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Table 4 Domain-specific factors most strongly associated with national 4-year total population pregnancy-related mortality ratio per 100,000 live births (2015–2018). Correlations are with respect to the relevant PRM ratio variable

From: The public health exposome and pregnancy-related mortality in the United States: a high-dimensional computational analysis

Social environment

  Percent of population living in poverty, 2016

0.241

  Percentage of population who lack adequate access to food

0.232

  Percent Persons in Poverty, 2015

0.231

  Sum of series for Socioeconomic themea

0.229

  Median Household Income, 2016

-0.219

  Percentile Percentage of persons with no high school diploma(age 25 +) estimate, 2018

0.200

  Sum of series for Household Composition theme, 2014

0.196

  Percentage of children that live in a household headed by single parent

0.193

  Percentage of population that is non-Hispanic Black or African American

0.189

  Percentile percentage of civilian noninstitutionalized population with a disability estimate, 2018

0.187

  Percentage of adults ages 25–44 with some post-secondary education

-0.184

  Per Capita Personal Income, 2016

-0.182

  Median Household Income in dollars, 2015

-0.180

  Percent High School Education percent, 2014

-0.163

  Ratio of household income at the 80th percentile to income at the 20th percentile

0.159

  Percentile percentage of single parent households with children under 18 estimate, 2018

0.153

  Flag—the percentage of single parent households is in the 90th percentile (1 = yes,0 = no), 2018

0.153

Health and health care environment

  Years of potential life lost before age 75 per 100,000 population (age-adjusted)

0.254

  Average number of years a person can expect to live

-0.249

  Percentage of adults who are current smokers

0.246

  Percentage of adults aged 20 and over reporting no leisure-time physical activity

0.237

  Births unmarried women, non-Hispanic, 2014

0.220

  Percentage of adults reporting 14 or more days of poor physical health per month

0.211

  Birth Rates, aged 15–19, 2014

0.201

  Percent Living in Poverty percent, 2015

0.192

  Percentage of adults who report fewer than 7 h of sleep on average

0.192

  Birth Rates, aged 18–19, 2014

0.190

  Average number of mentally unhealthy days reported in past 30 days (age-adjusted)

0.185

  Percentage of adults aged 20 and above with diagnosed diabetes

0.184

  Median Household Income in dollars, 2015

-0.180

  Percentage of the adult population (age 20 and older) that reports a body mass index (BMI) greater than or equal to 30 kg/m2

0.179

  Percent of population without health insurance

0.178

  Number of deaths due to firearms per 100,000 population

0.174

  Percentage of adults reporting binge or heavy drinking

-0.168

  Rate of HIV among MSM, 2018

0.163

  Age-adjusted rate of death from Heart Attack among persons 35 and older per 100,000 population, 2015

0.160

  Age-adjusted rate of death from Heart Attack among persons 35 and older per 100,000 population, 2014

0.158

  Birth Rates, aged 40–54, white, 2014

-0.157

  Standardized Per Capita Medicare Cost, 2014

0.155

  Number of newly diagnosed chlamydia cases per 100,000 population

0.154

  Preventable Hospital Stays Rate, 2015

0.151

  Rate of hospital stays for ambulatory-care sensitive conditions per 100,000 Medicare enrollees

0.150

Built environment

  Index of factors that contribute to a healthy food environment, from 0 (worst) to 10 (best)

-0.228

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 3 = Housing Choice Vouchers, 2017

-0.186

  Percentage of households that have income in the bracket of $20,000 or more yearly for Program 5 = Project Based Sect. 8 = 202/PRAC, 2018

-0.185

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 5 = Project Based Sect. 8 = 202/PRAC, 2017

-0.181

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 2 = Public Housing, 2017

0.180

  Percentage of households that have income in the bracket of $20,000 or more yearly for Program 5 = Project Based Sect. 8 = 202/PRAC, 2018

-0.179

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 2 = Public Housing, 2017

0.179

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 1 = Summary of All HUD Programs, 2018

0.177

  % of the population below poverty level in the census tract where HUD assisted families reside (Census 2010 designation) for Program 3 = Housing Choice Vouchers, 2018

0.175

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 2 = Public Housing, 2015

0.175

  Percentage of households that have income in the bracket of $20,000 or more yearly for Program 5 = Project Based Sect. 8 = 202/PRAC, 2016

-0.170

  Percentage of households that have income in the bracket of $20,000 or more yearly for Program 5 = Project Based Sect. 8 = 202/PRAC, 2014

-0.168

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 1 = Summary of All HUD Programs, 2015

0.167

  Percentage of households that have income in the bracket of $5000-$9999 yearly for Program 2 = Public Housing, 2016

0.166

  Percentage of households in which the race of the head of household is Black and the ethnicity is not Hispanic for Program 1 = Summary of All HUD Programs, 2018

0.165

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 2 = Public Housing, 2014

-0.164

  Percentages of households headed by female for Program 3 = Housing Choice Vouchers, 2015

0.161

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 3 = Housing Choice Vouchers, 2015

-0.156

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 2 = Public Housing, 2017

-0.155

  Percent of mobile-home housing units, 2016

0.155

  Percentage of households that have income which comes in the bracket of $1-$4999 yearly for Program 5 = Project Based Sect. 8 = 202/PRAC, 2018

0.153

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 2 = Public Housing, 2016

-0.152

  Percentage of households that have income in the bracket of $20,000 or more yearly for Program 3 = Housing Choice Vouchers, 2018

-0.152

  Percentage of population with adequate access to locations for physical activity

-0.151

  Average total household income per year for Program 1 = Summary of All HUD Programs, 2017

-0.151

  Average gross household contribution towards rent per month (includes payment toward rent and utilities) (Excludes zero values and missing values) for Program 2 = Public Housing, 2015

-0.150

  Percentages of households headed by female for Program 1 = Summary of All HUD Programs, 2016

0.150

Natural environment

  Number of extreme heat days: Heat Index, 105°F, 2015

0.192

  Number of extreme heat days: Heat Index, 95°F, 2014

0.169

  Number of extreme heat events: Heat Index, 95°F, 3 days minimum, 2014

0.164

  Number of extreme heat events: Heat Index, 100°F, 3 days minimum, 2016

0.156

Policy environmenta

  Free school lunch eligibility (percent), 2014

0.184

  National School Lunch Program participants (% pop), 2014

0.178

  Percentage of children enrolled in public schools that are eligible for free or reduced price lunch

0.176

  School Breakfast Program participants (% pop), 2014

0.166

  1. aAfter removal of the autocorrelates and margin of error variables, only 8 variables remained in this domain