Georgia Behavioral Risk Factor Surveillance System 2002 Report Table of Contents Page Chapter 1 Introduction 2 Obesity 4 Diabetes 6 Cigarette Smoking 8 PhysicalActivity 10 Mammography 12 Pap Test 14 Flu Shot 16 PneumoniaImmunization 18 Health Insurance 20 Specific Source of Care 22 Data Tables 24 Methods 25 Definitions Georgia Department of Human Resources Division of Public Health Epidemiology Branch Chronic Disease, Injury, and Environmental Epidemiology Section Maria Greene, Acting Commissioner Kathleen E. Toomey, M.D., M.P.H., Director Paul Blake, M.D., M.P.H., Director Kenneth E. Powell, M.D., M.P.H., Chief The Georgia Behavioral Risk Factor Surveillance System is supported in part through Centers for Disease Control and Prevention Cooperative Agreement U58/CCU422885. Without the cooperation and participation of the Georgia residents who complete the telephone survey the BRFSS would not be possible. Cover photos courtesy of Georgia Department of Industry, Trade and Tourism. Suggested Citation: Martin LM, Chowdhury PP, Powell KE, Clanton J. Georgia Behavioral Risk Factor Surveillance System, 2002 Report. Georgia Department of Human Resources, Division of Public Health, Chronic Disease, Injury, and Environmental Epidemiology Section, January 2004. Publication number DPH04/158HW. Introduction The Georgia Behavioral Risk Factor Surveillance System (BRFSS) is a primary source of information on the major health risk behaviors and the use of clinical preventive services among adult Georgians. This report presents BRFSS data for Georgia and for the 19 public health districts. For the state, data from the 2002 survey are reported by demographics. The survey data from 2000 through 2002 have been aggregated for the 19 health districts to increase the sample size and the reliability of demographic estimates. For each of the risk factors in this report national Healthy People 2010 objectives have been identified. These objectives represent targets to be reached by the year 2010 and support the overarching goals of Healthy People 2010 to increase the quality and years of healthy life and eliminate disparities. Georgia Public Health Districts District 1-1, Northwest (Rome) District 1-2, North Georgia (Dalton) District 2, North (Gainesville) District 3-1, Cobb/Douglas District 3-2, Fulton District 3-3, Clayton (Morrow) District 3-4, East Metro (Lawrenceville) District 3-5, DeKalb District 4, LaGrange District 5-1, South Central (Dublin) District 5-2, North Central (Macon) District 6, East Central (Augusta) District 7, West Central (Columbus) District 8-1, South (Valdosta) District 8-2, Southwest (Albany) District 9-1, East (Savannah) District 9-2, Southeast (Waycross) District 9-3, Coastal (Brunswick) District 10, Northeast (Athens) Counties Bartow, Catoosa, Chattooga, Dade, Floyd, Gordon, Haralson, Paulding, Polk, Walker Cherokee, Fannin, Gilmer, Murray, Pickens, Whitfield Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White Cobb, Douglas Fulton Clayton Gwinnett, Newton, Rockdale DeKalb Butts, Carroll, Coweta, Fayette, Heard, Henry, Lamar, Meriwether, Pike, Spalding, Troup, Upson Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, Wilcox Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones, Monroe, Peach, Putnam, Twiggs, Washington, Wilkinson Burke, Columbia, Emanuel, Glascock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Wilkes Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Muscogee, Marion, Quitman, Randolph, Schely, Stewart, Sumter, Talbot, Taylor, Webster Ben Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier, Lowndes, Tift, Turner Baker, Calhoun, Colquitt, Dougherty, Decatur, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth Chatham, Effingham Appling, Atkinson, Bacon, Brantley, Bulloch, Candler, Charlton, Clinch, Coffee, Evans, Jeff Davis, Pierce, Tattnall, Toombs, Ware, Wayne Bryan, Camden, Glynn, Liberty, Long, McIntosh Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton BRFSS 2002 | 1 Obesity Obesity is a risk factor for Type II diabetes mellitus, coronary heart disease, gall bladder disease, osteoarthritis, sleep apnea, respiratory problems, and some types of cancer. Obesity is also associated with high blood cholesterol and high blood pressure. The risk of these conditions can be reduced by weight loss. Recommendations for weight loss and weight maintenance include reducing calories and increasing physical activity. Obesity is defined as body mass index (BMI1) of 30.0 or more. 1 BMI= weight in kg/height in m2 Obese Adults, Georgia 2002: 23.5% Healthy People 2010 Objective: 15% The prevalence of obese adults is significantly more common in blacks than whites, among adults age 25 or more than adults age 1824, and among adults with income less than $15,000 than adults with income $35,000 or more. Percent Percent Percent Percent of Obese Adults, Age 18+, by Sex, Georgia 2002 50 40 30 20 10 23.2 0 23.7 Male Female Sex Percent of Obese Adults, Age 18+, by Race/Ethnicity, Georgia 2002 50 40 30 20 10 20.7 0 White 31.2 23.9 Black Hispanic Race/Ethnicity 15.6 Other Percent of Obese Adults, Age 18+, by Age, Georgia 2002 50 40 30 20 10 11.8 0 18-24 20.9 25-34 26.6 29.4 35-44 45-54 Age 27.7 55-64 22.5 65+ Percent Percent of Obese Adults, Age 18+, by Income, Georgia 2002 50 40 30 20 10 35.2 0 Less than $15,000 29.1 $15,000$24,999 26.1 23.4 $25,000$34,999 $35,000$49,999 Income 22.0 $50,000$74,999 17.0 $75,000 or more Percent Percent of Obese Adults, Age 18+, by Access to Medical Care, Georgia 2002 50 40 30 20 10 22.9 0 26.3 Yes No Access to Medical Care 2 | BRFSS 2002 Percent of Obese Adults, Age 18+, By Age, Sex, and Race, Georgia Health Districts, 2000-2002 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Total N % 12,852 22.3 739 24.0 649 20.9 627 22.2 679 20.2 660 18.0 596 24.0 624 17.6 697 20.1 690 24.3 694 27.9 714 25.9 725 26.5 689 21.1 632 27.2 729 26.2 668 17.5 701 29.1 696 24.2 643 23.7 95% CI 21.4-23.3 20.6-27.5 16.9-24.8 17.7-26.8 16.5-23.7 14.5-21.5 19.7-28.3 14.4-20.9 16.2-24.0 20.3-28.2 23.7-32.1 22.0-29.7 22.7-30.3 17.7-24.5 23.1-31.3 22.4-30.1 14.2-20.7 25.1-33.2 20.3-28.1 19.9-27.4 Age 18-44 % 95% CI 20.4 19.1-21.6 20.8 16.1-25.5 21.2 15.3-27.1 19.6 14.0-25.2 20.6 15.6-25.5 15.3 11.3-19.2 25.1 19.3-30.9 13.7 9.9-17.5 17.9 12.6-23.3 23.0 17.2-28.8 24.0 18.4-29.7 22.6 17.1-28.1 27.1 21.8-32.5 18.5 13.8-23.1 24.9 19.1-30.6 26.2 20.6-31.9 15.4 10.9-20.0 26.9 21.0-32.8 22.6 17.4-27.8 22.3 17.1-27.5 45-64 % 26.8 30.3 23.2 31.1 19.0 24.7 23.9 25.4 22.7 26.8 34.3 34.6 26.6 27.5 34.1 28.4 24.3 33.0 26.4 28.0 65+ 95% CI % 25.1-28.6 20.6 24.0-36.6 22.1 17.2-29.1 11.8 21.3-41.0 15.1 13.4-24.7 21.7 16.8-32.6 14.4 16.3-31.5 18.7 18.7-32.1 20.3 16.5-28.9 25.2 20.5-33.0 23.8 26.5-42.1 28.0 27.8-41.4 21.8 20.0-33.2 21.0 21.1-34.0 19.3 26.9-41.3 23.7 21.6-35.2 22.9 18.0-30.6 12.7 26.3-39.7 28.1 19.8-32.9 25.8 21.1-34.9 20.4 95% CI 18.4-22.8 13.7-30.4 4.6-19.0 8.2-21.9 10.8-32.6 5.8-23.0 7.2-30.1 9.6-31.0 14.6-35.8 13.9-33.8 18.8-37.3 14.0-29.6 12.8-29.2 11.9-26.7 14.7-32.6 15.0-30.9 6.3-19.1 18.4-37.7 15.2-36.4 11.3-29.6 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male Female % 95% CI % 95% CI 21.8 20.3-23.2 22.9 21.7-24.0 25.2 19.8-30.6 22.9 18.5-27.2 24.5 18.0-31.0 17.2 13.0-21.4 25.9 18.1-33.7 18.5 14.3-22.8 21.2 15.6-26.8 19.1 14.6-23.6 13.9 8.9-18.9 21.9 17.1-26.8 18.8 12.8-24.7 29.1 23.1-35.1 19.9 14.8-25.1 15.3 11.4-19.3 18.6 12.1-25.1 21.5 17.1-26.0 23.4 17.0-29.8 25.1 20.4-29.8 27.1 20.5-33.7 28.7 23.6-33.8 22.3 16.5-28.1 29.4 24.3-34.4 28.4 22.3-34.4 24.7 20.2-29.3 15.7 10.8-20.5 26.3 21.7-31.0 21.0 15.3-26.6 33.2 27.5-38.8 21.5 