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Table 1 Measures collected, with domain, definition, orientation, periods obtained, and year interval between periods

From: An observational, sequential analysis of the relationship between local economic distress and inequities in health outcomes, clinical care, health behaviors, and social determinants of health

Domain

Measure name

Definition

Higher is…

First period

Second period

Year interval

Health Outcomes

Diabetes prevalence

Percentage of adults aged 20 + with diagnosed diabetes

Worse

2015

2019

4

Fair or poor health

Age-adjusted percentage of adults in fair or poor health

Worse

2015

2019

4

Frequent mental distress

Percentage of adults reporting 14 + days of poor mental health per month

Worse

2015

2019

4

Frequent physical distress

Percentage of adults reporting 14 + days of poor physical health per month

Worse

2015

2019

4

Life expectancy

Life expectancy at birth in years

Better

2015-17

2018-20

3

Low birth weight

Percentage of live births that are < 2500 g

Worse

2010-16

2014-20

3

Mentally unhealthy days

Age-adjusted average number of mentally unhealthy days in the last 30 days

Worse

2015

2019

4

Physically unhealthy days

Age-adjusted average number of physically unhealthy days in the last 30 days

Worse

2015

2019

4

Premature mortality

Age-adjusted number of deaths among residents under age 75 per 100,000

Worse

2015-17

2018-20

3

Years potential life lost

Age-adjusted years of potential life lost before age 75 per 100,000 population

Worse

2015

2018-20

4

Clinical Care

Dental workforce

Ratio of dentists to the population

Better

2015

2019

4

Mammography screening rate

Percentage of female Medicare enrollees 65–74 that received annual mammogram screening

Better

2016

2019

3

Mental health workforce

Ratio of mental health providers to the population

Better

2015

2019

4

PCP workforce

Ratio of primary care physicians to the population

Better

2015

2019

4

Preventable hospitalization rate

Preventable hospitalizations per 100,000 Medicare enrollees

Worse

2015

2019

4

Uninsured

Percentage of population under age 65 that is uninsured

Worse

2015

2019

4

Vaccinated

Percentage of fee-for-service Medicare enrollees that had an annual flu vaccine

Better

2016

2019

3

Health Behaviors

Chlamydia cases

Newly diagnosed chlamydia cases per 100,000 population

Worse

2015

2019

4

Excessive drinking

Percentage of adults reporting binge or heavy drinking

Worse

2015

2019

4

Food index

Food environment index (0 to 10 point scale, 0 is worst)

Better

2015

2019

4

Food insecurity

Percentage of population lacking adequate access to food

Worse

2015

2019

4

Insufficient sleep

Percentage of adults reporting fewer than 7 h of sleep on average

Worse

2015

2019

4

Limited healthy food access

Percentage of population who are low-income and do not live close to a grocery store

Worse

2016

2018

2

Obesity

Percentage of adults aged 20 + with a BMI ≥ 30

Worse

2015

2019

4

Physical inactivity

Percentage of adults aged 20 + reporting no leisure time physical activity

Worse

2015

2019

4

Smokers

Percentage of adults who are current smokers

Worse

2015

2019

4

Physical Environment

Air quality

Average daily density of fine particulate matter in micrograms per cubic meter

Worse

2014

2018

4

Severe housing problems

Percentage of households with at least 1 of 4 housing problems

Worse

2012-16

2014-18

5

Social and Economic Factors

Child food program participation

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

Worse

2012-16

2016-20

4

Children in poverty

Percentage of population under age 18 living in poverty

Worse

2015

2019

4

Deaths due to injury

Number of deaths due to injury per 100,000 population

Worse

2014-15

2018-19

4

Income inequality

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

Worse

2015

2020

5

Membership association rate

Number of membership associations per 10,000 population

Better

2011-15

2016-20

5