prevent or delay diseases, decrease morbidity and mortality, and to improve healthy-related quality of life for all Americans (4). HP 2010 includes specific objectives to be achieved by 2010 for various modifiable risk factors and preventive services. These objectives can be used to monitor and develop health promotion and disease prevention programs at the state and local levels. This report contains comparisons between 2007 BRFSS data and certain HP 2010 objectives.

Methods

In 2007, BRFSS was conducted in all 50 states, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands. BRFSS uses a multistage sampling design based on random-digit-dialing methods to select a representative sample from the noninstitutionalized adult population aged ≥18 years in each state and territory. Details on methodology, random sampling procedures, design, and reliability and validity of measures used in BRFSS have been described in previous publications (5,6).

Questionnaire

The standard BRFSS questionnaire consists of three parts: 1) core questions, 2) optional supplemental modules, which are sets of questions on specific topics (e.g., diabetes, healthy-related quality of life, arthritis management); and 3) state-added questions. All 50 states, the District of Columbia, and three territories ask the same core questions. Optional modules and state-added questions are included at their discretion. State-added questions address state-specific health-care concerns. The core questions address demographics, health status, number of healthy days, health-related quality of life, health-care access, exercise or leisure time physical activity, prevalence of diabetes, high blood pressure, cardiovascular diseases, cholesterol awareness, asthma, immunization including flu and pneumonia vaccination among older adults, hepatitis vaccination, tobacco/cigarette use, alcohol consumption, disabilities, arthritis burden, fruit and vegetable consumption, moderate and vigorous physical activity, human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), emotional support and life satisfaction, and gastrointestinal disease.

In 2007, the following optional modules were selected: diabetes (40 states), random child selection (33 states), childhood asthma prevalence (33 states), mental illness and stigma (26 states), cardiovascular health (20 states), actions to control high blood pressure (19 states), arthritis management (19 states), heart attack and stroke (13 states), women's health (nine states), adult asthma history (eight states), colorectal cancer screening (five states), visual impairment and access to eye care (five states), sexual violence (five states), general preparedness (three states), intimate partner violence (three states), prostate cancer screening (three states), symptoms of healthy days (one state), and reaction to race (one state).

This report focuses on 1) health status indicators (e.g., self-reported fair or poor health and health-care coverage), 2) preventive health-care practices (e.g., influenza and pneumococcal vaccinations for persons aged ≥65 years and cholesterol checking in the preceding 5 years), 3) health-risk behaviors (e.g., no or minimal daily fruit or vegetable consumption, no or minimal physical activity participation or leisure time, current cigarette smoking, and binge and heavy drinking), 4) chronic health conditions (e.g., obesity, diabetes, high blood pressure, high cholesterol, history of coronary heart disease including heart attack and angina, and history of stroke), and 5) other chronic conditions (e.g., arthritis, current asthma, activity limitation because of physical, mental, or emotional health problems, and use of special equipment [e.g., a cane, wheelchair, special bed, or special telephone] because of health problems). The 2007 and all other BRFSS questioners can be obtained from: http://www.cdc.gov/brfss/questionnaires/english.htm.

Data Collection and Processing

Trained interviewers administer the BRFSS questionnaire using a computer-assisted telephone interviewing system. Data are collected monthly by each state and territory. After the monthly interviewing cycle concludes, data are submitted to CDC for reliability checks and analyses preparation.

Data Weighting

At the end of the survey year, CDC edits and aggregates the monthly data files to create a yearly sample for each state. Each sample is weighted to the respondent's probability of selection and to the age- and sex-specific population or age-, sex-, and race-specific population using the 2007 census projections reported by the census bureau for each state. State-level weights are adjusted to produce MMSA- and county-level weights. These sampling weights are used to calculate BRFSS state and territory-, MMSA-, and county-level prevalence estimates. MMSAs used in this report were defined by the Office of Management and Budget in December 2006. Respondents were assigned to a particular MMSA based on their Federal Information Processing Standard (FIPS) county code. Aggregated data from states were used to produce national prevalence estimates. Detailed weighting and analytic methodologies have been documented elsewhere (5,7).

Statistical Analyses

SAS(r) and SUDAAN(r) (release 9.0.1; Research Triangle Institute, Research Triangle Park, North Carolina) 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 were not reported if the unweighted sample size for the denominator was <50 or the CI half width was >10. Only MMSAs with ≥500 respondents and ≥19 respondents in all the final weighting classes and counties within selected MMSAs were included. Within each MMSA or county, weighting classes were based on age and sex cross-classification totals or age, sex, and race cross-classification totals. Responses coded as "do not know" or "refused" were excluded from the analyses.

Results

This report presents results for 2007 from the 54 states and territories, 184 MMSAs, and 298 counties with an adequate sample size to produce stable prevalence estimates. In 2007, a total of 430,912 interviews were completed and ranged from 657 in Guam, to 39,549 in Florida (median: 6,564). This report presents prevalence of health status, access to health care, use of preventive health-care services, health behaviors, and selected chronic conditions.

According to the Council of American Survey and Research Organizations (CASRO) guidelines, the 2007 BRFSS CASRO cooperation rate (the proportion of all respondents interviewed of all eligible units in which a respondent was selected and actually contacted) ranged from 49.6% in New Jersey, to 84.6% in Minnesota (median: 72.1%) (7).

Health Indicators

Health Status

Respondents were asked to rate their general health as excellent, very good, good, fair, or poor. Respondents were classified into two groups: those who reported fair or poor health, and those who reported good, very good, or excellent health. In 2007, among adults aged ≥18 years, the estimated prevalence of self-reported fair or poor health ranged from 10.9% in Utah to 32.2% in Puerto Rico (median: 15.2%) (Table 1). Among 184 MMSAs, the estimated prevalence of self-reported fair or poor health among respondents ranged from 7.2% in Lincoln, Nebraska, to 31.2% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 15.0%) (Table 2). Among 298 counties, the estimated prevalence of self-reported fair or poor health among respondents ranged from 5.7% in Davis County, Utah, to 30.6% in Webb County, Texas (median: 14.3%) (Table 3).

Health-Care Coverage

Health-care coverage was defined as respondents having reported that they had private health insurance, prepaid plans (e.g., health maintenance organizations) or government health plans (e.g., Medicare or Medicaid). In 2007, among adults aged ≥18 years, the estimated prevalence of health-care coverage ranged from 71.3% in the U.S. Virgin Islands to 94.0% in Hawaii (median: 85.6%) (Table 4). Among 184 MMSAs, the estimated prevalence ranged from 51.2% in McAllen-Edinburg-Mission, Texas, to 95.4% in Cambridge-Newton-Framingham, Massachusetts (median: 85.5%) (Table 5). Among selected counties, the estimated prevalence ranged from 51.2% in Hidalgo County, Texas, to 96.8% in Norfolk County, Massachusetts (median: 86.3%) (Table 6).

Preventive Practices

Influenza Vaccination

In 2007, among adults aged ≥65 years, the estimated prevalence of influenza vaccination during the preceding 12 months ranged from 32.2% in Puerto Rico to 80.0% in Rhode Island (median: 71.9%) (Table 7). Among selected MMSAs, the estimated prevalence ranged from 48.3% in Miami-Fort Lauderdale-Miami Beach, Florida, to 83.4% in Cambridge-Newton-Framingham, Massachusetts (median: 72.6%) (Table 8). Among selected counties, the estimated prevalence ranged from 43.8% in Miami-Dade County, Florida, to 88.2% in Orange County, North Carolina (median: 73.4%) (Table 9).

Pneumococcal Vaccination

In 2007, among adults aged ≥65 years, the estimated prevalence of pneumococcal vaccination ranged from 26.1% in Puerto Rico to 74.0% in Oregon (median: 67.2%) (Table 10). Among selected MMSAs, the estimated prevalence ranged from 43.7% in Miami-Fort Lauderdale-Miami Beach, Florida, to 82.8% in Bangor, Maine (median: 68.0%) (Table 11). Among selected counties, the estimated prevalence ranged from 38.6% in Miami-Dade County, Florida, to 86.7% in Douglas County, Colorado (median: 69.0%) (Table 12).

Blood Cholesterol Checked During Preceding 5 Years

In 2007, among adults aged ≥18 years, the estimated prevalence of having blood cholesterol checked during the preceding 5 years ranged from 65.9% in Utah to 85.0% in the District of Columbia (median: 74.9%) (Table 13). Among selected MMSAs, the estimated prevalence ranged from 57.6% in El Paso, Texas, to 89.8% in Barnstable Town, Massachusetts (median: 76.5%) (Table 14). Among selected counties, the estimated prevalence ranged from 57.6% in El Paso County, Texas, to 89.9% in Norfolk County, Massachusetts, and 89.9% in Gaston County, North Carolina (median: 78.1%) (Table 15).

Nutrition

In 2007, among adults aged ≥18 years, the estimated prevalence of consuming at least 5 servings of fruits or vegetables per day ranged from 13.7% in Puerto Rico to 32.5% in the District of Columbia (median: 24.3%) (Table 16). Among selected MMSAs, the estimated prevalence ranged from 16.2% in Huntington-Ashland, West Virginia-Kentucky-Ohio, to 34.0% in Kapaa, Hawaii (median: 24.6%) (Table 17). Among selected counties, the estimated prevalence ranged from 13.7% in Wyandotte County, Kansas, to 37.4% in Arlington County, Virginia (median: 24.7%) (Table 18).

Physical Activity

Leisure-time physical activity was defined as participating in exercise (e.g., running, calisthenics, golf, gardening, or brisk walking) other than as part of the respondent's regular work during the preceding month. In 2007, among adults aged ≥18 years, the estimated prevalence of no leisure-time physical activity by state and territory ranged from 16.7% in Minnesota to 43.7% in Puerto Rico (median: 23.0%) (Table 19). Among the selected MMSAs, the estimated prevalence ranged from 8.8% in Boulder, Colorado, to 37.5% in Clewiston, Florida (median: 22.4%) (Table 20). Among counties, the estimated prevalence ranged from 8.6% in Douglas County, Colorado, to 37.5% in Hendry County, Florida (median: 22.3%) (Table 21).

Moderate or vigorous physical activity was defined as participating in moderate exercise (e.g., brisk walking, bicycling, vacuuming, gardening, or anything else that causes a small increase in breathing and heart rate on at least 5 days per week for at least 30 minutes each day) or vigorous exercise (e.g., running, aerobics, heavy yard work, or anything else that causes a large increase in breathing and heart rate on 3 or more days per week for at least 20 minutes each day) other than the respondent's regular work in a usual week. In 2007, among adults by state and territory, the estimated prevalence of moderate or vigorous physical activity ranged from 30.9% in Puerto Rico, to 60.8% in Alaska (median: 49.2%) (Table 22). Among the selected MMSAs, the estimated prevalence ranged from 37.3% in Chattanooga, Tennessee-Georgia, to 67.1% in Boulder, Colorado (median: 50.3%) (Table 23). Among counties, the estimated prevalence of moderate physical activity ranged from 35.9% in Hamilton County, Tennessee, to 67.1% in Boulder County, Colorado (median: 50.0%) (Table 24).

Vigorous physical activity was defined as participating in exercise (e.g., running, aerobics, heavy yard work, or anything else that causes a large increase in breathing and heart rate on 3 or more days per week for at least 20 minutes each day) other than the respondent's regular work in a usual week. In 2007, among adults by state and territory, the estimated prevalence of vigorous physical activity ranged from 18.5% in Tennessee, to 39.5% in Alaska (median: 28.1%) (Table 25). Among the selected MMSAs, the estimated prevalence ranged from 15.4% in Charleston, West Virginia, to 44.1% in Provo-Orem, Utah (median: 28.1%) (Table 26). Among counties, the estimated prevalence of vigorous physical activity ranged from 15.0% in Sullivan County, Tennessee, to 44.5% in Utah County, Utah (median: 28.4%) (Table 27).

Health Risk Behaviors

Current Cigarette Smoking

Respondents were categorized as current smokers if they reported having smoked at least 100 cigarettes during their lifetime and indicated that they smoked every day or occasionally at the time of the survey. In 2007, among adults aged ≥18 years, the estimated prevalence of current smokers ranged from 8.7% in the U.S. Virgin Islands to 31.0% in Guam (median: 19.7%) (Table 28). Among selected MMSAs, the estimated prevalence ranged from 6.5% in Provo-Orem, Utah, to 34.4% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 19.7%) (Table 29). Among selected counties, the estimated prevalence ranged from 6.5% in Utah County, Utah, to 29.7% in Pasco County, Florida (median: 19.0%) (Table 30).

Alcohol Consumption

Binge Drinking

Binge drinking was defined as adult males having five or more drinks, and adult females having four or more drinks on at least one occasion during the last 30 days. In 2007, among adults aged ≥18 years, the estimated prevalence of binge drinking ranged from 8.2% in Kentucky to 23.4% in Wisconsin (median: 15.7%) (Table 31). Among selected MMSAs, the estimated prevalence of binge drinking ranged from 4.3% in Provo-Orem, Utah, to 21.4% in Milwaukee-Waukesha-West Allis, Wisconsin (median: 15.7%) (Table 32). Among selected counties, the estimated prevalence ranged from 4.3% in Utah County, Utah, to 25.6% in Arlington County, Virginia (median: 15.6%) (Table 33).

Heavy Drinking

Heavy drinking was defined as adult males having more than two drinks, and adult females having more than one drink per day during the last 30 days. In 2007, among adults aged ≥18 years, the estimated prevalence of heavy drinking ranged from 2.5% in Utah to 7.7% in Hawaii (median: 5.2%) (Table 34). Among selected MMSAs, the estimated prevalence of heavy drinking ranged from 2.1% in Idaho Falls, Idaho and Wauchula, Florida, to 11.0% in Key West-Marathon, Florida (median: 5.3%) (Table 35). Among selected counties, the estimated prevalence ranged from 1.2% in Davis County, Utah, to 11.6% in St. Johns County, Florida (median: 5.5%) (Table 36).

Chronic Health Conditions

Overweight

Self-reported weight and height were used to calculate body mass index (BMI) (weight [kg]/height [m2]). Respondents were categorized as being overweight if they had a BMI of ≥25.0 and <30.0. In 2007, among adults aged ≥18 years, the estimated prevalence of overweight ranged from 33.1% in the District of Columbia to 40.4% in Kentucky (median: 36.7%) (Table 37). Among selected MMSAs, the estimated prevalence ranged from 29.2% in Okeechobee, Florida, to 47.2% in Yuma, Arizona (median: 36.9%) (Table 38). Among selected counties, the estimated prevalence ranged from 26.3% in Montgomery County, Alabama, to 47.3% in Sarpy County, Nebraska (median: 36.7%) (Table 39).

Obesity

Respondents were categorized as obese if their BMI was ≥30.0. Obesity analyses were restricted to adults aged ≥20 years to permit comparison with HP 2010. In 2007, among adults aged ≥20 years, the estimated prevalence of obesity ranged from 19.9% in Colorado to 33.5% in Mississippi (median: 26.8%) (Table 40). Among selected MMSAs, the estimated prevalence ranged from 14.8% in West Palm Beach-Boca Raton-Boynton Beach, Florida, to 37.6% in McAllen-Edinburg-Mission, Texas (median: 26.6%) (Table 41). Among selected counties, the estimated prevalence ranged from 13.8% in New York County, New York, to 37.6% in Hidalgo County, Texas (median: 26.0%) (Table 42).

Diabetes

The prevalence of diagnosed diabetes was assessed by asking respondents, "Have you ever been told by a doctor that you have diabetes?" Those who reported "yes" were considered to have diabetes. Specific types of diabetes (e.g., Type 1 or Type 2) were not assessed. Adults reporting gestational, borderline, or pre-diabetes were not considered diabetic for these analyses. In 2007, among adults aged ≥18 years, the estimated prevalence of diagnosed diabetes ranged from 5.3% in Colorado to 12.5% in Puerto Rico (median: 8.1%) (Table 43). Among selected MMSAs, the estimated prevalence ranged from 2.2% in Boulder, Colorado, to 16.5% in Laredo, Texas (median: 8.4%) (Table 44). Among selected counties, the estimated prevalence ranged from 1.8% in Douglas County, Colorado, to 16.5% in Webb County, Texas (median: 8.1%) (Table 45).

High Blood Pressure

Prevalence of high blood pressure (HBP) was assessed by asking respondents aged ≥20 years, "Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?" Adults who reported pre-hypertension or borderline high blood pressure, and females who reported high blood pressure during pregnancy, were not considered hypertensive for these analyses. In 2007, among adults, the estimated prevalence of HBP ranged from 20.9% in Utah to 35.1% in Mississippi (median: 28.3%) (Table 46). Among selected MMSAs, the estimated prevalence ranged from 16.5% in Boulder, Colorado, to 38.1% in Seaford, Delaware (median: 27.8%) (Table 47). Among selected counties, the estimated prevalence ranged from 15.9% in Douglas County, Colorado, to 38.1% in Sussex County, Delaware (median: 27.4%) (Table 48).

High Blood Cholesterol

Respondents aged ≥20 years were categorized as having high blood cholesterol if they ever had their blood cholesterol checked and were told by a doctor, nurse, or other health-care professional that their blood cholesterol was high. In 2007, among adults aged ≥18 years, the estimated prevalence of high blood cholesterol ranged from 27.9% in Guam to 43.2% in West Virginia (median: 37.8%) (Table 49). Among selected MMSAs, the estimated prevalence of high blood cholesterol ranged from 29.1% in Gainesville, Florida, to 48.5% in Seaford, Delaware (median: 37.6%) (Table 50). Among selected counties, the estimated prevalence ranged from 26.1% in Davidson County, Tennessee, to 50.7% in Gloucester County, New Jersey (median: 37.4%) (Table 51).

Coronary Heart Disease

Respondents aged ≥18 years were categorized as having coronary heart disease (CHD) if they reported having ever been told by a doctor, nurse, or other health professionals that they had CHD, angina, or a heart attack. In 2007, among adults aged ≥18 years, the estimated prevalence of CHD ranged from 2.8% in the U.S. Virgin Islands, to 10.7% in West Virginia (median: 6.4%) (Table 52). Among selected MMSAs, the estimated prevalence ranged from 2.7% in Boulder, Colorado, to 13.5% in Homosassa Springs, Florida (median: 6.3%) (Table 53). Among selected counties, the estimated prevalence ranged from 2.0% in Arlington County, Virginia, to 13.5% in Citrus County, Florida (median: 6.0%) (Table 54).

Stroke

Respondents aged ≥18 years were categorized as having a history of stroke if they reported having ever been told by a doctor, nurse, or other health professionals that they had a stroke. In 2007, among adults aged ≥18 years, the estimated prevalence of stroke ranged from 1.1% in the U.S. Virgin Islands to 3.7% in Missouri (median: 2.6%) (Table 55). Among selected MMSAs, the estimated prevalence of stroke ranged from 0.7% in Nogales, Arizona, to 6.5% in Mobile, Alabama (median: 2.5%) (Table 56). Among selected counties, the estimated prevalence ranged from 0.7% in Santa Cruz County, Arizona, to 6.5% in Mobile County, Alabama (median: 2.4%) (Table 57).

Arthritis

Respondents aged ≥18 years were categorized as having arthritis if they reported having ever been told by a doctor that they have some form of arthritis. Arthritis diagnoses included rheumatism, polymyalgia rheumatica; osteoarthritis (not osteoporosis); tendonitis, bursitis, bunion, tennis elbow; carpal tunnel syndrome, tarsal tunnel syndrome; joint infection, Reiter's syndrome; ankylosing spondylitis; spondylosis; rotator cuff syndrome; connective tissue disease; scleroderma; polymyositis, Raynaud's syndrome or vasculitis (giant cell arteritis, Henoch-Schonlein purpura, Wegener's granulomatosis, polyarteritis nodosa). In 2007, among adults aged ≥18 years, the estimated prevalence of arthritis ranged from 13.7% in Guam to 35.5% in West Virginia (median: 27.5%) (Table 58). Among selected MMSAs, the estimated prevalence of arthritis ranged from 16.3% in Laredo, Texas, to 40.3% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 27.1%) (Table 59). Among selected counties, the estimated prevalence ranged from 16.3% in Webb County, Texas, to 40.1% in Fayette County, Pennsylvania (median: 26.1%) (Table 60).

