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Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the ..."/><meta data-rh="true" property="optimizely" content="Optimizely is supported by this application but is not enabled for this page."/> <script data-rh="true"> window.usnFirstByteTime = new Date(); performance && performance.mark && performance.mark('ttfb'); </script><script data-rh="true" type="text/javascript"> var utag_data = {"bucket_tags":["health-news","healthiest-communities-news-analysis","healthiest-communities","healthiest-communities-health-news","national-news"],"page_type":"article","site_product_section":"Article","site_product":"Healthiest Communities","suppress_img_flag":false,"site_portal":"Civic","primary_tag":"healthiest-communities","article_publish_date":"2022-06-22","site_product_subsection":"","content_type":"editorial","page_name":"2022 Healthiest Communities: Frequently Asked Questions","site_vertical":"News","article_template":"article-rail","stitial_fact":"Ohio and Virginia both claim to have produced the most presidents, with eight each.","page_container":"containers/pages/brightspot/article-rail.js","tealium_environment":"prod","site_version":"atlas"}; (function() { function usnRandId() {return (new Date().getTime() % 100000000000 + Math.random()).toString().replace(".", "");} function get(name) {return (("; " + document.cookie).split("; " + name + "=")[1] || "").split(";")[0];} function cookie(name, val) {return name + "=" + val + "; path=/; domain=.usnews.com";} function permacookie(name, val) {var d = new Date();d.setTime(d.getTime() + 365 * 24 * 60 * 60 * 1000);return cookie(name, val) + "; expires=" + d.toUTCString();} window.usn_permacookie = permacookie; var usn_pageview_id = usnRandId(); var usn_session_id = get("usn_session_id"); if (!usn_session_id) { usn_session_id = usnRandId(); document.cookie = cookie("usn_session_id", usn_session_id); } var usn_visitor_id = get("usn_visitor_id"); if (!usn_visitor_id) { // This should always be set by Akamai, but if not, fake it here. usn_visitor_id = usnRandId(); document.cookie = permacookie("usn_visitor_id", usn_visitor_id); } var usn_src = get("usn_src"); var query = window.location.search && window.location.search.substr(1).split('&'); if (query) { var pair; while (pair = query.pop()) { if (pair.indexOf("src=") === 0) { var src = pair.substr(4); usn_src = usn_src || src; if (usn_src.indexOf(src) === -1) { usn_src += ',' + src; } document.cookie = permacookie("usn_src", usn_src); } } } var vertical = utag_data.site_vertical && utag_data.site_vertical.toLowerCase(); if (vertical && vertical !== 'generic') { document.cookie = cookie("cogv", vertical); } utag_data.usn_src = usn_src; utag_data.usn_pageview_id = usn_pageview_id; utag_data.usn_hit_id = usnRandId(); utag_data.usn_session_id = usn_session_id; utag_data.usn_visitor_id = usn_visitor_id; function identify_utag_data() { var awsCognitoEmail = get("coge"); if (awsCognitoEmail) { // Sanitize email address awsCognitoEmail = awsCognitoEmail.trim().toLowerCase(); } utag_data.aws_cognito_sub = get("cogsub"); utag_data.aws_cognito_email = awsCognitoEmail; utag_data.sailthru_email_hashed = get("usn_sailthru_hash"); } identify_utag_data(); window.usn_identify_utag_data = identify_utag_data; // Global Privacy Control is not supported by many browsers but legally required to respond to if (typeof(navigator) !== 'undefined' && navigator.globalPrivacyControl) { document.cookie = permacookie("usprivacy", "1YYY"); } }()); </script><script data-rh="true" type="application/ld+json">{"image":{"@type":"ImageObject","width":"970","url":"https://web.archive.org/web/20221115021052/https://www.usnews.com/dims4/USNEWS/4b2b4c9/2147483647/crop/1508x1006%2B750%2B0/resize/970x647/quality/85/?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2Fe2%2F67f75376458d9f6c4adf397cbfd0%2Fgettyimages-1149569955.jpg","height":"647"},"wordCount":1714,"keywords":["Health News","Healthiest Communities News & Analysis","Healthiest Communities","Healthiest Communities Health News","National News"],"articleBody":"Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.U.S. News, the publisher of Best Hospitals and Best Children’s Hospitals, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.U.S. News collaborated with the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES) – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the National Committee on Vital and Health Statistics.The overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.The categories and subcategories considered are:Population HealthAccess to CareHealth BehaviorsHealth ConditionsHealth OutcomesMental HealthEquityEducational EquityHealth EquityIncome EquitySocial EquityEducationEducational AchievementEducation InfrastructureEducation ParticipationEconomyEmploymentIncomeOpportunityHousingHousing AffordabilityHousing CapacityHousing QualityFood & NutritionFood AvailabilityNutritionEnvironment Air & WaterNatural EnvironmentNatural HazardsPublic SafetyCrimeInjuriesPublic Safety CapacityCommunity VitalityCommunity StabilitySocial CapitalInfrastructureCommunity LayoutTransportationWhat role did COVID-19 have in this year’s project?The rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities methodology.In conjunction with the rankings release, the Healthiest Communities team continues to implement and update COVID-19 tracking tools. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and/or allow for comparisons between communities.What COVID-19 metrics are included in the tracking tools ?The COVID-19 metric pages show:Percent of Population Fully VaccinatedPopulation Aged 12+ Fully VaccinatedPopulation Aged 18+ Fully VaccinatedPopulation Aged 65+ Fully VaccinatedTotal COVID-19 CasesNew COVID-19 Cases per DayCOVID-19 Cases per 100kTotal COVID-19 DeathsNew COVID-19 Deaths per DayCOVID-19 Deaths per 100kUnemployment RatePopulation 65 and OlderAdults in Poor or Fair Physical HealthDiabetes PrevalenceObesity PrevalenceCost-Burdened HouseholdsWhat were the respective weights of the categories and why were they chosen?The weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.The weights of the categories are as follows:Population Health: 14.2%Equity: 12.23%Education: 12.15%Economy: 11.1%Housing: 9.5%Food & Nutrition: 8.8%Environment: 8.6%Public Safety: 8.5%Community Vitality: 7.6%Infrastructure: 7.5%For more on weighting and inputs, see the Healthiest Communities methodology.Are the rankings objective?The rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.How did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?The wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the top 500 communities nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as: urban high-performing, urban up-and-coming, rural high-performing and rural up-and-coming. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.The term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.Beyond rankings, what does Healthiest Communities provide for consumers?Healthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.How often will the rankings be updated?The Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.What measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? Both U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.Have there been any changes to the rankings since last year?The Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.Analysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:The Median Household Income metric has been adjusted to reflect the varying cost of living among communities.The Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.The Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.The At-Home Food Expenditures on Fruit/Veg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.The Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.The 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:Low Birth Weight Disparity Index Score, in the Equity categoryAdult Flu Vaccination Rate, in the Population Health categoryAt-Home Food Expenditures on Soda/SSB (Sugar-Sweetened Beverages), in the Food & Nutrition categoryFEMA National Risk Index Score, in the Environment categoryNeighborhood Diversity Index Score, in the Community Vitality categoryTax Shortfalls, in the Community Vitality categoryDistance to Public Transit, in the Infrastructure CategoryTwo metrics have been removed for the 2022 release:Change in Housing Value, in the Housing categoryHouseholds Receiving Public Assistance Income, in the Economy categoryFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities methodology.How does this rankings project differ from other health-related rankings?Healthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the National Committee on Vital and Health Statistics for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.Will you be highlighting communities that do not do well?Our goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.Why are only some cities included in the rankings?County-type divisions called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.Who can I contact with questions?For questions about Healthiest Communities, please email healthiestcommunities@usnews.com","@type":"NewsArticle","author":[],"description":" Here’s a guide to understanding the data-driven rankings.","dateModified":"2022-06-22T00:01-0400","mainEntityOfPage":{"@type":"WebPage","name":"2022 Healthiest Communities: Frequently Asked Questions","@id":"https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/articles/frequently-asked-questions","url":"https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/articles/frequently-asked-questions"},"@context":"https://web.archive.org/web/20221115021052/http://www.schema.org","datePublished":"2022-06-22T00:01-0400","dateCreated":"2022-06-22T00:01-0400","publisher":{"@type":"Organization","name":"U.S. News & 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class="Villain__TitleContainer-sc-1y12ps5-6 knjdTo"><h1 class="Heading-sc-1w5xk2o-0 iQhOvV">2022 Healthiest Communities: Frequently Asked Questions</h1></div><p class="Paragraph-sc-1iyax29-0 villain-article__Description-zujirt-1 cSDfin gOBCZb"><span> Here’s a guide to understanding the data-driven rankings.</span></p><div class="Villain__FooterContainer-sc-1y12ps5-7 fRLyKE"><div><div><div><div class="Hide-kg09cx-0 kQkqKw"><div class="BylineArticle__RowBoxSmall-xxu6a-4 iULglQ"><div class="BylineArticle__AuthorWrapper-xxu6a-1 eabPmy"><span class="Span-sc-19wk4id-0 BylineArticle__DateSpan-xxu6a-0 kIJfsX deqfoJ byline-article-date-span" size="4">June 22, 2022</span></div></div></div></div><div><div class="BylineArticle__RowBox-xxu6a-3 ioDdjA Hide-kg09cx-0 fjAwZI"><div class="BylineArticle__AuthorWrapper-xxu6a-1 eabPmy"><span class="Span-sc-19wk4id-0 BylineArticle__DateSpan-xxu6a-0 kIJfsX deqfoJ byline-article-date-span" size="4">June 22, 2022, at 12:01 a.m. 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data-srcset="https://web.archive.org/web/20221115021052im_/https://www.usnews.com/object/image/00000181-736a-d9f8-afdb-f77a49bf0000/gettyimages-1149569955.jpg?update-time=1655498835317&size=responsive970" media="(min-width: 640px)"/><img width="100%" src="https://web.archive.org/web/20221115021052im_/https://www.usnews.com/object/image/00000181-736a-d9f8-afdb-f77a49bf0000/gettyimages-1149569955.jpg?update-time=1655498835317&size=responsive640" alt="Downtown cityscape of San Francisco California, USA from Golden Gate Park" class="Image__PictureImage-sc-412cjc-1 iOwHPF Image-sc-412cjc-2 ImageCaptioned__FWImage-sc-1yr50o7-0 kQDDcT dWGFAr"/></picture></div></div><p class="Paragraph-sc-1iyax29-0 Caption__Wrapper-bee4ah-0 lbGMQc koepFU"><span class="Credit__Container-lfa4w-6-span Credit__SpanContainer-lfa4w-7 dsEOlb Caption__CreditExposed-bee4ah-2 hBaTP Caption__CreditExposed-bee4ah-2 hBaTP"><span color="#515767" size="2" class="Span-sc-19wk4id-0 Credit__Target-lfa4w-8 jswYky gMxtXD"><svg 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explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.