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</head>
<body lang="EN-US" link="blue" vlink="purple">
<div class="WordSection1">
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri","sans-serif"">Dear colleagues:
<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri","sans-serif""> <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri","sans-serif"">Every other year for the past eight, Health Promotion and Chronic Disease Prevention (HPCDP) has pulled together a dataset based on the annual Behavioral Risk Factor Surveillance System (BRFSS)
survey from which estimates for all counties can be calculated. The most recent version includes data from 2008 through 2011. These data were released last week on HPCDP's website
<a href="http://public.health.oregon.gov/DiseasesConditions/ChronicDisease/Pages/pubs.aspx#data">
http://public.health.oregon.gov/DiseasesConditions/ChronicDisease/Pages/pubs.aspx#data</a>.<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri","sans-serif"">For your convenience, these tables are designed to be self-contained. What does that mean?
<i>Please read the fine print below</i>. We hope you are able to use these tables in your work to advance efforts to improve health in your communities. If you have any questions or comments, please direct them to your TPEP or Healthy Communities liaison.
<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri","sans-serif"">Sincerely, <o:p>
</o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><b><span style="font-family:"Bradley Hand ITC"">Stacey Schubert, MPH
</span></b><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif""><img border="0" width="83" height="41" id="_x0000_i1025" src="rtfimage://"></span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:7.5pt;font-family:"Tahoma","sans-serif"">Senior Research Analyst/Surveillance Lead | Health Promotion and Chronic Disease Prevention | Public Health Division | Oregon Health Authority | 800 NE Oregon St, Suite 730
| Portland, OR 97232 | Phone: 971/673-1099 | Mobile: 971/255-6731 | web: <a href="http://www.oshd.org/hpcdp">
www.oshd.org/hpcdp</a><br>
<br>
</span><i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">Every day 19 Oregonians die from a tobacco-related disease</span></i><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif""><img border="0" width="83" height="41" id="_x0000_i1026" src="rtfimage://"></span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">THE FINE PRINT</span></b><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l8 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">You can and should compare numbers found in these tables to other numbers found in these tables, but not to any other numbers! Here are some examples:
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l4 level1 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">DO compare your county's asthma prevalence to the state's asthma prevalence
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l4 level1 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">DO rank order the state's chronic conditions prevalence from high to low (high blood cholesterol, high blood pressure, arthritis, etc.)<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l4 level1 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">DON'T compare your county's asthma prevalence to the Oregon's 2011 asthma prevalence<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l4 level1 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">DON'T compare 2008-2011 county data to 2006-2009 county data
<o:p></o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l7 level1 lfo3">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">You can determine from symbols in the table whether your county's prevalence is
<u>statistically</u> higher than, lower than, or no different than, all other counties combined. Here are some example:
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l1 level1 lfo4">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">Douglas County has a higher prevalence of arthritis than all other counties combined
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l1 level1 lfo4">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">Malheur and Multnomah Counties each have lower prevalences of arthritis than all other counties combined
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l1 level1 lfo4">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">The remaining counties each have a prevalence of arthritis that is no different than all other counties combined
<o:p></o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""> </span><span style="font-family:"Calibri","sans-serif""><o:p></o:p></span></p>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;text-indent:-.25in;mso-list:l5 level1 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">There are two figures shown for almost all measures for every county. These are "unadjusted" and "age-adjusted" numbers. What follows is a description of when
to use one versus the other. <o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">Use unadjusted numbers when portraying the degree to which a disease or behavior exists in a county:
<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">"6.6% of Josephine County adults reported having had a heart attack." (A powerful next step is to multiply this percentage by the number of adults in your
county to convert to <u>people</u>). <o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">Use age-adjusted numbers when comparing among counties or to the state:<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">"4.9% of Josephine County adults reported having had a heart attack, compared with 4.4% in Curry, 4.7% in Douglas, and 3.1% in Jackson, counties with which
it shares a border (estimates are age-adjusted)." <o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">For some measures, data are not shown for some counties. This happens when statistical testing has determined that the calculated number is not reliable enough
to report. For some measures, data are depicted, but with a warning. In this case statistical testing has determined that the calculated number is not reliable enough to report without warning.<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">Additional physical activity and nutrition measures will be added to Table II in the future. A release date has not been determined.
<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Arial Narrow","sans-serif"">A special note to those who are familiar with the BRFSS and changes to it in the past few years: these data represent landline phones only and use "classic
weighting." This is the LAST county combined dataset for which this will be true. If you don't know what this means, don't worry about it unless you really want to expand your knowledge base.
<o:p></o:p></span></p>
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