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

Definition

A composite health equity measure by geography, grounded in methods used by Gopal K. Singh for the Area Deprivation Index (ADI). The 99 Utah Small Areas are distributed across five HII groups: Very low HII (score <80.00), Low HII (score 80.00-94.99.), Average HII (score 95.00-104.99), High HII (score 105.00-119.99), and Very high HII (score > or = 120.00).

Numerator

N/A

Denominator

N/A

Data Interpretation Issues

Important limitations of the Utah HII to consider include: (a) some small areas might have a high HII because of their large and transient college student populations, (b) within areas with average and low HII, there may be clusters of underserved and underresourced communities such as American Indian Tribes or other underserved groups, (c) some communities are more geographically granular or span multiple geographical units, and (d) geographical unit limitations such as some ZIP Codes cross county boundaries, ZIP Codes in BRFSS may not exactly correspond to ZIP Code Tabulation Areas (ZCTAs) in ACS, and ZIP Codes were developed for mail routes and not geographic designations.

Why Is This Important?

The Utah HII is an innovative, data-driven, and practical way to advance health equity and inform efforts to reduce, in a more efficient and effective way, the burden of health disparities in diseases and health conditions in specific geographic areas. The 2022 Utah HII ranges from 58.53 to 152.80. The Utah HII gives a score to each Utah Small Area. Based on their score, Utah Small Areas are categorized into five groups: very low, low, average, high, and very high. The higher the group, the more improvements the area may need. To integrate a health equity approach, strategies, and interventions in all geographic areas must consider all the populations who live in the area. For areas with high and very high HII, strategies and interventions should include supportive activities to address the barriers that the populations who live in the area may face during implementation. These supportive activities may take the form of policies, processes, and practices to address the social determinants of health and to mitigate the inequities (processes) that result in disparities (outcomes). A full report on the 2022 Utah HII can be found here: [https://healthequity.utah.gov/wp-content/uploads/Utah-HII-2022-Update.pdf.]

How Are We Doing?

According to 2016-2020 data, more than one-third (40%) of the 99 Small Areas have a high or very high HII: [[br]] *Very low HII: 19 Small Areas *Low HII: 19 Small Areas *Average HII: 21 Small Areas *High HII: 26 Small Areas *Very high HII: 14 Small Areas [[br]] From the 2017 Utah HII to the 2022 Utah HII, most small areas (60%) did not change HII group. However, 1% improved 2 levels, 14% improved 1 level, and 26% declined 1 level.

What Is Being Done?

The Utah Department of Health and Human Services (DHHS) uses the HII to inform work to address health disparities and advance health equity. [[br]] * The DHHS Office of Health Equity has used the HII to produce the report [https://healthequity.utah.gov/wp-content/uploads/HealthDisparitiesbyUtahStateLegislativeDistrict2019 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 DHHS Division of Population Health is using the HII to understand and address health disparities in chronic and infectious diseases and has integrated it into the [https://dhhs.utah.gov/utahhpi/ Utah Healthy Places Index]. * The DHHS Office of Primary Care and Rural Health has created [https://ruralhealth.health.utah.gov/https-ruralhealth-health-utah-gov-utah-state-profile/health-improvement-index/ interactive maps with the HII].

