Kentucky Behavioral Risk Kentucky Behavioral Risk Factor Surveillance SystemFactor Surveillance System

Monitoring the health of Monitoring the health of Kentuckians:Kentuckians:

““A look at Mental Health Data”A look at Mental Health Data”February 8, 2007February 8, 2007

Kentucky BRFSSKentucky BRFSS

BRFSS is an adult (age 18+) telephone BRFSS is an adult (age 18+) telephone surveysurvey

Co-sponsored by CDC and KDPHCo-sponsored by CDC and KDPH

Surveys households not businesses or Surveys households not businesses or group homesgroup homes

Types of QuestionsTypes of QuestionsCore: Asked to all statesCore: Asked to all statesModules: Questions developed by CDC, states Modules: Questions developed by CDC, states have option to use themhave option to use themState Added Questions: Developed by the State Added Questions: Developed by the states or health programsstates or health programs

Calls are made 6 days a weekCalls are made 6 days a week

GoalGoal: 550: 550 completed interviews per completed interviews per

monthmonth

5,700 attempted calls per month5,700 attempted calls per month

Goal : 6,600 completed interviews per Goal : 6,600 completed interviews per

yearyear

Kentucky BRFSS

2007

Computer Assisted Telephone Computer Assisted Telephone Interview (CATI)Interview (CATI)

Kentucky BRFSS Sample Kentucky BRFSS Sample SizeSize

1985-20051985-2005

0

1000

2000

3000

4000

5000

6000

7000

8000

Sam

ple

Siz

e

Year

2007 Questionnaire2007 Questionnaire

BRFSS 2007 Core QuestionsBRFSS 2007 Core Questions

Alcohol ConsumptionAlcohol ConsumptionArthritis BurdenArthritis BurdenAsthmaAsthmaCardiovascular Disease Cardiovascular Disease PrevalencePrevalenceCholesterol AwarenessCholesterol AwarenessDemographicsDemographicsDiabetesDiabetesDisabilityDisabilityEmotional Support and Emotional Support and Life SatisfactionLife Satisfaction

ExerciseExerciseFruits and VegetablesFruits and VegetablesGastronintestinal DiseaseGastronintestinal DiseaseHealth Care AccessHealth Care AccessHealth StatusHealth StatusHealthy DaysHealthy DaysHIV/AIDSHIV/AIDSHypertension AwarenessHypertension AwarenessImmunizationImmunizationPhysical ActivityPhysical ActivityTobacco UseTobacco Use

Age

Sex

Ethnicity

Race

Marital status

Education level

Income

County of residence

Pregnancy statusChildren <18 years in household

Employment StatusHeight and Weight

BRFSS 2007 Core Questions BRFSS 2007 Core Questions DemographicsDemographics

Zip Code

BRFSS 2007 Optional ModulesBRFSS 2007 Optional Modules

Cardiovascular HealthCardiovascular Health

DiabetesDiabetes

Actions To Control High Blood PressureActions To Control High Blood Pressure

Arthritis ManagementArthritis Management

Mental Illness & StigmaMental Illness & Stigma

Mental Illness and StigmaMental Illness and StigmaAbout how often during the past 30 days did About how often during the past 30 days did you feel nervous?you feel nervous?During the past 30 days, about how often did During the past 30 days, about how often did you feel hopeless?you feel hopeless?During the past 30 days, about how often do During the past 30 days, about how often do you feel restless or fidgety?you feel restless or fidgety?During the past 30 days, about how often did During the past 30 days, about how often did you feel so depressed that nothing could cheer you feel so depressed that nothing could cheer you up?you up?During the past 30 days, about how often did During the past 30 days, about how often did you feel that everything was an effort?you feel that everything was an effort?During the past 30 days, about how often did During the past 30 days, about how often did you feel worthless?you feel worthless?

Mental Illness and Stigma Mental Illness and Stigma During the past 30 days, for about how many During the past 30 days, for about how many days did a mental health condition or emotional days did a mental health condition or emotional problem keep you from doing your work or problem keep you from doing your work or other usual activities?other usual activities?Are you now taking medicine or receiving Are you now taking medicine or receiving treatment from a doctor or other health treatment from a doctor or other health professional or any type of mental health professional or any type of mental health condition or emotional problem?condition or emotional problem?Treatment can help people with mental illness Treatment can help people with mental illness and lead normal lives. Do you agree slightly or and lead normal lives. Do you agree slightly or strongly, or disagree slightly or strongly?strongly, or disagree slightly or strongly?People are generally caring and sympathetic to People are generally caring and sympathetic to people with mental illness. Do you agree people with mental illness. Do you agree slightly or strongly, or disagree slightly or slightly or strongly, or disagree slightly or strongly?strongly?

DMH Planned Uses of DMH Planned Uses of the New 2007 Modulethe New 2007 Module

Mental Illness & StigmaMental Illness & StigmaBetter describe the extent (prevalence) Better describe the extent (prevalence) of depression & mental illness stigma of depression & mental illness stigma among the general population, among the general population, including elders.including elders.

Improve targeting of resources for Improve targeting of resources for anti-stigma efforts as well as for anti-stigma efforts as well as for special mental health projects.special mental health projects.

Improve targeting of interventions Improve targeting of interventions within KDMHMRS' Suicide Task Force within KDMHMRS' Suicide Task Force Project.Project.

