{ "slug": "virginia-county-primary-care-access-2026", "title": "Virginia Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Virginia, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 133 counties and independent cities by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Virginia", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "virginia" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:59:13+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 and independent cities to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county-level'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-level), not direct counts. Scores are relative WITHIN Virginia: a 100 marks the worst county-level 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-level; 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": 133, "countiesWithHpsa": 106, "countiesWithHpsaPct": 80, "medianDiabetes": 14.1, "diabetesMin": { "county": "Lexington city", "value": 7.8 }, "diabetesMax": { "county": "Emporia city", "value": 20.0 }, "medianUninsured": 9.1 }, "keyFindings": [ "106 of Virginia's 133 counties and independent cities (80%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 7.8% in Lexington city to 20.0% in Emporia city, a 12.2-point spread within a single state.", "Danville city carries the highest combined targeting-priority index (82.7/100), led by its health burden score.", "The median county-level uninsured rate (adults 18-64) is 9.1%, and the median adult diabetes prevalence is 14.1%." ], "counties": [ { "fips": "51590", "name": "Danville city", "population": 41837, "priorityIndex": 82.7, "burdenScore": 86.8, "accessScore": 80.6, "shortageScore": 80.8, "topDriver": "Health burden", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 19.9, "OBESITY": 41.7, "BPHIGH": 47.7, "CHD": 9.0, "GHLTH": 29.5, "PHLTH": 17.7, "ACCESS2": 12.4, "LACKTRPT": 14.1, "FOODINSECU": 27.4, "HOUSINSECU": 20.2, "ACS_POVERTY": 25.0, "ACS_NOVEHICLE": 13.6 }, "ci": { "DIABETES": { "lo": 17.4, "hi": 22.5 }, "OBESITY": { "lo": 33.6, "hi": 50.5 }, "BPHIGH": { "lo": 43.4, "hi": 52.2 }, "CHD": { "lo": 8.0, "hi": 10.2 }, "GHLTH": { "lo": 25.6, "hi": 33.4 }, "PHLTH": { "lo": 15.5, "hi": 20.1 }, "ACCESS2": { "lo": 10.0, "hi": 15.2 }, "LACKTRPT": { "lo": 12.1, "hi": 16.2 }, "FOODINSECU": { "lo": 23.0, "hi": 31.8 }, "HOUSINSECU": { "lo": 17.1, "hi": 23.5 } }, "rank": 1 }, { "fips": "51730", "name": "Petersburg city", "population": 33309, "priorityIndex": 79.9, "burdenScore": 81.4, "accessScore": 85.3, "shortageScore": 73.1, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 19, "hpsaDesignations": 1, "raw": { "DIABETES": 