2004 Georgia Behavioral Risk Factor Surveillance System report

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

Acknowledgments

Georgia Department of Human Resources Division of Public Health Epidemiology Branch Chronic Disease, Injury, and Environmental Epidemiology Section Georgia BRFSS

B.J. Walker, Commissioner Stuart T. Brown, M.D., Director Susan Lance, D.V.M., Ph.D., Director John Horan, M.D., M.P.H., Chief Leah Bryan, Coordinator Shani Thompson, Epidemiologist

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 completed the telephone survey the BRFSS would not be possible. Cover photos courtesy of Georgia Department of Industry, Trade and Tourism. Graphic Design: Jimmy Clanton, Jr. Suggested Citation: Bryan L, Thompson S, Patel M, Kanny D. 2004 Georgia Behavioral Risk Factor Surveillance System Report. Georgia Department of Human Resources, Division of Public Health, Chronic Disease, Injury, and Environmental Epidemiology Section, January 2006. Publication number DPH06/008HW.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

3

Table of Contents

4

Introduction ................................................................................................... 5 Obesity .......................................................................................................... 6 Diabetes ........................................................................................................ 8 Asthma .......................................................................................................... 10 Cigarette Smoking .......................................................................................... 12 Physical Activity .............................................................................................. 14 Binge Drinking ................................................................................................ 16 Firearms ........................................................................................................ 18 Suicide .......................................................................................................... 20 Mammography ................................................................................................ 22 Pap Test ......................................................................................................... 24 Colorectal Cancer Screening ............................................................................. 26 (Sigmoidoscopy/Colonoscopy) Influenza Vaccination ....................................................................................... 28 Pneumonia Vaccination .................................................................................... 30 HIV/AIDS Testing ............................................................................................ 32 Health Insurance ............................................................................................. 34 Disability ........................................................................................................ 36 Healthy People 2010 Table ................................................................................ 38 Data tables .................................................................................................... 40 Methods ......................................................................................................... 43 Definitions ...................................................................................................... 45

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 18 public health districts overall and by sex, race/ethnicity, age group, income and access to medical care. For the state, all estimates are based on the 2004 BRFSS survey. For the 18 health districts, survey data from 2000 through 2004 have been aggregated to increase the sample size and improve the accuracy and precision of the 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 (Gainsville)
District 3-1, Cobb/Douglas District 3-2, Fulton District 3-3, Clayton (Marrow) 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, Coastal (Savannah/Brunswick) District 9-2, Southeast (Waycross)
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, Bryan, Camden, Glynn, Liberty, Long, McIntosh
Appling, Atkinson, Bacon, Brantley, Bulloch, Candler, Charlton, Clinch, Coffee, Evans, Jeff Davis, Pierce, Tattnall, Toombs, Ware, Wayne Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

5

Obesity

6

Percent of Obese Adults, by Sex, Georgia 2004

An estimated 6,700 Georgians now die

50

every year because they are overweight or obese,

40

approximately 10% of all deaths. Obesity is a risk 30

factor for Type 2 diabetes mellitus, coronary heart 20

disease, gall bladder disease, osteoarthritis, sleep

10

apnea, respiratory problems, and some types of

25.1

24.4

cancer. Obesity is also associated with high blood 0

Male

Female

cholesterol and high blood pressure. The risk of

Sex

these conditions can be reduced by weight loss.

Recommendations for weight loss and weight maintenance include reducing calories and increasing physical activity.

Percent of Obese Adults, by Race/Ethnicity, Georgia 2004
50

Obesity is defined as body mass index (BMI)

40

of 30.0 or more where

30

BMI= weight (kg)/height (m2)

20

Obese Adults, Georgia 2004: 24.7%

10
22.6 0
White

32.1 Black

17.2

Race/Ethnicity

Hispanic

18.0 Other

Percent Percent

Percent Percent

Percent of Obese Adults, by Income, Georgia 2004

50

40

30

20

10
33.1 0
Less than $15,000

28.0
$15,000$24,999

30.0

30.5

$25,000$34,999

$35,000$49,999

Income

20.5
$50,000$74,999

17.1
$75,000 or more

Percent of Obese Adults, by Access to Medical Care, Georgia 2004
50

40

30

20

10

23.1 0
Health Coverage

29.4 No Health Coverage

Access to Medical Care

Healthy People 2010 Objective: 15%
Obesity among adult Georgians is significantly more prevalent in blacks than whites. Obesity is more common in adults who have incomes less than $50,000 and those who have no health coverage.

Percent

Percent of Obese Adults, by Age, Georgia 2004

50

40

30

20

10

16.1

23.4

27.0

28.6

32.5

21.1

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Obese Adults by Sex, Race and Age, Georgia Health Districts, 2000-2004

Obe sity

Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 25178 23.6 22.9-24.3 23.1 22.0-24.3 24.0 23.1-24.9 21.0 20.3-21.8 31.1 29.5-32.7 21.6 20.6-22.6 28.7 27.4-30.0 20.6 19.2-22.2

1-1

1281 26.1 23.3-29.0 27.9 23.6-32.7 24.2 20.9-27.9 24.9 22.1-28.1 NA NA 24.2 20.3-28.5 31.2 26.5-36.3 22.4 16.8-29.2

1-2

1101 21.0 18.1-24.1 22.8 18.3-28.1 19.0 15.8-22.8 21.2 18.2-24.5 NA NA 19.7 15.7-24.5 25.6 21.0-30.8 14.3 9.5-20.8

2-0

1750 22.5 19.6-25.6 24.9 20.2-30.2 20.0 17.2-23.2 21.1 18.6-23.9 NA NA 20.8 17.3-24.8 29.1 23.2-35.8 16.2 12.0-21.6

3-1

1167 20.4 17.8-23.3 23.4 19.2-28.1 17.4 14.4-20.9 19.8 16.9-23.2 21.9 15.9-29.3 19.3 15.9-23.2 22.0 17.5-27.4 23.5 16.3-32.6

3-2

1094 19.9 17.1-22.9 17.3 13.3-22.2 22.3 18.8-26.3 12.2 9.2-16.1 29.7 24.8-35.2 17.4 14.1-21.4 25.9 20.4-32.2 15.5 9.9-23.5

3-3

987 24.3 21.2-27.7 20.3 16.0-25.6 28.1 23.9-32.8 21.6 16.6-27.7 28.2 23.8-33.0 23.0 19.0-27.5 29.2 23.5-35.6 20.4 12.6-31.2

3-4

1135 18.6 16.2-21.3 21.2 17.5-25.5 15.9 13.1-19.2 18.1 15.4-21.3 24.0 17.9-31.3 14.7 11.9-18.2 26.3 21.6-31.6 23.0 16.0-31.8

3-5

1122 20.5 17.5-23.8 19.6 14.8-25.5 21.4 18.1-25.1 16.2 12.8-20.4 26.8 21.8-32.4 19.1 15.1-23.8 20.7 16.4-25.7 28.1 20.3-37.5

4-0

1171 24.1 21.2-27.2 23.7 19.2-28.8 24.4 21.0-28.2 21.9 18.9-25.3 34.8 26.7-43.8 23.4 19.3-28.1 26.8 22.2-31.9 20.8 14.5-28.8

5-1

1709 29.1 26.2-32.1 28.2 23.8-33.1 30.0 26.5-33.6 27.1 23.8-30.6 35.6 29.6-42.1 25.4 21.6-29.7 35.9 30.6-41.5 27.8 22.1-34.2

5-2

1213 27.7 24.8-30.8 24.3 20.1-29.1 30.9 27.1-35.0 25.3 21.8-29.2 33.5 28.1-39.4 25.8 21.6-30.4 34.3 29.2-39.8 22.4 17.2-28.6

6-0

1730 26.7 24.2-29.4 26.1 22.2-30.5 27.3 24.1-30.7 22.3 19.3-25.6 35.0 30.2-40.1 26.8 23.2-30.7 28.4 24.1-33.2 21.2 16.4-26.9

7-0

1240 24.2 21.5-27.2 20.8 16.6-25.6 27.6 24.2-31.3 20.9 17.3-24.9 29.7 25.1-34.7 22.2 18.3-26.6 31.9 27.0-37.2 17.1 12.5-23.1

8-1

1070 27.9 24.9-31.2 22.4 18.0-27.6 33.3 29.1-37.7 24.7 21.1-28.6 38.3 31.5-45.6 25.4 21.1-30.2 36.4 30.9-42.2 22.5 16.9-29.4

8-2

1732 29.5 26.8-32.3 26.3 22.6-30.4 32.4 28.7-36.3 26.2 23.0-29.5 36.3 31.5-41.3 28.7 24.8-33.0 33.3 28.8-38.1 25.2 20.0-31.3

9-1

2362 23.1 21.1-25.2 21.2 18.3-24.5 24.9 22.3-27.6 20.2 17.9-22.6 32.0 27.5-36.8 22.0 19.2-25.0 27.0 23.7-30.7 19.9 15.7-24.9

9-2

1751 29.0 26.3-31.8 30.0 25.9-34.5 27.9 24.5-31.6 26.9 24.0-30.0 36.0 29.1-43.6 27.1 23.2-31.3 32.7 28.3-37.3 27.9 22.0-34.7

10-0

1563 23.7 21.1-26.4 24.9 21.0-29.2 22.5 19.3-26.0 19.7 17.1-22.5 45.0 37.3-52.9 21.8 18.4-25.6 30.0 25.4-35.0 18.7 13.4-25.4

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

7

Cigarette Smoking
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 blood glucose levels, and regular foot and eye exams by health care professionals.
Adults with Diabetes, Georgia 2004: 7.3%
Healthy People 2010 Objective: 2.5%
Adults who are age 55 and older are significantly more likely to have diabetes than those 4554.

Percent Percent

Percent Percent

Diabetes

8

Percent of Adults with Diabetes, by Sex, Georgia 2004
25

20

15

10

5

7.6 0
Male

7.0 Female

Sex

Percent of Adults with Diabetes, by Race/Ethnicity, Georgia 2004

25

20

15

10

5
6.8 0
White

9.8 Black

2.4
Hispanic Race/Ethnicity

4.3 Other

Percent of Adults with Diabetes, by Income,
Georgia 2004
25

20

15

10

5

16.1

10.2

0

Less than $15,000 $15,000-$24,999

6.6

7.2

$25,000-$34,999 $35,000-$49,999 Income

4.2
$50,000-$74,999

3.6
$75,000 or more

Percent of Adults with Diabetes, by Access to Medical Care, Georgia 2004

25

20

15

10

5

7.3 0
Health Coverage

7.5 No Health Coverage

Access to Medical Care

Percent of Adults with Diabetes, by Age, Georgia 2004

25

20

15

10

5

1.3

4.7

8.0

15.4

19.0

0

18-34

35-44

45-54

55-64

65+

Age

Percent

Percent of Adults with Diabetes by Sex, Race and Age, Georgia Health Districts, 2000-2004

Dia be te s

Tota l

N%

Georgia 26362 7.2

1-1

1345 9.2

1-2

1140 7.0

2-0

1819 6.0

3-1

1219 5.5

3-2

1154 4.6

3-3

1049 6.1

3-4

1195 4.9

3-5

1180 4.7

4-0

1225 7.0

5-1

1803 9.5

5-2

1280 8.9

6-0

1803 7.9

7-0

1290 7.9

8-1

1120 10.3

8-2

1814 9.2

9-1

2470 7.8

9-2

1823 9.2

10-0

1633 6.1

95% CI 6.8-7.6 7.5-11.1 5.4-9.0 4.9-7.4 4.2-7.2 3.4-6.2 4.6-8.1 3.8-6.4 3.6-6.2 5.6-8.6 8.0-11.2 7.4-10.7 6.7-9.5 6.5-9.6 8.3-12.7 7.7-10.9 6.7-9.1 7.7-11.0 5.0-7.5

Sex

Male

Female

% 95% CI % 95% CI

6.9 6.4-7.5 7.4 6.9-7.9

11.3 8.6-14.9 7.1 5.5-9.3

8.7 6.1-12.4 5.3 3.9-7.2

6.3 4.5-8.6 5.8 4.4-7.4

6.3 4.4-9.1 4.8 3.2-7.0

3.6 2.2-6.0 5.5 3.8-7.9

5.8 3.8-9.0 6.4 4.3-9.3

4.6 3.1-6.7 5.3 3.7-7.5

4.6 3.1-6.9 4.8 3.4-6.8

6.5 4.5-9.3 7.4 5.7-9.5

9.3 7.2-12.1 9.7 7.7-12.0

7.5 5.3-10.3 10.2 8.1-12.7

7.4 5.5-10.0 8.4 6.8-10.4

6.7 4.8-9.3 9.1 7.2-11.4

9.7 7.1-13.1 10.9 8.0-14.6

7.4 5.5-9.8 10.7 8.6-13.3

6.8 5.2-8.7 8.9 7.3-10.7

9.3 7.0-12.2 9.2 7.4-11.3

6.2 4.5-8.5 6.1 4.7-7.9

Ra ce

W hite

Bla ck

% 95% CI % 95% CI

6.5 6.1-6.9 9.3 8.5-10.2

8.7 7.0-10.9 13.4 7.7-22.4

7.2 5.5-9.4 NA NA

5.4 4.3-6.8 16.8 9.3-28.5

4.7 3.4-6.5 7.9 4.5-13.4

2.1 1.1-3.9 8.0 5.6-11.4

5.7 3.7-8.6 6.6 4.3-10.0

5.8 4.4-7.7 3.9 2.0-7.8

3.9 2.7-5.6 4.9 3.2-7.3

5.6 4.2-7.3 11.7 7.9-17.0

7.9 6.4-9.7 13.6 10.1-18.1

8.2 6.3-10.6 10.8 8.1-14.3

7.5 5.9-9.5 8.6 6.4-11.5

7.5 5.7-9.8 9.4 7.0-12.5

9.0 7.1-11.5 14.0 9.2-20.7

6.9 5.5-8.8 12.5 9.7-16.0

7.4 6.0-9.0 10.3 8.0-13.2

7.5 6.0-9.3 14.4 10.3-19.7

5.2 4.0-6.6 11.3 7.8-16.1

18-44 % 95% CI 2.3 2.0-2.6 3.0 1.6-5.5 2.0 0.8-4.8 0.8 0.3-2.0 3.1 1.8-5.3 2.1 1.1-3.9 1.9 0.8-4.2 1.6 0.9-2.9 1.8 1.0-3.0 2.4 1.5-3.9 2.3 1.4-3.9 3.3 2.0-5.4 2.6 1.6-4.3 2.1 1.2-3.6 3.5 1.7-7.0 3.6 2.5-5.1 2.2 1.4-3.6 2.6 1.6-4.1 2.1 1.3-3.4

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

Age

45-64

65+

% 95% CI % 95% CI

11.3 10.5-12.2 17.9 16.5-19.4

14.6 11.2-18.9 20.8 15.5-27.2

11.5 8.3-15.8 18.6 13.1-25.8

11.4 8.7-14.8 13.8 10.0-18.6

7.9 5.4-11.6 13.8 8.5-21.7

8.6 5.7-12.8 8.2 4.6-14.5

12.7 8.7-18.1 18.5 11.6-28.2

7.9 5.4-11.4 18.6 12.4-26.9

6.3 4.1-9.6 19.6 13.2-28.2

9.7 7.1-13.0 18.9 13.1-26.5

14.6 11.5-18.3 21.4 16.6-27.1

12.4 9.3-16.3 21.4 16.4-27.3

11.1 8.7-14.1 20.6 15.7-26.7

12.2 9.2-16.0 21.1 15.8-27.6

18.4 14.3-23.3 20.9 14.9-28.4

15.0 11.6-19.2 16.2 12.3-21.0

13.1 10.6-16.1 20.3 16.2-25.2

15.7 12.3-19.8 19.8 15.0-25.6

9.6 7.1-12.7 16.4 11.6-22.6

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

9

Asthma

10

Asthma is a disease of the lungs that causes breathing problems or "asthma attacks" and results in more than 9,000 hospitalizations in Georgia each year. The airways of people with asthma tighten abnormally in response to smoke, pollen, dust, air pollution, infection, irritants, allergens, or exercise, leading to difficulty in breathing. While asthma is not often fatal, loss of productivity, high medical costs, and disability are common outcomes for asthma sufferers. Smoking, genetic factors, allergies and some medications can be risk factors for developing asthma and asthma symptoms. Asthma can be effectively controlled by recognizing and avoiding asthma triggers, appropriate management of medication, monitoring lung function, and giving patients tools and education about managing their own care.

