Professional Documents
Culture Documents
ACKNOWLEDGEMENTS
This report is supported by a grant from the WellPoint Foundation. The opinions expressed in this report are
those of the authors and do not necessarily reflect the views of the WellPoint Foundation.
Report Authors
Brenda E. Chamness, M.S., MCHES
Senior Director, Strategic Health Programs
Terrell W. Zollinger, Dr.P.H.
Professor Emeritus, Indiana University
Richard M. Fairbanks School of Public Health
Principal, T. Zollinger and Associates, LLC
Jessica M. Coffing, M.P.H.
Research Associate, T. Zollinger and Associates, LLC
Questions and comments on the report should be directed to the American College of Sports Medicine at afi@acsm.org.
Table of Contents
Executive Summary........................................................................................................................................................................................ 7
Background and Need for Action.............................................................................................................................................................9
ACSM American Fitness Index Program........................................................................................................................................... 10
ACSM American Fitness Index Program Components......................................................................................................... 10
Implementation........................................................................................................................................................................................ 10
ACSM American Fitness Index Advisory Board....................................................................................................................... 11
ACSM American Fitness Index Guiding Principles for Healthy Communities.............................................................12
Methodology.....................................................................................................................................................................................................12
Why Choose MSAs Over Cities?........................................................................................................................................................12
How Were the Indicators Selected for the Data Index?..........................................................................................................12
What Data Sources Were Used to Create the Data Index?....................................................................................................13
How Was the Data Index Built?..........................................................................................................................................................13
How Should the Scores and Ranks Be Interpreted?................................................................................................................ 14
How Were the Areas of Excellence and Improvement Priority Areas Determined?................................................. 14
What Are the Limitations of the AFI Data Report?.................................................................................................................. 14
References...................................................................................................................................................................................................15
Metropolitan Area Snapshots
Atlanta, GA................................................................................................................................................................................................ 16
Austin, TX................................................................................................................................................................................................... 18
Baltimore, MD........................................................................................................................................................................................... 20
Birmingham, AL.......................................................................................................................................................................................22
Boston, MA................................................................................................................................................................................................ 24
Buffalo, NY................................................................................................................................................................................................. 26
Charlotte, NC........................................................................................................................................................................................... 28
Chicago, IL................................................................................................................................................................................................ 30
Cincinnati, OH...........................................................................................................................................................................................32
Cleveland, OH.......................................................................................................................................................................................... 34
Columbus, OH.......................................................................................................................................................................................... 36
Dallas, TX................................................................................................................................................................................................... 38
Denver, CO................................................................................................................................................................................................40
Detroit, MI................................................................................................................................................................................................. 42
Hartford, CT..............................................................................................................................................................................................44
Houston, TX.............................................................................................................................................................................................. 46
May 2014
Dear Colleagues,
As the founding sponsor of the American College of Sports Medicine (ACSM) American Fitness Index
(AFI), the WellPoint Foundation is proud to continue its support of this healthy lifestyle measurement
and improvement guide.
Developed by some of the leading sports medicine professionals and exercise scientists in the country, AFIs
scientific, data-driven report provides an effective measure of health and community fitness in Americas 50
most populous metropolitan areas. The report is designed to help leaders assess their citys strengths and
challenges and advocate for policy changes and investments necessary to make improvements.
This year, we are pleased to announce the addition of new data indicators that further strengthen the
science behind the report. Walk Score promotes walkable neighborhoods, one of the best solutions for our
health, the environment and economic improvement of urban areas. Walkability of neighborhoods has been
shown to have a positive impact on health, including reducing obesity, diabetes, and cardiovascular disease.
As the philanthropic arm of WellPoint, Inc., the Foundation has granted more than $146 million to organizations
such as ACSM that support healthy living and health improvement across generations. We are committed to
being Americas valued health partner by aiding awareness and education endeavors.
Please visit AmericanFitnessIndex.org and WellPointFoundation.org to learn more about how we can foster
positive change in the health and wellness of our communities and our country.
Best regards,
Sam Nussbaum
Executive Vice President,
Clinical Health Policy
and Chief Medical Officer
Executive Summary
With support and funding from the WellPoint Foundation in 2007, the American College of Sports Medicine
(ACSM) launched the ACSM American Fitness IndexTM (AFI) program in 2008 to help communities identify
opportunities to improve the health of their residents and expand community assets to better support active,
healthy lifestyles. The AFI reflects a composite of personal health measures, preventive health behaviors,
levels of chronic disease conditions, as well as environmental and community resources and policies that
support physical activity. In addition, demographic and economic diversity are included for each metropolitan
area to illustrate the unique attributes of each city. Communities with the highest AFI scores are considered
to have strong community fitness, a concept analogous to individuals having strong personal fitness.
The 50 largest metropolitan areas in the United States, as defined by the U.S. Office of Management and
Budget using data from the U.S. Census Annual Estimates of Population, were included in this 2014 data
report for the AFI program. Metropolitan Statistical Areas (MSAs) were chosen as the unit of measurement
because they represent the group of counties comprising the larger urban areas where residents live, work
and access community resources.
The AFI program is unique for several reasons:
Cities are defined by MSAs;
P
ersonal health indicators, as well as community and environmental indicators, are included
in the data report;
D
ata come from reputable sources, and scientific methodologies are used to ensure validity and reliability;
U
nique areas of strength and opportunities for improvement are included for each MSA to help
guide community action;
M
aterials, resources and connections to health promotion partners are provided by the AFI program to
help cities improve their indicators; and
L
ocal, state and national health promotion partners form a network to support collaborative program efforts.
The first step in creating the report for the AFI program involved developing a strategy to identify, gather,
analyze and present MSA-level data on the population, health and built environment of the communities.
Measures were identified, assessed and scored by a national expert panel for inclusion into an index to
compare each MSAs attributes with the overall U.S. values and with the other large metropolitan areas.
Based on the comparisons to benchmarks, suggested areas of excellence and improvement priority areas
for each MSA were noted.
There was considerable diversity in community fitness levels among the 50 MSAs. Cities that ranked near
the top of the index have more strengths that support healthy living and fewer challenges that hinder it.
The opposite is true for cities near the bottom of the index. All cities are commended for their areas of
excellence and encouraged to focus future efforts on their improvement priority areas to achieve a
healthy and active population.
Rank
Metropolitan Area
SCORE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Washington-Arlington-Alexandria, DC-VA-MD-WV
Minneapolis-St. Paul-Bloomington, MN-WI
Portland-Vancouver-Hillsboro, OR-WA
Denver-Aurora-Broomfield, CO
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
San Diego-Carlsbad-San Marcos, CA
Boston-Cambridge-Quincy, MA-NH
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
Hartford-West Hartford-East Hartford, CT
Raleigh-Cary, NC
Austin-Round Rock-San Marcos, TX
Chicago-Joliet-Naperville, IL-IN-WI
Atlanta-Sandy Springs-Marietta, GA
Pittsburgh, PA
Cincinnati-Middletown, OH-KY-IN
Los Angeles-Long Beach-Santa Ana, CA
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Richmond, VA
Virginia Beach-Norfolk-Newport News, VA-NC
Providence-New Bedford-Fall River, RI-MA
New York-Northern New Jersey-Long Island, NY-NJ-PA
Baltimore-Towson, MD
Miami-Fort Lauderdale-Pompano Beach, FL
Charlotte-Gastonia-Rock Hill, NC-SC
Riverside-San Bernardino-Ontario, CA
Buffalo-Niagara Falls, NY
Jacksonville, FL
Tampa-St. Petersburg-Clearwater, FL
Milwaukee-Waukesha-West Allis, WI
Cleveland-Elyria-Mentor, OH
Kansas City, MO-KS
Houston-Sugar Land-Baytown, TX
Phoenix-Mesa-Glendale, AZ
Las Vegas-Paradise, NV
Dallas-Fort Worth-Arlington, TX
New Orleans-Metairie-Kenner, LA
Columbus, OH
Saint Louis, MO-IL
Orlando-Kissimmee-Sanford, FL
Detroit-Warren-Livonia, MI
Birmingham-Hoover, AL
San Antonio-New Braunfels, TX
Nashville-Davidson-Murfreesboro-Franklin, TN
Indianapolis-Carmel, IN
Oklahoma City, OK
Louisville/Jefferson County, KY-IN
Memphis, TN-MS-AR
77.3
73.5
72.1
71.7
71.0
69.4
69.3
69.2
69.1
66.9
65.7
63.8
61.5
60.6
56.6
56.0
54.8
54.5
53.4
52.9
52.3
52.0
51.6
51.5
50.8
49.0
48.1
47.5
47.2
46.6
46.0
45.7
45.4
45.1
44.0*
44.0*
43.7
42.6
42.4
41.3*
41.3*
40.8
37.3
35.9
35.6
32.5
32.3
31.6
25.7
24.8
*T
he scores shown have been rounded to the nearest tenth of a point resulting in some apparent ties; however, the
rankings are based on the full calculated score values that were not equal in those cases.
This 2014 edition report used revised methods from the first six full-edition reports released in 2008 to 2013, including
additional measures not included in the earlier reports; consequently, comparisons of scores for 2014 should not be
made with earlier AFI reports. However, many of the individual personal health and community/environmental indicators
did not change and can be compared to individual measures included in the earlier AFI reports. The long-range vision for
the AFI program is to provide annual updates to the indicators and scores so cities can monitor their progress in improving
their health and active living fitness indicators.
Being physically active is one of the most important ways adults and children can improve and maintain
their overall health.1-5 For adults, regular exercise can reduce the risk of premature death, heart disease,
stroke, high blood pressure, type 2 diabetes, breast cancer, colon cancer and the risk of falls. For children
and adolescents, regular physical activity can decrease body fat and improve bone health, cardiorespiratory
fitness and muscular strength. Physical activity can also decrease the risk of depression in adults and reduce
depression symptoms in young people.2-5
Emerging public health information suggests that to reach the Centers for Disease Control and Preventions
goal to improve health and fitness, prevent disease and disability, and enhance quality of life for all Americans
through physical activity, we must create a culture that integrates physical activity into our daily lives.1 The
ACSM American Fitness Index (AFI) program developed a valid and reliable measure of health and community
fitness at a metropolitan level to:
p
rovide community leaders with information to understand the personal, community, societal
and environmental influences on physical activity and healthy eating;
d
evelop strategies to promote physical activity at multiple levels of influence;
t ake action through local community mobilization with the AFI Community Action Guide,
health promotion partners and other best practices;6 and
monitor changes in the measures as a result of community programs and other factors.
While the AFI data report provides detailed information for cities at the MSA level, the My AFI
(http://americanfitnessindex.com/my-afi/) community application tool integrates the components
of the AFI program into a health promotion approach that can be used by other communities not included
in the AFI data report. Using this tool, leaders can understand the individual, societal and behavioral factors
related to physical activity in their own community and implement culturally focused activities that are
meaningful to their residents.
Overall, the goal of the AFI program is to help improve the health of the nation and promote active lifestyles
by supporting local programming to develop a sustainable, healthy community culture. To accomplish this
goal, community leaders and health planners need to be aware of their communitys health status and
behaviors; key indicators, such as obesity and chronic disease rates and number of health care providers,
related to physical inactivity; built environment and resources; and policies that support a healthy community.
The AFI program is specifically designed to provide these data and other valuable assistance to cities to
further their efforts to improve the health and quality of life of residents, promote healthier lifestyles and
encourage community resource development to support physical activity.
The AFI program improves the health, fitness and quality of life of citizens through three key components:
Data: Collect, aggregate and report metropolitan-level data related to healthy lifestyles, health
outcomes and community resources that support a physically active society. Disseminate the AFI
data report to give an accurate snapshot of the health status and contributing factors in major
metropolitan areas across the nation.
Resources: Serve as a resource for promoting and integrating research, education and practical
applications of sports medicine and exercise science to maintain and enhance physical performance,
fitness, health and quality of life.
Health Promotion Partners: Help communities connect and partner with existing organizations
and local, state and national programs on physical activity and healthy lifestyles initiatives.
Implementation
This seventh full-edition data report for the AFI program focuses on data collection and analysis for the 50
largest metropolitan areas in the United States. The programs data report shows the results of identifying,
collecting, analyzing, weighing, and aggregating relevant data at the metropolitan level.
