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NC 2003 BRFSS Statewide BRFSS Behavioral Risk Factor Surveillance System Statewide Results - 2003 NC BRFSS Survey State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services

NC 2003 BRFSS Statewide BRFSS Behavioral Risk Factor Surveillance System Statewide Results - 2003 NC BRFSS Survey State Center for Health Statistics Division

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NC 2003 BRFSS Statewide BRFSS Behavioral Risk Factor Surveillance System Statewide Results - 2003 NC BRFSS Survey State Center for Health Statistics Division of Public Health North Carolina Department of Health and Human Services Slide 2 NC 2003 BRFSS Statewide History of the BRFSS Survey Developed by the Centers for Disease Control and Prevention (CDC) and state health departments in the early 1980s in response to the need for: 1. on-going assessment of adult health-risk behaviors and health practices; 2. provision of state and regional (and now county) estimates for targeting high-risk groups. It is the largest and longest running telephone health survey in the world. Slide 3 NC 2003 BRFSS Statewide BRFSS in the U.S., 1984 Slide 4 NC 2003 BRFSS Statewide BRFSS in the U.S., 1990 Slide 5 NC 2003 BRFSS Statewide BRFSS in the U.S., 1994 Guam Puerto Rico Virgin Islands Slide 6 NC 2003 BRFSS Statewide The 2003 North Carolina BRFSS For the 2003 survey, the North Carolina BRFSS Program conducted interviews in both English and Spanish and interviewed a total of 9,455 adults. The 2003 sample design included over-sampling of five counties and 12 regions consisting of more than 50 smaller counties to produce county or regional BRFSS estimates. In addition, estimates were produced for three, broad regions of the state: Western, Piedmont, and Eastern. The 2003 results for each question are available on the BRFSS web site by sex, race, Hispanic origin and language (English, Spanish-only), age group, education level, household income, and county and region. The 2003 data provide estimates on the health of Native Americans and Spanish-speaking only Hispanics, see: www.schs.state.nc.us/SCHS/healthstats/brfss /2003/highlights.html Slide 7 NC 2003 BRFSS Statewide Weighting the BRFSS Data BRFSS data are directly weighted for the probability of selection of a telephone number, the number of adults (18+ yrs.) in a household, and the number of phones in a household. Additional weights are developed for non-coverage, i.e. households with no telephones, and for differences between the sample characteristics and the state population characteristics. A final weight is assigned to each respondent so that the weighted proportion and weighted number of respondents by sex, age, and race matches the state population. Note: all results are based on weighted data Slide 8 NC 2003 BRFSS Statewide Standard BRFSS Data Collection Methods Ongoing monthly telephone interviews using random digit dialing Computer-assisted telephone interviewing (CATI) Probability sampling of noninstitutionalized adults (18+ years) in households with telephones Slide 9 NC 2003 BRFSS Statewide The BRFSS Questionnaire Standard Core Questions Required by CDC and asked every year by all participants. Rotating Core Questions Required by CDC and asked every other year by all participants. Emerging Core Questions Required by CDC and asked every one time by all participants. Optional Modules offered and supported by CDC Included if sponsored by state programs/agencies. State-Added Questions Developed and sponsored by state programs/agencies. Slide 10 NC 2003 BRFSS Statewide Survey Topics on the NC 2003 BRFSS Core Sections Health status Health care access