{ "slug": "alabama-county-primary-care-access-2026", "title": "Alabama County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Alabama, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 67 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Alabama", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "alabama" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:33+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN Alabama: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-08-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-08-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-08-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "LACKTRPT", "label": "Lack of reliable transportation" }, { "id": "FOODINSECU", "label": "Food insecurity" }, { "id": "HOUSINSECU", "label": "Housing insecurity" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 67, "countiesWithHpsa": 62, "countiesWithHpsaPct": 93, "medianDiabetes": 16.3, "diabetesMin": { "county": "Shelby", "value": 11.2 }, "diabetesMax": { "county": "Greene", "value": 27.1 }, "medianUninsured": 11.0 }, "keyFindings": [ "62 of Alabama's 67 counties (93%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 11.2% in Shelby County to 27.1% in Greene County, a 15.9-point spread within a single state.", "Greene County carries the highest combined targeting-priority index (89.7/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 11.0%, and the median adult diabetes prevalence is 16.3%." ], "counties": [ { "fips": "01063", "name": "Greene", "population": 7341, "priorityIndex": 89.7, "burdenScore": 99.4, "accessScore": 88.9, "shortageScore": 80.8, "topDriver": "Health burden", "hpsaMaxScore": 21, "hpsaDesignations": 1, "raw": { "DIABETES": 27.1, "OBESITY": 52.7, "BPHIGH": 59.8, "CHD": 11.9, "GHLTH": 38.7, "PHLTH": 19.9, "ACCESS2": 14.6, "LACKTRPT": 19.8, "FOODINSECU": 41.3, "HOUSINSECU": 27.3, "ACS_POVERTY": 35.9, "ACS_NOVEHICLE": 13.1 }, "ci": { "DIABETES": { "lo": 23.9, "hi": 30.2 }, "OBESITY": { "lo": 43.8, "hi": 61.4 }, "BPHIGH": { "lo": 55.3, "hi": 64.0 }, "CHD": { "lo": 10.5, "hi": 13.3 }, "GHLTH": { "lo": 33.9, "hi": 43.4 }, "PHLTH": { "lo": 17.3, "hi": 22.5 }, "ACCESS2": { "lo": 11.0, "hi": 18.4 }, "LACKTRPT": { "lo": 17.1, "hi": 22.8 }, "FOODINSECU": { "lo": 35.4, "hi": 47.4 }, "HOUSINSECU": { "lo": 23.4, "hi": 31.3 } }, "rank": 1 }, { "fips": "01011", "name": "Bullock", "population": 9897, "priorityIndex": 88.5, "burdenScore": 90.1, "accessScore": 90.9, "shortageScore": 84.6, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 22, "hpsaDesignations": 4, "raw": { "DIABETES": 24.6, "OBESITY": 51.3, "BPHIGH": 56.6, "CHD": 10.7, "GHLTH": 39.4, "PHLTH": 19.7, "ACCESS2": 17.7, "LACKTRPT": 20.8, "FOODINSECU": 42.9, "HOUSINSECU": 29.4, "ACS_POVERTY": 25.7, "ACS_NOVEHICLE": 12.6 }, "ci": { "DIABETES": { "lo": 21.9, "hi": 27.6 }, "OBESITY": { "lo": 