DefinitionPercentage of adults aged 18 years and older who reported fair or poor general health.
NumeratorNumber of survey respondents who reported fair or poor general health.
DenominatorTotal number of survey respondents except those with missing, "Don't know/Not sure," and "Refused" responses.
Data Interpretation IssuesQuestion Text: "Would you say that in general your health is excellent, very good, good, fair or poor?"
Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].
As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions), and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols, good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision.
Why Is This Important?Self-rated health (SRH) has been collected for many years on National Center for Health Statistics surveys and since 1993 on the state-based BRFSS. SRH is an independent predictor of important health outcomes including mortality, morbidity, and functional status. It is considered to be a reliable indicator of a person's perceived health and is a good global assessment of a person's well being.
Other ObjectivesCenters for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Chronic Disease Indicator: Self-assessed health status among adults aged 18+ years.[[br]]
The Institute of Medicine Committee on Using Performance Monitoring to Improve Community Health proposed that the proportion of adults reporting that their general health is good to excellent be included as one of 25 Community Health Profile Indicators.
How Are We Doing?In 2017, approximately 13.6% (crude rate) of Utah adults aged 18 and older reported fair or poor general health status. This means that 86.4% of Utah adults reported good, very good, or excellent general health status.
How Do We Compare With the U.S.?Between the years 1993-2017, the proportion of adults who reported fair or poor health was significantly lower in Utah than for the U.S. as a whole (age-adjusted rates). These age-adjusted rates in 2017 were 13.9% in Utah compared to 17.9% in the U.S.
What Is Being Done?The Utah Department of Health, through many programs, works to prevent avoidable illness, injury, disability, and premature death; assure access to affordable, quality health care; and to promote healthy lifestyles.