Diabetes Hypertension Cholesterol Weight control Asthma Immunization Tobacco/alcohol Arthritis/disability Demographics Physical Activity Veterans status HIV/AIDs Optional Modules Diabetes Influenza Heart Attack & Stroke Cardiovascular disease Tobacco indicators Other tobacco products Binge drinking State-added Arthritis Disability & aging Tobacco tax Diabetes screening Weight loss products Violence Slide 11 NC 2003 BRFSS Statewide About this 2003 BRFSS Slide Presentation Objectives: (1) promote BRFSS data use and dissemination by North Carolina public health professionals; and (2) by mixing or selecting specific slides, presentations may be tailored or modified to suit the needs of the county/presenter. Talking points: slides include talking points to help with interpretation of the results. Survey questions: the BRFSS survey questions are quoted verbatim in the talking points. Nationwide data: for core topics, nationwide estimates (means) are provided for comparison. Calculations: only weighted data are presented and all unknowns/refusals are excluded from calculations. Slide 12 NC 2003 BRFSS Statewide About this 2002 BRFSS Presentation (cont.) Cautionary Notes: These results need to be viewed as estimates and not the actual or true value of the outcome of interest. With any estimate based on a random sample, there is a margin of error. For the 16 oversampled counties and regions the margin of error is about 5% if the question was asked of all respondents. This means that we can expect the true value to lie somewhere between the sample estimate plus or minus 5 percent. When county results are subset by age or race, for example, the margin of error increases as a function of the resulting smaller sample size. Use caution when comparing the results across counties, as the margin of error may not be the same for all counties. Slide 13 NC 2003 BRFSS Statewide Geographical Analysis Used in this Presentation In this presentation, we show the results for the featured county or region of interest with those of North Carolina, the states urban and rural counties, three regions of the state including the Western, Eastern and Piedmont regions, and the results for the United States, when BRFSS questions appear in Core Section or in standard Modules. Urban and rural counties are defined as follows: Urban counties include Buncombe, Cumberland, Davidson, Durham, Forsyth, Gaston, Guilford, Mecklenburg, Onslow and Wake. All other counties are classified as rural. Slide 14 NC 2003 BRFSS Statewide Geographical Analysis (cont.) The three regions are defined accordingly: The Western region includes Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, McDowell, Macon, Madison, Mitchell, Polk, Rutherford, Surry, Swain, Transylvania, Watauga, Wilkes, and Yancey counties. The Eastern region includes Beaufort, Bertie, Bladen, Brunswick, Camden, Carteret, Chowan, Columbus, Craven, Cumberland, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Halifax, Harnett, Hertford, Hoke, Hyde, Johnston, Jones, Lenoir, Martin, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Robeson, Sampson, Scotland, Tyrrell, Washington, Wayne, and Wilson counties. The Piedmont region includes Alamance, Alexander, Anson, Cabarrus, Caswell, Catawba, Chatham, Cleveland, Davidson, Davie, Durham, Forsyth, Franklin, Gaston, Granville, Guilford, Iredell, Lee, Lincoln, Mecklenburg, Montgomery, Moore, Mountain AHEC, Person, Randolph, Richmond, Rockingham, Rowan, Stanly, Stokes, Union, Vance, Wake, Warren, and Yadkin counties. Slide 15 NC 2003 BRFSS Statewide Contents of Presentation i. Sample Size & DemographicsSample Size & Demographics I.Health Status/Healthy DaysHealth Status/Healthy