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 2020 BRFSS Data)

Current Smoker
All Races (includes Hispanic), Both Sexes, Ages 18+
Healthy People 2020 Objective Number: TU-1.1
Reduce tobacco use by adults: Cigarette smoking

Sorted by Name
State
 sort alphabetically by name ascending
Met
Objective
of 12.0%?1
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States No 15.5 N/A
Wyoming No 18.46 (16.74, 20.18) 637
Wisconsin No 15.48 (13.95, 17.01) 682
West Virginia No 22.57 (21.20, 23.94) 1,157
Washington Yes 11.48 (10.72, 12.24) 1,350
Virginia No 13.64 (12.66, 14.62) 1,188
Vermont No 13.27 (11.94, 14.60) 731
Utah Yes 8.15 (7.41, 8.89) 737
Texas No 13.20 (11.97, 14.43) 1,585
Tennessee No 19.49 (17.82, 21.16) 823
South Dakota No 17.77 (15.48, 20.06) 1,053
South Carolina No 18.12 (16.47, 19.77) 577
Rhode Island No 13.46 (12.01, 14.91) 626
Puerto Rico Yes 9.94 (8.55, 11.33) 430
Pennsylvania No 15.77 (14.48, 17.06) 785
Oregon No 13.35 (12.25, 14.45) 664
Oklahoma No 19.09 (17.62, 20.56) 798
Ohio No 19.29 (18.33, 20.25) 2,680
North Dakota No 17.35 (15.63, 19.07) 599
North Carolina No 16.51 (15.28, 17.74) 861
New York Yes 11.99 (11.21, 12.77) 1,650
New Mexico No 16.06 (14.51, 17.61) 910
New Jersey Yes 10.83 (10.03, 11.63) 1,091
New Hampshire No 13.87 (12.58, 15.16) 703
Nevada No 14.24 (12.42, 16.06) 366
Nebraska No 13.94 (13.08, 14.80) 1,866
Montana No 16.39 (15.17, 17.61) 883
Missouri No 17.76 (16.66, 18.86) 1,492
Mississippi No 20.10 (18.69, 21.51) 1,023
Minnesota No 13.85 (13.18, 14.52) 2,111
Michigan No 18.38 (17.11, 19.65) 1,017
Massachusetts Yes 11.07 (9.97, 12.17) 663
Maryland Yes 10.89 (10.11, 11.67) 1,520
Maine No 16.53 (15.33, 17.73) 1,442
Louisiana No 18.29 (16.74, 19.84) 736
Kentucky No 21.38 (19.67, 23.09) 729
Kansas No 16.61 (15.63, 17.59) 1,421
Iowa No 15.76 (14.84, 16.68) 1,300
Indiana No 19.39 (18.29, 20.49) 1,382
Illinois No 12.70 (11.29, 14.11) 424
Idaho No 13.65 (12.40, 14.90) 776
Hawaii Yes 11.60 (10.54, 12.66) 797
Georgia No 15.79 (14.50, 17.08) 1,280
Florida No 14.69 (13.22, 16.16) 1,739
District of Columbia Yes 11.34 (9.83, 12.85) 320
Delaware No 15.14 (13.49, 16.79) 534
Connecticut Yes 11.85 (10.77, 12.93) 1,002
Colorado No 12.37 (11.59, 13.15) 1,115
California Yes 8.88 (7.72, 10.04) 383
Arkansas No 20.46 (18.79, 22.13) 793
Arizona No 13.12 (12.16, 14.08) 1,308
Alaska No 17.98 (16.02, 19.94) 588
Alabama No 18.47 (17.00, 19.94) 805
Notes:
Created by statecancerprofiles.cancer.gov on 05/19/2022 5:01 pm.

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 2020 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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