Social Determinants of Health
There is growing focus on using non-clinical data for health care decision making. For example, the Institute of Medicine released a report that provides recommendations for specific social determinants of health that should be captured within electronic health record systems (Adler & Stead, 2015). Social determinants of health include factors such as socioeconomic and behavioral factors, including factors such as income, social engagement and substance abuse. Continuing into the future there will be a continued focus on using social determinants for addressing health care quality, efficiency and cost.
The purpose of this analysis is to compare health status and health conditions with social determinants of health by examining the rates of depression given population estimates, poverty rates, overall health status and reported drug use at the county level.
Tutorial: Using the Data
Community Health Status Indicators (data released 2009)
Defining the Columns
A blank entry indicates unreported data. A value of zero is a defined value and does not represent unreported data.
State: The abbreviated name of the state where the county is located
County: The name of the county where the information was collected. County names are listed as provided on the United States Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalient Entities
Population Size: The total number of individuals residing in the county. This data is a mid-year estimate of resident population for 2008.
Poverty Rate: The percentage of the total population who fall below the poverty level obtained from Small Area Income Poverty Estimates (SAIPE) in 2008
Major Depression Rate: An estimate of the number of individuals aged 18 years and older experiencing a major depressive episode during the past year. The estimate is calculated by multiplying the 2006-2007 annual average major depression prevalence by state by the 2008 mid-year county population estimates
Recent Drug Use Rate: An estimate of the number of individuals aged 12 years and older using illicit drugs within the past month. The estimate is calculated by multiplying the 2006-2007 annual average major depression prevalence by state by the 2008 mid-year county population estimates
Rate of Poor or Fair Health: The percentage of adults aged 18 years and older who report “fair” or “poor” overall health. The measure is provided by the Behavioral Risk Factor Surveillance System (BRFSS), 2000-2006, survey. Data is only provided for counties with more than 50 respondents to the BRFSS survey