42.5, "hi": 60.4 }, "BPHIGH": { "lo": 52.2, "hi": 61.1 }, "CHD": { "lo": 9.6, "hi": 11.9 }, "GHLTH": { "lo": 35.1, "hi": 44.3 }, "PHLTH": { "lo": 17.4, "hi": 22.3 }, "ACCESS2": { "lo": 14.4, "hi": 21.5 }, "LACKTRPT": { "lo": 17.9, "hi": 24.0 }, "FOODINSECU": { "lo": 37.5, "hi": 48.8 }, "HOUSINSECU": { "lo": 25.4, "hi": 34.0 } }, "rank": 2 }, { "fips": "01131", "name": "Wilcox", "population": 9944, "priorityIndex": 84.5, "burdenScore": 85.8, "accessScore": 79.3, "shortageScore": 88.5, "topDriver": "Provider shortage", "hpsaMaxScore": 23, "hpsaDesignations": 2, "raw": { "DIABETES": 23.8, "OBESITY": 51.2, "BPHIGH": 56.7, "CHD": 10.8, "GHLTH": 36.1, "PHLTH": 19.0, "ACCESS2": 14.4, "LACKTRPT": 18.0, "FOODINSECU": 37.8, "HOUSINSECU": 25.2, "ACS_POVERTY": 29.0, "ACS_NOVEHICLE": 13.3 }, "ci": { "DIABETES": { "lo": 20.9, "hi": 26.7 }, "OBESITY": { "lo": 42.3, "hi": 60.0 }, "BPHIGH": { "lo": 52.1, "hi": 61.1 }, "CHD": { "lo": 9.5, "hi": 12.1 }, "GHLTH": { "lo": 31.3, "hi": 40.7 }, "PHLTH": { "lo": 16.4, "hi": 21.5 }, "ACCESS2": { "lo": 11.3, "hi": 17.8 }, "LACKTRPT": { "lo": 15.4, "hi": 20.8 }, "FOODINSECU": { "lo": 32.4, "hi": 43.2 }, "HOUSINSECU": { "lo": 21.6, "hi": 29.1 } }, "rank": 3 }, { "fips": "01105", "name": "Perry", "population": 7738, "priorityIndex": 79.4, "burdenScore": 89.8, "accessScore": 83.0, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 24.6, "OBESITY": 52.9, "BPHIGH": 56.9, "CHD": 10.9, "GHLTH": 37.2, "PHLTH": 19.3, "ACCESS2": 13.8, "LACKTRPT": 19.1, "FOODINSECU": 39.4, "HOUSINSECU": 26.2, "ACS_POVERTY": 31.2, "ACS_NOVEHICLE": 13.7 }, "ci": { "DIABETES": { "lo": 21.8, "hi": 27.5 }, "OBESITY": { "lo": 44.5, "hi": 61.6 }, "BPHIGH": { "lo": 52.7, "hi": 61.2 }, "CHD": { "lo": 9.8, "hi": 12.2 }, "GHLTH": { "lo": 32.8, "hi": 41.8 }, "PHLTH": { "lo": 16.9, "hi": 21.7 }, "ACCESS2": { "lo": 11.0, "hi": 17.1 }, "LACKTRPT": { "lo": 16.5, "hi": 21.7 }, "FOODINSECU": { "lo": 34.0, "hi": 44.5 }, "HOUSINSECU": { "lo": 22.4, "hi": 29.7 } }, "rank": 4 }, { "fips": "01047", "name": "Dallas", "population": 36165, "priorityIndex": 74.9, "burdenScore": 70.8, "accessScore": 73.1, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 22.4, "OBESITY": 46.3, "BPHIGH": 55.2, "CHD": 9.6, "GHLTH": 33.2, "PHLTH": 17.3, "ACCESS2": 12.3, "LACKTRPT": 16.4, "FOODINSECU": 34.0, "HOUSINSECU": 23.5, "ACS_POVERTY": 29.0, "ACS_NOVEHICLE": 15.1 }, "ci": { "DIABETES": { "lo": 19.7, "hi": 25.3 }, "OBESITY": { "lo": 38.4, "hi": 54.4 }, "BPHIGH": { "lo": 50.7, "hi": 59.5 }, "CHD": { "lo": 8.6, "hi": 10.8 }, "GHLTH": { "lo": 29.0, "hi": 38.1 }, "PHLTH": { "lo": 15.1, "hi": 19.8 }, "ACCESS2": { "lo": 9.7, "hi": 15.2 }, "LACKTRPT": { "lo": 13.8, "hi": 19.0 }, "FOODINSECU": { "lo": 28.3, "hi": 39.5 }, "HOUSINSECU": { "lo": 19.5, "hi": 27.4 } }, "rank": 5 }, { "fips": "01085", "name": "Lowndes", "population": 9717, "priorityIndex": 73.6, "burdenScore": 