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Complete Health Indicator Report of Health Status: Physical Health Past 30 Days

Definition

Percentage of adults aged 18 years and older who reported seven or more days when their physical health was not good in the past 30 days.

Numerator

Number of survey respondents who reported seven or more days when their physical health was not good in the past 30 days.

Denominator

Total number of survey respondents excluding those with missing, "Don't know/Not sure" or "Refused" responses.

Data Interpretation Issues

Question Text: "Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health NOT good?" Beginning in 2011, BRFSS data include both landline and cell phone respondent data 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. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]. As with all surveys, some error results from non-response (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?

General physical health status is the culmination of all the things that affect a person's health. A person may have had poor health because of an injury, an acute infection such as a cold or flu, or a chronic health problem. This measure can be used to identify health disparities, track population trends, plan public health programs, and measure progress toward several Healthy People 2020 goals.

Other Objectives

One of Utah's 42 Community Health Indicators. Related to one of the Council of State and Territorial Epidemiologists (CSTE) Chronic Disease Indicators: "Recent physical health among adults ages 18+ years". (CSTE reports mean number of physically unhealthy days during the previous 30 days.)

How Are We Doing?

In 2016, an estimated 14.2% (crude rate) of Utah adults reported seven or more days in the past 30 days when their physical health was not good. Adults who were obese reported seven or more days of poor physical health at higher rates (20.7%) than their normal weight (11.6%) or overweight (12.5%) counterparts (age-adjusted rates). Current smokers also reported higher rates of poor physical health (25.7%) in the past 30 days than nonsmokers (13.3%) (age-adjusted rates).

How Do We Compare With the U.S.?

Looking at age-adjusted rates for 1993-2016, Utah and the U.S. have had similar percentages of adults who reported seven or more days when their physical health was not good in the past 30 days. These percentages in 2016 were 14.6% in Utah and 16.1% in the U.S. Utah's rate is statistically significantly lower than the national rate. We used age-adjusted rates to compare Utah and the U.S. because Utah has a younger population than the U.S., and younger adults are less likely to experience poor physical health than older adults. Age-adjusting controls for differences in this measure that are due to the difference in age distributions of the populations.

What Is Being Done?

Until the last few years efforts to control chronic diseases have focused on preventing premature mortality. Reducing morbidity and improving disease self-management skills are now receiving considerably more attention from chronic disease prevention and control programs. The goal is to decrease the percentage of adults, including those who may have a chronic condition, who experience poor physical health days.

Available Services

The mission of the Utah Department of Health is to protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting healthy lifestyles. The Department will implement this mission through assessment, policy development, and assurance. Visit the Utah Department of Health Website at [http://www.health.utah.gov/] for more information about public health services in Utah.


Related Indicators

Relevant Population Characteristics

Health status is associated with age, education level, and household income. Older adults report more physical health problems than younger adults. College graduates and those with higher household incomes report the lowest number of unhealthy days.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Because people often seek health care when they feel unhealthy, poor self-perceived health can be associated with burden on the health care delivery system.

Related Health Care System Factors Indicators:


Risk Factors

Poor health status is related to many of the risk factors for disease and injury such as overweight/obesity, physical inactivity, smoking, and lack of immunization.

Related Risk Factors Indicators:


Health Status Outcomes

Number of days when physical health is not good in the past 30 days is related to poor health outcomes like activity limitation, hospitalization, and death.

Related Health Status Outcomes Indicators:




Graphical Data Views

Seven or More Days of Poor Physical Health in the Past 30 Days by Sex and Age Group, Utah, 2016

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confidence limits

Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 12
Male18-348.5%6.9%10.5%
Male35-499.6%7.7%12.0%
Male50-6415.6%13.0%18.5%
Male65+19.0%16.6%21.7%
Female18-3413.7%11.2%16.7%
Female35-4915.0%12.7%17.6%
Female50-6420.8%18.1%23.8%
Female65+21.8%19.3%24.6%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Education Level, Utah, 2016

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confidence limits

Education LevelAge-adjusted Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 4
Less Than High School23.4%18.8%28.8%
H.S. Grad or G.E.D.16.0%14.2%18.0%
Some Post High School16.3%14.7%18.0%
College Graduate10.6%9.5%11.7%

Data Notes

Age-adjusted to the 2000 U.S. standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Income Category, Utah, 2016

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confidence limits

Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 5
<$25,00026.2%23.2%29.4%
$25,000-$49,99917.9%15.7%20.3%
$50,000-$74,99910.4%8.8%12.2%
$75,000+10.2%8.7%11.8%

Data Notes

Age-adjusted to the 2000 U.S. standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Ethnicity, Utah, 2016

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confidence limits

Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Hispanic17.4%13.8%21.7%
Non-Hispanic14.3%13.4%15.2%

