2021 Maryland County Health Rankings

Maryland

2021 State Level Data and Ranks

County Health Rankings 2021

2021 County Health Rankings for Maryland: 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

Access to exercise

opportunities

Excessive drinking

Alcohol-impaired driving

deaths

Sexually transmitted

infections

Teen births*

CLINICAL CARE

Uninsured

Primary care physicians

Dentists

Mental health providers

Preventable hospital

stays*

Mammography

screening*

Flu vaccinations*

Description

MD

Minimum

MD

Maximum

US

MD

Years of potential life lost before age 75 per 100,000 population (age-adjusted).

Percentage of adults reporting fair or poor health (age-adjusted).

Average number of physically unhealthy days reported in past 30 days (ageadjusted).

Average number of mentally unhealthy days reported in past 30 days (ageadjusted).

Percentage of live births with low birthweight (< 2,500 grams).

6,900

17%

3.7

7,200

15%

3.4

4,100

11%

2.6

13,800

24%

4.7

4.1

3.7

3.4

5.1

8%

9%

6%

12%

Percentage of adults who are current smokers (age-adjusted).

Percentage of the adult population (age 20 and older) that reports a body mass

index (BMI) greater than or equal to 30 kg/m2.

Index of factors that contribute to a healthy food environment, from 0 (worst) to

10 (best).

Percentage of adults age 20 and over reporting no leisure-time physical activity.

Percentage of population with adequate access to locations for physical activity.

17%

30%

13%

32%

9%

22%

22%

42%

7.8

8.7

6.5

9.2

23%

84%

22%

93%

16%

48%

33%

100%

Percentage of adults reporting binge or heavy drinking (age-adjusted).

Percentage of driving deaths with alcohol involvement.

19%

27%

15%

29%

13%

20%

21%

47%

Number of newly diagnosed chlamydia cases per 100,000 population.

539.9

586.3

130.0

1,310.1

21

16

6

34

4%

3,030:1

2,800:1

2,230:1

1,861

11%

520:1

470:1

200:1

6,147

Number of births per 1,000 female population ages 15-19.

Percentage of population under age 65 without health insurance.

Ratio of population to primary care physicians.

Ratio of population to dentists.

Ratio of population to mental health providers.

Rate of hospital stays for ambulatory-care sensitive conditions per 100,000

Medicare enrollees.

Percentage of female Medicare enrollees ages 65-74 that received an annual

mammography screening.

Percentage of fee-for-service (FFS) Medicare enrollees that had an annual flu

vaccination.

SOCIAL & ECONOMIC FACTORS

High school completion

Percentage of adults ages 25 and over with a high school diploma or equivalent.

Some college

Percentage of adults ages 25-44 with some post-secondary education.

Unemployment

Percentage of population ages 16 and older unemployed but seeking work.

Children in poverty*

Percentage of people under age 18 in poverty.

Income inequality

Ratio of household income at the 80th percentile to income at the 20th

percentile.

Children in single-parent Percentage of children that live in a household headed by single parent.

households

Social associations

Number of membership associations per 10,000 population.

Violent crime

Number of reported violent crime offenses per 100,000 population.

Injury deaths*

Number of deaths due to injury per 100,000 population.

PHYSICAL ENVIRONMENT

Air pollution - particulate Average daily density of fine particulate matter in micrograms per cubic meter

matter

(PM2.5).

Drinking water violations Indicator of the presence of health-related drinking water violations. 'Yes'

indicates the presence of a violation, 'No' indicates no violation.

Severe housing problems Percentage of households with at least 1 of 4 housing problems: overcrowding,

high housing costs, lack of kitchen facilities, or lack of plumbing facilities.

Driving alone to work*

Percentage of the workforce that drives alone to work.

Long commute - driving

Among workers who commute in their car alone, the percentage that commute

alone

more than 30 minutes.

