TABLE 1—

Calculation of Community Health Needs Indicators: United States, 2009

Subindicator (Weight, %, for Global Community Health Needs Indicator)	Measure (Weight, %, for Community Health Needs Subindicators)
Health behaviors (30)
Smoking	Adult smoking rate (33.3)
Diet and exercise	Adult obesity rate (33.3)
Alcohol use	Bing drinking (8.3)
	Motor vehicle crash death rate (8.3)
Unsafe sex	Adolescent birth rate (16.7)
Clinical care (20)
Access to care	Adult uninsured rate (25.0)
	Primary care provider rate (25.0)
Quality of care	Hospitalization rates for ambulatory-sensitive conditions (25.0)
	Diabetic screening rate (12.5)
	Hospice use rate (12.5)
Social and economic factors (40)
Employment	Unemployment rate (40.0)
Income	Children in poverty (40.0)
Family and financial support	Social and emotional support (20.0)
Physical environment (10)
Environmental quality	Unhealthy air quality owing to particulate matter (25.0)
	Unhealthy air quality owing to ozone (25.0)
Built environment	Access to health foods (50.0)

Note. Following the 2010 County Health Rankings approach, we calculated the global community health needs indicator using 4 subindicators (health behaviors, clinical care, social and economic factors, physical environment) and the weights shown in parentheses. We calculated each of the 4 subindicators using the measures shown with weights shown in parentheses. The measures included represented 16 of the 23 measures included in the 2010 County Health Rankings. We excluded 7 measures because data were not comparable across states. The 7 missing measures were chlamydia rate, high school graduation rate, adults with college degrees, income inequality, single-parent households, violent crime or homicide rate, and liquor store density.