Data Notes

Age-adjusted to the 2000 U.S. standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Race, Utah, 2014-2016

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confidence limits

RaceAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 5
American Indian/Native Alaskan22.4%17.8%27.9%
Asian11.1%7.9%15.3%
Black20.7%15.4%27.1%
Pacific Islander17.6%12.4%24.3%
White14.2%13.8%14.7%

Data Notes

Age adjusted to the U.S. 2000 standard population based on 3 age groups: 18-34, 35-49, and 50+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Weight Category, Utah, 2016

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confidence limits

Adults who were obese reported seven or more days of poor physical health at higher rates (20.7%) than their normal weight (11.6%) or overweight counterparts (12.5%).
Weight CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Normal11.6%10.3%13.0%
Overweight12.5%11.1%14.0%
Obese20.7%18.5%22.9%

Data Notes

Age-adjusted to the 2000 U.S. standard population. Body Mass Index (BMI) less than 25 is considered normal or ideal. BMI between 25 and 30 is considered overweight. BMI 30 or above is considered obese.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Current Smoker Status, Utah, 2016

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confidence limits

Current current smokers reported higher rates of poor physical health (25.7%) in the past 30 days than nonsmokers (13.3%).
Yes/NoAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Yes25.7%21.9%29.9%
No13.3%12.5%14.3%

Data Notes

Age-adjusted to the 2000 U.S. standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Local Health District, Utah, 2016

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confidence limits

Local Health DistrictAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 15
Bear River11.4%8.9%14.6%
Central19.4%15.5%23.9%
Davis County16.9%14.3%19.8%
Salt Lake County14.1%12.6%15.8%
San Juan22.0%14.3%32.2%
Southeast17.5%12.8%23.5%
Southwest14.3%11.6%17.6%
Summit10.9%7.4%15.6%
Tooele17.5%13.5%22.4%
TriCounty17.7%14.6%21.3%
Utah County12.2%10.3%14.3%
Wasatch14.7%9.9%21.4%
Weber-Morgan17.9%15.2%21.0%
State of Utah14.6%13.7%15.5%
U.S.16.1%15.8%16.3%

Data Notes

Age-adjusted to the 2000 U.S. standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days by Utah Small Area, 2014-2016

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confidence limits

Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 66
Brigham City17.0%12.7%22.4%
Box Elder Co (Other)12.4%8.8%17.2%
Logan13.5%11.0%16.4%
Cache Co (Oth)/Rich Co (All)10.9%8.1%14.6%
Ben Lomond17.6%14.6%21.2%
Morgan Co (All)/Weber Co (E)11.0%8.4%14.3%
Ogden (Downtown)19.7%15.2%25.2%
South Ogden15.3%11.7%19.8%
Roy/Hooper16.4%13.0%20.4%
Riverdale17.1%12.8%22.4%
Clearfield/Hill AFB15.9%12.7%19.7%
Layton16.9%14.1%20.1%
Syracuse/Kaysville14.0%11.1%17.4%
Farmington/Centerville16.7%12.4%22.0%
Woods Cross/North Salt Lake18.7%13.9%24.7%
Bountiful13.9%10.9%17.5%
SLC (Rose Park)17.6%13.0%23.3%
SLC (Avenues)15.1%9.2%23.8%
SLC (Foothill/U of U)11.2%7.7%16.0%
Magna19.9%14.8%26.2%
SLC (Glendale)13.4%9.5%18.6%
West Valley (West)18.1%15.0%21.6%
West Valley (East) V218.7%14.2%24.1%
SLC (Downtown)16.1%12.9%20.0%
South Salt Lake20.1%14.8%26.8%
Millcreek15.1%11.9%19.1%
Holladay11.9%9.0%15.6%
Cottonwood11.3%8.3%15.3%
Kearns V215.2%11.5%19.9%
Taylorsville (E)/Murray (W)12.4%9.4%16.3%
Taylorsville (West)15.4%11.7%20.0%
Murray15.2%11.3%20.1%
Midvale15.7%11.4%21.4%
West Jordan (NE) V216.8%11.9%23.1%
West Jordan (SE)16.1%11.8%21.7%
West Jordan (W)/Copperton10.2%7.2%14.3%
South Jordan11.6%8.6%15.5%
Sandy (Center)15.7%12.5%19.5%
Sandy (NE)9.6%6.1%14.9%
Sandy (SE)9.9%6.6%14.6%
Riverton/Draper12.2%10.0%14.8%
Tooele Co16.3%13.8%19.2%
Lehi/Cedar Valley11.1%8.6%14.1%
American Fork/Alpine12.2%9.3%15.8%
Pleasant Grove/Lindon11.3%8.4%15.2%
Orem (North)13.5%9.9%18.0%
Orem (West)12.5%9.0%17.2%
Orem (East)11.8%8.1%16.7%
Provo (North)/BYU12.4%9.2%16.7%
Provo (South)18.3%14.1%23.3%
Springville/Spanish Fork14.0%11.5%16.9%
Utah Co (South)13.4%9.9%17.9%
Summit Co11.3%8.8%14.3%
Wasatch Co13.0%10.1%16.6%
TriCounty LHD15.8%13.8%18.0%
Juab/Millard/Sanpete Co16.9%14.2%19.9%
Sevier/Piute/Wayne Co17.4%13.5%22.1%
Carbon/Emery Co19.0%15.5%23.1%
Grand County10.7%7.3%15.6%
San Juan County19.4%13.7%26.8%
St George15.5%12.8%18.7%
Washington Co (Other)15.7%12.5%19.5%
Cedar City16.8%13.1%21.4%
Southwest LHD (Other)13.6%10.4%17.5%
State14.6%14.1%15.1%

