The California Healthy Places Index 3.0 data file was acquired on 04/25/22 from the Public Health Institute on behalf of the Public Health Alliance of Southern California.According to the Public Health Institute, "The HPI tool evaluates the relationship between 23 identified key drivers of health and life expectancy at birth -- which can vary dramatically by neighborhood. Based on that analysis, it produces a score ranking from 1 to 99 that shows the relative impact of conditions in a selected area compared to all other such places in the state." The HPI score is divided across four quartiles. (The Enhanced HPI 3.0: Advancing Health Equity Through High-Quality Data)Potential indicators assigned to eight policy action areas (domains):EconomicsEducationHealthcare accessHousingNeighborhood ConditionsClean EnvironmentSocial EnvironmentTransportationAn HPI score, domains, and individual indicator values and their percentile rankings are presented in the table.For more information, visit the California Healthy Places Index website at https://www.healthyplacesindex.org/ProcessConverted the XLSX file received from the Public Health Institute to a file geodatabase table. Filtered the statewide data to Los Angeles County only. The filtered dataset retains the original default HPI score rank, which is based on conditions across statewide census tracts. Edited field alias names for readability. Joined table to CENSUS_TRACTS_2010 from the Los Angeles County eGIS Data Repository. Exported to new file geodatabase feature class.

Everyone should have the opportunity to be healthy. One's health is shaped dramatically by community characteristics - like housing, education, economic, and other social factors – which often are themselves shaped through policy. The results shown below can be used to explore, identify and strategize pathways to improve healthy community conditions. The California Healthy Places Index (HPI) combines 25 community characteristics into a single indexed HPI Score correlated to life expectancy at birth. Individual HPI indicators are available for a deeper look at community conditions impacting health. The scores are displayed in quartiles, allowing for straightforward comparisons within a specific geography and across the state.

The SCAG_ATDB_Healthy shapefile contains Census tract level food access, retail density, park access, tree canopy coverage, and Healthy Places Index (HPI) score data of the SCAG region. Food access data for 2015 (data source: USDA FARA 2017) includes the percentage of the urban population residing less than 1/2 mile from a supermarket/large grocery store, or the percentage of the rural population living less than 1 mile from a supermarket/large grocery store. Retail density data (data source: EPA Smart Location Database 2010) includes the gross retail, entertainment, and education employment density (jobs/acre) on unprotected land. Park access data (data source: HCI/CalLands Database 2010) includes the percentage of population living within a half-mile of a park, open space, or beach. Tree canopy coverage data (data source: HCI/National Land Cover Database 2011) includes population-weighted percentage of census tract area with tree canopy coverage. The HPI score (version: December 2017) is composed of diverse non-medical economic, social, political and environmental factors that influence physical and cognitive function, behavior and disease. These factors are often called health determinants or social determinants of health and form the root causes of health advantage. Indicator data used for HPI comes from publicly available sources and is produced at a census tract level. The HPI score was derived from 8 domain scores, 25 Individual indicators + race/ethnicity percent (8057 CTs). HPI materials will be made freely available online for use by communities and public and private agencies. More info at: http://phasocal.org/ca-hpi/

This dataset provides counts and percentages of diagnoses broken down by each patient’s Healthy Places Index percentile ranking (based on ZIP code of residence). Healthcare encounters are categorized into four diagnosis groups: mental health disorders, substance use disorders, co-occurring disorders, and all other diagnoses. To view and interact with a fully functioning version of the HPI map and data used in these HCAI analyses of behavioral health, please click the link to visit https://map.healthyplacesindex.org/.

The HPI combines 25 community characteristics into a single indexed HPI score by census tract. Link: map.healthyplacesindex.org/?view=3f34d543-797e-4b90-9580-11d9973b50c3

This dataset provides 2018 Healthy Places Index (HPI) scores for each census tract in California as calculated by the Public Health Alliance of Southern California. The HPI is comprised of 25 individual indicators organized in 8 policy action areas (domains) of economy, education, healthcare access, housing, neighborhoods, clean environment, transportation, and social environment. Read the Healthy Places Index to learn more about index interpretation. Information like this may be useful for studying public health equity across areas of different socioeconomic demographics.Spatial Extent: CaliforniaSpatial Unit: Census TractCreated: 2018Updated: n/aSource: Public Health Alliance of Southern CaliforniaContact Telephone: Contact Email: PHASoCal@PHI.orgSource Link: https://healthyplacesindex.org/data-reports/

