Social Determinants of Health

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Easily view high-quality national maps with county-level patterns of social determinants of health. Each map can be downloaded, saved, or printed.

Social determinants of health

Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age. Negative SDOH have been found to increase the burden of heart disease and stroke and their risk factors.

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Counties with the highest percentage without a high school diploma for 2016–2020 were located primarily in West Virginia, Kentucky, North Carolina, Tennessee, South Carolina, Georgia Florida, Alabama, Mississippi, Louisiana, Texas, Arkansas, California, and Puerto Rico. Pockets of high-rate counties are also found in Maryland, New Jersey, Ohio, Indiana, Wisconsin, Iowa, Oklahoma, New Mexico, Arizona, Kansas, Colorado, Nebraska, South Dakota, Idaho, Oregon, Washington, and Alaska. The range in the percentage of the population ages 25 and older with less than a high school degree was between 1.4% and 78.1%.
Percent without high school diploma aged 25 or older, 2018–2020, by county

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Resource‎

To create your own county-level high school education map, visit the Atlas of Heart Disease and Stroke.

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Counties with the highest percentage of the population under age 65 without health insurance in 2019 were located primarily in Wyoming, Oklahoma, Texas, Mississippi, Georgia, Florida, and Alaska. Pockets of high-rate counties are also found in Ohio, Indiana, North Carolina, Missouri, Kansas, South Dakota, Montana, Idaho, Nevada, Washington, New Mexico, Colorado, and Nebraska. The range in the percentage without health insurance was between 2.4% and 35.8%.
Percent of population under age 65 without health insurance, 2019, by county

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Resource‎

To create your own county-level health insurance map, visit the Atlas of Heart Disease and Stroke.

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Counties with the highest percentage of the population living in poverty in 2020 were located primarily in West Virginia, Kentucky, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Arkansas, Louisiana, Florida, Oklahoma, Texas, New Mexico, Missouri, South Dakota, and Alaska. Pockets of high-rate counties are also found in Virginia, Ohio, Illinois, India, Kansas, Colorado, Montana, Oregon, California, and Arizona. The range in the percentage living in poverty was between 3.0% and 43.9%.
Percent of population living in poverty, 2020, by county

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Resource‎

To create your own county-level poverty map, visit the Atlas of Heart Disease and Stroke.

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Counties with the highest unemployment rates in 2021 were scattered throughout Pennsylvania, West Virginia, Ohio, Kentucky, Michigan, North Carolina, Illinois, Mississippi, Texas, New Mexico, Washington, Oregon, California, Alaska, and Puerto Rico. Pockets of high-rate counties are also found in Massachusetts, New Jersey, South Carolina, Georgia, Alabama, Louisiana, Arkansas, Oklahoma, Nevada, South Dakota, Minnesota, Wisconsin, Montana, and Idaho. The range in the unemployment rate was between 0.9% and 19.9%.
Unemployment rate, 2021, by county

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Resource‎

To create your own county-level unemployment map, visit the Atlas of Heart Disease and Stroke.

Social determinants of health resources

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Content Source:
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP); About the Division for Heart Disease and Stroke Prevention