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Health Indicator Report of Utah Health Improvement Index (HII)

The HII is not a measure of health per se, but instead measures a combination of social and economic conditions that determine health. 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 needs. 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 Utah.

Utah Health Improvement Index Map

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Utah Health Improvement Index Scores and Groups by Utah Small Area, 2017

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 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 needs.

Data Sources

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

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 like 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.

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). The 99 Utah Small Areas are classified into five 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?119.99), and Very high HII (score &#8805;120.00).

Numerator

N/A

Denominator

N/A

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: 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]] 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.
Page Content Updated On 10/04/2022, Published on 11/16/2022
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 Tue, 29 November 2022 14:12:07 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 16 Nov 2022 11:55:17 MST