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)

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 12.1 N/A
West Virginia 20.4 (18.8, 22.0) 732
Tennessee 17.0 (15.5, 18.4) 898
Oklahoma 15.8 (14.7, 17.0) 900
Louisiana 15.7 (14.4, 17.0) 797
Mississippi 15.6 (14.1, 17.2) 574
Alaska 15.3 (14.0, 16.7) 757
Missouri 15.3 (14.1, 16.5) 1,040
South Dakota 15.2 (12.9, 17.6) 814
Arkansas 15.0 (13.7, 16.3) 686
Ohio 15.0 (14.0, 15.9) 1,772
Indiana 14.5 (13.6, 15.3) 1,374
Alabama 14.2 (12.8, 15.6) 548
Nevada 14.2 (11.5, 16.9) 308
Maine 14.0 (13.0, 15.0) 1,441
Wyoming 14.0 (12.6, 15.4) 486
Kansas 13.9 (12.9, 14.9) 1,221
Iowa 13.7 (12.8, 14.6) 1,143
Michigan 13.6 (12.6, 14.7) 1,114
North Dakota 13.4 (12.1, 14.6) 606
North Carolina 13.2 (11.6, 14.9) 485
Montana 12.4 (11.3, 13.4) 826
Minnesota 12.2 (11.4, 13.0) 1,712
New Mexico 12.2 (10.4, 14.0) 358
Nebraska 12.1 (11.3, 12.9) 1,495
South Carolina 12.1 (11.1, 13.1) 1,002
Georgia 12.0 (10.9, 13.1) 853
Wisconsin 12.0 (11.2, 12.8) 1,376
Delaware 11.4 (10.0, 12.7) 427
Texas 11.3 (10.1, 12.5) 1,022
Vermont 11.3 (10.1, 12.6) 656
Virginia 10.9 (9.7, 12.0) 666
Illinois 10.8 (9.5, 12.1) 503
Oregon 10.6 (9.6, 11.7) 608
Florida 10.5 (9.4, 11.7) 1,448
Idaho 10.4 (9.3, 11.4) 704
New Hampshire 10.4 (9.2, 11.6) 517
Colorado 10.2 (9.3, 11.0) 793
Arizona 10.0 (9.2, 10.8) 1,124
District of Columbia 9.8 (7.9, 11.6) 225
Massachusetts 9.8 (8.8, 10.8) 817
Rhode Island 9.5 (8.4, 10.6) 514
New York 9.3 (8.6, 10.0) 1,606
Maryland 9.1 (8.4, 9.9) 1,494
New Jersey 9.1 (8.2, 10.0) 765
Hawaii 9.0 (8.1, 10.0) 706
Washington 9.0 (8.5, 9.5) 2,183
Puerto Rico 8.7 (7.5, 9.9) 341
California 8.5 (7.8, 9.2) 992
Connecticut 8.4 (7.5, 9.3) 740
Utah 6.0 (5.3, 6.6) 658
Kentucky * *
Pennsylvania * *
Notes:
Created by statecancerprofiles.cancer.gov on 01/19/2025 2:58 pm.

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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