2014 Rankings

Georgia

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County Health Rankings 2014: Georgia

INTRODUCTION
The County Health Rankings & Roadmaps program helps communities identify and implement solutions that make it easier for people to be healthy in their 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?
The County Health Rankings measure the health of nearly every county in the nation. Published online at countyhealthrankings.org, the Rankings help counties understand what influences how healthy residents are and how long they will live. The Rankings look at a variety of measures that affect health, such as high school graduation rates, access to healthy foods, rates of smoking, obesity, and teen births. Based on data available for each county, the Rankings are unique in their ability to measure the overall health of each county in all 50 states. They have been used to garner support for local health improvement initiatives among government agencies, healthcare providers, community organizations, business leaders, policy makers, and the public.

HOW ARE PEOPLE USING THE RANKINGS?
Ø Highlighting community success Ø Identifying root causes of poor health Ø Supporting policy change Ø Engaging communities in health improvement

For more information, visit countyhealthrankings.org

www.countyhealthrankings.org/georgia

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County Health Rankings 2014: Georgia

WHAT ARE THE ROADMAPS TO HEALTH?
The Roadmaps to Health help communities bring people together to look at the many factors that influence health, select strategies that work, and make changes that will have a lasting impact. The Roadmaps focus on helping communities determine what they can do and what they can learn from others.

What You Can Do
The Roadmaps to Health Action Center provides step-by-step guides, tools, and webinars to help groups working to improve the health of their communities. Community Coaches also provide customized consultation to local communities that have demonstrated a willingness to address factors that we know influence health, such as education, income, and community safety. The Action Center also features What Works for Health – a searchable database of evidence-informed policies and programs that can improve health.

Learning From Others
Honoring the efforts of communities working at the forefront of health improvement, the Robert Wood Johnson Foundation annually awards the RWJF Culture of Health Prize to outstanding communities that are working toward better health. The Prize recognizes communities with strong and diverse partnerships that are coming together with a shared vision and commitment to address multiple factors that affect health and make lasting changes that create a culture of health for all. Visit countyhealthrankings.org or rwjf.org/prize to learn about the work of past prize winners. At countyhealthrankings.org, we also feature stories from communities across the nation who have used data from the County Health Rankings or have engaged in strategies to improve health. For example, you can learn from the successes and challenges of the 30 Roadmaps to Health Community Grantees. These grantees are working to create positive policy or systems changes that address social and economic factors that influence how healthy people are and how long they live, such as education and community safety. You might also want to contact your local affiliate of United Way Worldwide, the National Business Coalition on Health, or the National Association of Counties - their national parent organizations have partnered with us to raise awareness and stimulate action to improve health in their local members’ communities.

How can you get involved?
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.

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www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

The green map below shows the distribution of Georgia’s health outcomes, based on an equal weighting of length and quality of life.

Lighter colors indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available on our web site.

HEALTH OUTCOMES RANKS

County Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee

Rank 148 118 109 72 76 48 38 54 146 88 139 131 119 73 19 47 145 137 41 10 82 58 39 93 52 63

County Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene

Rank 122 23 132 18 126 27 107 26 154 62 35 112 115 95 110 2 100 1 101 29 28 125 59 57 89 79

County Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee

Rank 128 142 117 49 124 102 80 21 45 50 34 77 9 120 113 108 152 56 78 91 106 36 65 24 85 114

County Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Upson Walker

Rank 135 11 60 94 103 141 83 156 55 147 158 130 86 71 153 92 70 74 25 104 87 155 133 14 121 116 3

www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

County Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp

Rank 129 5 16 159 44 149 6 81 69 7 105 8 43 151

County Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis

Rank 4 15 12 96 123 33 61 84 13 22 134 42 64 143

County Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph

Rank 32 3 20 17 98 31 111 46 136 40 53 68 75 144

County Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth

Rank 30 99 157 138 127 66 67 51 37 150 97 140 90

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www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

The blue map displays Georgia’s summary ranks for health factors, based on weighted scores for health behaviors, clinical care, social and economic factors, and the physical environment.

Lighter colors indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available on our web site.

