{
  "slug": "louisiana-county-primary-care-access-2026",
  "title": "Louisiana Parish Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Louisiana, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 64 parishes by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Louisiana",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "louisiana"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:58:47+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 parishes to 0-100, then averaged within its axis. A Provider-Shortage axis scales each parish'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 parish), not direct counts. Scores are relative WITHIN Louisiana: a 100 marks the worst parish 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 parish; 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": 64,
    "countiesWithHpsa": 59,
    "countiesWithHpsaPct": 92,
    "medianDiabetes": 16.5,
    "diabetesMin": {
      "county": "Ascension",
      "value": 12.2
    },
    "diabetesMax": {
      "county": "Tensas",
      "value": 25.1
    },
    "medianUninsured": 9.8
  },
  "keyFindings": [
    "59 of Louisiana's 64 parishes (92%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 12.2% in Ascension Parish to 25.1% in Tensas Parish, a 12.9-point spread within a single state.",
    "East Carroll Parish carries the highest combined targeting-priority index (86.9/100), led by its access & sdoh barriers score.",
    "The median parish uninsured rate (adults 18-64) is 9.8%, and the median adult diabetes prevalence is 16.5%."
  ],
  "counties": [
    {
      "fips": "22035",
      "name": "East Carroll",
      "population": 6829,
      "priorityIndex": 86.9,
      "burdenScore": 85.0,
      "accessScore": 94.8,
      "shortageScore": 80.8,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 22.0,
        "OBESITY": 51.2,
        "BPHIGH": 53.0,
        "CHD": 10.1,
        "GHLTH": 39.9,
        "PHLTH": 20.4,
        "ACCESS2": 16.1,
        "LACKTRPT": 23.3,
        "FOODINSECU": 46.4,
        "HOUSINSECU": 32.7,
        "ACS_POVERTY": 35.7,
        "ACS_NOVEHICLE": 12.6
      },
      "ci": {
        "DIABETES": {
          "lo": 19.4,
          "hi": 24.5
        },
        "OBESITY": {
          "lo": 42.0,
          "hi": 60.1
        },
        "BPHIGH": {
          "lo": 48.3,
          "hi": 57.4
        },
        "CHD": {
          "lo": 8.9,
          "hi": 11.3
        },
        "GHLTH": {
          "lo": 35.0,
          "hi": 45.2
        },
        "PHLTH": {
          "lo": 17.8,
          "hi": 23.2
        },
        "ACCESS2": {
          "lo": 12.4,
          "hi": 20.3
        },
        "LACKTRPT": {
          "lo": 19.7,
          "hi": 26.7
        },
        "FOODINSECU": {
          "lo": 39.9,
          "hi": 52.3
        },
        "HOUSINSECU": {
          "lo": 27.8,
          "hi": 37.2
        }
      },
      "rank": 1
    },
    {
      "fips": "22107",
      "name": "Tensas",
      "population": 3764,
      "priorityIndex": 81.2,
      "burdenScore": 94.3,
      "accessScore": 60.8,
      "shortageScore": 88.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 23,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 25.1,
        "OBESITY": 48.4,
        "BPHIGH": 57.3,
        "CHD": 12.8,
        "GHLTH": 36.4,
        "PHLTH": 20.7,
        "ACCESS2": 11.3,
        "LACKTRPT": 16.4,
        "FOODINSECU": 34.6,
        "HOUSINSECU": 22.6,
        "ACS_POVERTY": 32.8,
        "ACS_NOVEHICLE": 10.6
      },
      "ci": {
        "DIABETES": {
          "lo": 22.2,
          "hi": 28.2
        },