16.3-26.8 30.4 25.0-35.9 15.8 10.7-20.8 19.2 15.0-23.3 32.5 26.3-38.8 25.7 20.6-30.8 26.0 19.9-32.0 22.3 17.6-27.1 24.0 18.3-29.7 23.3 18.3-28.3 Race White % 20.0 23.3 20.8 20.3 20.3 10.8 23.9 16.9 16.0 21.9 26.8 24.0 20.9 17.2 22.8 23.0 14.5 26.3 21.9 19.6 95% CI 19.0-21.1 19.6-26.9 16.7-25.0 16.4-24.2 16.1-24.5 6.9-14.6 16.8-30.9 13.2-20.6 11.4-20.5 17.9-25.9 21.8-31.8 19.4-28.7 16.5-25.3 13.0-21.4 18.3-27.2 18.5-27.5 10.8-18.1 22.0-30.7 17.3-26.5 15.6-23.6 Black % 29.7 33.3 24.7 28.2 20.3 26.8 25.1 25.3 26.3 34.3 31.0 31.3 36.2 26.6 38.7 33.2 24.6 38.9 37.7 47.0 95% CI 27.5-31.9 19.3-47.4 0.8-48.6 8.1-48.3 11.4-29.2 20.5-33.2 19.3-31.0 15.9-34.7 19.6-33.0 22.5-46.1 22.8-39.2 23.6-38.9 29.0-43.4 20.6-32.7 29.7-47.8 25.8-40.6 17.3-32.0 28.4-49.4 28.6-46.6 36.3-57.6 BRFSS 2002 | 3 Diabetes Diabetes is one of the most common chronic diseases and was the seventh leading cause of death in Georgia in 2002. Complications of diabetes include heart disease, stroke, high blood pressure, blindness, kidney disease, amputations, nerve problems, dental disease, and susceptibility to infections. Obesity and physical inactivity are two of the most important preventable risk factors for developing diabetes. Risk factors for complications due to diabetes include glucose levels outside of the normal range, high blood pressure, high blood cholesterol, smoking, poor diet and lack of physical activity. Management of diabetes involves controlling blood glucose levels through diet and insulin regulation, monitoring of blood glucose levels, and regular foot and eye exams by health care professionals. Percent Percent Percent of Adults, Age 18+, with Diabetes, by Sex, Georgia 2002 25 20 15 10 5 6.6 7.5 0 Male Female Sex Percent of Adults, Age 18+, with Diabetes, by Race/Ethnicity, Georgia 2002 25 20 15 10 5 6.5 0 White 8.5 2.5 Black Hispanic Race/Ethnicity 8.2 Other Adults with Diabetes, Georgia 2002: 7.1% Healthy People 2010 Objective: 2.5% The prevalence of diabetes is significantly more common among adults age 65 and older than adults younger than 55. Diabetes is less common among adults with incomes of $75,000 or more than incomes below $25,000. Percent Percent of Adults, Age 18+, with Diabetes, by Age, Georgia 2002 25 20 15 10 5 1.1 3.4 9.8 15.0 18.4 0 18-34 35-44 45-54 55-64 65+ Age Percent Percent of Adults, Age 18+, with Diabetes, by Income, Georgia 2002 25 20 15 10 5 13.5 0 Less than $15,000 9.6 $15,000$24,999 7.8 6.9 $25,000$34,999 $35,000$49,999 Income 2.9 $50,000$74,999 4.1 $75,000 or more Percent Percent of Adults, Age 18+, with Diabetes, by Access to Medical Care, Georgia 2002 25 20 15 10 5 7.0 7.1 0 Yes No Access to Medical Care 4 | BRFSS 2002 Percent of Adults, Age 18+, with Diabetes, By Age, Sex and Race, Georgia Health Districts, 2000-2002 Total Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N % 13,432 6.6 779 10.8 671 6.6 653 6.3 713 4.1 691 4.9 628 5.8 658 4.0 728 5.1 728 6.9 720 9.7 753 8.9 750 7.0 715 7.8 659 11.3 759 9.1 700 7.2 733 9.2 725 5.5 669 5.4 95% CI 6.1-7.1 8.2-13.5 4.6-8.6 4.4-8.2 2.5-5.7 3.0-6.8 3.3-8.2 2.5-5.4 3.4-6.8 4.8-8.9 7.3-12.1 6.7-11.1 5.1-9.0 5.8-9.8 8.1-14.4 6.7-11.4 5.0-9.3 6.8-11.7 3.8-7.2 3.7-7.1 Age 18-44 % 2.2 4.5 2.1 0.8 1.8 2.3 2.0 1.1 2.2 1.6 1.6 3.2 2.0 1.3 3.9 3.1 2.6 2.2 1.1 2.6 95% CI 1.7-2.6 1.5-7.6 0.6-3.7 0.0-2.0 0.3-3.3 0.5-4.1 0.0-4.3 0.1-2.0 0.8-3.5 0.4-2.8 0.1-3.1 1.2-5.1 0.3-3.6 0.2-2.4 0.2-7.5 1.4-4.8 0.9-4.4 0.4-3.9 0.1-2.1 1.1-4.2 45-64 % 10.9 16.3 10.0 12.5 6.3 10.7 13.7 6.8 6.9 9.9 15.8 13.4 9.6 12.6 18.9 16.0 9.6 16.1 12.8 7.4 65+ 95% CI % 9.8-12.0 17.1 11.2-21.4 22.3 5.6-14.4 19.5 7.8-17.2 13.3 2.8-9.9 13.1 5.5-16.0 5.1 7.1-20.3 9.4 3.1-10.5 18.7 3.3-10.6 18.2 6.0-13.9 20.6 10.6-21.0 22.5 8.5-18.2 20.9 5.8-13.3 20.2 8.0-17.2 21.0 12.7-25.0 24.4 10.1-21.8 15.6 5.1-14.0 17.5 10.5-21.7 19.2 7.8-17.7 12.6 3.7-11.0 12.9 95% CI 15.1-19.0 14.1-30.5 10.7-28.2 6.9-19.7 3.9-22.3 0.6-9.6 2.4-16.3 8.3-29.1 8.9-27.5 11.3-29.8 14.5-30.5 13.5-28.3 11.5-29.0 13.5-28.5 14.5-34.2 9.5-21.7 10.0-24.9 11.5-27.0 6.1-19.1 5.5-20.3 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male % 6.2 13.2 7.0 6.9 3.8 4.1 5.0 4.1 4.7 6.0 9.4 6.1 6.4 6.3 10.1 6.7 6.7 10.1 4.5 5.4 95% CI 5.5-7.0 8.6-17.8 3.8-10.3 3.9-10.0 1.5-6.2 1.4-6.9 1.6-8.4 1.9-6.4 2.4-7.0 2.9-9.1 5.8-13.0 3.2-8.9 3.4-9.4 3.6-9.0 6.2-14.0 3.6-9.7 3.4-10.1 6.2-14.1 2.3-6.8 2.7-8.1 Female % 95% CI 7.0 6.4-7.7 8.7 5.9-11.4 6.1 3.7-8.5 5.7 3.5-7.9 4.4 2.1-6.6 5.6 2.9-8.2 6.5 3.0-10.0 3.8 1.8-5.8 5.6 3.1-8.0 7.7 5.1-10.3 10.0 6.8-13.2 11.5 8.2-14.7 7.6 5.1-10.1 9.2 6.4-12.1 12.3 7.5-17.2 11.1 7.7-14.6 7.5 4.9-10.2 8.3 5.5-11.2 6.5 4.0-9.1 5.4 3.2-7.5 Race White % 5.8 10.3 6.5 5.8 3.7 1.9 5.0 4.7 4.1 5.4 8.5 8.1 7.1 7.6 8.9 6.8 5.9 7.1 5.1 3.8 95% CI 5.3-6.4 7.5-13.0 4.4-8.7 3.9-7.7 2.0-5.4 0.4-3.3 2.2-7.7 2.8-6.6 2.1-6.0 3.3-7.6 5.9-11.0 5.4-10.7 4.6-9.6 5.0-10.2 5.9-11.8 4.5-9.2 3.4-8.3 4.6-9.6 3.1-7.0 2.1-5.5 Black % 95% CI 8.9 7.7-10.1 16.4 5.7-27.1 9.4 0.0-22.1 15.3 1.9-28.7 4.2 0.2-8.2 9.1 4.9-13.2 6.6 2.4-10.8 3.2 0.0-6.4 5.4 2.6-8.2 11.0 5.5-16.6 12.5 7.0-18.0 11.4 6.9-15.9 6.6 3.2-10.0 9.3 5.7-12.8 17.1 8.9-25.3 11.7 7.2-16.3 9.9 5.5-14.3 14.9 8.3-21.4 8.0 3.7-12.3 12.4 6.5-18.3 BRFSS 2002 | 5 Cigarette Smoking Percent of Adults, Age 18+, who Smoke Cigarettes, by Sex, Georgia 2002 Cigarette smoking is the leading cause of preventable death in the United States. Tobacco use accounts for at least 30% of all cancer deaths and 87% of all lung cancers in Georgia. Smoking is also associated with illness and death related to heart disease, stroke, chronic obstructive pulmonary disease, low birth weight, sudden infant death syndrome, and fire. For those who smoke, quitting is always beneficial. At every age group, smokers who quit live longer than those who continue smoking. Policy changes to prevent the initiation of smoking among youth and to reduce exposure to environmental tobacco smoke are also important for reducing the burden of tobacco-related death and disease in Georgia. Adults who Smoke Cigarettes, Georgia 2002: 23.2% Healthy People 2010 Objective: 12% Men are significantly more likely than women and whites are more likely than blacks to smoke cigarettes. The prevalence of cigarette smoking is significantly less common among those with access to medical care compared to adults who do not have access and among adults age 65 and older compared to adults younger than 65. Percent Percent Percent 50 40 30 20 10 26.6 0 20.1 Male Sex Female Percent of Adults, Age 18+, who Smoke Cigarettes,by Race/Ethnicity, Georgia 2002 50 40 30 20 10 24.6 0 White 18.9 17.3 Black Hispanic Race/Ethnicity 33.0 Other Percent of Adults, Age 18+, who Smoke Cigarettes, by Age, Georgia 2002 50 40 30 20 10 26.6 0 22.2 25.0 28.3 24.4 10.8 18-24 25-34 35-44 45-54 55-64 65+ Age Percent of Adults, Age 18+, who Smoke Cigarettes, by Income, Georgia 2002 Percent of Adults, Age 18+, who Smoke Cigarettes, by Access to Medical Care, Georgia 2002 50 50 40 40 30 30 Percent 20 20 10 10 28.9 31.6 27.2 25.2 20.3 15.0 0 Less than $15,000- $25,000- $35,000- $50,000- $75,000 or more 0 $15,000 $24,999 $34,999 $49,999 $74,999 Income 20.1 38.4 Yes No Access to Medical Care Percent 6 | BRFSS 2002 Percent of Adults, Age 18+, who Smoke Cigarettes, By Age, Sex, and Race, Georgia Health Districts, 2000-2002 Total N % Georgia 13,388 23.4 1-1 776 31.2 1-2 665 29.7 2-0 648 23.7 3-1 709 18.6 3-2 691 17.5 3-3 627 25.1 3-4 657 24.5 3-5 723 18.5 4-0 724 22.6 5-1 721 20.8 5-2 750 27.0 6-0 752 24.6 7-0 710 21.7 8-1 658 25.4 8-2 757 25.0 9-1 697 22.4 9-2 733 27.2 9-3 722 29.3 10-0 668 24.6 95% CI 22.5-24.4 27.3-35.2 25.5-33.9 19.7-27.7 14.9-22.2 