Screening and Risk Factors Table

New: County level modeled estimates for breast or cervical screening, smoking, and colorectal screening.
  • How do you find them?

    These estimates are only available for

    • Mammogram in Past 2 Years, Age 40+
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Fecal occult blood test (FOBT) in Past 2 Years, Ages 50+
    • Ever Had Colorectal Endoscopy (sigmoidoscopy or colonoscopy), Ages 50+
    • Ever Had Colorectal Cancer Test (home-based FOBT in the past two years or ever had a colorectal endoscopy), Ages 50+
    • Smokers (current or ever), Age 18+

    Select one of those statistics in the Screening and Risk Factors drop-down, and then you can choose County-Level Modeled Estimates in the Data Type drop-down when you choose Counties for a specific state (e.g., Alabama Counties) in the Area drop-down.

    For more about what these estimates are, see the Data Type Explanation.

  • Why are they different?

    One difference is that the direct estimate is from data collected in one year, while the modeled estimate relies on pooled data from 2008 through 2010.

    Another difference is that the modeled estimates use data from BRFSS as well as another survey (NHIS) that has a smaller but more representative sample, in that NHIS includes people without phones or with only cell phones. The national cancer screening prevalence estimates based on the BRFSS was sometimes substantially larger than the NHIS estimates for the same time period1. For similar time periods, the modeled estimates may be closer to the true value.

    See the Data Type Explanation.

    The model uses multiple years (2008-2010) to provide reasonable sample sizes (mainly for estimates at the county level), and needs at least two years of data from each survey. For the screening questions, data actually came from year 2008 and 2010. For smoking, data came from each year of 2008 to 2010.

    1 Davis WW, Parsons VL, Xie D, Schenker N, Town M, Raghunathan TE, Feuer EJ. State-based estimates of mammography screening rates based on information from two health surveys. Public Health Rep 2010 Jul-Aug;125(4):567-578. [Access article]

Data Options

Screening and Risk Factors Report by State
(Directly Estimated 2018 BRFSS Data)

FOBT in last year and/or flex sig in last 5 years and FOBT in last 3 years and/or colonoscopy in last 10 years
All Races (includes Hispanic), Both Sexes, Ages 50-75
Healthy People 2020 Objective Number: C-16
Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines

Sorted by Percent
State
 sort alphabetically by name ascending
Met
Objective
of 70.5%?1
Percent 2
(95% Confidence Interval)
 sort by percent descending
Number of Respondents with Screening or Risk Factor
United States No 69.7 N/A
Puerto Rico No 55.98 (53.41, 58.55) 1,253
Wyoming No 58.82 (56.41, 61.23) 1,485
Texas No 59.76 (56.25, 63.27) 3,048
Alaska No 60.01 (56.21, 63.81) 866
Nevada No 60.61 (56.53, 64.69) 950
Mississippi No 62.56 (60.19, 64.93) 1,848
Oklahoma No 62.67 (60.26, 65.08) 1,605
Montana No 64.46 (61.93, 66.99) 1,697
New Mexico No 64.67 (62.40, 66.94) 2,095
Arkansas No 66.60 (64.07, 69.13) 1,825
Illinois No 66.74 (64.41, 69.07) 1,579
Idaho No 67.05 (64.05, 70.05) 1,147
North Dakota No 67.05 (64.84, 69.26) 2,018
Ohio No 67.24 (65.53, 68.95) 4,436
Kansas No 67.27 (65.72, 68.82) 3,516
Arizona No 67.44 (64.97, 69.91) 2,516
New Jersey No 67.59 (63.32, 71.86) 922
West Virginia No 68.13 (65.97, 70.29) 1,889
Indiana No 68.23 (66.33, 70.13) 2,517
Georgia No 68.35 (66.55, 70.15) 2,801
Nebraska No 68.71 (67.10, 70.32) 4,571
Colorado No 68.87 (67.13, 70.61) 2,738
South Dakota No 69.09 (66.29, 71.89) 2,402
Tennessee No 69.13 (66.54, 71.72) 1,645
Louisiana No 69.28 (66.69, 71.87) 1,549
Kentucky No 69.61 (67.12, 72.10) 3,041
Missouri No 69.72 (67.41, 72.03) 2,152
New York No 70.00 (68.51, 71.49) 11,241
Utah No 70.05 (68.23, 71.87) 2,704
Virginia No 70.12 (68.34, 71.90) 3,596
Alabama No 70.38 (68.32, 72.44) 2,384
Florida No 70.42 (68.19, 72.65) 4,953
South Carolina Yes 70.96 (69.35, 72.57) 4,123
Iowa Yes 71.49 (69.96, 73.02) 2,984
California Yes 71.56 (69.64, 73.48) 3,117
North Carolina Yes 71.66 (69.09, 74.23) 1,454
Vermont Yes 71.76 (69.72, 73.80) 2,513
Pennsylvania Yes 71.86 (69.63, 74.09) 1,985
Washington Yes 72.16 (70.63, 73.69) 4,436
Oregon Yes 72.45 (70.22, 74.68) 1,898
Maryland Yes 72.51 (71.10, 73.92) 6,540
Delaware Yes 73.04 (70.84, 75.24) 1,790
Minnesota Yes 73.61 (72.39, 74.83) 5,867
District of Columbia Yes 73.81 (71.34, 76.28) 1,489
Michigan Yes 74.65 (73.04, 76.26) 3,620
Hawaii Yes 75.15 (73.19, 77.11) 2,724
New Hampshire Yes 75.20 (73.22, 77.18) 2,364
Wisconsin Yes 75.21 (72.82, 77.60) 1,794
Connecticut Yes 75.42 (73.83, 77.01) 4,183
Rhode Island Yes 75.71 (73.50, 77.92) 2,199
Maine Yes 75.83 (74.18, 77.48) 4,619
Massachusetts Yes 77.10 (75.12, 79.08) 2,322
Notes:
Created by statecancerprofiles.cancer.gov on 10/28/2021 2:01 am.

1 Healthy People 2020 Objectives are managed by the Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services.
2 2018 BRFSS Survey Data is the source for this data collected by the Behavioral Risk Factor Surveillance System (BRFSS) sponsored by the Centers for Disease Control and Prevention. Data for the US is a median and not a percent.

BRFSS Prevalence estimates presented here may vary from other published estimates due to differences in the methodology used to generate estimates.

Note: Healthy People 2020 Objectives are age-adjusted to the year 2000 standard population while these estimates are not age-adjusted.
Data for United States does not include Puerto Rico.

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