The metropolitan areas in this report represent the 50 largest Metropolitan Statistical Areas (MSAs) defined
by the U.S. Office of Management and Budget using data from the U.S. Census Annual Estimates of Population.
They are the cities and surrounding metropolitan areas of:
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock-San Marcos, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Niagara Falls, NY
Charlotte-Gastonia-Rock Hill, NC-SC
Chicago-Joliet-Naperville, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora-Broomfield, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Sugar Land-Baytown, TX
Indianapolis-Carmel, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville/Jefferson County, KY-IN
Memphis, TN-MS-AR
10
The AFI program would not be possible without direction from the knowledgeable volunteers who make up
the AFI Advisory Board. The AFI Advisory Board is comprised of experts with a vested interest in the fields
of health and physical activity who volunteer their time to support the mission of the AFI program.
The AFI Advisory Board was created in 2007 to assist in the development of the AFI program and continues
to offer on-going guidance to the program. Members of the AFI Advisory Board assure the AFI data report
and overall program adhere to the ACSM Guiding Principles for Healthy Communities and the goals of the
AFI program by:
translating the science into practice;
actively participating in strategic planning for the program;
critically reviewing all program documentation and collateral materials; and
providing expert guidance and feedback to communities.
ACSM greatly appreciates the contributions of our AFI Advisory Board members:
Chair: Walter R. Thompson, Ph.D., FACSM (Georgia State University)
Vice-Chair: Barbara Ainsworth, Ph.D., M.P.H., FACSM, FNAK (Arizona State University)
Steven N. Blair, P.E.D., FACSM (University of South Carolina)
Jacqueline Epping, M.Ed., FACSM (U.S. Centers for Disease Control and Prevention)
John M. Jakicic, Ph.D., FACSM (University of Pittsburgh)
Liz Joy, M.D., M.P.H., FACSM (Intermountain Healthcare/University of Utah School of Medicine)
NiCole Keith, Ph.D., FACSM (Indiana University/Regenstrief Institute, Inc.)
Roseann M. Lyle, Ph.D., FACSM (Purdue University)
Melinda M. Manore, Ph.D., R.D., FACSM (Oregon State University)
Kenneth E. Powell, M.D., M.P.H., FACSM (Epidemiologic and Public Health Consultant)
Angela Smith, M.D., FACSM (Nemours/Alfred I. duPont Hospital for Children )
Stella Lucia Volpe, Ph.D., R.D., LDN, FACSM (Drexel University)
11
O
verall health improvement in U.S. cities requires a focus on the prevention of behavioral-linked
diseases by effectively addressing the underlying unhealthy behaviors and community factors.
The rise in chronic diseases attributable to physical inactivity and unhealthy diets are a clear and
present danger to our health and health care systems, our cities, our nation and our future.
All cities in the U.S., irrespective of size and current health status, can make significant advances
in improving the health of their people through simple, affordable, effective steps.
There is a need for even more synergy and collaboration to assist U.S. cities in actively making
the moves toward better health.
The AFI program will contribute to the Guiding Principles for Healthy Communities by creating effective
partnerships and alliances at the national and local levels; by providing tools, strategies and expertise to
cities and communities desiring to improve the health of their residents; and by supporting practices and
policies that have proven to be effective.
Methodology
Scientific evidence, expert opinion and statistical methodologies were employed to select, weigh and
combine the elements used to produce the AFI data report.
Defining a city by its city limits overlooks the interaction between the core of the city and the surrounding
suburban areas. Residents outside the city limits have access to fitness-related resources in their suburban
area as well as the city core; likewise, the residents within the city limits may access resources in the
surrounding areas. Thus, the metropolitan area, including both the city core and the surrounding suburban
areas, act as a unit to support the wellness efforts of residents of the area. Consequently, the MSA data were
used where possible in constructing the AFI. It is understood that various parts of the central city and
surrounding suburban area may have very different demographic and health behavior characteristics, as well
as access to community-level resources to support physical activity. Currently, the nationally available data
needed to measure these characteristics and resources are not available to allow comparisons of all of the
smaller geographical levels in the MSAs. However, it would be possible for communities within the MSA to
collect local data using the measurements and strategy outlined in My AFI (http://americanfitnessindex.com/
my-afi/) to identify opportunities and to monitor improvements occurring as a result of their initiatives.
In February 2013, the U.S. Office of Management and Budget (OMB) released a bulletin pertaining to how
MSAs were to be identified based on the 2010 census. Previous to that, MSAs were still being identified
based on the 2000 census and standards.
As the data for the MSAs were collected prior to the OMB bulletin, and the understanding that the bulletin
was meant for future data collections, we decided to utilize the previous MSA definitions as they were
defined by the most recent OMB bulletin prior to this one, released in December 2009.7
Elements included in the data index must have met the following criteria to be included:
Be related to the level of health status and/or physical activity environment for the MSA;
Be measured recently and reported by a reputable agency or organization;
Be available to the public;
Be measured routinely and provided in a timely fashion; and
Be modifiable through community effort (for example, smoking rate is included, climate is not).
12
The most current publicly available data at the time of analysis from federal reports and past studies provided
the information used in this version of the data index. The largest single data source for the personal health
indicators was the Behavioral Risk Factor Surveillance System (BRFSS) provided by the U.S. Centers for Disease
Control and Prevention. Through a survey, conducted by the Center for City Park Excellence, the Trust for
Public Land provided many of the community/environmental indicators, and the U.S. Census American
Community Survey was the source for most of the MSA descriptions. The U.S. Department of Agriculture;
State Report Cards (School Health Policies and Programs Study by the CDC); and the Federal Bureau of
Investigations (FBI) Uniform Crime Reporting Program also provided data used in the MSA description
and index. The data index elements and their data sources are shown in Appendix A.
Potential initial elements for the AFI data index were scored for relevance by a panel of 26 health and
physical activity experts in 2008 (listed in Appendix B). Two Delphi methodtype rounds of scoring were
used to reach consensus on whether each item should be included in the data index and the weight it
should carry in the calculations.
From this process, 31 currently available indicators were identified and weighted for the index and 16
description variables were selected. The description elements were not included in the data index
calculation, but were shown for cities to use for comparison purposes. A weight of 1 was assigned to
those elements that were considered to be of little importance by the panel of experts; 2 for those items
considered to be of moderate importance; and 3 to those elements considered of high importance to
include in the data index. Each item used in the scoring was first ranked (worse value = 1) and then
multiplied by the weight assigned by consensus of the expert panel. The weighted ranks were then summed
by indicator group to create scores for the personal health indicators and community/environmental indicators.
Finally, the MSA scores were standardized to a scale with the upper limit of 100 by dividing the MSA score
by the maximum possible value and multiplying by 100. Note that the changes made in the measures for
2014 reduced the number of indicators by 1 for a total of 30 indicators.
The following formula summarizes the scoring process:
n
MSA Scorek = (( rki wki)/MSA Scoremax)*100
i=1
r = MSA rank on indicator
w = weight assigned to indicator
k = indicator group
n = 15 for personal health indicators and 16 for community/environmental indicators
MSA Scoremax = hypothetical score if an MSA ranked best on each of the elements
The individual weights also were averaged for both indicator groups to create the total score. Both the
indicator group scores and the total scores for the 50 cities were then ranked (best = 1) as shown on the
Metropolitan Area Snapshots.
13
It is important to consider both the score and rank for each city. While the ranking lists the MSAs from the
highest score to the lowest score, the scores for many cities are very similar, indicating that there is relatively
little difference among them. For example, the score for San Jose was 69.4 while the score for Seattle was
69.3. While San Jose was ranked higher than Seattle, these two metropolitan areas were actually very similar
across all of the indicators; thus, there is little difference in the community wellness levels of the two MSAs.
Also, while one city carried the highest rank (Washington, DC) and another carried the lowest rank (Memphis,
TN), this does not necessarily mean that the highest ranked city has excellent values across all indicators and
the lowest ranked city has the lowest values on all the indicators. The ranking merely indicates that, relative
to each other, some cities scored better than others.
The data elements used in AFI were reviewed and updated in 2014. Specifically, BRFSS made significant
changes in the survey items used to determine food intake information and physical activity level. In
addition, percent covered by health insurance and primary care provider to population ratio measures were
removed because the experts felt these measures did not significantly impact fitness levels. Finally, a new
environmental/community measure, Walk Score ranking, was added. Consequently, comparisons between
the 2014 AFI individual elements that did not change can be compared with earlier years data, but the
overall score and the sub-scores for 2014 are not comparable to earlier years.
How Were the Areas of Excellence and Improvement Priority Areas Determined?
The Areas of Excellence and Improvement Priority Areas for each MSA were listed to assist communities in
identifying potential areas where they might focus their efforts using approaches adopted by those cities
that have strengths in the same area. This process involved comparing the data index elements of the
MSA to a newly developed target goal. The target goals for the personal health indicators were derived
by generating the 90th percentile from the pooled 2008-2012 AFI data. For those new personal health
indicators, the target goal was 90% of the 2014 values. The target goals for the community health indicators
were derived by calculating the average from the pooled 2008-2012 AFI data. New community indicators
target goals were an average from the 2014 values. Data indicators with values equal to or better than the
target goal were considered Areas of Excellence. Data indicators with values worse than 20% of the target
goal were listed as Improvement Priority Areas.
The items used for the personal health indicators were based on self-reported responses to the Behavioral
Risk Factor Surveillance Survey and are subject to the well-known limitations of self-reported data. Since
this limitation applies to all metropolitan areas included in this report, the biases should be similar across all
areas, so the relative differences should still be relatively valid. In addition, the BRFSS data collection method
changed in 2011 relative to weighting methodology and the addition of the cell phone sampling frame; thus
measures before and after 2011 are not exactly comparable. As per advice provided on the FBI Uniform
Crime Reporting Program website, violent crime rates were not compared to U.S. values or averages of all
MSAs. As indicated on the FBI website, data on violent crimes may not be comparable across all metropolitan
areas because of differences in law enforcement policies and practices from area to area. The Trust for Public
Land community/environmental indicators only includes city-level data, not data for the complete MSA.
Consequently, most of the community/environmental indicators shown on the MSA tables are for the main
city in the MSA and do not include resources in the rest of the MSA.
14
References
1. N
ational Physical Activity Plan. (May 2010). Retrieved from http://www.physicalactivityplan.org/
NationalPhysicalActivityPlan.pdf
2. C
enters for Disease Control and Prevention (2010, Dec 29). Physical Activity. Retrieved from
http://www.cdc.gov/physicalactivity/
3. A
merican College of Sports Medicine. (2007). About ACSM. Retrieved from http://www.acsm.org/am/
template.cfm?section=about_acsm
4. U
.S. Department of Health and Human Services, Healthy People 2020. (n.d.). Physical Activity. Retrieved
from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=33
5. U
.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion.
Physical activity guidelines advisory committee report, 2008. Washington: HHS, 2008.
