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Comprehensive Cancer Alliance for Idaho COMPREHENSIVE CANCER ALLIANCE FOR IDAHO Priority Objectives – June 2005 Presented at CCAI General Meeting September 13, 2006 Chris Johnson, CDRI Comprehensive Cancer Alliance for Idaho COMPREHENSIVE CANCER ALLIANCE FOR IDAHO Prioriy Objectives - June 2006 Obj. No. Priority Objective 1.1 2 By 2010, reduce the proportion of Idaho students in grades 9-12 who have used any form of tobacco during the previous 30 days to 13.4%. 1.8 10 By 2010, increase to 65% the percentage of Idaho adults who accumulate 30 minutes or more per day of moderate physical activity on five or more days of the week or participate in 20 minutes or more of vigorous physical activity on three or more days of the week. Baseline 21.4% (2005) 54.0% (2005) Data Source YRBSS BRFSS 1.9 4 By 2010, increase to 80% the percentage of Idaho high school students who accumulate 30 minutes or more per day of moderate physical activity on five or more days of the week or participate in 20 minutes or more of vigorous physical activity on three or more days of the week. 73.0% (2005) YRBSS 1.11 5 By 2010, increase to 45% the percentage of Idaho adults who are neither overweight nor obese (have a body mass index of less than 25.0). 38.6% (2005) BRFSS 1.13 7 By 2010, increase the proportion of Idahoans who use at least one of the Not Collected BRFSS following protective measures that may reduce the risk of skin cancer: 1) - Alternate avoid the sun between 10 a.m. and 5 p.m.; 2) wear sun-protective clothing Interim when exposed to sunlight; 3) use sunscreen with a sun-protective factor Objectives (SPF) of 15 or higher; 4) and avoid artificial sources of ultraviolet light. 1.15 9 By 2010, reduce population exposure to arsenic in soil, water, and chromated copper arsenate (CCA)-treated wood. Well Water Testing 1.16 8 By 2010, increase to 25% the percentage of households that have been tested for radon. 15.9% BRFSS (1999-2005) 1.18 12 (tie) By 2010, reduce population exposure to dioxins and furans. BRFSS IDEQ ?? Comprehensive Cancer Alliance for Idaho Obj. No. Priority 2.1 3 Objective a) By 2010, increase to 70 percent the proportion of women age 40 and older who report having had a mammogram and clinical breast exam in the past two years. b) Increase to 74 percent the percentage of women age 50 and older who report having had a mammogram in the past two years. 2.2 12 (tie) By 2010, increase to 90 percent the number of women, age 18 and older, who report having had a Pap smear in the prior three years. 2.4 1 By 2010, increase to 50% the percentage of adults age 50 and over who report having received either a colonoscopy or sigmoidoscopy within the past 5 years. 3.1 11 3.3 10 3.4 6 By 2010, increase provider utilization of evidence-based treatment guidelines. By 2010, increase the ability of cancer patients to make informed decisions regarding their care. By 2010, reduce racial, ethnic, socioeconomic and other disparities in access to cancer treatment and care. 4.2 6 Increase the knowledge of health professionals and lay health leaders regarding quality of life and survivorship issues. Baseline 59.3% (2004) Data Source BRFSS 67.5% (2004) 78.2% (2004) BRFSS 38.0% (2004) BRFSS CDRI ?? CDRI BRFSS ?? Comprehensive Cancer Alliance for Idaho Data Sources • YRBSS – Youth Risk Behavior Surveillance System – School-based health survey of public high school students in Idaho. Conducted by the Idaho Department of Education with assistance from Idaho Division of Health and CDC. • BRFSS – Behavioral Risk Factor Surveillance System – Phone-based health survey of adults aged 18+. Conducted by Idaho Division of Health under cooperative agreement with CDC. Comprehensive Cancer Alliance for Idaho Presentation Format • Population Prevalence • Probability (Odds Ratios) • Maps – Crude (Population Prevalence) – Adjusted (Odds Ratios) Comprehensive Cancer Alliance for Idaho Prevalence • In epidemiology, the prevalence of a disease or condition is defined as: – the total number of persons with the disease/condition in a specified population at a specified time – and/or – the ratio of the number of cases of the disease/condition to the total population size at a specified time (percentage, rate). Comprehensive Cancer Alliance for Idaho Odds Ratio • The odds are a way of representing probability, especially familiar for betting. • Example: the odds that a single throw of a die will produce a six are 1 to 5, or 1/5. • The odds is the ratio of the probability that the event of interest occurs to the probability that it does not. – This is often estimated by the ratio of the number of times that the event of interest occurs to the number of times that it does not. Comprehensive Cancer Alliance for Idaho Youth Tobacco Use By 2010 Decrease to 13.4% the percentage of Idaho students in grades 9-12 who have used any form of tobacco during the previous 30 days. Source: 2005 Idaho Youth Risk Behavior Survey 2005 Idaho total Sex Male Female Ethnicity Hispanic White Number needing to stop Number of using tobacco in order to Tobacco Users hit target 