Health Disparities by Geography 2012 · 2015-06-16 · Health Disparities by Geography: 2012 This report highlights health and demographic data about local areas available through

Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography 2012

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012

Contents

Where do the data come from? 3

Utah Community Snapshots 4

County Health Rankings 6

Community Health Status Indicators 8

Mapping America: Every City, Every Block 10

U.S. Census Bureau QuickFacts 12

References 13

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012

This report highlights health and demographic data about local areas available through the Utah Department of Health and national websites. All of the data in this report, information about the data sources and methods, as well as other health indicators not included in this report, can be found at:

http://health.utah.gov/disparities/community/county.htm

The Utah Department of Health, Office of Health Disparities (OHD)compiled the information in this report and linked to these data and more at the website address above. However, OHD did not collect any of the data included in this report or available at its website. All of the data come from existing sources and was already available on the Internet before OHD compiled it.

This report is meant to help Utah communities assess their own health strengths and weaknesses and plan health interventions. The OHD team believes these resources will expedite local assessments by allowing Utahns to find local health data more easily. The website includes a specific page for each Utah county, linking readers directly to information about that particular county on a wide variety of state and national websites.

Where do the data come from?

County LinkBeaver, UT health.utah.gov/disparities/community/county/Beaver.html

Box Elder, UT health.utah.gov/disparities/community/county/BoxElder.html

Cache, UT health.utah.gov/disparities/community/county/Cache.html

Carbon, UT health.utah.gov/disparities/community/county/Carbon.html

Daggett, UT health.utah.gov/disparities/community/county/Daggett.html

Davis, UT health.utah.gov/disparities/community/county/Davis.html

Duchesne, UT health.utah.gov/disparities/community/county/Duchesne.html

Emery, UT health.utah.gov/disparities/community/county/Emery.html

Garfield, UT health.utah.gov/disparities/community/county/Garfield.html

Grand, UT health.utah.gov/disparities/community/county/Grand.html

Iron, UT health.utah.gov/disparities/community/county/Iron.html

Juab, UT health.utah.gov/disparities/community/county/Juab.html

Kane, UT health.utah.gov/disparities/community/county/Kane.html

Millard, UT health.utah.gov/disparities/community/county/Millard.html

Morgan, UT health.utah.gov/disparities/community/county/Morgan.html

County LinkPiute, UT health.utah.gov/disparities/community/county/Piute.html

Rich, UT health.utah.gov/disparities/community/county/Rich.html

Salt Lake, UT health.utah.gov/disparities/community/county/SaltLake.html

San Juan, UT health.utah.gov/disparities/community/county/SanJuan.html

Sanpete, UT health.utah.gov/disparities/community/county/Sanpete.html

Sevier, UT health.utah.gov/disparities/community/county/Sevier.html

Summit, UT health.utah.gov/disparities/community/county/Summit.html

Tooele, UT health.utah.gov/disparities/community/county/Tooele.html

Uintah, UT health.utah.gov/disparities/community/county/Uintah.html

Utah, UT health.utah.gov/disparities/community/county/Utah.html

Wasatch, UT health.utah.gov/disparities/community/county/Wasatch.html

Washington, UT health.utah.gov/disparities/community/county/Washington.html

Wayne, UT health.utah.gov/disparities/community/county/Wayne.html

Weber, UT health.utah.gov/disparities/community/county/Weber.html

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012

Utah’s Community Health IndicatorsState of

Utah Bear RiverCentral

UtahDavis

CountySalt Lake

Valley

South-eastern

UtahSouthwest

UtahInjury and Violence

Motor Vehicle Traffic Crash Deaths per 100,000 Population1 9.2 11.0 16.7 6.8 7.6 21.2 10.6

Homicide per 100,000 Population1 1.8 0.6 2.8 1.1 2.8 2.3 1.4

Unintentional Injury Deaths per 100,000 Population1 34.3 30.7 59.2 29.6 32.5 74.7 34.0

