2016CountyHealthRankings

Michigan

County Health Rankings 2016: Michigan

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.

www.countyhealthrankings.org/michigan

County Health Rankings 2016: Michigan

MOVINGFROMDATATOACTION
RoadmapstoHealthhelpcommunitiesbringpeopletogethertolookatthemanyfactorsthatinfluence
healthandopportunitiestoreducehealthgaps,selectstrategiesthatcanimprovehealthforall,andmake
changesthatwillhavealastingimpact.TheRoadmapsfocusonhelpingcommunitiesmovefromawareness
abouttheircountysrankingtoactionsdesignedtoimproveeveryoneshealth.TheRoadmapstoHealth
ActionCenterisaonestopshopofinformationtohelpanycommunitymemberorleaderwhowantsto
improvetheircommunityshealthbyaddressingfactorsthatweknowinfluencehealth,suchaseducation,
income,andcommunitysafety.

WithintheActionCenteryouwillfind:
Onlinestepbystepguidance
ActionCycle
andtoolstomovethroughthe

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.

www.countyhealthrankings.org/michigan

County Health Rankings 2016: Michigan

HOWDOCOUNTIESRANKFORHEALTHOUTCOMES?
Thegreenmapbelowshowsthedistributionof
Michiganshealthoutcomes,basedonanequal
weightingoflengthandqualityoflife.

Lightershadesindicatebetterperformanceinthe
respectivesummaryrankings.Detailedinformationon
theunderlyingmeasuresisavailableat
countyhealthrankings.org.

County

Rank County

Rank County

Rank County

Rank

Alcona

38

Dickinson

40

Lake

79

Oceana

70

Alger

20

Eaton

18

Lapeer

19

Ogemaw

56

Allegan

12

Emmet

Leelanau

Ontonagon

73

Alpena

55

Genesee

82

Lenawee

23

Osceola

53

Antrim

48

Gladwin

63

Livingston

Oscoda

67

Arenac

80

Gogebic

14

Luce

26

Otsego

52

Baraga

42

GrandTraverse

Mackinac

47

Ottawa

Barry

10

Gratiot

25

Macomb

58

PresqueIsle

49

Bay

45

Hillsdale

27

Manistee

46

Roscommon

74

Benzie

30

Houghton

13

Marquette

21

Saginaw

76

Berrien

66

Huron

41

Mason

62

Sanilac

33

Branch

51

Ingham

54

Mecosta

61

Schoolcraft

44

Calhoun

71

Ionia

11

Menominee

31

Shiawassee

37

Cass

36

Iosco

81

Midland

St.Clair

50

Charlevoix

Iron

29

Missaukee

17

St.Joseph

59

Cheboygan

22

Isabella

65

Monroe

32

Tuscola

28

Chippewa

24

Jackson

57

Montcalm

43

VanBuren

60

Clare

78

Kalamazoo

39

Montmorency

69

Washtenaw

Clinton

Kalkaska

77

Muskegon

72

Wayne

83

Crawford

75

Kent

16

Newaygo

64

Wexford

68

Delta

34

Keweenaw

35

Oakland

15

www.countyhealthrankings.org/michigan

County Health Rankings 2016: Michigan

HOWDOCOUNTIESRANKFORHEALTHFACTORS?
ThebluemapdisplaysMichiganssummaryranksfor
healthfactors,basedonweightedscoresforhealth
behaviors,clinicalcare,socialandeconomicfactors,
andthephysicalenvironment.

Lightershadesindicatebetterperformanceinthe
respectivesummaryrankings.Detailedinformationon
theunderlyingmeasuresisavailableat
countyhealthrankings.org

County

Rank County

Rank County

Rank County

Rank

Alcona

38

Dickinson

11

Lake

82

Oceana

71

Alger

33

Eaton

15

Lapeer

34

Ogemaw

77

Allegan

23

Emmet

Leelanau

Ontonagon

45

Alpena

28

Genesee

79

Lenawee

25

Osceola

70

Antrim

31

Gladwin

78

Livingston

Oscoda

62

Arenac

67

Gogebic

50

Luce

65

Otsego

20

Baraga

75

GrandTraverse

Mackinac

48

Ottawa

Barry

18

Gratiot

47

Macomb

53

PresqueIsle

37

Bay

39

Hillsdale

63

Manistee

40

Roscommon

76

Benzie

14

Houghton

19

Marquette

10

Saginaw

72

Berrien

57

Huron

17

Mason

22

Sanilac

49

Branch

64

Ingham

26

Mecosta

54

Schoolcraft

55

Calhoun

60

Ionia

27

Menominee

29

Shiawassee

24

Cass

46

Iosco

42

Midland

St.Clair

51

Charlevoix

12

Iron

32

Missaukee

36

St.Joseph

69

Cheboygan

52

Isabella

58

Monroe

35

Tuscola

43

Chippewa

80

Jackson

56

Montcalm

59

VanBuren

74

Clare

81

Kalamazoo

21

Montmorency

66

Washtenaw

Clinton

Kalkaska

73

Muskegon

68

Wayne

83

Crawford

41

Kent

13

Newaygo

61

Wexford

44

Delta

16

Keweenaw

30

Oakland

www.countyhealthrankings.org/michigan

County Health Rankings 2016: Michigan

2016COUNTYHEALTHRANKINGS:MEASURESANDNATIONAL/STATERESULTS
Measure
HEALTHOUTCOMES
Prematuredeath
Poororfairhealth
Poorphysicalhealthdays
Poormentalhealthdays
Lowbirthweight
HEALTHFACTORS
HEALTHBEHAVIORS
Adultsmoking
Adultobesity
Foodenvironmentindex
Physicalinactivity