6. S
allis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological
approach to creating active living communities. Annual Review of Public Health, 27, 297-322.
doi: 10.1146/annurev.publhealth.27.021405.102100
7. U
.S. Office of Management and Budget. (2009) Update of Statistical Area Definitions and Guidance on
Their Uses. (OMB Bulletin No. 10-02). Retrieved from http://www.whitehouse.gov/sites/default/files/
omb/assets/bulletins/b10-02.pdf
15
ATLANTA, GA
16
Health Behaviors
Percent
obese
82.6%
32.2%
21.8%
23.3%
30.4%
29.2%
28.0%
Percent with angina or
coronary heart disease
35.6%
Percent
with diabetes
15.7%
Percent consuming 3+
vegetables per day
61.0%
Percent
with asthma
Percent consuming
2+ fruits per day
54.6%
Percent in excellent
or very good health
27.2%
27.1%
21.3%
32.4%
33.3%
7.9%
6.5%
4.3%
2.8%
9.5%
6.4%
19.6%
189.0
17.8%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
189.0
167.1
15.4
17.0
5.7%
Acres of
parkland/1,000
8.8
Percent bicycling
or walking to work
Recreational Facilities
Dog parks/100,000
18.6
0.4
0.9
2.0
2.3
Park playgrounds/10,000
11.5
Golf courses/100,000
13.1
2.9%
1.1
0.9
6.6
Park units/10,000
4.1
4.3%
Recreational centers/20,000
1.5%
2.8%
1.3
1.0
4.1
Swimming pools/100,000
3.1
46.0
WalkScore
51.1
1.5
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Tennis courts/10,000
3.2
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$67.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
17
AUSTIN, TX
18
Health Behaviors
82.6%
23.3%
Percent
with asthma
32.7%
35.6%
19.6%
Percent consuming 3+
vegetables per day
51.0%
61.0%
36.0%
30.4%
22.1%
Percent consuming
2+ fruits per day
21.3%
32.2%
26.4%
Percent in excellent
or very good health
27.1%
Percent
with diabetes
35.3%
29.2%
7.9%
6.5%
3.0%
2.8%
8.0%
6.4%
19.6%
189.0
Percent
currently
smoking
Percent
obese
167.1
14.0%
Death rate/100,000
for diabetes
13.1%
151.5
167.1
12.4
17.0
Recreational Facilities
18.2%
Parkland as a percent
of city land area
Ball diamonds/10,000
1.9
10.6%
Dog parks/100,000
37.2
Acres of
parkland/1,000
18.6
Golf courses/100,000
13.1
2.3%
Percent bicycling
or walking to work
2.9%
1.4
2.3
0.6
0.9
3.4
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
WalkScore
1.4
0.9
Park playgrounds/10,000
11.5 18.0
Farmers markets/
1,000,000
4.1
0.6
1.0
4.5
Swimming pools/100,000
35.0
51.1
0.9
Tennis courts/10,000
3.1
1.4
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$68.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
19
BALTIMORE, MD
(Baltimore-Towson, MD MSA)
2,753,149
22.5%
64.2%
13.3%
48.1%
89.3%
62.0%
28.8%
4.9%
4.3%
4.9%
8.6%
$66,970
7.9%
621.2
11.0%
20
Health Behaviors
Percent
obese
82.6%
23.3%
Percent
with asthma
30.0%
35.6%
13.3%
Percent consuming 3+
vegetables per day
Percent
with diabetes
19.6%
189.0
18.4%
Percent
currently
smoking
61.0%
33.3%
30.4%
18.3%
Percent consuming
2+ fruits per day
52.8%
32.2%
21.3%
Percent in excellent
or very good health
25.2%
28.5%
167.1
29.2%
10.3%
6.5%
4.7%
2.8%
10.5%
6.4%
208.5
13.1%
32.6%
167.1
20.0
17.0
Acres of
parkland/1,000
Percent bicycling
or walking to work
Dog parks/100,000
7.7
18.6
1.9
0.3
0.9
3.1
Park playgrounds/10,000
22.9
Golf courses/100,000
13.1
6.5%
2.3
0.8
0.9
6.6
Park units/10,000
4.1
4.3%
Recreational centers/20,000
3.0%
2.8%
1.7
1.0
3.5
Swimming pools/100,000
66.0
WalkScore
Tennis courts/10,000
51.1
3.2
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Recreational Facilities
9.5%
Parkland as a percent
of city land area
3.1
1.7
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$56.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
21
BIRMINGHAM, AL
(Birmingham-Hoover, AL MSA)
1,136,650
23.6%
62.6%
13.7%
48.1%
86.6%
66.8%
28.5%
1.4%
3.3%
4.3%
8.7%
$46,763
13.4%
565.1
14.6%
Health Behaviors
Percent
obese
34.6%
21.3%
82.6%
45.2%
Percent in excellent
or very good health
61.0%
24.1%
32.2%
16.6%
23.3%
30.4%
29.2%
Percent
with asthma
23.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
14.8%
Percent consuming 3+
vegetables per day
36.8%
38.8%
7.8%
6.5%
4.9%
2.8%
11.1%
6.4%
19.6%
189.0
167.1
22.1%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
224.9
167.1
20.4
17.0
10.6%
Dog parks/100,000
10.4
18.6
0.4
0.9
3.5
Park playgrounds/10,000
24.6
Golf courses/100,000
13.1
0.6%
2.3
0.9
0.9
4.7
Park units/10,000
4.3%
Recreational centers/20,000
1.1%
2.8%
WalkScore
4.1
1.6
1.0
7.4
Swimming pools/100,000
3.1
33.0
51.1
1.7
1.9
Ball diamonds/10,000
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
2.5%
Acres of
parkland/1,000
3.9
Tennis courts/10,000
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$1.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
23
BOSTON, MA
24
Health Behaviors
Percent
obese
80.4%
21.3%
82.6%
59.7%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
Percent
with asthma
33.4%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
15.9%
34.6%
29.2%
9.7%
6.5%
4.0%
2.8%
7.9%
6.4%
19.6%
189.0
Percent
currently
smoking
34.8%
30.4%
21.9%
Percent consuming 3+
vegetables per day
61.0%
28.4%
167.1
14.3%
Death rate/100,000
for diabetes
13.1%
158.7
167.1
12.1
17.0
Recreational Facilities
15.8%
2.3
1.9
Ball diamonds/10,000
10.6%
Dog parks/100,000
7.6
18.6
0.5
0.9
3.4
Park playgrounds/10,000
34.0
Golf courses/100,000
13.1
12.2%
2.3
0.3
0.9
5.7
Park units/10,000
4.3%
Recreational centers/20,000
6.4%
2.8%
WalkScore
Swimming pools/100,000
80.0
Tennis courts/10,000
51.1
4.1
0.0
1.0
1.1
3.1
1.5
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$110.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
25
BUFFALO, NY
1,134,210
20.9%
62.9%
16.2%
48.4%
90.4%
80.9%
12.1%
2.6%
4.4%
4.3%
7.8%
$50,269
10.6%
442.5
12.8%
Health Behaviors
Percent
obese
26.6%
21.3%
82.6%
50.3%
Percent in excellent
or very good health
61.0%
28.4%
32.2%
18.0%
23.3%
Percent
with asthma
34.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
13.2%
Percent consuming 3+
vegetables per day
38.6%
30.4%
36.2%
29.2%
10.2%
6.5%
4.1%
2.8%
12.2%
6.4%
19.6%
189.0
21.2%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
218.2
167.1
17.9
17.0
Acres of
parkland/1,000
Recreational Facilities
7.1%
Parkland as a percent
of city land area
2.3
1.9
Ball diamonds/10,000
10.6%
Dog parks/100,000
6.9
18.6
Golf courses/100,000
13.1
3.0%
Percent bicycling
or walking to work
3.4%
0.4
0.9
2.3
2.3
Park playgrounds/10,000
23.8
Farmers markets/
1,000,000
1.5
0.9
7.7
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
0.7
1.0
3.7
Swimming pools/100,000
65.0
WalkScore
Tennis courts/10,000
51.1
3.1
2.0
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$32.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
27
CHARLOTTE, NC
28
Health Behaviors
80.7%
27.5%
21.3%
82.6%
54.7%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
Percent
with asthma
24.4%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
16.7%
Percent consuming 3+
vegetables per day
29.6%
30.4%
18.1%
31.0%
29.2%
7.4%
6.5%
3.4%
2.8%
10.4%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
26.7%
167.1
18.2%
Death rate/100,000
for diabetes
13.1%
173.7
167.1
14.9
17.0
Recreational Facilities
5.5%
Ball diamonds/10,000
0.8
1.9
10.6%
Dog parks/100,000
20.3
Acres of
parkland/1,000
18.6
Golf courses/100,000
13.1
2.1%
Percent bicycling
or walking to work
1.8%
0.9
1.3
2.3
0.5
0.9
2.6
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
WalkScore
0.7
Park playgrounds/10,000
13.9
Farmers markets/
1,000,000
Swimming pools/100,000
24.0
51.1
Tennis courts/10,000
4.1
0.5
1.0
0.5
3.1
1.5
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$64.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
29
CHICAGO, IL
30
Health Behaviors
78.6%
27.4%
21.3%
82.6%
51.3%
Percent in excellent
or very good health
61.0%
27.2%
32.2%
21.5%
23.3%
30.4%
29.2%
Percent
with asthma
33.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
15.7%
Percent consuming 3+
vegetables per day
40.9%
38.4%
7.9%
6.5%
3.5%
2.8%
8.2%
6.4%
19.6%
189.0
17.7%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
193.7
167.1
19.1
17.0
Acres of
parkland/1,000
Percent bicycling
or walking to work
Dog parks/100,000
4.4
18.6
1.9
0.6
0.9
1.8
Park playgrounds/10,000
22.3
13.1
Golf courses/100,000
11.1%
Park units/10,000
2.3
0.4
0.9
2.0
4.1
4.3%
Recreational centers/20,000
3.9%
2.8%
Swimming pools/100,000
75.0
WalkScore
Tennis courts/10,000
51.1
2.5
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Recreational Facilities
8.6%
Parkland as a percent
of city land area
1.8
1.0
2.0
3.1
2.0
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$149.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
31
CINCINNATI, OH
32
Health Behaviors
Percent
obese
28.5%
21.3%
82.6%
54.0%
Percent in excellent
or very good health
61.0%
28.3%
32.2%
17.6%
23.3%
30.4%
29.2%
Percent
with asthma
28.3%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
12.4%
Percent consuming 3+
vegetables per day
35.2%
34.4%
10.0%
6.5%
5.2%
2.8%
12.0%
6.4%
19.6%
189.0
22.6%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
189.9
167.1
22.9
17.0
Recreational Facilities
13.7%
Parkland as a percent
of city land area
Ball diamonds/10,000
10.6%
Dog parks/100,000
20.5
Acres of
parkland/1,000
18.6
1.2
0.9
4.5
Park playgrounds/10,000
2.3
22.1
Farmers markets/
1,000,000
Golf courses/100,000
13.1
1.8%
Percent bicycling
or walking to work
2.1%
2.1
0.9
10.9
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
4.1
1.5
1.0
7.8
Swimming pools/100,000
3.1
50.0
WalkScore
51.1
3.6
1.9
Tennis courts/10,000
3.8
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$225.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
33
CLEVELAND, OH
(Cleveland-Elyria-Mentor, OH MSA)
2,063,535
22.4%
61.7%
15.9%
48.1%
88.5%
74.5%
20.4%
2.0%
3.1%
5.0%
9.9%
$46,944
12.0%
N/A
13.6%
34
Health Behaviors
76.0%
27.6%
21.3%
82.6%
51.9%
Percent in excellent
or very good health
61.0%
26.6%
32.2%
21.5%
23.3%
35.6%
29.2%
11.2%
6.5%
2.8%
Percent
with diabetes
13.0%
Percent consuming 3+
vegetables per day
37.2%
Percent
with asthma
30.9%
Percent consuming
2+ fruits per day
34.9%
30.4%
5.2%
12.0%
6.4%
19.6%
189.0
22.2%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
208.8
167.1
23.1
17.0
Recreational Facilities
6.3%
Parkland as a percent
of city land area
3.2
Ball diamonds/10,000
1.9
10.6%
Dog parks/100,000
7.3
Acres of
parkland/1,000
18.6
Golf courses/100,000
13.1
3.2%
Percent bicycling
or walking to work
2.6%
0.9
2.6
2.3
0.9
0.9