Mental Health

Suicide per 100,000 Population1 15.8 11.7 21.8 15.1 16.6 22.5 16.9

Adults Reporting 7+ Poor Mental Health Days in Past 30 Days1 14.5% 12.8% 15.4% 14.0% 15.7% 18.7% 14.7%

Lifestyle Risk

Adult Cigarette Smoking1 11.3% 6.8% 13.2% 7.3% 13.1% 20.4% 13.4%

Overweight or Obese Adults1 61.1% 61.1% 59.6% 63.8% 60.6% 60.8% 59.1%

Adults Reporting Binge Drinking in Past 30 Days1 8.2% 5.5% 7.5% 6.3% 10.9% 10.8% 7.9%

Responsible Sexual Behavior

Births from Unintended Pregnancies1 32.5% 28.9% 36.3% 29.6% 34.1% 35.2% 38.7%

Chlamydia per 100,000 Population1 234.9 140.4 109.4 222.4 332.9 185.2 157.7

Gonorrhea per 100,000 Population1 10.9 4.1 3.9 12.1 18.5 10.6 2.8

Environmental Quality

Children Exposed to Secondhand Smoke in Past 30 Days1 1.9% 0.9% 1.9% 1.0% 2.7% 6.8% 0.0%

Immunization

Children Ages 19-35 Months with All Recommended Vaccines1 70.6% 45.4% 53.6% 62.4% 57.3% 27.2% 42.8%

Adults Ages 65+ with Influenza Immunization in Past Year1 62.6% 65.4% 66.5% 75.3% 70.2% 61.6% 65.6%

Access to Health Care

No Health Insurance Coverage1 Not Available 4.5% 20.1% 5.9% 13.8% 15.6% 19.1%

Births to Women with First Trimester Prenatal Care1 72.3% 76.5% 70.7% 78.8% 70.1% 58.3% 64.8%

Asthma Hospitalizations per 10,000 Population 1 5.2 3.2 6.7 4.4 6.6 6.0 3.0

Adults with a Usual Healthcare Provider1 79.2% 82.4% 84.9% 82.0% 78.3% 77.0% 78.9%

Women 40+ with Mammograms in Past 2 Years1 60.9% 62.5% 47.5% 62.1% 60.9% 60.1% 59.2%

Chronic Conditions

Coronary Heart Disease Deaths per 100,000 Population1 70.1 81.9 99.6 72.5 65.0 85.7 63.9

Stroke Deaths per 100,000 Population1 36.1 44.0 50.4 30.9 36.4 38.0 29.0

Female Breast Cancer Deaths per 100,000 Women1 20.2 20.2 20.4 20.3 20.0 20.7 19.8

Colorectal Cancer Deaths per 100,000 Population1 11.6 10.4 17.9 10.5 11.0 13.3 8.2

Tuberculosis per 100,000 Population1 1.1 1.5 0.5 0.7 1.8 1.5 0.6

Healthy Births

Infant Deaths per 1,000 Live Births 1 5.0 4.6 6.4 5.3 5.4 2.8 5.2

Low Birth Weight1 6.9% 6.4% 7.1% 6.8% 7.4% 7.8% 6.4%

Children in Poverty

Children in Poverty1 12.9% 13.6% 21.2% 8.4% 13.1% 30.5% 18.3%

Overall Health Status

Adults Reporting 7+ Poor Physical Health Days in Past 30 Days1 Not Available 12.5% 16.8% 13.0% 13.5% 17.0% 11.9%

Utah Community SnapshotsCommunity Snapshots for each Utah local health district are available through IBIS-PH, Utah’s Indicator-Based Information System for Public Health. Snapshots include dozens of current local health indicators from Utah Department of Health data sources with comparisons to statewide and national rates.1 In the report, only select indicators are listed: Utah’s Community Health Indicators. These indicators have been identified by public health professionals as useful for local areas because they are broad in public health relevance, few in number, comprehensive, locally available, comparable to state and national benchmarks, understandable, accepted, and outcome-oriented.2 Health disparities are indicated in red; community strengths are in green.

