TABLE 5. Crude and age-standardized* prevalence estimates of selected clinical preventive services use among adults, by federal poverty level, state Medicaid expansion status, and expanded geographic regions — Behavioral Risk Factor Surveillance System, United States, 2014.
| Category |
Colorectal cancer screening† |
HIV test§ |
Influenza vaccination¶ |
|||
|---|---|---|---|---|---|---|
| Crude |
Age standardized |
Crude |
Age standardized |
Crude |
Age standardized |
|
| %** (95% CI) |
% (95% CI) |
% (95% CI) |
% (95% CI) |
% (95% CI) |
% (95% CI) |
|
| State Medicaid expansion status | ||||||
|
Medicaid expansion states††
| ||||||
| <100 of FPL |
46.8 (43.9–49.6) |
46.8 (44.0–49.7) |
48.5 (47.0–50.0) |
49.1 (47.6–50.6) |
29.5 (28.2–30.9) |
29.9 (28.6–31.3) |
| ≥100%–≤400% of FPL |
56.5 (55.2–57.9) |
55.2 (53.8–56.5) |
43.0 (42.1–43.9) |
43.9 (43.0–44.9) |
30.9 (30.1–31.7) |
30.2 (29.4–31.1) |
| >400% of FPL |
70.0 (69.0–71.0) |
69.6 (68.5–70.6) |
39.4 (38.6–40.2) |
40.6 (39.7–41.5) |
41.0 (40.3–41.8) |
39.4 (38.5–40.3) |
| Unknown |
62.1 (60.2–63.9) |
60.9 (59.0–62.8) |
37.8 (36.5–39.0) |
41.5 (40.3–42.8) |
31.6 (30.4–32.8) |
32.0 (30.8–33.2) |
|
Medicaid nonexpansion states§§
| ||||||
| <100 of FPL |
43.9 (41.5–46.3) |
43.8 (41.5–46.2) |
52.3 (51.0–53.7) |
52.4 (51.1–53.7) |
26.3 (25.2–27.4) |
26.5 (25.4–27.6) |
| ≥100%–≤400% of FPL |
56.3 (55.2–57.5) |
55.2 (54.0–56.3) |
42.9 (42.1–43.7) |
44.0 (43.2–44.8) |
31.4 (30.7–32.1) |
30.8 (30.1–31.5) |
| >400% of FPL |
68.6 (67.5–69.6) |
67.9 (66.9–69.0) |
38.4 (37.6–39.2) |
39.0 (38.1–39.9) |
40.6 (39.9–41.4) |
39.1 (38.2–40.0) |
| Unknown |
56.3 (54.2–58.5) |
54.7 (52.5–56.9) |
34.4 (33.0–35.8) |
38.7 (37.1–40.2) |
30.7 (29.4–32.0) |
30.5 (29.2–31.9) |
|
Expanded geographic regions¶¶
| ||||||
|
New England
| ||||||
| <100 of FPL |
57.7 (52.4–62.9) |
57.7 (52.4–62.9) |
50.6 (47.4–53.8) |
51.9 (48.9–54.8) |
31.5 (28.7–34.5) |
31.9 (29.1–34.8) |
| ≥100%–≤400% of FPL |
65.9 (63.7–68.0) |
64.8 (62.6–67.0) |
42.4 (40.7–44.0) |
44.3 (42.5–46.1) |
36.1 (34.6–37.7) |
35.0 (33.4–36.7) |
| >400% of FPL |
77.5 (76.0–79.0) |
77.2 (75.6–78.7) |
37.6 (36.3–39.0) |
40.3 (38.7–41.8) |
44.9 (43.6–46.3) |
43.9 (42.2–45.6) |
| Unknown |
67.3 (64.1–70.3) |
66.3 (63.0–69.5) |
41.3 (39.2–43.4) |
44.0 (42.0–46.0) |
35.9 (34.0–37.9) |
36.6 (34.7–38.5) |
|
Middle Atlantic
| ||||||
| <100 of FPL |
53.4 (48.6–58.0) |
53.3 (48.7–57.8) |
58.0 (55.2–60.7) |
58.0 (55.2–60.6) |
31.9 (29.4–34.5) |
32.1 (29.7–34.6) |
| ≥100%–≤400% of FPL |
58.5 (56.1–60.8) |
57.5 (55.1–60.0) |
47.7 (46.0–49.4) |
48.7 (47.0–50.4) |
29.8 (28.3–31.3) |
29.0 (27.5–30.5) |
| >400% of FPL |
68.9 (67.1–70.6) |
68.6 (66.8–70.3) |
42.8 (41.5–44.2) |
44.2 (42.6–45.7) |
39.4 (38.1–40.8) |
37.8 (36.3–39.3) |
| Unknown |
60.5 (56.5–64.3) |
59.5 (55.5–63.5) |
39.6 (36.9–42.4) |
44.5 (41.6–47.4) |
33.6 (31.2–36.2) |
33.1 (30.6–35.7) |
|
East North Central
| ||||||
| <100 of FPL |
46.7 (41.6–51.8) |
47.1 (42.2–52.1) |
49.2 (46.3–52.2) |
49.6 (46.7–52.4) |
27.7 (25.2–30.4) |
28.3 (25.8–31.0) |
| ≥100%–≤400% of FPL |
