{
  "slug": "arizona-county-primary-care-access-2026",
  "title": "Arizona County Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Arizona, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 15 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Arizona",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "arizona"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:58:35+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 Arizona: 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": 15,
    "countiesWithHpsa": 15,
    "countiesWithHpsaPct": 100,
    "medianDiabetes": 13.7,
    "diabetesMin": {
      "county": "Coconino",
      "value": 9.3
    },
    "diabetesMax": {
      "county": "Apache",
      "value": 17.5
    },
    "medianUninsured": 13.7
  },
  "keyFindings": [
    "15 of Arizona's 15 counties (100%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 9.3% in Coconino County to 17.5% in Apache County, a 8.2-point spread within a single state.",
    "Apache County carries the highest combined targeting-priority index (81.4/100), led by its access & sdoh barriers score.",
    "The median county uninsured rate (adults 18-64) is 13.7%, and the median adult diabetes prevalence is 13.7%."
  ],
  "counties": [
    {
      "fips": "04001",
      "name": "Apache",
      "population": 65036,
      "priorityIndex": 81.4,
      "burdenScore": 79.8,
      "accessScore": 87.6,
      "shortageScore": 76.9,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 30,
      "raw": {
        "DIABETES": 17.5,
        "OBESITY": 35.8,
        "BPHIGH": 36.0,
        "CHD": 9.3,
        "GHLTH": 31.9,
        "PHLTH": 20.4,
        "ACCESS2": 14.1,
        "LACKTRPT": 19.5,
        "FOODINSECU": 33.8,
        "HOUSINSECU": 23.5,
        "ACS_POVERTY": 31.2,
        "ACS_NOVEHICLE": 11.7
      },
      "ci": {
        "DIABETES": {
          "lo": 15.5,
          "hi": 19.6
        },
        "OBESITY": {
          "lo": 31.3,
          "hi": 40.7
        },
        "BPHIGH": {
          "lo": 33.2,
          "hi": 39.2
        },
        "CHD": {
          "lo": 8.3,
          "hi": 10.4
        },
        "GHLTH": {
          "lo": 28.1,
          "hi": 35.9
        },
        "PHLTH": {
          "lo": 18.0,
          "hi": 22.9
        },
        "ACCESS2": {
          "lo": 11.2,
          "hi": 17.5
        },
        "LACKTRPT": {
          "lo": 16.7,
          "hi": 22.4
        },
        "FOODINSECU": {
          "lo": 28.7,
          "hi": 38.9
        },
        "HOUSINSECU": {
          "lo": 19.9,
          "hi": 27.0
        }
      },
      "rank": 1
    },
    {
      "fips": "04017",
      "name": "Navajo",
      "population": 109175,
      "priorityIndex": 67.9,
      "burdenScore": 67.6,
      "accessScore": 55.3,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 47,
      "raw": {
        "DIABETES": 15.1,
        "OBESITY": 37.6,
        "BPHIGH": 40.7,
        "CHD": 8.9,
        "GHLTH": 26.1,
        "PHLTH": 17.5,
        "ACCESS2": 13.0,
        "LACKTRPT": 14.1,
        "FOODINSECU": 24.5,
        "HOUSINSECU": 17.1,
        "ACS_POVERTY": 24.7,
        "ACS_NOVEHICLE": 9.0
      },
      "ci": {
        "DIABETES": {
          "lo": 13.3,
          "hi": 16.9
        },
        "OBESITY": {
          "lo": 33.1,
          "hi": 42.4
        },
        "BPHIGH": {
          "lo": 37.6,
          "hi": 43.8
        },
        "CHD": {
          "lo": 7.9,
          "hi": 9.9
        },
        "GHLTH": {
          "lo": 23.0,
          "hi": 29.3
        },
        "PHLTH": {
          "lo": 15.6,