        "OBESITY": {
          "lo": 39.4,
          "hi": 57.7
        },
        "BPHIGH": {
          "lo": 52.8,
          "hi": 61.7
        },
        "CHD": {
          "lo": 11.3,
          "hi": 14.3
        },
        "GHLTH": {
          "lo": 32.0,
          "hi": 41.0
        },
        "PHLTH": {
          "lo": 18.2,
          "hi": 23.5
        },
        "ACCESS2": {
          "lo": 8.8,
          "hi": 13.7
        },
        "LACKTRPT": {
          "lo": 14.2,
          "hi": 18.8
        },
        "FOODINSECU": {
          "lo": 29.7,
          "hi": 39.7
        },
        "HOUSINSECU": {
          "lo": 19.3,
          "hi": 26.1
        }
      },
      "rank": 2
    },
    {
      "fips": "22065",
      "name": "Madison",
      "population": 9246,
      "priorityIndex": 80.4,
      "burdenScore": 84.0,
      "accessScore": 84.0,
      "shortageScore": 73.1,
      "topDriver": "Health burden",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 22.6,
        "OBESITY": 49.9,
        "BPHIGH": 53.4,
        "CHD": 10.5,
        "GHLTH": 37.7,
        "PHLTH": 20.4,
        "ACCESS2": 13.0,
        "LACKTRPT": 20.3,
        "FOODINSECU": 41.2,
        "HOUSINSECU": 28.7,
        "ACS_POVERTY": 36.7,
        "ACS_NOVEHICLE": 15.9
      },
      "ci": {
        "DIABETES": {
          "lo": 20.0,
          "hi": 25.5
        },
        "OBESITY": {
          "lo": 40.8,
          "hi": 59.2
        },
        "BPHIGH": {
          "lo": 48.9,
          "hi": 58.0
        },
        "CHD": {
          "lo": 9.4,
          "hi": 11.8
        },
        "GHLTH": {
          "lo": 33.3,
          "hi": 42.6
        },
        "PHLTH": {
          "lo": 18.0,
          "hi": 23.1
        },
        "ACCESS2": {
          "lo": 10.3,
          "hi": 16.1
        },
        "LACKTRPT": {
          "lo": 17.6,
          "hi": 23.2
        },
        "FOODINSECU": {
          "lo": 35.8,
          "hi": 46.6
        },
        "HOUSINSECU": {
          "lo": 24.7,
          "hi": 32.6
        }
      },
      "rank": 3
    },
    {
      "fips": "22013",
      "name": "Bienville",
      "population": 12366,
      "priorityIndex": 70.1,
      "burdenScore": 78.3,
      "accessScore": 58.8,
      "shortageScore": 73.1,
      "topDriver": "Health burden",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 22.1,
        "OBESITY": 47.5,
        "BPHIGH": 52.5,
        "CHD": 11.1,
        "GHLTH": 34.6,
        "PHLTH": 20.1,
        "ACCESS2": 10.8,
        "LACKTRPT": 15.9,
        "FOODINSECU": 33.2,
        "HOUSINSECU": 22.2,
        "ACS_POVERTY": 32.1,
        "ACS_NOVEHICLE": 11.5
      },
      "ci": {
        "DIABETES": {
          "lo": 19.5,
          "hi": 24.9
        },
        "OBESITY": {
          "lo": 39.0,
          "hi": 56.0
        },
        "BPHIGH": {
          "lo": 48.0,
          "hi": 57.1
        },
        "CHD": {
          "lo": 9.9,
          "hi": 12.4
        },
        "GHLTH": {
          "lo": 30.5,
          "hi": 39.0
        },
        "PHLTH": {
          "lo": 17.7,
          "hi": 22.7
        },
        "ACCESS2": {
          "lo": 8.7,
          "hi": 13.2
        },
        "LACKTRPT": {
          "lo": 13.8,
          "hi": 17.9
        },
        "FOODINSECU": {
          "lo": 28.7,
          "hi": 37.8
        },
        "HOUSINSECU": {
          "lo": 19.2,
          "hi": 25.3
        }
      },
      "rank": 4
    },
    {
      "fips": "22027",
      "name": "Claiborne",
      "population": 13670,
      "priorityIndex": 68.7,
      "burdenScore": 86.4,