14.2-20.9 20.3-29.9 20.6-28.4 14.6-22.3 19.1-26.0 17.2-24.4 22.9-31.1 21.0-28.2 18.2-25.2 21.4-29.4 21.2-28.8 18.8-26.0 23.2-31.1 25.3-33.3 20.8-28.3 Age 18-44 % 25.1 34.3 32.4 30.5 19.7 17.2 24.7 24.2 18.0 24.5 23.5 33.1 24.5 22.6 29.2 25.4 25.6 30.8 33.5 28.9 95% CI 23.8-26.5 28.4-40.2 26.2-38.6 24.1-36.8 14.7-24.7 12.7-21.6 18.2-31.2 19.0-29.3 12.6-23.4 19.3-29.7 18.2-28.8 26.8-39.5 19.3-29.7 17.5-27.8 23.3-35.0 19.7-31.1 20.1-31.0 25.0-36.7 27.9-39.1 23.4-34.3 45-64 % 25.5 31.0 29.7 19.1 18.8 23.9 27.8 28.9 22.8 24.8 21.5 25.9 29.2 22.8 22.6 30.8 25.7 30.7 28.8 23.7 65+ 95% CI % 23.8-27.1 11.0 24.5-37.4 20.0 23.2-36.2 16.3 13.3-24.8 10.5 12.7-24.9 9.5 17.0-30.9 4.8 19.6-35.9 18.3 22.0-35.9 5.6 16.6-29.0 11.4 19.0-30.6 10.0 14.8-28.3 11.2 19.8-32.0 8.5 22.7-35.6 13.7 16.5-29.0 16.1 16.0-29.3 16.0 24.1-37.6 13.7 19.2-32.3 7.6 23.9-37.6 7.1 22.1-35.4 8.8 17.3-30.1 7.2 95% CI 9.4-12.6 11.4-28.6 8.5-24.0 5.1-16.0 2.5-16.5 0.0-10.1 7.3-29.4 0.1-11.1 4.0-18.7 4.0-15.9 5.6-16.8 3.7-13.3 7.1-20.3 8.9-23.4 6.8-25.1 6.7-20.6 3.1-12.1 2.1-12.2 2.4-15.1 1.9-12.4 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male % 26.1 38.7 29.7 24.4 20.0 19.1 25.4 28.8 20.6 25.4 24.3 29.4 25.4 23.3 30.6 27.8 26.4 31.3 33.3 28.1 95% CI 24.6-27.7 32.1-45.3 23.2-36.1 17.8-30.9 14.0-26.0 13.5-24.6 17.4-33.4 22.7-34.9 13.9-27.3 19.6-31.2 18.4-30.3 22.6-36.2 19.4-31.3 17.5-29.0 24.0-37.1 21.8-33.8 20.2-32.5 25.1-37.5 27.1-39.5 21.9-34.3 Female % 95% CI 20.9 19.8-22.0 24.5 20.0-28.9 29.7 24.3-35.1 23.0 18.3-27.6 17.2 13.0-21.4 16.1 12.1-20.2 24.8 19.1-30.4 20.3 15.4-25.2 16.6 12.8-20.4 19.9 15.9-23.9 17.5 13.4-21.6 24.8 20.1-29.5 23.9 19.6-28.3 20.3 16.0-24.6 20.6 15.9-25.4 22.5 17.6-27.4 18.9 14.9-22.9 23.1 18.4-27.8 25.3 20.2-30.3 21.2 16.8-25.6 Race White % 25.0 31.1 29.5 23.7 20.3 18.0 34.0 24.2 20.6 25.2 23.0 26.8 24.6 22.7 29.7 30.6 24.1 26.4 31.7 23.2 Black 95% CI % 23.9-26.2 19.6 26.9-35.3 28.7 25.1-33.9 37.6 19.4-27.9 29.5 15.8-24.7 11.5 13.4-22.7 19.6 25.6-42.4 16.7 19.6-28.7 21.7 15.0-26.3 17.3 21.2-29.3 12.5 18.6-27.4 13.1 21.8-31.7 26.7 20.0-29.2 24.8 17.9-27.6 18.6 24.7-34.7 12.5 25.3-35.9 14.3 19.6-28.6 20.0 22.0-30.8 28.7 26.8-36.5 19.8 19.0-27.4 31.0 95% CI 17.7-21.4 12.1-45.4 11.7-63.4 12.4-46.7 5.6-17.4 13.7-25.4 11.1-22.2 11.7-31.6 11.3-23.3 6.3-18.6 7.1-19.1 19.0-34.2 18.3-31.3 13.2-23.9 6.4-18.7 9.8-18.9 13.1-27.0 19.6-37.9 12.1-27.5 21.0-40.9 BRFSS 2002 | 7 Physical Activity Physical activity can reduce the risk of heart disease, stroke, high blood pressure, diabetes, colon cancer and osteoporosis. Regular physical activity also helps maintain healthy body weight, reduces the risk of falls and fractures, helps prevent back pain, reduces symptoms of anxiety and depression, and enhances quality of life. Benefits can be achieved through regular moderate-intensity activities like walking, housework, and gardening as well as through traditional exercise programs. Inactive individuals who become more physically active improve their health even if they do not reach the recommended level of 30 minutes of moderate-intensity activity most, preferably all, days a week. Adults with No Leisure Time Physical Activity, Georgia 2002: 25.7% Healthy People 2010 Objective: 20% The prevalence of no leisure time physical activity is significantly more common in women than men, blacks than whites, and those with no access to medical care compared to those with access to medical care. Adults with income less than $25,000 are less likely to participate in any leisure time physical activity than adults with income of $25,000 or more. Adults 18-34 years of age are more likely than adults age 55 and older to be physically active. Percent of Adults, Age 18+,with No Leisure Time Physical Activity, by Income, Georgia 2002 50 40 30 Percent 20 10 40.5 38.8 27.5 24.0 15.2 11.2 0 Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more Income 8 | BRFSS 2002 Percent Percent Percent Percent Percent of Adults, Age 18+,with No Leisure Time Physical Activity, by Sex, Georgia 2002 50 40 30 20 10 22.5 0 28.6 Male Female Sex Percent of Adults, Age 18+,with No Leisure Time Physical Activity, by Race/Ethnicity, Georgia 2002 50 40 30 20 10 21.8 0 White 32.0 40.4 Black Hispanic Race/Ethnicity 27.5 Other Percent of Adults, Age 18+,with No Leisure Time Physical Activity, by Age, Georgia 2002 50 40 30 20 10 20.1 19.6 0 25.2 26.7 30.5 36.2 18-24 25-34 35-44 45-54 55-64 65+ Age Percent of Adults, Age 18+,with No Leisure Time Physical Activity, by Access to Medical Care, Georgia 2002 50 40 30 20 10 23.7 0 35.3 Yes No Access to Medical Care Percent of Adults, Age 18+, with No Leisure Time Physical Activity, By Age, Sex and Race, Georgia Health Districts, 2000-2002 Total Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N % 13,438 26.4 779 32.3 671 28.0 652 26.5 714 17.2 687 21.4 628 26.9 659 23.2 728 24.5 728 25.9 723 32.8 755 27.8 752 31.4 716 26.0 657 33.0 760 33.9 700 28.8 735 34.1 723 22.9 671 28.8 95% CI 25.4-27.4 28.5-36.1 23.8-32.1 22.7-30.4 13.8-20.6 17.7-25.1 22.4-31.5 19.5-26.9 20.4-28.6 21.8-30.1 28.8-36.9 24.1-31.5 27.7-35.2 22.4-29.6 28.8-37.2 29.8-38.0 24.9-32.5 29.7-38.5 19.2-26.6 24.9-32.7 Age 18-44 % 22.4 26.4 23.6 19.9 15.0 18.2 22.5 21.4 21.7 24.6 26.5 23.8 26.5 22.5 28.6 27.0 25.3 28.7 17.9 23.6 45-64 95% CI % 21.0-23.7 29.9 21.1-31.6 39.4 17.8-29.5 32.0 14.7-25.1 31.5 10.5-19.6 18.0 13.7-22.6 24.8 16.6-28.3 33.7 16.7-26.1 24.9 16.1-27.3 27.2 18.1-31.0 26.8 20.9-32.1 39.5 18.6-29.1 28.2 21.5-31.6 36.2 17.5-27.5 28.3 22.9-34.3 37.1 21.1-32.9 39.0 20.1-30.5 30.6 22.0-35.4 39.3 13.1-22.7 29.1 18.6-28.5 34.4 65+ 95% CI % 28.2-31.6 36.7 32.8-46.0 39.3 25.4-38.5 38.5 24.2-38.9 38.6 12.3-23.7 30.0 17.2-32.4 32.5 25.3-42.1 36.5 18.1-31.8 33.1 20.4-34.0 35.6 20.8-32.7 29.9 31.9-47.0 39.2 22.0-34.5 41.0 29.4-43.1 36.7 21.9-34.6 32.4 29.8-44.3 42.2 31.9-46.1 46.3 23.8-37.5 36.5 32.4-46.3 42.9 22.2-36.0 33.7 27.0-41.7 39.4 95% CI 34.3-39.2 29.7-48.8 27.7-49.3 29.4-47.8 18.7-41.3 21.0-44.1 23.9-49.1 20.3-45.9 24.6-46.5 20.6-39.3 30.3-48.1 32.3-49.7 27.2-46.2 23.5-41.3 31.7-52.7 37.4-55.1 27.3-45.8 33.2-52.6 23.1-44.3 28.9-49.8 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male % 22.5 31.5 24.9 18.2 13.3 20.9 21.3 18.9 22.2 23.4 28.6 22.9 23.3 22.6 28.1 30.4 24.3 31.2 16.1 23.4 Race Female White 95% CI % 95% CI % 21.0-24.0 30.0 28.8-31.2 23.3 25.3-37.6 33.1 28.4-37.8 30.8 18.5-31.2 31.0 25.7-36.2 27.9 12.9-23.6 34.6 29.4-39.7 25.9 7.9-18.6 21.0 16.7-25.2 14.7 15.0-26.8 21.9 17.3-26.4 14.4 14.0-28.5 32.0 26.5-37.6 26.3 13.6-24.1 27.4 22.1-32.6 19.6 15.4-28.9 26.6 21.9-31.3 17.4 16.4-30.5 28.2 23.6-32.9 19.6 22.4-34.8 36.8 31.6-42.1 31.8 17.3-28.5 32.3 27.5-37.1 24.5 17.8-28.7 38.9 33.8-44.0 27.5 17.0-28.3 29.0 24.4-33.6 20.9 21.7-34.4 37.6 32.1-43.1 30.8 24.3-36.6 36.9 31.5-42.4 21.3 18.3-30.2 32.8 28.0-37.6 22.9 25.0-37.4 36.9 30.7-43.1 31.7 11.6-20.7 29.7 24.1-35.3 19.0 17.8-28.9 33.9 28.6-39.2 26.9 Black 95% CI % 22.2-24.3 33.3 26.8-34.7 54.3 23.6-32.2 22.2 21.9-29.9 36.3 10.9-18.5 26.2 9.9-18.9 28.3 18.9-33.7 25.8 15.5-23.8 33.0 12.9-21.8 29.7 16.1-23.2 42.6 27.1-36.6 34.8 20.2-28.8 32.6 23.0-32.0 38.5 16.4-25.4 32.0 26.0-35.6 37.4 26.0-36.5 36.6 18.7-27.2 42.0 26.7-36.8 44.1 15.1-22.8 31.6 22.6-31.2 36.5 95% CI 31.1-35.5 39.0-69.5 3.7-40.7 18.2-54.5 16.8-35.5 22.0-34.6 20.1-31.6 22.6-43.3 22.8-36.5 31.3-53.9 26.5-43.0 25.4-39.8 31.3-45.6 25.6-38.3 28.7-46.1 29.7-43.6 33.8-50.1 33.9-54.2 23.4-39.8 26.7-46.2 BRFSS 2002 | 9 Mammography Breast cancer is the leading cancer among women in Georgia and the second leading cause of cancer death. The number of deaths can be reduced if the disease is diagnosed early. Factors