HEALTH FACTORS RANKS

County Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee

Rank 144 154 110 119 82 53 57 44 149 124 74 68 131 116 8 61 125 87 113 19 138 54 20 135 36 40

County Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene

Rank 26 45 151 23 104 140 126 32 134 67 10 107 120 153 83 3 39 2 60 21 69 65 41 63 95 77

County Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee

Rank 133 155 96 31 76 94 84 16 75 150 71 72 34 158 52 90 93 89 102 55 80 30 99 13 122 58

County Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Upson Walker

Rank 117 38 64 88 70 103 43 156 142 141 152 145 128 159 127 42 62 98 15 139 56 92 118 18 112 47 5

www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

County Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp

Rank 109 6 12 115 129 121 7 148 85 4 111 11 105 147

County Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis

Rank 9 37 27 157 97 5 59 91 17 25 86 22 50 143

County Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph

Rank 49 1 33 14 114 28 46 35 78 48 81 101 66 132

County Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth

Rank 29 108 146 106 137 51 123 24 79 136 130 100 73

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www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

Summary Health Outcomes & Health Factors Rankings
Counties receive two ranks: · Health Outcomes · Health Factors Each of these ranks represents a weighted summary of a number of measures. Health outcomes represent how healthy a county is while health factors represent what influences the health of the county.

Rank
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Health Outcomes
Forsyth Fayette Oconee Gwinnett Cherokee Cobb Columbia Coweta Lumpkin Camden Rockdale Hall Henry Union Habersham Clarke Paulding DeKalb Bryan Oglethorpe Lee Houston Dawson Morgan Towns Douglas Dooly Gilmer Fulton Walton Pickens Newton Harris Long Effingham Monroe Whitfield Barrow Catoosa Pulaski

Rank
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Health Factors
Oconee Forsyth Fayette Columbia Harris Cherokee Cobb Bryan Gwinnett Effingham Coweta Clarke Morgan Paulding Towns Lee Henry Union Camden Catoosa Fulton Jackson DeKalb White Houston Dade Hall Pickens Walton Monroe Jones Douglas Oglethorpe Lumpkin Pike Chatham Habersham Rockdale Floyd Chattahoochee

www.countyhealthrankings.org/georgia

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County Health Rankings 2014: Georgia

Rank
41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88

Health Outcomes
Calhoun Jackson Crawford Clayton Liberty Pike Bulloch Banks Jones Lincoln White Chatham Putnam Bartow Sumter McIntosh Gordon Carroll Glynn Schley Hart Echols Chattahoochee Jasper Montgomery Webster Wheeler Quitman Colquitt Tift Telfair Baker Brooks Toombs Rabun Baldwin Lowndes Meriwether Greene Laurens Coffee Candler Stephens Heard Murray Taylor Troup Berrien

Rank
41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88

Health Factors
Glynn Thomas Stephens Bartow Dawson Pierce Walker Pulaski Newton Jasper Webster Madison Banks Carroll Miller Troup Barrow Muscogee Hart Franklin Bulloch Tift Gordon Schley Glascock Rabun Echols Bleckley Gilmer Seminole Long Lowndes Worth Bibb Liberty Lamar Greene Polk Whitfield Mitchell Putnam Baldwin Fannin Laurens Colquitt Irwin Butts Screven

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www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

Rank
89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136

Health Outcomes
Grady Worth Miller Thomas Charlton Screven Evans Hancock Wilkes Peach Ware Floyd Franklin Lanier Seminole Treutlen Cook Mitchell Dougherty Marion Bacon Fannin Pierce Elbert Madison Muscogee Emanuel Walker Johnson Atkinson Brantley Macon Upson Dade Haralson Lamar Glascock Dodge Wayne Jefferson Chattooga Tattnall Bleckley Decatur Twiggs Irwin Richmond Polk

Rank
89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136

Health Factors
McIntosh Marion Heard Turner McDuffie Lanier Grady Johnson Haralson Toombs Montgomery Wilkinson Quitman Meriwether Spalding Dodge Crawford Washington Elbert Ware Chattooga Bacon Cook Upson Calhoun Peach Clay Brooks Richmond Twiggs Baker Emanuel Clinch Murray Wheeler Berrien Burke Dougherty Terrell Taylor Clayton Wilkes Brantley Randolph Jefferson Early Charlton Wilcox

www.countyhealthrankings.org/georgia

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County Health Rankings 2014: Georgia

Rank
137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159

Health Outcomes
Butts Washington Bibb Wilkinson Spalding Jenkins Jeff Davis Randolph Burke Ben Hill Talbot Appling Clinch Wilcox Crisp McDuffie Terrell Early Turner Stewart Warren Taliaferro Clay

Rank
137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159

Health Factors
Wayne Candler Treutlen Dooly Talbot Sumter Jeff Davis Appling Tattnall Warren Crisp Coffee Ben Hill Lincoln Decatur Taliaferro Evans Atkinson Jenkins Stewart Hancock Macon Telfair