Current Asthma

Respondents aged ≥18 years were categorized as currently having asthma if they reported having ever been told by a doctor, nurse, or other health-care professional that they had asthma and still had it during the survey. In 2007, among adults aged ≥18 years, the estimated prevalence of current asthma ranged from 5.4% in the U.S. Virgin Islands to 10.3% in Maine (median: 8.3%) (Table 61). Among selected MMSAs, the estimated prevalence of current asthma ranged from 3.6% in Brownsville-Harlingen, Texas, and 3.6% in Cape Coral-Fort Myers, Florida, to 13.2% in Bangor, Maine (median: 8.1%) (Table 62). Among selected counties, the estimated prevalence ranged from 3.4% in Nassau County, New York, to 13.2% in Penobscot County, Maine, and 13.2% in Westchester County, New York (median: 8.0%) (Table 63).

Disability or Health Impairment

Activity Limitation

Respondents aged ≥18 years were categorized as having activity limitation if they reported any limitation of activities because of physical, mental, or emotional problems. In 2007, among adults aged ≥18 years, the estimated prevalence of limitations in activities because of physical, mental, or emotional problems ranged from 10.3% in the U.S. Virgin Islands to 25.9% in West Virginia (median: 18.8%) (Table 64). Among selected MMSAs, the estimated prevalence ranged from 13.0% in Nogales, Arizona, to 32.3% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 18.7%) (Table 65). Among selected counties, the estimated prevalence ranged from 9.4% in DuPage County, Illinois, to 31.4% in Mobile County, Alabama (median: 18.3%) (Table 66).

Special Equipment Requirement

Respondents aged ≥18 years were categorized as using special equipment because of a health problem if they used a cane, wheelchair, special bed, or special telephone occasionally or in certain circumstances. In 2007, among adults aged ≥18 years, the estimated prevalence who reported requiring special equipment because of a health problem ranged from 3.1% in the U.S. Virgin Islands to 9.5% in Alabama (median: 7.1%) (Table 67). Among selected MMSAs, the estimated prevalence ranged from 3.0% in Fargo, North Dakota-Minnesota, to 14.4% in Mobile, Alabama (median: 6.4%) (Table 68). Among selected counties, the estimated prevalence ranged from 2.7% in Alexandria City, Virginia, to 14.4% in Mobile County, Alabama (median: 6.4%) (Table 69).

Discussion

The findings in this report indicate wide variations in the estimated prevalence of health-risk behaviors, chronic diseases, and use of preventative health practices and services among U.S. adults at the state and territory, MMSA, and county levels. These variations might reflect differences in the demographic factors of respondents, including age, race, and sex distribution of the population; socioeconomic conditions including education level attained, income level and employment status; state laws and local ordinances; availability and access to health-care services; use of preventive health-care services; and patterns of reimbursement for preventive services. The results provided in this report were estimated on the basis of survey results and might differ from those derived by other methods.

The HP 2010 objectives established goals for certain health behaviors to be attained by 2010 (4). The data presented in this report can be compared with the goals of HP 2010 (Table 70). Some findings indicate that certain HP 2010 goals have not been attained. For example, in 2007, no state and territory, MMSA, or county achieved the HP 2010 goals for health-care coverage, vaccination against influenza or pneumococcal disease, high blood pressure, or high blood cholesterol.

Health Indicators

Although measured by a single question, self-reported health status encompasses physical health, mental health, and functional capacity of persons (10). It is a proxy indicator for perceived burden of acute and chronic health conditions (11). Large variations in fair or poor health at the state and local level suggest differences in the underlying burden of chronic diseases, health-care coverage, and health behaviors among states and territories, MMSAs, and counties.

The HP 2010 objective for health-care coverage is 100% (4). Lack of health-care coverage might have an adverse impact on health because it is associated with access to and use of preventive health-care services that include blood pressure, cholesterol, and cancer screenings (e.g., mammography, and Pap test) (12). In 2007, no state and territory, MMSA, or county achieved the HP 2010 objective of 100% health-care coverage.

Preventive Practices

The risks for complications, hospitalizations, and deaths from influenza and pneumonia are highest among persons aged ≥65 years (13,14). Influenza and pneumonia vaccination among older adults (aged ≥65) is a key public health strategy in the United States (15). The HP 2010 target for adults aged ≥65 who had annual influenza vaccination is 90% and the HP 2010 target for adults aged ≥65 who had annual vaccination against pneumococcal disease is 90% (4). In 2007, no state and territory or county met the HP 2010 target of 90% (4). The reasons for inadequate coverage include lack of knowledge, misconceptions about vaccines and vaccine-associated illness, and lack of recommendations by physicians (16,17). The strategies offered by the Task Force on Community Preventive Services to improve immunization among adults can be employed at the state and local levels (18).

Health-Risk Behaviors

Substituting fruits and vegetables for higher-calorie foods can help maintain healthy weight and reduce the risk for chronic diseases and certain cancers (19,20). The Dietary Guidelines for Americans, released in January 2005 (20), changed fruit and vegetable recommendations for all Americans from 5 to 9 servings per day to 5 to 13 servings per day. BRFSS still uses 5 servings as a measure of fruit or vegetable daily consumption. In 2007, the prevalence of 5 servings of fruit and vegetable daily consumption ranged from 14% to 33%, indicating a need to increase public awareness of the overall benefits of fruits and vegetables. In addition, sustained and effective public health efforts are needed to promote the importance of to eating more fruits and vegetables (21).

One of the HP 2010 goals is to increase prevalence of moderate physical activity to 50% and vigorous physical activity to 30% (4). Despite the proven benefit of physical activity (22), prevalence of moderate and vigorous physical activity is still low. In 2007, approximately 50% of states and territories, MMSAs, and counties had not met the HP 2010 goal for physical activity. Recommended strategies to increase physical activity include communitywide campaigns, signage to encourage stair use near elevators and escalators, individually adapted health-behavior change programs, school physical education, social support interventions in community settings, and the creation of or enhanced access to places for physical activity combined with informational outreach activities (23). According to the 2008 Physical Activity Guidelines for Americans, in addition to conducting muscle strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms), adults should do at least 2 hours and 30 minutes of moderate aerobic exercise (i.e., brisk walking) every week or 1 hour and 15 minutes of vigorous aerobic exercise (i.e., jogging or running) every week (24).

Cigarette smoking is the single most preventable cause of morbidity and mortality in the United States (25). Smoking causes many types of cancer, cardiovascular and pulmonary diseases (25). Health consequences of secondhand smoke include pediatric respiratory problems, cardiovascular disease, and lung cancer in adults (26). Only two states, five MMSAs, and 22 counties met the HP 2010 target for smoking (12%) (4). These results indicate a need for continued implementation of comprehensive tobacco-control programs at the state and local levels (27).

Excessive alcohol consumption is a leading preventable cause of death in the United States (28). Binge and heavy drinking can lead to risky sexual activity, unintentional injuries, falls, violence, and suicide (29,30). The HP 2010 target is to reduce binge drinking to 13.4% (4). Only 15 states met the national target for binge drinking. The estimated prevalence for heavy drinking ranged from 1.2% in Davis County, Utah, to 11.6% in St. Johns County, Florida. It is necessary to initiate and strengthen population-based prevention efforts to reduce binge and heavy drinking.

Chronic Health Conditions

Chronic health conditions are also the targets of national health goals (4). Overweight and obesity continues to be a critical public health problem (31,32). In 2007, the estimated prevalence of overweight among states and territories ranged from 33% to 40% and obesity (aged ≥20) ranged from 20% to 34%. The HP 2010 target is to reduce the proportion of adults (aged ≥20) who are obese to 15%. No state or territory, only three MMSAs, and four counties met the HP 2010 target of obesity. Moreover, the estimated prevalence of obesity for counties during 2007 (14% to 38%) did not change substantially from 2006 (10% to 37%) and 2005 (15% to 33%). Extensive public health programs that target healthy life styles are necessary to control overweight and obesity at the state and local levels (33).

Persons with diabetes are more likely to develop cardiovascular disease, high blood pressure, high cholesterol, and complications during pregnancy (34). These diseases and conditions can be prevented by controlling blood glucose through healthy eating, physical activity, medication and receiving proper preventive services (34). The estimated prevalence of diabetes among persons aged ≥18 ranged from 5% to 13% among states and territories.

Heart disease and stroke are the first and third leading causes of death, respectively, in the United States (35). High blood pressure and high blood cholesterol are important modifiable risk factors for cardiovascular disease (36). High blood pressure and high cholesterol are relatively easy to monitor and should be maintained at an optimal level (37,38). In 2007, no state and territory, MMSA, or county met the HP 2010 target for reducing the proportion of adults with high blood pressure (14%) and the proportion of adults with high blood cholesterol (17%). The findings in this report indicate a need for more public health efforts to reduce high blood pressure and high blood cholesterol. Population-level approaches to prevent or control high blood pressure include engaging in moderate physical activity; maintaining normal body weight; limiting consumption of alcohol; reducing intake of sodium; maintaining adequate intake of potassium; and consuming a diet rich in fruits, vegetables, and low-fat dairy products (39). Strategies suggested by National High Blood Pressure Education Program (38) and National Cholesterol Education Program (37) can be applied at the state and local levels to help reduce high blood pressure and high blood cholesterol.

Asthma is a major cause of morbidity in the United States (40). However, most asthma symptoms can be prevented with appropriate medication, medical care, and self-management. Guidelines to control asthma are provided by the National Asthma Education and Prevention Program (41). In 2007, the estimated current asthma prevalence among persons aged ≥18 years ranged from 3.4% in Nassau County, New York to 13.2% in Penobscot County, Maine and Westchester County, New York.

Arthritis continued to be the most common cause of disability (42) in the United States. In 2007, the estimated prevalence for arthritis ranged from 5% to 10% for states and territories, and from 3% to 13% for MMSAs and counties. Strategies to reduce the burden of arthritis among persons include being more physically active, controlling weight, and learning self-management techniques (e.g., those developed by Arthritis Foundation Self-Help Program or Chronic Disease Self-Management Program) (43).

Disability or Health Impairment

Disabilities or health impairment caused by limitation in activities because of physical, mental, or emotional problems severely affect quality of life (44). Persons with disability are less likely to use preventive health services, to have lower health-care costs, to participate in health behaviors (e.g., physical activity, smoking), and are more likely to have higher rates of chronic conditions (e.g., diabetes, obesity, hypertension) compared with persons without disability (45). In 2007, the estimated prevalence of special equipment usage (e.g., a cane, wheelchair, special bed or special telephone) because of any health problem ranged from 3% to 10% for states and territories and from 3% to 14% for MMSAs and counties. As the population ages and the prevalence of disabilities increases, it is essential to continue disability surveillance in the United States.

Limitations

The findings in this report are subject to at least four limitations. First, changes in telecommunication use (e.g., increases in the number of cell-phone only households and telephone number portability) continue to decrease the response rate to BRFSS. CDC has conducted research to evaluate 1) multiple mode data collection including address-based sampling frames and mail surveys, 2) online translations to reach households that speak a language other than English and Spanish, and 3) advance letters distribution. In 2008, BRFSS conducted a cell phone pilot study in 21 states to assess how BRFSS could access persons who had cell phones but no landline, and to produce samples that better represent the population. In 2009, all states plan to incorporate cell phone-only household surveys along with landline surveys.

Second, BRFSS does not collect information from persons in institutions, nursing homes, long-term--care facilities, and correctional institutions. Third, BRFSS data are self-reported and are subject to recall bias and social desirability effects. Finally, estimates for some health indicators could not be obtained for all MMSAs and counties, and as a result these MMSAs and counties were not ranked on these health indicators. Despite these limitations, BRFSS is cost-effective and a timely survey that provides reliable and valid estimates (6,46) of health-risk behaviors, chronic diseases, and conditions and use of preventive services for states and local jurisdictions. BRFSS data are often the only data source of information available to communities to assess local health conditions and to evaluate effectiveness of interventions.

Conclusion

The results in this report indicate a need to continue to monitor health-risk behaviors, chronic conditions and use preventive health services at state and local levels. Results from BRFSS are used to identify emerging health problems, to support health-related legislative efforts, to develop and evaluate public health policies and programs, and to monitor progress toward achieving HP 2010 objectives.

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TABLE 1. Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by state/territory --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

State/Territory

Sample size

%

SE*

95% CI

Alabama

7,221

21.4

0.7

(20.0--22.8)

Alaska

2,539

13.8

1.1

(11.6--16.0)

Arizona

4,699

17.3

1.1

(15.1--19.5)

Arkansas

5,721

20.1

0.6

(18.9--21.3)

California

5,690

17.9

0.7

(16.5--19.3)

Colorado

11,870

13.2

0.4

(12.4--14.0)

Connecticut

7,471

12.2

0.6

(11.0--13.4)

Delaware

3,986

13.0

0.7

(11.6--14.4)

District of Columbia

3,924

13.5

0.7

(12.1--14.9)

Florida

39,366

16.6

0.4

(15.8--17.4)

Georgia

7,629

15.8

0.6

(14.6--17.0)

Hawaii

6,597

14.7

0.6

(13.5--15.9)

Idaho

5,303

14.9

0.6

(13.7--16.1)

Illinois

5,233

17.3

0.7

(15.9--18.7)

Indiana

5,976

15.8

0.6

(14.6--17.0)

Iowa

5,413

12.4

0.5

(11.4--13.4)

Kansas

8,472

13.0

0.4

(12.2--13.8)

Kentucky

6,884

23.1

0.7

(21.7--24.5)

Louisiana

6,652

19.0

0.6

(17.8--20.2)

Maine

6,810

13.5

0.5

(12.5--14.5)

Maryland

8,735

14.1

0.5

(13.1--15.1)

Massachusetts

21,235

12.7

0.3

(12.1--13.3)

Michigan

7,482

14.4

0.5

(13.4--15.4)

Minnesota

4,771

11.0

0.5

(10.0--12.0)

Mississippi

7,781

21.4

0.6

(20.2--22.6)

Missouri

5,258

17.1

0.7

(15.7--18.5)

Montana

5,951

14.4

0.6

(13.2--15.6)

Nebraska

10,918

12.1

0.5

(11.1--13.1)

Nevada

4,118

17.3

0.9

(15.5--19.1)

New Hampshire

5,956

12.7

0.5

(11.7--13.7)

New Jersey

7,146

17.1

0.7

(15.7--18.5)

New Mexico

6,599

17.5

0.6

(16.3--18.7)

New York

6,506

17.2

0.6

(16.0--18.4)

North Carolina

14,717

18.7

0.5

(17.7--19.7)

North Dakota

4,738

12.5

0.6

(11.3--13.7)

Ohio

11,144

15.8

0.5

(14.8--16.8)

Oklahoma

7,407

19.2

0.6

(18.0--20.4)

Oregon

4,938

13.1

0.6

(11.9--14.3)

Pennsylvania

13,204

15.2

0.6

(14.0--16.4)

Rhode Island

4,454

15.1

0.8

(13.5--16.7)

South Carolina

10,338

16.3

0.5

(15.3--17.3)

South Dakota

6,851

12.5

0.5

(11.5--13.5)

Tennessee

5,023

20.5

0.8

(18.9--22.1)

Texas

17,100

19.6

0.5

(18.6--20.6)

Utah

5,063

10.9

0.6

(9.7--12.1)

Vermont

6,926

11.6

0.5

(10.6--12.6)

Virginia

6,139

14.2

0.7

(12.8--15.6)

Washington

25,820

13.3

0.3

(12.7--13.9)

West Virginia

4,431

21.6

0.7

(20.2--23.0)

Wisconsin

7,424

12.5

0.5

(11.5--13.5)

Wyoming

6,150

12.7

0.5

(11.7--13.7)

Guam

653

20.9

1.8

(17.4--24.4)

Puerto Rico

3,931

32.2

0.9

(30.4--34.0)

Virgin Islands

2,525

15.2

0.8

(13.6--16.8)

Median

15.2

Range

10.9-32.2

* Standard error.

Confidence interval.


TABLE 2. Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Akron, Ohio

856

14.9

1.5

(11.9--17.8)

Albuquerque, New Mexico

1,959

15.1

1.1

(12.9--17.2)

Allentown-Bethlehem-Easton, Pennsylvania-New Jersey

646

13.6

2.7

(8.3--18.8)

Anchorage, Alaska

511

14.2

1.9

(10.4--17.9)

Arcadia, Florida

781

21.3

3.7

(14.0--28.5)

Asheville, North Carolina

853

19.7

1.7

(16.3--23.0)

Atlanta-Sandy Springs-Marietta, Georgia

3,041

11.7

0.9

(9.9--13.4)

Augusta-Richmond County, Georgia-South Carolina

1,112

13.6

1.2

(11.2--15.9)

Augusta-Waterville, Maine

548

15.6

1.9

(11.8--19.3)

Austin-Round Rock, Texas

1,399

12.6

1.3

(10.0--15.1)

Baltimore-Towson, Maryland

3,114

14.5

0.9

(12.7--16.2)

Bangor, Maine

658

13.8

1.5

(10.8--16.7)

Barnstable Town, Massachusetts

577

10.3

1.4

(7.5--13.0)

Barre, Vermont

695

9.8

1.2

(7.4--12.1)

Baton Rouge, Louisiana

892

15.4

1.4

(12.6--18.1)

Bellingham, Washington

1,173

12.3

1.2

(9.9--14.6)

Bethesda-Gaithersburg-Frederick, Maryland§

1,629

11.7

1.1

(9.5--13.8)

Billings, Montana

499

14.0

1.7

(10.6--17.3)

Birmingham-Hoover, Alabama

1,309

19.3

1.5

(16.3--22.2)

Bismarck, North Dakota

680

12.1

1.3

(9.5--14.6)

Boise City-Nampa, Idaho

1,264

13.2

1.1

(11.0--15.3)

Boston-Quincy, Massachusetts§

4,471

13.9

0.8

(12.3--15.4)

Boulder, Colorado

733

7.6

1.4

(4.8--10.3)

Bremerton-Silverdale, Washington

1,006

12.3

1.2

(9.9--14.6)

Bridgeport-Stamford-Norwalk, Connecticut

2,273

12.3

1.3

(9.7--14.8)

Brownsville-Harlingen, Texas

618

27.6

2.2

(23.2--31.9)

Buffalo-Cheektowaga-Tonawanda, New York

505

15.6

1.8

(12.0--19.1)

Burlington-South Burlington, Vermont

1,970

8.0

0.6

(6.8--9.1)

Cambridge-Newton-Framingham, Massachusetts§

3,922

9.9

0.7

(8.5--11.2)

Camden, New Jersey§

995

18.2

1.9

(14.4--21.9)

Canton-Massillon, Ohio

824

15.4

1.5

(12.4--18.3)

Cape Coral-Fort Myers, Florida

561

14.6

1.8

(11.0--18.1)

Casper, Wyoming

758

11.4

1.3

(8.8--13.9)

Charleston, West Virginia

779

21.2

1.6

(18.0--24.3)

Charleston-North Charleston, South Carolina

1,268

10.8

1.0

(8.8--12.7)

Charlotte-Gastonia-Concord, North Carolina-South Carolina

2,103

15.1

1.0

(13.1--17.0)

Chattanooga, Tennessee-Georgia

870

23.6

1.9

(19.8--27.3)

Cheyenne, Wyoming

908

13.0

1.3

(10.4--15.5)

Chicago-Naperville-Joliet, Illinois-Indiana-Wisconsin

3,814

16.5

0.9

(14.7--18.2)

Cincinnati-Middletown, Ohio-Kentucky-Indiana

1,844

15.0

1.0

(13.0--16.9)

Cleveland-Elyria-Mentor, Ohio

1,220

14.4

1.2

(12.0--16.7)

Clewiston, Florida

592

19.4

2.4

(14.6--24.1)

Colorado Springs, Colorado

1,503

11.2

0.9

(9.4--12.9)

Columbia, South Carolina

1,074

14.5

1.3

(11.9--17.0)