84.5, "accessScore": 74.7, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 24.1, "OBESITY": 51.2, "BPHIGH": 56.5, "CHD": 10.4, "GHLTH": 36.0, "PHLTH": 18.8, "ACCESS2": 13.9, "LACKTRPT": 18.2, "FOODINSECU": 38.3, "HOUSINSECU": 26.0, "ACS_POVERTY": 29.6, "ACS_NOVEHICLE": 9.2 }, "ci": { "DIABETES": { "lo": 21.1, "hi": 26.8 }, "OBESITY": { "lo": 41.4, "hi": 59.7 }, "BPHIGH": { "lo": 51.8, "hi": 60.6 }, "CHD": { "lo": 9.2, "hi": 11.6 }, "GHLTH": { "lo": 31.3, "hi": 40.5 }, "PHLTH": { "lo": 16.3, "hi": 21.1 }, "ACCESS2": { "lo": 10.8, "hi": 17.4 }, "LACKTRPT": { "lo": 15.6, "hi": 20.9 }, "FOODINSECU": { "lo": 32.4, "hi": 43.4 }, "HOUSINSECU": { "lo": 22.0, "hi": 29.8 } }, "rank": 6 }, { "fips": "01065", "name": "Hale", "population": 14888, "priorityIndex": 67.9, "burdenScore": 61.4, "accessScore": 57.6, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 3, "raw": { "DIABETES": 19.7, "OBESITY": 47.6, "BPHIGH": 51.1, "CHD": 9.0, "GHLTH": 30.5, "PHLTH": 16.8, "ACCESS2": 12.4, "LACKTRPT": 14.5, "FOODINSECU": 30.1, "HOUSINSECU": 21.2, "ACS_POVERTY": 23.9, "ACS_NOVEHICLE": 9.9 }, "ci": { "DIABETES": { "lo": 17.2, "hi": 22.2 }, "OBESITY": { "lo": 38.9, "hi": 56.2 }, "BPHIGH": { "lo": 46.7, "hi": 55.6 }, "CHD": { "lo": 8.0, "hi": 10.0 }, "GHLTH": { "lo": 26.5, "hi": 34.8 }, "PHLTH": { "lo": 14.8, "hi": 19.1 }, "ACCESS2": { "lo": 9.7, "hi": 15.3 }, "LACKTRPT": { "lo": 12.3, "hi": 16.8 }, "FOODINSECU": { "lo": 25.1, "hi": 34.9 }, "HOUSINSECU": { "lo": 17.8, "hi": 24.5 } }, "rank": 7 }, { "fips": "01005", "name": "Barbour", "population": 24585, "priorityIndex": 65.8, "burdenScore": 63.1, "accessScore": 61.2, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 19.6, "OBESITY": 46.8, "BPHIGH": 50.2, "CHD": 9.5, "GHLTH": 31.4, "PHLTH": 17.4, "ACCESS2": 14.3, "LACKTRPT": 14.6, "FOODINSECU": 30.5, "HOUSINSECU": 21.1, "ACS_POVERTY": 21.9, "ACS_NOVEHICLE": 11.1 }, "ci": { "DIABETES": { "lo": 17.3, "hi": 22.2 }, "OBESITY": { "lo": 38.5, "hi": 55.2 }, "BPHIGH": { "lo": 45.7, "hi": 54.6 }, "CHD": { "lo": 8.4, "hi": 10.6 }, "GHLTH": { "lo": 27.6, "hi": 35.6 }, "PHLTH": { "lo": 15.4, "hi": 19.8 }, "ACCESS2": { "lo": 11.7, "hi": 17.5 }, "LACKTRPT": { "lo": 12.7, "hi": 16.7 }, "FOODINSECU": { "lo": 26.2, "hi": 34.9 }, "HOUSINSECU": { "lo": 18.2, "hi": 24.1 } }, "rank": 8 }, { "fips": "01119", "name": "Sumter", "population": 11727, "priorityIndex": 65.3, "burdenScore": 56.2, "accessScore": 55.2, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 2, "raw": { "DIABETES": 19.7, "OBESITY": 47.2, "BPHIGH": 50.0, "CHD": 8.5, "GHLTH": 29.6, "PHLTH": 15.7, "ACCESS2": 11.1, "LACKTRPT": 16.1, "FOODINSECU": 32.0, "HOUSINSECU": 22.2, "ACS_POVERTY": 28.1, "ACS_NOVEHICLE": 5.0 }, "ci": { "DIABETES": { "lo": 17.3, "hi": 22.3 }, "OBESITY": { "lo": 38.5, "hi": 55.9 }, "BPHIGH": { "lo": 45.6, "hi": 54.4 }, "CHD": { "lo": 7.5, "hi": 9.5 }, "GHLTH": { "lo": 25.7, "hi": 