</p></div><div class="Raw-slyvem-0 bCYKCn"><h3><b>Why is U.S. News helming this project?</b></h3></div><div class="Raw-slyvem-0 bCYKCn"><p>U.S. News, the publisher of<a href="https://web.archive.org/web/20221115021052/https://health.usnews.com/best-hospitals"> Best Hospitals</a> and<a href="https://web.archive.org/web/20221115021052/https://health.usnews.com/best-hospitals/pediatric-rankings"> Best Children’s Hospitals</a>, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.</p></div><div class="Raw-slyvem-0 bCYKCn"><h3><b>Who is on the U.S. News rankings team?</b></h3></div><div class="Raw-slyvem-0 bCYKCn"><p>U.S. News collaborated with the<a href="https://web.archive.org/web/20221115021052/https://cares.missouri.edu/"> University of Missouri Extension Center for Applied Research and Engagement Systems (CARES)</a> – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the<a href="https://web.archive.org/web/20221115021052/https://www.ncvhs.hhs.gov/"> National Committee on Vital and Health Statistics.</a></p></div><div class="Raw-slyvem-0 bCYKCn"><h3><b>How did you rank the Healthiest Communities?</b></h3></div><div class="Raw-slyvem-0 bCYKCn"><p>The overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.</p></div><div class="InartAd__FirstInartAdWrapper-sc-8wv8ky-0 giMJga lg-hide"><div class="Ad__Container-sc-1ah7c5n-0 iKUNVf" spacing="4"><div id="ad" class="ad lazy " data-dimensions="1x1,fluid" data-ad-props="{"separator":"_","autoRefresh":false,"spacing":4,"lazy":true,"noAdBorder":true,"type":"inart","mobileType":"minart","excludeBidders":["teads"],"dimensions":"1x1,fluid","mobileDimensions":"300x100,320x50,300x50,300x250,fluid,1x1","mediaTypes":["banner","native","outstream"],"desktopInitialHeight":90,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"disableInitialHeight":false}"></div></div></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p>The categories and subcategories considered are:</p></div><div id="text_lg" class="ad" data-dimensions="1x1" data-ad-props="{"type":"text","mobileType":"mtext","bidders":false,"separator":"","lazy":false,"dimensions":"1x1","autoRefresh":false,"style":{"clear":"both"},"id":"text_lg","noIncrement":false,"targeting":{},"outOfPage":false,"visibilityOffset":300}"></div><div class="Raw-slyvem-0 bCYKCn"><p>Population Health<br></p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Access to Care</li> <li>Health Behaviors</li> <li>Health Conditions</li> <li>Health Outcomes</li> <li>Mental Health</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Equity</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Educational Equity</li> <li>Health Equity</li> <li>Income Equity</li> <li>Social Equity</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Education</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Educational Achievement</li> <li>Education Infrastructure</li> <li>Education Participation</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Economy</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Employment</li> <li>Income</li> <li>Opportunity</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Housing</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Housing Affordability</li> <li>Housing Capacity</li> <li>Housing Quality</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Food & Nutrition</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Food Availability</li> <li>Nutrition</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Environment</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li> Air & Water</li> <li>Natural Environment</li> <li>Natural Hazards</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Public Safety</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Crime</li> <li>Injuries</li> <li>Public Safety Capacity</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Community Vitality</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Community Stability</li> <li>Social Capital</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Infrastructure</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Community Layout</li> <li>Transportation</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p><b>What role did COVID-19 have in this year’s project?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities <a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/articles/methodology">methodology</a>.</p></div><div class="InartAd__FirstInartAdWrapper-sc-8wv8ky-0 giMJga sm-hide md-hide"><div class="Ad__Container-sc-1ah7c5n-0 iKUNVf" spacing="4"><div id="ad" class="ad lazy " data-dimensions="1x1,fluid" data-ad-props="{"separator":"_","autoRefresh":false,"spacing":4,"borderTop":false,"borderBottom":false,"lazy":true,"noAdBorder":true,"type":"inart","mobileType":"minart","excludeBidders":["teads"],"dimensions":"1x1,fluid","mobileDimensions":"300x100,320x50,300x50,300x250,fluid,1x1","mediaTypes":["banner","native","outstream"],"desktopInitialHeight":90,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"disableInitialHeight":false}"></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p>In conjunction with the rankings release, the Healthiest Communities team continues to implement and update <a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/coronavirus-data">COVID-19 tracking tools</a>. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and/or allow for comparisons between communities.</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p><b>What COVID-19 metrics are included in the tracking tools ?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The COVID-19 metric pages show:<br></p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Percent of Population Fully Vaccinated</li> <li>Population Aged 12+ Fully Vaccinated</li> <li>Population Aged 18+ Fully Vaccinated</li> <li>Population Aged 65+ Fully Vaccinated</li> <li>Total COVID-19 Cases</li> <li>New COVID-19 Cases per Day</li> <li>COVID-19 Cases per 100k</li> <li>Total COVID-19 Deaths</li> <li>New COVID-19 Deaths per Day</li> <li>COVID-19 Deaths per 100k</li> <li>Unemployment Rate</li> <li>Population 65 and Older</li> <li>Adults in Poor or Fair Physical Health</li> <li>Diabetes Prevalence</li> <li>Obesity Prevalence</li> <li>Cost-Burdened Households</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p><b>What were the respective weights of the categories and why were they chosen?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>The weights of the categories are as follows:<br></p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Population Health: 14.2%</li> <li>Equity: 12.23%</li> <li>Education: 12.15%</li> <li>Economy: 11.1%</li> <li>Housing: 9.5%</li> <li>Food & Nutrition: 8.8%</li> <li>Environment: 8.6%</li> <li>Public Safety: 8.5%</li> <li>Community Vitality: 7.6%</li> <li>Infrastructure: 7.5%</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>For more on weighting and inputs, see the Healthiest Communities<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/articles/methodology"> methodology</a>.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Are the rankings objective?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.</p></div><div class="InartAd__SubsequentInartAdWrapper-sc-8wv8ky-1 eA-DVts sm-hide md-hide" data-ad-collide="true"><div class="Ad__Container-sc-1ah7c5n-0 ksDihD" spacing="5"><div id="ad" class="ad lazy " data-dimensions="1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90" data-ad-props="{"separator":"_","autoRefresh":false,"borderTop":true,"borderBottom":true,"spacing":5,"spacingTop":5,"insetSpacing":2,"lazy":true,"noAdBorder":true,"type":"inart","mobileType":"minart","excludeBidders":["teads"],"dimensions":"1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90","mobileDimensions":"300x100,320x50,300x50,300x250,fluid,1x1","mediaTypes":["banner","native"],"desktopInitialHeight":90,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p><b>How did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?</b></p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p>The wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/rankings"> top 500 communities</a> nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as:<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/rankings/urban-high-performing"> urban high-performing</a>,<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/rankings/urban-up-and-coming"> urban up-and-coming</a>,<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/rankings/rural-high-performing"> rural high-performing</a> and<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/rankings/rural-up-and-coming"> rural up-and-coming</a>. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>The term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Beyond rankings, what does Healthiest Communities provide for consumers?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Healthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>How often will the rankings be updated?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>What measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? </b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Both U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Have there been any changes to the rankings since last year?</b></p></div><div class="InartAd__SubsequentInartAdWrapper-sc-8wv8ky-1 eA-DVts sm-hide md-hide" data-ad-collide="true"><div class="Ad__Container-sc-1ah7c5n-0 ksDihD" spacing="5"><div id="ad" class="ad lazy " data-dimensions="1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90" data-ad-props="{"separator":"_","autoRefresh":false,"borderTop":true,"borderBottom":true,"spacing":5,"spacingTop":5,"insetSpacing":2,"lazy":true,"noAdBorder":true,"type":"inart","mobileType":"minart","excludeBidders":["teads"],"dimensions":"1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90","mobileDimensions":"300x100,320x50,300x50,300x250,fluid,1x1","mediaTypes":["banner","native"],"desktopInitialHeight":90,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p>The Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Analysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:<br></p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>The Median Household Income metric has been adjusted to reflect the varying cost of living among communities.</li> <li>The Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.</li> <li>The Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.</li> <li>The At-Home Food Expenditures on Fruit/Veg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.</li> <li>The Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>The 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Low Birth Weight Disparity Index Score, in the Equity category</li> <li>Adult Flu Vaccination Rate, in the Population Health category</li> <li>At-Home Food Expenditures on Soda/SSB (Sugar-Sweetened Beverages), in the Food & Nutrition category</li> <li>FEMA National Risk Index Score, in the Environment category</li> <li>Neighborhood Diversity Index Score, in the Community Vitality category</li> <li>Tax Shortfalls, in the Community Vitality category</li> <li>Distance to Public Transit, in the Infrastructure Category</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Two metrics have been removed for the 2022 release:</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li>Change in Housing Value, in the Housing category</li> <li>Households Receiving Public Assistance Income, in the Economy category</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>For more information on the metrics used in the 2022 rankings, see the Healthiest Communities<a href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/healthiest-communities/articles/methodology"> methodology</a>.