The Ohio Behavioral Risk Factor Surveillance System (BRFSS) is housed within the Community
Health Assessments Section; Bureau of Health Surveillance, Information and Operational
Support; Division of Prevention at the Ohio Department of Health (ODH). Since 1984, ODH has
entered into a yearly cooperative agreement with the Centers for Disease Control and
Prevention (CDC) to develop and implement the BRFSS survey in Ohio. Currently, Ohio is one
of 54 states and territories working with the CDC to obtain data regarding the prevalence
of selected behaviors among adults, i.e. persons age 18 years and older, that increase the
risk of certain diseases and injuries.
The Ohio BRFSS uses telephone surveys to collect data. A random digit dial two-stage
sampling method (Disproportionate Stratified Sample design) is used to obtain a sample
representative of Ohio residents. Upon reaching a residence and verifying the telephone
number, the appropriate respondent is randomly selected. The total Ohio sample size
obtained was 8,327 persons in 1999-2001. This is the number of adults who completed
interviews and provided necessary survey information. The population was similar to the
age, income and racial distribution of the population of Ohio.
Most counties did not provide a sufficient sample size to calculate specific adult county
resident prevalence except for Cuyahoga, Franklin, Hamilton, Lucas, Mahoning, Montgomery,
and Summit Counties. Therefore, individual county prevalence estimates were calculated for
these seven counties, and the remainder counties were combined into 5 different regions to
obtain a sufficient sample size (See map below). For example, the Northeast region consists
of Ashtabula, Ashland, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Medina, Mahoning,
Portage, Stark, Summit, Trumbull and Wayne Counties. Specific prevalence estimates were made
for Cuyahoga, Mahoning and Summit Counties, but Ashtabula, Ashland, Columbiana, Geauga,
Holmes, Lake, Lorain, Medina, Portage, Stark, Trumbull and Wayne Counties were combined to
obtain a more stable prevalence estimate. The region estimate was then used as a proxy for
the estimate in each county in this area.
Tables included in this report show the 95% confidence intervals associated with all
reported percentage. Prevalence was not calculated if the sample size is too small to
provide a reliable estimate (i.e., n < 50).
Respondents who answered "donít know/not sure" or refused the question were excluded from
the analyses. To assure that prevalence estimates are representative of Ohioís population,
data were weighted/adjusted for age, gender, and probability of selection (e.g., number of
adults and number of telephone numbers in the household).
- Current cigarette smokers:
adults who reported smoking at least 100 cigarettes
in their lifetime and currently smoke everyday or some days.
- Binge drinking:
consuming five or more drinks of alcohol (beer, wine, wine coolers,
cocktails, or liquor) on at least one occasion during the past month.
- Physical inactivity:
outside of job duties, no reported leisure time physical
activities done for exercise or recreation during the past month.
- Regular and vigorous activity:
any physical activity or pair of physical activities
that requires rhythmic contraction of large muscle groups at 50% of functional capacity for
20 or more minutes three or more times per week.
- Responsible sexual behavior (female):
sexually active, unmarried females aged 18
to 44 years who reported using a condom at last sexual intercourse.
- Responsible sexual behavior (male):
sexually active, unmarried males aged 18 to 49
years who reported using a condom at last sexual intercourse.
- Children wearing bike helmets:
denominator is children aged 5-15 who have ever
ridden a bicycle.
- Women 18+ Pap smear within past 3 Years:
denominator is women 18 years and older
who had never had a hysterectomy.