Colorado - County Health Rankings

2017 County Health Rankings

Colorado

County Health Rankings 2017: Colorado

INTRODUCTION The County Health Rankings & Roadmaps program brings actionable data and strategies to communities to make it easier for people to be healthy in their homes, schools, workplaces, and neighborhoods. Ranking the health of nearly every county in the nation, the County Health Rankings illustrate what we know when it comes to what is making people sick or healthy. The Roadmaps show what we can do to create healthier places to live, learn, work, and play. The Robert Wood Johnson Foundation (RWJF) collaborates with the University of Wisconsin Population Health Institute (UWPHI) to bring this program to cities, counties, and states across the nation.

WHAT ARE THE COUNTY HEALTH RANKINGS? Published online at countyhealthrankings.org, the Rankings help counties understand what influences how healthy residents are and how long they will live. The Rankings are unique in their ability to measure the current overall health of nearly every county in all 50 states. They also look at a variety of measures that affect the future health of communities, such as high school graduation rates, access to healthy foods, rates of smoking, obesity, and teen births. Communities use the Rankings to help identify issues and opportunities for local health improvement, as well as to garner support for initiatives among government agencies, healthcare providers, community organizations, business leaders, policy makers, and the public.

DIGGING DEEPER INTO HEALTH DATA Although we know that a range of factors are important for good health, every state has communities that lack both opportunities to shape good health and strong policies to promote health for everyone. Some counties lag far behind others in how well and how long people live – which we refer to as a “health gap.” Find out what's driving health differences across your state and what can be done to close those gaps. Visit countyhealthrankings.org/reports. To further explore health gaps and other data sources in your community, check out the feature to find more data for your state and dig deeper on differences in health factors by geography or by population sub‐ groups. Visit countyhealthrankings.org/using‐the‐rankings‐data. 1

www.countyhealthrankings.org/colorado


MOVING FROM DATA TO ACTION Roadmaps to Health help communities bring people together to look at the many factors that influence health and opportunities to reduce health gaps, select strategies that can improve health for all, and make changes that will have a lasting impact. The Roadmaps focus on helping communities move from awareness about their county’s ranking to actions designed to improve everyone’s health. The Roadmaps to Health Action Center is a one‐stop shop of information to help any community member or leader who wants to improve their community’s health by addressing factors that we know influence health, such as education, income, and community safety. Within the Action Center you will find:  Online step‐by‐step guidance Action Cycle and tools to move through the 

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Action Cycle What Works for Health – a searchable database of evidence‐informed policies and programs that can improve health Webinars featuring local community members who share their tips on how to build a healthier community Community coaches, located across the nation, who provide customized consultation to local leaders who request guidance in how to accelerate their efforts to improve health. You can contact a coach by activating the Get Help button at countyhealthrankings.org

HOW CAN YOU GET INVOLVED? You might want to contact your local affiliate of United Way Worldwide, the National Association of Counties, Local Initiatives Support Corporation (LISC), or Neighborworks– their national parent organizations have partnered with us to raise awareness and stimulate action to improve health in their local members’ communities. By connecting with other leaders interested in improving health, you can make a difference in your community. In communities large and small, people from all walks of life are taking ownership and action to improve health. Visit countyhealthrankings.org to get ideas and guidance on how you can take action in your community. Working with others, you can improve the health of your community. www.countyhealthrankings.org/colorado

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HOW DO COUNTIES RANK FOR HEALTH OUTCOMES? The green map below shows the distribution of Colorado’s health outcomes, based on an equal weighting of length and quality of life.

Lighter shades indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available at countyhealthrankings.org.