34.2 }, "PHLTH": { "lo": 13.6, "hi": 18.0 }, "ACCESS2": { "lo": 8.7, "hi": 14.1 }, "LACKTRPT": { "lo": 13.7, "hi": 18.7 }, "FOODINSECU": { "lo": 26.8, "hi": 37.4 }, "HOUSINSECU": { "lo": 18.7, "hi": 25.9 } }, "rank": 9 }, { "fips": "01035", "name": "Conecuh", "population": 11174, "priorityIndex": 62.3, "burdenScore": 76.8, "accessScore": 56.3, "shortageScore": 53.8, "topDriver": "Health burden", "hpsaMaxScore": 14, "hpsaDesignations": 1, "raw": { "DIABETES": 22.1, "OBESITY": 46.4, "BPHIGH": 54.7, "CHD": 11.1, "GHLTH": 33.3, "PHLTH": 18.6, "ACCESS2": 12.7, "LACKTRPT": 14.4, "FOODINSECU": 30.2, "HOUSINSECU": 20.0, "ACS_POVERTY": 27.6, "ACS_NOVEHICLE": 7.7 }, "ci": { "DIABETES": { "lo": 19.4, "hi": 25.0 }, "OBESITY": { "lo": 37.6, "hi": 55.1 }, "BPHIGH": { "lo": 50.2, "hi": 59.1 }, "CHD": { "lo": 9.9, "hi": 12.4 }, "GHLTH": { "lo": 29.0, "hi": 37.5 }, "PHLTH": { "lo": 16.1, "hi": 21.1 }, "ACCESS2": { "lo": 10.4, "hi": 15.4 }, "LACKTRPT": { "lo": 12.5, "hi": 16.3 }, "FOODINSECU": { "lo": 26.0, "hi": 34.5 }, "HOUSINSECU": { "lo": 17.2, "hi": 23.0 } }, "rank": 10 }, { "fips": "01107", "name": "Pickens", "population": 18688, "priorityIndex": 61.7, "burdenScore": 55.4, "accessScore": 48.8, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 18.0, "OBESITY": 48.0, "BPHIGH": 48.3, "CHD": 8.7, "GHLTH": 29.0, "PHLTH": 16.5, "ACCESS2": 13.4, "LACKTRPT": 13.0, "FOODINSECU": 26.7, "HOUSINSECU": 18.8, "ACS_POVERTY": 22.6, "ACS_NOVEHICLE": 6.7 }, "ci": { "DIABETES": { "lo": 15.8, "hi": 20.2 }, "OBESITY": { "lo": 39.6, "hi": 56.3 }, "BPHIGH": { "lo": 44.0, "hi": 52.5 }, "CHD": { "lo": 7.8, "hi": 9.7 }, "GHLTH": { "lo": 25.3, "hi": 32.9 }, "PHLTH": { "lo": 14.5, "hi": 18.6 }, "ACCESS2": { "lo": 10.9, "hi": 16.0 }, "LACKTRPT": { "lo": 11.1, "hi": 14.8 }, "FOODINSECU": { "lo": 22.7, "hi": 30.8 }, "HOUSINSECU": { "lo": 16.0, "hi": 21.6 } }, "rank": 11 }, { "fips": "01087", "name": "Macon", "population": 18370, "priorityIndex": 61.3, "burdenScore": 54.6, "accessScore": 56.1, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 20.0, "OBESITY": 46.7, "BPHIGH": 50.6, "CHD": 8.2, "GHLTH": 29.2, "PHLTH": 15.3, "ACCESS2": 11.2, "LACKTRPT": 15.8, "FOODINSECU": 31.3, "HOUSINSECU": 22.0, "ACS_POVERTY": 22.1, "ACS_NOVEHICLE": 8.9 }, "ci": { "DIABETES": { "lo": 17.5, "hi": 22.4 }, "OBESITY": { "lo": 38.0, "hi": 55.7 }, "BPHIGH": { "lo": 46.3, "hi": 54.7 }, "CHD": { "lo": 7.2, "hi": 9.2 }, "GHLTH": { "lo": 24.9, "hi": 34.0 }, "PHLTH": { "lo": 13.2, "hi": 17.6 }, "ACCESS2": { "lo": 8.5, "hi": 14.8 }, "LACKTRPT": { "lo": 13.3, "hi": 18.8 }, "FOODINSECU": { "lo": 26.1, "hi": 37.5 }, "HOUSINSECU": { "lo": 18.5, "hi": 26.1 } }, "rank": 12 }, { "fips": "01053", "name": "Escambia", "population": 36558, "priorityIndex": 61.0, "burdenScore": 59.7, "accessScore": 50.2, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 18.5, "OBESITY": 43.9, "BPHIGH": 