Description

Yearsofpotentiallifelostbeforeage75per100,000population
%ofadultsreportingfairorpoorhealth
Average#ofphysicallyunhealthydaysreportedinpast30days
Average#ofmentallyunhealthydaysreportedinpast30days
%oflivebirthswithlowbirthweight(<2500grams)

%ofadultswhoarecurrentsmokers
%ofadultsthatreportaBMI30
Indexoffactorsthatcontributetoahealthyfoodenvironment,(010)
%ofadultsaged20andoverreportingnoleisuretimephysical
activity
Accesstoexerciseopportunities %ofpopulationwithadequateaccesstolocationsforphysicalactivity
Excessivedrinking
%ofadultsreportingbingeorheavydrinking
Alcoholimpaireddrivingdeaths %ofdrivingdeathswithalcoholinvolvement
Sexuallytransmittedinfections #ofnewlydiagnosedchlamydiacasesper100,000population
Teenbirths
#ofbirthsper1,000femalepopulationages1519
CLINICALCARE

Uninsured
%ofpopulationunderage65withouthealthinsurance
Primarycarephysicians
Ratioofpopulationtoprimarycarephysicians
Dentists
Ratioofpopulationtodentists
Mentalhealthproviders
Preventablehospitalstays
Diabeticmonitoring
Mammographyscreening

Ratioofpopulationtomentalhealthproviders
#ofhospitalstaysforambulatorycaresensitiveconditionsper1,000
Medicareenrollees
%ofdiabeticMedicareenrolleesages6575thatreceiveHbA1c
monitoring
%offemaleMedicareenrolleesages6769thatreceive
mammographyscreening

SOCIALANDECONOMICFACTORS
Highschoolgraduation
%ofninthgradecohortthatgraduatesinfouryears
Somecollege
%ofadultsages2544withsomepostsecondaryeducation
Unemployment
%ofpopulationaged16andolderunemployedbutseekingwork
Childreninpoverty
%ofchildrenunderage18inpoverty
Incomeinequality
Childreninsingleparent
households
Socialassociations
Violentcrime
Injurydeaths
PHYSICALENVIRONMENT
Airpollutionparticulatematter
Drinkingwaterviolations
Severehousingproblems
Drivingalonetowork
Longcommutedrivingalone

Ratioofhouseholdincomeatthe80thpercentiletoincomeatthe
20thpercentile
%ofchildrenthatliveinahouseholdheadedbyasingleparent
#ofmembershipassociationsper10,000population
#ofreportedviolentcrimeoffensesper100,000population
#ofdeathsduetoinjuryper100,000population

Averagedailydensityoffineparticulatematterinmicrogramsper
cubicmeter(PM2.5)
Indicatorofthepresenceofhealthrelateddrinkingwaterviolations.
Yesindicatesthepresenceofaviolation,Noindicatesnoviolation.
%ofhouseholdswithovercrowding,highhousingcosts,orlackof
kitchenorplumbingfacilities
%ofworkforcethatdrivesalonetowork
Amongworkerswhocommuteintheircaralone,%commuting>30
minutes

