Abstract P383: Trends in Selected Chronic Conditions and Behavioral Risk Factors Among Women of Reproductive Age: Behavioral Risk Factor Surveillance System, 2011-2017

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Donald K Hayes ◽  
Jean Y Ko ◽  
Cheryl L Robbins
Keyword(s):  
Risk Factors ◽  
Chronic Conditions ◽  
Reproductive Age ◽  
Behavioral Risk ◽  
High Cholesterol ◽  
Behavioral Risk Factor ◽  
Women Of Reproductive Age ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Related Risk

Introduction: Chronic disease causes significant morbidity and mortality across the lifespan. Public health approaches that reduce or prevent risk factors along with effective management of chronic diseases can improve health. This study describes trends of chronic conditions and related risk factors among reproductive aged women. Methods: Data from the 2011-2017 Behavioral Risk Factor Surveillance System, a representative state-based telephone survey of health behavior in US adults, were analyzed among 265,544 women of reproductive age, 18-44 years. We estimated adjusted prevalence ratios (APR) using predicted marginals to assess trends over time for 12 chronic conditions and related risk factors accounting for age, race/ethnicity, education, and health care coverage. Results: From 2011-2017, estimates of the following decreased: smoking (20.7%—15.9%; P-value <0.001), gestational diabetes (3.1%—2.7%; 0.003), and high cholesterol (19.0%—16.7%, 2011-2015; <0.001). Whereas the estimates increased for depression (20.4%—24.9%; <0.001), and obesity (24.6%—27.6%; <0.001). There were no differences over time for heavy alcohol consumption, binge drinking, diabetes, pregnancy-related high blood pressure, or high blood pressure. In the adjusted analysis, WRA were more likely to report asthma (APR=1.06; 95%CI=1.01—1.11), physical inactivity (1.08; 1.04—1.12), obesity (1.15; 1.11—1.19), and depression (1.29; 1.25—1.34) in 2017 compared to 2011. They were less likely to report high cholesterol (0.89; 0.85—0.94; 2011-2015), smoking (0.86; 0.82—0.89); and gestational diabetes (0.84; 0.75—0.94). Conclusions: Future research should examine why some chronic conditions and related risk factors improved while others worsened. That research may support the development of targeted interventions to promote improvements and reverse the worsening trends in chronic disease and related risk factors, potentially preventing adverse reproductive and long-term health outcomes among women of reproductive age.

Prevalence of Frequent Mental Distress Among Illinois Adults With Chronic Conditions: Estimates From the Behavioral Risk Factor Surveillance System, 2011 to 2017

2020 ◽  
Vol 34 (6) ◽  
pp. 608-613
Author(s):  
Janae D. Price ◽  
Nancy L. Amerson ◽  
Kamil E. Barbour ◽  
Damilola V. Emuze
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Surveillance System ◽  
Chronic Conditions ◽  
Mental Distress ◽  
Behavioral Risk ◽  
Behavioral Risk Factor ◽  
Frequent Mental Distress ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Purpose: The objective of this study was to examine frequent mental distress (FMD) by demographics, chronic conditions, and health risk factors among Illinois adults. Design: Descriptive analyses included χ2 and pairwise t tests to examine how FMD status differed by selected characteristics and Cox proportional hazards regression analysis to examine the association between FMD and chronic conditions and risk factors. Setting: Illinois Behavioral Risk Factor Surveillance System, 2011 to 2017 (n = 37 312). Participants: Adults who self-report FMD (n = 3455) were included. Measures: Prevalence of high blood pressure, coronary heart disease, chronic obstructive pulmonary disease, arthritis, asthma, high blood cholesterol, cancer, kidney disease, stroke, diabetes, weight status, physical activity status, smoking status, and drinking status. Results: A significantly higher FMD prevalence was found among females (11.7%; 95% confidence interval [CI]: 11.1-12.4), non-Hispanic blacks (13.4, 95% CI: 11.9-15.0), adults with less than a high school degree (14.4%; 95% CI: 12.6-16.3), adults with an annual income of less than $15 000 (21.4%; 95% CI: 19.4-23.5), and adults with a disability (23.3%, 95% CI: 21.9-24.7). Adjusted prevalence of FMD was significantly higher among adults for 8 of 10 chronic conditions and 4 of 5 health risk factors studied. Conclusions: Social stigmas related to depression and anxiety may lead to the underreporting of FMD. Chronic disease management programs in Illinois should consider integrating mental health services.

scholarly journals Gardening and Cardiovascular Disease Risk Factors in the 2019 Behavioral Risk Factor Surveillance System (BRFSS) Survey