56.8 (54.6–59.0) |
55.5 (53.2–57.8) |
34.5 (33.0–36.1) |
36.0 (34.4–37.6) |
30.5 (29.1–32.0) |
29.8 (28.4–31.3) |
| >400% of FPL |
67.5 (65.7–69.3) |
67.2 (65.3–69.0) |
29.4 (28.0–30.8) |
30.7 (29.2–32.2) |
40.3 (38.8–41.7) |
38.7 (37.1–40.4) |
| Unknown |
60.5 (57.8–63.1) |
59.9 (57.2–62.6) |
37.4 (35.6–39.2) |
40.6 (38.8–42.5) |
28.2 (26.6–29.8) |
28.3 (26.7–29.9) |
|
West North Central
| ||||||
| <100 of FPL |
45.0 (40.3–49.8) |
45.1 (40.4–49.9) |
44.8 (42.4–47.2) |
46.1 (43.8–48.4) |
33.3 (31.1–35.6) |
34.2 (32.0–36.5) |
| ≥100%–≤400% of FPL |
54.4 (52.5–56.2) |
53.1 (51.2–55.0) |
33.9 (32.7–35.2) |
34.8 (33.6–36.1) |
34.3 (33.2–35.5) |
33.7 (32.5–34.9) |
| >400% of FPL |
69.8 (68.3–71.2) |
69.3 (67.8–70.7) |
28.2 (27.1–29.4) |
29.3 (28.0–30.6) |
45.1 (43.9–46.3) |
43.5 (42.1–44.9) |
| Unknown |
59.2 (55.8–62.5) |
57.9 (54.4–61.3) |
25.3 (23.1–27.5) |
30.7 (28.2–33.2) |
34.0 (31.8–36.2) |
34.7 (32.4–37.0) |
|
South Atlantic
| ||||||
| <100 of FPL |
45.4 (41.6–49.2) |
44.9 (41.3–48.7) |
56.9 (54.7–59.1) |
57.1 (55.0–59.3) |
24.0 (22.2–25.8) |
24.2 (22.4–26.0) |
| ≥100%–≤400% of FPL |
58.9 (56.9–60.8) |
57.6 (55.6–59.6) |
49.5 (48.1–50.9) |
50.8 (49.4–52.2) |
30.6 (29.4–31.8) |
30.0 (28.8–31.2) |
| >400% of FPL |
70.3 (68.5–72.1) |
69.7 (67.8–71.5) |
45.6 (44.2–47.0) |
46.2 (44.6–47.8) |
39.5 (38.2–40.8) |
38.1 (36.6–39.6) |
| Unknown |
59.1 (55.7–62.5) |
56.7 (53.2–60.1) |
41.3 (38.9–43.8) |
45.9 (43.3–48.5) |
29.0 (27.0–31.1) |
28.5 (26.5–30.7) |
|
East South Central
| ||||||
| <100 of FPL |
43.9 (39.8–48.0) |
43.6 (39.6–47.7) |
55.1 (52.3–57.9) |
54.6 (51.8–57.3) |
27.5 (25.2–29.9) |
27.8 (25.5–30.2) |
| ≥100%–≤400% of FPL |
55.5 (52.9–58.0) |
54.3 (51.7–56.9) |
44.8 (42.9–46.7) |
46.5 (44.6–48.5) |
33.8 (32.1–35.5) |
32.9 (31.2–34.7) |
| >400% of FPL |
68.0 (65.4–70.6) |
67.5 (64.9–70.1) |
36.9 (34.8–39.2) |
38.6 (36.0–41.2) |
44.1 (42.0–46.3) |
42.9 (40.4–45.4) |
| Unknown |
59.7 (55.6–63.7) |
57.5 (53.1–61.7) |
35.0 (31.9–38.2) |
38.4 (35.2–41.8) |
32.1 (29.3–34.9) |
32.3 (29.4–35.3) |
|
West South Central
| ||||||
| <100 of FPL |
38.8 (33.6–44.2) |
38.7 (33.6–44.1) |
48.0 (45.2–50.8) |
48.0 (45.2–50.8) |
26.6 (24.4–29.0) |
26.8 (24.6–29.2) |
| ≥100%–≤400% of FPL |
51.8 (48.6–54.9) |
50.3 (47.1–53.5) |
41.0 (39.1–43.0) |
41.7 (39.8–43.6) |
33.3 (31.5–35.1) |
32.9 (31.1–34.7) |
| >400% of FPL |
66.6 (63.8–69.3) |
65.8 (62.9–68.6) |
38.6 (36.6–40.7) |
38.3 (36.2–40.5) |
42.6 (40.6–44.6) |
41.4 (39.1–43.7) |
| Unknown |
47.8 (42.4–53.3) |
47.3 (41.7–52.9) |
31.7 (28.7–34.9) |
35.3 (32.0–38.8) |
31.8 (28.8–34.8) |
31.9 (28.9–35.0) |
|
Mountain
| ||||||
| <100 of FPL |
42.5 (38.7–46.4) |
42.3 (38.4–46.2) |
41.1 (39.0–43.2) |
41.9 (39.9–43.9) |
28.3 (26.6–30.2) |
29.1 (27.3–30.9) |
| ≥100%–≤400% of FPL |
51.6 (49.7–53.5) |
50.0 (48.1–51.9) |
38.1 (36.8–39.4) |
38.4 (37.2–39.7) |
30.2 (29.1–31.3) |
30.0 (28.8–31.1) |
| >400% of FPL |
66.3 (64.7–67.7) |
65.4 (63.9–66.9) |
35.9 (34.8–37.1) |
36.1 (34.8–37.4) |
38.6 (37.6–39.7) |
36.7 (35.4–38.0) |
| Unknown |
56.3 (53.1–59.4) |
53.8 (50.4–57.1) |
32.3 (30.0–34.7) |