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012

Utah’s Community Health IndicatorsState of

UtahSummit County

Tooele County Tricounty

Utah County

Wasatch County

Weber Morgan

Injury and Violence

Motor Vehicle Traffic Crash Deaths per 100,000 Population1 9.2 10.2 14.0 28.4 7.6 19.6 9.2

Homicide per 100,000 Population1 1.8 ** 2.1 ** 0.9 ** 2.0

Unintentional Injury Deaths per 100,000 Population1 34.3 32.2 41.5 67.2 31.4 50.4 33.4

Mental Health

Suicide per 100,000 Population1 15.8 10.0 13.8 24.6 11.0 10.6 20.5

Adults Reporting 7+ Poor Mental Health Days in Past 30 Days1 14.5% 9.8% 15.8% 17.7% 12.3% 12.5% 16.1%

Lifestyle Risk

Adult Cigarette Smoking1 11.3% 7.4% 15.7% 19.2% 7.2% 11.1% 14.1%

Overweight or Obese Adults1 61.1% 51.7% 66.2% 68.0% 62.0% 61.3% 62.6%

Adults Reporting Binge Drinking in Past 30 Days1 8.2% 16.3% 8.3% 10.9% 3.1% 7.6% 10.1%

Responsible Sexual Behavior

Births from Unintended Pregnancies1 32.5% 29.1% 30.0% 32.0% 28.0% 39.3% 38.2%

Chlamydia per 100,000 Population1 234.9 155.5 206.2 168.4 132.6 121.7 282.3

Gonorrhea per 100,000 Population1 10.9 4.9 10.0 0.0 4.4 0.0 9.1

Environmental Quality

Children Exposed to Secondhand Smoke in Past 30 Days1 1.9% 1.1% 1.4% 7.2% 0.6% 0.9% 2.5%

Immunization

Children Ages 19-35 Months with All Recommended Vaccines1 70.6% 41.3% 51.0% 51.0% 53.3% 49.2% 57.3%

Adults Ages 65+ with Influenza Immunization in Past Year1 62.6% 76.5% 63.8% 65.3% 65.1% 68.3% 66.7%

Access to Health Care

No Health Insurance Coverage1 DNA 11.7% 8.3% 16.7% 10.3% 15.7% 12.2%

Births to Women with First Trimester Prenatal Care1 72.3% 68.5% 70.3% 68.9% 74.1% 68.1% 76.8%

Asthma Hospitalizations per 10,000 Population 1 5.2 2.6 8.6 9.6 3.4 1.4 6.0

Adults with a Usual Healthcare Provider1 79.2% 73.7% 77.6% 72.4% 81.2% 82.1% 76.1%

Women 40+ with Mammograms in Past 2 Years1 60.9% 67.6% 50.9% 59.1% 59.5% 57.2% 65.4%

Chronic Conditions

Coronary Heart Disease Deaths per 100,000 Population1 70.1 47.5 61.8 88.2 65.2 68.5 83.7

Stroke Deaths per 100,000 Population1 36.1 25.9 24.0 32.0 39.0 26.8 40.3

Female Breast Cancer Deaths per 100,000 Women1 20.2 16.3 22.0 28.8 21.6 15.9 17.8

Colorectal Cancer Deaths per 100,000 Population1 11.6 9.5 13.6 14.2 12.4 14.7 14.7

Tuberculosis per 100,000 Population1 1.1 0.0 0.7 0.0 0.5 0.9 1.1

Healthy Births

Infant Deaths per 1,000 Live Births 1 5.0 4.1 5.2 5.5 4.2 7.5 5.2

Low Birth Weight1 6.9% 9.4% 8.2% 7.9% 5.9% 8.1% 7.7%

Children in Poverty

Children in Poverty1 12.9% 9.5% 9.6% 10.3% 11.0% 11.5% 10.9%

Overall Health Status

Adults Reporting 7+ Poor Physical Health Daysin Past 30 Days1 Not Available 8.9% 14.9% 11.8% 13.4% 14.5% 15.9%

The estimate has been suppressed because (1) the relative standard error is greater than 50% or can’t be determined or (2) the observed number of events is very small and not appropriate for publication.

