Professional Documents
Culture Documents
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.
3 www.countyhealthrankings.org/michigan
County Health Rankings 2017: Michigan
HOWDOCOUNTIESRANKFORHEALTHFACTORS?
ThebluemapdisplaysMichiganssummaryranksfor Lightershadesindicatebetterperformanceinthe
healthfactors,basedonweightedscoresforhealth respectivesummaryrankings.Detailedinformationon
behaviors,clinicalcare,socialandeconomicfactors, theunderlyingmeasuresisavailableat
andthephysicalenvironment. countyhealthrankings.org
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