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Surveillance for Certain Health Behaviors and Conditions Among States and Selected Local Areas — Behavioral Risk Factor Surveillance System, United States, 2013 and 2014


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Sonya Gamble, MS1; Tebitha Mawokomatanda, MSPH1; Fang Xu, PhD1; Pranesh P. Chowdhury, MD1; Carol Pierannunzi, PhD1; David Flegel, MS2; William Garvin1; Machell Town, PhD1 (View author affiliations)

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Abstract

Problem: Chronic diseases and conditions (e.g., heart diseases, stroke, arthritis, and diabetes) are the leading causes of morbidity and mortality in the United States. These conditions are costly to the U.S. economy, yet they are often preventable or controllable. Behavioral risk factors (e.g., excessive alcohol consumption, tobacco use, poor diet, frequent mental distress, and insufficient sleep) are linked to the leading causes of morbidity and mortality. Adopting positive health behaviors (e.g., staying physically active, quitting tobacco use, obtaining routine physical checkups, and checking blood pressure and cholesterol levels) can reduce morbidity and mortality from chronic diseases and conditions. Monitoring the health risk behaviors, chronic diseases and conditions, access to health care, and use of preventive health services at multilevel public health points (states, territories, and metropolitan and micropolitan statistical areas [MMSA]) can provide important information for development and evaluation of health intervention programs.

Reporting Period: 2013 and 2014.

Description of the System: The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit–dialed telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. BRFSS collects data on health risk behaviors, chronic diseases and conditions, access to health care, and use of preventive health services and practices related to the leading causes of death and disability in the United States and participating territories. This is the first BRFSS report to include age-adjusted prevalence estimates. For 2013 and 2014, these age-adjusted prevalence estimates are presented for all 50 states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, and selected MMSA.

Results: Age-adjusted prevalence estimates of health status indicators, health care access and preventive practices, health risk behaviors, chronic diseases and conditions, and cardiovascular conditions vary by state, territory, and MMSA. Each set of proportions presented refers to the range of age-adjusted prevalence estimates of selected BRFSS measures as reported by survey respondents.

The following are estimates for 2013. Adults reporting frequent mental distress: 7.7%–15.2% in states and territories and 6.3%–19.4% in MMSA. Adults with inadequate sleep: 27.6%–49.2% in states and territories and 26.5%–44.4% in MMSA. Adults aged 18–64 years having health care coverage: 66.9%–92.4% in states and territories and 60.5%–97.6% in MMSA. Adults identifying as current cigarette smokers: 10.1%–28.8% in states and territories and 6.1%–33.6% in MMSA. Adults reporting binge drinking during the past month: 10.5%–25.2% in states and territories and 7.2%–25.3% in MMSA. Adults with obesity: 21.0%–35.2% in states and territories and 12.1%–37.1% in MMSA. Adults aged ≥45 years with some form of arthritis: 30.6%–51.0% in states and territories and 27.6%–52.4% in MMSA. Adults aged ≥45 years who have had coronary heart disease: 7.4%–17.5% in states and territories and 6.2%–20.9% in MMSA. Adults aged ≥45 years who have had a stroke: 3.1%–7.5% in states and territories and 2.3%–9.4% in MMSA. Adults with high blood pressure: 25.2%–40.1% in states and territories and 22.2%–42.2% in MMSA. Adults with high blood cholesterol: 28.8%–38.4% in states and territories and 26.3%–39.6% in MMSA.

The following are estimates for 2014. Adults reporting frequent physical distress: 7.8%–16.0% in states and territories and 6.2%–18.5% in MMSA. Women aged 21–65 years who had a Papanicolaou test during the past 3 years: 67.7%–87.8% in states and territories and 68.0%–94.3% in MMSA. Adults aged 50–75 years who received colorectal cancer screening on the basis of the 2008 U.S. Preventive Services Task Force recommendation: 42.8%–76.7% in states and territories and 49.1%–79.6% in MMSA. Adults with inadequate sleep: 28.4%–48.6% in states and territories and 25.4%–45.3% in MMSA. Adults reporting binge drinking during the past month: 10.7%–25.1% in states and territories and 6.7%–26.3% in MMSA. Adults aged ≥45 years who have had coronary heart disease: 8.0%–17.1% in states and territories and 7.6%–19.2% in MMSA. Adults aged ≥45 years with some form of arthritis: 31.2%–54.7% in states and territories and 28.4%–54.7% in MMSA. Adults with obesity: 21.0%–35.9% in states and territories and 19.7%–42.5% in MMSA.

Interpretation: Prevalence of certain chronic diseases and conditions, health risk behaviors, and use of preventive health services varies among states, territories, and MMSA. The findings of this report highlight the need for continued monitoring of health status, health care access, health behaviors, and chronic diseases and conditions at state and local levels.

Public Health Action: State and local health departments and agencies can continue to use BRFSS data to identify populations at risk for certain unhealthy behaviors and chronic diseases and conditions. Data also can be used to design, monitor, and evaluate public health programs at state and local levels.

Introduction

Chronic diseases and conditions (e.g., cardiovascular disease, cancer, chronic lower respiratory diseases, and diabetes) are among the top 10 leading causes of death in the United States (1). Practicing healthy behaviors (e.g., quitting smoking, being more physically active, limiting alcohol intake, eating a nutritious diet, and maintaining a healthy weight) and using preventive health services (e.g., regular checks for high blood pressure and high blood cholesterol, screening for cancer on recommended schedules, and obtaining regular physical checkups) can reduce morbidity and premature mortality from chronic diseases and conditions (2).

BRFSS is an ongoing, state-based, random-digit–dialed cellular and landline telephone survey of noninstitutionalized adults aged ≥18 years in each U.S. state and participating territory. Since 1984, CDC has assisted state and territorial health departments in conducting the BRFSS survey each year. The survey is one of the main data sources that public health officials and practitioners use to track chronic diseases and conditions, health risk behaviors, use of preventive health services, and emerging health problems at state and local levels. The data are frequently used to set health goals as well as to monitor progress and success of public health programs and policy implementation at national, state, and local levels. BRFSS data collection is conducted by state health departments with assistance from CDC. The estimates in this report are calculated from BRFSS data sets, which are aggregates of the combined landline and cellular telephone data submitted during 2013 and 2014. Beginning in 2002, BRFSS data have been used to generate prevalence estimates from metropolitan and micropolitan statistical areas (MMSA) that meet the system’s inclusion criteria. This report includes BRFSS findings related to selected chronic diseases and conditions, health risk behaviors, health care access, and use of preventive health services.

Methods

BRFSS is conducted in all 50 states, the District of Columbia, the Commonwealth of Puerto Rico, and Guam. BRFSS uses a multistage sampling design and random-digit–dialing methods to select a representative sample from the noninstitutionalized adult population aged ≥18 years in each state and participating territory (3,4). Details on methodology, random sampling procedures, design (5), and reliability and validity of measures (6) used in BRFSS have been described in previous publications. Estimates are from 53 states and territories for both years, 145 MMSA for 2013, and 132 MMSA for 2014. A list of MMSA for each year is available on the BRFSS SMART website (https://www.cdc.gov/brfss/smart/smart_data.htm). The 2013 and 2014 questionnaires and all related supporting documents are available at the BRFSS website (https://www.cdc.gov/brfss/).

MMSA are defined by the Office of Management and Budget; respondents are assigned MMSA according to their county Federal Information Processing Standards code. MMSA were included in the data set if they met the selection criterion of ≥500 participants. Data are submitted monthly to CDC by the states or their designees. Data cleaning and weighting are conducted by CDC. Complete documentation of the BRFSS methodology is available at https://www.cdc.gov/brfss.

Questionnaire

The BRFSS questionnaire is designed to collect uniform, state-specific, self-reported data on a range of health behaviors and conditions (3,4). All questions undergo cognitive and field testing. The standard questionnaire consists of three parts: 1) core questions, 2) optional BRFSS modules, and 3) state-added questions. The core consists of a set of demographic and standard health-related questions used by all participating states and includes some topics that appear biennially. Topics and number of optional modules vary by year and are adopted by states depending upon their programmatic needs. State-added questions are developed, added, and used by the authoring state, specifically for their own residents; CDC does not develop, track, or record state-added questions. All BRFSS questionnaires are available at https://www.cdc.gov/brfss/questionnaires/index.htm.

Data Collection and Processing

Data collection for BRFSS is conducted using a computer-assisted telephone interviewing system. Data are collected monthly by each state and territory according to BRFSS standard protocol. After the monthly interviewing cycle concludes, data are submitted to CDC to be edited, processed, weighted, checked for reliability, and prepared for analysis. At the end of the survey year, CDC processes and aggregates the monthly data files to create a year-end data file for each state and territory.

Sampling

In 2013, BRFSS used a partially overlapping sample that, in addition to other eligibility requirements, screened out cellular telephone respondents who received more than 10% of all incoming calls on a landline telephone. In 2014, BRFSS adopted the use of a fully overlapping sample of landline and cellular telephone respondents aged ≥18 years. No minor children are included in the BRFSS sample. States designed samples using substate regions (e.g., public health districts or other jurisdictions) to ensure geographic representation within the sample. CDC assisted states with sample design and set minimum sample sizes for substate regions, split-sample versions of the questionnaire, and oversampling of populations that are hard to reach.

Data Weighting

BRFSS data were used to create direct estimates for each geographic area (i.e., state or MMSA). Data were weighted using a raking method. Raking (iterative proportional fitting) was applied using each demographic factor individually in an iterative process until demographic estimates matched control totals based on U.S. Census estimates for that year. Raking has improved the precision with which the BRFSS sample reflects the sociodemographic profile at the state level. Details of the BRFSS raking method are provided in the BRFSS weighting documents for 2013 and 2014 (7,8). The 2014 sampling overlap also prompted an adjustment to the BRFSS design weights. To account for overlap of the two samples, a composite factor was multiplied by the design weight for each dual user to create an adjustment that addressed and corrected for the respondent’s probability of being selected in both frames. More information about the composite factor calculation is available at https://www.cdc.gov/brfss/annual_data/2014/pdf/compare_2014.pdf.

Statistical Analysis

The analysis was conducted using statistical software, SAS-Callable SUDAAN release 11.0 (Research Triangle Institute, Cary, North Carolina), to account for the complex sampling design and calculate age-adjusted prevalence estimates, standard errors, and 95% confidence intervals. Sample sizes are unweighted in this report. Data with sample sizes <50 or having a relative standard error >30% were deemed unstable and less reliable and were suppressed in the tables, as noted by N/A (not available). Responses coded as do not know or refused were excluded from the analysis. Several chronic diseases and conditions (i.e., diabetes, arthritis, coronary heart disease, and stroke) were limited to participants aged ≥45 years (9).

This is the first BRFSS report to include age-adjusted prevalence estimates. Age adjustment is a standard analytical technique used to compare estimates between populations with different age distributions (e.g., states) and over time. In this report, the estimates were age adjusted so that data could be compared across states, MMSA, and time, each having different age distributions. BRFSS age-adjusted estimates were standardized to the 2000 U.S. population using distribution No. 8, consistent with the current National Center for Health Statistics recommendations and practice (10).

Crude prevalence estimates for each individual state and MMSA are provided at https://www.cdc.gov/brfss/brfssprevalence/index.html. Results should not be compared with those in previous BRFSS reports, which provided nonage-adjusted estimates by state, territory, and MMSA. The age-adjusted prevalence estimates were calculated from results of BRFSS and might differ from those derived by other methods.

About This Report

This report presents age-adjusted prevalence estimates and discussion of five topics. The topics are 1) health status indicators (self-rated general health status, frequent mental distress, and frequent physical distress); 2) health care access and preventive practices (health care coverage, recent routine physical checkup, Papanicolaou [Pap] test, colorectal cancer screening, and blood cholesterol check); 3) health risk behaviors (no leisure-time physical activity, inadequate sleep, current cigarette smoking, and binge drinking); 4) chronic diseases and conditions (obesity, diabetes, arthritis, and depression); and 5) cardiovascular conditions (coronary heart disease and stroke for adults aged ≥45 years and high blood pressure and high blood cholesterol for adults aged ≥18 years).

Results

In 2013, a total of 491,773 adults completed BRFSS interviews on landline and cellular telephones. Results were from 53 states and territories and 145 MMSA with sufficient sample sizes. A total of 360,079 respondents completed the interview by landline telephone (range: 1,461 in Guam to 27,763 in Florida; median: 5,668). A total of 131,694 respondents completed the interview by cellular telephone (range: 445 in Guam to 7,620 in Kansas; median: 2,291). In 2014, a total of 464,662 adults completed the interview on landline and cellular telephones. Results were from 53 states and territories and 132 MMSA with sufficient sample size. A total of 298,568 respondents completed the interview by landline telephone (range: 1,852 in Guam to 12,962 in Nebraska; median: 4,973). A total of 166,094 respondents completed the interview by cellular telephone (range: 686 in Guam to 9,952 in Nebraska; median: 2,868).

BRFSS uses the American Association of Public Opinion Research Response Rate 4 (defined as the number of complete and partial interviews divided by the number of contacted and eligible respondents) (11) as a method for calculating response. In 2013, landline response rates ranged from 28.0% in Alabama to 63.7% in Puerto Rico (median: 49.6%) and cellular response rates ranged from 19.1% in Washington to 62.6% in Alaska (median: 37.8%). The combined (landline and cellular) response rates ranged from 29.0% in Alabama to 60.3% in Puerto Rico (median: 46.4%). In 2014, landline response rates ranged from 26.7% in California to 61.6% in Kentucky (median: 48.7%) and cellular response rates ranged from 22.2% in California to 60.0% in Alaska (median: 40.5%). Overall, the combined response rates ranged from 25.1% in California to 60.1% in South Dakota (median: 47.0%). BRFSS Summary Data Quality Reports for 2013 (12) and 2014 (13) have detailed information on response, cooperation, and refusal rates.

Increasing use of cellular telephones (14) prompted BRFSS to move to an overlapping sample in 2014. This was a change from the 2013 screening process, which restricted the eligibility of cellular telephone respondents who also used landline telephones. Effects of the 2014 sample change include larger proportions of completed interviews among persons aged 18–44 years, men, and Hispanics. Moving to an overlapping sample increased the proportion of cellular telephone respondents eligible to participate in the survey (15).

Health Status Indicators

Health Status

All respondents were asked if their general health was excellent, very good, good, fair, or poor. Respondents were then divided into two groups: those reporting their health was excellent, very good, or good and those reporting their health was fair or poor. In 2013, age-adjusted prevalence estimates for good or better health ranged from 66.4% in Puerto Rico to 88.7% in Vermont (median: 84.0%) (Table 1). Among selected MMSA, estimated age-adjusted prevalence ranged from 66.7% in San Juan-Carolina-Caguas, Puerto Rico, to 91.2% in Sioux Falls, South Dakota (median: 83.8%) (Table 2). In 2014, age-adjusted prevalence estimates of persons with good or better health ranged from 66.9% in Puerto Rico to 89.1% in Vermont (median: 84.1%) (Table 3). Among selected MMSA, age-adjusted prevalence estimates ranged from 63.3% in Ponce, Puerto Rico, to 92.2% in Logan, Utah-Idaho (median: 83.7%) (Table 4).

Frequent Mental Distress

All respondents were asked to determine how many days during the past 30 days their mental health status (e.g., stress, depression, and problems with emotions) was not good. The respondents were divided into two groups: those who reported frequent mental distress (≥14 mentally unhealthy days during the past 30 days) and those who reported no frequent mental distress (<14 mentally unhealthy days during the past 30 days). In 2013, age-adjusted prevalence estimates of frequent mental distress ranged from 7.7% in North Dakota to 15.2% in West Virginia (median: 11.3%) (Table 5). Among selected MMSA, estimated age-adjusted prevalence ranged from 6.3% in Grand Forks, North Dakota-Minnesota, and Minot, North Dakota, to 19.4% in Akron, Ohio (median: 10.9%) (Table 6).

Frequent Physical Distress

Frequent physical distress included respondents who reported ≥14 days of poor physical health (e.g., physical illness or injury) during the past 30 days. In 2014, age-adjusted prevalence estimates of frequent physical distress ranged from 7.8% in North Dakota to 16.0% in Kentucky (median: 10.9%) (Table 7). Among selected MMSA, age-adjusted prevalence estimates ranged from 6.2% in Logan, Utah-Idaho, to 18.5% in Aguadilla-Isabela, Puerto Rico (median: 11.1%) (Table 8).

Health Care Access and Preventive Practices

Health Care Coverage

Health care coverage was defined as respondents aged 18–64 years having any form of coverage, including private health insurance, prepaid plans (e.g., health maintenance organizations), or a government plan (e.g., Medicare or Medicaid) at the time of the interview. In 2013, age-adjusted prevalence estimates of health care coverage ranged from 66.9% in Texas to 92.4% in Massachusetts (median: 79.6%) (Table 9). Among selected MMSA, estimated age-adjusted prevalence ranged from 60.5% in El Paso, Texas, to 97.6% in Aguadilla-Isabela, Puerto Rico (median: 80.6%) (Table 10). In 2014, age-adjusted prevalence estimates ranged from 70.5% in Texas to 94.5% in Massachusetts (median: 84.2%) (Table 11). Among selected MMSA, age-adjusted prevalence estimates ranged from 64.7% in El Paso, Texas, to 96.6% in Ponce, Puerto Rico (median: 84.3%) (Table 12).

Recent Routine Physical Checkup

A recent routine physical checkup was defined as a visit that occurred during the past 12 months to a doctor for a general physical examination rather than for a specific injury, illness, or condition. In 2013, age-adjusted prevalence estimates of a routine physical checkup during the past 12 months ranged from 57.0% in Oregon to 77.7% in Rhode Island (median: 67.9%) (Table 13). Among selected MMSA, age-adjusted prevalence estimates ranged from 52.6% in Logan, Utah-Idaho, to 79.5% in Memphis, Tennessee-Mississippi-Arkansas (median: 68.9%) (Table 14). In 2014, age-adjusted prevalence estimates ranged from 57.2% in Idaho to 79.2% in Rhode Island (median: 69.2%) (Table 15). Among selected MMSA, age-adjusted prevalence estimates ranged from 55.9% in Scottsbluff, Nebraska, to 80.8% in Providence-Warwick, Rhode Island-Massachusetts (median: 69.8%) (Table 16).

Pap Test

A Pap test detects cancer of the cervix. The U.S. Preventive Services Task Force (USPSTF) recommends that women aged ≥21 years should receive a Pap test to screen for cervical cancer at least every 3 years until aged 65 years or a Pap test in combination with a human papillomavirus test every 5 years for women aged 30–65 years (16). Women aged 21–65 years who self-reported ever having a Pap test were included in this report. In 2014, age-adjusted prevalence estimates of a Pap test among women aged 21–65 years ranged from 67.7% in Guam to 87.8% in Massachusetts (median: 82.4%) (Table 17). Among selected MMSA, age-adjusted prevalence estimates ranged from 68.0% in Wichita Falls, Texas, to 94.3% in Knoxville, Tennessee (median: 83.1%) (Table 18).

Colorectal Cancer Screening

USPSTF recommends colorectal cancer screening for adults aged 50–75 years using a blood stool test (also known as fecal occult blood test [FOBT]) every year, a colonoscopy every 10 years, or a flexible sigmoidoscopy every 5 years with an FOBT every 3 years (17). Adults aged 50–75 years who self-reported ever having a colorectal cancer screening were included in this report. In 2014, age-adjusted prevalence estimates of colorectal cancer screening among adults aged 50–75 years ranged from 42.8% in Guam to 76.7% in Massachusetts (median: 66.3%) (Table 19). Among selected MMSA, age-adjusted prevalence estimates ranged from 49.1% in Ponce, Puerto Rico, to 79.6% in Madison, Wisconsin (median: 68.1%) (Table 20).

Blood Cholesterol Check

Respondents were categorized as having had a blood cholesterol check if they had their blood cholesterol checked during the past 5 years. In 2013, age-adjusted prevalence estimates of a blood cholesterol check during the past 5 years ranged from 65.9% in Guam to 81.9% in Massachusetts (median: 74.3%) (Table 21). Among selected MMSA, age-adjusted prevalence estimates ranged from 62.5% in Logan, Utah-Idaho, to 83.5% in Nassau County-Suffolk County, New York (median: 75.6%) (Table 22).

Health Risk Behaviors

No Leisure-time Physical Activity

Respondents were categorized as having no leisure-time physical activity if they did not participate in any physical activity or exercise (e.g., running, calisthenics, golf, gardening, or walking for exercise) other than their regular job during the preceding month. In 2013, age-adjusted prevalence estimates of no leisure-time physical activity ranged from 17.9% in Colorado to 47.4% in Puerto Rico (median: 25.1%) (Table 23). Among selected MMSA, age-adjusted prevalence estimates ranged from 14.8% in San Francisco-Redwood City-South San Francisco, California, to 48.3% in San Juan-Carolina-Caguas, Puerto Rico (median: 25.1%) (Table 24). In 2014, age-adjusted prevalence estimates ranged from 15.9% in Oregon to 39.7% in Puerto Rico (median: 22.4%) (Table 25). Among selected MMSA, age-adjusted prevalence estimates ranged from 11.7% in Logan, Utah-Idaho, to 42.1% in Aguadilla-Isabela, Puerto Rico (median: 22.6%) (Table 26).

Inadequate Sleep

Respondents were asked to determine the average number of hours of sleep they usually get during a 24-hour period. Those having <7 hours of sleep were classified as having inadequate sleep and those having >7 hours of sleep as having adequate sleep. In 2013, age-adjusted prevalence estimates of inadequate sleep ranged from 27.6% in South Dakota to 49.2% in Guam (median: 35.3%) (Table 27). Among selected MMSA, age-adjusted prevalence estimates ranged from 26.5% in Sioux Falls, South Dakota, to 44.4% in Augusta-Richmond County, Georgia-South Carolina (median: 34.9%) (Table 28). In 2014, age-adjusted prevalence estimates ranged from 28.4% in South Dakota to 48.6% in Guam (median: 34.7%) (Table 29). Among selected MMSA, age-adjusted prevalence estimates ranged from 25.4% in Fargo, North Dakota-Minnesota, to 45.3% in Kingsport-Bristol-Bristol, Tennessee-Virginia (median: 34.8%) (Table 30).

Current Cigarette Smoking

Current cigarette smokers were defined as respondents who reported having smoked at least 100 cigarettes in their lifetime and who smoked every day or some days at the time of the interview. In 2013, age-adjusted prevalence estimates of current cigarette smoking ranged from 10.1% in Utah to 28.8% in West Virginia (median: 19.3%) (Table 31). Among selected MMSA, age-adjusted prevalence estimates ranged from 6.1% in Provo-Orem, Utah, to 33.6% in Kingsport-Bristol-Bristol, Tennessee-Virginia (median: 19.5%) (Table 32). In 2014, age-adjusted prevalence estimates ranged from 9.5% in Utah to 28.1% in West Virginia (median: 18.7%) (Table 33). Among selected MMSA, age-adjusted prevalence estimates ranged from 5.0% in Logan, Utah-Idaho, to 29.3% in Charleston, West Virginia (median: 18.6%) (Table 34).

Binge Drinking

Respondents were considered to be binge drinkers if during the past 30 days a man had five or more drinks on one occasion and a woman had four or more drinks on one occasion. In 2013, age-adjusted prevalence estimates of binge drinking among both men and women ranged from 10.5% in Tennessee to 25.2% in North Dakota (median: 17.7%) (Table 35). Among selected MMSA, age-adjusted prevalence estimates ranged from 7.2% in Provo-Orem, Utah, to 25.3% in Buffalo-Cheektowaga-Niagara Falls, New York (median: 17.8%) (Table 36). In 2014, age-adjusted prevalence estimates ranged from 10.7% in West Virginia to 25.1% in North Dakota (median: 17.0%) (Table 37). Among selected MMSA, age-adjusted prevalence estimates ranged from 6.7% in Provo-Orem, Utah, to 26.3% in Fargo, North Dakota-Minnesota (median: 17.0%) (Table 38).

Chronic Diseases and Conditions

Obesity

Obesity, calculated from self-reported height and weight, was defined as having a body mass index of ≥30 (weight [kg]/height [m2]). In 2013, age-adjusted prevalence estimates of obesity ranged from 21.0% in Colorado to 35.2% in West Virginia (median: 28.2%) (Table 39). Among selected MMSA, age-adjusted prevalence estimates ranged from 12.1% in San Francisco-Redwood City-South San Francisco, California, to 37.1% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 28.3%) (Table 40). In 2014, age-adjusted prevalence estimates ranged from 21.0% in Colorado to 35.9% in Arkansas (median: 29.0%) (Table 41). Among selected MMSA, age-adjusted prevalence estimates ranged from 19.7% in Reno, Nevada, to 42.5% in Corpus Christi, Texas (median: 29.3%) (Table 42).

Diabetes

Diabetes was defined as respondents aged ≥45 years who reported having ever been told by a doctor, nurse, or other health professional they have diabetes, excluding prediabetes or borderline diabetes and diabetes during pregnancy for women. In 2013, age-adjusted prevalence estimates of diabetes among adults aged ≥45 years ranged from 11.1% in Colorado to 27.5% in Guam (median: 16.2%) (Table 43). Among selected MMSA, age-adjusted prevalence estimates ranged from 10.6% in Buffalo-Cheektowaga-Niagara Falls, New York, to 24.8% in Aguadilla-Isabela, Puerto Rico (median: 15.8%) (Table 44).

Arthritis

Arthritis was defined as respondents aged ≥45 years who reported having ever been told by a doctor, nurse, or other health professional they have some form of arthritis, including rheumatoid arthritis, gout, lupus, or fibromyalgia. In 2013, age-adjusted prevalence estimates of arthritis among adults aged ≥45 years ranged from 30.6% in Hawaii to 51.0% in West Virginia (median: 39.4%) (Table 45). Among selected MMSA, age-adjusted prevalence estimates ranged from 27.6% in Dallas-Plano-Irving, Texas, to 52.4% in Huntington-Ashland, West Virginia-Kentucky-Ohio (median: 39.4%) (Table 46). In 2014, age-adjusted prevalence estimates ranged from 31.2% in Hawaii to 54.7% in West Virginia (median: 39.8%) (Table 47). Among selected MMSA, age-adjusted prevalence ranged from 28.4% in College Station-Bryan, Texas, to 54.7% in Montgomery, Alabama (median: 40.1%) (Table 48).

Depression

Respondents were asked if they had ever been told by a doctor, nurse, or other health professional they have a depressive disorder, including depression, major depression, dysthymia, or minor depression. In 2013, age-adjusted prevalence estimates of depression ranged from 8.6% in Guam to 26.8% in Oregon (median: 18.6%) (Table 49). Among selected MMSA, age-adjusted prevalence estimates ranged from 7.7% in San Jose-Sunnyvale-Santa Clara, California, to 28.5% in Fort Smith, Arkansas-Oklahoma (median: 18.7%) (Table 50). In 2014, age-adjusted prevalence estimates ranged from 8.9% in Guam to 24.2% in Maine (median: 18.8%) (Table 51). Among selected MMSA, age-adjusted prevalence estimates ranged from 10.5% in Riverside-San Bernardino-Ontario, California, to 29.5% in Springfield, Massachusetts (median: 18.8%) (Table 52).

Cardiovascular Conditions

Coronary Heart Disease

Respondents aged ≥45 years were categorized as having coronary heart disease if they reported having ever been told by a doctor, nurse, or other health professional they have had a heart attack (myocardial infarction) or angina. In 2013, age-adjusted prevalence estimates of coronary heart disease among adults aged ≥45 years ranged from 7.4% in Hawaii to 17.5% in West Virginia (median: 11.0%) (Table 53). Among selected MMSA, age-adjusted prevalence estimates ranged from 6.2% in San Francisco-Redwood City-South San Francisco, California, to 20.9% in Ponce, Puerto Rico (median: 11.1%) (Table 54). In 2014, age-adjusted prevalence estimates ranged from 8.0% in Hawaii to 17.1% in Puerto Rico (median: 11.0%) (Table 55). Among selected MMSA, the age-adjusted prevalence estimates ranged from 7.6% in Provo-Orem, Utah, to 19.2% in Ponce, Puerto Rico (median: 11.3%) (Table 56).

Stroke

Stroke was defined as respondents aged ≥45 years having ever been told by a doctor, nurse, or other health professional they have had a stroke. In 2013, age-adjusted prevalence estimates for stroke among adults aged ≥45 years ranged from 3.1% in Puerto Rico to 7.5% in Mississippi (median: 4.7%) (Table 57). Among selected MMSA, age-adjusted prevalence estimates ranged from 2.3% in Grand Island, Nebraska, to 9.4% in Spartanburg, South Carolina (median: 4.9%) (Table 58). In 2014, age-adjusted prevalence estimates ranged from 3.3% in Colorado to 8.0% in Guam (median: 4.8%) (Table 59). Among selected MMSA, age-adjusted prevalence estimates ranged from 2.3% in Sacramento-Roseville-Arden-Arcade, California, to 9.0% in Berlin, New Hampshire-Vermont (median: 5.0%) (Table 60).

High Blood Pressure

High blood pressure was defined as respondents who reported having ever been told by a doctor, nurse, or other health professional they have high blood pressure. In 2013, age-adjusted prevalence estimates of high blood pressure ranged from 25.2% in Minnesota to 40.1% in Puerto Rico (median: 29.5%) (Table 61). Among selected MMSA, age-adjusted prevalence estimates ranged from 22.2% in Duluth, Minnesota-Wisconsin, to 42.2% in Fort Smith, Arkansas-Oklahoma (median: 30.4%) (Table 62).

High Blood Cholesterol

Respondents were categorized as having high blood cholesterol if, after having their cholesterol checked, they had ever been told by a doctor, nurse, or other health professional it was high. In 2013, age-adjusted prevalence estimates of high blood cholesterol ranged from 28.8% in Vermont to 38.4% in Alabama (median: 33.9%) (Table 63). Among selected MMSA, age-adjusted prevalence estimates ranged from 26.3% in Burlington-South Burlington, Vermont, to 39.6% in Baton Rouge, Louisiana (median: 33.5%) (Table 64).

Discussion

Considerable variation exists at the levels of state, territory, and MMSA in age-adjusted prevalence estimates of health status, health care access, health risk behaviors, use of preventive practices, and chronic diseases and conditions among U.S. adults. The variations might reflect differences in demographic factors of respondents, including race and sex distribution of the population; socioeconomic conditions, including education level, income level, and employment status; state laws and local ordinances relating to health policy; availability of and access to health care services; use of preventive health services; and patterns of reimbursement for preventive services.

Health Status Indicators

Use of a single question to measure self-rated health status is complex because it includes a person’s physical health, mental health, and functional capacity (18). Health status is a measure of the perceived effects of acute and chronic health conditions (19). In this report, variations of prevalence estimates of good or better health across states, territories, and MMSA suggest differences in patterns of chronic disease, health care access, and health behaviors.

Frequent mental distress assesses both the effects of chronic disease and self-reported mental distress (20). Persons with frequent mental distress are at a higher risk for certain health risk behaviors (e.g., physical inactivity, inadequate sleep, smoking, and drinking) and chronic diseases and conditions (e.g., diabetes, high blood pressure, heart disease, stroke, asthma, and arthritis) (21,22). Similarly, frequent physical distress is a measure of physical symptoms related to chronic diseases and conditions (e.g., cancer, diabetes, obesity, and arthritis) and health risk factors (e.g., body mass index, physical inactivity, and smoking status) (19). The questions related to frequent physical distress have demonstrated validity and reliability for population health surveillance (23). Both frequent mental distress and frequent physical distress are measured and tracked by the health-related quality of life question (19). The wide variation in frequent mental distress and frequent physical distress indicates the continued need for surveillance of symptoms related to mental and physical unhealthy days at state and local levels (23).

Health Care Access and Preventive Practices

Health care coverage is associated with access to preventive health care, and lack of health insurance can often lead to adverse health outcomes (24). In 2010, one in four adults did not have health care coverage, and those who had a chronic illness and did not have health insurance were more likely to skip or delay medical care because of cost (25).

In the United States, cancer is a major public health problem and is the second-leading cause of death (26). In 2014, having a Pap test among women aged 21–65 years varied among states. This difference might be associated with lack of access to health care and lack of health insurance (27). Evidence-based public health approaches can improve cervical cancer screening among women in this age group. Colorectal cancer is the second leading cause of death from cancers that affect both men and women (28). Screening is key to finding precancerous polyps, and early detection makes colorectal cancer easier to treat. USPSTF recommends colorectal cancer screening for adults aged 50–75 years. The 2014 estimates suggest the need for continued population-level efforts to identify groups that are not receiving colorectal cancer screening.

Health Risk Behaviors

Staying physically active is an important part of improving health; it helps maintain a healthy weight, improves cardiorespiratory efficiency, strengthens muscles and bones, lowers stress, and can improve one’s mental health and mood (29). Physical inactivity is a risk factor for chronic diseases and conditions (e.g., diabetes, heart disease, and arthritis) (30). BRFSS measured physical inactivity or lack of exercise as no leisure-time activity during the past 30 days. The varying prevalence of no leisure-time physical activity among states and MMSA indicates the need to implement strategies outlined in the CDC Guide to Strategies to Increase Physical Activity in the Community (31).

Good sleep is critical for good health and overall quality of life (32). The American Academy of Sleep Medicine and Sleep Research Society recommends that adults aged ≥18 years get at least 7 hours of sleep each night (33). Inadequate sleep (<7 hours) is associated with high blood pressure, asthma, arthritis, obesity, diabetes, coronary heart disease, stroke, depression, and other chronic diseases and conditions (34). The range of prevalence estimates for 2013 and 2014 shows greater efforts are needed to develop and implement interventions that address multiple health risk factors and conditions associated with insufficient sleep.

Tobacco use continues to be the single most preventable cause of morbidity and mortality worldwide; it is responsible for approximately 6 million deaths per year (35). Smoking causes various types of cancer, cardiovascular and pulmonary diseases, and reproductive and developmental disorders (36). Nicotine, found in tobacco products, is acutely toxic, and smoking has been linked to diseases of nearly every organ of the body (37). Implementing comprehensive tobacco control programs, which can include a combination of smoke-free laws, cigarette price increases, access to proven smoking cessation treatments and services, and direct media campaigns, can help reduce current smoking prevalence (38).

Binge drinking is the most common pattern of excessive alcohol use in the United States (39). It is a major risk factor for morbidity and mortality and other societal costs (40,41). Health-related risks extend beyond those stemming from alcohol abuse; binge drinking can lead to risky sexual activity, unintentional injuries, violence, fetal alcohol disorders, and suicide (42). In this report, estimated prevalence of binge drinking varies across the United States and might be associated with socioeconomic and demographic factors and alcohol-related policies in states and MMSA (43).

Chronic Diseases and Conditions

Obesity is a national epidemic and a contributing factor in many health problems, including heart disease, stroke, diabetes, and certain types of cancer (44). It lowers quality of life and results in higher medical costs (45). A 2013 study on obesity reported that prevalence had increased during 1999–2002 and 2007–2010 among both men and women and substantial disparity persisted among certain population groups (45). Access to healthy food and regular physical activity, knowledge about healthy servings and portions, community-based social capital, and guidance from health care providers can help persons maintain a healthy weight (46).

Arthritis affects 20% (53 million) of the adult population in the United States (47), and it is the major contributor to falls among elderly persons (48). Physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and for adults with other chronic conditions who might be limited by their arthritis (49). In 2013 and 2014, approximately 40% of adults aged ≥45 years had some form of arthritis in each year.

Depression is one of the top five causes of disability; it can cause fatigue, decrease one’s ability to work or attend school, and increase risk for suicide (50). The Global Burden of Disease Study 2010 identified depression as a leading cause of morbidity and mortality worldwide (51). Varying prevalence estimates among states and MMSA underscore the need for prevention and intervention efforts at state and local levels.

Cardiovascular Conditions

Heart disease is the leading cause of death in the United States, accounting for 23.4% of all deaths in 2014; stroke is the fifth-leading cause of death, accounting for 5.1% of all deaths in 2014 (52). Both heart disease and stroke are major causes of disability among adults (52,53).

High blood pressure and high cholesterol are primary contributors to heart disease and stroke (54). In addition, adults aged ≥45 years with frequent mental distress have been found to have a higher likelihood of heart disease (55). High blood pressure and high cholesterol often can be controlled or prevented with medication, regular exercise, and a healthy diet, as well as by quitting smoking, reducing alcohol use, and monitoring blood pressure and cholesterol. Because high blood pressure and high cholesterol are contributors to stroke and heart disease, strategies for prevention and control can help prevent cardiovascular complications.

Limitations

The findings of this report are subject to at least five limitations. First, because it is a household telephone survey BRFSS excludes information from persons in institutions, military installations, nursing homes, long-term care facilities, and correctional institutions. Second, the questionnaire is administered only to persons who speak English, Spanish, Mandarin, or Portuguese. Persons who do not speak these languages would not be able to participate in the survey. Third, the BRFSS survey collects self-reported data that are subject to recall bias and social desirability effects. Fourth, because of small sample size or unreliable estimates, certain estimates could not be obtained for some MMSA. Finally, persons without a landline or cellular telephone are not able to participate.

Overall, BRFSS is a cost-effective, timely, and flexible surveillance system that provides state health departments and local communities with reliable estimates to monitor and track health status, health risk behaviors, chronic diseases and conditions, and access to preventive health care. Crude estimates obtained using BRFSS are comparable and consistent with other U.S. survey estimates (56). BRFSS questions have been shown to be valid and reliable (6).

Conclusion

Although chronic diseases and conditions are a challenge to the overall health of the U.S. population, prevalence of morbidity and mortality can be estimated and reduced by monitoring trends, promoting healthy behaviors, identifying emerging diseases, and building effective and sustainable public health community interventions. Results from this report reflect variations in health status, health care access, health behaviors, and chronic diseases and conditions at state and MMSA levels. Identifying areas with populations at risk can help public health officials address health needs and use limited resources more effectively. BRFSS results can be used to identify emerging health problems, support health-related legislative efforts, and develop and evaluate public health policies and programs at state and local levels. CDC will continue to work with states and territories to collect data, identify populations that are underserved and at risk, monitor chronic diseases and conditions and access to health care, and encourage the U.S. population to adopt healthy behaviors.

Acknowledgement

The authors acknowledge the BRFSS coordinators in states and territories and the Population Health Surveillance Branch, Division of Population Health, CDC.


Corresponding author: Tebitha Mawokomatanda, MSPH, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC. Telephone: 770-488-4561; E-mail: chn4@cdc.gov.

1Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC; 2Northrop Grumman Corporation, Atlanta, Georgia

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Return to your place in the textTABLE 1. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported good or better health, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,476 78.6 0.7 (77.3–79.9)
Alaska 4,561 85.1 0.7 (83.6–86.5)
Arizona 4,242 84.1 1.0 (82.1–86.1)
Arkansas 5,243 77.1 0.8 (75.5–78.8)
California 11,508 81.4 0.5 (80.4–82.4)
Colorado 13,617 87.0 0.4 (86.3–87.8)
Connecticut 7,691 87.6 0.5 (86.6–88.7)
Delaware 5,200 83.5 0.7 (82.0–84.9)
District of Columbia 4,920 86.6 0.7 (85.2–88.0)
Florida 33,822 81.7 0.5 (80.7–82.7)
Georgia 8,113 81.2 0.6 (80.0–82.4)
Hawaii 7,850 86.9 0.5 (85.9–88.0)
Idaho 5,598 86.2 0.7 (84.9–87.6)
Illinois 5,605 83.6 0.7 (82.2–85.0)
Indiana 10,206 82.6 0.5 (81.7–83.6)
Iowa 8,145 86.4 0.5 (85.4–87.5)
Kansas 23,228 85.2 0.3 (84.6–85.8)
Kentucky 10,995 77.9 0.6 (76.7–79.1)
Louisiana 5,241 78.1 0.9 (76.4–79.8)
Maine 8,033 86.5 0.5 (85.5–87.5)
Maryland 12,972 85.4 0.5 (84.4–86.5)
Massachusetts 15,042 86.8 0.5 (85.9–87.7)
Michigan 12,745 83.2 0.5 (82.3–84.2)
Minnesota 14,299 88.1 0.5 (87.1–89.1)
Mississippi 7,424 76.5 0.7 (75.2–77.9)
Missouri 7,103 82.4 0.7 (81.1–83.8)
Montana 9,674 85.8 0.5 (84.9–86.8)
Nebraska 17,106 86.7 0.4 (85.9–87.5)
Nevada 5,087 83.1 1.0 (81.2–85.1)
New Hampshire 6,449 88.0 0.6 (86.9–89.1)
New Jersey 13,351 84.0 0.5 (83.0–85.0)
New Mexico 9,295 80.1 0.6 (78.9–81.3)
New York 8,886 82.8 0.5 (81.7–83.8)
North Carolina 8,827 81.5 0.5 (80.5–82.6)
North Dakota 7,775 86.1 0.6 (85.0–87.2)
Ohio 11,940 82.8 0.5 (81.8–83.9)
Oklahoma 8,204 80.1 0.6 (78.9–81.2)
Oregon 5,934 83.2 0.7 (81.7–84.6)
Pennsylvania 11,352 84.2 0.5 (83.2–85.1)
Rhode Island 6,508 84.3 0.6 (83.1–85.6)
South Carolina 10,667 81.4 0.5 (80.4–82.4)
South Dakota 6,887 88.2 0.6 (87.1–89.3)
Tennessee 5,785 78.1 0.8 (76.6–79.6)
Texas 10,708 80.8 0.6 (79.7–82.0)
Utah 12,737 87.1 0.4 (86.3–87.8)
Vermont 6,383 88.7 0.5 (87.7–89.8)
Virginia 8,431 84.7 0.5 (83.7–85.6)
Washington 11,129 84.7 0.5 (83.7–85.6)
West Virginia 5,885 76.4 0.6 (75.1–77.6)
Wisconsin 6,582 85.2 0.7 (83.8–86.7)
Wyoming 6,433 85.4 0.6 (84.2–86.6)
Guam 1,896 79.0 1.3 (76.6–81.5)
Puerto Rico 6,003 66.4 0.8 (64.9–67.9)
Median 84.0
Range 66.4–88.7

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked to rate their general health as poor, fair, good, very good, or excellent. Respondents were classified into two groups: those who reported poor or fair health and those who reported good, very good, or excellent health.

