NEHA March 2024 Journal of Environmental Health

ADVANCEMENT OF THE PRACTICE

TABLE 1

Summary of Indicators Used in Analysis

Category

Indicator Abbreviation

Indicator Full Name

Measurement

Year

Source

Health Group General health

PreDeath

Premature death Frequent physical distress High health status

Years of potential life lost before 75 years of age per 100,000 population % of adults who reported their physical health was not good for ≥14 days in the past 30 days % of adults who reported that their health was very good or excellent % of adults who reported being told by a health professional that they currently have asthma % of adults who reported ever being told by a health professional that they had any form of cancer other than skin cancer

2020 2021

AHR AHR

PhysDis

HiHlth

2021 2021

AHR AHR

Environmental- related health

Asthma

Asthma

Cancer

Cancer

2021

AHR

CVD

Cardiovascular disease % of adults who reported ever being told by a health professional that they had angina or coronary heart disease, or had a heart attack, myocardial infarction, or stroke

2021

AHR

COPD

Chronic obstructive pulmonary disease

% of adults who reported ever being told by a health professional that they have chronic obstructive pulmonary disease, emphysema, or chronic bronchitis

2021

AHR

Environmental Public Health Group Financial PHFund

Public health funding State dollars dedicated to public health per person (including federal grants directed to states from CDC and HRSA)

2019– 2020

AHR

HlthPC

Health (other than hospitals)

Per capita expenditures including environmental health, health regulation and inspection, water and air pollution control, mosquito control, animal control warden, food service inspections, ambulance, public health nursing, vital statistics, and public health department services Per capita expenditures on flood control, soil and water conservation, drainage, irrigation, forestry and forest fire protection, agricultural fairs, and any other activities for promotion of agriculture and conservation of natural resources Per capita expenditures on playgrounds, golf courses, swimming pools, museums, marinas, community music, drama programs, festivals, zoos, and other cultural activities Street cleaning and the collection, recycling, and disposal of refuse and garbage Per capita expenditures on construction, maintenance, and operation of sanitary and storm sewer systems and sewage disposal plants

2020

USCB, SLGF

NatPC

Natural resources

2020

USCB, SLGF

RecPC

Parks and recreation expenditures

2020

USCB, SLGF

SWPC

Solid waste expenditures

2020

USCB, SLGF USCB, SLGF

SewerPC

Sewerage

2020

CDCPC21

CDC funding to states Per capita funding from CDC through grants and cooperative agreements for environmental health programs

2021

TFAH

Environmental health

FoodIns

Food insecurity

% of households unable to provide adequate food for one or more household members due to a lack of resources

2019– 2021

AHR

Lead

Housing with lead risks % of housing stock with potential elevated lead risk due to age of housing

2021

AHR AHR

Severe

Severe housing problems

% of occupied housing units with at least one of the following problems: lack of complete kitchen facilities, lack of plumbing facilities, overcrowding, or severely cost-burdened occupants Average exposure of the general public to ≤PM 2.5 (measured in μg/m 2 )

2015– 2019

2019– 2021

AHR

Environmental quality

AirPoll

Air pollution

2021

AHR

DWater

Drinking water violations Total population

% of population served by community water systems with serious drinking water violations during the year

TotPop

Total population; used to calculate per capita amounts

2020

USCB

Note. AHR = America’s Health Rankings; CDC = Centers for Disease Control and Prevention; HRSA = Health Resources and Services Administration; PM = particulate matter; SLGF = state and local government finances; TFAH = Trust for America’s Health; USCB = U.S. Census Bureau.

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Volume 86 • Number 7

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