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1100-1100
Author(s):  
Susan Veldheer ◽  
Wen-Jan Tuan ◽  
Martha Wadsworth ◽  
Lawrence Sinoway ◽  
Christopher Sciamanna ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Surveillance System ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Behavioral Risk ◽  
High Cholesterol ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Abstract Objectives Gardeners may have better health outcomes, and consume more fruits and vegetables (F&V), than non-gardeners. However, this evidence is mainly based on small, non-representative samples. The purpose of this study was to understand differences in dietary and health outcomes between gardeners and non-gardeners using physical activity data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS). Methods Adults (age 18+) with complete self-reported physical activity (PA) data were included. Participants were grouped as those who: (1) did not engage in any PA (non-exercisers), (2) reported gardening as their first or second PA (gardeners), or (3) reported any PA other than gardening (exercisers). Logistic and linear regression models identified associations between cardiovascular disease risk factors (self-reported, yes/no for body mass index (BMI)≥ 25 kg/m2, high cholesterol, or hypertension) or F&V intake (times/day, continuous) and group after controlling for age, race, sex, and education level. Results The sample (n = 396,261) was 55% women, majority white (81%), with more than a high school education (66%), and a mean age of 51 years. It was 7.6% gardeners, 65.2% other exercisers, and 27.2% non-exercisers. Gardeners were significantly more likely than exercisers or non-exercisers to be women (60.7% v. 49.3% and 53.4%, P &lt; 0.001), white (85.2% v. 74.7% and 71.2%, P &lt; 0.001), and aged 65+ (36.9% v. 18.8%, 25.9%, P &lt; 0.001). Gardeners consumed more F&V than exercisers and non-exercisers (3.0, v. 2.9, 2.2 times/day, respectively, P &lt; 0.01). Similar significant differences were observed when we further adjusted for aforementioned covariates. Compared to gardeners, non-exercisers were more likely to have a BMI ≥ 25 (adjusted OR (aOR) = 1.2, P &lt; 0.01), high cholesterol (aOR = 1.1, P &lt; 0.01), and hypertension (aOR = 1.2, P &lt; 0.01). Exercisers were less likely than gardeners to have each of these conditions (aOR = 0.93 for BMI ≥ 25; aOR = 0.88 for high cholesterol; and aOR = 0.87 for hypertension; all P &lt; 0.01). Conclusions Gardeners consume F&V more frequently than both exercisers and non-exercisers and they have fewer CVD risk factors than non-exercisers. Given these CVD preventative benefits, gardening should be recommended as a PA particularly for those with diet-related chronic diseases. Funding Sources None.

Abstract P214: Managing multiple risk factors among adults with heart disease; Does arthritis play a role? Behavioral Risk Factor Surveillance System United States, 2005 and 2007

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Julie Bolen ◽  
Louise Murphy ◽  
Kurt Greenlund ◽  
Susan Moss ◽  
Nora Keenan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Physical Inactivity ◽  
Behavioral Risk ◽  
High Cholesterol ◽  
Behavioral Risk Factor ◽  
Multiple Risk Factors ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
The Us ◽  
Multiple Risk

Purpose: Modifiable risk factors including high blood pressure, high cholesterol, diabetes, obesity, physical inactivity and smoking can increase the risk of heart disease (HD). Arthritis is a common comorbidity among people with HD and may interfere with the control of these risk factors by limiting physical activity due to arthritis-associated joint pain. We describe the prevalence of multiple risk factors among adults with HD and arthritis compared to those with HD only for the US population and by state. Methods: Using 2005 and 2007 combined Behavioral Risk Factor Surveillance System data for all 50 states and DC, we estimated the prevalence of 1) 6 risk factors: high blood pressure, high cholesterol, diabetes, smoking, obesity and physical inactivity and 2) 2 or more risk factors among 4 subpopulations of adults: those with HD and arthritis; HD only; arthritis only; or neither condition. Prevalence estimates were generated for the US population overall and by state Results: Arthritis affects 57% of adults with HD, compared with 27% of adults in the general population; in 48 of 50 states, over 50% of adults with HD have arthritis. Among adults with HD and arthritis, the age-adjusted prevalence of hypertension (63.9%), high cholesterol (64.3%), diabetes (27.5%,) physical inactivity (26.0%), obesity (43.7%) and smoking (36.3%) was significantly higher compared to those with HD only, arthritis only, or neither condition. The age-adjusted prevalence of 2 or more risk factors for adults with arthritis and HD was 77.4% compared to 55.8% for adults with HD only, 45.3% with arthritis only and 24.6% for those with neither condition. . Conclusions: Adults with both arthritis and HD are more likely to have multiple risk factors. Arthritis might pose a special barrier, particularly for physical activity and obesity, which may impact multiple HD risk factors such as those examined here. These findings demonstrate how different chronic diseases may interact, and provide evidence for greater integration of chronic disease prevention efforts.

Evaluating Chronic Disease Surveillance Systems: Lessons Learned From Applying a Framework to Assess the Alaska Behavioral Risk Factor Surveillance System

2020 ◽  
Vol 41 (3) ◽  
pp. 420-431
Author(s):  
Katie Cueva ◽  
Andrea Fenaughty ◽  
Jessica Aulasa Liendo ◽  
Samantha Hyde-Rolland
Keyword(s):  
Risk Factors ◽  
Chronic Disease ◽  
Surveillance System ◽  
Disease Surveillance ◽  
Lessons Learned ◽  
Behavioral Risk ◽  
Surveillance Systems ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Chronic diseases with behavioral risk factors are now the leading causes of death in the United States. A national Behavioral Risk Factor Surveillance System (BRFSS) monitors those risk factors; however, there is a need for national and state evaluations of chronic disease surveillance systems. The Department of Health and Human Services/Centers for Disease Control and Prevention (CDC) has developed a framework on evaluating noncommunicable disease–related surveillance systems; however, no implementation of this framework has yet been published. This article describes the process of, and offers lessons learned from, implementing the evaluation framework to assess the Alaska BRFSS. This implementation evaluation may inform assessments of other state and regional chronic disease surveillance systems and offers insight on the positive potential to consult key stakeholders to guide evaluation priorities.

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