Surveillance for certain health behaviors among states and selected local areas - United States, 2010

MMWR Surveillance Summaries

Volumn 62, Issue 1, 2013, Pages 1-247

  Town, Machell ^a   Balluz, Lina S ^a   Bartoli, William P ^a,b   Murphy, Wilmon ^a,b   Chowdhury, Pranesh P ^a   Garvin, William S ^a   Pierannunzi, Carol ^a   Zhong, Yuna ^a,b   Salandy, Simone W ^a,b   Jones, Candace K ^a,b   Crawford, Carol A ^a  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b NORTHROP GRUMMAN CORPORATION   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84901277125     PISSN: 15460738     EISSN: 15458636     Source Type: Journal    
DOI: None     Document Type: Article

References (116)

1. CDC. Chronic diseases and health promotion. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/chronicdisease/overview/index.htm. Accessed April 11, 2013.
2. Heron M. Deaths: leading causes for 2008. Natl Vital Stat Rep 2012;60:1-94.
3. Nelson DE, Bland S, Powell-Griner E, et al. State trends in health risk factors and receipt of clinical preventive services among US adults during the 1990s. JAMA 2002;287:2659-67.
4. Hughes E, Kilmer G, Li Y, et al. Surveillance for certain health behaviors among states and selected local areas-United States, 2008. MMWR 2010;59(No. SS-10).
5. Li C, Balluz LS, Okoro CA, et al. Surveillance of certain health behaviors and conditions among states and selected local areas-Behavioral Risk Factor Surveillance System, United States, 2009. MMWR 2011;60(No. SS-9).
6. CDC. Healthy people 2010. Final review. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/nchs/data/hpdata2010/hp2010_final_review.pdf. Accessed April 11, 2013.
7. CDC. Health risks in the United States. Behavioral Risk Factor Surveillance System: at a glance 2010. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/chronicdisease/resources/publications/AAG/brfss.htm. Accessed April 11, 2013.
8. Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soz Praventivmed 2001;46(Suppl 1):S3-42.
9. CDC. 2010 Behavioral Risk Factor Surveillance System questionnaire. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/brfss/annual_data/pdf-ques/2010brfss.pdf. Accessed April 11, 2013.
10. CDC. Behavioral Risk Factor Surveillance System operational and user's guide, version 3.0. Atlanta, GA: US Department of Health and Human Services, CDC; 2006. Available at ftp://ftp.cdc.gov/pub/Data/Brfss/userguide.pdf.
11. CASRO. CASRO Code of Standards and Ethics for Survey Research. Port Jefferson, NY: CASRO; 2013. Available at http://www.casro.org/?page=TheCASROCode. Accessed April 11, 2013.
12. CDC. Behavioral Risk Factor Surveillance System 2010 summary data quality report. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at ftp://ftp.cdc.gov/pub/Data/Brfss/2010_Summary_Data_Quality_Report.pdf. Accessed April 11, 2013.
13. Simon JG, DeBoer JB, Joung IM, Bosma H, Mackenbach JP. How is your health in general? A qualitative study on self-assessed health. Eur J Public Health 2005;15:200-8.
14. Chandola T, Jenkinson C. Validating self-rated health in different ethnic groups. Ethn Health 2000;5:151-9.
15. Lundberg O, Manderbacka K. Assessing reliability of a measure of self-rated health. Scand J Soc Med 1996;24:218-24.
16. McGee DL, Liao Y, Cao G, Cooper RS. Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol 1999;149:41-6.
17. US Census Bureau. Income, poverty, and health insurance coverage in the United States: 2009. Washington, DC: US Department of Commerce, US Census Bureau; 2010. Available at http://www.census.gov/prod/2010pubs/p60-238.pdf. Accessed April 11, 2013.
18. CDC. Access to health care: a record number of adults 18-64 are uninsured. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/vitalsigns/pdf/2010-11-vitalsigns.pdf. Accessed April 11, 2013.
19. Hellander I. The deepening crisis in U.S. health care: a review of data. Int J Health Serv 2011;41:575-86.
20. CDC. Oral health: preventing cavities, gum disease, tooth loss, and oral cancers: at a glance 2011. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/chronicdisease/resources/publications/AAG/doh.htm. Accessed April 11, 2013.