3.8
4.1
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
Swimming pools/100,000
57.0
WalkScore
0.2
Park playgrounds/10,000
21.3
Farmers markets/
1,000,000
51.1
Tennis courts/10,000
1.1
1.0
9.7
3.1
2.6
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$69.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
35
COLUMBUS, OH
(Columbus, OH MSA)
1,944,002
24.4%
64.4%
11.2%
49.2%
90.5%
77.3%
14.9%
3.3%
4.5%
3.8%
7.2%
$53,699
10.8%
N/A
11.6%
36
Health Behaviors
76.9%
30.4%
21.3%
82.6%
52.6%
Percent in excellent
or very good health
61.0%
25.0%
32.2%
19.8%
23.3%
35.6%
29.2%
9.3%
6.5%
2.8%
Percent
with diabetes
13.3%
Percent consuming 3+
vegetables per day
37.8%
Percent
with asthma
28.8%
Percent consuming
2+ fruits per day
36.1%
30.4%
5.1%
9.4%
6.4%
19.6%
189.0
167.1
19.7%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
190.9
167.1
19.7
17.0
Dog parks/100,000
14.1
18.6
Golf courses/100,000
13.1
1.6%
4.3%
2.5%
2.8%
Swimming pools/100,000
40.0
WalkScore
0.9
1.9
2.3
0.9
0.9
5.2
Park units/10,000
Recreational centers/20,000
51.1
1.9
0.4
Park playgrounds/10,000
27.3
Farmers markets/
1,000,000
Percent bicycling
or walking to work
1.2
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
8.1%
Parkland as a percent
of city land area
Tennis courts/10,000
4.1
0.7
1.0
0.9
3.1
1.8
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$64.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
37
DALLAS, TX
38
Health Behaviors
73.9%
28.3%
21.3%
82.6%
47.4%
Percent in excellent
or very good health
Percent meeting CDC
aerobic activity guidelines
32.2%
32.5%
30.4%
16.9%
23.3%
33.5%
29.2%
7.9%
Percent
with asthma
6.5%
2.8%
28.5%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
15.1%
Percent consuming 3+
vegetables per day
3.6%
10.2%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
26.8%
16.7%
167.1
Death rate/100,000
for diabetes
13.1%
193.5
167.1
18.0
17.0
Dog parks/100,000
18.0
18.6
1.9
Golf courses/100,000
13.1
1.5%
Percent bicycling
or walking to work
1.4%
0.9
1.6
2.3
0.5
0.9
2.8
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
WalkScore
0.2
Park playgrounds/10,000
4.6
Swimming pools/100,000
44.0
51.1
0.9
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Farmers markets/
1,000,000
Recreational Facilities
10.6%
Parkland as a percent
of city land area
Tennis courts/10,000
4.1
0.7
1.0
1.3
3.1
1.9
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$70.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
39
DENVER, CO
(Denver-Aurora-Broomfield, CO MSA)
40
Health Behaviors
82.6%
20.4%
21.3%
82.6%
57.2%
Percent in excellent
or very good health
Percent meeting CDC
aerobic activity guidelines
32.2%
25.2%
23.3%
35.6%
36.8%
29.2%
9.8%
Percent
with asthma
6.5%
2.8%
Percent
with diabetes
15.6%
19.6%
189.0
Percent
currently
smoking
34.0%
30.4%
31.6%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
31.3%
17.2%
167.1
7.4%
6.4%
137.1
13.1%
2.9%
167.1
13.8
17.0
6.0%
Acres of
parkland/1,000
9.7
Percent bicycling
or walking to work
Recreational Facilities
Dog parks/100,000
18.6
1.9
1.5
0.9
2.4
2.3
Park playgrounds/10,000
18.9
Golf courses/100,000
13.1
4.4%
1.1
0.9
4.2
Park units/10,000
4.3%
Recreational centers/20,000
3.5%
2.8%
WalkScore
4.1
1.0
1.0
4.8
Swimming pools/100,000
3.1
56.0
51.1
2.4
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Tennis courts/10,000
2.5
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$146.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
41
DETROIT, MI
(Detroit-Warren-Livonia, MI MSA)
4,292,060
23.4%
62.6%
13.9%
48.5%
88.3%
70.2%
22.6%
3.4%
3.8%
4.1%
12.2%
$50,310
13.4%
574.4
13.8%
42
Health Behaviors
Percent
obese
32.0%
21.3%
82.6%
48.4%
Percent in excellent
or very good health
32.2%
19.4%
23.3%
35.6%
30.4%
29.2%
36.2%
38.9%
10.4%
Percent
with asthma
6.5%
2.8%
Percent
with diabetes
15.3%
4.1%
9.8%
6.4%
19.6%
189.0
Percent
currently
smoking
33.3%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
28.8%
24.0%
167.1
Death rate/100,000
for diabetes
13.1%
240.7
167.1
25.0
17.0
Recreational Facilities
6.7%
2.4
Ball diamonds/10,000
1.9
10.6%
Dog parks/100,000
6.5
18.6
Golf courses/100,000
13.1
1.6%
Percent bicycling
or walking to work
1.6%
0.0
0.9
3.4
Park playgrounds/10,000
17.9
Farmers markets/
1,000,000
2.3
0.5
0.9
4.3
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
WalkScore
Swimming pools/100,000
52.0
51.1
Tennis courts/10,000
0.3
1.0
1.0
3.1
1.3
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$25.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
43
HARTFORD, CT
44
Health Behaviors
32.2%
20.3%
23.3%
35.6%
30.4%
29.2%
38.2%
36.5%
10.3%
Percent
with asthma
6.5%
2.8%
Percent
with diabetes
14.1%
61.0%
35.6%
Percent consuming
2+ fruits per day
56.9%
Percent in excellent
or very good health
29.5%
4.0%
9.0%
6.4%
19.6%
189.0
Percent
currently
smoking
21.3%
82.6%
Percent consuming 3+
vegetables per day
27.4%
Percent
obese
15.6%
167.1
Death rate/100,000
for diabetes
13.1%
178.0
167.1
12.1
17.0
19.9%
1.9
10.6%
Dog parks/100,000
17.7
Acres of
parkland/1,000
18.6
0.0
0.9
2.2
2.3
Park playgrounds/10,000
46.1
Farmers markets/
1,000,000
Golf courses/100,000
13.1
3.4%
Percent bicycling
or walking to work
2.9%
4.3%
2.8%
WalkScore
1.6
0.9
4.4
4.1
Park units/10,000
Recreational centers/20,000
1.0
1.0
4.8
Swimming pools/100,000
68.0
Tennis courts/10,000
51.1
3.7
Ball diamonds/10,000
3.1
2.2
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$37.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
45
HOUSTON, TX
46
Health Behaviors
73.0%
27.0%
21.3%
82.6%
46.4%
Percent in excellent
or very good health
61.0%
25.8%
32.2%
19.6%
30.4%
29.2%
23.3%
33.3%
31.4%
Percent
with asthma
4.9%
4.2%
6.5%
30.0%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
16.8%
Percent consuming 3+
vegetables per day
2.8%
11.4%
6.4%
19.6%
189.0
167.1
16.0%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
188.8
167.1
17.7
17.0
Dog parks/100,000
22.0
18.6
1.9
0.6
0.9
1.2
Park playgrounds/10,000
2.8
Golf courses/100,000
13.1
2.6%
2.3
0.4
0.9
1.9
Park units/10,000
4.1
4.3%
Recreational centers/20,000
1.7%
2.8%
WalkScore
0.6
1.0
1.8
Swimming pools/100,000
44.0
51.1
1.1
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Farmers markets/
1,000,000
Recreational Facilities
13.4%
Parkland as a percent
of city land area
Tennis courts/10,000
3.1
1.0
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$38.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
47
INDIANAPOLIS, IN
(Indianapolis-Carmel, IN MSA)
1,928,982
25.8%
62.8%
11.4%
48.7%
88.9%
76.7%
15.1%
2.1%
6.1%
6.4%
8.6%
$51,808
10.5%
599.5
11.3%
Health Behaviors
76.1%
30.1%
21.3%
82.6%
51.3%
Percent in excellent
or very good health
61.0%
24.2%
32.2%
17.0%
23.3%
30.4%
29.2%
35.6%
9.2%
6.5%
2.8%
Percent
with diabetes
13.4%
Percent consuming 3+
vegetables per day
38.6%
Percent
with asthma
28.4%
Percent consuming
2+ fruits per day
37.0%
4.4%
9.9%
6.4%
19.6%
189.0
167.1
21.6%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
210.1
167.1
13.4
17.0
Recreational Facilities
4.8%
Ball diamonds/10,000
10.6%
Dog parks/100,000
13.8
Acres of
parkland/1,000
18.6
0.7
1.9
0.5
0.9
1.6
Park playgrounds/10,000
2.3
18.1
Farmers markets/
1,000,000
Golf courses/100,000
13.1
1.2%
Percent bicycling
or walking to work
1.9%
1.6
0.9
2.6
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
0.6
1.0
2.7
3.1
Swimming pools/100,000
29.0
WalkScore
51.1
Tennis courts/10,000
1.4
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$36.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
49
JACKSONVILLE, FL
(Jacksonville, FL MSA)
1,377,850
23.2%
63.7%
13.1%
48.7%
88.7%
70.8%
21.1%
3.6%
4.5%
7.4%
11.4%
$48,118
12.1%
513.4
12.9%
50
Health Behaviors
Percent
obese
29.9%
21.3%
82.6%
55.1%
Percent in excellent
or very good health
61.0%
28.8%
32.2%
17.9%
23.3%
30.4%
29.2%
35.6%
9.6%
6.5%
2.8%
Percent
with diabetes
16.6%
Percent consuming 3+
vegetables per day
35.0%
Percent
with asthma
28.8%
Percent consuming
2+ fruits per day
37.7%
5.1%
12.0%
6.4%
19.6%
189.0
167.1
20.6%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
203.6
167.1
25.0
17.0
72.5
18.6
Percent bicycling
or walking to work
WalkScore
1.9
0.1
0.9
3.5
Park playgrounds/10,000
Golf courses/100,000
13.1
1.3%
2.3
0.4
0.9
5.2
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.0%
2.8%
1.4
1.0
4.4
Swimming pools/100,000
3.1
26.0
2.0
2.0
Tennis courts/10,000
51.1
Dog parks/100,000
10.9
Farmers markets/
1,000,000
3.5
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
11.0%
Parkland as a percent
of city land area
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$4.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
51
KANSAS CITY, MO
(Kansas City, MO-KS MSA)
2,038,724
25.1%
62.2%
12.7%
49.0%
91.2%
79.2%
12.4%
2.4%
6.0%
8.4%
7.8%
$54,519
9.6%
488.2
11.8%
52
Health Behaviors
78.9%
28.1%
21.3%
82.6%
54.3%
Percent in excellent
or very good health
61.0%
27.5%
32.2%
16.7%
23.3%
30.4%
29.2%
6.5%
24.3%
Percent with angina or
coronary heart disease
35.6%
Percent
with diabetes
12.6%
Percent consuming 3+
vegetables per day
33.8%
9.4%
Percent
with asthma
Percent consuming
2+ fruits per day
32.2%
4.4%
2.8%
10.8%
6.4%
19.6%
189.0
21.7%
Percent
currently
smoking
167.1
183.6
167.1
16.4
Death rate/100,000
for diabetes
13.1%
17.0
Dog parks/100,000
36.1
18.6
0.2
0.9
2.1
2.3
Park playgrounds/10,000
1.2
Golf courses/100,000
13.1
1.1%
0.9
4.7
Park units/10,000
4.1
4.3%
Recreational centers/20,000
1.5%
2.8%
Swimming pools/100,000
32.0
WalkScore
51.1
1.9
30.9
Farmers markets/
1,000,000
Percent bicycling
or walking to work
3.0
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
8.7%
Parkland as a percent
of city land area
Tennis courts/10,000
0.4
1.0
2.5
3.1
2.2
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$113.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
53
LAS VEGAS, NV
(Las Vegas-Paradise, NV MSA)
2,000,759
24.5%
63.2%
12.3%
50.3%
84.5%
64.5%
10.7%
9.0%
15.8%
29.8%
12.7%
$49,546
12.6%
696.5
11.8%
54
Health Behaviors
Percent
obese
82.6%
Percent in excellent
or very good health
47.1%
36.0%
30.4%
29.2%
32.2%
18.6%
23.3%
Percent
with asthma
30.3%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
14.8%
36.5%
7.0%
6.5%
4.5%
2.8%
9.6%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
25.5%
Percent consuming 3+
vegetables per day
28.1%
21.3%
167.1
17.1%
Death rate/100,000
for diabetes
13.1%
202.8