Days II.Health Care AccessHealth Care Access III.Chronic DiseasesChronic Diseases IV.DisabilityDisability V.Care for AgingCare for Aging VI.ImmunizationImmunization VII.Physical ActivityPhysical Activity VIII.Tobacco UseTobacco Use IX.Tobacco PreventionTobacco Prevention X.Rules About SmokingRules About Smoking XI.Other Tobacco ProductsOther Tobacco Products XII.Tobacco TaxTobacco Tax XIII. Risk FactorsRisk Factors XIV. HIV/AIDSHIV/AIDS XV. ObesityObesity XVI. Weight ControlWeight Control XVII. Weight Loss ProductsWeight Loss Products XVIII. Knowledge of Signs & Symptoms of Heart Attack & StrokeKnowledge of Signs & Symptoms of Heart Attack & Stroke XIX. Cardiovascular DiseaseCardiovascular Disease XX. Excess Sun ExposureExcess Sun Exposure XXI. Binge DrinkingBinge Drinking XXII. FallsFalls XXIII. Physical AssaultPhysical Assault XXIV. 2003 BRFSS Tracked HP2010 Objectives2003 BRFSS Tracked HP2010 Objectives Slide 16 NC 2003 BRFSS Statewide i. Sample Size & Demographics Slide 17 NC 2003 BRFSS Statewide 2003 BRFSS Sample Size Slide 18 NC 2003 BRFSS Statewide 2003 BRFSS Sample Demographic Characteristics: North Carolina & U.S. *weighted percentages Slide 19 NC 2003 BRFSS Statewide 2003 BRFSS Sample Demographic Characteristics (cont.) *weighted percentages Slide 20 NC 2003 BRFSS Statewide 2003 BRFSS Sample Demographic Characteristics (cont.) *weighted percentages Slide 21 NC 2003 BRFSS Statewide 2003 BRFSS Sample Demographic Characteristics (cont.) *weighted percentages Slide 22 NC 2003 BRFSS Statewide I. Health Status/Healthy Days Perceived Fair/Poor Health Poor Physical Health Days Poor Mental Health Days Restricted Activity Days I. Health Status/Healthy Days Slide 23 NC 2003 BRFSS Statewide Perceived Fair or Poor Health I. Health Status/Healthy Days Slide 24 NC 2003 BRFSS Statewide Perceived Fair/Poor Health by Sex, Race, & Ethnicity: NC & US % I. Health Status/Healthy Days Slide 25 NC 2003 BRFSS Statewide Perceived Fair/Poor Health by Age: NC & US % I. Health Status/Healthy Days Slide 26 NC 2003 BRFSS Statewide Perceived Fair/Poor Health by Education and Household Income:NC & US % I. Health Status/Healthy Days Slide 27 NC 2003 BRFSS Statewide Poor Physical Health Days (8+ days out of past 30 days) I. Health Status/Healthy Days Slide 28 NC 2003 BRFSS Statewide Poor Mental Health Days (8+ days out of past 30 days) I. Health Status/Healthy Days Slide 29 NC 2003 BRFSS Statewide Restricted Activity Days (8+ days past 30 days)* I. Health Status/Healthy Days Slide 30 NC 2003 BRFSS Statewide II. Health Care Access No Health Insurance Coverage No Personal Doctor Cost Prevented Access Slide 31 NC 2003 BRFSS Statewide No Health Insurance Coverage (Ages 18 to 64) II. Health Care Access Slide 32 NC 2003 BRFSS Statewide No Health Insurance Coverage by Sex, Race, & Ethnicity (Ages 18 to 64): NC & US % II. Health Care Access Slide 33 NC 2003 BRFSS Statewide No Health Insurance Coverage by Age (Ages 18 to 64): NC & US % II. Health Care Access Slide 34 NC 2003 BRFSS Statewide No Health Insurance Coverage by Education and Household Income (Ages 18 to 64): NC & US % II. Health Care Access Slide 35 NC 2003 BRFSS Statewide No Health Insurance Coverage (all ages) II. Health Care Access Slide 36 NC 2003 BRFSS Statewide Does Not Have a Personal Doctor* II. Health Care Access Slide 37 NC 2003 BRFSS Statewide Time When Needed To See Doctor But Could Not Because of Cost II. Health Care Access Slide 38 NC 2003 BRFSS Statewide III. Chronic Diseases Arthritis Asthma Diabetes High Blood Pressure High Cholesterol III. Chronic Diseases Slide 39 NC 2003 BRFSS Statewide III. Chronic Diseases Arthritis Slide 40 NC 2003 BRFSS Statewide Ever Told by a Doctor