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2017CountyHealthRankings

Michigan
County Health Rankings 2017: Michigan

INTRODUCTION
TheCountyHealthRankings&Roadmapsprogrambringsactionabledataandstrategiestocommunitiesto
makeiteasierforpeopletobehealthyintheirhomes,schools,workplaces,andneighborhoods.Rankingthe
healthofnearlyeverycountyinthenation,theCountyHealthRankingsillustratewhatweknowwhenit
comestowhatismakingpeoplesickorhealthy.TheRoadmapsshowwhatwecandotocreatehealthier
placestolive,learn,work,andplay.TheRobertWoodJohnsonFoundation(RWJF)collaborateswiththe
UniversityofWisconsinPopulationHealthInstitute(UWPHI)tobringthisprogramtocities,counties,and
statesacrossthenation.

WHATARETHECOUNTYHEALTHRANKINGS?
Publishedonlineatcountyhealthrankings.org,theRankingshelpcountiesunderstandwhatinfluenceshow
healthyresidentsareandhowlong
theywilllive.TheRankingsareunique
intheirabilitytomeasurethecurrent
overallhealthofnearlyeverycountyin
all50states.Theyalsolookatavariety
ofmeasuresthataffectthefuture
healthofcommunities,suchashigh
schoolgraduationrates,accessto
healthyfoods,ratesofsmoking,
obesity,andteenbirths.Communities
usetheRankingstohelpidentify
issuesandopportunitiesforlocal
healthimprovement,aswellasto
garnersupportforinitiativesamong
governmentagencies,healthcare
providers,communityorganizations,
businessleaders,policymakers,and
thepublic.

DIGGINGDEEPERINTO
HEALTHDATA
Althoughweknowthatarangeof
factorsareimportantforgoodhealth,
everystatehascommunitiesthatlack
bothopportunitiestoshapegood
healthandstrongpoliciestopromotehealthforeveryone.Somecountieslagfarbehindothersinhowwell
andhowlongpeoplelivewhichwerefertoasahealthgap.Findoutwhat'sdrivinghealthdifferences
acrossyourstateandwhatcanbedonetoclosethosegaps.Visitcountyhealthrankings.org/reports.

Tofurtherexplorehealthgapsandotherdatasourcesinyourcommunity,checkoutthefeaturetofind
moredataforyourstateanddigdeeperondifferencesinhealthfactorsbygeographyorbypopulationsub
groups.Visitcountyhealthrankings.org/usingtherankingsdata.
1 www.countyhealthrankings.org/michigan
County Health Rankings 2017: Michigan

MOVINGFROMDATATOACTION
RoadmapstoHealthhelpcommunitiesbringpeopletogethertolookatthemanyfactorsthatinfluence
healthandopportunitiestoreducehealthgaps,selectstrategiesthatcanimprovehealthforall,andmake
changesthatwillhavealastingimpact.TheRoadmapsfocusonhelpingcommunitiesmovefromawareness
abouttheircountysrankingtoactionsdesignedtoimproveeveryoneshealth.TheRoadmapstoHealth
ActionCenterisaonestopshopofinformationtohelpanycommunitymemberorleaderwhowantsto
improvetheircommunityshealthbyaddressingfactorsthatweknowinfluencehealth,suchaseducation,
income,andcommunitysafety.

WithintheActionCenteryouwillfind:
Onlinestepbystepguidance
andtoolstomovethroughthe ActionCycle
ActionCycle
WhatWorksforHealtha
searchabledatabaseof
evidenceinformedpoliciesand
programsthatcanimprove
health
Webinarsfeaturinglocal
communitymemberswho
sharetheirtipsonhowtobuild
ahealthiercommunity
Communitycoaches,located
acrossthenation,whoprovide
customizedconsultationto
localleaderswhorequest
guidanceinhowtoaccelerate
theireffortstoimprovehealth.
Youcancontactacoachby
activatingtheGetHelpbutton
atcountyhealthrankings.org

HOWCANYOUGETINVOLVED?
YoumightwanttocontactyourlocalaffiliateofUnitedWayWorldwide,theNationalAssociationof
Counties,LocalInitiativesSupport Corporation(LISC),orNeighborworkstheirnationalparentorganizations
havepartneredwithustoraiseawarenessandstimulateactiontoimprovehealthintheirlocalmembers
communities.Byconnectingwithotherleadersinterestedinimprovinghealth,youcanmakeadifferencein
yourcommunity.Incommunitieslargeandsmall,peoplefromallwalksoflifearetakingownershipand
actiontoimprovehealth.Visitcountyhealthrankings.orgtogetideasandguidanceonhowyoucantake
actioninyourcommunity.Workingwithothers,youcanimprovethehealthofyourcommunity.

www.countyhealthrankings.org/michigan 2
County Health Rankings 2017: Michigan

HOWDOCOUNTIESRANKFORHEALTHOUTCOMES?
Thegreenmapbelowshowsthedistributionof Lightershadesindicatebetterperformanceinthe
Michiganshealthoutcomes,basedonanequal respectivesummaryrankings.Detailedinformationon
weightingoflengthandqualityoflife. theunderlyingmeasuresisavailableat
countyhealthrankings.org.