167.1
10.4
17.0
Recreational Facilities
4.2%
Ball diamonds/10,000
Dog parks/100,000
5.4
18.6
5.5
3.8%
1.9
4.4
0.9
2.0
Park playgrounds/10,000
Golf courses/100,000
13.1
Park units/10,000
4.3%
Recreational centers/20,000
2.3%
2.8%
2.3
0.7
0.9
1.3
4.1
0.8
1.0
2.1
Swimming pools/100,000
39.0
WalkScore
51.1
0.8
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Tennis courts/10,000
3.1
1.1
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$234.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
55
LOS ANGELES, CA
56
Health Behaviors
74.9%
24.7%
21.3%
82.6%
50.0%
Percent in excellent
or very good health
32.2%
21.2%
30.4%
29.2%
38.9%
40.2%
23.3%
Percent
with asthma
35.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
18.8%
Percent consuming 3+
vegetables per day
6.9%
6.5%
2.9%
2.8%
10.6%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
30.7%
11.4%
167.1
Death rate/100,000
for diabetes
13.1%
182.9
167.1
19.6
17.0
Recreational Facilities
14.1%
Ball diamonds/10,000
0.7
1.9
10.6%
Dog parks/100,000
11.0
18.6
0.3
0.9
1.0
Park playgrounds/10,000
10.8
Golf courses/100,000
13.1
6.0%
2.3
0.4
0.9
1.4
Park units/10,000
4.1
4.3%
Recreational centers/20,000
3.5%
2.8%
WalkScore
1.2
1.0
1.7
Swimming pools/100,000
64.0
Tennis courts/10,000
51.1
3.1
0.9
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$59.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
57
LOUISVILLE, KY
Health Behaviors
73.8%
32.8%
21.3%
82.6%
45.3%
Percent in excellent
or very good health
32.2%
16.3%
30.4%
29.2%
42.8%
37.9%
35.6%
6.5%
2.8%
Percent
with diabetes
12.0%
12.1%
Percent
with asthma
23.6%
6.7%
10.2%
6.4%
19.6%
189.0
Percent
currently
smoking
23.3%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
25.9%
167.1
26.1%
Death rate/100,000
for diabetes
13.1%
202.5
167.1
17.9
17.0
Dog parks/100,000
18.1
18.6
1.9
0.6
0.9
1.6
Park playgrounds/10,000
2.3
24.0
Golf courses/100,000
13.1
1.8%
1.2
0.9
1.7
Park units/10,000
4.3%
Recreational centers/20,000
2.0%
2.8%
Swimming pools/100,000
31.0
WalkScore
51.1
1.2
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
5.3%
Acres of
parkland/1,000
Tennis courts/10,000
4.1
0.5
1.0
0.8
3.1
2.4
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$38.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
59
MEMPHIS, TN
60
1,341,690
26.1%
62.8%
11.1%
48.1%
86.2%
48.2%
46.0%
1.9%
3.9%
5.2%
10.9%
$45,687
15.5%
1056.8
12.5%
Health Behaviors
Percent
obese
35.0%
21.3%
82.6%
42.6%
Percent in excellent
or very good health
61.0%
19.9%
32.2%
12.5%
23.3%
30.4%
29.2%
35.6%
7.7%
6.5%
2.8%
Percent
with diabetes
9.4%
Percent consuming 3+
vegetables per day
27.5%
Percent
with asthma
19.3%
Percent consuming
2+ fruits per day
29.4%
7.5%
14.0%
6.4%
19.6%
189.0
23.1%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
247.1
167.1
31.2
17.0
Recreational Facilities
5.1%
Parkland as a percent
of city land area
1.7
1.9
Ball diamonds/10,000
10.6%
Dog parks/100,000
13.5
Acres of
parkland/1,000
18.6
Golf courses/100,000
13.1
1.2%
Percent bicycling
or walking to work
1.3%
0.9
1.7
2.3
1.3
0.9
2.9
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
4.1
0.9
1.0
2.7
Swimming pools/100,000
33.0
WalkScore
0.3
Park playgrounds/10,000
11.2
Farmers markets/
1,000,000
51.1
Tennis courts/10,000
3.1
1.2
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$26.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
61
MIAMI, FL
62
Health Behaviors
Percent
obese
22.9%
21.3%
82.6%
48.3%
Percent in excellent
or very good health
61.0%
26.3%
32.2%
20.9%
23.3%
30.4%
29.2%
Percent
with asthma
31.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
16.5%
Percent consuming 3+
vegetables per day
33.8%
33.8%
5.9%
6.5%
4.3%
2.8%
10.3%
6.4%
19.6%
189.0
167.1
12.3%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
177.9
167.1
18.1
17.0
5.2%
Ball diamonds/10,000
10.6%
0.6
1.9
0.7
Dog parks/100,000
2.8
0.9
18.6
1.3
Park playgrounds/10,000
Farmers markets/
1,000,000
Percent using public
transportation to work
Percent bicycling
or walking to work
9.5
Golf courses/100,000
13.1
4.2%
0.2
0.9
2.7
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.4%
2.8%
1.5
1.0
3.5
Swimming pools/100,000
76.0
WalkScore
Tennis courts/10,000
51.1
2.3
3.1
1.3
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$13.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
63
MILWAUKEE, WI
64
Health Behaviors
Percent
obese
31.6%
21.3%
82.6%
54.4%
Percent in excellent
or very good health
61.0%
29.6%
32.2%
23.3%
23.3%
30.4%
29.2%
35.6%
8.3%
6.5%
2.8%
Percent
with diabetes
10.0%
Percent consuming 3+
vegetables per day
37.9%
Percent
with asthma
30.0%
Percent consuming
2+ fruits per day
39.9%
4.7%
9.0%
6.4%
19.6%
189.0
167.1
20.2%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
197.2
167.1
18.1
17.0
Recreational Facilities
9.8%
Parkland as a percent
of city land area
1.1
Ball diamonds/10,000
1.9
10.6%
Dog parks/100,000
15.9
Acres of
parkland/1,000
18.6
0.5
0.9
1.2
Park playgrounds/10,000
2.3
26.8
Farmers markets/
1,000,000
3.7%
Percent bicycling
or walking to work
3.5%
1.6
Golf courses/100,000
13.1
0.9
1.6
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
0.3
1.0
1.4
Swimming pools/100,000
59.0
WalkScore
Tennis courts/10,000
51.1
3.1
0.9
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$90.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
65
MINNEAPOLIS, MN
66
Health Behaviors
84.1%
24.0%
21.3%
82.6%
60.8%
Percent in excellent
or very good health
61.0%
30.7%
32.2%
20.8%
23.3%
Percent
with asthma
30.9%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
13.1%
Percent consuming 3+
vegetables per day
32.4%
30.4%
34.1%
29.2%
8.6%
6.5%
3.2%
2.8%
6.5%
6.4%
19.6%
189.0
167.1
17.6%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
118.8
167.1
14.5
17.0
Dog parks/100,000
13.3
18.6
1.6
0.9
2.9
Park playgrounds/10,000
Golf courses/100,000
13.1
4.3%
2.3
1.8
0.9
4.7
Park units/10,000
4.1
4.3%
Recreational centers/20,000
3.2%
2.8%
Swimming pools/100,000
2.6
1.0
1.0
3.1
65.0
WalkScore
Tennis courts/10,000
51.1
1.9
28.3
Farmers markets/
1,000,000
Percent bicycling
or walking to work
5.1
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
14.6%
Parkland as a percent
of city land area
4.7
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$227.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
67
NASHVILLE, TN
(Nashville-Davidson-Murfreesboro-Franklin, TN MSA)
68
Health Behaviors
Percent
obese
29.5%
21.3%
82.6%
50.9%
Percent in excellent
or very good health
61.0%
21.8%
32.2%
11.6%
23.3%
Percent
with asthma
19.3%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
7.6%
Percent consuming 3+
vegetables per day
31.3%
30.4%
28.7%
29.2%
6.7%
6.5%
5.2%
2.8%
9.5%
6.4%
19.6%
189.0
167.1
23.1%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
213.6
167.1
19.8
17.0
Recreational Facilities
3.4%
1.5
Ball diamonds/10,000
1.9
10.6%
Dog parks/100,000
17.8
Acres of
parkland/1,000
18.6
Golf courses/100,000
13.1
1.1%
Percent bicycling
or walking to work
1.3%
0.5
0.9
2.0
2.3
Park playgrounds/10,000
13.3
Farmers markets/
1,000,000
1.2
0.9
1.9
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
4.1
0.9
1.0
2.5
Swimming pools/100,000
3.1
27.0
WalkScore
51.1
Tennis courts/10,000
2.8
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$56.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
69
NEW ORLEANS, LA
70
Health Behaviors
73.0%
28.9%
21.3%
82.6%
49.6%
Percent in excellent
or very good health
32.2%
12.4%
30.4%
29.2%
23.3%
33.2%
32.4%
6.0%
Percent
with asthma
6.5%
2.8%
Percent
with diabetes
6.4%
20.7%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
26.4%
35.6%
7.7%
4.6%
13.0%
19.6%
189.0
167.1
21.9%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
220.6
167.1
17.1
17.0
Recreational Facilities
25.8%
Parkland as a percent
of city land area
Ball diamonds/10,000
0.3
1.9
10.6%
84.1
Acres of
parkland/1,000
18.6
Dog parks/100,000
0.3
0.9
2.6
2.3
Park playgrounds/10,000
12.2
Farmers markets/
1,000,000
Golf courses/100,000
13.1
2.7%
Percent bicycling
or walking to work
3.5%
2.3
0.9
6.7
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
4.1
0.6
1.0
3.7
Swimming pools/100,000
56.0
WalkScore
Tennis courts/10,000
51.1
3.1
1.5
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$20.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
71
NEW YORK, NY
72
Health Behaviors
Percent
obese
74.1%
21.3%
82.6%
51.0%
Percent in excellent
or very good health
61.0%
25.6%
32.2%
19.8%
30.4%
29.2%
35.2%
33.6%
23.3%
Percent
with asthma
32.5%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
14.9%
Percent consuming 3+
vegetables per day
8.2%
6.5%
4.2%
2.8%
9.3%
6.4%
19.6%
167.1
14.1%
Percent
currently
smoking
213.4
189.0
Death rate/100,000
for diabetes
13.1%
167.1
18.7
17.0
Acres of
parkland/1,000
Percent bicycling
or walking to work
1.9
1.6
Dog parks/100,000
4.6
18.6
0.9
1.2
Park playgrounds/10,000
16.8
Golf courses/100,000
13.1
31.0%
2.3
0.2
0.9
5.3
Park units/10,000
4.3%
Recreational centers/20,000
6.7%
2.8%
Swimming pools/100,000
88.0
WalkScore
Tennis courts/10,000
51.1
0.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Recreational Facilities
19.6%
Parkland as a percent
of city land area
4.1
0.1
1.0
0.7
3.1
0.9
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$162.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
73
OKLAHOMA CITY, OK
(Oklahoma City, OK MSA)
74
1,296,565
24.8%
62.9%
12.3%
49.3%
87.7%
74.5%
9.9%
3.0%
12.6%
11.9%
5.6%
$48,557
11.9%
548.6
13.3%
Health Behaviors
73.9%
32.6%
21.3%
82.6%
48.1%
Percent in excellent
or very good health
32.2%
16.1%
23.3%
35.6%
9.7%
30.4%
29.2%
37.2%
35.9%
10.3%
Percent
with asthma
6.5%
2.8%
Percent
with diabetes
6.4%
4.5%
10.9%
19.6%
189.0
Percent
currently
smoking
18.3%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
26.5%
167.1
20.0%
Death rate/100,000
for diabetes
13.1%
229.8
167.1
26.0
17.0
Ball diamonds/10,000
Dog parks/100,000
39.0
18.6
1.9
0.4
0.9
2.0
2.3
Park playgrounds/10,000
15.4
Golf courses/100,000
13.1
0.4%
1.4
0.9
2.8
Park units/10,000
4.3%
Recreational centers/20,000
2.0%
2.8%
4.1
0.9
1.0
2.0
Swimming pools/100,000
32.0
WalkScore
51.1
0.6
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
5.6%
Acres of
parkland/1,000
Tennis courts/10,000
3.1
1.3
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$61.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
75
ORLANDO, FL
(Orlando-Kissimmee-Sanford, FL MSA)
