2011 County-level Study Profiles Definitions

Fair or poor general health status
Derived from "fair" or "poor" response to the following question: Would you say that in general your health is excellent, very good, good, fair, or poor?

Activity Limitation
Derived from "yes" response to the following question:
Are you limited in any way in any activities because of physical, mental, or emotional problems?

No health care coverage (Ages 18-64)
Derived from "no" response from respondents ages 18-64  to the following question:
Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?

Did not get needed medical care
Derived from "Yes" response to the question, "Was there a time in the past 12 months when you needed medical care, but could not get it?"

Did not get medical care because of cost or no insurance - among those who needed medical care but could not get it in the past 12 months
Derived from "Yes" response to "Was there a time in the past 12 months when you needed medical care, but could not get it?" AND "Would you say cost/no insurance" response to "What is the main reason you did not get medical care? Would you say cost/no insurance, distance, office wasn't open when I could get there, too long a wait for an appointment, too long a wait in waiting room, no childcare, transportation, no access for people with disabilities, the medical provider didn't speak my language, or other?"

Did not get medical care because of lack of transportation - among those who needed medical care but could not get it in past 12 months
Derived from "Yes" response to "Was there a time in the past 12 months when you needed medical care, but could not get it?" AND "transportation" response to "What is the main reason you did not get medical care? Would you say cost/no insurance, distance, office wasn't open when I could get there, too long a wait for an appointment, too long a wait in waiting room, no childcare, transportation, no access for people with disabilities, the medical provider didn't speak my language, or other?"

Did not get medical care because of other reasons - among those who needed medical care but could not get it in the past 12 months
Derived from "Yes" response to "Was there a time in the past 12 months when you needed medical care, but could not get it?" AND "distance, office wasn't open when I could get there, too long a wait for an appointment, too long a wait in waiting room, no childcare, no access for people with disabilities, the medical provider didn't speak my language, or other?" responses to "What is the main reason you did not get medical care? Would you say cost/no insurance, distance, office wasn't open when I could get there, too long a wait for an appointment, too long a wait in waiting room, no childcare, transportation, no access for people with disabilities, the medical provider didn't speak my language, or other?"

Current cigarette smoking
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all?

No leisure time physical
Derived from "no" response to the following question: During the past 30 days, other than your regular job, did you participate in any physical activities or exercise such as running, calisthenics, golf, gardening, or walking for exercise?

Less than five (5) servings of fruits and vegetables per day
Derived from “During the past month, how many times per day, week or month did you:

Overweight (25.0 - 29.9 BMI)
Derived by calculating BMI using responses the following questions:

Obese (>= 30 BMI)
Derived by calculating BMI using responses the following questions:

High Blood Pressure (Among those that had ever had blood pressure checked)
Derived from a response of any length of time to the question, "About how long has it been since you last had your blood pressure checked? AND "Yes" response to the following question:
Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?
(Females who responded "yes" to having been told had HBP only when pregnant are not included as having HBP.)

Ever had blood cholesterol checked - among age 35 and older
Derived from "yes" response from respondents age 35 and older to the following question:
Have you ever had your blood cholesterol checked?

Has high cholesterol - among age 35 and older who have had cholesterol checked
Derived from "yes" responses from respondents age 35 and older to the following questions:
Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked? AND Have you ever been told by a doctor, nurse, or other health professional that your blood cholesterol is high?

Current asthma
Derived from "yes" responses to the following questions:
Have you ever been told by a doctor, nurse, or other health professional that you had asthma? AND
Do you still have asthma?

Has diabetes
Derived from "yes" response to the following question:
Have you ever been told by a doctor that you have diabetes?
(Females who responded "yes" to having been told they had diabetes only when pregnant and those that were told they had pre-diabetes or were borderline diabetes are not included as having diabetes.)

Ever been told had cancer
Derived from “Yes” response to the following question: Have you ever been told by a doctor, nurse or other health professional that you had cancer?

Ever told had COPD, emphysema or chronic bronchitis
Derived from “Yes” response to the following question: Has a doctor, nurse or other health professional ever said that you have COPD (chronic obstructive pulmonary disease), emphysema or chronic bronchitis?

Ever told had arthritis
Derived from “Yes” response to the following question: Have you ever been told by a doctor or other health professional that you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?

Ever told had a depressive disorder
Derived from “Yes” response to the following question: Has a doctor, nurse or other health professional ever said that you have a depressive disorder (including depression, major depression, dysthymia, or minor depression)?

