New County Health Rankings Reveal Strengths, Gaps In Pima County

Pima County is considered among the most healthy in Arizona, according to this year’s recently released County Health Rankings and Roadmaps.

Published annually for the last decade, County Health Rankings is a program led by the University of Wisconsin's Population Health Institute. The goal of the rankings is to help communities better address disparities in health care access.

The rankings look at a variety of measures that affect a community's health, including high school graduation rates and access to healthy foods. Rates for smoking, obesity and teen births are also incorporated.

In addition to assigning each county a number ranking, this year’s rankings also compare each county to other counties in a state before placing it in one of four tiers, or quartiles, ranging from most to least healthy.

Overall, Pima County was ranked 6th among all counties in Arizona, behind Yuma, Maricopa, Santa Cruz, Greenlee and Yavapai counties.

In health outcomes, our county was ranked in the middle quartile, meaning it is ranked higher than 50 percent of other counties in Arizona. In health factors, our county ranked in the healthiest quartile, meaning it ranked higher than 75 percent of other counties in Arizona.

The 2021 County Health Rankings do not reflect coronavirus cases or deaths, according to researchers, who released this year’s findings mainly to provide a glimpse at what influenced a community’s health long before the COVID-19 pandemic.

“These gaps in opportunity have to be addressed if we want a fair, inclusive, and equitable recovery from the pandemic,” the organization wrote on its website.

The organization said it anticipates coronavirus data will be reflected in the 2022 rankings.
It also noted that counties that went into the pandemic with fewer opportunities to better resident health will exit it with “an even greater burden.”

“This crisis has only deepened the avoidable and unfair gaps that Black, Latino, Indigenous, and some Asian-American communities faced pre-COVID-19 in jobs with fair pay, housing, education, and more,” the organization said on its website.

Here’s a look at the measures used to calculate our county’s overall ranking:

Health Outcomes

• Premature death
• Adults reporting fair or poor health
• Physically unhealthy days reported in the past 30 days
• Mentally unhealthy days reported in the past 30 days
• Live births with low birth weight

Health Factors - Health Behaviors

• Adult smokers
• Adult obesity
• Healthy Food Environment Index
• Physical inactivity
• Residents with access to exercise opportunities
• Excessive drinking
• Driving deaths attributed to alcohol impairment
• Sexually transmitted infections
• Teen births

Health Factors - Clinical

• Uninsured residents
• Primary care physicians
• Dentists
• Mental health providers
• Preventable hospital stays
• Mammography screenings
• Flu vaccinations

Health Factors - Social And Economic

• High school completion
• College education
• Unemployment
• Children in poverty
• Income inequality
• Children in single-parent households
• Social associations
• Violent crime
• Injury deaths

County Health Rankings used data from a variety of sources to compile this year’s rankings. To see a list of data sources, read Arizona’s full report.

See this year’s health snapshot and numbers for Pima County.