Columbus, Ohio

1,575

14.1

1.1

(11.9--16.2)

Concord, New Hampshire

647

9.0

1.2

(6.6--11.3)

Dallas-Plano-Irving, Texas§

1,557

15.6

1.3

(13.0--18.1)

Dayton, Ohio

915

17.8

1.8

(14.2--21.3)

Deltona-Daytona Beach-Ormond Beach, Florida

515

17.4

2.1

(13.2--21.5)

Denver-Aurora, Colorado

5,486

12.5

0.6

(11.3--13.6)

Des Moines-West Des Moines, Iowa

974

11.5

1.1

(9.3--13.6)

Detroit-Livonia-Dearborn, Michigan§

1,652

18.3

1.3

(15.7--20.8)

Dover, Delaware

1,352

13.7

1.0

(11.7--15.6)

Durham, North Carolina

795

14.7

1.9

(10.9--18.4)

Edison, New Jersey§

1,397

13.3

1.4

(10.5--16.0)

El Paso, Texas

1,511

23.6

1.3

(21.0--26.1)

Essex County, Massachusetts§

2,945

14.4

1.0

(12.4--16.3)

Fargo, North Dakota-Minnesota

730

7.3

1.3

(4.7--9.8)

Farmington, New Mexico

681

17.2

1.8

(13.6--20.7)

Fayetteville, North Carolina

499

20.3

2.3

(15.7--24.8)

Fayetteville-Springdale-Rogers, Arkansas-Missouri

733

14.4

1.5

(11.4--17.3)

Fort Collins-Loveland, Colorado

759

10.7

1.4

(7.9--13.4)

Fort Smith, Arkansas-Oklahoma

514

23.2

2.4

(18.4--27.9)

Fort Worth-Arlington, Texas§

1,394

15.6

1.1

(13.4--17.7)

Gainesville, Florida

1,077

11.2

1.5

(8.2--14.1)


TABLE 2. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Grand Island, Nebraska

566

16.4

1.7

(13.0--19.7)

Grand Rapids-Wyoming, Michigan

507

10.9

1.4

(8.1--13.6)

Greeley, Colorado

536

13.9

1.8

(10.3--17.4)

Greensboro-High Point, North Carolina

826

17.0

1.7

(13.6--20.3)

Greenville, South Carolina

885

16.1

1.6

(12.9--19.2)

Gulfport-Biloxi, Mississippi

502

18.6

2.0

(14.6--22.5)

Hagerstown-Martinsburg, Maryland-West Virginia

707

16.1

1.7

(12.7--19.4)

Hartford-West Hartford-East Hartford, Connecticut

2,358

11.0

0.9

(9.2--12.7)

Hickory-Morganton-Lenoir, North Carolina

864

21.7

1.9

(17.9--25.4)

Hilo, Hawaii

1,519

17.5

1.2

(15.1--19.8)

Hilton Head Island-Beaufort, South Carolina

940

10.5

1.3

(7.9--13.0)

Homosassa Springs, Florida

576

19.0

2.2

(14.6--23.3)

Honolulu, Hawaii

2,918

14.0

0.8

(12.4--15.5)

Houston-Sugar Land-Baytown, Texas

1,551

18.3

1.5

(15.3--21.2)

Huntington-Ashland, West Virginia-Kentucky-Ohio

600

31.2

2.7

(25.9--36.4)

Idaho Falls, Idaho

505

15.1

2.0

(11.1--19.0)

Indianapolis-Carmel, Indiana

1,577

13.7

1.2

(11.3--16.0)

Jackson, Mississippi

1,159

17.2

1.3

(14.6--19.7)

Jacksonville, Florida

4,004

15.6

0.8

(14.0--17.1)

Kahului-Wailuku, Hawaii

1,510

14.3

1.3

(11.7--16.8)

Kalispell, Montana

552

15.1

1.9

(11.3--18.8)

Kansas City, Missouri-Kansas

3,360

13.1

0.8

(11.5--14.6)

Kapaa, Hawaii

650

15.7

1.9

(11.9--19.4)

Kennewick-Richland-Pasco, Washington

681

14.2

1.6

(11.0--17.3)

Key West-Marathon, Florida

504

18.4

4.8

(8.9--27.8)

Kingsport-Bristol, Tennessee-Virginia

593

22.7

2.2

(18.3--27.0)

Lake Charles, Louisiana

537

16.2

1.8

(12.6--19.7)

Lake City, Florida

588

19.1

2.3

(14.5--23.6)

Lakeland-Winter Haven, Florida

521

19.0

1.9

(15.2--22.7)

Laredo, Texas

506

30.6

3.0

(24.7--36.4)

Las Cruces, New Mexico

713

20.1

1.8

(16.5--23.6)

Las Vegas-Paradise, Nevada

1,367

17.5

1.2

(15.1--19.8)

Lebanon, New Hampshire-Vermont

1,610

11.8

1.0

(9.8--13.7)

Lewiston, Idaho-Washington

521

19.9

2.0

(15.9--23.8)

Lincoln, Nebraska

712

7.2

1.0

(5.2--9.1)

Little Rock-North Little Rock, Arkansas

1,248

16.0

1.3

(13.4--18.5)

Los Angeles-Long Beach-Glendale, California§

869

22.2

1.9

(18.4--25.9)

Louisville, Kentucky-Indiana

863

17.1

1.5

(14.1--20.0)

Manchester-Nashua, New Hampshire

1,436

12.2

1.0

(10.2--14.1)

McAllen-Edinburg-Mission, Texas

948

29.1

2.0

(25.1--33.0)

Memphis, Tennessee-Mississippi-Arkansas

987

14.4

1.5

(11.4--17.3)

Miami-Fort Lauderdale-Miami Beach, Florida

1,171

18.5

1.4

(15.7--21.2)

Milwaukee-Waukesha-West Allis, Wisconsin

1,542

11.7

1.2

(9.3--14.0)

Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin

2,744

10.6

0.7

(9.2--11.9)

Mobile, Alabama

582

28.1

2.7

(22.8--33.3)

Montgomery, Alabama

514

19.5

2.3

(14.9--24.0)

Myrtle Beach-Conway-North Myrtle Beach, South Carolina

910

15.6

1.5

(12.6--18.5)

Naples-Marco Island, Florida

816

15.4

1.7

(12.0--18.7)

Nashville-Davidson-Murfreesboro, Tennessee

610

15.8

2.0

(11.8--19.7)

Nassau-Suffolk, New York§

813

10.2

1.2

(7.8--12.5)

Newark-Union, New Jersey-Pennsylvania§

1,989

15.6

1.2

(13.2--17.9)

New Haven-Milford, Connecticut

1,790

12.7

1.0

(10.7--14.6)

New Orleans-Metairie-Kenner, Louisiana

1,240

17.7

1.4

(14.9--20.4)

New York-White Plains-Wayne, New York-New Jersey§

3,392

19.4

1.0

(17.4--21.3)

Nogales, Arizona

519

19.6

3.5

(12.7--26.4)

Norwich-New London, Connecticut

499

13.8

2.1

(9.6--17.9)

Ocala, Florida

629

19.5

2.0

(15.5--23.4)

Ogden-Clearfield, Utah

840

8.3

1.0

(6.3--10.2)

Okeechobee, Florida

726

24.8

2.5

(19.9--29.7)

Oklahoma City, Oklahoma

2,278

17.2

0.9

(15.4--18.9)

Olympia, Washington

1,878

12.0

0.8

(10.4--13.5)

Omaha-Council Bluffs, Nebraska-Iowa

1,546

11.9

1.2

(9.5--14.2)

Orlando-Kissimmee, Florida

2,692

17.6

1.3

(15.0--20.1)

Palm Bay-Melbourne-Titusville, Florida

556

17.3

2.0

(13.3--21.2)

Palm Coast, Florida

536

13.9

1.9

(10.1--17.6)


TABLE 2. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Panama City-Lynn Haven, Florida

546

19.8

2.5

(14.9--24.7)

Pensacola-Ferry Pass-Brent, Florida

1,028

15.8

1.3

(13.2--18.3)

Philadelphia, Pennsylvania§

2,873

13.9

1.0

(11.9--15.8)

Phoenix-Mesa-Scottsdale, Arizona

1,283

17.2

1.8

(13.6--20.7)

Pittsburgh, Pennsylvania

2,959

14.9

1.2

(12.5--17.2)

Portland-South Portland-Biddeford, Maine

2,100

11.2

0.8

(9.6--12.7)

Portland-Vancouver-Beaverton, Oregon-Washington

3,972

12.5

0.7

(11.1--13.8)

Port St. Lucie-Fort Pierce, Florida

1,078

17.0

1.5

(14.0--19.9)

Providence-New Bedford-Fall River, Rhode Island-Massachusetts

8,062

14.6

0.6

(13.4--15.7)

Provo-Orem, Utah

583

8.9

1.4

(6.1--11.6)

Raleigh-Cary, North Carolina

1,086

13.5

1.6

(10.3--16.6)

Rapid City, South Dakota

979

11.1

1.2

(8.7--13.4)

Reno-Sparks, Nevada

1,401

15.0

1.2

(12.6--17.3)

Richmond, Virginia

855

15.0

1.6

(11.8--18.1)

Riverside-San Bernardino-Ontario, California

684

17.0

2.0

(13.0--20.9)

Riverton, Wyoming

503

15.4

1.8

(11.8--18.9)

Rockingham County-Strafford County, New Hampshire§

1,612

12.9

1.0

(10.9--14.8)

Rutland, Vermont

684

12.7

1.5

(9.7--15.6)

St. Louis, Missouri-Illinois

1,571

15.5

1.2

(13.1--17.8)

Salt Lake City, Utah

2,145

11.4

0.9

(9.6--13.1)

San Antonio, Texas

1,412

17.4

1.3

(14.8--19.9)

San Diego-Carlsbad-San Marcos, California

512

13.9

2.1

(9.7--18.0)

San Francisco-Oakland-Fremont, California

780

12.7

1.5

(9.7--15.6)

Santa Fe, New Mexico

524

14.8

2.1

(10.6--18.9)

Sarasota-Bradenton-Venice, Florida

1,331

14.8

1.5

(11.8--17.7)

Scranton-Wilkes-Barre, Pennsylvania

2,522

15.1

1.4

(12.3--17.8)

Seaford, Delaware

1,236

16.6

1.2

(14.2--18.9)

Seattle-Bellevue-Everett, Washington§

7,174

11.6

0.5

(10.6--12.5)

Sebring, Florida

764

20.1

2.6

(15.0--25.1)

Sioux City, Iowa-Nebraska-South Dakota

889

16.1

2.4

(11.3--20.8)

Sioux Falls, South Dakota

978

9.1

1.0

(7.1--11.0)

Spokane, Washington

1,373

12.9

1.1

(10.7--15.0)

Springfield, Massachusetts

2,558

12.2

0.8

(10.6--13.7)

Tacoma, Washington§

1,903

17.3

1.3

(14.7--19.8)

Tallahassee, Florida

2,096

13.3

1.2

(10.9--15.6)

Tampa-St. Petersburg-Clearwater, Florida

2,181

17.5

1.3

(14.9--20.0)

Toledo, Ohio

988

17.9

1.8

(14.3--21.4)

Topeka, Kansas

783

13.2

1.3

(10.6--15.7)

Tucson, Arizona

741

15.9

1.7

(12.5--19.2)

Tulsa, Oklahoma

2,096

16.0

1.0

(14.0--17.9)

Tuscaloosa, Alabama

540

17.8

2.2

(13.4--22.1)

Virginia Beach-Norfolk-Newport News, Virginia-North Carolina

1,148

12.4

1.6

(9.2--15.5)

Warren-Troy-Farmington Hills, Michigan§

1,495

14.1

1.1

(11.9--16.2)

Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§

6,756

12.3

0.9

(10.5--14.0)

Wauchula, Florida

690

21.2

3.7

(13.9--28.4)

Wenatchee, Washington

1,077

13.1

1.4

(10.3--15.8)

West Palm Beach-Boca Raton-Boynton Beach, Florida§

549

10.1

1.5

(7.1--13.0)

Wichita, Kansas

1,560

12.8

1.0

(10.8--14.7)

Wilmington, Delaware-Maryland-New Jersey§

1,768

12.9

0.9

(11.1--14.6)

Wilmington, North Carolina

615

18.1

2.0

(14.1--22.0)

Worcester, Massachusetts

2,713

10.7

0.8

(9.1--12.2)

Yakima, Washington

752

21.3

1.9

(17.5--25.0)

Youngstown-Warren-Boardman, Ohio-Pennsylvania

1,037

17.2

2.0

(13.2--21.1)

Yuma, Arizona

564

20.6

2.0

(16.6--24.5)

Median

15.0

Range

7.2--31.2

* Standard error.

Confidence interval.

§ Metropolitan division.


TABLE 3. Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Jefferson County, Alabama

659

18.9

2.2

(14.5--23.2)

Mobile County, Alabama

582

28.1

2.7

(22.8--33.3)

Montgomery County, Alabama

350

19.1

2.9

(13.4--24.7)

Tuscaloosa County, Alabama

433

15.8

2.3

(11.2--20.3)

Anchorage Municipality, Alaska

371

12.7

2.2

(8.3--17.0)

Maricopa County, Arizona

887

16.7

1.8

(13.1--20.2)

Pima County, Arizona

741

15.9

1.7

(12.5--19.2)

Pinal County, Arizona

396

15.8

2.4

(11.0--20.5)

Santa Cruz County, Arizona

519

19.6

3.5

(12.7--26.4)

Yuma County, Arizona

564

20.6

2.0

(16.6--24.5)

Benton County, Arkansas

356

17.0

2.2

(12.6--21.3)

Pulaski County, Arkansas

684

14.0

1.5

(11.0--16.9)

Washington County, Arkansas

331

14.0

2.4

(9.2--18.7)

Alameda County, California

260

13.6

2.5

(8.7--18.5)

Los Angeles County, California

869

22.2

1.9

(18.4--25.9)

Riverside County, California

353

16.5

2.7

(11.2--21.7)

San Bernardino County, California

331

14.9

2.4

(10.1--19.6)

San Diego County, California

512

13.9

2.1

(9.7--18.0)

Adams County, Colorado

795

17.8

1.7

(14.4--21.1)

Arapahoe County, Colorado

1,195

11.0

1.1

(8.8--13.1)

Boulder County, Colorado

733

7.6

1.4

(4.8--10.3)

Denver County, Colorado

1,226

16.2

1.4

(13.4--18.9)

Douglas County, Colorado

598

6.8

1.3

(4.2--9.3)

El Paso County, Colorado

1,423

11.5

1.0

(9.5--13.4)

Jefferson County, Colorado

1,392

10.4

1.0

(8.4--12.3)

Larimer County, Colorado

759

10.7

1.4

(7.9--13.4)

Weld County, Colorado

536

13.9

1.8

(10.3--17.4)

Fairfield County, Connecticut

2,273

12.3

1.3

(9.7--14.8)

Hartford County, Connecticut

1,741

11.3

1.0

(9.3--13.2)

Middlesex County, Connecticut

302

10.5

1.9

(6.7--14.2)

New Haven County, Connecticut

1,790

12.7

1.0

(10.7--14.6)

New London County, Connecticut

499

13.8

2.1

(9.6--17.9)

Tolland County, Connecticut

315

9.7

1.9

(5.9--13.4)

Kent County, Delaware

1,352

13.7

1.0

(11.7--15.6)

New Castle County, Delaware

1,398

11.5

1.0

(9.5--13.4)

Sussex County, Delaware

1,236

16.6

1.2

(14.2--18.9)

District of Columbia, District of Columbia

3,924

13.1

0.7

(11.7--14.4)

Alachua County, Florida

621

10.4

1.4

(7.6--13.1)

Baker County, Florida

555

18.6

2.1

(14.4--22.7)

Bay County, Florida

546

19.8

2.5

(14.9--24.7)

Brevard County, Florida

556

17.3

2.0

(13.3--21.2)

Broward County, Florida

558

16.5

2.0

(12.5--20.4)

Citrus County, Florida

576

19.0

2.2

(14.6--23.3)

Clay County, Florida

528

12.1

1.5

(9.1--15.0)

Collier County, Florida

816

15.4

1.7

(12.0--18.7)

Columbia County, Florida

588

19.1

2.3

(14.5--23.6)

DeSoto County, Florida

781

21.3

3.7

(14.0--28.5)

Duval County, Florida

1,811

16.6

1.1

(14.4--18.7)

Escambia County, Florida

529

17.2

1.8

(13.6--20.7)

Flagler County, Florida

536

13.9

1.9

(10.1--17.6)

Gadsden County, Florida

527

23.5

2.4

(18.7--28.2)

Gilchrist County, Florida

456

21.5

3.8

(14.0--28.9)

Hardee County, Florida

690

21.2

3.7

(13.9--28.4)

Hendry County, Florida

592

19.4

2.4

(14.6--24.1)

Hernando County, Florida

551

19.0

1.9

(15.2--22.7)

Highlands County, Florida

764

20.1

2.6

(15.0--25.1)

Hillsborough County, Florida

535

18.1

2.4

(13.3--22.8)

Jefferson County, Florida

441

18.4

2.7

(13.1--23.6)

Lake County, Florida

619

17.5

2.0

(13.5--21.4)

Lee County, Florida

561

14.6

1.8

(11.0--18.1)

Leon County, Florida

576

10.2

1.5

(7.2--13.1)

Manatee County, Florida

502

15.7

2.2

(11.3--20.0)


TABLE 3. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Marion County, Florida

629

19.5

2.0

(15.5--23.4)

Martin County, Florida

547

15.8

2.0

(11.8--19.7)

Miami-Dade County, Florida

613

19.6

1.9

(15.8--23.3)

Monroe County, Florida

504

18.4

4.8

(8.9--27.8)

Nassau County, Florida

545

15.6

1.8

(12.0--19.1)

Okeechobee County, Florida

726

24.8

2.5

(19.9--29.7)

Orange County, Florida

818

18.7

2.3

(14.1--23.2)

Osceola County, Florida

717

19.1

2.0

(15.1--23.0)

Palm Beach County, Florida

549

10.1

1.5

(7.1--13.0)

Pasco County, Florida

554

19.2

2.1

(15.0--23.3)

Pinellas County, Florida

541

14.9

1.8

(11.3--18.4)

Polk County, Florida

521

19.0

1.9

(15.2--22.7)

St. Johns County, Florida

565

14.7

2.3

(10.1--19.2)

St. Lucie County, Florida

531

17.1

2.1

(12.9--21.2)

Santa Rosa County, Florida

499

13.8

1.6

(10.6--16.9)

Sarasota County, Florida

829

14.1

2.0

(10.1--18.0)

Seminole County, Florida

538

13.5

1.7

(10.1--16.8)

Volusia County, Florida

515

17.4

2.1

(13.2--21.5)

Wakulla County, Florida

552

16.1

2.1

(11.9--20.2)

Clayton County, Georgia

338

11.9

2.1

(7.7--16.0)

Cobb County, Georgia

408

7.7

1.4

(4.9--10.4)

DeKalb County, Georgia

425

9.5

1.7

(6.1--12.8)

Fulton County, Georgia

407

9.9

1.9

(6.1--13.6)

Gwinnett County, Georgia

317

14.2

2.5

(9.3--19.1)

Hawaii County, Hawaii

1,519

17.5

1.2

(15.1--19.8)

Honolulu County, Hawaii

2,918

14.0

0.8

(12.4--15.5)

Kauai County, Hawaii

650

15.7

1.9

(11.9--19.4)

Maui County, Hawaii

1,510

14.3

1.3

(11.7--16.8)

Ada County, Idaho

649

11.4

1.4

(8.6--14.1)

Bonneville County, Idaho

390

13.5

2.0

(9.5--17.4)

Canyon County, Idaho

489

15.1

1.8

(11.5--18.6)

Nez Perce County, Idaho

274

19.4

2.6

(14.3--24.4)

Cook County, Illinois

1,655

18.2

1.2

(15.8--20.5)

DuPage County, Illinois

381

12.1

2.4

(7.3--16.8)

Lake County, Illinois

296

12.0

2.3

(7.4--16.5)

