Table 1 CHR domains, indicators, weighting, and data sources
From: Health differences between rural and non-rural Texas counties based on 2023 County Health Rankings
Indicator | Measure | Weight | Source |
|---|---|---|---|
HEALTH OUTCOMES | |||
Length of life | Premature death | 50% | National Center for Health Statistics |
Quality of life | Poor or fair health | 10% | Behavioral Risk Factor Surveillance System (BRFSS) |
Poor physical health days | 10% | Behavioral Risk Factor Surveillance System | |
Poor mental health days | 10% | Behavioral Risk Factor Surveillance System | |
Low birthweight | 20% | National Center for Health Statistics – Natality files | |
HEALTH FACTORS | |||
Health Behaviors | |||
Tobacco use | Adult smoking | 10% | Behavioral Risk Factor Surveillance System |
Diet and exercise | Adult obesity | 5% | Behavioral Risk Factor Surveillance System |
Food environment index | 2% | USDA Food Environment Atlas, Map the Meal Gap from Feeding America | |
Physical inactivity | 2% | Behavioral Risk Factor Surveillance System | |
Access to exercise opportunities | 1% | ArcGIS Business Analyst and Living Atlas of the World; YMCA; US Census TIGER/Line Shapefiles | |
Alcohol and drug use | Excessive drinking | 2.5% | Behavioral Risk Factor Surveillance System |
Alcohol-impaired driving deaths | 2.5% | Fatality Analysis Reporting System | |
Sexual activity | Sexually transmitted infections | 2.5% | National Center for HIV/AIDS, Viral Hepatitis, STD, and Prevention |
Teen births | 2.5% | National Center for Health Statistics – Natality Files | |
Clinical Care | |||
Access to care | Uninsured | 5% | Small Area Health Insurance |
Primary care physicians | 3% | Area Health Resource File/American Medical Association | |
Dentists | 1% | Area Health Resource File/National Provider Identifier File | |
Mental health providers | 1% | CMS, National Provider Identification | |
Quality of care | Preventable hospital stays | 5% | Mapping Medicare Disparities Tool |
Mammography screening | 2.5% | Mapping Medicare Disparities Tool | |
Flu vaccinations | 2.5% | Mapping Medicare Disparities Tool | |
Social and Economic Factors | |||
Education | High school completion | 5% | American Community Survey, 5-year estimates |
Some college | 5% | American Community Survey, 5-year estimates | |
Employment | Unemployment | 10% | Bureau of Labor Statistics |
Income | Children in poverty | 7.5% | Small Area Income and Poverty Estimates |
Income inequality | 2.5% | American Community Survey, 5-year estimates | |
Family and social support | Children in single-parent households | 2.5% | American Community Survey, 5-year estimates |
Social associations | 2.5% | County Business Patterns | |
Children in single-parent households | 2.5% | American Community Survey, 5-year estimates | |
Social associations | 2.5% | County Business Patterns | |
Community safety | Injury deaths | 5% | National Center for Health Statistics – Mortality Files |
Physical Environment | |||
Air and water quality | Air pollution – particulate matter | 2.5% | Environmental Public Health Tracking Network |
Drinking water violations | 2.5% | Safe Drinking Water Information System | |
Housing and transit | Severe housing problems | 2% | Comprehensive Housing Affordability Strategy (CHAS) data |
Driving alone to work | 2% | American Community Survey, 5-year estimates | |
Long commute – driving alone | 1% | American Community Survey, 5-year estimates | |