This is a dataset of Healthy Place Index (HPI) Total Percentile Ranking (0 for most - 100 for least) Advantaged for SCAG's Active Transportation Program (ATP) that contains Census tract level food access, retail density, park access, tree canopy coverage, and Healthy Places Index (HPI) score data of the SCAG region. Food access data for 2015 (data source: USDA FARA 2017) includes the percentage of the urban population residing less than 1/2 mile from a supermarket/large grocery store, or the percentage of the rural population living less than 1 mile from a supermarket/large grocery store. Retail density data (data source: EPA Smart Location Database 2010) includes the gross retail, entertainment, and education employment density (jobs/acre) on unprotected land. Park access data (data source: HCI/CalLands Database 2010) includes the percentage of population living within a half-mile of a park, open space, or beach. Tree canopy coverage data (data source: HCI/National Land Cover Database 2011) includes population-weighted percentage of census tract area with tree canopy coverage. The HPI score (version: December 2017) is composed of diverse non-medical economic, social, political and environmental factors that influence physical and cognitive function, behavior and disease. These factors are often called health determinants or social determinants of health and form the root causes of health advantage. Indicator data used for HPI comes from publicly available sources and is produced at a census tract level. The HPI score was derived from 8 domain scores, 25 Individual indicators + race/ethnicity percent (8057 CTs). HPI materials will be made freely available online for use by communities and public and private agencies. More info at: http://phasocal.org/ca-hpi/

Note: In these datasets, a person is defined as up to date if they have received at least one dose of an updated COVID-19 vaccine. The Centers for Disease Control and Prevention (CDC) recommends that certain groups, including adults ages 65 years and older, receive additional doses.

Starting on July 13, 2022, the denominator for calculating vaccine coverage has been changed from age 5+ to all ages to reflect new vaccine eligibility criteria. Previously the denominator was changed from age 16+ to age 12+ on May 18, 2021, then changed from age 12+ to age 5+ on November 10, 2021, to reflect previous changes in vaccine eligibility criteria. The previous datasets based on age 12+ and age 5+ denominators have been uploaded as archived tables.

Starting June 30, 2021, the dataset has been reconfigured so that all updates are appended to one dataset to make it easier for API and other interfaces. In addition, historical data has been extended back to January 5, 2021.

This dataset shows full, partial, and at least 1 dose coverage rates by zip code tabulation area (ZCTA) for the state of California. Data sources include the California Immunization Registry and the American Community Survey’s 2015-2019 5-Year data.

This is the data table for the LHJ Vaccine Equity Performance dashboard. However, this data table also includes ZTCAs that do not have a VEM score.

This dataset also includes Vaccine Equity Metric score quartiles (when applicable), which combine the Public Health Alliance of Southern California’s Healthy Places Index (HPI) measure with CDPH-derived scores to estimate factors that impact health, like income, education, and access to health care. ZTCAs range from less healthy community conditions in Quartile 1 to more healthy community conditions in Quartile 4.

The Vaccine Equity Metric is for weekly vaccination allocation and reporting purposes only. CDPH-derived quartiles should not be considered as indicative of the HPI score for these zip codes. CDPH-derived quartiles were assigned to zip codes excluded from the HPI score produced by the Public Health Alliance of Southern California due to concerns with statistical reliability and validity in populations smaller than 1,500 or where more than 50% of the population resides in a group setting.

These data do not include doses administered by the following federal agencies who received vaccine allocated directly from CDC: Indian Health Service, Veterans Health Administration, Department of Defense, and the Federal Bureau of Prisons.

For some ZTCAs, vaccination coverage may exceed 100%. This may be a result of many people from outside the county coming to that ZTCA to get their vaccine and providers reporting the county of administration as the county of residence, and/or the DOF estimates of the population in that ZTCA are too low. Please note that population numbers provided by DOF are projections and so may not be accurate, especially given unprecedented shifts in population as a result of the pandemic.