Percent

Percent

Percent of Adults with Asthma, by Sex, Georgia 2004
25

20

15

10

5

5.2 0
Male

9.5 Female

Sex

Percent of Adults with Asthma, by Race/Ethnicity, Georgia 2004
25

20

15

10

5
7.1 0
White

8.5 Black

Race/Ethnicity

4.6 Hispanic

7.4 Other

Percent

Percent

Percent of Adults with Asthma, by Income, Georgia 2004
25

20

15

10

5

16.2

7.6

0

Less than $15,000 $15,000-$24,999

7.9

7.2

$25,000-$34,999 $35,000-$49,999 Income

5.7 $50,000-$74,999

4.5 $75,000 or more

Percent of Adults with Asthma, by Access to Medical Care, Georgia 2004

25

20

15

10

5

7.1 0
Health Coverage

8.2 No Health Coverage

Access to Medical Care

Adults with Asthma, Georgia 2004: 7.4%
The prevalence of asthma is significantly more common among females than males. Adults with incomes less than $15,000 are more likely to have asthma.

Percent

Percent of Adults with Asthma, by Age, Georgia 2004
25

20

15

10

5

12.2

5.3

6.9

6.4

8.6

7.0

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults with Asthma by Sex, Race and Age, Georgia Health Districts, 2000-2004

Asthm a

Tota l

N%

Georgia 26286 7.1

1-1

1342 8.5

1-2

1136 8.3

2-0

1816 6.4

3-1

1217 7.0

3-2

1149 7.3

3-3

1046 7.7

3-4

1193 4.7

3-5

1177 8.3

4-0

1222 7.0

5-1

1797 6.5

5-2

1275 6.9

6-0

1790 6.8

7-0

1291 6.2

8-1

1122 7.0

8-2

1806 8.0

9-1

2465 6.5

9-2

1819 7.4

10-0

1623 7.0

95% CI 6.6-7.5 6.9-10.5 6.3-10.8 5.0-8.1 5.5-8.9 5.5-9.7 5.5-10.8 3.5-6.3 6.5-10.5 5.3-9.1 5.3-8.1 5.5-8.8 5.5-8.3 4.8-8.0 5.5-8.7 6.5-10.0 5.5-7.8 6.1-9.0 5.6-8.7

Sex

Male

Fe m a le

% 95% CI % 95% CI

5.2 4.6-5.9 8.8 8.2-9.5

6.5 4.3-9.6 10.5 8.2-13.2

6.3 3.8-10.4 10.2 7.6-13.6

5.5 3.5-8.5 7.2 5.7-9.2

6.0 4.0-9.0 8.0 6.0-10.6

5.4 3.0-9.7 9.1 6.8-12.1

6.7 3.5-12.4 8.7 6.0-12.4

4.0 2.4-6.4 5.5 3.8-7.8

6.4 3.9-10.3 10.0 7.8-12.8

6.2 4.1-9.3 7.6 5.3-10.9

4.9 3.3-7.4 8.0 6.3-10.2

5.6 3.5-8.8 8.1 6.2-10.5

5.1 3.4-7.7 8.2 6.6-10.3

4.3 2.7-6.9 8.0 6.0-10.6

2.9 1.6-5.3 10.7 8.4-13.5

4.0 2.5-6.1 11.7 9.1-14.9

3.5 2.4-5.1 9.3 7.7-11.3

6.0 4.1-8.5 8.8 7.0-10.9

3.2 1.9-5.1 10.5 8.2-13.4

Ra ce

W hite

Bla ck

% 95% CI % 95% CI

6.8 6.3-7.3 7.9 6.8-9.0

8.9 7.1-11.1 3.2 1.0-10.1

8.2 6.2-10.8 NA NA

6.3 4.8-8.0 11.3 5.0-23.6

7.2 5.5-9.5 5.7 3.1-10.2

4.7 3.1-7.1 11.1 7.6-16.0

8.7 5.4-13.7 7.7 4.7-12.6

4.1 2.9-5.9 7.1 3.6-13.4

8.2 5.9-11.2 8.2 5.6-11.8

6.2 4.7-8.2 8.9 4.2-17.9

6.5 5.0-8.4 6.6 4.4-9.8

6.7 4.9-9.0 7.5 4.9-11.3

7.2 5.5-9.3 6.3 4.3-9.2

6.6 4.8-8.9 6.4 4.1-9.9

6.1 4.6-8.2 9.1 6.0-13.5

7.3 5.6-9.4 9.2 6.3-13.4

7.1 5.7-8.7 5.1 3.5-7.4

7.2 5.8-9.0 7.0 4.1-11.7

7.1 5.5-9.2 6.8 4.1-11.1

18-44 % 95% CI 7.2 6.6-7.9 8.5 6.2-11.7 9.3 6.4-13.3 5.4 3.6-8.2 7.1 5.1-9.8 8.3 5.7-11.9 8.9 5.8-13.6 5.4 3.8-7.8 7.4 5.2-10.4 8.9 6.2-12.6 6.5 4.6-9.1 7.5 5.3-10.4 6.5 4.8-8.9 6.8 4.8-9.6 6.6 4.7-9.1 6.4 4.4-9.1 6.6 5.2-8.5 7.5 5.6-9.9 6.1 4.4-8.3

Age 45-64 % 95% CI 7.1 6.5-7.9 8.1 5.7-11.3 7.3 4.9-10.7 8.0 5.9-10.8 7.2 4.9-10.4 7.1 4.5-10.8 5.9 3.7-9.5 3.2 1.9-5.4 9.0 6.1-13.1 5.0 3.3-7.5 6.6 4.6-9.2 6.4 4.2-9.7 7.9 5.8-10.7 6.4 4.3-9.5 7.7 5.2-11.1 8.8 6.2-12.3 6.3 4.7-8.3 8.5 6.3-11.4 9.2 6.3-13.4

65+ % 95% CI 6.3 5.5-7.3 9.7 6.3-14.8 6.5 3.8-10.9 5.6 3.4-9.1 5.9 2.8-12.2 3.0 1.1-7.7 5.3 2.1-12.7 5.1 1.8-13.5 11.4 6.5-19.2 3.7 2.0-6.8 6.6 4.4-9.9 6.3 3.9-10.1 5.7 3.6-8.9 2.8 1.4-5.6 7.3 4.3-12.1 11.9 7.8-17.8 6.7 4.5-9.8 4.9 3.0-8.0 6.3 3.8-10.2

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

11

Cigarette Smoking

12

50
Cigarette smoking is the leading cause of
40
preventable death in the United States. Tobacco

use accounts for 38% of all cancer deaths and

30

82% of all lung cancers in Georgia. Smoking is

20

also associated with illness and death related to

10

heart disease, stroke, chronic obstructive pulmo0
nary 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 50
initiation of smoking among youth and to reduce

exposure to environmental tobacco smoke are

40

also important for reducing the burden of tobacco- 30

related death and disease in Georgia.

20

10
Adults who Smoke Cigarettes,

Georgia 2004: 20.0%

0

Healthy People 2010 Objective: 12%

The prevalence of cigarette smoking is significantly more common in men, adults with no health coverage and adults younger than age 65.

Percent Percent

Percent Percent

Percent of Adults who Smoke Cigarettes, by Sex, Georgia 2004

22.3 Male

Sex

17.8 Female

Percent of Adults who Smoke Cigarettes, by Race/Ethnicity, Georgia 2004

20.3 White

19.4 Black

Race/Ethnicity

10.2 Hispanic

24.2 Other

Percent of Adults who Smoke Cigarettes, by Income, Georgia 2004

50

40

30

20

10
27.7 0
Less than $15,000

26.5
$15,000$24,999

20.7

26.0

$25,000$34,999

$35,000$49,999

Income

16.7
$50,000$74,999

10.7
$75,000 or more

Percent of Adults who Smoke Cigarettes, by Access to Medical Care, Georgia 2004

50

40

30

20

10

16.3 0
Health Coverage

30.6 No Health Coverage

Access to Medical Care

Percent

Percent of Adults who Smoke Cigarettes, by Age, Georgia 2004
50

40

30

20

10

26.5

23.1

18.2

22.5

16.8

11.2

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults who Smoke Cigarettes by Sex, Race, and Age, Georgia Health Districts, 2000-2004

Cigarette Smoking Tota l

Sex

Race

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 26295 22.6 21.9-23.3 25.3 24.2-26.5 20.1 19.3-20.9 23.8 23.0-24.7 19.6 18.2-21.0 24.6 23.6-25.7 24.2 23.1-25.4 11.1 10.0-12.3

1-1

1339 29.0 26.1-32.1 35.0 30.2-40.2 23.4 20.2-26.9 28.5 25.5-31.7 NA NA 32.9 28.5-37.7 27.6 23.1-32.6 17.5 12.4-24.2

1-2

1134 27.5 24.4-30.8 27.4 22.8-32.7 27.5 23.7-31.8 27.3 24.1-30.8 NA NA 31.2 26.5-36.2 26.1 21.5-31.2 13.9 9.5-19.9

2-0

1814 23.0 20.5-25.8 23.8 19.8-28.3 22.3 19.3-25.7 23.1 20.4-26.0 NA NA 27.4 23.5-31.8 21.8 18.1-26.1 11.0 7.8-15.3

3-1

1214 17.6 15.1-20.4 18.7 14.8-23.4 16.5 13.6-19.9 19.4 16.3-22.8 14.0 9.5-20.1 18.0 14.8-21.9 20.1 15.8-25.3 7.5 4.1-13.3

3-2

1156 17.9 15.4-20.7 21.0 16.8-25.8 15.0 12.2-18.3 16.8 13.5-20.8 19.8 15.7-24.7 18.8 15.4-22.7 19.2 14.8-24.4 9.5 4.5-19.0

3-3

1047 23.9 20.5-27.6 24.1 18.9-30.3 23.6 19.7-28.1 35.1 28.8-41.9 16.1 12.5-20.4 22.6 18.2-27.6 29.8 23.9-36.3 15.6 9.2-25.0

3-4

1193 23.2 20.3-26.3 25.8 21.5-30.6 20.6 16.9-24.8 22.7 19.4-26.4 24.8 17.7-33.6 24.8 20.8-29.2 23.5 19.0-28.7 10.2 5.8-17.5

3-5

1173 19.2 16.4-22.4 22.3 17.6-28.0 16.4 13.6-19.6 20.0 16.0-24.8 19.5 15.3-24.6 20.1 16.2-24.6 20.7 16.3-25.8 9.7 5.5-16.7

4-0

1221 21.6 19.0-24.4 23.9 19.7-28.7 19.4 16.4-22.7 23.7 20.6-27.0 12.7 8.7-18.4 23.6 19.7-27.9 23.3 19.2-28.0 10.2 6.3-15.9

5-1

1800 21.5 19.1-24.0 24.5 20.7-28.8 18.6 15.9-21.6 23.1 20.3-26.3 15.5 11.6-20.3 25.0 21.4-29.0 21.7 17.6-26.4 10.3 7.1-14.6

5-2

1276 24.7 21.9-27.8 26.2 21.6-31.3 23.4 20.2-27.1 25.8 22.2-29.6 22.5 17.8-28.0 27.7 23.4-32.5 27.6 23.1-32.6 10.1 6.8-14.8

6-0

1802 23.5 21.1-26.1 25.3 21.4-29.6 22.0 19.2-25.1 24.1 21.1-27.5 21.2 17.3-25.8 23.9 20.4-27.7 27.6 23.5-32.2 13.0 9.2-17.9

7-0

1286 22.2 19.4-25.2 25.1 20.6-30.2 19.5 16.4-22.9 23.0 19.2-27.3 19.5 15.5-24.2 24.5 20.4-29.2 22.5 18.2-27.4 13.1 8.7-19.2

8-1

1120 25.2 22.1-28.5 29.8 24.8-35.3 20.9 17.5-24.8 27.9 24.1-31.9 17.0 12.2-23.2 29.4 24.9-34.4 23.5 18.7-28.9 12.7 7.8-20.0

8-2

1810 23.6 21.1-26.3 27.0 23.1-31.3 20.6 17.4-24.2 27.3 23.9-31.1 16.1 12.9-19.9 23.6 19.9-27.8 29.9 25.5-34.7 12.3 8.3-17.7

9-1

2462 24.8 22.9-26.9 28.5 25.3-31.9 21.4 19.1-23.9 27.3 24.9-30.0 18.7 15.2-22.9 28.1 25.2-31.1 27.1 23.7-30.8 7.9 5.5-11.1

9-2

1819 26.8 24.2-29.6 32.2 28.0-36.7 21.5 18.5-24.8 26.8 23.9-30.0 24.9 19.0-31.9 30.6 26.7-34.9 29.4 25.0-34.3 8.2 5.4-12.4

10-0

1629 23.6 21.0-26.4 26.7 22.5-31.5 20.7 17.8-23.9 22.8 19.9-26.0 25.4 19.1-33.0 26.7 22.9-30.8 23.9 19.8-28.6 9.5 6.2-14.4

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

13

Physical Activity

14

Georgia ranks 42nd in the nation for adults who participate in leisure time 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 2004: 25.8%
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 18-44 years of age are more likely than adults age 55 and older to be physically active.

