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Health Statistics

Behavioral Risk Factor Surveillance System (BRFSS)

The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based computer-assisted telephone interviewing effort conducted in cooperation with the Centers for Disease Control and Prevention. Questions are constructed to determine the behaviors of individuals that will affect their risk of developing chronic diseases that may lead to premature mortality and morbidity. The data collected helps to identify high risk populations that can be targeted for intervention programs. The data can also be used to track changes over time of prevalence of risk factor behaviors and related diseases, and can assess the impact of health promotion and prevention intervention programs. Currently, every state in the country, the District of Columbia, and three U.S. territories are members of this surveillance system. The Tennessee Department of Health has been participating in this system on a continuing basis since 1984, surveying adults from randomly selected households throughout the state every month.

These surveys were developed and conducted to monitor state-level prevalence of the major behavioral risks among adults associated with premature morbidity and mortality. Many of the behavioral risk factors surveyed in this system cannot be obtained from any other health statistics sources and this system serves as an important, timely, accurate, and often sole, resource in measuring and monitoring the personal health behaviors and lifestyle conditions that are related to good or poor health outcomes or situations.

Although the BRFSS system was originally designed to collect state-level data and make state-level inference, a number of states from the outset stratified their samples to allow them to estimate prevalence of behavioral risk factors for sub-regions within their respective states. Tennessee began this process of stratifying their samples for Health Department regional data beginning with the 2005 BRFSS data.

Important Information About the 2011 BRFSS Survey.

Tennessee State and Regional Data

Alcohol Consumption

During the Past 30 Days Have You Had at Least One Drink of Any Alcoholic Beverage
2010  2009 2008  2007  2006  2005

Have You Had Five or More Drinks on One Occasion
2010  2009 2008  2007  2006  2005

Arthritis

During the Past 30 Days Have You Had Any Symptoms of Pain, Aching or Stiffness in or Around a Joint
2007  2005

Have You Ever Been Told by a Health Professional That You Have Some Form of Arthritis
2009 2007  2005

Are You Limited Because of Arthritis or Joint Symptoms
2007 2005

Asthma

Have You Ever Been Told by a Doctor, Nurse or Other Health Professional That You Had Asthma
2010  2009 2008  2007  2006  2005

Cholesterol

Have You Ever Had Your Blood Cholesterol Checked
2010  2009 2007  2005

Have You Ever Been Told by a Doctor, Nurse or Other Health Professional That Your Blood Cholesterol Is High
2010  2009 2007  2005 

Colon Cancer Screening

For respondents aged 50 and older: Have you had a blood stool test within the past two years
2010

For respondents aged 50 and older: Have you ever had a sigmoidoscopy or colonoscopy
2010

Demographics

Are You Divorced
2010  2008  2007  2006  2005

Are You Hispanic or Latino
2010  2008  2007  2006  2005

Are You Currently Employed for Wages
2010  2008  2007   2006  2005

Is Your Annual Household Income Less Than $20,000
2010  2008  2007  2006  2005

Are You Male or Female
2010  2008  2007  2006  2005

Have You Served on Active Duty in the U.S. Armed Services
2010  2008  2007  2006  2005

Diabetes

Have You Ever Been Told by a Doctor that You Have Diabetes
2010  2009 2008  2007  2006  2005

Ever Taken a Class or Course to Manage Your Diabetes
2010  2009 2008  2007  2006  2005

Have You Ever Been Told That Diabetes Has Affected Your Eyes or That You Had Retinopathy
2010  2009 2008  2007  2006  2005

Have You Ever Had Any Sores or Irritations on Your Feet That Took More Than Four Weeks to Heal
2007  2006  2005

Are You Now Taking Insulin
2010  2009 2008  2007  2006  2005

Are You Taking Diabetes Pills
2007  2006  2005

Diet and Exercise

Adults Who Have a Body Mass Index Greater Than 25/Overweight or Obese
2010  2009 2008  2007  2006  2005