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>How does this rankings project differ from other health-related rankings?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Healthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the<a href="https://web.archive.org/web/20221115021052/https://www.ncvhs.hhs.gov/"> National Committee on Vital and Health Statistics</a> for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.</p></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Will you be highlighting communities that do not do well?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Our goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.</p></div><div class="InartAd__SubsequentInartAdWrapper-sc-8wv8ky-1 eA-DVts sm-hide md-hide" data-ad-collide="true"><div class="Ad__Container-sc-1ah7c5n-0 ksDihD" spacing="5"><div id="ad" class="ad lazy " data-dimensions="1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90" data-ad-props="{"separator":"_","autoRefresh":false,"borderTop":true,"borderBottom":true,"spacing":5,"spacingTop":5,"insetSpacing":2,"lazy":true,"noAdBorder":true,"type":"inart","mobileType":"minart","excludeBidders":["teads"],"dimensions":"1x1,fluid,728x90,950x30,954x90,938x90,970x66,970x250,970x90","mobileDimensions":"300x100,320x50,300x50,300x250,fluid,1x1","mediaTypes":["banner","native"],"desktopInitialHeight":90,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Why are only some cities included in the rankings?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p><a href="https://web.archive.org/web/20221115021052/https://www.census.gov/programs-surveys/economic-census/guidance-geographies/levels.html#par_textimage">County-type divisions</a> called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p><b>Who can I contact with questions?</b></p></div><div class="Raw-slyvem-0 bCYKCn"><p>For questions about Healthiest Communities, please email <a href="https://web.archive.org/web/20221115021052/mailto:healthiestcommunities@usnews.com"><u>healthiestcommunities@usnews.com</u></a></p></div></div><div spacing="3" class="Box-w0dun1-0 Correction__Container-sc-39mqun-0 ecdieg ekrQvD"></div><div class="Ad__Container-sc-1ah7c5n-0 dXqPwe mb5" spacing="3"><div id="calculator" class="ad" data-dimensions="1x1" data-ad-props="{"type":"calculator","mobileType":"calculator","pos":"calculator","separator":"","lazy":false,"bidders":false,"autoRefresh":false,"noAdBorder":true,"spacing":3,"insetSpacing":0,"className":"mb5","dimensions":"1x1","mobileDimensions":"1x1","mediaTypes":["banner"],"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div></react-trigger></section><section id="right-rail" class="article__RightColumn-sc-1ng6nv6-4 hyJRXV sm-hide md-hide"><div class="right-rail__Container-zt2tbq-0 jEcXDU"><div class="Ad__Container-sc-1ah7c5n-0 dVTwsd mb5"><div id="ad" class="ad" data-dimensions="300x100" data-ad-props="{"id":"but","type":"but","mobileType":"but","separator":"","lazy":false,"dimensions":"300x100","mobileDimensions":"300x100","bidders":true,"autoRefresh":false,"insetSpacing":0,"className":"mb5","mediaTypes":["banner"],"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div><div class="mb5"><div class="Ad__Container-sc-1ah7c5n-0 jyKhIN"><div id="ad" class="ad" data-dimensions="300x250,300x600" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"insetSpacing":0,"autoRefresh":false,"dimensions":"300x250,300x600","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"outOfPage":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div></div><div class="mb5"><div><h4 class="Heading-sc-1w5xk2o-0 dUZQRB">Recommended 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class="Span-sc-19wk4id-0 MediaObject__AuthorSpan-sc-19vl09d-6 lnnsuc cpEGnO sm-hide"><span size="2" class="Span-sc-19wk4id-0 MediaObject__AuthorName-sc-19vl09d-5 lnnsuc lgGpza"><span></span>Associated Press</span></span><span class="sm-hide">Nov. 13, 2022</span></p></div><div class="Box-w0dun1-0 MediaObject__ImageContainer-sc-19vl09d-1 dWWnRo hcnlit"><a class="Anchor-byh49a-0 PlBer story-image" aria-label="Thousands Protest in Support of Public Health Care in Madrid" href="https://web.archive.org/web/20221115021052/https://www.usnews.com/news/health-news/articles/2022-11-13/thousands-protest-in-support-of-public-health-care-in-madrid"><picture class="Image__Picture-sc-412cjc-0"><source srcset="https://web.archive.org/web/20221115021052im_/https://www.usnews.com/object/image/00000184-780b-d8a9-a1b4-f81bd21c0000/media%3Ae6094d3fcfd842dd93ff66ca4eaf17d7APTOPIX_Spain_Public_Health_Protest_69642.jpg?update-time=1668349564000&size=responsive640" 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News,Healthiest Communities News & Analysis,Healthiest Communities,Healthiest Communities Health News,National News","zone":"healthiestcommunities\u002Farticles","description":" Here’s a guide to understanding the data-driven rankings.","robots":"max-image-preview:large","title":"2022 Healthiest Communities: Frequently Asked 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News","Healthiest Communities News & Analysis","Healthiest Communities","Healthiest Communities Health News","National News"],"articleBody":"Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.U.S. News, the publisher of Best Hospitals and Best Children’s Hospitals, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.U.S. News collaborated with the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES) – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the National Committee on Vital and Health Statistics.The overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.The categories and subcategories considered are:Population HealthAccess to CareHealth BehaviorsHealth ConditionsHealth OutcomesMental HealthEquityEducational EquityHealth EquityIncome EquitySocial EquityEducationEducational AchievementEducation InfrastructureEducation ParticipationEconomyEmploymentIncomeOpportunityHousingHousing AffordabilityHousing CapacityHousing QualityFood & NutritionFood AvailabilityNutritionEnvironment Air & WaterNatural EnvironmentNatural HazardsPublic SafetyCrimeInjuriesPublic Safety CapacityCommunity VitalityCommunity StabilitySocial CapitalInfrastructureCommunity LayoutTransportationWhat role did COVID-19 have in this year’s project?The rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities methodology.In conjunction with the rankings release, the Healthiest Communities team continues to implement and update COVID-19 tracking tools. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and\u002For allow for comparisons between communities.What COVID-19 metrics are included in the tracking tools ?The COVID-19 metric pages show:Percent of Population Fully VaccinatedPopulation Aged 12+ Fully VaccinatedPopulation Aged 18+ Fully VaccinatedPopulation Aged 65+ Fully VaccinatedTotal COVID-19 CasesNew COVID-19 Cases per DayCOVID-19 Cases per 100kTotal COVID-19 DeathsNew COVID-19 Deaths per DayCOVID-19 Deaths per 100kUnemployment RatePopulation 65 and OlderAdults in Poor or Fair Physical HealthDiabetes PrevalenceObesity PrevalenceCost-Burdened HouseholdsWhat were the respective weights of the categories and why were they chosen?The weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.The weights of the categories are as follows:Population Health: 14.2%Equity: 12.23%Education: 12.15%Economy: 11.1%Housing: 9.5%Food & Nutrition: 8.8%Environment: 8.6%Public Safety: 8.5%Community Vitality: 7.6%Infrastructure: 7.5%For more on weighting and inputs, see the Healthiest Communities methodology.Are the rankings objective?The rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.How did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?The wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the top 500 communities nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as: urban high-performing, urban up-and-coming, rural high-performing and rural up-and-coming. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.The term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.Beyond rankings, what does Healthiest Communities provide for consumers?Healthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.How often will the rankings be updated?The Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.What measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? Both U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.Have there been any changes to the rankings since last year?The Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.Analysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:The Median Household Income metric has been adjusted to reflect the varying cost of living among communities.The Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.The Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.The At-Home Food Expenditures on Fruit\u002FVeg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.The Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.The 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:Low Birth Weight Disparity Index Score, in the Equity categoryAdult Flu Vaccination Rate, in the Population Health categoryAt-Home Food Expenditures on Soda\u002FSSB (Sugar-Sweetened Beverages), in the Food & Nutrition categoryFEMA National Risk Index Score, in the Environment categoryNeighborhood Diversity Index Score, in the Community Vitality categoryTax Shortfalls, in the Community Vitality categoryDistance to Public Transit, in the Infrastructure CategoryTwo metrics have been removed for the 2022 release:Change in Housing Value, in the Housing categoryHouseholds Receiving Public Assistance Income, in the Economy categoryFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities methodology.How does this rankings project differ from other health-related rankings?Healthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the National Committee on Vital and Health Statistics for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.Will you be highlighting communities that do not do well?Our goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.Why are only some cities included in the rankings?County-type divisions called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.Who can I contact with questions?For questions about Healthiest Communities, please email healthiestcommunities@usnews.com","@type":"NewsArticle","author":[],"description":" Here’s a guide to understanding the data-driven rankings.","dateModified":"2022-06-22T00:01-0400","mainEntityOfPage":{"@type":"WebPage","name":"2022 Healthiest Communities: Frequently Asked 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","superheroPosition":"bottomLeft","superheroImageAlignment":"centerCenter","commentary_article":false,"disable_anyclip":true,"language":null,"sailthru_section":"17280e8a-c863-11eb-9964-002590d1a41a","sailthru_rec_mode":"live","main_enhancement":null,"remove_superhero_gradient":false,"hideImage":null,"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000181-736a-d9f8-afdb-f77a49bf0000\u002Fgettyimages-1149569955.jpg?update-time=1655498835317","caption":null,"credit":"Getty Images","alt":"Downtown cityscape of San Francisco California, USA from Golden Gate Park","width":null,"height":null},"badge":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000181-926c-d5f7-afd9-bafc2d3e0000\u002Fhealthiest-communities-logo-2022.jpeg?update-time=1659990951748","caption":null,"credit":"U.S. News","alt":null,"width":null,"height":null},"body":["\u003Ch3\u003E\u003Cb\u003EWhat is Healthiest Communities?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003ELocation plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans.\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\"\u003E Healthiest Communities\u003C\u002Fa\u003E, a U.S. News\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\"\u003E rankings\u003C\u002Fa\u003E and analysis platform, explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.