Lake County, Indiana

572

18.6

2.4

(13.8--23.3)

Marion County, Indiana

1,125

17.8

1.7

(14.4--21.1)

Polk County, Iowa

728

12.0

1.3

(9.4--14.5)

Johnson County, Kansas

1,546

7.8

0.8

(6.2--9.3)

Sedgwick County, Kansas

1,175

13.6

1.2

(11.2--15.9)

Shawnee County, Kansas

552

12.3

1.6

(9.1--15.4)

Wyandotte County, Kansas

350

16.1

2.3

(11.5--20.6)

Jefferson County, Kentucky

477

18.2

2.0

(14.2--22.1)

Calcasieu Parish, Louisiana

515

16.6

1.9

(12.8--20.3)

East Baton Rouge Parish, Louisiana

505

12.4

1.7

(9.0--15.7)

Jefferson Parish, Louisiana

422

20.9

2.3

(16.3--25.4)

Orleans Parish, Louisiana

295

16.3

2.7

(11.0--21.5)

St. Tammany Parish, Louisiana

333

14.9

2.7

(9.6--20.1)

Cumberland County, Maine

1,087

9.5

1.0

(7.5--11.4)

Kennebec County, Maine

548

15.6

1.9

(11.8--19.3)

Penobscot County, Maine

658

13.8

1.5

(10.8--16.7)

Sagadahoc County, Maine

279

13.1

2.4

(8.3--17.8)

York County, Maine

734

13.5

1.5

(10.5--16.4)

Anne Arundel County, Maryland

552

11.1

1.5

(8.1--14.0)


TABLE 3. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Baltimore County, Maryland

968

16.6

1.5

(13.6--19.5)

Charles County, Maryland

296

11.0

1.9

(7.2--14.7)

Frederick County, Maryland

538

12.5

1.8

(8.9--16.0)

Harford County, Maryland

301

14.3

2.3

(9.7--18.8)

Howard County, Maryland

339

6.9

1.4

(4.1--9.6)

Montgomery County, Maryland

1,091

11.5

1.2

(9.1--13.8)

Prince George´s County, Maryland

636

14.1

1.7

(10.7--17.4)

Queen Anne´s County, Maryland

255

11.4

2.2

(7.0--15.7)

Washington County, Maryland

439

16.1

2.0

(12.1--20.0)

Baltimore City, Maryland

497

15.1

1.8

(11.5--18.6)

Barnstable County, Massachusetts

577

10.3

1.4

(7.5--13.0)

Bristol County, Massachusetts

3,608

14.1

0.8

(12.5--15.6)

Essex County, Massachusetts

2,945

13.4

1.0

(11.4--15.3)

Hampden County, Massachusetts

1,990

14.4

1.1

(12.2--16.5)

Hampshire County, Massachusetts

360

8.4

1.6

(5.2--11.5)

Middlesex County, Massachusetts

3,922

9.5

0.7

(8.1--10.8)

Norfolk County, Massachusetts

1,254

11.7

1.1

(9.5--13.8)

Plymouth County, Massachusetts

833

11.1

1.3

(8.5--13.6)

Suffolk County, Massachusetts

2,384

16.6

1.3

(14.0--19.1)

Worcester County, Massachusetts

2,713

10.7

0.8

(9.1--12.2)

Kent County, Michigan

378

9.8

1.5

(6.8--12.7)

Macomb County, Michigan

410

17.2

2.2

(12.8--21.5)

Oakland County, Michigan

782

12.5

1.5

(9.5--15.4)

Wayne County, Michigan

1,652

18.3

1.3

(15.7--20.8)

Anoka County, Minnesota

270

11.3

2.0

(7.3--15.2)

Dakota County, Minnesota

348

12.4

2.4

(7.6--17.1)

Hennepin County, Minnesota

942

10.7

1.4

(7.9--13.4)

Ramsey County, Minnesota

413

10.9

1.8

(7.3--14.4)

DeSoto County, Mississippi

261

18.0

2.8

(12.5--23.4)

Harrison County, Mississippi

381

20.4

2.4

(15.6--25.1)

Hinds County, Mississippi

521

20.1

2.1

(15.9--24.2)

Rankin County, Mississippi

296

13.3

2.0

(9.3--17.2)

Jackson County, Missouri

496

14.6

1.7

(11.2--17.9)

St. Louis County, Missouri

458

14.0

1.9

(10.2--17.7)

St. Louis City, Missouri

469

20.0

2.5

(15.1--24.9)

Flathead County, Montana

552

15.1

1.9

(11.3--18.8)

Yellowstone County, Montana

446

14.1

1.9

(10.3--17.8)

Dakota County, Nebraska

481

16.8

2.0

(12.8--20.7)

Douglas County, Nebraska

602

12.3

1.6

(9.1--15.4)

Hall County, Nebraska

378

18.1

2.2

(13.7--22.4)

Lancaster County, Nebraska

550

7.3

1.1

(5.1--9.4)

Sarpy County, Nebraska

382

6.7

1.5

(3.7--9.6)

Clark County, Nevada

1,367

17.5

1.2

(15.1--19.8)

Washoe County, Nevada

1,378

15.2

1.2

(12.8--17.5)

Grafton County, New Hampshire

510

11.9

1.9

(8.1--15.6)

Hillsborough County, New Hampshire

1,436

12.2

1.0

(10.2--14.1)

Merrimack County, New Hampshire

647

9.0

1.2

(6.6--11.3)

Rockingham County, New Hampshire

993

11.1

1.1

(8.9--13.2)

Strafford County, New Hampshire

619

17.0

1.9

(13.2--20.7)

Bergen County, New Jersey

381

16.6

2.7

(11.3--21.8)

Burlington County, New Jersey

342

13.8

2.2

(9.4--18.1)

Camden County, New Jersey

322

21.0

2.8

(15.5--26.4)

Essex County, New Jersey

527

18.5

2.1

(14.3--22.6)

Gloucester County, New Jersey

331

14.0

2.1

(9.8--18.1)

Hudson County, New Jersey

566

26.3

2.6

(21.2--31.3)

Hunterdon County, New Jersey

365

7.9

1.4

(5.1--10.6)

Middlesex County, New Jersey

381

12.2

1.8

(8.6--15.7)

Monmouth County, New Jersey

327

10.6

1.6

(7.4--13.7)

Morris County, New Jersey

416

10.2

1.9

(6.4--13.9)

Ocean County, New Jersey

331

18.2

3.2

(11.9--24.4)

Passaic County, New Jersey

280

23.9

3.3

(17.4--30.3)

Somerset County, New Jersey

358

9.4

1.7

(6.0--12.7)

Sussex County, New Jersey

335

10.4

1.9

(6.6--14.1)

Union County, New Jersey

312

18.7

2.7

(13.4--23.9)

Warren County, New Jersey

304

13.7

2.5

(8.8--18.6)

Bernalillo County, New Mexico

1,100

15.0

1.3

(12.4--17.5)

Dona Ana County, New Mexico

713

20.1

1.8

(16.5--23.6)

Sandoval County, New Mexico

508

13.4

1.9

(9.6--17.1)

San Juan County, New Mexico

681

17.2

1.8

(13.6--20.7)

Santa Fe County, New Mexico

524

14.8

2.1

(10.6--18.9)

Valencia County, New Mexico

316

18.5

2.8

(13.0--23.9)

Erie County, New York

403

15.8

2.0

(11.8--19.7)


TABLE 3. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Kings County, New York

414

21.3

2.5

(16.4--26.2)

Nassau County, New York

378

9.8

1.8

(6.2--13.3)

New York County, New York

561

17.4

2.1

(13.2--21.5)

Queens County, New York

442

22.2

2.6

(17.1--27.2)

Suffolk County, New York

435

10.6

1.5

(7.6--13.5)

Westchester County, New York

279

10.2

2.1

(6.0--14.3)

Buncombe County, North Carolina

353

18.8

2.4

(14.0--23.5)

Cabarrus County, North Carolina

358

18.1

2.6

(13.0--23.1)

Catawba County, North Carolina

407

18.4

2.6

(13.3--23.4)

Cumberland County, North Carolina

378

21.2

2.6

(16.1--26.2)

Durham County, North Carolina

332

16.0

3.1

(9.9--22.0)

Gaston County, North Carolina

387

23.3

2.5

(18.4--28.2)

Guilford County, North Carolina

384

12.9

1.9

(9.1--16.6)

Henderson County, North Carolina

294

22.5

3.3

(16.0--28.9)

Johnston County, North Carolina

436

22.1

2.9

(16.4--27.7)

Mecklenburg County, North Carolina

679

11.6

1.4

(8.8--14.3)

New Hanover County, North Carolina

390

16.3

2.5

(11.4--21.2)

Orange County, North Carolina

346

15.7

3.3

(9.2--22.1)

Randolph County, North Carolina

373

19.7

2.2

(15.3--24.0)

Union County, North Carolina

375

13.8

2.0

(9.8--17.7)

Wake County, North Carolina

604

11.9

1.8

(8.3--15.4)

Burleigh County, North Dakota

498

11.9

1.5

(8.9--14.8)

Cass County, North Dakota

676

8.0

1.1

(5.8--10.1)

Cuyahoga County, Ohio

763

16.5

1.6

(13.3--19.6)

Franklin County, Ohio

752

14.6

1.4

(11.8--17.3)

Hamilton County, Ohio

828

14.1

1.4

(11.3--16.8)

Licking County, Ohio

252

16.9

2.7

(11.6--22.1)

Lucas County, Ohio

786

18.7

1.7

(15.3--22.0)

Mahoning County, Ohio

815

13.6

1.4

(10.8--16.3)

Montgomery County, Ohio

743

17.4

1.7

(14.0--20.7)

Stark County, Ohio

791

14.9

1.5

(11.9--17.8)

Summit County, Ohio

750

15.4

1.5

(12.4--18.3)

Canadian County, Oklahoma

249

11.0

2.2

(6.6--15.3)

Cleveland County, Oklahoma

412

15.0

2.3

(10.4--19.5)

Oklahoma County, Oklahoma

1,280

18.4

1.2

(16.0--20.7)

Tulsa County, Oklahoma

1,510

14.4

1.0

(12.4--16.3)

Clackamas County, Oregon

481

11.4

1.6

(8.2--14.5)

Multnomah County, Oregon

819

13.4

1.4

(10.6--16.1)

Washington County, Oregon

560

10.3

1.5

(7.3--13.2)

Allegheny County, Pennsylvania

643

13.4

1.5

(10.4--16.3)

Delaware County, Pennsylvania

274

15.7

2.4

(10.9--20.4)

Fayette County, Pennsylvania

1,628

23.3

2.2

(18.9--27.6)

Luzerne County, Pennsylvania

2,332

15.7

1.2

(13.3--18.0)

Montgomery County, Pennsylvania

336

8.8

1.5

(5.8--11.7)

Philadelphia County, Pennsylvania

1,820

18.0

1.9

(14.2--21.7)

Westmoreland County, Pennsylvania

294

12.7

2.3

(8.1--17.2)

Kent County, Rhode Island

652

16.9

1.9

(13.1--20.6)

Newport County, Rhode Island

359

15.2

2.2

(10.8--19.5)

Providence County, Rhode Island

2,716

15.8

0.9

(14.0--17.5)

Washington County, Rhode Island

516

11.3

2.5

(6.4--16.2)

Aiken County, South Carolina

686

13.7

1.4

(10.9--16.4)

Beaufort County, South Carolina

850

9.5

1.3

(6.9--12.0)

Berkeley County, South Carolina

325

11.0

1.8

(7.4--14.5)

Charleston County, South Carolina

690

10.2

1.8

(6.6--13.7)

Dorchester County, South Carolina

253

13.6

2.4

(8.8--18.3)

Greenville County, South Carolina

557

15.7

2.0

(11.7--19.6)

Horry County, South Carolina

910

15.6

1.5

(12.6--18.5)

Lexington County, South Carolina

331

11.3

1.9

(7.5--15.0)

Richland County, South Carolina

442

15.1

2.0

(11.1--19.0)

York County, South Carolina

280

12.9

2.1

(8.7--17.0)

Minnehaha County, South Dakota

727

9.0

1.1

(6.8--11.1)

Pennington County, South Dakota

769

11.6

1.4

(8.8--14.3)

Davidson County, Tennessee

285

16.4

2.8

(10.9--21.8)


TABLE 3. (Continued) Estimated prevalence of adults aged ≥18 years who reported fair or poor health, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Hamilton County, Tennessee

686

20.1

1.8

(16.5--23.6)

Shelby County, Tennessee

300

13.5

2.2

(9.1--17.8)

Sullivan County, Tennessee

424

24.2

2.5

(19.3--29.1)

Bexar County, Texas

1,056

17.3

1.5

(14.3--20.2)

Cameron County, Texas

618

27.6

2.2

(23.2--31.9)

Collin County, Texas

261

11.7

2.6

(6.6--16.7)

Dallas County, Texas

850

15.2

1.7

(11.8--18.5)

Denton County, Texas

256

12.7

2.5

(7.8--17.6)

El Paso County, Texas

1,511

23.6

1.3

(21.0--26.1)

Harris County, Texas

969

17.2

1.8

(13.6--20.7)

Hidalgo County, Texas

948

29.1

2.0

(25.1--33.0)

Tarrant County, Texas

1,146

13.6

1.1

(11.4--15.7)

Travis County, Texas

794

11.6

1.4

(8.8--14.3)

Webb County, Texas

506

30.6

3.0

(24.7--36.4)

Williamson County, Texas

361

10.4

1.9

(6.6--14.1)

Davis County, Utah

418

5.7

1.0

(3.7--7.6)

Salt Lake County, Utah

1,653

11.6

0.9

(9.8--13.3)

Tooele County, Utah

252

11.5

2.0

(7.5--15.4)

Utah County, Utah

549

8.8

1.4

(6.0--11.5)

Weber County, Utah

404

11.6

1.8

(8.0--15.1)

Chittenden County, Vermont

1,423

7.2

0.7

(5.8--8.5)

Franklin County, Vermont

465

11.1

1.5

(8.1--14.0)

Orange County, Vermont

374

12.9

2.0

(8.9--16.8)

Rutland County, Vermont

684

12.7

1.5

(9.7--15.6)

Washington County, Vermont

695

9.8

1.2

(7.4--12.1)

Windsor County, Vermont

726

12.7

1.4

(9.9--15.4)

Arlington County, Virginia

296

8.3

1.8

(4.7--11.8)

Fairfax County, Virginia

248

9.6

2.8

(4.1--15.0)

Prince William County, Virginia

278

17.2

3.9

(9.5--24.8)

Alexandria city, Virginia

262

10.3

3.1

(4.2--16.3)

Benton County, Washington

449

12.8

1.8

(9.2--16.3)

Chelan County, Washington

545

14.2

1.9

(10.4--17.9)

Clark County, Washington

1,702

12.8

1.0

(10.8--14.7)

Douglas County, Washington

532

10.7

1.5

(7.7--13.6)

King County, Washington

4,436

9.8

0.5

(8.8--10.7)

Kitsap County, Washington

1,006

12.3

1.2

(9.9--14.6)

Pierce County, Washington

1,903

16.4

1.2

(14.0--18.7)

Snohomish County, Washington

2,738

14.4

0.9

(12.6--16.1)

Spokane County, Washington

1,373

12.9

1.1

(10.7--15.0)

Thurston County, Washington

1,878

12.0

0.8

(10.4--13.5)

Whatcom County, Washington

1,173

12.3

1.2

(9.9--14.6)

Yakima County, Washington

752

21.3

1.9

(17.5--25.0)

Kanawha County, West Virginia

505

17.9

1.8

(14.3--21.4)

Milwaukee County, Wisconsin

1,187

13.5

1.6

(10.3--16.6)

Fremont County, Wyoming

503

15.4

1.8

(11.8--18.9)

Laramie County, Wyoming

908

13.0

1.3

(10.4--15.5)

Natrona County, Wyoming

758

11.4

1.3

(8.8--13.9)

Median

14.3

Range

5.7--30.6

* Standard error.

Confidence interval.


TABLE 4. Estimated prevalence of adults aged ≥18 years who have health care coverage,* by state/territory --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

State/Territory

Sample Size

%

SE

95% CI§

Alabama

7,225

85.3

0.8

(83.7--86.9)

Alaska

2,533

84.8

1.2

(82.4--87.2)

Arizona

4,711

81.9

1.4

(79.2--84.6)

Arkansas

5,711

79.7

0.8

(78.1--81.3)

California

5,682

84.2

0.7

(82.8--85.6)

Colorado

11,880

82.5

0.6

(81.3--83.7)

Connecticut

7,499

90.6

0.6

(89.4--91.8)

Delaware

3,983

92.3

0.7

(90.9--93.7)

District of Columbia

3,950

91.6

0.7

(90.2--93.0)

Florida

39,462

81.4

0.6

(80.2--82.6)

Georgia

7,677

82.9

0.7

(81.5--84.3)

Hawaii

6,596

94.0

0.5

(93.0--95.0)

Idaho

5,299

81.1

0.8

(79.5--82.7)

Illinois

5,232

84.9

0.8

(83.3--86.5)

Indiana

5,966

85.8

0.8

(84.2--87.4)

Iowa

5,412

89.5

0.7

(88.1--90.9)

Kansas

8,486

88.0

0.6

(86.8--89.2)

Kentucky

6,895

84.1

0.8

(82.5--85.7)

Louisiana

6,663

79.5

0.8

(77.9--81.1)

Maine

6,818

88.1

0.6

(86.9--89.3)

Maryland

8,810

87.3

0.7

(85.9--88.7)

Massachusetts

21,450

93.8

0.3

(93.2--94.4)

Michigan

7,490

87.8

0.6

(86.6--89.0)

Minnesota

4,772

91.5

0.7

(90.1--92.9)

Mississippi

7,798

80.7

0.7

(79.3--82.1)

Missouri

5,252

86.6

0.8

(85.0--88.2)

Montana

5,963

83.1

0.7

(81.7--84.5)

Nebraska

10,913

87.9

0.7

(86.5--89.3)

Nevada

4,106

79.2

1.2

(76.8--81.6)

New Hampshire

5,979

88.3

0.6

(87.1--89.5)

New Jersey

7,216

86.5

0.7

(85.1--87.9)

New Mexico

6,593

77.7

0.8

(76.1--79.3)

New York

6,508

86.2

0.7

(84.8--87.6)

North Carolina

14,744

81.3

0.6

(80.1--82.5)

North Dakota

4,731

88.2

0.7

(86.8--89.6)

Ohio

11,192

88.2

0.5

(87.2--89.2)

Oklahoma

7,442

79.9

0.7

(78.5--81.3)

Oregon

4,943

83.7

0.8

(82.1--85.3)

Pennsylvania

13,197

89.2

0.6

(88.0--90.4)

Rhode Island

4,490

89.5

0.8

(87.9--91.1)

South Carolina

10,350

83.6

0.6

(82.4--84.8)

South Dakota

6,851

86.4

0.7

(85.0--87.8)

Tennessee

5,023

85.3

0.9

(83.5--87.1)

Texas

17,177

74.3

0.6

(73.1--75.5)

Utah

5,064

84.7

0.8

(83.1--86.3)

Vermont

6,923

88.8

0.6

(87.6--90.0)

Virginia

6,188

88.2

0.7

(86.8--89.6)

Washington

25,821

86.0

0.4

(85.2--86.8)

West Virginia

4,440

83.1

0.8

(81.5--84.7)

Wisconsin

7,420

90.2

0.7

(88.8--91.6)

Wyoming

6,135

84.1

0.7

(82.7--85.5)

Guam

653

81.9

1.8

(78.4--85.4)

Puerto Rico

3,927

91.1

0.7

(89.7--92.5)

Virgin Islands

2,528

71.3

1.1

(69.1--73.5)

Median

85.6

Range

71.3--94.0

* Includes health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare and Medicaid).

Standard error.

§ Confidence interval.