associated with breast cancer are age; personal or family history of breast cancer; biopsy-confirmed atypical hyperplasia; early onset of the menstrual cycle coupled with late onset of menopause; recent use of oral contraceptives or post-menopausal estrogens; never having children or first child born after age 30; and consuming 2 or more drinks of alcohol daily. The American Cancer Society recommends that women ages 40 and older receive annual breast cancer screening, including a clinical breast exam and a mammogram soon afterwards. Women, age 40+, with Mammogram in the Last Two Years: Georgia 2002: 75.5% Healthy People 2010 Objective: 70% The prevalence of mamography is significantly lower among women with income less than $25,000 than income of $35,000 or more, and among women with no access to medical care than women with access to medical care. Women age 55-64 are more likely than women age 40-44 to have had a mamogram in the last 2 years. Percent of Adult Women, Age 40+, with Mamography in the Last Two Years, by Income, Georgia 2002 100 80 60 40 20 63.8 65.9 72.8 81.7 82.2 85.6 0 Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more Income Percent Percent Percent Percent of Adult Women, Age 40+, with Mammography in the Last Two Years, by Race/Ethnicity, Georgia 2002 100 80 60 40 20 76.0 0 White 73.6 73.5 Black Hispanic Race/Ethnicity 80.0 Other Percent of Adult Women, Age 40+, with Mamography in the Last Two Years, by Age, Georgia 2002 100 80 60 40 20 67.1 0 74.6 81.8 77.5 40-44 45-54 55-64 65+ Age Percent of Adult Women, Age 40+, with Mamography in the Last Two Years, by Access to Medical Care, Georgia 2002 100 80 60 40 20 79.5 49.7 0 Yes No Access to Medical Care Percent 10 | BRFSS 2002 Percent of Adult Women, Age 40+, with Mammography in the Last Two Years, By Age and Race, Georgia Health Districts, 2000-2002 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N 4,974 306 270 277 231 217 199 209 250 283 306 310 270 285 238 313 265 291 222 232 Total % 76.9 70.0 75.5 72.2 79.0 82.0 73.1 81.7 79.0 77.1 69.6 78.7 78.7 79.6 73.0 73.8 78.3 70.3 81.3 73.0 Age 40-44 95% CI % 75.4-78.4 66.2 64.0-76.0 59.9 69.6-81.3 62.5 65.9-78.5 58.2 73.0-84.9 64.7 75.9-88.1 64.9 63.7-82.5 52.4 75.7-87.7 82.7 73.1-84.8 61.5 71.5-82.7 63.6 63.4-75.9 62.0 73.3-84.1 73.3 73.4-84.1 75.2 73.8-85.5 71.6 66.5-79.5 72.5 68.3-79.3 58.3 72.4-84.1 64.9 64.5-76.1 61.5 75.8-86.7 68.1 66.2-79.9 56.1 95% CI 62.2-70.3 43.8-76.0 47.4-77.6 40.6-75.7 48.7-80.7 49.0-80.8 30.2-74.6 71.8-93.7 44.5-78.4 47.6-79.5 46.1-78.0 60.3-86.2 62.3-88.2 56.2-86.9 55.4-89.5 43.4-73.2 48.2-81.6 46.4-76.5 52.8-83.3 39.3-72.8 45-64 % 80.2 74.6 81.7 75.6 81.4 87.9 80.9 78.2 81.2 82.5 71.9 75.7 82.7 85.8 75.8 77.6 81.6 74.7 83.9 78.5 65+ 95% CI % 78.3-82.1 78.3 66.8-82.5 67.9 74.9-88.6 72.4 67.7-83.5 75.5 74.2-88.6 88.4 81.1-94.7 84.2 71.9-89.8 81.4 69.5-86.8 94.0 73.8-88.6 87.7 75.9-89.2 75.3 63.4-80.5 69.1 67.5-83.8 86.5 75.9-89.6 71.8 80.0-91.6 74.3 67.3-84.3 68.7 70.2-85.0 76.8 73.7-89.5 79.4 67.3-82.2 67.2 76.9-91.0 84.4 69.5-87.4 71.0 95% CI 75.7-80.9 57.2-78.6 59.7-85.0 65.0-86.0 78.7-98.1 72.5-95.9 68.8-94.0 85.7-100.0 80.1-95.2 64.7-86.0 58.0-80.2 78.3-94.6 61.0-82.7 61.5-87.2 56.6-80.8 68.1-85.5 69.3-89.4 55.9-78.5 74.7-94.1 57.4-84.5 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Race White % 77.2 71.6 76.0 71.6 82.8 81.3 69.0 79.6 82.4 81.6 69.2 79.5 76.4 80.0 72.2 75.0 79.3 69.5 83.0 72.0 Black 95% CI % 75.5-78.9 76.7 65.3-77.8 60.6 69.9-82.1 82.1 65.0-78.2 87.1 76.9-88.6 37.7 73.4-89.1 85.1 54.8-83.3 83.0 72.7-86.6 93.2 75.4-89.4 74.7 76.1-87.1 66.9 62.1-76.4 70.6 72.9-86.1 74.8 69.6-83.3 84.6 71.8-88.2 78.9 64.4-79.9 76.1 68.3-81.7 72.4 72.2-86.3 73.7 62.9-76.1 78.0 77.1-88.8 69.7 64.1-79.8 76.4 95% CI 73.4-80.0 36.8-84.3 60.0-100.0 64.0-100.0 14.5-60.9 75.7-94.4 74.0-92.0 85.1-100.0 64.6-84.9 51.0-82.8 57.6-83.6 64.6-84.9 76.2-93.0 70.2-87.7 64.3-87.9 62.7-82.2 61.9-85.4 65.8-90.2 53.6-85.9 60.9-91.8 BRFSS 2002 | 11 Pap Test An estimated 440 cases of cervical cancer were diagnosed and 130 women were expected to die of the disease in Georgia in 2003. The risk of developing cervical cancer is closely linked with sexual practices and sexually transmitted infections with human papillomavirus. Becoming sexually active at a young age, having multiple sex partners, and smoking cigarettes are all risk factors for cervical cancer. The American Cancer Society recommends that all women begin cervical cancer screening within 3 years after becoming sexually active, but no later than age 21. Screening should be done every year with the regular Pap test, or every 2 years using the newer liquid-based Pap test. At age 30, women who have had 3 normal Pap tests in a row may get screened every two to three years. Women who had a Pap Test within Three Years, Georgia 2002: 89.6% Healthy People 2010 Objective: 90% Women age 65 and older were less likely than women younger than 65 to have a Pap test. Women with income below $15,000 were less likely than women with income of $50,000 or more to have a Pap test. Percent of Adult Women, Age 18+, without Hysterectomy, who Received a Pap Smear in the Last Three Years, by Income, Georgia 2002 100 80 60 40 20 83.7 0 Less than $15,000 89.0 $15,000$24,999 85.9 92.6 $25,000$34,999 $35,000$49,999 Income 94.5 $50,000$74,999 96.8 $75,000 or more Percent Percent Percent Percent of Adult Women, Age 18+, without Hysterectomy, who Received a Pap Smear in the Last Three Years, by Race/Ethnicity, Georgia 2002 100 80 60 40 20 88.5 0 White 91.0 92.2 Black Hispanic Race/Ethnicity 93.6 Other Percent of Adult Women, Age 18+, without Hysterectomy, who Received a Pap Smear in the Last Three Years, by Age,Georgia 2002 100 80 60 40 20 85.9 0 18-24 93.9 25-34 94.8 89.6 35-44 45-54 Age 87.6 55-64 70.5 65+ Percent of Adult Women, Age 18+, without Hysterectomy, who Received a Pap Smear in the Last Three Years, by Access to Medical Care, Georgia 2002 100 80 60 40 20 91.1 0 85.1 Yes No Access to Medical care Percent 12 | BRFSS 2002 Percent of Adult Women, Age 18+, without Hysterectomy, with Pap Test in the Last Three Years, By Age and Race, Georgia Health Districts, 2000-2002 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Total N % 5,857 89.8 302 84.2 266 89.5 288 86.6 344 90.8 331 91.0 334 92.0 289 92.1 359 89.6 325 89.0 285 93.1 308 93.7 319 91.6 304 93.4 285 87.9 320 88.2 305 86.2 291 86.8 296 94.1 306 84.6 Age 18-44 95% CI % 88.7-90.8 92.0 79.1-89.2 87.4 85.2-93.7 91.3 82.0-91.2 89.9 87.1-94.5 92.8 86.6-95.4 92.3 89.6-96.3 93.2 88.5-95.8 93.3 85.3-93.9 90.0 85.0-92.9 92.0 90.2-96.0 96.1 90.8-96.7 95.3 88.4-94.9 94.4 90.4-96.4 96.0 83.8-92.0 92.9 83.9-92.4 89.8 81.5-90.9 91.1 82.6-91.0 92.1 91.2-97.0 96.4 79.2-89.9 86.3 95% CI 90.7-93.2 81.4-93.3 86.1-96.5 84.3-95.5 88.7-96.9 87.2-97.3 89.1-97.2 88.8-97.8 84.3-95.6 87.4-96.5 93.1-99.1 91.8-98.8 91.3-97.5 93.2-98.9 88.9-96.8 83.9-95.7 86.2-96.0 88.0-96.3 93.7-99.0 80.1-92.4 45-64 % 87.8 78.3 91.5 84.3 88.1 89.1 93.3 88.7 89.0 90.2 89.9 95.5 88.9 94.1 83.9 89.2 83.9 76.2 91.2 81.3 95% CI 85.6-90.0 66.8-89.9 85.4-97.5 75.0-93.6 79.7-96.6 79.0-99.2 86.6-100.0 81.7-95.7 81.9-96.2 83.5-96.9 83.1-96.6 90.9-100.0 80.8-96.9 89.3-98.9 74.2-93.6 82.6-95.7 72.6-95.1 65.7-86.6 82.8-99.6 68.6-93.9 65+ % 75.8 76.0 69.2 68.1 76.4 82.0 87.8 93.2 87.6 58.1 82.2 81.5 68.7 76.5 62.4 75.2 62.2 72.4 82.4 79.4 95% CI 71.8-79.8 61.0-90.9 51.2-87.2 51.9-84.3 56.5-96.3 64.9-99.1 74.2-100.0 80.2-100.0 76.8-98.4 38.6-77.5 69.6-94.8 69.9-93.1 49.4-88.1 59.5-93.4 40.3-84.5 62.9-87.5 44.8-79.5 55.7-89.1 67.7-97.1 64.2-94.7 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Race White % 88.9 82.9 90.3 86.2 92.7 91.5 92.9 92.5 87.1 89.7 91.8 93.1 88.8 93.1 85.7 83.5 82.8 86.0 94.5 81.9 Black 95% CI % 87.6-90.2 92.4 77.2-88.5 93.3 85.8-94.7 90.2 81.2-91.3 97.9 88.7-96.7 84.6 85.1-97.9 88.8 87.2-98.5 93.8 88.8-96.3 95.7 80.0-94.1 92.0 85.7-93.7 89.1 88.0-95.5 95.5 89.1-97.2 95.4 83.6-93.9 95.5 88.4-97.7 95.9 79.9-91.4 92.8 76.9-90.1 95.5 76.2-89.3 92.6 81.1-90.8 90.9 91.3-97.6 93.1 75.4-88.4 97.1 95% CI 90.4-94.3 80.9-100.0 75.5-100.0 93.6-100.0 74.5-94.7 81.4-96.1 89.5-98.0 89.7-100.0 86.0-98.0 79.0-99.2 90.7-100.0 91.5-99.2 92.2-98.8 92.8-99.0 87.6-98.0 91.5-99.5 85.9-99.3 82.1-99.7 85.4-100.0 92.9-100.0 BRFSS 2002 | 13 Flu Shot Influenza and pneumonia are among the 10 leading causes of death in Georgia. Infection with the influenza virus is often resolved within two weeks, but can lead to serious or life-threatening disease in some people, especially the elderly or people with chronic health problems. Influenza vaccination, or a flu shot, can reduce much of the morbidity and mortality associated with the flu. People who are 65 years or older and people with chronic diseases such as asthma or diabetes should receive an influenza vaccine every fall. Adults, age 65+, Flu Shot in the Last Year, Georgia 2002: 59.3% Healthy People 2010 Objective: 90% Whites were significantly more likely than blacks to have a flu shot. Adults with income of $75,000 or more were more likely than those with income less than $15,000 to have a flu shot. Percent Percent Percent of Adults, Age 65+, with Influenza Vaccination in the Last Year, by Sex, Georgia 2002 100 80 60 40 20 60.3 0 Male 58.6 Female Sex Percent of Adults, Age 65+, with Influenza Vaccination in the Last Year, by Race/Ethnicity, Georgia 2002 100 80 60 40 20 63.2 0 White 44.8 55.9 Black Hispanic Race/Ethnicity 47.1 Other Percent Percent of Adults, Age 65+, with Influenza Vaccination in the Last Year, by Income, Georgia 2002 100 80 60 40 20 51.2 56.3 59.7 68.9 56.5 77.0 0 Less than $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more $15,000 Income Percent Percent of Adults, Age 65+, with Influenza Vaccination in the Last Year, by Access to Medical Care, Georgia 2002 100 80 60 40 20 59.1 0 62.0 Yes No Access to Medical care 14 | BRFSS 2002 Percent of Adults, Age 65+, with Influenza Vaccination in the Last Year, By Sex and Race, Georgia Health Districts, 2000-2002 Total Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N% 2,170 62.0 139 58.6 101 61.0 133 58.5 79 51.2 75 60.2 64 63.9 62 74.5 103 61.2 111 63.4 160 60.1 154 62.7 118 71.3 130 57.3 119 64.1 160 63.4 133 61.7 120 64.3 100 66.2 109 63.2 Sex Male 95% CI % 59.5-64.6 64.3 49.2-67.9 62.8 50.0-72.0 63.1 49.1-67.9 52.2 38.3-64.2 41.0 48.1-72.3 50.1 50.4-77.3 66.2 62.8-86.3 90.3 50.2-72.2 79.0 52.9-73.9 62.0 51.1-69.1 63.1 54.1-71.2 55.6 62.3-80.4 84.3 47.4-67.1 66.6 53.5-74.7 63.4 54.9-72.0 59.2 52.4-71.0 75.1 55.0-73.7 75.1 55.4-77.0 61.3 53.0-73.5 69.9 95% CI 60.1-68.5 46.9-78.7 43.8-82.3 36.6-67.7 17.8-64.2 30.7-69.5 43.7-88.7 80.3-100.0 64.8-93.2 43.7-80.3 48.3-77.8 40.0-71.1 72.4-96.1 51.5-81.7 46.5-80.2 44.0-74.5 61.2-89.1 60.4-89.7 43.7-78.9 54.9-84.8 Female % 95% CI 60.4 57.2-63.5 55.8 44.6-66.9 59.8 46.5-73.2 63.4 52.2-74.6 58.6 43.9-73.3 67.7 52.4-83.0 62.1 45.9-78.3 63.3 45.7-80.9 50.1 36.6-63.5 64.5 52.7-76.4 57.9 46.7-69.1 67.2 57.5-77.0 60.2 47.9-72.5 51.0 38.7-63.3 64.7 51.2-78.3 66.5 56.8-76.2 51.7 40.2-63.1 57.0 45.2-68.8 70.5 57.6-83.3 56.5 42.5-70.5 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Race White % 66.8 60.2 62.2 59.3 55.9 71.9 62.6 77.4 79.4 64.7 61.9 71.8 78.1 63.4 66.8 68.6 69.4 65.8 68.6 64.4 95% CI 64.1-69.6 50.5-69.9 50.9-73.4 49.7-68.9 42.4-69.4 58.5-85.3 47.0-78.2 65.8-88.9 69.8-89.0 53.5-75.9 51.8-72.0 62.4-81.2 68.6-87.7 51.6-75.2 56.2-77.3 59.3-77.9 59.2-79.7 55.3-76.2 56.5-80.7 53.3-75.6 Black % 42.7 31.2 0.0 26.7 0.0 40.4 73.0 66.5 19.7 46.5 47.4 47.2 48.7 40.2 57.1 45.8 39.1 57.3 70.5 58.9 95% CI 36.1-49.2 0.0-69.8 * 0.0-66.6 * 17.0-63.8 47.5-98.5 19.9-100.0 3.1-36.4 14.1-78.9 25.9-68.9 30.0-64.3 26.1-71.3 21.5-59.0 32.5-81.8 27.2-64.5 19.5-58.7 32.2-82.4 43.9-96.9 33.1-84.8 * There were no respondents who had a flu shot. BRFSS 2002 | 15 Pneumonia Immunization Influenza and pneumonia are among the 10 leading causes of death in Georgia, and pneumococcal disease is responsible for the most vaccinepreventable deaths in the United States. Pneumococcus bacteria can cause meningitis, pneumonia, and infections in the blood (septicemia). Adults older than 65 and people with chronic health problems like diabetes, heart disease, and kidney failure are at especially high risk for infection. Penicillin was once an effective treatment for pneumococcal disease, but drug resistant strains of the bacteria have made prevention of infection though immunization vital. The vaccine can be given at any time of the year. Usually one dose is all that is needed. Adults, age 65+, Pneumonia Immunization, Georgia 2002: 57.3% Healthy People 2010 Objective: 90% Percent Percent Percent of Adults, Age 65+, with Pneumonia Vaccination, by Sex, Georgia 2002 100 80 60 40 20 56.5 0 Male 57.8 Female Sex Percent of Adults, Age 65+, with Pneumonia Vaccination, by Race/Ethnicity, Georgia 2002 100 80 60 40 20 62.9 0 White 35.3 55.9 Black Hispanic Race/Ethnicity 63.3 Other The prevalence of pneumonia vaccination is significantly more common among whites than blacks. Percent Percent of Adults, Age 65+, with Pneumonia Vaccination, by Income, Georgia 2002 100 80 60 40 20 50.7 53.1 55.3 67.5 53.2 63.2 0 Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more Income Percent Percent of Adults, Age 65+, with Pneumonia Vaccination , by Access to Medical Care, Georgia 2002 100 80 60 40 20 57.6 42.7 0 Yes No Access to Medical Care 16 | BRFSS 2002 Percent of Adults, Age 65+, with Pneumonia Vaccination, By Sex and Race, Georgia Health Districts, 2000-2002 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Total N 2,120 137 99 132 79 72 64 61 104 110 153 149 116 126 115 153 130 118 100 102 % 58.7 56.7 69.9 51.9 66.6 56.2 59.3 73.0 58.4 58.8 52.4 62.6 63.8 40.8 52.5 62.3 56.3 62.3 50.1 58.3 95% CI 56.1-61.3 47.1-66.3 59.8-80.1 42.4-61.4 54.6-78.6 43.6-68.8 45.8-72.9 61.1-84.9 47.4-69.4 48.1-69.4 43.1-61.6 53.8-71.5 53.7-73.8 31.1-50.5 41.7-63.3 53.3-71.2 46.5-66.1 52.6-72.0 38.8-61.3 47.4-69.2 Sex Male % 56.9 50.2 52.5 42.9 52.8 62.1 69.3 86.8 56.9 53.0 42.6 54.4 70.7 51.2 49.8 60.1 64.2 72.5 43.3 47.1 95% CI 52.5-61.3 32.8-67.6 33.2-71.9 27.7-58.0 29.8-75.7 42.7-81.6 48.3-90.3 74.3-99.2 38.4-75.5 34.2-71.8 27.3-58.0 38.1-70.6 54.9-86.4 34.3-68.0 32.4-67.2 44.1-76.2 47.8-80.6 56.7-88.4 25.7-60.9 30.7-63.4 Female % 60.0 61.1 80.4 59.0 76.5 52.0 51.5 63.4 59.4 63.3 59.4 67.8 57.7 34.0 54.5 63.8 50.7 55.2 55.9 69.2 95% CI 56.8-63.1 50.2-71.9 70.8-90.0 47.6-70.4 64.1-88.9 35.7-68.3 34.7-68.2 45.9-80.8 45.7-73.1 51.6-75.1 48.3-70.6 57.8-77.8 45.1-70.3 23.0-44.9 40.9-68.2 53.5-74.0 39.1-62.2 43.1-67.2 41.7-70.1 56.0-82.3 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Race White % 63.6 54.9 72.2 54.2 69.0 69.0 57.5 75.3 71.1 61.0 54.8 72.8 69.8 45.3 57.5 71.1 64.5 64.5 53.2 59.7 95% CI 60.8-66.4 44.7-65.2 62.0-82.4 44.5-63.9 56.7-81.2 55.3-82.7 41.8-73.2 63.6-87.1 59.7-82.4 49.7-72.3 44.3-65.2 62.8-82.7 58.8-80.7 33.3-57.2 45.9-69.0 61.9-80.2 53.4-75.6 53.6-75.4 40.5-65.9 47.7-71.7 Black % 35.5 76.8 0.0 0.0 44.1 28.5 69.7 73.2 22.2 37.2 39.5 35.7 43.3 19.9 39.2 38.5 30.8 46.0 46.5 50.8 95% CI 29.2-41.8 42.9-100.0 * * 0.0-91.7 6.3-50.8 43.5-95.9 27.9-100.0 3.8-40.7 5.9-68.6 19.1-59.9 18.2-53.2 21.3-65.2 7.1-32.7 16.8-61.5 20.0-57.0 13.6-48.0 19.8-72.3 15.2-77.9 