Table 1 The CHR health factors, focus areas, measures, and sources CHR
Health Factor | Focus Area | Measure | Source |
|---|---|---|---|
Health Behaviors | |||
| Â | Tobacco Use | Percent of adults that report smoking at least 100 cigarettes and that they currently smoke | BRFSS |
|  | Diet and Exercise | Percent of adults that report a BMI ≥ 30 | CDC, National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation |
| Â | Alcohol Use | Motor vehicle deaths per 100Â K population; Percent of adults that report binge drinking in the past 30Â days | Vital Statistics, NCHS, BRFSS |
| Â | Sexual Activity | Chlamydia rate per 100Â K population; Teen birth rate per 1,000 female population, ages 15-19 | CDC, National Center for Hepatitis, HIV, STD, and TB Prevention, Vital Statistics, NCHS |
Clinical Care | |||
|  | Access to Care | Percent of population < age 65 without health insurance; Primary care provider rate per 100 K population | Census/Current Population Survey, Small Area Health Insurance Estimates, Health Resources and Services Administration, Area Resource Files |
| Â | Quality of Care | Hospitalization rate for ambulatory-care sensitive conditions per 1,000 Medicare enrollees; Percent of diabetic Medicare enrollees that receive HbA1c screening; Percent of chronically ill Medicare enrollees in hospice care in last 6Â months of life | Medicare claims/Dartmouth Atlas |
Social and Economic Factors | |||
| Â | Education | Average freshman graduation rate (percent of ninth grade cohort that graduates in 4Â years); Percent of population age 25+ with 4-year college degree or higher | National Center for Education Statistics, Decennial Census, American Community Survey |
| Â | Employment | Percent of population age 16+ unemployed but seeking work | Local Area Unemployment Statistics, Bureau of Labor Statistics |
| Â | Income | Percent of children in poverty; Gini coefficient of income inequality (2010 only, based on household income) | Decennial Census, ACS |
| Â | Family and Social Support | Percent of adults without social/emotional support; Percent of all households that are single-parent households | BRFSS, Decennial Census, ACS |
| Â | Community Safety | Violent crime rate per 100Â K population OR Homicide death rate per 100Â K population | Uniform Crime Reporting, Federal Bureau of Investigation, Vital Statistics, NCHS |
Physical Environment | |||
| Â | Environmental Quality | Annual number of unhealthy air quality days due to ozone; Annual number unhealthy air quality days due to fine particulate matter | CDC - Environmental Protection Agency Collaboration |
|  | Built Environment | Percent of zip codes in county with health food outlets (includes grocery stores with >4 employees and produce stands/farmers’ markets); Number of liquor stores per 10 K population (2010 only); Access to recreational facilities (2011 only) | Census Zip Code Business Patterns, Census County Business Patters and Census 2006 Population Estimates |