          "hi": 19.6
        },
        "ACCESS2": {
          "lo": 10.7,
          "hi": 15.8
        },
        "LACKTRPT": {
          "lo": 12.3,
          "hi": 16.0
        },
        "FOODINSECU": {
          "lo": 21.2,
          "hi": 28.1
        },
        "HOUSINSECU": {
          "lo": 14.9,
          "hi": 19.7
        }
      },
      "rank": 2
    },
    {
      "fips": "04023",
      "name": "Santa Cruz",
      "population": 49158,
      "priorityIndex": 65.7,
      "burdenScore": 56.9,
      "accessScore": 59.5,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 15,
      "raw": {
        "DIABETES": 15.5,
        "OBESITY": 34.2,
        "BPHIGH": 35.7,
        "CHD": 7.5,
        "GHLTH": 28.0,
        "PHLTH": 16.1,
        "ACCESS2": 25.7,
        "LACKTRPT": 12.3,
        "FOODINSECU": 25.9,
        "HOUSINSECU": 19.2,
        "ACS_POVERTY": 20.2,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 13.5,
          "hi": 17.7
        },
        "OBESITY": {
          "lo": 28.0,
          "hi": 41.0
        },
        "BPHIGH": {
          "lo": 32.1,
          "hi": 39.6
        },
        "CHD": {
          "lo": 6.6,
          "hi": 8.5
        },
        "GHLTH": {
          "lo": 24.0,
          "hi": 32.5
        },
        "PHLTH": {
          "lo": 13.9,
          "hi": 18.3
        },
        "ACCESS2": {
          "lo": 19.7,
          "hi": 31.9
        },
        "LACKTRPT": {
          "lo": 10.1,
          "hi": 14.6
        },
        "FOODINSECU": {
          "lo": 20.6,
          "hi": 31.1
        },
        "HOUSINSECU": {
          "lo": 15.8,
          "hi": 22.9
        }
      },
      "rank": 3
    },
    {
      "fips": "04012",
      "name": "La Paz",
      "population": 16710,
      "priorityIndex": 61.2,
      "burdenScore": 86.2,
      "accessScore": 28.3,
      "shortageScore": 69.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 19,
      "raw": {
        "DIABETES": 17.5,
        "OBESITY": 33.2,
        "BPHIGH": 46.3,
        "CHD": 13.3,
        "GHLTH": 28.2,
        "PHLTH": 18.6,
        "ACCESS2": 16.6,
        "LACKTRPT": 9.4,
        "FOODINSECU": 18.3,
        "HOUSINSECU": 12.1,
        "ACS_POVERTY": 18.4,
        "ACS_NOVEHICLE": 3.6
      },
      "ci": {
        "DIABETES": {
          "lo": 15.0,
          "hi": 20.2
        },
        "OBESITY": {
          "lo": 25.5,
          "hi": 41.2
        },
        "BPHIGH": {
          "lo": 41.3,
          "hi": 50.8
        },
        "CHD": {
          "lo": 11.4,
          "hi": 15.2
        },
        "GHLTH": {
          "lo": 23.7,
          "hi": 32.9
        },
        "PHLTH": {
          "lo": 16.0,
          "hi": 21.5
        },
        "ACCESS2": {
          "lo": 13.7,
          "hi": 19.8
        },
        "LACKTRPT": {
          "lo": 8.1,
          "hi": 10.8
        },
        "FOODINSECU": {
          "lo": 15.3,
          "hi": 21.6
        },
        "HOUSINSECU": {
          "lo": 10.4,
          "hi": 14.1
        }
      },
      "rank": 4
    },
    {
      "fips": "04027",
      "name": "Yuma",
      "population": 213221,
      "priorityIndex": 59.5,
      "burdenScore": 56.8,
      "accessScore": 52.5,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 70,
      "raw": {
        "DIABETES": 14.5,
        "OBESITY": 37.4,
        "BPHIGH": 35.3,
        "CHD": 7.9,
        "GHLTH": 27.1,
        "PHLTH": 15.5,
        "ACCESS2": 24.1,
        "LACKTRPT": 11.5,
        "FOODINSECU": 24.4,
        "HOUSINSECU": 18.3,
        "ACS_POVERTY": 16.5,
        "ACS_NOVEHICLE": 5.6