Health indicator is worse in local area compared to statewide

Health indicator is better in local area compared to statewide

**

For chlamydia and gonorrhea, a difference was defined as, “The local rate is at least 30% higher or lower than the statewide rate.” For Childhood Immunization, a different methodology is used for collecting local rates compared to the statewide rate. The local rates are likely to underestimate immunization coverage. For this mesaure, a difference is defined as, “The point estimate for the statewide rate using the same methodology as for local areas, which is 52.4%, does not fall within the 95% confidence interval for the local rate.” For all other indicators, a difference is defined as, “The point estimate for the statewide rate does not fall within the 95% confidence interval for the local rate.”

Methods Legend

Utah Community Snapshots

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 County Health Rankings

Rank Overall Mortality Morbidity

1 Morgan (MO) Morgan (MO) Morgan (MO)

2 Cache (CA) Cache (CA) Wayne (WY)

3 Utah (UT) Summit (SU) Cache (CA)

4 Summit (SU) Utah (UT) Utah (UT)

5 Davis (DV) Davis (DV) Grand (GR)

6 Box Elder (BE) Box Elder (BE) Washington (WS)

7 Washington (WS) Salt Lake (SL) Wasatch (WA)

8 Wasatch (WA) Washington (WS) Beaver (BV)

9 Grand (GR) Wasatch (WA) San Juan (SJ)

10 Wayne (WY) Millard (MI) Box Elder (BE)

11 Millard (MI) Grand (GR) Davis (DV)

12 Salt Lake (SL) Weber (WE) Iron (IR)

13 Garfield (GA) Kane (KA) Millard (MI)

14 Weber (WE) Tooele (TO) Summit (SU)

15 Iron (IR) Wayne (WY) Salt Lake (SL)

16 San Juan (SJ) Garfield (GA) Garfield (GA)

17 Tooele (TO) Sanpete (SA) Tooele (TO)

18 Beaver (BV) Iron (IR) Sanpete (SA)

19 Kane (KA) San Juan (SJ) Juab (JU)

20 Sanpete (SA) Beaver (BV) Weber (WE)

21 Juab (JU) Emery (EM) Kane (KA)

22 Uintah (UI) Uintah (UI) Duchesne (DU)

23 Emery (EM) Sevier (SE) Uintah (UI)

24 Duchesne (DU) Juab (JU) Emery (EM)

25 Sevier (SE) Carbon (CR) Sevier (SE)

26 Carbon (CR) Duchesne (DU) Carbon (CR)

Daggett, Piute and Rich counties were not ranked.

Mortality Morbidity

Overall Health Outcomes

The County Health Rankings are a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, and part of the Mobilizing Action Toward Community Health (MATCH) project. They rank the health of each county against other counties in the same state through a formula based on mortality, morbidity, health behaviors, clinical care, social and economic factors, and physical environment. The indicators used to calculate rankings are listed below. Local indicator values can be viewed at the County Health Rankings website.3

MortalityPremature death•

MorbidityPoor or fair health• Poor physical health days• Poor mental health days• Low birthweight•

Health Outcome Rankings

Health BehaviorsAdult smoking• Adult obesity• Physical inactivity• Excessive drinking• Motor vehicle crash • death rateSexually transmitted • infectionsTeen birth rate•

Clinical CareUninsured• Primary care • physiciansPreventable • hospital staysDiabetic screening• Mammography • screening

Social & Economic FactorsHigh school graduation• Some college• Unemployment• Children in poverty• Inadequate social support• Children in single-parent • householdsViolent crime rate•

Physical EnvironmentAir pollution-particulate • matter daysAir pollution-ozone days• Access to recreational • facilitiesLimited access to • healthy foodsFast food restaurants•

