Dots Pattern
Contact

BRFSS: A New Foundation for Data Equity

From July 2024 to June 2025, the Behavioral Risk Factor Surveillance System (BRFSS) used FPHS funding to collect the most robust information the Washington public health system has on inequities in adult chronic health, preventive care, and associated behavioral, demographic, and clinical factors. FPHS funding ultimately changed the foundational operations and priorities of Washington’s BRFSS, focusing on understanding health inequities in our state and identifying opportunities to address them.

2 min read

From July 2024 to June 2025, the Behavioral Risk Factor Surveillance System (BRFSS) used FPHS funding to collect the most robust information the Washington public health system has on inequities in adult chronic health, preventive care, and associated behavioral, demographic, and clinical factors. FPHS funding ultimately changed the foundational operations and priorities of Washington’s BRFSS, focusing on understanding health inequities in our state and identifying opportunities to address them. FPHS funds were used to: 

  • Double the statewide sample from 13,000 to 26,000 completed interviews, which allowed for disaggregation of results relating to underrepresented populations, such as smaller and more rural communities and marginalized demographic groups. 
  • Oversample specific racial and ethnic groups in 2025 (until end of funding in July 2025) to further improve surveillance and assessment capacity for these communities. 
  • Fund state added questions, previously paid for by the proposing agencies or programs. This made the submission process more equitable for interested partners and allowed for questions vital to understanding health inequities (e.g., questions on experiences of discrimination, industry and occupation, medical debt, climate change and heat exposure, and social determinants of health) to be included on the survey each year. 
  • Allow the BRFSS Team to conduct the first ever BRFSS Tribal Listening Session, to bring Tribal priorities to the forefront of the BRFSS process. 
  • Conduct a multi-month Road Show, meeting with public health partners around the state to learn how to make the BRFSS a more useful tool for programs, policymakers, and practitioners alike. Among the participants were several small local health jurisdictions who have not previously contributed to the revision and development of the BRFSS, bringing unique perspectives from their underrepresented communities. 

From July 2024 to June 2025, the Behavioral Risk Factor Surveillance System (BRFSS) used FPHS funding to collect the most robust information the Washington public health system has on inequities in adult chronic health, preventive care, and associated behavioral, demographic, and clinical factors.

FPHS Stories

Related Stories

FPHS exists everywhere in Washington in order to serve everyone in Washington. Check out some of these other FPHS stories to learn about some of the other places or paths for FPHS delivery.

View all
How FPHS Investment Transformed Community Health in Garfield County

Having a Community Health Assessment (CHA) allowed the department to evaluate health equity, identify critical service gaps, and understand the nuanced barriers that impact rural well-being—from healthcare access and behavioral health to food security, transportation, and childcare. These insights have served as the foundation for every subsequent decision, program, and partnership GCPH has launched.

Read Story
Strengthening the Frontline with Chelan-Douglas Medical Reserve Corps

FPHS funding made possible the launch of the local Chelan-Douglas Medical Reserve Corps (CDMRC) — a network of trained volunteers, both medical and nonmedical, background checked, trained and standing by to assist when our community needs them most. The CDMRC enhances our emergency surge capacity, strengthens community trust, and ensures we can respond swiftly and effectively in any public health emergency.

Read Story
Healing Without Judgment: Normalizing Sexual Health and Expanding STI Care

Skagit County Public Health has been able to provide STI testing, treatment, and outreach to communities living in remote areas, experiencing homeless, or facing other barriers to accessing care.

Read Story
How FPHS Resources Scaled the 2024 HPAI Outbreak Response

In 2024, the Washington State Public Health Lab provided significant testing support for a Highly Pathogenic Avian Influenza event. Many of the staff supporting this outbreak response were funded by FPHS funds. Without the FPHS funding our response would have been less robust. We would have needed to limit throughput and likely reduce operating hours.

Read Story
Enhancing Equitable Disaster Readiness in Spokane County

People who move to eastern Washington are often unaware of the unique set of environmental hazards, extreme weather events, and potential disasters that may occur in the region. Some newcomers to the area primarily speak and read languages other than English. To serve the whole community’s emergency preparedness needs, public health agencies provide accessible information that helps residents prepare for local threats and hazards. Importantly, FPHS funds supported (or in coordination with local nonprofit organizations, SRHD leveraged FPHS funds to support) the translation and targeted dissemination of plain-language public health emergency preparedness materials covering extreme heat, wildfire smoke, and general household preparedness topics to disproportionately impacted communities in Spokane County.

Read Story
Scaling Translation Services to 50+ Languages in Grant County

Through the Language Access Collaborative led by Public Health-Seattle King County, our agency now has access to translation and interpretation services in over 50 languages. With nearly 40% of Grant County residents speaking a language other than English at home, this service has become essential.

Read Story