TABLE 5. Estimated prevalence of adults aged ≥18 years who have health care coverage,* by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample Size

%

SE

95% CI§

Akron, Ohio

858

91.0

1.3

(88.4--93.5)

Albuquerque, New Mexico

1,962

82.5

1.3

(79.9--85.0)

Allentown-Bethlehem-Easton, Pennsylvania-New Jersey

653

89.9

2.7

(84.6--95.1)

Anchorage, Alaska

511

87.2

1.9

(83.4--90.9)

Arcadia, Florida

782

66.0

4.6

(56.9--75.0)

Asheville, North Carolina

854

81.6

2.2

(77.2--85.9)

Atlanta-Sandy Springs-Marietta, Georgia

3,064

85.1

1.2

(82.7--87.4)

Augusta-Richmond County, Georgia-South Carolina

1,112

80.4

2.0

(76.4--84.3)

Augusta-Waterville, Maine

548

88.5

2.0

(84.5--92.4)

Austin-Round Rock, Texas

1,400

80.9

1.7

(77.5--84.2)

Baltimore-Towson, Maryland

3,144

88.0

1.1

(85.8--90.1)

Bangor, Maine

659

85.7

1.7

(82.3--89.0)

Barnstable Town, Massachusetts

584

93.5

1.7

(90.1--96.8)

Barre, Vermont

696

92.5

1.5

(89.5--95.4)

Baton Rouge, Louisiana

894

79.5

2.2

(75.1--83.8)

Bellingham, Washington

1,175

83.8

1.7

(80.4--87.1)

Bethesda-Gaithersburg-Frederick, Maryland

1,643

87.2

1.5

(84.2--90.1)

Billings, Montana

500

89.2

1.7

(85.8--92.5)

Birmingham-Hoover, Alabama

1,308

87.6

1.5

(84.6--90.5)

Bismarck, North Dakota

678

92.5

1.3

(89.9--95.0)

Boise City-Nampa, Idaho

1,261

81.9

1.5

(78.9--84.8)

Boston-Quincy, Massachusetts

4,492

93.9

0.6

(92.7--95.0)

Boulder, Colorado

731

86.1

2.4

(81.3--90.8)

Bremerton-Silverdale, Washington

1,005

88.6

1.5

(85.6--91.5)

Bridgeport-Stamford-Norwalk, Connecticut

2,284

88.5

1.5

(85.5--91.4)

Brownsville-Harlingen, Texas

621

55.6

2.6

(50.5--60.6)

Buffalo-Cheektowaga-Tonawanda, New York

507

92.3

1.6

(89.1--95.4)

Burlington-South Burlington, Vermont

1,970

91.3

1.0

(89.3--93.2)

Cambridge-Newton-Framingham, Massachusetts

3,958

95.4

0.6

(94.2--96.5)

Camden, New Jersey

1,007

89.5

1.7

(86.1--92.8)

Canton-Massillon, Ohio

830

89.1

1.6

(85.9--92.2)

Cape Coral-Fort Myers, Florida

564

79.8

2.3

(75.2--84.3)

Casper, Wyoming

756

85.1

1.7

(81.7--88.4)

Charleston, West Virginia

783

88.2

1.5

(85.2--91.1)

Charleston-North Charleston, South Carolina

1,266

87.8

1.4

(85.0--90.5)

Charlotte-Gastonia-Concord, North Carolina-South Carolina

2,113

84.0

1.4

(81.2--86.7)

Chattanooga, Tennessee-Georgia

870

83.5

2.3

(78.9--88.0)

Cheyenne, Wyoming

908

86.9

1.7

(83.5--90.2)

Chicago-Naperville-Joliet, Illinois-Indiana-Wisconsin

3,812

84.6

1.0

(82.6--86.5)

Cincinnati-Middletown, Ohio-Kentucky-Indiana

1,850

88.4

1.3

(85.8--90.9)

Cleveland-Elyria-Mentor, Ohio

1,220

89.6

1.4

(86.8--92.3)

Clewiston, Florida

594

65.2

4.0

(57.3--73.0)

Colorado Springs, Colorado

1,504

85.0

1.3

(82.4--87.5)

Columbia, South Carolina

1,076

85.5

1.7

(82.1--88.8)

Columbus, Ohio

1,585

87.0

1.6

(83.8--90.1)

Concord, New Hampshire

648

87.4

2.0

(83.4--91.3)

Dallas-Plano-Irving, Texas

1,565

77.4

1.7

(74.0--80.7)

Dayton, Ohio

922

89.3

1.7

(85.9--92.6)

Deltona-Daytona Beach-Ormond Beach, Florida

513

81.8

2.3

(77.2--86.3)

Denver-Aurora, Colorado

5,489

85.9

0.7

(84.5--87.2)

Des Moines-West Des Moines, Iowa

976

91.2

1.3

(88.6--93.7)

Detroit-Livonia-Dearborn, Michigan

1,656

84.5

1.5

(81.5--87.4)

Dover, Delaware

1,352

87.9

1.4

(85.1--90.6)

Durham, North Carolina

796

77.9

2.8

(72.4--83.3)

Edison, New Jersey

1,405

89.6

1.5

(86.6--92.5)

El Paso, Texas

1,510

65.3

1.7

(61.9--68.6)

Essex County, Massachusetts

2,973

92.4

1.1

(90.2--94.5)

Fargo, North Dakota-Minnesota

728

91.8

1.9

(88.0--95.5)

Farmington, New Mexico

682

73.1

2.3

(68.5--77.6)

Fayetteville, North Carolina

500

83.1

2.8

(77.6--88.5)

Fayetteville-Springdale-Rogers, Arkansas-Missouri

732

84.0

1.9

(80.2--87.7)

Fort Collins-Loveland, Colorado

761

86.7

1.7

(83.3--90.0)

Fort Smith, Arkansas-Oklahoma

517

80.2

2.8

(74.7--85.6)

Fort Worth-Arlington, Texas

1,394

79.1

1.6

(75.9--82.2)

Gainesville, Florida

1,078

85.3

2.4

(80.5--90.0)


TABLE 5. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample Size

%

SE

95% CI§

Grand Island, Nebraska

566

87.0

2.2

(82.6--91.3)

Grand Rapids-Wyoming, Michigan

504

90.8

1.7

(87.4--94.1)

Greeley, Colorado

537

78.1

2.8

(72.6--83.5)

Greensboro-High Point, North Carolina

827

84.1

2.1

(79.9--88.2)

Greenville, South Carolina

883

80.9

2.3

(76.3--85.4)

Gulfport-Biloxi, Mississippi

503

83.7

2.3

(79.1--88.2)

Hagerstown-Martinsburg, Maryland-West Virginia

712

83.9

2.2

(79.5--88.2)

Hartford-West Hartford-East Hartford, Connecticut

2,367

90.9

1.1

(88.7--93.0)

Hickory-Morganton-Lenoir, North Carolina

869

82.3

2.0

(78.3--86.2)

Hilo, Hawaii

1,517

92.1

0.8

(90.5--93.6)

Hilton Head Island-Beaufort, South Carolina

944

87.0

2.2

(82.6--91.3)

Homosassa Springs, Florida

581

81.9

2.6

(76.8--86.9)

Honolulu, Hawaii

2,919

94.8

0.6

(93.6--95.9)

Houston-Sugar Land-Baytown, Texas

1,561

76.4

1.8

(72.8--79.9)

Huntington-Ashland, West Virginia-Kentucky-Ohio

601

82.0

2.7

(76.7--87.2)

Idaho Falls, Idaho

507

82.2

2.2

(77.8--86.5)

Indianapolis-Carmel, Indiana

1,572

86.9

1.4

(84.1--89.6)

Jackson, Mississippi

1,163

83.5

1.6

(80.3--86.6)

Jacksonville, Florida

4,009

85.8

0.9

(84.0--87.5)

Kahului-Wailuku, Hawaii

1,508

91.9

1.0

(89.9--93.8)

Kalispell, Montana

553

81.2

2.1

(77.0--85.3)

Kansas City, Missouri-Kansas

3,360

87.5

1.1

(85.3--89.6)

Kapaa, Hawaii

652

92.8

1.3

(90.2--95.3)

Kennewick-Richland-Pasco, Washington

682

82.9

2.6

(77.8--87.9)

Key West-Marathon, Florida

506

80.2

2.7

(74.9--85.4)

Kingsport-Bristol, Tennessee-Virginia

594

83.5

2.3

(78.9--88.0)

Lake Charles, Louisiana

539

79.0

2.6

(73.9--84.0)

Lake City, Florida

586

76.4

3.6

(69.3--83.4)

Lakeland-Winter Haven, Florida

527

81.9

2.3

(77.3--86.4)

Laredo, Texas

508

56.2

3.1

(50.1--62.2)

Las Cruces, New Mexico

711

68.0

2.5

(63.1--72.9)

Las Vegas-Paradise, Nevada

1,368

77.6

1.6

(74.4--80.7)

Lebanon, New Hampshire-Vermont

1,609

87.0

1.4

(84.2--89.7)

Lewiston, Idaho-Washington

521

84.6

2.0

(80.6--88.5)

Lincoln, Nebraska

713

92.3

1.8

(88.7--95.8)

Little Rock-North Little Rock, Arkansas

1,245

84.8

1.5

(81.8--87.7)

Los Angeles-Long Beach-Glendale, California

868

83.1

1.7

(79.7--86.4)

Louisville, Kentucky-Indiana

864

89.0

1.8

(85.4--92.5)

Manchester-Nashua, New Hampshire

1,441

90.4

1.1

(88.2--92.5)

McAllen-Edinburg-Mission, Texas

956

51.2

2.3

(46.6--55.7)

Memphis, Tennessee-Mississippi-Arkansas

988

84.1

2.1

(79.9--88.2)

Miami-Fort Lauderdale-Miami Beach, Florida

1,170

78.1

1.8

(74.5--81.6)

Milwaukee-Waukesha-West Allis, Wisconsin

1,538

91.9

1.2

(89.5--94.2)

Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin

2,746

91.7

1.1

(89.5--93.8)

Mobile, Alabama

581

82.1

2.6

(77.0--87.1)

Montgomery, Alabama

512

89.0

2.1

(84.8--93.1)

Myrtle Beach-Conway-North Myrtle Beach, South Carolina

912

82.6

1.9

(78.8--86.3)

Naples-Marco Island, Florida

818

76.7

2.5

(71.8--81.6)

Nashville-Davidson-Murfreesboro, Tennessee

610

85.2

2.2

(80.8--89.5)

Nassau-Suffolk, New York

814

89.9

1.6

(86.7--93.0)

Newark-Union, New Jersey-Pennsylvania

2,009

85.5

1.4

(82.7--88.2)

New Haven-Milford, Connecticut

1,791

91.5

1.0

(89.5--93.4)

New Orleans-Metairie-Kenner, Louisiana

1,238

82.4

1.6

(79.2--85.5)

New York-White Plains-Wayne, New York-New Jersey

3,404

83.6

1.1

(81.4--85.7)

Nogales, Arizona

523

77.0

3.7

(69.7--84.2)

Norwich-New London, Connecticut

502

91.7

2.0

(87.7--95.6)

Ocala, Florida

634

76.2

3.1

(70.1--82.2)

Ogden-Clearfield, Utah

843

87.9

1.7

(84.5--91.2)

Okeechobee, Florida

729

69.0

3.2

(62.7--75.2)

Oklahoma City, Oklahoma

2,282

78.2

1.2

(75.8--80.5)

Olympia, Washington

1,874

87.7

1.2

(85.3--90.0)

Omaha-Council Bluffs, Nebraska-Iowa

1,545

88.0

1.4

(85.2--90.7)

Orlando-Kissimmee, Florida

2,698

80.5

1.6

(77.3--83.6)

Palm Bay-Melbourne-Titusville, Florida

556

89.8

1.7

(86.4--93.1)

Palm Coast, Florida

535

87.1

2.2

(82.7--91.4)


TABLE 5. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample Size

%

SE

95% CI§

Panama City-Lynn Haven, Florida

545

75.9

3.0

(70.0--81.7)

Pensacola-Ferry Pass-Brent, Florida

1,034

83.8

1.7

(80.4--87.1)

Philadelphia, Pennsylvania

2,873

90.1

1.2

(87.7--92.4)

Phoenix-Mesa-Scottsdale, Arizona

1,284

81.6

2.1

(77.4--85.7)

Pittsburgh, Pennsylvania

2,960

91.5

1.2

(89.1--93.8)

Portland-South Portland-Biddeford, Maine

2,099

90.1

0.9

(88.3--91.8)

Portland-Vancouver-Beaverton, Oregon-Washington

3,973

86.6

1.0

(84.6--88.5)

Port St. Lucie-Fort Pierce, Florida

1,082

80.0

2.0

(76.0--83.9)

Providence-New Bedford-Fall River, Rhode Island-Massachusetts

8,146

90.8

0.6

(89.6--91.9)

Provo-Orem, Utah

583

85.8

2.3

(81.2--90.3)

Raleigh-Cary, North Carolina

1,088

84.5

2.0

(80.5--88.4)

Rapid City, South Dakota

979

85.7

1.7

(82.3--89.0)

Reno-Sparks, Nevada

1,393

84.6

1.3

(82.0--87.1)

Richmond, Virginia

861

90.8

1.6

(87.6--93.9)

Riverside-San Bernardino-Ontario, California

685

77.2

2.5

(72.3--82.1)

Riverton, Wyoming

501

81.5

2.3

(76.9--86.0)

Rockingham County-Strafford County, New Hampshire

1,617

89.0

1.2

(86.6--91.3)

Rutland, Vermont

681

85.7

1.9

(81.9--89.4)

St. Louis, Missouri-Illinois

1,569

90.8

1.2

(88.4--93.1)

Salt Lake City, Utah

2,141

83.2

1.3

(80.6--85.7)

San Antonio, Texas

1,422

80.8

1.5

(77.8--83.7)

San Diego-Carlsbad-San Marcos, California

511

85.5

2.2

(81.1--89.8)

San Francisco-Oakland-Fremont, California

780

91.1

1.4

(88.3--93.8)

Santa Fe, New Mexico

524

79.5

2.6

(74.4--84.5)

Sarasota-Bradenton-Venice, Florida

1,336

81.9

1.9

(78.1--85.6)

Scranton-Wilkes-Barre, Pennsylvania

2,519

90.5

2.0

(86.5--94.4)

Seaford, Delaware

1,233

91.7

1.0

(89.7--93.6)

Seattle-Bellevue-Everett, Washington

7,184

88.5

0.6

(87.3--89.6)

Sebring, Florida

763

81.0

2.5

(76.1--85.9)

Sioux City, Iowa-Nebraska-South Dakota

892

89.1

2.0

(85.1--93.0)

Sioux Falls, South Dakota

976

91.0

1.3

(88.4--93.5)

Spokane, Washington

1,370

86.3

1.5

(83.3--89.2)

Springfield, Massachusetts

2,590

91.5

1.1

(89.3--93.6)

Tacoma, Washington

1,905

84.4

1.4

(81.6--87.1)

Tallahassee, Florida

2,101

82.0

2.8

(76.5--87.4)

Tampa-St. Petersburg-Clearwater, Florida

2,192

80.9

1.5

(77.9--83.8)

Toledo, Ohio

991

90.2

1.3

(87.6--92.7)

Topeka, Kansas

786

89.2

1.6

(86.0--92.3)

Tucson, Arizona

746

84.7

2.2

(80.3--89.0)

Tulsa, Oklahoma

2,101

82.1

1.3

(79.5--84.6)

Tuscaloosa, Alabama

538

84.7

2.5

(79.8--89.6)

Virginia Beach-Norfolk-Newport News, Virginia-North Carolina

1,154

89.0

2.1

(84.8--93.1)

Warren-Troy-Farmington Hills, Michigan

1,495

90.1

1.2

(87.7--92.4)

Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia

6,802

88.0

1.1

(85.8--90.1)

Wauchula, Florida

692

74.9

4.4

(66.2--83.5)

Wenatchee, Washington

1,076

79.7

2.0

(75.7--83.6)

West Palm Beach-Boca Raton-Boynton Beach, Florida

549

83.5

2.7

(78.2--88.7)

Wichita, Kansas

1,563

88.4

1.2

(86.0--90.7)

Wilmington, Delaware-Maryland-New Jersey

1,769

92.3

0.9

(90.5--94.0)

Wilmington, North Carolina

615

80.0

2.7

(74.7--85.2)

Worcester, Massachusetts

2,752

93.3

0.9

(91.5--95.0)

Yakima, Washington

748

77.6

2.3

(73.0--82.1)

Youngstown-Warren-Boardman, Ohio-Pennsylvania

1,041

86.7

2.3

(82.1--91.2)

Yuma, Arizona

561

80.5

2.4

(75.7--85.2)

Median

85.5

Range

51.2--95.4

* Includes health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare and Medicaid).

Standard error.

§ Confidence interval.

Metropolitan division.


TABLE 6. Estimated prevalence of adults aged ≥18 years who have health care coverage,* by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE

95% CI§

Jefferson County, Alabama

659

87.4

2.3

(82.8--91.9)

Mobile County, Alabama

581

82.1

2.6

(77.0--87.1)

Montgomery County, Alabama

348

90.7

2.1

(86.5--94.8)

Tuscaloosa County, Alabama

431

85.2

2.7

(79.9--90.4)

Anchorage Municipality, Alaska

372

90.3

2.0

(86.3--94.2)

Maricopa County, Arizona

887

81.3

2.2

(76.9--85.6)

Pima County, Arizona

746

84.7

2.2

(80.3--89.0)

Pinal County, Arizona

397

84.3

2.6

(79.2--89.3)

Santa Cruz County, Arizona

523

77.0

3.7

(69.7--84.2)

Yuma County, Arizona

561

80.5

2.4

(75.7--85.2)

Benton County, Arkansas

356

85.9

2.5

(81.0--90.8)

Pulaski County, Arkansas

682

87.1

1.8

(83.5--90.6)

Washington County, Arkansas

330

81.8

3.1

(75.7--87.8)

Alameda County, California

260

93.8

1.9

(90.0--97.5)

Los Angeles County, California

868

83.1

1.7

(79.7--86.4)

Riverside County, California

354

81.2

3.2

(74.9--87.4)

San Bernardino County, California

331

76.1

3.4

(69.4--82.7)

San Diego County, California

511

85.5

2.2

(81.1--89.8)

Adams County, Colorado

793

82.3

2.0

(78.3--86.2)

Arapahoe County, Colorado

1,198

88.5

1.4

(85.7--91.2)

Boulder County, Colorado

731

86.1

2.4

(81.3--90.8)

Denver County, Colorado

1,229

78.6

1.8

(75.0--82.1)

Douglas County, Colorado

598

95.2

1.4

(92.4--97.9)

El Paso County, Colorado

1,425

85.6

1.4

(82.8--88.3)

Jefferson County, Colorado

1,392

87.8

1.4

(85.0--90.5)

Larimer County, Colorado

761

86.7

1.7

(83.3--90.0)

Weld County, Colorado

537

78.1

2.8

(72.6--83.5)

Fairfield County, Connecticut

2,284

88.5

1.5

(85.5--91.4)

Hartford County, Connecticut

1,746

90.4

1.2

(88.0--92.7)

Middlesex County, Connecticut

305

93.5

1.9

(89.7--97.2)

New Haven County, Connecticut

1,791

91.5

1.0

(89.5--93.4)

New London County, Connecticut

502

91.7

2.0

(87.7--95.6)

Tolland County, Connecticut

316

92.3

2.3

(87.7--96.8)

Kent County, Delaware

1,352

87.9

1.4

(85.1--90.6)

New Castle County, Delaware

1,398

93.8

0.9

(92.0--95.5)

Sussex County, Delaware

1,233

91.7

1.0

(89.7--93.6)

District of Columbia, District of Columbia

3,950

91.3

0.7

(89.9--92.6)

Alachua County, Florida

621

86.8

2.0

(82.8--90.7)

Baker County, Florida

557

84.0

2.5

(79.1--88.9)

Bay County, Florida

545

75.9

3.0

(70.0--81.7)

Brevard County, Florida

556

89.8

1.7

(86.4--93.1)

Broward County, Florida

557

83.8

2.2

(79.4--88.1)

Citrus County, Florida

581

81.9

2.6

(76.8--86.9)