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www.countyhealthrankings.org/georgia

County Health Rankings 2014: Georgia

2014 County Health Rankings: Measures, Data Sources, and Years of Data
Measure HEALTH OUTCOMES Length of Life Quality of Life Premature death Poor or fair health Poor physical health days Poor mental health days Low birthweight HEALTH FACTORS HEALTH BEHAVIORS Tobacco Use Adult smoking Diet and Adult obesity Exercise Food environment index Physical inactivity Access to exercise opportunities Alcohol and Drug Use Sexual Activity Excessive drinking Alcohol-impaired driving deaths Sexually transmitted infections Teen births CLINICAL CARE Access to Care Uninsured Primary care physicians Dentists Mental health providers Quality of Care Preventable hospital stays Diabetic screening Mammography screening SOCIAL AND ECONOMIC FACTORS Education High school graduation Some college Employment Unemployment Income Children in poverty Family and Inadequate social support Social Support Children in single-parent households Community Violent crime Safety Injury deaths PHYSICAL ENVIRONMENT 1 Air and Water Air pollution - particulate matter Quality Drinking water violations Housing and Severe housing problems Transit Driving alone to work Long commute – driving alone Data Source National Center for Health Statistics Behavioral Risk Factor Surveillance System Behavioral Risk Factor Surveillance System Behavioral Risk Factor Surveillance System National Center for Health Statistics Years of Data 2008-2010 2006-2012 2006-2012 2006-2012 2005-2011

Behavioral Risk Factor Surveillance System National Center for Chronic Disease Prevention and Health Promotion USDA Food Environment Atlas, Map the Meal Gap National Center for Chronic Disease Prevention and Health Promotion OneSource Global Business Browser, Delorme map data, ESRI, & US Census Tigerline Files Behavioral Risk Factor Surveillance System Fatality Analysis Reporting System National Center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention National Center for Health Statistics Small Area Health Insurance Estimates HRSA Area Resource File HRSA Area Resource File CMS, National Provider Identification Medicare/Dartmouth Institute Medicare/Dartmouth Institute Medicare/Dartmouth Institute data.gov, supplemented with National Center for Education Statistics American Community Survey Bureau of Labor Statistics Small Area Income and Poverty Estimates Behavioral Risk Factor Surveillance System American Community Survey Uniform Crime Reporting - FBI CDC WONDER CDC WONDER Safe Drinking Water Information System HUD, Comprehensive Housing Affordability Strategy American Community Survey American Community Survey

2006-2012 2010 2010-2011 2010 2010 & 2012 2006-2012 2008-2012 2011 2005-2011 2011 2011 2012 2013 2011 2011 2011 2010-2011 2008-2012 2012 2012 2005-2010 2008-2012 2009-2011 2006-2010 2011 FY 2012-2013 2006-2010 2008-2012 2008-2012

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County Health Rankings 2014: Georgia

CREDITS

Report Authors University of Wisconsin-Madison School of Medicine and Public Health Department of Population Health Sciences Population Health Institute Bridget Catlin, PhD, MHSA Amanda Jovaag, MS Julie Willems Van Dijk, PhD, RN Patrick Remington, MD, MPH This publication would not have been possible without the following contributions: Data Centers for Disease Control and Prevention: National Center for Health Statistics and Division of Behavioral Surveillance Dartmouth Institute for Health Policy & Clinical Practice Research Assistance Jennifer Buechner Hyojun Park, MA Elizabeth Pollock Jennifer Robinson Matthew Rodock, MPH Anne Roubal, MS Communications and Outreach Burness Communications Alison Bergum, MPA Matthew Call Kate Konkle, MPH Kitty Jerome, MA Karen Odegaard, MPH Jan O’Neill, MPA Design Forum One, Alexandria, VA Robert Wood Johnson Foundation Abbey Cofsky, MPH – Senior Program Officer Michelle Larkin, JD, MS, RN – Assistant Vice-President, Program Portfolios Marjorie Paloma, MPH – Senior Policy Advisor James S. Marks, MD, MPH – Senior Vice-President and Director, Program Portfolios Joe Marx – Senior Communications Officer Suggested citation: University of Wisconsin Population Health Institute. County Health Rankings 2014.

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University of Wisconsin Population Health Institute 610 Walnut St, #524, Madison, WI 53726 (608) 265-8240 / info@countyhealthrankings.org