      "accessScore": 73.4,
      "shortageScore": 46.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 12,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 22.8,
        "OBESITY": 48.5,
        "BPHIGH": 54.3,
        "CHD": 11.6,
        "GHLTH": 37.3,
        "PHLTH": 20.6,
        "ACCESS2": 13.2,
        "LACKTRPT": 18.2,
        "FOODINSECU": 37.8,
        "HOUSINSECU": 25.5,
        "ACS_POVERTY": 35.0,
        "ACS_NOVEHICLE": 12.6
      },
      "ci": {
        "DIABETES": {
          "lo": 20.2,
          "hi": 26.0
        },
        "OBESITY": {
          "lo": 39.7,
          "hi": 58.6
        },
        "BPHIGH": {
          "lo": 49.8,
          "hi": 59.3
        },
        "CHD": {
          "lo": 10.3,
          "hi": 13.1
        },
        "GHLTH": {
          "lo": 33.1,
          "hi": 41.9
        },
        "PHLTH": {
          "lo": 18.1,
          "hi": 23.5
        },
        "ACCESS2": {
          "lo": 10.4,
          "hi": 16.3
        },
        "LACKTRPT": {
          "lo": 15.9,
          "hi": 20.7
        },
        "FOODINSECU": {
          "lo": 32.9,
          "hi": 42.7
        },
        "HOUSINSECU": {
          "lo": 22.0,
          "hi": 29.1
        }
      },
      "rank": 5
    },
    {
      "fips": "22067",
      "name": "Morehouse",
      "population": 23955,
      "priorityIndex": 68.0,
      "burdenScore": 66.6,
      "accessScore": 60.4,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 20.3,
        "OBESITY": 44.8,
        "BPHIGH": 52.6,
        "CHD": 10.0,
        "GHLTH": 33.1,
        "PHLTH": 18.8,
        "ACCESS2": 10.8,
        "LACKTRPT": 16.3,
        "FOODINSECU": 33.7,
        "HOUSINSECU": 23.5,
        "ACS_POVERTY": 30.7,
        "ACS_NOVEHICLE": 12.1
      },
      "ci": {
        "DIABETES": {
          "lo": 17.6,
          "hi": 23.2
        },
        "OBESITY": {
          "lo": 35.0,
          "hi": 54.8
        },
        "BPHIGH": {
          "lo": 47.5,
          "hi": 57.8
        },
        "CHD": {
          "lo": 8.8,
          "hi": 11.3
        },
        "GHLTH": {
          "lo": 28.8,
          "hi": 37.6
        },
        "PHLTH": {
          "lo": 16.3,
          "hi": 21.6
        },
        "ACCESS2": {
          "lo": 8.6,
          "hi": 13.3
        },
        "LACKTRPT": {
          "lo": 14.3,
          "hi": 18.7
        },
        "FOODINSECU": {
          "lo": 29.3,
          "hi": 38.5
        },
        "HOUSINSECU": {
          "lo": 20.4,
          "hi": 26.9
        }
      },
      "rank": 6
    },
    {
      "fips": "22009",
      "name": "Avoyelles",
      "population": 38408,
      "priorityIndex": 63.7,
      "burdenScore": 55.4,
      "accessScore": 51.0,
      "shortageScore": 84.6,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 22,
      "hpsaDesignations": 11,
      "raw": {
        "DIABETES": 17.7,
        "OBESITY": 43.0,
        "BPHIGH": 48.2,
        "CHD": 9.6,
        "GHLTH": 31.4,
        "PHLTH": 18.9,
        "ACCESS2": 11.4,
        "LACKTRPT": 14.7,
        "FOODINSECU": 29.7,
        "HOUSINSECU": 20.8,
        "ACS_POVERTY": 27.4,
        "ACS_NOVEHICLE": 9.5
      },
      "ci": {
        "DIABETES": {
          "lo": 15.4,
          "hi": 20.1
        },
        "OBESITY": {
          "lo": 35.2,
          "hi": 51.2
        },
        "BPHIGH": {
          "lo": 43.8,
          "hi": 52.5
        },
        "CHD": {
          "lo": 8.5,
          "hi": 10.8
        },
        "GHLTH": {
          "lo": 27.3,
          "hi": 35.5
        },
        "PHLTH": {
          "lo": 16.5,
