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Table 5 Change in measure values between the earlier and later data collection period, by county prosperity quintile. 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 among the least prosperous counties

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

County prosperity quintile

Most

High

Average

Low

Least

Health Outcomes

Diabetes prevalence

-0.88

-1.08

-1.16

-0.94

-0.16

Fair or poor health

2.80

3.38

3.63

3.93

4.24

Frequent mental distress

3.49

4.00

4.34

4.69

4.96

Frequent physical distress

1.36

1.73

1.93

2.15

2.39

Life expectancy

-0.26

-0.43

-0.52

-0.64

-0.91

Low birth weight

0.05

0.15

0.15

0.06

0.08

Mentally unhealthy days

0.95

1.05

1.12

1.19

1.24

Physically unhealthy days

0.33

0.40

0.44

0.46

0.51

Premature mortality

9.08

14.17

21.68

28.60

47.73

Years potential life lost

400

595

812

157

0

Clinical Care

Dental workforce

3.97

3.96

3.90

3.36

2.95

Mammography screening rate

2.17

2.31

2.29

1.62

1.74

Mental health workforce

45.89

38.43

32.95

33.53

43.41

PCP workforce

0.58

-0.46

-0.45

-0.26

-1.49

Preventable hospitalization rate

-12.08

-17.19

-19.53

-21.64

-26.57

Uninsured

-0.13

-0.02

-0.11

0.07

-0.26

Vaccinated

3.22

2.80

2.43

2.04

1.78

Health Behaviors

Chlamydia cases

41.05

39.02

43.71

65.99

81.65

Excessive drinking

2.04

2.66

2.74

2.57

2.34

Food index

0.21

0.11

0.03

-0.10

-0.08

Food insecurity

-1.75

-1.17

-0.82

-0.57

-0.90

Insufficient sleep

3.02

3.71

3.99

4.08

4.08

Limited healthy food access

0.20

-0.28

-0.40

0.11

0.05

Obesity

2.99

2.97

3.22

3.88

5.15

Physical inactivity

3.47

3.65

3.90

4.89

7.34

Smokers

1.29

2.27

2.72

2.90

3.17

Physical Environment

Air quality

-1.04

-0.88

-0.95

-1.06

-1.10

Severe housing problems

-0.57

-0.56

-0.46

-0.41

-0.44

Social and Economic Factors

Child food program participation

-0.68

-0.76

-0.22

0.44

3.49

Children in poverty

-3.51

-4.18

-4.45

-5.08

-5.66

Deaths due to injury

8.70

8.08

9.31

10.68

10.84

Income inequality

-0.06

-0.07

-0.04

0.00

0.10

Membership association rate

-1.28

-2.47

-2.86

-2.63

-2.38