Percent

Percent

Percent of Adults with No Leisure Time Physical Activity, by Sex, Georgia 2004
50

40

30

20

10

21.6 0
Male

29.7 Female

Sex

Percent of Adults with No Leisure Time Physical Activity, by Race/Ethnicity, Georgia 2004
50

40

30

20

10
23.9 0
White

29.9 Black

Race/Ethnicity

18.6 Hispanic

32.3 Other

Percent

Percent

Percent of Adults with No Leisure Time Physical Activity, by Income, Georgia 2004
50

40

30

20

10
44.3 0
Less than $15,000

32.5
$15,000$24,999

26.6

24.6

$25,000$34,999

$35,000$49,999

Income

21.9
$50,000$74,999

13.1
$75,000 or more

Percent of Adults with No Leisure Time Physical Activity, by Access to Medical Care, Georgia 2004
50

40

30

20

10

24.0 0
Health Coverage

31.2 No Health Coverage

Access to Medical Care

Percent

Percent of Adults with No Leisure Time Physical Activity, by Age, Georgia 2004
50

40

30

20

10

15.4

18.3

22.8

30.2

34.7

40.0

0

18-24

25-34

35-44

45-54

55-64

65+

Age

*Estimates are not available because sample size <50.

Percent of Adults with No Leisure Time Physical Activity by Sex, Race, and Age,
Georgia Health Districts, 2000-2004

PNhoysPichaylsAiccatilvAityc Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 26372 26.4 25.7-27.1 22.6 21.5-23.7 30.0 29.1-30.9 23.8 23.0-24.6 31.9 30.3-33.4 21.3 20.3-22.3 30.7 29.5-32.0 37.8 36.0-39.6

1-1

1346 30.3 27.5-33.2 28.8 24.4-33.5 31.7 28.3-35.3 29.0 26.2-32.1 NA NA 23.2 19.6-27.4 36.6 31.8-41.7 43.4 36.5-50.4

1-2

1140 27.4 24.3-30.7 23.7 19.1-28.9 31.1 27.1-35.4 26.5 23.3-30.0 NA NA 24.1 19.8-29.1 30.7 25.8-36.0 34.8 27.7-42.7

2-0

1821 26.1 23.5-28.7 20.2 16.7-24.2 31.8 28.4-35.4 25.5 22.8-28.3 NA NA 19.3 16.0-23.1 31.6 27.0-36.7 37.7 31.7-44.0

3-1

1221 17.7 15.2-20.4 14.4 10.9-18.9 20.7 17.7-24.2 15.4 12.8-18.5 24.8 18.6-32.3 14.0 11.0-17.6 20.5 16.1-25.7 32.6 24.9-41.5

3-2

1153 21.4 18.6-24.6 19.4 15.2-24.5 23.3 19.6-27.4 16.8 12.8-21.7 27.1 22.6-32.1 18.2 14.7-22.4 23.1 18.0-29.3 36.4 27.4-46.4

3-3

1049 25.9 22.6-29.5 21.7 16.7-27.7 29.7 25.7-34.1 25.1 19.9-31.2 24.6 20.6-29.1 21.1 17.0-25.8 33.1 27.2-39.6 37.7 28.3-48.1

3-4

1196 22.2 19.6-25.2 18.8 15.1-23.2 25.6 21.9-29.7 19.1 16.2-22.3 30.9 23.5-39.5 19.3 15.9-23.2 26.5 21.6-32.0 32.3 24.3-41.4

3-5

1179 22.2 19.3-25.3 19.2 14.9-24.5 24.8 21.4-28.6 15.2 12.1-18.8 27.2 22.6-32.4 18.8 15.1-23.0 26.2 21.2-31.8 34.3 26.3-43.3

4-0

1225 25.9 23.0-29.1 22.9 18.3-28.3 28.7 25.2-32.5 21.4 18.6-24.4 38.3 30.2-47.1 23.8 19.5-28.7 27.7 23.3-32.5 30.2 23.5-37.8

5-1

1803 32.8 30.0-35.6 28.9 24.7-33.5 36.4 33.0-39.9 31.6 28.4-34.9 35.0 29.4-41.0 27.9 24.1-32.1 37.0 32.1-42.2 39.4 33.7-45.4

5-2

1282 27.3 24.6-30.2 23.3 19.4-27.9 30.8 27.3-34.6 25.0 21.8-28.6 30.9 25.9-36.4 22.7 18.9-27.0 30.5 25.9-35.6 37.3 31.2-43.8

6-0

1805 30.6 28.0-33.3 23.8 20.2-27.9 36.7 33.3-40.2 27.0 23.9-30.3 35.4 30.7-40.5 25.4 21.9-29.2 35.2 30.6-40.0 38.7 32.7-45.1

7-0

1294 26.7 24.0-29.5 21.9 18.1-26.3 31.1 27.5-34.9 21.9 18.7-25.5 31.8 27.2-36.9 22.3 18.7-26.3 30.7 26.1-35.7 34.4 27.7-41.8

8-1

1118 32.9 29.7-36.2 28.1 23.3-33.5 37.3 33.2-41.6 30.5 26.9-34.5 39.3 32.6-46.4 27.5 23.2-32.2 38.6 33.1-44.4 42.7 35.4-50.4

8-2

1814 32.0 29.3-34.8 27.9 23.9-32.2 35.7 32.1-39.4 29.0 25.6-32.8 36.9 32.2-41.8 25.6 21.9-29.7 37.5 32.9-42.3 42.3 36.1-48.7

9-1

2466 25.4 23.4-27.5 20.2 17.5-23.3 30.3 27.6-33.1 22.0 19.8-24.4 32.1 27.9-36.6 20.4 17.9-23.2 30.8 27.2-34.6 35.1 30.0-40.6

9-2

1825 33.2 30.3-36.3 30.7 26.6-35.1 35.7 31.8-39.8 31.5 28.3-35.0 41.6 34.6-49.0 27.8 23.5-32.4 37.5 32.9-42.3 44.7 38.4-51.2

10-0

1635 27.4 24.7-30.1 24.1 20.4-28.3 30.4 26.9-34.0 25.4 22.5-28.5 37.7 30.8-45.1 22.4 19.2-26.1 32.7 27.9-37.9 37.7 30.9-44.9

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

15

Binge Drinking

16

Binge drinking is defined as five or more drinks on an occasion where one drink equals one can or bottle of beer, one glass of wine, one can or bottle of wine cooler, one cocktail or one shot of liquor. It results in acute impairment of judgment and physical skills, and causes a significant fraction of alcohol-related deaths. Adverse health effects include unintentional injuries (motor-vehicle crashes, drowning, and falls) and suicide. Chronic conditions like hypertension, pancreatitis and poor diabetic control are also related to binge drinking. Binge drinking has high social and economic impact; it increases the risk of homicide, child abuse, rape and domestic violence and causes loss of productivity. Binge drinking during pregnancy may cause fetal alcohol syndrome. Effective prevention measures against binge drinking can save lives and prevent development of birth defects.
Adults who Binge Drink, Georgia 2004: 12.1 %
Healthy People 2010 Objective: 6%
The prevalence of adults who binge drink is significantly more common among males than females. The occurrence of binge drinking decreases as adults get older.

Percent

Percent of Adults who Binge Drink, by Sex, Georgia 2004
25

20

15

10

5

18.9 0
Male

5.8 Female

Sex

Percent of Adults who Binge Drink, by Race/Ethnicity, Georgia 2004
25

20

15

10

5
12.5 0
White

11.3 Black

Race/Ethnicity

8.0 Hispanic

15.5 Other

Percent

Percent

Percent

Percent of Adults who Binge Drink, by Income, Georgia 2004
25

20

15

10

5

6.8

14.1

0

Less than $15,000 $15,000-$24,999

14.4

10.4

$25,000-$34,999 $35,000-$49,999 Income

13.7 $50,000-$74,999

14.4 $75,000 or more

Percent of Adults who Binge Drink, by Access to Medical Care, Georgia 2004

25

20

15

10

5

11.1 0
Health Coverage

15.3 No Health Coverage

Access to Medical Care

Percent

Percent of Adults who Binge Drink, by Age, Georgia 2004
25

20

15

10

5

21.4

18.1

12.8

9.7

5.3

1.7

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults who Binge Drink by Sex, Race, and Age, Georgia Health Districts, 2001-2004

Binge Drinking

Tota l

Sex

Male

Female

N % 95% CI % 95% CI % 95% CI

Ge orgia 22007 12.4 11.7-13.1 19.7 18.4-21.0 5.7 5.1-6.2

1-1

1084 10.1 8.0-12.7 15.8 12.0-20.6 4.8 3.2-7.3

1-2

916 13.1 10.4-16.5 19.4 14.6-25.3 7.0 4.7-10.3

2-0

1622 10.2 8.4-12.4 15.7 12.4-19.7 4.9 3.4-6.8

3-1

1007 15.2 12.5-18.3 24.7 19.9-30.2 6.3 4.3-9.1

3-2

943 15.3 12.4-18.8 21.7 16.7-27.8 9.5 6.9-12.9

3-3

862 11.7 8.9-15.2 18.7 13.6-25.1 5.5 3.4-8.7

3-4

1013 12.4 10.0-15.3 19.1 15.0-24.0 5.8 3.6-9.1

3-5

907 14.7 11.6-18.4 23.4 17.6-30.3 6.9 4.9-9.5

4-0

1006 11.9 9.5-14.8 19.5 15.1-24.8 4.9 3.2-7.5

5-1

1532 9.0 7.1-11.4 14.7 11.2-19.1 3.6 2.2-5.8

5-2

1015 11.7 9.3-14.7 18.1 13.7-23.6 6.0 4.1-8.7

6-0

1528 10.0 8.2-12.2 15.1 11.9-19.1 5.4 3.8-7.7

7-0

1049 14.9 12.2-18.1 24.3 19.3-30.1 6.3 4.2-9.2

8-1

895 10.2 7.8-13.2 15.8 11.5-21.3 5.1 3.2-7.9

8-2

1593 11.9 9.9-14.2 21.0 17.2-25.3 3.9 2.7-5.6

9-1

2006 13.8 12.1-15.7 21.5 18.4-24.9 6.7 5.3-8.5

9-2

1603 13.1 10.9-15.7 23.2 19.1-27.8 3.3 2.1-5.0

10-0

1426 13.0 10.7-15.7 20.9 16.7-25.8 5.6 4.0-7.9

Race

Age

W hite

Bla ck

18-44

45-64

% 95% CI % 95% CI % 95% CI % 95% CI

13.0 12.2-13.8 10.5 9.3-12.0 17.3 16.2-18.5 8.2 7.4-9.1

9.1 7.1-11.6 NA NA 15.3 11.7-19.6 5.6 3.5-8.8

13.5 10.6-17.1 NA NA 19.2 14.7-24.7 7.3 4.7-11.1

10.6 8.6-13.0 3.8 1.2-11.2 15.0 11.9-18.8 6.1 4.2-8.8

15.9 12.9-19.5 10.0 5.2-18.2 20.0 16.2-24.5 8.4 5.1-13.7

18.6 14.7-23.2 10.5 7.3-14.9 19.0 14.8-24.1 11.1 7.4-16.5

14.0 9.2-20.7 10.3 6.9-15.2 12.4 8.7-17.3 12.5 8.0-18.9

13.0 10.3-16.3 15.5 9.0-25.4 16.6 13.0-20.9 6.9 4.5-10.6

21.3 16.4-27.1 10.7 6.5-16.9 19.4 14.9-24.9 8.5 5.4-13.0

13.1 10.2-16.7 6.4 3.5-11.3 16.3 12.5-21.0 9.1 6.1-13.4

9.1 6.9-12.1 9.1 5.7-14.2 13.9 10.5-18.1 5.2 3.5-7.7

12.5 9.5-16.4 10.3 6.4-16.2 17.3 13.1-22.4 7.3 4.6-11.3

9.8 7.5-12.6 9.3 6.3-13.4 13.6 10.6-17.2 8.2 5.7-11.7

12.6 9.3-16.9 16.8 12.2-22.6 22.5 18.0-27.7 7.9 5.2-11.8

10.5 7.7-14.1 9.7 5.3-16.8 14.8 11.0-19.7 6.1 3.6-10.1

12.8 10.2-16.1 8.8 6.2-12.2 17.7 14.4-21.7 7.9 5.5-11.3

15.5 13.3-18.0 9.3 6.7-12.8 18.2 15.5-21.1 10.8 8.3-14.0

13.3 10.9-16.2 11.1 6.4-18.4 18.8 15.2-23.1 8.3 5.9-11.5

14.1 11.4-17.3 9.3 5.2-16.0 16.9 13.6-20.8 10.0 6.2-15.5

65+ % 95% CI 1.7 1.2-2.3 0.7 0.1-4.9 NA NA 1.8 0.7-4.7 4.2 1.3-12.6 2.3 0.7-7.5 1.6 0.2-10.5 0.8 0.2-3.3 2.0 0.4-8.4 1.7 0.5-5.4 1.3 0.4-4.2 2.7 1.1-6.6 1.0 0.3-3.3 2.1 0.6-7.0 0.5 0.1-3.7 1.7 0.7-4.2 2.3 1.0-5.2 1.9 0.7-5.1 2.2 0.4-10.7

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

17

Firearms

18

Fatal and nonfatal injuries caused by firearms are important public health issues. Among Georgia men, death from firearm injuries was the 2nd leading cause of injury death for ages 15-34, and resulted in 23,440 years of potential life lost in 2002. Restricting access to firearms could reduce their intentional or unintentional use.
Adults living in a home with a loaded, unlocked firearm,
Georgia 2004: 8.2 %
Significantly more men,whites and those with health coverage have loaded, unlocked firearms at home.