      },
      "ci": {
        "DIABETES": {
          "lo": 12.6,
          "hi": 16.5
        },
        "OBESITY": {
          "lo": 31.9,
          "hi": 43.2
        },
        "BPHIGH": {
          "lo": 31.9,
          "hi": 38.8
        },
        "CHD": {
          "lo": 7.0,
          "hi": 9.0
        },
        "GHLTH": {
          "lo": 23.1,
          "hi": 31.1
        },
        "PHLTH": {
          "lo": 13.4,
          "hi": 17.6
        },
        "ACCESS2": {
          "lo": 19.1,
          "hi": 29.4
        },
        "LACKTRPT": {
          "lo": 9.8,
          "hi": 13.5
        },
        "FOODINSECU": {
          "lo": 20.2,
          "hi": 29.0
        },
        "HOUSINSECU": {
          "lo": 15.2,
          "hi": 21.6
        }
      },
      "rank": 5
    },
    {
      "fips": "04007",
      "name": "Gila",
      "population": 54003,
      "priorityIndex": 53.7,
      "burdenScore": 58.1,
      "accessScore": 26.2,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 24,
      "raw": {
        "DIABETES": 15.0,
        "OBESITY": 31.4,
        "BPHIGH": 39.3,
        "CHD": 9.8,
        "GHLTH": 24.1,
        "PHLTH": 17.2,
        "ACCESS2": 12.1,
        "LACKTRPT": 9.4,
        "FOODINSECU": 17.5,
        "HOUSINSECU": 12.2,
        "ACS_POVERTY": 17.8,
        "ACS_NOVEHICLE": 5.7
      },
      "ci": {
        "DIABETES": {
          "lo": 13.2,
          "hi": 16.9
        },
        "OBESITY": {
          "lo": 27.2,
          "hi": 36.0
        },
        "BPHIGH": {
          "lo": 36.3,
          "hi": 42.5
        },
        "CHD": {
          "lo": 8.7,
          "hi": 11.1
        },
        "GHLTH": {
          "lo": 20.9,
          "hi": 27.3
        },
        "PHLTH": {
          "lo": 15.2,
          "hi": 19.3
        },
        "ACCESS2": {
          "lo": 10.0,
          "hi": 14.5
        },
        "LACKTRPT": {
          "lo": 8.2,
          "hi": 10.8
        },
        "FOODINSECU": {
          "lo": 14.9,
          "hi": 20.4
        },
        "HOUSINSECU": {
          "lo": 10.5,
          "hi": 14.1
        }
      },
      "rank": 6
    },
    {
      "fips": "04009",
      "name": "Graham",
      "population": 39525,
      "priorityIndex": 52.0,
      "burdenScore": 36.8,
      "accessScore": 38.3,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 16,
      "raw": {
        "DIABETES": 11.4,
        "OBESITY": 36.0,
        "BPHIGH": 32.2,
        "CHD": 6.4,
        "GHLTH": 23.1,
        "PHLTH": 14.7,
        "ACCESS2": 16.0,
        "LACKTRPT": 11.0,
        "FOODINSECU": 20.9,
        "HOUSINSECU": 15.9,
        "ACS_POVERTY": 17.7,
        "ACS_NOVEHICLE": 5.3
      },
      "ci": {
        "DIABETES": {
          "lo": 9.9,
          "hi": 13.0
        },
        "OBESITY": {
          "lo": 29.5,
          "hi": 43.3
        },
        "BPHIGH": {
          "lo": 28.6,
          "hi": 36.1
        },
        "CHD": {
          "lo": 5.7,
          "hi": 7.2
        },
        "GHLTH": {
          "lo": 20.0,
          "hi": 26.6
        },
        "PHLTH": {
          "lo": 13.0,
          "hi": 16.7
        },
        "ACCESS2": {
          "lo": 13.4,
          "hi": 19.1
        },
        "LACKTRPT": {
          "lo": 9.5,
          "hi": 12.6
        },
        "FOODINSECU": {
          "lo": 17.5,
          "hi": 24.5
        },
        "HOUSINSECU": {
          "lo": 13.6,
          "hi": 18.5
        }
      },
      "rank": 7
    },
    {
      "fips": "04015",
      "name": "Mohave",
      "population": 223682,
      "priorityIndex": 50.4,
