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 2021 BRFSS Data)

Current Smoker
All Races (includes Hispanic), Both Sexes, Ages 18+

Sorted by Percent
State
 sort alphabetically by name ascending
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States 14.4 N/A
West Virginia 21.98 (20.69, 23.27) 1,180
Arkansas 21.06 (19.30, 22.82) 770
Tennessee 19.67 (18.10, 21.24) 807
Kentucky 19.60 (18.09, 21.11) 986
Mississippi 19.57 (17.83, 21.31) 696
Louisiana 19.50 (17.91, 21.09) 792
Ohio 18.00 (17.02, 18.98) 2,234
Indiana 17.33 (16.35, 18.31) 1,410
Missouri 17.26 (16.20, 18.32) 2,050
Alabama 17.23 (15.66, 18.80) 628
Alaska 17.09 (15.44, 18.74) 824
Michigan 16.99 (15.91, 18.07) 1,252
Oklahoma 16.92 (15.59, 18.25) 767
Wyoming 16.44 (14.73, 18.15) 523
Maine 15.61 (14.59, 16.63) 1,510
Kansas 15.56 (14.83, 16.29) 2,336
Nevada 15.50 (13.40, 17.60) 369
South Carolina 15.46 (14.36, 16.56) 1,213
South Dakota 15.27 (13.04, 17.50) 1,114
Georgia 15.04 (13.73, 16.35) 967
North Dakota 15.01 (13.72, 16.30) 714
Vermont 14.82 (13.49, 16.15) 772
Iowa 14.64 (13.70, 15.58) 1,292
North Carolina 14.40 (13.13, 15.67) 652
Pennsylvania 14.40 (13.24, 15.56) 877
Montana 14.39 (13.23, 15.55) 836
Minnesota 13.44 (12.73, 14.15) 1,864
Delaware 13.41 (11.78, 15.04) 414
Nebraska 13.40 (12.60, 14.20) 1,758
New Mexico 13.35 (12.21, 14.49) 826
Idaho 13.34 (12.30, 14.38) 829
Wisconsin 13.30 (11.99, 14.61) 693
Arizona 13.10 (12.12, 14.08) 1,250
Texas 13.10 (11.92, 14.28) 1,303
Virginia 12.44 (11.48, 13.40) 1,025
Oregon 12.37 (11.23, 13.51) 593
Rhode Island 12.35 (11.08, 13.62) 571
New Hampshire 12.30 (11.08, 13.52) 607
New York 12.05 (11.46, 12.64) 5,167
Illinois 12.01 (10.52, 13.50) 342
Colorado 11.98 (11.22, 12.74) 1,146
Connecticut 11.09 (10.07, 12.11) 839
Washington 10.75 (10.01, 11.49) 1,215
New Jersey 10.74 (9.76, 11.72) 778
Massachusetts 10.60 (9.62, 11.58) 735
Hawaii 10.10 (9.12, 11.08) 680
Maryland 10.10 (9.37, 10.83) 1,496
District of Columbia 9.53 (8.06, 11.00) 270
Puerto Rico 9.07 (7.74, 10.40) 319
California 8.85 (7.95, 9.75) 547
Utah 7.17 (6.50, 7.84) 679
Notes:
Created by statecancerprofiles.cancer.gov on 09/29/2023 12:49 am.

2 2021 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.

Data for United States does not include Puerto Rico.

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