* Indicates subgroup data by race and ethnicity is available

Page 2 |

10%

7%

1,320:1 1,130:1

1,400:1 1,260:1

380:1 360:1

4,236 4,134

42%

42%

36%

49%

48%

52%

41%

59%

88%

66%

3.7%

17%

4.9

90%

70%

3.6%

12%

4.5

81%

41%

2.7%

6%

3.4

95%

86%

7.4%

33%

6.3

26%

26%

14%

53%

9.3

386

72

9.0

459

82

5.6

150

40

17.5

1,566

180

7.2

8.0

5.7

9.7

N/A

N/A

No

Yes

18%

16%

11%

25%

76%

37%

74%

50%

60%

21%

85%

66%

County Health Rankings 2021

2021 County Health Rankings: Disaggregated State-Level Racial/Ethnic Data

Measure

HEALTH OUTCOMES

Premature death*

Life expectancy

Premature age-adjusted mortality

Child mortality

Infant mortality

Low birthweight*

HEALTH FACTORS

HEALTH BEHAVIORS

Drug overdose deaths

Motor vehicle crash deaths

Teen births*

CLINICAL CARE

Preventable hospital stays*

Mammography screening*

Flu vaccinations*

SOCIAL & ECONOMIC FACTORS

Reading scores^

Math scores+

Children in poverty*?

Median household income

Injury deaths*

Homicides

Suicides

Firearm fatalities

PHYSICAL ENVIRONMENT

Driving alone to work*

Overall

AIAN

Asian

Black

Hispanic

White

7,200

79.2

340

50

6

9%

4,500

94.6

210

----8%

2,700

89.7

130

30

5

9%

9,700

76.6

450

80

10

12%

3,900

90.3

160

40

4

7%

6,900

79.3

330

40

4

7%

38

9

16

26

--13

5

4

2

43

10

22

10

7

39

46

9

9

4,134

42%

52%

4,146

36%

48%

1,952

32%

55%

5,696

41%

41%

3,136

35%

44%

3,726

42%

55%

----12%

$86,600

82

9

10

12

N/A

N/A

18%

$71,800

52

-------

----7%

$105,700

23

2

6

2

----19%

$67,600

93

23

5

24

----16%

$72,800

34

5

4

3

----6%

$95,200

93

2

13

8

74%

66%

72%

72%

66%

81%

* Ranked measure

^ Data not available for AK, AZ, LA, MD, NM, NY, VT

+ Data not available for AK, AZ, LA, MD, NY, VT, VA

? Overall county level values of children in poverty are obtained from one-year modeled estimates from the Small Area Income and Poverty Estimates (SAIPE)

Program. Because SAIPE does not provide estimates by racial and ethnic groups, data from the 5-year American Community Survey (ACS) was used to

quantify children living in poverty by racial and ethnic groups.

N/A indicates data not available for this race/ethnicity.

--- Data not reported due to NCHS suppression rules (A missing value is reported for counties with fewer than 20 deaths or 10 births.)

Page 3 |

County Health Rankings 2021

2021 County Health Rankings: Ranked Measure Sources and Years of Data

Measure

HEALTH OUTCOMES

Length of Life

Quality of Life

Weight Source

Years of

Data

Premature death*

Poor or fair health

Poor physical health days

Poor mental health days

Low birthweight*

50%

10%

10%

10%

20%

National Center for Health Statistics - Mortality Files

Behavioral Risk Factor Surveillance System

Behavioral Risk Factor Surveillance System

Behavioral Risk Factor Surveillance System

National Center for Health Statistics - Natality files

2017-2019

2018

2018

2018

2013-2019

Adult smoking

Adult obesity

Food environment index

10%

5%

2%

Physical inactivity

Access to exercise opportunities

2%

1%

Excessive drinking

Alcohol-impaired driving deaths

Sexually transmitted infections

2.5%

2.5%

2.5%

2018

2017

2015 &

2018

2017

2010 &

2019

2018

2015-2019

2018

Teen births*

2.5%

Behavioral Risk Factor Surveillance System

United States Diabetes Surveillance System

USDA Food Environment Atlas, Map the Meal Gap from

Feeding America

United States Diabetes Surveillance System

Business Analyst, 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 - Natality files