76
Health Behaviors
29.8%
Percent
obese
21.3%
82.6%
46.0%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
Percent
with asthma
30.1%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
14.4%
Percent consuming 3+
vegetables per day
39.6%
30.4%
19.1%
33.7%
29.2%
8.5%
6.5%
7.4%
2.8%
11.9%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
25.8%
167.1
16.4%
180.7
167.1
24.2
Death rate/100,000
for diabetes
13.1%
17.0
Dog parks/100,000
12.7
18.6
0.0
0.9
2.2
2.3
Park playgrounds/10,000
8.5
Golf courses/100,000
13.1
2.0%
0.4
0.9
5.0
4.1
Park units/10,000
4.3%
Recreational centers/20,000
1.8%
2.8%
1.8
1.0
4.7
Swimming pools/100,000
39.0
WalkScore
51.1
1.7
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
5.0%
Acres of
parkland/1,000
Tennis courts/10,000
3.1
1.8
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$110.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
77
PHILADELPHIA, PA
78
Health Behaviors
76.4%
27.0%
21.3%
82.6%
53.9%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
35.6%
9.7%
2.8%
4.4%
10.2%
6.4%
19.6%
189.0
Percent
currently
smoking
29.2%
6.5%
Percent
with diabetes
13.0%
35.6%
Percent
with asthma
31.1%
Percent consuming
2+ fruits per day
35.9%
30.4%
18.9%
Percent consuming 3+
vegetables per day
61.0%
28.3%
19.6%
167.1
Death rate/100,000
for diabetes
13.1%
199.2
167.1
18.7
17.0
Percent bicycling
or walking to work
Recreational Facilities
12.9%
Dog parks/100,000
7.2
18.6
1.9
0.3
0.9
1.6
Park playgrounds/10,000
19.3
Golf courses/100,000
13.1
9.4%
2.3
0.4
0.9
2.0
Park units/10,000
4.1
4.3%
Recreational centers/20,000
4.5%
2.8%
WalkScore
2.1
1.0
4.8
Swimming pools/100,000
77.0
Tennis courts/10,000
51.1
2.7
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
3.1
1.9
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$46.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
79
PHOENIX, AZ
(Phoenix-Mesa-Glendale, AZ MSA)
4,329,534
25.6%
61.1%
13.2%
49.7%
86.3%
80.4%
5.3%
3.5%
10.8%
29.9%
8.9%
$51,359
12.7%
406.8
10.1%
80
Health Behaviors
Percent
obese
26.0%
21.3%
82.6%
51.4%
Percent in excellent
or very good health
61.0%
25.9%
32.2%
22.8%
23.3%
35.6%
29.2%
9.0%
6.5%
2.8%
Percent
with diabetes
19.6%
Percent consuming 3+
vegetables per day
37.4%
Percent
with asthma
31.0%
Percent consuming
2+ fruits per day
37.6%
30.4%
4.0%
10.4%
6.4%
19.6%
189.0
167.1
16.6%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
156.8
167.1
19.2
17.0
Ball diamonds/10,000
Dog parks/100,000
29.5
18.6
Golf courses/100,000
13.1
2.1%
4.3%
2.2%
2.8%
0.9
1.0
2.3
0.6
0.9
1.4
4.1
0.5
1.0
1.8
Swimming pools/100,000
38.0
WalkScore
0.3
Park units/10,000
Recreational centers/20,000
51.1
1.9
Park playgrounds/10,000
7.9
Farmers markets/
1,000,000
Percent bicycling
or walking to work
0.7
10.6%
Acres of
parkland/1,000
Recreational Facilities
15.5%
Parkland as a percent
of city land area
Tennis courts/10,000
3.1
0.8
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$100.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
81
PITTSBURGH, PA
(Pittsburgh, PA MSA)
82
2,360,733
19.6%
62.7%
17.7%
48.5%
92.2%
87.5%
8.3%
1.9%
2.3%
1.4%
7.2%
$50,489
8.6%
N/A
13.8%
Health Behaviors
Percent
obese
82.6%
27.1%
21.3%
52.2%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
17.7%
23.3%
Percent
with asthma
30.2%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
35.6%
Percent
with diabetes
11.8%
36.6%
30.4%
34.5%
29.2%
9.2%
6.5%
5.5%
2.8%
11.0%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
28.5%
22.2%
167.1
Death rate/100,000
for diabetes
13.1%
200.8
167.1
20.9
17.0
Percent bicycling
or walking to work
Recreational Facilities
8.8%
Dog parks/100,000
10.1
18.6
1.9
1.3
0.9
4.2
Park playgrounds/10,000
19.9
Golf courses/100,000
13.1
5.5%
2.3
0.3
0.9
5.5
Park units/10,000
4.3%
Recreational centers/20,000
3.7%
2.8%
WalkScore
4.1
1.6
1.0
6.1
Swimming pools/100,000
3.1
60.0
51.1
4.1
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Tennis courts/10,000
2.8
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$106.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
83
PORTLAND, OR
84
Health Behaviors
84.7%
26.0%
21.3%
82.6%
55.1%
Percent in excellent
or very good health
32.2%
22.9%
30.4%
29.2%
37.5%
39.2%
23.3%
Percent
with asthma
35.3%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
20.3%
Percent consuming 3+
vegetables per day
9.5%
6.5%
3.7%
2.8%
9.2%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
30.5%
167.1
15.9%
Death rate/100,000
for diabetes
13.1%
149.9
167.1
22.0
17.0
16.2%
Dog parks/100,000
18.6
1.9
5.7
0.9
2.2
Park playgrounds/10,000
2.3
29.3
Golf courses/100,000
13.1
6.0%
1.2
0.9
5.5
Park units/10,000
4.3%
Recreational centers/20,000
6.1%
2.8%
WalkScore
Swimming pools/100,000
63.0
Tennis courts/10,000
51.1
3.4
Ball diamonds/10,000
24.6
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
10.6%
Acres of
parkland/1,000
4.1
0.6
1.0
2.3
3.1
2.2
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$151.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
85
PROVIDENCE, RI
86
Health Behaviors
Percent
obese
26.2%
21.3%
82.6%
53.1%
Percent in excellent
or very good health
61.0%
26.1%
32.2%
19.1%
23.3%
35.6%
29.2%
11.3%
6.5%
2.8%
Percent
with diabetes
14.1%
Percent consuming 3+
vegetables per day
35.7%
Percent
with asthma
33.8%
Percent consuming
2+ fruits per day
37.5%
30.4%
4.7%
10.7%
6.4%
19.6%
189.0
18.5%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
181.2
167.1
13.9
17.0
Acres of
parkland/1,000
Recreational Facilities
9.7%
Parkland as a percent
of city land area
2.2
1.9
Ball diamonds/10,000
10.6%
Dog parks/100,000
6.4
18.6
Golf courses/100,000
13.1
2.9%
Percent bicycling
or walking to work
3.5%
3.4
2.3
0.6
0.9
6.4
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
4.1
1.0
1.0
2.2
Swimming pools/100,000
76.0
WalkScore
1.1
0.9
Park playgrounds/10,000
48.7
Farmers markets/
1,000,000
Tennis courts/10,000
51.1
3.1
0.9
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$71.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
87
RALEIGH, NC
(Raleigh-Cary, NC MSA)
1,188,564
25.7%
64.5%
9.8%
48.7%
89.9%
70.0%
20.4%
4.6%
5.0%
10.3%
7.5%
$60,319
9.3%
247.0
8.5%
88
Health Behaviors
24.1%
Percent
obese
21.3%
82.6%
59.7%
Percent in excellent
or very good health
61.0%
25.8%
32.2%
23.3%
Percent
with asthma
26.9%
Percent consuming
2+ fruits per day
35.6%
14.1%
Percent consuming 3+
vegetables per day
30.4%
18.5%
34.1%
29.7%
29.2%
7.1%
6.5%
3.0%
2.8%
Percent
with diabetes
6.4%
8.0%
19.6%
189.0
167.1
15.6%
Percent
currently
smoking
162.3
167.1
16.4
Death rate/100,000
for diabetes
13.1%
17.0
Recreational Facilities
17.1%
Parkland as a percent
of city land area
1.9
10.6%
18.6
Golf courses/100,000
13.1
1.0%
Percent bicycling
or walking to work
1.5%
0.9
2.2
Park playgrounds/10,000
14.3
Farmers markets/
1,000,000
0.7
Dog parks/100,000
31.0
Acres of
parkland/1,000
2.3
0.0
0.9
5.1
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
WalkScore
Swimming pools/100,000
1.7
1.0
2.5
3.1
29.0
51.1
1.5
Ball diamonds/10,000
Tennis courts/10,000
2.8
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$142.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
89
RICHMOND, VA
(Richmond, VA MSA)
1,231,980
22.8%
64.2%
13.0%
48.4%
87.3%
62.5%
30.1%
3.0%
4.4%
5.3%
8.4%
$56,769
8.2%
243.4
11.7%
90
Health Behaviors
28.4%
Percent
obese
21.3%
82.6%
52.7%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
35.6%
9.0%
2.8%
3.7%
10.6%
6.4%
19.6%
189.0
Percent
currently
smoking
29.2%
6.5%
Percent
with diabetes
10.4%
28.9%
Percent
with asthma
28.2%
Percent consuming
2+ fruits per day
33.0%
30.4%
20.5%
Percent consuming 3+
vegetables per day
61.0%
25.6%
167.1
19.0%
Death rate/100,000
for diabetes
13.1%
188.0
167.1
10.7
17.0
1.5
Dog parks/100,000
13.7
18.6
0.9
2.8
Park playgrounds/10,000
34.1
Golf courses/100,000
13.1
1.6%
2.3
0.0
0.9
3.3
Park units/10,000
4.3%
Recreational centers/20,000
2.0%
2.8%
4.1
1.3
1.0
4.9
Swimming pools/100,000
3.1
49.0
WalkScore
51.1
1.6
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
7.3%
Acres of
parkland/1,000
Tennis courts/10,000
6.6
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$85.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
91
RIVERSIDE, CA
92
Health Behaviors
Percent
obese
30.0%
21.3%
82.6%
50.9%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
21.8%
23.3%
35.6%
38.8%
29.2%
8.4%
6.5%
2.8%
Percent
with diabetes
18.0%
Percent consuming 3+
vegetables per day
37.6%
30.4%
Percent
with asthma
35.0%
Percent consuming
2+ fruits per day
4.6%
10.8%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
32.3%
167.1
15.6%
Death rate/100,000
for diabetes
13.1%
217.5
167.1
27.3
17.0
18.6
Golf courses/100,000
13.1
1.5%
1.4
2.3
0.3
0.9
2.1
Park units/10,000
4.3%
Recreational centers/20,000
2.0%
2.8%
4.1
1.1
1.0
3.4
Swimming pools/100,000
39.0
51.1
0.9
Park playgrounds/10,000
10.3
WalkScore
1.3
Dog parks/100,000
15.7
Farmers markets/
1,000,000
Percent bicycling
or walking to work
1.7
1.9
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
9.3%
Parkland as a percent
of city land area
Tennis courts/10,000
3.1
0.8
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$125.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
93
SACRAMENTO, CA
(Sacramento-Arden-Arcade-Roseville, CA MSA)
94
Health Behaviors
Percent
obese
82.6%
25.8%
21.3%
58.5%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.6%
23.3%
35.6%
37.2%
29.2%
9.6%
6.5%
2.8%
Percent
with diabetes
18.1%
Percent consuming 3+
vegetables per day
40.9%
30.4%
Percent
with asthma
35.9%
Percent consuming
2+ fruits per day
3.9%
10.1%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
33.0%
167.1
15.1%
Death rate/100,000
for diabetes
13.1%
177.2
167.1
17.3
17.0
Dog parks/100,000
10.9
18.6
1.7
0.9
4.0
Park playgrounds/10,000
26.4
Golf courses/100,000
13.1
2.3%
2.3
1.3
0.9
4.8
Park units/10,000
4.3%
Recreational centers/20,000
4.1%
2.8%
WalkScore
4.1
1.0
1.0
2.6
Swimming pools/100,000
43.0
51.1
2.1
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
8.2%
Acres of
parkland/1,000
Tennis courts/10,000
3.1
1.0
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$133.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
95
SAINT LOUIS, MO
(Saint Louis, MO-IL MSA)
2,795,794
23.2%
62.7%
14.1%
48.4%
89.8%
76.5%
18.1%
2.2%
3.2%
2.7%
9.0%
$52,243
10.6%
463.6
12.5%
96
Health Behaviors
74.8%
31.8%
21.3%
82.6%
53.6%
