2009 State of Hawaii
By Communities or Subareas
Behavioral Risk Factor Surveillance System

Florentina R. Salvail, M.S.; Dung-Hanh Nguyen, B.S.; Shu Liang M.B.A.

Health Status
General health status
Physical and/or mental health AT LEAST not good during the past 30 days
Number of days in the past 30 days, physical health not good
Average number of physically unhealthy days in the past 30 days
Number of days in the past 30 days, mental health not good
Average number of mentally unhealthy days in the past 30 days
Number of days in the past 30 days, physical or mental health not good
Average number of unhealthy days in the past 30 days
Number of days in the past 30 days, poor health keeps you from doing usual activities
Average number of activity limitation days in the past 30 days
Number of days, in the past 30 days, you did not get enough rest or sleep
Average number of days in the past 30 days, you did not get enough rest or sleep

Health Care Access
Do you have any kind of health care coverage?
Do you have any kind of health care coverage? (Adults aged 18 to 64)
Do you have one person or more than one you think of as your personal doctor(s)?
Was there a time in the past 12 months you needed to see a doctor, but could not because of the cost?
When was your last visit to a doctor for a routine checkup?

Physical Activity
Participated in any physical activities such as running, calisthenics, golf, gardening, or walking for exercise outside of regular job during the past 30 days?
Best description of what you do at work?
Estimated physical activity level
At risk for lack of moderate physical activity
At risk for lack of vigorous physical activity

Alcohol Consumption
Binge drinking defined as having 5 or more drinks on 1 occasion
Heavy drinking defined as greater than 2 drinks per day for men, and 1 drink per day for women

Tobacco Use
Have you smoked at least 100 cigarettes in your entire life?
Smoking status (4 levels)
Smoking status (3 levels)
Do you currently use chewing tobacco, snuff or snus everyday, some days, or not at all?

Smoking Cessation
Do you know about the Hawaii Tobacco Quitline?
How useful would you think that the Hawaii Tobacco Quitline may help smokers to quit smoking?

Body Weight and Nutrition
Body weight based on estimated BMI (Body Mass Index) status
Body weight status with 3 categories of obese
Risk factor for overweight and obese

Emotional Support & Life Satisfaction
How often do you get the social, emotional support you need?
In general, how satisfied are you with your life?

Veteran Status
Have you ever served on active duty in the U.S. Armed Forces?

Caregiver Status
During the past month, did you provide any regular care or assistance to a friend or family member?

Immunization: Flu and Pneumonia
Have you had a flu shot in the last 12 months?
In what month of the year did you get your most recent flu shot?
Have you had a flu spray in the last 12 months?
Have you had a flu vaccination (either flu shot or flu spray) in the last 12 months?
Have you had a pneumonia shot?

Adults aged 65 or older
Had flu shot in the past 12 months among adults aged 65+
In what month of the year did you get your most recent flu shot?
Ever had pneumonia shot among adults aged 65+<>

Asthma
Have you ever been told by a doctor, nurse, or other health professional that you had asthma?
Adult asthma status

Chronic Obstructive Pulmonary Disease (COPD)
Ever been told by a doctor or health professional that you have chronic obstructive pulmonary disease

Diabetes
Have you ever told by doctor you have diabetes?

Pre-diabetes or borderline diabetes
Have you had a test for high blood sugar or diabetes within the past 3 years?
Have you ever been told by doctor or other health professional that you have pre-diabetes or borderline diabetes?

Cardiovascular Disease Prevalence
Ever been told by a doctor, nurse, or other health professional that you had a heart attack, also called myocardial infarction
Ever been told by a doctor, nurse, or other health professional that you had angina or coronary heart disease
Ever been told by a doctor, nurse, or other health professional that you had a stroke

Heart Attack and Stroke Awareness
Do you think pain or discomfort in the jaw, neck, or back are symptoms of a heart attack?
Do you think feeling weak, light headed, or faint are symptoms of a heart attack?
Do you think chest pain or discomfort are symptoms of a heart attack?
Do you think sudden trouble seeing in one or both eyes is a symptom of a heart attack?
Do you think pain or discomfort in the arms or shoulder are symptoms of a heart attack?
Do you think shortness of breath is a symptom of a heart attack?
Number of Heart Attack Symptoms Aware of
Awareness of Heart Attack Symptoms and Calling 911
Number of Heart Attack Symptoms Aware of (not include the question about trouble seeing)

Hypertension Awareness
Told by a doctor, nurse, or other health professional that you had high blood pressure
Are you currently taking medicine for your high blood pressure

Cholesterol Awareness
Had your blood cholesterol checked
Most recent cholesterol check
Told by a doctor, nurse, or other health professional that your blood cholesterol was high

Disability
Are you limited in any way because of health problems?
Requires special equipment due to health problems

Arthritis Burden
Told by a doctor/health professional you have some form of arthritis
Are you limited in anyway because of arthritis or joint symptoms?
Do arthritis/joint symptoms now affect your work (work for pay) in any ways?
During the past 30 days, how did your arthritis/joint symptoms affect your social activitirs?
During the past 30 days, how bad (scaled from 0 to 10) was your joint pain on average?

Women’s Health
Ever had a mammogram among women aged 18+
Most recent mammogram among women age 18+
Ever had a breast exam among women aged 18+
Most recent clinical breast exam among women aged 18+
Ever had a Pap smear among women aged 18+
Most recent Pap smear among women aged 18+
Had a hysterectomy among women aged 18+

Women aged 40 and older
Ever had a mammogram among women aged 40+
Most recent mammogram among women age 40+
Ever had a breast exam among women aged 40+
Most recent clinical breast exam among women aged 40+

Prostate Cancer Screening For Men Age 40+
Ever had a PSA test among men aged 40+
Most recent PSA test for men aged 40+
Ever had a digital rectal exam among men aged 40+
Most recent digital rectal exam among men aged 40+
Ever been told by a doctor, nurse or other health professional that you had prostate cancer (men aged 40+)

Colorectal Cancer Screening Among People Age 50+
Ever had a blood stool test using a home kit among people aged 50+
Most recent blood stool test using a home kit among people aged 50+
Ever had a sigmoidoscopy or a colonoscopy among people aged 50+
Most recent sigmoidoscopy or colonoscopy among people aged 50+
Was your MOST RECENT examination called a sigmoidoscopy or a colonoscopy

Cancer Survivors
Have you ever been told by a doctor, nurse or other health professional that you have cancer?

HIV/AIDS (Everyone Aged 18-64)
Tested for HIV, not counting blood donation test, confined to 18 to 64 years old
Do any of these high HIV risk situations apply to you?