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2009 BRFSS Survey for Williamson County, Texas

The Behavioral Risk Factor Surveillance System (BRFSS) is the world’s largest, on-going telephone health survey system, tracking health conditions and risk behaviors in the United States yearly since 1984. Data are collected monthly in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam.

The BRFSS survey is often the only source for prevalence data on chronic diseases such as diabetes and adult vaccination coverage for influenza and other vaccines. Information is collected on smoking, exercise and diet, access to medical care, dental health, quality of life, community/neighborhood, and emergency preparedness. BRFSS data have helped the Williamson County and Cities Health District (WCCHD) and its public health partners to prioritize health issues and identify populations at highest risk, monitor the effectiveness of intervention strategies, inform the public and policymakers about disease prevention, and support government and private sector policies that promote health and prevent disease.

BRFSS survey results have been used to support programs promoting healthy lifestyles as well community efforts to create environments conducive to health. WCCHD offers “train-the-trainer” community gardening classes, cooking and nutrition classes, and introduces children to gardening and the importance of fresh fruits and vegetables through field trips to the Heritage Community Gardens in Georgetown. WCCHD promotes local Farmer’s Markets and supplies fresh fruits and vegetables to these markets through its community gardening program. As Williamson County continues to grow, WCCHD has worked with community leaders to ensure adequate space for parks and sidewalks. Williamson County continues to expand its extensive trail system.

Williamson County is one of only a few counties in Texas that conducts the BRFSS at the local level. In 1999, the Williamson County and Cities Health District (WCCHD) implemented its first BRFSS survey. A second BRFSS survey was conducted in 2004. Reports and data from the 1999 and 2004 surveys are available on the Statistic and Reports section of the WCCHD webpage. Information on the national and state BRFSS surveys may be found at:

WCCHD is currently planning for another BRFSS survey in 2009 in partnership with Scott & White Memorial Hospital/Foundation and Scott and White Health Plan, St. David’s Georgetown Hospital, St. David’s Community Health Foundation, Texas BRFSS, and Southwestern University.

  • WCCHD is contracting with the Texas Department of State Health Services (DSHS) to administer the 2009 survey in conjunction with the Texas BRFSS. Every year DSHS samples Williamson County residents for the Texas BRFSS. However, this sample is not large enough to allow calculation of county-level prevalence rates. This project provides funding for the additional surveys needed in order to conduct county specific analysis.

  • WCCHD will utilize the same questionnaire as DSHS. This will ensure direct comparability of BRFSS results at the state and national levels. This approach differs slightly from the 1999 and 2004 surveys for which WCCHD limited the total number of questions asked and added questions unique to Williamson County.

  • In 2008 – 2009, the WCCHD Epidemiologist will work with other WCCHD Divisions and community partners to develop a BRFSS data analysis plan.

  • After data becomes available in April 2010, data analysis will be coordinated with community partners. WCCHD will work with DSHS to process requests from individuals and organization interested in conducting research projects with Williamson County BRFSS data.

  • Summary report for Williamson County BRFSS will be published and available online in 2010.