Note: In these datasets, a person is defined as up to date if they have received at least one dose of an updated COVID-19 vaccine. The Centers for Disease Control and Prevention (CDC) recommends that certain groups, including adults ages 65 years and older, receive additional doses. Starting on July 13, 2022, the denominator for calculating vaccine coverage has been changed from age 5+ to all ages to reflect new vaccine eligibility criteria. Previously the denominator was changed from age 16+ to age 12+ on May 18, 2021, then changed from age 12+ to age 5+ on November 10, 2021, to reflect previous changes in vaccine eligibility criteria. The previous datasets based on age 12+ and age 5+ denominators have been uploaded as archived tables. Starting June 30, 2021, the dataset has been reconfigured so that all updates are appended to one dataset to make it easier for API and other interfaces. In addition, historical data has been extended back to January 5, 2021. This dataset shows full, partial, and at least 1 dose coverage rates by zip code tabulation area (ZCTA) for the state of California. Data sources include the California Immunization Registry and the American Community Survey’s 2015-2019 5-Year data. This is the data table for the LHJ Vaccine Equity Performance dashboard. However, this data table also includes ZTCAs that do not have a VEM score. This dataset also includes Vaccine Equity Metric score quartiles (when applicable), which combine the Public Health Alliance of Southern California’s Healthy Places Index (HPI) measure with CDPH-derived scores to estimate factors that impact health, like income, education, and access to health care. ZTCAs range from less healthy community conditions in Quartile 1 to more healthy community conditions in Quartile 4. The Vaccine Equity Metric is for weekly vaccination allocation and reporting purposes only. CDPH-derived quartiles should not be considered as indicative of the HPI score for these zip codes. CDPH-derived quartiles were assigned to zip codes excluded from the HPI score produced by the Public Health Alliance of Southern California due to concerns with statistical reliability and validity in populations smaller than 1,500 or where more than 50% of the population resides in a group setting. These data do not include doses administered by the following federal agencies who received vaccine allocated directly from CDC: Indian Health Service, Veterans Health Administration, Department of Defense, and the Federal Bureau of Prisons. For some ZTCAs, vaccination coverage may exceed 100%. This may be a result of many people from outside the county coming to that ZTCA to get their vaccine and providers reporting the county of administration as the county of residence, and/or the DOF estimates of the population in that ZTCA are too low. Please note that population numbers provided by DOF are projections and so may not be accurate, especially given unprecedented shifts in population as a result of the pandemic.

Note: This dataset is on hiatus.

CDPH strives to respond equitably to the COVID-19 pandemic and is therefore interested in how different communities are impacted. Collecting and reporting health equity data helps to identify health disparities and improve the state’s response. To that end, CDPH tracks cases, deaths, and testing by race and ethnicity as well as other social determinants of health, such as income, crowded housing, and access to health insurance.

During the response, CDPH used a health equity metric, defined as the positivity rate in the most disproportionately-impacted communities according to the Healthy Places Index. The purpose of this metric was to ensure California reopened its economy safely by reducing disease transmission in all communities. This metric is tracked and reported in comparison to statewide positivity rate. More information is available at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CaliforniaHealthEquityMetric.aspx.

Data completeness is also critical to addressing inequities. CDPH reports data completeness by race and ethnicity, sexual orientation, and gender identity to better understand missingness in the data.

Health equity data is updated weekly. Data may be suppressed based on county population or total counts.

For more information on California’s commitment to health equity, please see https://covid19.ca.gov/equity/

Note: This dataset is on hiatus. CDPH strives to respond equitably to the COVID-19 pandemic and is therefore interested in how different communities are impacted. Collecting and reporting health equity data helps to identify health disparities and improve the state’s response. To that end, CDPH tracks cases, deaths, and testing by race and ethnicity as well as other social determinants of health, such as income, crowded housing, and access to health insurance. During the response, CDPH used a health equity metric, defined as the positivity rate in the most disproportionately-impacted communities according to the Healthy Places Index. The purpose of this metric was to ensure California reopened its economy safely by reducing disease transmission in all communities. This metric is tracked and reported in comparison to statewide positivity rate. More information is available at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CaliforniaHealthEquityMetric.aspx. Data completeness is also critical to addressing inequities. CDPH reports data completeness by race and ethnicity, sexual orientation, and gender identity to better understand missingness in the data. Health equity data is updated weekly. Data may be suppressed based on county population or total counts. For more information on California’s commitment to health equity, please see https://covid19.ca.gov/equity/

This table contains data on the modified retail food environment index for California, its regions, counties, cities, towns, and census tracts. An adequate, nutritious diet is a necessity at all stages of life. Pregnant women and their developing babies, children, adolescents, adults, and older adults depend on adequate nutrition for optimum development and maintenance of health and functioning. Nutrition also plays a significant role in causing or preventing a number of illnesses, such as cardiovascular disease, some cancers, obesity, type-2 diabetes, and anemia. Peoples’ food choices and their likelihood of being overweight or obese are also influenced by their food environment: the foods available in their neighborhoods including stores, restaurants, schools, and worksites.