23.9-77.8 * There were no respondents who had a pneumonia vaccination. BRFSS 2002 | 17 Health Insurance Access to preventative services and health care can prevent or improve the outcomes of many diseases. Insurance coverage is a strong determining factor in whether people will have access to services like screenings, treatment, and health recommendations. Access to quality health care can help eliminate disparities in disease and disease outcomes and can improve the quality and length of life for people living in Georgia. Access to health care can be limited both by lack of health insurance and by insufficient coverage. People who cannot afford to see a doctor or a health-care professional for either of these reasons are at risk for adverse health outcomes. Percent of Adults with No Health Insurance, Georgia 2002: 15.7% Healthy People 2010 Objective: 0% The prevalence of adults with no health insurance is significantly higher among blacks than whites and higher among adults 18-24 years of age as compared to adults age 25 years or more. Adults with household income less than $35,000 are less likely than those with higher income to have health insurance. Percent Percent Percent of Adults, Age 18+, with No Health Insurance, by Sex, Georgia 2002 50 40 30 20 10 17.0 0 Male 14.5 Female Sex Percent of Adults, Age 18+, with No Health Insurance, by Race/Ethnicity, Georgia 2002 50 40 30 20 10 11.3 0 White 22.8 28.6 Black Hispanic Race/Ethnicity 22.9 Other Percent Percent of Adults, Age 18+, with No Health Insurance, by Income, Georgia 2002 50 40 30 20 10 29.6 0 33.3 Less than $15,000 $15,000-$24,999 19.8 11.5 $25,000-$34,999 $35,000-$49,999 Income 5.7 $50,000-$74,999 3.5 $75,000 or more Percent Percent of Adults, Age 18+, with No Health Insurance, by Age, Georgia 2002 50 40 30 20 10 27.4 16.6 17.1 16.4 11.9 1.6 0 18-24 25-34 35-44 45-54 55-64 65+ Age 18 | BRFSS 2002 Percent of Adults, Age 18+, who Have No Health Insurance, By Age, Sex, and Race, Georgia Health Districts, 2000-2002 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Total N % 13,423 14.5 777 13.5 671 14.1 651 14.3 711 10.9 689 15.6 628 13.7 657 12.8 728 14.4 727 11.6 720 14.9 753 13.2 750 16.5 714 16.3 659 19.1 759 18.7 700 14.3 734 20.2 725 15.7 670 15.5 95% CI 13.7-15.4 10.7-16.3 10.7-17.5 10.8-17.8 7.7-14.1 12.0-19.2 9.9-17.5 9.4-16.1 11.0-17.8 8.5-14.8 11.8-18.1 10.1-16.3 13.4-19.7 12.6-20.0 15.4-22.8 15.1-22.2 11.4-17.2 16.7-23.7 12.2-19.2 12.1-18.8 Age 18-44 % 18.5 18.0 19.1 19.9 13.1 18.8 17.1 16.2 17.5 15.9 16.1 19.4 19.5 22.1 23.7 25.9 17.9 25.8 19.7 20.3 95% CI 17.2-19.8 13.5-22.5 13.6-24.6 14.1-25.6 8.4-17.7 13.6-24.0 11.6-22.7 11.3-21.0 12.6-22.3 10.6-21.2 11.4-20.9 14.2-24.6 14.8-24.2 16.1-28.1 18.0-29.3 20.0-31.8 13.5-22.3 20.2-31.3 14.7-24.8 15.4-25.2 45-64 % 11.9 10.2 10.5 10.6 9.7 12.4 10.1 8.6 11.4 9.4 20.2 8.4 18.4 11.6 17.8 15.4 14.6 19.8 11.1 11.5 65+ 95% CI % 10.7-13.1 2.1 6.1-14.2 3.5 6.6-14.5 0.0 5.7-15.4 2.4 4.8-14.6 0.0 7.0-17.8 5.3 5.0-15.2 0.9 4.0-13.3 0.6 6.0-16.7 1.4 5.6-13.2 0.0 14.2-26.1 2.2 4.9-12.0 0.8 12.8-24.0 0.5 7.2-16.0 4.0 12.0-23.5 5.5 10.5-20.2 2.8 9.2-20.1 3.0 14.2-25.5 1.7 6.4-15.8 3.0 5.4-17.6 2.5 95% CI 1.2-3.0 0.0-7.8 * 0.0-5.4 * 0.0-12.3 0.0-2.5 0.0-1.5 0.0-4.1 * 0.0-4.7 0.0-1.9 0.0-1.4 0.0-8.2 0.0-11.3 0.0-6.2 0.0-6.5 0.0-4.1 0.0-7.6 0.0-6.1 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male % 15.4 13.7 17.3 15.2 12.2 16.0 13.9 12.9 17.5 12.5 14.5 14.2 16.0 17.3 21.1 18.1 13.9 21.8 16.9 15.4 95% CI 14.0-16.8 9.2-18.1 11.5-23.0 9.3-21.0 6.6-17.8 10.0-22.0 7.5-20.3 7.8-18.0 11.4-23.6 6.9-18.1 9.4-19.5 9.0-19.3 11.0-20.9 11.0-23.5 15.0-27.3 12.3-23.9 9.2-18.5 16.2-27.4 12.0-21.8 9.9-20.9 Female % 95% CI 13.7 12.8-14.7 13.4 9.7-17.0 11.1 7.5-14.7 13.5 9.6-17.4 9.7 6.4-13.1 15.3 11.1-19.5 13.5 9.1-17.9 12.6 8.2-17.0 11.6 8.1-15.1 10.9 7.7-14.0 15.4 11.6-19.1 12.3 8.7-15.9 17.0 13.0-21.0 15.4 11.2-19.6 17.2 13.0-21.3 19.2 14.7-23.6 14.7 11.0-18.3 18.6 14.3-23.0 14.5 9.5-19.5 15.5 11.4-19.6 Race White % 11.2 12.9 13.1 14.2 7.7 6.0 10.0 9.9 7.7 8.0 13.3 7.2 13.7 12.2 15.3 18.3 11.4 17.0 12.4 14.3 * There were no respondents who had no health insurance. Black 95% CI % 10.3-12.0 21.0 9.9-15.9 21.6 9.7-16.4 23.8 10.4-17.9 17.0 4.2-11.2 19.5 2.7-9.2 24.8 4.9-15.1 16.7 6.4-13.4 20.7 3.5-11.8 18.0 5.5-10.5 25.1 9.8-16.9 17.5 4.7-9.8 21.5 10.1-17.4 21.0 8.6-15.7 20.5 11.4-19.3 21.0 13.7-22.8 19.6 8.3-14.5 20.5 13.3-20.6 28.7 9.1-15.8 20.5 10.6-18.0 15.6 95% CI 18.9-23.0 9.5-33.7 0.0-49.9 3.0-31.0 10.6-28.4 17.9-31.7 10.7-22.6 10.0-31.5 12.9-23.1 14.0-36.2 11.1-23.9 14.5-28.4 14.9-27.1 13.7-27.3 14.0-27.9 13.4-25.7 13.6-27.4 19.3-38.2 12.9-28.1 8.5-22.6 BRFSS 2002 | 19 Specific Source of Care Access to medical care depends in part on access to an ongoing source of care or having a particular doctor's office, clinic, health center, or other place to go for health care advice. Although health insurance is a major factor in access to care, having health insurance does not guarantee that health care is accessible. Many insured persons do not have a usual source of care, and people without a usual source of health care are less likely to receive preventive health care services. A primary care provider as the usual source of care can be especially important for providing integrated health care services. Adults who had a Specific Source of Ongoing Care Georgia, 2002: 77.0% Percent Percent Percent of Adults, Age 18+, with Specific Source of Ongoing Care, by Sex, Georgia 2002 100 80 60 40 20 70.3 0 Male 83.3 Female Sex Percent of Adults, Age 18+, withSpecific Source of Ongoing Care, by Race/Ethnicity, Georgia 2002 100 80 60 40 20 80.9 0 White 72.6 52.9 Black Hispanic Race/Ethnicity 68.3 Other Healthy People 2010 Objective: 96% Women are significantly more likely than men and whites are significantly more likely than blacks to have a specific source of care. Young adults 18-24 years of age are significantly less likely to have specific source of ongoing care as compared to adults of 25 or more years of age. Adults with income of $50,000 or more are significantly more likely than adults with less than $35,000 income to have a source of care. Adults who had access to medical care are significantly more likely to have specific source of ongoing care than adults with no access to medical care. Percent Percent of Adults, Age 18+, with Specific Source of Ongoing Care, by Income, Georgia 2002 100 80 60 40 20 66.2 0 69.7 72.4 79.9 81.4 87.3 Less than $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more $15,000 Income 20 | BRFSS 2002 Percent Percent Percent of Adults, Age 18+, with Specific Source of Ongoing Care, by Age, Georgia 2002 100 80 60 40 20 56.2 72.3 77.8 83.0 85.9 89.7 0 18-24 25-34 35-44 45-54 55-64 65+ Age Percent of Adults, Age 18+, with Specific Source of Ongoing Care, by Access to Medical Care, Georgia 2002 100 80 60 40 20 83.7 0 46.5 Yes No Access to Medical Care Percent of Adults, Age 18+, with Specific Source of On Going Care, By Age, Sex, and Race, Georgia Health Districts, 2000-2002 Total Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N % 13,350 78.2 775 78.6 668 79.6 651 81.4 709 79.9 680 73.5 621 74.5 652 77.4 723 74.2 724 82.5 717 84.3 751 82.6 743 76.2 709 77.9 656 78.7 753 76.7 700 80.3 728 77.9 721 73.6 669 79.7 95% CI 77.1-79.2 75.1-82.0 75.6-83.6 77.5-85.3 76.4-83.4 68.8-78.2 69.3-79.7 73.4-81.4 69.6-78.7 78.8-86.1 81.0-87.5 79.2-86.1 72.4-79.9 74.0-81.7 75.0-82.5 72.7-80.6 76.9-83.7 74.1-81.6 69.7-77.4 75.9-83.6 Age 18-44 % 71.7 68.7 72.0 76.0 76.1 64.5 68.9 72.4 67.6 77.9 79.1 75.7 71.0 71.7 74.4 67.5 75.8 69.6 65.4 75.3 45-64 95% CI % 70.2-73.2 85.2 63.2-74.2 