\u003C\u002Fp\u003E","\u003Ch3\u003E\u003Cb\u003EWhy is U.S. News helming this project?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003EU.S. News, the publisher of\u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\"\u003E Best Hospitals\u003C\u002Fa\u003E and\u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\u002Fpediatric-rankings\"\u003E Best Children’s Hospitals\u003C\u002Fa\u003E, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.\u003C\u002Fp\u003E","\u003Ch3\u003E\u003Cb\u003EWho is on the U.S. News rankings team?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003EU.S. News collaborated with the\u003Ca href=\"https:\u002F\u002Fcares.missouri.edu\u002F\"\u003E University of Missouri Extension Center for Applied Research and Engagement Systems (CARES)\u003C\u002Fa\u003E – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the\u003Ca href=\"https:\u002F\u002Fwww.ncvhs.hhs.gov\u002F\"\u003E National Committee on Vital and Health Statistics.\u003C\u002Fa\u003E\u003C\u002Fp\u003E","\u003Ch3\u003E\u003Cb\u003EHow did you rank the Healthiest Communities?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003EThe overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":1},"\u003Cp\u003EThe categories and subcategories considered are:\u003C\u002Fp\u003E","\u003Cp\u003EPopulation Health\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EAccess to Care\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Behaviors\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Conditions\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Outcomes\u003C\u002Fli\u003E\n \u003Cli\u003EMental Health\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEquity\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEducational Equity\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Equity\u003C\u002Fli\u003E\n \u003Cli\u003EIncome Equity\u003C\u002Fli\u003E\n \u003Cli\u003ESocial Equity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEducation\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEducational Achievement\u003C\u002Fli\u003E\n \u003Cli\u003EEducation Infrastructure\u003C\u002Fli\u003E\n \u003Cli\u003EEducation Participation\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEconomy\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEmployment\u003C\u002Fli\u003E\n \u003Cli\u003EIncome\u003C\u002Fli\u003E\n \u003Cli\u003EOpportunity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EHousing\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EHousing Affordability\u003C\u002Fli\u003E\n \u003Cli\u003EHousing Capacity\u003C\u002Fli\u003E\n \u003Cli\u003EHousing Quality\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFood & Nutrition\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EFood Availability\u003C\u002Fli\u003E\n \u003Cli\u003ENutrition\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEnvironment\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Air & Water\u003C\u002Fli\u003E\n \u003Cli\u003ENatural Environment\u003C\u002Fli\u003E\n \u003Cli\u003ENatural Hazards\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EPublic Safety\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECrime\u003C\u002Fli\u003E\n \u003Cli\u003EInjuries\u003C\u002Fli\u003E\n \u003Cli\u003EPublic Safety Capacity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003ECommunity Vitality\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECommunity Stability\u003C\u002Fli\u003E\n \u003Cli\u003ESocial Capital\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EInfrastructure\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECommunity Layout\u003C\u002Fli\u003E\n \u003Cli\u003ETransportation\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003E\u003Cb\u003EWhat role did COVID-19 have in this year’s project?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003Emethodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003EIn conjunction with the rankings release, the Healthiest Communities team continues to implement and update \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Fcoronavirus-data\"\u003ECOVID-19 tracking tools\u003C\u002Fa\u003E. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and\u002For allow for comparisons between communities.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":2},"\u003Cp\u003E\u003Cb\u003EWhat COVID-19 metrics are included in the tracking tools ?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe COVID-19 metric pages show:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EPercent of Population Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 12+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 18+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 65+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003ETotal COVID-19 Cases\u003C\u002Fli\u003E\n \u003Cli\u003ENew COVID-19 Cases per Day\u003C\u002Fli\u003E\n \u003Cli\u003ECOVID-19 Cases per 100k\u003C\u002Fli\u003E\n \u003Cli\u003ETotal COVID-19 Deaths\u003C\u002Fli\u003E\n \u003Cli\u003ENew COVID-19 Deaths per Day\u003C\u002Fli\u003E\n \u003Cli\u003ECOVID-19 Deaths per 100k\u003C\u002Fli\u003E\n \u003Cli\u003EUnemployment Rate\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation 65 and Older\u003C\u002Fli\u003E\n \u003Cli\u003EAdults in Poor or Fair Physical Health\u003C\u002Fli\u003E\n \u003Cli\u003EDiabetes Prevalence\u003C\u002Fli\u003E\n \u003Cli\u003EObesity Prevalence\u003C\u002Fli\u003E\n \u003Cli\u003ECost-Burdened Households\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003E\u003Cb\u003EWhat were the respective weights of the categories and why were they chosen?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.\u003C\u002Fp\u003E","\u003Cp\u003EThe weights of the categories are as follows:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EPopulation Health: 14.2%\u003C\u002Fli\u003E\n \u003Cli\u003EEquity: 12.23%\u003C\u002Fli\u003E\n \u003Cli\u003EEducation: 12.15%\u003C\u002Fli\u003E\n \u003Cli\u003EEconomy: 11.1%\u003C\u002Fli\u003E\n \u003Cli\u003EHousing: 9.5%\u003C\u002Fli\u003E\n \u003Cli\u003EFood & Nutrition: 8.8%\u003C\u002Fli\u003E\n \u003Cli\u003EEnvironment: 8.6%\u003C\u002Fli\u003E\n \u003Cli\u003EPublic Safety: 8.5%\u003C\u002Fli\u003E\n \u003Cli\u003ECommunity Vitality: 7.6%\u003C\u002Fli\u003E\n \u003Cli\u003EInfrastructure: 7.5%\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFor more on weighting and inputs, see the Healthiest Communities\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003E methodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EAre the rankings objective?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?\u003C\u002Fb\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":3},"\u003Cp\u003EThe wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\"\u003E top 500 communities\u003C\u002Fa\u003E nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as:\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Furban-high-performing\"\u003E urban high-performing\u003C\u002Fa\u003E,\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Furban-up-and-coming\"\u003E urban up-and-coming\u003C\u002Fa\u003E,\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Frural-high-performing\"\u003E rural high-performing\u003C\u002Fa\u003E and\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Frural-up-and-coming\"\u003E rural up-and-coming\u003C\u002Fa\u003E. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.\u003C\u002Fp\u003E","\u003Cp\u003EThe term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EBeyond rankings, what does Healthiest Communities provide for consumers?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EHealthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow often will the rankings be updated?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWhat measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? \u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EBoth U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":4},"\u003Cp\u003E\u003Cb\u003EHave there been any changes to the rankings since last year?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.\u003C\u002Fp\u003E","\u003Cp\u003EAnalysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EThe Median Household Income metric has been adjusted to reflect the varying cost of living among communities.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.\u003C\u002Fli\u003E\n \u003Cli\u003EThe At-Home Food Expenditures on Fruit\u002FVeg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EThe 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ELow Birth Weight Disparity Index Score, in the Equity category\u003C\u002Fli\u003E\n \u003Cli\u003EAdult Flu Vaccination Rate, in the Population Health category\u003C\u002Fli\u003E\n \u003Cli\u003EAt-Home Food Expenditures on Soda\u002FSSB (Sugar-Sweetened Beverages), in the Food & Nutrition category\u003C\u002Fli\u003E\n \u003Cli\u003EFEMA National Risk Index Score, in the Environment category\u003C\u002Fli\u003E\n \u003Cli\u003ENeighborhood Diversity Index Score, in the Community Vitality category\u003C\u002Fli\u003E\n \u003Cli\u003ETax Shortfalls, in the Community Vitality category\u003C\u002Fli\u003E\n \u003Cli\u003EDistance to Public Transit, in the Infrastructure Category\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003ETwo metrics have been removed for the 2022 release:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EChange in Housing Value, in the Housing category\u003C\u002Fli\u003E\n \u003Cli\u003EHouseholds Receiving Public Assistance Income, in the Economy category\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003E methodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow does this rankings project differ from other health-related rankings?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EHealthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the\u003Ca href=\"https:\u002F\u002Fwww.ncvhs.hhs.gov\u002F\"\u003E National Committee on Vital and Health Statistics\u003C\u002Fa\u003E for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWill you be highlighting communities that do not do well?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EOur goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWhy are only some cities included in the rankings?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003E\u003Ca href=\"https:\u002F\u002Fwww.census.gov\u002Fprograms-surveys\u002Feconomic-census\u002Fguidance-geographies\u002Flevels.html#par_textimage\"\u003ECounty-type divisions\u003C\u002Fa\u003E called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":5},"\u003Cp\u003E\u003Cb\u003EWho can I contact with questions?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EFor questions about Healthiest Communities, please email \u003Ca href=\"mailto:healthiestcommunities@usnews.com\"\u003E\u003Cu\u003Ehealthiestcommunities@usnews.com\u003C\u002Fu\u003E\u003C\u002Fa\u003E\u003C\u002Fp\u003E"],"authors":[],"left_rail":null,"translated_pages":[],"right_rail":{"items":[{"template":"templates\u002Fcommon\u002Fads\u002Frectangle-a-sleeper.nunj"},{"template":"templates\u002Fcommon\u002Fcontainer\u002Fvertical.nunj"},{"template":"templates\u002Fcommon\u002Fads\u002Frectangle-b-sleeper.nunj"},{"template":"containers\u002Fpages\u002Fnews\u002Fhealthiest-communities\u002FrailRank.js"}]}}}},"src\u002Fcomponents\u002Fatoms\u002FAd\u002FwithGlobalAds\u002Findex.js":{"data":{"utag_data":{"bucket_tags":["health-news","healthiest-communities-news-analysis","healthiest-communities","healthiest-communities-health-news","national-news"],"page_type":"article","site_product_section":"Article","site_product":"Healthiest Communities","suppress_img_flag":false,"site_portal":"Civic","primary_tag":"healthiest-communities","article_publish_date":"2022-06-22","site_product_subsection":"","content_type":"editorial","page_name":"2022 Healthiest Communities: Frequently Asked Questions","site_vertical":"News","article_template":"article-rail","stitial_fact":"Ohio and Virginia both claim to have produced the most presidents, with eight each.","page_container":"containers\u002Fpages\u002Fbrightspot\u002Farticle-rail.js"}}},"src\u002Fcomponents\u002Fbrightspot\u002Farticle\u002Findex.js|hasComments":{"data":false},"src\u002Fcomponents\u002Futil\u002FHeaderFooter.js":{"data":{"alert_configuration":{"alerts":[{"template":"components\u002Fatoms\u002FAlertBar\u002Findex.js","hide_on_large":false,"hide_on_small":false,"link":{"new_window":false,"text":"The 2022 Best Countries rankings are 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Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the ..."