Additional Uses / Analyses Additional Uses / Analyses

Share with us your ideas for further Share with us your ideas for further analyses or linkages with other data analyses or linkages with other data sets.sets.

Hope Barrett, KDMHMRSHope Barrett, KDMHMRSHope.Barrett@ky.govHope.Barrett@ky.gov

(502) 564-4860(502) 564-4860

BRFSS Data AccessBRFSS Data Access

Kentucky BRFSS Data AccessKentucky BRFSS Data Access

Kentucky BRFSS Web SiteKentucky BRFSS Web Site– http://chs.ky.gov/publichealth/BRFSS.htmhttp://chs.ky.gov/publichealth/BRFSS.htm

− − http://chfs.ky.gov/dph/epi/brfss.htmhttp://chfs.ky.gov/dph/epi/brfss.htm

CDC BRFSS Web SiteCDC BRFSS Web Site– http://www.cdc.gov/BRFSShttp://www.cdc.gov/BRFSS

CDC BRFSS Web SiteCDC BRFSS Web Site

Accessing Statewide Data from the CDC Accessing Statewide Data from the CDC websitewebsite

Kentucky BRFSS Data Kentucky BRFSS Data AccessAccess

CDC BRFSS Web SiteCDC BRFSS Web Site– http://www.cdc.gov/BRFSShttp://www.cdc.gov/BRFSS

IncludesIncludes– Prevalence EstimatesPrevalence Estimates– Trend DataTrend Data– SMART DataSMART Data– QuestionnairesQuestionnaires– Training ModuleTraining Module

ExampleExample

Health Status: Frequent Mental Health Status: Frequent Mental DistressDistress

From 1996 to present the health From 1996 to present the health status questions were asked on the status questions were asked on the survey as a core questions.survey as a core questions.

The frequent mental distress The frequent mental distress question is part of a compounded question is part of a compounded health status question that asks:health status question that asks:

Frequent Mental Distress Frequent Mental Distress Questions:Questions:

Individuals age 18 and older who Individuals age 18 and older who stated that they had 14 or more days stated that they had 14 or more days of poor mental health when of poor mental health when responding to the question, “Now responding to the question, “Now thinking about your mental health, thinking about your mental health, which includes stress, depression which includes stress, depression and problems with emotions, for how and problems with emotions, for how many days during the past 30 days many days during the past 30 days was mental health not good?”was mental health not good?”

Trend Data for Frequent Mental Trend Data for Frequent Mental DistressDistress

1 5 . 5

1 4 . 41 4 . 2

1 8 . 7

1 4 . 9

0

5

1 0

1 5

2 0

2 5

3 0

2 0 0 0 2 0 0 1 2 0 0 2 2 0 0 3 2 0 0 4Y e a r

%

1 5 . 5

1 4 . 41 4 . 2

1 8 . 7

1 4 . 9

0

5

1 0

1 5

2 0

2 5

3 0

2 0 0 0 2 0 0 1 2 0 0 2 2 0 0 3 2 0 0 4Y e a r

%

Kentucky Frequent Mental Distress Prevalence by Kentucky Frequent Mental Distress Prevalence by

Gender and RaceGender and Race (2004 KY BRFSS)(2004 KY BRFSS)

1 4 . 4 1 2 . 51 6 . 2 1 4 . 2

1 7 . 6

0

5

1 0

1 5

2 0

%

T o t a l M a l e F e m a l e W h i t e B l a c k

Kentucky Frequent Mental Distress Kentucky Frequent Mental Distress

Prevalence by Age GroupPrevalence by Age Group (2004 KY BRFSS)(2004 KY BRFSS)

1 4 . 4 1 6 . 21 1 . 5

1 6 . 5 1 8 . 11 4 . 3

1 0

0

5

1 0

1 5

2 0

%

T o t a l 1 8 - 2 4 2 5 - 3 4 3 5 - 4 4 4 5 - 5 4 5 5 - 6 4 6 5 +

A g e G r o u p

Kentucky Frequent Mental Distress Kentucky Frequent Mental Distress

Prevalence by EducationPrevalence by Education (2004 KY BRFSS)(2004 KY BRFSS)

1 4 . 4

2 4 . 5

1 6 . 2 1 3 . 9

5 . 50

5

1 0

1 5

2 0

2 5

%

T o t a l H . S . o rG E D

C o l l e g eG r a d u a t e

Kentucky Frequent Mental Distress Prevalence by Kentucky Frequent Mental Distress Prevalence by

Household IncomeHousehold Income (2004 KY BRFSS)(2004 KY BRFSS)

1 4 . 4

3 0 . 71 9 . 5

1 1 . 5 1 3 7 . 8 7 . 10

1 0

2 0

3 0

4 0

%

T o t a l $ 1 5 , 0 0 0 -2 4 , 9 9 9

$ 3 5 , 0 0 0 -4 9 , 9 9 9

$ 7 5 , 0 0 0 +

H o u s e h o l d I n c o m e

ContactsContacts

For data requests:For data requests:

Yvonne.konnor@ky.govYvonne.konnor@ky.gov

Tracey.Sparks@ky.govTracey.Sparks@ky.gov

Note: data for 2007 survey will be Note: data for 2007 survey will be available after April 2008available after April 2008