County Rank County Rank County Rank County Rank


Alcona 39 Dickinson 20 Lake 81 Oceana 78
Alger 31 Eaton 16 Lapeer 15 Ogemaw 67
Allegan 13 Emmet 6 Leelanau 5 Ontonagon 77
Alpena 58 Genesee 82 Lenawee 48 Osceola 35
Antrim 23 Gladwin 66 Livingston 3 Oscoda 73
Arenac 80 Gogebic 22 Luce 62 Otsego 52
Baraga 60 GrandTraverse 4 Mackinac 25 Ottawa 1
Barry 9 Gratiot 38 Macomb 59 PresqueIsle 41
Bay 34 Hillsdale 27 Manistee 33 Roscommon 76
Benzie 26 Houghton 12 Marquette 14 Saginaw 74
Berrien 64 Huron 51 Mason 46 Sanilac 45
Branch 54 Ingham 56 Mecosta 57 Schoolcraft 18
Calhoun 69 Ionia 19 Menominee 49 Shiawassee 30
Cass 36 Iosco 79 Midland 7 St.Clair 53
Charlevoix 11 Iron 24 Missaukee 21 St.Joseph 63
Cheboygan 28 Isabella 50 Monroe 44 Tuscola 40
Chippewa 29 Jackson 55 Montcalm 32 VanBuren 61
Clare 72 Kalamazoo 37 Montmorency 70 Washtenaw 8
Clinton 2 Kalkaska 75 Muskegon 68 Wayne 83
Crawford 71 Kent 17 Newaygo 47 Wexford 65
Delta 42 Keweenaw 43 Oakland 10

3 www.countyhealthrankings.org/michigan
County Health Rankings 2017: Michigan

HOWDOCOUNTIESRANKFORHEALTHFACTORS?
ThebluemapdisplaysMichiganssummaryranksfor Lightershadesindicatebetterperformanceinthe
healthfactors,basedonweightedscoresforhealth respectivesummaryrankings.Detailedinformationon
behaviors,clinicalcare,socialandeconomicfactors, theunderlyingmeasuresisavailableat
andthephysicalenvironment. countyhealthrankings.org

County Rank County Rank County Rank County Rank


Alcona 31 Dickinson 12 Lake 82 Oceana 70
Alger 38 Eaton 15 Lapeer 29 Ogemaw 77
Allegan 16 Emmet 9 Leelanau 8 Ontonagon 48
Alpena 19 Genesee 79 Lenawee 26 Osceola 68
Antrim 33 Gladwin 74 Livingston 3 Oscoda 63
Arenac 75 Gogebic 45 Luce 51 Otsego 14
Baraga 76 GrandTraverse 4 Mackinac 60 Ottawa 2
Barry 13 Gratiot 35 Macomb 43 PresqueIsle 34
Bay 36 Hillsdale 49 Manistee 53 Roscommon 80
Benzie 22 Houghton 20 Marquette 10 Saginaw 73
Berrien 69 Huron 21 Mason 25 Sanilac 47
Branch 56 Ingham 27 Mecosta 67 Schoolcraft 72
Calhoun 64 Ionia 32 Menominee 39 Shiawassee 24
Cass 41 Iosco 46 Midland 6 St.Clair 62
Charlevoix 11 Iron 40 Missaukee 42 St.Joseph 61
Cheboygan 54 Isabella 59 Monroe 30 Tuscola 58
Chippewa 78 Jackson 52 Montcalm 66 VanBuren 65
Clare 81 Kalamazoo 23 Montmorency 55 Washtenaw 1
Clinton 5 Kalkaska 71 Muskegon 57 Wayne 83
Crawford 28 Kent 17 Newaygo 50 Wexford 44
Delta 18 Keweenaw 37 Oakland 7

