2017CountyHealthRankings

Florida
 County Health Rankings 2017: Florida

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/florida
County Health Rankings 2017: Florida

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.

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 County Health Rankings 2017: Florida

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

County Rank County Rank County Rank County Rank

Alachua 26 Franklin 41 Lee 12 Pinellas 28
Baker 39 Gadsden 66 Leon 17 Polk 36
Bay 46 Gilchrist 49 Levy 60 Putnam 64
Bradford 61 Glades 45 Liberty 44 SantaRosa 7
Brevard 25 Gulf 33 Madison 65 Sarasota 3
Broward 19 Hamilton 63 Manatee 21 Seminole 4
Calhoun 27 Hardee 47 Marion 43 St.Johns 1
Charlotte 22 Hendry 53 Martin 5 St.Lucie 31
Citrus 52 Hernando 40 MiamiDade 23 Sumter 15
Clay 9 Highlands 48 Monroe 10 Suwannee 54
Collier 2 Hillsborough 29 Nassau 18 Taylor 38
Columbia 57 Holmes 59 Okaloosa 11 Union 67
DeSoto 34 IndianRiver 13 Okeechobee 62 Volusia 42
Dixie 56 Jackson 50 Orange 16 Wakulla 20
Duval 55 Jefferson 51 Osceola 30 Walton 32
Escambia 58 Lafayette 6 PalmBeach 8 Washington 37
Flagler 14 Lake 24 Pasco 35

3 www.countyhealthrankings.org/florida
County Health Rankings 2017: Florida

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

County Rank County Rank County Rank County Rank

Alachua 9 Franklin 58 Lee 24 Pinellas 19
Baker 44 Gadsden 65 Leon 23 Polk 39
Bay 41 Gilchrist 37 Levy 46 Putnam 66
Bradford 48 Glades 51 Liberty 47 SantaRosa 12
Brevard 16 Gulf 42 Madison 62 Sarasota 2
Broward 14 Hamilton 60 Manatee 21 Seminole 4
Calhoun 56 Hardee 64 Marion 36 St.Johns 1
Charlotte 11 Hendry 67 Martin 3 St.Lucie 31
Citrus 35 Hernando 29 MiamiDade 28 Sumter 13
Clay 10 Highlands 43 Monroe 6 Suwannee 55
Collier 5 Hillsborough 25 Nassau 8 Taylor 52
Columbia 50 Holmes 54 Okaloosa 18 Union 53
DeSoto 61 IndianRiver 17 Okeechobee 63 Volusia 26
Dixie 59 Jackson 49 Orange 20 Wakulla 30
Duval 32 Jefferson 45 Osceola 34 Walton 38
Escambia 33 Lafayette 40 PalmBeach 7 Washington 57
Flagler 15 Lake 22 Pasco 27

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 County Health Rankings 2017: Florida

2017COUNTYHEALTHRANKINGS:MEASURESANDNATIONAL/STATERESULTS
US State State State
Measure Description Median Overall Minimum Maximum
HEALTHOUTCOMES
Prematuredeath Yearsofpotentiallifelostbeforeage75per100,000population 7,700 6,700 5,100 16,600
Poororfairhealth %ofadultsreportingfairorpoorhealth 16% 17% 11% 26%
Poorphysicalhealthdays Average#ofphysicallyunhealthydaysreportedinpast30days 3.8 4.2 3.0 5.0
Poormentalhealthdays Average#ofmentallyunhealthydaysreportedinpast30days 3.8 4.2 3.7 4.7
Lowbirthweight %oflivebirthswithlowbirthweight(<2500grams) 8% 9% 7% 12%
HEALTHFACTORS
HEALTHBEHAVIORS
Adultsmoking %ofadultswhoarecurrentsmokers 17% 16% 11% 21%
Adultobesity %ofadultsthatreportaBMI30 31% 26% 20% 40%
Foodenvironmentindex Indexoffactorsthatcontributetoahealthyfoodenvironment,(010) 7.3 7.1 5.2 8.4
Physicalinactivity %ofadultsaged20andoverreportingnoleisuretimephysical 26% 23% 18% 36%
activity
Accesstoexerciseopportunities %ofpopulationwithadequateaccesstolocationsforphysicalactivity 62% 92% 3% 100%
Excessivedrinking %ofadultsreportingbingeorheavydrinking 17% 17% 13% 21%
Alcoholimpaireddrivingdeaths %ofdrivingdeathswithalcoholinvolvement 30% 28% 17% 62%
Sexuallytransmittedinfections #ofnewlydiagnosedchlamydiacasesper100,000population 294.8 430.6 146.9 1,003.0
Teenbirths #ofbirthsper1,000femalepopulationages1519 38 31 15 77
CLINICALCARE
Uninsured %ofpopulationunderage65withouthealthinsurance 14% 20% 13% 31%
Primarycarephysicians Ratioofpopulationtoprimarycarephysicians 2,030:1 1,380:1 8,840:1 680:1
Dentists Ratioofpopulationtodentists 2,570:1 1,790:1 7,880:1 640:1
Mentalhealthproviders Ratioofpopulationtomentalhealthproviders 1,105:1 750:1 14,300:1 200:1
Preventablehospitalstays #ofhospitalstaysforambulatorycaresensitiveconditionsper1,000 56 55 32 120
Medicareenrollees
Diabetesmonitoring %ofdiabeticMedicareenrolleesages6575thatreceiveHbA1c 86% 86% 78% 90%
monitoring
Mammographyscreening %offemaleMedicareenrolleesages6769thatreceive 61% 68% 49% 84%
mammographyscreening
SOCIALANDECONOMICFACTORS
Highschoolgraduation %ofninthgradecohortthatgraduatesinfouryears 88% 78% 48% 98%
Somecollege %ofadultsages2544withsomepostsecondaryeducation 57% 61% 21% 78%
Unemployment %ofpopulationaged16andolderunemployedbutseekingwork 5.3% 5.4% 3.5% 10.3%
Childreninpoverty %ofchildrenunderage18inpoverty 22% 23% 10% 45%
Incomeinequality Ratioofhouseholdincomeatthe80thpercentiletoincomeatthe 4.4 4.7 3.8 6.3
20thpercentile
Childreninsingleparent %ofchildrenthatliveinahouseholdheadedbyasingleparent 32% 38% 18% 63%
households
Socialassociations #ofmembershipassociationsper10,000population 12.6 7.2 4.6 17.0
Violentcrime #ofreportedviolentcrimeoffensesper100,000population 198 500 127 809
Injurydeaths #ofdeathsduetoinjuryper100,000population 77 69 46 152
PHYSICALENVIRONMENT
Airpollutionparticulatematter Averagedailydensityoffineparticulatematterinmicrogramsper 9.2 7.4 6.0 9.2
cubicmeter(PM2.5)
Drinkingwaterviolations Indicatorofthepresenceofhealthrelateddrinkingwaterviolations. NA NA No Yes
Yesindicatesthepresenceofaviolation,Noindicatesnoviolation.
Severehousingproblems %ofhouseholdswithovercrowding,highhousingcosts,orlackof 14% 22% 10% 32%
kitchenorplumbingfacilities
Drivingalonetowork %ofworkforcethatdrivesalonetowork 81% 80% 67% 89%
Longcommutedrivingalone Amongworkerswhocommuteintheircaralone,%commuting>30 30% 39% 16% 62%
minutes

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County Health Rankings 2017: Florida

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.
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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