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. Author manuscript; available in PMC: 2016 Jul 15.
Published in final edited form as: Am J Epidemiol. 2015 May 7;182(2):127–137. doi: 10.1093/aje/kwv002

Table 1.

Comparisons of Direct State-Level and County-Level Estimates of the Prevalence of Selected Health Indicators Among Adults Aged ≥18 Years With Weighted and Unweighted Model-Based Estimates, Behavioral Risk Factor Surveillance System, United Statesa, 2011

Indicator and
Type of Estimate
ρb No.c Prevalence Estimate, %
Minimum Quartile 1 Median Quartile 3 Maximum IQRd Rangee
State Level
COPD
    Directf 51 4.01 5.22 6.06 7.68 9.85 2.46 5.84
    Weightedg 0.997 51 4.11 5.28 6.07 7.60 9.85 2.32 5.73
    Unweightedh 0.970 51 3.74 5.02 5.84 7.29 9.23 2.26 5.49
Current smoking
    Direct 51 11.84 19.11 21.21 23.03 28.99 3.92 17.15
    Weighted 0.998 51 12.18 19.16 21.32 23.26 28.94 4.10 16.76
    Unweighted 0.970 51 11.39 17.50 19.12 21.63 25.99 4.13 14.60
Diabetes
    Direct 51 6.69 8.42 9.51 10.38 12.35 1.96 5.66
    Weighted 0.994 51 6.65 8.45 9.48 10.17 12.39 1.72 5.74
    Unweighted 0.945 51 6.32 8.23 8.99 9.88 12.61 1.65 6.29
Obesityi
    Direct 51 20.71 25.10 27.82 29.65 34.90 4.54 14.18
    Weighted 0.997 51 20.67 25.20 27.52 29.39 34.82 4.19 14.15
    Unweighted 0.980 51 19.79 24.06 27.11 29.10 33.75 5.04 13.97
Uninsuredj
    Direct 51 7.73 15.61 21.27 24.95 34.62 9.35 26.90
    Weighted 0.999 51 7.77 15.62 21.04 24.72 34.44 9.10 26.67
    Unweighted 0.984 51 6.73 14.91 18.58 22.50 31.55 7.58 24.82
County Levelk
COPD
    Direct 569 0.00 5.18 6.88 9.37 33.20 4.19 33.20
    Weighted 0.941 569 2.28 5.47 6.86 8.71 18.82 3.24 16.54
    Unweighted 0.852 569 2.77 5.23 6.60 8.04 17.08 2.81 14.31
Current smoking
    Direct 1,232 0.00 18.45 23.05 28.34 55.49 9.89 55.49
    Weighted 0.957 1,232 8.54 19.21 23.16 27.18 46.68 7.97 38.14
    Unweighted 0.787 1,232 8.09 18.24 21.14 24.03 44.17 5.80 36.08
Diabetes
    Direct 886 2.99 8.39 10.16 12.91 28.37 4.52 25.37
    Weighted 0.854 886 3.97 8.66 10.10 11.92 20.98 3.27 17.01
    Unweighted 0.738 886 4.47 8.41 9.80 11.44 19.88 3.03 15.41
Obesity
    Direct 1,492 7.03 25.08 29.57 34.68 69.04 9.59 62.01
    Weighted 0.929 1,492 13.35 26.22 29.82 33.32 51.59 7.10 38.24
    Unweighted 0.731 1,492 13.77 26.24 29.02 31.73 45.41 5.49 31.64
Uninsured
    Direct 873 4.28 17.78 23.56 29.83 63.45 12.05 59.18
    Weighted 0.960 873 4.69 18.43 23.52 28.93 60.89 10.50 56.20
    Unweighted 0.847 873 5.18 17.11 21.42 25.67 62.47 8.56 57.29

Abbreviations: BRFSS, Behavioral Risk Factor Surveillance System; COPD, chronic obstructive pulmonary disease; IQR, interquartile range.

a

All 50 states and the District of Columbia.

b

Pearson correlation coefficient.

c

Number of states or counties included in comparison.

d

Third quartile minus first quartile.

e

Difference between the maximum and minimum values.

f

BRFSS direct survey estimates.

g

Small area estimates based on the multilevel prevalence models with the BRFSS survey weights in the model-fitting.

h

Small area estimates based on the multilevel prevalence models without the BRFSS survey weights in the model-fitting.

i

Obesity was defined as body mass index (weight (kg)/height (m)2) ≥30.

j

Percentage of adults aged 18–64 years without health insurance.

k

Limited to counties with at least 50 respondents and their BRFSS direct survey estimates with a coefficient of variation less than 0.30.