Data Notes

Age-adjusted to the 2000 U.S. standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Seven or More Days of Poor Physical Health in the Past 30 Days, Utah and U.S., 1995-2016

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confidence limits

BRFSS Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 46
UT Old Methodology199515.3%13.6%17.1%
UT Old Methodology199614.7%13.1%16.3%
UT Old Methodology199716.6%14.7%18.4%
UT Old Methodology199815.4%13.7%17.1%
UT Old Methodology199915.3%13.6%16.9%
UT Old Methodology200015.2%13.5%16.9%
UT Old Methodology200114.8%13.4%16.3%
UT Old Methodology200213.2%11.8%14.5%
UT Old Methodology200313.9%12.4%15.3%
UT Old Methodology200415.5%14.3%16.6%
UT Old Methodology200515.8%14.6%17.0%
UT Old Methodology200615.5%14.3%16.8%
UT Old Methodology200713.0%11.9%14.1%
UT Old Methodology200814.0%12.9%15.2%
UT Old Methodology200915.0%14.1%15.9%
UT Old Methodology201013.7%12.8%14.6%
US Old Methodology199513.6%13.3%14.0%
US Old Methodology199612.9%12.6%13.2%
US Old Methodology199713.3%13.0%13.6%
US Old Methodology199813.5%13.2%13.8%
US Old Methodology199913.9%13.6%14.2%
US Old Methodology200014.2%13.9%14.5%
US Old Methodology200114.8%14.6%15.1%
US Old Methodology200214.5%14.0%14.9%
US Old Methodology200315.2%14.9%15.5%
US Old Methodology200415.4%15.1%15.7%
US Old Methodology200515.1%14.9%15.4%
US Old Methodology200614.8%14.6%15.1%
US Old Methodology200715.0%14.7%15.2%
US Old Methodology200815.3%15.0%15.5%
US Old Methodology200915.2%15.0%15.4%
US Old Methodology201015.2%15.0%15.4%
UT New Methodology200915.8%14.9%16.7%
UT New Methodology201014.7%13.9%15.5%
UT New Methodology201115.2%14.4%16.0%
UT New Methodology201214.4%13.7%15.2%
UT New Methodology201315.0%14.2%15.8%
UT New Methodology201414.6%14.0%15.3%
UT New Methodology201514.6%13.8%15.4%
UT New Methodology201614.6%13.7%15.5%
US New Methodology201116.7%16.5%16.9%
US New Methodology201216.6%16.3%16.8%
US New Methodology201316.5%16.3%16.7%
US New Methodology201416.1%15.9%16.4%
US New Methodology201516.2%14.4%18.0%
US New Methodology201616.1%15.8%16.3%

Data Notes

Age adjusted to U.S. 2000 standard population. This question was asked in all states from 1993-2001 and 2003-2016. In 2002, only Utah and 22 other states asked the question. U.S. data are the average for all states and the District of Columbia; they do not include the U.S. territories. Note: At the time of this update, the BRFSS U.S. dataset did not include an age variable but did include five age categories up to age 80+ (vs. the typical weighting scheme that includes 85+). Comparisons with both weighting schemes were compared using Utah data, and the difference was about 1/100 of a percentage point. Starting in 2009, the BRFSS included both landline and cell phone respondent interviews along with a new weighting methodology called iterative proportional fitting, or raking. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Data Sources

  • Utah 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 Resources

Centers for Disease Control and Prevention: [http://www.cdc.gov] MedlinePlus: MedlinePlus brings together authoritative information for the general public from the National Library of Medicine, the National Institutes of Health (NIH), and other government agencies and health-related organizations. [http://medlineplus.gov/] More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - [http://www.cdc.gov/brfss/]

More Resources and Links

Evidence-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 11/06/2017, Published on 11/30/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 20 January 2018 23:37:43 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 30 Nov 2017 14:46:27 MST