19.2, "OBESITY": 46.6, "BPHIGH": 46.4, "CHD": 7.4, "GHLTH": 28.1, "PHLTH": 16.1, "ACCESS2": 11.8, "LACKTRPT": 14.8, "FOODINSECU": 28.9, "HOUSINSECU": 22.7, "ACS_POVERTY": 21.1, "ACS_NOVEHICLE": 16.3 }, "ci": { "DIABETES": { "lo": 16.7, "hi": 21.7 }, "OBESITY": { "lo": 38.6, "hi": 55.0 }, "BPHIGH": { "lo": 42.3, "hi": 50.7 }, "CHD": { "lo": 6.5, "hi": 8.3 }, "GHLTH": { "lo": 24.0, "hi": 32.3 }, "PHLTH": { "lo": 13.8, "hi": 18.4 }, "ACCESS2": { "lo": 9.1, "hi": 14.7 }, "LACKTRPT": { "lo": 12.5, "hi": 17.4 }, "FOODINSECU": { "lo": 24.0, "hi": 34.4 }, "HOUSINSECU": { "lo": 19.0, "hi": 26.8 } }, "rank": 2 }, { "fips": "51670", "name": "Hopewell city", "population": 22752, "priorityIndex": 79.8, "burdenScore": 81.4, "accessScore": 81.0, "shortageScore": 76.9, "topDriver": "Health burden", "hpsaMaxScore": 20, "hpsaDesignations": 1, "raw": { "DIABETES": 17.7, "OBESITY": 45.8, "BPHIGH": 43.4, "CHD": 8.1, "GHLTH": 29.0, "PHLTH": 17.7, "ACCESS2": 13.6, "LACKTRPT": 14.6, "FOODINSECU": 28.6, "HOUSINSECU": 21.7, "ACS_POVERTY": 23.8, "ACS_NOVEHICLE": 10.3 }, "ci": { "DIABETES": { "lo": 15.4, "hi": 20.0 }, "OBESITY": { "lo": 36.8, "hi": 55.2 }, "BPHIGH": { "lo": 38.8, "hi": 48.0 }, "CHD": { "lo": 7.2, "hi": 9.1 }, "GHLTH": { "lo": 25.2, "hi": 32.9 }, "PHLTH": { "lo": 15.4, "hi": 19.9 }, "ACCESS2": { "lo": 11.2, "hi": 16.2 }, "LACKTRPT": { "lo": 12.8, "hi": 16.7 }, "FOODINSECU": { "lo": 24.7, "hi": 33.1 }, "HOUSINSECU": { "lo": 18.8, "hi": 25.0 } }, "rank": 3 }, { "fips": "51690", "name": "Martinsville city", "population": 13763, "priorityIndex": 78.3, "burdenScore": 83.0, "accessScore": 75.1, "shortageScore": 76.9, "topDriver": "Health burden", "hpsaMaxScore": 20, "hpsaDesignations": 3, "raw": { "DIABETES": 18.6, "OBESITY": 44.9, "BPHIGH": 44.9, "CHD": 8.4, "GHLTH": 28.6, "PHLTH": 17.5, "ACCESS2": 12.2, "LACKTRPT": 13.8, "FOODINSECU": 26.6, "HOUSINSECU": 20.0, "ACS_POVERTY": 21.8, "ACS_NOVEHICLE": 11.5 }, "ci": { "DIABETES": { "lo": 16.2, "hi": 21.2 }, "OBESITY": { "lo": 36.2, "hi": 53.7 }, "BPHIGH": { "lo": 40.5, "hi": 49.2 }, "CHD": { "lo": 7.4, "hi": 9.5 }, "GHLTH": { "lo": 24.9, "hi": 32.8 }, "PHLTH": { "lo": 15.3, "hi": 20.0 }, "ACCESS2": { "lo": 9.9, "hi": 14.9 }, "LACKTRPT": { "lo": 11.7, "hi": 15.8 }, "FOODINSECU": { "lo": 22.1, "hi": 30.8 }, "HOUSINSECU": { "lo": 16.8, "hi": 23.1 } }, "rank": 4 }, { "fips": "51595", "name": "Emporia city", "population": 5463, "priorityIndex": 77.4, "burdenScore": 88.5, "accessScore": 78.4, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 20.0, "OBESITY": 44.4, "BPHIGH": 47.6, "CHD": 8.8, "GHLTH": 29.8, "PHLTH": 17.6, "ACCESS2": 13.3, "LACKTRPT": 