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Behavioral Risk Factor Survey Module
Technical Notes

Wisconsin Behavioral Risk Factor Survey (BRFS)

The Wisconsin BRFS Program is located in the Bureau of Health Information and Policy (BHIP), Division of Public Health, Wisconsin Department of Health Services. BRFS is managed by the Wisconsin BRFS coordinator/program director in conjunction with the Centers for Disease Control and Prevention (CDC).

Sample Design

The BRFS is designed to represent the adult (age 18+) population living in Wisconsin households. The sample contains a number of strata that varies from year to year. At a minimum, the strata correspond to the five Department of Health Services (DHS) regions, with additional strata consisting of large counties and oversamples of specific populations such as African Americans and Hispanics/Latinos.

BRFS sampling excludes adults living in institutions and other group quarters and those living in households without landline telephones. (BRFS currently excludes adults living in households with only a cell phone, but may include them in the near future.)

In general, the BRFS sample is selected in two stages. Within each stratum, telephone numbers are generated using random procedures. One adult is randomly selected in each eligible household. The Centers for Disease Control and Prevention (CDC) specifies that a new sample is opened and closed each month. Thus, the BRFS consists of 12 separate monthly samples combined to make the annual data set for purposes of weighting and analysis.

Recommendations for Analysis and Reporting of Results

Use of confidence intervals around BRFS survey estimates is strongly recommended. The Bureau of Health Information and Policy recommends basing all reported estimates on a minimum of 100 interviews; closer to 400 interviews is optimal.

Analysis of sub-groups (e.g., women of childbearing age) requires consideration of issues concerning adequate sample size and appropriate population estimates.

If results are based on more than one year of data, users should divide the "Estimated Number in Population" by the number of years. This will produce an average population estimate for the time period.

For example, selecting General Health Status for 2003-2005 shows an "Estimated Number in Population" of 7,198,600 who were in excellent/very good health in Wisconsin. Dividing this result by the number of years (3) yields 2,399,533.33, which rounds to 2,399,500. During 2003-2005 there were approximately 2,399,500 adults in excellent/very good health in Wisconsin.

Weighting

Each interview is weighted to adjust for the sample design and to remove bias. When the appropriate weight is applied to each interview record, BRFS data are representative of the total non-institutionalized Wisconsin adult population (ages 18+) living in households with landline telephones.

The weights:

  • Correct for differences in the probability of selection due to nonresponse and non-coverage errors.
  • Adjust for distribution differences – by age, race and gender – between the sample and the Wisconsin adult population.
  • Allow the generalization of findings to the entire Wisconsin adult population, not just to those who respond to the survey.

Measures

The measures included in the WISH Behavioral Risk Factor Survey module are those for which data is available from all survey years.

 

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Last Revised:  September 09, 2009