Page 16 - Delaware Medical Journal - September 2017

TABLE 2. Prevalence of Chronic Obstructive Pulmonary Disease (COPD), current Asthma and Asthma/COPD overlap syndrome (ACOS) among adults aged ≥18 years, by state — Behavioral Risk Factor Surveillance System, United States, 2015
Characteristic COPD Current Asthma ACOS % %(95%CI) % (95%CI) (95%CI)
Characteristic COPD Current Asthma ACOS % %(95%CI) % (95%CI) (95%CI)
State/Area 6.2 (6.1- 6.4) 8.8 (8.6-8.9) 2.2 (2.1- 2.3)
Montana 5.7 (5.0-6.4) 8.8 (7.7-9.9) 2.1 (1.6 -2.6)
Alabama 10.5 (9.6-11.4) 9.8 (8.9-10.7) 3.9 ( 3.3-4.5)
Nebraska 5.4 (5.0-5.8) 7.1 (6.5- 7.7) 1.5 (1.3-1.7)
Alaska 4.0 (3.1-4.9) 9.2 (7.4- 10.9) 1.3 (0.7-1.9)
Nevada 6.5 (5.3-7.8) 8.1 (6.6- 9.5) 1.6 (1.0-2.2)
Arizona 6.4 (5.7-7.0) 9.2 (8.3-10.1) 1.9 (1.5-2.2)
New 6.6 (5.8-7.4) 10.0 (9.0-11.1) 2.3 (1.9-2.7) Hampshire
Arkansas 9.7 (8.4-11.0) 10.0 (8.5-11.4) 3.9 (3.1-4.8)
California 4.0 (3.6-4.4) 7.6(7.0- 8.2) 1.5 (1.2-1.7)
New Jersey 5.0 (4.4-5.5) 7.2 (6.5-7.9) 1.7 (1.3-2.0)
Colorado 4.3 (3.9-4.7) 8.9 (8.2-9.7) 1.3 (1.1-1.5)
New Mexico 6.0 (5.3-6.8) 9.8 (8.8-10.9) 2.1 (1.7-2.6)
Connecticut 5.1 (4.6- 5.6) 10.4 (9.6-11.2) 2.3 (1.9-2.7)
New York 5.7 (5.2-6.2) 9.8 (9.1-10.5) 2.0 (1.7-2.3)
Delaware 7.1 (6.0-8.1) 9.2 (7.9-10.5) 2.0 (1.5-2.5)
North Carolina 7.4 (6.6-8.1) 8.1 (7.3-9.0 2.5 (2.1-3.0)
District of 5.2 (4.2-6.3) 10.4 (8.6-12.3) 2.2 (1.5-2.9) Columbia
North Dakota 5.1 (4.3-5.8) 8.9 (7.8-10.0 2.0 (1.5-2.4)
Ohio 7.9 (7.2-8.6) 9.9 (9.0-10.9) 2.7 (2.3-3.1)
Florida 6.9 (6.3-7.5) 7.4 (6.7-8.1) 2.3 (2.0-2.7)
Oklahoma 8.6 (7.7- 9.5) 9.4 (8.4-10.5) 3.1 (2.5-3.7)
Georgia 6.9 (6.1-7.7) 9.2 (8.0-10.3) 2.6 (2.1-3.1)
Oregon 5.6 (4.9-6.2) 11.1(10.0-12.2) 2.4 (1.9-2.9)
Hawaii 4.3 (3.7-4.9) 9.9 (8.9-10.9) 1.6 (1.1-2.0)
Pennsylvania 7.0 (6.1- 7.8) 10.1 (9.0-11.2) 2.7 (2.1-3.3)
Idaho 4.8 (4.1-5.6) 9.0 (7.9-10.1) 1.7 (1.3- 2.1)
Rhode Island 6.2 (5.4-7.0) 10.9 (9.7-12.0) 2.1(1.6- 2.5)
Illinois 5.7 (5.0-6.5) 8.4 (7.4-9.3) 1.7 (1.2-2.1)
South Carolina 7.2 (6.6- 7.8) 8.1 (7.4- 8.8) 2.5 (2.2-2.9)
Indiana 7.9 (7.0-8.8) 10.1 (8.9-11.3) 2.8 (2.3-3.3)
South Dakota 5.6 (4.7-6.5) 8.3 (7.1-9.6) 1.8 (1.2-2.3)
Iowa 5.7(5.0- 6.4) 7.5 (6.7-8.4) 1.5 (1.2-1.8)
Tennessee 9.5 (8.5-10.5) 8.9 (7.8-10.0) 3.1 (2.5- 3.7)