Percent

Percent

Percent of Adults Living with a Loaded and Unlocked Firearm, by Sex, Georgia 2004

25

20

15

10

5

11.7 0
Male

4.9 Female

Sex

Percent of Adults Living with a Loaded and Unlocked Firearm,
by Race/Ethnicity, Georgia 2004
25

20

15

10

5
10.0 0
White

5.6 Black

Race/Ethnicity

2.8 Hispanic

4.5 Other

Percent

Percent

Percent of Adults Living with a Loaded and Unlocked Firearm,
by Income, Georgia 2004
25

20

15

10

5

4.5

6.6

0

Less than $15,000 $15,000-$24,999

5.0

8.9

$25,000-$34,999 $35,000-$49,999 Income

10.7 $50,000-$74,999

12.2 $75,000 or more

Percent of Adults Living with a Loaded and Unlocked Firearm, by Access to Medical Care, Georgia 2004
25

20

15

10

5

9.4 0
Health Coverage

4.8 No Health Coverage

Access to Medical Care

Percent of Adults Living with a Loaded and Unlocked Firearm, by Age,
Georgia 2004

25

20

15

10

5

3.7

6.8

8.5

10.0

13.0

7.8

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent

Percent of Adults Living with a Loaded and Unlocked Firearm, by Sex, Race, and Age,
Georgia Health Districts, 2001, 2002 & 2004

Firea rms

Tota l

Sex

Male

Female

N % 95% CI % 95% CI % 95% CI

Ge orgia 13611 8.4 7.9-9.0 12.1 11.1-13.2 5.1 4.5-5.6

1-1

712 10.5 8.1-13.6 14.5 10.1-20.3 7.0 4.8-9.9

1-2

582 10.8 8.1-14.2 14.5 9.9-20.8 7.3 4.8-10.8

2-0

842 12.5 10.1-15.4 18.4 14.1-23.8 6.7 4.8-9.3

3-1

696 6.1 4.3-8.6 9.1 5.9-13.8 3.4 2.0-5.8

3-2

640 5.2 3.3-8.1 6.1 3.7-9.9 4.4 2.0-9.6

3-3

576 7.5 5.1-10.9 12.1 7.4-19.2 3.4 2.0-5.7

3-4

655 5.6 3.8-8.2 7.8 4.8-12.3 3.6 1.8-7.1

3-5

623 4.4 2.9-6.6 6.1 3.5-10.4 3.0 1.7-5.1

4-0

687 11.9 9.4-15.0 17.9 13.5-23.5 6.2 4.1-9.3

5-1

825 11.8 9.4-14.8 16.7 12.5-21.9 7.2 4.9-10.5

5-2

688 10.9 8.4-14.0 14.9 10.6-20.6 7.3 5.0-10.5

6-0

838 9.5 7.4-12.2 14.2 10.4-19.2 5.4 3.6-7.9

7-0

677 11.3 8.6-14.8 17.4 12.5-23.7 5.4 3.3-8.9

8-1

603 7.7 5.7-10.2 10.7 7.4-15.1 4.9 2.9-8.0

8-2

903 9.6 7.6-12.1 14.1 10.3-19.0 5.8 4.1-8.0

9-1

1330 8.5 6.8-10.4 13.1 10.1-16.8 4.2 3.0-6.0

9-2

927 9.3 7.4-11.8 12.6 9.2-16.9 6.1 4.3-8.6

10-0

807 10.2 7.9-13.2 15.7 11.4-21.2 5.0 3.3-7.4

Ra ce

W hite

Bla ck

% 95% CI % 95% CI

10.2 9.5-10.9 5.4 4.5-6.5

11.4 8.7-14.8 1.5 0.2-9.9

10.3 7.6-13.8 NA NA

13.6 10.9-16.8 2.6 0.6-9.9

6.3 4.2-9.2 6.5 2.9-14.1

5.9 2.9-11.6 4.6 2.6-8.1

8.8 5.3-14.3 7.0 4.0-12.0

7.2 4.7-10.7 3.0 0.9-9.7

6.2 3.7-10.2 3.2 1.6-6.4

13.5 10.5-17.2 6.6 3.0-13.9

14.2 11.0-18.1 6.1 3.3-10.9

13.1 9.7-17.3 7.8 4.5-13.2

12.6 9.5-16.6 4.1 2.0-8.1

15.0 10.8-20.6 7.1 4.0-12.1

9.7 7.0-13.2 2.3 1.0-5.5

11.7 9.0-15.2 6.4 3.7-10.9

10.1 8.1-12.6 4.7 2.7-8.1

10.5 8.1-13.4 5.7 2.5-12.4

11.7 8.8-15.3 3.5 1.3-9.0

18-44 % 95% CI 6.8 6.1-7.6 8.5 5.3-13.3 9.3 5.8-14.5 11.1 7.9-15.3 5.4 3.4-8.5 4.0 1.8-8.5 7.3 4.3-12.1 5.7 3.3-9.6 4.4 2.6-7.6 9.0 6.1-13.2 10.3 7.0-14.9 9.7 6.4-14.4 6.0 3.7-9.4 11.4 7.6-16.7 4.6 2.6-8.1 9.1 6.3-13.1 6.9 4.9-9.7 7.3 4.9-10.8 7.9 5.5-11.3

Age

45-64

65+

% 95% CI % 95% CI

10.9 9.9-12.1 9.6 8.3-11.2

13.9 9.8-19.4 11.4 6.5-19.2

12.4 8.1-18.4 13.8 7.9-23.1

15.3 10.9-21.0 12.6 7.7-20.0

7.7 4.3-13.5 5.8 1.9-16.2

7.0 3.8-12.5 7.1 2.6-17.6

8.7 4.8-15.2 6.0 2.4-14.1

6.2 3.6-10.6 3.3 0.9-11.7

4.6 2.3-9.2 4.2 1.3-12.8

17.9 13.0-24.1 9.9 4.9-19.0

10.8 7.4-15.5 18.2 12.2-26.1

12.5 8.4-18.2 11.9 7.1-19.1

14.7 10.4-20.4 12.3 7.1-20.6

10.3 6.6-15.9 12.5 6.4-23.2

13.4 9.1-19.1 8.7 4.7-15.7

9.6 6.6-13.9 10.3 6.3-16.3

12.7 9.4-17.0 6.7 3.9-11.2

11.6 8.1-16.4 12.7 7.9-19.8

13.2 8.2-20.7 14.8 8.5-24.4

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

19

Suicide

20

Suicide is a public health problem. Every year in Georgia about 900 people die, 2,800 are hospitalized and 5,400 visit hospital emergency departments because of intentionally self-inflicted injuries. Some risk factors include previous suicide attempts, history of mental disorders, particularly depression, history of alcohol and substance abuse, family history of child maltreatment, isolation (a feeling of being cut off from other people), and feelings of hopelessness. Some protective factors include effective clinical care for mental, physical and substance abuse disorders, easy access to a variety of clinical interventions and support, family and community support and skills in problem solving, conflict resolution, and restricted access to highly lethal or common methods of suicide.
Adults who have had thoughts of Suicide, Georgia 2004: 6.5 %
Thoughts of suicide were significantly more common in adults with no health coverage.

Percent Percent

Percent Percent

Percent of Adults who had Thoughts of Suicide in the Last Year, by Sex, Georgia 2004
25

20

15

10

5

6.2 0
Male

6.8 Female

Sex

Percent of Adults who had Thoughts of Suicide in the Last Year, by Income, Georgia 2004
25

20

15

10

5

9.4 0
Less than $15,000

9.4 $15,000-$24,999

6.1

8.1

$25,000-$34,999

$35,000-$49,999

Income

5.1 $50,000-$74,999

3.3 $75,000 or more

Percent of Adults who had Thoughts of Suicide in the Last Year, by Race/Ethnicity, Georgia 2004
25

20

15

10

5
6.4 0
White

6.4 Black

Race/Ethnicity

2.0 Hispanic

11.2 Other

Percent of Adults who had Thoughts of Suicide in the Last Year, by Access to Medical Care, Georgia 2004
25

20

15

10

5

4.2

13.4

0

Health Coverage

No Health Coverage

Access to Medical Care

Percent

Percent of Adults who had Thoughts of Suicide in the Last Year, by Age, Georgia 2004
25

20

15

10

5

12.2

6.9

7.3

6.1

3.6

2.4

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults who have had thoughts of Suicide in last 12 months, by Sex, Race, and Age, Georgia Health Districts, 2004

Suicide

Tota l

Sex

Ra ce

M a le

Fe m a le

W hite

Bla ck

18-44

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 4804 6.5 5.6-7.6 6.2 4.8-8.0 6.8 5.6-8.3 6.4 5.3-7.7 6.4 4.6-8.8 8.3 6.8-10.1

1-1

219 8.9 4.8-16.0 NA NA 4.6 1.9-10.8 7.9 4.5-13.7 NA NA 9.7 3.8-22.8

1-2

159 8.7 4.5-16.2 NA NA 4.8 1.8-11.9 8.2 4.0-16.3 NA NA 11.4 4.9-24.3

2

407 6.6 4.0-10.9 3.5 1.4-8.4 9.7 5.3-17.2 6.7 3.9-11.3 2.1 0.3-14.0 6.9 3.1-14.5

3-1

209 6.3 3.4-11.4 3.8 1.2-11.6 8.8 4.3-17.0 5.1 2.3-11.0 NA NA 7.0 3.1-15.0

3-2

160 4.1 1.8-9.0 4.9 1.4-15.3 3.3 1.2-9.0 2.0 0.5-8.3 7.4 2.8-18.2 2.4 0.9-6.4

3-3

160 4.6 1.9-10.7 NA NA 8.8 3.7-19.5 NA

NA

4.1 1.1-13.5 7.2 3.0-16.3

3-4

212 6.6 2.6-15.6 3.3 1.0-10.6 NA NA 9.1 3.7-20.8 NA NA NA

NA

3-5

178 7.8 3.9-15.2 NA NA 3.7 1.5-9.1 10.1 3.9-23.6 3.3 1.0-10.0 11.4 5.4-22.6

4

202 7.3 4.1-12.8 8.9 3.9-18.8 5.9 2.6-12.8 8.0 4.2-14.9 3.9 0.9-15.8 13.5 7.4-23.2

5-1

372 7.2 4.4-11.4 6.9 2.8-15.9 7.4 4.6-11.7 7.7 4.3-13.4 5.6 2.4-12.6 9.4 4.9-17.4

5-2

214 1.8 0.6-5.0 1.0 0.1-7.0 2.5 0.7-8.2 1.8 0.6-5.7 2.0 0.3-13.1 1.8 0.4-7.8

6

373 5.3 3.3-8.6 4.7 2.2-9.7 5.9 3.1-11.1 5.6 3.1-9.8 5.3 2.0-13.3 6.9 3.6-12.6

7

208 8.4 4.6-15.0 9.7 4.0-21.5 7.2 3.1-16.1 7.9 3.5-16.7 NA NA 10.9 5.0-21.9

8-1

175 6.6 3.3-12.8 5.5 1.8-15.8 7.7 3.2-17.3 6.7 2.9-15.0 2.5 0.6-9.7 9.2 4.0-19.6

8-2

381 8.0 5.2-12.2 5.6 2.4-12.7 10.2 6.2-16.2 7.3 4.0-13.0 8.4 4.1-16.5 11.6 6.8-19.1

9-1

398 7.9 4.8-12.6 5.0 1.9-12.6 10.7 6.1-17.9 6.1 3.2-11.4 9.2 3.8-20.7 11.0 6.2-19.0

9-2

423 4.1 2.6-6.6 3.0 1.2-7.3 5.2 3.0-8.8 4.7 2.8-7.9 3.2 1.1-9.0 4.2 2.1-8.4

10

354 7.3 4.5-11.6 8.8 4.5-16.6 5.9 3.0-11.1 6.2 3.6-10.5 NA NA 8.0 4.3-14.3

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

Age 45-64 % 95% CI 5.0 3.8-6.6 10.0 4.8-19.6 6.5 2.3-16.9 9.2 4.8-16.7 7.2 3.1-16.0 NA NA NA NA 3.1 1.1-8.8 NA NA NA NA 6.6 3.3-12.8 1.1 0.2-7.4 5.1 2.3-10.7 7.1 2.3-20.0 4.2 1.2-14.0 6.2 3.0-12.3 5.0 2.1-11.3 4.6 2.3-8.8 7.8 3.2-17.5

65+ % 95% CI 2.4 1.4-4.0 NA NA 2.4 0.3-15.0 1.1 0.3-4.4 NA NA 7.7 1.1-39.2 NA NA 2.5 0.3-15.8 NA NA 0.9 0.1-6.3 2.0 0.5-8.0 3.0 0.4-18.7 0.7 0.1-4.6 2.6 0.6-10.5 1.5 0.2-10.0 0.6 0.1-4.4 NA NA 3.2 0.8-12.2 3.2 0.8-11.8

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

21

Mammography

Breast cancer is the leading cause of cancer incidence 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.
Women, age 40+, who have had a Mammogram in the Last Two Years:
Georgia 2004: 74.5%
Healthy People 2010 Objective: 70%
The prevalence of mammography screenings in the last 2 years was significantly higher among women with health care coverage. The number of women who had mammography screenings increased as income increased.

Percent

Percent

Percent of Women, Age 40+, with Mammography in the Last Two Years, by Race/Ethnicity, Georgia 2004

100
80
60
40
20 74.6
0 White

73.4 Black

Race/Ethnicity

83.3 Hispanic

76.7 Other

Percent of Women, Age 40+, who have had a Mammogram in the Last Two Years, by Age, Georgia 2004

100

80

60

40

20

69.3

75.9

79.4

72.8

0

40-44

45-54

55-64

65+

Age

Percent

Percent

22

Pe rce nt of W om e n, Age 40+ , w ho hav e had a M am m ogram in the Last Tw o Y e ars, by Incom e , Ge orgia 2004

100

80

60

40

20
56.9 0
Less than $15,000

68.2
$15,000$24,999

77.1

77.6

$25,000$34,999

$35,000$49,999

Incom e

80.7
$50,000$74,999

81.1
$75,000 or more

Percent of Women, Age 40+, who have had a Mammogram in the Last Two Years, by Access to Medical Care, Georgia 2004
100

80

60

40

20

78.7 0
Health Coverage

57.3 No Health Coverage

Access to Medical Care

Percent of Adult Women, Age 40+, who have had a Mammogram in the Last Two Years, by Race and Age, Georgia Health Districts, 2000-2004

M a m m ogra phy

Tota l

N % 95% CI

Ge orgia 10330 76.4 75.3-77.4

1-1

551 70.7 66.0-75.0

1-2

472 75.0 70.1-79.3

2-0

769 73.3 68.9-77.2

3-1

437 77.7 72.9-81.9

3-2

400 80.8 75.6-85.1

3-3

347 72.9 65.7-79.1

3-4

422 78.3 73.3-82.5

3-5

430 80.3 75.6-84.2

4-0

480 76.9 72.1-81.0

5-1

743 70.4 66.0-74.4

5-2

532 78.0 73.7-81.8

6-0

712 78.8 74.8-82.2

7-0

521 76.4 71.7-80.6

8-1

438 70.6 65.3-75.4

8-2

781 74.9 70.8-78.6

9-1

894 80.3 77.1-83.2

9-2

797 70.4 66.3-74.1

10-0

604 73.2 68.4-77.6

Sex

Male

Female

% 95% CI % 95% CI

Ra ce

Age

W hite

Bla ck

40-44

45-64

65+

% 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

76.5 75.3-77.7 76.2 73.8-78.4 66.5 63.5-69.3 79.6 78.2-80.9 77.1 75.1-79.0

71.5 66.6-76.0 NA NA NA NA 73.7 67.3-79.3 70.0 61.7-77.2

75.1 70.0-79.7 NA NA NA NA 80.9 75.0-85.6 73.2 63.7-81.0

72.9 68.3-77.1 NA NA NA NA 77.4 71.7-82.3 72.7 65.0-79.3

80.7 75.6-84.9 NA NA 69.9 57.6-79.9 79.6 73.3-84.7 81.6 71.1-88.8

81.2 73.9-86.9 81.7 73.4-87.8 NA NA 86.6 80.2-91.2 81.7 70.8-89.1

71.3 59.5-80.8 77.6 68.9-84.4 57.0 40.6-71.9 77.8 69.5-84.3 82.6 71.2-90.1

77.0 71.4-81.9 84.3 69.5-92.6 NA NA 78.6 71.8-84.1 86.3 76.5-92.4

82.8 76.8-87.4 77.0 69.1-83.4 NA NA 83.6 77.5-88.3 87.1 79.2-92.3

80.6 75.7-84.8 NA NA NA NA 83.4 77.9-87.7 71.8 61.7-80.1

70.0 65.0-74.6 71.4 61.4-79.6 NA NA 72.7 66.5-78.2 70.6 62.8-77.3

78.3 72.7-82.9 77.0 69.1-83.5 67.1 54.6-77.5 76.2 69.9-81.6 86.8 80.2-91.5

76.5 71.3-81.0 83.5 77.0-88.5 74.4 64.2-82.6 82.9 77.5-87.2 73.5 66.0-79.8

77.1 70.6-82.5 77.1 69.1-83.6 NA NA 80.9 75.3-85.5 75.2 64.9-83.2

70.7 64.4-76.3 73.9 63.7-82.1 NA NA 72.4 65.0-78.7 73.8 64.9-81.1

75.2 70.1-79.7 75.2 67.8-81.3 61.5 50.7-71.4 78.2 72.7-82.9 77.3 69.9-83.3

81.6 77.8-84.8 76.2 68.5-82.5 71.1 61.9-78.9 82.2 77.8-85.9 82.9 76.8-87.7

69.2 64.5-73.4 77.7 68.4-84.9 59.8 49.1-69.8 72.8 67.4-77.6 71.9 64.4-78.4

73.2 67.7-78.1 72.4 59.5-82.4 60.0 47.9-70.9 76.3 69.6-81.9 75.0 66.0-82.4

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

23

Pap Test

Percent of Adult Women without Hysterectomy who have had a Pap Smear in the Last Three Years, by Race/Ethnicity, Georgia 2004

The risk of developing cervical cancer is

100

closely linked with sexual practices and sexually 80

Percent

transmitted infections with human papillomavirus. 60
Becoming sexually active at a young age, having

multiple sex partners and smoking cigarettes are 40

all risk factors for cervical cancer. The American 20

Cancer Society recommends that all women begin 0

87.8

cervical cancer screening within 3 years after

White

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.