Return to your place in the textTABLE 2. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported good or better health, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 593 67.8 2.5 (62.9–72.7)
Akron, Ohio 687 79.8 2.6 (74.8–84.8)
Albuquerque, New Mexico 2,081 81.4 1.2 (79.1–83.7)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,027 80.1 2.0 (76.1–84.1)
Anchorage, Alaska 1,523 86.1 1.1 (83.9–88.3)
Atlanta-Sandy Springs-Roswell, Georgia 3,508 83.6 0.8 (82.0–85.3)
Augusta-Richmond County, Georgia-South Carolina 913 79.4 2.0 (75.5–83.4)
Austin-Round Rock, Texas 924 84.9 1.7 (81.6–88.2)
Baltimore-Columbia-Towson, Maryland 4,757 85.0 0.8 (83.4–86.6)
Baton Rouge, Louisiana 928 80.8 1.9 (77.1–84.4)
Billings, Montana 816 83.6 1.5 (80.7–86.4)
Birmingham-Hoover, Alabama 1,349 80.8 1.3 (78.3–83.3)
Bismarck, North Dakota 1,032 86.1 1.4 (83.4–88.9)
Boise City, Idaho 1,485 88.5 1.1 (86.3–90.7)
Boston, Massachusetts§ 4,067 87.3 0.8 (85.6–88.9)
Buffalo-Cheektowaga-Niagara Falls, New York 505 84.9 2.5 (80.0–89.7)
Burlington-South Burlington, Vermont 1,632 89.7 0.9 (87.8–91.5)
Cambridge-Newton-Framingham, Massachusetts§ 4,888 88.0 0.7 (86.6–89.4)
Camden, New Jersey§ 1,866 83.2 1.3 (80.8–85.7)
Cedar Rapids, Iowa 648 85.1 2.1 (80.9–89.2)
Charleston, West Virginia 819 77.6 1.7 (74.2–81.0)
Charleston-North Charleston, South Carolina 1,547 84.1 1.2 (81.7–86.5)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,948 82.4 1.1 (80.3–84.5)
Chattanooga, Tennessee-Georgia 577 78.9 2.5 (74.0–83.9)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,330 83.2 0.9 (81.4–85.1)
Cincinnati, Ohio-Kentucky-Indiana 2,601 84.6 1.0 (82.5–86.6)
Claremont-Lebanon, New Hampshire-Vermont 1,688 86.7 1.5 (83.8–89.6)
Cleveland-Elyria, Ohio 1,105 81.6 1.8 (78.2–85.1)
Colorado Springs, Colorado 1,376 87.8 1.0 (85.7–89.8)
Columbia, South Carolina 1,442 85.1 1.1 (82.9–87.4)
Columbus, Ohio 1,861 84.2 1.1 (82.1–86.4)
Crestview-Fort Walton Beach-Destin, Florida 1,069 82.1 1.7 (78.7–85.5)
Dallas-Plano-Irving, Texas§ 887 83.8 1.4 (81.0–86.5)
Davenport-Moline-Rock Island, Iowa-Illinois 672 83.0 2.3 (78.5–87.4)
Dayton, Ohio 837 87.6 1.4 (85.0–90.3)
Deltona-Daytona Beach-Ormond Beach, Florida 1,103 85.1 1.6 (81.9–88.3)
Denver-Aurora-Lakewood, Colorado 5,702 87.0 0.6 (85.9–88.1)
Des Moines-West Des Moines, Iowa 1,343 88.8 1.0 (86.8–90.9)
Duluth, Minnesota-Wisconsin 699 87.5 1.7 (84.1–90.9)
Durham-Chapel Hill, North Carolina 617 84.0 1.9 (80.2–87.8)
El Paso, Texas 743 79.5 1.7 (76.1–82.9)
Evansville, Indiana-Kentucky 571 80.4 2.5 (75.6–85.3)
Fargo, North Dakota-Minnesota 1,179 86.1 1.4 (83.3–88.9)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 820 79.4 2.0 (75.5–83.3)
Fort Smith, Arkansas-Oklahoma 497 69.7 3.3 (63.2–76.2)
Fort Wayne, Indiana 772 86.1 1.7 (82.8–89.4)
Fort Worth-Arlington, Texas§ 802 85.7 1.6 (82.6–88.9)
Gainesville, Florida 1,018 87.0 1.6 (83.8–90.2)
Grand Forks, North Dakota-Minnesota 503 86.0 2.4 (81.2–90.7)
Grand Island, Nebraska 798 82.6 1.9 (78.9–86.3)
Grand Rapids-Wyoming, Michigan 1,346 86.8 1.4 (84.1–89.4)
Greensboro-High Point, North Carolina 662 82.0 1.9 (78.2–85.7)
Greenville-Anderson-Mauldin, South Carolina 1,339 83.1 1.4 (80.3–85.9)
Gulfport-Biloxi-Pascagoula, Mississippi 771 75.6 2.0 (71.6–79.6)
Hagerstown-Martinsburg, Maryland-West Virginia 766 82.2 1.9 (78.4–86.0)
Hartford-West Hartford-East Hartford, Connecticut 2,831 88.2 0.8 (86.6–89.9)
Hilton Head Island-Bluffton-Beaufort, South Carolina 825 89.5 1.5 (86.7–92.4)
Houston-The Woodlands-Sugar Land, Texas 1,363 81.9 1.5 (78.9–84.9)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,175 75.6 1.5 (72.6–78.5)
Idaho Falls, Idaho 506 80.0 2.6 (74.9–85.0)
Indianapolis-Carmel-Anderson, Indiana 2,516 82.9 1.0 (80.9–84.9)
Jackson, Mississippi 802 81.8 1.7 (78.5–85.2)
Jacksonville, Florida 2,852 82.4 1.0 (80.3–84.4)
Kansas City, Missouri-Kansas 7,411 85.2 0.9 (83.5–86.9)
Kingsport-Bristol-Bristol, Tennessee-Virginia 536 73.7 3.0 (67.8–79.7)
Knoxville, Tennessee 651 78.2 2.1 (74.1–82.2)
Lansing-East Lansing, Michigan 687 86.3 1.5 (83.3–89.2)
Lexington-Fayette, Kentucky 637 80.8 2.0 (76.8–84.8)
Lincoln, Nebraska 1,875 88.8 0.8 (87.2–90.5)
Little Rock-North Little Rock-Conway, Arkansas 1,140 79.0 1.6 (75.8–82.1)
Logan, Utah-Idaho 641 86.5 1.8 (83.0–89.9)
Los Angeles-Long Beach-Anaheim, California 3,041 80.6 0.9 (78.8–82.4)
Louisville/Jefferson County, Kentucky-Indiana 2,142 81.7 1.3 (79.2–84.2)
Lubbock, Texas 525 80.0 2.6 (74.9–85.0)
Manhattan, Kansas 663 90.2 1.2 (87.8–92.5)
Memphis, Tennessee-Mississippi-Arkansas 1,206 81.4 1.5 (78.6–84.3)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,193 82.1 1.3 (79.5–84.7)
Milwaukee-Waukesha-West Allis, Wisconsin 1,271 81.2 1.9 (77.6–84.9)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 9,113 88.7 0.6 (87.4–89.9)
Minot, North Dakota 650 87.8 1.4 (85.0–90.6)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 963 88.5 1.2 (86.1–90.9)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 775 81.8 1.7 (78.4–85.1)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,055 84.5 1.4 (81.8–87.2)
Nassau County-Suffolk County, New York§ 936 85.5 1.4 (82.7–88.3)
Newark, New Jersey-Pennsylvania§ 4,113 85.3 0.8 (83.7–86.8)
New Orleans-Metairie, Louisiana 1,284 79.7 1.8 (76.2–83.2)
New York-Jersey City-White Plains, New York-New Jersey§ 8,889 80.7 0.6 (79.5–81.9)
Norfolk, Nebraska 673 81.5 1.9 (77.8–85.1)
North Platte, Nebraska 718 85.4 1.8 (81.8–89.0)
North Port-Sarasota-Bradenton, Florida 1,082 81.2 2.0 (77.4–85.1)
Oakland-Hayward-Berkeley, California§ 700 87.0 1.5 (84.1–89.8)
Ogden-Clearfield, Utah 2,454 88.3 0.8 (86.8–89.8)
Oklahoma City, Oklahoma 2,634 83.0 0.8 (81.4–84.7)
Omaha-Council Bluffs, Nebraska-Iowa 3,123 86.8 0.8 (85.2–88.4)
Orlando-Kissimmee-Sanford, Florida 2,264 80.0 1.3 (77.5–82.5)
Panama City, Florida 1,021 80.8 1.9 (77.1–84.5)
Pensacola-Ferry Pass-Brent, Florida 1,307 82.7 1.3 (80.1–85.2)
Philadelphia, Pennsylvania§ 1,765 81.5 1.2 (79.2–83.9)
Phoenix-Mesa-Scottsdale, Arizona 1,545 85.2 1.4 (82.4–88.0)
Pittsburgh, Pennsylvania 2,344 85.5 0.9 (83.7–87.3)
Ponce, Puerto Rico 530 68.3 2.1 (64.3–72.4)
Portland-South Portland, Maine 2,618 90.0 0.7 (88.5–91.4)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,239 84.6 0.9 (82.8–86.5)
Port St. Lucie, Florida 1,020 82.6 2.3 (78.1–87.1)
Providence-Warwick, Rhode Island-Massachusetts 8,282 84.0 0.7 (82.5–85.4)
Provo-Orem, Utah 1,854 88.2 0.9 (86.5–90.0)
Raleigh, North Carolina 673 84.8 1.6 (81.7–87.9)
Rapid City, South Dakota 871 87.1 1.3 (84.5–89.7)
Reno, Nevada 1,818 82.5 1.3 (80.0–85.0)
Richmond, Virginia 1,308 85.1 1.2 (82.8–87.4)
Riverside-San Bernardino-Ontario, California 1,370 78.6 1.4 (75.9–81.3)
Rochester, New York 504 88.5 1.5 (85.5–91.5)
Rockingham County-Strafford County, New Hampshire§ 1,660 88.8 1.0 (86.7–90.8)
Sacramento-Roseville-Arden-Arcade, California 888 83.5 1.9 (79.8–87.3)
St. Louis, Missouri-Illinois 2,058 83.7 1.2 (81.3–86.0)
Salem, Oregon 527 83.5 2.5 (78.6–88.5)
Salina, Kansas 523 83.1 2.2 (78.8–87.4)
Salisbury, Maryland-Delaware 2,060 84.4 1.2 (82.1–86.8)
Salt Lake City, Utah 4,662 86.5 0.6 (85.2–87.7)
San Antonio-New Braunfels, Texas 928 76.7 1.8 (73.2–80.3)
San Francisco-Redwood City-South San Francisco, California§ 539 84.4 2.0 (80.4–88.4)
San Jose-Sunnyvale-Santa Clara, California 627 85.4 2.1 (81.3–89.5)
San Juan-Carolina-Caguas, Puerto Rico 3,652 66.7 1.0 (64.8–68.6)
Scottsbluff, Nebraska 712 82.0 2.0 (78.0–86.0)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 564 84.7 2.1 (80.5–88.8)
Seattle-Bellevue-Everett, Washington§ 3,762 87.2 0.7 (85.7–88.6)
Shreveport-Bossier City, Louisiana 571 79.2 2.5 (74.3–84.0)
Silver Spring-Frederick-Rockville, Maryland§ 2,417 88.4 1.1 (86.2–90.6)
Sioux City, Iowa-Nebraska-South Dakota 1,055 85.4 2.2 (81.0–89.8)
Sioux Falls, South Dakota 1,007 91.2 1.1 (89.0–93.4)
Spartanburg, South Carolina 592 79.2 2.6 (74.2–84.2)
Spokane-Spokane Valley, Washington 857 84.7 1.8 (81.3–88.2)
Springfield, Massachusetts 1,573 83.1 1.5 (80.1–86.1)
Tallahassee, Florida 1,840 85.7 1.3 (83.1–88.2)
Tampa-St. Petersburg-Clearwater, Florida 2,193 82.1 1.1 (79.9–84.4)
Toledo, Ohio 998 83.2 1.8 (79.7–86.7)
Topeka, Kansas 2,399 83.0 1.0 (81.1–84.9)
Tulsa, Oklahoma 1,988 81.1 1.2 (78.8–83.4)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,679 84.8 1.1 (82.7–87.0)
Warren-Troy-Farmington Hills, Michigan§ 2,259 85.6 0.9 (83.7–87.4)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 9,005 87.4 0.6 (86.2–88.7)
Wichita, Kansas 4,921 84.5 0.6 (83.3–85.8)
Wilmington, Delaware-Maryland-New Jersey§ 3,276 83.2 0.9 (81.4–85.1)
Winston-Salem, North Carolina 694 82.6 2.0 (78.7–86.6)
Worcester, Massachusetts-Connecticut 2,760 85.3 1.1 (83.0–87.5)
Median 83.8
Range 66.7–91.2

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked to rate their general health as poor, fair, good, very good, or excellent. Respondents were classified into two groups: those who reported poor or fair health and those who reported good, very good, or excellent health.
§ Metropolitan division.

Return to your place in the textTABLE 3. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported good or better health, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,624 78.5 0.6 (77.3–79.6)
Alaska 4,371 86.6 0.7 (85.2–87.9)
Arizona 14,832 81.6 0.6 (80.5–82.7)
Arkansas 5,238 77.7 0.9 (75.9–79.5)
California 8,819 82.3 0.5 (81.2–83.3)
Colorado 13,352 87.1 0.4 (86.3–87.8)
Connecticut 7,935 86.2 0.6 (85.1–87.4)
Delaware 4,285 85.3 0.8 (83.8–86.8)
District of Columbia 4,067 86.5 0.9 (84.8–88.2)
Florida 9,749 82.1 0.6 (81.0–83.2)
Georgia 6,332 81.7 0.7 (80.4–83.0)
Hawaii 7,244 86.0 0.6 (84.9–87.1)
Idaho 5,468 87.2 0.7 (85.9–88.5)
Illinois 5,051 83.1 0.8 (81.6–84.6)
Indiana 11,431 81.8 0.5 (80.9–82.8)
Iowa 8,114 87.3 0.5 (86.3–88.2)
Kansas 13,705 85.2 0.4 (84.5–85.9)
Kentucky 11,179 76.8 0.7 (75.4–78.2)
Louisiana 6,765 79.1 0.6 (77.9–80.3)
Maine 9,101 85.9 0.6 (84.8–87.0)
Maryland 12,543 86.2 0.6 (84.9–87.4)
Massachusetts 15,614 86.2 0.5 (85.3–87.1)
Michigan 8,454 84.1 0.5 (83.1–85.2)
Minnesota 16,375 88.4 0.3 (87.8–89.1)
Mississippi 4,183 79.0 0.8 (77.4–80.6)
Missouri 7,065 84.2 0.6 (83.0–85.4)
Montana 7,474 85.7 0.6 (84.4–86.9)
Nebraska 22,370 87.4 0.4 (86.7–88.1)
Nevada 3,756 81.9 1.0 (79.9–83.9)
New Hampshire 6,171 87.1 0.7 (85.6–88.5)
New Jersey 13,000 83.9 0.5 (82.9–84.9)
New Mexico 8,915 80.2 0.7 (78.8–81.5)
New York 6,802 83.5 0.6 (82.3–84.7)
North Carolina 7,256 81.8 0.6 (80.7–82.9)
North Dakota 7,734 86.5 0.6 (85.3–87.7)
Ohio 10,907 83.1 0.6 (82.0–84.3)
Oklahoma 8,431 80.4 0.5 (79.3–81.4)
Oregon 5,206 85.1 0.7 (83.8–86.4)
Pennsylvania 10,923 84.0 0.5 (83.0–85.0)
Rhode Island 6,435 85.6 0.6 (84.4–86.8)
South Carolina 10,990 81.3 0.5 (80.3–82.3)
South Dakota 7,391 86.8 0.7 (85.4–88.2)
Tennessee 5,128 77.4 0.8 (75.8–79.1)
Texas 15,122 80.7 0.5 (79.6–81.7)
Utah 14,977 87.5 0.3 (86.9–88.1)
Vermont 6,458 89.1 0.5 (88.1–90.0)
Virginia 9,444 83.6 0.5 (82.6–84.7)
Washington 10,073 84.3 0.5 (83.3–85.4)
West Virginia 6,186 6.5 0.7 (75.2–77.8)
Wisconsin 7,035 85.2 0.7 (83.9–86.5)
Wyoming 6,393 86.7 0.7 (85.3–88.2)
Guam 2,516 78.8 1.1 (76.6–81.0)
Puerto Rico 5,983 66.9 0.7 (65.5–68.2)
Median 84.1
Range 66.9–89.1

Abbreviations: CI = confidence interval; SE = standard error. 
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked to rate their general health as poor, fair, good, very good, or excellent. Respondents were classified into two groups: those who reported fair or poor health and those who reported good, very good, or excellent health.

Return to your place in the textTABLE 4. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported good or better health, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 620 85.2 2.1 (81.1–89.2)
Aguadilla-Isabela, Puerto Rico 544 69.9 2.1 (65.8–73.9)
Albuquerque, New Mexico 1,786 81.7 1.3 (79.3–84.2)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,088 85.3 1.8 (81.8–88.8)
Anchorage, Alaska 1,781 86.7 1.0 (84.7–88.7)
Atlanta-Sandy Springs-Roswell, Georgia 2,768 84.8 0.9 (83.0–86.6)
Augusta-Richmond County, Georgia-South Carolina 887 80.0 2.7 (74.7–85.2)
Austin-Round Rock, Texas 2,221 85.3 0.9 (83.5–87.2)
Baltimore-Columbia-Towson, Maryland 4,608 85.8 1.0 (83.9–87.8)
Baton Rouge, Louisiana 923 80.0 1.6 (76.8–83.2)
Berlin, New Hampshire-Vermont 538 87.8 1.4 (85.0–90.6)
Billings, Montana 804 83.6 1.7 (80.4–86.9)
Birmingham-Hoover, Alabama 1,568 80.9 1.3 (78.4–83.4)
Bismarck, North Dakota 1,032 86.5 1.7 (83.2–89.9)
Boise City, Idaho 1,353 87.8 1.3 (85.3–90.3)
Boston, Massachusetts§ 4,539 87.0 0.9 (85.2–88.7)
Burlington-South Burlington, Vermont 1,982 90.5 0.8 (88.9–92.2)
Cambridge-Newton-Framingham, Massachusetts§ 5,167 87.0 0.8 (85.5–88.5)
Camden, New Jersey§ 1,714 84.8 1.4 (82.0–87.5)
Cedar Rapids, Iowa 638 87.9 1.7 (84.5–91.3)
Charleston, West Virginia 875 77.5 1.8 (74.0–81.0)
Charleston-North Charleston, South Carolina 1,402 83.7 1.4 (81.0–86.5)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,152 82.8 1.0 (80.8–84.9)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 4,123 82.8 0.9 (80.9–84.6)
Cincinnati, Ohio-Kentucky-Indiana 2,041 83.2 1.4 (80.6–85.9)
Claremont-Lebanon, New Hampshire-Vermont 1,683 87.5 1.5 (84.6–90.3)
Cleveland-Elyria, Ohio 962 84.8 1.7 (81.4–88.1)
College Station-Bryan, Texas 565 83.4 2.6 (78.4–88.4)
Colorado Springs, Colorado 1,298 88.4 1.0 (86.3–90.4)
Columbia, South Carolina 1,206 82.2 1.4 (79.5–84.9)
Columbus, Ohio 1,651 83.4 1.4 (80.7–86.2)
Corpus Christi, Texas 606 75.7 3.5 (68.7–82.6)
Dallas-Plano-Irving, Texas§ 1,269 84.3 1.5 (81.3–87.3)
Dayton, Ohio 564 81.6 2.3 (77.1–86.0)
Denver-Aurora-Lakewood, Colorado 5,782 87.2 0.5 (86.1–88.2)
Des Moines-West Des Moines, Iowa 1,357 87.9 1.2 (85.6–90.2)
Duluth, Minnesota-Wisconsin 945 85.4 1.5 (82.4–88.4)
El Paso, Texas 695 74.3 2.1 (70.2–78.5)
Evansville, Indiana-Kentucky 652 83.4 2.1 (79.2–87.5)
Fargo, North Dakota-Minnesota 1,150 87.7 1.2 (85.2–90.1)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 810 80.7 2.1 (76.7–84.8)
Fort Wayne, Indiana 860 83.3 2.1 (79.2–87.4)
Fort Worth-Arlington, Texas§ 742 80.4 2.2 (76.0–84.8)
Grand Island, Nebraska 1,058 80.3 2.0 (76.3–84.3)
Grand Rapids-Wyoming, Michigan 897 87.9 1.7 (84.6–91.3)
Greensboro-High Point, North Carolina 519 81.1 2.1 (77.0–85.3)
Greenville-Anderson-Mauldin, South Carolina 1,490 83.3 1.3 (80.8–85.7)
Hagerstown-Martinsburg, Maryland-West Virginia 780 82.3 2.2 (78.0–86.6)
Hartford-West Hartford-East Hartford, Connecticut 2,639 87.0 0.9 (85.2–88.7)
Hilton Head Island-Bluffton-Beaufort, South Carolina 550 85.1 2.6 (80.1–90.1)
Houston-The Woodlands-Sugar Land, Texas 2,115 81.2 1.4 (78.6–83.9)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,246 77.6 1.4 (74.8–80.4)
Idaho Falls, Idaho 516 86.4 1.7 (83.0–89.8)
Indianapolis-Carmel-Anderson, Indiana 3,576 82.8 0.9 (81.1–84.5)
Jacksonville, Florida 670 83.8 1.9 (80.0–87.6)
Kansas City, Missouri-Kansas 4,873 85.1 0.9 (83.4–86.9)
Kingsport-Bristol-Bristol, Tennessee-Virginia 505 76.7 2.8 (71.1–82.2)
Knoxville, Tennessee 564 73.0 3.1 (66.9–79.1)
Lafayette, Louisiana 561 79.8 2.0 (75.8–83.7)
Lexington-Fayette, Kentucky 624 82.5 2.0 (78.6–86.4)
Lincoln, Nebraska 2,007 90.8 0.8 (89.2–92.3)
Little Rock-North Little Rock-Conway, Arkansas 1,179 81.5 1.7 (78.2–84.8)
Logan, Utah-Idaho 624 92.2 1.1 (90.0–94.3)
Los Angeles-Long Beach-Anaheim, California 2,449 80.1 1.0 (78.2–82.1)
Louisville-Jefferson County, Kentucky-Indiana 2,454 79.6 1.6 (76.5–82.7)
Madison, Wisconsin 549 90.7 1.5 (87.8–93.6)
Memphis, Tennessee-Mississippi-Arkansas 881 82.0 2.0 (78.0–86.0)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,212 81.3 1.1 (79.1–83.6)
Milwaukee-Waukesha-West Allis, Wisconsin 1,353 80.9 1.8 (77.3–84.5)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,745 89.1 0.4 (88.3–89.9)
Minot, North Dakota 591 86.9 1.9 (83.2–90.6)
Montgomery, Alabama 513 78.1 2.3 (73.6–82.6)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 796 90.9 1.2 (88.5–93.3)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 995 81.2 1.4 (78.4–84.0)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 803 81.3 1.7 (77.9–84.6)
Nassau County-Suffolk County, New York§ 765 84.8 1.8 (81.2–88.4)
Newark, New Jersey-Pennsylvania§ 4,141 85.1 0.9 (83.4–86.8)
New Orleans-Metairie, Louisiana 1,914 82.5 1.0 (80.6–84.4)
New York-Jersey City-White Plains, New York-New Jersey§ 7,486 81.5 0.7 (80.1–82.8)
Norfolk, Nebraska 995 84.0 1.4 (81.3–86.8)
North Platte, Nebraska 964 84.7 1.4 (81.9–87.4)
North Port-Sarasota-Bradenton, Florida 506 83.6 3.0 (77.8–89.5)
Oakland-Hayward-Berkeley, California§ 699 86.8 1.5 (83.9–89.7)
Ogden-Clearfield, Utah 2,922 87.6 0.7 (86.2–89.0)
Oklahoma City, Oklahoma 2,432 83.3 0.9 (81.6–85.1)
Omaha-Council Bluffs, Nebraska-Iowa 4,861 87.6 0.7 (86.3–88.9)
Orlando-Kissimmee-Sanford, Florida 952 81.6 1.8 (78.1–85.1)
Philadelphia, Pennsylvania§ 1,509 78.4 1.5 (75.5–81.4)
Phoenix-Mesa-Scottsdale, Arizona 9,380 82.3 0.6 (81.1–83.6)
Pittsburgh, Pennsylvania 2,402 84.4 1.0 (82.5–86.3)
Ponce, Puerto Rico 530 63.3 2.4 (58.6–68.1)
Portland-South Portland, Maine 2,746 87.9 1.0 (86.0–89.8)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,840 87.1 0.8 (85.5–88.7)
Providence-Warwick, Rhode Island-Massachusetts 8,092 84.8 0.7 (83.4–86.2)
Provo-Orem, Utah 2,146 88.2 0.8 (86.7–89.8)
Raleigh, North Carolina 720 85.6 1.5 (82.7–88.6)
Rapid City, South Dakota 1,420 85.7 1.4 (82.9–88.5)
Reno, Nevada 1,201 83.4 1.5 (80.4–86.3)
Richmond, Virginia 1,462 85.9 1.1 (83.7–88.2)
Riverside-San Bernardino-Ontario, California 940 80.5 1.6 (77.4–83.7)
Roanoke, Virginia 531 86.6 1.7 (83.2–89.9)
Rochester, Minnesota 699 90.6 1.3 (88.0–93.2)
Rockingham County-Strafford County, New Hampshire§ 1,441 87.2 1.3 (84.7–89.7)
Sacramento-Roseville-Arden-Arcade, California 642 84.2 1.7 (80.8–87.6)
St. Cloud, Minnesota 559 90.3 1.5 (87.4–93.3)
St. Louis, Missouri-Illinois 1,924 85.4 1.1 (83.1–87.6)
Salisbury, Maryland-Delaware 1,954 82.9 1.4 (80.1–85.7)
Salt Lake City, Utah 5,406 86.8 0.5 (85.7–87.8)
San Antonio-New Braunfels, Texas 2,240 81.4 1.0 (79.4–83.5)
San Juan-Carolina-Caguas, Puerto Rico 3,745 67.2 0.9 (65.4–68.9)
Scottsbluff, Nebraska 903 80.6 1.9 (76.9–84.3)
Seattle-Bellevue-Everett, Washington§ 3,689 86.5 0.8 (84.8–88.1)
Shreveport-Bossier City, Louisiana 549 75.1 2.3 (70.6–79.7)
Silver Spring-Frederick-Rockville, Maryland§ 2,379 86.8 1.6 (83.7–89.8)
Sioux City, Iowa-Nebraska-South Dakota 1,142 83.3 2.4 (78.6–88.0)
Sioux Falls, South Dakota 1,344 87.0 1.5 (84.0–89.9)
Spartanburg, South Carolina 561 79.8 2.5 (74.9–84.7)
Spokane-Spokane Valley, Washington 726 83.2 2.0 (79.3–87.2)
Springfield, Massachusetts 1,105 81.3 1.7 (78.0–84.6)
Tampa-St. Petersburg-Clearwater, Florida 1,571 82.1 1.5 (79.2–84.9)
Toledo, Ohio 649 76.6 2.6 (71.6–81.7)
Topeka, Kansas 1,442 82.8 1.3 (80.2–85.3)
Tulsa, Oklahoma 2,028 82.0 1.1 (79.8–84.1)
Tuscaloosa, Alabama 717 78.5 1.9 (74.7–82.2)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,877 83.0 1.3 (80.5–85.5)
Warren-Troy-Farmington Hills, Michigan§ 2,115 85.1 1.1 (83.0–87.2)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,287 88.1 0.7 (86.8–89.4)
Wichita, Kansas 2,732 84.5 0.8 (82.9–86.1)
Wichita Falls, Texas 539 82.1 2.7 (76.8–87.3)
Wilmington, Delaware-Maryland-New Jersey§ 2,760 85.2 1.0 (83.3–87.1)
Worcester, Massachusetts-Connecticut 2,461 86.0 1.1 (83.9–88.2)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 525 84.6 2.0 (80.7–88.5)
Median 83.7
Range 63.3–92.2

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked to rate their general health as poor, fair, good, very good, or excellent. Respondents were classified into two groups: those who reported fair or poor health and those who reported good, very good, or excellent health.
§ Metropolitan division.

Return to your place in the textTABLE 5. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported ≥14 days of frequent mental distress during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,334 14.4 0.7 (13.1–15.7)
Alaska 4,505 9.1 0.6 (7.8–10.3)
Arizona 4,180 12.3 1.1 (10.2–14.4)
Arkansas 5,139 14.9 0.8 (13.3–16.4)
California 11,410 11.6 0.4 (10.8–12.4)
Colorado 13,453 9.6 0.4 (8.9–10.3)
Connecticut 7,592 10.4 0.5 (9.4–11.5)
Delaware 5,134 11.2 0.7 (9.9–12.5)
District of Columbia 4,832 10.2 0.8 (8.8–11.7)
Florida 33,227 12.8 0.5 (11.9–13.7)
Georgia 7,982 10.5 0.5 (9.6–11.5)
Hawaii 7,783 8.3 0.4 (7.4–9.2)
Idaho 5,523 11.4 0.7 (10.1–12.7)
Illinois 5,564 11.0 0.7 (9.7–12.3)
Indiana 10,088 12.5 0.5 (11.5–13.5)
Iowa 8,058 9.0 0.5 (8.1–10.0)
Kansas 22,972 9.8 0.3 (9.3–10.3)
Kentucky 10,851 14.3 0.6 (13.3–15.4)
Louisiana 5,147 13.7 0.9 (12.0–15.5)
Maine 7,950 12.7 0.6 (11.5–13.9)
Maryland 12,779 10.0 0.5 (9.1–10.9)
Massachusetts 14,792 12.0 0.5 (11.1–13.0)
Michigan 12,601 12.0 0.4 (11.1–12.9)
Minnesota 14,158 8.5 0.4 (7.6–9.3)
Mississippi 7,298 14.2 0.6 (13.0–15.5)
Missouri 7,028 12.3 0.6 (11.1–13.5)
Montana 9,566 10.2 0.4 (9.3–11.0)
Nebraska 16,889 9.0 0.4 (8.2–9.8)
Nevada 5,003 11.0 0.9 (9.3–12.6)
New Hampshire 6,378 11.1 0.6 (9.9–12.2)
New Jersey 12,996 9.7 0.4 (8.9–10.5)
New Mexico 9,164 12.2 0.5 (11.2–13.3)
New York 8,730 11.3 0.5 (10.3–12.3)
North Carolina 8,702 11.7 0.5 (10.7–12.7)
North Dakota 7,617 7.7 0.5 (6.7–8.7)
Ohio 11,751 12.2 0.5 (11.3–13.2)
Oklahoma 8,114 14.3 0.6 (13.2–15.4)
Oregon 5,861 13.5 0.7 (12.1–14.8)
Pennsylvania 11,193 12.8 0.5 (11.8–13.7)
Rhode Island 6,428 11.6 0.6 (10.4–12.9)
South Carolina 10,501 11.7 0.5 (10.7–12.6)
South Dakota 6,818 7.9 0.6 (6.7–9.0)
Tennessee 5,703 12.1 0.6 (10.8–13.3)
Texas 10,604 10.0 0.5 (9.1–10.9)
Utah 12,591 10.4 0.4 (9.7–11.1)
Vermont 6,303 9.7 0.6 (8.7–10.8)
Virginia 8,311 10.5 0.5 (9.5–11.4)
Washington 11,018 11.7 0.5 (10.8–12.6)
West Virginia 5,798 15.2 0.6 (14.0–16.4)
Wisconsin 6,525 10.4 0.7 (9.0–11.7)
Wyoming 6,356 9.8 0.6 (8.6–11.0)
Guam 1,879 10.1 0.9 (8.4–11.8)
Puerto Rico 5,959 13.8 0.6 (12.6–15.0)
Median 11.3
Range 7.7–15.2

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked “How many days in the past month was your mental health (including stress, depression, and problems with emotions) not good?”

Return to your place in the textTABLE 6. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported ≥14 days of frequent mental distress during the past 30 days, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 586 12.6 1.8 (9.1–16.0)
Akron, Ohio 680 19.4 2.9 (13.7–25.1)
Albuquerque, New Mexico 2,055 12.4 1.0 (10.4–14.4)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,011 12.9 1.8 (9.4–16.4)
Anchorage, Alaska 1,501 8.9 1.0 (6.9–10.8)
Atlanta-Sandy Springs-Roswell, Georgia 3,451 9.2 0.7 (7.9–10.5)
Augusta-Richmond County, Georgia-South Carolina 893 16.3 2.4 (11.6–21.0)
Austin-Round Rock, Texas 915 11.7 1.5 (8.8–14.6)
Baltimore-Columbia-Towson, Maryland 4,679 11.0 0.8 (9.4–12.5)
Baton Rouge, Louisiana 914 8.8 1.3 (6.2–11.4)
Billings, Montana 813 10.2 1.2 (7.9–12.6)
Birmingham-Hoover, Alabama 1,335 14.0 1.2 (11.5–16.4)
Bismarck, North Dakota 1,011 7.5 1.2 (5.1–9.8)
Boise City, Idaho 1,470 10.8 1.1 (8.6–13.1)
Boston, Massachusetts§ 4,003 11.9 0.9 (10.2–13.7)
Buffalo-Cheektowaga-Niagara Falls, New York 497 11.4 2.2 (7.1–15.8)
Burlington-South Burlington, Vermont 1,617 8.7 0.9 (7.0–10.4)
Cambridge-Newton-Framingham, Massachusetts§ 4,821 10.6 0.8 (9.1–12.2)
Camden, New Jersey§ 1,823 11.0 1.0 (9.0–13.0)
Cedar Rapids, Iowa 641 10.0 1.9 (6.2–13.8)
Charleston, West Virginia 810 15.2 1.6 (12.1–18.4)
Charleston-North Charleston, South Carolina 1,527 10.6 1.1 (8.4–12.8)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,918 12.0 1.1 (9.9–14.1)
Chattanooga, Tennessee-Georgia 572 11.1 2.1 (7.0–15.2)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,308 12.4 0.9 (10.7–14.1)
Cincinnati, Ohio-Kentucky-Indiana 2,566 10.8 1.0 (8.8–12.8)
Claremont-Lebanon, New Hampshire-Vermont 1,656 10.0 1.2 (7.7–12.3)
Cleveland-Elyria, Ohio 1,099 9.4 1.2 (7.1–11.7)
Colorado Springs, Colorado 1,361 11.5 1.2 (9.2–13.8)
Columbia, South Carolina 1,411 9.6 1.1 (7.4–11.7)
Columbus, Ohio 1,834 13.5 1.1 (11.4–15.6)
Crestview-Fort Walton Beach-Destin, Florida 1,052 10.8 1.3 (8.2–13.5)
Dallas-Plano-Irving, Texas§ 877 9.7 1.3 (7.1–12.2)
Davenport-Moline-Rock Island, Iowa-Illinois 665 10.1 1.9 (6.5–13.8)
Dayton, Ohio 829 12.4 1.7 (9.0–15.8)
Deltona-Daytona Beach-Ormond Beach, Florida 1,082 15.4 2.1 (11.2–19.5)
Denver-Aurora-Lakewood, Colorado 5,633 9.0 0.5 (8.1–10.0)
Des Moines-West Des Moines, Iowa 1,332 10.4 1.2 (8.0–12.8)
Duluth, Minnesota-Wisconsin 694 11.2 2.2 (6.9–15.5)
Durham-Chapel Hill, North Carolina 606 7.3 1.7 (4.0–10.6)
El Paso, Texas 730 9.4 1.3 (6.8–11.9)
Evansville, Indiana-Kentucky 564 14.7 2.2 (10.3–19.1)
Fargo, North Dakota-Minnesota 1,164 10.6 1.8 (7.1–14.1)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 808 15.8 2.2 (11.4–20.2)
Fort Smith, Arkansas-Oklahoma 490 17.6 2.5 (12.8–22.4)
Fort Wayne, Indiana 766 10.9 1.7 (7.5–14.2)
Fort Worth-Arlington, Texas§ 793 10.6 1.6 (7.5–13.8)
Gainesville, Florida 992 11.5 1.7 (8.3–14.7)
Grand Forks, North Dakota-Minnesota 495 6.3 1.5 (3.4–9.2)
Grand Island, Nebraska 785 12.2 1.9 (8.5–15.9)
Grand Rapids-Wyoming, Michigan 1,334 10.7 1.3 (8.2–13.2)
Greensboro-High Point, North Carolina 655 10.5 1.5 (7.4–13.5)
Greenville-Anderson-Mauldin, South Carolina 1,327 13.5 1.4 (10.7–16.2)
Gulfport-Biloxi-Pascagoula, Mississippi 756 16.6 1.9 (12.8–20.3)
Hagerstown-Martinsburg, Maryland-West Virginia 754 11.2 1.5 (8.2–14.2)
Hartford-West Hartford-East Hartford, Connecticut 2,811 10.2 0.9 (8.5–11.9)
Hilton Head Island-Bluffton-Beaufort, South Carolina 817 10.4 2.1 (6.4–14.5)
Houston-The Woodlands-Sugar Land, Texas 1,359 8.9 1.1 (6.8–11.0)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,155 16.2 1.5 (13.3–19.1)
Idaho Falls, Idaho 499 13.5 2.2 (9.2–17.7)
Indianapolis-Carmel-Anderson, Indiana 2,490 11.7 0.9 (10.0–13.4)
Jackson, Mississippi 795 11.5 1.5 (8.5–14.4)
Jacksonville, Florida 2,820 13.7 1.0 (11.7–15.7)
Kansas City, Missouri-Kansas 7,350 10.4 0.8 (8.8–11.9)
Kingsport-Bristol-Bristol, Tennessee-Virginia 524 18.0 3.0 (12.1–23.9)
Knoxville, Tennessee 643 14.6 1.9 (11.0–18.3)
Lansing-East Lansing, Michigan 680 11.3 1.6 (8.3–14.4)
Lexington-Fayette, Kentucky 633 12.3 1.6 (9.1–15.5)
Lincoln, Nebraska 1,851 9.3 0.9 (7.6–11.0)
Little Rock-North Little Rock-Conway, Arkansas 1,120 13.5 1.5 (10.6–16.5)
Logan, Utah-Idaho 628 9.9 1.6 (6.7–13.1)
Los Angeles-Long Beach-Anaheim, California 3,011 10.6 0.8 (9.1–12.1)
Louisville/Jefferson County, Kentucky-Indiana 2,120 14.3 1.3 (11.7–16.8)
Lubbock, Texas 520 9.0 2.0 (5.1–13.0)
Manhattan, Kansas 651 9.9 1.4 (7.2–12.6)
Memphis, Tennessee-Mississippi-Arkansas 1,185 8.5 1.1 (6.4–10.6)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,146 13.0 1.2 (10.6–15.4)
Milwaukee-Waukesha-West Allis, Wisconsin 1,251 14.0 1.9 (10.3–17.7)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 9,016 8.1 0.5 (7.1–9.2)
Minot, North Dakota 638 6.3 1.5 (3.4–9.2)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 957 11.7 1.4 (8.9–14.4)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 762 12.0 1.8 (8.4–15.6)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,043 9.5 1.3 (7.0–12.0)
Nassau County-Suffolk County, New York§ 916 8.8 1.1 (6.7–11.0)
Newark, New Jersey-Pennsylvania§ 4,005 10.1 0.8 (8.6–11.6)
New Orleans-Metairie, Louisiana 1,267 16.1 2.0 (12.2–20.1)
New York-Jersey City-White Plains, New York-New Jersey§ 8,688 11.0 0.6 (9.9–12.1)
Norfolk, Nebraska 664 9.3 1.4 (6.6–11.9)
North Platte, Nebraska 704 8.9 1.9 (5.2–12.5)
North Port-Sarasota-Bradenton, Florida 1,061 13.8 1.7 (10.5–17.1)
Oakland-Hayward-Berkeley, California§ 694 9.9 1.5 (6.8–12.9)
Ogden-Clearfield, Utah 2,430 10.0 0.7 (8.5–11.5)
Oklahoma City, Oklahoma 2,612 11.8 0.9 (10.1–13.4)
Omaha-Council Bluffs, Nebraska-Iowa 3,090 8.9 0.7 (7.6–10.3)
Orlando-Kissimmee-Sanford, Florida 2,231 11.1 1.0 (9.0–13.1)
Panama City, Florida 1,001 15.3 1.9 (11.7–19.0)
Pensacola-Ferry Pass-Brent, Florida 1,291 10.5 1.1 (8.4–12.6)
Philadelphia, Pennsylvania§ 1,733 14.1 1.3 (11.7–16.6)
Phoenix-Mesa-Scottsdale, Arizona 1,521 13.0 1.5 (10.1–15.9)
Pittsburgh, Pennsylvania 2,324 12.3 1.0 (10.3–14.3)
Ponce, Puerto Rico 528 12.8 2.2 (8.5–17.1)
Portland-South Portland, Maine 2,597 13.5 1.1 (11.4–15.5)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,205 12.0 0.8 (10.4–13.6)
Port St. Lucie, Florida 996 12.3 1.9 (8.6–16.0)
Providence-Warwick, Rhode Island-Massachusetts 8,165 12.9 0.8 (11.4–14.4)
Provo-Orem, Utah 1,832 8.6 0.8 (7.1–10.1)
Raleigh, North Carolina 667 9.2 1.2 (6.8–11.6)
Rapid City, South Dakota 865 9.6 1.4 (6.8–12.4)
Reno, Nevada 1,783 11.9 1.2 (9.5–14.3)
Richmond, Virginia 1,293 11.5 1.3 (9.0–14.0)
Riverside-San Bernardino-Ontario, California 1,355 13.4 1.2 (10.9–15.8)
Rochester, New York 498 10.7 1.8 (7.3–14.1)
Rockingham County-Strafford County, New Hampshire§ 1,641 10.7 1.1 (8.5–12.9)
Sacramento-Roseville-Arden-Arcade, California 885 14.6 1.9 (11.0–18.3)
St. Louis, Missouri-Illinois 2,038 10.7 1.0 (8.7–12.6)
Salem, Oregon 520 12.1 2.5 (7.2–17.1)
Salina, Kansas 519 9.2 1.7 (5.7–12.6)
Salisbury, Maryland-Delaware 2,029 9.9 1.2 (7.5–12.3)
Salt Lake City, Utah 4,626 10.6 0.6 (9.5–11.7)
San Antonio-New Braunfels, Texas 918 10.6 1.4 (7.8–13.3)
San Francisco-Redwood City-South San Francisco, California 532 10.0 1.7 (6.7–13.3)
San Jose-Sunnyvale-Santa Clara, California 622 8.2 1.4 (5.4–11.0)
San Juan-Carolina-Caguas, Puerto Rico 3,626 14.3 0.8 (12.8–15.9)
Scottsbluff, Nebraska 703 8.7 1.4 (5.9–11.5)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 554 12.8 2.1 (8.6–17.0)
Seattle-Bellevue-Everett, Washington§ 3,734 11.1 0.7 (9.7–12.6)
Shreveport-Bossier City, Louisiana 561 10.7 1.9 (7.0–14.5)
Silver Spring-Frederick-Rockville, Maryland§ 2,385 8.1 1.0 (6.2–10.1)
Sioux City, Iowa-Nebraska-South Dakota 1,041 7.1 1.5 (4.1–10.0)
Sioux Falls, South Dakota 1,003 6.5 1.3 (4.1–9.0)
Spartanburg, South Carolina 580 8.7 1.7 (5.5–12.0)
Spokane-Spokane Valley, Washington 851 10.7 1.6 (7.6–13.9)
Springfield, Massachusetts 1,541 13.1 1.6 (10.0–16.2)
Tallahassee, Florida 1,805 9.6 1.2 (7.3–11.9)
Tampa-St. Petersburg-Clearwater, Florida 2,163 13.9 1.2 (11.6–16.1)
Toledo, Ohio 986 12.7 1.8 (9.2–16.2)
Topeka, Kansas 2,378 10.4 0.9 (8.7–12.1)
Tulsa, Oklahoma 1,973 14.6 1.2 (12.4–16.9)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,657 9.5 1.0 (7.5–11.5)
Warren-Troy-Farmington Hills, Michigan§ 2,237 9.7 0.9 (8.1–11.4)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,870 8.7 0.6 (7.5–10.0)
Wichita, Kansas 4,867 10.5 0.6 (9.3–11.7)
Wilmington, Delaware-Maryland-New Jersey§ 3,233 11.7 0.8 (10.1–13.2)
Winston-Salem, North Carolina 684 16.8 2.4 (12.1–21.4)
Worcester, Massachusetts-Connecticut 2,712 12.0 1.1 (9.7–14.2)
Median 10.9
Range 6.3–19.4

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Respondents were asked “How many days in the past month was your mental health (including stress, depression, and problems with emotions) not good?”
§ Metropolitan division.