14,274 5,336 N 1,368 % 21.4% 95% C.I. 18.3% - 24.5% Total Population* (rounded) 66,700 653 717 27.1% 15.9% 21.6% - 32.6% 13.1% - 18.7% 33,300 33,400 9,024 5,311 4,562 835 122 1,046 23.4% 21.1% 15.8% - 31.0% 17.9% - 24.3% 6,000 57,900 1,404 12,217 600 4,458 251 336 468 311 18.0% 21.1% 21.9% 25.5% 12.4% - 23.6% 16.3% - 25.9% 16.8% - 27.0% 18.6% - 32.4% 17,800 17,700 16,000 15,100 3,204 3,735 3,504 3,851 819 1,363 1,360 1,827 Grade 9th 10th 11th 12th *Based on weighted sample values; data were weighted by grade and sex to represent Idaho public school students in grades 9 through 12. Comprehensive Cancer Alliance for Idaho Physical Activity: 30+ Min Moderate 5+ Days/Wk or 20+ Min Vigorous 3+ Days/Wk Men and Women Aged 18+ Goal: 65% Overall Yes Percent 95% Confidence N Phys Act Interval 5290 58.0% 56.3% - 59.8% Rounded 2005 Population 951,000 Number Phys Act 552,000 Insuff. Phys Act 399,000 # To Reach Goal 67,000 Race/Ethnicity Non-Hispanic White Hispanic Native American Other Percent 95% Confidence N Phys Act Interval 4790 59.1% 57.2% - 60.9% 289 46.0% 37.1% - 54.9% 82 57.1% 44.3% - 69.8% 120 60.9% 49.2% - 72.6% Rounded 2005 Population 827,000 80,000 14,000 28,000 Number Phys Act 488,000 37,000 8,000 17,000 Insuff. Phys Act 338,000 43,000 6,000 11,000 # To Reach Goal 50,000 16,000 2,000 2,000 Age Group 18-24 25-34 35-44 45-54 55-64 65+ Percent 95% Confidence N Phys Act Interval 319 64.5% 57.7% - 71.3% 818 60.4% 56.3% - 64.5% 927 62.8% 59.1% - 66.6% 1129 59.0% 55.5% - 62.5% 935 52.0% 48.1% - 55.8% 1162 46.7% 43.3% - 50.1% Rounded 2005 Population 150,000 173,000 178,000 181,000 128,000 142,000 Number Phys Act 97,000 104,000 112,000 107,000 67,000 66,000 Insuff. Phys Act 53,000 68,000 66,000 74,000 62,000 76,000 # To Reach Goal 1,000 8,000 4,000 11,000 17,000 27,000 Sex Male Female Percent 95% Confidence N Phys Act Interval 2047 59.9% 57.1% - 62.8% 3243 56.1% 54.0% - 58.3% Rounded 2005 Population 478,000 473,000 Number Phys Act 287,000 265,000 Insuff. Phys Act 192,000 207,000 # To Reach Goal 25,000 42,000 Health Insurance Yes No Percent 95% Confidence N Phys Act Interval 4444 58.7% 56.8% - 60.6% 832 54.9% 49.7% - 60.0% Rounded 2005 Population 770,000 176,000 Number Phys Act 452,000 97,000 Insuff. Phys Act 318,000 80,000 # To Reach Goal 49,000 18,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Phys Act Interval 573 53.7% 47.2% - 60.1% 961 52.1% 47.6% - 56.5% 750 58.3% 53.3% - 63.3% 937 59.1% 54.9% - 63.3% 1572 63.7% 60.8% - 66.6% Rounded 2005 Population 92,000 157,000 134,000 172,000 305,000 Number Phys Act 49,000 82,000 78,000 102,000 194,000 Insuff. Phys Act 43,000 75,000 56,000 71,000 111,000 # To Reach Goal 11,000 21,000 9,000 11,000 4,000 Education Not College Grad College Grad Percent 95% Confidence N Phys Act Interval 3809 55.8% 53.6% - 58.0% 1474 63.8% 60.7% - 66.8% Rounded 2005 Population 684,000 267,000 Number Phys Act 382,000 170,000 Insuff. Phys Act 302,000 97,000 # To Reach Goal 63,000 4,000 Source: 2005 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2005 population based on 2005 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Number to screen to reach goal rounded up to nearest 1,000. * In 2005, Idaho ranked 12th among states (1st = best) in the proportion of adults who engaged in moderate or vigorous physical activity for the prescribed durations and frequencies. Physical Activity Men and Women Aged 18+ Aggregated BRFSS Data 2001-2005 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 2.45 1.76 1.53 1.23 1.07 1.00 2.09 1.55 1.35 1.09 0.95 Sex Male Female 1.14 1.00 1.06 - 1.22 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 1.13 0.74 1.03 1.00 0.89 - 1.43 0.55 - 0.99 0.71 - 1.49 Health Insurance Yes No 0.96 1.00 0.86 - 1.07 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.22 1.40 1.62 1.93 1.07 1.23 1.42 1.69 Education Not College Grad College Grad 1.00 1.15 1.06 - 1.25 Year of Survey 2001 2003 2005 0.98 1.03 1.00 - - 2.88 1.99 1.72 1.38 1.22 1.38 1.61 1.85 2.20 0.90 - 1.07 0.94 - 1.12 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 2001-2005 Before Adjustment 0.0352 After 0.0247 Percent Change -29.8% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Youth Physical Activity By 2010 Increase to 80% the percentage of idaho high school students who accumulate 30 minutes or more per day of moderate physical activity on five or more days of the week or participate in 20 minutes or more of vigorous physical acitivity on three or more days of the week. Source: 2005 Idaho Youth Risk Behavior Survey 2005 Idaho total Sex Male Female Ethnicity Hispanic White Number of Physically Active Youth 48,691 Number of students needing to increase P.A. to hit target 4,669 N 1,434 % 73.0% 95% C.I. 70.5% - 75.5% Total Population* (rounded) 66,700 694 735 78.3% 67.6% 75.1% - 81.5% 63.0% - 72.2% 32,300 34,200 25,291 23,119 549 4,241 150 1,088 70.2% 73.6% 61.3% - 79.1% 71.0% - 76.2% 7,000 50,600 4,914 37,242 686 3,238 263 345 493 323 75.3% 78.4% 68.8% 68.7% 70.8% - 79.8% 74.1% - 82.7% 63.8% - 73.8% 61.3% - 76.2% 12,200 16,000 22,900 15,000 9,187 12,544 15,755 10,305 573 256 2,565 1,695 Grade 9th 10th 11th 12th *Based on weighted