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Complete Health Indicator Report of Utah Health Improvement Index (HII)

Definition

A composite measure of the social determinants of health by geographic area, grounded in methods used by Gopal K. Singh for the Area Deprivation Index (ADI).

Numerator

N/A

Denominator

N/A

Data Interpretation Issues

Consider the following limitations: # The Behavioral Risk Factor Surveillance System (BRFSS) is the primary source for indicators used to calculate the HII. The BRFSS is a telephone survey (with interviews using both landline and cell phones) that includes only adults 18 and older. # The HII is tied to Utah Small Areas, which were defined based on ZIP codes, local health districts, county boundaries, and input from local community representatives. These defined areas may not match local jurisdiction, community practices, etc. or capture all root causes driving health disparities. # Some small areas may have a high HII category because of their high and transient college student population. # Within the "average" and "low" HII areas, there may be small clusters of underserved communities, such as American Indian Tribes, racial/ethnic minorities or other minority groups. # The HII is not a measure of health per se, but instead measures a combination of social and economic conditions that determine health. In order to identify health disparities it must be combined with health indicators like the infant mortality rate. # The HII would be best used in connection with qualitative data to ensure the context in which communities experience health disparities is accurately understood.

Why Is This Important?

The HII is not a measure of health per se, but instead measures a combination of social and economic conditions that determine health. The HII ranges from 72 to 160 and has five groups: very high, high, average, low, and very low. Higher HII groups denote a greater need to improve these conditions, thereby also an opportunity to improve health. When combined with health indicators, the HII can identify differences in health that are linked to social and economic disadvantage, in other words, health disparities. Thus, it may be used as a guide to determine the type of intervention to implement in order to advance health equity and reduce, in an efficient and effective way, the burden of health disparities in our state.

How Are We Doing?

According to 2015-2017 data, more than one-third (33%) of the 99 Small Areas have a high or very high HII: *Very Low HII: 20 Small Areas *Low HII: 25 Small Areas *Average HII: 18 Small Areas *High HII: 20 Small Areas *Very High HII: 16 Small Areas [[br]] Additionally, out of the 99 Small Areas, 73 are classified as urban and 26 as rural/frontier: * Very Low HII: 20 Small Areas (18 Urban and 2 Rural/Frontier) * Low HII: 25 Small Areas (19 Urban and 6 Rural/Frontier) * Average HII: 18 Small Areas (13 Urban and 5 Rural/Frontier) * High HII: 20 Small Areas (12 Urban and 8 Rural/Frontier) * Very High HII: 16 Small Areas (11 Urban and 5 Rural/Frontier)

What Is Being Done?

The Utah Department of Health is using the HII to inform work to address health disparities and advance health equity. * The UDOH Office of Health Disparities has used the HII to produce the report [http://health.utah.gov/disparities/data/ohd/HealthDisparitiesbyUtahStateLegislativeDistrict2019.pdf Health Disparities by Utah State Legislative District]. * The UDOH Bureau of Health Promotion is using the HII to understand and address health disparities in chronic disease. * The UDOH Bureau of Epidemiology is using the HII to understand and address health disparities in infectious disease. * The UDOH Office of Primary Care and Rural Health has created [https://ruralhealth.health.utah.gov/portal/ interactive maps with the HII].

Health Program Information

The UDOH Office of Health Disparities' (OHD) vision is for all people to have a fair opportunity at reaching their highest health potential given that health is crucial for well-being, longevity, and economic and social mobility. The OHD's mission is to advance health equity and reduce health disparities in Utah. Contact {{style color:#003366 disparities@utah.gov}} for more information.


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:




