Introduction to BRFSS
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Questions and Answers

What is the main role of state health agencies regarding health resources?

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What method of survey emerged as an acceptable way to determine health risk behaviors?

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By 1984, the Behavioral Risk Factor Surveillance System (BRFSS) was established by the CDC.

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The BRFSS primarily gathers information on health behaviors related to the leading preventable causes of death, including physical inactivity, injury, weight control, alcohol consumption, tobacco use, and _____ .

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What was a critical deficiency in health data prior to the 1980s?

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What was one reason states were encouraged to use cluster designs according to the Waksberg method?

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What criteria were used for including items in the BRFSS questionnaire?

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Qual faixa etária apresenta maior prevalência de diabetes?

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Baixos níveis de renda estão associados a dietas saudáveis e atividade física regular.

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Quais são os dois principais fatores demográficos que influenciam o risco de diabetes, conforme identificado no estudo?

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A diabetes tipo 2 está frequentemente ligada a estilos de vida _____ e _____ em populações de baixa renda.

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Associe os fatores sociodemográficos com os impactos no risco de diabetes:

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Qual variável foi identificada como o preditor mais significativo do risco de diabetes?

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O estudo permite estabelecer relações causais entre os fatores analisados e o risco de diabetes.

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Qual é a doença crônica metabólica discutida que pode levar a complicações sérias, incluindo doenças cardíacas?

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Quais são os fatores de risco associados ao aumento da incidência de diabetes?

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As taxas de prevalência de diabetes são iguais em todos os estados.

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Quais variáveis demográficas e socioeconômicas são investigadas no estudo sobre diabetes?

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O estudo usou uma estratégia de amostragem de _______ para garantir a seleção aleatória de números de telefone residenciais.

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Associe os fatores de risco à sua descrição:

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Qual método foi utilizado para recrutar a população do estudo?

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O estudo foi um experimento controlado onde variáveis foram manipuladas.

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Qual é o objetivo principal do estudo sobre diabetes?

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Qual é a principal diferença entre diabetes tipo 1 e tipo 2?

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O diabetes tipo 2 pode ser controlado somente com insulina.

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Quantas milhões de pessoas estão previstas para ter diabetes em 2030, de acordo com a previsão da Federação Internacional de Diabetes?

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A resistência à insulina e um _________ são fatores que contribuem para o desenvolvimento do diabetes tipo 2.

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Qual é uma das principais causas da disparidade de preços em cuidados de saúde nos Estados Unidos?

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O diabetes é considerado a sétima causa de morte nos Estados Unidos.

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Associe os tipos de diabetes com suas características principais:

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Quais são os principais fatores de risco associados ao diabetes tipo 2?

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Study Notes

Introduction to the Behavioral Risk Factor Surveillance System (BRFSS)

  • The Behavioral Risk Factor Surveillance System (BRFSS) was established by the Centers for Disease Prevention and Control (CDC) in 1984 to monitor state-level prevalence of behavioral risks associated with premature morbidity and mortality among adults.
  • The BRFSS was created because it was recognized that personal health behaviors played a significant role in premature morbidity and mortality, and data was not available on a state-specific basis.
  • Initially, 29 states conducted point-in-time surveys between 1981 and 1983, and in 1984, 15 states began collecting data monthly.
  • Currently, all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, and Guam participate in the BRFSS.

Key Features of the BRFSS

  • The BRFSS is a flexible and adaptable system that allows states to add their own questions while maintaining enough uniformity for state-to-state comparisons.
  • The BRFSS uses cluster designs based on the Waksberg method, which involves stratified sampling.
  • The BRFSS is cost-effective with an average federal award to states of approximately $60,000.
  • Data is collected continuously in all participating states, territories, and jurisdictions, and remains available to states for analysis and use.

Uses of the BRFSS

  • States utilize BRFSS data for various purposes, including:
    • Identifying demographic variations in health-related behaviors.
    • Targeting health services.
    • Addressing emerging and critical health issues.
    • Proposing legislation for health initiatives.
    • Measuring progress towards state and national health objectives.
    • Evaluating disease prevention and health promotion efforts.

BRFSS Questionnaire

  • The BRFSS uses a standardized questionnaire developed by CDC.
  • The questionnaire focuses on health behaviors linked to promoting health, preventing disease, and reducing health risks.
  • Questions are designed to be suitable for telephone interviewing and relevant to national health objectives and priority health issues.
  • The BRFSS questionnaire also includes questions that need to be measured over time to track trends and progress.

Diabetes Prevalence

  • Diabetes is a chronic metabolic disorder affecting blood sugar regulation.
  • It is a major public health concern globally, with prevalence rates doubling in the past three decades.
  • The International Diabetes Federation predicts a 50% increase in diabetes cases worldwide by 2030, reaching 552 million people.
  • The US has a higher prevalence rate than Europe, approximately 11.6% compared to 9%.
  • The US spends an estimated US$760 billion annually on diabetes-related healthcare.

Socioeconomic Factors and Diabetes Risk

  • The study analyzed the influence of demographic and socioeconomic factors on diabetes risk using a database of 253,680 observations.
  • Age was the most significant predictor of diabetes risk, followed by income, sex, and education.
  • Older age groups had a higher diabetes prevalence.
  • Males showed a slightly increased incidence of diabetes compared to females.
  • Individuals with lower educational attainment and lower income levels had a higher risk of diabetes.

Lifestyle Factors and Diabetes Risk

  • Lower levels of education are associated with unhealthy lifestyle behaviors and social disparities.
  • These disparities are linked to an increased risk of obesity and type 2 diabetes.
  • Low income is often associated with lifestyle factors such as unhealthy diets, lack of exercise, and higher smoking rates, all of which increase the risk of diabetes.
  • Low-income individuals often have limited access to healthcare due to high costs.

Limitations of the Study

  • The study design is cross-sectional, meaning it provides a snapshot in time and cannot establish causal relationships.
  • The study does not differentiate between type 1 and type 2 diabetes, limiting the applicability of findings to specific health interventions targeting each type.

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Description

Explore the Behavioral Risk Factor Surveillance System (BRFSS), initiated by the CDC in 1984 to track behavioral risks across states. The quiz covers its origin, evolution, and the features that enable state-specific data collection. Test your knowledge on this essential public health surveillance system and its impact on adult health behaviors.

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