          "hi": 21.3
        },
        "ACCESS2": {
          "lo": 9.0,
          "hi": 13.8
        },
        "LACKTRPT": {
          "lo": 12.7,
          "hi": 16.7
        },
        "FOODINSECU": {
          "lo": 25.3,
          "hi": 34.4
        },
        "HOUSINSECU": {
          "lo": 17.8,
          "hi": 23.8
        }
      },
      "rank": 7
    },
    {
      "fips": "22029",
      "name": "Concordia",
      "population": 17688,
      "priorityIndex": 63.0,
      "burdenScore": 64.6,
      "accessScore": 59.1,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 19.8,
        "OBESITY": 45.6,
        "BPHIGH": 50.1,
        "CHD": 10.1,
        "GHLTH": 32.4,
        "PHLTH": 19.0,
        "ACCESS2": 11.2,
        "LACKTRPT": 15.7,
        "FOODINSECU": 32.3,
        "HOUSINSECU": 22.2,
        "ACS_POVERTY": 34.8,
        "ACS_NOVEHICLE": 10.3
      },
      "ci": {
        "DIABETES": {
          "lo": 17.5,
          "hi": 22.9
        },
        "OBESITY": {
          "lo": 38.0,
          "hi": 56.5
        },
        "BPHIGH": {
          "lo": 46.0,
          "hi": 55.5
        },
        "CHD": {
          "lo": 9.0,
          "hi": 11.3
        },
        "GHLTH": {
          "lo": 28.4,
          "hi": 36.7
        },
        "PHLTH": {
          "lo": 16.7,
          "hi": 21.8
        },
        "ACCESS2": {
          "lo": 8.9,
          "hi": 14.1
        },
        "LACKTRPT": {
          "lo": 13.5,
          "hi": 17.7
        },
        "FOODINSECU": {
          "lo": 27.7,
          "hi": 36.6
        },
        "HOUSINSECU": {
          "lo": 19.1,
          "hi": 25.2
        }
      },
      "rank": 8
    },
    {
      "fips": "22119",
      "name": "Webster",
      "population": 35238,
      "priorityIndex": 61.5,
      "burdenScore": 63.6,
      "accessScore": 47.9,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 19.5,
        "OBESITY": 44.6,
        "BPHIGH": 49.4,
        "CHD": 10.2,
        "GHLTH": 31.9,
        "PHLTH": 19.5,
        "ACCESS2": 10.1,
        "LACKTRPT": 14.5,
        "FOODINSECU": 29.8,
        "HOUSINSECU": 20.2,
        "ACS_POVERTY": 26.9,
        "ACS_NOVEHICLE": 9.7
      },
      "ci": {
        "DIABETES": {
          "lo": 17.2,
          "hi": 22.0
        },
        "OBESITY": {
          "lo": 36.7,
          "hi": 52.3
        },
        "BPHIGH": {
          "lo": 45.0,
          "hi": 53.8
        },
        "CHD": {
          "lo": 9.1,
          "hi": 11.4
        },
        "GHLTH": {
          "lo": 28.1,
          "hi": 36.1
        },
        "PHLTH": {
          "lo": 17.3,
          "hi": 22.1
        },
        "ACCESS2": {
          "lo": 8.2,
          "hi": 12.4
        },
        "LACKTRPT": {
          "lo": 12.7,
          "hi": 16.5
        },
        "FOODINSECU": {
          "lo": 25.6,
          "hi": 33.9
        },
        "HOUSINSECU": {
          "lo": 17.4,
          "hi": 23.0
        }
      },
      "rank": 9
    },
    {
      "fips": "22041",
      "name": "Franklin",
      "population": 19285,
      "priorityIndex": 59.9,
      "burdenScore": 56.7,
      "accessScore": 46.1,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 18.4,
        "OBESITY": 42.0,
        "BPHIGH": 48.1,
        "CHD": 9.9,
        "GHLTH": 31.8,
        "PHLTH": 19.1,
        "ACCESS2": 10.7,
        "LACKTRPT": 14.2,
        "FOODINSECU": 29.3,
        "HOUSINSECU": 19.5,
        "ACS_POVERTY": 25.6,
        "ACS_NOVEHICLE": 8.7
      },
      "ci": {
        "DIABETES": {
          "lo": 16.1,
          "hi": 20.8
        },
        "OBESITY": {