Better Worse

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 County Health Rankings

Rank Overall Health Behaviors

Clinical Care Social and Economic

Physical Environment

1 Summit (SU) Summit (SU) Summit (SU) Morgan (MO) Kane (KA)

2 Morgan (MO) Cache (CA) Morgan (MO) Cache (CA) Summit (SU)

3 Cache (CA) Utah (UT) Davis (DV) Davis (DV) Grand (GR)

4 Davis (DV) Morgan (MO) Cache (CA) Summit (SU) Wasatch (WA)

5 Utah (UT) Davis (DV) Salt Lake (SL) Utah (UT) Beaver (BV)

6 Wasatch (WA) Wasatch (WA) Carbon (CR) Wasatch (WA) Sevier (SE)

7 Box Elder (BE) Washington (WS) Utah (UT) Box Elder (BE) Carbon (CR)

8 Kane (KA) Sanpete (SA) Box Elder (BE) Emery (EM) Wayne (WY)

9 Washington (WS) Garfield (GA) Weber (WE) Millard (MI) Duchesne (DU)

10 Emery (EM) Box Elder (BE) Wasatch (WA) Tooele (TO) Uintah (UI)

11 Sevier (SE) Iron (IR) Washington (WS) Kane (KA) Iron (IR)

12 Garfield (GA) Salt Lake (SL) Sevier (SE) Carbon (CR) Washington (WS)

13 Carbon (CR) Kane (KA) Emery (EM) Sevier (SE) Juab (JU)

14 Millard (MI) Wayne (WY) Tooele (TO) Garfield (GA) Morgan (MO)

15 Sanpete (SA) Juab (JU) Wayne (WY) Juab (JU) Millard (MI)

16 Wayne (WY) Sevier (SE) Grand (GR) Sanpete (SA) Sanpete (SA)

17 Salt Lake (SL) Millard (MI) Duchesne (DU) Duchesne (DU) San Juan (SJ)

18 Iron (IR) Weber (WE) Iron (IR) Wayne (WY) Garfield (GA)

19 Tooele (TO) San Juan (SJ) Kane (KA) Salt Lake (SL) Emery (EM)

20 Juab (JU) Beaver (BV) Sanpete (SA) Beaver (BV) Box Elder (BE)

21 Weber (WE) Grand (GR) Garfield (GA) Uintah (UI) Tooele (TO)

22 Beaver (BV) Emery (EM) Juab (JU) Washington (WS) Cache (CA)

23 Duchesne (DU) Tooele (TO) Beaver (BV) Weber (WE) Davis (DV)

24 Grand (GR) Carbon (CR) Millard (MI) Iron (IR) Weber (WE)

25 Uintah (UI) Duchesne (DU) Uintah (UI) Grand (GR) Utah (UT)

26 San Juan (SJ) Uintah (UI) San Juan (SJ) San Juan (SJ) Salt Lake (SL)

Daggett, Piute, and Rich counties were not ranked.

Physical Environment

Social & Economic Factors

Clinical CareHealth BehaviorsOverall Health Factors

Health Factor Rankings

Better Worse

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 Community Health Status Indicators

The Community Health Status Indicators website is maintained by the U.S. Department of Health and Human Services and provides over 200 measures for each of the 3,141 United States counties. This website is unique because it compares the health of each county to its “peers”: other counties across the nation with similar demographics.4 Only one of the many indicators available is included in this report. The others can be accessed at the Community Health Status Indicator website.

Beaver

Box Elder

Cache

Carbon

Davis

Emery

Garfield

Grand

Iron

Juab

Duchesne Kane

Information about Daggett, Piute and Rich counties was not available for this particular indicator.

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 Community Health Status Indicator Report

Millard

Morgan

Salt Lake

San Juan

Weber

Wayne

Washington

Wasatch

Utah

Uintah

Tooele

Summit

Sevier

Sanpete

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012

Income

Mapping America: Every City, Every BlockThese maps were created by the New York Times, based on the American Community Survey 2005-2009. At the map website, viewers can zoom in to see local areas with data at the neighborhood level and move the cursor across the map to see numeric values. The website offers local information about race, ethnicity, income, education, housing, and families.5

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 Mapping America: Every City, Every Block

Race and Ethnicity

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 The U.S. Census Bureau provides detailed demographic fact sheets about each county and the state, including information such as population, race, ethnicity, age and income.6 These are a few of the demographics described.

