Table 3 Results for the later collection period (around 2019), by county prosperity quintile. All ANOVA differences across prosperity quintiles p < 0.001. Values in italics did not follow a stepwise worsening of measure value when moving from a higher to a lower prosperity quintile. Values in bold indicate measures where there was improvement in measure values when moving from a higher to a lower prosperity quintile

Health Outcomes

Diabetes prevalence

8.84

9.68

10.34

11.57

13.49

Fair or poor health

15.70

18.07

19.83

22.67

26.79

Frequent mental distress

13.70

14.84

15.75

17.04

18.50

Frequent physical distress

11.13

12.43

13.39

14.83

16.87

Life expectancy

79.82

78.21

77.01

75.65

73.83

Low birth weight

7.20

7.47

7.85

8.60

9.92

Mentally unhealthy days

4.34

4.60

4.83

5.17

5.51

Physically unhealthy days

3.62

3.98

4.26

4.65

5.20

Premature mortality

309

374

421

479

571

Years potential life lost

6331

7748

8800

9223

9223

Clinical Care

Dental workforce

60.23

51.47

46.02

41.81

35.26

Mammography screening rate

45.92

44.87

42.75

39.78

36.71

Mental health workforce

194

170

154

137

150

PCP workforce

71.97

58.03

53.29

47.96

40.66

Preventable hospitalization rate

32.88

35.48

38.75

43.77

51.16

Uninsured

9.03

10.82

11.71

13.46

14.63

Vaccinated

50.11

45.09

42.45

40.34

36.76

Health Behaviors

Chlamydia cases

339

367

378

442

558

Excessive drinking

20.84

20.47

19.57

18.03

16.43

Food index

8.45

7.86

7.54

7.01

6.41

Food insecurity

9.46

11.35

12.74

14.65

17.23

Insufficient sleep

34.25

35.29

36.41

38.09

40.07

Limited healthy food access

5.70

7.84

8.33

9.81

10.76

Obesity

31.89

34.40

35.55

37.22

39.54

Physical inactivity

24.61

27.88

29.83

32.75

36.70

Smokers

16.37

18.87

20.30

21.91

24.34

Physical Environment

Air quality

7.96

7.88

7.90

8.20

8.17

Severe housing problems

13.01

12.83

12.96

13.42

14.53

Social and Economic Factors

Child food program participation

37.05

46.47

53.01

61.54

73.80

Children in poverty

10.27

14.59

17.89

21.90

28.71

Deaths due to injury

74.23

86.10

93.61

98.15

107.64

Income inequality

4.04

4.25

4.41

4.65

5.20

Membership association rate

10.42

12.29

12.72

11.65

10.36