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, Ages 40+
    • Mammogram in Past 2 Years, Ages 50-75
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Had Colonoscopy in Past 10 Years, Ages 50-75
    • Guidance Sufficient CRC, Ages 50-75
    • Fecal occult blood test (FOBT), Ages 50-75
    • Smokers (current), Age 18+
    • Percent of Daily Smokers Who Stopped Smoking for 1 day or Longer in the Past 12 Months, Age 18+
    • Former Smoking Prevalence, Age 18+
    • Former Smoking Prevalence who Quit 1 Year, Age 18+
    • Percent of Workers in Non-Smoking Environments (All People)

    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 2017 through 2019 or 2018 through 2019.

    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 period. 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 2023 BRFSS Data)

Ever Smoked 100 Cigarettes
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 37.2 N/A
West Virginia 49.4 (47.6, 51.3) 2,003
Maine 45.2 (43.8, 46.5) 5,499
South Dakota 43.3 (40.2, 46.4) 2,446
Arkansas 42.7 (40.9, 44.5) 2,221
Oklahoma 42.0 (40.5, 43.5) 2,731
Tennessee 42.0 (40.2, 43.9) 2,335
Alaska 41.7 (39.9, 43.6) 2,281
Vermont 40.8 (39.1, 42.5) 3,049
Michigan 40.7 (39.3, 42.1) 4,006
Montana 40.5 (39.0, 42.1) 2,836
Wyoming 40.4 (38.5, 42.3) 1,759
Ohio 40.2 (39.0, 41.5) 5,283
Nevada 40.1 (36.9, 43.3) 1,072
Missouri 40.0 (38.5, 41.6) 2,928
New Hampshire 39.8 (38.0, 41.6) 2,796
Louisiana 39.6 (37.9, 41.4) 2,118
Indiana 39.2 (38.0, 40.4) 4,117
Wisconsin 39.1 (37.8, 40.3) 5,029
Mississippi 38.8 (36.7, 40.8) 1,490
Kansas 38.7 (37.4, 40.0) 3,743
South Carolina 38.6 (37.2, 39.9) 3,800
Alabama 38.2 (36.3, 40.1) 1,625
North Dakota 38.1 (36.4, 39.8) 2,115
Iowa 38.0 (36.7, 39.3) 3,367
North Carolina 37.2 (35.1, 39.4) 1,510
Idaho 37.0 (35.4, 38.6) 2,526
Oregon 36.9 (35.3, 38.6) 2,316
Minnesota 36.6 (35.5, 37.7) 5,838
Delaware 36.5 (34.3, 38.6) 1,641
New Mexico 36.5 (33.9, 39.1) 1,213
Florida 36.2 (34.5, 38.0) 5,372
Nebraska 35.6 (34.4, 36.7) 4,589
Arizona 35.3 (34.0, 36.6) 4,621
Colorado 35.2 (33.9, 36.5) 3,082
Rhode Island 34.9 (33.1, 36.8) 2,141
Hawaii 34.4 (32.8, 36.0) 2,864
Massachusetts 34.4 (32.9, 35.9) 3,188
Washington 34.3 (33.5, 35.1) 9,430
Illinois 34.1 (32.3, 35.9) 1,749
Virginia 33.6 (31.9, 35.3) 2,467
Connecticut 33.4 (32.0, 34.9) 3,371
New Jersey 32.4 (31.0, 33.9) 3,138
New York 32.4 (31.3, 33.5) 5,829
Texas 32.3 (30.6, 34.1) 3,372
Georgia 32.2 (30.7, 33.7) 2,797
California 29.9 (28.6, 31.1) 3,763
Maryland 29.5 (28.4, 30.6) 5,871
District of Columbia 25.8 (23.6, 28.0) 941
Puerto Rico 24.9 (23.1, 26.7) 1,037
Utah 22.1 (21.0, 23.1) 2,564
Kentucky * *
Pennsylvania * *
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2025 2:30 am.

2 2023 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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