Graphical Data Views

Utah Small AreasHII ScoreNote
Record Count: 99
Brigham City96.54Average HII
Box Elder Co (Other) V291.71Low HII
Tremonton93.35Low HII
Logan V2119.08High HII
North Logan120High HII
Cache (Other)/Rich (All) V292.25Low HII
Hyrum106.79High HII
Smithfield92.55Low HII
Ben Lomond106.8High HII
Weber County (East)74.97Very Low HII
Morgan County75.35Very Low HII
Ogden (Downtown)123.12Very High HII
South Ogden106.17High HII
Roy/Hooper89.07Low HII
Riverdale100.86Average HII
Clearfield Area/Hooper94.74Low HII
Layton/South Weber86.84Low HII
Kaysville/Fruit Heights78.56Very Low HII
Syracuse76.15Very Low HII
Centerville76.72Very Low HII
Farmington72.34Very Low HII
North Salt Lake93.54Low HII
Woods Cross/West Bountiful85.91Low HII
Bountiful95.57Average HII
SLC (Rose Park)130.7Very High HII
SLC (Avenues)87.18Low HII
SLC (Foothill/East Bench)83.53Low HII
Magna118.99High HII
SLC (Glendale) V2150.66Very High HII
West Valley (Center)128.72Very High HII
West Valley (West) V295.78Average HII
West Valley (East) V2142.82Very High HII
SLC (Downtown) V2117.85High HII
SLC (Southeast Liberty)90.01Low HII
South Salt Lake137.64Very High HII
SLC (Sugar House)101.57Average HII
Millcreek (South)79.14Very Low HII
Millcreek (East)75.67Very Low HII
Holladay V283.29Low HII
Cottonwood80.31Low HII
Kearns V2124.89Very High HII
Taylorsville (E)/Murray (W)114.47High HII
Taylorsville (West)101.26Average HII
Murray105.9Average HII
Midvale120.1Very High HII
West Jordan (Northeast) V297.35Average HII
West Jordan (Southeast)101.36Average HII
West Jordan (W)/Copperton86.82Low HII
South Jordan V277.65Very Low HII
Daybreak71.89Very Low HII
Sandy (West)113.53High HII
Sandy (Center) V278.8Very Low HII
Sandy (Northeast)72.53Very Low HII
Sandy (Southeast)74.24Very Low HII
Draper77.93Very Low HII
Riverton/Bluffdale76.83Very Low HII
Herriman80.09Low HII
Tooele County (Other)116.23High HII
Tooele Valley97.62Average HII
Eagle Mountain/Cedar Valley85.08Low HII
Lehi78.18Very Low HII
Saratoga Springs72.12Very Low HII
American Fork83.9Low HII
Alpine76.66Very Low HII
Pleasant Grove/Lindon87.97Low HII
Orem (North)114.93High HII
Orem (West)117.34High HII
Orem (East)92.92Low HII
Provo/BYU125.07Very High HII
Provo (West City Center)121.53Very High HII
Provo (East City Center)148.8Very High HII
Salem City77.77Very Low HII
Spanish Fork91.21Low HII
Springville96.36Average HII
Mapleton74.96Very Low HII
Utah County (South) V2107.8High HII
Payson106.92High HII
Park City91.28Low HII
Summit County (East)88.67Low HII
Wasatch County90.67Low HII
Daggett and Uintah County101.46Average HII
Duchesne County96.05Average HII
Nephi/Mona109.12High HII
Delta/Fillmore127.63Very High HII
Sanpete Valley118.73High HII
Central (Other)110.92High HII
Richfield/Monroe/Salina101.61Average HII
Carbon County109.61High HII
Emery County96.64Average HII
Grand County132.53Very High HII
Blanding/Monticello112.98High HII
San Juan County (Other)160.87Very High HII
St. George99.59Average HII
Washington Co (Other) V2132.66Very High HII
Washington City101.52Average HII
Hurricane/La Verkin108.13High HII
Ivins/Santa Clara82.04Low HII
Cedar City121.34Very High HII
Southwest LHD (Other)104.07Average HII

Utah Health Improvement Index Map

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Data Notes

The Utah Health Improvement Index (HII) is not a measure of health per se, but instead measures a combination of social and economic conditions that determine health. The HII ranges from 72 to 160 and has five groups: very high, high, average, low, and very low. Higher HII groups denote a greater need to improve these conditions, thereby also an opportunity to improve health.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2018

References and Community Resources

References: * Braveman, P, Arkin, E, Orleans, T, Proctor, D, & Plough, A. (2017). What is Health Equity? Robert Wood Johnson Foundation. * Office of Health Disparities (2018). [http://health.utah.gov/disparities/data/ohd/UtahHII.pdf The Utah Health Improvement Index]. Salt Lake City, UT: Utah Department of Health. * Singh, GK. Area deprivation and widening inequalities in US mortality, 1969-1998. American Journal of Public Health. 2003; 93(7); 1137-1143. More information about Utah Small Areas can be found at [https://ibis.health.utah.gov/pdf/resource/UtahSmallAreaInfo.pdf]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 02/18/2020, Published on 03/03/2020
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 06 May 2021 7:53:18 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 3 Mar 2020 15:47:24 MST