21. Oliver RC, Brown LJ. Periodontal diseases and tooth loss. Periodontol 2000 1993;2:117-27.
22. Anonymous. Oral health in America: a report of the Surgeon General. J Calif Dent Assoc 2000;28:685-95.
23. US Department of Health and Human Services. U.S. oral health in America: a report of the Surgeon General. Washington, DC: US Department of Health and Human Services; 2000. Available at http://www2.nidcr.nih.gov/sgr/sgrohweb/welcome.htm. Accessed April 11, 2013.
24. Cunha-Cruz J, Hujoel PP, Nadanovsky P. Secular trends in socio-economic disparities in edentulism: USA, 1972-2001. J Dent Res 2007;86:131-6.
25. Felton DA. Edentulism and comorbid factors. Tex Dent J 2010;127:389-401.
26. Beltrán-Aguilar ED, Barker LK, Canto MT, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis-United States, 1988-1994 and 1999-2002. MMWR 2005;54(No. SS-3).
27. Culica D, Rohrer J, Ward M, Hilsenrath P, Pomrehn P. Medical checkups: who does not get them? Am J Public Health 2002;92:88-91.
28. Mays GP, Smith SA. Geographic variations in public health spending: correlates and consequences. Health Serv Res 2009;44:1796-817.
29. Pitsiou GG, Kioumis IP. Pneumococcal vaccination in adults: does it really work? Respir Med 2011;105:1776-83.
30. Huang SS, Johnson KM, Ray GT, et al. Healthcare utilization and cost of pneumococcal disease in the United States. Vaccine 2011;29:3398-412.
31. CDC. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 1997;46(No. RR-8).
32. Bennett NM, Buffington J, LaForce FM. Pneumococcal bacteremia in Monroe County, New York. Am J Public Health 1992;82:1513-6.
33. Mufson MA, Oley G, Hughey D. Pneumococcal disease in a medium-sized community in the United States. JAMA 1982;248:1486-9.
34. Campbell JF, Donohue MA, Mochizuki RB, Nevin-Woods CL, Spika JS. Pneumococcal bacteremia in Hawaii: initial findings of a pneumococcal disease prevention project. Hawaii Med J 1989;48:513-4, 517-8.
35. Thompson WW, Shay DK, Weintraub E, et al. Influenza-associated hospitalizations in the United States. JAMA 2004;292:1333-40.
36. Thompson WW, Shay DK, Weintraub E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 2003;289:179-86.
37. Nichol KL, Nordin JD, Nelson DB, Mullooly JP, Hak E. Effectiveness of influenza vaccine in the community-dwelling elderly. N Engl J Med 2007;357:1373-81.
38. CDC. Pneumococcal vaccination. Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://www.cdc.gov/vaccines/vpd-vac/pneumo/default.htm#vacc. Accessed April 11, 2013.
39. CDC. Seasonal influenza (flu). Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://www.cdc.gov/flu/index.htm. Accessed April 11, 2013.
40. CDC. Strategies for increasing adult vaccination rates. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://www.cdc.gov/vaccines/recs/rate-strategies/adultstrat.htm. Accessed April 11, 2013.
41. CDC. U.S. cancer statistics: an interactive atlas. Atlanta, GA: US Department of Health and Human Services, CDC; 2009. Available at http://apps.nccd.cdc.gov/dcpc_inca/dcpc_inca.aspx. Accessed April 11, 2013.
42. American Cancer Society. Cancer facts & figures 2012. Atlanta, GA: American Cancer Society; 2012. Available at http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/docume nts/document/acspc-031941.pdf. Accessed April 11, 2013.
43. US Preventive Services Task Force. Screening for colorectal cancer. Rockville, MD: US Preventive Services Task Force; 2008. Available at http://www.uspreventiveservicestaskforce.org/uspstf/uspscolo.htm. Accessed April 11, 2013.
44. CDC. Cervical cancer statistics. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/cancer/cervical/statistics. Accessed April 11, 2013.
45. CDC. Cervical cancer. Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://www.cdc.gov/cancer/cervical. Accessed April 11, 2013.