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County

Rank County

Rank County

Rank County

Rank

Adams

36

Denver

38

Kit Carson

21

Phillips

30

Alamosa

54

Dolores

46

La Plata

15

Pitkin

6

Arapahoe

16

Douglas

1

Lake

41

Prowers

42

Archuleta

24

Eagle

5

Larimer

9

Pueblo

51

Baca

50

El Paso

33

Las Animas

49

Rio Blanco

23

Bent

48

Elbert

10

Lincoln

22

Rio Grande

47

Boulder

3

Fremont

40

Logan

32

Routt

4

Broomfield

2

Garfield

13

Mesa

25

Saguache

53

Chaffee

18

Gilpin

34

Mineral

NR

San Juan

NR

Cheyenne

NR

Grand

12

Moffat

37

San Miguel

7

Clear Creek

35

Gunnison

19

Montezuma

44

Sedgwick

27

Conejos

52

Hinsdale

NR

Montrose

39

Summit

8

Costilla

58

Huerfano

57

Morgan

29

Teller

43

Crowley

56

Jackson

NR

Otero

55

Washington

20

Custer

31

Jefferson

11

Ouray

28

Weld

17

Delta

45

Kiowa

NR

Park

14

Yuma

26



HOW DO COUNTIES RANK FOR HEALTH FACTORS? The blue map displays Colorado’s summary ranks for health factors, based on weighted scores for health behaviors, clinical care, social and economic factors, and the physical environment.

Lighter shades indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available at countyhealthrankings.org

County

Rank County

Rank County

Rank County

Rank

Adams

48

Denver

43

Kit Carson

41

Phillips

23

Alamosa

47

Dolores

35

La Plata

20

Pitkin

2

Arapahoe

26

Douglas

1

Lake

28

Prowers

51

Archuleta

22

Eagle

8

Larimer

11

Pueblo

52

Baca

33

El Paso

30

Las Animas

45

Rio Blanco

29

Bent

55

Elbert

6

Lincoln

37

Rio Grande

49

Boulder

5

Fremont

54

Logan

31

Routt

7

Broomfield

3

Garfield

27

Mesa

42

Saguache

57

Chaffee

10

Gilpin

16

Mineral

NR

San Juan

NR

Cheyenne

NR

Grand

13

Moffat

38

San Miguel

18

Clear Creek

15

Gunnison

12

Montezuma

46

Sedgwick

36

Conejos

44

Hinsdale

NR

Montrose

34

Summit

9

Costilla

58

Huerfano

53

Morgan

40

Teller

24

Crowley

56

Jackson

NR

Otero

50

Washington

17

Custer

21

Jefferson

14

Ouray

4

Weld

32

Delta

39

Kiowa

NR

Park

19

Yuma

25


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2017 COUNTY HEALTH RANKINGS: MEASURES AND NATIONAL/STATE RESULTS Measure HEALTH OUTCOMES Premature death Poor or fair health Poor physical health days Poor mental health days Low birthweight HEALTH FACTORS HEALTH BEHAVIORS Adult smoking Adult obesity Food environment index Physical inactivity

Description Years of potential life lost before age 75 per 100,000 population % of adults reporting fair or poor health Average # of physically unhealthy days reported in past 30 days Average # of mentally unhealthy days reported in past 30 days % of live births with low birthweight ( 30 minutes


US Median 7,700 16% 3.8 3.8 8% 17% 31% 7.3 26%

State State State Overall Minimum Maximum 5,700 3,300 10,500 14% 8% 23% 3.5 2.2 4.5 3.5 2.8 4.0 9% 5% 15% 16% 10% 23% 20% 12% 28% 7.7 2.7 8.9 14% 8% 25%