      "burdenScore": 58.1,
      "accessScore": 20.1,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 71,
      "raw": {
        "DIABETES": 14.2,
        "OBESITY": 32.7,
        "BPHIGH": 42.0,
        "CHD": 10.0,
        "GHLTH": 23.0,
        "PHLTH": 16.5,
        "ACCESS2": 13.1,
        "LACKTRPT": 8.2,
        "FOODINSECU": 15.8,
        "HOUSINSECU": 11.1,
        "ACS_POVERTY": 16.8,
        "ACS_NOVEHICLE": 4.4
      },
      "ci": {
        "DIABETES": {
          "lo": 12.4,
          "hi": 16.1
        },
        "OBESITY": {
          "lo": 27.8,
          "hi": 37.8
        },
        "BPHIGH": {
          "lo": 38.6,
          "hi": 45.4
        },
        "CHD": {
          "lo": 8.7,
          "hi": 11.4
        },
        "GHLTH": {
          "lo": 19.6,
          "hi": 26.7
        },
        "PHLTH": {
          "lo": 14.3,
          "hi": 18.7
        },
        "ACCESS2": {
          "lo": 10.8,
          "hi": 15.7
        },
        "LACKTRPT": {
          "lo": 7.0,
          "hi": 9.5
        },
        "FOODINSECU": {
          "lo": 12.9,
          "hi": 18.9
        },
        "HOUSINSECU": {
          "lo": 9.3,
          "hi": 13.0
        }
      },
      "rank": 8
    },
    {
      "fips": "04003",
      "name": "Cochise",
      "population": 124640,
      "priorityIndex": 48.9,
      "burdenScore": 47.4,
      "accessScore": 26.2,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 48,
      "raw": {
        "DIABETES": 13.7,
        "OBESITY": 31.2,
        "BPHIGH": 39.0,
        "CHD": 8.3,
        "GHLTH": 22.9,
        "PHLTH": 15.6,
        "ACCESS2": 14.2,
        "LACKTRPT": 8.7,
        "FOODINSECU": 16.7,
        "HOUSINSECU": 12.8,
        "ACS_POVERTY": 15.5,
        "ACS_NOVEHICLE": 6.0
      },
      "ci": {
        "DIABETES": {
          "lo": 11.9,
          "hi": 15.6
        },
        "OBESITY": {
          "lo": 26.3,
          "hi": 36.1
        },
        "BPHIGH": {
          "lo": 35.6,
          "hi": 42.4
        },
        "CHD": {
          "lo": 7.3,
          "hi": 9.4
        },
        "GHLTH": {
          "lo": 19.5,
          "hi": 26.4
        },
        "PHLTH": {
          "lo": 13.5,
          "hi": 17.8
        },
        "ACCESS2": {
          "lo": 11.6,
          "hi": 17.5
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.2
        },
        "FOODINSECU": {
          "lo": 13.9,
          "hi": 20.1
        },
        "HOUSINSECU": {
          "lo": 10.8,
          "hi": 15.1
        }
      },
      "rank": 9
    },
    {
      "fips": "04021",
      "name": "Pinal",
      "population": 484239,
      "priorityIndex": 48.1,
      "burdenScore": 45.5,
      "accessScore": 17.9,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 110,
      "raw": {
        "DIABETES": 12.9,
        "OBESITY": 38.4,
        "BPHIGH": 36.2,
        "CHD": 6.9,
        "GHLTH": 21.7,
        "PHLTH": 14.8,
        "ACCESS2": 13.7,
        "LACKTRPT": 8.7,
        "FOODINSECU": 17.1,
        "HOUSINSECU": 12.7,
        "ACS_POVERTY": 10.9,
        "ACS_NOVEHICLE": 3.6
      },
      "ci": {
        "DIABETES": {
          "lo": 11.4,
          "hi": 14.5
        },
        "OBESITY": {
          "lo": 33.7,
          "hi": 42.8
        },
        "BPHIGH": {
          "lo": 33.3,
          "hi": 38.9
        },
        "CHD": {
          "lo": 6.2,
          "hi": 7.8
        },
        "GHLTH": {
          "lo": 19.0,
          "hi": 24.8
        },
        "PHLTH": {
          "lo": 13.0,
          "hi": 16.5
        },
        "ACCESS2": {