sample values; data were weighted by grade and sex to represent Idaho public school students in grades 9 through 12. Comprehensive Cancer Alliance for Idaho Body Mass Index: Neither Overweight Nor Obese (BMI<25.0) Men and Women Aged 18+ Goal: 45% Overall Yes Percent 95% Confidence N OK Weight Interval 5439 38.6% 36.8% - 40.4% Rounded 2005 Number Population OK Weight 970,000 375,000 OverWeight 595,000 # To Reach Goal 62,000 Race/Ethnicity Non-Hispanic White Hispanic Native American Other Percent 95% Confidence N OK Weight Interval 4953 38.9% 37.0% - 40.7% 262 40.1% 30.4% - 49.8% 87 24.7% 14.2% - 35.2% 129 36.1% 25.3% - 46.9% Rounded 2005 Number Population OK Weight 853,000 332,000 69,000 28,000 15,000 4,000 30,000 11,000 OverWeight 522,000 42,000 11,000 19,000 # To Reach Goal 53,000 4,000 3,000 3,000 Age Group 18-24 25-34 35-44 45-54 55-64 65+ Percent 95% Confidence N OK Weight Interval 316 59.2% 52.1% - 66.4% 818 42.1% 38.1% - 46.2% 941 34.6% 30.9% - 38.2% 1134 29.1% 26.1% - 32.2% 955 30.9% 27.4% - 34.3% 1275 38.2% 35.1% - 41.4% Rounded 2005 Number Population OK Weight 144,000 86,000 173,000 73,000 180,000 62,000 184,000 54,000 131,000 40,000 157,000 60,000 OverWeight 59,000 100,000 118,000 131,000 91,000 97,000 # To Reach Goal 5,000 19,000 30,000 19,000 11,000 Sex Male Female Percent 95% Confidence N OK Weight Interval 2159 29.2% 26.3% - 32.0% 3280 48.4% 46.2% - 50.6% Rounded 2005 Number Population OK Weight 492,000 144,000 478,000 231,000 OverWeight 349,000 247,000 # To Reach Goal 78,000 - Health Insurance Yes No Percent 95% Confidence N OK Weight Interval 4599 37.6% 35.8% - 39.4% 826 43.5% 38.1% - 48.8% Rounded 2005 Number Population OK Weight 794,000 299,000 171,000 74,000 OverWeight 495,000 97,000 # To Reach Goal 59,000 3,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Males Percent 95% Confidence Rounded 2005 Number N OK Weight Interval Population OK Weight 154 44.1% 30.2% - 58.0% 37,000 17,000 393 31.1% 24.7% - 37.5% 82,000 25,000 323 33.5% 24.3% - 42.7% 72,000 24,000 404 20.5% 15.8% - 25.3% 92,000 19,000 736 26.4% 22.4% - 30.4% 176,000 46,000 OverWeight 21,000 56,000 48,000 73,000 129,000 # To Reach Goal 1,000 12,000 9,000 23,000 33,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Females Percent 95% Confidence Rounded 2005 Number N OK Weight Interval Population OK Weight 433 45.3% 39.1% - 51.5% 54,000 24,000 626 46.4% 41.4% - 51.3% 82,000 38,000 437 48.8% 42.5% - 55.0% 62,000 30,000 541 46.6% 41.3% - 52.0% 81,000 38,000 873 50.5% 46.5% - 54.5% 139,000 70,000 OverWeight 30,000 44,000 32,000 43,000 69,000 # To Reach Goal - Source: 2005 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2005 population based on 2005 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Numbers to reach goal rounded up to nearest 1,000. * In 2005, Idaho ranked 25th among states (1st = best) in the proportion of adults who were neither overweight nor obese (body mass index < 25.0). Body Mass Index: Neither Overweight Nor Obese (BMI<25.0) Men and Women Aged 18+ Aggregated BRFSS Data 2003-2005 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 2.80 1.32 1.00 0.80 0.69 1.00 2.38 1.17 0.89 0.71 0.60 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 0.79 0.59 0.48 1.00 0.62 - 1.00 0.44 - 0.80 0.33 - 0.71 Health Insurance Yes No 0.92 1.00 0.82 - 1.02 Sex and Income M- Less than $15,000 M- $15,000 - $24,999 M- $25,000 - $34,999 M- $35,000 - $49,999 M- $50,000+ F- Less than $15,000 F- $15,000 - $24,999 F- $25,000 - $34,999 F- $35,000 - $49,999 F- $50,000+ 1.00 0.90 0.83 0.72 0.69 1.43 1.54 1.76 1.63 2.34 0.70 0.65 0.56 0.55 1.14 1.24 1.40 1.29 1.88 Education Not College Grad College Grad 1.00 1.30 1.19 - 1.41 Year of Survey 2003 2004 2005 1.06 1.06 1.00 - - 3.30 1.49 1.13 0.90 0.78 1.14 1.06 0.91 0.87 1.80 1.93 2.22 2.04 2.93 0.97 - 1.16 0.97 - 1.15 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 2003-2005 Before Adjustment 0.0331 After 0.0277 Percent Change -16.2% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho UV Exposure: Any Sunburns In Past 12 Months Men and Women Aged 18+ Goal: none set Overall Yes Pct w/ 95% Confidence N Sunburns Interval 5051 48.0% 46.2% - 49.7% Rounded 2004 Number w/ No Sunburns Sunburns Population 956,000 459,000 497,000 # To Reach Goal none set Race/Ethnicity Non-Hispanic White Hispanic Native American Other Pct w/ 95% Confidence N Sunburns Interval 4681 49.0% 47.3% - 50.8% 146 39.5% 28.2% - 50.8% 88 37.1% 24.4% - 49.8% 125 32.0% 19.5% - 44.4% Rounded 2004 Number w/ No Sunburns Sunburns Population 870,000 427,000 443,000 36,000 14,000 22,000 19,000 7,000 12,000 29,000 9,000 20,000 # To Reach Goal none set none set none set none set N 159 338 379 423 340 398 Males Pct w/ 95% Confidence Rounded 2004 Number w/ No Sunburns Sunburns Sunburns Interval Population 66.9% 57.5% - 76.3% 71,000 47,000 23,000 68.6% 62.9% - 74.3% 89,000 61,000 28,000 64.4% 58.8% - 70.0% 92,000 59,000 33,000 50.1% 44.5% - 55.6% 90,000 45,000 45,000 39.2% 33.3% - 45.2% 62,000 24,000 38,000 15.6% 11.3% - 19.9% 67,000 11,000 57,000 # To Reach Goal none set none set none set none set none set none set N 227 482 519 594 513 679 Females Pct w/ 95% Confidence