Clay County, Florida

529

88.7

1.8

(85.1--92.2)

Collier County, Florida

818

76.7

2.5

(71.8--81.6)

Columbia County, Florida

586

76.4

3.6

(69.3--83.4)

DeSoto County, Florida

782

66.0

4.6

(56.9--75.0)

Duval County, Florida

1,812

85.0

1.3

(82.4--87.5)

Escambia County, Florida

530

81.0

2.5

(76.1--85.9)

Flagler County, Florida

535

87.1

2.2

(82.7--91.4)

Gadsden County, Florida

527

76.1

2.6

(71.0--81.1)

Gilchrist County, Florida

457

N/A

N/A

N/A

Hardee County, Florida

692

74.9

4.4

(66.2--83.5)

Hendry County, Florida

594

65.2

4.0

(57.3--73.0)

Hernando County, Florida

556

82.2

2.3

(77.6--86.7)

Highlands County, Florida

763

81.0

2.5

(76.1--85.9)

Hillsborough County, Florida

536

78.2

2.8

(72.7--83.6)

Jefferson County, Florida

443

78.4

3.6

(71.3--85.4)

Lake County, Florida

618

83.6

2.4

(78.8--88.3)

Lee County, Florida

564

79.8

2.3

(75.2--84.3)

Leon County, Florida

578

86.7

3.4

(80.0--93.3)

Manatee County, Florida

506

81.6

2.8

(76.1--87.0)


TABLE 6. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE

95% CI§

Marion County, Florida

634

76.2

3.1

(70.1--82.2)

Martin County, Florida

550

82.2

2.9

(76.5--87.8)

Miami-Dade County, Florida

613

74.7

2.5

(69.8--79.6)

Monroe County, Florida

506

80.2

2.7

(74.9--85.4)

Nassau County, Florida

546

82.0

2.2

(77.6--86.3)

Okeechobee County, Florida

729

69.0

3.2

(62.7--75.2)

Orange County, Florida

823

78.8

2.7

(73.5--84.0)

Osceola County, Florida

718

77.4

2.4

(72.6--82.1)

Palm Beach County, Florida

549

83.5

2.7

(78.2--88.7)

Pasco County, Florida

557

81.7

2.3

(77.1--86.2)

Pinellas County, Florida

543

86.0

2.2

(81.6--90.3)

Polk County, Florida

527

81.9

2.3

(77.3--86.4)

St. Johns County, Florida

565

88.8

1.9

(85.0--92.5)

St. Lucie County, Florida

532

79.3

2.6

(74.2--84.3)

Santa Rosa County, Florida

504

87.7

1.8

(84.1--91.2)

Sarasota County, Florida

830

81.3

2.5

(76.4--86.2)

Seminole County, Florida

539

85.9

2.1

(81.7--90.0)

Volusia County, Florida

513

81.8

2.3

(77.2--86.3)

Wakulla County, Florida

553

85.4

3.0

(79.5--91.2)

Clayton County, Georgia

342

82.6

3.0

(76.7--88.4)

Cobb County, Georgia

409

90.6

2.3

(86.0--95.1)

DeKalb County, Georgia

430

86.5

2.7

(81.2--91.7)

Fulton County, Georgia

412

85.2

3.0

(79.3--91.0)

Gwinnett County, Georgia

318

83.7

3.3

(77.2--90.1)

Hawaii County, Hawaii

1,517

92.1

0.8

(90.5--93.6)

Honolulu County, Hawaii

2,919

94.8

0.6

(93.6--95.9)

Kauai County, Hawaii

652

92.8

1.3

(90.2--95.3)

Maui County, Hawaii

1,508

91.9

1.0

(89.9--93.8)

Ada County, Idaho

648

84.5

2.1

(80.3--88.6)

Bonneville County, Idaho

393

82.2

2.4

(77.4--86.9)

Canyon County, Idaho

487

77.2

2.5

(72.3--82.1)

Nez Perce County, Idaho

274

87.9

2.4

(83.1--92.6)

Cook County, Illinois

1,655

82.0

1.5

(79.0--84.9)

DuPage County, Illinois

380

89.4

2.6

(84.3--94.4)

Lake County, Illinois

296

88.5

2.6

(83.4--93.5)

Lake County, Indiana

571

86.3

2.9

(80.6--91.9)

Marion County, Indiana

1,120

84.7

1.7

(81.3--88.0)

Polk County, Iowa

731

91.3

1.4

(88.5--94.0)

Johnson County, Kansas

1,547

93.2

0.9

(91.4--94.9)

Sedgwick County, Kansas

1,177

89.1

1.3

(86.5--91.6)

Shawnee County, Kansas

553

88.7

2.0

(84.7--92.6)

Wyandotte County, Kansas

350

75.0

3.2

(68.7--81.2)

Jefferson County, Kentucky

477

88.8

2.3

(84.2--93.3)

Calcasieu Parish, Louisiana

517

78.9

2.6

(73.8--83.9)

East Baton Rouge Parish, Louisiana

507

79.8

2.5

(74.9--84.7)

Jefferson Parish, Louisiana

421

81.8

2.8

(76.3--87.2)

Orleans Parish, Louisiana

293

77.4

3.5

(70.5--84.2)

St. Tammany Parish, Louisiana

333

90.2

2.1

(86.0--94.3)

Cumberland County, Maine

1,084

90.2

1.2

(87.8--92.5)

Kennebec County, Maine

548

88.5

2.0

(84.5--92.4)

Penobscot County, Maine

659

85.7

1.7

(82.3--89.0)

Sagadahoc County, Maine

280

89.9

2.2

(85.5--94.2)

York County, Maine

735

90.0

1.5

(87.0--92.9)

Anne Arundel County, Maryland

556

90.6

1.9

(86.8--94.3)

Baltimore County, Maryland

982

89.5

1.5

(86.5--92.4)

Charles County, Maryland

297

93.7

1.8

(90.1--97.2)

Frederick County, Maryland

543

91.6

1.9

(87.8--95.3)

Harford County, Maryland

307

91.0

2.2

(86.6--95.3)

Howard County, Maryland

339

90.6

2.8

(85.1--96.0)

Montgomery County, Maryland

1,100

86.4

1.7

(83.0--89.7)

Prince George´s County, Maryland

644

86.2

2.1

(82.0--90.3)

Queen Anne´s County, Maryland

256

94.1

1.7

(90.7--97.4)

Washington County, Maryland

443

83.2

2.8

(77.7--88.6)


TABLE 6. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE

95% CI§

Baltimore City, Maryland

500

84.3

2.4

(79.5--89.0)

Barnstable County, Massachusetts

584

93.5

1.7

(90.1--96.8)

Bristol County, Massachusetts

3,656

93.7

0.8

(92.1--95.2)

Essex County, Massachusetts

2,973

92.9

1.1

(90.7--95.0)

Hampden County, Massachusetts

2,017

90.6

1.4

(87.8--93.3)

Hampshire County, Massachusetts

367

95.9

1.4

(93.1--98.6)

Middlesex County, Massachusetts

3,958

95.3

0.6

(94.1--96.4)

Norfolk County, Massachusetts

1,258

96.8

0.7

(95.4--98.1)

Plymouth County, Massachusetts

841

94.5

1.2

(92.1--96.8)

Suffolk County, Massachusetts

2,393

91.6

1.2

(89.2--93.9)

Worcester County, Massachusetts

2,752

93.3

0.9

(91.5--95.0)

Kent County, Michigan

376

91.2

1.9

(87.4--94.9)

Macomb County, Michigan

409

88.8

2.2

(84.4--93.1)

Oakland County, Michigan

783

93.5

1.4

(90.7--96.2)

Wayne County, Michigan

1,656

84.5

1.5

(81.5--87.4)

Anoka County, Minnesota

271

93.2

2.6

(88.1--98.2)

Dakota County, Minnesota

348

91.0

2.4

(86.2--95.7)

Hennepin County, Minnesota

943

92.2

2.0

(88.2--96.1)

Ramsey County, Minnesota

413

94.1

1.7

(90.7--97.4)

DeSoto County, Mississippi

262

83.8

3.3

(77.3--90.2)

Harrison County, Mississippi

382

84.3

2.6

(79.2--89.3)

Hinds County, Mississippi

522

81.2

2.6

(76.1--86.2)

Rankin County, Mississippi

298

86.8

2.4

(82.0--91.5)

Jackson County, Missouri

496

81.7

2.3

(77.1--86.2)

St. Louis County, Missouri

457

93.3

1.5

(90.3--96.2)

St. Louis City, Missouri

469

84.8

2.2

(80.4--89.1)

Flathead County, Montana

553

81.2

2.1

(77.0--85.3)

Yellowstone County, Montana

447

88.7

1.9

(84.9--92.4)

Dakota County, Nebraska

483

78.9

2.4

(74.1--83.6)

Douglas County, Nebraska

603

87.5

2.1

(83.3--91.6)

Hall County, Nebraska

378

86.5

2.3

(81.9--91.0)

Lancaster County, Nebraska

551

91.9

1.9

(88.1--95.6)

Sarpy County, Nebraska

383

91.2

2.5

(86.3--96.1)

Clark County, Nevada

1,368

77.6

1.6

(74.4--80.7)

Washoe County, Nevada

1,371

84.6

1.3

(82.0--87.1)

Grafton County, New Hampshire

510

85.7

2.0

(81.7--89.6)

Hillsborough County, New Hampshire

1,441

90.4

1.1

(88.2--92.5)

Merrimack County, New Hampshire

648

87.4

2.0

(83.4--91.3)

Rockingham County, New Hampshire

994

90.0

1.3

(87.4--92.5)

Strafford County, New Hampshire

623

86.7

2.3

(82.1--91.2)

Bergen County, New Jersey

382

89.3

2.2

(84.9--93.6)

Burlington County, New Jersey

345

91.3

2.0

(87.3--95.2)

Camden County, New Jersey

324

87.0

3.0

(81.1--92.8)

Essex County, New Jersey

540

82.8

2.1

(78.6--86.9)

Gloucester County, New Jersey

338

91.3

2.7

(86.0--96.5)

Hudson County, New Jersey

573

69.5

2.9

(63.8--75.1)

Hunterdon County, New Jersey

368

91.1

2.7

(85.8--96.3)

Middlesex County, New Jersey

385

89.7

2.2

(85.3--94.0)

Monmouth County, New Jersey

328

89.2

2.5

(84.3--94.1)

Morris County, New Jersey

418

91.1

2.3

(86.5--95.6)

Ocean County, New Jersey

331

89.6

3.2

(83.3--95.8)

Passaic County, New Jersey

283

85.6

3.0

(79.7--91.4)

Somerset County, New Jersey

361

93.8

1.9

(90.0--97.5)

Sussex County, New Jersey

336

91.5

2.7

(86.2--96.7)

Union County, New Jersey

313

85.3

2.8

(79.8--90.7)

Warren County, New Jersey

309

89.4

2.6

(84.3--94.4)

Bernalillo County, New Mexico

1,103

82.6

1.6

(79.4--85.7)

Dona Ana County, New Mexico

711

68.0

2.4

(63.2--72.7)

Sandoval County, New Mexico

508

80.2

3.1

(74.1--86.2)

San Juan County, New Mexico

682

73.1

2.3

(68.5--77.6)

Santa Fe County, New Mexico

524

79.5

2.6

(74.4--84.5)

Valencia County, New Mexico

316

84.1

2.7

(78.8--89.3)

Erie County, New York

405

93.2

1.6

(90.0--96.3)


TABLE 6. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE

95% CI§

Kings County, New York

414

82.6

2.5

(77.7--87.5)

Nassau County, New York

378

89.8

2.3

(85.2--94.3)

New York County, New York

561

87.8

2.1

(83.6--91.9)

Queens County, New York

441

81.0

2.7

(75.7--86.2)

Suffolk County, New York

436

90.4

2.0

(86.4--94.3)

Westchester County, New York

280

92.3

2.3

(87.7--96.8)

Buncombe County, North Carolina

352

81.3

3.2

(75.0--87.5)

Cabarrus County, North Carolina

359

83.9

3.4

(77.2--90.5)

Catawba County, North Carolina

409

83.3

2.7

(78.0--88.5)

Cumberland County, North Carolina

380

83.2

3.2

(76.9--89.4)

Durham County, North Carolina

333

75.8

4.2

(67.5--84.0)

Gaston County, North Carolina

390

85.1

2.3

(80.5--89.6)

Guilford County, North Carolina

384

90.2

2.1

(86.0--94.3)

Henderson County, North Carolina

296

81.3

3.4

(74.6--87.9)

Johnston County, North Carolina

435

83.2

2.5

(78.3--88.1)

Mecklenburg County, North Carolina

683

83.2

2.2

(78.8--87.5)

New Hanover County, North Carolina

390

80.6

3.2

(74.3--86.8)

Orange County, North Carolina

346

81.5

4.0

(73.6--89.3)

Randolph County, North Carolina

374

78.2

2.9

(72.5--83.8)

Union County, North Carolina

376

86.3

2.5

(81.4--91.2)

Wake County, North Carolina

607

85.9

2.4

(81.1--90.6)

Burleigh County, North Dakota

497

92.3

1.6

(89.1--95.4)

Cass County, North Dakota

674

90.0

1.8

(86.4--93.5)

Cuyahoga County, Ohio

763

88.0

1.9

(84.2--91.7)

Franklin County, Ohio

759

84.6

2.2

(80.2--88.9)

Hamilton County, Ohio

830

90.7

1.4

(87.9--93.4)

Licking County, Ohio

253

92.4

1.9

(88.6--96.1)

Lucas County, Ohio

787

90.0

1.4

(87.2--92.7)

Mahoning County, Ohio

816

84.8

2.2

(80.4--89.1)

Montgomery County, Ohio

750

86.7

2.2

(82.3--91.0)

Stark County, Ohio

797

90.7

1.4

(87.9--93.4)

Summit County, Ohio

751

89.7

1.5

(86.7--92.6)

Canadian County, Oklahoma

248

85.6

3.5

(78.7--92.4)

Cleveland County, Oklahoma

414

78.8

2.8

(73.3--84.2)

Oklahoma County, Oklahoma

1,282

75.5

1.6

(72.3--78.6)

Tulsa County, Oklahoma

1,515

81.3

1.4

(78.5--84.0)

Clackamas County, Oregon

484

90.0

2.2

(85.6--94.3)

Multnomah County, Oregon

819

83.5

1.9

(79.7--87.2)

Washington County, Oregon

559

86.8

2.1

(82.6--90.9)

Allegheny County, Pennsylvania

642

93.7

1.3

(91.1--96.2)

Delaware County, Pennsylvania

273

92.6

2.1

(88.4--96.7)

Fayette County, Pennsylvania

1,631

88.4

1.1

(86.2--90.5)

Luzerne County, Pennsylvania

2,330

89.7

1.4

(86.9--92.4)

Montgomery County, Pennsylvania

338

94.7

1.6

(91.5--97.8)

Philadelphia County, Pennsylvania

1,819

85.6

2.3

(81.0--90.1)

Westmoreland County, Pennsylvania

295

89.4

2.8

(83.9--94.8)

Kent County, Rhode Island

657

94.3

1.1

(92.1--96.4)

Newport County, Rhode Island

362

89.2

2.6

(84.1--94.2)

Providence County, Rhode Island

2,741

87.3

1.1

(85.1--89.4)

Washington County, Rhode Island

517

92.8

2.5

(87.9--97.7)

Aiken County, South Carolina

685

84.5

1.9

(80.7--88.2)

Beaufort County, South Carolina

853

89.1

2.3

(84.5--93.6)

Berkeley County, South Carolina

329

87.7

2.5

(82.8--92.6)

Charleston County, South Carolina

686

88.5

2.1

(84.3--92.6)

Dorchester County, South Carolina

251

88.5

2.9

(82.8--94.1)

Greenville County, South Carolina

555

80.1

2.8

(74.6--85.5)

Horry County, South Carolina

912

82.6

1.9

(78.8--86.3)

Lexington County, South Carolina

333

87.3

2.4

(82.5--92.0)

Richland County, South Carolina

439

86.2

2.5

(81.3--91.1)

York County, South Carolina

281

90.6

2.0

(86.6--94.5)

Minnehaha County, South Dakota

725

89.7

1.6

(86.5--92.8)

Pennington County, South Dakota

770

86.4

1.9

(82.6--90.1)

Davidson County, Tennessee

285

85.0

3.3

(78.5--91.4)


TABLE 6. (Continued) Estimated prevalence of adults aged ≥18 years who have health care coverage,* by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE

95% CI§

Hamilton County, Tennessee

687

88.0

1.9

(84.2--91.7)

Shelby County, Tennessee

300

86.9

2.7

(81.6--92.1)

Sullivan County, Tennessee

424

82.7

2.5

(77.8--87.6)

Bexar County, Texas

1,063

80.7

1.7

(77.3--84.0)

Cameron County, Texas

621

55.6

2.6

(50.5--60.6)

Collin County, Texas

261

85.1

3.3

(78.6--91.5)

Dallas County, Texas

856

75.9

2.3

(71.3--80.4)

Denton County, Texas

257

89.0

3.0

(83.1--94.8)

El Paso County, Texas

1,510

65.3

1.7

(61.9--68.6)

Harris County, Texas

974

76.6

2.2

(72.2--80.9)

Hidalgo County, Texas

956

51.2

2.3

(46.6--55.7)

Tarrant County, Texas

1,146

80.5

1.7

(77.1--83.8)

Travis County, Texas

794

80.5

2.0

(76.5--84.4)

Webb County, Texas

508

56.2

3.1

(50.1--62.2)

Williamson County, Texas

362

86.1

2.5

(81.2--91.0)

Davis County, Utah

421

89.7

2.3

(85.1--94.2)

Salt Lake County, Utah

1,648

83.1

1.4

(80.3--85.8)

Tooele County, Utah

252

85.3

3.4

(78.6--91.9)

Utah County, Utah

549

85.8

2.4

(81.0--90.5)

Weber County, Utah

404

86.8

2.2

(82.4--91.1)

Chittenden County, Vermont

1,422

92.2

1.1

(90.0--94.3)

Franklin County, Vermont

466

88.4

2.1

(84.2--92.5)

Orange County, Vermont

374

85.8

2.5

(80.9--90.7)

Rutland County, Vermont

681

85.7

1.9

(81.9--89.4)

Washington County, Vermont

696

92.5

1.5

(89.5--95.4)

Windsor County, Vermont

725

90.5

1.6

(87.3--93.6)

Arlington County, Virginia

298

88.7

3.0

(82.8--94.5)

Fairfax County, Virginia

250

93.8

2.2

(89.4--98.1)

Prince William County, Virginia

280

88.0

2.6

(82.9--93.0)

Alexandria city, Virginia

263

86.0

4.0

(78.1--93.8)

Benton County, Washington

450

85.1

2.8

(79.6--90.5)

Chelan County, Washington

544

80.0

2.5

(75.1--84.9)

Clark County, Washington

1,702

89.4

1.1

(87.2--91.5)

Douglas County, Washington

532

79.9

2.7

(74.6--85.1)

King County, Washington

4,438

90.0

0.7

(88.6--91.3)

Kitsap County, Washington

1,005

88.6

1.5

(85.6--91.5)

Pierce County, Washington

1,905

85.1

1.3

(82.5--87.6)

Snohomish County, Washington

2,746

87.6

1.0

(85.6--89.5)

Spokane County, Washington

1,370

86.3

1.5

(83.3--89.2)

Thurston County, Washington

1,874

87.7

1.2

(85.3--90.0)

Whatcom County, Washington

1,175

83.8

1.7

(80.4--87.1)

Yakima County, Washington

748

77.6

2.3

(73.0--82.1)

Kanawha County, West Virginia

508

90.1

1.7

(86.7--93.4)

Milwaukee County, Wisconsin

1,184

88.4

1.7

(85.0--91.7)

Fremont County, Wyoming

501

81.5

2.3

(76.9--86.0)

Laramie County, Wyoming

908

86.9

1.7

(83.5--90.2)

Natrona County, Wyoming

756

85.1

1.7

(81.7--88.4)

Median

86.3

Range

51.2--96.8

* Includes health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare).