          "lo": 11.1,
          "hi": 16.4
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.0
        },
        "FOODINSECU": {
          "lo": 14.5,
          "hi": 20.0
        },
        "HOUSINSECU": {
          "lo": 10.8,
          "hi": 14.8
        }
      },
      "rank": 10
    },
    {
      "fips": "04019",
      "name": "Pima",
      "population": 1063162,
      "priorityIndex": 43.3,
      "burdenScore": 26.7,
      "accessScore": 22.3,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 132,
      "raw": {
        "DIABETES": 11.0,
        "OBESITY": 31.1,
        "BPHIGH": 34.1,
        "CHD": 6.7,
        "GHLTH": 19.9,
        "PHLTH": 13.6,
        "ACCESS2": 12.7,
        "LACKTRPT": 8.7,
        "FOODINSECU": 14.5,
        "HOUSINSECU": 11.2,
        "ACS_POVERTY": 14.4,
        "ACS_NOVEHICLE": 7.2
      },
      "ci": {
        "DIABETES": {
          "lo": 9.7,
          "hi": 12.5
        },
        "OBESITY": {
          "lo": 27.2,
          "hi": 35.2
        },
        "BPHIGH": {
          "lo": 31.4,
          "hi": 36.7
        },
        "CHD": {
          "lo": 5.8,
          "hi": 7.6
        },
        "GHLTH": {
          "lo": 17.3,
          "hi": 22.6
        },
        "PHLTH": {
          "lo": 12.0,
          "hi": 15.3
        },
        "ACCESS2": {
          "lo": 10.1,
          "hi": 15.7
        },
        "LACKTRPT": {
          "lo": 7.4,
          "hi": 10.1
        },
        "FOODINSECU": {
          "lo": 12.0,
          "hi": 17.3
        },
        "HOUSINSECU": {
          "lo": 9.3,
          "hi": 13.2
        }
      },
      "rank": 11
    },
    {
      "fips": "04025",
      "name": "Yavapai",
      "population": 249081,
      "priorityIndex": 37.7,
      "burdenScore": 35.0,
      "accessScore": 5.1,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 55,
      "raw": {
        "DIABETES": 12.1,
        "OBESITY": 27.0,
        "BPHIGH": 38.0,
        "CHD": 8.8,
        "GHLTH": 20.1,
        "PHLTH": 15.0,
        "ACCESS2": 10.6,
        "LACKTRPT": 6.5,
        "FOODINSECU": 11.5,
        "HOUSINSECU": 8.8,
        "ACS_POVERTY": 12.6,
        "ACS_NOVEHICLE": 3.9
      },
      "ci": {
        "DIABETES": {
          "lo": 10.3,
          "hi": 13.9
        },
        "OBESITY": {
          "lo": 22.8,
          "hi": 31.3
        },
        "BPHIGH": {
          "lo": 34.6,
          "hi": 41.2
        },
        "CHD": {
          "lo": 7.6,
          "hi": 10.1
        },
        "GHLTH": {
          "lo": 16.8,
          "hi": 23.7
        },
        "PHLTH": {
          "lo": 12.9,
          "hi": 17.3
        },
        "ACCESS2": {
          "lo": 8.6,
          "hi": 13.2
        },
        "LACKTRPT": {
          "lo": 5.5,
          "hi": 7.6
        },
        "FOODINSECU": {
          "lo": 9.3,
          "hi": 13.9
        },
        "HOUSINSECU": {
          "lo": 7.2,
          "hi": 10.4
        }
      },
      "rank": 12
    },
    {
      "fips": "04013",
      "name": "Maricopa",
      "population": 4585871,
      "priorityIndex": 37.3,
      "burdenScore": 14.4,
      "accessScore": 16.8,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 355,
      "raw": {
        "DIABETES": 10.6,
        "OBESITY": 30.4,
        "BPHIGH": 30.8,
        "CHD": 5.7,
        "GHLTH": 18.0,
        "PHLTH": 11.8,
        "ACCESS2": 12.9,
        "LACKTRPT": 8.3,
        "FOODINSECU": 15.2,
        "HOUSINSECU": 11.6,
        "ACS_POVERTY": 11.3,
        "ACS_NOVEHICLE": 5.1
      },
      "ci": {
        "DIABETES": {
          "lo": 9.4,