Adults Who Have a Body Mass Index Greater Than 30/Obese
2010

Have You Participated in Physical Activities or Exercise During the Past Month
2010  2009 2008  2007  2006  2005

Have You Consumed Five Servings or More of Fruits and Vegetables per Day
2009 2007  2005

Disability

Do You Require Any Special Equipment Due to Health Problems
2010  2008  2007  2006  2005

Are You Limited in Any Way Because of Physical, Mental or Emotional Problems
2010  2008  2007  2006  2005

Health Care Access

Within the Past 12 Months Could You Not See a Doctor Due to Cost
2010  2009 2008  2007   2006  2005

Do You Have One Person or Healthcare Provider That you Think of as Your Personal Doctor
2010  2008  2007   2006  2005

Do You Have Any Kind of Healthcare Coverage
2010  2009 2008  2007  2006  2005

Health Status

Would You Say Your Health Is Fair or Poor
2010  2009 2008  2007  2006  2005

Would You Say In General That Your Health is Excellent
2010  2009 2008  2007  2006  2005

Heart Attack Symptoms

Do You Think That Pain in the Jaw, Neck, or Back Are Symptoms of a Heart Attack
2005

Do You Think That Feeling Weak, Lightheaded, or Faint is a Symptom of a Heart Attack
2005

Do You Think Chest Pain Is a Symptom of a Heart Attack
2005

Do You Think Sudden Trouble Seeing in One or Both Eyes Is a Symptom of a Heart Attack
2005

Do You Think Pain in the Arms or Shoulders Are Symptoms of a Heart Attack
2005

Do You Think Shortness of Breath Is a Symptom of a Heart Attack
2005

HIV/AIDS

Do Any High Risk HIV Situations Apply to You
2010  2009 2008  2005

Have You Ever Been Tested for HIV
2010  2009 2008  2007  2006  2005

Hypertension

Have You Ever Been Told by a Doctor, Nurse or Other Health Professional That Your Blood Pressure is High
2010  2009 2007  2005

Taking Blood Pressure Medication
2010  2009 2007  2005

Immunization

Have You Had a Flu Shot Within the Past 12 Months
2010  2009 2008  2007  2006  2005

Have You Had a FLuMist or Flu Vaccine Sprayed in Your Nose Within the Past 12 Months
2010  2008  2007  2006  2005

Have You Ever Had a Pneumonia Shot
2010  2008  2007  2006  2005

For respondents aged 65 and older: Have you ever had a pneumonia shot
2010

For respondents aged 65 and older: Have you had a flu shot during the past 12 months
2010

Oral Health

Have you visited a dentist, dental hygienist or dental clinic within the past year
2010

Adults aged 18 and older that have had ANY permanent teeth extracted
2010

Stroke Symptoms

Do You Think Sudden Confusion or Trouble Speaking Are Symptoms of a Stroke
2005

Do You Think Sudden Numbness or Weakness of Face, Arm, or Leg, Especially on One Side Are Symptoms of a Stroke
2005

Do You Think Sudden Trouble Seeing in One or Both Eyes is a Symptom of a Stroke
2005

Do You Think Sudden Chest Pain is a Symptom of a Stroke
2005

Do You Think Sudden Trouble Walking, Dizziness, or Loss of Balance Are Symptoms of a Stroke
2005

Do You Think Sudden Severe Headache with No Known Cause is a Symptom of a Stroke
2005

Tobacco Use

Are You a Current Smoker
2010  2009 2008  2007  2006  2005

Have You Tried to Quit Smoking Within the Past 12 Months
2010  2009 2008  2007  2006  2005