Ever told had kidney disease
Derived from “Yes” to the following question: Has a doctor, nurse or other health professional ever said that you have kidney disease? Do not include kidney stones, bladder infection or incontinence.

Ever told have vision impairment
Derived from “Yes” response to the following question: Has a doctor, nurse or other health professional ever said that you have vision impairment in one or both eyes, even when wearing glasses?

Never had a mammogram - among women age 40 and older
Derived from "no" response from women age 40 and older to the following question:
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?

No Mammogram or clinical breast exam in last year - among women age 40 and older
Derived from response of " >1 year" from women age 40 and older to the following questions:
How long has it been since you had your last mammogram?
How long has it been since your last breast exam (clinical breast exam by a doctor or other health professional)?

Never had a Pap test- among women 18 and older
Derived from "no" response from women age 18 and older to the following question:
A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?

No Pap test in last 3 years - among women age 18 and older
Derived from response of ">3 years" from women age 18 and older to the following question:
How long has it been since you had your last Pap test?

Never had a blood stool test - among men and women age 50 and older
Derived from "no" response from men and women age 50 and older to the following question:
A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?

No blood stool test in last year – among men and women age 50 and older
Derived from “Yes” response from men and women age 50 and older to the following question: Have you ever had this test (blood stool) using a home kit? AND a response other than “Within past year” to the question: How long has it been since you had your last blood stool test using a home kit?

Never had a sigmoidoscopy or colonoscopy - among men and women age 50 and older
Derived from "no" response from men and women age 50 and older  to the following question:
Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the bowel for signs of cancer or other health problems. Have you ever had either of these exams?

Had sigmoidoscopy or colonoscopy in past 10 years - among men and women age 50 and older
Derived from response of “within past year,” within past 2 years,” within past 5 years,” or “within past 10 years” from men and women age 50 and older to the following question: How long has it been since you had your last sigmoidoscopy or colonoscopy?

Most recent exam a colonoscopy
Derived from “Yes” response from men and women age 50 and older to the question: Have you ever had either of these exams? AND a response of “Colonoscopy” to the question: Was your most recent exam a sigmoidoscopy or a colonoscopy?

Use walking trails, parks, playgrounds or sports fields for physical activity
Derived from “Yes” response to the following question: Do you use walking trails, parks, playgrounds or sports fields for physical activity?

Have sidewalks in their neighborhood
Derived from “Yes” response to the following question: Does your neighborhood have any sidewalks?

Have roads and streets with shoulders or marked lanes for bicycling in their community
Derived from “Yes” response to the following question: Do roads and streets in your community have shoulders or marked lanes for bicycling?

Consider their neighborhood to be extremely or quite safe
Derived from “Extremely safe” or “Quite safe” response to the following question: How safe from crime do you consider your neighborhood to be? Would you say Extremely safe, Quite safe, Slightly safe, or Not at all safe?

Strongly agree or agree that is it easy to purchase healthy food in their neighborhood
Derived from “Strongly agree” or “Agree” response to the following question: To what degree would you agree with the statement, It is easy to purchase healthy foods in my neighborhood such as whole grain foods, low fat options, and fruits and vegetables. Would you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?

Current cigarette smoking
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all?

Former cigarette smoking
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Not at all" response to the following question: Do you now smoke cigarettes every day, some days, or not at all?

Current smokeless tobacco use
Derived from "yes" response to the following question: Have you ever used or tried any smokeless tobacco products such as chewing tobacco or snuff? AND
"Everyday" or "some days" response to the following question: Do you currently use chewing tobacco or snuff every day, some days, or not at all?

Current use of other tobacco products
Derived from "yes" response to the following question: Have you ever used or tried smoking a cigar, pipe, bidi, kretek or clove cigarette, even one or two puffs? AND
"Everyday" or "some days" response to the following question: Do now smoke cigars, a pipe, bidis, kreteks or clove cigarettes every day, some days, or not at all?

Believe smoking cigarettes causes: Heart attack, colon cancer, stroke, low-birth weight, impotence. Denominator all respondents 18 and older
Derived from "yes" response to any of the conditions identified in the following question: I'm going to read a list of medical conditions. After I read each one, I want you to tell me whether you believe smoking cigarettes is a cause of this condition.

Current cigarette smokers who made a quit attempt in past year
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"Yes" response to the following question: During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?

Current smokers who made a quit attempt in past year and used medication in last quit attempt
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"Yes" responses to the following questions: During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking? AND
The last time you tried to quit smoking, did you use the nicotine patch, nicotine gum, or any other medication to help you quit?