Standard error.

§ Confidence interval.

Estimate not available (N/A) if the unweighted sample size for the denominator was <50 or if the confidence interval half width was >10.


TABLE 7. Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by state/territory --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

State/Territory

Sample size

%

SE*

95% CI

Alabama

2,085

69.0

1.3

(66.5--71.5)

Alaska

330

64.4

3.8

(57.0--71.8)

Arizona

1,479

69.0

2.0

(65.1--72.9)

Arkansas

1,816

70.5

1.2

(68.1--72.9)

California

1,398

69.3

1.6

(66.2--72.4)

Colorado

2,726

76.4

0.9

(74.6--78.2)

Connecticut

2,317

74.7

1.1

(72.5--76.9)

Delaware

1,050

73.8

1.7

(70.5--77.1)

District of Columbia

985

60.2

1.9

(56.5--63.9)

Florida

12,775

64.7

0.9

(62.9--66.5)

Georgia

2,114

67.6

1.3

(65.1--70.1)

Hawaii

1,544

78.5

1.3

(76.0--81.0)

Idaho

1,353

69.1

1.5

(66.2--72.0)

Illinois

1,520

68.1

1.4

(65.4--70.8)

Indiana

1,539

71.9

1.4

(69.2--74.6)

Iowa

1,576

74.6

1.2

(72.2--77.0)

Kansas

2,446

73.5

1.0

(71.5--75.5)

Kentucky

2,038

73.2

1.3

(70.7--75.7)

Louisiana

1,578

68.4

1.4

(65.7--71.1)

Maine

1,804

77.2

1.1

(75.0--79.4)

Maryland

2,396

71.3

1.3

(68.8--73.8)

Massachusetts

6,359

77.9

0.7

(76.5--79.3)

Michigan

2,141

70.9

1.1

(68.7--73.1)

Minnesota

1,392

79.6

1.2

(77.2--82.0)

Mississippi

2,351

69.6

1.1

(67.4--71.8)

Missouri

1,504

69.5

1.6

(66.4--72.6)

Montana

1,684

72.8

1.2

(70.4--75.2)

Nebraska

3,455

76.8

1.2

(74.4--79.2)

Nevada

1,025

61.9

2.1

(57.8--66.0)

New Hampshire

1,648

77.6

1.2

(75.2--80.0)

New Jersey

2,277

70.6

1.2

(68.2--73.0)

New Mexico

1,733

70.0

1.3

(67.5--72.5)

New York

1,764

70.5

1.3

(68.0--73.0)

North Carolina

4,340

71.3

0.9

(69.5--73.1)

North Dakota

1,258

72.4

1.4

(69.7--75.1)

Ohio

3,409

72.5

0.9

(70.7--74.3)

Oklahoma

2,355

76.1

1.0

(74.1--78.1)

Oregon

1,465

73.1

1.3

(70.6--75.6)

Pennsylvania

3,929

72.6

1.1

(70.4--74.8)

Rhode Island

1,364

80.0

1.2

(77.6--82.4)

South Carolina

3,068

70.2

1.1

(68.0--72.4)

South Dakota

2,106

77.4

1.1

(75.2--79.6)

Tennessee

1,521

70.1

1.5

(67.2--73.0)

Texas

4,770

66.7

0.9

(64.9--68.5)

Utah

1,113

76.2

1.5

(73.3--79.1)

Vermont

1,859

74.7

1.1

(72.5--76.9)

Virginia

1,736

75.3

1.4

(72.6--78.0)

Washington

7,187

72.0

0.6

(70.8--73.2)

West Virginia

1,287

70.7

1.4

(68.0--73.4)

Wisconsin

1,925

74.1

1.4

(71.4--76.8)

Wyoming

1,588

76.3

1.2

(73.9--78.7)

Guam

77

N/A§

N/A

N/A

Puerto Rico

1,236

32.2

1.5

(29.3--35.1)

Virgin Islands

368

43.2

2.9

(37.5--48.9)

Median

71.9

Range

32.2--80.0

* Standard error.

Confidence interval.

§ Estimate not available (N/A) if the unweighted sample size for the denominator was <50 or if the confidence interval half width was >10.


TABLE 8. Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Akron, Ohio

262

77.6

3.0

(71.7--83.4)

Albuquerque, New Mexico

489

73.1

2.4

(68.3--77.8)

Allentown-Bethlehem-Easton, Pennsylvania-New Jersey

225

67.5

4.4

(58.8--76.1)

Anchorage, Alaska

70

N/A§

N/A

N/A

Arcadia, Florida

278

78.8

4.9

(69.1--88.4)

Asheville, North Carolina

322

72.0

2.8

(66.5--77.4)

Atlanta-Sandy Springs-Marietta, Georgia

750

69.5

2.1

(65.3--73.6)

Augusta-Richmond County, Georgia-South Carolina

296

72.3

2.9

(66.6--77.9)

Augusta-Waterville, Maine

120

76.0

4.1

(67.9--84.0)

Austin-Round Rock, Texas

334

72.3

2.7

(67.0--77.5)

Baltimore-Towson, Maryland

838

72.5

1.8

(68.9--76.0)

Bangor, Maine

146

81.4

3.4

(74.7--88.0)

Barnstable Town, Massachusetts

245

81.1

2.7

(75.8--86.3)

Barre, Vermont

179

77.0

3.3

(70.5--83.4)

Baton Rouge, Louisiana

194

72.6

3.5

(65.7--79.4)

Bellingham, Washington

307

72.1

2.8

(66.6--77.5)

Bethesda-Gaithersburg-Frederick, Maryland

418

75.8

2.8

(70.3--81.2)

Billings, Montana

155

78.4

3.4

(71.7--85.0)

Birmingham-Hoover, Alabama

350

69.0

3.0

(63.1--74.8)

Bismarck, North Dakota

181

72.3

3.6

(65.2--79.3)

Boise City-Nampa, Idaho

298

72.5

2.8

(67.0--77.9)

Boston-Quincy, Massachusetts

1,264

76.4

1.5

(73.4--79.3)

Boulder, Colorado

157

79.0

3.6

(71.9--86.0)

Bremerton-Silverdale, Washington

236

74.1

3.1

(68.0--80.1)

Bridgeport-Stamford-Norwalk, Connecticut

690

76.9

2.1

(72.7--81.0)

Brownsville-Harlingen, Texas

165

66.8

4.3

(58.3--75.2)

Buffalo-Cheektowaga-Tonawanda, New York

131

79.8

3.8

(72.3--87.2)

Burlington-South Burlington, Vermont

465

73.2

2.3

(68.6--77.7)

Cambridge-Newton-Framingham, Massachusetts

1,092

83.4

1.5

(80.4--86.3)

Camden, New Jersey

323

72.7

3.1

(66.6--78.7)

Canton-Massillon, Ohio

265

77.3

2.8

(71.8--82.7)

Cape Coral-Fort Myers, Florida

204

72.3

3.5

(65.4--79.1)

Casper, Wyoming

226

74.6

3.2

(68.3--80.8)

Charleston, West Virginia

216

65.5

3.8

(58.0--72.9)

Charleston-North Charleston, South Carolina

313

73.8

3.0

(67.9--79.6)

Charlotte-Gastonia-Concord, North Carolina-South Carolina

558

72.1

2.3

(67.5--76.6)

Chattanooga, Tennessee-Georgia

282

72.0

3.0

(66.1--77.8)

Cheyenne, Wyoming

245

79.5

2.9

(73.8--85.1)

Chicago-Naperville-Joliet, Illinois-Indiana-Wisconsin

942

63.8

1.9

(60.0--67.5)

Cincinnati-Middletown, Ohio-Kentucky-Indiana

510

73.6

2.3

(69.0--78.1)

Cleveland-Elyria-Mentor, Ohio

376

74.7

2.4

(69.9--79.4)

Clewiston, Florida

154

N/A

N/A

N/A

Colorado Springs, Colorado

302

72.0

2.8

(66.5--77.4)

Columbia, South Carolina

260

69.4

3.4

(62.7--76.0)

Columbus, Ohio

429

72.9

2.5

(68.0--77.8)

Concord, New Hampshire

182

72.8

3.9

(65.1--80.4)

Dallas-Plano-Irving, Texas

402

70.8

2.9

(65.1--76.4)

Dayton, Ohio

298

73.0

3.0

(67.1--78.8)

Deltona-Daytona Beach-Ormond Beach, Florida

197

69.7

3.6

(62.6--76.7)

Denver-Aurora, Colorado

1,211

81.2

1.2

(78.8--83.5)

Des Moines-West Des Moines, Iowa

246

76.6

3.0

(70.7--82.4)

Detroit-Livonia-Dearborn, Michigan

473

62.4

2.9

(56.7--68.0)

Dover, Delaware

311

77.9

2.6

(72.8--82.9)

Durham, North Carolina

210

76.2

3.8

(68.7--83.6)

Edison, New Jersey

483

70.5

2.5

(65.6--75.4)

El Paso, Texas

366

66.9

2.7

(61.6--72.1)

Essex County, Massachusetts

887

76.9

2.0

(72.9--80.8)

Fargo, North Dakota-Minnesota

182

78.9

4.1

(70.8--86.9)

Farmington, New Mexico

137

N/A

N/A

N/A

Fayetteville, North Carolina

110

69.5

5.1

(59.5--79.4)

Fayetteville-Springdale-Rogers, Arkansas-Missouri

213

66.9

3.7

(59.6--74.1)

Fort Collins-Loveland, Colorado

183

74.6

3.5

(67.7--81.4)

Fort Smith, Arkansas-Oklahoma

172

69.4

4.1

(61.3--77.4)

Fort Worth-Arlington, Texas

350

68.3

3.0

(62.4--74.1)

Gainesville, Florida

274

69.1

4.1

(61.0--77.1)


TABLE 8. (Continued) Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Grand Island, Nebraska

172

75.1

3.8

(67.6--82.5)

Grand Rapids-Wyoming, Michigan

125

72.1

4.3

(63.6--80.5)

Greeley, Colorado

109

75.1

4.4

(66.4--83.7)

Greensboro-High Point, North Carolina

238

66.8

3.9

(59.1--74.4)

Greenville, South Carolina

252

76.6

3.0

(70.7--82.4)

Gulfport-Biloxi, Mississippi

162

69.3

4.1

(61.2--77.3)

Hagerstown-Martinsburg, Maryland-West Virginia

212

67.1

4.1

(59.0--75.1)

Hartford-West Hartford-East Hartford, Connecticut

706

74.4

1.9

(70.6--78.1)

Hickory-Morganton-Lenoir, North Carolina

276

75.5

2.9

(69.8--81.1)

Hilo, Hawaii

367

74.7

2.5

(69.8--79.6)

Hilton Head Island-Beaufort, South Carolina

350

73.4

2.5

(68.5--78.3)

Homosassa Springs, Florida

262

64.9

3.3

(58.4--71.3)

Honolulu, Hawaii

711

78.6

1.7

(75.2--81.9)

Houston-Sugar Land-Baytown, Texas

380

64.2

2.9

(58.5--69.8)

Huntington-Ashland, West Virginia-Kentucky-Ohio

205

77.6

3.3

(71.1--84.0)

Idaho Falls, Idaho

119

75.3

4.1

(67.2--83.3)

Indianapolis-Carmel, Indiana

383

70.3

3.1

(64.2--76.3)

Jackson, Mississippi

317

74.3

2.8

(68.8--79.7)

Jacksonville, Florida

1,021

66.2

1.8

(62.6--69.7)

Kahului-Wailuku, Hawaii

322

74.3

3.1

(68.2--80.3)

Kalispell, Montana

135

67.3

4.7

(58.0--76.5)

Kansas City, Missouri-Kansas

878

72.5

2.0

(68.5--76.4)

Kapaa, Hawaii

144

71.7

4.3

(63.2--80.1)

Kennewick-Richland-Pasco, Washington

168

82.4

3.4

(75.7--89.0)

Key West-Marathon, Florida

146

70.6

4.2

(62.3--78.8)

Kingsport-Bristol, Tennessee-Virginia

206

75.7

3.2

(69.4--81.9)

Lake Charles, Louisiana

122

63.7

5.0

(53.9--73.5)

Lake City, Florida

159

61.8

4.7

(52.5--71.0)

Lakeland-Winter Haven, Florida

170

62.0

4.1

(53.9--70.0)

Laredo, Texas

101

N/A

N/A

N/A

Las Cruces, New Mexico

212

69.4

3.5

(62.5--76.2)

Las Vegas-Paradise, Nevada

326

60.6

3.0

(54.7--66.4)

Lebanon, New Hampshire-Vermont

469

73.6

2.2

(69.2--77.9)

Lewiston, Idaho-Washington

154

73.4

3.9

(65.7--81.0)

Lincoln, Nebraska

198

77.8

3.7

(70.5--85.0)

Little Rock-North Little Rock, Arkansas

352

70.7

2.6

(65.6--75.7)

Los Angeles-Long Beach-Glendale, California

174

65.8

4.3

(57.3--74.2)

Louisville, Kentucky-Indiana

248

74.5

3.1

(68.4--80.5)

Manchester-Nashua, New Hampshire

364

76.5

2.4

(71.7--81.2)

McAllen-Edinburg-Mission, Texas

259

61.7

3.4

(55.0--68.3)

Memphis, Tennessee-Mississippi-Arkansas

271

63.1

4.3

(54.6--71.5)

Miami-Fort Lauderdale-Miami Beach, Florida

337

48.3

3.2

(42.0--54.5)

Milwaukee-Waukesha-West Allis, Wisconsin

343

74.1

3.7

(66.8--81.3)

Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin

676

80.4

1.6

(77.2--83.5)

Mobile, Alabama

164

67.8

4.4

(59.1--76.4)

Montgomery, Alabama

127

N/A

N/A

N/A

Myrtle Beach-Conway-North Myrtle Beach, South Carolina

337

74.6

2.6

(69.5--79.6)

Naples-Marco Island, Florida

283

75.1

3.3

(68.6--81.5)

Nashville-Davidson-Murfreesboro, Tennessee

156

72.7

4.3

(64.2--81.1)

Nassau-Suffolk, New York

246

68.9

3.3

(62.4--75.3)

Newark-Union, New Jersey-Pennsylvania

571

70.0

2.6

(64.9--75.0)

New Haven-Milford, Connecticut

607

72.9

2.2

(68.5--77.2)

New Orleans-Metairie-Kenner, Louisiana

265

63.5

3.5

(56.6--70.3)

New York-White Plains-Wayne, New York-New Jersey

924

68.7

2.0

(64.7--72.6)

Nogales, Arizona

136

N/A

N/A

N/A

Norwich-New London, Connecticut

163

72.6

3.9

(64.9--80.2)

Ocala, Florida

251

68.7

3.4

(62.0--75.3)

Ogden-Clearfield, Utah

179

76.0

3.4

(69.3--82.6)

Okeechobee, Florida

279

65.2

3.4

(58.5--71.8)

Oklahoma City, Oklahoma

616

76.1

2.0

(72.1--80.0)

Olympia, Washington

480

71.8

2.3

(67.2--76.3)

Omaha-Council Bluffs, Nebraska-Iowa

367

79.7

2.8

(74.2--85.1)

Orlando-Kissimmee, Florida

768

63.4

2.7

(58.1--68.6)

Palm Bay-Melbourne-Titusville, Florida

202

71.8

3.8

(64.3--79.2)

Palm Coast, Florida

196

68.6

4.0

(60.7--76.4)


TABLE 8. (Continued) Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by metropolitan and micropolitan statistical area (MMSA) --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

MMSA(s)

Sample size

%

SE*

95% CI

Panama City-Lynn Haven, Florida

144

64.2

5.0

(54.4--74.0)

Pensacola-Ferry Pass-Brent, Florida

260

61.7

3.5

(54.8--68.5)

Philadelphia, Pennsylvania

756

72.4

2.5

(67.5--77.3)

Phoenix-Mesa-Scottsdale, Arizona

377

69.5

3.1

(63.4--75.5)

Pittsburgh, Pennsylvania

909

74.8

2.4

(70.0--79.5)

Portland-South Portland-Biddeford, Maine

559

78.0

1.9

(74.2--81.7)

Portland-Vancouver-Beaverton, Oregon-Washington

992

74.7

1.7

(71.3--78.0)

Port St. Lucie-Fort Pierce, Florida

426

64.3

2.8

(58.8--69.7)

Providence-New Bedford-Fall River, Rhode Island-Massachusetts

2,487

77.6

1.0

(75.6--79.5)

Provo-Orem, Utah

114

71.5

4.7

(62.2--80.7)

Raleigh-Cary, North Carolina

249

75.5

3.8

(68.0--82.9)

Rapid City, South Dakota

265

81.0

2.5

(76.1--85.9)

Reno-Sparks, Nevada

322

66.4

3.0

(60.5--72.2)

Richmond, Virginia

240

80.5

2.7

(75.2--85.7)

Riverside-San Bernardino-Ontario, California

184

63.6

4.5

(54.7--72.4)

Riverton, Wyoming

146

73.0

3.9

(65.3--80.6)

Rockingham County-Strafford County, New Hampshire

396

80.5

2.1

(76.3--84.6)

Rutland, Vermont

196

70.3

3.5

(63.4--77.1)

St. Louis, Missouri-Illinois

415

66.9

3.0

(61.0--72.7)

Salt Lake City, Utah

464

76.4

2.2

(72.0--80.7)

San Antonio, Texas

385

71.4

2.7

(66.1--76.6)

San Diego-Carlsbad-San Marcos, California

141

75.0

4.2

(66.7--83.2)

San Francisco-Oakland-Fremont, California

210

78.6

3.2

(72.3--84.8)

Santa Fe, New Mexico

130

62.2

5.0

(52.4--72.0)

Sarasota-Bradenton-Venice, Florida

575

71.8

2.3

(67.2--76.3)

Scranton-Wilkes-Barre, Pennsylvania

760

73.8

3.0

(67.9--79.6)

Seaford, Delaware

418

76.6

2.3

(72.0--81.1)

Seattle-Bellevue-Everett, Washington

1,749

72.0

1.5

(69.0--74.9)

Sebring, Florida

394

64.3

4.6

(55.2--73.3)

Sioux City, Iowa-Nebraska-South Dakota

244

74.9

5.0

(65.1--84.7)

Sioux Falls, South Dakota

256

81.7

2.7

(76.4--86.9)

Spokane, Washington

393

66.1

2.6

(61.0--71.1)

Springfield, Massachusetts

784

77.2

2.1

(73.0--81.3)

Tacoma, Washington

472

76.9

2.4

(72.1--81.6)

Tallahassee, Florida

500

69.0

4.1

(60.9--77.0)

Tampa-St. Petersburg-Clearwater, Florida

807

63.7

2.2

(59.3--68.0)

Toledo, Ohio

279

70.6

3.2

(64.3--76.8)

Topeka, Kansas

213

77.4

3.0

(71.5--83.2)

Tucson, Arizona

243

76.6

3.0

(70.7--82.4)

Tulsa, Oklahoma

651

76.4

2.0

(72.4--80.3)

Tuscaloosa, Alabama

136

N/A

N/A

N/A

Virginia Beach-Norfolk-Newport News, Virginia-North Carolina

308

80.3

2.5

(75.4--85.2)

Warren-Troy-Farmington Hills, Michigan

436

71.3

2.4

(66.5--76.0)

Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia

1,546

66.1

3.0

(60.2--71.9)

Wauchula, Florida

211

N/A

N/A

N/A

Wenatchee, Washington

363

80.9

2.4

(76.1--85.6)

West Palm Beach-Boca Raton-Boynton Beach, Florida

248

74.8

3.0

(68.9--80.6)

Wichita, Kansas

409

72.3

2.4

(67.5--77.0)

Wilmington, Delaware-Maryland-New Jersey

404

69.4

2.7

(64.1--74.6)

Wilmington, North Carolina

217

78.8

2.9

(73.1--84.4)

Worcester, Massachusetts

811

72.6

2.1

(68.4--76.7)

Yakima, Washington

232

71.3

3.4

(64.6--77.9)

Youngstown-Warren-Boardman, Ohio-Pennsylvania

365

60.4

4.1

(52.3--68.4)

Yuma, Arizona

199

63.1

3.9

(55.4--70.7)

Median

72.6

Range

48.3--83.4

* Standard error.