You Have Some Form of Arthritis III. Chronic Diseases Slide 41 NC 2003 BRFSS Statewide Doctor-diagnosed Arthritis by Sex, Race, & Ethnicity: NC & US % III. Chronic Diseases Slide 42 NC 2003 BRFSS Statewide Doctor-diagnosed Arthritis by Age: NC & US % III. Chronic Diseases Slide 43 NC 2003 BRFSS Statewide Doctor-diagnosed Arthritis by Education and Household Income:NC & US % III. Chronic Diseases Slide 44 NC 2003 BRFSS Statewide Joint Pain in Past 30 Days III. Chronic Diseases Slide 45 NC 2003 BRFSS Statewide Joint Symptoms Began More than Three Months Ago* III. Chronic Diseases Slide 46 NC 2003 BRFSS Statewide Ever Seen a Health Professional for Joint Symptoms* III. Chronic Diseases Slide 47 NC 2003 BRFSS Statewide Now Limited Because of Joint Symptoms or Arthritis III. Chronic Diseases Slide 48 NC 2003 BRFSS Statewide Joint Symptoms or Arthritis Now Affects Work-related Activities III. Chronic Diseases Slide 49 NC 2003 BRFSS Statewide Doctor Suggested Losing Weight to Help with Arthritis or Joint Symptoms III. Chronic Diseases Slide 50 NC 2003 BRFSS Statewide Doctor Suggested Physical Activity to Help with Arthritis or Joint Symptoms III. Chronic Diseases Slide 51 NC 2003 BRFSS Statewide III. Chronic Diseases Asthma Slide 52 NC 2003 BRFSS Statewide Ever Diagnosed with Asthma III. Chronic Diseases Slide 53 NC 2003 BRFSS Statewide Ever Diagnosed with Asthma by Sex, Race, & Ethnicity: NC & US % III. Chronic Diseases Slide 54 NC 2003 BRFSS Statewide Ever Diagnosed with Asthma by Age: NC & US % III. Chronic Diseases Slide 55 NC 2003 BRFSS Statewide Ever Diagnosed with Asthma by Education and Household Income:NC & US % III. Chronic Diseases Slide 56 NC 2003 BRFSS Statewide Currently has Asthma* III. Chronic Diseases Slide 57 NC 2003 BRFSS Statewide III. Chronic Diseases Diabetes Slide 58 NC 2003 BRFSS Statewide Diabetes Prevalence III. Chronic Diseases Slide 59 NC 2003 BRFSS Statewide Prevalence of Diabetes by Sex, Race, & Ethnicity: NC & US % III. Chronic Diseases Slide 60 NC 2003 BRFSS Statewide Prevalence of Diabetes by Age: NC & US % III. Chronic Diseases Slide 61 NC 2003 BRFSS Statewide Prevalence of Diabetes by Education and Household Income: NC & US % III. Chronic Diseases Slide 62 NC 2003 BRFSS Statewide Ever Had a Blood Test for Diabetes III. Chronic Diseases Slide 63 NC 2003 BRFSS Statewide Had a Blood Test for Diabetes in the Past Three Years III. Chronic Diseases Slide 64 NC 2003 BRFSS Statewide Diabetes Management Indicators NC & US III. Chronic Diseases % Slide 65 NC 2003 BRFSS Statewide Diabetes Risk Indicators NC & US III. Chronic Diseases % State Quest. Only Slide 66 NC 2003 BRFSS Statewide III. Chronic Diseases High Blood Pressure Slide 67 NC 2003 BRFSS Statewide Ever Told by Health Professional that You Have High Blood Pressure III. Chronic Diseases Slide 68 NC 2003 BRFSS Statewide Prevalence of High Blood Pressure by Sex, Race, & Ethnicity: NC & US % III. Chronic Diseases Slide 69 NC 2003 BRFSS Statewide Prevalence of High Blood Pressure by Age: NC & US % III. Chronic Diseases Slide 70 NC 2003 BRFSS Statewide Prevalence of High Blood Pressure by Education and Household Income:NC & US % III. Chronic Diseases Slide 71 NC 2003 BRFSS Statewide Currently Taking Medicine for High Blood Pressure III. Chronic Diseases Slide 72 NC 2003 BRFSS Statewide III. Chronic Diseases High Cholesterol Slide 73 NC 2003 BRFSS Statewide Told by a Doctor that Your Blood Cholesterol is High III. Chronic Diseases Slide 74 NC 2003 BRFSS Statewide Prevalence of High Cholesterol by Sex, Race, & Ethnicity: NC & US % III. Chronic Diseases Slide 75 NC 2003 BRFSS Statewide Prevalence of High Cholesterol by Age: NC & US % III. Chronic Diseases Slide 