46. Henley SJ, King JB, German RR, Richardson LC, Plescia M. Surveillance of screening-detected cancers (colon and rectum, breast, and cervix)-United States, 2004-2006. MMWR 2010;59(No. SS-9).
47. Watson M, Saraiya M, Benard V, et al. Burden of cervical cancer in the United States, 1998-2003. Cancer 2008;113(Suppl):2855-64.
48. CDC. United States cancer statistics: 1999-2008 cancer incidence and mortality data. Atlanta, GA: US Department of Health and Human Services, CDC; 2010. Available at http://apps.nccd.cdc.gov/uscs/cancersbystateandregion.aspx. Accessed April 11, 2013.
49. US Preventive Services Task Force. Screening for cervical cancer: recommendations and rationale. Rockville, MD: US Preventive Services Task Force; 2013. Available at http://www.uspreventiveservicestaskforce.org/3rduspstf/cervcan/cervcanrr .htm. Accessed April 11, 2013.
50. CDC. Breast cancer statistics. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/cancer/breast/statistics. Accessed April 11, 2013.
51. CDC. Breast cancer risk by age. Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://www.cdc.gov/cancer/breast/statistics/age.htm. Accessed April 11, 2013.
52. American Cancer Society. What are the risk factors for breast cancer? Atlanta, GA: American Cancer Society: 2013. Available at http://www.cancer.org/Cancer/BreastCancer/OverviewGuide/breast-cancer-ov erview-what-causes. Accessed April 11, 2013.
53. Berry DA, Cronin KA, Plevritis SK, et al. Effect of screening and adjuvant therapy on mortality from breast cancer. N Engl J Med 2005;353:1784-92.
54. CDC. 2004 Surgeon General's report-the health consequences of smoking. Atlanta, GA: US Department of Health and Human Services, CDC; 2004. Available at http://www.cdc.gov/tobacco/data_statistics/sgr/2004/index.htm. Accessed April 11, 2013.
55. World Health Organization. Why tobacco is a public health priority. Geneva, Switzerland: World Health Organization; 2013. Available at http://www.who.int/tobacco/health_priority/en. Accessed April 11, 2013.
56. CDC. 2010 Surgeon General's Report-how tobacco smoke causes disease: the biology and behavioral basis for smoking-attributable disease. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/tobacco/data_statistics/sgr/2010/index.htm. Accessed April 11, 2013.
57. National Library of Medicine. The reports of the Surgeon General: the 1964 report on smoking and health. Bethesda, MD: National Library of Medicine; 2013. Available at http://profiles.nlm.nih.gov/ps/retrieve/Narrative/NN/p-nid/60. Accessed April 11, 2013.
58. CDC. Vital signs: current cigarette smoking among adults aged =18 years-United States, 2005-2010. MMWR 2011;60:1207-12.
59. CDC. Best practices for comprehensive tobacco control programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Available at http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2007/be stpractices_complete.pdf. Accessed April 11, 2013.
60. CDC. Alcohol and public health: alcohol-related disease impact (ARDI). Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://apps.nccd.cdc.gov/DACH_ARDI/Default/Default.aspx. Accessed April 11, 2013.
61. Bouchery EE, Harwood HJ, Sacks JJ, Simon CJ, Brewer RD. Economic costs of excessive alcohol consumption in the U.S., 2006. Am J Prev Med 2011;41:516-24.
62. US Department of Health and Human Services. 10th special report to the U.S. Congress on alcohol and health. Washington, DC: US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism; 2000. Available at http://pubs.niaaa.nih.gov/publications/10report/intro.pdf. Accessed April 11, 2013.
63. Holt JB, Miller JW, Naimi TS, Sui DZ. Religious affiliation and alcohol consumption in the United States. The Geographical Review 2006;96:523-42. Available at http://www.amergeog.org/gr/oct06/holt.html. Accessed April 11, 2013.
64. National Institute on Alcohol Abuse and Alcoholism. Alcohol Policy Information System. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 2013. Available at http://www.alcoholpolicy.niaaa.nih.gov. Accessed April 11, 2013.
65. Community Preventive Services Task Force. Preventing excessive alcohol consumption. Atlanta, GA: Community Preventive Services Task Force; 2013. Available at http://www.thecommunityguide.org/alcohol/index.html. Accessed April 11, 2013.
