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Example 7: Possible Community Health Indicators

Indicator Topic Field Model Domain Data Sources
Sociodemographic Characteristics
Age and race/ethnicity Social environment (behavior, genetics) Census; intercensal estimates
Groups whose access to community services or resources may be limited Social environment (behavior, physical environment, prosperity) Census; intercensal estimates
Educational attainment (high school graduation) Social environment (behavior, physical environment, prosperity, well-being) Census; intercensal estimates
High school dropouts Social environment (disease, behavior, physical environment, prosperity) Local school districts
Household income Prosperity (behavior, social environment, physical environment, health care, health and function) Census; intercensal estimates
Children in poverty Social environment, prosperity (behavior, physical environment, health care, health and function) Census; intercensal estimates
Unemployment rate Social environment, prosperity (behavior, physical environment, health care, health and function, well-being) State employment security office
Single-parent families Social environment (behavior, physical environment, health care, prosperity, well-being) Census; intercensal estimates
Persons without health insurance Social environment, health care (disease, health and function, prosperity) Behavioral Risk Factor Surveillance System (special sampling)
Infant mortality Disease, genetics, social environment, behavior, physical environment, health care, prosperity State vital records
Death rates, overall and for selected causes Disease, genetics, behavior, social environment, physical environment, health care, prosperity State vital records
Incidence of AIDS, measles, tuberculosis, syphilis Disease, behavior, social environment, health care (prosperity, health and function, well-being) State communicable disease records
Births to adolescents Behavior, social environment (prosperity, well-being) State vital records
Child abuse and neglect Behavior, social environment (disease, physical environment, health care, well-being) State or local child protection agency records

Health Risk Factors

Preschool immunization Behavior, health care (social environment, prosperity) Community survey; retrospective estimates from school entry records; immunization registry
Older adult immunization Behavior, health care (social environment, prosperity) Medicare claims files; health plan records
Prevalence of smoking Disease, behavior, social environment, physical environment, health and function (health care, prosperity) Behavioral Risk Factor Surveillance System (special sampling)
Prevalence of obesity Behavior, health and function (genetics, social environment, health care, well-being) Behavioral Risk Factor Surveillance System (special sampling)
Air quality Disease, physical environment (social environment, well-being) State environmental quality agency; local air quality management agency
Water quality (for recreational uses) Physical environment (behavior, social environment, well-being) State environmental quality agency
Health Care Resource Consumption
Per capita Medicare spending Health care, prosperity Health Care Financing Administration
Functional Status
Self-reported health status Health and function, well-being Behavioral Risk Factor Surveillance System (special sampling)
Recent poor health Health and function, well-being Behavioral Risk Factor Surveillance System (special sampling)
Quality of Life
Satisfaction with health care system Health care, well-being (social environment, prosperity, health and function) Community survey
Satisfaction with quality of life Well-being (behavior, social environment, physical environment, health care, prosperity, health and function