76 NC 2003 BRFSS Statewide Prevalence of High Cholesterol by Education and Household Income:NC & US % III. Chronic Diseases Slide 77 NC 2003 BRFSS Statewide Have Had Blood Cholesterol Checked III. Chronic Diseases Slide 78 NC 2003 BRFSS Statewide IV. Disability Some type of disability Disability Measures: Self-perceived Need for special equipment Activity limitation Learning/memory problem IV. Disability Slide 79 NC 2003 BRFSS Statewide Has Some Type of Disability IV. Disability Slide 80 NC 2003 BRFSS Statewide Prevalence of Disability by Sex, Race, & Ethnicity: NC & US % IV. Disability Slide 81 NC 2003 BRFSS Statewide Prevalence of Disability by Age: NC & US % IV. Disability Slide 82 NC 2003 BRFSS Statewide Prevalence of Disability by Education and Household Income:NC & US % IV. Disability Slide 83 NC 2003 BRFSS Statewide Measure: Self - perceived* Disability IV. Disability Slide 84 NC 2003 BRFSS Statewide Measure: Health Problem Requires Use of Special Equipment IV. Disability Slide 85 NC 2003 BRFSS Statewide Measure: Activity Limitation Because of Physical, Mental, or Emotional Problems IV. Disability Slide 86 NC 2003 BRFSS Statewide Measure: Trouble Learning and Remembering IV. Disability Slide 87 NC 2003 BRFSS Statewide V. Care for Aging Assistance provided to aging family member/friend Memory loss of aging care recipient V. Care for Aging Slide 88 NC 2003 BRFSS Statewide Provided Care/Assistance to a Family Member w/Long Term Illness V. Care for Aging Slide 89 NC 2003 BRFSS Statewide Person Who Received Care Had a Problem with Memory Loss* V. Care for Aging Slide 90 NC 2003 BRFSS Statewide VI. Immunization Had flu shot past year Had flu shot in health dept. Ever had pneumonia shot Slide 91 NC 2003 BRFSS Statewide Had Flu Shot in Past Year VI. Immunization Slide 92 NC 2003 BRFSS Statewide Flu Shot (past year) by Sex, Race, & Ethnicity: NC & US % VI. Immunization Slide 93 NC 2003 BRFSS Statewide Flu Shot (past year) by Age: NC & US % VI. Immunization Slide 94 NC 2003 BRFSS Statewide Flu Shot (past year) by Education and Household Income:NC & US % VI. Immunization Slide 95 NC 2003 BRFSS Statewide Had Flu Shot in Health Department VI. Immunization Slide 96 NC 2003 BRFSS Statewide Ever Had a Pneumonia Shot (all ages) VI. Immunization Slide 97 NC 2003 BRFSS Statewide Ever Had a Pneumonia Shot (age 65+) VI. Immunization Slide 98 NC 2003 BRFSS Statewide VII. Physical Activity No leisure time physical activity Does not meet recommendation Moderate physical activity Vigorous physical activity Work activity Slide 99 NC 2003 BRFSS Statewide No Leisure Time Physical Activity VII. Physical Activity Slide 100 NC 2003 BRFSS Statewide No Leisure Time Physical Activity by Sex, Race, & Ethnicity: NC & US % VII. Physical Activity Slide 101 NC 2003 BRFSS Statewide No Leisure Time Physical Activity by Age: NC & US % VII. Physical Activity Slide 102 NC 2003 BRFSS Statewide No Leisure Time Physical Activity by Education and Household Income:NC & US VII. Physical Activity Slide 103 NC 2003 BRFSS Statewide Does Not Meet Recommendation for Physical Activity VII. Physical Activity Slide 104 NC 2003 BRFSS Statewide Engages in Moderate Physical Activity VII. Physical Activity Slide 105 NC 2003 BRFSS Statewide Adequate Moderate Physical Activity per Week VII. Physical Activity Slide 106 NC 2003 BRFSS Statewide Engages in Vigorous Physical Activity VII. Physical Activity Slide 107 NC 2003 BRFSS Statewide Adequate Vigorous Physical Activity per Week VII. Physical Activity Slide 108 NC 2003 BRFSS Statewide Mostly Sitting or Standing at Work VII. Physical Activity Slide 109 NC 2003 BRFSS Statewide VIII. Tobacco Use Current smoker Smoked 100+ cigarettes