66. US Department of Health and Human Services. 2008 physical activity guidelines for Americans. Washington, DC: US Department of Health and Human Services; 2008. Available at http://www.health.gov/paguidelines/guidelines. Accessed April 11, 2013.
67. Community Preventive Services Task Force. Increasing physical activity. Atlanta, GA: Community Preventive Services Task Force; 2012. Available at http://www.thecommunityguide.org/pa/index.html. Accessed April 11, 2013.
68. National Physical Activity Plan. The plan. Columbia, SC: National Physical Activity Plan; 2010. Available at http://www.physicalactivityplan.org/theplan.php. Accessed April 11, 2013.
69. Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012;307:491-7.
70. CDC. Obesity, halting the epidemic by making health easier: at a glance 2011. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/chronicdisease/resources/publications/aag/obesity.htm . Accessed April 11, 2013.
71. Batty GD, Kivimaki M, Smith GD, Marmot MG, Shipley MJ. Obesity and overweight in relation to mortality in men with and without type 2 diabetes/impaired glucose tolerance: the original Whitehall Study. Diabetes Care 2007;30:2388-91.
72. Flegal KM, Graubard BI, Williamson DF, Gail MH. Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA 2007;298:2028-37.
73. Adams KF, Schatzkin A, Harris TB, et al. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med 2006;355:763-78.
74. Nawaz H, Chan W, Abdulrahman M, Larson D, Katz DL. Self-reported weight and height: implications for obesity research. Am J Prev Med 2001;20:294-8.
75. CDC. Recommended community strategies and measurements to prevent obesity in the United States. MMWR 2009;58(No. RR-7).
76. Institute of Medicine. Accelerating progress in obesity prevention: solving the weight of the nation. Washington, DC: Institute of Medicine; 2012. Available at http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevent ion.aspx. Accessed April 11, 2013.
77. Kliegman RM, Behrman RE, Jenson HB. Bonita Stanton Nelson textbook of pediatrics. 18th ed. Philadelphia, PA: Saunders; 2007.
78. CDC. Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001-2009. MMWR 2011;60:547-52.
79. Akinbami LJ, Moorman JE, Bailey C, et al. Trends in asthma prevalence, health care use, and mortality in the United States, 2001-2010. NCHS Data Brief 2012(94):1-8.
80. Eder W, Ege MJ, von Mutius E. The asthma epidemic. N Engl J Med 2006;355:2226-35.
81. National Institutes of Health. National Heart, Lung, and Blood Institute. National Asthma Education and Prevention Program. Expert Panel report 3: guidelines for the diagnosis and management of asthma. Washington, DC: US Department of Health and Human Services; 2007. Available at http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf. Accessed April 11, 2013.
82. American Diabetes Association. Living with diabetes: complications. Alexandria, VA: American Diabetes Association; 2013. Available at http://www.diabetes.org/living-with-diabetes/complications. Accessed April 11, 2013.
83. Chodick G, Zucker I. Diabetes, gestational diabetes and the risk of cancer in women: epidemiologic evidence and possible biologic mechanisms. Womens Health (Lond Engl) 2011;7:227-37.
84. CDC. National diabetes fact sheet 2011. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/DIABETES//pubs/pdf/ndfs_2011.pdf. Accessed April 11, 2013.
85. Boyle JP, Thompson TJ, Gregg EW, et al. Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Popul Health Metr 2010;8:29.
86. American Diabetes Association. Economic costs of diabetes in the U.S. Diabetes Care 2008;31:596-615.
87. CDC. National Diabetes Prevention Program. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/diabetes/prevention/index.htm. Accessed April 11, 2013.
88. CDC. Disability and health. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/ncbddd/disabilityandhealth/index.html. Accessed April 11, 2013.
89. American Psychological Association. Disability and socioeconomic status. Washington, DC: American Psychological Association; 2013. Available at http://www.apa.org/pi/ses/resources/publications/factsheet-disability.as px. Accessed April 11, 2013.
90. CDC. Racial/ethnic disparities in self-rated health status among adults with and without disabilities-United States, 2004-2006. MMWR 2008;57:1069-73.