Return to your place in the textTABLE 7. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported ≥14 days of frequent physical distress during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,394 14.6 0.5 (13.6–15.6)
Alaska 4,248 10.1 0.6 (8.8–11.3)
Arizona 14,540 11.9 0.4 (11.1–12.8)
Arkansas 5,088 14.6 0.7 (13.1–16.0)
California 8,755 12.5 0.5 (11.6–13.4)
Colorado 13,153 9.5 0.3 (8.9–10.1)
Connecticut 7,835 9.2 0.5 (8.2–10.1)
Delaware 4,178 10.5 0.6 (9.3–11.8)
District of Columbia 3,956 9.3 0.8 (7.8–10.8)
Florida 9,430 11.7 0.5 (10.8–12.6)
Georgia 6,211 11.9 0.5 (10.9–12.9)
Hawaii 7,196 8.4 0.5 (7.4–9.3)
Idaho 5,327 9.3 0.5 (8.3–10.3)
Illinois 5,018 11.1 0.6 (9.9–12.3)
Indiana 11,152 12.6 0.4 (11.8–13.4)
Iowa 7,993 9.5 0.4 (8.7–10.4)
Kansas 13,389 9.6 0.3 (9.0–10.1)
Kentucky 10,967 16.0 0.6 (14.8–17.3)
Louisiana 6,614 13.5 0.5 (12.5–14.5)
Maine 8,885 10.9 0.5 (10.0–11.8)
Maryland 12,278 9.9 0.5 (8.9–11.0)
Massachusetts 15,234 10.2 0.4 (9.4–11.0)
Michigan 8,340 11.8 0.5 (10.9–12.8)
Minnesota 16,135 8.2 0.3 (7.7–8.7)
Mississippi 4,098 12.9 0.7 (11.5–14.2)
Missouri 6,976 12.4 0.5 (11.4–13.5)
Montana 7,337 11.7 0.6 (10.6–12.8)
Nebraska 22,024 8.6 0.3 (8.0–9.1)
Nevada 3,675 10.9 0.8 (9.4–12.4)
New Hampshire 6,073 8.9 0.5 (7.9–9.9)
New Jersey 12,733 9.9 0.4 (9.1–10.6)
New Mexico 8,775 13.5 0.6 (12.4–14.6)
New York 6,631 10.8 0.5 (9.8–11.7)
North Carolina 7,134 11.8 0.5 (10.9–12.7)
North Dakota 7,560 7.8 0.5 (6.9–8.7)
Ohio 10,661 11.9 0.5 (10.9–12.9)
Oklahoma 8,291 13.8 0.5 (12.9–14.7)
Oregon 5,093 13.3 0.6 (12.0–14.5)
Pennsylvania 10,668 11.3 0.4 (10.5–12.1)
Rhode Island 6,316 10.9 0.6 (9.8–12.0)
South Carolina 10,693 12.3 0.4 (11.5–13.1)
South Dakota 7,299 9.1 0.6 (7.9–10.3)
Tennessee 4,965 14.2 0.7 (12.9–15.5)
Texas 14,846 10.8 0.4 (10.0–11.6)
Utah 14,816 9.9 0.3 (9.4–10.5)
Vermont 6,377 10.0 0.5 (9.1–10.9)
Virginia 9,239 10.4 0.4 (9.6–11.2)
Washington 9,928 11.5 0.5 (10.6–12.4)
West Virginia 6,108 15.6 0.5 (14.6–16.7)
Wisconsin 6,985 11.1 0.6 (9.9–12.2)
Wyoming 6,292 9.8 0.6 (8.7–11.0)
Guam 2,493 9.1 0.8 (7.5–10.8)
Puerto Rico 5,959 15.2 0.6 (14.1–16.3)
Median 10.9
Range 7.8–16.0

Abbreviations: CI = confidence interval; SE = standard error. 
* Age adjusted to the 2000 U.S. standard population.
 Respondents were asked “How many days in the past month was your physical health (including physical illness and injury) not good?”

Return to your place in the textTABLE 8. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported ≥14 days of frequent physical distress during the past 30 days, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 614 8.7 1.5 (5.8–11.5)
Aguadilla-Isabela, Puerto Rico 544 18.5 2.0 (14.5–22.5)
Albuquerque, New Mexico 1,771 12.8 1.1 (10.7–14.9)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,060 10.1 1.3 (7.5–12.7)
Anchorage, Alaska 1,737 9.7 0.9 (7.9–11.5)
Atlanta-Sandy Springs-Roswell, Georgia 2,725 10.1 0.7 (8.7–11.4)
Augusta-Richmond County, Georgia-South Carolina 863 14.7 2.6 (9.6–19.7)
Austin-Round Rock, Texas 2,195 8.8 0.7 (7.4–10.2)
Baltimore-Columbia-Towson, Maryland 4,509 10.1 0.9 (8.4–11.9)
Baton Rouge, Louisiana 900 11.3 1.2 (9.0–13.6)
Berlin, New Hampshire-Vermont 534 12.6 2.8 (7.1–18.1)
Billings, Montana 796 13.4 1.7 (10.2–16.7)
Birmingham-Hoover, Alabama 1,543 11.9 0.9 (10.0–13.7)
Bismarck, North Dakota 1,009 6.9 0.9 (5.1–8.7)
Boise City, Idaho 1,315 7.7 0.9 (5.9–9.4)
Boston, Massachusetts§ 4,452 8.8 0.7 (7.5–10.2)
Burlington-South Burlington, Vermont 1,960 8.3 0.7 (6.9–9.8)
Cambridge-Newton-Framingham, Massachusetts§ 5,026 9.6 0.6 (8.3–10.8)
Camden, New Jersey§ 1,684 10.5 1.1 (8.4–12.7)
Cedar Rapids, Iowa 624 11.0 1.6 (7.8–14.2)
Charleston, West Virginia 865 16.7 1.5 (13.7–19.6)
Charleston-North Charleston, South Carolina 1,370 10.3 1.2 (8.0–12.6)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,116 11.7 0.9 (10.0–13.5)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 4,080 11.2 0.7 (9.8–12.7)
Cincinnati, Ohio-Kentucky-Indiana 2,017 12.4 1.1 (10.1–14.6)
Claremont-Lebanon, New Hampshire-Vermont 1,654 9.7 1.1 (7.6–11.8)
Cleveland-Elyria, Ohio 949 11.3 1.6 (8.2–14.4)
College Station-Bryan, Texas 556 12.3 2.7 (7.1–17.5)
Colorado Springs, Colorado 1,275 10.4 1.1 (8.2–12.6)
Columbia, South Carolina 1,184 11.1 1.0 (9.1–13.1)
Columbus, Ohio 1,626 10.9 1.0 (8.8–12.9)
Corpus Christi, Texas 588 12.1 2.0 (8.1–16.1)
Dallas-Plano-Irving, Texas§ 1,255 8.9 1.1 (6.7–11.1)
Dayton, Ohio 552 13.9 2.1 (9.9–18.0)
Denver-Aurora-Lakewood, Colorado 5,724 9.0 0.4 (8.1–9.8)
Des Moines-West Des Moines, Iowa 1,343 9.7 1.1 (7.6–11.9)
Duluth, Minnesota-Wisconsin 931 13.2 1.6 (10.2–16.3)
El Paso, Texas 679 11.0 1.3 (8.4–13.6)
Evansville, Indiana-Kentucky 635 16.7 2.9 (11.0–22.3)
Fargo, North Dakota-Minnesota 1,131 7.4 0.9 (5.6–9.1)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 796 12.7 1.7 (9.4–16.0)
Fort Wayne, Indiana 843 11.7 1.8 (8.1–15.3)
Fort Worth-Arlington, Texas§ 734 10.5 1.7 (7.2–13.8)
Grand Island, Nebraska 1,038 9.5 1.4 (6.8–12.3)
Grand Rapids-Wyoming, Michigan 883 10.7 1.4 (8.0–13.3)
Greensboro-High Point, North Carolina 506 12.7 2.4 (8.0–17.5)
Greenville-Anderson-Mauldin, South Carolina 1,459 11.6 1.0 (9.6–13.6)
Hagerstown-Martinsburg, Maryland-West Virginia 766 17.2 2.9 (11.6–22.9)
Hartford-West Hartford-East Hartford, Connecticut 2,600 9.6 0.8 (8.0–11.2)
Hilton Head Island-Bluffton-Beaufort, South Carolina 542 11.6 2.0 (7.7–15.6)
Houston-The Woodlands-Sugar Land, Texas 2,080 8.9 1.0 (7.0–10.8)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,227 15.3 1.2 (12.8–17.7)
Idaho Falls, Idaho 507 11.4 1.7 (8.0–14.8)
Indianapolis-Carmel-Anderson, Indiana 3,505 12.0 0.7 (10.5–13.4)
Jacksonville, Florida 650 10.5 1.5 (7.5–13.5)
Kansas City, Missouri-Kansas 4,780 10.8 0.8 (9.3–12.3)
Kingsport-Bristol-Bristol, Tennessee-Virginia 488 16.9 2.3 (12.3–21.5)
Knoxville, Tennessee 546 15.4 2.1 (11.3–19.6)
Lafayette, Louisiana 545 14.0 1.8 (10.4–17.6)
Lexington-Fayette, Kentucky 616 11.1 1.7 (7.9–14.4)
Lincoln, Nebraska 1,987 7.7 0.7 (6.3–9.2)
Little Rock-North Little Rock-Conway, Arkansas 1,153 11.4 1.3 (8.8–13.9)
Logan, Utah-Idaho 620 6.2 1.0 (4.2–8.1)
Los Angeles-Long Beach-Anaheim, California 2,421 12.5 0.8 (10.8–14.1)
Louisville-Jefferson County, Kentucky-Indiana 2,404 13.4 1.3 (10.8–15.9)
Madison, Wisconsin 549 9.0 1.5 (6.0–12.0)
Memphis, Tennessee-Mississippi-Arkansas 862 10.6 1.8 (7.1–14.0)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,118 11.0 0.9 (9.2–12.7)
Milwaukee-Waukesha-West Allis, Wisconsin 1,346 12.2 1.3 (9.6–14.8)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,631 7.7 0.4 (7.0–8.4)
Minot, North Dakota 585 7.5 1.3 (5.0–10.0)
Montgomery, Alabama 497 14.6 1.9 (10.9–18.3)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 791 7.7 1.2 (5.4–10.0)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 979 16.6 1.6 (13.4–19.8)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 786 14.1 1.5 (11.1–17.0)
Nassau County-Suffolk County, New York§ 752 9.4 1.6 (6.2–12.6)
Newark, New Jersey-Pennsylvania§ 4,060 9.1 0.7 (7.8–10.4)
New Orleans-Metairie, Louisiana 1,873 12.1 0.9 (10.4–13.9)
New York-Jersey City-White Plains, New York-New Jersey§ 7,307 11.2 0.5 (10.2–12.3)
Norfolk, Nebraska 980 9.0 1.1 (6.9–11.1)
North Platte, Nebraska 945 11.7 1.3 (9.1–14.2)
North Port-Sarasota-Bradenton, Florida 497 13.0 2.9 (7.3–18.7)
Oakland-Hayward-Berkeley, California§ 698 12.2 1.5 (9.2–15.2)
Ogden-Clearfield, Utah 2,890 10.3 0.7 (9.0–11.7)
Oklahoma City, Oklahoma 2,403 13.4 0.8 (11.7–15.0)
Omaha-Council Bluffs, Nebraska-Iowa 4,803 8.3 0.5 (7.3–9.4)
Orlando-Kissimmee-Sanford, Florida 923 12.8 1.4 (10.1–15.5)
Philadelphia, Pennsylvania§ 1,462 14.4 1.3 (11.9–16.8)
Phoenix-Mesa-Scottsdale, Arizona 9,218 11.7 0.5 (10.7–12.7)
Pittsburgh, Pennsylvania 2,335 11.9 0.8 (10.3–13.5)
Ponce, Puerto Rico 525 15.3 2.1 (11.2–19.4)
Portland-South Portland, Maine 2,694 8.7 0.8 (7.2–10.2)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,786 11.6 0.8 (10.1–13.2)
Providence-Warwick, Rhode Island-Massachusetts 7,914 11.6 0.6 (10.4–12.8)
Provo-Orem, Utah 2,127 8.5 0.7 (7.2–9.8)
Raleigh, North Carolina 712 10.0 1.3 (7.5–12.6)
Rapid City, South Dakota 1,408 10.6 1.3 (8.1–13.2)
Reno, Nevada 1,164 10.6 1.1 (8.4–12.9)
Richmond, Virginia 1,437 10.2 1.0 (8.1–12.2)
Riverside-San Bernardino-Ontario, California 932 15.6 1.5 (12.6–18.6)
Roanoke, Virginia 522 9.1 1.5 (6.2–12.1)
Rochester, Minnesota 691 7.4 1.3 (4.8–9.9)
Rockingham County-Strafford County, New Hampshire§ 1,424 8.5 0.8 (6.9–10.2)
Sacramento-Roseville-Arden-Arcade, California 641 12.8 1.6 (9.7–15.9)
St. Cloud, Minnesota 556 7.5 1.3 (5.0–10.1)
St. Louis, Missouri-Illinois 1,906 11.2 1.0 (9.2–13.2)
Salisbury, Maryland-Delaware 1,893 10.8 1.3 (8.3–13.3)
Salt Lake City, Utah 5,340 10.2 0.5 (9.3–11.1)
San Antonio-New Braunfels, Texas 2,194 10.8 0.9 (9.1–12.5)
San Juan-Carolina-Caguas, Puerto Rico 3,729 14.8 0.7 (13.5–16.2)
Scottsbluff, Nebraska 892 13.9 1.7 (10.7–17.2)
Seattle-Bellevue-Everett, Washington§ 3,646 10.0 0.6 (8.8–11.3)
Shreveport-Bossier City, Louisiana 535 16.2 2.1 (12.2–20.3)
Silver Spring-Frederick-Rockville, Maryland§ 2,331 7.7 1.0 (5.7–9.6)
Sioux City, Iowa-Nebraska-South Dakota 1,111 12.8 2.1 (8.6–17.0)
Sioux Falls, South Dakota 1,318 7.3 1.2 (5.0–9.7)
Spartanburg, South Carolina 537 11.0 1.5 (8.1–13.9)
Spokane-Spokane Valley, Washington 716 11.3 1.5 (8.4–14.2)
Springfield, Massachusetts 1,080 17.3 2.0 (13.5–21.2)
Tampa-St. Petersburg-Clearwater, Florida 1,523 11.8 1.1 (9.7–13.9)
Toledo, Ohio 631 14.7 2.1 (10.6–18.7)
Topeka, Kansas 1,408 9.0 1.0 (7.1–10.9)
Tulsa, Oklahoma 2,006 12.8 0.9 (11.0–14.7)
Tuscaloosa, Alabama 704 14.9 1.6 (11.7–18.1)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,839 10.0 0.9 (8.2–11.9)
Warren-Troy-Farmington Hills, Michigan§ 2,094 9.7 0.7 (8.2–11.1)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,109 8.4 0.6 (7.3–9.5)
Wichita, Kansas 2,675 10.3 0.7 (9.0–11.6)
Wichita Falls, Texas 521 N/A N/A (N/A–N/A)
Wilmington, Delaware-Maryland-New Jersey§ 2,705 11.5 0.9 (9.8–13.2)
Worcester, Massachusetts-Connecticut 2,406 10.5 0.9 (8.6–12.3)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 512 13.2 2.0 (9.3–17.1)
Median 11.1
Range 6.2–18.5

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; N/A = not available; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
 Respondents were asked “How many days in the past month was your physical health (including physical illness and injury) not good?”
§ Metropolitan division.
Estimate not available if the unweighted sample size for the denominator was <50 or if the relative standard error is >30%.

Return to your place in the textTABLE 9. Age-adjusted* prevalence estimates of adults aged 18–64 years who have health care coverage, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 4,031 77.9 1.0 (75.8–79.9)
Alaska 3,643 79.5 1.0 (77.6–81.5)
Arizona 2,615 74.6 1.6 (71.4–77.7)
Arkansas 3,127 70.8 1.2 (68.5–73.2)
California 8,376 79.4 0.6 (78.2–80.6)
Colorado 9,377 79.6 0.6 (78.5–80.8)
Connecticut 5,240 87.5 0.7 (86.0–88.9)
Delaware 3,351 85.0 0.9 (83.3–86.7)
District of Columbia 3,150 90.2 0.9 (88.4–92.0)
Florida 19,195 70.1 0.7 (68.6–71.5)
Georgia 5,729 72.2 0.8 (70.5–73.8)
Hawaii 5,519 89.7 0.6 (88.5–90.8)
Idaho 3,607 75.6 1.1 (73.5–77.7)
Illinois 3,744 80.0 1.1 (77.9–82.1)
Indiana 6,704 78.5 0.7 (77.1–79.9)
Iowa 5,148 86.7 0.7 (85.3–88.1)
Kansas 15,459 78.5 0.4 (77.7–79.4)
Kentucky 7,462 77.1 0.8 (75.6–78.7)
Louisiana 3,316 73.4 1.4 (70.8–76.1)
Maine 5,220 84.2 0.8 (82.7–85.7)
Maryland 8,531 83.7 0.7 (82.3–85.1)
Massachusetts 10,292 92.4 0.4 (91.6–93.3)
Michigan 8,411 81.7 0.6 (80.5–83.0)
Minnesota 10,056 86.8 0.6 (85.6–88.0)
Mississippi 4,645 71.4 1.0 (69.4–73.4)
Missouri 4,387 80.5 0.9 (78.8–82.2)
Montana 6,437 78.0 0.7 (76.6–79.5)
Nebraska 10,939 81.8 0.7 (80.5–83.1)
Nevada 3,431 71.9 1.5 (69.1–74.8)
New Hampshire 4,221 83.7 0.9 (82.0–85.4)
New Jersey 9,674 80.0 0.7 (78.7–81.3)
New Mexico 6,334 73.0 0.8 (71.4–74.7)
New York 6,242 82.3 0.7 (80.9–83.6)
North Carolina 5,818 75.2 0.8 (73.7–76.7)
North Dakota 5,271 87.4 0.7 (86.0–88.8)
Ohio 8,077 82.8 0.7 (81.5–84.2)
Oklahoma 5,239 76.9 0.8 (75.3–78.4)
Oregon 3,847 74.3 1.1 (72.2–76.4)
Pennsylvania 7,473 84.1 0.6 (82.9–85.3)
Rhode Island 4,367 80.7 0.9 (78.9–82.5)
South Carolina 6,745 75.4 0.8 (73.9–76.9)
South Dakota 4,673 84.6 0.9 (82.7–86.4)
Tennessee 3,788 78.2 1.0 (76.2–80.2)
Texas 7,305 66.9 0.8 (65.3–68.5)
Utah 9,368 81.0 0.6 (79.9–82.1)
Vermont 4,232 87.8 0.7 (86.4–89.3)
Virginia 5,907 81.0 0.7 (79.6–82.5)
Washington 7,273 78.7 0.7 (77.4–80.1)
West Virginia 4,068 75.0 0.9 (73.2–76.8)
Wisconsin 4,496 85.2 0.9 (83.5–87.0)
Wyoming 3,845 75.7 1.0 (73.7–77.8)
Guam 1,667 72.3 1.4 (69.5–75.1)
Puerto Rico 3,974 91.5 0.6 (90.3–92.6)
Median 79.6
Range 66.9–92.4

Abbreviations: CI = confidence interval; SE = standard error. 
* Age adjusted to the 2000 U.S. standard population.
Including health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare).

Return to your place in the textTABLE 10. Age-adjusted* prevalence estimates of adults aged 18–64 years who have health care coverage, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 388 97.6 0.9 (95.8–99.4)
Akron, Ohio 426 87.7 2.1 (83.5–91.9)
Albuquerque, New Mexico 1,511 75.4 1.6 (72.4–78.5)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 732 83.8 2.3 (79.2–88.4)
Anchorage, Alaska 1,216 80.9 1.5 (77.9–83.9)
Atlanta-Sandy Springs-Roswell, Georgia 2,631 73.9 1.2 (71.4–76.3)
Augusta-Richmond County, Georgia-South Carolina 584 81.8 2.4 (77.1–86.6)
Austin-Round Rock, Texas 672 74.1 2.3 (69.6–78.6)
Baltimore-Columbia-Towson, Maryland 3,166 85.5 1.1 (83.4–87.7)
Baton Rouge, Louisiana 614 76.3 2.9 (70.6–81.9)
Billings, Montana 604 80.6 1.9 (76.8–84.4)
Birmingham-Hoover, Alabama 898 80.4 2.0 (76.5–84.3)
Bismarck, North Dakota 710 88.1 1.6 (84.9–91.2)
Boise City, Idaho 1,003 76.6 1.9 (73.0–80.3)
Boston, Massachusetts§ 2,790 91.8 0.9 (90.0–93.5)
Buffalo-Cheektowaga-Niagara Falls, New York 316 89.7 2.1 (85.5–93.9)
Burlington-South Burlington, Vermont 1,209 90.8 1.2 (88.5–93.2)
Cambridge-Newton-Framingham, Massachusetts§ 3,453 93.5 0.7 (92.1–95.0)
Camden, New Jersey§ 1,345 83.5 1.6 (80.3–86.7)
Cedar Rapids, Iowa 419 85.1 2.3 (80.5–89.6)
Charleston, West Virginia 566 72.8 2.6 (67.8–77.9)
Charleston-North Charleston, South Carolina 1,017 76.6 1.8 (73.0–80.2)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,334 76.5 1.5 (73.5–79.5)
Chattanooga, Tennessee-Georgia 354 77.2 3.8 (69.8–84.6)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 2,360 78.1 1.4 (75.4–80.8)
Cincinnati, Ohio-Kentucky-Indiana 1,853 81.0 1.5 (78.1–84.0)
Claremont-Lebanon, New Hampshire-Vermont 1,079 82.8 1.8 (79.2–86.4)
Cleveland-Elyria, Ohio 756 85.6 1.9 (82.0–89.3)
Colorado Springs, Colorado 973 82.5 1.6 (79.4–85.7)
Columbia, South Carolina 990 77.8 1.9 (74.1–81.4)
Columbus, Ohio 1,344 83.3 1.4 (80.7–86.0)
Crestview-Fort Walton Beach-Destin, Florida 685 74.2 2.5 (69.3–79.0)
Dallas-Plano-Irving, Texas§ 665 71.0 2.2 (66.6–75.3)
Davenport-Moline-Rock Island, Iowa-Illinois 413 86.9 2.5 (82.0–91.9)
Dayton, Ohio 526 82.4 2.7 (77.1–87.8)
Deltona-Daytona Beach-Ormond Beach, Florida 534 74.0 2.9 (68.3–79.8)
Denver-Aurora-Lakewood, Colorado 4,164 80.4 0.8 (78.8–81.9)
Des Moines-West Des Moines, Iowa 882 89.5 1.6 (86.4–92.6)
Duluth, Minnesota-Wisconsin 481 88.0 2.9 (82.3–93.8)
Durham-Chapel Hill, North Carolina 419 74.2 2.8 (68.7–79.8)
El Paso, Texas 501 60.5 2.8 (55.1–66.0)
Evansville, Indiana-Kentucky 360 84.6 2.6 (79.6–89.6)
Fargo, North Dakota-Minnesota 867 89.0 1.4 (86.3–91.8)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 502 69.6 3.0 (63.8–75.4)
Fort Smith, Arkansas-Oklahoma 311 73.3 3.5 (66.4–80.2)
Fort Wayne, Indiana 503 76.6 2.6 (71.6–81.7)
Fort Worth-Arlington, Texas§ 505 69.9 3.0 (64.1–75.7)
Gainesville, Florida 626 77.5 2.7 (72.3–82.7)
Grand Forks, North Dakota-Minnesota 345 88.3 2.7 (83.1–93.6)
Grand Island, Nebraska 467 76.9 3.2 (70.7–83.1)
Grand Rapids-Wyoming, Michigan 938 81.5 2.0 (77.5–85.4)
Greensboro-High Point, North Carolina 448 75.1 2.8 (69.6–80.6)
Greenville-Anderson-Mauldin, South Carolina 865 76.3 2.0 (72.4–80.2)
Gulfport-Biloxi-Pascagoula, Mississippi 524 70.0 2.7 (64.8–75.2)
Hagerstown-Martinsburg, Maryland-West Virginia 492 80.4 2.8 (75.0–85.8)
Hartford-West Hartford-East Hartford, Connecticut 1,917 88.3 1.1 (86.0–90.5)
Hilton Head Island-Bluffton-Beaufort, South Carolina 406 71.8 3.7 (64.6–79.0)
Houston-The Woodlands-Sugar Land, Texas 1,062 66.4 2.0 (62.4–70.3)
Huntington-Ashland, West Virginia-Kentucky-Ohio 798 75.8 2.0 (71.8–79.7)
Idaho Falls, Idaho 343 76.4 3.1 (70.3–82.4)
Indianapolis-Carmel-Anderson, Indiana 1,738 77.5 1.4 (74.8–80.2)
Jackson, Mississippi 542 71.2 2.7 (65.9–76.5)
Jacksonville, Florida 1,863 78.1 1.5 (75.2–81.0)
Kansas City, Missouri-Kansas 4,987 80.5 1.1 (78.2–82.7)
Kingsport-Bristol-Bristol, Tennessee-Virginia 322 81.9 3.3 (75.5–88.4)
Knoxville, Tennessee 442 76.7 2.8 (71.3–82.1)
Lansing-East Lansing, Michigan 465 85.1 2.1 (81.1–89.2)
Lexington-Fayette, Kentucky 478 78.9 2.4 (74.1–83.7)
Lincoln, Nebraska 1,402 82.2 1.3 (79.7–84.8)
Little Rock-North Little Rock-Conway, Arkansas 716 77.7 2.2 (73.4–82.1)
Logan, Utah-Idaho 461 76.6 2.5 (71.7–81.6)
Los Angeles-Long Beach-Anaheim, California 2,283 75.8 1.2 (73.4–78.1)
Louisville-Jefferson County, Kentucky-Indiana 1,416 81.0 1.7 (77.8–84.3)
Lubbock, Texas 315 72.2 3.5 (65.2–79.1)
Manhattan, Kansas 487 85.5 1.9 (81.7–89.3)
Memphis, Tennessee-Mississippi-Arkansas 821 79.5 2.1 (75.4–83.6)
Miami-Fort Lauderdale-West Palm Beach, Florida 1,290 66.8 2.0 (62.9–70.6)
Milwaukee-Waukesha-West Allis, Wisconsin 889 82.4 2.1 (78.4–86.5)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 6,521 87.4 0.8 (85.9–89.0)
Minot, North Dakota 468 90.1 1.8 (86.5–93.7)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 683 87.5 1.6 (84.4–90.6)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 478 68.3 3.0 (62.5–74.1)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 758 82.0 1.9 (78.3–85.7)
Nassau County-Suffolk County, New York§ 675 81.5 2.0 (77.6–85.4)
Newark, New Jersey-Pennsylvania§ 3,023 80.6 1.1 (78.4–82.7)
New Orleans-Metairie, Louisiana 790 73.5 2.8 (68.0–78.9)
New York-Jersey City-White Plains, New York-New Jersey§ 6,451 79.6 0.8 (78.1–81.1)
Norfolk, Nebraska 480 83.0 2.2 (78.8–87.3)
North Platte, Nebraska 443 79.6 3.1 (73.6–85.6)
North Port-Sarasota-Bradenton, Florida 554 66.1 2.8 (60.7–71.5)
Oakland-Hayward-Berkeley, California§ 528 87.1 1.8 (83.7–90.6)
Ogden-Clearfield, Utah 1,826 85.3 1.1 (83.2–87.5)
Oklahoma City, Oklahoma 1,759 75.6 1.4 (72.9–78.3)
Omaha-Council Bluffs, Nebraska-Iowa 2,255 83.3 1.1 (81.0–85.5)
Orlando-Kissimmee-Sanford, Florida 1,411 69.1 1.8 (65.6–72.6)
Panama City, Florida 599 69.8 2.8 (64.3–75.3)
Pensacola-Ferry Pass-Brent, Florida 885 73.4 2.0 (69.5–77.3)
Philadelphia, Pennsylvania§ 1,198 81.4 1.6 (78.3–84.4)
Phoenix-Mesa-Scottsdale, Arizona 1,026 73.7 2.2 (69.3–78.0)
Pittsburgh, Pennsylvania 1,486 86.7 1.2 (84.2–89.1)
Ponce, Puerto Rico 365 94.0 1.5 (91.0–97.0)
Portland-South Portland, Maine 1,716 86.5 1.2 (84.1–88.9)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,180 79.1 1.3 (76.6–81.7)
Port St. Lucie, Florida 493 67.5 3.4 (60.9–74.1)
Providence-Warwick, Rhode Island-Massachusetts 5,539 84.5 0.8 (82.9–86.2)
Provo-Orem, Utah 1,485 79.8 1.3 (77.2–82.4)
Raleigh, North Carolina 551 81.6 1.8 (78.0–85.1)
Rapid City, South Dakota 579 87.6 1.8 (84.2–91.1)
Reno, Nevada 1,249 76.7 1.6 (73.5–79.8)
Richmond, Virginia 949 83.1 1.7 (79.9–86.4)
Riverside-San Bernardino-Ontario, California 1,027 78.9 1.7 (75.6–82.1)
Rochester, New York 349 87.9 2.3 (83.3–92.5)
Rockingham County-Strafford County, New Hampshire§ 1,147 85.5 1.5 (82.5–88.4)
Sacramento-Roseville-Arden-Arcade, California 625 81.1 2.1 (77.1–85.2)
St. Louis, Missouri-Illinois 1,314 83.7 1.4 (80.9–86.5)
Salem, Oregon 327 73.5 3.9 (65.8–81.2)
Salina, Kansas 353 74.2 3.1 (68.1–80.2)
Salisbury, Maryland-Delaware 1,154 82.1 2.0 (78.2–86.1)
Salt Lake City, Utah 3,508 80.9 0.9 (79.2–82.7)
San Antonio-New Braunfels, Texas 623 65.7 2.5 (60.9–70.6)
San Francisco-Redwood City-South San Francisco, California§ 405 92.6 1.5 (89.8–95.5)
San Jose-Sunnyvale-Santa Clara, California 487 81.3 2.6 (76.3–86.3)
San Juan-Carolina-Caguas, Puerto Rico 2,442 89.7 0.8 (88.2–91.3)
Scottsbluff, Nebraska 424 76.5 2.9 (70.9–82.2)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 347 85.8 2.7 (80.5–91.0)
Seattle-Bellevue-Everett, Washington§ 2,665 83.0 1.0 (81.0–85.1)
Shreveport-Bossier City, Louisiana 353 68.9 4.0 (61.0–76.8)
Silver Spring-Frederick-Rockville, Maryland§ 1,683 84.6 1.5 (81.7–87.5)
Sioux City, Iowa-Nebraska-South Dakota 653 81.5 3.2 (75.2–87.9)
Sioux Falls, South Dakota 752 84.1 2.0 (80.2–88.0)
Spartanburg, South Carolina 370 76.3 3.2 (70.0–82.5)
Spokane-Spokane Valley, Washington 555 77.1 2.6 (72.1–82.2)
Springfield, Massachusetts 1,055 91.6 1.6 (88.4–94.8)
Tallahassee, Florida 1,160 79.1 2.4 (74.3–83.9)
Tampa-St. Petersburg-Clearwater, Florida 1,313 75.4 1.7 (72.1–78.7)
Toledo, Ohio 681 77.8 3.1 (71.7–83.8)
Topeka, Kansas 1,610 81.7 1.3 (79.1–84.3)
Tulsa, Oklahoma 1,267 79.1 1.5 (76.1–82.1)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,170 85.0 1.5 (82.0–87.9)
Warren-Troy-Farmington Hills, Michigan§ 1,520 83.0 1.5 (80.1–85.9)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 6,219 82.5 1.0 (80.5–84.5)
Wichita, Kansas 3,314 76.2 1.0 (74.2–78.2)
Wilmington, Delaware-Maryland-New Jersey§ 2,267 85.7 1.1 (83.6–87.9)
Winston-Salem, North Carolina 416 70.3 3.3 (63.9–76.7)
Worcester, Massachusetts-Connecticut 1,923 91.4 1.1 (89.2–93.7)
Median 80.6
Range 60.5–97.6

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Including health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare).
§ Metropolitan division.

Return to your place in the textTABLE 11. Age-adjusted* prevalence estimates of adults aged 18–64 years who have health care coverage,† by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 5,440 81.9 0.8 (80.3–83.4)
Alaska 3,312 82.5 1.0 (80.6–84.5)
Arizona 8,036 81.8 0.7 (80.3–83.2)
Arkansas 2,778 79.2 1.2 (76.8–81.6)
California 6,447 82.0 0.6 (80.7–83.2)
Colorado 8,874 84.3 0.5 (83.2–85.3)
Connecticut 5,132 88.7 0.7 (87.3–90.1)
Delaware 2,665 88.6 0.9 (86.8–90.4)
District of Columbia 2,421 90.6 1.1 (88.4–92.8)
Florida 5,408 76.6 0.8 (74.9–78.2)
Georgia 4,064 74.4 1.0 (72.5–76.4)
Hawaii 5,003 89.9 0.7 (88.6–91.2)
Idaho 3,490 79.4 1.0 (77.4–81.4)
Illinois 3,384 85.1 0.9 (83.3–86.9)
Indiana 7,183 81.3 0.7 (80.0–82.6)
Iowa 5,091 90.0 0.6 (88.8–91.2)
Kansas 9,155 81.8 0.6 (80.7–82.9)
Kentucky 7,110 87.3 0.8 (85.8–88.8)
Louisiana 4,616 76.8 0.8 (75.1–78.4)
Maine 5,696 85.5 0.7 (84.1–86.9)
Maryland 7,663 88.2 0.8 (86.5–89.8)
Massachusetts 9,615 94.5 0.4 (93.7–95.3)
Michigan 5,447 86.8 0.6 (85.6–88.1)
Minnesota 11,656 90.8 0.4 (90.0–91.5)
Mississippi 2,598 76.6 1.2 (74.2–79.0)
Missouri 4,219 83.1 0.9 (81.3–84.9)
Montana 4,590 83.5 0.8 (81.9–85.2)
Nebraska 14,323 84.1 0.6 (83.0–85.2)
Nevada 2,408 78.7 1.4 (76.0–81.4)
New Hampshire 3,868 85.0 0.9 (83.1–86.8)
New Jersey 8,831 84.2 0.6 (83.0–85.5)
New Mexico 5,853 80.4 0.9 (78.7–82.1)
New York 4,651 84.8 0.7 (83.4–86.2)
North Carolina 4,831 79.3 0.7 (77.9–80.7)
North Dakota 4,897 89.3 0.8 (87.8–90.9)
Ohio 6,818 87.1 0.7 (85.6–88.5)
Oklahoma 5,356 82.5 0.7 (81.1–83.9)
Oregon 3,138 85.9 0.9 (84.1–87.7)
Pennsylvania 6,807 86.7 0.7 (85.4–88.1)
Rhode Island 4,154 89.7 0.8 (88.1–91.4)
South Carolina 6,896 78.1 0.7 (76.7–79.5)
South Dakota 4,782 87.6 1.0 (85.6–89.5)
Tennessee 3,064 81.7 1.1 (79.5–83.8)
Texas 9,879 70.5 0.7 (69.1–72.0)
Utah 11,236 84.0 0.4 (83.2–84.9)
Vermont 4,574 91.2 0.6 (90.0–92.3)
Virginia 6,444 83.7 0.7 (82.3–85.1)
Washington 6,294 86.6 0.7 (85.3–87.9)
West Virginia 4,109 86.3 0.7 (84.8–87.7)
Wisconsin 4,703 89.0 0.8 (87.5–90.5)
Wyoming 3,495 81.0 1.2 (78.6–83.3)
Guam 2,185 73.3 1.5 (70.4–76.1)
Puerto Rico 3,923 92.6 0.5 (91.5–93.6)
Median 84.2
Range 70.5–94.5

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Including health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare).

