Table 4 Results for the earlier data collection period (around 2015), 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

9.72

10.76

11.50

12.51

13.65

Fair or poor health

12.90

14.68

16.20

18.74

22.55

Frequent mental distress

10.21

10.83

11.41

12.35

13.54

Frequent physical distress

9.77

10.70

11.46

12.68

14.48

Life expectancy

80.08

78.64

77.52

76.29

74.74

Low birth weight

7.15

7.32

7.71

8.53

9.84

Mentally unhealthy days

3.39

3.55

3.72

3.98

4.26

Physically unhealthy days

3.29

3.58

3.82

4.19

4.69

Premature mortality

300

360

400

450

523

Years potential life lost

5931

7153

7987

9066

9223

Clinical Care

Dental workforce

56.26

47.50

42.13

38.45

32.32

Mammography screening rate

43.75

42.56

40.46

38.16

34.97

Mental health workforce

148

132

121

103

106

PCP workforce

71.38

58.49

53.74

48.22

42.15

Preventable hospitalization rate

44.96

52.67

58.28

65.41

77.74

Uninsured

9.15

10.84

11.82

13.39

14.90

Vaccinated

46.89

42.29

40.02

38.30

34.98

Health Behaviors

Chlamydia cases

298

328

334

376

477

Excessive drinking

18.80

17.82

16.83

15.46

14.09

Food index

8.24

7.76

7.51

7.11

6.49

Food insecurity

11.20

12.52

13.55

15.22

18.13

Insufficient sleep

31.23

31.58

32.42

34.01

35.98

Limited healthy food access

5.50

8.12

8.73

9.70

10.71

Obesity

28.91

31.43

32.33

33.34

34.38

Physical inactivity

21.14

24.23

25.94

27.86

29.36

Smokers

15.08

16.59

17.58

19.01

21.17

Physical Environment

Air quality

8.99

8.76

8.85

9.26

9.27

Severe housing problems

13.59

13.39

13.43

13.83

14.97

Social and Economic Factors

Child food program participation

37.74

47.23

53.22

61.09

70.30

Children in poverty

13.77

18.77

22.34

26.97

34.38

Deaths due to injury

65.53

78.03

84.29

87.47

96.80

Income inequality

4.10

4.32

4.45

4.65

5.10

Membership association rate

11.70

14.76

15.58

14.28

12.74