CALIFORNIA BRFSS SURVEY & DATA OVERVIEW Vanessa Miguelino-Keasling,

CALIFORNIA BRFSS SURVEY & DATA OVERVIEW Vanessa Miguelino-Keasling, MPH Chronic Disease Surveillance & Research Branch

Overview of BRFSS Survey Background and purpose of BRFSS BRFSS survey content and data availability Uses of and access to BRFSS data

What is BRFSS? Behavioral Risk Factor Surveillance System State-based, cross sectional, random-digitdialed telephone survey conducted annually Non-institutionalized adults aged 18 years Monitors personal health behaviors that put health at risk Collaboration between CDC and 50 US States/Territories California participation since 1984

CANCER SCREENING DIET/OBESITYCHRONIC HEALTH CONDITIONS TOBACCO USE HEALTH CARE ACCESS ALCOHOL USE BRFSS ORAL HEALT H WOMEN’S HEALTH HEALTH-RELATED QUALITY OF LIFE DISABILITY DIABETES IMMUNIZATIO N OTHER TOPICS/ OPTIONAL MODULES

Survey Content Core questions Asked by all states (fixed/rotating/emerging) Optional modules Specialized topic questions states can choose to include State-added questions State program specific questions to address state local, and program-specific needs

Fixed Core Demographics General Measures Risk Behaviors Chronic Health Conditions/Screening (age, race/ethnicity, education level, marital status, height/weight, employment, etc.) (health status, health care access, disability, health-related quality of life, etc.) (tobacco use, alcohol use, immunization, HIV/AIDS, seatbelt use, etc.) (diabetes, asthma, cardiovascular disease, depressive disorder, etc.)

Rotating Core Odd Years Hypertension Awareness Cholesterol Awareness Arthritis Burden Fruits & Vegetables Physical Activity Even Years Oral Health Falls Inadequate Sleep Drinking and Driving Breast & Cervical Cancer Screening Prostate Cancer Screening Colorectal Cancer Screening

Emerging Core Influenza vaccine shortage 20042005 H1N1 flu vaccinations 2009 Health care access 2013 E-Cigarettes use 2016

Optional Modules Caregiver Module Cognitive Decline Module Human Papillomavirus (HPV) vaccination Industry and Occupation Breast and Cervical Cancer Screening Cancer Survivorship Sexual Orientation and Gender Identity Emotional Support and Life Satisfaction Childhood Asthma Prevalence Excess Sun Exposure

State/Program Participants California Tobacco Control Program California Comprehensive Cancer Control Program Safe and Active Communities Branch Office of Disability and Health Immunization Branch Nutrition Education and Obesity Program Childhood Lead Poisoning Branch Environmental Health Investigations Branch California Heart Disease and Stroke Prevention California Arthritis Partnership Program

Survey Structure Trac k1 BRFSS core ( 90) Optional modules ( 20-30) State/programadded questions ( 50 – 75) Trac k2 Trac k3 BRFSS core ( 90) Optional modules ( 20-30) State/programadded questions ( 50-75) BRFSS core ( 90) California Adult Tobacco Survey (CATS) ( 100 ) Optional modules ( 20-30)

Survey Development National BRFSS survey Annual BRFSS Conference Proposals and Workgroups Presentations and Discussions Tallying votes CA BRFSS survey Quarterly Data Users Meetings State/Program-added Questions Proposals Questionnaire Development

Survey Timeline Survey planning , cost per question determi ned – July Stateadded question s proposal s– Septemb er Draft survey reviewe d at Quarterl y Data Users Meeting October Pretesting/ program ming of stateadded question s Oct – Dec Survey instrume nt finalized – Decemb er Data collectio n begins January

Who uses BRFSS? State and Local Health Departments Students and Researchers Federal Agencies Non-profit Agencies Research organizations Media

How is BRFSS data used? Assess health needs and monitor trends of personal behaviors of the population Plan, implement, and evaluate public health strategies Monitor and respond to public health emergencies Identify health disparities Prepare grant proposals Publish and distribute fact sheets, reports, and peer-reviewed scientific manuscripts

Access to CA BRFSS Public Health Survey Research Program (PHSRP) – www.csus.edu/research/phsrp Data sharing agreement/ data request form ([email protected]) Download data via secure link

Access to BRFSS CDC BRFSS: http://www.cdc.gov/brfss/ Aggregated data from all 50 states and participating territories Download data files, code book, design documents, methodology, surveillance summaries, fact sheets, newsletters, etc. Access to questionnaires, lists of optional modules used by states, and state-added questions. Prevalence and Trends Data, BRFSS Interactive Maps (GIS), Web Enabled Analysis Tool (WEAT) SMART City and County Survey Data

Further Information Contact: [email protected] CA BRFSS Coordinator