Table 3:

Secondary assessment results for the case study data

Risk Factor	Mean (95% CI) a
Access to care
Total Hospitals	0.78 (0.15, 1.40)*
Hospitals per square mile	0.85 (0.24, 1.45)*
BrCa Hospitals b	0.38 (−0.25, 1.01)
BrCa Hospitals per square mile b	0.71 (0.11, 1.32)*
Quality of Care c
ACS program	0.57 (−0.06, 1.19)
ACS program per square mile	0.69 (0.10, 1.28)*
Medicare certification	0.61 (0.002, 1.21)*
Medicare certification per square mile	0.69 (0.10, 1.26)*
Availability of Fresh Food
Total Number of Groceries	0.56 (−0.07, 1.19)
Groceries per square mile	0.67 (0.06, 1.27)*
Socio-economic Status
Median Income d	0.59 (−0.03, 1.21)
% High Education e	0.79 (0.17, 1.40)*
% Medicaid Eligible	−0.23 (−0.87, 0.41)
% Poverty f	−0.26 (−0.91, 0.39)
% Urban Population	0.47 (−0.17, 1.10)
% Farmland	0.00 (−1.96, 1.96)
% African American	0.25 (−0.39, 0.89)
% Agriculture etc Work g	−0.83 (−1.42, -0.24)*

^*Indicates statistical significance.

^aThe estimates are from the secondary model fit using the spatial frailty estimate from the best model, S+T1.

^bBrCa hospitals are a subset of total hospitals which perform BrCa screenings and have mammography machines.

^cHospital quality risk factors based on: number of hospitals with ACS cancer programs, number of hospitals with Medicare certifications, and a hospital quality ranking based on health factors.

^dMedian household income in thousands of dollars

^ePercent of persons 25 years or older with four or more years of college education

^fPercent of persons living in poverty

^gThis includes workers in: agriculture, forestry, fishing, hunting, and mining industries

^hThese select chemicals are emissions from agriculture and forestry sources