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Women’s Health in Massachusetts Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS): 2000-2001. Health Survey Program Bureau of Health Statistics, Research, and Evaluation Massachusetts Department of Public Health January 2003. Overview of Today. - PowerPoint PPT Presentation
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Women’s Health in Massachusetts
Highlights from the Massachusetts Behavioral Risk Factor Surveillance System
(BRFSS): 2000-2001
Health Survey Program Bureau of Health Statistics, Research, and Evaluation
Massachusetts Department of Public Health
January 2003
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Overview of Today
Behavioral Risk Factor Surveillance Survey (BRFSS)
• Comparison of women's and men’s health in
Massachusetts
• Women’s health issues
• Summary
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
What is the BRFSS?
° Random digit dial telephone survey
° Adults ages 18 and older
° Collaboration between CDC and States
° Massachusetts BRFSS since 1986
° Data are weighted: provide population-based
estimates of health
° Massachusetts N = 8,628 (year 2001)
BRFSS
TOBACCO
CANCER CONTROL
DRUG &ALCOHOL
PARTNER VIOLENCE BLOOD PRESSURE
AND CHOLESTEROL
NUTRITIONAND EXERCISE
ORAL HEALTH
HEALTH CARE ACCESS
WOMEN’S HEALTH
OSTEOPOROSIS
50 OTHER TOPICS
Comparison of women’s and men’s health status and health
care access
• health characteristics
• disease status
• risk factors
• health care access
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
General health characteristics of Massachusetts adults by sex, 2001
118 8
19
1311 10
21
0
5
10
15
20
25
fair/poor health 15+ poormental health
days
15+ poorphysical health
days
disability
perc
enta
ge (
%)
men women
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Self-reported disease status among Massachusetts adults by sex, 2001
10 7 6
37
611
5
52
0
15
30
45
60
75
heart disease * current asthma diabetes arthritis **
perc
enta
ge (
%)
men women
* ages 35+ ** ages 45+
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of Massachusetts adults who do not have health insurance by sex and age,
2000-2001
8 8
18
11
6 553
11
5 53
0
5
10
15
20
25
Total 18-24 25-34 35-44 45-54 55-64
perc
enta
ge (
%)
men women
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Self reported risk factors among Massachusetts adults by sex, 2001
21
8
24
53
19
6
35
50
0
15
30
45
60
75
current smoking heavy drinking fruit & vegconsumption *
regular physicalactivity
perc
enta
ge (
%)
men women* 2000 data
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of Massachusetts adults who are obese by sex and race/ethnicity, 2001
18 18 19 1916 15
32
23
0
10
20
30
40
50
Total White Black Hispanic
perc
enta
ge (
%)
men women
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Women’s Health Issues
• mammogram
• clinical breast exam
• Pap test
• folic acid usage
• calcium intake
• family planning
• intimate partner abuse
• sexual assault
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women ages 40+ who had a mammogram in the past two years, by
race/ethnicity, 2000
84 84 87 8981
0
20
40
60
80
100
MA Total White Black Hispanic U.S.Average
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Trend in the percentage of women ages 40+ who had a mammogram in the past year,
Massachusetts vs. US, 1992 - 2000
50
60
70
80
90
100
1992 1993 1994 1995 1996 1997 1998 1999 2000
Year
Per
cen
tag
e (%
)
Massachusetts
US
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women who had a clinical breast exam in the past two years,
by race/ethnicity, 2000
86 8881
63
7988
0
20
40
60
80
100
Overall White Black Hispanic Asian U.S.Average
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women who had a Pap test in the past three years, by race/ethnicity,
1999 - 2001
89 90 88
72
8693
0
20
40
60
80
100
Overall White Black Hispanic Asian U.S.Average
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women, ages 18-44, who knew the correct reason for folic acid use and who reported
taking folic acid, by race/ethnicity, 2000
63
44
28
4043 46
3035
57
36
0
15
30
45
60
75
Overall White Black Hispanic Asian
perc
enta
ge (
%)
folic acid knowledge folic acid use
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women who reported sufficient calcium intake, by age and
race/ethnicity, 1998 & 2000
34
2730
43
2933
0
10
20
30
40
50
White Black Hispanic
perc
enta
ge (
%)
18-64 65+
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women, ages 18-44, who reported birth control use,
by race/ethnicity, 2000
78 80
656869
50
60
70
80
90
100
Overall White Black Hispanic Asian
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percent of women, age 18-44, who had an unplanned pregnancy in the past 5 years, by
Household Income, BRFSS 2000
27
50
4037
1913
0
15
30
45
60
75
overall <$25,000 $25-34,999
$35-49,999
$50-74,999
$75,000+
Per
cen
tag
e (%
)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women ages 18-59 who experienced intimate partner abuse, by
Income, 2001
4
10
6
31 1
0
5
10
15
20
25
Overall <$25,000 $25-34,999
$35-49,999
$50-74,999
$75,000+
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women ages 18-59 who experienced intimate partner abuse, by
race/ethnicity, 2001
4 4
9
6
0
5
10
15
20
25
Overall White Black Hispanic
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Percentage of women ages 18-59 who experienced sexual assault, by household
income, 2000
23
32
24 23
0
10
20
30
40
50
Overall <$25,000 $25-49,999 $50,000+
perc
enta
ge (
%)
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
MA%US
Median(%)
MARank
HP2010(%)
Mammogram, past 2 years 84 76 3rd 70
Clinical breast exam, past 2 yrs 86 79 2nd --*
Pap test, past 3 years 91 87 3rd 90
Obesity 16 21 2nd 15
Smoking 19 21 9th 12
5+ servings, fruits & vegetables 35 27 3rd --*
Regular physical activity 50 43 10th --*
Massachusetts compared to US women
* no applicable objective
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Summary
There are similarities and differences in health status between women and men in Massachusetts: Women are more likely to report poor health status, asthma and
arthritis than men Women are more likely than men to report consumption of 5+ fruits
and vegetables daily Black and Hispanic women are more likely to be obese than men
while white men are more likely to be obese than white women
Massachusetts women are healthier than US women on many indicators
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
SummaryAmong women in Massachusetts, patterns in use of
preventive services and health practices vary by race, income, education, and age:
The use of mammography has increased 24% from 1992 to 2000 in Massachusetts, and it is high for women of all race groups
Asian women are less likely to have a Pap test or a clinical breast exam
Black, Asian and Hispanic women are less likely to use birth control
Older white women are more likely to report sufficient calcium intake
Folic acid use is related to knowledge about its importance Women from low income families are more likely to experience
intimate partner abuse and sexual assault
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Summary
The BRFSS is a robust, effective tool for tracking women's health issues in Massachusetts
For more data and information on women’s health issues, please visit the MDPH web site:
http://www.state.ma.us/dph
Additional Slide
Source: Health Survey Program, Division of Research and Epidemiology, Bureau of Health Statistics, Research and Evaluation, MDPH
Trends in the age-adjusted breast cancer mortality, Massachusetts, 1996-2000
31.530.8
29.0
27.226.9
20
25
30
35
1996 1997 1998 1999 2000
Dea
ths
per
100,
000
wom
en
Year