Rounded 2004 Number w/ No Sunburns Sunburns Sunburns Interval Population 67.6% 60.1% - 75.1% 71,000 48,000 23,000 64.1% 59.2% - 69.0% 84,000 54,000 30,000 55.5% 50.6% - 60.4% 92,000 51,000 41,000 40.6% 36.0% - 45.2% 93,000 38,000 55,000 24.0% 19.9% - 28.2% 62,000 15,000 47,000 7.6% 5.4% - 9.8% 84,000 6,000 78,000 # To Reach Goal none set none set none set none set none set none set Age Group 18-24 25-34 35-44 45-54 55-64 65+ Age Group 18-24 25-34 35-44 45-54 55-64 65+ Health Insurance Yes No Pct w/ 95% Confidence N Sunburns Interval 4317 47.5% 45.6% - 49.4% 714 50.4% 45.9% - 54.9% Rounded 2004 Number w/ No Sunburns Sunburns Population 803,000 382,000 422,000 147,000 74,000 73,000 # To Reach Goal none set none set Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Pct w/ 95% Confidence N Sunburns Interval 561 37.5% 32.0% - 43.0% 923 44.0% 39.7% - 48.4% 727 47.1% 42.7% - 51.5% 925 53.8% 49.7% - 57.8% 1391 54.3% 51.1% - 57.4% Rounded 2004 Number w/ No Sunburns Sunburns Population 85,000 32,000 53,000 165,000 73,000 92,000 135,000 64,000 72,000 180,000 97,000 83,000 290,000 157,000 133,000 # To Reach Goal none set none set none set none set none set Education Not College Grad College Grad Pct w/ 95% Confidence N Sunburns Interval 3650 45.3% 43.3% - 47.4% 1394 54.5% 51.3% - 57.7% Rounded 2004 Number w/ No Sunburns Sunburns Population 684,000 310,000 374,000 270,000 147,000 123,000 # To Reach Goal none set none set Source: 2004 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. UV Exposure: Any Sunburns In Past 12 Months Men and Women Aged 18+ Aggregated BRFSS Data 1999-2004 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Sex and Age M- 18-24 M- 25-34 M- 35-44 M- 45-54 M- 55-64 M- 65+ F- 18-24 F- 25-34 F- 35-44 F- 45-54 F- 55-64 F- 65+ 32.17 26.99 15.52 10.09 5.43 2.22 22.70 18.32 13.24 6.76 3.30 1.00 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 2.49 0.97 1.65 1.00 1.90 - 3.27 0.70 - 1.36 1.10 - 2.47 Health Insurance Yes No 1.12 1.00 1.01 - 1.25 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.21 1.39 1.45 1.63 1.05 1.20 1.26 1.41 Education Not College Grad College Grad 1.00 1.12 1.03 - 1.23 Year of Survey 1999 2003 2004 0.86 1.05 1.00 24.43 21.25 12.35 8.04 4.26 1.73 17.61 14.68 10.65 5.44 2.62 - - 42.36 34.27 19.50 12.65 6.90 2.86 29.27 22.85 16.45 8.41 4.17 1.39 1.61 1.68 1.88 0.79 - 0.95 0.95 - 1.15 Variation (on Logit Scale) in Risk Factor Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1999-2004 Before Adjustment 0.0242 After 0.0043 Percent Change -82.3% Comprehensive Cancer Alliance for Idaho Households Using Private or Shared Well Having Water Tested in Previous 12 Months Comprehensive Cancer Alliance for Idaho Goal: none set Overall Yes Pct w/ 95% Confidence N H2O Test Interval 10711 37.1% 36.1% - 38.1% Rounded 2000 Number w/ No H2O H2O Test HH w/ Well Test 132,000 49,000 83,000 # To Reach Goal - Race/Ethnicity Non-Hispanic White Hispanic Native American Other Pct w/ 95% Confidence N H2O Test Interval 9983 36.9% 35.9% - 38.0% 313 31.5% 25.8% - 37.2% 174 48.6% 40.5% - 56.8% 220 44.8% 37.6% - 52.0% Rounded 2000 Number w/ No H2O H2O Test HH w/ Well Test 122,000 45,000 77,000 4,000 1,000 3,000 2,000 1,000 1,000 3,000 1,000 2,000 # To Reach Goal - Age Group 18-24 25-34 35-44 45-54 55-64 65+ Pct w/ 95% Confidence N H2O Test Interval 592 39.7% 35.3% - 44.2% 1403 37.2% 34.3% - 40.1% 2159 36.8% 34.5% - 39.2% 2485 36.7% 34.6% - 38.8% 1951 35.9% 33.7% - 38.2% 2121 38.1% 35.9% - 40.4% Rounded 2000 Number w/ No H2O H2O Test HH w/ Well Test 5,000 2,000 3,000 17,000 6,000 10,000 29,000 11,000 18,000 31,000 11,000 20,000 22,000 8,000 14,000 27,000 10,000 17,000 # To Reach Goal - Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Pct w/ 95% Confidence N H2O Test Interval 963 37.1% 33.5% - 40.8% 1961 37.5% 35.1% - 39.8% 1676 38.5% 35.8% - 41.2% 2182 36.9% 34.7% - 39.1% 2886 35.5% 33.6% - 37.4% Rounded 2000 Number w/ No H2O H2O Test HH w/ Well Test 12,000 5,000 8,000 24,000 9,000 15,000 21,000 8,000 13,000 26,000 10,000 16,000 35,000 13,000 23,000 # To Reach Goal - Source: Aggregated 1999-2005 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2000 households based on Census figures by county and age of householder. Category totals are not equal due to differential missing data patterns. Household numbers are rounded to the nearest 1,000. Comprehensive Cancer Alliance for Idaho Having Well Water Tested in Previous 12 Months Households Using Private or Shared Well Aggregated BRFSS Data 1999-2005 Results from Multilevel Logistic Regression Modeling Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 1.07 0.98 0.87 0.85 0.90 1.00 0.87 0.84 0.75 0.74 0.78 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 0.85 0.69 1.69 1.00 0.63 - 1.15 0.47 - 1.02 1.10 - 2.61 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 0.97 1.00 0.95 0.94 Year of Survey 1999 2000 2001 2002 2003 2004 2005 1.27 1.24 1.49 1.18 1.19 1.15 1.00 - 1.32 1.14 1.00 0.97 1.04 0.82 0.84 0.80 0.80 - 1.14 1.18 1.11 1.10 1.09 1.06 1.27 1.00 1.01 0.98 - 1.49 1.46 1.75 1.38 1.39 1.35 Variation (on Logit Scale) in Well Water Testing Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1999-2005 