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County-level variations in age-adjusted prevalence of obesity (A), physical inactivity (B), diabetes (C), high blood pressure (HBP) (D), and age-adjusted mortality from heart failure (E), depicted by quintiles of each variable. The arrows represents hypothesized pathway. (Note: the states of Alaska and Hawaii are shown on the left bottom in each map for the purpose of being presented in a figure. Please refer to a U.S. map for their exact location.)