62% 17% 30% 294.8 38 14% 2,030:1 2,570:1

91% 19% 35% 415.0 30 12% 1,240:1 1,340:1

1% 12% 0% 83.3 6 5% 1,980:0 3,580:0

100% 24% 83% 911.3 61 22% 750:1 670:1

1,105:1 56

350:1 32

8,130:1 12

70:1 78

86%

84%

60%

95%

61%

60%

33%

71%

88% 57% 5.3% 22%

77% 71% 3.9% 15%

40% 22% 2.1% 3%

98% 87% 7.7% 49%

4.4

4.5

3.3

6.1

32%

28%

14%

51%

12.6 198 77 9.2

8.8 309 72 5.4

4.7 22 44 4.3

29.8 617 143 9.2

NA

NA

No

Yes

14%

17%

8%

27%

81% 30%

75% 33%

44% 9%

80% 71%


2017 COUNTY HEALTH RANKINGS: DATA SOURCES AND YEARS OF DATA

Measure

Data Source

Years of Data

HEALTH OUTCOMES Length of Life

Premature death

National Center for Health Statistics – Mortality files

2012‐2014

Quality of Life

Poor or fair health

Behavioral Risk Factor Surveillance System

2015

Poor physical health days


2015

Poor mental health days


Low birthweight

National Center for Health Statistics – Natality files

2015 2008‐2014

HEALTH FACTORS HEALTH BEHAVIORS Tobacco Use

Adult smoking


Diet and Exercise

Adult obesity

CDC Diabetes Interactive Atlas

Food environment index

USDA Food Environment Atlas, Map the Meal Gap

Physical inactivity

CDC Diabetes Interactive Atlas

2015 2013 2010 & 2014 2013

Access to exercise opportunities

Business Analyst, Delorme map data, ESRI, & US Census Tigerline Files 2010 & 2014

Alcohol and Drug Use

Excessive drinking


Alcohol‐impaired driving deaths

Fatality Analysis Reporting System

Sexual Activity Sexually transmitted infections

2015 2011‐2015

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

2014

Teen births

National Center for Health Statistics ‐ Natality files

2008‐2014

Access to Care

Uninsured

Small Area Health Insurance Estimates

Primary care physicians

Area Health Resource File/American Medical Association

2014

Dentists

Area Health Resource File/National Provider Identification file

2015

Mental health providers

CMS, National Provider Identification file

2016

Quality of Care Preventable hospital stays

Dartmouth Atlas of Health Care

2014

Diabetes monitoring


2014

Mammography screening


2014

CLINICAL CARE 2014

SOCIAL AND ECONOMIC FACTORS Education

High school graduation

EDFacts1

2014‐2015

Some college

American Community Survey

2011‐2015

Employment

Unemployment

Bureau of Labor Statistics

Income

Children in poverty

Small Area Income and Poverty Estimates

Income inequality


2011‐2015

Family and Social Support

Children in single‐parent households American Community Survey

2011‐2015

Social associations

County Business Patterns

Violent crime

Uniform Crime Reporting – FBI

2012‐2014

Injury deaths

CDC WONDER mortality data

2011‐2015

Community Safety

2015 2015

2014

PHYSICAL ENVIRONMENT Air and Water Quality Housing and Transit

Air pollution ‐ particulate matter 2

CDC National Environmental Public Health Tracking Network

Drinking water violations

Safe Drinking Water Information System

FY2013‐14

Severe housing problems

Comprehensive Housing Affordability Strategy (CHAS) data

2009‐2013

Driving alone to work


2011‐2015

Long commute – driving alone


2011‐2015

2012

1 2

State sources used for California and Texas. Not available for AK and HI. www.countyhealthrankings.org/colorado

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CREDITS Report Authors University of Wisconsin‐Madison Marjory Givens, PhD, MSPH School of Medicine and Public Health Amanda Jovaag, MS Department of Population Health Sciences Julie Willems Van Dijk, PhD, RN Population Health Institute Suggested citation: University of Wisconsin Population Health Institute. County Health Rankings 2017. This publication would not have been possible without the following contributions: Data Centers for Disease Control and Prevention: National Center for Health Statistics and National Center for Chronic Disease and Health Promotion Dartmouth Institute for Health Policy & Clinical Practice Measure of America Research Assistance Communications and Outreach Paige Andrews Kate Kingery, MPA Keith Gennuso, PhD Kitty Jerome, MA Kathryn Hatchell Kate Konkle, MPH Melissa Marver Mary Bennett, MFA Elizabeth Pollock Raquel Bournhonesque, MPH Jennifer Robinson Ericka Burroughs‐Girardi, MA, MPH Aliana Havrilla, MPIA Matthew Rodock, MPH Antonia Lewis, MPH, HO Anne Roubal, MS, PhD Karen Odegaard, MPH Jan O’Neill, MPA Design and Communications Justin Rivas, MPH, MIPA Forum One, Alexandria, VA Attica Scott, MS Burness Jerry Spegman, JD Kim Linsenmayer, MPA Janna West Kowalski, MS Matthew Call Robert Wood Johnson Foundation

University of Wisconsin Population Health Institute 610 Walnut St, #527, Madison, WI 53726 (608) 265‐8240 / [email protected]