14.3, "FOODINSECU": 28.6, "HOUSINSECU": 21.7, "ACS_POVERTY": 13.5, "ACS_NOVEHICLE": 13.8 }, "ci": { "DIABETES": { "lo": 17.5, "hi": 22.8 }, "OBESITY": { "lo": 35.5, "hi": 53.7 }, "BPHIGH": { "lo": 42.9, "hi": 52.2 }, "CHD": { "lo": 7.8, "hi": 10.0 }, "GHLTH": { "lo": 25.9, "hi": 34.4 }, "PHLTH": { "lo": 15.3, "hi": 20.1 }, "ACCESS2": { "lo": 10.6, "hi": 16.3 }, "LACKTRPT": { "lo": 12.2, "hi": 16.6 }, "FOODINSECU": { "lo": 23.9, "hi": 33.3 }, "HOUSINSECU": { "lo": 18.3, "hi": 25.4 } }, "rank": 5 }, { "fips": "51105", "name": "Lee", "population": 21745, "priorityIndex": 75.2, "burdenScore": 84.9, "accessScore": 59.8, "shortageScore": 80.8, "topDriver": "Health burden", "hpsaMaxScore": 21, "hpsaDesignations": 3, "raw": { "DIABETES": 17.3, "OBESITY": 42.3, "BPHIGH": 44.4, "CHD": 10.2, "GHLTH": 27.9, "PHLTH": 19.2, "ACCESS2": 12.0, "LACKTRPT": 10.3, "FOODINSECU": 19.5, "HOUSINSECU": 13.7, "ACS_POVERTY": 27.6, "ACS_NOVEHICLE": 10.0 }, "ci": { "DIABETES": { "lo": 15.0, "hi": 19.7 }, "OBESITY": { "lo": 34.3, "hi": 51.0 }, "BPHIGH": { "lo": 40.0, "hi": 48.9 }, "CHD": { "lo": 9.1, "hi": 11.5 }, "GHLTH": { "lo": 23.8, "hi": 32.2 }, "PHLTH": { "lo": 16.6, "hi": 21.8 }, "ACCESS2": { "lo": 9.3, "hi": 15.3 }, "LACKTRPT": { "lo": 8.7, "hi": 12.2 }, "FOODINSECU": { "lo": 15.6, "hi": 23.7 }, "HOUSINSECU": { "lo": 11.4, "hi": 16.4 } }, "rank": 6 }, { "fips": "51025", "name": "Brunswick", "population": 15749, "priorityIndex": 74.5, "burdenScore": 79.7, "accessScore": 63.1, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 18.2, "OBESITY": 43.4, "BPHIGH": 45.6, "CHD": 8.6, "GHLTH": 27.3, "PHLTH": 16.6, "ACCESS2": 12.3, "LACKTRPT": 12.4, "FOODINSECU": 24.0, "HOUSINSECU": 18.5, "ACS_POVERTY": 15.3, "ACS_NOVEHICLE": 8.7 }, "ci": { "DIABETES": { "lo": 15.9, "hi": 20.8 }, "OBESITY": { "lo": 34.8, "hi": 52.2 }, "BPHIGH": { "lo": 41.0, "hi": 50.1 }, "CHD": { "lo": 7.6, "hi": 9.8 }, "GHLTH": { "lo": 23.6, "hi": 31.6 }, "PHLTH": { "lo": 14.5, "hi": 19.0 }, "ACCESS2": { "lo": 9.5, "hi": 15.4 }, "LACKTRPT": { "lo": 10.5, "hi": 14.7 }, "FOODINSECU": { "lo": 19.9, "hi": 28.6 }, "HOUSINSECU": { "lo": 15.5, "hi": 21.8 } }, "rank": 7 }, { "fips": "51111", "name": "Lunenburg", "population": 12038, "priorityIndex": 71.9, "burdenScore": 87.0, "accessScore": 59.4, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 3, "raw": { "DIABETES": 18.9, "OBESITY": 46.1, "BPHIGH": 46.0, "CHD": 9.5, "GHLTH": 27.6, "PHLTH": 17.8, "ACCESS2": 12.5, "LACKTRPT": 11.1, "FOODINSECU": 21.5, "HOUSINSECU": 16.1, "ACS_POVERTY": 15.9, "ACS_NOVEHICLE": 10.4 }, "ci": { "DIABETES": { "lo": 16.6, "hi": 21.3 }, "OBESITY": { "lo": 37.8, "hi": 