Visual Impairment

Have You Been Told That You Now Have Cataracts
2008  2006  2005

Have You Ever Been Told That You Have Glaucoma
2008  2006  2005

Do You Have Any Kind of Health Insurance for Eye Care
2008  2006  2005

Have You Ever Been Told That You Have Macular Degeneration
2008  2006  2005

Women's Health

Have You Ever Had a Clinical Breast Exam
2010  2009 2008  2007  2006  2005

Have You Had a Hysterectomy
2010  2008  2007  2006  2005

Have You Ever Had a Mammogram
2010  2009 2008  2007  2006  2005

Have You Ever Had a Pap Test
2010  2009 2008  2007  2006  2005

2011 and Later Years BRFSS Survey

Alcohol Consumption

Adults that report having had at least one drink of alcohol in the past 30 days
2011  2012

Binge drinkers (males having five or more drinks on one occasion, females having four or more drinks on one occasion)
2011  2012

Arthritis

Has a doctor, nurse, or other health professional ever told you that you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
2011  2012

Asthma

Have You Ever Been Told by a Doctor, Nurse or Other Health Professional That You Had Asthma?
2011  2012

Cholesterol

Have you ever been told by a doctor, nurse, or other health professional that your blood cholesterol is high?
2011  2012

Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked?
2011  2012

Colon Cancer Screening

For respondents aged 50 and older: Have you had a blood stool test within the past two years?
2012

For respondents aged 50 and older: Have you ever had a sigmoidoscopy or colonoscopy?
2012

Demographics
 
Diabetes

For adult diabetics: A test for "A one C" measures the average level of blood sugar over the past three months. About how many times in the past 12 months has a doctor, nurse, or other health professional checked you for "A one C"?
2011  2012

Have you ever been told by a doctor that you have diabetes, not including gestational diabetes?
2011  2012

For adult diabetics: Have you ever taken a course or class in how to manage your diabetes yourself?
2011  2012

For adult diabetics: Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?
2011  2012

For adult diabetics: Are you now taking insulin?
2011  2012

Diet and Exercise

During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?
2011  2012

Adults Who Have a Body Mass Index Greater Than 25 (Overweight or Obese)
2011  2012

Adults Who Have a Body Mass Index Greater Than 30 (Obese)
2011  2012

Consumed five or more servings of fruits or vegetables per day
2011  2012

Disability

Are you limited in any way in any activities because of physical, mental, or emotional problems?
2011  2012

Do you now have any health problem that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?
2011  2012

Health Care Access

Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare, or Indian Health Service?
2011  2012

Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
2011  2012

Do you have one person you think of as your personal doctor or health care provider?
2011  2012

Health Status

Would you say that in general your health is excellent?
2011  2012

Would you say that in general your health is fair or poor?
2011  2012

Heart Attack Symptoms

Has a doctor, nurse, or other health professional EVER told you that you had a heart attack, also called a myocardial infarction?
2011  2012

Has a doctor, nurse, or other health professional EVER told you that you had angina or coronary heart disease?
2011  2012

HIV/AIDS

Have you ever been tested for HIV? Do not count tests you may have had as part of a blood donation. Include testing fluid from your mouth.
2011  2012

Adults aged 18-64 that have participated in high-risk behavior in the past year.
2011  2012

Hypertension

Are you currently taking medicine for your high blood pressure?
2011  2012

Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure(Not including females told only during pregnancy)?
2011  2012

Immunization

During the past 12 months, have you had either a seasonal flu shot or a seasonal flu vaccine that was sprayed in your nose?
2011  2012

For respondents aged 65 and older: During the past 12 months, have you had either a seasonal flu shot or a seasonal flu vaccine that was sprayed in your nose?
2011  2012

A pneumonia shot or pneumococcal vaccine is usually given only once or twice in a person's lifetime and is different from the flu shot. Have you ever had a pneumonia shot?
2011  2012

For respondents aged 65 and older: A pneumonia shot or pneumococcal vaccine is usually given only once or twice in a person's lifetime and is different from the flu shot. Have you ever had a pneumonia shot?
2011  2012