}],"structured_data":{"image":{"@type":"ImageObject","width":"970","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F4b2b4c9\u002F2147483647\u002Fcrop\u002F1508x1006%2B750%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2Fe2%2F67f75376458d9f6c4adf397cbfd0%2Fgettyimages-1149569955.jpg","height":"647"},"wordCount":1714,"keywords":["Health News","Healthiest Communities News & Analysis","Healthiest Communities","Healthiest Communities Health News","National News"],"articleBody":"Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.U.S. News, the publisher of Best Hospitals and Best Children’s Hospitals, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.U.S. News collaborated with the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES) – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the National Committee on Vital and Health Statistics.The overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.The categories and subcategories considered are:Population HealthAccess to CareHealth BehaviorsHealth ConditionsHealth OutcomesMental HealthEquityEducational EquityHealth EquityIncome EquitySocial EquityEducationEducational AchievementEducation InfrastructureEducation ParticipationEconomyEmploymentIncomeOpportunityHousingHousing AffordabilityHousing CapacityHousing QualityFood & NutritionFood AvailabilityNutritionEnvironment Air & WaterNatural EnvironmentNatural HazardsPublic SafetyCrimeInjuriesPublic Safety CapacityCommunity VitalityCommunity StabilitySocial CapitalInfrastructureCommunity LayoutTransportationWhat role did COVID-19 have in this year’s project?The rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities methodology.In conjunction with the rankings release, the Healthiest Communities team continues to implement and update COVID-19 tracking tools. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and\u002For allow for comparisons between communities.What COVID-19 metrics are included in the tracking tools ?The COVID-19 metric pages show:Percent of Population Fully VaccinatedPopulation Aged 12+ Fully VaccinatedPopulation Aged 18+ Fully VaccinatedPopulation Aged 65+ Fully VaccinatedTotal COVID-19 CasesNew COVID-19 Cases per DayCOVID-19 Cases per 100kTotal COVID-19 DeathsNew COVID-19 Deaths per DayCOVID-19 Deaths per 100kUnemployment RatePopulation 65 and OlderAdults in Poor or Fair Physical HealthDiabetes PrevalenceObesity PrevalenceCost-Burdened HouseholdsWhat were the respective weights of the categories and why were they chosen?The weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.The weights of the categories are as follows:Population Health: 14.2%Equity: 12.23%Education: 12.15%Economy: 11.1%Housing: 9.5%Food & Nutrition: 8.8%Environment: 8.6%Public Safety: 8.5%Community Vitality: 7.6%Infrastructure: 7.5%For more on weighting and inputs, see the Healthiest Communities methodology.Are the rankings objective?The rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.How did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?The wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the top 500 communities nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as: urban high-performing, urban up-and-coming, rural high-performing and rural up-and-coming. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.The term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.Beyond rankings, what does Healthiest Communities provide for consumers?Healthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.How often will the rankings be updated?The Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.What measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? Both U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.Have there been any changes to the rankings since last year?The Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.Analysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:The Median Household Income metric has been adjusted to reflect the varying cost of living among communities.The Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.The Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.The At-Home Food Expenditures on Fruit\u002FVeg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.The Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.The 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:Low Birth Weight Disparity Index Score, in the Equity categoryAdult Flu Vaccination Rate, in the Population Health categoryAt-Home Food Expenditures on Soda\u002FSSB (Sugar-Sweetened Beverages), in the Food & Nutrition categoryFEMA National Risk Index Score, in the Environment categoryNeighborhood Diversity Index Score, in the Community Vitality categoryTax Shortfalls, in the Community Vitality categoryDistance to Public Transit, in the Infrastructure CategoryTwo metrics have been removed for the 2022 release:Change in Housing Value, in the Housing categoryHouseholds Receiving Public Assistance Income, in the Economy categoryFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities methodology.How does this rankings project differ from other health-related rankings?Healthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the National Committee on Vital and Health Statistics for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.Will you be highlighting communities that do not do well?Our goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.Why are only some cities included in the rankings?County-type divisions called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.Who can I contact with questions?For questions about Healthiest Communities, please email healthiestcommunities@usnews.com","@type":"NewsArticle","author":[],"description":" Here’s a guide to understanding the data-driven rankings.","dateModified":"2022-06-22T00:01-0400","mainEntityOfPage":{"@type":"WebPage","name":"2022 Healthiest Communities: Frequently Asked Questions","@id":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Ffrequently-asked-questions","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Ffrequently-asked-questions"},"@context":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttp:\u002F\u002Fwww.schema.org","datePublished":"2022-06-22T00:01-0400","dateCreated":"2022-06-22T00:01-0400","publisher":{"@type":"Organization","name":"U.S. News & World Report","logo":{"@type":"ImageObject","width":193,"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fstatic\u002Fimages\u002Fusn-logo-print.png","height":46}},"headline":"2022 Healthiest Communities: Frequently Asked Questions","thumbnailUrl":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F43f6696\u002F2147483647\u002Fcrop\u002F1341x1006%2B833%2B0\u002Fresize\u002F80x60\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2Fe2%2F67f75376458d9f6c4adf397cbfd0%2Fgettyimages-1149569955.jpg"}}},"src\u002Fcontainers\u002Fatoms\u002FTags\u002Findex.js":{"data":{"context":{"display_tags":[]}},"errors":[]},"src\u002Fcomponents\u002Fbrightspot\u002Fafter-body\u002Findex.js":{"data":{"after_body":null}},"src\u002Fcomponents\u002Fbrightspot\u002Fright-rail\u002Findex.js":{"data":{"right_rail":[{"__typename":"RectangleAdModule","template":"templates\u002Fcommon\u002Fads\u002Frectangle-a-sleeper.nunj","is_ad":true,"tracking_identifier":null},{"__typename":"VerticalListModule","template":"templates\u002Fcommon\u002Fcontainer\u002Fvertical.nunj","is_ad":null,"heading":{"label":"Recommended Articles","url":null},"cms_name":"Healthiest Communities: Related Articles","items":[{"id":"00000184-5e0e-d91b-a38c-fefe2f340002","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Felections\u002Farticles\u002F2022-11-09\u002Fhow-health-ballot-measures-fared-in-the-midterms","isButton":false,"tracking_identifier":null,"__typename":"FireflyPromoItem","heading":"How Health Fared on the Ballot","image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000184-5e0e-d779-a9e6-df1f39870000\u002Fgettyimages-1244587420.jpg?update-time=1668026431551","caption":"A placard urging people to vote sits affixed to a street pole the day before the Nov. 8 midterm elections in Philadelphia."},"is_logo":false,"logo":null,"kicker":{"label":"Elections","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Felections"},"deck":"Aside from abortion, voters across the country decided on ballot issues ranging from expanding Medicaid and curbing medical debt to restricting guns and funding affordable housing.","show_blurb":false,"markup":null,"subContainerMarkup":null},{"id":"00000184-6f8b-dcfe-a7b7-ffaf5e440001","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealth-news\u002Farticles\u002F2022-11-14\u002Fbiden-administration-to-launch-new-push-to-get-americans-updated-covid-19-booster-shots-before-the-holidays","isButton":false,"tracking_identifier":null,"__typename":"FireflyPromoItem","heading":"HHS Launches ‘Vax Up America Tour’","image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000183-f213-d37d-af8b-fb331dd60000\u002Fmedia%3A5240c34116b945aa820aee64d402f084Virus-Outbreak-Novavax-Booster_26423.jpg?update-time=1666213416000","caption":" FILE - In this image provided by the Serum Institute of India, vials of freshly manufactured Novavax COVID-19 vaccines wait to be labeled in 2022, in Pune, India. 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Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.\u003C\u002Fp\u003E","\u003Ch3\u003E\u003Cb\u003EWho is on the U.S. News rankings team?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003EU.S. News collaborated with the\u003Ca href=\"https:\u002F\u002Fcares.missouri.edu\u002F\"\u003E University of Missouri Extension Center for Applied Research and Engagement Systems (CARES)\u003C\u002Fa\u003E – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the\u003Ca href=\"https:\u002F\u002Fwww.ncvhs.hhs.gov\u002F\"\u003E National Committee on Vital and Health Statistics.\u003C\u002Fa\u003E\u003C\u002Fp\u003E","\u003Ch3\u003E\u003Cb\u003EHow did you rank the Healthiest Communities?