Before Adjustment 0.1144 After 0.1129 Percent Change -1.3% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Ever Had House Tested For Radon Gas Among Respondents Who Have Heard Of Radon Gas Goal: 25% Overall Yes Pct w/ 95% Confidence N Radon Test Interval 11655 15.9% 15.2% - 16.7% Rnd 2000 HH Number w/ No Radon Heard of Radon Radon Test Test 353,000 56,000 297,000 # To Reach Goal 32,000 Race/Ethnicity Non-Hispanic White Hispanic Native American Other Pct w/ 95% Confidence N Radon Test Interval 10926 15.6% 14.8% - 16.4% 313 18.6% 13.9% - 23.3% 152 23.3% 16.0% - 30.5% 240 22.6% 16.4% - 28.8% Rnd 2000 HH Number w/ No Radon Heard of Radon Radon Test Test 330,000 52,000 279,000 10,000 2,000 8,000 5,000 1,000 3,000 8,000 2,000 6,000 # To Reach Goal 32,000 1,000 1,000 1,000 Age Group 18-24 25-34 35-44 45-54 55-64 65+ Pct w/ 95% Confidence N Radon Test Interval 692 14.2% 11.2% - 17.1% 1792 14.1% 12.3% - 15.9% 2416 16.1% 14.4% - 17.8% 2467 17.4% 15.7% - 19.0% 1849 16.3% 14.5% - 18.1% 2439 15.8% 14.2% - 17.3% Rnd 2000 HH Number w/ No Radon Heard of Radon Radon Test Test 18,000 2,000 15,000 53,000 7,000 45,000 81,000 13,000 68,000 79,000 14,000 65,000 52,000 8,000 43,000 72,000 11,000 61,000 # To Reach Goal 2,000 6,000 8,000 6,000 5,000 7,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Pct w/ 95% Confidence N Radon Test Interval 1229 12.7% 10.3% - 15.1% 2156 13.5% 11.8% - 15.1% 1880 13.3% 11.6% - 15.0% 2253 16.0% 14.3% - 17.6% 3233 19.4% 17.9% - 20.9% Rnd 2000 HH Number w/ No Radon Heard of Radon Radon Test Test 36,000 5,000 32,000 63,000 9,000 55,000 57,000 8,000 50,000 68,000 11,000 57,000 101,000 20,000 82,000 # To Reach Goal 5,000 8,000 7,000 7,000 6,000 Source: Aggregated 1999-2005 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2000 households based on Census figures by county and age of householder. Category totals are not equal due to differential missing data patterns. Household numbers are rounded to the nearest 1,000. Number to test to reach goal rounded up to nearest 1,000. Comprehensive Cancer Alliance for Idaho Ever Had House Tested For Radon Gas Among Respondents Who Have Heard Of Radon Gas Aggregated BRFSS Data 1999-2005 Results from Multilevel Logistic Regression Modeling Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 0.96 0.79 0.89 0.99 0.99 1.00 0.74 0.65 0.75 0.83 0.82 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 0.69 0.93 1.37 1.00 0.49 - 0.96 0.59 - 1.47 0.82 - 2.30 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.10 1.15 1.41 1.76 Year of Survey 1999 2001 2005 0.90 0.96 1.00 0.89 0.92 1.15 1.44 - - 1.24 0.95 1.06 1.17 1.18 1.36 1.43 1.75 2.15 0.79 - 1.03 0.84 - 1.09 Variation (on Logit Scale) in Radon Testing Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1999-2005 Before Adjustment 0.1060 After 0.0923 Percent Change -12.9% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Breast Cancer Screening: Mammogram and Clinical Breast Exam Within Previous 2 Years Women Aged 40+ Goal: 70% Overall Yes Percent 95% Confidence N Screened Interval 2019 59.3% 56.8% - 61.8% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 283,000 168,000 115,000 31,000 Age Group 40-44 45-54 55-64 65+ Percent 95% Confidence N Screened Interval 282 51.0% 44.4% - 57.7% 579 58.6% 53.9% - 63.3% 508 66.0% 61.4% - 70.6% 650 60.1% 55.6% - 64.6% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 50,000 25,000 24,000 10,000 90,000 53,000 37,000 11,000 62,000 41,000 21,000 3,000 81,000 49,000 32,000 8,000 Health Insurance Yes No Percent 95% Confidence N Screened Interval 1800 62.7% 60.1% - 65.3% 215 33.9% 26.4% - 41.5% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 249,000 156,000 93,000 19,000 33,000 11,000 22,000 12,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Screened Interval 284 43.4% 36.6% - 50.2% 401 52.0% 46.2% - 57.7% 260 47.4% 40.4% - 54.5% 314 64.9% 58.6% - 71.2% 492 72.3% 67.9% - 76.7% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 31,000 14,000 18,000 9,000 52,000 27,000 25,000 10,000 37,000 17,000 19,000 9,000 46,000 30,000 16,000 3,000 79,000 57,000 22,000 - Education Not College Grad College Grad Percent 95% Confidence N Screened Interval 1548 55.4% 52.5% - 58.3% 467 71.5% 66.9% - 76.2% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 213,000 118,000 95,000 32,000 69,000 50,000 20,000 - Source: 2004 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Number to screen to reach goal rounded up to nearest 1,000. * In 2004, Idaho ranked lowest among states in the proportion of women aged 40+ who had a mammogram within the past two years. Comprehensive Cancer Alliance for Idaho Breast Cancer Screening: Mammogram and Clinical Breast Exam Within Previous 2 Years, Women Aged 40+ Aggregated BRFSS Data 1997-2004 Results from Multilevel Logistic Regression Modeling Odds Ratios and 95% Confidence Intervals for Fixed Parameters OR 95% CI Age, y 40-44 45-54 55-64 65+ 0.46 0.93 1.29 1.00 0.40 - 0.53 0.82 - 1.05 1.13 - 1.46 Health Insurance Yes No 2.33 1.00 2.01 - 2.69 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.39 1.77 2.17 2.77 1.22 1.53 1.86 2.37 Education Not College