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The Behavioral Risk Factor Surveillance System has found that there is a geography factor to consider when looking for health indicators. Health care access is varied across various counties and regions. Poorer areas had worse health care outcomes while the wealthiest areas had better health outcomes.
Survey data from the 2001 North Carolina Behavioral Risk Factor Surveillance System (BRFSS) were used in this study to investigate county and regional differences in selected health indicators before and after age adjustments. Results show that the use of synthetic estimates does not capture the variation across counties in health risks and behaviors, and can be misleading.