Uninsured

Primary care physicians

Dentists

Mental health providers

Quality of Care

Preventable hospital stays*

Mammography screening*

Flu vaccinations*

SOCIAL & ECONOMIC FACTORS

Education

High school completion

Some college

Employment

Unemployment

Income

Children in poverty*

Income inequality

Family and Social

Children in single-parent

Support

households

Social associations

Community Safety

Violent crime

5%

3%

1%

1%

5%

2.5%

2.5%

Small Area Health Insurance Estimates

Area Health Resource File/American Medical Association

Area Health Resource File/National Provider Identification file

CMS, National Provider Identification

Mapping Medicare Disparities Tool

Mapping Medicare Disparities Tool

Mapping Medicare Disparities Tool

5%

5%

10%

7.5%

2.5%

2.5%

American Community Survey, 5-year estimates

American Community Survey, 5-year estimates

Bureau of Labor Statistics

Small Area Income and Poverty Estimates

American Community Survey, 5-year estimates

American Community Survey, 5-year estimates

2015-2019

2015-2019

2019

2019

2015-2019

2015-2019

2.5%

2.5%

County Business Patterns

Uniform Crime Reporting - FBI

Injury deaths*

PHYSICAL ENVIRONMENT

Air and Water Quality Air pollution - particulate matter

Drinking water violations

Housing and Transit

Severe housing problems

Driving alone to work*

Long commute - driving alone

*Indicates subgroup data by race and ethnicity is available

2.5%

National Center for Health Statistics - Mortality Files

2018

2014 &

2016

2015-2019

2.5%

2.5%

2%

2%

1%

Environmental Public Health Tracking Network

Safe Drinking Water Information System

Comprehensive Housing Affordability Strategy (CHAS) data

American Community Survey, 5-year estimates

American Community Survey, 5-year estimates

2016

2019

2013-2017

2015-2019

2015-2019

HEALTH FACTORS

HEALTH BEHAVIORS

Tobacco Use

Diet and Exercise

Alcohol and Drug Use

Sexual Activity

CLINICAL CARE

Access to Care

Page 4 |

2013-2019

2018

2018

2019

2020

2018

2018

2018

County Health Rankings 2021

2021 County Health Rankings: Additional Measure Sources and Years of Data

HEALTH OUTCOMES

Length of Life

Quality of Life

Source

Life expectancy*

Premature age-adjusted mortality*

Child mortality*

Infant mortality*

Frequent physical distress

Frequent mental distress

Diabetes prevalence

HIV prevalence

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

Behavioral Risk Factor Surveillance System

Behavioral Risk Factor Surveillance System

United States Diabetes Surveillance System

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

Prevention

2017-2019

2017-2019

2016-2019

2013-2019

2018

2018

2017

2018

Map the Meal Gap

USDA Food Environment Atlas

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

Behavioral Risk Factor Surveillance System

2018

2015

2017-2019

2013-2019

2018

HEALTH FACTORS

HEALTH BEHAVIORS

Diet and Exercise

Food insecurity

Limited access to healthy foods

Alcohol and Drug Use

Drug overdose deaths*

Motor vehicle crash deaths*

Other Health Behaviors Insufficient sleep

CLINICAL CARE

Access to Care

Uninsured adults

Uninsured children

Other primary care providers

SOCIAL & ECONOMIC FACTORS

Education

High school graduation

Disconnected youth

Income

Family and Social

Support

Years of

Data

Measure

Small Area Health Insurance Estimates

Small Area Health Insurance Estimates

CMS, National Provider Identification

2018

2018

2020

Reading scores*+

EDFacts

American Community Survey, 5-year estimates

Stanford Education Data Archive

Math scores*+

Stanford Education Data Archive

Median household income*

Children eligible for free or reduced price

lunch

Residential segregation - Black/White

Small Area Income and Poverty Estimates

National Center for Education Statistics

2019

2018-2019

American Community Survey, 5-year estimates

2015-2019

American Community Survey, 5-year estimates

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

National Center for Health Statistics - Mortality Files

Easy Access to State and County Juvenile Court Case Counts

2015-2019

2013-2019

2015-2019

2015-2019

2018

EJSCREEN: Environmental Justice Screening and Mapping Tool

American Community Survey, 5-year estimates

American Community Survey, 5-year estimates

American Community Survey, 5-year estimates

2019

2015-2019

2015-2019

2015-2019

Residential segregation - non-White/White

Community Safety

Homicides*

Suicides*

Firearm fatalities*

Juvenile arrests+

PHYSICAL ENVIRONMENT

Housing and Transit

Traffic volume

Homeownership

Severe housing cost burden

Broadband access

*Indicates subgroup data by race and ethnicity is available

+

Not available in all states

See additional contextual demographic information and measures online at

Page 5 |

2017-2018

2015-2019

2018

2018

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