Percent in excellent
or very good health
61.0%
27.8%
32.2%
15.8%
30.4%
29.2%
35.5%
32.5%
23.3%
6.5%
2.8%
27.0%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
14.8%
Percent consuming 3+
vegetables per day
10.2%
Percent
with asthma
5.9%
11.6%
6.4%
19.6%
189.0
20.0%
Percent
currently
smoking
167.1
Death rate/100,000
for diabetes
13.1%
216.2
167.1
18.5
17.0
9.2%
Acres of
parkland/1,000
10.3
Percent bicycling
or walking to work
Recreational Facilities
1.9
1.4
Dog parks/100,000
18.6
0.9
2.0
2.3
Park playgrounds/10,000
19.7
1.1
Golf courses/100,000
13.1
2.3%
0.9
4.0
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.0%
2.8%
0.4
1.0
3.1
Swimming pools/100,000
3.1
60.0
WalkScore
51.1
3.2
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
Tennis courts/10,000
3.1
2.0
Park-related Expenditures
0.0
2.5
Total park
expenditure
per resident
$55.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
97
1,123,712
29.1%
61.9%
9.0%
50.3%
89.2%
84.2%
1.7%
3.4%
10.7%
17.0%
7.4%
$60,061
9.5%
327.5
8.9%
98
Health Behaviors
Percent
obese
82.6%
23.9%
21.3%
55.0%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
Percent
with asthma
32.5%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
16.5%
37.3%
29.2%
9.4%
6.5%
2.4%
2.8%
7.0%
6.4%
19.6%
189.0
Percent
currently
smoking
35.1%
30.4%
20.4%
Percent consuming 3+
vegetables per day
61.0%
31.0%
167.1
12.3%
Death rate/100,000
for diabetes
13.1%
158.8
167.1
20.7
17.0
Dog parks/100,000
10.8
18.6
3.7
0.9
3.1
Park playgrounds/10,000
2.3
10.7
Golf courses/100,000
13.1
3.9%
5.3
0.9
6.6
Park units/10,000
4.3%
Recreational centers/20,000
2.9%
2.8%
WalkScore
Swimming pools/100,000
4.1
0.5
1.0
1.1
3.1
55.0
51.1
1.9
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
2.9%
Acres of
parkland/1,000
Tennis courts/10,000
3.7
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$50.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
99
SAN ANTONIO, TX
100
San Antonio
Health Behaviors
Percent
obese
28.9%
21.3%
82.6%
45.9%
Percent in excellent
or very good health
61.0%
26.1%
32.2%
17.3%
23.3%
30.4%
29.2%
35.6%
34.5%
6.4%
6.5%
2.8%
Percent
with diabetes
14.5%
Percent consuming 3+
vegetables per day
35.3%
Percent
with asthma
27.7%
Percent consuming
2+ fruits per day
3.9%
11.3%
6.4%
19.6%
189.0
Percent
currently
smoking
Target Goal*
17.9%
167.1
Death rate/100,000
for diabetes
13.1%
184.6
167.1
20.9
17.0
Percent bicycling
or walking to work
Dog parks/100,000
17.0
18.6
Golf courses/100,000
13.1
2.3%
0.3
0.9
1.3
2.3
0.5
0.9
1.8
Park units/10,000
4.3%
Recreational centers/20,000
1.8%
2.8%
WalkScore
4.1
0.6
1.0
1.9
Swimming pools/100,000
34.0
51.1
1.9
Park playgrounds/10,000
10.7
Farmers markets/
1,000,000
Percent using public
transportation to work
1.0
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Target Goal**
Recreational Facilities
9.0%
Parkland as a percent
of city land area
San Antonio
Tennis courts/10,000
3.1
1.0
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$52.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
101
SAN DIEGO, CA
102
San Diego
Health Behaviors
77.7%
22.7%
21.3%
82.6%
55.6%
Percent in excellent
or very good health
61.0%
33.1%
32.2%
24.4%
23.3%
30.4%
29.2%
35.6%
37.3%
7.0%
6.5%
2.8%
Percent
with diabetes
20.0%
Percent consuming 3+
vegetables per day
32.1%
Percent
with asthma
36.9%
Percent consuming
2+ fruits per day
3.7%
9.6%
6.4%
19.6%
189.0
Percent
currently
smoking
Target Goal*
167.1
9.5%
Death rate/100,000
for diabetes
13.1%
162.3
167.1
19.1
17.0
Dog parks/100,000
35.9
18.6
Golf courses/100,000
13.1
2.8%
Percent bicycling
or walking to work
3.4%
1.8
2.3
0.6
0.9
3.4
Park units/10,000
4.3%
Recreational centers/20,000
2.8%
WalkScore
1.2
0.9
Park playgrounds/10,000
15.7
Farmers markets/
1,000,000
Swimming pools/100,000
49.0
51.1
2.2
1.9
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Target Goal**
Recreational Facilities
22.6%
Parkland as a percent
of city land area
San Diego
Tennis courts/10,000
4.1
1.0
1.0
1.0
3.1
1.4
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$106.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
103
SAN FRANCISCO, CA
104
San Francisco
Health Behaviors
79.2%
20.6%
21.3%
82.6%
58.4%
Percent in excellent
or very good health
61.0%
34.8%
32.2%
24.5%
23.3%
30.4%
29.2%
Percent
with asthma
36.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
19.5%
Percent consuming 3+
vegetables per day
36.7%
36.3%
11.6%
6.5%
2.3%
2.8%
9.3%
6.4%
19.6%
189.0
Percent
currently
smoking
Target Goal*
167.1
10.3%
Death rate/100,000
for diabetes
13.1%
146.7
167.1
15.6
17.0
Target Goal**
Recreational Facilities
18.0%
Ball diamonds/10,000
0.8
1.9
10.6%
Dog parks/100,000
6.6
18.6
3.3
0.9
1.6
Park playgrounds/10,000
28.5
Golf courses/100,000
13.1
15.6%
2.3
0.7
0.9
2.8
Park units/10,000
4.3%
Recreational centers/20,000
6.1%
2.8%
WalkScore
Swimming pools/100,000
84.0
Tennis courts/10,000
51.1
San Francisco
4.1
0.6
1.0
1.1
3.1
1.9
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$263.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
105
SAN JOSE, CA
106
Health Behaviors
79.2%
16.4%
21.3%
82.6%
61.2%
Percent in excellent
or very good health
Any days when physical
health was not good
during the past 30 days
32.2%
23.3%
Percent
with asthma
35.3%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
21.7%
Percent consuming 3+
vegetables per day
29.2%
30.4%
20.4%
35.1%
29.2%
9.2%
6.5%
2.9%
2.8%
7.2%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
36.2%
167.1
8.9%
Death rate/100,000
for diabetes
13.1%
138.1
167.1
20.9
17.0
Recreational Facilities
14.3%
Parkland as a percent
of city land area
Ball diamonds/10,000
0.5
1.9
10.6%
18.6
Golf courses/100,000
13.1
3.4%
Percent bicycling
or walking to work
3.5%
0.9
2.7
2.3
Park playgrounds/10,000
20.6
Farmers markets/
1,000,000
0.9
Dog parks/100,000
16.5
Acres of
parkland/1,000
0.3
0.9
2.7
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.8%
WalkScore
Swimming pools/100,000
48.0
51.1
Tennis courts/10,000
1.1
1.0
0.6
3.1
1.0
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$118.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
107
SEATTLE, WA
(Seattle-Tacoma-Bellevue, WA MSA)
3,552,157
22.3%
66.1%
11.6%
49.8%
91.8%
72.5%
5.6%
11.6%
10.3%
9.3%
7.6%
$65,677
7.8%
336.8
10.4%
108
Health Behaviors
Percent
obese
24.6%
21.3%
82.6%
54.9%
Percent in excellent
or very good health
32.2%
19.3%
23.3%
30.4%
29.2%
Percent
with asthma
32.6%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
17.1%
Percent consuming 3+
vegetables per day
37.6%
39.9%
8.9%
6.5%
3.2%
2.8%
8.0%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
31.7%
16.1%
162.0
167.1
Death rate/100,000
for diabetes
13.1%
167.1
19.5
17.0
Percent bicycling
or walking to work
Recreational Facilities
10.3%
Dog parks/100,000
9.0
18.6
1.8
0.9
2.1
2.3
Park playgrounds/10,000
17.7
Golf courses/100,000
13.1
8.5%
0.8
0.9
7.0
Park units/10,000
4.3%
Recreational centers/20,000
4.8%
2.8%
WalkScore
Swimming pools/100,000
4.1
0.8
1.0
1.6
3.1
71.0
Tennis courts/10,000
51.1
1.8
1.9
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent using public
transportation to work
2.7
2.0
Park-related Expenditures
3.0
2.5
Total park
expenditure
per resident
$255.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
109
TAMPA, FL
110
Health Behaviors
74.7%
26.8%
21.3%
82.6%
49.6%
Percent in excellent
or very good health
61.0%
27.6%
32.2%
18.9%
30.4%
29.2%
39.0%
35.9%
23.3%
6.5%
2.8%
31.5%
Percent consuming
2+ fruits per day
35.6%
Percent
with diabetes
13.8%
Percent consuming 3+
vegetables per day
8.9%
Percent
with asthma
6.4%
12.6%
6.4%
19.6%
189.0
167.1
20.1%
Percent
currently
smoking
Death rate/100,000
for diabetes
13.1%
181.5
167.1
24.6
17.0
Dog parks/100,000
10.0
18.6
1.9
2.6
0.9
2.4
2.3
Park playgrounds/10,000
11.3
Golf courses/100,000
13.1
1.2%
0.9
0.9
5.4
Park units/10,000
4.1
4.3%
Recreational centers/20,000
2.5%
2.8%
1.5
1.0
3.8
Swimming pools/100,000
46.0
WalkScore
51.1
3.1
Ball diamonds/10,000
10.6%
Farmers markets/
1,000,000
Percent bicycling
or walking to work
Recreational Facilities
4.8%
Acres of
parkland/1,000
Tennis courts/10,000
3.1
1.4
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$101.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
111
VIRGINIA BEACH, VA
112
Health Behaviors
Percent
obese
78.8%
21.3%
82.6%
51.0%
Percent in excellent
or very good health
32.2%
20.1%
30.4%
29.2%
34.5%
32.6%
7.8%
Percent
with asthma
6.5%
2.8%
28.5%
35.6%
Percent
with diabetes
13.1%
4.4%
11.6%
6.4%
19.6%
189.0
Percent
currently
smoking
23.3%
Percent consuming
2+ fruits per day
Percent consuming 3+
vegetables per day
61.0%
25.4%
167.1
20.6%
Death rate/100,000
for diabetes
13.1%
196.4
167.1
16.9
17.0
58.4
18.6
Dog parks/100,000
0.5
0.9
5.0
Park playgrounds/10,000
Golf courses/100,000
13.1
1.9%
2.3
1.2
0.9
6.5
Park units/10,000
4.1
4.3%
Recreational centers/20,000
3.1%
2.8%
Swimming pools/100,000
0.3
1.0
1.4
3.1
31.0
WalkScore
51.1
1.9
14.7
Farmers markets/
1,000,000
Percent bicycling
or walking to work
3.2
Ball diamonds/10,000
10.6%
Acres of
parkland/1,000
Recreational Facilities
15.9%
Parkland as a percent
of city land area
Tennis courts/10,000
3.7
2.0
Park-related Expenditures
1.0
2.5
Total park
expenditure
per resident
$146.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
113
WASHINGTON, DC
114
Health Behaviors
Percent
obese
24.1%
21.3%
82.6%
58.7%
Percent in excellent
or very good health
32.2%
22.3%
23.3%
30.4%
29.2%
35.6%
30.4%
8.6%
6.5%
2.8%
Percent
with diabetes
16.3%
Percent consuming 3+
vegetables per day
32.8%
Percent
with asthma
34.1%
Percent consuming
2+ fruits per day
3.2%
8.5%
6.4%
19.6%
189.0
Percent
currently
smoking
61.0%
27.9%
167.1
13.2%
Death rate/100,000
for diabetes
13.1%
164.9
167.1
16.9
17.0
Recreational Facilities
19.5%
1.7
1.9
Ball diamonds/10,000
10.6%
Dog parks/100,000
12.8
18.6
1.2
0.9
1.7
Park playgrounds/10,000
28.5
Golf courses/100,000
13.1
14.1%
2.3
0.5
0.9
5.3
Park units/10,000
4.1
4.3%
Recreational centers/20,000
4.0%
2.8%
WalkScore
2.2
1.0
6.0
Swimming pools/100,000
3.1
74.0
Tennis courts/10,000
51.1
3.5
2.0
Park-related Expenditures
2.0
2.5
Total park
expenditure
per resident
$398.00
$101.80
*The target goal for the Personal Health Indicators that did not change was the 90th percentile for MSAs during 2008-2012. For the new personal health indicators the target goals were 90% of the 2014 values.