87.6 Black

Race/Ethnicity

74.1 Hispanic

90.8 Other

Women who have had a Pap Test within Three Years,
Georgia 2004: 87.5%
Healthy People 2010 Objective: 90%

Percent

Percent of Adult Women without Hysterectomy who have had a Pap Test in the Last Three Years, by Age, Georgia 2004
100 80 60 40

The prevalence of pap tests within the last 3

20

years was significantly higher among women with health coverage.

74.9

92.5

94.5

93.2

86.4

68.9

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent

Percent

24

Percent of Adult Women without Hysterectomy who have had a Pap Test in the Last Three Years, by Income, Georgia 2004
100

80

60

40

20
68.6 0
Less than $15,000

84.6
$15,000$24,999

91.3

92.7

$25,000$34,999

$35,000$49,999

Income

92.7
$50,000$74,999

94.0
$75,000 or more

Percent of Adult Women without Hysterectomy who have had a Pap Test in the Last Three Years, by Access to Medical Care,
Georgia 2004
100

80

60

40

20

89.6 0
Health Coverage

81.1 No Health Coverage

Access to Medical Care

Percent of Adult Women without Hysterectomy, who have had a Pap Test in the Last Three Years by Race and Age, Georgia Health Districts, 2000-2004

Pa p Te st

Tota l

N % 95% CI

Georgia 11014 89.1 88.2-89.9

1-1

506 84.3 80.1-87.8

1-2

436 89.6 85.8-92.4

2-0

745 86.1 82.5-89.0

3-1

561 91.0 87.7-93.5

3-2

529 91.0 87.1-93.8

3-3

525 91.0 87.3-93.7

3-4

530 91.6 88.2-94.1

3-5

597 90.5 86.9-93.3

4-0

514 87.8 83.1-91.4

5-1

637 89.7 86.8-92.1

5-2

502 92.8 89.8-95.0

6-0

723 90.6 87.8-92.9

7-0

541 92.2 89.3-94.5

8-1

469 88.6 85.0-91.4

8-2

751 88.5 85.3-91.1

9-1

1023 90.8 88.4-92.6

9-2

703 85.4 82.0-88.2

10-0

722 85.6 81.5-88.8

Sex

Ra ce

Age

Male

Female

W hite

Bl a ck

18-44

45-64

% 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

88.4 87.4-89.3 91.4 89.4-93.0 91.3 90.1-92.3 89.1 87.6-90.4

83.1 78.4-87.0 NA NA 86.3 80.8-90.4 83.5 74.4-89.8

90.5 86.5-93.4 NA NA 92.2 87.1-95.4 89.8 83.0-94.1

86.2 82.4-89.3 97.2 88.9-99.3 89.0 84.2-92.4 85.6 78.4-90.7

91.7 87.8-94.4 87.6 78.7-93.1 92.8 88.8-95.4 88.9 81.4-93.6

92.4 86.9-95.7 89.4 82.9-93.7 92.2 87.2-95.3 91.9 82.6-96.4

90.6 83.0-95.0 92.6 87.8-95.6 91.6 86.8-94.8 90.1 81.9-94.9

91.3 87.4-94.0 96.9 90.1-99.0 91.8 87.1-94.8 91.1 85.1-94.9

89.1 82.9-93.2 92.8 87.5-96.0 90.0 84.9-93.6 93.4 87.8-96.5

90.3 86.7-93.0 NA NA 90.7 83.8-94.9 91.7 85.8-95.2

88.7 84.9-91.7 92.0 86.7-95.3 93.5 89.7-95.9 88.7 82.4-92.9

91.3 86.8-94.4 96.3 92.8-98.1 95.0 91.1-97.3 91.0 83.8-95.2

88.2 84.0-91.5 94.6 90.3-97.0 93.3 90.0-95.6 90.2 83.0-94.5

92.5 88.4-95.3 92.9 87.6-96.0 95.6 92.2-97.6 91.7 86.1-95.2

87.3 82.4-90.9 91.4 85.3-95.1 92.2 88.0-95.0 85.6 76.8-91.4

85.8 80.7-89.6 92.6 88.2-95.5 91.0 86.3-94.2 88.9 83.2-92.8

89.7 86.7-92.2 93.1 88.4-95.9 93.9 91.4-95.8 88.4 82.7-92.4

84.0 79.9-87.3 92.1 84.5-96.2 89.9 85.9-92.9 77.9 70.2-84.0

83.7 78.9-87.6 95.9 90.5-98.3 87.9 83.0-91.6 82.9 72.5-89.9

65+ % 95% CI 73.0 69.9-76.0 71.1 57.1-81.9 67.9 53.3-79.6 68.6 57.5-77.8 77.5 60.4-88.6 72.6 56.1-84.6 84.7 69.1-93.2 91.4 78.7-96.9 85.0 72.8-92.3 55.8 40.4-70.2 71.0 59.5-80.3 81.7 71.1-89.0 66.1 53.0-77.2 70.7 55.3-82.5 71.1 55.4-83.0 73.1 63.6-80.8 73.6 62.6-82.3 69.8 58.0-79.5 73.8 62.1-82.8

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

25

Colorectal Cancer Screening

26

The risk of developing colorectal cancer increases with advancing age. Risk factors include inflammatory bowel disease, a personal or family history of colorectal cancer or colorectal polyps, physical inactivity, a high fat or low fiber diet and inadequate intake of fruits and vegetables. Early detection can save lives. An effective tool for early detection is sigmoidoscopy or colonoscopy, an examination of the rectum and lower colon using a lighted tube. The American Cancer Society recommends that beginning at age 50 adults should have sigmoidoscopy every 5 years or colonoscopy every 10 years.
Adults, age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, Georgia 2004: 53.7%
Healthy People 2010 Objective: 50%
Adults with health coverage were significantly more likely to have ever had a sigmoidoscopy or colonoscopy than adults without health coverage.

Percent Percent

Percent Percent

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, by Sex, Georgia 2004

100

80

60

40

20

54.4 0
Male

53.2 Female

Sex

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, by Income, Georgia 2004

100 80

60

40

20
45.8 0
Less than $15,000

51.8
$15,000$24,999

56.9

47.3

$25,000$34,999

$35,000$49,999

Income

63.8
$50,000$74,999

53.7
$75,000 or more

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, by Race/Ethnicity, Georgia 2004

100

80

60

40

20
55.2 0
White

52.3 Black

41.8
Hispanic Race/Ethnicity

37.3 Other

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, by Access to Medical Care, Georgia 2004

100

80 60 40

20

56.4 0
Health Coverage

41.2 No Health Coverage

Access to Medical Care

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy, by Age, Georgia 2004
100

80

60

40

20

36.2

57.2

62.1

0

50-54

55-64

65+

Age

Percent

Percent of Adults, Age 50+, who have ever had a Sigmoidoscopy or Colonoscopy by Sex, Race, and Age,
Georgia Health Districts, 2001, 2002 & 2004

Colorectal Cancer

Screening

Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

50-54

55-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 5969 50.7 49.1-52.3 50.4 47.8-53.1 50.9 48.9-52.8 52.7 50.9-54.5 45.8 42.1-49.6 36.5 33.3-39.8 50.4 47.7-53.1 59.8 57.3-62.2

1-1

344 45.1 39.2-51.2 41.6 32.2-51.7 48.0 40.9-55.3 45.3 39.0-51.8 NA NA NA NA 44.2 34.8-54.0 52.8 43.0-62.3

1-2

287 46.6 39.9-53.4 NA NA 46.2 38.2-54.5 47.1 40.1-54.1 NA NA NA NA NA NA 59.2 48.2-69.4

2-0

424 50.1 44.3-55.9 49.8 40.7-59.0 50.3 43.1-57.5 49.5 43.4-55.6 NA NA NA NA 46.1 36.7-55.8 60.7 52.1-68.7

3-1

251 54.0 46.4-61.4 NA NA 51.5 42.9-60.1 52.8 44.7-60.7 NA NA NA NA NA NA NA NA

3-2

208 52.8 44.9-60.6 NA NA 54.5 44.5-64.2 54.6 43.8-64.9 NA NA NA NA NA NA NA NA

3-3

183 55.1 46.7-63.2 NA NA 59.6 49.6-69.0 NA NA NA NA NA NA NA NA NA NA

3-4

240 52.5 45.1-59.8 NA NA 58.4 48.4-67.7 54.1 45.8-62.2 NA NA NA NA NA NA NA NA

3-5

235 61.5 54.2-68.3 61.0 48.8-71.9 61.8 52.8-70.1 70.6 62.1-77.8 NA NA NA NA 65.1 52.9-75.6 74.0 62.2-83.1

4-0

291 47.3 40.9-53.9 52.4 42.0-62.5 42.8 35.0-50.9 47.1 39.9-54.4 NA NA NA NA NA NA 58.0 47.3-67.9

5-1

411 43.7 38.1-49.4 40.4 31.3-50.2 46.2 39.5-53.0 45.8 39.3-52.5 NA NA NA NA 43.2 33.9-53.1 55.2 47.1-63.0

5-2

342 49.5 43.5-55.5 49.4 39.4-59.4 49.6 42.3-56.8 50.3 43.2-57.4 NA NA NA NA 52.3 41.6-62.8 52.2 43.3-61.0

6-0

376 46.2 40.3-52.1 44.5 35.1-54.3 47.5 40.2-54.8 47.1 39.9-54.4 NA NA NA NA 48.9 39.6-58.3 55.8 46.7-64.5

7-0

303 46.0 39.7-52.6 NA NA 47.8 39.9-55.8 49.4 41.4-57.4 NA NA NA NA NA NA 54.8 45.1-64.3

8-1

274 48.0 41.4-54.6 NA NA 47.3 38.9-55.8 54.2 46.8-61.5 NA NA NA NA NA NA 60.7 49.7-70.7

8-2

432 46.1 40.5-51.8 46.7 37.5-56.2 45.6 38.9-52.5 55.1 48.2-61.8 NA NA NA NA 48.3 38.2-58.5 53.1 44.8-61.3

9-1

557 54.8 50.0-59.4 58.0 50.5-65.2 52.1 46.1-58.0 58.3 53.0-63.5 NA NA 33.7 24.9-43.8 52.5 44.6-60.4 67.9 60.7-74.2

9-2

459 45.0 39.5-50.6 44.3 35.1-53.9 45.5 39.2-52.0 45.6 39.6-51.7 NA NA NA NA 40.2 31.3-49.7 56.4 47.8-64.7

10-0

352 54.5 48.2-60.6 52.4 42.4-62.2 56.0 47.9-63.8 57.8 50.8-64.5 NA NA NA NA 49.2 38.9-59.7 63.7 54.3-72.2

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

27

Influenza Vaccination

28

In 2004, Georgia ranked 44th in the nation for influenza vaccination for adults 65 years or older. Influenza and pneumonia were the seventh 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 immunization, 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 immunization every fall.
Adults, age 65+, who have had an Influenza Vaccination in the Last Year, Georgia 2004: 64.4%
Healthy People 2010 Objective: 90%

Percent

Percent

Percent of Adults, Age 65+, who have had Influenza Vaccination in the Last Year, by Sex, Georgia 2004
100

80

60

40

20

67.4 0
Male

62.4 Female

Sex

Percent of Adults, Age 65+, with Influenza Immunization in the Last Year, by Race/Ethnicity, Georgia 2004

100
80
60
40
20 71.8
0 White

36.0 Black

*
Hispanic Race/Ethnicity

*
Other

Whites were significantly more likely than blacks to have a flu shot.

Percent

Percent

Percent of Adults, Age 65+, who have had Influenza Vaccination in the Last Year, by Access to Medical Care, Georgia 2004
100

80

60

40

20

65.2 0
Health Coverage

57.7 No Health Coverage

Access to Medical Care

Percent of Adults, Age 65+, with Influenza Immunization in the Last Year, by Income, Georgia 2004
100

80

60

40

20

55.0

61.8

0

Less than $15,000 $15,000-$24,999

68.1

59.0

$25,000-$34,999 $35,000-$49,999 Income

76.1 $50,000-$74,999

66.7 $75,000 or more

* =Estimates are considered unreliable because the 95% CI exceeds the recommended width.