          "hi": 11.8
        },
        "OBESITY": {
          "lo": 26.9,
          "hi": 34.0
        },
        "BPHIGH": {
          "lo": 28.6,
          "hi": 33.1
        },
        "CHD": {
          "lo": 5.1,
          "hi": 6.5
        },
        "GHLTH": {
          "lo": 15.7,
          "hi": 20.6
        },
        "PHLTH": {
          "lo": 10.4,
          "hi": 13.2
        },
        "ACCESS2": {
          "lo": 10.4,
          "hi": 15.6
        },
        "LACKTRPT": {
          "lo": 7.1,
          "hi": 9.5
        },
        "FOODINSECU": {
          "lo": 12.8,
          "hi": 17.8
        },
        "HOUSINSECU": {
          "lo": 9.8,
          "hi": 13.4
        }
      },
      "rank": 13
    },
    {
      "fips": "04011",
      "name": "Greenlee",
      "population": 9369,
      "priorityIndex": 36.2,
      "burdenScore": 20.9,
      "accessScore": 18.5,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 10.6,
        "OBESITY": 33.1,
        "BPHIGH": 29.8,
        "CHD": 5.3,
        "GHLTH": 20.0,
        "PHLTH": 13.2,
        "ACCESS2": 16.1,
        "LACKTRPT": 8.7,
        "FOODINSECU": 16.3,
        "HOUSINSECU": 13.8,
        "ACS_POVERTY": 10.8,
        "ACS_NOVEHICLE": 2.1
      },
      "ci": {
        "DIABETES": {
          "lo": 9.2,
          "hi": 12.3
        },
        "OBESITY": {
          "lo": 25.8,
          "hi": 40.7
        },
        "BPHIGH": {
          "lo": 25.9,
          "hi": 33.6
        },
        "CHD": {
          "lo": 4.7,
          "hi": 6.0
        },
        "GHLTH": {
          "lo": 17.1,
          "hi": 23.2
        },
        "PHLTH": {
          "lo": 11.4,
          "hi": 15.0
        },
        "ACCESS2": {
          "lo": 12.9,
          "hi": 19.7
        },
        "LACKTRPT": {
          "lo": 7.4,
          "hi": 10.1
        },
        "FOODINSECU": {
          "lo": 13.1,
          "hi": 19.7
        },
        "HOUSINSECU": {
          "lo": 11.4,
          "hi": 16.3
        }
      },
      "rank": 14
    },
    {
      "fips": "04005",
      "name": "Coconino",
      "population": 144472,
      "priorityIndex": 34.4,
      "burdenScore": 2.2,
      "accessScore": 24.1,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 53,
      "raw": {
        "DIABETES": 9.3,
        "OBESITY": 23.6,
        "BPHIGH": 27.0,
        "CHD": 5.4,
        "GHLTH": 18.2,
        "PHLTH": 12.7,
        "ACCESS2": 10.1,
        "LACKTRPT": 10.1,
        "FOODINSECU": 16.2,
        "HOUSINSECU": 12.4,
        "ACS_POVERTY": 17.7,
        "ACS_NOVEHICLE": 5.7
      },
      "ci": {
        "DIABETES": {
          "lo": 8.1,
          "hi": 10.6
        },
        "OBESITY": {
          "lo": 19.8,
          "hi": 27.5
        },
        "BPHIGH": {
          "lo": 24.4,
          "hi": 29.4
        },
        "CHD": {
          "lo": 4.7,
          "hi": 6.0
        },
        "GHLTH": {
          "lo": 15.8,
          "hi": 20.7
        },
        "PHLTH": {
          "lo": 11.2,
          "hi": 14.3
        },
        "ACCESS2": {
          "lo": 8.2,
          "hi": 12.4
        },
        "LACKTRPT": {
          "lo": 8.6,
          "hi": 11.8
        },
        "FOODINSECU": {
          "lo": 13.5,
          "hi": 19.4
        },
        "HOUSINSECU": {
          "lo": 10.5,
          "hi": 14.7
        }
      },
      "rank": 15
    }
  ],
  "faq": [
    {
      "question": "What does the Arizona county health-access scorecard measure?",
      "answer": "It ranks all 15 Arizona 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": "29a5505e23c43854"
}