Grad College Grad 1.00 1.25 1.12 - 1.40 Year of Survey 1997 1998 1999 2000 2002 2004 0.96 1.12 1.06 1.13 1.10 1.00 Main Effect 0.83 0.97 0.92 0.97 0.95 - - 1.58 2.05 2.52 3.24 1.11 1.30 1.23 1.31 1.27 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1997-2004 Before Adjustment 0.0440 After 0.0254 Percent Change -42.3% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Breast Cancer Screening: Mammogram Within Previous 2 Years Women Aged 50+ Goal: 74% Overall Yes Percent 95% Confidence N Screened Interval 1488 67.4% 64.7% - 70.2% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 195,000 131,000 63,000 13,000 Age Group 50-54 55-64 65+ Percent 95% Confidence N Screened Interval 305 61.6% 55.2% - 67.9% 513 69.9% 65.4% - 74.3% 670 69.1% 65.0% - 73.2% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 49,000 30,000 19,000 7,000 62,000 44,000 19,000 3,000 83,000 58,000 26,000 5,000 Health Insurance Yes No Percent 95% Confidence N Screened Interval 1364 70.3% 67.5% - 73.1% 120 36.7% 26.9% - 46.5% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 178,000 125,000 53,000 7,000 16,000 6,000 10,000 7,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Screened Interval 222 51.5% 44.0% - 59.1% 331 63.4% 57.1% - 69.7% 199 63.8% 55.8% - 71.8% 210 72.4% 65.3% - 79.4% 287 77.4% 72.1% - 82.8% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 23,000 12,000 11,000 6,000 42,000 26,000 15,000 5,000 26,000 17,000 10,000 3,000 29,000 21,000 8,000 1,000 43,000 33,000 10,000 - Education Not College Grad College Grad Percent 95% Confidence N Screened Interval 1185 64.7% 61.5% - 67.9% 299 78.0% 72.8% - 83.1% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 153,000 99,000 54,000 15,000 41,000 32,000 9,000 - Source: 2004 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Number to screen to reach goal rounded up to nearest 1,000. * In 2004, Idaho ranked lowest among states in the proportion of women aged 40+ who had a mammogram within the past two years. Comprehensive Cancer Alliance for Idaho Breast Cancer Screening: Mammogram Within Previous 2 Years Women Aged 50+ Aggregated BRFSS Data 1997-2004 Results from Multilevel Logistic Regression Modeling Odds Ratios and 95% Confidence Intervals for Fixed Parameters OR 95% CI Age, y 50-54 55-64 65+ 0.83 1.09 1.00 0.70 - 0.97 0.94 - 1.25 Health Insurance Yes No 2.92 1.00 2.40 - 3.54 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.40 1.86 2.25 2.68 1.21 1.56 1.85 2.17 Education Not College Grad College Grad 1.00 1.29 1.09 - 1.51 Year of Survey 1997 1998 1999 2000 2002 2004 0.94 1.16 1.14 1.32 1.21 1.00 Main Effect 0.78 0.97 0.94 1.09 1.01 - - 1.63 2.22 2.73 3.31 1.13 1.40 1.37 1.60 1.45 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1997-2004 Before Adjustment 0.0686 After 0.0430 Percent Change -37.4% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Cervical Cancer Screening: Pap Test Within Previous 3 Years Women Aged 18+ With Intact Cervix Goal: 90% Overall Yes Percent 95% Confidence N Screened Interval 1969 78.3% 76.0% - 80.5% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 334,000 262,000 73,000 40,000 Age Group 18-24 25-34 35-44 45-54 55-64 65+ Percent 95% Confidence N Screened Interval 202 68.3% 60.7% - 75.9% 414 89.3% 85.3% - 93.4% 424 86.3% 82.8% - 89.9% 398 79.1% 74.4% - 83.8% 255 72.7% 66.7% - 78.7% 276 58.2% 51.3% - 65.0% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 62,000 42,000 20,000 14,000 71,000 63,000 8,000 1,000 76,000 66,000 10,000 3,000 61,000 49,000 13,000 7,000 30,000 22,000 8,000 6,000 34,000 19,000 14,000 11,000 Health Insurance Yes No Percent 95% Confidence N Screened Interval 1643 79.6% 77.2% - 82.1% 323 72.5% 66.7% - 78.3% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 275,000 219,000 56,000 29,000 59,000 43,000 16,000 11,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Screened Interval 240 62.6% 54.6% - 70.6% 374 77.0% 71.6% - 82.5% 272 76.2% 70.2% - 82.1% 348 85.5% 81.2% - 89.8% 526 87.9% 84.5% - 91.3% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 35,000 22,000 13,000 10,000 58,000 44,000 13,000 8,000 47,000 35,000 11,000 7,000 60,000 51,000 9,000 3,000 97,000 85,000 12,000 3,000 Education Not College Grad College Grad Percent 95% Confidence N Screened Interval 1417 74.2% 71.3% - 77.0% 549 89.2% 86.4% - 92.1% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 243,000 180,000 63,000 39,000 91,000 81,000 10,000 1,000 Source: 2004 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Number to screen to reach goal rounded up to nearest 1,000. * In 2004, Idaho ranked second lowest among states in the proportion of women aged 18+ who had a Pap test within the past three years. Cervical Cancer Screening: Pap Test Within Previous 3 Years Women Aged 18+ With Intact Cervix Aggregated BRFSS Data 1997-2004 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 4.28 6.24 2.83 2.46 2.10 1.00 3.51 5.17 2.39 2.06 1.72 Health Insurance Yes No 2.07 1.00 1.82 - 2.37 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.50 1.75 1.93 2.72 1.30 1.49 1.62 2.25 Education Not College Grad College Grad 1.00 1.26 1.09 - 1.45 Year of Survey 1997 1998 1999 2000 2002 2004 