Table 1.
Cancer-related health factors included in the 2025 University of Wisconsin Population Health Institute Model of Health adapted for cancer
| Health Factors | Weight | Data Source |
|---|---|---|
| Health infrastructure | 40% | |
| Access to exercise opportunities (%) | 4% | ArcGIS Business Analyst and ArcGIS Online; YMCA; and US Census TIGER/Line Shapefiles from CHR&R11 |
| Food Environment Index | 4% | USDA Food Environment Atlas and Map the Meal Gap from Feeding America from CHR&R11 |
| Adult smoking (%) | 8% | BRFSS from CHR&R11 |
| Adult obesity (%) | 4% | BRFSS from CHR&R11 |
| Excessive drinking (%) | 2% | BRFSS from CHR&R11 |
| Uninsured (%) | 4% | Small area health insurance estimates from CHR&R11 |
| Primary care physicians (adjusted for county population) | 4% | Area Health Resource File/American Medical Association from CHR&R11 |
| Oncologists (adjusted for county population) | 5% | Centers for Medicare & Medicaid Services10 |
| Mammography screening (%) | 1% | Mapping Medicare Disparities Tool from CHR&R11 |
| Colonoscopy screening (%) | 1% | CDC State Cancer Profiles5 |
| Lung cancer screening (%) | 1% | Mapping Medicare Disparities Tool24 |
| Prostate cancer screening (%) | 1% | CDC State Cancer Profiles5 |
| Cervical cancer screening (%) | 1% | CDC State Cancer Profiles5 |
| Physical environment | 15% | |
| Air pollution (PM2.5) | 4% | Environmental Public Health Tracking Network from CHR&R11 |
| Broadband internet access (%) | 4% | American Community Survey, 5-year estimates from CHR&R11 |
| Drinking water violations (no, yes) | 1% | Safe Drinking Water Information System data from CHR&R11 |
| Radon (zone 1-4) | 1% | EPA9 |
| Severe housing problems (%) | 4% | Comprehensive Housing Affordability Strategy (CHAS) data from CHR&R11 |
| Lead (DPI) | 1% | US Department of Housing and Urban Development8 |
| Social and economic factors | 45% | |
| High school completion (%) | 8% | American Community Survey, 5-year estimates from CHR&R11 |
| Some college (%) | 8% | American Community Survey, 5-year estimates from CHR&R11 |
| Unemployment (%) | 8% | Bureau of Labor Statistics from CHR&R11 |
| Children in poverty (%) | 8% | Small Area Income and Poverty Estimates; and American Community Survey, 5-year estimates from CHR&R11 |
| Income inequality | 8% | American Community Survey, 5-year estimates from CHR&R11 |
| Social associations (per 100,000) | 5% | County Business Patterns from CHR&R11 |
Abbreviations: BRFSS – Behavioral Risk Factor Surveillance System; CDC – Centers for Disease Control; CHR&R – County Health Rankings & Roadmaps; EPA – Environmental Protection Agency; GIS – geographic information system; PM – particulate matter; TIGER – Topological Integrated Geographic Encoding and Referencing Line; US – United States; YMCA – Young Men’s Christian Association.