Health Program Information

The DHHS Office of Health Equity's (OHE) 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 OHE's mission is to advance health equity and reduce health disparities in Utah. Contact {{style color:#003366 healthequity@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 City100.17Average HII
Box Elder Co (Other) V296.97Average HII
Tremonton102.97Average HII
Logan V2122.25Very high HII
North Logan121.23Very high HII
Cache (Other)/Rich (All) V295.01Average HII
Hyrum104.81Average HII
Smithfield97.37Average HII
Ben Lomond114.57High HII
Weber County (East)78.53Very low HII
Morgan County74.01Very low HII
Ogden (Downtown)115.62High HII
South Ogden106.67High HII
Roy/Hooper96.82Average HII
Riverdale100.81Average HII
Clearfield Area/Hooper101.95Average HII
Layton/South Weber95.38Average HII
Kaysville/Fruit Heights77.18Very low HII
Syracuse72.78Very low HII
Centerville74.51Very low HII
Farmington74.64Very low HII
North Salt Lake91.07Low HII
Woods Cross/West Bountiful86.59Low HII
Bountiful87.87Low HII
SLC (Rose Park)141.15Very high HII
SLC (Avenues)101.85Average HII
SLC (Foothill/East Bench)79.46Very low HII
Magna115.82High HII
SLC (Glendale) V2151.39Very high HII
West Valley (Center)120.1Very high HII
West Valley (West) V2102.12Average HII
West Valley (East) V2136.26Very high HII
SLC (Downtown) V2133.77Very high HII
SLC (Southeast Liberty)91.16Low HII
South Salt Lake142.81Very high HII
SLC (Sugar House)98.51Average HII
Millcreek (South)81.04Low HII
Millcreek (East)76.26Very low HII
Holladay V296.05Average HII
Cottonwood83.12Low HII
Kearns V2116.11High HII
Taylorsville (E)/Murray (W)112.79High HII
Taylorsville (West)107.8High HII
Murray117.65High HII
Midvale111.77High HII
West Jordan (Northeast) V2102.94Average HII
West Jordan (Southeast)96.86Average HII
West Jordan (W)/Copperton84.11Low HII
South Jordan V272.56Very low HII
Daybreak71.29Very low HII
Sandy (West)107.54High HII
Sandy (Center) V285.76Low HII
Sandy (Northeast)69.58Very low HII
Sandy (Southeast)64.14Very low HII
Draper71.57Very low HII
Riverton/Bluffdale76.89Very low HII
Herriman73.78Very low HII
Tooele County (Other)95.49Average HII
Tooele Valley97.87Average HII
Eagle Mountain/Cedar Valley88.81Low HII
Lehi80.49Low HII
Saratoga Springs73.06Very low HII
American Fork85.86Low HII
Alpine58.53Very low HII
Pleasant Grove/Lindon88.72Low HII
Orem (North)113.04High HII
Orem (West)111.28High HII
Orem (East)92.17Low HII
Provo/BYU125.9Very high HII
Provo (West City Center)130.27Very high HII
Provo (East City Center)148.92Very high HII
Salem City84.46Low HII
Spanish Fork94.97Low HII
Springville105.97High HII
Mapleton71.97Very low HII
Utah County (South) V294.38Low HII
Payson96.43Average HII
Park City75.07Very low HII
Summit County (East)86.01Low HII
Wasatch County92.63Low HII
Daggett and Uintah County109.47High HII
Duchesne County112.54High HII
Nephi/Mona98.69Average HII
Delta/Fillmore108.75High HII
Sanpete Valley108.58High HII
Central (Other)112.95High HII
Richfield/Monroe/Salina109.33High HII
Carbon County115.02High HII
Emery County105.94High HII
Grand County112.17High HII
Blanding/Monticello121.99Very high HII
San Juan County (Other)152.8Very high HII
St. George107.02High HII
Washington Co (Other) V2110.27High HII
Washington City95.85Average HII
Hurricane/La Verkin109.68High HII
Ivins/Santa Clara90.54Low HII
Cedar City123.51Very high HII
Southwest LHD (Other)119High 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 may affect health outcomes. The 2022 Utah HII ranges from 58.53 to 152.80. The Utah HII gives a score to each Utah Small Area. Based on their score, Utah Small Areas are categorized into five groups: very low, low, average, high, and very high. The higher the group, the more improvements the area may need. For more information on the 2022 Utah HII methodology, see [ibis.health.utah.gov/ibisph-View/pdf/resource/HII_UT_methodology_2022.pdf.]

Data Sources

  • American Community Survey
  • Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS)

References and Community Resources

References: * Braveman, P, Arkin, E, Orleans, T, Proctor, D, & Plough, A. (2017). What is Health Equity? Robert Wood Johnson Foundation. * Utah Department of Health and Human Services (2022). [https://healthequity.utah.gov/wp-content/uploads/Utah-HII-2022-Update.pdf Utah Health Improvement Index?2022 update]. Salt Lake City, UT. * 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:
  • Centers for Disease Control and Prevention (CDC) WONDER Database, a system for disseminating public health data and information.
  • United States Census Bureau data dashboard.
  • Utah healthy Places Index, evidence-based and peer-reviewed tool, supports efforts to prioritize equitable community investments, develop critical programs and policies across the state, and much more.
  • County Health Rankings
  • Kaiser Family Foundation's StateHealthFacts.org
  • Medical literature can be queried at PubMed library.



Page Content Updated On 03/29/2023, Published on 04/17/2023
The information provided above is from the Utah Department of Health and Human Services 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 Sun, 21 April 2024 22:16:29 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Mon, 17 Apr 2023 14:43:47 MDT