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Health Behaviors

Health Behaviors account for 30% of overall Health Factors, according to County Health Rankings. It includes alcohol and drug abuse, diet and exercise, sexual health, and tobacco use.

15th

Louisville ranks 15 of 17 among peer cities in Health Behaviors.

Using the framework developed by County Health Rankings, Health Behaviors are weighted at 30% of overall Health Factors. “Health Behaviors” is a composite score that includes smoking (10%), diet and exercise (10%), alcohol and drug use (5%), and sexual activity (5%). Each of these is also a composite of other measures. When assessed using the full scope of the Robert Wood Johnson Foundation rankings, Health Behavior is the only factor that is really individual-level. The other levels are influenced more at the community-level.

Health Behaviors

Fig46-2014

 

Source: County Health Rankings

15th

23% of Louisville adults use tobacco putting us 15th among peers.

Tobacco Use accounts for 10% of overall Health Factors and is “the number of current adult smokers who have smoked at least 100 cigarettes in their lifetime.” Data are from the Behavioral Risk Factor Surveillance System (BRFSS).

Tobacco use percentage

Fig33-2014

 

Source: County Health Rankings

14th

For diet and exercise Louisville ranks 14 of 17 among our peers.

Diet and Exercise accounts for 10% of overall Health Factors and is a composite of the following:

  • Adult obesity (5% of HF), defined as the percentage of adults with a BMI greater than or equal to 30. Data are from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), part of the CDC, using data from the Behavioral Risk Factor Surveillance System.
  • Food environment index (2% of HF), “an index of equally weighted factors that contribute to a healthy food environment, including limited access to healthy foods and food insecurity.” USDA Food Environment Atlas and Feeding America’s Map the Meal Gap make up the Index.
  • Physical inactivity (2% of HF), defined as the percentage of adults “that during the past month did not participate in any leisure-time physical activity or exercise such as running, calisthenics, golf, gardening, or walking for exercise. Data are from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), part of the CDC, using data from the Behavioral Risk Factor Surveillance System.
  • Access to exercise opportunities (1% of HF) combines data from OneSource Global Business Browser, Delorme map data, ESRI, and US Census Tigerline Files to create the measure.

Diet and Exercise Rank

Fig34-2014

 

Source: County Health Rankings

6th

For alcohol and drug misuse Louisville ranks 6 of 17.

Alcohol and Drug Use (or Alcohol and Drug Misuse) accounts for 5% of overall Health Factors and is a composite of two alcohol-related measures. It does not account for illicit drug use in the rankings, but data on drug poisoning deaths per 100,000 population is included on their website as an additional measure. Alcohol and Drug Use is a composite of the following indicators:

  • Excessive drinking (2.5% of HF) uses data from the Behavioral Risk Factor Surveillance System and is defined as the percentage of adult population who report either binge drinking or heavy drinking.
  • Alcohol-impaired driving deaths (2.5% of HF) is the percentage of all driving deaths that involve alcohol. Data are provided by the Fatality Analysis Reporting System.

Alcohol and Drug Misuse

Fig51-2014

 

Source: County Health Rankings

10th

Among our peers, Louisville ranks 10 of 17 in sexual activity.

Sexual Activity (or Sexual Health) accounts for 5% of overall Health Factors and is a composite of two risky sexual behavior indicators:

  • Sexually transmitted infections (2.5% of HF) is the chlamydia rate per 100,000 population. Data are from the CDC.
  • Teen births (2.5% of HF) is the birth rate per 1000 females ages 15 – 19. Data are from the National Center for Health Statistics.

Sexual Activity

Fig40-2014

 

Source: County Health Rankings

16th

Louisville ranks 16 out of 17 for Adult Obesity

Adult Obesity is the percentage of the adult population (age 20 and older) that reports a body mass index (BMI) greater than or equal to 30 kg/m2.

Adult Obesity

Fig74-2014

 

Source: County Health Rankings

5th

Louisville ranks 5th for Food Environment Index

The Food Environment Index ranges from 0 (worst) to 10 (best) and equally weights two indicators of the food environment.

1) Limited access to healthy foods estimates the percentage of the population who are low income and do not live close to a grocery store. Living close to a grocery store is defined differently in rural and nonrural areas; in rural areas, it means living less than 10 miles from a grocery store whereas in nonrural areas, it means less than 1 mile. Low income is defined as having an annual family income of less than or equal to 200 percent of the federal poverty threshold for the family size.

2) Food insecurity estimates the percentage of the population who did not have access to a reliable source of food during the past year. A 2-stage fixed effect model was created using information from the Community Population Survey, Bureau of Labor Statistics, and American Community Survey.

Food Environment Index

Fig75-2014

 

Source: County Health Rankings

13th

Louisville ranks 13 out of 17 for Physical Inactivity

Physical Inactivity is the percentage of adults aged 20 and over reporting no leisure-time physical activity. Examples of physical activities provided include running, calisthenics, golf, gardening, or walking for exercise.

Physical Inactivity

Fig76-2014

 

Source: County Health Rankings

7th

Louisville ranks 7th for Access to Exercise Opportunities

Access to Exercise Opportunities measures the percentage of individuals in a county who live reasonably close to a location for physical activity. Locations for physical activity are defined as parks or recreational facilities. Parks include local, state, and national parks. Recreational facilities include businesses identified by the following Standard Industry Classification (SIC) codes and include a wide variety of facilities including gyms, community centers, YMCAs, dance studios and pools.

Individuals who:

  • reside in a census block within a half mile of a park or
  • in urban census tracts: reside within one mile of a recreational facility
  • in rural census tracts: reside within three miles of a recreational facility

are considered to have adequate access for opportunities for physical activity.

Access to Exercise Opportunities

Fig77-2014

Source: County Health Rankings

9th

Louisville ranks 9 out of 17 for Excessive Drinking

Excessive Drinking is the percentage of adults that report either binge drinking, defined as consuming more than 4 (women) or 5 (men) alcoholic beverages on a single occasion in the past 30 days, or heavy drinking, defined as drinking more than one (women) or 2 (men) drinks per day on average.

Excessive Drinking

Fig78-2014

 

Source: County Health Rankings

7th

Louisville ranks 7th for Alcohol-Impaired Driving Deaths

Alcohol-Impaired Driving Deaths is the percentage of motor vehicle crash deaths with alcohol involvement.

Alcohol-Impaired Driving Deaths

Fig79-2014

Source: County Health Rankings

9th

Louisville ranks 9 out of 17 for Sexually Transmitted Diseases

Sexually Transmitted Infections (STI) are measured as the chlamydia incidence (number of new cases reported) per 100,000 population.

Sexually Transmitted Diseases

Fig80-2014

 

Source: County Health Rankings

10th

Louisville ranks 10th for Teen Births

Teen Births are the number of births per 1,000 female population, ages 15-19.

Teen Births

Fig81-2014

 

Source: County Health Rankings

Sources

Robert Wood Johnson Foundation County Health Rankings