Return to your place in the textTABLE 12. Age-adjusted* prevalence estimates of adults aged 18–64 years who have health care coverage, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 379 90.3 2.9 (84.5–96.0)
Aguadilla-Isabela, Puerto Rico 361 89.0 2.1 (84.9–93.1)
Albuquerque, New Mexico 1,213 82.8 1.6 (79.7–86.0)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 651 84.6 2.4 (79.8–89.4)
Anchorage, Alaska 1,362 83.0 1.4 (80.3–85.7)
Atlanta-Sandy Springs-Roswell, Georgia 1,878 77.4 1.3 (74.8–80.0)
Augusta-Richmond County, Georgia-South Carolina 578 76.5 3.5 (69.6–83.3)
Austin-Round Rock, Texas 1,507 79.1 1.5 (76.2–81.9)
Baltimore-Columbia-Towson, Maryland 2,900 90.8 1.1 (88.6–92.9)
Baton Rouge, Louisiana 656 78.7 2.1 (74.5–82.9)
Berlin, New Hampshire-Vermont 325 79.0 5.2 (68.9–89.1)
Billings, Montana 521 82.9 2.2 (78.6–87.3)
Birmingham-Hoover, Alabama 1,053 83.0 1.7 (79.7–86.3)
Bismarck, North Dakota 624 88.8 2.1 (84.7–93.0)
Boise City, Idaho 845 80.1 1.9 (76.5–83.8)
Boston, Massachusetts§ 2,810 94.1 0.8 (92.6–95.6)
Burlington-South Burlington, Vermont 1,493 93.2 0.8 (91.6–94.9)
Cambridge-Newton-Framingham, Massachusetts§ 3,183 94.5 0.7 (93.1–95.9)
Camden, New Jersey§ 1,126 92.8 1.3 (90.2–95.4)
Cedar Rapids, Iowa 401 89.3 2.4 (84.7–94.0)
Charleston, West Virginia 588 88.8 1.8 (85.3–92.4)
Charleston-North Charleston, South Carolina 918 78.2 2.0 (74.3–82.1)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,421 78.7 1.4 (75.9–81.5)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 2,859 83.3 1.1 (81.1–85.4)
Cincinnati, Ohio-Kentucky-Indiana 1,347 85.2 1.9 (81.5–88.9)
Claremont-Lebanon, New Hampshire-Vermont 1,077 86.8 2.0 (82.9–90.7)
Cleveland-Elyria, Ohio 618 88.5 2.0 (84.6–92.3)
College Station-Bryan, Texas 308 82.0 3.8 (74.5–89.5)
Colorado Springs, Colorado 885 85.4 1.6 (82.2–88.5)
Columbia, South Carolina 851 81.4 1.9 (77.8–85.1)
Columbus, Ohio 1,160 90.6 1.4 (87.9–93.3)
Corpus Christi, Texas 307 83.0 2.9 (77.3–88.6)
Dallas-Plano-Irving, Texas§ 825 74.2 2.2 (69.9–78.5)
Dayton, Ohio 340 88.3 2.2 (83.9–92.7)
Denver-Aurora-Lakewood, Colorado 4,051 84.1 0.7 (82.6–85.5)
Des Moines-West Des Moines, Iowa 861 90.6 1.5 (87.7–93.5)
Duluth, Minnesota-Wisconsin 634 89.0 1.8 (85.6–92.5)
El Paso, Texas 439 64.7 2.9 (59.1–70.4)
Evansville, Indiana-Kentucky 376 89.4 2.6 (84.3–94.6)
Fargo, North Dakota-Minnesota 739 90.9 1.6 (87.7–94.0)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 442 81.0 3.2 (74.8–87.2)
Fort Wayne, Indiana 510 80.3 2.7 (75.0–85.6)
Fort Worth-Arlington, Texas§ 480 71.9 3.0 (66.0–77.7)
Grand Island, Nebraska 639 81.4 2.6 (76.4–86.5)
Grand Rapids-Wyoming, Michigan 598 86.9 2.1 (82.8–91.0)
Greensboro-High Point, North Carolina 344 79.0 2.8 (73.5–84.6)
Greenville-Anderson-Mauldin, South Carolina 951 80.4 1.7 (77.0–83.8)
Hagerstown-Martinsburg, Maryland-West Virginia 443 88.0 3.0 (82.2–93.8)
Hartford-West Hartford-East Hartford, Connecticut 1,692 91.0 1.1 (88.9–93.1)
Hilton Head Island-Bluffton-Beaufort, South Carolina 264 78.5 3.5 (71.6–85.4)
Houston-The Woodlands-Sugar Land, Texas 1,428 69.4 1.9 (65.7–73.0)
Huntington-Ashland, West Virginia-Kentucky-Ohio 833 85.9 2.1 (81.8–90.0)
Idaho Falls, Idaho 355 84.4 2.4 (79.7–89.2)
Indianapolis-Carmel-Anderson, Indiana 2,304 83.6 1.1 (81.4–85.9)
Jacksonville, Florida 404 80.9 3.0 (75.1–86.7)
Kansas City, Missouri-Kansas 3,192 83.0 1.3 (80.5–85.4)
Kingsport-Bristol-Bristol, Tennessee-Virginia 276 80.8 4.2 (72.6–89.1)
Knoxville, Tennessee 316 83.8 3.3 (77.4–90.2)
Lafayette, Louisiana 399 79.8 2.5 (74.9–84.7)
Lexington-Fayette, Kentucky 452 83.5 2.6 (78.4–88.5)
Lincoln, Nebraska 1,423 85.1 1.4 (82.4–87.9)
Little Rock-North Little Rock-Conway, Arkansas 685 80.0 2.4 (75.2–84.7)
Logan, Utah-Idaho 463 87.0 1.8 (83.4–90.5)
Los Angeles-Long Beach-Anaheim, California 1,871 78.2 1.2 (75.8–80.6)
Louisville-Jefferson County, Kentucky-Indiana 1,492 87.6 1.6 (84.5–90.6)
Madison, Wisconsin 400 90.2 2.2 (85.9–94.5)
Memphis, Tennessee-Mississippi-Arkansas 540 79.1 3.0 (73.3–84.9)
Miami-Fort Lauderdale-West Palm Beach, Florida 1,291 74.8 1.7 (71.5–78.1)
Milwaukee-Waukesha-West Allis, Wisconsin 888 89.3 1.7 (85.9–92.6)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 6,385 91.3 0.5 (90.4–92.3)
Minot, North Dakota 380 88.9 2.1 (84.7–93.1)
Montgomery, Alabama 331 90.3 2.1 (86.2–94.3)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 531 91.5 1.9 (87.7–95.2)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 591 74.3 2.4 (69.6–79.0)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 547 87.0 2.0 (83.0–91.0)
Nassau County-Suffolk County, New York§ 519 86.7 2.2 (82.3–91.0)
Newark, New Jersey-Pennsylvania§ 2,845 82.2 1.1 (80.0–84.5)
New Orleans-Metairie, Louisiana 1,287 80.0 1.5 (77.1–82.9)
New York-Jersey City-White Plains, New York-New Jersey§ 5,373 81.7 0.8 (80.1–83.3)
Norfolk, Nebraska 687 85.6 1.8 (82.0–89.2)
North Platte, Nebraska 612 81.4 2.2 (77.2–85.7)
North Port-Sarasota-Bradenton, Florida 216 76.0 4.6 (67.0–84.9)
Oakland-Hayward-Berkeley, California§ 523 86.8 1.9 (83.2–90.5)
Ogden-Clearfield, Utah 2,211 85.4 0.9 (83.6–87.2)
Oklahoma City, Oklahoma 1,602 81.4 1.3 (79.0–83.9)
Omaha-Council Bluffs, Nebraska-Iowa 3,305 85.7 0.9 (83.8–87.5)
Orlando-Kissimmee-Sanford, Florida 597 79.7 2.3 (75.1–84.2)
Philadelphia, Pennsylvania§ 945 81.9 1.8 (78.3–85.5)
Phoenix-Mesa-Scottsdale, Arizona 5,289 81.7 0.9 (79.9–83.4)
Pittsburgh, Pennsylvania 1,498 89.9 1.2 (87.4–92.3)
Ponce, Puerto Rico 357 96.6 1.2 (94.2–99.0)
Portland-South Portland, Maine 1,672 88.7 1.3 (86.3–91.2)
Portland-Vancouver-Hillsboro, Oregon-Washington 1,829 89.6 1.0 (87.5–91.6)
Providence-Warwick, Rhode Island-Massachusetts 5,164 92.0 0.7 (90.6–93.4)
Provo-Orem, Utah 1,760 84.4 1.0 (82.4–86.3)
Raleigh, North Carolina 553 83.7 1.8 (80.2–87.2)
Rapid City, South Dakota 868 85.9 1.8 (82.4–89.4)
Reno, Nevada 772 81.9 2.0 (78.0–85.8)
Richmond, Virginia 1,025 86.1 1.6 (83.0–89.1)
Riverside-San Bernardino-Ontario, California 684 82.1 1.8 (78.5–85.6)
Roanoke, Virginia 322 81.3 3.3 (74.8–87.7)
Rochester, Minnesota 489 91.1 2.1 (87.1–95.2)
Rockingham County-Strafford County, New Hampshire§ 924 87.0 1.7 (83.6–90.3)
Sacramento-Roseville-Arden-Arcade, California 459 90.2 1.9 (86.4–94.0)
St. Cloud, Minnesota 439 93.8 1.4 (91.0–96.5)
St. Louis, Missouri-Illinois 1,235 86.8 1.7 (83.6–90.1)
Salisbury, Maryland-Delaware 1,060 84.1 2.1 (80.0–88.1)
Salt Lake City, Utah 4,207 83.8 0.7 (82.4–85.2)
San Antonio-New Braunfels, Texas 1,416 72.9 1.6 (69.8–75.9)
San Juan-Carolina-Caguas, Puerto Rico 2,430 91.2 0.8 (89.7–92.7)
Scottsbluff, Nebraska 505 81.6 2.3 (77.1–86.2)
Seattle-Bellevue-Everett, Washington§ 2,418 86.7 1.1 (84.6–88.8)
Shreveport-Bossier City, Louisiana 377 73.9 3.0 (68.0–79.7)
Silver Spring-Frederick-Rockville, Maryland§ 1,516 86.0 2.0 (82.0–89.9)
Sioux City, Iowa-Nebraska-South Dakota 673 83.6 2.9 (77.9–89.3)
Sioux Falls, South Dakota 877 87.7 2.2 (83.5–92.0)
Spartanburg, South Carolina 321 77.2 3.4 (70.6–83.8)
Spokane-Spokane Valley, Washington 442 85.0 2.6 (79.9–90.1)
Springfield, Massachusetts 688 91.8 1.5 (88.8–94.8)
Tampa-St. Petersburg-Clearwater, Florida 899 81.3 1.9 (77.5–85.0)
Toledo, Ohio 427 88.7 2.6 (83.5–93.8)
Topeka, Kansas 942 80.8 1.7 (77.4–84.2)
Tulsa, Oklahoma 1,323 84.0 1.3 (81.4–86.6)
Tuscaloosa, Alabama 493 84.0 2.2 (79.6–88.4)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,287 86.0 1.4 (83.2–88.7)
Warren-Troy-Farmington Hills, Michigan§ 1,362 88.4 1.2 (86.0–90.8)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 5,411 85.9 1.0 (84.0–87.9)
Wichita, Kansas 1,843 81.5 1.2 (79.1–83.8)
Wichita Falls, Texas 256 80.5 6.4 (68.0–93.1)
Wilmington, Delaware-Maryland-New Jersey§ 1,817 90.9 1.0 (88.9–93.0)
Worcester, Massachusetts-Connecticut 1,580 95.5 0.8 (94.0–97.1)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 314 82.9 3.9 (75.4–90.5)
Median 84.3
Range 64.7–96.6

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Including health insurance, prepaid plans (e.g., health maintenance organizations), or government plans (e.g., Medicare).
§ Metropolitan division.

Return to your place in the textTABLE 13. Age-adjusted* prevalence estimates of adults aged ≥18 years who visited a doctor for a routine physical checkup during the past 12 months, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,388 71.6 0.9 (69.7–73.4)
Alaska 4,536 57.8 1.1 (55.7–60.0)
Arizona 4,192 63.8 1.4 (61.0–66.5)
Arkansas 5,165 65.0 1.1 (62.9–67.1)
California 11,464 63.8 0.6 (62.6–65.1)
Colorado 13,435 61.5 0.6 (60.4–62.7)
Connecticut 7,665 70.9 0.9 (69.2–72.6)
Delaware 5,165 75.3 0.9 (73.5–77.1)
District of Columbia 4,890 74.0 1.0 (72.0–76.1)
Florida 33,809 67.9 0.6 (66.6–69.1)
Georgia 8,050 72.6 0.7 (71.1–74.0)
Hawaii 7,828 66.9 0.8 (65.3–68.5)
Idaho 5,583 57.9 1.0 (55.9–59.8)
Illinois 5,597 66.2 1.0 (64.3–68.1)
Indiana 10,220 64.0 0.7 (62.7–65.3)
Iowa 8,073 68.6 0.8 (67.1–70.1)
Kansas 22,855 69.6 0.4 (68.8–70.4)
Kentucky 10,800 68.6 0.7 (67.1–70.0)
Louisiana 5,159 74.8 1.1 (72.6–76.9)
Maine 8,044 69.8 0.8 (68.2–71.4)
Maryland 12,887 74.6 0.7 (73.3–76.0)
Massachusetts 14,963 76.9 0.6 (75.7–78.1)
Michigan 12,602 69.2 0.6 (68.0–70.4)
Minnesota 14,189 67.9 0.7 (66.4–69.3)
Mississippi 7,299 70.6 0.9 (68.9–72.3)
Missouri 7,007 66.6 0.9 (64.8–68.4)
Montana 9,559 60.7 0.8 (59.2–62.2)
Nebraska 16,919 61.4 0.7 (60.1–62.7)
Nevada 5,038 66.0 1.3 (63.5–68.5)
New Hampshire 6,413 70.2 0.9 (68.5–72.0)
New Jersey 13,195 74.7 0.6 (73.5–75.9)
New Mexico 9,177 62.5 0.8 (61.0–64.1)
New York 8,906 74.4 0.7 (73.1–75.7)
North Carolina 8,759 73.0 0.7 (71.6–74.4)
North Dakota 7,720 62.7 0.8 (61.0–64.3)
Ohio 11,819 69.8 0.7 (68.5–71.2)
Oklahoma 8,090 61.5 0.8 (60.0–63.0)
Oregon 5,783 57.0 0.9 (55.2–58.9)
Pennsylvania 11,316 69.9 0.6 (68.7–71.2)
Rhode Island 6,489 77.7 0.8 (76.1–79.3)
South Carolina 10,568 65.6 0.7 (64.2–67.0)
South Dakota 6,812 67.3 1.0 (65.3–69.3)
Tennessee 5,718 74.9 0.9 (73.1–76.7)
Texas 10,673 69.9 0.7 (68.5–71.3)
Utah 12,451 59.6 0.6 (58.5–60.7)
Vermont 6,331 66.1 0.9 (64.3–67.8)
Virginia 8,359 72.5 0.7 (71.1–73.9)
Washington 10,986 61.7 0.7 (60.3–63.0)
West Virginia 5,833 72.5 0.8 (70.9–74.1)
Wisconsin 6,552 67.1 1.0 (65.2–69.0)
Wyoming 6,350 58.6 1.0 (56.7–60.5)
Guam 1,881 65.1 1.5 (62.2–68.0)
Puerto Rico 5,928 76.0 0.8 (74.4–77.5)
Median 67.9
Range 57.0–77.7

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.

Return to your place in the textTABLE 14. Age-adjusted* prevalence estimates of adults aged ≥18 years who visited a doctor for a routine physical checkup during the past 12 months, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 587 78.5 2.5 (73.6–83.3)
Akron, Ohio 683 78.2 2.5 (73.3–83.2)
Albuquerque, New Mexico 2,050 61.2 1.5 (58.3–64.0)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,020 70.5 2.3 (65.9–75.1)
Anchorage, Alaska 1,517 58.7 1.7 (55.4–62.0)
Atlanta-Sandy Springs-Roswell, Georgia 3,484 72.0 1.1 (69.9–74.1)
Augusta-Richmond County, Georgia-South Carolina 899 78.6 2.1 (74.5–82.8)
Austin-Round Rock, Texas 922 68.3 2.1 (64.2–72.3)
Baltimore-Columbia-Towson, Maryland 4,730 74.5 1.1 (72.4–76.6)
Baton Rouge, Louisiana 916 72.7 2.4 (68.0–77.5)
Billings, Montana 805 64.0 2.0 (60.1–67.9)
Birmingham-Hoover, Alabama 1,338 72.7 1.8 (69.1–76.3)
Bismarck, North Dakota 1,023 61.2 2.1 (57.1–65.2)
Boise City, Idaho 1,480 60.8 1.8 (57.3–64.3)
Boston, Massachusetts 4,031 78.4 1.0 (76.3–80.4)
Buffalo-Cheektowaga-Niagara Falls, New York 502 73.3 2.8 (67.8–78.8)
Burlington-South Burlington, Vermont 1,620 66.7 1.6 (63.7–69.8)
Cambridge-Newton-Framingham, Massachusetts 4,876 75.4 1.0 (73.4–77.5)
Camden, New Jersey 1,838 74.6 1.5 (71.6–77.6)
Cedar Rapids, Iowa 641 68.2 2.6 (63.1–73.3)
Charleston, West Virginia 813 72.8 2.2 (68.4–77.1)
Charleston-North Charleston, South Carolina 1,527 67.4 1.7 (64.0–70.7)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,927 70.1 1.5 (67.2–73.1)
Chattanooga, Tennessee-Georgia 573 79.1 3.1 (73.1–85.2)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,328 66.2 1.2 (63.8–68.6)
Cincinnati, Ohio-Kentucky-Indiana 2,570 69.5 1.5 (66.6–72.3)
Claremont-Lebanon, New Hampshire-Vermont 1,671 69.1 1.9 (65.4–72.7)
Cleveland-Elyria, Ohio 1,102 73.3 2.0 (69.4–77.1)
Colorado Springs, Colorado 1,345 65.7 1.7 (62.4–69.0)
Columbia, South Carolina 1,432 65.8 1.8 (62.2–69.3)
Columbus, Ohio 1,831 71.2 1.4 (68.5–73.9)
Crestview-Fort Walton Beach-Destin, Florida 1,069 64.4 2.2 (60.0–68.8)
Dallas-Plano-Irving, Texas 885 73.1 2.0 (69.3–77.0)
Davenport-Moline-Rock Island, Iowa-Illinois 666 66.8 2.9 (61.1–72.5)
Dayton, Ohio 833 67.0 2.6 (61.9–72.1)
Deltona-Daytona Beach-Ormond Beach, Florida 1,101 66.1 2.8 (60.6–71.6)
Denver-Aurora-Lakewood, Colorado 5,633 62.3 0.8 (60.7–63.9)
Des Moines-West Des Moines, Iowa 1,333 71.0 1.8 (67.5–74.5)
Duluth, Minnesota-Wisconsin 700 71.5 3.1 (65.4–77.6)
Durham-Chapel Hill, North Carolina 616 73.2 2.6 (68.1–78.2)
El Paso, Texas 749 65.8 2.4 (61.1–70.6)
Evansville, Indiana-Kentucky 569 65.6 3.1 (59.6–71.6)
Fargo, North Dakota-Minnesota 1,173 66.7 2.1 (62.6–70.7)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 796 63.8 2.6 (58.7–69.0)
Fort Smith, Arkansas-Oklahoma 489 64.4 3.5 (57.6–71.3)
Fort Wayne, Indiana 776 62.1 2.4 (57.4–66.8)
Fort Worth-Arlington, Texas 798 67.6 2.6 (62.6–72.6)
Gainesville, Florida 1,025 64.6 2.7 (59.4–69.8)
Grand Forks, North Dakota-Minnesota 500 66.9 3.3 (60.4–73.5)
Grand Island, Nebraska 790 56.0 2.7 (50.7–61.3)
Grand Rapids-Wyoming, Michigan 1,333 70.7 1.7 (67.4–74.1)
Greensboro-High Point, North Carolina 658 73.2 2.5 (68.3–78.1)
Greenville-Anderson-Mauldin, South Carolina 1,337 61.5 1.9 (57.8–65.3)
Gulfport-Biloxi-Pascagoula, Mississippi 759 65.6 2.5 (60.8–70.5)
Hagerstown-Martinsburg, Maryland-West Virginia 756 72.0 2.8 (66.6–77.5)
Hartford-West Hartford-East Hartford, Connecticut 2,820 73.2 1.3 (70.6–75.8)
Hilton Head Island-Bluffton-Beaufort, South Carolina 817 59.6 3.1 (53.5–65.7)
Houston-The Woodlands-Sugar Land, Texas 1,364 72.1 1.7 (68.8–75.4)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,159 72.6 1.8 (69.1–76.1)
Idaho Falls, Idaho 506 59.0 3.0 (53.2–64.8)
Indianapolis-Carmel-Anderson, Indiana 2,518 66.5 1.3 (64.0–69.1)
Jackson, Mississippi 792 78.0 2.1 (73.8–82.2)
Jacksonville, Florida 2,852 68.9 1.4 (66.1–71.6)
Kansas City, Missouri-Kansas 7,341 68.5 1.1 (66.3–70.8)
Kingsport-Bristol-Bristol, Tennessee-Virginia 528 74.0 3.6 (66.8–81.1)
Knoxville, Tennessee 643 70.9 2.5 (65.9–75.8)
Lansing-East Lansing, Michigan 679 69.0 2.4 (64.3–73.6)
Lexington-Fayette, Kentucky 631 67.4 2.3 (62.9–71.9)
Lincoln, Nebraska 1,854 59.9 1.4 (57.2–62.5)
Little Rock-North Little Rock-Conway, Arkansas 1,123 68.2 2.1 (64.2–72.3)
Logan, Utah-Idaho 630 52.6 2.4 (47.9–57.3)
Los Angeles-Long Beach-Anaheim, California 3,025 64.8 1.2 (62.5–67.1)
Louisville-Jefferson County, Kentucky-Indiana 2,128 70.3 1.7 (67.0–73.6)
Lubbock, Texas 516 68.4 3.2 (62.2–74.6)
Manhattan, Kansas 653 70.8 2.1 (66.6–75.0)
Memphis, Tennessee-Mississippi-Arkansas 1,190 79.5 1.9 (75.7–83.3)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,196 68.8 1.7 (65.5–72.1)
Milwaukee-Waukesha-West Allis, Wisconsin 1,262 69.8 2.1 (65.7–73.9)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 9,040 68.0 0.9 (66.2–69.9)
Minot, North Dakota 642 61.4 2.5 (56.6–66.3)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 964 70.9 1.9 (67.2–74.5)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 766 64.5 2.6 (59.3–69.6)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,049 73.4 1.8 (69.8–76.9)
Nassau County-Suffolk County, New York 940 75.1 1.9 (71.3–78.9)
Newark, New Jersey-Pennsylvania 4,076 75.9 1.0 (74.0–77.9)
New Orleans-Metairie, Louisiana 1,265 73.4 2.3 (68.9–77.8)
New York-Jersey City-White Plains, New York-New Jersey 8,847 74.6 0.7 (73.2–76.1)
Norfolk, Nebraska 666 65.4 2.3 (60.9–69.9)
North Platte, Nebraska 712 56.5 2.8 (51.1–61.9)
North Port-Sarasota-Bradenton, Florida 1,081 64.1 2.3 (59.5–68.7)
Oakland-Hayward-Berkeley, California 699 61.8 2.3 (57.2–66.4)
Ogden-Clearfield, Utah 2,390 63.7 1.2 (61.4–66.1)
Oklahoma City, Oklahoma 2,598 61.0 1.3 (58.4–63.5)
Omaha-Council Bluffs, Nebraska-Iowa 3,104 64.7 1.2 (62.3–67.0)
Orlando-Kissimmee-Sanford, Florida 2,259 65.5 1.6 (62.5–68.6)
Panama City, Florida 1,014 62.6 2.5 (57.8–67.5)
Pensacola-Ferry Pass-Brent, Florida 1,307 69.4 1.8 (66.0–72.9)
Philadelphia, Pennsylvania 1,757 75.6 1.4 (72.8–78.4)
Phoenix-Mesa-Scottsdale, Arizona 1,536 64.1 1.9 (60.4–67.8)
Pittsburgh, Pennsylvania 2,349 69.8 1.4 (67.1–72.5)
Ponce, Puerto Rico 523 72.5 2.7 (67.1–77.8)
Portland-South Portland, Maine 2,627 70.4 1.4 (67.8–73.1)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,172 61.0 1.2 (58.6–63.4)
Port St. Lucie, Florida 1,013 67.6 2.8 (62.1–73.1)
Providence-Warwick, Rhode Island-Massachusetts 8,250 78.8 0.9 (77.0–80.6)
Provo-Orem, Utah 1,803 56.7 1.4 (54.1–59.4)
Raleigh, North Carolina 669 74.4 2.0 (70.6–78.3)
Rapid City, South Dakota 866 65.5 2.3 (61.1–70.0)
Reno, Nevada 1,803 63.5 1.6 (60.3–66.7)
Richmond, Virginia 1,300 72.5 1.7 (69.2–75.8)
Riverside-San Bernardino-Ontario, California 1,363 66.5 1.7 (63.2–69.9)
Rochester, New York 508 70.9 2.7 (65.7–76.1)
Rockingham County-Strafford County, New Hampshire§ 1,654 70.1 1.7 (66.9–73.4)
Sacramento-Roseville-Arden-Arcade, California 891 63.9 2.2 (59.5–68.2)
St. Louis, Missouri-Illinois 2,039 70.2 1.6 (67.0–73.4)
Salem, Oregon 515 54.2 3.4 (47.6–60.8)
Salina, Kansas 518 69.8 2.7 (64.4–75.1)
Salisbury, Maryland-Delaware 2,047 75.4 1.9 (71.6–79.1)
Salt Lake City, Utah 4,571 60.7 0.9 (58.9–62.5)
San Antonio-New Braunfels, Texas 922 65.4 2.1 (61.3–69.5)
San Francisco-Redwood City-South San Francisco, California 538 66.4 2.8 (60.9–71.8)
San Jose-Sunnyvale-Santa Clara, California 626 63.2 2.6 (58.2–68.2)
San Juan-Carolina-Caguas, Puerto Rico 3,609 75.5 1.0 (73.5–77.4)
Scottsbluff, Nebraska 698 54.3 2.8 (48.7–59.8)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 563 71.5 3.0 (65.7–77.4)
Seattle-Bellevue-Everett, Washington 3,717 61.7 1.1 (59.6–63.8)
Shreveport-Bossier City, Louisiana 567 73.9 3.2 (67.6–80.3)
Silver Spring-Frederick-Rockville, Maryland 2,410 73.4 1.5 (70.6–76.3)
Sioux City, Iowa-Nebraska-South Dakota 1,044 69.7 3.0 (63.8–75.7)
Sioux Falls, South Dakota 1,002 69.8 2.0 (65.8–73.7)
Spartanburg, South Carolina 586 64.6 3.1 (58.6–70.7)
Spokane-Spokane Valley, Washington 852 60.5 2.4 (55.8–65.2)
Springfield, Massachusetts 1,564 75.8 2.1 (71.8–79.9)
Tallahassee, Florida 1,843 70.4 2.2 (66.0–74.8)
Tampa-St. Petersburg-Clearwater, Florida 2,191 68.2 1.5 (65.2–71.2)
Toledo, Ohio 985 68.6 2.5 (63.6–73.5)
Topeka, Kansas 2,383 70.1 1.3 (67.5–72.6)
Tulsa, Oklahoma 1,969 61.0 1.6 (57.9–64.2)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,662 74.5 1.6 (71.3–77.6)
Warren-Troy-Farmington Hills, Michigan 2,239 70.3 1.4 (67.6–73.1)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia 8,946 74.7 0.9 (72.9–76.5)
Wichita, Kansas 4,842 69.5 0.9 (67.7–71.2)
Wilmington, Delaware-Maryland-New Jersey 3,244 75.1 1.1 (72.9–77.3)
Winston-Salem, North Carolina 691 72.6 2.8 (67.1–78.2)
Worcester, Massachusetts-Connecticut 2,750 75.9 1.4 (73.1–78.7)
Median 68.9
Range 52.6–79.5

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
 Metropolitan division.

Return to your place in the textTABLE 15. Age-adjusted* prevalence estimates of adults aged ≥18 years who visited a doctor for a routine checkup during the past 12 months, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,477 71.4 0.8 (69.8–73.0)
Alaska 4,334 58.7 1.1 (56.6–60.8)
Arizona 14,664 63.4 0.7 (61.9–64.8)
Arkansas 5,127 66.2 1.2 (63.8–68.5)
California 8,762 67.3 0.7 (66.0–68.6)
Colorado 13,141 63.1 0.6 (62.0–64.2)
Connecticut 7,885 71.3 0.8 (69.6–72.9)
Delaware 4,240 72.9 1.1 (70.7–75.2)
District of Columbia 4,033 75.0 1.2 (72.7–77.3)
Florida 9,733 70.9 0.7 (69.4–72.3)
Georgia 6,262 72.3 0.8 (70.7–74.0)
Hawaii 7,207 66.7 0.8 (65.1–68.3)
Idaho 5,433 57.2 1.0 (55.2–59.2)
Illinois 5,045 69.0 0.9 (67.2–70.8)
Indiana 11,415 64.2 0.7 (62.9–65.5)
Iowa 8,028 70.3 0.7 (68.8–71.7)
Kansas 13,395 67.7 0.6 (66.6–68.8)
Kentucky 11,009 71.4 0.8 (69.8–73.1)
Louisiana 6,684 75.2 0.7 (73.8–76.6)
Maine 9,090 69.2 0.8 (67.6–70.8)
Maryland 12,466 75.0 0.8 (73.4–76.6)
Massachusetts 15,457 77.7 0.6 (76.5–78.8)
Michigan 8,370 70.7 0.7 (69.3–72.1)
Minnesota 16,220 69.2 0.5 (68.2–70.1)
Mississippi 4,131 72.3 1.1 (70.1–74.4)
Missouri 6,952 66.4 0.9 (64.5–68.2)
Montana 7,382 62.4 0.9 (60.6–64.2)
Nebraska 22,090 62.9 0.6 (61.8–64.1)
Nevada 3,700 64.0 1.3 (61.4–66.6)
New Hampshire 6,114 66.8 1.0 (64.8–68.8)
New Jersey 12,876 75.8 0.6 (74.6–77.1)
New Mexico 8,785 62.0 0.9 (60.2–63.7)
New York 6,801 74.4 0.7 (73.0–75.8)
North Carolina 7,192 75.1 0.7 (73.8–76.4)
North Dakota 7,720 63.8 1.0 (61.9–65.7)
Ohio 10,777 69.6 0.8 (68.0–71.1)
Oklahoma 8,303 64.0 0.7 (62.5–65.4)
Oregon 5,066 61.8 1.0 (59.9–63.8)
Pennsylvania 10,904 71.0 0.7 (69.6–72.4)
Rhode Island 6,406 79.2 0.9 (77.5–80.9)
South Carolina 10,882 66.9 0.7 (65.5–68.2)
South Dakota 7,290 69.4 1.1 (67.3–71.5)
Tennessee 5,075 73.8 1.0 (71.7–75.8)
Texas 15,130 69.1 0.7 (67.8–70.4)
Utah 14,714 60.2 0.5 (59.2–61.2)
Vermont 6,412 66.1 0.8 (64.5–67.7)
Virginia 9,383 73.1 0.7 (71.8–74.5)
Washington 9,944 63.7 0.7 (62.2–65.1)
West Virginia 6,129 75.3 0.8 (73.7–76.9)
Wisconsin 7,013 69.2 0.9 (67.5–70.9)
Wyoming 6,302 58.0 1.2 (55.7–60.4)
Guam 2,503 61.6 1.4 (58.9–64.3)
Puerto Rico 5,906 76.0 0.8 (74.5–77.6)
Median 69.2
Range 57.2–79.2

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.

Return to your place in the textTABLE 16. Age-adjusted* prevalence estimates of adults aged ≥18 years who visited a doctor for a routine checkup during the past 12 months, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 609 66.3 3.2 (60.1–72.5)
Aguadilla-Isabela, Puerto Rico 535 78.6 2.4 (73.9–83.2)
Albuquerque, New Mexico 1,765 62.8 1.6 (59.6–66.0)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,082 68.2 2.6 (63.0–73.3)
Anchorage, Alaska 1,767 59.4 1.5 (56.5–62.4)
Atlanta-Sandy Springs-Roswell, Georgia 2,752 72.1 1.2 (69.8–74.4)
Augusta-Richmond County, Georgia-South Carolina 876 67.5 2.8 (61.9–73.0)
Austin-Round Rock, Texas 2,226 69.3 1.4 (66.6–72.0)
Baltimore-Columbia-Towson, Maryland 4,585 75.5 1.3 (73.0–77.9)
Baton Rouge, Louisiana 909 77.4 1.8 (73.9–80.9)
Berlin, New Hampshire-Vermont 537 64.7 4.7 (55.5–73.8)
Billings, Montana 796 63.8 2.4 (59.1–68.4)
Birmingham-Hoover, Alabama 1,553 73.7 1.6 (70.6–76.9)
Bismarck, North Dakota 1,023 60.4 2.4 (55.7–65.0)
Boise City, Idaho 1,343 60.6 2.0 (56.7–64.4)
Boston, Massachusetts 4,491 77.6 1.1 (75.4–79.8)
Burlington-South Burlington, Vermont 1,961 65.8 1.4 (63.2–68.5)
Cambridge-Newton-Framingham, Massachusetts 5,108 76.4 1.0 (74.4–78.4)
Camden, New Jersey 1,705 76.9 1.8 (73.4–80.5)
Cedar Rapids, Iowa 632 68.6 2.7 (63.4–73.8)
Charleston, West Virginia 870 79.6 1.9 (76.0–83.3)
Charleston-North Charleston, South Carolina 1,380 68.6 1.8 (65.1–72.1)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,126 71.7 1.4 (69.1–74.4)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 4,109 69.6 1.1 (67.5–71.7)
Cincinnati, Ohio-Kentucky-Indiana 2,019 69.5 1.9 (65.8–73.1)
Claremont-Lebanon, New Hampshire-Vermont 1,672 63.4 2.1 (59.3–67.6)
Cleveland-Elyria, Ohio 957 71.9 2.2 (67.6–76.1)
College Station-Bryan, Texas 572 70.1 3.8 (62.7–77.4)
Colorado Springs, Colorado 1,276 68.3 1.8 (64.9–71.8)
Columbia, South Carolina 1,195 68.3 1.9 (64.7–72.0)
Columbus, Ohio 1,641 70.7 1.8 (67.2–74.1)
Corpus Christi, Texas 611 69.5 3.6 (62.4–76.6)
Dallas-Plano-Irving, Texas 1,273 72.1 1.9 (68.3–75.9)
Dayton, Ohio 553 67.5 3.0 (61.6–73.4)
Denver-Aurora-Lakewood, Colorado 5,705 62.6 0.8 (61.0–64.2)
Des Moines-West Des Moines, Iowa 1,340 71.9 1.8 (68.4–75.5)
Duluth, Minnesota-Wisconsin 938 69.7 2.1 (65.5–73.9)
El Paso, Texas 713 63.8 2.6 (58.7–68.8)
Evansville, Indiana-Kentucky 652 74.4 3.3 (68.0–80.9)
Fargo, North Dakota-Minnesota 1,142 70.0 1.9 (66.2–73.8)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 797 65.2 3.0 (59.3–71.1)
Fort Wayne, Indiana 856 60.8 2.6 (55.7–65.9)
Fort Worth-Arlington, Texas 752 67.6 2.6 (62.5–72.7)
Grand Island, Nebraska 1,051 63.7 2.5 (58.9–68.6)
Grand Rapids-Wyoming, Michigan 886 70.9 2.2 (66.6–75.2)
Greensboro-High Point, North Carolina 510 73.6 2.7 (68.2–78.9)
Greenville-Anderson-Mauldin, South Carolina 1,474 63.5 1.7 (60.1–66.9)
Hagerstown-Martinsburg, Maryland-West Virginia 774 73.8 3.0 (67.9–79.6)
Hartford-West Hartford-East Hartford, Connecticut 2,625 72.3 1.4 (69.6–74.9)
Hilton Head Island-Bluffton-Beaufort, South Carolina 550 69.8 3.4 (63.2–76.4)
Houston-The Woodlands-Sugar Land, Texas 2,117 70.2 1.6 (67.1–73.4)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,230 73.8 1.9 (70.1–77.6)
Idaho Falls, Idaho 514 60.4 2.8 (55.0–65.8)
Indianapolis-Carmel-Anderson, Indiana 3,585 65.2 1.2 (62.8–67.5)
Jacksonville, Florida 668 73.7 2.5 (68.7–78.6)
Kansas City, Missouri-Kansas 4,804 66.4 1.3 (63.9–69.0)
Kingsport-Bristol-Bristol, Tennessee-Virginia 497 75.2 3.7 (68.0–82.5)
Knoxville, Tennessee 559 77.0 3.3 (70.5–83.4)
Lafayette, Louisiana 553 76.1 2.3 (71.6–80.6)
Lexington-Fayette, Kentucky 614 70.6 2.5 (65.7–75.4)
Lincoln, Nebraska 1,983 59.9 1.5 (57.1–62.8)
Little Rock-North Little Rock-Conway, Arkansas 1,167 69.7 2.1 (65.5–73.8)
Logan, Utah-Idaho 614 58.0 2.2 (53.6–62.4)
Los Angeles-Long Beach-Anaheim, California 2,434 68.4 1.2 (66.0–70.7)
Louisville-Jefferson County, Kentucky-Indiana 2,436 71.8 1.8 (68.2–75.4)
Madison, Wisconsin 549 72.8 2.5 (68.0–77.7)
Memphis, Tennessee-Mississippi-Arkansas 870 76.7 2.7 (71.4–82.0)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,200 73.8 1.4 (71.0–76.6)
Milwaukee-Waukesha-West Allis, Wisconsin 1,354 71.8 1.9 (68.1–75.6)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,655 69.0 0.6 (67.8–70.3)
Minot, North Dakota 594 67.2 2.8 (61.7–72.8)
Montgomery, Alabama 508 76.2 3.0 (70.2–82.1)
Montgomery County-Bucks County-Chester County, Pennsylvania 799 68.8 2.4 (64.1–73.5)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 991 68.7 2.2 (64.5–73.0)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 795 74.5 2.2 (70.1–78.9)
Nassau County-Suffolk County, New York 767 71.7 2.3 (67.2–76.1)
Newark, New Jersey-Pennsylvania 4,093 75.7 1.1 (73.6–77.8)
New Orleans-Metairie, Louisiana 1,888 75.3 1.4 (72.6–77.9)
New York-Jersey City-White Plains, New York-New Jersey 7,453 75.7 0.8 (74.2–77.2)
Norfolk, Nebraska 982 57.5 2.0 (53.5–61.4)
North Platte, Nebraska 948 56.8 2.2 (52.6–61.1)
North Port-Sarasota-Bradenton, Florida 510 61.7 4.2 (53.5–69.9)
Oakland-Hayward-Berkeley, California 696 69.0 2.4 (64.3–73.6)
Ogden-Clearfield, Utah 2,873 62.3 1.0 (60.2–64.3)
Oklahoma City, Oklahoma 2,397 64.0 1.3 (61.5–66.6)
Omaha-Council Bluffs, Nebraska-Iowa 4,824 67.6 1.0 (65.7–69.6)
Orlando-Kissimmee-Sanford, Florida 949 70.7 2.1 (66.5–74.9)
Philadelphia, Pennsylvania 1,509 72.4 1.7 (69.0–75.8)
Phoenix-Mesa-Scottsdale, Arizona 9,277 63.5 0.9 (61.8–65.2)
Pittsburgh, Pennsylvania 2,398 72.1 1.4 (69.4–74.8)
Ponce, Puerto Rico 524 75.8 2.8 (70.4–81.3)
Portland-South Portland, Maine 2,746 70.3 1.4 (67.5–73.0)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,765 63.0 1.4 (60.4–65.7)
Providence-Warwick, Rhode Island-Massachusetts 8,051 80.8 0.9 (79.1–82.5)
Provo-Orem, Utah 2,107 57.8 1.2 (55.4–60.2)
Raleigh, North Carolina 714 73.5 2.0 (69.6–77.4)
Rapid City, South Dakota 1,403 66.5 2.1 (62.3–70.7)
Reno, Nevada 1,193 62.3 2.0 (58.4–66.2)
Richmond, Virginia 1,451 72.4 1.7 (69.0–75.8)
Riverside-San Bernardino-Ontario, California 937 69.5 1.9 (65.8–73.3)
Roanoke, Virginia 524 74.0 3.0 (68.2–79.8)
Rochester, Minnesota 699 64.5 2.3 (60.0–69.0)
Rockingham County-Strafford County, New Hampshire 1,424 68.9 1.9 (65.1–72.7)
Sacramento-Roseville-Arden-Arcade, California 639 65.9 2.4 (61.2–70.7)
St. Cloud, Minnesota 558 72.3 2.3 (67.9–76.8)
St. Louis, Missouri-Illinois 1,911 71.5 1.8 (68.1–75.0)
Salisbury, Maryland-Delaware 1,937 74.0 2.3 (69.5–78.4)
Salt Lake City, Utah 5,326 60.6 0.8 (59.1–62.1)
San Antonio-New Braunfels, Texas 2,241 69.6 1.4 (66.9–72.3)
San Juan-Carolina-Caguas, Puerto Rico 3,699 75.0 1.0 (73.1–77.0)
Scottsbluff, Nebraska 884 55.9 2.4 (51.2–60.6)
Seattle-Bellevue-Everett, Washington 3,653 63.7 1.1 (61.5–66.0)
Shreveport-Bossier City, Louisiana 547 72.8 2.7 (67.4–78.1)
Silver Spring-Frederick-Rockville, Maryland 2,357 72.4 1.7 (69.0–75.8)
Sioux City, Iowa-Nebraska-South Dakota 1,126 76.4 2.6 (71.4–81.4)
Sioux Falls, South Dakota 1,337 73.7 2.1 (69.7–77.8)
Spartanburg, South Carolina 562 63.9 3.3 (57.4–70.4)
Spokane-Spokane Valley, Washington 712 62.1 2.7 (56.9–67.3)
Springfield, Massachusetts 1,095 78.6 2.0 (74.7–82.5)
Tampa-St. Petersburg-Clearwater, Florida 1,574 69.6 1.8 (66.0–73.2)
Toledo, Ohio 639 65.8 3.1 (59.7–71.9)
Topeka, Kansas 1,425 67.3 1.7 (64.0–70.6)
Tulsa, Oklahoma 2,002 61.8 1.4 (59.0–64.6)
Tuscaloosa, Alabama 708 72.1 2.4 (67.4–76.9)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,872 77.8 1.5 (74.9–80.6)
Warren-Troy-Farmington Hills, Michigan 2,095 71.0 1.4 (68.2–73.8)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia 8,231 73.8 0.9 (71.9–75.6)
Wichita, Kansas 2,667 69.5 1.2 (67.2–71.8)
Wichita Falls, Texas 540 76.7 4.2 (68.5–84.8)
Wilmington, Delaware-Maryland-New Jersey 2,733 73.5 1.4 (70.8–76.3)
Worcester, Massachusetts-Connecticut 2,437 77.1 1.4 (74.4–79.8)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 523 72.3 3.4 (65.6–79.1)
Median 69.8
Range 55.9–80.8

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
† Metropolitan division.

