Table 1.
County Health Rankings Model: Measures and Data Sources
| Measure | Data source | |
|---|---|---|
| Health outcomes | ||
| ᅟMortality 50 %* | Premature death | National center for health statistics |
| ᅟMorbidity 50 % | Poor or fair health | Behavioral risk factor surveillance system |
| Poor physical health days | Behavioral risk factor surveillance system | |
| Poor mental health days | Behavioral risk factor surveillance system | |
| Low birth weight | Behavioral risk factor surveillance system | |
| Health factors | ||
| Health behaviors (30 %) | ||
| ᅟTobacco use | Adult smoking | Behavioral risk factor surveillance system |
| ᅟDiet & exercise | Adult obesity | National center for chronic disease prevention and health promotion (NCCDPHP) |
| Physical inactivity | NCCDPHP | |
| ᅟAlcohol & drug use | Excessive drinking | Behavioral risk factor surveillance system |
| ᅟSexual activity | STI data | National center for HIV/AIDS, viral hepatitis, STD, and TB prevention |
| Teen births | National center for health statistics | |
| Clinical care (20 %) | ||
| ᅟAccess to care | Uninsured | Small area health insurance estimates |
| Primary care physicians | HRSA area resource file | |
| Dentists | HRSA area resource file | |
| ᅟQuality of care | Preventable hospital stays | Medicare/dartmouth institute |
| Diabetic screening | Medicare/dartmouth institute | |
| Mammography screening | Medicare/dartmouth institute | |
| Social economic factors (40 %) | ||
| ᅟEducation | High school graduation | Data.gov, supplemented w/ national center for education statistics |
| Some college | American community survey | |
| ᅟEmployment | Unemployment | Bureau of labor statistics |
| ᅟIncome | Children in poverty | Small area income and poverty estimates |
| ᅟFamily and social support | Inadequate social support | Behavioral risk factor surveillance system |
| Children in single parent households | American community survey | |
| ᅟCommunity safety | Violent crime | FBI Uniform crime reporting |
| Injury deaths | CDC Wonder | |
| Physical environment (10 %) | ||
| ᅟAir and water quality | Air pollution - particulate matter | CDC Wonder |
| Drinking water violations | Safe drinking water information system | |
| ᅟBuilt environment | Limited access to health foods | USDA food environment atlas |
| Fast food restaurants | County business patterns | |
| Access to recreational facilities | County business patterns | |
Policies and Programs
Federal, state and local programs believed to target health outcomes directly or attribute to health factors which cause outcomes
*Percentages indicate weights based on comparative importance within an outcome/factor and data quality