www.countyhealthrankings.org/michigan 4
County Health Rankings 2017: Michigan

2017COUNTYHEALTHRANKINGS:MEASURESANDNATIONAL/STATERESULTS
US State State State
Measure Description Median Overall Minimum Maximum
HEALTHOUTCOMES
Prematuredeath Yearsofpotentiallifelostbeforeage75per100,000population 7,700 7,200 4,200 10,400
Poororfairhealth %ofadultsreportingfairorpoorhealth 16% 17% 9% 19%
Poorphysicalhealthdays Average#ofphysicallyunhealthydaysreportedinpast30days 3.8 4.0 2.8 4.4
Poormentalhealthdays Average#ofmentallyunhealthydaysreportedinpast30days 3.8 3.9 3.2 4.3
Lowbirthweight %oflivebirthswithlowbirthweight(<2500grams) 8% 8% 5% 11%
HEALTHFACTORS
HEALTHBEHAVIORS
Adultsmoking %ofadultswhoarecurrentsmokers 17% 21% 14% 23%
Adultobesity %ofadultsthatreportaBMI30 31% 31% 24% 39%
Foodenvironmentindex Indexoffactorsthatcontributetoahealthyfoodenvironment,(010) 7.3 7.2 6.0 8.6
Physicalinactivity %ofadultsaged20andoverreportingnoleisuretimephysical 26% 23% 15% 31%
activity
Accesstoexerciseopportunities %ofpopulationwithadequateaccesstolocationsforphysicalactivity 62% 84% 7% 96%
Excessivedrinking %ofadultsreportingbingeorheavydrinking 17% 20% 16% 23%
Alcoholimpaireddrivingdeaths %ofdrivingdeathswithalcoholinvolvement 30% 29% 0% 100%
Sexuallytransmittedinfections #ofnewlydiagnosedchlamydiacasesper100,000population 294.8 447.2 42.0 804.3
Teenbirths #ofbirthsper1,000femalepopulationages1519 38 28 10 47
CLINICALCARE
Uninsured %ofpopulationunderage65withouthealthinsurance 14% 10% 7% 16%
Primarycarephysicians Ratioofpopulationtoprimarycarephysicians 2,030:1 1,240:1 11,340:1 570:1
Dentists Ratioofpopulationtodentists 2,570:1 1,420:1 2,170:0 620:1
Mentalhealthproviders Ratioofpopulationtomentalhealthproviders 1,105:1 460:1 12,840:1 230:1
Preventablehospitalstays #ofhospitalstaysforambulatorycaresensitiveconditionsper1,000 56 56 26 88
Medicareenrollees
Diabetesmonitoring %ofdiabeticMedicareenrolleesages6575thatreceiveHbA1c 86% 86% 80% 98%
monitoring
Mammographyscreening %offemaleMedicareenrolleesages6769thatreceive 61% 64% 52% 77%
mammographyscreening
SOCIALANDECONOMICFACTORS
Highschoolgraduation %ofninthgradecohortthatgraduatesinfouryears 88% 81% 54% 93%
Somecollege %ofadultsages2544withsomepostsecondaryeducation 57% 67% 28% 84%
Unemployment %ofpopulationaged16andolderunemployedbutseekingwork 5.3% 5.4% 3.5% 10.4%
Childreninpoverty %ofchildrenunderage18inpoverty 22% 22% 8% 45%
Incomeinequality Ratioofhouseholdincomeatthe80thpercentiletoincomeatthe 4.4 4.8 3.4 5.9
20thpercentile
Childreninsingleparent %ofchildrenthatliveinahouseholdheadedbyasingleparent 32% 34% 21% 48%
households
Socialassociations #ofmembershipassociationsper10,000population 12.6 10.1 4.5 20.3
Violentcrime #ofreportedviolentcrimeoffensesper100,000population 198 444 49 1,034
Injurydeaths #ofdeathsduetoinjuryper100,000population 77 65 44 103
PHYSICALENVIRONMENT
Airpollutionparticulatematter Averagedailydensityoffineparticulatematterinmicrogramsper 9.2 8.7 6.3 11.5
cubicmeter(PM2.5)
Drinkingwaterviolations Indicatorofthepresenceofhealthrelateddrinkingwaterviolations. NA NA No Yes
Yesindicatesthepresenceofaviolation,Noindicatesnoviolation.
Severehousingproblems %ofhouseholdswithovercrowding,highhousingcosts,orlackof 14% 17% 11% 24%
kitchenorplumbingfacilities
Drivingalonetowork %ofworkforcethatdrivesalonetowork 81% 83% 70% 87%
Longcommutedrivingalone Amongworkerswhocommuteintheircaralone,%commuting>30 30% 32% 9% 53%
minutes