Return to your place in the textTABLE 17. Age-adjusted* prevalence estimates of women aged 21–65 years who reported having a Pap test, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 2,056 82.9 1.1 (80.8–85.0)
Alaska 1,420 78.6 1.6 (75.5–81.8)
Arizona 3,342 79.8 1.1 (77.6–81.9)
Arkansas 1,042 77.7 1.8 (74.1–81.3)
California 2,120 83.0 1.1 (80.9–85.1)
Colorado 3,460 84.6 0.8 (83.1–86.2)
Connecticut 2,142 87.5 1.0 (85.5–89.5)
Delaware 1,184 86.4 1.5 (83.5–89.3)
District of Columbia 1,108 85.1 1.7 (81.8–88.5)
Florida 2,304 79.6 1.1 (77.4–81.8)
Georgia 1,563 84.6 1.1 (82.3–86.8)
Hawaii 2,010 77.8 1.4 (75.1–80.6)
Idaho 1,353 76.0 1.5 (73.0–78.9)
Illinois 1,460 81.5 1.4 (78.7–84.2)
Indiana 2,811 78.0 1.0 (75.9–80.0)
Iowa 2,118 84.5 1.1 (82.4–86.6)
Kansas 3,401 81.8 0.8 (80.2–83.5)
Kentucky 2,993 81.4 1.2 (79.1–83.7)
Louisiana 1,761 83.7 1.1 (81.5–85.8)
Maine 2,493 85.2 1.0 (83.1–87.2)
Maryland 3,676 86.7 1.2 (84.3–89.0)
Massachusetts 4,424 87.8 0.8 (86.1–89.4)
Michigan 2,233 83.4 1.0 (81.4–85.4)
Minnesota 4,746 86.1 0.6 (84.9–87.3)
Mississippi 1,011 83.0 1.5 (80.1–85.9)
Missouri 1,737 80.8 1.3 (78.2–83.3)
Montana 1,778 81.5 1.3 (78.9–84.1)
Nebraska 5,779 81.7 0.8 (80.1–83.4)
Nevada 993 78.1 2.1 (73.9–82.2)
New Hampshire 1,765 85.1 1.4 (82.3–87.9)
New Jersey 3,976 83.8 0.9 (82.1–85.6)
New Mexico 2,394 79.0 1.3 (76.5–81.5)
New York 2,073 82.6 1.1 (80.3–84.8)
North Carolina 1,898 85.8 0.9 (84.0–87.6)
North Dakota 1,959 81.5 1.5 (78.6–84.3)
Ohio 2,943 81.6 1.1 (79.5–83.7)
Oklahoma 2,070 77.0 1.2 (74.7–79.3)
Oregon 1,226 83.0 1.3 (80.4–85.6)
Pennsylvania 2,918 80.8 1.1 (78.5–83.0)
Rhode Island 1,925 85.9 1.2 (83.4–88.3)
South Carolina 2,655 82.4 1.0 (80.5–84.4)
South Dakota 2,012 84.8 1.5 (81.8–87.7)
Tennessee 1,210 85.4 1.4 (82.7–88.1)
Texas 3,959 77.7 1.1 (75.6–79.8)
Utah 4,205 77.2 0.8 (75.6–78.8)
Vermont 2,038 85.8 1.0 (83.8–87.8)
Virginia 2,773 85.2 1.0 (83.3–87.1)
Washington 2,657 80.9 1.1 (78.8–83.1)
West Virginia 1,656 80.5 1.2 (78.2–82.8)
Wisconsin 1,831 86.7 1.1 (84.4–88.9)
Wyoming 1,352 81.2 1.5 (78.2–84.2)
Guam 955 67.7 2.2 (63.5–72.0)
Puerto Rico 1,880 77.4 1.2 (75.1–79.7)
Median 82.4
Range 67.7–87.8

Abbreviations: CI = confidence interval; Pap = Papanicolaou; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
 Test for cancer of the cervix.

Return to your place in the textTABLE 18. Age-adjusted* prevalence estimates of women aged 21–65 years who reported having a Pap test, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 161 84.8 4.7 (75.6–94.0)
Aguadilla-Isabela, Puerto Rico 176 68.2 4.3 (59.7–76.6)
Albuquerque, New Mexico 509 80.8 2.3 (76.2–85.4)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 302 88.7 2.4 (84.1–93.4)
Anchorage, Alaska 568 78.2 2.4 (73.5–82.8)
Atlanta-Sandy Springs-Roswell, Georgia 747 86.6 1.5 (83.7–89.6)
Augusta-Richmond County, Georgia-South Carolina 209 88.1 3.2 (81.8–94.5)
Austin-Round Rock, Texas 664 83.3 2.0 (79.4–87.1)
Baltimore-Columbia-Towson, Maryland 1,374 87.3 2.0 (83.3–91.2)
Baton Rouge, Louisiana 248 82.6 2.9 (77.0–88.2)
Berlin, New Hampshire-Vermont 140 90.5 3.3 (84.0–96.9)
Billings, Montana 186 82.9 3.5 (76.0–89.8)
Birmingham-Hoover, Alabama 417 83.7 2.2 (79.3–88.0)
Bismarck, North Dakota 259 86.2 2.5 (81.3–91.2)
Boise City, Idaho 323 80.6 2.7 (75.4–85.8)
Boston, Massachusetts§ 1,325 86.3 1.7 (83.0–89.6)
Burlington-South Burlington, Vermont 648 86.0 1.8 (82.5–89.4)
Cambridge-Newton-Framingham, Massachusetts§ 1,461 88.3 1.4 (85.6–91.0)
Camden, New Jersey§ 541 87.4 2.2 (83.0–91.8)
Cedar Rapids, Iowa 177 87.1 3.6 (80.0–94.2)
Charleston, West Virginia 227 78.5 3.3 (71.9–85.0)
Charleston-North Charleston, South Carolina 382 81.7 2.6 (76.6–86.8)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 541 84.7 1.9 (81.1–88.4)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 1,217 81.5 1.7 (78.2–84.7)
Cincinnati, Ohio-Kentucky-Indiana 568 82.9 2.5 (78.1–87.8)
Claremont-Lebanon, New Hampshire-Vermont 502 84.8 2.5 (79.9–89.7)
Cleveland-Elyria, Ohio 283 83.5 2.9 (77.8–89.1)
College Station-Bryan, Texas 120 78.5 5.9 (66.9–90.2)
Colorado Springs, Colorado 322 82.8 2.6 (77.7–87.9)
Columbia, South Carolina 369 86.8 2.0 (82.9–90.7)
Columbus, Ohio 526 83.7 2.2 (79.3–88.1)
Corpus Christi, Texas 119 84.1 4.4 (75.5–92.7)
Dallas-Plano-Irving, Texas§ 349 77.4 3.1 (71.3–83.5)
Dayton, Ohio 146 87.2 4.0 (79.4–95.0)
Denver-Aurora-Lakewood, Colorado 1,601 84.3 1.1 (82.0–86.5)
Des Moines-West Des Moines, Iowa 374 88.0 2.6 (82.9–93.2)
Duluth, Minnesota-Wisconsin 263 81.5 3.0 (75.7–87.3)
El Paso, Texas 187 80.2 3.6 (73.2–87.3)
Evansville, Indiana-Kentucky 119 85.1 6.1 (73.0–97.1)
Fargo, North Dakota-Minnesota 288 81.2 3.3 (74.7–87.7)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 176 71.6 4.9 (62.0–81.3)
Fort Wayne, Indiana 222 73.2 4.1 (65.1–81.3)
Fort Worth-Arlington, Texas§ 209 82.3 3.3 (75.8–88.8)
Grand Island, Nebraska 277 84.2 3.0 (78.4–90.0)
Grand Rapids-Wyoming, Michigan 218 86.1 3.4 (79.3–92.8)
Greensboro-High Point, North Carolina 144 78.8 4.1 (70.8–86.7)
Greenville-Anderson-Mauldin, South Carolina 314 80.9 2.6 (75.7–86.0)
Hagerstown-Martinsburg, Maryland-West Virginia 183 82.2 5.4 (71.7–92.7)
Hartford-West Hartford-East Hartford, Connecticut 669 90.4 1.4 (87.7–93.1)
Hilton Head Island-Bluffton-Beaufort, South Carolina 114 84.8 4.1 (76.8–92.7)
Houston-The Woodlands-Sugar Land, Texas 522 79.2 2.8 (73.7–84.8)
Huntington-Ashland, West Virginia-Kentucky-Ohio 327 75.8 3.4 (69.2–82.4)
Idaho Falls, Idaho 129 73.2 4.6 (64.2–82.2)
Indianapolis-Carmel-Anderson, Indiana 927 81.1 1.8 (77.6–84.5)
Jacksonville, Florida 184 81.4 3.6 (74.4–88.5)
Kansas City, Missouri-Kansas 1,283 81.9 2.0 (78.0–85.8)
Kingsport-Bristol-Bristol, Tennessee-Virginia 108 86.1 3.4 (79.5–92.7)
Knoxville, Tennessee 117 94.3 2.7 (89.0–99.7)
Lafayette, Louisiana 143 81.8 3.8 (74.4–89.2)
Lexington-Fayette, Kentucky 176 83.9 3.3 (77.5–90.3)
Lincoln, Nebraska 577 78.8 2.3 (74.3–83.2)
Little Rock-North Little Rock-Conway, Arkansas 263 85.9 2.9 (80.3–91.6)
Logan, Utah-Idaho 186 72.2 3.9 (64.6–79.8)
Los Angeles-Long Beach-Anaheim, California 570 82.1 2.0 (78.1–86.1)
Louisville/Jefferson County, Kentucky-Indiana 631 82.2 2.5 (77.2–87.1)
Madison, Wisconsin 145 90.6 3.3 (84.2–97.1)
Memphis, Tennessee-Mississippi-Arkansas 230 90.1 2.3 (85.6–94.7)
Miami-Fort Lauderdale-West Palm Beach, Florida 547 81.0 2.2 (76.7–85.3)
Milwaukee-Waukesha-West Allis, Wisconsin 353 90.3 2.0 (86.4–94.1)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 2,716 86.9 0.8 (85.3–88.5)
Minot, North Dakota 148 75.7 5.0 (65.8–85.5)
Montgomery, Alabama 132 86.4 3.7 (79.1–93.6)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 244 80.4 4.5 (71.7–89.2)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 206 75.3 4.2 (67.0–83.6)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 220 86.0 2.8 (80.5–91.5)
Nassau County-Suffolk County, New York§ 235 81.7 3.2 (75.4–88.0)
Newark, New Jersey-Pennsylvania§ 1,326 84.1 1.5 (81.2–87.0)
New Orleans-Metairie, Louisiana 513 86.9 1.9 (83.1–90.6)
New York-Jersey City-White Plains, New York-New Jersey§ 2,369 82.0 1.3 (79.5–84.4)
Norfolk, Nebraska 261 79.9 3.5 (73.1–86.7)
North Platte, Nebraska 232 70.9 3.4 (64.2–77.7)
North Port-Sarasota-Bradenton, Florida 95 81.2 5.2 (71.1–91.4)
Oakland-Hayward-Berkeley, California§ 193 86.7 3.5 (79.9–93.5)
Ogden-Clearfield, Utah 805 76.7 1.8 (73.2–80.1)
Oklahoma City, Oklahoma 688 80.9 1.7 (77.5–84.3)
Omaha-Council Bluffs, Nebraska-Iowa 1,365 85.0 1.5 (82.1–87.9)
Orlando-Kissimmee-Sanford, Florida 236 82.2 3.4 (75.6–88.8)
Philadelphia, Pennsylvania§ 445 76.6 3.1 (70.6–82.6)
Phoenix-Mesa-Scottsdale, Arizona 2,173 79.9 1.3 (77.3–82.5)
Pittsburgh, Pennsylvania 645 81.1 2.0 (77.2–84.9)
Ponce, Puerto Rico 183 73.1 3.9 (65.4–80.8)
Portland-South Portland, Maine 774 85.0 2.1 (80.9–89.0)
Portland-Vancouver-Hillsboro, Oregon-Washington 734 86.5 1.7 (83.2–89.9)
Providence-Warwick, Rhode Island-Massachusetts 2,406 87.1 1.1 (84.9–89.4)
Provo-Orem, Utah 640 72.1 2.1 (67.9–76.3)
Raleigh, North Carolina 232 89.3 2.6 (84.3–94.3)
Rapid City, South Dakota 365 81.5 3.2 (75.2–87.7)
Reno, Nevada 337 77.4 3.3 (70.9–84.0)
Richmond, Virginia 452 90.4 1.6 (87.2–93.5)
Riverside-San Bernardino-Ontario, California 219 84.4 2.8 (78.9–89.9)
Roanoke, Virginia 134 79.1 4.4 (70.5–87.7)
Rochester, Minnesota 193 87.7 2.9 (82.1–93.3)
Rockingham County-Strafford County, New Hampshire§ 429 86.6 2.7 (81.4–91.8)
Sacramento-Roseville-Arden-Arcade, California 152 86.1 3.5 (79.2–93.0)
St. Cloud, Minnesota 147 86.3 3.1 (80.2–92.5)
St. Louis, Missouri-Illinois 515 83.7 2.3 (79.1–88.3)
Salisbury, Maryland-Delaware 436 85.5 2.7 (80.3–90.7)
Salt Lake City, Utah 1,555 81.2 1.2 (78.8–83.5)
San Antonio-New Braunfels, Texas 568 75.8 2.4 (71.1–80.6)
San Juan-Carolina-Caguas, Puerto Rico 1,180 80.5 1.4 (77.8–83.3)
Scottsbluff, Nebraska 199 76.2 3.7 (69.0–83.5)
Seattle-Bellevue-Everett, Washington§ 1,022 81.3 1.8 (77.9–84.8)
Shreveport-Bossier City, Louisiana 180 80.5 4.2 (72.3–88.6)
Silver Spring-Frederick-Rockville, Maryland§ 731 84.5 2.7 (79.3–89.7)
Sioux City, Iowa-Nebraska-South Dakota 261 83.7 4.0 (75.8–91.6)
Sioux Falls, South Dakota 383 88.3 2.4 (83.6–92.9)
Spartanburg, South Carolina 112 83.2 6.7 (70.0–96.4)
Spokane-Spokane Valley, Washington 191 82.7 3.7 (75.4–89.9)
Springfield, Massachusetts 302 86.3 3.0 (80.4–92.2)
Tampa-St. Petersburg-Clearwater, Florida 417 78.7 2.7 (73.5–83.9)
Toledo, Ohio 176 81.0 4.1 (73.0–89.0)
Topeka, Kansas 379 81.2 2.6 (76.1–86.3)
Tulsa, Oklahoma 483 77.9 2.2 (73.6–82.2)
Tuscaloosa, Alabama 192 83.4 3.5 (76.6–90.3)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 551 85.3 2.1 (81.2–89.5)
Warren-Troy-Farmington Hills, Michigan§ 587 82.0 1.9 (78.2–85.8)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 2,495 85.8 1.5 (82.8–88.7)
Wichita, Kansas 660 84.9 1.6 (81.7–88.0)
Wichita Falls, Texas 85 68.0 9.6 (49.3–86.8)
Wilmington, Delaware-Maryland-New Jersey§ 818 87.1 1.7 (83.9–90.4)
Worcester, Massachusetts-Connecticut 690 86.6 2.4 (81.8–91.3)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 142 83.8 5.0 (74.0–93.7)
Median 83.1
Range 68.0–94.3

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; Pap = Papanicolaou; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
 Test for cancer of the cervix.
§ Metropolitan division.

Return to your place in the textTABLE 19. Age-adjusted* prevalence estimates of adults aged 50–75 years who received colorectal cancer screening according to most recent guidelines, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 4,450 64.8 1.0 (62.9–66.7)
Alaska 2,052 61.5 1.5 (58.6–64.4)
Arizona 7,311 63.3 0.8 (61.7–65.0)
Arkansas 2,556 60.5 1.4 (57.9–63.2)
California 2,909 66.3 1.1 (64.1–68.6)
Colorado 6,267 67.2 0.7 (65.8–68.7)
Connecticut 3,771 73.3 1.0 (71.4–75.2)
Delaware 2,215 71.7 1.2 (69.2–74.1)
District of Columbia 1,904 68.1 1.7 (64.8–71.5)
Florida 4,565 65.9 0.9 (64.1–67.7)
Georgia 3,005 66.8 1.1 (64.6–69.1)
Hawaii 3,198 69.5 1.2 (67.2–71.8)
Idaho 2,643 60.8 1.2 (58.4–63.3)
Illinois 2,385 61.9 1.3 (59.3–64.4)
Indiana 5,518 61.9 0.8 (60.3–63.5)
Iowa 3,876 67.6 0.9 (65.8–69.4)
Kansas 6,398 64.9 0.7 (63.5–66.2)
Kentucky 5,839 67.1 1.0 (65.2–69.1)
Louisiana 3,172 64.5 1.0 (62.5–66.4)
Maine 4,939 75.2 0.8 (73.6–76.9)
Maryland 6,641 71.1 0.9 (69.3–73.0)
Massachusetts 7,350 76.7 0.8 (75.2–78.2)
Michigan 4,329 71.2 0.9 (69.5–72.9)
Minnesota 7,514 71.8 0.6 (70.6–73.0)
Mississippi 2,120 60.3 1.4 (57.5–63.0)
Missouri 3,564 61.9 1.1 (59.7–64.2)
Montana 3,877 62.3 1.1 (60.1–64.4)
Nebraska 10,646 64.4 0.7 (63.0–65.7)
Nevada 1,788 59.3 1.8 (55.7–62.8)
New Hampshire 3,109 74.1 1.0 (72.0–76.1)
New Jersey 5,973 65.4 0.9 (63.6–67.3)
New Mexico 4,279 61.3 1.0 (59.2–63.3)
New York 2,974 68.3 1.1 (66.2–70.4)
North Carolina 3,273 70.7 0.9 (68.9–72.5)
North Dakota 3,817 62.3 1.1 (60.2–64.5)
Ohio 5,653 65.2 0.9 (63.4–67.0)
Oklahoma 4,125 58.0 0.9 (56.2–59.8)
Oregon 2,528 66.8 1.2 (64.5–69.1)
Pennsylvania 5,370 67.0 0.9 (65.3–68.7)
Rhode Island 3,184 74.7 1.0 (72.8–76.6)
South Carolina 5,545 67.0 0.8 (65.4–68.7)
South Dakota 3,431 67.0 1.4 (64.2–69.8)
Tennessee 2,554 64.8 1.3 (62.3–67.2)
Texas 6,669 61.4 1.1 (59.3–63.5)
Utah 5,694 70.5 0.7 (69.1–72.0)
Vermont 3,166 70.8 0.9 (69.0–72.6)
Virginia 4,630 69.2 0.9 (67.5–71.0)
Washington 5,052 69.9 0.9 (68.1–71.6)
West Virginia 3,195 64.1 1.0 (62.1–66.0)
Wisconsin 3,388 73.7 1.0 (71.7–75.7)
Wyoming 3,360 57.3 1.2 (54.9–59.7)
Guam 763 42.8 2.3 (38.3–47.3)
Puerto Rico 2,842 52.2 1.2 (49.9–54.6)
Median 66.3
Range 42.8–76.7

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Adults aged 50–75 years who had a blood stool test during the past year, sigmoidoscopy during the past 5 years and blood stool test during the past 3 years, or a colonoscopy during the past 10 years.

Return to your place in the textTABLE 20. Age-adjusted* prevalence estimates of adults aged 50–75 years who received colorectal cancer screening according to most recent guidelines, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 306 75.7 2.8 (70.3–81.2)
Aguadilla-Isabela, Puerto Rico 258 53.4 3.9 (45.8–61.0)
Albuquerque, New Mexico 832 69.8 2.0 (65.9–73.8)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 557 68.0 3.0 (62.2–73.8)
Anchorage, Alaska 794 63.7 2.2 (59.4–67.9)
Atlanta-Sandy Springs-Roswell, Georgia 1,229 69.5 1.7 (66.2–72.8)
Augusta-Richmond County, Georgia-South Carolina 406 69.0 4.0 (61.2–76.8)
Austin-Round Rock, Texas 988 60.1 2.1 (55.9–64.2)
Baltimore-Columbia-Towson, Maryland 2,392 70.9 1.5 (68.0–73.8)
Baton Rouge, Louisiana 389 69.5 2.7 (64.3–74.7)
Berlin, New Hampshire-Vermont 314 67.4 3.3 (60.9–73.9)
Billings, Montana 378 67.2 2.8 (61.7–72.8)
Birmingham-Hoover, Alabama 777 67.5 2.0 (63.5–71.5)
Bismarck, North Dakota 533 62.0 2.6 (56.9–67.0)
Boise City, Idaho 645 63.8 2.5 (58.9–68.7)
Boston, Massachusetts§ 2,073 74.6 1.5 (71.6–77.6)
Burlington-South Burlington, Vermont 898 76.5 1.7 (73.2–79.7)
Cambridge-Newton-Framingham, Massachusetts§ 2,406 78.6 1.3 (76.0–81.2)
Camden, New Jersey§ 839 70.4 2.2 (66.0–74.8)
Cedar Rapids, Iowa 300 72.0 3.2 (65.6–78.3)
Charleston, West Virginia 431 69.6 2.7 (64.4–74.8)
Charleston-North Charleston, South Carolina 661 71.2 2.3 (66.6–75.7)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 950 70.2 2.0 (66.3–74.1)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 1,904 60.9 1.6 (57.8–64.0)
Cincinnati, Ohio-Kentucky-Indiana 971 66.9 2.2 (62.7–71.2)
Claremont-Lebanon, New Hampshire-Vermont 875 69.8 2.0 (65.9–73.7)
Cleveland-Elyria, Ohio 507 66.1 2.6 (60.9–71.2)
College Station-Bryan, Texas 252 68.2 6.1 (56.2–80.3)
Colorado Springs, Colorado 604 71.1 2.2 (66.7–75.5)
Columbia, South Carolina 598 69.5 2.2 (65.2–73.7)
Columbus, Ohio 806 67.9 2.3 (63.3–72.4)
Corpus Christi, Texas 313 68.9 3.9 (61.2–76.5)
Dallas-Plano-Irving, Texas§ 584 64.5 3.2 (58.2–70.9)
Dayton, Ohio 276 69.7 3.7 (62.5–76.9)
Denver-Aurora-Lakewood, Colorado 2,556 68.8 1.1 (66.7–70.9)
Des Moines-West Des Moines, Iowa 623 68.3 2.4 (63.7–73.0)
Duluth, Minnesota-Wisconsin 473 67.4 2.7 (62.1–72.7)
El Paso, Texas 311 55.7 3.7 (48.5–62.9)
Evansville, Indiana-Kentucky 360 73.8 3.0 (67.9–79.7)
Fargo, North Dakota-Minnesota 534 71.4 2.5 (66.5–76.3)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 386 60.2 3.3 (53.8–66.7)
Fort Wayne, Indiana 417 61.6 2.9 (55.8–67.3)
Fort Worth-Arlington, Texas§ 332 70.8 3.8 (63.4–78.2)
Grand Island, Nebraska 507 67.5 2.7 (62.1–72.8)
Grand Rapids-Wyoming, Michigan 451 75.0 2.6 (69.9–80.2)
Greensboro-High Point, North Carolina 244 74.2 3.2 (68.0–80.5)
Greenville-Anderson-Mauldin, South Carolina 714 8.8 2.4 (64.1–73.4)
Hagerstown-Martinsburg, Maryland-West Virginia 411 64.2 3.0 (58.3–70.0)
Hartford-West Hartford-East Hartford, Connecticut 1,226 73.5 1.8 (70.0–77.0)
Hilton Head Island-Bluffton-Beaufort, South Carolina 288 70.9 3.5 (64.1–77.8)
Houston-The Woodlands-Sugar Land, Texas 914 61.7 2.9 (56.1–67.3)
Huntington-Ashland, West Virginia-Kentucky-Ohio 688 66.5 2.2 (62.3–70.8)
Idaho Falls, Idaho 218 68.7 3.7 (61.4–76.0)
Indianapolis-Carmel-Anderson, Indiana 1,711 65.8 1.5 (62.9–68.6)
Jacksonville, Florida 302 70.3 3.4 (63.6–77.0)
Kansas City, Missouri-Kansas 2,364 66.3 1.7 (63.0–69.6)
Kingsport-Bristol-Bristol, Tennessee-Virginia 269 64.6 4.4 (55.9–73.3)
Knoxville, Tennessee 298 66.5 3.7 (59.2–73.8)
Lafayette, Louisiana 266 63.7 3.4 (57.1–70.4)
Lexington-Fayette, Kentucky 274 75.1 3.4 (68.4–81.8)
Lincoln, Nebraska 850 68.1 1.9 (64.4–71.9)
Little Rock-North Little Rock-Conway, Arkansas 573 71.3 2.6 (66.2–76.5)
Logan, Utah-Idaho 218 66.2 3.6 (59.1–73.2)
Los Angeles-Long Beach-Anaheim, California 687 64.0 2.3 (59.5–68.5)
Louisville-Jefferson County, Kentucky-Indiana 1,337 67.7 2.1 (63.5–71.9)
Madison, Wisconsin 235 79.6 3.2 (73.4–85.8)
Memphis, Tennessee-Mississippi-Arkansas 408 72.2 3.0 (66.3–78.2)
Miami-Fort Lauderdale-West Palm Beach, Florida 936 63.4 2.0 (59.5–67.4)
Milwaukee-Waukesha-West Allis, Wisconsin 640 72.5 2.5 (67.5–77.4)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 3,856 72.9 0.8 (71.3–74.6)
Minot, North Dakota 285 56.3 3.6 (49.2–63.4)
Montgomery, Alabama 243 66.8 4.1 (58.9–74.8)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 387 63.5 2.8 (58.1–69.0)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 545 66.3 2.5 (61.5–71.2)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 367 65.9 3.1 (59.9–71.9)
Nassau County-Suffolk County, New York§ 345 62.1 3.0 (56.2–68.0)
Newark, New Jersey-Pennsylvania§ 1,928 66.2 1.5 (63.3–69.2)
New Orleans-Metairie, Louisiana 931 65.5 1.9 (61.8–69.3)
New York-Jersey City-White Plains, New York-New Jersey§ 2,989 67.1 1.3 (64.5–69.6)
Norfolk, Nebraska 475 61.9 2.5 (57.0–66.7)
North Platte, Nebraska 488 55.5 2.6 (50.4–60.5)
North Port-Sarasota-Bradenton, Florida 239 65.4 4.1 (57.4–73.3)
Oakland-Hayward-Berkeley, California§ 245 75.2 3.9 (67.5–82.9)
Ogden-Clearfield, Utah 1,050 75.1 1.5 (72.2–78.0)
Oklahoma City, Oklahoma 1,138 60.9 1.8 (57.4–64.3)
Omaha-Council Bluffs, Nebraska-Iowa 2,242 69.1 1.4 (66.4–71.7)
Orlando-Kissimmee-Sanford, Florida 414 66.8 2.9 (61.2–72.4)
Philadelphia, Pennsylvania§ 690 63.0 2.8 (57.6–68.4)
Phoenix-Mesa-Scottsdale, Arizona 4,546 64.6 1.0 (62.7–66.5)
Pittsburgh, Pennsylvania 1,183 69.1 1.6 (66.1–72.2)
Ponce, Puerto Rico 273 49.1 3.6 (41.9–56.2)
Portland-South Portland, Maine 1,469 77.0 1.5 (74.1–79.8)
Portland-Vancouver-Hillsboro, Oregon-Washington 1,355 70.0 1.6 (66.9–73.1)
Providence-Warwick, Rhode Island-Massachusetts 4,008 75.7 1.1 (73.6–77.8)
Provo-Orem, Utah 625 68.1 2.1 (64.1–72.2)
Raleigh, North Carolina 273 74.3 3.0 (68.5–80.2)
Rapid City, South Dakota 703 64.8 2.7 (59.5–70.1)
Reno, Nevada 585 65.8 2.4 (61.1–70.5)
Richmond, Virginia 710 69.5 2.2 (65.1–73.9)
Riverside-San Bernardino-Ontario, California 322 61.8 3.3 (55.3–68.3)
Roanoke, Virginia 276 67.9 3.5 (61.0–74.9)
Rochester, Minnesota 314 77.5 2.5 (72.6–82.5)
Rockingham County-Strafford County, New Hampshire§ 703 75.1 2.0 (71.1–79.1)
Sacramento-Roseville-Arden-Arcade, California 227 68.3 4.3 (59.9–76.6)
St. Cloud, Minnesota 233 72.5 3.5 (65.7–79.3)
St. Louis, Missouri-Illinois 901 66.1 2.3 (61.6–70.6)
Salisbury, Maryland-Delaware 1,104 71.8 1.9 (68.1–75.4)
Salt Lake City, Utah 2,051 71.3 1.2 (69.0–73.6)
San Antonio-New Braunfels, Texas 1,033 65.2 1.9 (61.5–69.0)
San Juan-Carolina-Caguas, Puerto Rico 1,772 53.3 1.5 (50.4–56.3)
Scottsbluff, Nebraska 456 53.0 2.8 (47.6–58.5)
Seattle-Bellevue-Everett, Washington§ 1,757 69.5 1.5 (66.6–72.4)
Shreveport-Bossier City, Louisiana 243 55.4 3.5 (48.5–62.4)
Silver Spring-Frederick-Rockville, Maryland§ 1,198 70.7 2.3 (66.1–75.3)
Sioux City, Iowa-Nebraska-South Dakota 539 73.2 3.2 (66.9–79.5)
Sioux Falls, South Dakota 575 69.4 3.0 (63.5–75.2)
Spartanburg, South Carolina 312 61.8 3.7 (54.6–69.0)
Spokane-Spokane Valley, Washington 369 75.1 2.9 (69.4–80.7)
Springfield, Massachusetts 481 77.6 2.8 (72.2–83.0)
Tampa-St. Petersburg-Clearwater, Florida 744 63.8 2.4 (59.1–68.4)
Toledo, Ohio 340 66.2 3.0 (60.3–72.1)
Topeka, Kansas 742 68.0 2.0 (64.0–72.0)
Tulsa, Oklahoma 1,022 63.6 1.7 (60.2–67.0)
Tuscaloosa, Alabama 364 70.4 2.8 (64.9–75.8)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 930 77.9 1.7 (74.5–81.3)
Warren-Troy-Farmington Hills, Michigan§ 1,082 74.2 1.6 (71.0–77.4)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 3,904 70.4 1.3 (67.8–73.0)
Wichita, Kansas 1,248 67.4 1.6 (64.3–70.5)
Wichita Falls, Texas 273 62.2 4.3 (53.8–70.7)
Wilmington, Delaware-Maryland-New Jersey§ 1,400 70.0 1.6 (66.9–73.2)
Worcester, Massachusetts-Connecticut 1,177 77.5 1.9 (73.8–81.1)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 268 64.2 3.6 (57.1–71.4)
Median 68.1
Range 49.1–79.6

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Adults aged 50–75 years who had a blood stool test during the past year, sigmoidoscopy during the past 5 years and blood stool test during the past 3 years, or a colonoscopy during the past 10 years.
§ Metropolitan division.

Return to your place in the textTABLE 21. Age-adjusted* prevalence estimates of adults aged ≥18 years who have had their blood cholesterol checked during the past 5 years, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,252 75.2 1.0 (73.3–77.1)
Alaska 4,450 69.5 1.0 (67.6–71.5)
Arizona 4,115 70.7 1.4 (68.0–73.5)
Arkansas 5,102 69.3 1.0 (67.3–71.4)
California 11,315 74.4 0.6 (73.2–75.5)
Colorado 13,179 75.0 0.5 (73.9–76.0)
Connecticut 7,491 80.3 0.8 (78.6–81.9)
Delaware 5,078 78.4 0.9 (76.5–80.2)
District of Columbia 4,805 81.5 1.0 (79.5–83.6)
Florida 33,365 76.3 0.6 (75.1–77.5)
Georgia 7,901 76.6 0.7 (75.2–78.0)
Hawaii 7,685 73.2 0.8 (71.7–74.7)
Idaho 5,462 67.2 1.0 (65.3–69.1)
Illinois 5,553 72.2 0.9 (70.3–74.0)
Indiana 10,045 72.1 0.7 (70.8–73.4)
Iowa 7,950 72.8 0.8 (71.3–74.3)
Kansas 22,455 70.9 0.4 (70.1–71.8)
Kentucky 10,727 74.6 0.7 (73.2–76.0)
Louisiana 5,055 74.3 1.1 (72.1–76.5)
Maine 7,904 77.1 0.8 (75.6–78.7)
Maryland 12,696 79.2 0.7 (77.9–80.5)
Massachusetts 14,591 81.9 0.6 (80.7–83.1)
Michigan 12,394 76.5 0.6 (75.3–77.7)
Minnesota 13,957 74.7 0.7 (73.3–76.0)
Mississippi 7,160 72.4 0.9 (70.7–74.1)
Missouri 6,859 71.2 0.9 (69.5–73.0)
Montana 9,413 70.2 0.7 (68.8–71.6)
Nebraska 16,649 71.8 0.6 (70.6–73.1)
Nevada 4,923 72.3 1.3 (69.8–74.9)
New Hampshire 6,306 78.4 0.9 (76.7–80.1)
New Jersey 12,948 78.8 0.6 (77.6–80.0)
New Mexico 9,080 68.5 0.8 (67.0–70.0)
New York 8,678 79.6 0.7 (78.3–80.9)
North Carolina 8,548 77.2 0.7 (75.9–78.6)
North Dakota 7,561 71.1 0.8 (69.5–72.7)
Ohio 11,632 75.3 0.7 (74.0–76.6)
Oklahoma 7,952 71.4 0.7 (70.0–72.9)
Oregon 5,714 71.6 0.9 (69.8–73.4)
Pennsylvania 11,097 74.1 0.6 (72.9–75.3)
Rhode Island 6,381 79.4 0.9 (77.7–81.2)
South Carolina 10,435 76.2 0.7 (74.8–77.5)
South Dakota 6,698 69.9 1.0 (68.0–71.8)
Tennessee 5,598 78.9 0.9 (77.1–80.6)
Texas 10,582 74.2 0.7 (72.9–75.6)
Utah 12,337 69.6 0.5 (68.6–70.6)
Vermont 6,210 74.7 0.9 (73.0–76.5)
Virginia 8,261 78.4 0.7 (77.1–79.8)
Washington 10,823 72.5 0.6 (71.2–73.7)
West Virginia 5,705 74.9 0.8 (73.3–76.5)
Wisconsin 6,488 73.9 0.9 (72.0–75.7)
Wyoming 6,268 71.5 0.9 (69.7–73.4)
Guam 1,857 65.9 1.4 (63.2–68.6)
Puerto Rico 5,827 78.3 0.8 (76.7–79.8)
Median 74.3
Range 65.9–81.9

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.