The modified retail food environment index table is part of a series of indicators in the Healthy Communities Data and Indicators Project (HCI) of the Office of Health Equity. The goal of HCI is to enhance public health by providing data, a standardized set of statistical measures, and tools that a broad array of sectors can use for planning healthy communities and evaluating the impact of plans, projects, policy, and environmental changes on community health. The creation of healthy social, economic, and physical environments that promote healthy behaviors and healthy outcomes requires coordination and collaboration across multiple sectors, including transportation, housing, education, agriculture and others. Statistical metrics, or indicators, are needed to help local, regional, and state public health and partner agencies assess community environments and plan for healthy communities that optimize public health. More information on HCI can be found here: https://www.cdph.ca.gov/Programs/OHE/CDPH%20Document%20Library/Accessible%202%20CDPH_Healthy_Community_Indicators1pager5-16-12.pdf

The format of the modified retail food environment table is based on the standardized data format for all HCI indicators. As a result, this data table contains certain variables used in the HCI project (e.g., indicator ID, and indicator definition). Some of these variables may contain the same value for all observations.

This table contains data on the modified retail food environment index for California, its regions, counties, cities, towns, and census tracts. An adequate, nutritious diet is a necessity at all stages of life. Pregnant women and their developing babies, children, adolescents, adults, and older adults depend on adequate nutrition for optimum development and maintenance of health and functioning. Nutrition also plays a significant role in causing or preventing a number of illnesses, such as cardiovascular disease, some cancers, obesity, type-2 diabetes, and anemia. Peoples’ food choices and their likelihood of being overweight or obese are also influenced by their food environment: the foods available in their neighborhoods including stores, restaurants, schools, and worksites. The modified retail food environment index table is part of a series of indicators in the Healthy Communities Data and Indicators Project (HCI) of the Office of Health Equity. The goal of HCI is to enhance public health by providing data, a standardized set of statistical measures, and tools that a broad array of sectors can use for planning healthy communities and evaluating the impact of plans, projects, policy, and environmental changes on community health. The creation of healthy social, economic, and physical environments that promote healthy behaviors and healthy outcomes requires coordination and collaboration across multiple sectors, including transportation, housing, education, agriculture and others. Statistical metrics, or indicators, are needed to help local, regional, and state public health and partner agencies assess community environments and plan for healthy communities that optimize public health. More information on HCI can be found here: https://www.cdph.ca.gov/Programs/OHE/CDPH%20Document%20Library/Accessible%202%20CDPH_Healthy_Community_Indicators1pager5-16-12.pdf The format of the modified retail food environment table is based on the standardized data format for all HCI indicators. As a result, this data table contains certain variables used in the HCI project (e.g., indicator ID, and indicator definition). Some of these variables may contain the same value for all observations.

The Healthy Places Index (HPI) is a powerful and easy-to-use data and policy platform created to advance health equity through open and accessible data. Evidence-based and peer-reviewed, the HPI supports efforts to prioritize equitable community investments, develop critical programs and policies across the state, and much more.

Neighborhood-by-neighborhood, the HPI maps data on social conditions that drive health — like education, job opportunities, clean air and water, and other indicators that are positively associated with life expectancy at birth. Community leaders, policymakers, academics, and other stakeholders use the HPI to compare the health and well-being of communities, identify health inequities and quantify the factors that shape health.

Health Canada has developed a series of research tools. These tools assess the extent a group of individuals are following Canada’s food guide: 1. Healthy Eating Food Index 2. Canadian Food Intake Screener 3. Canadian Eating Practices Screener This page provides detailed information on the Healthy Eating Food Index (HEFI). The pdf document entitled "Calculating HEFI scores" describes how to calculate HEFI-2019 scores. The accompanying data files provide the user with the SAS macro and the information to apply the SAS macro. For more information on the screeners, please see: https://open.canada.ca/data/en/info/4f1c44a6-1ecf-4da7-a1da-058b1ff9ce06

The Los Angeles County Climate Vulnerability Assessment identified and incorporated 29 social vulnerability indicators. These indicators are listed below alongside their description and data source. Full report: https://ceo.lacounty.gov/cva-report/Note: All indicators are at the census tract level. Census tracts with no population (data) are omitted from this layer. Indicator Description Source Countywide Average

Asian Percent identifying as non-Hispanic Asian US Census Bureau, American Community Survey 2018 5-Year Estimates 14.4%

Asthma Age-adjusted rate of emergency department visits for asthma California Environmental Health Tracking Program (CEHTP) and Office of Statewide Health Planning and Development (OSHPD) 52.2

Black Percent identifying as non-Hispanic black or African American US Census Bureau, American Community Survey 2018 5-Year Estimates 7.9%

Cardiovascular Age-adjusted rate of emergency department visits for heart attacks per 10,000 California Environmental Health Tracking Program (CEHTP) and Office of Statewide Health Planning and Development (OSHPD) 8.4

