Disability and Health Data System (DHDS) Data Guide Prevention & Screenings

Mammogram in Past 2 Years

Behavioral Risk Factor Surveillance System respondents who were female were asked, “Have you ever had a mammogram?” Those who responded “Yes” then were asked, “How long has it been since you had your last mammogram?” Responses were grouped into two categories: Yes and No. Respondents who reported having had a mammogram during the past 2 years were defined as Yes.

Analyses excluded respondents younger than 50 or older than 74 years of age.

Mammogram in Past 2 Years data available: 2016 and 2018.

Related Indicators: Up-to-date Cervical Cancer Screening

Defined based on

Centers for Disease Control and Prevention. Breast cancer screening among adult women—Behavioral Risk Factor Surveillance System, United States, 2010. MMWR Morb Mortal Wkly Rep. 2012;61(Supplement):46–50.

Courtney-Long E, Armour B, Frammartino B, Miller J. Factors associated with self-reported mammography use for women with and women without a disability. J Womens Health. 2011;20(9):1279-86.

U.S. Preventive Services Task Force. Screening for Breast Cancer [Internet]. Rockville, MD: U.S. Preventive Services Task Force; 2016. [Updated 2016 January; Cited 2020 August 13]. Available from: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screeningexternal icon.

Up-to-date Cervical Cancer Screening

Behavioral Risk Factor Surveillance System respondents who were female were asked, “A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?” Those who responded “Yes” then were asked, “How long has it been since you had your last Pap test?” Respondents also were asked, “An HPV (Human Papillomavirus) test is sometimes given with the Pap test for cervical cancer screening.  Have you ever had an HPV test?”  Those who responded “Yes” were then asked, “How long has it been since you had your last HPV test?” Responses were grouped into two categories: Yes and No. Respondents 21 to 29 years of age who reported having had a Pap test during the past 3 years, and respondents 30 to 65 years of age who reported having had a Pap test during the past 3 years or a Pap test and HPV test during the past 5 years were defined as Yes.

Analyses excluded respondents younger than 21 or older than 65 years of age and women who reported having had a hysterectomy.

Up-to-date Cervical Cancer Screening data available: 2016 and 2018.

Related Indicators: Mammogram in Past 2 Years

Defined based on

U.S. Preventive Services Task Force. Screening for Cervical Cancer [Internet]. Rockville, MD: U.S. Preventive Services Task Force; 2018. [Updated 2018 August; Cited 2020 August 13]. Available from: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screeningexternal icon.

White A, Thompson TD, White MC, et al. Cancer screening test use—United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66:201-6.

Up-to-date Colorectal Cancer Screening

Behavioral Risk Factor Surveillance System respondents 50 years of age or older were asked, “A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?” Those who responded “Yes” then were asked, “How long has it been since you had your last blood stool test using a home kit?” Respondents also were asked, “Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams?” Those who responded “Yes” then were asked, “For a sigmoidoscopy, a flexible tube is inserted into the rectum to look for problems. A colonoscopy is similar, but uses a longer tube, and you are usually given medication through a needle in your arm to make you sleepy and told to have someone else drive you home after the test. Was your most recent exam a sigmoidoscopy or a colonoscopy?” and “How long has it been since you had your last sigmoidoscopy or colonoscopy?” Responses were grouped into two categories: Yes and No. Respondents who reported having had a fecal occult blood test (FOBT) during the past year, a colonoscopy during the past 10 years, or a sigmoidoscopy during the past 5 years and a FOBT during the past 3 years were defined as Yes.

Analyses excluded respondents younger than 50 or older than 75 years of age.

Up-to-date Colorectal Cancer Screening data available: 2016 and 2018.

Defined based on

Centers for Disease Control and Prevention. Vital signs: colorectal cancer screening test use―United States, 2012. MMWR Morb Mortal Wkly Rep. 2013;62:881–8.

U.S. Preventive Services Task Force. Screening for Colorectal Cancer [Internet]. Rockville, MD: U.S. Preventive Services Task Force; 2016. [Updated 2016 June; Cited 2020 August 13]. Available from: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screeningexternal icon.

Routine Check-up in Past Year

Behavioral Risk Factor Surveillance System respondents were asked, “About how long has it been since you last visited a doctor for a routine checkup? A routine checkup is a general physical exam, not an exam for a specific injury, illness, or condition.” Responses were grouped into two categories: Yes and No. Respondents who reported having had a routine checkup during the past year were defined as Yes.

Routine Check-up in Past Year data available: 2016, 2017, and 2018.

Related Indicators: Could Not See a Doctor Due to Cost in Past 12 Months, Have a Personal Doctor, and Have Health Care Coverage

Defined based on

Centers for Disease Control and Prevention. Surveillance of certain health behaviors and conditions among states and selected local areas―Behavioral Risk Factor Surveillance System (BRFSS), United States, 2006. MMWR Surveill Summ. 2008;57(No. SS-7):2–3, 11.

Visited Dentist in Past Year

Behavioral Risk Factor Surveillance System respondents were asked, “How long has it been since you last visited a dentist or a dental clinic for any reason? Include visits to dental specialists, such as orthodontists.” Responses were grouped into two categories: Yes and No. Respondents who reported having visited a dentist during the past year were defined as Yes.

Visited Dentist in Past Year data available: 2016 and 2018.

Defined based on

Armour BS, Swanson M, Waldman HB, and Perlman SP. A profile of state-level differences in the oral health of people with and without disabilities, in the U.S., in 2004. Public Health Rep. 2008;123:67–75.

Flu Vaccine in Past 12 Months

Behavioral Risk Factor Surveillance System respondents were asked, “There are two ways to get the flu vaccine, one is a shot in the arm and the other is a spray, mist, or drop in the nose called FluMist™. During the past 12 months, have you had either a flu shot or a flu vaccine that was sprayed in your nose?” Responses were grouped into two categories: Yes and No.

Flu Vaccine in Past 12 Months data available: 2016, 2017, and 2018.

Defined based on

Centers for Disease Control and Prevention. Surveillance of certain health behaviors and conditions among states and selected local areas―Behavioral Risk Factor Surveillance System (BRFSS), United States, 2009. MMWR Surveill Summ. 2011;60(No. SS-9):5.

Communication with the National Center of Immunization and Respiratory Diseases (NCIRD)