Age first started smoking Slide 110 NC 2003 BRFSS Statewide Current Smoker VIII. Tobacco Use Slide 111 NC 2003 BRFSS Statewide Current Smoker by Sex, Race, & Ethnicity: NC & US % VIII. Tobacco Use Slide 112 NC 2003 BRFSS Statewide Current Smoker by Age: NC & US % VIII. Tobacco Use Slide 113 NC 2003 BRFSS Statewide Current Smoker by Education and Household Income:NC & US VIII. Tobacco Use Slide 114 NC 2003 BRFSS Statewide Smoked at Least 100 Cigarettes in Lifetime VIII. Tobacco Use Slide 115 NC 2003 BRFSS Statewide First Started Smoking Regularly at Age 14 or Younger VIII. Tobacco Use Slide 116 NC 2003 BRFSS Statewide IX. Tobacco Prevention Quit smoking Advised to quit Medical care for smokers Slide 117 NC 2003 BRFSS Statewide Quit Smoking One Day or Longer in Past Year / Trying to Quit IX. Tobacco Prevention Slide 118 NC 2003 BRFSS Statewide Advised by Health Professional to Quit Smoking in Past Year* IX. Tobacco Prevention Slide 119 NC 2003 BRFSS Statewide Regular Smokers* Who Received Medical Care in Past Year IX. Tobacco Prevention Slide 120 NC 2003 BRFSS Statewide X. Rules about Smoking Rules about smoking at home Rules about smoking at work Slide 121 NC 2003 BRFSS Statewide Smoking Not Allowed in the Home X. Rules about Smoking Slide 122 NC 2003 BRFSS Statewide At Work, Smoking Not Allowed in Work Areas* X. Rules about Smoking Slide 123 NC 2003 BRFSS Statewide Worksites Prohibit Smoking in Both Public and Work Areas* X. Rules about Smoking Slide 124 NC 2003 BRFSS Statewide XI. Other Tobacco Products Ever used smokeless tobacco Ever smoked a cigar Current smokeless tobacco user Slide 125 NC 2003 BRFSS Statewide Ever Use Smokeless Tobacco XI. Other Tobacco Products Slide 126 NC 2003 BRFSS Statewide Ever Use Smokeless Tobacco by Sex, Race, & Ethnicity: NC & US % XI. Other Tobacco Products Slide 127 NC 2003 BRFSS Statewide Ever Use Smokeless Tobacco by Age: NC & US % XI. Other Tobacco Products Slide 128 NC 2003 BRFSS Statewide Ever Use Smokeless Tobacco by Education and Household Income:NC & US XI. Other Tobacco Products Slide 129 NC 2003 BRFSS Statewide Ever Smoked a Cigar XI. Other Tobacco Products Slide 130 NC 2003 BRFSS Statewide Current Smokeless Tobacco User XI. Other Tobacco Products Slide 131 NC 2003 BRFSS Statewide XII. Tobacco Tax Support for tobacco tax Amount of tax by smoking status Slide 132 NC 2003 BRFSS Statewide Support for Tobacco Tax (any amount) XII. Tobacco Tax Slide 133 NC 2003 BRFSS Statewide Support for Amount of Tax on Pack of Cigarettes by Smoking Status* XII. Tobacco Tax % Slide 134 NC 2003 BRFSS Statewide XIII. Risk Factors Overweight/obese Binge/heavy drinking Smoking Physical inactivity No leisure time XIII. Risk Factors Slide 135 NC 2003 BRFSS Statewide Obese XIII. Risk Factors Slide 136 NC 2003 BRFSS Statewide Overweight or Obese XIII. Risk Factors Slide 137 NC 2003 BRFSS Statewide Binge Drinking* XIII. Risk Factors Slide 138 NC 2003 BRFSS Statewide Heavy Drinking* XIII. Risk Factors Slide 139 NC 2003 BRFSS Statewide Current Smoker XIII. Risk Factors Slide 140 NC 2003 BRFSS Statewide Physically Inactive* XIII. Risk Factors Slide 141 NC 2003 BRFSS Statewide No Leisure Time Activity* XIII. Risk Factors Slide 142 NC 2003 BRFSS Statewide Less than 5 Daily Servings of Fruits/Vegetables* XIII. Risk Factors Slide 143 NC 2003 BRFSS Statewide Cholesterol Never Checked or Checked > 5 Years Ago* XIII. Risk Factors Slide 144 NC 2003 BRFSS Statewide XIV. HIV/AIDS Ever Tested for HIV Knowledge of AIDS Treatment STD Prevention Sexual risk/intravenous drug use XIV. HIV/AIDS Slide 145 NC 2003 BRFSS Statewide Ever Tested for HIV/AIDS* XIV. HIV/AIDS Slide 146 NC 2003 BRFSS Statewide Ever Tested for HIV/AIDS (age