54.2 }, "BPHIGH": { "lo": 41.6, "hi": 50.2 }, "CHD": { "lo": 8.4, "hi": 10.5 }, "GHLTH": { "lo": 24.0, "hi": 31.3 }, "PHLTH": { "lo": 15.6, "hi": 20.0 }, "ACCESS2": { "lo": 10.1, "hi": 15.1 }, "LACKTRPT": { "lo": 9.6, "hi": 12.7 }, "FOODINSECU": { "lo": 17.9, "hi": 25.2 }, "HOUSINSECU": { "lo": 13.7, "hi": 18.7 } }, "rank": 8 }, { "fips": "51083", "name": "Halifax", "population": 33432, "priorityIndex": 71.1, "burdenScore": 85.2, "accessScore": 55.1, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 1, "raw": { "DIABETES": 19.3, "OBESITY": 40.2, "BPHIGH": 47.4, "CHD": 10.0, "GHLTH": 27.4, "PHLTH": 17.9, "ACCESS2": 11.2, "LACKTRPT": 11.0, "FOODINSECU": 21.4, "HOUSINSECU": 15.3, "ACS_POVERTY": 17.9, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 16.8, "hi": 21.7 }, "OBESITY": { "lo": 32.9, "hi": 47.8 }, "BPHIGH": { "lo": 43.2, "hi": 51.5 }, "CHD": { "lo": 8.8, "hi": 11.3 }, "GHLTH": { "lo": 23.6, "hi": 31.7 }, "PHLTH": { "lo": 15.6, "hi": 20.4 }, "ACCESS2": { "lo": 9.1, "hi": 13.8 }, "LACKTRPT": { "lo": 9.4, "hi": 12.8 }, "FOODINSECU": { "lo": 17.7, "hi": 25.3 }, "HOUSINSECU": { "lo": 12.8, "hi": 18.0 } }, "rank": 9 }, { "fips": "51037", "name": "Charlotte", "population": 11336, "priorityIndex": 69.7, "burdenScore": 85.7, "accessScore": 57.9, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 18.6, "OBESITY": 42.6, "BPHIGH": 45.2, "CHD": 9.9, "GHLTH": 28.1, "PHLTH": 18.4, "ACCESS2": 11.2, "LACKTRPT": 11.0, "FOODINSECU": 21.2, "HOUSINSECU": 15.2, "ACS_POVERTY": 24.6, "ACS_NOVEHICLE": 7.4 }, "ci": { "DIABETES": { "lo": 16.2, "hi": 21.1 }, "OBESITY": { "lo": 34.5, "hi": 51.5 }, "BPHIGH": { "lo": 40.9, "hi": 49.8 }, "CHD": { "lo": 8.6, "hi": 11.2 }, "GHLTH": { "lo": 24.0, "hi": 32.5 }, "PHLTH": { "lo": 15.9, "hi": 21.1 }, "ACCESS2": { "lo": 8.7, "hi": 14.0 }, "LACKTRPT": { "lo": 9.4, "hi": 12.7 }, "FOODINSECU": { "lo": 17.5, "hi": 25.2 }, "HOUSINSECU": { "lo": 12.7, "hi": 17.7 } }, "rank": 10 }, { "fips": "51081", "name": "Greensville", "population": 11133, "priorityIndex": 68.9, "burdenScore": 74.5, "accessScore": 66.7, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 17.1, "OBESITY": 45.3, "BPHIGH": 44.3, "CHD": 7.5, "GHLTH": 26.8, "PHLTH": 15.7, "ACCESS2": 13.0, "LACKTRPT": 13.1, "FOODINSECU": 25.4, "HOUSINSECU": 19.9, "ACS_POVERTY": 13.5, "ACS_NOVEHICLE": 8.9 }, "ci": { "DIABETES": { "lo": 14.8, "hi": 19.5 }, "OBESITY": { "lo": 36.9, "hi": 54.0 }, "BPHIGH": { "lo": 39.8, "hi": 49.0 }, "CHD": { "lo": 6.6, "hi": 8.5 }, "GHLTH": { "lo": 22.8, "hi": 31.0 }, "PHLTH": { "lo": 13.6, "hi": 18.0 }, "ACCESS2": { "lo": 10.1, "hi": 16.3 }, "LACKTRPT": { "lo": 10.9, "hi": 15.4 }, "FOODINSECU": { "lo": 20.5, "hi": 30.3 }, "HOUSINSECU": { "lo": 16.4, "hi": 23.4 } }, "rank": 11 }, { "fips": "51740", "name": "Portsmouth city", "population": 96793, "priorityIndex": 68.5, "burdenScore": 60.8, "accessScore": 64.0, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 15.8, "OBESITY": 40.8, "BPHIGH": 40.5, "CHD": 6.7, "GHLTH": 23.8, "PHLTH": 14.7, "ACCESS2": 10.9, "LACKTRPT": 12.1, "FOODINSECU": 22.6, "HOUSINSECU": 18.4, "ACS_POVERTY": 17.6, "ACS_NOVEHICLE": 11.5 }, "ci": { "DIABETES": { "lo": 13.9, "hi": 18.0 }, "OBESITY": { "lo": 34.4, "hi": 49.2 }, "BPHIGH": { "lo": 36.8, "hi": 45.2 }, "CHD": { "lo": 5.9, "hi": 7.5 }, "GHLTH": { "lo": 20.6, "hi": 27.5 }, "PHLTH": { "lo": 12.9, "hi": 16.8 }, "ACCESS2": { "lo": 8.6, "hi": 13.5 }, "LACKTRPT": { "lo": 10.3, "hi": 13.9 }, "FOODINSECU": { "lo": 18.6, "hi": 26.5 }, "HOUSINSECU": { "lo": 15.5, "hi": 21.3 } }, "rank": 12 }, { "fips": "51640", "name": "Galax city", "population": 6717, "priorityIndex": 68.3, "burdenScore": 72.8, "accessScore": 63.0, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 16.3, "OBESITY": 39.4, "BPHIGH": 40.9, "CHD": 8.6, "GHLTH": 26.8, "PHLTH": 18.1, "ACCESS2": 13.2, "LACKTRPT": 11.0, "FOODINSECU": 20.9, "HOUSINSECU": 15.2, "ACS_POVERTY": 23.4, "ACS_NOVEHICLE": 10.4 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 18.5 }, "OBESITY": { "lo": 31.0, "hi": 48.0 }, "BPHIGH": { "lo": 36.4, "hi": 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15.1 }, "LACKTRPT": { "lo": 8.4, "hi": 11.9 }, "FOODINSECU": { "lo": 15.9, "hi": 24.2 }, "HOUSINSECU": { "lo": 10.7, "hi": 15.7 } }, "rank": 14 }, { "fips": "51580", "name": "Covington city", "population": 5545, "priorityIndex": 68.0, "burdenScore": 75.4, "accessScore": 55.4, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 1, "raw": { "DIABETES": 16.6, "OBESITY": 40.7, "BPHIGH": 42.4, "CHD": 9.0, "GHLTH": 26.4, "PHLTH": 17.9, "ACCESS2": 11.0, "LACKTRPT": 10.4, "FOODINSECU": 19.7, "HOUSINSECU": 14.2, "ACS_POVERTY": 23.6, "ACS_NOVEHICLE": 8.5 }, "ci": { "DIABETES": { "lo": 14.4, "hi": 19.2 }, "OBESITY": { "lo": 32.1, "hi": 51.2 }, "BPHIGH": { "lo": 38.0, "hi": 47.5 }, "CHD": { "lo": 7.9, "hi": 10.1 }, "GHLTH": { "lo": 22.5, "hi": 30.8 }, "PHLTH": { "lo": 15.6, "hi": 20.7 }, "ACCESS2": { "lo": 8.8, "hi": 13.8 }, "LACKTRPT": { "lo": 9.0, "hi": 12.0 }, "FOODINSECU": { "lo": 16.4, "hi": 23.4 }, "HOUSINSECU": { "lo": 12.0, "hi": 16.7 } }, "rank": 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"lo": 9.6, "hi": 13.2 }, "ACCESS2": { "lo": 5.2, "hi": 8.5 }, "LACKTRPT": { "lo": 4.7, "hi": 6.6 }, "FOODINSECU": { "lo": 7.2, "hi": 11.2 }, "HOUSINSECU": { "lo": 