1.25 1.29 1.12 1.35 1.32 1.00 1.05 1.08 0.94 1.13 1.10 - - - 5.23 7.53 3.34 2.93 2.55 1.74 2.07 2.30 3.28 1.49 1.55 1.33 1.61 1.58 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1997-2004 Before Adjustment 0.0699 After 0.0449 Percent Change -35.7% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Colorectal Cancer Screening: Colonoscopy or Sigmoidoscopy Within Previous 5 Years Men and Women Aged 50+ Goal: 50% Overall Yes Percent 95% Confidence N Screened Interval 2428 38.0% 35.7% - 40.3% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 365,000 139,000 227,000 44,000 Age Group 50-54 55-64 65+ Percent 95% Confidence N Screened Interval 517 24.4% 20.1% - 28.7% 850 35.8% 32.1% - 39.6% 1061 48.1% 44.4% - 51.8% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 92,000 22,000 69,000 24,000 124,000 44,000 80,000 18,000 149,000 72,000 77,000 3,000 Sex Male Female Percent 95% Confidence N Screened Interval 942 39.3% 35.6% - 42.9% 1486 36.8% 34.0% - 39.7% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 170,000 67,000 103,000 19,000 195,000 72,000 123,000 26,000 Health Insurance Yes No Percent 95% Confidence N Screened Interval 2209 40.5% 38.1% - 43.0% 211 12.7% 8.1% - 17.4% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 331,000 134,000 197,000 32,000 33,000 4,000 29,000 13,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Screened Interval 282 34.6% 28.1% - 41.0% 514 37.3% 32.2% - 42.5% 358 39.8% 33.9% - 45.7% 375 36.1% 30.5% - 41.7% 579 39.7% 35.0% - 44.4% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 32,000 11,000 21,000 5,000 73,000 27,000 46,000 10,000 54,000 21,000 33,000 6,000 61,000 22,000 39,000 9,000 100,000 40,000 61,000 11,000 Education Not College Grad College Grad Percent 95% Confidence N Screened Interval 1811 36.5% 33.9% - 39.1% 612 41.8% 37.1% - 46.5% Rounded 2004 Number Not # to Screen To Screened Screened Population Reach Goal 263,000 96,000 167,000 36,000 102,000 42,000 59,000 9,000 Source: 2004 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Number to screen to reach goal rounded up to nearest 1,000. * In 2004, Idaho ranked 42nd among states (1st = best) in the proportion of adults aged 50+ who have ever had a sigmoidoscopy or colonoscopy. Colonoscopy or Sigmoidoscopy Within Previous 5 Years Men and Women Aged 50+ Aggregated BRFSS Data 1997-2004 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters OR 95% CI Age, y 50-54 55-64 65+ 0.37 0.67 1.00 0.32 - 0.42 0.60 - 0.75 Sex Male Female 1.17 1.00 1.07 - 1.29 Health Insurance Yes No 2.34 1.00 1.87 - 2.94 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.16 1.30 1.30 1.45 1.00 1.11 1.10 1.22 Education Not College Grad College Grad 1.00 1.12 1.00 - 1.25 Year of Survey 1997 1999 2001 2002 2004 0.55 0.64 0.74 0.85 1.00 Main Effect 0.48 0.56 0.64 0.74 - - 1.34 1.53 1.54 1.72 0.64 0.74 0.85 0.97 Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 1997-2004 Before Adjustment 0.0712 After 0.0625 Percent Change -12.1% Variation (on Logit Scale) in Screening Between Counties, Before and After Taking Into Account County-Level # of Facilities Offering Colonoscopy, Idaho, 1997-2004 Before Adjustment 0.0625 After 0.0431 Percent Change -31.1% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Tobacco Use: Current Smoker Men and Women Aged 18+ Goal: 12% (HP2010) Overall Yes Percent 95% Confidence N Smokers Interval 5719 17.9% 16.5% - 19.3% Rounded 2005 Population 1,019,000 Number Smokers 183,000 NonSmokers 836,000 # To Reach Goal 61,000 Race/Ethnicity Non-Hispanic White Hispanic Native American Other Percent 95% Confidence N Smokers Interval 5160 17.4% 16.0% - 18.9% 322 22.3% 15.6% - 28.9% 89 29.8% 17.9% - 41.7% 139 14.6% 7.5% - 21.6% Rounded 2005 Population 882,000 87,000 16,000 31,000 Number Smokers 154,000 19,000 5,000 5,000 NonSmokers 729,000 68,000 11,000 27,000 # To Reach Goal 48,000 9,000 3,000 1,000 Age Group 18-24 25-34 35-44 45-54 55-64 65+ Percent 95% Confidence N Smokers Interval 335 19.3% 13.4% - 25.2% 869 20.6% 17.1% - 24.0% 990 20.8% 17.8% - 23.9% 1200 19.4% 16.8% - 22.0% 1006 18.5% 15.7% - 21.4% 1319 8.0% 6.4% - 9.6% Rounded 2005 Population 154,000 184,000 188,000 194,000 138,000 161,000 Number Smokers 30,000 38,000 39,000 38,000 26,000 13,000 NonSmokers 124,000 146,000 149,000 156,000 112,000 148,000 # To Reach Goal 12,000 16,000 17,000 15,000 9,000 - Sex Males Females Percent 95% Confidence N Smokers Interval 2188 19.6% 17.3% - 22.0% 3531 16.3% 14.7% - 17.9% Rounded 2005 Population 506,000 513,000 Number Smokers 99,000 83,000 NonSmokers 407,000 429,000 # To Reach Goal 39,000 22,000 Health Insurance Yes No Percent 95% Confidence N Smokers Interval 4794 14.4% 13.2% - 15.6% 907 33.6% 28.7% - 38.4% Rounded 2005 Population 822,000 191,000 Number Smokers 118,000 64,000 NonSmokers 703,000 127,000 # To Reach Goal 20,000 42,000 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Smokers Interval 631 31.7% 25.5% - 37.8% 1058 25.0% 21.0% - 29.0% 796 20.6% 16.4% - 24.8% 983 15.5% 12.7% - 18.3% 1650 10.7% 9.0% - 12.4% Rounded 2005 Population 98,000 172,000 141,000 179,000 320,000 Number Smokers 31,000 43,000 29,000 28,000 34,000 NonSmokers 67,000 129,000 112,000 151,000 286,000 # To Reach Goal 20,000 23,000 13,000 7,000 - Education Not College Grad College Grad Percent 95% Confidence N Smokers Interval 4157 22.0% 20.2% - 23.8% 1553 7.3% 5.9% - 8.8% Rounded 2005 Population 736,000 282,000 Number Smokers 162,000 21,000 NonSmokers 574,000 261,000 # To Reach Goal 74,000 - Source: 2005 BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2005 population based on 2005 BRFSS weights. