20220711 13411600 1.0 TRUE Map VHB’s Healthy Mobility tool is a planning-level tool that provides an aggregated health risk score based on the prevalence of 6 chronic diseases. The level of health risk is measured as a comparison to the overall county's health outcomes or the state's outcomes, depending on the selection by the user. This risk score is distributed along a normal curve. The intent of the tool is to identify the burden and geographic distribution of health-related issues and assist clients in planning for public health interventions that prioritize investment to areas with the biggest gaps or inequities.This feature layer represents the base data and calculations used to represent the Tier 1 Risk Assessment in the HCM dashboard. This data is derived CDC's Places data which can be found at the following link as a feature class hosted by Esri: https://vhb.maps.arcgis.com/home/item.html?id=3b7221d4e47740cab9235b839fa55cd7&view=list&sortOrder=desc&sortField=defaultFSOrderThe data is representative of the 2022 update which was completed by the CDC for 49 states, Florida did not participate in the update and is represented by 2021 values. More information on data releases can be found here: https://www.cdc.gov/places/help/data-notes/index.htmlAdditional Metadata related to the overall HCM model and output:View the <a href='https://vhb.maps.arcgis.com/sharing/rest/content/items/19ec66c43dfc4989833b96971bba6986/data' style='border-color:var(--calcite-color-border-3); box-sizing:border-box; text-decoration-line:none;' rel='nofollow ugc'>Healthy Mobility Tool Codebook</a> to learn more about the attributes and specifics of the data represented in the dashboard.Within the United States, health outcomes are largely dependent on socioeconomic and environmental factors with health care only shaping 20 percent of a community’s overall health. The built environment, such as access to jobs, cultural institutions, healthcare, housing and active transportation; community design conducive to walking; and environmental pollutants can support healthy behaviors or create obstacles that contribute to health inequities, leading to populations with a disproportionate burden of chronic disease. The chronic diseases included in the assessment are:<ol><li>High Blood Pressure- also known as hypertension, high blood pressure is a risk factor for heart disease. Environmental factors that have been found to influence blood pressure include lead exposure and air pollution. Environmental factors can also influence related behavioral factors such as diet, stress, and lack of physical activity.</li><li>Asthma- An inflammatory condition of the lungs and one of the most common long-term diseases in children. Environmental factors that influence asthma include air pollution exposure, and exposure to allergens and pests. Other related factors include weight.</li><li>Coronary Heart Disease- A type of heart disease where the arteries of the heart cannot deliver enough oxygen rich blood to the heart and is often caused by high cholesterol. Air pollution, physical inactivity, stress, and unhealthy diet can all increase risk for coronary heart disease.</li><li>Diabetes- A chronic health condition that influences how the body produces or uses insulin and therefore how the body’s cells have access to energy. Risk factors for diabetes include being overweight, physical inactivity, stress, and exposure to pollution.</li><li>High Cholesterol- When total blood cholesterol for adults who have been screened in the past 5 years is greater than 200 mg/dL. This is a risk factor for heart disease and stroke. Physical activity and healthy weight and eating can help prevent high cholesterol. It has also been found that fine particulate matter can contribute to high cholesterol levels.</li><li>Obesity- A chronic disease defined as an excessive amount of body fat, that puts people at risk for other diseases including those listed above as well as others. Environments lacking health food options, that do not promote physical activity, and that contribute to high stress have been found to influence obesity.</li></ol>Other population health outcomes and behaviors that are closely linked to environmental conditions can also be assessed through the tool:<ol><li>Share of the population with Health Insurance Coverage.</li><li>Physical Inactivity- Defined by the CDC as adults reporting no physical activity in their leisure time. Physical inactivity increase risk for heart disease, diabetes, colon cancer, high blood pressure, obesity, osteoporosis, muscle and joint disorders, and symptoms of anxiety and depression.</li><li>Poor Physical Health- Defined by the CDC as adults who spend more than 14 days a month with poor physical health, including physical illness and injury. This self-reported measure may overlap with chronic disease outcomes, but also capture other aspects of health.</li><li>Mental Health- Defined by the CDC as adults who spend more than 14 days a month with poor mental health, which includes emotional, psychological and social wellbeing.</li></ol> VHB employees are not medical professionals and the Healthy Mobility tool is not intended to diagnose, treat, cure or prevent any disease. VHB does not warranty specific individual health outcomes resulting from the use of this tool. Please contact members of the VHB Healthy Mobility Team to learn more.Data Source: CDC PLACES. Centers for Disease Control and Prevention. 2021. <a href='https://www.cdc.gov/places/index.html' style='border-color:var(--calcite-color-border-3); box-sizing:border-box; text-decoration-line:none;' rel='nofollow ugc'>https://www.cdc.gov/places</a> healthyhealthHCMdo_not_remove_this_tag_a1658079186224do_not_remove_this_tag_1659404934429HMTCDCHealthy PlacesAsthmaObesityCoronary Heart DiseaseDiabetesHigh CholesterolBlood Pressure VHB Healthy Community (HCM) or Healthy Mobility Tool (HMT) model output feature layer displaying the prevalence and Risk assessment of 6 chronic diseases across the United States based on the Places: Local Data for Better Health from the Center for Disease Control (CDC). The values are represented by census tract with various Risk assessment categories evaluated by County, State, and Nationwide Averages. VHB Healthy Mobility Model - Healthy Community Model (HCM) Center for Disease Control (CDC) <div style='margin:0px; padding:0px; clear:both;'><h2 style='box-sizing:border-box; margin:40px 0px 0px; padding:0px; border:0px; background-image:initial; background-position:initial; background-size:initial; background-repeat:initial; background-attachment:initial; background-origin:initial; background-clip:initial; font-variant-ligatures:common-ligatures; font-variant-numeric:inherit; font-variant-east-asian:inherit; font-variant-alternates:inherit; font-variant-position:inherit; font-weight:normal; font-stretch:normal; font-family:Gotham, Helvetica, Arial, sans-serif; font-kerning:inherit; font-feature-settings:inherit; font-size:30px; color:rgb(122, 155, 73);'>Disclaimer of Warranty</h2><p style='box-sizing:border-box; margin-top:20px; margin-bottom:0px; padding:0px; border:0px; background-image:initial; background-position:initial; background-size:initial; background-repeat:initial; background-attachment:initial; background-origin:initial; background-clip:initial; font-variant-ligatures:common-ligatures; font-variant-numeric:inherit; font-variant-east-asian:inherit; font-variant-alternates:inherit; font-variant-position:inherit; font-stretch:inherit; font-family:Gotham, Helvetica, Arial, sans-serif; font-kerning:inherit; font-feature-settings:inherit; font-size:18px; color:rgb(112, 112, 112);'>Use of this Site is at your own risk. 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You are responsible for implementing sufficient procedures and checkpoints to satisfy your particular requirements for anti-virus protection and accuracy of data input and output, and for maintaining a means external to our Site for any reconstruction of any lost data.<p style='box-sizing:border-box; margin-top:20px; margin-bottom:0px; padding:0px; border:0px; background-image:initial; background-position:initial; background-size:initial; background-repeat:initial; background-attachment:initial; background-origin:initial; background-clip:initial; font-variant-ligatures:common-ligatures; font-variant-numeric:inherit; font-variant-east-asian:inherit; font-variant-alternates:inherit; font-variant-position:inherit; font-stretch:inherit; font-family:Gotham, Helvetica, Arial, sans-serif; font-kerning:inherit; font-feature-settings:inherit; font-size:18px; color:rgb(112, 112, 112);'>Additional information is available at the following: https://www.vhb.com/legal-notice/</div> 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