Return to your place in the textTABLE 22. Age-adjusted* prevalence estimates of adults aged ≥18 years who have had their blood cholesterol checked during the past 5 years, metropolitan and micropolitan statistical area— Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 580 79.0 2.5 (74.0–84.0)
Akron, Ohio 681 74.0 3.0 (68.0–79.9)
Albuquerque, New Mexico 2,032 69.6 1.4 (67.0–72.3)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 993 74.6 2.4 (69.9–79.3)
Anchorage, Alaska 1,483 70.7 1.5 (67.7–73.7)
Atlanta-Sandy Springs-Roswell, Georgia 3,417 77.5 1.1 (75.4–79.6)
Augusta-Richmond County, Georgia-South Carolina 896 82.4 2.2 (78.1–86.8)
Austin-Round Rock, Texas 892 78.4 1.9 (74.6–82.1)
Baltimore-Columbia-Towson, Maryland 4,659 80.7 1.0 (78.7–82.7)
Baton Rouge, Louisiana 892 72.7 2.4 (68.0–77.5)
Billings, Montana 796 72.2 1.8 (68.6–75.8)
Birmingham-Hoover, Alabama 1,294 77.9 1.8 (74.5–81.3)
Bismarck, North Dakota 1,016 73.4 1.9 (69.7–77.1)
Boise City, Idaho 1,443 71.1 1.7 (67.7–74.4)
Boston, Massachusetts 3,936 81.9 1.1 (79.8–84.0)
Buffalo-Cheektowaga-Niagara Falls, New York 486 80.2 2.7 (74.9–85.5)
Burlington-South Burlington, Vermont 1,587 76.4 1.5 (73.4–79.3)
Cambridge-Newton-Framingham, Massachusetts 4,741 82.6 1.0 (80.6–84.6)
Camden, New Jersey 1,802 80.7 1.5 (77.8–83.5)
Cedar Rapids, Iowa 630 74.0 2.6 (68.9–79.1)
Charleston, West Virginia 794 78.8 2.1 (74.7–82.8)
Charleston-North Charleston, South Carolina 1,503 78.7 1.6 (75.6–81.8)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,876 80.0 1.4 (77.3–82.7)
Chattanooga, Tennessee-Georgia 566 78.9 3.3 (72.4–85.4)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,289 73.1 1.2 (70.7–75.5)
Cincinnati, Ohio-Kentucky-Indiana 2,540 76.1 1.4 (73.3–78.9)
Claremont-Lebanon, New Hampshire-Vermont 1,638 73.8 2.0 (69.9–77.7)
Cleveland-Elyria, Ohio 1,089 78.7 1.9 (74.9–82.4)
Colorado Springs, Colorado 1,335 74.7 1.6 (71.5–77.8)
Columbia, South Carolina 1,411 79.3 1.6 (76.1–82.5)
Columbus, Ohio 1,806 76.9 1.3 (74.4–79.5)
Crestview-Fort Walton Beach-Destin, Florida 1,058 72.8 2.1 (68.6–77.0)
Dallas-Plano-Irving, Texas 872 76.6 1.9 (72.9–80.2)
Davenport-Moline-Rock Island, Iowa-Illinois 662 71.1 2.8 (65.6–76.6)
Dayton, Ohio 818 78.7 2.4 (73.9–83.4)
Deltona-Daytona Beach-Ormond Beach, Florida 1,095 73.9 2.7 (68.5–79.2)
Denver-Aurora-Lakewood, Colorado 5,517 77.1 0.8 (75.6–78.6)
Des Moines-West Des Moines, Iowa 1,308 81.2 1.6 (78.0–84.3)
Duluth, Minnesota-Wisconsin 679 77.7 3.1 (71.6–83.8)
Durham-Chapel Hill, North Carolina 607 79.3 2.5 (74.5–84.2)
El Paso, Texas 736 69.7 2.4 (65.0–74.5)
Evansville, Indiana-Kentucky 558 71.4 3.0 (65.5–77.4)
Fargo, North Dakota-Minnesota 1,151 73.4 2.0 (69.5–77.3)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 789 64.2 2.4 (59.5–69.0)
Fort Smith, Arkansas-Oklahoma 481 70.3 3.3 (63.8–76.8)
Fort Wayne, Indiana 756 71.1 2.3 (66.5–75.7)
Fort Worth-Arlington, Texas 792 74.4 2.3 (69.8–79.0)
Gainesville, Florida 1,008 78.2 2.4 (73.5–82.9)
Grand Forks, North Dakota-Minnesota 485 76.2 3.0 (70.3–82.2)
Grand Island, Nebraska 777 72.9 2.6 (67.8–78.0)
Grand Rapids-Wyoming, Michigan 1,314 78.6 1.7 (75.3–81.8)
Greensboro-High Point, North Carolina 644 76.3 2.5 (71.5–81.1)
Greenville-Anderson-Mauldin, South Carolina 1,320 74.7 1.8 (71.3–78.2)
Gulfport-Biloxi-Pascagoula, Mississippi 746 69.5 2.4 (64.7–74.2)
Hagerstown-Martinsburg, Maryland-West Virginia 750 78.6 2.7 (73.3–83.8)
Hartford-West Hartford-East Hartford, Connecticut 2,761 80.6 1.4 (77.9–83.3)
Hilton Head Island-Bluffton-Beaufort, South Carolina 804 74.4 3.3 (68.0–80.8)
Houston-The Woodlands-Sugar Land, Texas 1,354 76.7 1.7 (73.4–80.1)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,136 74.9 1.8 (71.5–78.4)
Idaho Falls, Idaho 496 66.8 2.8 (61.3–72.2)
Indianapolis-Carmel-Anderson, Indiana 2,480 74.2 1.2 (71.9–76.6)
Jackson, Mississippi 772 74.6 2.2 (70.3–79.0)
Jacksonville, Florida 2,823 75.4 1.3 (72.8–78.0)
Kansas City, Missouri-Kansas 7,214 75.7 1.1 (73.6–77.7)
Kingsport-Bristol-Bristol, Tennessee-Virginia 520 82.7 3.3 (76.3–89.1)
Knoxville, Tennessee 629 77.2 2.5 (72.3–82.1)
Lansing-East Lansing, Michigan 664 76.2 2.3 (71.7–80.6)
Lexington-Fayette, Kentucky 616 72.4 2.3 (67.9–76.8)
Lincoln, Nebraska 1,825 72.4 1.3 (69.9–74.9)
Little Rock-North Little Rock-Conway, Arkansas 1,111 75.8 2.0 (72.0–79.6)
Logan, Utah-Idaho 619 62.5 2.2 (58.1–66.9)
Los Angeles-Long Beach-Anaheim, California 2,983 75.9 1.1 (73.8–77.9)
Louisville-Jefferson County, Kentucky-Indiana 2,093 75.9 1.6 (72.7–79.2)
Lubbock, Texas 514 71.0 3.1 (64.9–77.1)
Manhattan, Kansas 639 68.6 2.1 (64.5–72.7)
Memphis, Tennessee-Mississippi-Arkansas 1,166 77.5 2.1 (73.5–81.6)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,165 77.3 1.6 (74.2–80.4)
Milwaukee-Waukesha-West Allis, Wisconsin 1,253 72.5 2.0 (68.5–76.4)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,891 76.7 0.9 (75.0–78.4)
Minot, North Dakota 629 70.9 2.4 (66.2–75.6)
Montgomery County-Bucks County-Chester County, Pennsylvania 944 80.4 1.8 (76.8–84.0)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 754 72.5 2.5 (67.5–77.5)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,017 80.4 1.6 (77.1–83.6)
Nassau County-Suffolk County, New York 920 83.5 1.7 (80.1–86.9)
Newark, New Jersey-Pennsylvania 3,978 79.4 1.0 (77.3–81.4)
New Orleans-Metairie, Louisiana 1,241 76.4 2.3 (71.9–80.9)
New York-Jersey City-White Plains, New York-New Jersey 8,668 79.9 0.7 (78.6–81.3)
Norfolk, Nebraska 657 73.5 2.2 (69.2–77.8)
North Platte, Nebraska 698 67.9 2.8 (62.5–73.3)
North Port-Sarasota-Bradenton, Florida 1,063 71.4 2.3 (66.8–76.0)
Oakland-Hayward-Berkeley, California 684 74.5 2.2 (70.2–78.9)
Ogden-Clearfield, Utah 2,393 73.4 1.1 (71.2–75.6)
Oklahoma City, Oklahoma 2,563 73.1 1.2 (70.7–75.5)
Omaha-Council Bluffs, Nebraska-Iowa 3,047 74.4 1.2 (72.2–76.7)
Orlando-Kissimmee-Sanford, Florida 2,234 75.6 1.5 (72.7–78.5)
Panama City, Florida 1,001 74.7 2.3 (70.1–79.2)
Pensacola-Ferry Pass-Brent, Florida 1,281 74.3 1.7 (70.9–77.7)
Philadelphia, Pennsylvania 1,723 76.5 1.5 (73.7–79.4)
Phoenix-Mesa-Scottsdale, Arizona 1,502 71.3 1.9 (67.6–75.0)
Pittsburgh, Pennsylvania 2,305 73.8 1.3 (71.2–76.4)
Ponce, Puerto Rico 514 79.4 2.4 (74.6–84.1)
Portland-South Portland, Maine 2,583 78.0 1.3 (75.4–80.6)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,118 74.7 1.2 (72.4–77.0)
Port St. Lucie, Florida 1,010 78.3 2.7 (73.0–83.5)
Providence-Warwick, Rhode Island-Massachusetts 8,107 81.1 0.9 (79.3–82.8)
Provo-Orem, Utah 1,770 67.7 1.2 (65.2–70.1)
Raleigh, North Carolina 646 79.1 1.8 (75.5–82.7)
Rapid City, South Dakota 849 72.5 2.2 (68.2–76.8)
Reno, Nevada 1,762 72.5 1.7 (69.3–75.8)
Richmond, Virginia 1,284 77.5 1.7 (74.2–80.8)
Riverside-San Bernardino-Ontario, California 1,349 74.1 1.6 (71.0–77.3)
Rochester, New York 495 81.3 2.5 (76.3–86.2)
Rockingham County-Strafford County, New Hampshire 1,625 79.2 1.6 (76.0–82.5)
Sacramento-Roseville-Arden-Arcade, California 874 73.5 2.0 (69.5–77.5)
St. Louis, Missouri-Illinois 1,997 74.1 1.6 (71.0–77.2)
Salem, Oregon 509 71.8 3.3 (65.2–78.3)
Salina, Kansas 512 68.9 2.7 (63.5–74.2)
Salisbury, Maryland-Delaware 2,014 75.3 2.0 (71.4–79.2)
Salt Lake City, Utah 4,530 71.1 0.8 (69.4–72.7)
San Antonio-New Braunfels, Texas 917 72.2 2.0 (68.3–76.1)
San Francisco-Redwood City-South San Francisco, California 526 77.6 2.5 (72.6–82.6)
San Jose-Sunnyvale-Santa Clara, California 616 76.3 2.4 (71.6–81.0)
San Juan-Carolina-Caguas, Puerto Rico 3,535 77.7 1.0 (75.7–79.7)
Scottsbluff, Nebraska 684 67.9 2.8 (62.4–73.4)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 551 78.5 2.9 (72.9–84.1)
Seattle-Bellevue-Everett, Washington 3,664 75.8 1.0 (73.9–77.7)
Shreveport-Bossier City, Louisiana 552 74.9 3.4 (68.1–81.6)
Silver Spring-Frederick-Rockville, Maryland 2,379 79.0 1.4 (76.2–81.7)
Sioux City, Iowa-Nebraska-South Dakota 1,035 67.2 2.9 (61.6–72.9)
Sioux Falls, South Dakota 979 72.5 2.0 (68.6–76.4)
Spartanburg, South Carolina 584 68.9 3.0 (63.1–74.7)
Spokane-Spokane Valley, Washington 833 70.1 2.3 (65.5–74.6)
Springfield, Massachusetts 1,523 80.0 2.0 (76.0–83.9)
Tallahassee, Florida 1,813 77.4 2.2 (73.1–81.7)
Tampa-St. Petersburg-Clearwater, Florida 2,165 78.9 1.4 (76.2–81.7)
Toledo, Ohio 966 72.4 2.5 (67.4–77.3)
Topeka, Kansas 2,308 70.5 1.3 (67.9–73.1)
Tulsa, Oklahoma 1,933 71.1 1.5 (68.1–74.1)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,629 78.4 1.6 (75.2–81.6)
Warren-Troy-Farmington Hills, Michigan 2,213 79.0 1.4 (76.3–81.7)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia 8,806 79.9 0.9 (78.1–81.7)
Wichita, Kansas 4,766 71.3 0.9 (69.5–73.1)
Wilmington, Delaware-Maryland-New Jersey 3,187 78.2 1.2 (75.9–80.5)
Winston-Salem, North Carolina 671 79.3 2.7 (74.0–84.6)
Worcester, Massachusetts-Connecticut 2,692 81.2 1.4 (78.5–83.9)
Median 75.6
Range 62.5–83.5

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Metropolitan division.

Return to your place in the textTABLE 23. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported no leisure-time physical activity during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,164 30.7 0.9 (28.9–32.5)
Alaska 4,275 22.4 0.9 (20.5–24.2)
Arizona 3,910 24.8 1.3 (22.2–27.4)
Arkansas 4,871 33.4 1.0 (31.4–35.4)
California 10,190 21.3 0.6 (20.2–22.5)
Colorado 12,370 17.9 0.5 (17.0–18.8)
Connecticut 7,121 24.2 0.8 (22.6–25.8)
Delaware 4,926 27.0 0.9 (25.2–28.7)
District of Columbia 4,429 19.7 1.0 (17.8–21.7)
Florida 31,527 27.0 0.6 (25.8–28.2)
Georgia 7,381 27.0 0.7 (25.5–28.4)
Hawaii 7,368 21.6 0.8 (20.1–23.1)
Idaho 5,260 23.3 0.9 (21.6–25.1)
Illinois 5,305 24.7 0.9 (23.0–26.4)
Indiana 9,584 30.5 0.7 (29.2–31.8)
Iowa 7,678 27.7 0.7 (26.2–29.1)
Kansas 22,177 26.1 0.4 (25.4–26.9)
Kentucky 10,156 29.4 0.7 (27.9–30.8)
Louisiana 5,026 31.4 1.1 (29.3–33.6)
Maine 7,724 22.0 0.7 (20.6–23.4)
Maryland 12,261 24.7 0.6 (23.5–26.0)
Massachusetts 13,532 23.0 0.6 (21.8–24.2)
Michigan 12,214 23.7 0.6 (22.6–24.9)
Minnesota 13,323 22.9 0.7 (21.6–24.3)
Mississippi 7,009 37.3 0.9 (35.6–39.1)
Missouri 6,793 27.7 0.8 (26.0–29.3)
Montana 9,218 21.5 0.6 (20.3–22.7)
Nebraska 16,158 24.9 0.6 (23.7–26.0)
Nevada 4,799 23.2 1.1 (21.0–25.5)
New Hampshire 6,010 21.7 0.8 (20.1–23.3)
New Jersey 12,049 26.4 0.7 (25.1–27.7)
New Mexico 8,512 23.9 0.7 (22.5–25.2)
New York 8,164 26.2 0.7 (24.9–27.6)
North Carolina 8,401 26.0 0.7 (24.7–27.3)
North Dakota 7,380 27.1 0.8 (25.6–28.6)
Ohio 11,117 27.6 0.7 (26.3–28.9)
Oklahoma 7,831 32.2 0.7 (30.8–33.6)
Oregon 5,407 18.1 0.8 (16.6–19.7)
Pennsylvania 10,564 25.1 0.6 (24.0–26.3)
Rhode Island 5,922 26.2 0.8 (24.6–27.9)
South Carolina 10,067 26.2 0.7 (24.9–27.5)
South Dakota 6,553 23.2 0.9 (21.4–24.9)
Tennessee 5,196 36.6 1.0 (34.6–38.6)
Texas 10,100 30.0 0.7 (28.5–31.4)
Utah 11,937 20.9 0.5 (19.9–21.8)
Vermont 5,986 19.4 0.7 (18.1–20.8)
Virginia 7,767 25.1 0.7 (23.7–26.5)
Washington 10,734 19.7 0.6 (18.5–20.8)
West Virginia 5,769 30.1 0.8 (28.6–31.6)
Wisconsin 5,823 22.9 0.9 (21.2–24.6)
Wyoming 6,055 24.7 0.9 (23.0–26.4)
Guam 1,728 33.3 1.5 (30.3–36.3)
Puerto Rico 5,922 47.4 0.9 (45.7–49.1)
Median 25.1
Range 17.9–47.4

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Any physical activity or exercise (e.g., running, calisthenics, golf, gardening, or walking for exercise).

Return to your place in the textTABLE 24. Age-adjusted* prevalence of adults aged ≥18 years who reported no leisure-time physical activity during the past 30 days, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 585 42.5 2.7 (37.2–47.7)
Akron, Ohio 642 22.7 2.6 (17.7–27.8)
Albuquerque, New Mexico 1,918 22.4 1.3 (19.9–24.8)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 949 25.2 2.1 (21.1–29.2)
Anchorage, Alaska 1,423 21.2 1.4 (18.4–24.0)
Atlanta-Sandy Springs-Roswell, Georgia 3,193 24.1 1.0 (22.1–26.2)
Augusta-Richmond County, Georgia-South Carolina 852 24.5 2.2 (20.1–28.9)
Austin-Round Rock, Texas 879 22.0 2.0 (18.1–25.9)
Baltimore-Columbia-Towson, Maryland 4,474 25.0 1.0 (23.1–26.9)
Baton Rouge, Louisiana 879 33.1 2.5 (28.1–38.0)
Billings, Montana 774 24.3 1.8 (20.7–27.9)
Birmingham-Hoover, Alabama 1,288 31.8 1.9 (28.2–35.5)
Bismarck, North Dakota 984 28.5 2.0 (24.6–32.5)
Boise City, Idaho 1,393 23.0 1.6 (19.8–26.2)
Boston, Massachusetts§ 3,653 21.0 1.1 (18.9–23.2)
Buffalo-Cheektowaga-Niagara Falls, New York 468 24.5 2.9 (18.8–30.2)
Burlington-South Burlington, Vermont 1,517 18.8 1.3 (16.4–21.3)
Cambridge-Newton-Framingham, Massachusetts§ 4,393 21.9 1.0 (19.9–23.9)
Camden, New Jersey§ 1,700 25.3 1.5 (22.3–28.2)
Cedar Rapids, Iowa 612 24.7 2.3 (20.1–29.3)
Charleston, West Virginia 803 32.9 2.3 (28.4–37.3)
Charleston-North Charleston, South Carolina 1,462 21.6 1.5 (18.7–24.5)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,852 23.6 1.3 (21.1–26.2)
Chattanooga, Tennessee-Georgia 507 32.5 3.4 (25.9–39.1)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,124 24.0 1.1 (21.8–26.3)
Cincinnati, Ohio-Kentucky-Indiana 2,405 25.8 1.4 (23.1–28.5)
Claremont-Lebanon, New Hampshire-Vermont 1,578 20.2 1.6 (17.1–23.4)
Cleveland-Elyria, Ohio 1,006 25.4 1.9 (21.7–29.0)
Colorado Springs, Colorado 1,254 16.3 1.3 (13.8–18.8)
Columbia, South Carolina 1,367 23.6 1.6 (20.4–26.7)
Columbus, Ohio 1,724 28.7 1.5 (25.9–31.6)
Crestview-Fort Walton Beach-Destin, Florida 997 24.7 2.0 (20.7–28.7)
Dallas-Plano-Irving, Texas§ 830 29.3 2.0 (25.3–33.3)
Davenport-Moline-Rock Island, Iowa-Illinois 642 26.9 2.7 (21.6–32.2)
Dayton, Ohio 792 27.1 2.3 (22.5–31.7)
Deltona-Daytona Beach-Ormond Beach, Florida 1,027 23.6 2.4 (18.8–28.4)
Denver-Aurora-Lakewood, Colorado 5,168 17.9 0.7 (16.6–19.3)
Des Moines-West Des Moines, Iowa 1,271 25.0 1.8 (21.5–28.5)
Duluth, Minnesota-Wisconsin 665 22.5 2.7 (17.2–27.7)
Durham-Chapel Hill, North Carolina 597 22.2 2.3 (17.6–26.8)
El Paso, Texas 706 31.2 2.3 (26.7–35.7)
Evansville, Indiana-Kentucky 542 31.3 3.0 (25.4–37.2)
Fargo, North Dakota-Minnesota 1,126 25.1 2.1 (21.1–29.2)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 768 28.2 2.3 (23.7–32.8)
Fort Smith, Arkansas-Oklahoma 473 28.5 2.9 (22.7–34.2)
Fort Wayne, Indiana 730 29.4 2.4 (24.7–34.0)
Fort Worth-Arlington, Texas§ 755 31.1 2.5 (26.2–35.9)
Gainesville, Florida 966 21.5 2.2 (17.2–25.8)
Grand Forks, North Dakota-Minnesota 477 23.1 3.1 (16.9–29.2)
Grand Island, Nebraska 751 33.9 2.8 (28.5–39.3)
Grand Rapids-Wyoming, Michigan 1,296 20.4 1.5 (17.5–23.3)
Greensboro-High Point, North Carolina 629 31.0 2.5 (26.0–35.9)
Greenville-Anderson-Mauldin, South Carolina 1,254 27.8 1.7 (24.4–31.2)
Gulfport-Biloxi-Pascagoula, Mississippi 718 29.8 2.2 (25.5–34.1)
Hagerstown-Martinsburg, Maryland-West Virginia 729 27.5 2.9 (21.9–33.1)
Hartford-West Hartford-East Hartford, Connecticut 2,653 23.0 1.3 (20.5–25.5)
Hilton Head Island-Bluffton-Beaufort, South Carolina 764 19.7 2.7 (14.4–25.0)
Houston-The Woodlands-Sugar Land, Texas 1,268 28.7 2.0 (24.8–32.5)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,123 30.0 1.7 (26.7–33.3)
Idaho Falls, Idaho 476 24.1 2.6 (19.0–29.3)
Indianapolis-Carmel-Anderson, Indiana 2,352 28.8 1.2 (26.4–31.2)
Jackson, Mississippi 751 35.1 2.4 (30.5–39.8)
Jacksonville, Florida 2,658 25.4 1.4 (22.7–28.0)
Kansas City, Missouri-Kansas 7,063 24.7 1.1 (22.6–26.8)
Kingsport-Bristol-Bristol, Tennessee-Virginia 488 38.2 3.7 (30.9–45.5)
Knoxville, Tennessee 591 33.6 2.7 (28.4–38.8)
Lansing-East Lansing, Michigan 665 20.0 1.9 (16.2–23.8)
Lexington-Fayette, Kentucky 599 25.1 2.4 (20.5–29.8)
Lincoln, Nebraska 1,774 19.8 1.1 (17.6–22.1)
Little Rock-North Little Rock-Conway, Arkansas 1,054 30.6 2.0 (26.7–34.5)
Logan, Utah-Idaho 598 17.9 2.0 (14.0–21.8)
Los Angeles-Long Beach-Anaheim, California 2,651 23.4 1.1 (21.2–25.7)
Louisville-Jefferson County, Kentucky-Indiana 1,986 28.2 1.7 (24.9–31.5)
Lubbock, Texas 503 27.2 2.9 (21.6–32.8)
Manhattan, Kansas 629 21.1 1.9 (17.3–24.9)
Memphis, Tennessee-Mississippi-Arkansas 1,102 36.2 2.2 (31.8–40.6)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,034 29.9 1.7 (26.6–33.1)
Milwaukee-Waukesha-West Allis, Wisconsin 1,098 19.6 1.8 (16.0–23.2)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,458 19.9 0.8 (18.2–21.5)
Minot, North Dakota 606 27.2 2.4 (22.5–31.9)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 904 20.8 1.7 (17.5–24.2)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 729 24.2 2.3 (19.6–28.8)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 967 31.7 2.0 (27.9–35.6)
Nassau County-Suffolk County, New York§ 852 27.3 2.0 (23.4–31.3)
Newark, New Jersey-Pennsylvania§ 3,713 25.3 1.1 (23.2–27.4)
New Orleans-Metairie, Louisiana 1,230 27.6 2.1 (23.4–31.7)
New York-Jersey City-White Plains, New York-New Jersey§ 8,014 27.2 0.7 (25.8–28.7)
Norfolk, Nebraska 635 24.0 2.0 (20.0–28.0)
North Platte, Nebraska 679 27.3 2.6 (22.3–32.3)
North Port-Sarasota-Bradenton, Florida 983 22.0 2.0 (18.0–26.0)
Oakland-Hayward-Berkeley, California§ 622 20.6 2.2 (16.3–24.9)
Ogden-Clearfield, Utah 2,312 20.1 1.0 (18.1–22.1)
Oklahoma City, Oklahoma 2,506 31.1 1.2 (28.7–33.5)
Omaha-Council Bluffs, Nebraska-Iowa 2,937 24.7 1.1 (22.6–26.9)
Orlando-Kissimmee-Sanford, Florida 2,118 26.6 1.5 (23.8–29.5)
Panama City, Florida 954 28.0 2.3 (23.5–32.5)
Pensacola-Ferry Pass-Brent, Florida 1,216 26.6 1.7 (23.2–30.0)
Philadelphia, Pennsylvania§ 1,624 27.3 1.5 (24.3–30.3)
Phoenix-Mesa-Scottsdale, Arizona 1,428 25.3 1.9 (21.7–29.0)
Pittsburgh, Pennsylvania 2,174 24.1 1.2 (21.6–26.5)
Ponce, Puerto Rico 526 46.6 2.9 (40.9–52.2)
Portland-South Portland, Maine 2,534 19.3 1.2 (17.0–21.6)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,007 17.6 1.1 (15.5–19.8)
Port St. Lucie, Florida 932 27.7 2.5 (22.8–32.5)
Providence-Warwick, Rhode Island-Massachusetts 7,505 27.7 1.0 (25.7–29.6)
Provo-Orem, Utah 1,734 19.5 1.1 (17.3–21.8)
Raleigh, North Carolina 628 20.9 1.9 (17.3–24.6)
Rapid City, South Dakota 828 20.3 1.9 (16.6–24.0)
Reno, Nevada 1,697 17.6 1.2 (15.3–20.0)
Richmond, Virginia 1,182 21.5 1.5 (18.6–24.5)
Riverside-San Bernardino-Ontario, California 1,226 23.3 1.6 (20.3–26.4)
Rochester, New York 469 20.8 2.6 (15.6–25.9)
Rockingham County-Strafford County, New Hampshire§ 1,537 21.8 1.5 (18.8–24.7)
Sacramento-Roseville-Arden-Arcade, California 809 17.0 2.0 (13.1–20.9)
St. Louis, Missouri-Illinois 1,948 25.8 1.5 (22.9–28.7)
Salem, Oregon 463 18.5 2.7 (13.2–23.7)
Salina, Kansas 498 29.7 2.6 (24.5–34.8)
Salisbury, Maryland-Delaware 1,934 27.9 1.7 (24.5–31.3)
Salt Lake City, Utah 4,331 21.4 0.8 (19.8–23.0)
San Antonio-New Braunfels, Texas 879 29.3 2.0 (25.3–33.2)
San Francisco-Redwood City-South San Francisco, California§ 473 14.8 2.1 (10.7–18.9)
San Jose-Sunnyvale-Santa Clara, California 543 21.2 2.7 (15.9–26.5)
San Juan-Carolina-Caguas, Puerto Rico 3,601 48.3 1.1 (46.1–50.4)
Scottsbluff, Nebraska 682 28.8 2.6 (23.6–33.9)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 517 24.3 2.6 (19.2–29.5)
Seattle-Bellevue-Everett, Washington§ 3,610 18.0 0.9 (16.3–19.8)
Shreveport-Bossier City, Louisiana 555 31.3 3.2 (25.0–37.6)
Silver Spring-Frederick-Rockville, Maryland§ 2,304 20.5 1.5 (17.6–23.4)
Sioux City, Iowa-Nebraska-South Dakota 997 32.7 3.3 (26.3–39.1)
Sioux Falls, South Dakota 951 21.1 1.8 (17.6–24.7)
Spartanburg, South Carolina 562 27.3 2.7 (22.0–32.6)
Spokane-Spokane Valley, Washington 830 17.4 2.0 (13.5–21.3)
Springfield, Massachusetts 1,418 26.5 2.2 (22.2–30.8)
Tallahassee, Florida 1,730 21.2 1.9 (17.5–24.9)
Tampa-St. Petersburg-Clearwater, Florida 2,028 26.5 1.5 (23.6–29.5)
Toledo, Ohio 939 29.5 2.7 (24.2–34.9)
Topeka, Kansas 2,288 26.2 1.2 (23.8–28.7)
Tulsa, Oklahoma 1,913 32.1 1.5 (29.3–35.0)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,541 26.2 1.6 (23.0–29.4)
Warren-Troy-Farmington Hills, Michigan§ 2,152 21.3 1.2 (18.8–23.7)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,270 22.6 1.0 (20.7–24.5)
Wichita, Kansas 4,730 26.5 0.8 (24.9–28.2)
Wilmington, Delaware-Maryland-New Jersey§ 3,090 27.1 1.1 (24.9–29.3)
Winston-Salem, North Carolina 658 25.8 2.3 (21.2–30.4)
Worcester, Massachusetts-Connecticut 2,517 24.9 1.4 (22.1–27.7)
Median 25.1
Range 14.8–48.3

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Any physical activity or exercise (e.g., running, calisthenics, golf, gardening, or walking for exercise).
§ Metropolitan division.

Return to your place in the textTABLE 25. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported no leisure-time physical activity during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,639 26.8 0.7 (25.4–28.2)
Alaska 4,378 19.2 0.8 (17.5–20.8)
Arizona 14,829 20.8 0.6 (19.6–22.0)
Arkansas 5,250 29.4 1.0 (27.5–31.4)
California 7,822 21.5 0.6 (20.3–22.7)
Colorado 13,383 16.4 0.4 (15.5–17.2)
Connecticut 7,943 19.9 0.7 (18.5–21.3)
Delaware 4,293 24.1 1.0 (22.2–26.1)
District of Columbia 4,059 21.2 1.1 (19.1–23.4)
Florida 9,796 22.7 0.7 (21.4–24.0)
Georgia 6,347 23.3 0.7 (21.9–24.8)
Hawaii 7,245 19.0 0.7 (17.7–20.3)
Idaho 5,468 18.4 0.8 (16.8–20.0)
Illinois 5,050 23.6 0.8 (22.0–25.2)
Indiana 11,510 25.4 0.6 (24.2–26.5)
Iowa 8,121 21.5 0.6 (20.3–22.6)
Kansas 13,727 23.1 0.5 (22.2–24.0)
Kentucky 11,189 27.1 0.7 (25.7–28.5)
Louisiana 6,772 29.0 0.7 (27.6–30.4)
Maine 9,118 18.3 0.6 (17.1–19.5)
Maryland 12,556 21.1 0.7 (19.7–22.6)
Massachusetts 15,632 19.6 0.5 (18.5–20.6)
Michigan 8,455 24.8 0.7 (23.5–26.1)
Minnesota 16,395 19.8 0.4 (19.0–20.6)
Mississippi 4,203 31.1 1.0 (29.0–33.1)
Missouri 7,076 24.2 0.8 (22.6–25.8)
Montana 7,493 18.5 0.7 (17.1–19.8)
Nebraska 22,397 20.7 0.5 (19.8–21.6)
Nevada 3,754 22.0 1.1 (19.9–24.1)
New Hampshire 6,174 18.3 0.8 (16.8–19.8)
New Jersey 13,025 22.8 0.6 (21.7–24.0)
New Mexico 8,927 23.0 0.7 (21.6–24.5)
New York 6,845 25.4 0.7 (24.0–26.8)
North Carolina 7,281 22.6 0.6 (21.4–23.8)
North Dakota 7,764 20.7 0.7 (19.2–22.1)
Ohio 10,904 24.0 0.7 (22.6–25.3)
Oklahoma 8,444 27.5 0.6 (26.3–28.8)
Oregon 5,214 15.9 0.7 (14.5–17.3)
Pennsylvania 10,977 22.4 0.6 (21.2–23.6)
Rhode Island 6,436 21.8 0.8 (20.3–23.4)
South Carolina 11,009 24.6 0.6 (23.4–25.8)
South Dakota 7,399 20.7 0.9 (18.9–22.5)
Tennessee 5,139 25.7 0.9 (24.0–27.4)
Texas 15,394 27.5 0.6 (26.3–28.7)
Utah 14,993 17.1 0.4 (16.3–17.8)
Vermont 6,458 18.1 0.6 (17.0–19.3)
Virginia 9,452 23.1 0.6 (21.9–24.3)
Washington 10,074 17.9 0.6 (16.7–19.0)
West Virginia 6,190 27.1 0.7 (25.6–28.5)
Wisconsin 7,036 20.7 0.8 (19.2–22.2)
Wyoming 6,396 21.3 0.9 (19.6–23.1)
Guam 2,518 28.6 1.3 (26.1–31.1)
Puerto Rico 5,988 39.7 0.8 (38.1–41.3)
Median 22.4
Range 15.9–39.7

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Any physical activity or exercise (e.g., running, calisthenics, golf, gardening, or walking for exercise).

Return to your place in the textTABLE 26. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported no leisure-time physical activity during the past 30 days, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 620 25.6 3.1 (19.5–31.7)
Aguadilla-Isabela, Puerto Rico 544 42.1 2.7 (36.9–47.3)
Albuquerque, New Mexico 1,787 21.3 1.4 (18.6–24.1)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,092 22.5 2.1 (18.5–26.6)
Anchorage, Alaska 1,784 17.7 1.1 (15.5–19.9)
Atlanta-Sandy Springs-Roswell, Georgia 2,776 20.1 1.0 (18.1–22.0)
Augusta-Richmond County, Georgia-South Carolina 888 23.3 2.4 (18.5–28.0)
Austin-Round Rock, Texas 2,254 19.4 1.1 (17.3–21.6)
Baltimore-Columbia-Towson, Maryland 4,612 21.5 1.1 (19.2–23.7)
Baton Rouge, Louisiana 922 27.4 1.8 (23.9–30.8)
Berlin, New Hampshire-Vermont 543 20.5 2.9 (14.9–26.1)
Billings, Montana 808 21.2 2.0 (17.2–25.2)
Birmingham-Hoover, Alabama 1,571 25.2 1.5 (22.3–28.1)
Bismarck, North Dakota 1,037 20.0 1.9 (16.3–23.8)
Boise City, Idaho 1,349 18.2 1.6 (15.1–21.2)
Boston, Massachusetts§ 4,545 18.7 1.0 (16.7–20.6)
Burlington-South Burlington, Vermont 1,978 16.3 1.0 (14.3–18.3)
Cambridge-Newton-Framingham, Massachusetts§ 5,171 18.4 0.9 (16.6–20.1)
Camden, New Jersey§ 1,717 24.8 1.7 (21.4–28.2)
Cedar Rapids, Iowa 640 22.6 2.2 (18.4–26.9)
Charleston, West Virginia 876 26.0 1.9 (22.3–29.7)
Charleston-North Charleston, South Carolina 1,402 20.7 1.4 (18.0–23.5)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,156 20.7 1.1 (18.5–22.9)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 4,119 22.9 1.0 (21.0–24.8)
Cincinnati, Ohio-Kentucky-Indiana 2,043 22.8 1.6 (19.7–25.9)
Claremont-Lebanon, New Hampshire-Vermont 1,685 20.9 1.9 (17.2–24.5)
Cleveland-Elyria, Ohio 962 23.7 2.2 (19.4–27.9)
College Station-Bryan, Texas 573 31.9 3.8 (24.5–39.3)
Colorado Springs, Colorado 1,299 19.1 1.5 (16.1–22.0)
Columbia, South Carolina 1,206 21.3 1.5 (18.4–24.3)
Columbus, Ohio 1,652 22.1 1.6 (19.1–25.2)
Corpus Christi, Texas 623 25.9 2.9 (20.3–31.5)
Dallas-Plano-Irving, Texas§ 1,297 26.1 1.9 (22.4–29.8)
Dayton, Ohio 564 22.6 2.5 (17.7–27.5)
Denver-Aurora-Lakewood, Colorado 5,797 15.7 0.6 (14.5–16.9)
Des Moines-West Des Moines, Iowa 1,358 18.5 1.4 (15.7–21.2)
Duluth, Minnesota-Wisconsin 947 19.3 1.8 (15.8–22.7)
El Paso, Texas 722 30.0 2.4 (25.4–34.7)
Evansville, Indiana-Kentucky 656 20.9 2.2 (16.7–25.2)
Fargo, North Dakota-Minnesota 1,149 16.8 1.4 (14.1–19.6)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 815 27.8 2.6 (22.8–32.8)
Fort Wayne, Indiana 863 24.2 2.2 (19.8–28.6)
Fort Worth-Arlington, Texas§ 759 22.3 2.2 (18.0–26.7)
Grand Island, Nebraska 1,059 27.1 2.2 (22.7–31.5)
Grand Rapids-Wyoming, Michigan 896 23.6 2.1 (19.6–27.7)
Greensboro-High Point, North Carolina 521 23.2 2.2 (18.8–27.6)
Greenville-Anderson-Mauldin, South Carolina 1,491 24.6 1.6 (21.5–27.7)
Hagerstown-Martinsburg, Maryland-West Virginia 782 30.1 3.3 (23.7–36.5)
Hartford-West Hartford-East Hartford, Connecticut 2,640 19.4 1.1 (17.2–21.5)
Hilton Head Island-Bluffton-Beaufort, South Carolina 554 16.7 2.2 (12.4–21.1)
Houston-The Woodlands-Sugar Land, Texas 2,159 26.5 1.5 (23.5–29.5)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,245 26.4 1.8 (22.8–30.0)
Idaho Falls, Idaho 518 20.9 2.4 (16.1–25.7)
Indianapolis-Carmel-Anderson, Indiana 3,598 25.3 1.1 (23.2–27.5)
Jacksonville, Florida 672 22.5 2.3 (18.0–26.9)
Kansas City, Missouri-Kansas 4,878 21.7 1.0 (19.6–23.7)
Kingsport-Bristol-Bristol, Tennessee-Virginia 507 26.3 2.7 (21.0–31.5)
Knoxville, Tennessee 564 23.9 2.6 (18.9–29.0)
Lafayette, Louisiana 562 32.5 2.6 (27.5–37.5)
Lexington-Fayette, Kentucky 623 27.3 2.4 (22.6–31.9)
Lincoln, Nebraska 2,008 18.3 1.1 (16.1–20.6)
Little Rock-North Little Rock-Conway, Arkansas 1,179 27.1 1.8 (23.5–30.7)
Logan, Utah-Idaho 622 11.7 1.4 (9.0–14.5)
Los Angeles-Long Beach-Anaheim, California 2,037 20.9 1.1 (18.7–23.0)
Louisville-Jefferson County, Kentucky-Indiana 2,460 24.4 1.6 (21.2–27.5)
Madison, Wisconsin 551 17.9 2.1 (13.8–22.0)
Memphis, Tennessee-Mississippi-Arkansas 882 21.2 1.8 (17.7–24.7)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,220 22.7 1.2 (20.3–25.2)
Milwaukee-Waukesha-West Allis, Wisconsin 1,355 21.8 1.8 (18.3–25.4)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,756 18.3 0.5 (17.3–19.4)
Minot, North Dakota 594 23.8 2.7 (18.6–29.0)
Montgomery, Alabama 513 23.3 2.4 (18.6–28.0)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 805 15.9 1.7 (12.6–19.1)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 999 26.3 2.1 (22.2–30.4)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 803 21.9 2.0 (17.9–25.9)
Nassau County-Suffolk County, New York§ 770 25.9 2.2 (21.5–30.3)
Newark, New Jersey-Pennsylvania§ 4,144 22.6 1.1 (20.5–24.7)
New Orleans-Metairie, Louisiana 1,913 25.7 1.3 (23.1–28.3)
New York-Jersey City-White Plains, New York-New Jersey§ 7,531 26.6 0.8 (25.1–28.2)
Norfolk, Nebraska 996 22.9 1.7 (19.5–26.3)
North Platte, Nebraska 967 22.8 1.7 (19.4–26.1)
North Port-Sarasota-Bradenton, Florida 513 22.9 3.7 (15.6–30.2)
Oakland-Hayward-Berkeley, California§ 638 21.3 2.2 (16.9–25.7)
Ogden-Clearfield, Utah 2,922 16.2 0.8 (14.7–17.8)
Oklahoma City, Oklahoma 2,436 25.1 1.1 (23.0–27.3)
Omaha-Council Bluffs, Nebraska-Iowa 4,869 19.1 0.8 (17.5–20.7)
Orlando-Kissimmee-Sanford, Florida 956 23.3 2.0 (19.4–27.2)
Philadelphia, Pennsylvania§ 1,520 23.9 1.6 (20.8–27.1)
Phoenix-Mesa-Scottsdale, Arizona 9,377 21.0 0.7 (19.6–22.4)
Pittsburgh, Pennsylvania 2,410 22.5 1.2 (20.2–24.8)
Ponce, Puerto Rico 530 37.1 2.8 (31.5–42.6)
Portland-South Portland, Maine 2,755 15.2 1.0 (13.2–17.2)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,839 15.5 1.0 (13.5–17.5)
Providence-Warwick, Rhode Island-Massachusetts 8,100 22.4 0.9 (20.7–24.1)
Provo-Orem, Utah 2,147 15.1 0.9 (13.3–16.8)
Raleigh, North Carolina 720 16.1 1.6 (12.9–19.2)
Rapid City, South Dakota 1,420 20.3 1.8 (16.8–23.8)
Reno, Nevada 1,200 15.6 1.4 (12.9–18.3)
Richmond, Virginia 1,465 22.3 1.5 (19.4–25.2)
Riverside-San Bernardino-Ontario, California 840 21.5 1.7 (18.1–24.8)
Roanoke, Virginia 532 22.5 2.4 (17.7–27.2)
Rochester, Minnesota 699 22.6 2.2 (18.3–26.9)
Rockingham County-Strafford County, New Hampshire§ 1,439 18.7 1.5 (15.8–21.6)
Sacramento-Roseville-Arden-Arcade, California 583 19.9 2.2 (15.6–24.3)
St. Cloud, Minnesota 561 22.7 2.3 (18.1–27.3)
St. Louis, Missouri-Illinois 1,926 24.0 1.6 (20.9–27.1)
Salisbury, Maryland-Delaware 1,956 29.7 2.3 (25.1–34.2)
Salt Lake City, Utah 5,418 18.2 0.6 (17.0–19.5)
San Antonio-New Braunfels, Texas 2,276 27.8 1.3 (25.2–30.4)
San Juan-Carolina-Caguas, Puerto Rico 3,749 39.9 1.0 (37.9–41.9)
Scottsbluff, Nebraska 909 26.1 2.1 (22.0–30.2)
Seattle-Bellevue-Everett, Washington§ 3,690 15.8 0.9 (14.0–17.6)
Shreveport-Bossier City, Louisiana 552 27.4 2.3 (22.9–32.0)
Silver Spring-Frederick-Rockville, Maryland§ 2,378 17.5 1.6 (14.3–20.6)
Sioux City, Iowa-Nebraska-South Dakota 1,143 26.6 2.6 (21.6–31.6)
Sioux Falls, South Dakota 1,348 20.5 1.8 (16.9–24.1)
Spartanburg, South Carolina 562 28.0 3.1 (21.9–34.2)
Spokane-Spokane Valley, Washington 725 16.6 2.0 (12.7–20.5)
Springfield, Massachusetts 1,106 24.1 2.1 (20.0–28.2)
Tampa-St. Petersburg-Clearwater, Florida 1,576 20.7 1.6 (17.6–23.7)
Toledo, Ohio 649 27.1 2.7 (21.9–32.3)
Topeka, Kansas 1,441 22.2 1.4 (19.4–24.9)
Tulsa, Oklahoma 2,031 24.0 1.2 (21.7–26.4)
Tuscaloosa, Alabama 720 29.7 2.6 (24.7–34.7)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,879 23.3 1.4 (20.6–26.0)
Warren-Troy-Farmington Hills, Michigan§ 2,116 21.8 1.2 (19.3–24.2)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,280 19.7 0.8 (18.1–21.3)
Wichita, Kansas 2,735 23.2 1.0 (21.3–25.1)
Wichita Falls, Texas 545 26.7 3.8 (19.2–34.1)
Wilmington, Delaware-Maryland-New Jersey§ 2,765 23.4 1.2 (21.0–25.9)
Worcester, Massachusetts-Connecticut 2,459 20.6 1.3 (18.1–23.1)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 522 23.0 2.8 (17.6–28.5)
Median 22.6
Range 11.7–42.1

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Any physical activity or exercise (e.g., running, calisthenics, golf, gardening, or walking for exercise).
§ Metropolitan division.

