Belinda Agyapong, Raquel da Luz Dias, Yifeng Wei, Vincent Israel Opoku Agyapong
Burnout among elementary and high school teachers in three Canadian provinces: prevalence and predictors
Frontiers in public health
persons living rural areas recognized health disparity population prevalence disease rate premature death higher overall population united states surveillance data healthrelated behaviors rarely reported urbanrural status makes comparisons difficult among persons living metropolitan nonmetropolitan counties2013the behavioral risk factor surveillance system brfss ongoing statebased randomdigitdialed landline cellulartelephone survey noninstitutionalized adults aged 18 years residing united states brfss collects data healthrisk behaviors chronic diseases conditions access health care use preventive health services related leading causes death disability brfss data analyzed 398208 adults aged 18 years estimate prevalence five selfreported healthrelated behaviors sufficient sleep current nonsmoking nondrinking moderate drinking maintaining normal body weight meeting aerobic leisure time physical activity recommendations urbanrural status report rural defined noncore counties described 2013 national center health statistics urbanrural classification scheme countiesapproximately one third us adults practice least four five behaviors compared adults living four types metropolitan counties large central metropolitan large fringe metropolitan medium metropolitan small metropolitan adults living two types nonmetropolitan counties micropolitan noncore differ prevalence sufficient sleep higher prevalence nondrinking moderate drinking lower prevalence current nonsmoking maintaining normal body weight meeting aerobic leisure time physical activity recommendations overall ageadjusted prevalence reporting least four five healthrelated behaviors 304 prevalence among estimated 133 million adults living noncore counties lower 270 among micropolitan counties 288 small metropolitan counties 295 medium metropolitan counties 305 large fringe metropolitan counties 302 large metropolitan centers 317this first report prevalence five healthrelated behaviors six urbanrural categories nonmetropolitan counties lower prevalence three clustering least four healthrelated behaviors associated leading chronic disease causes death prevalence sufficient sleep consistently low differ urbanrural statuschronic disease prevention efforts focus improving communities schools worksites health systems persons live learn work play evidencebased strategies improve healthrelated behaviors population united states used reach healthy people 2020 objectives five selfreported healthrelated behaviors sufficient sleep current nonsmoking nondrinking moderate drinking maintaining normal body weight meeting aerobic leisure time physical activity recommendations findings suggest ongoing need increase public awareness public education particularly rural counties prevalence healthrelated behaviors lowest