6.8, "hi": 10.0 } }, "rank": 130 }, { "fips": "51735", "name": "Poquoson city", "population": 12635, "priorityIndex": 13.6, "burdenScore": 32.6, "accessScore": 8.2, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 11.0, "OBESITY": 33.2, "BPHIGH": 34.8, "CHD": 6.4, "GHLTH": 15.2, "PHLTH": 12.3, "ACCESS2": 6.3, "LACKTRPT": 5.1, "FOODINSECU": 8.1, "HOUSINSECU": 7.2, "ACS_POVERTY": 5.8, "ACS_NOVEHICLE": 1.2 }, "ci": { "DIABETES": { "lo": 9.2, "hi": 12.8 }, "OBESITY": { "lo": 25.2, "hi": 41.8 }, "BPHIGH": { "lo": 30.4, "hi": 39.3 }, "CHD": { "lo": 5.5, "hi": 7.3 }, "GHLTH": { "lo": 12.5, "hi": 18.4 }, "PHLTH": { "lo": 10.4, "hi": 14.4 }, "ACCESS2": { "lo": 4.8, "hi": 8.1 }, "LACKTRPT": { "lo": 4.2, "hi": 6.2 }, "FOODINSECU": { "lo": 6.2, "hi": 10.4 }, "HOUSINSECU": { "lo": 5.7, "hi": 8.9 } }, "rank": 131 }, { "fips": "51003", "name": "Albemarle", "population": 115676, "priorityIndex": 11.5, "burdenScore": 21.6, "accessScore": 12.8, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.2, "OBESITY": 28.2, "BPHIGH": 32.2, "CHD": 5.7, "GHLTH": 14.0, "PHLTH": 11.1, "ACCESS2": 6.4, "LACKTRPT": 5.2, "FOODINSECU": 8.2, "HOUSINSECU": 7.3, "ACS_POVERTY": 6.8, "ACS_NOVEHICLE": 4.5 }, "ci": { "DIABETES": { "lo": 8.7, "hi": 11.9 }, "OBESITY": { "lo": 22.7, "hi": 34.4 }, "BPHIGH": { "lo": 28.5, "hi": 36.0 }, "CHD": { "lo": 5.0, "hi": 6.6 }, "GHLTH": { "lo": 11.6, "hi": 16.9 }, "PHLTH": { "lo": 9.5, "hi": 13.0 }, "ACCESS2": { "lo": 4.9, "hi": 8.5 }, "LACKTRPT": { "lo": 4.3, "hi": 6.3 }, "FOODINSECU": { "lo": 6.4, "hi": 10.6 }, "HOUSINSECU": { "lo": 5.8, "hi": 9.1 } }, "rank": 132 }, { "fips": "51610", "name": "Falls Church city", "population": 14685, "priorityIndex": 5.2, "burdenScore": 9.9, "accessScore": 5.7, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 8.9, "OBESITY": 29.1, "BPHIGH": 29.2, "CHD": 4.4, "GHLTH": 11.0, "PHLTH": 9.2, "ACCESS2": 5.0, "LACKTRPT": 3.9, "FOODINSECU": 5.7, "HOUSINSECU": 5.6, "ACS_POVERTY": 3.6, "ACS_NOVEHICLE": 6.2 }, "ci": { "DIABETES": { "lo": 7.7, "hi": 10.4 }, "OBESITY": { "lo": 22.2, "hi": 37.0 }, "BPHIGH": { "lo": 25.5, "hi": 33.2 }, "CHD": { "lo": 3.9, "hi": 5.0 }, "GHLTH": { "lo": 9.1, "hi": 13.1 }, "PHLTH": { "lo": 7.9, "hi": 10.7 }, "ACCESS2": { "lo": 3.9, "hi": 6.7 }, "LACKTRPT": { "lo": 3.2, "hi": 4.8 }, "FOODINSECU": { "lo": 4.3, "hi": 7.5 }, "HOUSINSECU": { "lo": 4.4, "hi": 7.0 } }, "rank": 133 } ], "faq": [ { "question": "What does the Virginia county-level health-access scorecard measure?", "answer": "It ranks all 133 Virginia counties and independent cities 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": "1ae51c67e82c1d56" }