Return to your place in the textTABLE 27. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported having inadequate sleep during a 24-hour period, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,319 37.6 1.0 (35.7–39.5)
Alaska 4,545 34.9 1.1 (32.8–36.9)
Arizona 4,195 35.2 1.4 (32.4–38.0)
Arkansas 5,166 36.6 1.1 (34.5–38.7)
California 11,461 33.5 0.6 (32.3–34.8)
Colorado 13,457 28.9 0.5 (27.9–30.0)
Connecticut 7,614 34.9 0.9 (33.2–36.5)
Delaware 5,133 36.9 1.0 (34.9–38.8)
District of Columbia 4,828 35.6 1.1 (33.4–37.7)
Florida 33,620 37.6 0.7 (36.3–38.9)
Georgia 7,981 38.2 0.8 (36.6–39.7)
Hawaii 7,816 41.2 0.8 (39.5–42.8)
Idaho 5,563 31.7 1.0 (29.8–33.6)
Illinois 5,601 33.9 1.0 (32.1–35.8)
Indiana 10,203 36.4 0.7 (35.0–37.7)
Iowa 8,075 31.4 0.8 (29.9–32.9)
Kansas 22,995 29.4 0.4 (28.7–30.2)
Kentucky 10,838 41.6 0.8 (40.0–43.1)
Louisiana 5,106 37.0 1.2 (34.7–39.3)
Maine 8,003 32.6 0.8 (31.0–34.1)
Maryland 12,751 38.9 0.7 (37.4–40.3)
Massachusetts 14,857 34.6 0.6 (33.3–35.9)
Michigan 12,628 38.4 0.7 (37.1–39.6)
Minnesota 14,176 31.9 0.7 (30.5–33.4)
Mississippi 7,180 36.2 0.9 (34.5–38.0)
Missouri 6,942 33.2 0.9 (31.4–35.0)
Montana 9,588 31.4 0.7 (30.0–32.8)
Nebraska 16,972 32.1 0.6 (30.9–33.4)
Nevada 5,035 35.3 1.3 (32.8–37.9)
New Hampshire 6,398 32.7 0.9 (30.9–34.4)
New Jersey 13,121 39.1 0.7 (37.8–40.4)
New Mexico 9,199 32.5 0.8 (31.0–34.0)
New York 8,832 40.1 0.7 (38.6–41.5)
North Carolina 8,644 35.8 0.7 (34.3–37.2)
North Dakota 7,717 29.6 0.8 (28.0–31.1)
Ohio 11,758 40.2 0.7 (38.8–41.6)
Oklahoma 8,059 37.6 0.8 (36.1–39.1)
Oregon 5,886 31.2 0.9 (29.4–32.9)
Pennsylvania 11,291 37.8 0.7 (36.5–39.1)
Rhode Island 6,424 38.0 0.9 (36.3–39.8)
South Carolina 10,408 38.0 0.7 (36.5–39.4)
South Dakota 6,840 27.6 1.0 (25.7–29.5)
Tennessee 5,659 38.5 1.0 (36.5–40.4)
Texas 10,687 32.5 0.7 (31.1–33.9)
Utah 12,638 32.6 0.5 (31.6–33.7)
Vermont 6,322 31.5 0.9 (29.8–33.1)
Virginia 8,321 37.4 0.8 (35.9–38.9)
Washington 11,025 32.9 0.6 (31.7–34.2)
West Virginia 5,810 40.5 0.9 (38.9–42.2)
Wisconsin 6,558 31.7 1.0 (29.8–33.5)
Wyoming 6,360 29.3 0.9 (27.5–31.0)
Guam 1,879 49.2 1.5 (46.2–52.1)
Puerto Rico 5,917 37.0 0.8 (35.4–38.7)
Median 35.3
Range 27.6–49.2

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Inadequate sleep is defined as <7 hours of sleep during a 24-hour period on average.

Return to your place in the textTABLE 28. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported having inadequate sleep during a 24-hour period, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 583 34.3 2.7 (29.1–39.6)
Akron, Ohio 686 42.9 3.2 (36.6–49.1)
Albuquerque, New Mexico 2,063 32.9 1.4 (30.2–35.6)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,016 39.2 2.5 (34.4–44.1)
Anchorage, Alaska 1,511 36.3 1.6 (33.1–39.5)
Atlanta-Sandy Springs-Roswell, Georgia 3,458 37.0 1.1 (34.8–39.2)
Augusta-Richmond County, Georgia-South Carolina 897 44.4 2.7 (39.1–49.8)
Austin-Round Rock, Texas 931 33.4 2.1 (29.2–37.5)
Baltimore-Columbia-Towson, Maryland 4,685 39.1 1.1 (36.9–41.3)
Baton Rouge, Louisiana 914 34.2 2.4 (29.4–38.9)
Billings, Montana 810 34.2 1.9 (30.4–38.0)
Birmingham-Hoover, Alabama 1,324 35.3 1.8 (31.7–38.9)
Bismarck, North Dakota 1,030 29.9 1.9 (26.1–33.7)
Boise City, Idaho 1,476 31.0 1.7 (27.6–34.3)
Boston, Massachusetts§ 4,012 37.3 1.2 (34.8–39.7)
Buffalo-Cheektowaga-Niagara Falls, New York 497 38.6 3.1 (32.5–44.8)
Burlington-South Burlington, Vermont 1,620 31.6 1.5 (28.6–34.6)
Cambridge-Newton-Framingham, Massachusetts§ 4,842 32.1 1.1 (29.9–34.2)
Camden, New Jersey§ 1,831 40.7 1.6 (37.4–43.9)
Cedar Rapids, Iowa 641 29.9 2.6 (24.9–35.0)
Charleston, West Virginia 806 43.7 2.3 (39.1–48.2)
Charleston-North Charleston, South Carolina 1,520 34.9 1.7 (31.5–38.3)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,915 34.9 1.5 (32.0–37.9)
Chattanooga, Tennessee-Georgia 563 31.3 3.0 (25.5–37.2)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,333 34.3 1.2 (31.9–36.7)
Cincinnati, Ohio-Kentucky-Indiana 2,564 38.7 1.5 (35.8–41.7)
Claremont-Lebanon, New Hampshire-Vermont 1,667 29.3 1.8 (25.9–32.8)
Cleveland-Elyria, Ohio 1,088 42.8 2.2 (38.6–47.1)
Colorado Springs, Colorado 1,363 32.0 1.7 (28.7–35.2)
Columbia, South Carolina 1,411 38.5 1.8 (34.9–42.1)
Columbus, Ohio 1,836 40.4 1.5 (37.5–43.3)
Crestview-Fort Walton Beach-Destin, Florida 1,074 36.7 2.3 (32.3–41.2)
Dallas-Plano-Irving, Texas§ 893 33.0 2.0 (29.1–36.8)
Davenport-Moline-Rock Island, Iowa-Illinois 669 33.0 2.8 (27.5–38.4)
Dayton, Ohio 833 36.0 2.5 (31.1–40.9)
Deltona-Daytona Beach-Ormond Beach, Florida 1,094 39.1 2.8 (33.7–44.6)
Denver-Aurora-Lakewood, Colorado 5,642 29.9 0.8 (28.4–31.4)
Des Moines-West Des Moines, Iowa 1,334 27.5 1.7 (24.1–30.8)
Duluth, Minnesota-Wisconsin 697 37.5 3.4 (30.8–44.2)
Durham-Chapel Hill, North Carolina 606 29.5 2.4 (24.7–34.2)
El Paso, Texas 740 37.1 2.4 (32.4–41.8)
Evansville, Indiana-Kentucky 570 40.7 3.1 (34.6–46.9)
Fargo, North Dakota-Minnesota 1,171 27.0 1.9 (23.4–30.6)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 812 32.5 2.5 (27.7–37.4)
Fort Smith, Arkansas-Oklahoma 490 34.3 3.3 (27.9–40.8)
Fort Wayne, Indiana 776 32.7 2.3 (28.2–37.2)
Fort Worth-Arlington, Texas§ 791 36.9 2.5 (32.0–41.8)
Gainesville, Florida 1,011 37.2 2.7 (31.9–42.4)
Grand Forks, North Dakota-Minnesota 499 32.0 3.5 (25.2–38.9)
Grand Island, Nebraska 785 32.1 2.6 (27.1–37.2)
Grand Rapids-Wyoming, Michigan 1,338 35.7 1.8 (32.2–39.3)
Greensboro-High Point, North Carolina 645 37.5 2.6 (32.4–42.6)
Greenville-Anderson-Mauldin, South Carolina 1,310 37.7 1.9 (34.1–41.4)
Gulfport-Biloxi-Pascagoula, Mississippi 750 44.1 2.5 (39.2–49.0)
Hagerstown-Martinsburg, Maryland-West Virginia 753 39.5 3.0 (33.7–45.3)
Hartford-West Hartford-East Hartford, Connecticut 2,804 34.6 1.4 (31.9–37.4)
Hilton Head Island-Bluffton-Beaufort, South Carolina 807 36.2 3.1 (30.1–42.4)
Houston-The Woodlands-Sugar Land, Texas 1,365 31.5 1.8 (28.0–34.9)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,170 41.7 1.9 (38.0–45.4)
Idaho Falls, Idaho 502 31.6 2.9 (25.9–37.2)
Indianapolis-Carmel-Anderson, Indiana 2,515 34.8 1.3 (32.3–37.3)
Jackson, Mississippi 776 32.3 2.3 (27.8–36.9)
Jacksonville, Florida 2,845 38.8 1.5 (36.0–41.7)
Kansas City, Missouri-Kansas 7,324 30.2 1.1 (28.0–32.5)
Kingsport-Bristol-Bristol, Tennessee-Virginia 526 33.6 3.4 (26.9–40.2)
Knoxville, Tennessee 640 37.2 2.7 (31.8–42.6)
Lansing-East Lansing, Michigan 685 34.6 2.4 (29.9–39.2)
Lexington-Fayette, Kentucky 632 35.5 2.4 (30.8–40.1)
Lincoln, Nebraska 1,864 30.9 1.3 (28.4–33.5)
Little Rock-North Little Rock-Conway, Arkansas 1,134 37.8 2.1 (33.7–41.9)
Logan, Utah-Idaho 634 29.5 2.3 (25.0–33.9)
Los Angeles-Long Beach-Anaheim, California 3,022 34.9 1.2 (32.5–37.3)
Louisville/Jefferson County, Kentucky-Indiana 2,110 40.9 1.7 (37.6–44.3)
Lubbock, Texas 522 38.2 3.2 (31.9–44.6)
Manhattan, Kansas 655 26.8 2.1 (22.8–30.9)
Memphis, Tennessee-Mississippi-Arkansas 1,180 36.0 2.2 (31.7–40.2)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,182 39.0 1.7 (35.6–42.3)
Milwaukee-Waukesha-West Allis, Wisconsin 1,262 32.6 2.2 (28.3–36.8)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 9,036 30.9 1.0 (29.1–32.8)
Minot, North Dakota 647 32.2 2.4 (27.5–36.9)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 964 36.4 2.0 (32.4–40.4)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 758 36.1 2.6 (31.0–41.3)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,034 34.2 1.9 (30.4–38.0)
Nassau County-Suffolk County, New York§ 932 40.1 2.1 (36.0–44.2)
Newark, New Jersey-Pennsylvania§ 4,048 37.7 1.1 (35.5–40.0)
New Orleans-Metairie, Louisiana 1,250 38.3 2.4 (33.7–43.0)
New York-Jersey City-White Plains, New York-New Jersey§ 8,768 40.9 0.8 (39.3–42.5)
Norfolk, Nebraska 664 33.7 2.2 (29.3–38.1)
North Platte, Nebraska 708 33.8 2.7 (28.6–39.1)
North Port-Sarasota-Bradenton, Florida 1,070 32.9 2.3 (28.5–37.4)
Oakland-Hayward-Berkeley, California§ 699 35.2 2.4 (30.6–39.8)
Ogden-Clearfield, Utah 2,441 33.6 1.2 (31.3–35.9)
Oklahoma City, Oklahoma 2,599 38.3 1.3 (35.8–40.8)
Omaha-Council Bluffs, Nebraska-Iowa 3,108 34.5 1.2 (32.2–36.9)
Orlando-Kissimmee-Sanford, Florida 2,237 37.1 1.6 (34.0–40.2)
Panama City, Florida 1,011 41.3 2.5 (36.4–46.2)
Pensacola-Ferry Pass-Brent, Florida 1,294 39.1 1.8 (35.4–42.7)
Philadelphia, Pennsylvania§ 1,752 42.5 1.7 (39.3–45.8)
Phoenix-Mesa-Scottsdale, Arizona 1,537 36.5 1.9 (32.6–40.3)
Pittsburgh, Pennsylvania 2,337 37.9 1.4 (35.1–40.7)
Ponce, Puerto Rico 523 30.7 2.5 (25.8–35.5)
Portland-South Portland, Maine 2,611 30.1 1.3 (27.5–32.6)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,202 28.3 1.2 (26.1–30.6)
Port St. Lucie, Florida 1,014 35.4 2.7 (30.1–40.7)
Providence-Warwick, Rhode Island-Massachusetts 8,181 37.5 1.0 (35.5–39.5)
Provo-Orem, Utah 1,841 31.5 1.3 (29.0–33.9)
Raleigh, North Carolina 665 29.5 2.0 (25.5–33.5)
Rapid City, South Dakota 865 30.8 2.2 (26.5–35.0)
Reno, Nevada 1,805 32.8 1.5 (29.8–35.8)
Richmond, Virginia 1,298 38.5 1.8 (35.0–42.1)
Riverside-San Bernardino-Ontario, California 1,362 36.4 1.7 (33.2–39.7)
Rochester, New York 504 34.5 3.0 (28.5–40.4)
Rockingham County-Strafford County, New Hampshire§ 1,645 32.5 1.7 (29.2–35.8)
Sacramento-Roseville-Arden-Arcade, California 888 30.1 2.1 (26.1–34.2)
St. Louis, Missouri-Illinois 2,024 34.8 1.6 (31.7–38.0)
Salem, Oregon 526 34.0 3.2 (27.7–40.4)
Salina, Kansas 521 32.0 2.8 (26.5–37.5)
Salisbury, Maryland-Delaware 2,032 34.9 2.0 (31.1–38.8)
Salt Lake City, Utah 4,625 33.6 0.9 (31.9–35.4)
San Antonio-New Braunfels, Texas 923 31.3 2.0 (27.3–35.3)
San Francisco-Redwood City-South San Francisco, California§ 535 32.4 2.9 (26.7–38.2)
San Jose-Sunnyvale-Santa Clara, California 624 28.0 2.5 (23.2–32.9)
San Juan-Carolina-Caguas, Puerto Rico 3,603 39.2 1.1 (37.1–41.3)
Scottsbluff, Nebraska 705 35.6 2.7 (30.3–41.0)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 558 43.7 3.1 (37.5–49.8)
Seattle-Bellevue-Everett, Washington§ 3,739 33.8 1.0 (31.8–35.9)
Shreveport-Bossier City, Louisiana 560 27.8 2.7 (22.4–33.2)
Silver Spring-Frederick-Rockville, Maryland§ 2,387 36.3 1.6 (33.2–39.3)
Sioux City, Iowa-Nebraska-South Dakota 1,042 27.1 2.7 (21.8–32.5)
Sioux Falls, South Dakota 1,005 26.5 2.0 (22.5–30.5)
Spartanburg, South Carolina 581 38.7 3.1 (32.6–44.8)
Spokane-Spokane Valley, Washington 851 27.6 2.2 (23.3–32.0)
Springfield, Massachusetts 1,539 36.3 2.2 (32.1–40.5)
Tallahassee, Florida 1,833 35.7 2.3 (31.3–40.2)
Tampa-St. Petersburg-Clearwater, Florida 2,186 36.2 1.6 (33.2–39.3)
Toledo, Ohio 985 37.1 2.5 (32.2–42.0)
Topeka, Kansas 2,371 30.7 1.3 (28.1–33.2)
Tulsa, Oklahoma 1,955 36.4 1.6 (33.3–39.5)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,656 38.0 1.7 (34.6–41.3)
Warren-Troy-Farmington Hills, Michigan§ 2,244 37.0 1.4 (34.1–39.8)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,861 35.9 1.0 (33.9–37.8)
Wichita, Kansas 4,887 30.9 0.9 (29.1–32.6)
Wilmington, Delaware-Maryland-New Jersey§ 3,223 39.2 1.2 (36.8–41.7)
Winston-Salem, North Carolina 681 36.5 2.8 (31.0–41.9)
Worcester, Massachusetts-Connecticut 2,729 35.1 1.5 (32.1–38.0)
Median 34.9
Range 26.5–44.4

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Inadequate sleep is defined as <7 hours of sleep during a 24-hour period on average.
§ Metropolitan division.

Return to your place in the textTABLE 29. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported receiving inadequate sleep during a 24-hour period, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,405 38.6 0.8 (37.0–40.2)
Alaska 4,345 34.9 1.1 (32.8–37.0)
Arizona 14,685 33.0 0.7 (31.6–34.4)
Arkansas 5,144 37.1 1.2 (34.8–39.4)
California 8,788 33.5 0.7 (32.2–34.8)
Colorado 13,218 28.5 0.5 (27.4–29.5)
Connecticut 7,862 34.7 0.9 (33.0–36.4)
Delaware 4,212 37.7 1.2 (35.3–40.0)
District of Columbia 3,959 32.0 1.2 (29.6–34.4)
Florida 9,703 35.7 0.8 (34.2–37.2)
Georgia 6,243 38.6 0.9 (36.9–40.3)
Hawaii 7,220 43.6 0.9 (41.9–45.3)
Idaho 5,426 30.6 1.0 (28.7–32.5)
Illinois 5,042 34.3 0.9 (32.5–36.2)
Indiana 11,384 38.1 0.7 (36.8–39.4)
Iowa 8,046 30.8 0.7 (29.3–32.2)
Kansas 13,547 30.7 0.5 (29.7–31.8)
Kentucky 11,006 39.4 0.8 (37.8–41.1)
Louisiana 6,665 36.0 0.8 (34.4–37.5)
Maine 9,050 32.6 0.8 (31.1–34.2)
Maryland 12,361 38.7 0.9 (37.0–40.4)
Massachusetts 15,399 34.0 0.7 (32.7–35.3)
Michigan 8,381 38.2 0.8 (36.7–39.7)
Minnesota 16,236 29.2 0.5 (28.3–30.1)
Mississippi 4,069 36.7 1.1 (34.5–38.9)
Missouri 6,953 33.6 0.9 (31.7–35.4)
Montana 7,377 30.5 0.9 (28.7–32.2)
Nebraska 22,172 30.3 0.6 (29.2–31.4)
Nevada 3,693 36.2 1.3 (33.7–38.7)
New Hampshire 6,109 32.3 1.0 (30.4–34.2)
New Jersey 12,838 37.0 0.7 (35.6–38.3)
New Mexico 8,835 31.9 0.8 (30.3–33.5)
New York 6,751 38.2 0.8 (36.7–39.8)
North Carolina 7,135 32.4 0.7 (31.0–33.8)
North Dakota 7,712 31.4 0.9 (29.6–33.2)
Ohio 10,805 37.6 0.8 (36.0–39.2)
Oklahoma 8,291 35.5 0.7 (34.1–37.0)
Oregon 5,154 31.5 0.9 (29.6–33.3)
Pennsylvania 10,875 37.3 0.7 (35.9–38.8)
Rhode Island 6,340 36.5 1.0 (34.6–38.4)
South Carolina 10,747 38.2 0.7 (36.8–39.6)
South Dakota 7,338 28.4 1.0 (26.4–30.4)
Tennessee 5,026 37.1 1.1 (34.9–39.2)
Texas 15,121 33.0 0.7 (31.7–34.3)
Utah 14,875 30.7 0.5 (29.8–31.6)
Vermont 6,423 30.6 0.8 (29.1–32.1)
Virginia 9,333 35.9 0.7 (34.5–37.3)
Washington 10,005 31.7 0.7 (30.3–33.0)
West Virginia 6,093 38.0 0.8 (36.3–39.6)
Wisconsin 7,019 31.8 0.9 (30.1–33.5)
Wyoming 6,339 31.3 1.1 (29.1–33.5)
Guam 2,513 48.6 1.4 (45.8–51.4)
Puerto Rico 5,904 36.2 0.8 (34.6–37.7)
Median 34.7
Range 28.4–48.6

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Inadequate sleep is defined as <7 hours of sleep during a 24-hour period on average.

Return to your place in the textTABLE 30. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported receiving inadequate sleep during a 24-hour period, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 611 30.9 3.0 (25.0–36.9)
Aguadilla-Isabela, Puerto Rico 534 33.6 2.5 (28.7–38.6)
Albuquerque, New Mexico 1,774 32.2 1.5 (29.2–35.2)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,084 41.2 2.7 (36.0–46.5)
Anchorage, Alaska 1,764 36.3 1.5 (33.3–39.3)
Atlanta-Sandy Springs-Roswell, Georgia 2,741 37.8 1.2 (35.4–40.2)
Augusta-Richmond County, Georgia-South Carolina 876 39.3 3.1 (33.3–45.4)
Austin-Round Rock, Texas 2,228 27.6 1.3 (25.1–30.2)
Baltimore-Columbia-Towson, Maryland 4,547 38.1 1.3 (35.5–40.7)
Baton Rouge, Louisiana 905 36.4 2.0 (32.4–40.4)
Berlin, New Hampshire-Vermont 534 35.7 4.8 (26.3–45.1)
Billings, Montana 800 31.5 2.3 (27.0–36.0)
Birmingham-Hoover, Alabama 1,543 42.4 1.7 (39.0–45.8)
Bismarck, North Dakota 1,030 32.7 2.4 (28.0–37.3)
Boise City, Idaho 1,343 28.8 1.8 (25.2–32.4)
Boston, Massachusetts§ 4,470 33.7 1.2 (31.3–36.0)
Burlington-South Burlington, Vermont 1,969 28.4 1.3 (25.8–30.9)
Cambridge-Newton-Framingham, Massachusetts§ 5,109 32.8 1.1 (30.6–34.9)
Camden, New Jersey§ 1,698 35.7 1.8 (32.1–39.3)
Cedar Rapids, Iowa 636 33.1 2.7 (27.8–38.4)
Charleston, West Virginia 861 37.5 2.2 (33.2–41.9)
Charleston-North Charleston, South Carolina 1,374 38.0 1.8 (34.4–41.5)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,104 32.9 1.4 (30.2–35.6)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 4,110 34.6 1.1 (32.4–36.8)
Cincinnati, Ohio-Kentucky-Indiana 2,019 38.0 1.9 (34.2–41.7)
Claremont-Lebanon, New Hampshire-Vermont 1,670 32.2 2.0 (28.2–36.2)
Cleveland-Elyria, Ohio 957 33.8 2.2 (29.4–38.2)
College Station-Bryan, Texas 560 36.0 3.9 (28.3–43.7)
Colorado Springs, Colorado 1,278 31.7 1.7 (28.3–35.1)
Columbia, South Carolina 1,183 40.5 1.9 (36.8–44.3)
Columbus, Ohio 1,648 39.7 1.9 (36.1–43.4)
Corpus Christi, Texas 604 39.9 3.9 (32.2–47.6)
Dallas-Plano-Irving, Texas§ 1,275 30.1 1.9 (26.4–33.8)
Dayton, Ohio 561 37.0 3.0 (31.2–42.9)
Denver-Aurora-Lakewood, Colorado 5,733 28.5 0.8 (27.0–30.0)
Des Moines-West Des Moines, Iowa 1,338 27.2 1.8 (23.6–30.8)
Duluth, Minnesota-Wisconsin 934 30.6 2.1 (26.4–34.8)
El Paso, Texas 712 33.1 2.5 (28.2–38.0)
Evansville, Indiana-Kentucky 649 37.9 3.4 (31.3–44.5)
Fargo, North Dakota-Minnesota 1,143 25.4 1.8 (22.0–28.9)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 807 34.8 2.9 (29.2–40.4)
Fort Wayne, Indiana 854 34.7 2.5 (29.7–39.6)
Fort Worth-Arlington, Texas§ 748 35.7 2.6 (30.7–40.7)
Grand Island, Nebraska 1,045 27.4 2.1 (23.2–31.5)
Grand Rapids-Wyoming, Michigan 894 34.8 2.2 (30.5–39.2)
Greensboro-High Point, North Carolina 513 35.9 3.0 (30.0–41.7)
Greenville-Anderson-Mauldin, South Carolina 1,456 35.7 1.7 (32.4–39.0)
Hagerstown-Martinsburg, Maryland-West Virginia 772 40.7 3.4 (33.9–47.4)
Hartford-West Hartford-East Hartford, Connecticut 2,612 33.7 1.4 (31.0–36.5)
Hilton Head Island-Bluffton-Beaufort, South Carolina 542 38.7 3.6 (31.7–45.7)
Houston-The Woodlands-Sugar Land, Texas 2,129 33.9 1.6 (30.7–37.1)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,227 40.3 2.1 (36.2–44.5)
Idaho Falls, Idaho 510 34.6 2.8 (29.2–40.0)
Indianapolis-Carmel-Anderson, Indiana 3,559 37.2 1.2 (34.8–39.6)
Jacksonville, Florida 663 39.4 2.8 (34.0–44.9)
Kansas City, Missouri-Kansas 4,818 30.7 1.2 (28.3–33.0)
Kingsport-Bristol-Bristol, Tennessee-Virginia 493 45.3 3.9 (37.7–52.9)
Knoxville, Tennessee 557 36.7 3.3 (30.3–43.2)
Lafayette, Louisiana 557 33.6 2.5 (28.7–38.6)
Lexington-Fayette, Kentucky 615 37.1 2.6 (32.0–42.1)
Lincoln, Nebraska 1,999 32.3 1.4 (29.5–35.1)
Little Rock-North Little Rock-Conway, Arkansas 1,167 35.1 2.1 (31.0–39.3)
Logan, Utah-Idaho 622 28.6 2.1 (24.5–32.6)
Los Angeles-Long Beach-Anaheim, California 2,442 34.6 1.2 (32.1–37.0)
Louisville-Jefferson County, Kentucky-Indiana 2,417 37.0 1.9 (33.3–40.7)
Madison, Wisconsin 550 29.9 2.5 (25.0–34.8)
Memphis, Tennessee-Mississippi-Arkansas 861 30.3 2.6 (25.1–35.4)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,194 35.7 1.5 (32.8–38.7)
Milwaukee-Waukesha-West Allis, Wisconsin 1,347 33.0 2.0 (29.0–36.9)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,675 29.4 0.6 (28.1–30.6)
Minot, North Dakota 594 32.0 2.9 (26.4–37.7)
Montgomery, Alabama 498 35.9 3.0 (30.0–41.7)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 799 30.7 2.3 (26.2–35.2)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 981 35.2 2.3 (30.7–39.6)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 794 39.2 2.4 (34.4–44.0)
Nassau County-Suffolk County, New York§ 762 40.9 2.4 (36.1–45.7)
Newark, New Jersey-Pennsylvania§ 4,087 35.8 1.2 (33.5–38.1)
New Orleans-Metairie, Louisiana 1,889 36.4 1.5 (33.5–39.3)
New York-Jersey City-White Plains, New York-New Jersey§ 7,405 39.4 0.9 (37.7–41.1)
Norfolk, Nebraska 985 32.4 2.0 (28.5–36.2)
North Platte, Nebraska 953 31.3 2.1 (27.2–35.4)
North Port-Sarasota-Bradenton, Florida 510 43.1 4.2 (34.9–51.4)
Oakland-Hayward-Berkeley, California§ 698 34.1 2.5 (29.2–38.9)
Ogden-Clearfield, Utah 2,903 32.7 1.0 (30.8–34.7)
Oklahoma City, Oklahoma 2,406 35.1 1.2 (32.7–37.6)
Omaha-Council Bluffs, Nebraska-Iowa 4,830 29.6 0.9 (27.7–31.4)
Orlando-Kissimmee-Sanford, Florida 946 34.1 2.1 (29.9–38.3)
Philadelphia, Pennsylvania§ 1,494 40.9 1.9 (37.2–44.6)
Phoenix-Mesa-Scottsdale, Arizona 9,304 33.0 0.8 (31.4–34.6)
Pittsburgh, Pennsylvania 2,395 39.9 1.5 (37.0–42.7)
Ponce, Puerto Rico 521 35.0 2.8 (29.5–40.5)
Portland-South Portland, Maine 2,732 28.7 1.4 (26.0–31.3)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,810 31.5 1.3 (29.0–34.0)
Providence-Warwick, Rhode Island-Massachusetts 7,968 36.9 1.0 (34.9–39.0)
Provo-Orem, Utah 2,133 29.1 1.1 (26.9–31.3)
Raleigh, North Carolina 718 28.1 2.0 (24.2–32.0)
Rapid City, South Dakota 1,407 29.1 2.0 (25.2–33.0)
Reno, Nevada 1,188 32.4 2.0 (28.5–36.3)
Richmond, Virginia 1,446 33.0 1.7 (29.6–36.4)
Riverside-San Bernardino-Ontario, California 934 36.3 2.0 (32.5–40.2)
Roanoke, Virginia 528 33.5 3.0 (27.6–39.4)
Rochester, Minnesota 691 31.7 2.3 (27.1–36.3)
Rockingham County-Strafford County, New Hampshire§ 1,421 28.7 1.8 (25.2–32.2)
Sacramento-Roseville-Arden-Arcade, California 641 30.2 2.3 (25.7–34.8)
St. Cloud, Minnesota 560 25.6 2.2 (21.2–29.9)
St. Louis, Missouri-Illinois 1,880 34.7 1.8 (31.2–38.3)
Salisbury, Maryland-Delaware 1,914 39.2 2.3 (34.6–43.7)
Salt Lake City, Utah 5,368 31.0 0.7 (29.6–32.5)
San Antonio-New Braunfels, Texas 2,246 35.5 1.4 (32.8–38.2)
San Juan-Carolina-Caguas, Puerto Rico 3,698 37.1 1.0 (35.1–39.2)
Scottsbluff, Nebraska 889 35.8 2.3 (31.2–40.4)
Seattle-Bellevue-Everett, Washington§ 3,667 30.7 1.1 (28.6–32.8)
Shreveport-Bossier City, Louisiana 538 38.8 2.8 (33.3–44.3)
Silver Spring-Frederick-Rockville, Maryland§ 2,344 34.7 1.9 (31.1–38.4)
Sioux City, Iowa-Nebraska-South Dakota 1,130 37.3 3.0 (31.4–43.1)
Sioux Falls, South Dakota 1,342 29.8 2.1 (25.7–33.9)
Spartanburg, South Carolina 549 38.1 3.4 (31.4–44.7)
Spokane-Spokane Valley, Washington 716 28.6 2.4 (23.9–33.3)
Springfield, Massachusetts 1,092 36.0 2.3 (31.6–40.5)
Tampa-St. Petersburg-Clearwater, Florida 1,570 40.1 1.9 (36.3–43.9)
Toledo, Ohio 643 37.2 3.1 (31.1–43.4)
Topeka, Kansas 1,425 31.9 1.7 (28.6–35.2)
Tulsa, Oklahoma 1,998 35.4 1.4 (32.7–38.2)
Tuscaloosa, Alabama 706 37.3 2.5 (32.5–42.2)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,853 39.0 1.7 (35.7–42.2)
Warren-Troy-Farmington Hills, Michigan§ 2,096 39.4 1.5 (36.4–42.4)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,131 35.8 1.0 (33.8–37.7)
Wichita, Kansas 2,705 32.7 1.1 (30.5–34.9)
Wichita Falls, Texas 530 30.8 5.2 (20.7–41.0)
Wilmington, Delaware-Maryland-New Jersey§ 2,720 38.1 1.5 (35.1–41.0)
Worcester, Massachusetts-Connecticut 2,426 37.5 1.6 (34.4–40.6)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 517 40.0 3.7 (32.7–47.3)
Median 34.8
Range 25.4–45.3

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Inadequate sleep is defined as <7 hours of sleep during a 24-hour period on average.
§ Metropolitan division.

Return to your place in the textTABLE 31. Age-adjusted* prevalence estimates of current smoking among adults aged ≥18 years, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,383 21.9 0.9 (20.2–23.6)
Alaska 4,476 22.0 0.9 (20.3–23.8)
Arizona 4,111 16.4 1.0 (14.4–18.5)
Arkansas 5,101 26.7 1.0 (24.7–28.7)
California 10,622 12.5 0.5 (11.6–13.4)
Colorado 12,774 17.7 0.5 (16.8–18.7)
Connecticut 7,479 15.9 0.7 (14.6–17.2)
Delaware 5,052 20.1 0.9 (18.4–21.9)
District of Columbia 4,702 18.7 1.0 (16.8–20.6)
Florida 33,028 17.5 0.5 (16.5–18.5)
Georgia 7,725 18.8 0.7 (17.5–20.1)
Hawaii 7,676 13.9 0.6 (12.6–15.1)
Idaho 5,491 17.5 0.8 (15.9–19.1)
Illinois 5,526 18.3 0.8 (16.7–19.8)
Indiana 10,068 22.4 0.6 (21.2–23.6)
Iowa 7,983 20.1 0.7 (18.7–21.5)
Kansas 22,891 20.4 0.4 (19.7–21.1)
Kentucky 10,584 27.2 0.7 (25.8–28.7)
Louisiana 5,162 23.7 1.1 (21.6–25.9)
Maine 7,962 21.9 0.8 (20.4–23.4)
Maryland 12,593 16.6 0.6 (15.4–17.7)
Massachusetts 14,274 16.9 0.6 (15.8–18.0)
Michigan 12,519 22.1 0.6 (20.9–23.2)
Minnesota 13,794 18.4 0.6 (17.2–19.6)
Mississippi 7,243 25.2 0.8 (23.5–26.8)
Missouri 6,988 22.6 0.8 (21.0–24.2)
Montana 9,526 19.7 0.6 (18.5–20.9)
Nebraska 16,687 18.9 0.5 (17.8–19.9)
Nevada 4,984 19.3 1.1 (17.2–21.4)
New Hampshire 6,291 16.9 0.7 (15.5–18.4)
New Jersey 12,590 15.9 0.5 (14.9–16.9)
New Mexico 9,096 19.4 0.7 (18.1–20.7)
New York 8,659 17.0 0.6 (15.8–18.2)
North Carolina 8,698 20.5 0.6 (19.3–21.7)
North Dakota 7,655 21.7 0.8 (20.2–23.2)
Ohio 11,490 24.1 0.6 (22.9–25.4)
Oklahoma 8,133 24.2 0.7 (22.8–25.5)
Oregon 5,784 17.7 0.8 (16.2–19.2)
Pennsylvania 11,109 21.8 0.6 (20.6–23.0)
Rhode Island 6,246 18.1 0.8 (16.6–19.6)
South Carolina 10,481 22.6 0.7 (21.3–23.9)
South Dakota 6,769 20.4 0.8 (18.8–22.1)
Tennessee 5,467 24.6 0.9 (22.8–26.4)
Texas 10,594 15.8 0.6 (14.7–16.9)
Utah 12,451 10.1 0.4 (9.4–10.8)
Vermont 6,241 17.5 0.7 (16.1–19.0)
Virginia 8,091 19.1 0.6 (17.9–20.3)
Washington 10,996 16.2 0.5 (15.2–17.3)
West Virginia 5,841 28.8 0.8 (27.2–30.4)
Wisconsin 6,249 19.2 0.9 (17.5–20.9)
Wyoming 6,315 21.0 0.9 (19.3–22.7)
Guam 1,835 25.8 1.4 (23.1–28.5)
Puerto Rico 5,966 11.1 0.6 (9.9–12.3)
Median 19.3
Range 10.1–28.8

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Current smoking is defined as having smoked at least 100 cigarettes and smoking daily or some days during the period of the survey.