Percent of Adults, Age 65+, who have had an Influenza Vaccination in the Last Year by Sex and Race, Georgia Health Districts, 2000-2004

Influenza Vaccination

Tota l

Sex

Male

Female

Race

W hite

Bla ck

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 4677 63.4 61.5-65.1 66.1 63.0-69.1 61.5 59.3-63.7 68.3 66.3-70.2 45.1 40.6-49.7

1-1

258 58.4 51.3-65.1 NA NA 54.9 46.6-63.0 59.7 52.3-66.6 NA NA

1-2

205 66.0 58.2-73.1 NA NA 64.5 54.9-73.1 67.4 59.3-74.5 NA NA

2-0

392 63.5 57.0-69.5 62.3 51.3-72.1 64.5 56.7-71.6 65.7 59.1-71.8 NA NA

3-1

154 59.8 50.4-68.4 NA NA 63.4 52.3-73.3 63.2 53.3-72.1 NA NA

3-2

138 62.7 53.1-71.3 NA NA 64.3 52.6-74.6 74.0 62.6-82.9 NA NA

3-3

115 62.8 52.1-72.4 NA NA NA NA NA NA NA NA

3-4

137 72.1 63.1-79.6 83.8 71.1-91.6 NA NA 75.1 66.0-82.5 NA NA

3-5

162 66.6 57.8-74.3 76.2 62.8-85.9 59.5 48.3-69.8 80.5 71.7-87.0 NA NA

4-0

193 61.8 53.5-69.4 60.3 46.1-72.9 62.9 53.0-71.9 62.9 53.9-71.1 NA NA

5-1

419 58.1 51.9-64.0 61.6 51.2-71.1 55.6 48.1-62.9 61.3 54.3-67.9 NA NA

5-2

281 64.0 57.3-70.2 59.2 46.8-70.4 67.1 59.5-73.9 74.5 67.3-80.6 NA NA

6-0

340 67.8 61.6-73.5 76.6 66.6-84.4 61.3 53.4-68.7 73.5 66.5-79.5 NA NA

7-0

234 58.9 51.3-66.1 NA NA 52.0 42.7-61.1 65.4 56.3-73.6 NA NA

8-1

227 66.2 58.3-73.3 NA NA 70.2 60.4-78.5 70.5 62.5-77.5 NA NA

8-2

380 65.7 59.4-71.6 65.0 53.6-74.8 66.3 58.8-73.0 71.4 64.1-77.8 NA NA

9-1

400 64.5 59.0-69.6 69.2 60.0-77.0 61.0 54.2-67.5 67.3 61.0-73.0 NA NA

9-2

359 62.0 55.6-68.0 71.0 60.1-80.0 55.9 48.0-63.5 64.7 57.6-71.2 NA NA

10-0

283 64.7 57.5-71.3 67.0 55.3-76.9 62.8 53.6-71.1 66.5 58.6-73.5 NA NA

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

18-44 % 95% CI

Age 45-64 % 95% CI

65+ % 95% CI

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

29

Pneumonia Vaccination

30

In 2004, Georgia ranked 46th in the nation for pneumonia vaccination for adults 65 years or older. Influenza and pneumonia were the seventh leading causes of death in Georgia and pneumococcal disease is responsible for the most vaccinepreventable deaths in the United States. Pneumococcal 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 a consistently 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+, who have had a Pneumonia Vaccination,
Georgia 2004: 59.4%
Healthy People 2010 Objective: 90%
The prevalence of pneumonia vaccination is significantly more common among whites than blacks.

Percent

Percent

Percent of Adults, Age 65+, who have had a Pneumonia Vaccination, by Sex, Georgia 2004
100

80

60

40

20

58.2 0
Male

60.2 Female

Sex

Percent of Adults, Age 65+, with Pneumonia Vaccination, by Race/Ethnicity, Georgia 2004
100

80

60

40

20
66.4 0
White

28.2 Black

*

Race/Ethnicity

Hispanic

*
Other

Percent

Percent of Adults, Age 65+, with Pneumonia Vaccination, by Income,
Georgia 2004

100

80

60

40

20

52.9

59.4

0

Less than $15,000 $15,000-$24,999

58.7

55.8

$25,000-$34,999 $35,000-$49,999 Income

63.7 $50,000-$74,999

61.3 $75,000 or more

Percent of Adults, Age 65+, with Influenza Immunization in the Last Year, by Access to Medical Care, Georgia 2004

100

80

60

40

20

59.8 0
Health Coverage

57.1 No Health Coverage

Access to Medical Care

Percent

* =Estimates are considered unreliable because the 95% CI exceeds the recommended width.

Percent of Adults, Age 65+, have had a Pneumonia Vaccination by Sex and Race, Georgia Health Districts, 2000-2004

Pneumonia

Vaccination

Tota l

Sex

Ra ce

Male

Female

W hite

Bla ck

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 4552 59.1 57.2-60.9 57.7 54.5-60.9 59.9 57.7-62.2 64.8 62.8-66.8 35.9 31.6-40.5

1-1

252 57.1 49.9-64.0 NA NA 59.7 51.3-67.6 57.3 49.8-64.6 NA NA

1-2

202 67.9 60.1-74.8 NA NA 74.0 65.6-80.9 69.8 61.8-76.7 NA NA

2-0

385 53.8 47.3-60.1 NA NA 61.1 53.3-68.4 55.8 49.1-62.3 NA NA

3-1

152 65.0 55.9-73.2 NA NA 70.8 60.0-79.7 67.4 57.7-75.7 NA NA

3-2

133 55.9 46.0-65.3 NA NA NA NA 68.1 56.3-78.0 NA NA

3-3

112 60.1 49.4-70.0 NA NA NA NA NA NA NA NA

3-4

136 70.6 61.5-78.3 74.4 60.7-84.6 67.1 54.6-77.5 71.7 62.2-79.6 NA NA

3-5

161 63.2 54.2-71.3 NA NA 67.0 55.5-76.8 73.4 63.4-81.5 NA NA

4-0

190 52.3 44.2-60.4 NA NA 54.2 44.4-63.7 56.0 47.1-64.5 NA NA

5-1

401 54.4 48.1-60.5 NA NA 57.5 49.9-64.7 58.6 51.5-65.4 NA NA

5-2

274 58.9 52.0-65.5 NA NA 62.7 54.8-70.1 71.4 63.6-78.1 NA NA

6-0

328 61.8 55.0-68.1 70.0 58.5-79.4 55.5 47.4-63.4 67.5 59.8-74.3 NA NA

7-0

228 42.8 35.6-50.3 NA NA 37.1 29.1-46.0 48.8 39.9-57.8 NA NA

8-1

221 56.5 48.6-64.1 NA NA 60.3 50.4-69.3 63.6 55.1-71.4 NA NA

8-2

368 61.9 55.5-68.0 60.1 48.5-70.7 63.2 55.8-70.0 72.0 65.1-78.0 NA NA

9-1

388 55.4 49.7-61.1 55.7 46.0-65.0 55.2 48.2-62.1 61.3 54.7-67.5 NA NA

9-2

350 57.9 51.2-64.3 68.2 56.5-78.0 51.2 43.3-59.1 62.0 54.6-68.9 NA NA

10-0

271 63.3 55.9-70.1 NA NA 69.2 60.5-76.7 65.0 56.9-72.3 NA NA

18-44 % 95% CI

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

Age 45-64 % 95% CI

65+ % 95% CI

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

31

HIV/AIDS Testing

32

Human Immunodeficiency Virus (HIV) is the virus that causes Acquired Immune Deficiency Syndrome (AIDS). HIV is mainly transmitted through sexual contact and through intravenous drug use. People who become infected with the virus can be asymptomatic for long periods of time during which they can infect sexual and drug injection partners. Following infection with HIV, people develop AIDS, a disease that affects the immune system and leaves patients vulnerable to a wide variety of potentially fatal opportunistic infections. Testing for HIV infection is crucial to determine HIV status so that those infected can stop HIV transmission, begin treatment, and, in the case of pregnant women, reduce the risk of transmission to an unborn baby.
Adults, Ages 18-64, who have been tested for HIV,
Georgia 2004: 51.9%
The prevalence of HIV testing is significantly more common among blacks than whites and adults ages 25-34 than any other age group.

Percent

Percent

Percent of Adults, Age 18 - 64, who have been tested for HIV, by Sex, Georgia 2004
100

80

60

40

20

49.8 0
Male

53.1 Female

Sex

Percent of Adults, Age 18 - 64, who have been tested for HIV, by Race/Ethnicity, Georgia 2004

100
80
60
40
20 43.0
0 White

69.0

52.7

Black

Hispanic

Race/Ethnicity

51.0 Other

Percent

Percent

Percent of Adults, Age 18 - 64, who have been tested for HIV, by Income, Georgia 2004
100

80

60

40

20
58.2 0
Less than $15,000

52.2
$15,000$24,999

61.9

55.9

$25,000$34,999

$35,000$49,999

Income

54.2
$50,000$74,999

45.0
$75,000 or more

Percent of Adults, Age 18 - 64, who have been tested for HIV, by Access to Medical Care, Georgia 2004
100

80

60

40

20

49.9 0
Health Coverage

55.9 No Health Coverage

Access to Medical Care

Percent

Percent of Adults, Ages 18 - 64, who have been tested for HIV, by Age, Georgia 2004
100

80

60

40

20
46.8 0
18-24

71.5
25-34

59.4
35-44 Age

37.0
45-54

28.6
55-64

Percent of Adults, Ages 18-64, who have been tested for HIV, by Sex, Race and Age, Georgia Health Districts, 2000-2004

HIV Te st

Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 20224 53.6 52.6-54.5 52.8 51.3-54.3 54.3 53.2-55.5 47.1 46.0-48.2 67.3 65.5-69.0 62.3 61.1-63.5 37.0 35.6-38.3

1-1

1013 46.0 42.4-49.6 43.3 37.7-49.1 48.7 44.2-53.2 45.6 41.8-49.5 NA NA 56.1 51.2-60.8 27.0 22.6-32.0

1-2

871 50.4 46.3-54.4 50.6 44.5-56.8 50.1 45.0-55.2 49.0 44.7-53.2 NA NA 60.2 54.8-65.4 32.5 27.4-37.9

2-0

1332 46.7 42.9-50.4 44.7 38.7-50.8 48.7 44.4-52.9 45.7 42.0-49.4 NA NA 55.1 50.4-59.8 31.7 25.6-38.4

3-1

997 54.7 51.0-58.3 56.6 50.9-62.1 52.8 48.1-57.5 48.4 44.0-52.8 79.3 72.0-85.1 63.3 58.8-67.6 36.3 30.4-42.7

3-2

943 61.4 57.5-65.2 62.3 55.9-68.3 60.6 55.6-65.4 50.6 44.9-56.3 74.7 69.0-79.7 67.9 62.9-72.4 47.3 40.9-53.9

3-3

874 62.8 58.3-67.0 60.3 52.8-67.4 65.1 60.1-69.7 53.7 45.9-61.4 70.5 64.8-75.6 70.3 64.7-75.4 43.9 37.2-51.0

3-4

971 51.5 47.8-55.3 50.7 45.1-56.2 52.4 47.3-57.4 47.1 42.6-51.5 68.6 59.3-76.6 59.6 54.8-64.3 33.9 28.6-39.6

3-5

957 62.3 58.4-66.1 63.3 56.7-69.4 61.4 56.8-65.8 56.2 50.4-61.8 68.7 62.8-74.1 69.1 64.1-73.7 45.8 39.8-51.9

4-0

958 47.9 44.1-51.7 46.0 40.0-52.2 49.7 45.0-54.3 43.2 39.1-47.5 62.1 53.2-70.2 57.8 52.7-62.7 30.3 25.7-35.5

5-1

1279 48.5 44.9-52.2 46.4 40.7-52.2 50.6 46.0-55.1 43.0 38.8-47.4 62.6 55.4-69.2 57.1 52.3-61.8 34.1 29.0-39.5

5-2

926 55.4 51.6-59.1 54.0 48.1-59.8 56.7 52.0-61.2 49.8 45.1-54.6 64.4 58.0-70.4 66.2 61.3-70.8 35.3 30.3-40.6

6-0

1360 54.3 51.0-57.5 52.8 47.6-57.9 55.7 51.6-59.7 46.6 42.4-50.9 64.0 58.5-69.1 63.6 59.5-67.6 37.2 32.4-42.3

7-0

995 56.8 53.1-60.5 56.2 50.1-62.1 57.4 52.9-61.9 51.3 46.2-56.4 62.8 56.8-68.4 65.5 60.5-70.1 40.1 34.7-45.7

8-1

838 57.0 53.0-61.0 55.6 49.2-61.8 58.4 53.4-63.3 49.5 44.6-54.5 74.9 67.7-80.9 64.4 59.2-69.3 41.3 35.5-47.4

8-2

1345 55.3 51.9-58.7 52.4 47.1-57.6 58.0 53.6-62.3 49.6 45.1-54.1 62.2 56.5-67.6 64.3 59.7-68.6 40.0 35.1-45.1

9-1

1941 60.5 57.9-63.0 59.3 55.2-63.3 61.6 58.3-64.9 56.6 53.4-59.7 70.1 64.8-74.9 69.2 66.0-72.3 41.2 37.1-45.3

9-2

1356 52.0 48.5-55.5 50.4 45.1-55.7 53.6 49.0-58.1 49.4 45.3-53.4 58.6 50.4-66.3 58.5 53.8-63.0 39.5 34.6-44.6

10-0

1268 44.5 41.1-47.9 43.9 38.6-49.3 45.1 40.9-49.3 41.3 37.6-45.2 57.7 49.1-65.9 50.8 46.5-55.2 31.1 26.1-36.6

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

33

Health Insurance

34

50

Access to preventive services and health care 40
can prevent or improve the outcomes of many

Percent

diseases. Factors that determine whether people

30

will have access to services like screenings and

20

treatment is health care coverage. Access to 10
quality health care can help eliminate disparities

in disease and disease outcomes and can improve

0

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 insuffi-

cient 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 out-

comes.

50

Percent of Adults with No Health Insurance, by Sex, Georgia 2004

19.3 Male

Sex

14.8 Female

Percent of Adults with No Health Insurance, by Race/Ethnicity, Georgia 2004

40

Adults with No Health Insurance,

30

Percent

Georgia 2004: 17.0% 20

Healthy People 2010 Objective: 0%

10

13.0 0
White
The prevalence of adults with no health insur-

ance is significantly higher among blacks than

whites and among adults 18-34 years of age as

compared to adults age 35 years or more.

