Table A4.
Cancer-related health factors included in the 2014 County Health Rankings Model of Health adapted for cancer
| Health Factors | Weight | Data source |
|---|---|---|
| Health behaviors | 30% | |
| Adult smoking (%) | 10% | BRFSS from CHR&R11 |
| Adult obesity (%) | 10% | BRFSS from CHR&R11 |
| Physical inactivity (%) | 3% | BRFSS from CHR&R11 |
| Sun burn risk (UV-B, Wh/m2) | 2% | National Cancer Institute25 |
| Excessive drinking (%) | 3% | BRFSS from CHR&R11 |
| Hepatitis C mortality (per 100,000) | 1% | HepVu26 |
| HIV prevalence (per 100,000) | 1% | From CHR&R11 |
| Clinical care | 20% | |
| Uninsured (%) | 5% | Small area health insurance estimates from CHR&R11 |
| Primary care physicians (ratio) | 2% | Area Health Resource File/American Medical Association from CHR&R11 |
| Dentists (ratio) | 1% | Area Health Resource File/National Provider Identifier Downloadable File from CHR&R11 |
| Oncologists (per county) | 1% | Centers for Medicare & Medicaid Services10 |
| Broadband internet access (%) | 1% | American Community Survey, 5-year estimates from CHR&R website11 |
| Mammography screening (%) | 2% | Mapping Medicare Disparities Tool from CHR&R11 |
| Colonoscopy screening (%) | 2% | CDC State Cancer Profiles5 |
| Lung cancer screening (%) | 2% | Mapping Medicare Disparities Tool24 |
| Prostate cancer screening (%) | 2% | CDC State Cancer Profiles5 |
| Cervical cancer screening (%) | 2% | CDC State Cancer Profiles5 |
| Physical environment | 10% | |
| Air pollution (PM2.5) | 2% | Environmental Public Health Tracking Network from CHR&R11 |
| Radon (zone 1-4) | 2% | EPA9 |
| Lead (DPI) | 1% | US Department of Housing and Urban Development8 |
| Access to exercise opportunities (%) | 2.5% | ArcGIS Business Analyst and ArcGIS Online; YMCA; and US Census TIGER/Line Shapefiles from CHR&R11 |
| Food Environment Index | 2.5% | USDA Food Environment Atlas and Map the Meal Gap from Feeding America from CHR&R11 |
| Social and economic factors | 40% | |
| High school completion (%) | 5% | American Community Survey, 5-year estimates from CHR&R11 |
| Some college (%) | 5% | American Community Survey, 5-year estimates from CHR&R11 |
| Unemployment (%) | 10% | Bureau of Labor Statistics from CHR&R11 |
| Children in poverty (%) | 7.5% | Small Area Income and Poverty Estimates; and American Community Survey, 5-year estimates from CHR&R11 |
| Income inequality | 2.5% | American Community Survey, 5-year estimates from CHR&R11 |
| Social associations (per 100,000) | 5% | County Business Patterns from CHR&R11 |
| Black/White residential segregation (Index of Dissimilarity) | 5% | From CHR&R11 |
Abbreviations: CDC – Centers for Disease Control; CHR – County Health Rankings; CMS – Centers for Medicare & Medicaid Services; DPI – deteriorated paint index; EPA – Environmental Protection Agency; HIV – human immunodeficiency virus; PM – particulate matter