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. Numbers to reach goal rounded up to nearest 1,000. * In 2005, Idaho ranked 7th among states (1st = best) in the proportion of adults who were current smokers. Tobacco Use: Current Smoker Men and Women Aged 18+ Aggregated BRFSS Data 2001-2005 Results from Multilevel Logistic Regression Modeling Odds Ratios and 95% Confidence Intervals for Fixed Parameters Comprehensive Cancer Alliance for Idaho Main Effect OR 95% CI Age, y 18-24 25-34 35-44 45-54 55-64 65+ 2.27 3.11 3.69 3.45 2.76 1.00 1.94 2.72 3.23 3.03 2.41 Sex Male Female 1.26 1.00 1.17 - 1.35 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 0.70 0.55 1.19 1.00 0.56 - 0.86 0.42 - 0.72 0.87 - 1.62 Health Insurance Yes No 1.00 1.54 1.41 - 1.68 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 0.72 0.55 0.43 0.31 0.64 0.49 0.38 0.28 Education Not College Grad College Grad 2.26 1.00 2.04 Year of Survey 2001 2002 2003 2004 2005 1.06 1.06 1.12 1.01 1.00 0.95 0.95 1.00 0.91 - - 2.67 3.56 4.21 3.93 3.17 0.80 0.62 0.48 0.35 2.49 - 1.18 1.18 1.25 1.13 Variation (on Logit Scale) in Risk Factor Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 2001-2005 Before Adjustment 0.1035 After 0.0935 Percent Change -9.7% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Prostate Cancer Screening: Prostate-Specific Antigen Test Previous 2 Years Men Aged 50+, Aggregated BRFSS Data 2001,2002,2004 Goal: none set Overall Yes Percent 95% Confidence N Screened Interval 2492 62.7% 60.4% - 64.9% Rounded 2004 Number Not Screened Screened Population 173,000 108,000 65,000 # To Reach Goal - Race/Ethnicity Non-Hispanic White Hispanic Native American Other Percent 95% Confidence N Screened Interval 2347 63.1% 60.8% - 65.5% 42 48.5% 30.8% - 66.2% 28 42.2% 22.2% - 62.2% 72 65.3% 52.3% - 78.2% Rounded 2004 Number Not Screened Screened Population 163,000 103,000 60,000 3,000 1,000 2,000 2,000 1,000 1,000 5,000 3,000 2,000 # To Reach Goal - Age Group 50-54 55-64 65+ Percent 95% Confidence N Screened Interval 574 46.9% 42.1% - 51.7% 854 64.4% 60.5% - 68.3% 1064 71.0% 67.8% - 74.2% Rounded 2004 Number Not Screened Screened Population 42,000 20,000 22,000 65,000 42,000 23,000 66,000 47,000 19,000 # To Reach Goal - Health Insurance Yes No Percent 95% Confidence N Screened Interval 2291 65.2% 62.8% - 67.5% 196 31.9% 24.4% - 39.5% Rounded 2004 Number Not Screened Screened Population 160,000 104,000 56,000 13,000 4,000 9,000 # To Reach Goal - Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ Percent 95% Confidence N Screened Interval 205 47.8% 39.9% - 55.7% 521 59.1% 54.1% - 64.2% 406 59.6% 53.9% - 65.3% 454 65.6% 60.1% - 71.0% 720 67.0% 62.9% - 71.1% Rounded 2004 Number Not Screened Screened Population 11,000 5,000 6,000 32,000 19,000 13,000 28,000 17,000 11,000 34,000 22,000 12,000 56,000 37,000 18,000 # To Reach Goal - Education Not College Grad College Grad Percent 95% Confidence N Screened Interval 1650 59.7% 56.9% - 62.4% 838 67.9% 63.8% - 71.9% Rounded 2004 Number Not Screened Screened Population 110,000 66,000 44,000 62,000 42,000 20,000 # To Reach Goal - Source: BRFSS data provided by BHPVS, analyzed by CDRI. Note: Estimated 2004 population based on 2004 BRFSS weights poststratified to 2004 Census county estimates by age. Category totals are not equal due to differential missing data patterns. Population numbers are rounded to the nearest 1,000. * In 2004, Idaho ranked 39th among states (1st = highest) in the proportion of males aged 40+ who had a PSA test within the past two years. Prostate-Specific Antigen Test, Past 2 Years Men Aged 50+ Aggregated BRFSS Data 2001-2004 Results from Multilevel Logistic Regression Modeling Comprehensive Cancer Alliance for Idaho Odds Ratios and 95% Confidence Intervals for Fixed Parameters OR 95% CI Age, y 50-54 55-64 65+ 0.33 0.75 1.00 0.26 - 0.43 0.60 - 0.93 Race/Ethnicity Non-Hispanic White Hispanic Native American Other 0.99 0.49 0.39 1.00 0.59 - 1.67 0.21 - 1.12 0.15 - 1.02 Health Insurance Yes No 2.37 1.00 1.68 - 3.34 Household Income Less than $15,000 $15,000 - $24,999 $25,000 - $34,999 $35,000 - $49,999 $50,000+ 1.00 1.32 1.53 1.78 2.15 Education Not College Grad College Grad 1.25 1.00 1.01 - 1.54 Year of Survey 2001 2002 2004 1.06 1.04 1.00 0.85 - 1.32 0.84 - 1.29 Main Effect 0.94 1.07 1.24 1.50 - 1.86 2.19 2.55 3.09 Variation (on Logit Scale) in PSA Screening Between Counties, Before and After Taking Into Account Individual-Level Covariates, Idaho, 2001-2004 Before Adjustment 0.0486 After 0.0314 Percent Change -35.4% Comprehensive Cancer Alliance for Idaho Comprehensive Cancer Alliance for Idaho Questions/Comments • How can the presentation of this information be improved to help you act on it?