          "lo": 33.9,
          "hi": 50.5
        },
        "BPHIGH": {
          "lo": 43.7,
          "hi": 52.5
        },
        "CHD": {
          "lo": 8.7,
          "hi": 11.1
        },
        "GHLTH": {
          "lo": 27.6,
          "hi": 36.3
        },
        "PHLTH": {
          "lo": 16.7,
          "hi": 21.7
        },
        "ACCESS2": {
          "lo": 8.4,
          "hi": 13.2
        },
        "LACKTRPT": {
          "lo": 12.3,
          "hi": 16.3
        },
        "FOODINSECU": {
          "lo": 24.9,
          "hi": 33.8
        },
        "HOUSINSECU": {
          "lo": 16.7,
          "hi": 22.5
        }
      },
      "rank": 10
    },
    {
      "fips": "22101",
      "name": "St. Mary",
      "population": 47055,
      "priorityIndex": 58.8,
      "burdenScore": 53.7,
      "accessScore": 45.8,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 3,
      "raw": {
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        "ACCESS2": 7.8,
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        "FOODINSECU": 16.7,
        "HOUSINSECU": 13.5,
        "ACS_POVERTY": 9.8,
        "ACS_NOVEHICLE": 2.7
      },
      "ci": {
        "DIABETES": {
          "lo": 11.3,
          "hi": 15.1
        },
        "OBESITY": {
          "lo": 30.4,
          "hi": 45.4
        },
        "BPHIGH": {
          "lo": 36.9,
          "hi": 45.6
        },
        "CHD": {
          "lo": 5.7,
          "hi": 7.4
        },
        "GHLTH": {
          "lo": 17.7,
          "hi": 24.2
        },
        "PHLTH": {
          "lo": 12.1,
          "hi": 16.1
        },
        "ACCESS2": {
          "lo": 6.1,
          "hi": 9.7
        },
        "LACKTRPT": {
          "lo": 7.5,
          "hi": 10.1
        },
        "FOODINSECU": {
          "lo": 13.8,
          "hi": 20.1
        },
        "HOUSINSECU": {
          "lo": 11.4,
          "hi": 16.0
        }
      },
      "rank": 63
    },
    {
      "fips": "22103",
      "name": "St. Tammany",
      "population": 275583,
      "priorityIndex": 5.1,
      "burdenScore": 8.6,
      "accessScore": 6.8,
      "shortageScore": 0.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 0,
      "hpsaDesignations": 0,
      "raw": {
        "DIABETES": 13.3,
        "OBESITY": 37.4,
        "BPHIGH": 38.9,
        "CHD": 7.0,
        "GHLTH": 20.1,
        "PHLTH": 13.7,
        "ACCESS2": 6.9,
        "LACKTRPT": 7.9,
        "FOODINSECU": 15.0,
        "HOUSINSECU": 12.1,
        "ACS_POVERTY": 12.2,
        "ACS_NOVEHICLE": 4.0
      },
      "ci": {
        "DIABETES": {
          "lo": 11.4,
          "hi": 15.1
        },
        "OBESITY": {
          "lo": 31.7,
          "hi": 42.6
        },
        "BPHIGH": {
          "lo": 35.1,
          "hi": 42.5
        },
        "CHD": {
          "lo": 6.1,
          "hi": 8.0
        },
        "GHLTH": {
          "lo": 17.0,
          "hi": 23.3
        },
        "PHLTH": {
          "lo": 11.8,
          "hi": 15.7
        },
        "ACCESS2": {
          "lo": 5.3,
          "hi": 8.8
        },
        "LACKTRPT": {
          "lo": 6.7,
          "hi": 9.2
        },
        "FOODINSECU": {
          "lo": 12.3,
          "hi": 18.3
        },
        "HOUSINSECU": {
          "lo": 10.1,
          "hi": 14.5
        }
      },
      "rank": 64
    }
  ],
  "faq": [
    {
      "question": "What does the Louisiana parish health-access scorecard measure?",
      "answer": "It ranks all 64 Louisiana parishes 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": "258a5030660a43a2"
}