Children Percent of people 18 and under US Census Bureau, American Community Survey 2018 5-Year Estimates 24.9%

Disability Percent of persons with either mental or physical disability US Census Bureau, American Community Survey 2018 5-Year Estimates 9.9%

Female Percent female US Census Bureau, American Community Survey 2018 5-Year Estimates 50.7%

Female householder Percent of households that have a female householder with no spouse present US Census Bureau, American Community Survey 2018 5-Year Estimates 16.2%

Foreign born Percent of the total population who was not born in the United States or Puerto Rico US Census Bureau, American Community Survey 2018 5-Year Estimates 35.2%

Hispanic Latinx Percent identifying as Hispanic or Latino US Census Bureau, American Community Survey 2018 5-Year Estimates 48.5%

Households without vehicle access Percent of households without access to a personal vehicle US Census Bureau, American Community Survey 2018 5-Year Estimates 8.8%

Library access Each tract's average block distance to nearest library LA County Internal Services Department 1.14 miles

Limited English Percent limited English speaking households US Census Bureau, American Community Survey 2018 5-Year Estimates 13.6%

Living in group quarters Percent of persons living in (either institutionalized or uninstitiutionalized) group quarters US Census Bureau, American Community Survey 2018 5-Year Estimates 1.8%

Median income Median household income of census tract US Census Bureau, American Community Survey 2018 5-Year Estimates $69,623

Mobile homes Percent of occupied housing units that are mobile homes US Census Bureau, American Community Survey 2018 5-Year Estimates 1.8%

No health insurance Percent of persons without health insurance US Census Bureau, American Community Survey 2018 5-Year Estimates 0.2%

No high school diploma Percent of persons 25 and older without a high school diploma US Census Bureau, American Community Survey 2018 5-Year Estimates 10.8%

No internet subscription Percent of the population without an internet subscription US Census Bureau, American Community Survey 2018 5-Year Estimates 22.6%

Older adults Percent of people 65 and older US Census Bureau, American Community Survey 2018 5-Year Estimates 18.4%

Older adults living alone Percent of households in which the householder is 65 and over who and living alone US Census Bureau, American Community Survey 2018 5-Year Estimates 12.9%

Outdoor workers Percentage of outdoor workers - agriculture, fishing, mining, extractive, construction occupations US Census Bureau, American Community Survey 2018 5-Year Estimates 8.0%

Poverty Percent of the population living in a family earning below 100% of the federal poverty threshold US Census Bureau, American Community Survey 2018 5-Year Estimates 5.4%

Rent burden Percent of renters paying more than 30 percent of their monthly income on rent and utilities US Census Bureau, American Community Survey 2018 5-Year Estimates 16.1%

Renters Percentage of renters per census tract US Census Bureau, American Community Survey 2018 5-Year Estimates 54.3%

Transit access Percent of population residing within a ½ mile of a major transit stop Healthy Places Index, SCAG 52.8%

Tribal and Indigenous Percent identifying as non-Hispanic American Indian and Alaska native US Census Bureau, American Community Survey 2018 5-Year Estimates 54.9%

Unemployed Percent of the population over the age of 16 that is unemployed and eligible for the labor force US Census Bureau, American Community Survey 2018 5-Year Estimates 6.9%

Voter turnout rate Percentage of registered voters voting in the 2016 general election CA Statewide General Elections Database 2016 63.8%

This table contains data on income inequality. The primary measure is the Gini index – a measure of the extent to which the distribution of income among families/households within a community deviates from a perfectly equal distribution. The index ranges from 0.0, when all families (households) have equal shares of income (implies perfect equality), to 1.0 when one family (household) has all the income and the rest have none (implies perfect inequality). Index data is provided for California and its counties, regions, and large cities/towns. The data is from the U.S. Census Bureau, American Community Survey. The table is part of a series of indicators in the Healthy Communities Data and Indicators Project of the Office of Health Equity. Income is linked to acquiring resources for healthy living. Both household income and the distribution of income across a society independently contribute to the overall health status of a community. On average Western industrialized nations with large disparities in income distribution tend to have poorer health status than similarly advanced nations with a more equitable distribution of income. Approximately 119,200 (5%) of the 2.4 million U.S. deaths in 2000 are attributable to income inequality. The pathways by which income inequality act to increase adverse health outcomes are not known with certainty, but policies that provide for a strong safety net of health and social services have been identified as potential buffers. More information about the data table and a data dictionary can be found in the About/Attachments section.