Behavioral Risk Factor Surveillance System

Behavioral Risk Factor Surveillance System

Exhibit 40: Behavioral Risk Factor Surveillance System, 2019

Behavioral Risk Factors

Indicator New Castle Sussex Kent County

County County Delaware

Current Cigarette Smoker Total Tobacco Use Obese Overweight Sedentary Did not meet physical activity guidelines Did not consume at least five fruits and/or vegetables per day Binge drinking Chronic heavy drinking Chronic Health Conditions

13.8% 18.5% 18.8% 15.9% 21.4% 18.5% 24.9% 25.3% 31.5% 42.0% 35.3% 34.4% 35.3% 31.4% 35.1% 34.5% 24.2% 30.2% 29.5% 26.6% 35.2% 39.3% 37.7% 36.6% 84.4% 87.3% 88.5% 86.0% 19.8% 12.6% 14.8% 17.2% 7.8% 5.8% 7.1% 7.3%

Disability Diabetes Prediabetes High Cholesterol Hypertension Angina or Coronary Heart Disease Coronary Heart Disease or Myocardial Infarction Stroke Skin Cancer Other Cancer Asthma

22.0% 29.1% 31.3% 25.6% 11.8% 13.2% 14.7% 12.8% 11.4% 12.9% 11.8% 11.8% 33.4% 35.0% 40.3% 35.4% 33.9% 37.4% 41.4% 36.4% 4.0% 3.9% 5.9% 4.4% 5.6% 6.2% 10.8% 7.0% 3.2% 3.7% 5.9% 4.0% 6.3% 5.8% 10.8% 7.3% 7.0% 6.5% 12.0% 8.2% 9.5% 12.7% 8.5% 9.8%

COPD Arthritis

9.5% 12.7% 8.5% 9.8% 23.5% 29.5% 35.2% 27.4%

Limited work ability due to arthritis Depressive disorder Vision impairment Preventive Medicine: Immunizations and Screenings

28.6% 31.2% 34.3% 30.9% 18.9% 18.9% 18.4% 18.8% 4.8% 5.1% 5.1% 4.9%

Age > 65 flu shot in past year Age > 65 pneumonia vaccine Adults who are at high risk for HIV Adults who have been tested for HIV

65.1% 58.6% 63.4% 63.4% 75.2% 68.6% 78.7% 75.3% 6.6% 6.3% 5.5% 6.3% 46.0% 49.0% 42.0% 45.5%

Health Care Coverage/Health Status No health insurance (age 18-64) Health status: poor to fair

11.9% 11.5% 17.7% 13.0% 17.3% 20.2% 20.9% 18.7%

Source: Delaware Behavior Risk Factor Survey, 2019.

Description The Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS) gathers data through a telephone survey regarding health risk behaviors, health care access, and preventive health measures. Data are collected for the entire United States. Analysis of BRFSS data can identify localized health issues, trends, and health disparities, and can enable county, state, or nation-wide comparisons. Exhibit 40 presents BRFSS data for all Delaware counties and the state of Delaware. Light grey shading indicates measures that are unfavorable compared to state averages. Observations

• New Castle County compared unfavorably to state averages for several indicators, including: o Overweight status o Binge drinking o Chronic heavy drinking o Depressive disorder o Age 65+ with pneumonia vaccine o Adults who are at high risk for HIV

Exhibit 41: BRFSS Measures by New Castle County ZIP Code

Description Exhibit 41 presents the number of BRFSS measures that fall below U.S. average and in the bottom quartile nationally by New Castle County ZIP Code. There is a total of 30 BRFSS measures in CDC PLACES data.

Observations

• Community 1 ZIP Codes had a third or more BRFSS measures fall below U.S. averages. • Wilmington ZIP Code 19801 (Community 1) had 20 measures in the bottom quartile nationally and 22 measures below U.S. average. • Community 1 compared unfavorably for all measures compared to Community 2.

ZIP Code

19801 19802 19805 19720 19804 19706 19733 19717 19716 19711 19703

BRFSS Measures (N=30) In Bottom Quartile Below U.S. Average

20 22

13 6 19 18

1 14 13 11

4 8 8 4 9 9 8 6 4

19713 19810 19730 19803 19734 19702 19807 19707 19701 19709 19806 19731 1 1 2 2 2

2 2

1 4 3 3 3 3 3 3 3 3 2 2 2

19809 2

19808 2

Source: Verité Analysis of PLACES, Centers for Disease Control and Prevention, 2022.

Exhibit 42: New Castle County BRFSS Measures by ZIP Code Compared to United States

BRFSS Measure 19801 19802 19805 19720 19804

Mental health not good >=14 days Core preventive services for older women All teeth lost 65+ Taking high blood pressure medicine Lack of health insurance (18-64) Stroke Core preventive services for older men High blood pressure Dental visit Asthma Chronic kidney disease Cholesterol screening Obesity Cervical cancer screening Fair or poor self-rated health status Physical inactivity Current smoking Colorectal cancer screening Physical health not good >=14 days Diabetes Chronic obstructive pulmonary disease Sleep < 7 hours Binge drinking Depression

Source: Verité Analysis of PLACES, Centers for Disease Control and Prevention, 2022.

Description Exhibit 42 presents the BRFSS measures for ZIP Codes that have benchmarked comparatively poorly. The exhibit shows the BRFSS measures by type. Light grey shading indicates measures that are below U.S. averages and dark grey shading shows measures in the bottom quartile. Observation

• All Community 1 ZIP Codes fell below U.S. averages for the following measures: all teeth lost 65+, lack of health insurance (18-64), core preventive services for older

men, asthma, fair or poor self-rated health status, physical inactivity, and colorectal cancer screening.

• Wilmington ZIP Codes 19801 and 19802 compared particularly unfavorably to U.S. averages with 20 and 13 measures in the bottom quartile, respectively.