Confidence interval.

§ Estimate not available (N/A) if the unweighted sample size for the denominator was <50 or if the confidence interval half width was >10.

Metropolitan division.


TABLE 9. Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Jefferson County, Alabama

183

67.6

3.9

(59.9--75.2)

Mobile County, Alabama

164

67.8

4.4

(59.1--76.4)

Montgomery County, Alabama

85

N/A§

N/A

N/A

Tuscaloosa County, Alabama

113

N/A

N/A

N/A

Anchorage Municipality, Alaska

58

N/A

N/A

N/A

Maricopa County, Arizona

233

69.9

3.4

(63.2--76.5)

Pima County, Arizona

243

76.6

3.0

(70.7--82.4)

Pinal County, Arizona

144

N/A

N/A

N/A

Santa Cruz County, Arizona

136

N/A

N/A

N/A

Yuma County, Arizona

199

63.1

3.9

(55.4--70.7)

Benton County, Arkansas

117

73.5

4.3

(65.0--81.9)

Pulaski County, Arkansas

185

72.3

3.6

(65.2--79.3)

Washington County, Arkansas

86

N/A

N/A

N/A

Alameda County, California

60

N/A

N/A

N/A

Los Angeles County, California

174

65.8

4.3

(57.3--74.2)

Riverside County, California

117

N/A

N/A

N/A

San Bernardino County, California

67

N/A

N/A

N/A

San Diego County, California

141

75.0

4.2

(66.7--83.2)

Adams County, Colorado

168

78.0

3.6

(70.9--85.0)

Arapahoe County, Colorado

253

79.8

2.7

(74.5--85.0)

Boulder County, Colorado

157

79.0

3.6

(71.9--86.0)

Denver County, Colorado

353

82.7

2.2

(78.3--87.0)

Douglas County, Colorado

77

84.4

4.1

(76.3--92.4)

El Paso County, Colorado

287

71.5

2.9

(65.8--77.1)

Jefferson County, Colorado

314

82.0

2.4

(77.2--86.7)

Larimer County, Colorado

183

74.6

3.5

(67.7--81.4)

Weld County, Colorado

109

75.1

4.4

(66.4--83.7)

Fairfield County, Connecticut

690

76.9

2.1

(72.7--81.0)

Hartford County, Connecticut

522

75.3

2.2

(70.9--79.6)

Middlesex County, Connecticut

94

N/A

N/A

N/A

New Haven County, Connecticut

607

72.9

2.2

(68.5--77.2)

New London County, Connecticut

163

72.6

3.9

(64.9--80.2)

Tolland County, Connecticut

90

74.1

5.0

(64.3--83.9)

Kent County, Delaware

311

77.9

2.6

(72.8--82.9)

New Castle County, Delaware

321

70.8

2.8

(65.3--76.2)

Sussex County, Delaware

418

76.6

2.3

(72.0--81.1)

District of Columbia, District of Columbia

985

59.8

1.9

(56.0--63.5)

Alachua County, Florida

163

69.5

4.3

(61.0--77.9)

Baker County, Florida

125

N/A

N/A

N/A

Bay County, Florida

144

64.2

5.0

(54.4--74.0)

Brevard County, Florida

202

71.8

3.8

(64.3--79.2)

Broward County, Florida

157

58.7

4.4

(50.0--67.3)

Citrus County, Florida

262

64.9

3.3

(58.4--71.3)

Clay County, Florida

120

63.5

5.0

(53.7--73.3)

Collier County, Florida

283

75.1

3.3

(68.6--81.5)

Columbia County, Florida

159

61.8

4.7

(52.5--71.0)

DeSoto County, Florida

278

78.8

4.9

(69.1--88.4)

Duval County, Florida

455

63.8

2.6

(58.7--68.8)

Escambia County, Florida

150

61.6

4.4

(52.9--70.2)

Flagler County, Florida

196

68.6

4.0

(60.7--76.4)

Gadsden County, Florida

117

69.1

5.1

(59.1--79.0)

Gilchrist County, Florida

111

N/A

N/A

N/A

Hardee County, Florida

211

N/A

N/A

N/A

Hendry County, Florida

154

N/A

N/A

N/A

Hernando County, Florida

236

64.9

3.5

(58.0--71.7)

Highlands County, Florida

394

64.3

4.6

(55.2--73.3)

Hillsborough County, Florida

144

56.2

4.9

(46.5--65.8)

Jefferson County, Florida

133

64.8

4.8

(55.3--74.2)

Lake County, Florida

276

70.9

3.1

(64.8--76.9)

Lee County, Florida

204

72.3

3.5

(65.4--79.1)

Leon County, Florida

120

75.4

4.8

(65.9--84.8)

Manatee County, Florida

217

72.1

3.2

(65.8--78.3)

Marion County, Florida

251

68.7

3.4

(62.0--75.3)

Martin County, Florida

238

70.2

3.7

(62.9--77.4)

Miami-Dade County, Florida

180

43.8

4.3

(35.3--52.2)

Monroe County, Florida

146

70.6

4.2

(62.3--78.8)


TABLE 9. (Continued) Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Nassau County, Florida

154

74.4

3.9

(66.7--82.0)

Okeechobee County, Florida

279

65.2

3.4

(58.5--71.8)

Orange County, Florida

178

N/A

N/A

N/A

Osceola County, Florida

181

59.8

4.5

(50.9--68.6)

Palm Beach County, Florida

248

74.8

3.0

(68.9--80.6)

Pasco County, Florida

222

63.4

3.7

(56.1--70.6)

Pinellas County, Florida

205

68.1

3.6

(61.0--75.1)

Polk County, Florida

170

62.0

4.1

(53.9--70.0)

St. Johns County, Florida

167

72.6

3.8

(65.1--80.0)

St. Lucie County, Florida

188

58.9

4.1

(50.8--66.9)

Santa Rosa County, Florida

110

N/A

N/A

N/A

Sarasota County, Florida

358

71.7

3.1

(65.6--77.7)

Seminole County, Florida

133

66.0

4.6

(56.9--75.0)

Volusia County, Florida

197

69.7

3.6

(62.6--76.7)

Wakulla County, Florida

130

N/A

N/A

N/A

Clayton County, Georgia

73

N/A

N/A

N/A

Cobb County, Georgia

106

82.3

4.0

(74.4--90.1)

DeKalb County, Georgia

109

80.1

4.1

(72.0--88.1)

Fulton County, Georgia

109

67.8

4.9

(58.1--77.4)

Gwinnett County, Georgia

53

N/A

N/A

N/A

Hawaii County, Hawaii

367

74.7

2.5

(69.8--79.6)

Honolulu County, Hawaii

711

78.6

1.7

(75.2--81.9)

Kauai County, Hawaii

144

71.7

4.3

(63.2--80.1)

Maui County, Hawaii

322

74.3

3.1

(68.2--80.3)

Ada County, Idaho

142

80.2

3.7

(72.9--87.4)

Bonneville County, Idaho

94

77.0

4.5

(68.1--85.8)

Canyon County, Idaho

124

65.9

4.7

(56.6--75.1)

Nez Perce County, Idaho

83

74.3

5.0

(64.5--84.1)

Cook County, Illinois

453

62.4

2.6

(57.3--67.4)

DuPage County, Illinois

104

75.6

4.6

(66.5--84.6)

Lake County, Illinois

57

N/A

N/A

N/A

Lake County, Indiana

123

N/A

N/A

N/A

Marion County, Indiana

278

68.6

3.8

(61.1--76.0)

Polk County, Iowa

183

79.7

3.3

(73.2--86.1)

Johnson County, Kansas

378

78.3

2.3

(73.7--82.8)

Sedgwick County, Kansas

302

70.9

2.8

(65.4--76.3)

Shawnee County, Kansas

156

76.8

3.5

(69.9--83.6)

Wyandotte County, Kansas

99

N/A

N/A

N/A

Jefferson County, Kentucky

153

73.7

3.9

(66.0--81.3)

Calcasieu Parish, Louisiana

120

64.2

5.0

(54.4--74.0)

East Baton Rouge Parish, Louisiana

106

76.5

4.3

(68.0--84.9)

Jefferson Parish, Louisiana

100

66.5

5.1

(56.5--76.4)

Orleans Parish, Louisiana

56

N/A

N/A

N/A

St. Tammany Parish, Louisiana

70

N/A

N/A

N/A

Cumberland County, Maine

288

82.5

2.5

(77.6--87.4)

Kennebec County, Maine

120

76.0

4.1

(67.9--84.0)

Penobscot County, Maine

146

81.4

3.4

(74.7--88.0)

Sagadahoc County, Maine

65

85.8

4.0

(77.9--93.6)

York County, Maine

206

70.0

3.5

(63.1--76.8)

Anne Arundel County, Maryland

135

75.1

4.2

(66.8--83.3)

Baltimore County, Maryland

314

73.6

2.8

(68.1--79.0)

Charles County, Maryland

58

N/A

N/A

N/A

Frederick County, Maryland

107

N/A

N/A

N/A

Harford County, Maryland

74

N/A

N/A

N/A

Howard County, Maryland

60

N/A

N/A

N/A

Montgomery County, Maryland

311

76.9

3.0

(71.0--82.7)

Prince George´s County, Maryland

126

N/A

N/A

N/A

Queen Anne´s County, Maryland

85

75.8

5.0

(66.0--85.6)

Washington County, Maryland

150

71.2

4.2

(62.9--79.4)

Baltimore City, Maryland

134

67.0

4.6

(57.9--76.0)

Barnstable County, Massachusetts

245

81.1

2.7

(75.8--86.3)

Bristol County, Massachusetts

1,123

71.6

2.1

(67.4--75.7)

Essex County, Massachusetts

887

76.5

2.1

(72.3--80.6)

Hampden County, Massachusetts

631

76.8

2.6

(71.7--81.8)

Hampshire County, Massachusetts

99

81.9

4.4

(73.2--90.5)

Middlesex County, Massachusetts

1,092

83.3

1.4

(80.5--86.0)


TABLE 9. (Continued) Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Norfolk County, Massachusetts

395

78.4

2.3

(73.8--82.9)

Plymouth County, Massachusetts

265

76.0

2.9

(70.3--81.6)

Suffolk County, Massachusetts

604

76.2

2.2

(71.8--80.5)

Worcester County, Massachusetts

811

72.6

2.1

(68.4--76.7)

Kent County, Michigan

95

74.2

4.8

(64.7--83.6)

Macomb County, Michigan

122

75.2

4.4

(66.5--83.8)

Oakland County, Michigan

238

72.7

3.2

(66.4--78.9)

Wayne County, Michigan

473

62.4

2.9

(56.7--68.0)

Anoka County, Minnesota

57

N/A

N/A

N/A

Dakota County, Minnesota

78

81.7

4.6

(72.6--90.7)

Hennepin County, Minnesota

269

79.3

2.6

(74.2--84.3)

Ramsey County, Minnesota

111

80.4

4.1

(72.3--88.4)

DeSoto County, Mississippi

73

N/A

N/A

N/A

Harrison County, Mississippi

127

68.6

4.7

(59.3--77.8)

Hinds County, Mississippi

155

75.4

4.0

(67.5--83.2)

Rankin County, Mississippi

76

78.3

5.1

(68.3--88.2)

Jackson County, Missouri

129

65.3

4.7

(56.0--74.5)

St. Louis County, Missouri

122

72.8

4.8

(63.3--82.2)

St. Louis City, Missouri

106

N/A

N/A

N/A

Flathead County, Montana

135

67.3

4.7

(58.0--76.5)

Yellowstone County, Montana

139

79.3

3.6

(72.2--86.3)

Dakota County, Nebraska

136

63.2

4.8

(53.7--72.6)

Douglas County, Nebraska

145

81.8

3.9

(74.1--89.4)

Hall County, Nebraska

111

72.8

4.7

(63.5--82.0)

Lancaster County, Nebraska

143

78.4

4.0

(70.5--86.2)

Sarpy County, Nebraska

83

N/A

N/A

N/A

Clark County, Nevada

326

60.6

3.0

(54.7--66.4)

Washoe County, Nevada

315

66.9

3.0

(61.0--72.7)

Grafton County, New Hampshire

161

75.6

3.6

(68.5--82.6)

Hillsborough County, New Hampshire

364

76.5

2.4

(71.7--81.2)

Merrimack County, New Hampshire

182

72.8

3.9

(65.1--80.4)

Rockingham County, New Hampshire

238

80.3

2.7

(75.0--85.5)

Strafford County, New Hampshire

158

81.1

3.3

(74.6--87.5)

Bergen County, New Jersey

134

72.1

4.5

(63.2--80.9)

Burlington County, New Jersey

109

75.1

4.6

(66.0--84.1)

Camden County, New Jersey

106

N/A

N/A

N/A

Essex County, New Jersey

150

72.6

4.4

(63.9--81.2)

Gloucester County, New Jersey

108

N/A

N/A

N/A

Hudson County, New Jersey

153

56.1

5.1

(46.1--66.0)

Hunterdon County, New Jersey

102

67.4

5.0

(57.6--77.2)

Middlesex County, New Jersey

123

76.3

4.2

(68.0--84.5)

Monmouth County, New Jersey

102

N/A

N/A

N/A

Morris County, New Jersey

132

70.8

4.4

(62.1--79.4)

Ocean County, New Jersey

153

69.9

4.2

(61.6--78.1)

Passaic County, New Jersey

86

N/A

N/A

N/A

Somerset County, New Jersey

105

73.5

5.1

(63.5--83.4)

Sussex County, New Jersey

90

N/A

N/A

N/A

Union County, New Jersey

93

N/A

N/A

N/A

Warren County, New Jersey

112

69.9

4.8

(60.4--79.3)

Bernalillo County, New Mexico

292

71.9

2.9

(66.2--77.5)

Dona Ana County, New Mexico

212

69.4

3.5

(62.5--76.2)

Sandoval County, New Mexico

123

81.0

3.7

(73.7--88.2)

San Juan County, New Mexico

137

N/A

N/A

N/A

Santa Fe County, New Mexico

130

62.2

5.0

(52.4--72.0)

Valencia County, New Mexico

68

N/A

N/A

N/A

Erie County, New York

104

76.2

4.5

(67.3--85.0)

Kings County, New York

94

N/A

N/A

N/A

Nassau County, New York

124

71.2

4.5

(62.3--80.0)

New York County, New York

165

74.2

4.5

(65.3--83.0)

Queens County, New York

97

N/A

N/A

N/A

Suffolk County, New York

122

66.4

4.7

(57.1--75.6)

Westchester County, New York

80

N/A

N/A

N/A

Buncombe County, North Carolina

123

75.2

4.2

(66.9--83.4)

Cabarrus County, North Carolina

98

72.0

5.0

(62.2--81.8)

Catawba County, North Carolina

116

80.6

4.0

(72.7--88.4)

Cumberland County, North Carolina

92

N/A

N/A

N/A


TABLE 9. (Continued) Estimated prevalence of adults aged ≥65 years who had received an influenza vaccination during the preceding 12 months, by county --- Behavioral Risk Factor Surveillance System (BRFSS), United States, 2007

County

Sample size

%

SE*

95% CI

Durham County, North Carolina

92

75.8

5.1

(65.8--85.7)

Gaston County, North Carolina

120

75.5

4.4

(66.8--84.1)

Guilford County, North Carolina

111

68.5

5.0

(58.7--78.3)

Henderson County, North Carolina

128

64.5

4.2

(56.2--72.7)

Johnston County, North Carolina

99

75.8

4.7

(66.5--85.0)

Mecklenburg County, North Carolina

158

77.6

3.7

(70.3--84.8)

New Hanover County, North Carolina

118

76.8

4.3

(68.3--85.2)

Orange County, North Carolina

85

88.2

4.2

(79.9--96.4)

Randolph County, North Carolina

108

72.8

4.5

(63.9--81.6)

Union County, North Carolina

101

63.5

5.1

(53.5--73.4)

Wake County, North Carolina

136

76.3

4.3

(67.8--84.7)

Burleigh County, North Dakota

127

75.4

4.0

(67.5--83.2)

Cass County, North Dakota

164

69.7

3.9

(62.0--77.3)

Cuyahoga County, Ohio

249

74.3

2.9

(68.6--79.9)

Franklin County, Ohio

193

71.8

3.7

(64.5--79.0)

Hamilton County, Ohio

245

74.1

3.1

(68.0--80.1)

Licking County, Ohio

75

N/A

N/A

N/A

Lucas County, Ohio

222

69.7

3.4

(63.0--76.3)

Mahoning County, Ohio

284

62.5

3.3

(56.0--68.9)

Montgomery County, Ohio

243

73.9

3.1

(67.8--79.9)

Stark County, Ohio

254

76.8

2.9

(71.1--82.4)

Summit County, Ohio

241

80.1

2.7

(74.8--85.3)

Canadian County, Oklahoma

61

87.2

4.3

(78.7--95.6)

Cleveland County, Oklahoma

102

71.8

4.9

(62.1--81.4)

Oklahoma County, Oklahoma

360

75.1

2.7

(69.8--80.3)

Tulsa County, Oklahoma

475

78.0

2.2

(73.6--82.3)

Clackamas County, Oregon

121

71.7

4.3

(63.2--80.1)

Multnomah County, Oregon

195

74.4

3.5

(67.5--81.2)

Washington County, Oregon

129

78.4

4.0

(70.5--86.2)

Allegheny County, Pennsylvania

201

75.8

3.4

(69.1--82.4)

Delaware County, Pennsylvania

74

N/A

N/A

N/A

Fayette County, Pennsylvania

482

68.1

3.0

(62.2--73.9)

Luzerne County, Pennsylvania

715

68.5

3.6

(61.4--75.5)

Montgomery County, Pennsylvania

106

81.9

4.3

(73.4--90.3)

Philadelphia County, Pennsylvania

454

70.8

4.4

(62.1--79.4)

Westmoreland County, Pennsylvania

102

81.5

4.9

(71.8--91.1)

Kent County, Rhode Island

200

82.4

2.8

(76.9--87.8)

Newport County, Rhode Island

127

81.4

3.5

(74.5--88.2)

Providence County, Rhode Island

818

78.0

1.6

(74.8--81.1)

Washington County, Rhode Island

148

79.5

3.7

(72.2--86.7)

Aiken County, South Carolina

190

69.5

3.6

(62.4--76.5)

Beaufort County, South Carolina

322

73.1

2.6

(68.0--78.1)

Berkeley County, South Carolina

75

N/A

N/A

N/A

Charleston County, South Carolina

181

76.8

3.6

(69.7--83.8)

Dorchester County, South Carolina

57

N/A

N/A

N/A

Greenville County, South Carolina

154

75.5

3.9

(67.8--83.1)

Horry County, South Carolina

337

74.6

2.6

(69.5--79.6)

Lexington County, South Carolina

75

N/A

N/A

N/A

Richland County, South Carolina

89

N/A

N/A

N/A

York County, South Carolina

70

N/A

N/A

N/A

Minnehaha County, South Dakota

189

82.3

3.0

(76.4--88.1)

Pennington County, South Dakota

213

80.5

2.9

(74.8--86.1)

Davidson County, Tennessee

84

79.7

4.5

(70.8--88.5)

Hamilton County, Tennessee

217

74.6

3.2

(68.3--80.8)

Shelby County, Tennessee

81

N/A

N/A

N/A

Sullivan County, Tennessee

148

72.4

4.1

(64.3--80.4)

Bexar County, Texas

281

71.1

3.1

(65.0--77.1)

Cameron County, Texas

165

66.8

4.3

(58.3--75.2)

Collin County, Texas

70

N/A

N/A

N/A

Dallas County, Texas

237

72.8

3.2

(66.5--79.0)

Denton County, Texas

36

N/A

N/A

N/A

El Paso County, Texas

366

66.9

2.7

(61.6--72.1)

Harris County, Texas

219

64.3

3.9

(56.6--71.9)

Hidalgo County, Texas

259

61.7

3.4

(55.0--68.3)

Tarrant County, Texas

284

69.3