\u003C\u002Fb\u003E\u003C\u002Fh3\u003E","\u003Cp\u003EThe overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":1},"\u003Cp\u003EThe categories and subcategories considered are:\u003C\u002Fp\u003E","\u003Cp\u003EPopulation Health\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EAccess to Care\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Behaviors\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Conditions\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Outcomes\u003C\u002Fli\u003E\n \u003Cli\u003EMental Health\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEquity\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEducational Equity\u003C\u002Fli\u003E\n \u003Cli\u003EHealth Equity\u003C\u002Fli\u003E\n \u003Cli\u003EIncome Equity\u003C\u002Fli\u003E\n \u003Cli\u003ESocial Equity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEducation\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEducational Achievement\u003C\u002Fli\u003E\n \u003Cli\u003EEducation Infrastructure\u003C\u002Fli\u003E\n \u003Cli\u003EEducation Participation\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEconomy\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EEmployment\u003C\u002Fli\u003E\n \u003Cli\u003EIncome\u003C\u002Fli\u003E\n \u003Cli\u003EOpportunity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EHousing\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EHousing Affordability\u003C\u002Fli\u003E\n \u003Cli\u003EHousing Capacity\u003C\u002Fli\u003E\n \u003Cli\u003EHousing Quality\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFood & Nutrition\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EFood Availability\u003C\u002Fli\u003E\n \u003Cli\u003ENutrition\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EEnvironment\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Air & Water\u003C\u002Fli\u003E\n \u003Cli\u003ENatural Environment\u003C\u002Fli\u003E\n \u003Cli\u003ENatural Hazards\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EPublic Safety\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECrime\u003C\u002Fli\u003E\n \u003Cli\u003EInjuries\u003C\u002Fli\u003E\n \u003Cli\u003EPublic Safety Capacity\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003ECommunity Vitality\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECommunity Stability\u003C\u002Fli\u003E\n \u003Cli\u003ESocial Capital\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EInfrastructure\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ECommunity Layout\u003C\u002Fli\u003E\n \u003Cli\u003ETransportation\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003E\u003Cb\u003EWhat role did COVID-19 have in this year’s project?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003Emethodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003EIn conjunction with the rankings release, the Healthiest Communities team continues to implement and update \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Fcoronavirus-data\"\u003ECOVID-19 tracking tools\u003C\u002Fa\u003E. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and\u002For allow for comparisons between communities.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":2},"\u003Cp\u003E\u003Cb\u003EWhat COVID-19 metrics are included in the tracking tools ?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe COVID-19 metric pages show:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EPercent of Population Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 12+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 18+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation Aged 65+ Fully Vaccinated\u003C\u002Fli\u003E\n \u003Cli\u003ETotal COVID-19 Cases\u003C\u002Fli\u003E\n \u003Cli\u003ENew COVID-19 Cases per Day\u003C\u002Fli\u003E\n \u003Cli\u003ECOVID-19 Cases per 100k\u003C\u002Fli\u003E\n \u003Cli\u003ETotal COVID-19 Deaths\u003C\u002Fli\u003E\n \u003Cli\u003ENew COVID-19 Deaths per Day\u003C\u002Fli\u003E\n \u003Cli\u003ECOVID-19 Deaths per 100k\u003C\u002Fli\u003E\n \u003Cli\u003EUnemployment Rate\u003C\u002Fli\u003E\n \u003Cli\u003EPopulation 65 and Older\u003C\u002Fli\u003E\n \u003Cli\u003EAdults in Poor or Fair Physical Health\u003C\u002Fli\u003E\n \u003Cli\u003EDiabetes Prevalence\u003C\u002Fli\u003E\n \u003Cli\u003EObesity Prevalence\u003C\u002Fli\u003E\n \u003Cli\u003ECost-Burdened Households\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003E\u003Cb\u003EWhat were the respective weights of the categories and why were they chosen?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.\u003C\u002Fp\u003E","\u003Cp\u003EThe weights of the categories are as follows:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EPopulation Health: 14.2%\u003C\u002Fli\u003E\n \u003Cli\u003EEquity: 12.23%\u003C\u002Fli\u003E\n \u003Cli\u003EEducation: 12.15%\u003C\u002Fli\u003E\n \u003Cli\u003EEconomy: 11.1%\u003C\u002Fli\u003E\n \u003Cli\u003EHousing: 9.5%\u003C\u002Fli\u003E\n \u003Cli\u003EFood & Nutrition: 8.8%\u003C\u002Fli\u003E\n \u003Cli\u003EEnvironment: 8.6%\u003C\u002Fli\u003E\n \u003Cli\u003EPublic Safety: 8.5%\u003C\u002Fli\u003E\n \u003Cli\u003ECommunity Vitality: 7.6%\u003C\u002Fli\u003E\n \u003Cli\u003EInfrastructure: 7.5%\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFor more on weighting and inputs, see the Healthiest Communities\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003E methodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EAre the rankings objective?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?\u003C\u002Fb\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":3},"\u003Cp\u003EThe wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\"\u003E top 500 communities\u003C\u002Fa\u003E nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as:\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Furban-high-performing\"\u003E urban high-performing\u003C\u002Fa\u003E,\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Furban-up-and-coming\"\u003E urban up-and-coming\u003C\u002Fa\u003E,\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Frural-high-performing\"\u003E rural high-performing\u003C\u002Fa\u003E and\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Frankings\u002Frural-up-and-coming\"\u003E rural up-and-coming\u003C\u002Fa\u003E. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.\u003C\u002Fp\u003E","\u003Cp\u003EThe term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EBeyond rankings, what does Healthiest Communities provide for consumers?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EHealthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow often will the rankings be updated?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWhat measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? \u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EBoth U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":4},"\u003Cp\u003E\u003Cb\u003EHave there been any changes to the rankings since last year?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.\u003C\u002Fp\u003E","\u003Cp\u003EAnalysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:\u003Cbr\u003E\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EThe Median Household Income metric has been adjusted to reflect the varying cost of living among communities.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.\u003C\u002Fli\u003E\n \u003Cli\u003EThe At-Home Food Expenditures on Fruit\u002FVeg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.\u003C\u002Fli\u003E\n \u003Cli\u003EThe Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EThe 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003ELow Birth Weight Disparity Index Score, in the Equity category\u003C\u002Fli\u003E\n \u003Cli\u003EAdult Flu Vaccination Rate, in the Population Health category\u003C\u002Fli\u003E\n \u003Cli\u003EAt-Home Food Expenditures on Soda\u002FSSB (Sugar-Sweetened Beverages), in the Food & Nutrition category\u003C\u002Fli\u003E\n \u003Cli\u003EFEMA National Risk Index Score, in the Environment category\u003C\u002Fli\u003E\n \u003Cli\u003ENeighborhood Diversity Index Score, in the Community Vitality category\u003C\u002Fli\u003E\n \u003Cli\u003ETax Shortfalls, in the Community Vitality category\u003C\u002Fli\u003E\n \u003Cli\u003EDistance to Public Transit, in the Infrastructure Category\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003ETwo metrics have been removed for the 2022 release:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003EChange in Housing Value, in the Housing category\u003C\u002Fli\u003E\n \u003Cli\u003EHouseholds Receiving Public Assistance Income, in the Economy category\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities\u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\u002Farticles\u002Fmethodology\"\u003E methodology\u003C\u002Fa\u003E.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EHow does this rankings project differ from other health-related rankings?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EHealthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the\u003Ca href=\"https:\u002F\u002Fwww.ncvhs.hhs.gov\u002F\"\u003E National Committee on Vital and Health Statistics\u003C\u002Fa\u003E for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWill you be highlighting communities that do not do well?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EOur goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.\u003C\u002Fp\u003E","\u003Cp\u003E\u003Cb\u003EWhy are only some cities included in the rankings?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003E\u003Ca href=\"https:\u002F\u002Fwww.census.gov\u002Fprograms-surveys\u002Feconomic-census\u002Fguidance-geographies\u002Flevels.html#par_textimage\"\u003ECounty-type divisions\u003C\u002Fa\u003E called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":5},"\u003Cp\u003E\u003Cb\u003EWho can I contact with questions?\u003C\u002Fb\u003E\u003C\u002Fp\u003E","\u003Cp\u003EFor questions about Healthiest Communities, please email \u003Ca href=\"mailto:healthiestcommunities@usnews.com\"\u003E\u003Cu\u003Ehealthiestcommunities@usnews.com\u003C\u002Fu\u003E\u003C\u002Fa\u003E\u003C\u002Fp\u003E"],"suppress_syndication":false,"superhero_overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Healthiest Communities","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities","campaign_id":"Healthiest Communities"},"template_type":{"flag":0,"template_suffix":"-rail","name":"Normal Article","ordinal":0},"structured_data":{"image":{"@type":"ImageObject","width":"970","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F4b2b4c9\u002F2147483647\u002Fcrop\u002F1508x1006%2B750%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2Fe2%2F67f75376458d9f6c4adf397cbfd0%2Fgettyimages-1149569955.jpg","height":"647"},"wordCount":1714,"keywords":["Health News","Healthiest Communities News & Analysis","Healthiest Communities","Healthiest Communities Health News","National News"],"articleBody":"Location plays a critical role in determining the health, well-being and life expectancy of some 330 million Americans. Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the health of their residents. The platform, featuring rankings drawn from an examination of nearly 3,000 counties and county equivalents in 89 metrics across 10 categories, informs citizens, health care leaders and elected officials about the local policies and practices in place that drive better health outcomes for all.U.S. News, the publisher of Best Hospitals and Best Children’s Hospitals, brings decades of experience to measuring health care quality in the U.S. in order to improve it. Based on the same principles of in-depth data analysis and credible journalism, Healthiest Communities helps counties and county equivalents explore how they can minimize chronic disease, keep people out of the hospital, provide access to health care and lower costs. Ultimately, the platform allows communities to learn from each other, improve their efforts and create better health systems for their residents.U.S. News collaborated with the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES) – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – to collect and analyze data. In addition, at the project’s inception, U.S. News assembled a panel of independent experts to help assign weightings for each category, including members of the National Committee on Vital and Health Statistics.The overall Healthiest Communities rankings were drawn from an evaluation of approximately 3,000 counties and county equivalents in 89 metrics across 10 categories: Community Vitality, Equity, Economy, Education, Environment, Food & Nutrition, Population Health, Housing, Infrastructure and Public Safety. All of the categories but one, Equity, were identified as key considerations in evaluating community health by the National Committee on Vital and Health Statistics’ Measurement Framework for Community Health and Well-Being. The U.S. News framework was developed by consensus following a thorough examination of research literature and extensive consultations with leading population health experts.The categories and subcategories considered are:Population HealthAccess to CareHealth BehaviorsHealth ConditionsHealth OutcomesMental HealthEquityEducational EquityHealth EquityIncome EquitySocial EquityEducationEducational AchievementEducation InfrastructureEducation ParticipationEconomyEmploymentIncomeOpportunityHousingHousing AffordabilityHousing CapacityHousing QualityFood & NutritionFood AvailabilityNutritionEnvironment Air & WaterNatural EnvironmentNatural HazardsPublic SafetyCrimeInjuriesPublic Safety CapacityCommunity VitalityCommunity StabilitySocial CapitalInfrastructureCommunity LayoutTransportationWhat role did COVID-19 have in this year’s project?The rankings include data relevant to the pandemic, such as the county-level prevalence of obesity and diabetes – two comorbidities that can place patients at a higher risk of severe illness from COVID-19. U.S. News also prioritized data sets that allowed for the most timely analysis possible. A majority of the data within the rankings at minimum overlaps with the time period encompassed by the COVID-19 pandemic, though some metrics feature data predating the crisis. See a full list of metrics and the years the data reflects in the Healthiest Communities methodology.In conjunction with the rankings release, the Healthiest Communities team continues to implement and update COVID-19 tracking tools. These tools feature county-level information on coronavirus cases, deaths and vaccine rates, as well as data on the pandemic’s economic impact and demographic factors that could place a community at higher risk from the virus. These searchable data sets are accessible via a single landing page and individual Healthiest Communities county profiles, and are accompanied by visualizations that show trends over time and\u002For allow for comparisons between communities.What COVID-19 metrics are included in the tracking tools ?The COVID-19 metric pages show:Percent of Population Fully VaccinatedPopulation Aged 12+ Fully VaccinatedPopulation Aged 18+ Fully VaccinatedPopulation Aged 65+ Fully VaccinatedTotal COVID-19 CasesNew COVID-19 Cases per DayCOVID-19 Cases per 100kTotal COVID-19 DeathsNew COVID-19 Deaths per DayCOVID-19 Deaths per 100kUnemployment RatePopulation 65 and OlderAdults in Poor or Fair Physical HealthDiabetes PrevalenceObesity PrevalenceCost-Burdened HouseholdsWhat were the respective weights of the categories and why were they chosen?The weights were assigned based on feedback from more than a dozen independent experts in community health assessment who agreed to review our framework and assess the relative importance of each data category to a community's overall health.The weights of the categories are as follows:Population Health: 14.2%Equity: 12.23%Education: 12.15%Economy: 11.1%Housing: 9.5%Food & Nutrition: 8.8%Environment: 8.6%Public Safety: 8.5%Community Vitality: 7.6%Infrastructure: 7.5%For more on weighting and inputs, see the Healthiest Communities methodology.Are the rankings objective?The rankings are based on 89 metrics drawn in large part from publicly available data sets from reputable sources such as the U.S. Centers for Disease Control and Prevention, the U.S. Census Bureau and the U.S. Environmental Protection Agency. These metrics were selected for their value in assessing community performance in each of the categories and subcategories in our framework, as identified in consultation with industry experts. More than a dozen independent experts have advised U.S. News on the appropriate weights to be assigned to each major category. The University of Missouri Extension CARES team identified data sources, acquired the data and carried out the analysis.How did you assure that the rankings did not favor bigger communities with more resources over smaller communities with fewer resources?The wealth of a community often plays a critical role in determining health outcomes, but it doesn’t always have to be limiting. In addition to an overall ranking of the top 500 communities nationally, U.S. News developed four peer groupings based on counties’ urban-rural status as tied to population density and the robustness of area economies. The peer groups are categorized as: urban high-performing, urban up-and-coming, rural high-performing and rural up-and-coming. The peer groups were created to better evaluate similar communities against more fairly competitive benchmarks.The term “up-and-coming” highlights communities that have more room to build and strengthen their economies, but that may face more complex challenges or have fewer resources available compared with others.Beyond rankings, what does Healthiest Communities provide for consumers?Healthiest Communities provides continuous reporting and analysis on community and public health issues, as well as comprehensive data covering the spectrum of aspects that influence population health at the national, state and county levels.How often will the rankings be updated?The Healthiest Communities rankings will be updated annually, and the editorial and data teams at U.S. News will continually use the rankings and data to foster insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.What measures were taken to ensure the accuracy of the Healthiest Communities rankings and data? Both U.S. News and CARES performed quality assurance testing of Healthiest Communities data. In addition, an independent partner reviewed raw data and metric source values, and confirmed score and ranking calculations for the full set of communities.Have there been any changes to the rankings since last year?The Healthiest Communities project is constantly evolving. For the 2022 release, some source changes were made for reasons that include ensuring the use of more up-to-date data and capturing a broader population within the data.Analysts also have changed how some metrics are processed for inclusion in the Healthiest Communities assessment. These include:The Median Household Income metric has been adjusted to reflect the varying cost of living among communities.The Nonprofits metric has been broadened to include 501(c)(4) organizations along with 501(c)(3) organizations.The Toxic Release Index Score metric has been normalized by population and moved from the Natural Hazards subcategory of the Environment category to the Air & Water subcategory.The At-Home Food Expenditures on Fruit\u002FVeg metric now reflects an index score instead of a percentage and has been adjusted to account for regional trends.The Unsafe Drinking Water metric is now expressed as a violation rate instead of as a percentage of the population potentially exposed to unsafe water.The 2022 Healthiest Communities rankings include a net increase of five metrics from the previous year. New metrics are:Low Birth Weight Disparity Index Score, in the Equity categoryAdult Flu Vaccination Rate, in the Population Health categoryAt-Home Food Expenditures on Soda\u002FSSB (Sugar-Sweetened Beverages), in the Food & Nutrition categoryFEMA National Risk Index Score, in the Environment categoryNeighborhood Diversity Index Score, in the Community Vitality categoryTax Shortfalls, in the Community Vitality categoryDistance to Public Transit, in the Infrastructure CategoryTwo metrics have been removed for the 2022 release:Change in Housing Value, in the Housing categoryHouseholds Receiving Public Assistance Income, in the Economy categoryFor more information on the metrics used in the 2022 rankings, see the Healthiest Communities methodology.How does this rankings project differ from other health-related rankings?Healthiest Communities was the first to adopt the Measurement Framework for Community Health and Well-Being developed by the National Committee on Vital and Health Statistics for a nationwide ranking and analysis of health at the county level. As part of this framework, U.S. News also has incorporated equity as a key measure of community health and well-being. To assure fair comparisons, U.S. News has developed peer groupings based on economic factors and population density.Will you be highlighting communities that do not do well?Our goal is to highlight best practices from communities that promote healthier living for their residents. The trove of data underlying the rankings also will serve as a rich resource for analysis and reporting.Why are only some cities included in the rankings?County-type divisions called boroughs, municipalities and census areas in Alaska and parishes in Louisiana are included in the analysis, as are independent cities in Maryland, Missouri, Nevada and Virginia that are treated as county equivalents by the Census Bureau. The analysis also encompasses the District of Columbia. For simplicity, “county” or “counties” may be used in Healthiest Communities content to refer to all communities assessed in the project.Who can I contact with questions?For questions about Healthiest Communities, please email healthiestcommunities@usnews.com","@type":"NewsArticle","author":[],"description":" Here’s a guide to understanding the data-driven rankings.","dateModified":"2022-06-22T00:01-0400","mainEntityOfPage":{"@type":"WebPage","name":"2022 Healthiest Communities: Frequently Asked 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2022","image_is_tag_badge":false,"id":"00000184-5e0e-d91b-a38c-fefe2f340002","hide_deck":false,"overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Elections","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Felections","campaign_id":"Elections"},"headline":"How Health Ballot Measures Fared in the Midterms","is_tracking_interactions":false,"pubdate":"Nov. 14, 2022","image":{"cms_seo_suppress_seo_display_name":false,"image_source_type":{"name":"EDITORIAL","value":"Editorial","ordinal":0},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fa5\u002F04\u002F904dc5d84cc4949c4d8872f8c794\u002Fgettyimages-1244587420.jpg","caption":"A placard urging people to vote sits affixed to a street pole the day before the Nov. 8 midterm elections in Philadelphia.","cms_seo_keywords":[],"title":"221109elections.healthballot","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000184-5e0e-d779-a9e6-df1f39870000\u002Fgettyimages-1244587420.jpg?update-time=1668026431551","update_time":1668026431551,"alt_text":"PHILADELPHIA, PA - NOVEMBER 07: Cars drive beneath a placard that states \"VOTE DEFEND DEMOCRACY on NOV. 8th\" affixed to street pole the day before the midterm general election on November 7, 2022 in Philadelphia, Pennsylvania. In closely watched Pennsylvania election races, Democratic candidate for U.S. Senator John Fetterman faces Republican nominee Dr. Mehmet Oz and Democratic candidate for Governor Josh Shapiro faces Republican Doug Mastriano on November 8. (Photo by Mark Makela\u002FGetty Images)\r\n","width":0,"id":"00000184-5e0e-d779-a9e6-df1f39870000","credit":"(Mark Makela\u002FGetty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":0,"taggable_publish_date":"2022-11-09T20:40:31.551Z"},"splash_cta_is_enabled":false,"heading":"How Health Fared on the Ballot","black_text":false,"is_logo":false,"image_right":false,"permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Felections\u002Farticles\u002F2022-11-09\u002Fhow-health-ballot-measures-fared-in-the-midterms","show_blurb":false,"show_related_links":false,"publications":[],"authors":[{"should_disable_ads":false,"role":"Public health reporter","short_bio":"Steven Ross Johnson is a public health reporter for \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\" link-data=\"{"cms.content.publishDate":1641564478616,"cms.content.publishUser":{"_ref":"00000143-2195-d30e-a35b-a797d3230000","_type":"00000142-9226-d1f0-a5c6-b2f75ff50012"},"cms.content.updateDate":1641564478616,"cms.content.updateUser":{"_ref":"00000143-2195-d30e-a35b-a797d3230000","_type":"00000142-9226-d1f0-a5c6-b2f75ff50012"},"link":{"owner.createUser":{"_ref":"00000143-2195-d30e-a35b-a797d3230000","_type":"00000142-9226-d1f0-a5c6-b2f75ff50012"},"newWindow":false,"relations":[],"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities","_id":"0000017e-34de-d965-ad7f-f6ff0fe40001","_type":"d82f1fd9-c1d7-315a-9519-34a46b1f526f"},"linkText":"Healthiest Communities","_id":"0000017e-34de-d965-ad7f-f6ff0fe40000","_type":"809caec9-30e2-3666-8b71-b32ddbffc288"}\"\u003EHealthiest Communities\u003C\u002Fa\u003E. A graduate of Columbia College Chicago, he received a master’s degree from Northwestern University’s Medill School of Journalism and has more than 10 years of experience working for daily newspapers and monthly and weekly magazines. ","name":"Steven Ross Johnson","bio":"Steven Ross Johnson is a public health reporter for \u003Ca href=\"https:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealthiest-communities\"\u003EHealthiest Communities\u003C\u002Fa\u003E. He joined U.S. News & World Report in 2021 after previously reporting on public health issues for Modern Healthcare magazine. He also has written for the Chicago Tribune, Progress Illinois, The Chicago Reporter and as a government affairs reporter for The Courier-News in Elgin, Illinois. He is a graduate of Columbia College Chicago with a bachelor’s degree in communications and received a master’s degree from Northwestern University’s Medill School of Journalism. You can follow him on \u003Ca href=\"https:\u002F\u002Ftwitter.com\u002FSRJreports\"\u003ETwitter\u003C\u002Fa\u003E, connect with him on \u003Ca href=\"https:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fsteven-ross-johnson-27276825\u002F\"\u003ELinkedIn\u003C\u002Fa\u003E, or email him at \u003Ca href=\"mailto:sjohnson@usnews.com\"\u003Esjohnson@usnews.com\u003C\u002Fa\u003E.","id":"0000017c-dc98-d29a-adff-fdfcec360000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fsteven-ross-johnson"}]},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image_is_author":false,"sources":[],"short_headline":"HHS Launches ‘Vax Up America Tour’","deck":"HHS on Monday will launch its ‘Countdown to Thanksgiving Vax Up America Tour’ in an effort to get more Americans the updated shots.","hide_byline":false,"blurb":"HHS on Monday will launch its ‘Countdown to Thanksgiving Vax Up America Tour’ in an effort to get more Americans the updated shots.","upddate":"Nov. 14, 2022","image_is_tag_badge":false,"id":"00000184-6f8b-dcfe-a7b7-ffaf5e440001","hide_deck":false,"overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Health News","permalink":"","type":"internal-profile","url":"","campaign_id":"Health News"},"headline":"Biden Administration to Launch New Push to Get Americans Updated COVID-19 Booster Shots Before the Holidays","is_tracking_interactions":false,"pubdate":"Nov. 14, 2022","image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F1c\u002F4d196699ac76663a3a823e3c86eb06\u002Fmedia:5240c34116b945aa820aee64d402f084Virus-Outbreak-Novavax-Booster_26423.jpg","caption":" FILE - In this image provided by the Serum Institute of India, vials of freshly manufactured Novavax COVID-19 vaccines wait to be labeled in 2022, in Pune, India. On Wednesday, Oct. 19, 2022, U.S. regulators authorized a booster dose of the COVID-19 vaccine made by Novavax. (Serum Institute of India for Novavax via AP) ","title":"Virus-Outbreak-Novavax-Booster_26423.jpg","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000183-f213-d37d-af8b-fb331dd60000\u002Fmedia%3A5240c34116b945aa820aee64d402f084Virus-Outbreak-Novavax-Booster_26423.jpg?update-time=1666213416000","update_time":1666213416000,"alt_text":"The Associated Press","width":1532,"legacy_id":"media:5240c34116b945aa820aee64d402f084","id":"00000183-f213-d37d-af8b-fb331dd60000","credit":"The Associated Press","permalink":"","pending_approval":false,"height":1021,"taggable_publish_date":"2022-10-19T21:03:36.000Z"},"splash_cta_is_enabled":false,"heading":"HHS Launches ‘Vax Up America Tour’","black_text":false,"is_logo":false,"image_right":false,"permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fhealth-news\u002Farticles\u002F2022-11-14\u002Fbiden-administration-to-launch-new-push-to-get-americans-updated-covid-19-booster-shots-before-the-holidays","show_blurb":false,"show_related_links":false,"publications":[],"authors":[{"should_disable_ads":false,"role":"Staff Writer","short_bio":"Cecelia Smith-Schoenwalder writes about health and the environment for U.S. News & World Report. She joined the company in 2019 after previously reporting for E&E News in Washington. D.C. Follow her on \u003Ca href=\"https:\u002F\u002Ftwitter.com\u002Fceceliasmith12\"\u003ETwitter\u003C\u002Fa\u003E, or email her at csmith-schoenwalder@usnews.com. ","name":"Cecelia Smith-Schoenwalder","bio":"Cecelia Smith-Schoenwalder writes about space, science and the environment for U.S. News & World Report. She joined the company in 2019 after previously reporting on natural resources, chemicals and Congress for E&E News in Washington. D.C. Over her nearly three years at the publication, her reporting took her to the marshes of the Chesapeake Bay and the Florida Everglades. The National Press Foundation selected her for an in-depth training on oceans and fisheries in Florida in 2018. She graduated from Washington and Lee University in 2016 with a bachelor’s degree in journalism. She minored in environmental studies and wrote her capstone on Apalachicola Bay’s disappearing oyster populations. Follow her on \u003Ca href=\"https:\u002F\u002Ftwitter.com\u002Fceceliasmith12\"\u003ETwitter\u003C\u002Fa\u003E, connect with her on \u003Ca href=\"https:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fcecelia-smith-schoenwalder-937790113\u002F\"\u003ELinkedIn\u003C\u002Fa\u003E or email her at csmith-schoenwalder@usnews.com. ","id":"00000169-7c3e-dff4-affd-7ebfc2200000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fcecelia-smith-schoenwalder"}]},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image_is_author":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F06\u002Fa6f412d9a21f03667051ad136ac07a\u002Fmedia:f8aadc25f2a843c788f1de3e8faa332bListeria_Outbreak_77271.jpg","caption":"FILE - This 2002 electron microscope image made available by the Centers for Disease Control and Prevention shows a Listeria monocytogenes bacterium, responsible for the food borne illness listeriosis. On Wednesday, Nov. 9, 2022, U.S. health officials said at least one death and a pregnancy loss are tied to an outbreak of listeria food poisoning associated with sliced deli meats and cheeses that has sickened 16 people in six states, including 13 who were hospitalized. 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Healthiest Communities, a U.S. News rankings and analysis platform, explores how communities across the United States are working to improve the ..."}],"image_render":{"name":"INHERIT","ordinal":0},"word_count":1714,"alert_configuration":{"alerts":[{"template":"components\u002Fatoms\u002FAlertBar\u002Findex.js","hide_on_large":false,"hide_on_small":false,"link":{"new_window":false,"text":"The 2022 Best Countries rankings are live","relations":[],"permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fnews\u002Fbest-countries\u002Frankings"},"stop_date":1665177933616,"sponsored":false,"hide_on_medium":false,"message":"See who's No. 1","intent":{"name":"Default","ordinal":0},"mobile_headline":"See the 2022 Best Countries rankings","closeable":true,"name":"BC launch 2022","id":"00000183-7f52-dd83-ab97-7fdf13c20000","permalink":""}],"permalink":""},"pageType":"article","update_date_for_export":"2022-08-01T21:02:53.885Z","news_keywords":[],"opt_out_of_mixins":false,"disable_comments":false,"show_interstitial":false,"disable_anyclip":true,"headline":"2022 Healthiest Communities: Frequently Asked Questions","sailthru_rec_mode":"live","after_content":{"no_lines_mobile":false,"template":"templates\u002Fcommon\u002Fcontainer\u002Fvertical.nunj","heading_css_classes":[],"disable_sticky":true,"is_sponsorship_enabled":false,"out_of_page_ad":false,"use_short_version":false,"sticky_offset_padding":0,"separation":{"css_class":"sep","hr_class":"","name":"Normal","responsive_class":"border-bottom pad-loose block-loose","ordinal":1},"css_classes":[],"permalink":"","items":[{"template":"templates\u002Fcommon\u002Frelated-articles\u002Frelated-articles.nunj","finite":true,"id":"00000162-456b-d4d3-a76a-7fff12340000","button_text":"See More","permalink":"","related_content":[{"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000183-f213-d37d-af8b-fb331dd60000\u002Fmedia%3A5240c34116b945aa820aee64d402f084Virus-Outbreak-Novavax-Booster_26423.jpg?update-time=1666213416000","update_time":1666213416000,"alt_text":"The Associated Press","base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F1c\u002F4d196699ac76663a3a823e3c86eb06\u002Fmedia:5240c34116b945aa820aee64d402f084Virus-Outbreak-Novavax-Booster_26423.jpg","caption":" FILE - In this image provided by the Serum Institute of India, vials of freshly manufactured Novavax COVID-19 vaccines wait to be labeled in 2022, in Pune, India. On Wednesday, Oct. 19, 2022, U.S. regulators authorized a booster dose of the COVID-19 vaccine made by Novavax. 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She joined the company in 2019 after previously reporting for E&E News in Washington. D.C. Follow her on \u003Ca href=\"https:\u002F\u002Ftwitter.com\u002Fceceliasmith12\"\u003ETwitter\u003C\u002Fa\u003E, or email her at csmith-schoenwalder@usnews.com. ","name":"Cecelia Smith-Schoenwalder","bio":"Cecelia Smith-Schoenwalder writes about space, science and the environment for U.S. News & World Report. She joined the company in 2019 after previously reporting on natural resources, chemicals and Congress for E&E News in Washington. D.C. Over her nearly three years at the publication, her reporting took her to the marshes of the Chesapeake Bay and the Florida Everglades. The National Press Foundation selected her for an in-depth training on oceans and fisheries in Florida in 2018. She graduated from Washington and Lee University in 2016 with a bachelor’s degree in journalism. She minored in environmental studies and wrote her capstone on Apalachicola Bay’s disappearing oyster populations. Follow her on \u003Ca href=\"https:\u002F\u002Ftwitter.com\u002Fceceliasmith12\"\u003ETwitter\u003C\u002Fa\u003E, connect with her on \u003Ca href=\"https:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fcecelia-smith-schoenwalder-937790113\u002F\"\u003ELinkedIn\u003C\u002Fa\u003E or email her at csmith-schoenwalder@usnews.com. ","id":"00000169-7c3e-dff4-affd-7ebfc2200000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fcecelia-smith-schoenwalder"}],"pubdate":"Nov. 14, 2022"},{"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000184-7469-db7f-a3fc-747b85fe0000\u002Fmedia%3Aa7b4a345e88d4c569f5ee59d361328abAustralia_Children%27s_Deaths_86965.jpg?update-time=1668400197000","update_time":1668400197000,"alt_text":"The Associated Press","base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20221115021052\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fee\u002F9d51fb8d8e47c6ea448e84b2a26520\u002Fmedia:a7b4a345e88d4c569f5ee59d361328abAustralia_Children's_Deaths_86965.jpg","caption":" Kathleen Folbigg appears via video link during a convictions inquiry at the NSW Coroners Court in Sydney, Australia on May 1, 2019. An Australian inquiry began investigating on Monday, Nov. 14, 2022 whether the woman convicted of smothering her four children to death over a decade ago might be innocent. 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