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Complete Indicator Report of Fair/Poor HealthDefinitionPercentage of adults aged 18 years and older who reported fair or poor general health.NumeratorNumber of survey respondents who reported fair or poor general health.DenominatorTotal number of survey respondents except those with missing, "Don't know/Not sure," and "Refused" responses.Data Interpretation IssuesQuestion Text: "Would you say that in general your health is excellent, very good, good, fair or poor?"To reduce bias and more accurately represent population data, the BRFSS survey methodology changed. In 2009, the survey began including surveys on cellular phones in addition to landline phones. And a new weighting methodology, known as "iterative proportional fitting" (raking) was implemented. As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions), and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols, good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision. Why Is This Important?Self-rated health (SRH) has been collected for many years on National Center for Health Statistics surveys and since 1993 on the state-based BRFSS. SRH is an independent predictor of important health outcomes including mortality, morbidity, and functional status. It is considered to be a reliable indicator of a person's perceived health and is a good global assessment of a person's well being.Other ObjectivesCenters for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Chronic Disease Indicator: Self-assessed health status among adults aged >=18 years.(http://apps.nccd.cdc.gov/cdi/Default.aspx) The Institute of Medicine Committee on Using Performance Monitoring to Improve Community Health proposed that the proportion of adults reporting that their general health is good to excellent be included as one of 25 Community Health Profile Indicators. How Are We Doing?In 2009, approximately 10.8% (crude rate) of Utah adults aged 18 and older reported fair or poor general health status. This means that 89.2% of Utah adults reported good, very good, or excellent general health status.How Do We Compare With U.S.?Between the years 1993-2009, the proportion of adults who reported fair or poor health was significantly lower in Utah than for the U.S. as a whole (age-adjusted rates). These age-adjusted rates in 2009 were 11.6% in Utah compared to 15.5% in the U.S.What Is Being Done?It is anticipated that SRH will be used to monitor the two major goals of Healthy People 2010: Improving the Quality and Years of Healthy Life and Eliminating Health Disparities. The Utah Department of Health, through many programs, works to prevent avoidable illness, injury, disability, and premature death; assure access to affordable, quality health care; and to promote healthy lifestyles.Available ServicesUtah Health Information Phone Numbers:Check Your Health: 1-888-222-2542 Utah Tobacco Quit Line: 1-888-567-TRUTH (8788) Utah Cancer Control Resource Line: 1-800-717-1811 Utah's Medicaid Program Information 1-800-662-9651 Related IndicatorsRelevant Population CharacteristicsSince middle-age adults and older adults are at a greater risk of most chronic conditions, they are more likely to report fair or poor health. Adults with lower incomes and educational attainment are also more likely to report that their health is fair or poor.Related Relevant Population Characteristics Indicator Reports:
Health Care System FactorsHaving health insurance can guarantee access to health care which has an effect on people's health status.Related Health Care System Factors Indicator Reports:Risk FactorsPersons with unhealthy behaviors such as sedentary lifestyle, obesity, smoking, and poor dietary habits are at increased risk of poor health status.Related Risk Factors Indicator Reports:
Health Status OutcomesPoor health can increase the risk of limitations of activity.Related Health Status Outcomes Indicator Reports:Graphical Data ViewsPercentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health by Age Group, Utah, 2011
Record Count: 5
Data NotesThe 2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health by Income Category, Utah, 2011
Record Count: 4
Data NotesAge adjusted to the U.S. 2000 standard population. The 2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 25 and Older Who Reported Fair of Poor General Health by Education Level, Utah, 2011
Record Count: 4
Data NotesAge adjusted to the U.S. 2000 standard population. The 2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health, by Ethnicity, Utah, 2011
Record Count: 2
Data NotesAge-adjusted to the 2000 U.S. standard population. The 2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health by Race, Utah, 2009-2011
Record Count: 5
Data NotesAge-adjusted to the 200 U.S. standard population. The 2009-2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Fair or Poor General Health by Local Health District, Utah, 2011
Record Count: 14
Data NotesAge-adjusted to the U.S. 2000 standard population. The 2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health by Utah Small Area, 2009-2011
Record Count: 63
Data NotesAge-adjusted to U.S. 2000 standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: http://ibis.health.utah.gov/query/Help.html. The 2009-2011 BRFSS data in this graph include both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. This graph is based on the new methodology. More details about these changes can be found at: http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health.Percentage of Adults Aged 18 and Older Who Reported Fair or Poor General Health, Utah and U.S., 1993-2011
Record Count: 40
Data NotesAge-adjusted to U.S. 2000 population. U.S. data are the average of all states and the District of Columbia; they do not include U.S. territories.Data SourcesUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health. U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services.References and Community ResourcesU.S. Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/Utah Diabetes Prevention and Control Program http://health.utah.gov/diabetes/ or contact: Richard Bullough, PhD Utah Diabetes Prevention and Control Program Phone: (801) 538-9291 e-mail: rbullough@utah.gov Utah Heart Disease and Stroke Prevention Program PO Box 142107 Salt Lake City UT 84114-2107 (801) 538-6141 Heart Highway http://www.hearthighway.org/ Behavioral Risk Factor Surveillance System http://www.cdc.gov/brfss/ Healthy People 2010 http://www.healthypeople.gov 'Improving Health in the Community: A Role for Performance Monitoring' Report by a committee of the Institute of Medicine, Division of Health Promotion and Disease Prevention. Jane S. Durch, Linda A. Bailey, and Michael A. Stoto, editors. National Academy Press, 1997. 478 pp. More Resources and LinksEvidence-based community health improvement ideas and interventions may be found at the following sites:
Additional indicator data by state and county may be found on these Websites:
Medical literature can be queried at the PubMed website. For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 04/13/2013,
Published on 04/16/2013
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