22.1 Black

Race/Ethnicity

29.0 Hispanic

29.8 Other

Percent

Percent of Adults with No Health Insurance, by Age, Georgia 2004
50

40

30

20

10

30.8

24.0

14.8

15.6

11.3

2.7

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults with No Health Insurance, by Income,
Georgia 2004
50

40

30

20

10

27.1 0

33.5

Less than $15,000 $15,000-$24,999

26.1

15.7

$25,000-$34,999 $35,000-$49,999 Income

4.8 $50,000-$74,999

4.7 $75,000 or more

Percent

Percent of Adults with No Health Insurance by Sex, Race and Age, Georgia Health Districts, 2000-2004

Not Insure d

Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 26333 15.6 15.0-16.3 17.0 15.9-18.1 14.4 13.6-15.1 12.0 11.4-12.7 21.4 19.9-23.0 20.3 19.3-21.3 12.9 12.0-13.9 2.7 2.0-3.5

1-1

1342 14.8 12.6-17.4 15.4 11.9-19.6 14.3 11.7-17.4 13.8 11.6-16.4 19.8 12.4-30.2 20.6 17.0-24.7 10.3 7.6-13.9 2.8 1.0-7.9

1-2

1140 14.0 11.5-16.8 15.6 11.7-20.4 12.4 9.6-15.8 12.5 10.1-15.4 NA NA 18.9 15.0-23.6 9.8 7.1-13.4 1.5 0.5-4.7

2-0

1817 14.9 12.6-17.5 15.7 12.2-20.1 14.1 11.5-17.1 14.4 12.1-17.2 NA NA 20.5 16.9-24.8 11.6 8.7-15.2 2.0 0.7-5.1

3-1

1218 11.4 9.2-14.2 13.1 9.5-17.8 9.9 7.4-13.1 7.9 5.7-10.9 19.3 13.6-26.7 13.9 10.7-17.8 10.1 6.7-15.0 NA NA

3-2

1154 15.9 13.4-18.9 16.7 12.6-21.8 15.2 12.3-18.6 6.6 4.4-9.8 25.6 20.8-31.2 18.5 14.9-22.7 13.1 9.3-18.1 7.5 2.8-18.6

3-3

1048 17.0 14.0-20.5 18.0 13.2-24.2 16.1 12.7-20.1 13.6 9.4-19.2 18.0 14.0-22.9 20.7 16.5-25.7 13.9 9.7-19.5 0.5 0.1-3.7

3-4

1193 13.2 10.7-16.2 12.8 9.4-17.1 13.7 10.2-18.1 10.5 8.0-13.7 20.4 13.2-30.2 17.3 13.7-21.7 7.6 5.0-11.5 3.2 1.0-10.0

3-5

1180 16.4 13.6-19.6 18.6 13.9-24.5 14.3 11.5-17.8 7.9 5.3-11.6 22.3 17.7-27.8 20.0 16.0-24.7 12.7 9.0-17.6 1.5 0.4-5.9

4-0

1223 14.3 11.9-17.1 17.3 13.2-22.4 11.5 9.2-14.4 11.5 9.2-14.4 21.5 14.7-30.2 18.9 15.0-23.4 12.1 9.0-16.0 1.7 0.4-6.5

5-1

1801 16.0 13.9-18.3 16.3 13.0-20.3 15.7 13.2-18.5 14.2 11.9-16.9 19.8 15.5-25.0 19.1 15.8-22.9 18.3 14.7-22.5 3.0 1.6-5.8

5-2

1279 13.0 10.9-15.5 13.0 9.8-17.1 13.1 10.5-16.1 8.6 6.7-11.1 18.3 14.1-23.4 17.8 14.4-21.9 10.6 7.8-14.2 2.0 0.7-6.1

6-0

1803 16.9 14.7-19.2 18.0 14.6-21.9 15.9 13.4-18.8 13.3 10.9-16.1 22.2 18.2-26.9 20.7 17.4-24.3 17.3 13.9-21.4 1.9 1.0-3.7

7-0

1291 15.2 12.8-17.9 15.6 11.8-20.3 14.9 12.1-18.1 12.3 9.7-15.3 17.9 13.7-23.0 19.0 15.3-23.4 14.5 11.2-18.6 2.5 0.8-7.1

8-1

1118 19.5 16.7-22.7 21.5 16.9-26.9 17.7 14.6-21.3 16.6 13.4-20.3 22.4 17.1-28.8 24.0 19.7-29.0 19.0 14.8-24.2 4.5 1.9-10.0

8-2

1808 19.4 17.1-22.1 19.7 16.0-24.1 19.2 16.3-22.4 17.7 14.7-21.1 21.6 17.7-26.1 26.8 22.8-31.1 15.9 12.9-19.6 3.8 1.9-7.3

9-1

2467 16.1 14.3-18.0 17.0 14.3-20.2 15.1 13.0-17.6 12.6 10.8-14.6 22.0 17.8-26.7 20.1 17.4-23.0 14.2 11.5-17.4 3.2 1.6-6.3

9-2

1820 21.1 18.7-23.6 22.3 18.6-26.4 19.9 17.1-23.1 17.8 15.4-20.5 30.4 24.0-37.6 27.3 23.6-31.3 19.6 16.0-23.7 2.0 0.9-4.7

10-0

1631 15.1 12.9-17.6 15.6 12.1-19.9 14.6 12.1-17.6 13.6 11.2-16.3 19.0 13.8-25.4 19.2 16.1-22.9 12.7 9.1-17.4 2.1 0.7-5.9

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

35

Disability

36

A disability is defined as a limitation in activity as a result of physical, mental or emotional problems or having a health issue that requires use of special equipment, such as a cane, wheelchair or special telephone. People living with disability may have difficulty performing functional activities or activities of daily living. Disability may require the use of special equipment like a cane, crutches, or a walker. Disabilities acquired early in life are referred to as developmental disabilities. As a potentially underserved group, people with disabilities may experience lack of access to health services and medical care and may be at increased risk for various conditions.
Adults with a Disability, Georgia 2004: 19.2 %
The prevalence of having a disability is significantly higher among older population (55+), adults with no health coverage and adults with income less than $15,000.

Percent Percent

Percent Percent

Percent of Adults who have a Disability, by Sex, Georgia 2004
50

40

30

20

10

17.1 0
Male

21.2 Female

Sex

Percent of Adults who have a Disability, by Race/Ethnicity, Georgia 2004
50

40

30

20

10
20.7 0
W hite

17.7 Black

Race/Ethnicity

8.9 Hispanic

16.7 Other

Percent of Adults who have a Disability, by Income, Georgia 2004
50

40

30

20

10
43.8 0
Less than $15,000

22.6
$15,000$24,999

16.8

14.3

$25,000-

$35,000-

$34,999

$49,999

Income

17.7
$50,000$74,999

10.6
$75,000 or more

Percent of Adults who have a Disability, by Access to Medical Care, Georgia 2004
50

40

30

20

10

17.6 0
Health Coverage

24.1 No Health Coverage

Access to Medical Care

Percent

Percent of Adults who have a Disability, by Age, Georgia 2004
50

40

30

20

10

10.0

9.7

11.6

20.6

33.7

41.4

0

18-24

25-34

35-44

45-54

55-64

65+

Age

Percent of Adults with a Disability by Sex, Race and Age, Georgia Health Districts, 2001, 2003 & 2004

Disa bility

Tota l

Sex

Ra ce

Age

Male

Female

W hite

Bla ck

18-44

45-64

65+

N % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI % 95% CI

Ge orgia 16944 18.2 17.5-19.0 16.4 15.3-17.6 20.0 19.0-20.9 19.8 18.9-20.7 15.5 14.1-17.0 10.5 9.6-11.4 24.5 23.1-25.9 36.0 33.8-38.2

1-1

810 18.0 15.3-21.0 16.4 12.4-21.4 19.5 16.1-23.4 18.8 15.8-22.2 13.9 7.2-25.1 9.8 7.0-13.5 24.3 19.2-30.3 34.7 26.5-43.9

1-2

672 20.0 16.6-23.8 19.0 13.8-25.5 20.9 16.8-25.6 20.7 17.1-24.9 NA NA 12.0 8.0-17.6 27.5 21.5-34.4 37.5 28.8-47.1

2-0

1374 18.8 16.5-21.4 16.9 13.5-20.9 20.7 17.7-24.1 18.4 16.0-21.0 NA NA 11.1 8.5-14.3 25.2 20.9-30.2 31.8 25.5-38.8

3-1

717 15.5 12.8-18.7 16.9 12.6-22.3 14.2 11.2-17.9 17.9 14.5-21.9 9.0 5.0-15.8 8.6 6.0-12.3 23.0 17.4-29.8 37.4 27.1-49.1

3-2

658 15.8 12.7-19.6 11.8 8.1-17.0 19.6 15.0-25.3 15.9 11.5-21.6 16.1 11.4-22.1 10.5 7.0-15.5 22.0 15.9-29.5 33.3 23.0-45.6

3-3

627 16.1 12.8-20.1 13.5 8.9-19.8 18.5 14.0-24.0 21.1 15.1-28.7 11.8 8.1-16.7 11.9 8.0-17.3 23.5 17.2-31.2 28.5 17.5-42.9

3-4

759 14.2 11.6-17.2 12.6 8.9-17.4 15.8 12.5-19.9 15.2 12.2-18.7 10.2 5.6-17.8 8.6 5.9-12.5 20.2 15.4-26.1 33.6 23.9-44.9

3-5

654 13.8 11.1-17.0 13.8 9.7-19.2 13.8 10.5-18.0 17.3 12.9-22.9 10.9 7.6-15.4 9.2 6.2-13.5 19.0 14.0-25.3 29.7 20.0-41.7

4-0

726 17.7 14.8-21.1 16.1 11.8-21.6 19.2 15.6-23.5 18.0 14.6-21.9 17.9 11.9-26.0 12.9 9.3-17.7 18.8 14.2-24.4 34.4 25.8-44.0

5-1

1265 22.0 19.2-25.1 22.1 17.5-27.4 22.0 18.9-25.4 22.2 19.0-25.8 21.9 16.0-29.3 13.3 10.0-17.4 29.1 23.6-35.3 36.3 29.8-43.2

5-2

746 19.0 16.2-22.2 18.6 14.2-24.0 19.4 16.0-23.4 21.7 18.0-26.0 14.7 10.6-20.2 9.5 6.7-13.2 28.2 22.4-34.8 34.7 27.1-43.2

6-0

1265 19.8 17.3-22.5 16.2 12.6-20.6 23.0 19.8-26.5 20.3 17.2-23.9 19.2 15.0-24.3 10.1 7.5-13.5 28.4 23.7-33.6 38.8 31.5-46.7

7-0

803 20.5 17.4-24.1 22.8 17.7-28.9 18.4 14.9-22.6 22.2 18.0-27.1 16.7 12.2-22.4 12.3 8.7-17.1 30.5 24.4-37.2 32.7 24.4-42.3

8-1

656 19.0 15.9-22.5 14.5 10.4-20.0 23.2 19.0-28.0 21.3 17.4-25.7 14.3 9.2-21.4 10.7 7.4-15.4 25.8 19.9-32.6 37.2 28.5-46.7

8-2

1277 19.4 16.9-22.1 17.2 13.6-21.5 21.3 18.1-25.0 20.5 17.1-24.3 16.8 13.2-21.2 9.2 6.7-12.5 26.3 21.8-31.4 39.1 31.5-47.2

9-1

1467 18.3 16.1-20.8 14.4 11.4-18.1 22.0 18.8-25.5 17.7 15.1-20.7 22.6 17.4-28.7 12.1 9.3-15.5 24.7 20.5-29.4 31.0 24.9-37.9

9-2

1316 23.7 21.0-26.7 23.1 18.8-27.9 24.3 21.0-28.0 25.2 22.0-28.7 17.2 12.2-23.7 13.6 10.4-17.6 34.0 29.1-39.4 40.3 33.4-47.7

10-0

1152 19.1 16.4-22.1 16.4 12.5-21.2 21.6 18.1-25.5 19.7 16.6-23.1 15.2 9.8-22.8 12.2 9.0-16.3 23.1 18.3-28.6 41.8 34.0-50.0

N=number of respondents. NA=Estimates are considered unreliable because the 95% CI exceeds the recommended width.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

37

Healthy People 2010 Table

38

Year 2010 Health Objectives for the Nation: Summary of BRFSS Data, Georgia, 2001-2004

Healthy People 2010 1 Objectives 2

Georgia Georgia 2001 2002

Georgia 2003

Georgia 2004

Year 2010 Target

Health Outcomes

Obese, BMI > 30 (Objective # 19.2) Ages > 20 years

23%

24%

26%

Diabetes, Clinically Diagnosed (Objective #5.3)

7%

7%

8%

Ages >18 years

Limitation in Activities Due to Arthritis

54%



41%

(Objective #2.2)

Adults with Chronic Joint Symptoms, Ages >18 yrs

High Blood Pressure (Objective #12.9) Ages > 20 years

28%



29%

25%

< 15%

7%

< 2.5%



< 30%



< 16%

Health-related Behaviors

No Leisure Time Physical Activity (Objective # 22. 27%

26%

25%

Ages >18 years

Regular Moderate Physical Activity, 5 or more

40%



42%

days/week for 30 or more minutes or Vigorous

Physical Activity, 3 or more days per week for

20 minutes or more per day (Objective # 22.2)

Ages > 18 years

Regular, Vigorous Physical Activity, 3 or more

23%



25%

Days/Week for 20 or more Minutes (Objective #22.

Ages >18 years

Cigarette Smoking (Objective # 27.1a) Ages > 18 years

24%

23%

23%

Binge Drinking, During Past Month (Objective #

12%

13%

13%

26.11c)

Ages > 18 years

26%

< 20%



> 50%



> 30%

20%

< 12%

12%

< 6%

Healthy People 2010 Objectives (cont'd)

Georgia Georgia

2001

2002

Georgia 2003

Georgia 2004

Year 2010 Target

1 Healthy People 2010 is designed to achieve two overarching goals: 1. Increase quality and years of healthy life, 2. Eliminate health disparities. U.S. Department of Health and Human Services, Healthy People 2010. 2nd edition, Washington DC:U.S. Government Printing Office, November 2000.
2 In some cases, BRFSS definitions of objectives differ slightly from those in Healthy People 2010. See Healthy People 2010 for the exact definition of the objective.
Data were not collected in that year.
** Met Year 2010 target.

Screening/Immunizations
Pap Smear, Ever Had (Objective #3.11a) Women, Ages >18 years
Pap Smear, Within Past Three Years (Objective #3.11b) Women, Ages >18 years
Fecal Occult Blood Test (FOBT) Within Past Two Years (Objective #3.12a) Ages > 50 years
Sigmoidoscopy, Ever Had (Objective #3.12b) Ages > 50 years
Mammogram, Within Past Two Years (Objective #3.13) Women, Ages > 40 years
Cholesterol Screening, Within Past Five Years (Objective #12.15) Ages >18 years
Influenza Immunization, Within Past Year (Objective # 14.29a) Ages > 65 years
Pneumococcal Immunization, Ever Had (Objective # 14.29b) Ages > 65 years

94% 88% 32% 49% 79%** 75% 62% 58%

96% 87% 30%
76%**
59% 57%

97%** 88%
76%** 75% 67% 61%

Access to Health Care
Health Insurance (Objective # 1.1) Ages > 18 years
Specific Source of Ongoing Primary Care (Objective #1.4c) Ages > 18 years

86% 77%

84% 77%

84% 77%

95% 85%

> 97% > 90%

26%

> 50%

54%** 75%**

> 50% > 70%



> 80%

64%

> 90%

59%

> 90%

83% 79%

= 100% > 96%

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

39

Data Tables

40

Total Sex Male Female Race/Ethnicity White Black Hispanic Other Age 18-24 (18-34 Diabetes) 25-34 35-44 (40-44 Mammography) 45-54 (50-54 Sigmoidoscopy/Colonscopy) 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 Health Coverage No Health Coverage
N=number of respondents. NA=Estimates are not available because sample size <50.