www.countyhealthrankings.org/michigan

US
Median

7,700
16%
3.7
3.7
8%

18%
31%
7.2
28%

State
State
State
Overall Minimum Maximum

7,200
4,400
10,900
14%
9%
19%
3.5
2.7
4.4
3.7
3.2
4.3
8%
5%
10%

18%
14%
22%
31%
23%
40%
7.1
6.1
8.5
23%
16%
31%

62%
17%
31%
287.7
40

17%
1,990:1
2,590:1

84%
20%
30%
453.6
29

13%
1,240:1
1,450:1

7%
16%
5%
51.8
11

9%
6,530:1
2,220:0

96%
23%
75%
877.2
51

20%
580:1
640:1

1,060:1
60

450:1
59

6,170:1
28

220:1
97

85%

86%

76%

98%

61%

65%

58%

76%

86%
56%
6.0%
23%

78%
66%
7.3%
23%

67%
29%
4.7%
8%

91%
84%
12.7%
44%

4.4

4.7

3.4

5.8

32%

34%

20%

48%

13.0
199
74

11.9

10.2
464
61

11.5

4.6
42
40

9.8

23.3
1,089
107

12.9

NA

NA

No

Yes

14%

17%

10%

25%

80%
29%

83%
32%

70%
9%

87%
53%

County Health Rankings 2016: Michigan

2016COUNTYHEALTHRANKINGS:DATASOURCESANDYEARSOFDATA

Measure

DataSource

YearsofData

HEALTHOUTCOMES
LengthofLife

Prematuredeath

NationalCenterforHealthStatisticsMortalityfiles

20112013

QualityofLife

Poororfairhealth

BehavioralRiskFactorSurveillanceSystem

2014

Poorphysicalhealthdays

BehavioralRiskFactorSurveillanceSystem

2014

Poormentalhealthdays

BehavioralRiskFactorSurveillanceSystem

Lowbirthweight

NationalCenterforHealthStatisticsNatalityfiles

2014
20072013

HEALTHFACTORS
HEALTHBEHAVIORS
TobaccoUse

Adultsmoking

BehavioralRiskFactorSurveillanceSystem

2014

Dietand
Exercise

Adultobesity

CDCDiabetesInteractiveAtlas

2012

Foodenvironmentindex

USDAFoodEnvironmentAtlas,MaptheMealGap

2013

Physicalinactivity

CDCDiabetesInteractiveAtlas

2012

Accesstoexerciseopportunities

BusinessAnalyst,Delormemapdata,ESRI,&USCensusTigerlineFiles 2010&2014

Alcoholand
DrugUse

Excessivedrinking

BehavioralRiskFactorSurveillanceSystem

Alcoholimpaireddrivingdeaths

FatalityAnalysisReportingSystem

SexualActivity Sexuallytransmittedinfections

2014
20102014

NationalCenterforHIV/AIDS,ViralHepatitis,STD,andTBPrevention

2013

Teenbirths

NationalCenterforHealthStatisticsNatalityfiles

20072013

AccesstoCare

Uninsured

SmallAreaHealthInsuranceEstimates

Primarycarephysicians

AreaHealthResourceFile/AmericanMedicalAssociation

2013

Dentists

AreaHealthResourceFile/NationalProviderIdentificationfile

2014

Mentalhealthproviders

CMS,NationalProviderIdentificationfile

2015

QualityofCare Preventablehospitalstays

DartmouthAtlasofHealthCare

2013

Diabeticmonitoring

DartmouthAtlasofHealthCare

2013

Mammographyscreening

DartmouthAtlasofHealthCare

2013

CLINICALCARE
2013

SOCIALANDECONOMICFACTORS
Education

Highschoolgraduation

EDFacts

20122013

Somecollege

AmericanCommunitySurvey

20102014

Employment

Unemployment

BureauofLaborStatistics

Income

Childreninpoverty

SmallAreaIncomeandPovertyEstimates

Incomeinequality

AmericanCommunitySurvey

20102014

Familyand
SocialSupport

Childreninsingleparenthouseholds AmericanCommunitySurvey

20102014

Socialassociations

CountyBusinessPatterns

Violentcrime

UniformCrimeReportingFBI

20102012

Injurydeaths

CDCWONDERmortalitydata

20092013

Community
Safety

2014
2014

2013

PHYSICALENVIRONMENT
AirandWater
Quality
Housingand
Transit

Airpollutionparticulatematter1

CDCWONDERenvironmentaldata

Drinkingwaterviolations

SafeDrinkingWaterInformationSystem

FY201314

Severehousingproblems

ComprehensiveHousingAffordabilityStrategy(CHAS)data

20082012

Drivingalonetowork

AmericanCommunitySurvey

20102014

Longcommutedrivingalone

AmericanCommunitySurvey

20102014

2011

Not available for AK and HI.

www.countyhealthrankings.org/michigan


CREDITS
ReportAuthors
UniversityofWisconsinMadison
BridgetCatlin,PhD,MHSA
SchoolofMedicineandPublicHealth
AmandaJovaag,MS
DepartmentofPopulationHealthSciences
MarjoryGivens,PhD,MSPH
PopulationHealthInstitute
JulieWillemsVanDijk,PhD,RN

Suggestedcitation:UniversityofWisconsinPopulationHealthInstitute.CountyHealthRankings2016

Thispublicationwouldnothavebeenpossiblewithoutthefollowingcontributions:

Data
CentersforDiseaseControlandPrevention:NationalCenterforHealthStatisticsandNationalCenterforChronicDiseaseandHealthPromotion
DartmouthInstituteforHealthPolicy&ClinicalPractice

CommunicationsandOutreach
ResearchAssistance
Burness
PaigeAndrews
MaryBennett,MFA
KathrynHatchell
MatthewCall
KeithGennuso,PhD
HyojunPark,MA
MeganGarske
ElizabethPollock
KittyJerome,MA
JenniferRobinson
KateKonkle,MPH
MatthewRodock,MPH
JanONeill,MPA

Design
ForumOne,Alexandria,VA

RobertWoodJohnsonFoundation
AndreaDucas,MPH
MichelleLarkin,JD,MS,RN
JamesMarks,MD,MPH
JoeMarx
DonaldSchwarz,MD,MPH
AmySlonim,PhD
KathrynWehr,MPH

UniversityofWisconsinPopulationHealthInstitute
610WalnutSt,#527,Madison,WI53726
(608)2658240/info@countyhealthrankings.org