U.S. Census Bureau QuickFacts

Population per Square

Mile % in Poverty% College Graduates

% Racial or Ethnic Minority

% Speaking Languages other than English at

HomeUTAH 33.6 9.8% 28.7% 19.9% 14.2%

Beaver, UT 2.6 14.9% 11.6% 14.3% 7.8%

Box Elder, UT 8.7 8.0% 21.7% 12.0% 7.6%

Cache, UT 96.7 14.5% 35.0% 15.0% 14.1%

Carbon, UT 14.5 11.0% 15.0% 16.0% 8.2%

Daggett, UT 1.5 4.1% 14.2% 5.9% 3.7%

Davis, UT 1,025.8 5.6% 32.7% 14.4% 8.9%

Duchesne, UT 5.7 8.9% 13.9% 13.4% 4.1%

Emery, UT 2.5 11.6% 12.7% 8.4% 4.0%

Garfield, UT 1.0 9.3% 19.5% 8.9% 5.4%

Grand, UT 2.5 16.6% 23.0% 16.1% 11.3%

Iron, UT 14 17.8% 26.5% 13.7% 6.6%

Juab, UT 3.0 10.0% 12.7% 6.6% 5.2%

Kane, UT 1.8 9.3% 17.8% 7.1% 3.2%

Millard, UT 1.9 12.5% 18.8% 15.6% 13.3%

Morgan, UT 15.5 2.7% 25.0% 4.4% 2.9%

Piute, UT 2.1 9.4% 14.3% 10.1% 3.1%

Rich, UT 2.2 6.2% 26.2% 6.3% 2.5%

Salt Lake, UT 1,387.1 8.9% 29.6% 26.3% 19.3%

San Juan, UT 1.9 27.6% 16.3% 55.8% 46.5%

Sanpete, UT 17.5 14.4% 18.3% 13.4% 11.1%

Sevier, UT 10.9 8.9% 16.4% 7.5% 6.0%

Summit, UT 19.4 6.8% 48.2% 15.2% 10.4%

Tooele, UT 8.4 5.4% 19.1% 16.1% 9.5%

Uintah, UT 7.3 9.2% 14.5% 17.6% 6.2%

Utah, UT 257.8 12.5% 34.7% 16.3% 12.7%

Wasatch, UT 20.0 6.7% 29.5% 16.0% 14.1%

Washington, UT 56.9 9.2% 22.9% 14.7% 9.8%

Wayne, UT 1.1 9.0% 25.0% 7.3% 7.7%

Weber, UT 401.4 10.6% 21.9% 22.2% 12.8%

Data Source Details

2010 Census ACS 2005-2009: Population Below Poverty Level/ Census 2010: Resident Population

ACS 2005-2009: Ages 25+

ACS 2011: % Not Non-Hispanic White

ACS 2006-2010: Ages 5+

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Data current as of July 2012. For the most recent data for each local area, see http://health.utah.gov/disparities/community/county.htm.

Health Disparities by Geography: 2012 References

1. Utah Community Snapshots Utah Department of Healthhttp://ibis.health.utah.gov/community/snapshot/Builder.html

2. Utah Community Health Indicators ReportUtah Department of Healthhttp://health.utah.gov/opha/publications/CommunityHealth/CHI/CHI_Report.htm

3. County Health RankingsRobert Wood Johnson Foundation and University of Wisconsin Population Health Institutehttp://www.countyhealthrankings.org/

4. Community Health Status IndicatorsU.S. Department of Health and Human Serviceshttp://communityhealth.hhs.gov/HomePage.aspx

5. Mapping America: Every City, Every BlockNew York Times and American Community Survey 2005-2009http://projects.nytimes.com/census/2010/map

6. QuickFactsU.S. Census Bureauhttp://quickfacts.census.gov/qfd/index.html