90.0 65.6-78.3 88.5 69.8-82.2 85.2 71.3-80.9 83.0 57.8-71.2 87.2 61.6-76.3 81.8 66.8-78.0 84.5 61.1-74.1 83.8 72.1-83.7 84.1 73.8-84.5 88.3 70.0-81.4 89.6 65.5-76.5 81.0 65.7-77.6 85.9 68.7-80.1 82.9 61.2-73.8 85.7 70.7-80.8 82.4 63.6-75.7 85.7 59.7-71.0 85.5 70.0-80.6 82.6 95% CI 83.8-86.6 85.8-94.1 84.4-92.6 79.4-91.0 76.9-89.2 81.7-92.7 75.0-88.6 78.6-90.5 78.0-89.5 79.0-89.2 83.6-93.0 85.6-93.5 75.0-87.0 80.8-91.0 77.4-88.4 80.3-91.1 76.3-88.6 80.8-90.7 80.6-90.5 75.1-90.1 65+ % 91.1 89.9 92.7 91.0 95.3 87.9 91.9 92.6 91.2 96.1 92.0 93.8 88.4 85.5 86.7 89.6 90.7 91.1 90.7 93.0 95% CI 89.7-92.6 84.0-95.9 85.7-99.6 86.2-95.8 90.4-100.0 80.2-95.6 84.9-99.0 86.2-99.0 85.2-97.1 91.3-100.0 87.7-96.4 90.0-97.5 81.5-95.3 77.9-93.1 78.8-94.7 84.5-94.7 85.2-96.2 85.3-96.9 84.9-96.5 88.1-97.9 Georgia 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Sex Male % 71.5 73.0 74.3 77.2 75.0 64.1 64.5 70.2 65.4 77.2 80.6 77.4 67.6 69.6 72.2 66.6 75.1 69.5 65.2 78.4 95% CI 69.7-73.2 67.2-78.8 67.6-80.9 70.5-83.9 69.1-81.0 56.2-72.0 55.3-73.8 63.6-76.7 57.8-73.0 70.7-83.7 75.0-86.3 71.4-83.4 61.3-74.0 63.0-76.3 65.8-78.7 59.9-73.4 69.2-81.1 63.3-75.7 58.9-71.5 72.4-84.4 Race Female White % 95% CI % 84.4 83.4-85.4 80.3 83.6 79.7-87.6 78.4 84.8 80.5-89.1 80.5 85.6 81.6-89.6 81.3 84.5 80.7-88.4 82.8 82.3 78.0-86.7 79.2 83.5 79.4-87.5 76.6 84.4 80.1-88.7 80.9 82.1 77.4-86.8 75.7 87.3 83.9-90.7 86.0 87.7 84.4-91.0 84.4 87.4 83.8-90.9 84.3 84.0 80.1-87.9 79.1 85.4 81.5-89.2 76.4 84.8 81.0-88.7 81.3 85.5 81.5-89.5 75.5 84.9 81.3-88.5 81.1 86.1 82.1-90.0 77.7 81.9 77.8-85.9 75.2 81.0 76.1-85.8 80.7 95% CI 79.3-81.4 74.7-82.1 76.4-84.6 77.1-85.4 79.0-86.7 74.1-84.3 68.3-84.8 76.6-85.2 69.6-81.8 82.7-89.3 80.6-88.3 80.4-88.2 74.7-83.4 71.2-81.5 77.1-85.4 70.4-80.5 77.0-85.2 73.5-82.0 70.6-79.8 76.4-84.9 Black % 74.4 74.5 81.0 88.0 75.7 68.1 73.6 64.8 73.9 69.6 84.3 80.2 73.2 79.1 77.5 77.8 80.3 80.5 71.9 81.6 95% CI 72.1-76.7 61.6-87.3 56.5-100.0 76.5-99.4 66.9-84.5 60.5-75.7 66.4-80.6 52.9-76.7 66.6-81.2 57.9-81.2 78.1-90.6 73.3-87.0 66.1-80.2 72.8-85.3 70.2-84.7 71.1-84.6 73.6-87.1 72.2-88.8 63.7-80.0 72.9-90.4 BRFSS 2002 | 21 Data Tables Total Sex Male Female Race/Ethnicity White Black Hispanic Other Age 18-24 18-34 (Diabetes) 25-34 35-44 40-44 (Mamography) 45-54 55-64 65+ Income Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more Access to Medical Care Yes No District 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 N 4845 1827 3018 3277 1235 108 174 419 na 898 1002 na 942 698 850 559 808 682 773 697 769 4057 764 264 230 242 278 267 224 242 240 256 248 251 258 246 237 317 233 274 285 253 Obesity % 95 % CI N 23.5 21.9-25.0 5056 23.2 20.7-25.8 1848 23.7 21.8-25.5 3208 20.7 31.2 23.9 15.6 19.1-22.4 3399 27.5-34.9 1301 12.3-35.6 118 8.8-22.4 181 11.8 na 20.9 26.6 na 29.4 27.7 22.5 8.3-15.4 na na 1358 17.7-24.0 na 22.6-30.6 1049 na na 25.6-33.1 987 23.7-31.7 723 18.9-26.0 887 35.2 29.1 26.1 23.4 22.0 17.0 30.0-40.5 582 24.3-34.0 836 21.9-30.4 703 19.8-27.0 799 18.3-25.7 715 13.7-20.3 795 22.9 21.3-24.5 4234 26.3 21.6-30.9 797 24.7 23.2 25.0 19.6 23.9 22.6 16.1 15.3 24.4 27.7 30.0 29.8 21.2 31.2 27.8 20.6 31.5 23.9 20.7 18.9-30.4 280 15.7-30.6 239 18.2-31.8 255 14.1-25.0 290 17.6-30.2 280 15.4-29.7 229 11.4-20.8 253 10.4-20.3 252 16.8-31.9 272 20.6-34.8 254 22.6-37.4 270 22.9-36.6 270 15.5-26.9 254 24.4-38.0 247 22.2-33.5 324 14.6-26.6 242 24.7-38.3 282 18.2-29.5 293 15.0-26.3 270 Diabetes % 95 % CI 7.1 6.3-7.9 Cigarette Smoking Physical Activity N % 95% CI N % 95% CI 5037 23.2 21.7-24.8 5059 25.7 24.0-27.3 6.6 5.4-7.9 1843 26.6 23.9-29.3 1850 22.5 19.8-25.1 7.5 6.4-8.6 3194 20.1 18.3-21.8 3209 28.6 26.7-30.6 6.5 5.6-7.4 3387 24.6 22.8-26.5 3404 21.8 20.1-23.4 8.5 6.7-10.3 1297 18.9 15.9-22.0 1300 32.0 28.2-35.8 2.5 0.4-4.6 117 17.3 7.3-27.3 118 40.4 23.9-56.9 8.2 3.1-13.3 179 33.0 23.3-42.6 180 27.5 19.2-35.7 na 1.1 na 3.4 na 9.8 15.0 18.4 na 0.4-1.8 na 2.1-4.8 na 7.4-12.2 11.9-18.0 15.2-21.5 431 na 926 1043 na 984 719 881 26.6 na 22.2 25.0 na 28.3 24.4 10.8 20.6-32.7 na 18.9-25.4 21.5-28.4 na 24.7-32.0 20.4-28.3 8.3-13.3 434 na 925 1049 na 988 724 887 20.1 na 19.6 25.2 na 26.7 30.5 36.2 14.8-25.3 na 16.4-22.8 21.4-29.0 na 23.1-30.3 26.4-34.5 32.3-40.1 13.5 9.6 7.8 6.9 2.9 4.1 9.8-17.2 580 7.1-12.1 834 5.1-10.5 699 4.9-8.8 795 1.7-4.1 712 2.5-5.7 794 28.9 22.8-35.1 584 31.6 27.0-36.2 837 27.2 22.6-31.7 702 25.2 21.1-29.4 800 20.3 16.7-24.0 715 15.0 11.9-18.0 794 40.5 38.8 27.5 24.0 15.2 11.2 33.4-47.7 33.8-43.8 23.3-31.7 20.1-27.8 12.2-18.2 8.4-14.0 7.0 6.2-7.9 4218 20.1 18.5-21.7 4236 23.7 22.1-25.4 7.1 4.8-9.3 794 38.4 33.8-43.0 799 35.3 30.6-40.0 12.6 5.8 8.0 4.4 4.8 5.1 2.6 4.8 8.2 10.5 12.5 6.5 6.8 7.3 10.3 6.1 10.3 8.1 5.9 7.8-17.4 279 2.7-8.9 237 4.6-11.4 253 1.7-7.1 288 1.4-8.1 280 0.7-9.5 228 1.0-4.3 253 2.1-7.5 251 4.4-12.0 269 6.4-14.6 254 8.1-16.9 269 3.6-9.4 270 3.9-9.6 252 4.2-10.4 246 6.8-13.8 324 2.8-9.3 242 5.9-14.8 280 4.7-11.5 294 3.0-8.8 268 33.6 26.8-40.4 280 31.0 23.7-38.3 239 21.8 15.7-28.0 255 18.5 13.2-23.7 290 17.2 12.0-22.4 278 22.2 14.8-29.5 229 23.6 17.1-30.1 254 19.4 11.7-27.1 252 23.2 17.2-29.2 272 17.0 11.9-22.1 255 27.1 19.6-34.7 270 22.9 16.9-28.9 270 23.4 17.1-29.8 255 27.4 20.3-34.6 246 27.4 21.2-33.5 326 19.9 13.6-26.2 242 26.2 19.8-32.6 283 27.9 21.9-34.0 293 22.2 16.5-27.8 270 29.6 30.4 23.7 18.2 20.2 18.6 24.7 23.4 21.2 34.7 30.4 29.8 24.5 31.1 32.7 24.4 28.7 21.2 28.7 23.6-35.7 22.7-38.0 17.9-29.5 12.7-23.6 14.4-25.9 13.0-24.2 18.4-31.0 15.8-30.9 14.3-28.0 27.5-41.8 23.5-37.3 23.6-36.1 18.5-30.5 24.6-37.7 26.7-38.7 18.3-30.5 22.2-35.2 16.1-26.3 22.7-34.6 Mammography N % 95 % CI 1957 75.5 73.1-77.9 na na na na na na 1417 459 24 38 76.0 73.6 73.5 80.0 73.3-78.8 68.2-78.9 53.0-93.9 67.0-93.0 na na na na na na na na na na na na 333 67.1 60.7-73.3 605 74.6 70.3-79.0 447 81.8 77.3-86.3 572 77.5 73.1-81.9 288 63.8 56.5-71.1 329 65.9 59.1-72.7 253 72.8 65.5-80.1 245 81.7 76.3-87.1 241 82.2 76.6-87.7 269 85.6 80.6-90.6 1700 79.5 77.1-81.9 248 49.7 41.8-57.7 118 79.0 70.6-87.3 107 72.2 62.4-81.9 111 72.9 63.3-82.5 99 66.2 55.3-77.0 91 84.4 74.6-94.1 76 75.4 63.9-87.0 75 73.6 61.6-85.6 87 81.9 73.2-90.6 114 77.4 67.8-86.9 104 71.2 60.4-82.1 121 77.1 67.3-86.8 108 74.1 64.6-83.6 102 83.7 73.1-94.2 94 75.2 65.3-85.1 145 71.7 63.5-79.8 99 80.5 72.3-88.6 118 66.6 57.0-76.2 94 80.5 71.9-89.1 94 73.3 63.6-83.0 22 | BRFSS 2002 Data Tables Total Sex Male Female Race/Ethnicity White Black Hispanic Other Age 18-24 25-34 35-44 45-54 55-64 65+ Income Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or more Access to Medical Care Yes No District 1-1 1-2 2-0 3-1 3-2 3-3 3-4 3-5 4-0 5-1 5-2 6-0 7-0 8-1 8-2 9-1 9-2 9-3 10-0 Pap Test N % 95 % CI N 2207 89.6 87.8-91.3 884 na na na 290 na na na 594 1424 639 55 67 88.5 86.5-90.5 696 91.0 87.0-94.9 144 92.2 84.4-99.9 4 93.6 87.9-99.3 18 255 85.9 79.1-92.6 na 559 93.9 91.3-96.6 na 555 94.8 92.7-96.9 na 375 89.6 86.1-93.0 na 219 87.6 82.9-92.4 na 244 70.5 63.8-77.2 na 248 83.7 77.0-90.4 191 374 89.0 84.9-93.1 173 298 85.9 81.4-90.4 103 365 92.6 89.4-95.8 84 335 94.5 91.6-97.3 61 325 96.8 94.5-99.2 53 1831 91.1 89.5-92.7 852 368 85.1 80.1-90.1 24 112 82.3 73.4-91.1 49 103 87.0 79.4-94.6 33 107 86.7 80.2-93.3 54 141 89.2 82.7-95.6 35 129 92.9 86.0-99.9 27 123 92.3 86.5-98.1 25 117 92.3 87.6-96.9 22 129 90.6 82.6-98.6 33 114 89.7 83.7-95.8 43 101 91.7 86.9-96.6 62 110 96.2 93.1-99.4 75 105 91.0 84.7-97.3 52 108 95.1 91.0-99.3 58 111 89.9 84.1-95.6 44 136 83.4 74.9-91.8 82 98 97.0 93.9-100.0 54 115 85.5 78.8-92.2 47 115 94.9 91.1-98.8 48 133 84.7 77.9-91.5 41 Flu Shot % 95 % CI 59.3 55.3-63.3 Pneumonia N % 95 % CI 868 57.3 53.2-61.3 