Return to your place in the textTABLE 32. Age-adjusted* prevalence estimates of current smoking among adults aged ≥18 years, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 586 12.9 2.2 (8.7–17.2)
Akron, Ohio 663 20.4 2.5 (15.5–25.3)
Albuquerque, New Mexico 2,037 19.2 1.2 (16.8–21.5)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 993 21.2 2.2 (16.9–25.5)
Anchorage, Alaska 1,486 18.9 1.3 (16.3–21.5)
Atlanta-Sandy Springs-Roswell, Georgia 3,331 16.0 0.9 (14.2–17.8)
Augusta-Richmond County, Georgia-South Carolina 888 19.0 2.2 (14.7–23.4)
Austin-Round Rock, Texas 919 13.5 1.5 (10.6–16.5)
Baltimore-Columbia-Towson, Maryland 4,610 18.8 1.0 (16.9–20.7)
Baton Rouge, Louisiana 911 22.6 2.3 (18.0–27.2)
Billings, Montana 802 19.0 1.6 (15.9–22.1)
Birmingham-Hoover, Alabama 1,325 22.1 1.7 (18.8–25.5)
Bismarck, North Dakota 1,009 23.2 2.0 (19.3–27.1)
Boise City, Idaho 1,451 18.6 1.5 (15.7–21.6)
Boston, Massachusetts§ 3,849 15.7 1.0 (13.7–17.8)
Buffalo-Cheektowaga-Niagara Falls, New York 495 24.9 3.1 (18.9–30.9)
Burlington-South Burlington, Vermont 1,596 15.5 1.2 (13.1–17.9)
Cambridge-Newton-Framingham, Massachusetts§ 4,632 14.0 0.9 (12.3–15.8)
Camden, New Jersey§ 1,761 20.9 1.4 (18.1–23.6)
Cedar Rapids, Iowa 634 18.1 2.2 (13.8–22.3)
Charleston, West Virginia 811 28.3 2.2 (24.0–32.6)
Charleston-North Charleston, South Carolina 1,518 20.4 1.5 (17.5–23.4)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,923 19.6 1.2 (17.1–22.0)
Chattanooga, Tennessee-Georgia 531 25.4 3.4 (18.7–32.1)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,273 16.7 1.0 (14.7–18.6)
Cincinnati, Ohio-Kentucky-Indiana 2,504 22.0 1.4 (19.3–24.6)
Claremont-Lebanon, New Hampshire-Vermont 1,648 15.2 1.4 (12.5–18.0)
Cleveland-Elyria, Ohio 1,053 23.4 1.9 (19.7–27.2)
Colorado Springs, Colorado 1,293 18.1 1.5 (15.2–20.9)
Columbia, South Carolina 1,423 21.5 1.6 (18.4–24.5)
Columbus, Ohio 1,794 23.1 1.3 (20.5–25.7)
Crestview-Fort Walton Beach-Destin, Florida 1,042 22.8 2.0 (19.0–26.7)
Dallas-Plano-Irving, Texas§ 866 12.7 1.4 (10.0–15.3)
Davenport-Moline-Rock Island, Iowa-Illinois 664 19.8 2.6 (14.6–24.9)
Dayton, Ohio 805 22.3 2.4 (17.6–27.0)
Deltona-Daytona Beach-Ormond Beach, Florida 1,078 21.3 2.5 (16.4–26.2)
Denver-Aurora-Lakewood, Colorado 5,366 17.3 0.7 (16.0–18.7)
Des Moines-West Des Moines, Iowa 1,320 18.2 1.6 (15.1–21.3)
Duluth, Minnesota-Wisconsin 681 27.9 3.1 (21.8–33.9)
Durham-Chapel Hill, North Carolina 609 14.5 2.0 (10.5–18.5)
El Paso, Texas 731 14.0 1.8 (10.4–17.5)
Evansville, Indiana-Kentucky 564 23.6 2.7 (18.3–29.0)
Fargo, North Dakota-Minnesota 1,167 20.3 1.7 (16.9–23.7)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 799 23.5 2.4 (18.7–28.2)
Fort Smith, Arkansas-Oklahoma 486 26.3 3.1 (20.1–32.4)
Fort Wayne, Indiana 763 18.9 2.0 (15.0–22.7)
Fort Worth-Arlington, Texas§ 793 16.5 1.9 (12.7–20.3)
Gainesville, Florida 1,005 16.5 2.4 (11.8–21.3)
Grand Forks, North Dakota-Minnesota 493 14.5 2.4 (9.7–19.3)
Grand Island, Nebraska 779 20.5 2.3 (15.9–25.1)
Grand Rapids-Wyoming, Michigan 1,325 19.6 1.7 (16.3–22.8)
Greensboro-High Point, North Carolina 649 20.7 2.3 (16.3–25.2)
Greenville-Anderson-Mauldin, South Carolina 1,315 22.6 1.8 (19.1–26.0)
Gulfport-Biloxi-Pascagoula, Mississippi 742 26.7 2.3 (22.2–31.1)
Hagerstown-Martinsburg, Maryland-West Virginia 750 25.4 2.7 (20.1–30.6)
Hartford-West Hartford-East Hartford, Connecticut 2,763 14.8 1.1 (12.7–17.0)
Hilton Head Island-Bluffton-Beaufort, South Carolina 802 18.3 2.7 (13.1–23.5)
Houston-The Woodlands-Sugar Land, Texas 1,343 13.6 1.4 (11.0–16.3)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,145 30.4 1.9 (26.7–34.0)
Idaho Falls, Idaho 494 18.0 2.6 (12.9–23.1)
Indianapolis-Carmel-Anderson, Indiana 2,474 20.8 1.1 (18.6–23.1)
Jackson, Mississippi 778 21.5 2.2 (17.3–25.8)
Jacksonville, Florida 2,789 17.5 1.1 (15.3–19.8)
Kansas City, Missouri-Kansas 7,293 19.7 1.0 (17.6–21.7)
Kingsport-Bristol-Bristol, Tennessee-Virginia 511 33.6 3.8 (26.2–41.0)
Knoxville, Tennessee 622 22.0 2.2 (17.7–26.3)
Lansing-East Lansing, Michigan 669 19.3 2.1 (15.2–23.3)
Lexington-Fayette, Kentucky 619 21.9 2.1 (17.7–26.1)
Lincoln, Nebraska 1,828 18.9 1.2 (16.6–21.2)
Little Rock-North Little Rock-Conway, Arkansas 1,109 21.6 1.8 (18.1–25.1)
Logan, Utah-Idaho 624 8.7 1.6 (5.6–11.8)
Los Angeles-Long Beach-Anaheim, California 2,770 11.3 0.8 (9.6–12.9)
Louisville-Jefferson County, Kentucky-Indiana 2,071 23.5 1.5 (20.5–26.5)
Lubbock, Texas 522 19.4 2.6 (14.3–24.5)
Manhattan, Kansas 654 18.0 1.8 (14.4–21.6)
Memphis, Tennessee-Mississippi-Arkansas 1,150 21.6 1.9 (17.8–25.4)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,127 12.7 1.2 (10.3–15.0)
Milwaukee-Waukesha-West Allis, Wisconsin 1,194 20.8 1.9 (17.0–24.5)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,756 15.7 0.7 (14.3–17.1)
Minot, North Dakota 640 22.0 2.3 (17.5–26.5)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 946 19.7 1.7 (16.4–23.0)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 760 24.2 2.4 (19.4–29.0)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 1,015 19.4 1.7 (16.0–22.8)
Nassau County-Suffolk County, New York§ 906 17.7 1.9 (14.1–21.4)
Newark, New Jersey-Pennsylvania§ 3,877 13.7 0.9 (12.0–15.4)
New Orleans-Metairie, Louisiana 1,259 24.0 2.3 (19.6–28.5)
New York-Jersey City-White Plains, New York-New Jersey§ 8,481 15.0 0.6 (13.8–16.2)
Norfolk, Nebraska 649 19.5 2.0 (15.7–23.4)
North Platte, Nebraska 697 19.4 2.2 (15.0–23.8)
North Port-Sarasota-Bradenton, Florida 1,039 22.1 2.3 (17.7–26.6)
Oakland-Hayward-Berkeley, California§ 652 11.5 1.5 (8.5–14.5)
Ogden-Clearfield, Utah 2,415 10.4 0.8 (8.8–11.9)
Oklahoma City, Oklahoma 2,610 21.1 1.1 (19.0–23.3)
Omaha-Council Bluffs, Nebraska-Iowa 3,045 19.3 1.0 (17.2–21.3)
Orlando-Kissimmee-Sanford, Florida 2,198 16.0 1.2 (13.5–18.4)
Panama City, Florida 996 26.4 2.4 (21.6–31.2)
Pensacola-Ferry Pass-Brent, Florida 1,266 24.0 1.6 (20.8–27.2)
Philadelphia, Pennsylvania§ 1,708 21.9 1.5 (19.0–24.7)
Phoenix-Mesa-Scottsdale, Arizona 1,501 15.7 1.4 (12.9–18.4)
Pittsburgh, Pennsylvania 2,301 21.5 1.3 (18.9–24.1)
Ponce, Puerto Rico 527 8.4 1.8 (5.0–11.9)
Portland-South Portland, Maine 2,595 19.7 1.2 (17.3–22.2)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,178 16.2 0.9 (14.3–18.0)
Port St. Lucie, Florida 985 19.5 2.3 (15.0–24.0)
Providence-Warwick, Rhode Island-Massachusetts 7,926 18.7 0.8 (17.1–20.4)
Provo-Orem, Utah 1,811 6.1 0.7 (4.8–7.4)
Raleigh, North Carolina 659 13.8 1.6 (10.7–16.8)
Rapid City, South Dakota 855 24.1 2.1 (19.9–28.2)
Reno, Nevada 1,773 15.4 1.1 (13.1–17.6)
Richmond, Virginia 1,247 21.0 1.6 (17.9–24.1)
Riverside-San Bernardino-Ontario, California 1,279 14.8 1.3 (12.4–17.3)
Rochester, New York 494 16.0 2.4 (11.3–20.6)
Rockingham County-Strafford County, New Hampshire§ 1,614 16.6 1.4 (13.9–19.2)
Sacramento-Roseville-Arden-Arcade, California 839 16.4 1.9 (12.7–20.0)
St. Louis, Missouri-Illinois 2,015 21.4 1.5 (18.5–24.2)
Salem, Oregon 507 15.8 2.7 (10.5–21.2)
Salina, Kansas 516 20.3 2.4 (15.5–25.0)
Salisbury, Maryland-Delaware 1,983 19.5 1.6 (16.4–22.6)
Salt Lake City, Utah 4,537 10.9 0.6 (9.8–12.1)
San Antonio-New Braunfels, Texas 914 15.2 1.7 (11.9–18.4)
San Francisco-Redwood City-South San Francisco, California§ 499 11.7 2.3 (7.1–16.3)
San Jose-Sunnyvale-Santa Clara, California 574 9.4 2.0 (5.5–13.3)
San Juan-Carolina-Caguas, Puerto Rico 3,632 11.7 0.8 (10.2–13.2)
Scottsbluff, Nebraska 700 23.8 2.6 (18.8–28.9)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 554 24.3 2.7 (19.1–29.6)
Seattle-Bellevue-Everett, Washington§ 3,707 13.3 0.8 (11.8–14.8)
Shreveport-Bossier City, Louisiana 565 20.7 2.7 (15.4–26.0)
Silver Spring-Frederick-Rockville, Maryland§ 2,350 10.9 1.1 (8.7–13.0)
Sioux City, Iowa-Nebraska-South Dakota 1,031 22.6 2.9 (16.9–28.3)
Sioux Falls, South Dakota 991 16.3 1.7 (13.0–19.5)
Spartanburg, South Carolina 581 25.2 2.9 (19.6–30.8)
Spokane-Spokane Valley, Washington 848 20.4 2.1 (16.2–24.6)
Springfield, Massachusetts 1,496 21.3 2.1 (17.2–25.5)
Tallahassee, Florida 1,800 14.5 1.6 (11.4–17.6)
Tampa-St. Petersburg-Clearwater, Florida 2,129 20.9 1.4 (18.1–23.6)
Toledo, Ohio 963 24.7 2.5 (19.8–29.6)
Topeka, Kansas 2,365 20.5 1.1 (18.3–22.8)
Tulsa, Oklahoma 1,979 22.3 1.4 (19.6–25.0)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,604 21.2 1.6 (18.0–24.4)
Warren-Troy-Farmington Hills, Michigan§ 2,212 21.2 1.4 (18.5–23.8)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,660 14.1 0.7 (12.7–15.5)
Wichita, Kansas 4,857 22.3 0.8 (20.7–23.9)
Wilmington, Delaware-Maryland-New Jersey§ 3,179 19.3 1.1 (17.2–21.4)
Winston-Salem, North Carolina 679 28.0 2.8 (22.6–33.4)
Worcester, Massachusetts-Connecticut 2,656 20.5 1.4 (17.8–23.3)
Median 19.5
Range 6.1–33.6

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Current smoking is defined as having smoked at least 100 cigarettes and smoking daily or some days during the period of the survey.
§ Metropolitan division.

Return to your place in the textTABLE 33. Age-adjusted* prevalence estimates of current smoking among adults aged ≥18 years, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,368 21.7 0.8 (20.2–23.2)
Alaska 4,226 19.5 0.9 (17.8–21.2)
Arizona 14,002 16.9 0.6 (15.7–18.1)
Arkansas 4,925 25.4 1.1 (23.3–27.6)
California 8,195 12.8 0.5 (11.8–13.8)
Colorado 12,253 15.9 0.5 (14.9–16.8)
Connecticut 7,447 16.0 0.7 (14.7–17.4)
Delaware 4,148 20.6 1.1 (18.5–22.7)
District of Columbia 3,832 16.4 1.1 (14.3–18.5)
Florida 9,207 18.7 0.7 (17.3–20.0)
Georgia 5,952 17.4 0.7 (15.9–18.8)
Hawaii 6,890 14.6 0.6 (13.4–15.9)
Idaho 5,257 16.3 0.8 (14.7–17.9)
Illinois 4,844 16.6 0.8 (15.1–18.1)
Indiana 10,978 23.4 0.6 (22.2–24.6)
Iowa 7,751 19.1 0.7 (17.8–20.4)
Kansas 13,163 18.4 0.5 (17.5–19.3)
Kentucky 10,767 26.8 0.8 (25.2–28.4)
Louisiana 6,514 24.3 0.7 (22.9–25.7)
Maine 8,808 21.2 0.8 (19.7–22.7)
Maryland 12,126 14.6 0.7 (13.3–15.9)
Massachusetts 14,686 14.9 0.5 (13.8–15.9)
Michigan 8,231 22.0 0.7 (20.7–23.4)
Minnesota 15,842 16.6 0.4 (15.8–17.4)
Mississippi 4,073 23.6 1.0 (21.5–25.6)
Missouri 6,832 21.1 0.8 (19.5–22.7)
Montana 7,299 21.0 0.8 (19.4–22.6)
Nebraska 21,729 17.8 0.5 (16.8–18.7)
Nevada 3,651 17.1 1.1 (15.0–19.2)
New Hampshire 5,855 18.6 0.9 (16.8–20.3)
New Jersey 12,194 15.4 0.5 (14.4–16.5)
New Mexico 8,365 19.7 0.8 (18.2–21.2)
New York 6,408 14.6 0.6 (13.4–15.8)
North Carolina 6,982 19.4 0.6 (18.2–20.6)
North Dakota 7,499 20.3 0.8 (18.7–22.0)
Ohio 10,616 21.7 0.7 (20.2–23.1)
Oklahoma 8,194 21.5 0.7 (20.2–22.8)
Oregon 4,968 17.5 0.8 (15.9–19.0)
Pennsylvania 10,489 20.7 0.6 (19.4–21.9)
Rhode Island 6,097 16.8 0.8 (15.2–18.5)
South Carolina 10,635 22.2 0.6 (21.0–23.5)
South Dakota 7,186 19.1 0.9 (17.4–20.8)
Tennessee 4,851 24.8 1.0 (22.8–26.8)
Texas 14,536 14.5 0.5 (13.5–15.4)
Utah 14,459 9.5 0.3 (8.9–10.1)
Vermont 6,168 17.8 0.7 (16.4–19.1)
Virginia 9,100 19.9 0.6 (18.6–21.1)
Washington 9,727 15.5 0.6 (14.4–16.7)
West Virginia 6,086 28.1 0.8 (26.5–29.7)
Wisconsin 6,727 17.8 0.8 (16.3–19.3)
Wyoming 6,078 19.9 1.0 (17.9–21.9)
Guam 2,370 27.8 1.3 (25.2–30.4)
Puerto Rico 5,907 11.6 0.6 (10.5–12.8)
Median 18.7
Range 9.5–28.1

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Current smoking is defined as having smoked at least 100 cigarettes and smoking daily or some days during the period of the survey.

Return to your place in the textTABLE 34. Age-adjusted* prevalence estimates of current smoking among adults aged ≥18 years, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2014
MMSA Sample
size
% SE 95% CI
Aberdeen, South Dakota 603 20.7 3.1 (14.7–26.7)
Aguadilla-Isabela, Puerto Rico 542 10.8 1.7 (7.4–14.2)
Albuquerque, New Mexico 1,669 19.8 1.5 (17.0–22.7)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 1,040 21.6 2.4 (17.0–26.3)
Anchorage, Alaska 1,716 17.6 1.2 (15.3–19.9)
Atlanta-Sandy Springs-Roswell, Georgia 2,610 14.4 1.0 (12.5–16.3)
Augusta-Richmond County, Georgia-South Carolina 844 21.1 2.6 (16.1–26.2)
Austin-Round Rock, Texas 2,140 11.1 1.0 (9.2–13.1)
Baltimore-Columbia-Towson, Maryland 4,437 17.2 1.1 (15.0–19.4)
Baton Rouge, Louisiana 894 22.5 1.9 (18.7–26.2)
Berlin, New Hampshire-Vermont 521 20.3 3.7 (13.0–27.6)
Billings, Montana 779 25.5 2.3 (21.0–30.1)
Birmingham-Hoover, Alabama 1,519 18.4 1.5 (15.6–21.3)
Bismarck, North Dakota 1,006 21.4 2.2 (17.1–25.7)
Boise City, Idaho 1,290 14.6 1.5 (11.7–17.5)
Boston, Massachusetts§ 4,274 14.5 1.0 (12.6–16.5)
Burlington-South Burlington, Vermont 1,890 15.3 1.1 (13.1–17.4)
Cambridge-Newton-Framingham, Massachusetts§ 4,877 11.6 0.8 (10.1–13.1)
Camden, New Jersey§ 1,627 14.1 1.5 (11.3–17.0)
Cedar Rapids, Iowa 611 18.6 2.3 (14.0–23.1)
Charleston, West Virginia 862 29.3 2.2 (25.0–33.5)
Charleston-North Charleston, South Carolina 1,358 21.9 1.7 (18.6–25.2)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 2,062 19.2 1.2 (16.8–21.7)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,924 16.2 0.9 (14.5–17.9)
Cincinnati, Ohio-Kentucky-Indiana 1,978 23.9 1.8 (20.4–27.5)
Claremont-Lebanon, New Hampshire-Vermont 1,626 22.2 1.9 (18.4–26.0)
Cleveland-Elyria, Ohio 944 19.1 2.1 (15.1–23.2)
College Station-Bryan, Texas 556 11.2 2.4 (6.6–15.9)
Colorado Springs, Colorado 1,195 18.1 1.6 (15.0–21.1)
Columbia, South Carolina 1,173 21.0 1.7 (17.7–24.3)
Columbus, Ohio 1,603 19.4 1.6 (16.2–22.6)
Corpus Christi, Texas 592 15.5 2.7 (10.3–20.8)
Dallas-Plano-Irving, Texas§ 1,221 12.1 1.5 (9.1–15.0)
Dayton, Ohio 556 22.4 2.8 (16.9–27.8)
Denver-Aurora-Lakewood, Colorado 5,303 15.6 0.7 (14.3–16.9)
Des Moines-West Des Moines, Iowa 1,282 18.6 1.7 (15.3–22.0)
Duluth, Minnesota-Wisconsin 920 24.9 2.1 (20.8–29.1)
El Paso, Texas 668 13.3 2.0 (9.3–17.3)
Evansville, Indiana-Kentucky 626 21.6 3.0 (15.6–27.5)
Fargo, North Dakota-Minnesota 1,106 15.2 1.6 (12.1–18.3)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 779 21.8 2.6 (16.8–26.8)
Fort Wayne, Indiana 828 22.4 2.4 (17.8–27.1)
Fort Worth-Arlington, Texas§ 720 15.4 2.1 (11.4–19.5)
Grand Island, Nebraska 1,014 17.0 2.0 (13.1–20.9)
Grand Rapids-Wyoming, Michigan 872 18.6 2.0 (14.7–22.5)
Greensboro-High Point, North Carolina 495 20.2 2.6 (15.2–25.3)
Greenville-Anderson-Mauldin, South Carolina 1,445 18.0 1.4 (15.2–20.7)
Hagerstown-Martinsburg, Maryland-West Virginia 765 24.6 3.2 (18.4–30.8)
Hartford-West Hartford-East Hartford, Connecticut 2,487 15.6 1.1 (13.4–17.9)
Hilton Head Island-Bluffton-Beaufort, South Carolina 527 21.4 4.1 (13.5–29.4)
Houston-The Woodlands-Sugar Land, Texas 2,003 11.9 1.1 (9.6–14.1)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,214 26.3 2.0 (22.3–30.3)
Idaho Falls, Idaho 499 10.4 1.8 (6.9–13.9)
Indianapolis-Carmel-Anderson, Indiana 3,443 20.6 1.1 (18.5–22.8)
Jacksonville, Florida 636 19.9 2.4 (15.2–24.7)
Kansas City, Missouri-Kansas 4,696 18.4 1.1 (16.2–20.6)
Kingsport-Bristol-Bristol, Tennessee-Virginia 481 27.4 3.6 (20.4–34.5)
Knoxville, Tennessee 536 24.4 3.3 (18.0–30.8)
Lafayette, Louisiana 534 25.1 2.4 (20.3–29.9)
Lexington-Fayette, Kentucky 602 28.4 2.4 (23.6–33.2)
Lincoln, Nebraska 1,964 18.3 1.2 (16.0–20.7)
Little Rock-North Little Rock-Conway, Arkansas 1,118 22.2 2.0 (18.3–26.1)
Logan, Utah-Idaho 602 5.0 1.0 (3.0–6.9)
Los Angeles-Long Beach-Anaheim, California 2,165 12.8 0.9 (10.9–14.6)
Louisville-Jefferson County, Kentucky-Indiana 2,350 21.5 1.7 (18.1–24.9)
Madison, Wisconsin 528 11.5 2.0 (7.5–15.4)
Memphis, Tennessee-Mississippi-Arkansas 823 18.7 2.4 (14.1–23.4)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,020 14.9 1.3 (12.4–17.4)
Milwaukee-Waukesha-West Allis, Wisconsin 1,284 17.5 1.7 (14.2–20.9)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,452 15.1 0.5 (14.2–16.1)
Minot, North Dakota 574 23.9 2.8 (18.3–29.4)
Montgomery, Alabama 491 21.2 2.7 (15.9–26.5)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 780 13.3 1.8 (9.9–16.8)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 958 21.3 2.0 (17.4–25.2)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 756 23.4 2.2 (19.0–27.8)
Nassau County-Suffolk County, New York§ 722 12.9 1.7 (9.7–16.2)
Newark, New Jersey-Pennsylvania§ 3,867 16.0 1.0 (13.9–18.0)
New Orleans-Metairie, Louisiana 1,856 21.9 1.3 (19.3–24.4)
New York-Jersey City-White Plains, New York-New Jersey§ 6,982 13.1 0.6 (11.9–14.3)
Norfolk, Nebraska 953 19.8 1.7 (16.5–23.1)
North Platte, Nebraska 928 26.8 2.1 (22.7–30.8)
North Port-Sarasota-Bradenton, Florida 488 23.6 4.1 (15.6–31.7)
Oakland-Hayward-Berkeley, California§ 661 10.1 1.5 (7.3–13.0)
Ogden-Clearfield, Utah 2,829 10.8 0.7 (9.4–12.2)
Oklahoma City, Oklahoma 2,366 18.7 1.1 (16.6–20.8)
Omaha-Council Bluffs, Nebraska-Iowa 4,725 17.6 0.8 (15.9–19.2)
Orlando-Kissimmee-Sanford, Florida 901 16.4 1.8 (13.0–19.9)
Philadelphia, Pennsylvania§ 1,427 22.0 1.7 (18.8–25.3)
Phoenix-Mesa-Scottsdale, Arizona 8,831 16.9 0.7 (15.5–18.2)
Pittsburgh, Pennsylvania 2,301 21.0 1.3 (18.4–23.5)
Ponce, Puerto Rico 524 13.6 2.3 (9.1–18.1)
Portland-South Portland, Maine 2,665 16.6 1.3 (14.2–19.1)
Portland-Vancouver-Hillsboro, Oregon-Washington 2,699 14.9 1.0 (13.0–16.9)
Providence-Warwick, Rhode Island-Massachusetts 7,648 17.6 0.9 (15.8–19.4)
Provo-Orem, Utah 2,077 5.3 0.6 (4.2–6.4)
Raleigh, North Carolina 698 15.8 1.8 (12.4–19.3)
Rapid City, South Dakota 1,370 20.6 1.8 (17.0–24.2)
Reno, Nevada 1,169 15.0 1.5 (12.0–18.0)
Richmond, Virginia 1,404 20.0 1.5 (17.0–23.0)
Riverside-San Bernardino-Ontario, California 884 14.2 1.5 (11.3–17.2)
Roanoke, Virginia 510 24.5 3.1 (18.5–30.6)
Rochester, Minnesota 684 15.6 2.0 (11.7–19.4)
Rockingham County-Strafford County, New Hampshire§ 1,367 18.8 1.7 (15.4–22.2)
Sacramento-Roseville-Arden-Arcade, California 605 13.8 1.7 (10.4–17.2)
St. Cloud, Minnesota 535 16.5 2.0 (12.5–20.4)
St. Louis, Missouri-Illinois 1,845 17.5 1.5 (14.5–20.4)
Salisbury, Maryland-Delaware 1,896 21.6 1.9 (17.9–25.3)
Salt Lake City, Utah 5,197 10.9 0.5 (9.9–12.0)
San Antonio-New Braunfels, Texas 2,169 13.2 1.0 (11.2–15.2)
San Juan-Carolina-Caguas, Puerto Rico 3,717 11.6 0.7 (10.1–13.0)
Scottsbluff, Nebraska 879 21.6 2.0 (17.7–25.5)
Seattle-Bellevue-Everett, Washington§ 3,555 12.8 0.9 (11.1–14.5)
Shreveport-Bossier City, Louisiana 528 25.6 2.6 (20.5–30.7)
Silver Spring-Frederick-Rockville, Maryland§ 2,314 8.4 1.1 (6.1–10.6)
Sioux City, Iowa-Nebraska-South Dakota 1,109 20.5 2.5 (15.6–25.3)
Sioux Falls, South Dakota 1,314 17.2 1.8 (13.8–20.7)
Spartanburg, South Carolina 538 28.8 3.3 (22.3–35.3)
Spokane-Spokane Valley, Washington 708 19.8 2.4 (15.2–24.5)
Springfield, Massachusetts 1,026 20.3 2.2 (16.0–24.5)
Tampa-St. Petersburg-Clearwater, Florida 1,497 22.8 1.8 (19.2–26.4)
Toledo, Ohio 635 18.2 2.6 (13.1–23.2)
Topeka, Kansas 1,390 21.9 1.6 (18.8–24.9)
Tulsa, Oklahoma 1,972 18.3 1.2 (16.0–20.7)
Tuscaloosa, Alabama 697 21.5 2.2 (17.3–25.8)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,805 22.1 1.5 (19.1–25.1)
Warren-Troy-Farmington Hills, Michigan§ 2,063 21.5 1.4 (18.7–24.3)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 7,907 13.4 0.7 (12.0–14.8)
Wichita, Kansas 2,621 19.3 1.0 (17.3–21.2)
Wichita Falls, Texas 513 13.0 2.4 (8.3–17.7)
Wilmington, Delaware-Maryland-New Jersey§ 2,660 18.7 1.3 (16.2–21.2)
Worcester, Massachusetts-Connecticut 2,293 18.1 1.4 (15.4–20.8)
Youngstown-Warren-Boardman, Ohio-Pennsylvania 503 27.5 3.7 (20.1–34.8)
Median 18.6
Range 5.0–29.3

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
Current smoking is defined as having smoked at least 100 cigarettes and smoking daily or some days during the period of the survey.
§ Metropolitan division.

Return to your place in the textTABLE 35. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported binge drinking during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2013
State/Territory Sample
size
% SE 95% CI
Alabama 6,263 11.8 0.7 (10.5–13.2)
Alaska 4,390 19.6 0.9 (17.8–21.3)
Arizona 4,047 14.0 1.1 (11.8–16.1)
Arkansas 5,042 13.4 0.8 (11.8–15.1)
California 9,945 17.9 0.6 (16.8–19.0)
Colorado 12,602 19.0 0.5 (18.0–20.0)
Connecticut 7,354 19.8 0.8 (18.2–21.3)
Delaware 4,972 18.2 0.8 (16.6–19.9)
District of Columbia 4,591 21.6 1.0 (19.5–23.6)
Florida 32,367 17.2 0.6 (16.1–18.3)
Georgia 7,612 13.3 0.6 (12.2–14.4)
Hawaii 7,584 19.4 0.7 (18.0–20.8)
Idaho 5,426 15.4 0.8 (13.8–17.0)
Illinois 5,462 22.6 0.9 (20.8–24.4)
Indiana 9,910 16.0 0.5 (14.9–17.0)
Iowa 7,903 23.4 0.7 (22.0–24.9)
Kansas 22,508 16.2 0.3 (15.5–16.8)
Kentucky 10,350 14.4 0.6 (13.2–15.5)
Louisiana 5,032 16.9 1.0 (14.9–18.8)
Maine 7,849 19.6 0.7 (18.2–21.0)
Maryland 12,363 14.9 0.5 (13.8–15.9)
Massachusetts 14,040 20.8 0.6 (19.6–22.0)
Michigan 12,368 19.9 0.6 (18.8–21.0)
Minnesota 13,576 21.9 0.6 (20.6–23.1)
Mississippi 7,113 12.9 0.7 (11.6–14.2)
Missouri 6,898 18.3 0.8 (16.7–19.9)
Montana 9,362 22.6 0.7 (21.3–23.9)
Nebraska 16,500 21.1 0.6 (20.0–22.2)
Nevada 4,881 15.7 1.0 (13.7–17.7)
New Hampshire 6,165 18.4 0.8 (16.8–19.9)
New Jersey 12,293 17.4 0.5 (16.4–18.5)
New Mexico 8,914 15.3 0.6 (14.1–16.5)
New York 8,471 18.3 0.6 (17.1–19.5)
North Carolina 8,470 13.8 0.6 (12.7–14.9)
North Dakota 7,504 25.2 0.8 (23.6–26.7)
Ohio 11,350 18.4 0.6 (17.2–19.6)
Oklahoma 8,027 13.4 0.6 (12.2–14.5)
Oregon 5,661 17.6 0.7 (16.1–19.0)
Pennsylvania 10,921 18.8 0.5 (17.7–19.8)
Rhode Island 6,133 19.1 0.8 (17.5–20.7)
South Carolina 10,300 15.9 0.6 (14.8–17.1)
South Dakota 6,640 20.6 0.9 (18.9–22.4)
Tennessee 5,334 10.5 0.7 (9.1–11.8)
Texas 10,353 16.7 0.6 (15.6–17.9)
Utah 12,354 11.9 0.4 (11.1–12.6)
Vermont 6,166 19.1 0.8 (17.5–20.7)
Virginia 7,961 16.8 0.6 (15.5–18.0)
Washington 10,889 17.5 0.5 (16.4–18.5)
West Virginia 5,765 12.4 0.6 (11.2–13.7)
Wisconsin 6,160 24.2 0.9 (22.4–26.0)
Wyoming 6,228 17.7 0.8 (16.0–19.3)
Guam 1,787 20.5 1.3 (18.0–23.0)
Puerto Rico 5,884 15.6 0.7 (14.2–17.0)
Median 17.7
Range 10.5–25.2

Abbreviations: CI = confidence interval; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
For men, having five or more drinks on at least one occasion; for women, having four or more drinks on at least one occasion.

Return to your place in the textTABLE 36. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported binge drinking during the past 30 days, by metropolitan and micropolitan statistical area — Behavioral Risk Factor Surveillance System, United States, 2013
MMSA Sample
size
% SE 95% CI
Aguadilla-Isabela, Puerto Rico 583 14.1 2.4 (9.4–18.9)
Akron, Ohio 657 20.4 2.7 (15.2–25.7)
Albuquerque, New Mexico 1,994 15.5 1.1 (13.3–17.8)
Allentown-Bethlehem-Easton, Pennsylvania-New Jersey 968 18.8 2.0 (14.8–22.7)
Anchorage, Alaska 1,463 18.0 1.4 (15.4–20.7)
Atlanta-Sandy Springs-Roswell, Georgia 3,288 13.8 0.9 (12.1–15.5)
Augusta-Richmond County, Georgia-South Carolina 866 18.9 2.4 (14.3–23.6)
Austin-Round Rock, Texas 885 22.4 2.0 (18.6–26.3)
Baltimore-Columbia-Towson, Maryland 4,516 16.3 0.9 (14.5–18.1)
Baton Rouge, Louisiana 889 20.7 2.3 (16.1–25.3)
Billings, Montana 786 21.6 1.7 (18.2–24.9)
Birmingham-Hoover, Alabama 1,303 14.4 1.5 (11.5–17.4)
Bismarck, North Dakota 990 25.1 1.9 (21.3–28.8)
Boise City, Idaho 1,434 16.9 1.5 (14.0–19.7)
Boston, Massachusetts§ 3,789 22.9 1.1 (20.7–25.2)
Buffalo-Cheektowaga-Niagara Falls, New York 484 25.3 2.9 (19.6–30.9)
Burlington-South Burlington, Vermont 1,577 20.0 1.4 (17.3–22.8)
Cambridge-Newton-Framingham, Massachusetts§ 4,544 20.6 1.0 (18.5–22.6)
Camden, New Jersey§ 1,730 18.4 1.4 (15.8–21.1)
Cedar Rapids, Iowa 629 21.8 2.4 (17.0–26.6)
Charleston, West Virginia 798 15.7 1.8 (12.1–19.3)
Charleston-North Charleston, South Carolina 1,486 20.2 1.5 (17.3–23.1)
Charlotte-Concord-Gastonia, North Carolina-South Carolina 1,869 14.9 1.2 (12.6–17.2)
Chattanooga, Tennessee-Georgia 524 9.6 2.3 (5.0–14.1)
Chicago-Naperville-Elgin, Illinois-Indiana-Wisconsin 3,227 23.5 1.2 (21.1–25.8)
Cincinnati, Ohio-Kentucky-Indiana 2,466 19.5 1.4 (16.9–22.2)
Claremont-Lebanon, New Hampshire-Vermont 1,620 15.2 1.8 (11.7–18.6)
Cleveland-Elyria, Ohio 1,033 17.2 1.8 (13.7–20.8)
Colorado Springs, Colorado 1,282 15.2 1.4 (12.5–17.8)
Columbia, South Carolina 1,403 18.5 1.6 (15.5–21.6)
Columbus, Ohio 1,766 18.4 1.2 (16.1–20.8)
Crestview-Fort Walton Beach-Destin, Florida 1,022 19.0 2.0 (15.1–23.0)
Dallas-Plano-Irving, Texas§ 857 17.4 1.7 (14.1–20.7)
Davenport-Moline-Rock Island, Iowa-Illinois 659 22.8 2.7 (17.6–28.0)
Dayton, Ohio 797 17.7 2.1 (13.5–21.9)
Deltona-Daytona Beach-Ormond Beach, Florida 1,052 18.2 2.4 (13.4–23.0)
Denver-Aurora-Lakewood, Colorado 5,281 20.2 0.7 (18.8–21.7)
Des Moines-West Des Moines, Iowa 1,310 20.0 1.6 (16.9–23.2)
Duluth, Minnesota-Wisconsin 677 21.8 2.8 (16.2–27.3)
Durham-Chapel Hill, North Carolina 596 14.8 2.2 (10.4–19.2)
El Paso, Texas 713 15.1 2.0 (11.1–19.1)
Evansville, Indiana-Kentucky 557 16.2 2.6 (11.1–21.2)
Fargo, North Dakota-Minnesota 1,147 24.8 1.8 (21.2–28.3)
Fayetteville-Springdale-Rogers, Arkansas-Missouri 787 18.0 2.3 (13.5–22.4)
Fort Smith, Arkansas-Oklahoma 485 12.6 2.4 (8.0–17.3)
Fort Wayne, Indiana 748 15.2 2.0 (11.4–19.1)
Fort Worth-Arlington, Texas§ 782 14.7 1.9 (11.1–18.4)
Gainesville, Florida 993 17.2 2.3 (12.6–21.8)
Grand Forks, North Dakota-Minnesota 484 21.0 3.0 (15.1–26.9)
Grand Island, Nebraska 773 20.2 2.4 (15.5–24.9)
Grand Rapids-Wyoming, Michigan 1,313 20.3 1.5 (17.4–23.2)
Greensboro-High Point, North Carolina 636 12.0 1.7 (8.6–15.4)
Greenville-Anderson-Mauldin, South Carolina 1,284 14.3 1.4 (11.5–17.1)
Gulfport-Biloxi-Pascagoula, Mississippi 733 15.5 1.8 (11.9–19.1)
Hagerstown-Martinsburg, Maryland-West Virginia 736 13.3 2.6 (8.3–18.3)
Hartford-West Hartford-East Hartford, Connecticut 2,714 19.1 1.3 (16.5–21.7)
Hilton Head Island-Bluffton-Beaufort, South Carolina 777 20.9 2.8 (15.4–26.4)
Houston-The Woodlands-Sugar Land, Texas 1,302 15.5 1.4 (12.8–18.3)
Huntington-Ashland, West Virginia-Kentucky-Ohio 1,136 12.8 1.5 (10.0–15.7)
Idaho Falls, Idaho 492 8.5 1.7 (5.1–11.8)
Indianapolis-Carmel-Anderson, Indiana 2,430 15.0 1.0 (13.0–16.9)
Jackson, Mississippi 759 11.9 1.7 (8.5–15.3)
Jacksonville, Florida 2,737 16.6 1.2 (14.3–19.0)
Kansas City, Missouri-Kansas 7,178 17.8 1.0 (15.9–19.8)
Kingsport-Bristol-Bristol, Tennessee-Virginia 507 12.4 2.9 (6.8–18.1)
Knoxville, Tennessee 603 9.3 1.6 (6.1–12.4)
Lansing-East Lansing, Michigan 668 24.6 2.3 (20.1–29.1)
Lexington-Fayette, Kentucky 608 16.3 1.8 (12.8–19.8)
Lincoln, Nebraska 1,807 23.0 1.2 (20.5–25.4)
Little Rock-North Little Rock-Conway, Arkansas 1,099 14.0 1.6 (10.8–17.2)
Logan, Utah-Idaho 622 9.0 1.4 (6.3–11.8)
Los Angeles-Long Beach-Anaheim, California 2,573 17.2 1.0 (15.1–19.2)
Louisville-Jefferson County, Kentucky-Indiana 2,029 18.1 1.4 (15.3–20.8)
Lubbock, Texas 514 18.5 2.8 (13.0–24.1)
Manhattan, Kansas 642 22.1 2.0 (18.1–26.0)
Memphis, Tennessee-Mississippi-Arkansas 1,125 11.8 1.5 (8.8–14.7)
Miami-Fort Lauderdale-West Palm Beach, Florida 2,077 18.0 1.5 (15.2–20.9)
Milwaukee-Waukesha-West Allis, Wisconsin 1,170 21.6 2.0 (17.6–25.6)
Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin 8,611 22.6 0.9 (20.9–24.4)
Minot, North Dakota 626 24.7 2.3 (20.2–29.1)
Montgomery County-Bucks County-Chester County, Pennsylvania§ 930 22.6 1.8 (19.1–26.2)
Myrtle Beach-Conway-North Myrtle Beach, South Carolina-North Carolina 746 16.7 2.2 (12.4–21.0)
Nashville-Davidson County-Murfreesboro-Franklin, Tennessee 985 13.3 1.4 (10.5–16.0)
Nassau County-Suffolk County, New York§ 879 18.7 1.9 (14.9–22.5)
Newark, New Jersey-Pennsylvania§ 3,768 16.8 0.9 (15.0–18.7)
New Orleans-Metairie, Louisiana 1,230 19.6 2.2 (15.3–23.9)
New York-Jersey City-White Plains, New York-New Jersey§ 8,295 17.5 0.6 (16.3–18.8)
Norfolk, Nebraska 641 19.3 2.0 (15.4–23.1)
North Platte, Nebraska 689 18.9 2.3 (14.4–23.4)
North Port-Sarasota-Bradenton, Florida 1,015 20.3 2.2 (16.0–24.5)
Oakland-Hayward-Berkeley, California§ 620 16.2 2.1 (12.2–20.3)
Ogden-Clearfield, Utah 2,397 12.0 0.9 (10.3–13.7)
Oklahoma City, Oklahoma 2,581 14.7 1.1 (12.6–16.8)
Omaha-Council Bluffs, Nebraska-Iowa 3,016 20.9 1.0 (18.9–23.0)
Orlando-Kissimmee-Sanford, Florida 2,154 15.4 1.3 (12.9–17.8)
Panama City, Florida 978 19.2 2.1 (15.0–23.3)
Pensacola-Ferry Pass-Brent, Florida 1,245 14.7 1.4 (11.9–17.4)
Philadelphia, Pennsylvania§ 1,678 19.2 1.4 (16.5–21.9)
Phoenix-Mesa-Scottsdale, Arizona 1,474 14.4 1.5 (11.4–17.4)
Pittsburgh, Pennsylvania 2,248 21.5 1.3 (19.0–24.1)
Ponce, Puerto Rico 521 14.2 2.2 (9.9–18.5)
Portland-South Portland, Maine 2,549 21.6 1.3 (19.1–24.1)
Portland-Vancouver-Hillsboro, Oregon-Washington 3,118 16.9 0.9 (15.1–18.7)
Port St. Lucie, Florida 956 15.9 2.3 (11.3–20.4)
Providence-Warwick, Rhode Island-Massachusetts 7,795 19.5 1.0 (17.6–21.4)
Provo-Orem, Utah 1,806 7.2 0.7 (5.7–8.6)
Raleigh, North Carolina 640 16.6 1.6 (13.4–19.8)
Rapid City, South Dakota 841 20.0 2.0 (16.1–23.8)
Reno, Nevada 1,756 19.9 1.3 (17.3–22.4)
Richmond, Virginia 1,224 20.6 1.6 (17.4–23.8)
Riverside-San Bernardino-Ontario, California 1,194 16.4 1.4 (13.7–19.2)
Rochester, New York 492 15.1 2.2 (10.7–19.5)
Rockingham County-Strafford County, New Hampshire§ 1,585 20.0 1.5 (17.0–23.0)
Sacramento-Roseville-Arden-Arcade, California 794 19.5 2.0 (15.6–23.4)
St. Louis, Missouri-Illinois 1,991 22.1 1.6 (19.0–25.1)
Salem, Oregon 497 15.3 2.7 (10.1–20.5)
Salina, Kansas 510 13.8 2.2 (9.6–18.1)
Salisbury, Maryland-Delaware 1,956 15.4 1.5 (12.5–18.4)
Salt Lake City, Utah 4,480 14.2 0.7 (12.8–15.5)
San Antonio-New Braunfels, Texas 902 19.7 2.0 (15.9–23.6)
San Francisco-Redwood City-South San Francisco, California§ 461 23.9 2.8 (18.5–29.4)
San Jose-Sunnyvale-Santa Clara, California 533 15.9 2.0 (12.0–19.8)
San Juan-Carolina-Caguas, Puerto Rico 3,568 16.4 0.9 (14.6–18.1)
Scottsbluff, Nebraska 691 15.7 2.3 (11.3–20.2)
Scranton-Wilkes-Barre-Hazleton, Pennsylvania 543 23.8 2.9 (18.1–29.4)
Seattle-Bellevue-Everett, Washington§ 3,667 18.3 0.9 (16.6–20.0)
Shreveport-Bossier City, Louisiana 551 17.8 3.1 (11.6–23.9)
Silver Spring-Frederick-Rockville, Maryland§ 2,314 14.8 1.1 (12.6–16.9)
Sioux City, Iowa-Nebraska-South Dakota 1,013 21.9 2.8 (16.5–27.3)
Sioux Falls, South Dakota 966 22.2 1.9 (18.5–26.0)
Spartanburg, South Carolina 571 8.8 2.0 (4.9–12.7)
Spokane-Spokane Valley, Washington 844 17.8 2.0 (14.0–21.7)
Springfield, Massachusetts 1,466 18.5 2.0 (14.6–22.5)
Tallahassee, Florida 1,771 17.4 1.9 (13.6–21.1)
Tampa-St. Petersburg-Clearwater, Florida 2,088 17.1 1.3 (14.6–19.5)
Toledo, Ohio 951 20.1 2.2 (15.9–24.4)
Topeka, Kansas 2,325 14.7 1.1 (12.6–16.9)
Tulsa, Oklahoma 1,948 12.5 1.1 (10.2–14.7)
Virginia Beach-Norfolk-Newport News, Virginia-North Carolina 1,572 17.5 1.4 (14.7–20.2)
Warren-Troy-Farmington Hills, Michigan§ 2,181 21.1 1.3 (18.7–23.6)
Washington-Arlington-Alexandria, District of Columbia-Virginia-Maryland-West Virginia§ 8,483 16.5 0.8 (14.9–18.1)
Wichita, Kansas 4,769 15.5 0.7 (14.1–17.0)
Wilmington, Delaware-Maryland-New Jersey§ 3,132 17.9 1.0 (15.9–19.9)
Winston-Salem, North Carolina 661 12.2 2.1 (8.1–16.3)
Worcester, Massachusetts-Connecticut 2,614 20.0 1.4 (17.3–22.7)
Median 17.8
Range 7.2–25.3

Abbreviations: CI = confidence interval; MMSA = metropolitan and micropolitan statistical areas; SE = standard error.
* Age adjusted to the 2000 U.S. standard population.
For men, having five or more drinks on one occasion; for women, having four or more drinks on one occasion.
§ Metropolitan division.

Return to your place in the textTABLE 37. Age-adjusted* prevalence estimates of adults aged ≥18 years who reported binge drinking during the past 30 days, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2014
State/Territory Sample
size
% SE 95% CI
Alabama 8,230 12.9 0