91. Gulley SP, Rasch EK, Chan L. The complex web of health: relationships among chronic conditions, disability, and health services. Public Health Rep 2011;126:495-507.
92. Gulley SP, Rasch EK, Chan L. If we build it, who will come? Working-age adults with chronic health care needs and the medical home. Med Care 2011;49:149-55.
93. Kaiser Commission on Medicaid and the Uninsured. Medicaid: a primer. Washington, DC: Kaiser Commission on Medicaid and the Uninsured; 2005.
94. US Census Bureau. Americans with disabilities: 2005. Washington, DC: US Department of Commerce, US Census Bureau; 2008. Available at http://www.census.gov/prod/2008pubs/p70-117.pdf. Accessed April 11, 2013.
95. Bhattacharya J, Choudhry K, Lakdawalla D. Chronic disease and severe disability among working-age populations. Med Care 2008;46:92-100.
96. Covinsky KE, Pierluissi E, Johnston CB. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure. JAMA 2011;306:1782-93.
97. PubMedHealth. Coronary heart disease. Bethesda, MD: US National Library of Medicine; 2013. Available at http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004449. Accessed April 11, 2013.
98. Heron M. Deaths: leading causes for 2007. Natl Vital Stat Rep 2011;59:1-95.
99. Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics-2011 update: a report from the American Heart Association. Circulation 2011;123:e18-209.
100. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation 1998;97:1837-47.
101. Bogers RP, Bemelmans WJ, Hoogenveen RT, et al. Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 300,000 persons. Arch Intern Med 2007;167:1720-8.
102. CDC. Heart disease risk factors. Atlanta, GA: US Department of Health and Human Services, CDC; 2009. Available at http://www.cdc.gov/heartdisease/risk_factors.htm. Accessed April 11, 2013.
103. CDC. Guidelines and recommendations to prevent heart disease. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/heartdisease/guidelines_recommendations.htm. Accessed April 11, 2013.
104. CDC. Stroke. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/stroke. Accessed April 11, 2013.
105. Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics-2012 update: a report from the American Heart Association. Circulation 2012;125:e2-220.
106. Heidenreich PA, Trogdon JG, Khavjou OA, et al. Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation 2011;123:933-44.
107. Petrea RE, Beiser AS, Seshadri S, Kelly-Hayes M, Kase CS, Wolf PA. Gender differences in stroke incidence and poststroke disability in the Framingham heart study. Stroke 2009;40:1032-7.
108. CDC. Prevalence of stroke-United States, 2006-2010. MMWR 2012;61:379-82.
109. Zweifler RM, McClure LA, Howard VJ, et al. Racial and geographic differences in prevalence, awareness, treatment and control of dyslipidemia: the reasons for geographic and racial differences in stroke (REGARDS) study. Neuroepidemiology 2011;37:39-44.
110. CDC. Stroke: related guidelines and recommendations. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/stroke/guidelines_recommendations.htm. Accessed April 11, 2013.
111. Burke H, Leonardi-Bee J, Hashim A, et al. Prenatal and passive smoke exposure and incidence of asthma and wheeze: systematic review and meta-analysis. Pediatrics 2012;129:735-44.
112. Kempf AM, Remington PL. New challenges for telephone survey research in the twenty-first century. Annu Rev Public Health 2007;28:113-26.
113. Nelson DE, Powell-Griner E, Town M, Kovar MG. A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health 2003;93:1335-41.
114. Li C, Balluz LS, Ford ES, Okoro CA, Zhao G, Pierannunzi C. A comparison of prevalence estimates for selected health indicators and chronic diseases or conditions from the Behavioral Risk Factor Surveillance System, the National Health Interview Survey, and the National Health and Nutrition Examination Survey, 2007-2008. Prev Med 2012;54:381-7.
115. CDC. SMART: BRFSS city and county data. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. Available at http://www.cdc.gov/brfss/smart/index.htm. Accessed April 11, 2013.
116. US Department of Health and Human Services. Healthy people 2020: topics and objectives index. Washington, DC: US Department of Health and Human Services; 2012. Available at http://www.healthypeople.gov/2020/topicsobjectives2020. Accessed April 11, 2013.