36.3 (33.8–38.8) |
30.6 (28.6–32.7) |
30.7 (28.6–32.9) |
|
Pacific
| ||||||
| <100 of FPL |
43.1 (37.2–49.1) |
43.2 (37.3–49.3) |
44.1 (41.1–47.0) |
45.0 (42.1–48.0) |
28.1 (25.5–30.9) |
28.2 (25.7–31.0) |
| ≥100%–≤400% of FPL |
55.1 (51.6–58.6) |
53.6 (50.0–57.1) |
46.4 (44.2–48.7) |
46.9 (44.7–49.1) |
28.3 (26.5–30.3) |
27.8 (25.9–29.7) |
| >400% of FPL |
71.4 (68.6–74.0) |
70.6 (67.8–73.3) |
44.5 (42.6–46.5) |
45.3 (43.2–47.4) |
39.8 (37.9–41.7) |
38.0 (36.0–40.1) |
| Unknown |
65.9 (59.2–72.1) |
62.8 (55.7–69.3) |
32.5 (28.6–36.7) |
37.1 (32.9–41.4) |
31.4 (27.3–35.7) |
33.2 (29.1–37.5) |
|
Overall
| ||||||
| <100 of FPL |
45.4 (43.5–47.2) |
45.4 (43.5–47.2) |
50.3 (49.3–51.3) |
50.7 (49.7–51.7) |
28.0 (27.1–28.8) |
28.3 (27.4–29.2) |
| ≥100%–≤400% of FPL |
56.4 (55.5–57.3) |
55.2 (54.2–56.1) |
43.0 (42.3–43.6) |
44.0 (43.4–44.6) |
31.2 (30.6–31.7) |
30.5 (30.0–31.1) |
| >400% of FPL |
69.4 (68.6–70.1) |
68.8 (68.1–69.6) |
38.9 (38.4–39.5) |
39.9 (39.2–40.5) |
40.9 (40.3–41.4) |
39.3 (38.6–39.9) |
| Unknown | 59.5 (58.1–60.9) | 58.1 (56.7–59.5) | 36.3 (35.4–37.2) | 40.4 (39.4–41.4) | 31.2 (30.3–32.1) | 31.4 (30.5–32.3) |
Abbreviations: CI = confidence interval; FPL = federal poverty level; HIV = human immunodeficiency virus; n = sample size; N = weighted population.
* Age standardized to the 2000 projected population for the United States.
† Adults aged 50–64 years who have had a fecal occult blood test (FOBT) within the past year, or sigmoidoscopy within the past 5 years and an FOBT within the past 3 years, or colonoscopy within the past 10 years (n = 133,620, N = 57,378,775).
§ Adults aged 18–64 years ever tested for HIV (n = 269,889, N = 174,047,283).
¶ Adults aged 18–64 years who received an influenza vaccination within the preceding 12 months (n = 281,684, N = 181,381,790).
** Weighted percentage.
†† States that expanded Medicaid as of January 1, 2014 (n = 26): Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Dakota, Ohio, Oregon, Rhode Island, Vermont, Washington, and West Virginia.
§§ States that did not expand Medicaid as of January 1, 2014 (n = 25): Alabama, Alaska, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.
¶¶ Expanded geographic regions are the four census regions subdivided into nine regions. For this report, the nine census regions were modified by moving Delaware, District of Columbia, and Maryland into the Middle Atlantic region. New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. Middle Atlantic: Delaware, District of Columbia, Maryland, New Jersey, New York, and Pennsylvania. East North Central: Illinois, Indiana, Michigan, Ohio, and Wisconsin. West North Central: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota. South Atlantic: Florida, Georgia, North Carolina, South Carolina, Virginia, and West Virginia. East South Central: Alabama, Kentucky, Mississippi, and Tennessee. West South Central: Arkansas, Louisiana, Oklahoma, and Texas. Mountain: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Wyoming. Pacific: Alaska, California, Hawaii, Oregon, and Washington.