Current smokers who intend to quit in next six months
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"Yes" response to the following question: Are you seriously considering stopping smoking within the next six months?

Current smokers who believe they can successfully quit
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"Somewhat Likely" or "Very Likely" response to the following question: If you decided to give up smoking altogether, how likely do you think you would be to succeed?

Current smokers who are aware of telephone quitline services
Derived from “Yes” to the following question: Have you smoked at least 100 cigarettes in your entire life? AND “Everyday” or “some days” to the question: Do you now smoke cigarettes every day, some days, or not at all? AND “Yes” to the question: Are you aware of any telephone quitline services such as the Missouri Tobacco Quitline that are available to help you quit smoking?

Current smokers who are aware of cessation counseling services other than quitlines
Derived from “Yes” to the following question: Have you smoked at least 100 cigarettes in your entire life? AND “Everyday” or “some days” to the question: “Do you now smoke cigarettes every day, some days, or not at all? AND “Yes” to the question: Are you aware of any individual or group counseling services, other than quitlines, that are available to help you quit smoking cigarettes?

Current smokers with health insurance that helps pay for cessation counseling or medications
Derived from “Yes” to the following question: Have you smoked at least 100 cigarettes in your entire life? AND “Everyday” or “some days” to the question: “Do you now smoke cigarettes every day, some days, or not at all? AND “Yes” to the question: Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare? AND “Yes” to the question: Does your health insurance help pay for counseling or medications to help people stop smoking cigarettes?

Current smokers who had seen, read or heard ads about quitting smoking within the past 30 days
Derived from “Yes” to the following question: Have you smoked at least 100 cigarettes in your entire life? AND “Everyday” or “some days” to the question: “Do you now smoke cigarettes every day, some days, or not at all? AND “Yes” to the question: In the past 30 days, have you seen, read or heard any ads about quitting smoking cigarettes?

Asked about smoking by health care professional in past year
Derived from "yes" responses to the following questions: In the past 12 months, have you seen a doctor, nurse, or other health professional to get any kind of care for yourself? AND
During the past 12 months, did any doctor, nurse, or other health professional ask if you smoke?

Current smokers who had seen a health care professional in past year and were advised to quit smoking by health care professional
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"Yes" responses to the following questions: In the past 12 months, have you seen a doctor, nurse, or other health professional to get any kind of care for yourself? AND
In the past 12 months, has a doctor, nurse, or other health professional advised you to quit smoking?

Asked about smoking by dentist among those who have visited a dentist in past year
Derived from "<1 year" response to the following question:
How long has it been since you last visited a dentist or a dental clinic for any reason? AND
"Yes" response to the following question:
In the past 12 months, did a dentist ask you if you smoked?

Current smokers who have visited a dentist in past year and were advised to quit smoking by a dentist
Derived from "yes" response to the following question: Have you smoked at least 100 cigarettes in your entire life? AND
"Everyday" or "some days" response to the following question: Do you now smoke cigarettes every day, some days, or not at all? AND
"<1 year" response to the following question: How long has it been since you last visited a dentist or a dental clinic for any reason? AND
"Yes" responses to the following question: In the past 12 months, did a dentist advise you to quit smoking?

Asked about smokeless tobacco use by dentist in past year
Derived from "<1 year" response to the following question: How long has it been since you last visited a dentist or a dental clinic for any reason? AND
"Yes" response to the following question: In the past 12 months, did a dentist ask you if you used smokeless tobacco?

Smokeless tobacco users who have visited a dentist in past year and were advised to quit using smokeless tobacco
Derived from "everyday" or "some days" response to the following question: Do you currently use chewing tobacco or snuff every day, some days, or not at all? AND
"Yes" responses to the following question: In the past 12 months, did a dentist advise you to quit using smokeless tobacco?

Strongly disagree or disagree quitting will not benefit long-time smokers
Derived from "strongly disagree" or "disagree" response to the following question:
If a person has smoked a pack of cigarettes per day for more than 20 years, there is not much health benefit to quitting. Do you strongly agree, agree, disagree, or strongly disagree?

Live with someone that smoke cigarettes
Derived from "=>1" response to the following question:
Not including yourself, how many of the people who live in your household smoke cigarettes?

Exposed to secondhand smoke in own home during past week
Derived from "=>1" response to the following question:
Not including yourself, during the past seven days, how many days did anyone smoke cigarettes, cigars, or pipes anywhere inside your home?

Smoking not allowed in the home
Derived from "Smoking is not allowed anywhere inside your home" response to the following question:
Which statement best describes the rules about smoking inside your home?