Obesity (BMI > 30)

Diabetes

N=4826

N=5041

n

% 95 % CI n % 95 % CI

1276 24.7 23.0-26.5 488 7.3 6.5-8.2

Asthma
N=5022 n % 95 % CI 383 7.4 6.4-8.6

Cigarette Smoking No Leisure Time Physical Activity

N=5026

N=5039

n % 95 % CI n

% 95 % CI

980 20.0 18.4-21.6 1499 25.8 24.2-27.4

468 25.1 22.4-28.0 185 7.6 6.3-9.1 808 24.4 22.4-26.5 303 7.0 6.0-8.2

94 5.2 4.1-6.8 419 22.3 19.8-25.0 473 21.6 19.3-24.2 289 9.5 7.9-11.4 561 17.8 16.0-19.6 1026 29.7 27.6-31.9

811 22.6 20.7-24.5 315 6.8 5.9-7.9 250 7.1 6.0-8.4 701 20.3 18.5-22.1 974 23.9 22.1-25.7 402 32.1 28.1-36.4 158 9.8 7.9-12.1 103 8.5 6.0-12.0 208 19.4 16.2-23.0 419 29.9 26.3-33.7
21 17.2 9.7-28.7 5 2.4 0.8-6.7 5 4.6 1.6-12.8 16 10.2 5.1-19.1 31 18.6 11.4-28.9 37 18.0 11.8-26.5 9 4.3 1.9-9.6 23 7.4 4.3-12.3 49 24.2 16.8-33.5 67 32.3 24.3-41.4

62 16.1 11.1-22.6 16 1.3 0.7-2.3 32 12.2 7.6-19.1 96 26.5 20.8-33.2 68 15.4 11.3-20.7 187 23.4 19.4-27.9 48 4.7 3.2-6.7 39 5.3 3.5-7.8 172 23.1 19.5-27.2 168 18.3 15.2-21.8 255 27.0 23.4-30.9 82 8.0 6.1-10.4 71 6.9 5.2-9.0 198 18.2 15.3-21.5 234 22.8 19.6-26.3 293 28.6 24.8-32.6 82 8.0 6.1-10.4 71 6.4 4.8-8.6 244 22.5 19.4-26.0 308 30.2 26.4-34.3 259 32.5 28.3-36.9 138 15.4 12.4-18.9 92 8.6 6.7-11.2 157 16.8 13.9-20.3 305 34.7 30.5-39.1 217 21.1 18.0-24.6 201 19.0 16.0-22.3 75 7.0 5.2-9.4 111 11.2 8.8-14.3 410 40.0 36.1-44.0

215 33.1 26.3-40.8 125 16.1 12.4-20.7 100 16.2 10.5-24.1 163 27.7 22.3-33.8 313 44.3 37.6-51.3 229 28.0 23.7-32.7 97 10.2 7.8-13.4 60 7.6 5.4-10.5 201 26.5 22.3-31.1 301 32.5 28.2-37.1 157 30.0 24.2-36.6 47 6.6 4.6-9.5 50 7.9 5.4-11.3 137 20.7 16.8-25.2 173 26.6 21.9-31.9 209 30.5 26.2-35.2 65 7.2 5.3-9.7 52 7.2 5.0-10.4 157 26.0 21.3-31.3 188 24.6 20.4-29.3 161 20.5 17.1-24.5 43 4.2 3.0-6.0 31 5.7 3.7-8.6 119 16.7 13.4-20.5 144 21.9 18.0-26.3 160 17.1 14.1-20.5 36 3.6 2.4-5.5 39 4.5 3.0-6.7 90 10.7 8.3-13.7 126 13.1 10.7-16.1

913 23.1 21.3-25.0 371 7.3 6.3-8.3 361 29.4 25.5-33.6 116 7.5 5.8-9.7

257 7.1 5.9-8.6 633 16.3 14.8-18.0 1049 24.0 22.3-25.8 124 8.2 6.4-10.4 345 30.6 26.8-34.7 446 31.2 27.5-35.1

Data Tables

Binge Drinking

Total Sex Male Female Race/Ethnicity White Black Hispanic Other Age 18-24 25-34 35-44 (40 - 44 Mammography) 45-54 (50 - 54 Sigmoidoscopy/ 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 Health Coverage No Health Coverage

N=4988 n % 95 % CI 455 12.1 10.7-13.6
307 18.9 16.4-21.6 148 5.8 4.7-7.1
333 12.5 11.0-14.2 93 11.3 8.4-14.9 10 8.0 3.8-16.0 19 15.5 8.6-26.3
74 21.4 16.3-27.4 116 18.1 14.4-22.5 114 12.8 10.3-15.8 95 9.7 7.4-12.6 38 5.3 3.3-8.6 17 1.7 1.0-3.1
33 6.8 4.1-11.1 81 14.1 10.5-18.6 54 14.4 9.5-21.3 67 10.4 7.5-14.2 72 13.7 10.4-17.7 112 14.4 11.7-17.8
328 11.1 9.7-12.6 127 15.3 11.9-19.3

N=number of respondents.

NA=Estimates are not available because sample size <50.

Loaded, unlocked Firearm N=4644
n % 95 % CI 442 8.2 7.3-9.3
258 11.7 10.0-13.6 184 4.9 4.0-6.0
358 10.0 8.8-11.5 65 5.6 4.0-7.6 5 2.8 0.9-8.3 14 4.5 2.2-8.8
15 3.7 1.9-6.9 53 6.8 4.8-9.5 84 8.5 6.5-11.0 105 10.0 7.7-12.7 97 13.0 10.3-16.3 86 7.8 6.1-10.0
39 4.5 3.0-6.6 61 6.6 4.8-9.1 39 5.0 3.3-7.4 68 8.9 6.5-12.0 79 10.7 8.1-14.0 113 12.2 9.7-15.2
370 9.4 8.2-10.7 72 4.8 3.5-6.5

Thoughts of Suicide N=4804
n % 95 % CI 287 6.5 5.6-7.6
98 6.2 4.8-8.0 189 6.8 5.6-8.3
199 6.4 5.3-7.7 64 6.4 4.6-8.8 5 2.0 0.6-6.3 17 11.2 5.9-21.1
43 12.2 8.2-17.7 53 6.9 4.9-9.6 72 7.3 5.4-9.7 63 6.1 4.3-8.4 33 3.6 2.3-5.5 21 2.4 1.4-4.0
59 9.4 6.4-13.6 57 9.4 6.5-13.4 36 6.1 3.9-9.5 44 8.1 5.4-12.0 31 5.1 3.3-7.8 25 3.3 2.0-5.1
150 4.2 3.4-5.2 135 13.4 10.6-16.8

Mammogram

in past 2 years

N=2144

n

% 95 % CI

1573 74.5 71.9-76.9

1573 74.5 71.9-76.9
1163 74.6 71.7-77.4 349 73.4 67.4-78.6 15 83.3 59.0-94.5 39 76.7 61.5-87.1

203 69.3 62.4-75.4 450 75.9 71.4-80.0 416 79.4 74.0-83.8 504 72.8 67.9-77.2
211 56.9 49.1-64.3 239 68.2 61.3-74.4 176 77.1 69.8-83.1 202 77.6 70.7-83.3 205 80.7 73.8-86.1 256 81.1 74.6-86.2
1340 78.7 75.9-81.2 231 57.3 50.7-63.7

Pap Test

in past 2 years

N=1974

n

% 95 % CI

1728 87.5 84.7-89.8

1728 87.5 84.7-89.8
1163 87.8 85.2-90.0 471 87.6 80.1-92.5 36 74.1 47.4-90.1 54 90.8 80.3-96.0
158 74.9 62.3-84.3 396 92.5 88.0-95.4 421 94.5 91.6-96.4 343 93.2 89.8-95.5 206 86.4 80.7-90.7 204 68.9 61.4-75.6
173 68.6 52.2-81.4 274 84.6 78.0-89.4 210 91.3 85.5-94.9 263 92.7 88.0-95.6 265 92.7 87.7-95.7 318 94.0 89.2-96.7
1346 89.6 86.4-92.2 381 81.1 75.4-85.7

n 1251
440 811
1005 205 8 24
175 463 613
183 198 133 144 162 192
1095 153

Sigmoidoscopy

/Colonoscopy N=2331

%

95 % CI

53.7

51.0-56.4

54.4 53.2

50.0-58.7 49.8-56.5

55.2 52.3 41.8 37.3

52.2-58.2 45.9-58.7 20.1-67.3 21.5-56.4

36.2 57.2 62.1
45.8 51.8 56.9 47.3 63.8 53.7
56.4 41.2

30.8-42.0 52.8-61.4 58.0-66.0
38.4-53.4 45.2-58.4 48.5-64.9 40.2-54.4 56.0-71.0 47.1-60.1
53.5-59.3 34.1-48.6

NA=Estimates are not available because sample size <50.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

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Data Tables

42

Influenza

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 Health Coverage No Health Coverage

Vaccination N=1031
n % 95 % CI 657 64.4 60.5-68.2
225 67.4 60.9-73.4 432 62.4 57.5-67.1
569 71.8 67.7-75.5 66 36.0 26.9-46.2 6 94.4 64.3-99.4 11 38.4 19.9-61.1
657 64.4 60.5-68.2
118 55.0 45.7-64.0 141 61.8 53.4-69.5 88 68.1 57.2-77.4 57 59.0 45.8-71.0 46 76.1 62.8-85.8 36 66.7 50.1-80.0
603 65.2 61.1-69.1 53 57.7 43.1-71.1

N=number of respondents.

NA=Estimates are not available because sample size <50.

Pneumococcal Vaccination N=990
n % 95 % CI 596 59.4 55.3-63.4
193 58.2 51.2-64.9 403 60.2 55.3-65.0
518 66.4 62.1-70.4 54 28.2 20.2-37.7
596 59.4 55.3-63.4 .
114 52.9 43.3-62.2 132 59.4 51.0-67.2 78 58.7 47.7-68.9 52 55.8 42.7-68.0 41 63.7 48.5-76.6 31 61.3 44.0-76.1
547 59.8 55.6-63.9 49 57.1 42.3-70.8

n 1759
679 1080
991 631 54 75
166 517 512 356 208
209 272 250 290 289 312
1230 528

HIV Test
N=3701 % 95 % CI 51.4 49.2-53.7
49.8 46.3-53.2 53.1 50.3-55.9
43.0 40.5-45.7 69.0 64.6-73.1 52.7 38.6-66.4 51.0 40.3-61.7
46.8 39.4-54.2 71.5 66.8-75.7 59.4 55.2-63.4 37.0 32.9-41.3 28.6 24.5-33.2
58.2 49.5-66.5 52.2 46.1-58.3 61.9 54.9-68.5 55.9 50.4-61.2 54.2 49.0-59.3 45.0 40.5-49.5
49.9 47.4-52.4 55.9 51.3-60.5

No Health Coverage N=5029 n % 95 % CI 723 17.0 15.5-18.7
295 19.3 16.7-22.2 428 14.8 13.1-16.7
393 13.0 11.4-14.7 245 22.1 18.7-26.1 31 29.0 18.7-42.1 48 29.8 21.4-39.8
114 30.8 24.8-37.6 169 24.0 20.0-28.5 158 14.8 11.9-18.2 152 15.6 12.7-19.1 104 11.3 8.5-14.9 23 2.7 1.4-5.3
161 27.1 21.8-33.1 223 33.5 28.8-38.6 101 26.1 20.2-33.1 73 15.7 11.7-20.8 34 4.8 3.2-7.0 33 4.7 3.1-7.3

n 1160
374 786
847 248 17 42
40 70 131 223 282 405
316 211 123 118 108 98
799 359

Disability

N=4901

%

95 % CI

19.2 17.8-20.7

17.1 21.2

15.0-19.5 19.4-23.2

20.7 17.7 8.9 16.7

19.0-22.5 14.8-21.0 4.6-16.5 10.8-24.8

10.0 9.7 11.6 20.6 33.7 41.4

6.7-14.6 7.2-13.0 9.3-14.5 17.3-24.2 29.5-38.1 37.5-45.5

43.8 22.6 16.8 14.3 17.7 10.6

36.9-50.9 18.9-26.8 13.4-20.8 11.3-17.8 13.9-22.2 8.3-13.5

17.6 24.1

16.1-19.3 21.0-27.6

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 2004, approximately 420 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 5,044. The average monthly co-operation rate for 2004 was 73%.
The 2004 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 then 19 Health Districts in Georgia. In January 2005, two Health Districts merged, making a current total of 18 Health Districts (see page 1).
The 2004 BRFSS questionnaire covered a range of topics, on health behaviors and conditions. This report contains selected risk factors, protective factors, and conditions, including obesity, diabetes, asthma, cigarette smoking, leisure time physical activity, binge drinking, firearms, suicide, mammography, Pap test, colorectal screenings, flu shot, pneumonia vaccination, HIV/AIDS testing, health insurance and disability.
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 adjust for an individual's probability of selection. Weighting also adjusts for non-response 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 2004 estimates for Georgia, this report also contains district estimates by selected demographic characteristics (age, race and sex). BRFSS data from 2000 to 2004 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, in 2001 was 4,532, in 2002 was 5,065 and in 2003 was 7,651.

2004GEORGIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORT

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44

Sample & Population Demographic Distribution Table

Total Sex Male Fem ale

Demographic Distribution

Sample

Sample % Population

N

%

N

5044

6,488,915

Weighted % %

1904 3140

37.8 62.3

3,158,004 3,330,911

48.7 51.3

Race/Ethnicity White Black Hispanic Other

3509 1212 107 182

70.0 24.2 2.1 3.6

4,084,076 1,777,178 231,554 356,492

63.3 27.6 3.6 5.5

Age 18-24 25-34 35-44 45-54 55-64 65+

372 780 967 991 863 1036

7.4 15.6 19.3 19.8 17.2 20.7

898,972 1,345,581 1,403,353 1,159,975 786,121 852,414

14.0 20.9 21.8 18.0 12.2 13.2

Income Less than $15,000 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000 or m ore

626

14.5

609,692

10.9

803

18.6

943,512

16.9

588

13.6

728,644

13.0

721

16.7

983,642

17.6

703

16.3

965,389

17.3

874

20.3

1,363,202

24.4

Access to Medical Care Yes No

3873 1156

77.0 23.0

4,811,391 1,657,017

74.4 25.6

Definitions
Risk Factor Definitions among Adult Georgia BRFSS Respondents
Obesity: 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: Having ever been told by a doctor that they have diabetes.
Asthma: Having ever been told by a doctor, nurse, or other health professional that they have asthma and still have asthma.
Cigarette Smoking: Having smoked at least 100 cigarettes in their lifetime and who are current smokers.
No Leisure Time Physical Activity: Not participating in any physical activities or exercise during the past 30 days.
Binge Drinking: Having 5 or more drinks on an occasion during the past 30 days.
Firearms: A loaded and unlocked firearm in home.
Suicide: Having had thoughts of taking own life, even if would not really do it in the last 12 months.
Mammography: Women, age 40 and older, who had a mammogram within the past two years.
Pap Test: Women, not having had a hysterectomy and have had a Pap smear within the past three years.

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Colorectal Cancer Screening (Sigmoidoscopy/Colonoscopy): Adults aged 50+ that have had a sigmoidoscopy or colonoscopy.
Influenza Vaccination: Adults, ages 65 and older, who have had a flu shot within the past 12 months.
Pneumonia Vaccination: Adults, ages 65 and older, who have ever had a pneumonia vaccination.
HIV/AIDS Testing: Adults, ages 18-64, who have ever been tested for HIV.
Health Insurance: Having no health care plan.
Disability: Having activity limitation because of physical, mental, or emotional problems or who require the use of special equipment, such as a cane, wheelchair, special bed, or special telephone.
Demographic Definitions
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.