Current Release Notes

New Release as of August 2024!

The PLACES 2024 release includes 40 measures—36 based on 2022 Behavioral Risk Factor Surveillance System (BRFSS) data and 4 based on 2021 BRFSS data (high blood pressure, taking high blood pressure medication, high cholesterol, and cholesterol screening).

  • Seven new measures were added for health-related social needs in the 2024 release; social isolation, food stamps, food insecurity, housing insecurity, utility services threat, transportation barriers, and lack of social and emotional support for 39 states and District of Columbia (DC). The small area estimation model for these measures was based on data from 39 states and DC.
  • Two measures (chronic kidney disease and core preventive service use for older adults) were discontinued because of program recommendations.
  • US Preventive Services Task Force recommendations for colorectal cancer screening was updated to the population aged 45–75 from 50–75 years.
  • Because of the change to the cervical cancer screening question in BRFSS 2022, we were not able to include the estimate for this release.
  • All measure definitions were revised, and some measure names or definitions were adjusted to match other surveillance systems or survey questions:
    • Adults were defined as people aged >=18 years, all “aged >=18 years” were removed from measure names.
    • Current asthma prevalence was changed to current asthma.
    • Cancer (excluding skin cancer) was changed to cancer (non-skin) or melanoma.
    • High cholesterol among adults aged ≥18 years who have been screened in the past 5 years was changed to high cholesterol among adults who have ever been screened.
    • Taking medicine for high blood pressure control among adults aged ≥18 years with high blood pressure was changed to taking medicine to control high blood pressure among adults with high blood pressure.
    • The definition for cholesterol screening within the past 5 years was updated.
    • Visits to doctor for routine checkup within the past year was changed to routine checkup within the past year.
    • Visits to dentist or dental clinic was changed to visited dentist or dental clinic in the past year.
    • Current smoking was changed to current cigarette smoking.
    • Sleeping less than 7 hours was changed to short sleep duration.
    • Mental health not good for ≥14 days was changed to frequent mental distress.
    • Physical health not good for ≥14 days was changed to frequent physical distress.
  • Population and geography changes
    • The PLACES 2024 release is the first release that uses Census 2020 population data and geographic boundaries.
    • For county-level estimation, Census 2022 county population intercensal estimates were used.
    • The American Community Survey 2018–2022 data were used for all geographic levels.
    • Four measures (high blood pressure, taking high blood pressure medication, high cholesterol, and cholesterol screening) based on 2021 BRFSS have been. recalculated using Census 2020 population data and geographic boundaries to match other measures.
    • First-time Connecticut planning regions were used as county equivalents.

Notes from previous releases

2023 Release: Estimates for Florida were not available for measures based on BRFSS 2021. Florida was unable to collect data over enough months to meet the minimum requirements for inclusion in the 2021 annual aggregate data set. However, the seven measures based on BRFSS 2020 were carried over for Florida.

The BRFSS 2020 colorectal cancer screening questions changed to include five test types (FIT, sigmoidoscopy, colonoscopy, FIT-DNA, and CT colonography); three types (FIT, sigmoidoscopy, and colonoscopy) were included previously. Estimates of people getting colorectal cancer screening were higher than in previous years. For more information, visit Use of Colorectal Cancer Screening Tests.

Please consider differences in data collection [PDF – 168KB] and potential impacts of the COVID-19 pandemic when comparing 2020 BRFSS estimates with other years.

2022 release: Estimates for New Jersey were not available for measures based on BRFSS 2019. Therefore, estimates for the four measures based on 2019 BRFSS data (high blood pressure, taking high blood pressure medication, high cholesterol, and cholesterol screening) were not available in the 2022 release.

2021 release: Estimates for New Jersey were not available for measures based on BRFSS 2019. The state did not collect enough BRFSS data to meet the minimum requirements for inclusion in the 2019 annual aggregate data set. We carried over the seven measures available in BRFSS 2018.

2020 release: Estimates of cholesterol screening for 2017 have been revised for all geographic levels. Because of changes in the BRFSS questions related to cholesterol screening, revised estimates were generally higher than estimates previously released. Updated estimates can be downloaded from the data portal or the ArcGIS Online service.

You may access the 500 Cities Project from 2016 to 2019. Visit About PLACES for more information on the project. Our Help Page also offers instructional videos, answers to FAQs, contact information, and more.