Oral Health

Adults aged 65 and older who have had all their natural teeth extracted.
2012

Adults aged 18 and older that have had ANY permanent teeth extracted.
2012

Have you visited a dentist, dental hygienist or dental clinic within the past year?
2012

Stroke Symptoms

Has a doctor, nurse, or other health professional EVER told you that you had a stroke?
2011  2012

Tobacco Use

During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?
2011  2012

Are You a Current Smoker?
2011  2012

Visual Impairment
 
Women's Health

Have you ever had a clinical breast exam?
2011  2012

Have you ever had a Pap test?
2011  2012

Have you had a Pap test within the past 3 years?
2011  2012

Have you ever had a mammogram?
2011  2012

For female respondents age 40 or older: Have you had a mammogram within the past 2 years?
2011  2012

Have you had a hysterectomy?
2011  2012

State Comparisons

Alcohol

Had at Least One Drink of Alcohol in Past 30 Days
2010  2009 2008  2007  2006  2005  2004  2003  2002

Binge Drinking
2010  2009 2008  2007  2006  2005  2004  2003  2002

Heavy Drinking
2010  2009 2008  2007   2006   2005   2004   2003  2002

Arthritis
Ever Told Have Arthritis
2009 2007   2005  2001
Asthma

Currently Have Asthma
2010  2009 2008  2007   2006   2005   2004   2003  2002   2001   2000

Ever Told Have Asthma
2010  2009 2008  2007   2006  2005 2004  2003  
2002  2001 2000

Cholesterol

Ever Told Blood Cholesterol High
2009 2007   2005  2003  2001

Colon Cancer Screening

Have you ever had a sigmoidoscopy or colonoscopy?
2010  2008  2006  2004  2002

Have You Had a Blood Stool Test Within The Past 2 Years?
2010  2008  2006  2004  2002

Diabetes

Ever Told Have Diabetes
2010  2009 2008  2007 2006
2005  2004 2003  2002 2001  2000

Diet and Exercise

Consumption of Five or More Servings Per Day of Fruits and Vegetables
2009 2007  2005  2003  2002  2000

Regular moderate or vigorous physical activity
2009 2007  2005  2003  2001

Regular vigorous physical activity
2009 2007  2005  2003  2001

No Leisure-Time Physical Activity
2010  2009 2008  2007  2006  2005  2004  2003  2002  2001  2000

Overweight or Obese
2010  2009 2008  2007  2006  2005  2004  2003   2002   2001   2000

Disability

Activity Limitations Due to Disability
2010  2009 2008  2007   2005  2003 2001

Health Care Access

No Health Insurance
2010  2009 2008  2007
2006  2005 2004  2003   2002  2001 2000

Health Status

Self-Reported Health Status as Fair or Poor
2010  2009 2008  2007  2006
2005  2004 2003  2002  2001  2000

Hypertension

Ever Told Have High Blood Pressure
2009 2007  2005  2003   2001

Immunization

Had Influenza Vaccination in Past Year (Age 65 and Older)
2010  2008  2007  2006
2005  2004  2003  2002  2001

Had Pneumococcal Vaccination (Age 65 and Older)
2010  2008  2007  2006
2005  2004  2003  2002  2001

Oral Health

Visited dentist within the past year
2010  2008  2006  2004

Ever had any permanent teeth extracted
2010  2008  2006  2004

All natural teeth extracted (age 65 and older)
2010  2008  2006  2004

Prostate Cancer Screening

Had PSA test within past 2 years (men age 40 and over)
2010  2008  2006  2004  2002

Tobacco Use

Current Cigarette Smoking
2010  2009 2008  2007  2006
2005  2004 2003  2002 2001  2000

Women's Health

Have you had a Mammogram in the Past Two Years?
2010  2008  2006  2004  2002  2000

Have you had a Pap test in the Past Three Years (women age 18 and over)
2010  2008  2006  2004  2002  2000

Related BRFSS Links