Exposed to secondhand smoke in a car during past week
Derived from "yes" response to the following question:
In the past seven days, have you been in a car with someone who was smoking?

Smoking not allowed in car
Derived from "Smoking is not allowed in your car" response to the following question:
Which statement best describes the rules about smoking in your car?

Exposed to secondhand smoke at work during past week among those who work indoors
Derived from "yes" responses to the following questions:
While working at your job, are you indoors most of the time? AND
As far as you know, in the past seven days, has anyone smoked in your work area?

Smoking not allowed in work areas at work among those who work indoors
Derived from "Not allowed in any work areas" response from the following question:
Which of the following best describes your place of work's official smoking policy for work areas?

Smoking not allowed in public areas at work among those who work indoors
Derived from "Not allowed in any public areas" response from the following question:
Which of the following best describes your place of work's official smoking policy for indoor public or common areas, such as lobbies, rest rooms, and lunchrooms?

Want stronger workplace smoking policy among those who work indoors
Derived from "stronger" response to the following question:
Would you prefer a stronger workplace smoking policy, a weaker workplace smoking policy, or no change in your current policy?

Employer offered cessation assistance to employees within the past year – Among those who work indoors most of the time
Derived from "yes" responses to the following questions:
While working at your job, are you indoors most of the time? AND
Within the past 12 months, [have you] [has your employer] offered any stop smoking programs or any other help to employees who want to quit smoking?

Did not go to a restaurant in past year because smoking was permitted
Derived from "yes" response to the following question: In the past year, did you not go to a restaurant because you knew that smoking was permitted?

Did not go to a restaurant in past year because smoking was not permitted
Derived from "yes" response to the following question:
In the past year, did you not go to a restaurant because you knew that smoking was not permitted?

Would support a change in Missouri state law that would make all workplaces smoke-free
Derived from "yes" response to the following question: Missouri state law allows designated smoking areas in restaurants and other public places. Would you support a change in the state law that would make all workplaces smoke-free by prohibiting smoking in all indoor workplaces, including restaurants, bars and casinos?

Asked a stranger not to smoke around them in past year
Derived from "yes" response to the following question: In the past 12 months, have you ever asked a stranger not to smoke around you, in order to avoid exposure to their tobacco smoke?

Think breathing other people's cigarette smoke is very or somewhat harmful to one's health
Derived from "Very" and "Somewhat" harmful responses on the following question: Do you think that breathing smoke from other people's cigarettes is very harmful to one's health, somewhat harmful to one's health, not very harmful to one's health, or not harmful at all to one's health?

Believe secondhand smoke causes: Heart disease in adults, colon cancer in adults, respiratory problems in children, SIDS
Derived from "yes" responses to each of the conditions listed in the following question: I'm going to read a list of medical conditions. After I read each one, please tell me whether you believe secondhand smoke is a cause of this condition.

95% Confidence Intervals (CI)
The range of values for which there is 95% confidence that the true value falls within the range, which is reported as lower confidence interval (LCI) and upper confidence interval (UCI).

Regional Significance
If an "H" or "L" is present, there is 95 percent confidence that the county prevalence is really higher ("H") or lower ("L") than the regional prevalence. That is, we estimate that there is only a 5 percent chance (1 in 20) that the difference between the county's prevalence and the corresponding region prevalence is due to random error (chance).
If there is "N/S" present, it is because we cannot state with confidence that the difference between the county prevalence and the region prevalence is not due to random variations. That is, the difference is not statistically significant.

Prevalence
The proportion (usually a percentage) of a population that has a defined risk factor, disease, or condition at a particular point in time.

Age-adjusted Prevalence
A technique used to compare prevalence of populations when the ages are quite different. Age-adjusted weighted percent is calculated by weighting the age-specific prevalence for a given year by the age distribution of a standard population (i.e. the 2000 US Standard Population).

Number
Number of respondents.

Rural-urban

Select the Secondary RUCA Code link for zip codes in each class. Go to http://depts.washington.edu/uwruca/ruca-codes.php for code definitions.

 


Class

Tier

Secondary RUCA Codes

Urban Core

1

1.0,1.1

Sub-Urban

2

2.0,2.1,3.0,4.1,5.1,7.1,8.1,10.1

Large Rural Town

3

4.0,4.2,5.0,5.2,6.0,6.1

Small Town/Isolated Rural

4

7.0,7.2,7.3,7.4,8.0,8.2,8.3,8.4,9.0,9.1,
9.2,10.0,10.3,10.4,10.5,10.6