**The target goal for the Community/Environmental Indicators that did not change was the MSA average for 2008 to 2012. New community indicators target goals were an average of the 2014 values.
115
Data Source
Web Site
Population Estimate
Age Groups
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year pages/index.xhtml
Estimates
Percent male
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year pages/index.xhtml
Estimates
Percent high school
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
graduate or higher
Community Survey 1 Year pages/index.xhtml
Estimates
Percent in each race groups U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year
pages/index.xhtml
Estimates
Percent Hispanic/Latino
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year pages/index.xhtml
Estimates
Percent unemployed
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year pages/index.xhtml
Estimates
Median household income U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
Community Survey 1 Year pages/index.xhtml
Estimates
Percent of households
U.S. Census 2012 American http://factfinder2.census.gov/faces/nav/jsf/
below poverty level
Community Survey 1 Year pages/index.xhtml
Estimates
Violent crime rate/100,000 2012 FBI Uniform Crime
Reporting Program
http://www.fbi.gov/about-us/cjis/ucr/crime-inthe-u.s/2012/crime-in-the-u.s.-2012/violentcrime/violent-crime
116
http://www.cdc.gov/brfss/annual_data/
annual_2012.html
Data Source
Web Site
http://www.cdc.gov/brfss/annual_data/
annual_2011.htm
http://www.cdc.gov/brfss/annual_data/
annual_2011.htm
http://www.cdc.gov/brfss/annual_data
/annual_2011.htm
Percent eating 3+
2011 CDC BRFSS
vegetables per day
http://www.cdc.gov/brfss/annual_data/
annual_2011.htm
Percent obese
Percent in excellent
2012 CDC BRFSS
or very good health
http://www.cdc.gov/brfss/annual_data/
annual_2012.html
http://www.cdc.gov/brfss/annual_data/
annual_2012.html
http://www.cdc.gov/brfss/annual_data/
annual_2012.html
http://www.cdc.gov/brfss/annual_data/
annual_2012.html
http://wonder.cdc.gov
Death rate/100,000
for diabetes
http://wonder.cdc.gov
Parkland as a percent
of city land area
http://www.tpl.org/
117
Data Source
Web Site
Acres of parkland/1,000
http://www.tpl.org/
http://www.walkscore.com/cities-andneighborhoods/
Ball diamonds/10,000
http://www.tpl.org/
Dog parks/100,000
http://www.tpl.org/
Park playgrounds/10,000
http://www.tpl.org/
Golf courses/100,000
http://www.tpl.org/
Park units/10,000
http://www.tpl.org/
http://www.tpl.org/
Swimming pools/100,000
http://www.tpl.org/
Tennis courts/10,000
http://www.tpl.org/
Park-related expenditures
per capita
http://www.tpl.org/
118
119
120
U.S. Value
MSA Average
MSA Range
313,914,040
3,423,902
1,123,712 19,831,858
23.5%
23.8%
19.6% 29.1%
62.8%
63.6%
61.1% 66.4%
13.7%
12.6%
8.7% 18.0%
Percent male
42.9%
49.0%
48.1% 50.3%
86.4%
87.7%
78.6% 93.2%
Percent White
73.9%
71.0%
48.2% 87.5%
12.6%
15.3%
1.7% 46.0%
Percent Asian
5.0%
5.7%
1.4% 32.2%
8.5%
8.0%
2.3% 22.4%
Percent Hispanic/Latino
16.9%
16.1%
1.4% 54.4%
Percent unemployed
9.4%
9.2%
5.6% 14.2%
$51,371
$56,493
$44,379 $90,737
11.8%
11.0%
5.7% 15.5%
386.9
445.3
243.4 1056.8
12.2%
11.2%
7.8% 14.6%
Population
*Due to differences in jurisdictional definitions and reporting, the FBI recommends that these rates not be compared across areas
U.S. Value
MSA Average
MSA Range
Health Behaviors
ercent any physical activity or
P
exercise in the last 30 days
77.1%
77.4%
71.7% 84.7%
28.0%
27.8%
19.9% 36.2%
20.1%
19.4%
11.6% 25.2%
30.0%
30.0%
18.3% 36.9%
15.0%
14.8%
7.6% 21.7%
19.6%
17.8%
8.9% 26.1%
27.6%
27.3%
16.4% 35.0%
52.2%
52.4%
42.6% 61.2%
35.8%
35.6%
29.2% 42.8%
121
U.S. Value
MSA Average
MSA Range
35.4%
35.1%
27.5% 40.2%
8.9%
8.8%
4.9% 12.1%
4.3%
4.3%
2.3% 7.5%
9.7%
10.1%
6.5% 14.0%
194.2
187.5
118.8 247.1
20.8
18.7
10.4 31.2
Community/Environmental Indicators
(note: most of these data were available only for the main city in the MSA)
Built Environment
Parkland as percent of city land area
10.6%
2.5% 25.8%
Acres of parkland/1,000
18.3%
2.8 84.1
Farmers markets/1,000,000
19.3%
2.8 48.7
4.3%
0.4% 31.0%
2.9%
1.1% 6.7%
Walk Score
51.1%
24.4% 87.6
Recreational Facilities
Ball diamonds/10,000
1.9
0.3 5.1
Dog parks/10,000
1.0
0.0 5.7
Park playgrounds/10,000
2.3
1.0 5.0
Golf courses/100,000
0.9
0.0 5.3
Park units/10,000
4.2
1.3 10.9
Recreation centers/20,000
1.0
0.0 2.6
Swimming pools/100,000
3.0
0.5 9.7
Tennis courts/10,000
2.1
0.8 6.6
$99.5
$1.0 $398.0
1.4
03
**3 = required at three levels: high school, middle school and elementary school; 2= required at two levels; 1= required at only one level
+Averages were calculated from 2014 data and may differ from the community/environmental indicator target goal values.
122
Birmingham-Hoover, AL
Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
St. Clair County, AL
Shelby County, AL
Walker County, AL
Boston-CambridgeQuincy, MA-NH
Norfolk County, MA
Plymouth County, MA
Suffolk County, MA
Middlesex County, MA
Essex County, MA
Rockingham County, NH
Strafford County, NH
Buffalo-Niagara Falls, NY
Erie County, NY
Niagara County, NY
Charlotte-GastoniaRock Hill, NC-SC
Anson County, NC
Cabarrus County, NC
Gaston County, NC
Mecklenburg County, NC
Union County, NC
York County, SC
Chicago-JoiletNaperville, IL-IN-WI
Cook County, IL
DeKalb County, IL
DuPage County, IL
Grundy County, IL
Kane County, IL
Kendall County, IL
McHenry County, IL
Will County, IL
Jasper County, IN
Lake County, IN
Newton County, IN
Porter County, IN
Lake County, IL
Kenosha County, WI
Cincinnati-Middletown,
OH-KY-IN
Dearborn County, IN
Franklin County, IN
Ohio County, IN
Boone County, KY
Bracken County, KY
Campbell County, KY
Gallatin County, KY
Grant County, KY
Kenton County, KY
Pendleton County, KY
Brown County, OH
Butler County, OH
Clermont County, OH
Hamilton County, OH
Warren County, OH
Cleveland-Elyria-Mentor, OH
Cuyahoga County, OH
Geauga County, OH
Lake County, OH
Lorain County, OH
Medina County, OH
Columbus, OH
Delaware County, OH
Fairfield County, OH
Franklin County, OH
Licking County, OH
Madison County, OH
Morrow County, OH
Pickaway County, OH
Union County, OH
Dallas-Fort Worth-Arlington, TX
Collin County, TX
Dallas County, TX
Delta County, TX
Denton County, TX
Ellis County, TX
Hunt County, TX
Kaufman County, TX
Rockwall County, TX
Johnson County, TX
Parker County, TX
Tarrant County, TX
Wise County, TX
123
124
Jacksonville, FL
Baker County, FL
Clay County, FL
Duval County, FL
Nassau County, FL
St. Johns County, FL
Kansas City, MO-KS
Franklin County, KS
Johnson County, KS
Leavenworth County, KS
Linn County, KS
Miami County, KS
Wyandotte County, KS
Bates County, MO
Caldwell County, MO
Cass County, MO
Clay County, MO
Clinton County, MO
Jackson County, MO
Lafayette County, MO
Platte County, MO
Ray County, MO
Las Vegas-Paradise, NV
Clark County, NV
Los Angeles-Long BeachSanta Ana, CA
Los Angeles County, CA
Orange County, CA
Louisville/Jefferson County, KY-IN
Clark County, IN
Floyd County, IN
Harrison County, IN
Washington County, IN
Bullitt County, KY
Henry County, KY
Jefferson County, KY
Meade County, KY
Nelson County, KY
Oldham County, KY
Shelby County, KY
Spencer County, KY
Trimble County, KY
Memphis, TN-MS-AR
Crittenden County, AR
DeSoto County, MS
Marshall County, MS
Tate County, MS
Tunica County, MS
Fayette County, TN
Shelby County, TN
Tipton County, TN
Miami-Fort LauderdalePompano Beach, FL
Broward County, FL
Miami-Dade County, FL
Palm Beach County, FL
Milwaukee-WaukeshaWest Allis, WI
Milwaukee County, WI
Ozaukee County, WI
Washington County, WI
Waukesha County, WI
Minneapolis-St. PaulBloomington, MN-WI
Anoka County, MN
Carver County, MN
Chisago County, MN
Dakota County, MN
Hennepin County, MN
Isanti County, MN
Ramsey County, MN
Scott County, MN
Sherburne County, MN
Washington County, MN
Wright County, MN
Pierce County, WI
St. Croix County, WI
Oklahoma City, OK
Canadian County, OK
Cleveland County, OK
Grady County, OK
Lincoln County, OK
Logan County, OK
McClain County, OK
Oklahoma County, OK
New Orleans-Metairie-Kenner, LA
Jefferson Parish, LA
Orleans Parish, LA
Plaquemines Parish, LA
St. Bernard Parish, LA
St. Charles Parish, LA
St. John the Baptist Parish, LA
St. Tammany Parish, LA
Philadelphia-CamdenWilmington, PA-NJ-DE-MD
Burlington County, NJ
Camden County, NJ
Gloucester County, NJ
Bucks County, PA
Chester County, PA
Delaware County, PA
Montgomery County, PA
Philadelphia County, PA
New Castle County, DE
Cecil County, MD
Salem County, NJ
Orlando-Kissimmee-Sanford, FL
Lake County, FL
Orange County, FL
Osceola County, FL
Seminole County, FL
Phoenix-Mesa-Glendale, AZ
Maricopa County, AZ
Pinal County, AZ
Pittsburgh, PA
Allegheny County, PA
Armstrong County, PA
Beaver County, PA
Butler County, PA
Fayette County, PA
Washington County, PA
Westmoreland County, PA
Portland-VancouverHillsboro, OR-WA
Clackamas County, OR
Columbia County, OR
Multnomah County, OR
Washington County, OR
Yamhill County, OR
Clark County, WA
Skamania County, WA
Providence-New BedfordFall River, RI-MA
Bristol County, MA
Bristol County, RI
Kent County, RI
Newport County, RI
Providence County, RI
Washington County, RI
Raleigh-Cary, NC
Franklin County, NC
Johnston County, NC
Wake County, NC
Richmond, VA
Amelia County, VA
Caroline County, VA
Charles City County, VA
Chesterfield County, VA
Cumberland County, VA
Dinwiddie County, VA
Goochland County, VA
Hanover County, VA
Henrico County, VA
King and Queen County, VA
King William County, VA
Louisa County, VA
New Kent County, VA
Powhatan County, VA
Prince George County, VA
Sussex County, VA
Colonial Heights city, VA
Hopewell city, VA
Petersburg city, VA
Richmond city, VA
125
126
127