5 www.countyhealthrankings.org/michigan
County Health Rankings 2017: Michigan

2017COUNTYHEALTHRANKINGS:DATASOURCESANDYEARSOFDATA
Measure DataSource YearsofData
HEALTHOUTCOMES
LengthofLife Prematuredeath NationalCenterforHealthStatisticsMortalityfiles 20122014
QualityofLife Poororfairhealth BehavioralRiskFactorSurveillanceSystem 2015
Poorphysicalhealthdays BehavioralRiskFactorSurveillanceSystem 2015
Poormentalhealthdays BehavioralRiskFactorSurveillanceSystem 2015
Lowbirthweight NationalCenterforHealthStatisticsNatalityfiles 20082014
HEALTHFACTORS
HEALTHBEHAVIORS
TobaccoUse Adultsmoking BehavioralRiskFactorSurveillanceSystem 2015
Dietand Adultobesity CDCDiabetesInteractiveAtlas 2013
Exercise Foodenvironmentindex USDAFoodEnvironmentAtlas,MaptheMealGap 2010&2014
Physicalinactivity CDCDiabetesInteractiveAtlas 2013
Accesstoexerciseopportunities BusinessAnalyst,Delormemapdata,ESRI,&USCensusTigerlineFiles 2010&2014
Alcoholand Excessivedrinking BehavioralRiskFactorSurveillanceSystem 2015
DrugUse Alcoholimpaireddrivingdeaths FatalityAnalysisReportingSystem 20112015
SexualActivity Sexuallytransmittedinfections NationalCenterforHIV/AIDS,ViralHepatitis,STD,andTBPrevention 2014
Teenbirths NationalCenterforHealthStatisticsNatalityfiles 20082014
CLINICALCARE
AccesstoCare Uninsured SmallAreaHealthInsuranceEstimates 2014
Primarycarephysicians AreaHealthResourceFile/AmericanMedicalAssociation 2014
Dentists AreaHealthResourceFile/NationalProviderIdentificationfile 2015
Mentalhealthproviders CMS,NationalProviderIdentificationfile 2016
QualityofCare Preventablehospitalstays DartmouthAtlasofHealthCare 2014
Diabetesmonitoring DartmouthAtlasofHealthCare 2014
Mammographyscreening DartmouthAtlasofHealthCare 2014
SOCIALANDECONOMICFACTORS
Education Highschoolgraduation EDFacts1 20142015
Somecollege AmericanCommunitySurvey 20112015
Employment Unemployment BureauofLaborStatistics 2015
Income Childreninpoverty SmallAreaIncomeandPovertyEstimates 2015
Incomeinequality AmericanCommunitySurvey 20112015
Familyand Childreninsingleparenthouseholds AmericanCommunitySurvey 20112015
SocialSupport Socialassociations CountyBusinessPatterns 2014
Community Violentcrime UniformCrimeReportingFBI 20122014
Safety Injurydeaths CDCWONDERmortalitydata 20112015
PHYSICALENVIRONMENT
AirandWater Airpollutionparticulatematter2 CDCNationalEnvironmentalPublicHealthTrackingNetwork 2012
Quality Drinkingwaterviolations SafeDrinkingWaterInformationSystem FY201314
Housingand Severehousingproblems ComprehensiveHousingAffordabilityStrategy(CHAS)data 20092013
Transit Drivingalonetowork AmericanCommunitySurvey 20112015
Longcommutedrivingalone AmericanCommunitySurvey 20112015

1
State sources used for California and Texas.
2
Not available for AK and HI.
www.countyhealthrankings.org/michigan 6

CREDITS

ReportAuthors
UniversityofWisconsinMadison MarjoryGivens,PhD,MSPH
SchoolofMedicineandPublicHealth AmandaJovaag,MS
DepartmentofPopulationHealthSciences JulieWillemsVanDijk,PhD,RN
PopulationHealthInstitute

Suggestedcitation:UniversityofWisconsinPopulationHealthInstitute.CountyHealthRankings2017.

Thispublicationwouldnothavebeenpossiblewithoutthefollowingcontributions:

Data
CentersforDiseaseControlandPrevention:NationalCenterforHealthStatisticsandNationalCenterforChronicDiseaseandHealthPromotion
DartmouthInstituteforHealthPolicy&ClinicalPractice
MeasureofAmerica

ResearchAssistance CommunicationsandOutreach
PaigeAndrews KateKingery,MPA
KeithGennuso,PhD KittyJerome,MA
KathrynHatchell KateKonkle,MPH
MelissaMarver MaryBennett,MFA
ElizabethPollock RaquelBournhonesque,MPH
JenniferRobinson ErickaBurroughsGirardi,MA,MPH
MatthewRodock,MPH AlianaHavrilla,MPIA
AnneRoubal,MS,PhD AntoniaLewis,MPH,HO
KarenOdegaard,MPH
DesignandCommunications JanONeill,MPA
ForumOne,Alexandria,VA JustinRivas,MPH,MIPA
Burness AtticaScott,MS
KimLinsenmayer,MPA JerrySpegman,JD
MatthewCall JannaWestKowalski,MS

RobertWoodJohnsonFoundation


UniversityofWisconsinPopulationHealthInstitute
610WalnutSt,#527,Madison,WI53726
(608)2658240/info@countyhealthrankings.org

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