60.3 58.6 53.6-67.1 282 53.7-63.6 586 56.5 49.6-63.4 57.8 52.9-62.7 63.2 44.8 55.9 47.1 58.8-67.6 685 34.8-54.9 141 0.00-100.0 4 19.5-74.6 18 62.9 35.3 55.9 63.3 58.5-67.2 25.8-44.9 0.0-100.0 38.1-88.6 na na na na na na na na na na na na na na na na na na na na na na na na na na na na na na 51.2 56.3 59.7 68.9 56.5 77.0 42.1-60.1 187 47.3-65.3 170 47.8-71.7 103 58.0-79.8 82 41.8-71.1 62 64.1-90.0 53 50.7 53.1 55.3 67.5 53.2 63.2 41.6-59.8 44.1-62.1 43.7-67.0 56.1-79.0 38.8-67.7 46.2-80.2 59.1 62.0 55.0-63.2 836 38.3-85.7 24 57.6 53.5-61.7 42.7 18.5-67.0 72.7 35.0 60.7 49.4 58.3 60.4 66.0 61.2 56.3 61.1 50.5 69.0 52.9 76.8 57.3 68.1 67.6 58.9 63.6 59.4-86.1 49 16.7-53.2 32 45.6-75.8 54 31.3-67.6 35 38.0-78.7 26 38.2-82.7 25 43.9-88.2 21 42.4-80.1 33 37.5-75.0 43 46.8-75.5 59 37.6-63.4 73 54.8-83.3 50 37.0-68.8 56 63.8-89.8 43 44.8-69.8 80 54.3-81.8 52 53.0-82.2 48 42.3-75.6 48 46.3-80.8 41 65.8 64.6 50.5 63.2 44.3 54.4 78.3 66.0 57.2 60.5 53.0 67.7 37.2 65.6 51.1 70.6 62.2 55.9 54.2 51.5-80.0 44.4-84.7 35.1-66.0 45.2-81.1 23.4-65.3 32.4-76.4 60.3-96.3 48.4-83.7 39.5-74.8 45.8-75.2 39.8-66.3 52.6-82.9 22.3-52.1 49.9-81.3 38.3-63.9 57.0-84.2 46.9-77.5 40.0-71.7 36.5-71.9 Insurance Source of Care N Wt. % 95 % CI N % 95 % CI 5054 15.7 14.2-17.1 5059 77.0 75.1-78.9 1847 17.0 14.5-19.4 1851 70.3 67.1-73.5 3207 14.5 12.9-16.1 3208 83.3 81.5-85.1 3401 1300 116 180 11.3 22.8 28.6 22.9 10.0-12.6 3401 80.9 19.2-26.4 1302 72.6 15.5-41.7 118 52.9 13.9-31.9 181 68.3 79.2-82.7 69.1-76.2 33.6-72.3 58.3-78.2 429 926 1049 988 722 887 27.4 16.6 17.1 16.4 11.9 1.6 21.5-33.4 434 56.2 13.7-19.6 925 72.3 13.5-20.7 1049 77.8 13.3-19.4 989 83.0 9.2-14.6 724 85.9 0.5-2.8 886 89.7 48.8-63.6 68.4-76.1 73.9-81.7 79.9-86.1 82.9-89.0 87.3-92.1 584 29.6 23.4-35.7 583 66.2 56.5-76.0 838 33.3 28.3-38.3 839 69.7 64.8-74.6 702 19.8 15.6-24.0 703 72.4 67.7-77.1 799 11.5 8.4-14.6 799 79.9 75.8-84.0 714 5.7 3.5-7.8 715 81.4 77.7-85.1 795 3.5 2.0-4.9 795 87.3 84.2-90.3 na na na na na na 4236 83.7 81.7-85.6 798 46.5 41.8-51.2 280 14.1 9.1-19.0 280 79.4 73.6-85.1 239 17.8 11.4-24.2 239 81.5 75.3-87.8 253 12.4 7.1-17.7 255 83.1 77.2-89.0 288 12.3 7.6-17.0 290 75.8 69.8-81.8 279 13.9 9.2-18.7 278 73.4 65.5-81.3 229 19.3 12.0-26.5 228 70.3 61.1-79.5 254 15.0 9.0-21.1 254 72.1 64.9-79.4 252 15.8 9.7-22.0 252 75.2 67.5-82.9 270 16.5 9.4-23.7 272 78.1 70.8-85.5 254 15.6 10.3-20.9 254 86.1 81.3-90.9 270 11.6 6.1-17.0 270 82.8 76.3-89.4 270 19.3 13.5-25.1 270 78.4 72.4-84.4 254 18.4 11.6-25.2 254 77.7 71.3-84.0 247 19.9 13.8-26.1 247 79.4 73.3-85.4 326 21.1 15.9-26.3 325 74.4 68.3-80.5 243 13.3 8.3-18.3 243 81.3 75.4-87.2 283 17.4 12.0-22.9 283 77.5 71.3-83.7 293 13.5 8.7-18.2 294 72.3 66.4-78.1 270 16.3 11.3-21.4 271 85.5 80.7-90.2 BRFSS 2002 | 23 Methods Methods Georgia has been conducting the Behavioral Risk Factor Surveillance System (BRFSS) in cooperation with the Centers for Disease Control and Prevention (CDC) since 1984. In 2002, approximately 422 Georgia residents age 18 and older were interviewed each month by telephone about health conditions, behaviors, and the use of preventive services. The total sample size was 5,065. The average monthly co-operation rate for 2002 was 70%. The 2002 BRFSS used a Disproportionate Stratified Sample (DSS) design. Telephone numbers were classified into two strata based on the presumed density of residential telephone numbers. Telephone numbers in the high-density strata were sampled at a higher rate than numbers in the low-density strata. The sample was further stratified to yield approximately equal numbers of respondents in each of the 19 Health Districts in Georgia (see page 1). The 2002 BRFSS questionnaire covered a range of topics, on health behaviors and conditions. This report contains selected risk factors including obesity, diabetes, cigarette smoking, leisure time physical activity, mammography, Pap test, flu shot, pneumonia immunization, health insurance and specific source of ongoing care that were included on the questionnaires in 2000, 2001, and 2002. Participation in the survey was random, anonymous, and confidential. Respondents were randomly selected from among the adult members of the non-institutional households in Georgia. Trained interviewers administered the questionnaire, and data were entered during the interview via computer using CATI (Computer Assisted Telephone Interviewing) software. Households without telephones (approximately 8% of households in Georgia) and households that use cellular telephones only are not represented in the sampling frame. At the end of the year, data from the monthly surveys were compiled and weighted to represent the age-, race-, and sex-distribution of the adult population in Georgia and to compensate for an individual's probability of selection. Weighting also adjusts for nonresponse to the extent that non-responders are similar to responders. Estimates for the Health Districts were weighted to the age-, race-, and sex-specific population of the District. Analysis for this report was performed using statistical software that accounts for the complex survey sample design, and 95% confidence intervals were calculated for all estimates. Significant differences among demographic groups were identified by comparing confidence interval overlap. In addition to the 2002 estimates for Georgia and the Health Districts (data tables pages 22 and 23), this report also contains district estimates by selected demographics (age, race and sex). BRFSS data from 2000 to 2002 were aggregated in order to increase the sample size and reduce the statistical variability of demographic estimates. The sample size in 2000 was 4,114 and in 2001 was 4,532. 24 | BRFSS 2002 Definitions Risk Factor Definitions Demographic Definitions Obesity: Adults with a body mass index (BMI) equal to or greater than 30.0. BMI is measured as weight in kilograms divided by height in meters squared. Diabetes: Adults who have ever been told by a doctor that they have diabetes. Cigarette Smoking: Adults who have smoked at least 100 cigarettes in their lifetime and who are current smokers. No Leisure Time Physical Activity: Adults who did not participate in any physical activities or exercise during the past 30 days. Race/Ethnicity: Race/ethnicity is based on responses to questions about race and Hispanic origin. Hispanics may be of any race; white, black and other exclude persons who reported they were Hispanic. Other includes multiracial and all race categories other than black or white. Income: Self-reported annual household income from all sources. Access to Medical Care: Adults with no access to medical care were not able to see a doctor because of cost within the last year or have no health insurance. Mammography: Adult women, age 40 and older, who had a mammogram within the past two years. Pap Test: Adult women, who have not had a hysterectomy, who had a Pap smear within the past three years. Flu Shot: Adults, age 65 and older, who have had a flu shot within the past 12 months. Pneumonia Immunization: Adults, age 65 and older, who have ever had a pneumonia vaccination. Health Insurance: Adults who have no health care plan. Specific Source of On-going Primary Care: Adults who reported they have one or more person as their personal doctor or health care provider. Georgia Behavioral Risk Factor Surveillance System If you would like more information, visit the BRFSS web sites at: health.state.ga.us/epi/brfss www.cdc.gov/brfss For additional copies of this report contact: BRFSS Coordinator Georgia Division of Public Health 2 Peachtree Street, NW, 14th Floor Atlanta, Georgia 30303