Kansas 6.1 (5.8- 6.5) 8.6 (8.1-9.0) 2.0 (1.8-2.2)
Texas 5.1 (4.5- 5.7) 7.5 (6.7-8.3) 1.6 (1.4- 1.9)
Kentucky 12.0 (10.9- 11.8 (10.5-13.0) 5.0 (4.3-5.8) 13.1)
Utah 3.7 (3.2- 4.1) 9.0 (8.3- 9.6) 1.4 (1.1-1.6)
Vermont 6.2 (5.4- 6.9) 10.9 (9.9-11.9) 2.5 (2.0-3.1)
Louisiana 7.5 (6.7-8.4) 8.1 (7.0- 9.2) 2.5 (2.0- 3.0)
Virginia 5.7 (5.2-6.3) 7.8 (7.1-8.6) 1.8 (1.5-2.1)
Maine 8.1 (7.3-8.8) 11.2 (10.2-12.1) 3.0 (2.5-3.4)
Washington 6.1 (5.6- 6.6) 9.3 (8.7-9.9) 2.3 (2.0-2.6)
Maryland 6.1 (5.3-6.8) 8.7 (7.7-9.7) 2.2 (1.7- 2.6)
West Virginia 13.3 (12.3- 10.8 (9.9-11.7) 5.0 (4.4- 5.7) 14.3)
Massachusetts 5.6 (5.0-6.3) 10.1 (9.2-10.9) 2.0 (1.6-2.3)
Michigan 7.6 (7.0-8.3) 10.1 (9.3-10.9) 2.7 (2.3-3.1)
Wisconsin 4.7 (4.0- 5.3) 9.5 (8.4-10.6) 1.9 (1.5- 2.3)
Minnesota 4.5 (4.1-4.8) 7.3 (6.8-7.8) 1.4 (1.2-1.6)
Wyoming 7.2 (6.2- 8.2) 7.9 (6.7- 9.0) 2.0 (1.5- 2.5)
Mississippi 7.7 (6.8-8.7) 7.7 (6.7-8.8) 2.4 (1.9-2.9)
Guam 3.5 (2.2- 4.7) 6.5 (4.6- 8.3) 0.7 (0.2- 1.3)
Missouri 8.3 (7.4-9.2) 9.5 (8.5-10.6) 3.1 (2.5-3.8)
Puerto Rico 4.0 (3.4-4.6) 10.2 (9.2-11.2) 1.8 (1.4-2.2)
(COPD) overlap syndrome (ACOS) by state and by select sociodemographic groups among U.S. adults.
METHODS
Data source
BRFSS is a cross-sectional telephone survey of the civilian, non- institutionalized adult population aged 18
years or older, conducted by the Centers for Disease Control and Prevention and state health departments. Established in 1984 with 15 states, BRFSS now collects data in all 50 states, as well as the District of Columbia and three U.S. territories, regarding health-related risk behaviors, chronic health conditions, and use of preventive services. BRFSS completes more than 400,000 adult interviews each year, making it the largest continuously
conducted health survey system in the world. The BRFSS questionnaire is designed to include a core set of questions used by all states and an additional set sponsored by each state that may be derived from optional modules developed by CDC or other appropriate sources.
By collecting behavioral health risk data at the state and local level, BRFSS has become a powerful data source for chronic disease surveillance.8
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Del Med J | September 2017 | Vol. 89 | No. 9