Table 4.

Direct and indirect impacts of change in health care access, socioeconomic, and built environment variables on county DRMR.

Explanatory variables	SDM Lag (Std. error)	SDM impacts			% of indirect impacts
		Direct	Indirect	Total
Social capital index (SCI)	0.023*(0.010)	0.009	0.045**	0.054**	84.08
Socioeconomic index (SEI)	0.137***(0.018)	−0.288***	0.003	−0.286***
Income disparity (Gini coefficient)	−1.011**(0.358)	−1.222***	−2.687***	−3.908***	68.75
Retail food environment index (RFEI)	0.113**(0.043)	0.091***	0.264***	0.355***	74.37
Percent HH with low access to grocery stores	0.004(0.007)	0.008*	0.013	0.022
No. of hospital beds per 1000 population	−0.002(0.003)	−0.001	−0.004	−0.004
No. of active physicians per 1000 population	0.002(0.001)	0.001	0.005*	0.006*	82.62
Proportion of uninsured Adults	0.575(0.288)	−0.579*	0.515	−0.064
Proportion of Blacks	0.197(0.114)	0.015	0.347*	0.362**	95.85
Proportion of Hispanics	0.316*(0.135)	−0.082	0.471**	0.389**	85.17
Spatial proximity index (SPI)	−0.214(0.127)	0.186**	−0.215	−0.030
Proportion of adults meets PA guideline	−0.923***(0.262)	0.279	−1.344***	−1.066***	82.81
Percent of urban population	−0.051(0.057)	0.183***	0.060	0.243*

Significance levels:

^***< 0.001,

^**<0.01, &

^*<0.05.;

HH = households; PA = physical activity