48.6, "CHD": 9.5, "GHLTH": 31.4, "PHLTH": 18.0, "ACCESS2": 13.1, "LACKTRPT": 13.9, "FOODINSECU": 28.6, "HOUSINSECU": 19.1, "ACS_POVERTY": 21.2, "ACS_NOVEHICLE": 7.0 }, "ci": { "DIABETES": { "lo": 16.2, "hi": 20.9 }, "OBESITY": { "lo": 35.9, "hi": 52.1 }, "BPHIGH": { "lo": 44.2, "hi": 53.0 }, "CHD": { "lo": 8.4, "hi": 10.6 }, "GHLTH": { "lo": 27.6, "hi": 35.6 }, "PHLTH": 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"burdenScore": 18.3, "accessScore": 12.2, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.5, "OBESITY": 39.6, "BPHIGH": 40.7, "CHD": 6.4, "GHLTH": 20.2, "PHLTH": 13.1, "ACCESS2": 9.2, "LACKTRPT": 7.9, "FOODINSECU": 15.1, "HOUSINSECU": 11.5, "ACS_POVERTY": 10.1, "ACS_NOVEHICLE": 2.8 }, "ci": { "DIABETES": { "lo": 10.7, "hi": 14.3 }, "OBESITY": { "lo": 31.9, "hi": 47.5 }, "BPHIGH": { "lo": 36.3, "hi": 45.0 }, "CHD": { "lo": 5.5, "hi": 7.3 }, "GHLTH": { "lo": 16.9, "hi": 23.7 }, "PHLTH": { "lo": 11.3, "hi": 15.2 }, "ACCESS2": { "lo": 7.1, "hi": 11.5 }, "LACKTRPT": { "lo": 6.6, "hi": 9.2 }, "FOODINSECU": { "lo": 12.1, "hi": 18.4 }, "HOUSINSECU": { "lo": 9.4, "hi": 13.8 } }, "rank": 65 }, { "fips": "01003", "name": "Baldwin", "population": 253507, "priorityIndex": 9.1, "burdenScore": 20.6, "accessScore": 6.6, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.4, "OBESITY": 35.2, "BPHIGH": 43.8, "CHD": 7.5, "GHLTH": 19.3, "PHLTH": 13.2, "ACCESS2": 8.3, "LACKTRPT": 6.8, "FOODINSECU": 13.2, "HOUSINSECU": 9.7, "ACS_POVERTY": 10.5, "ACS_NOVEHICLE": 2.2 }, "ci": { "DIABETES": { "lo": 11.5, "hi": 15.3 }, "OBESITY": { "lo": 29.9, "hi": 40.9 }, "BPHIGH": { "lo": 40.0, "hi": 47.6 }, "CHD": { "lo": 6.6, "hi": 8.6 }, "GHLTH": { "lo": 16.1, "hi": 22.7 }, "PHLTH": { "lo": 11.3, "hi": 15.3 }, "ACCESS2": { "lo": 6.4, "hi": 10.5 }, "LACKTRPT": { "lo": 5.7, "hi": 8.0 }, "FOODINSECU": { "lo": 10.4, "hi": 16.3 }, "HOUSINSECU": { "lo": 7.9, "hi": 11.7 } }, "rank": 66 }, { "fips": "01117", "name": "Shelby", "population": 233000, "priorityIndex": 0.8, "burdenScore": 2.0, "accessScore": 0.5, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 11.2, "OBESITY": 31.7, "BPHIGH": 40.2, "CHD": 5.7, "GHLTH": 16.1, "PHLTH": 11.3, "ACCESS2": 7.1, "LACKTRPT": 6.1, "FOODINSECU": 11.1, "HOUSINSECU": 8.8, "ACS_POVERTY": 6.9, "ACS_NOVEHICLE": 2.6 }, "ci": { "DIABETES": { "lo": 9.5, "hi": 12.9 }, "OBESITY": { "lo": 25.9, "hi": 37.8 }, "BPHIGH": { "lo": 36.1, "hi": 44.2 }, "CHD": { "lo": 5.0, "hi": 6.6 }, "GHLTH": { "lo": 13.3, "hi": 19.1 }, "PHLTH": { "lo": 9.6, "hi": 13.1 }, "ACCESS2": { "lo": 5.5, "hi": 9.1 }, "LACKTRPT": { "lo": 5.1, "hi": 7.3 }, "FOODINSECU": { "lo": 8.7, "hi": 13.9 }, "HOUSINSECU": { "lo": 7.2, "hi": 10.8 } }, "rank": 67 } ], "faq": [ { "question": "What does the Alabama county health-access scorecard measure?", "answer": "It ranks all 67 Alabama counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "2bc4bd477c12019f" }