VITAL SIGNS INDICATOR Life Expectancy (EQ6)

FULL MEASURE NAME Life Expectancy

LAST UPDATED April 2017

DESCRIPTION Life expectancy refers to the average number of years a newborn is expected to live if mortality patterns remain the same. The measure reflects the mortality rate across a population for a point in time.

DATA SOURCE State of California, Department of Health: Death Records (1990-2013) No link

California Department of Finance: Population Estimates Annual Intercensal Population Estimates (1990-2010) Table P-2: County Population by Age (2010-2013) http://www.dof.ca.gov/Forecasting/Demographics/Estimates/

U.S. Census Bureau: Decennial Census ZCTA Population (2000-2010) http://factfinder.census.gov

U.S. Census Bureau: American Community Survey 5-Year Population Estimates (2013) http://factfinder.census.gov

CONTACT INFORMATION vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator) Life expectancy is commonly used as a measure of the health of a population. Life expectancy does not reflect how long any given individual is expected to live; rather, it is an artificial measure that captures an aspect of the mortality rates across a population that can be compared across time and populations. More information about the determinants of life expectancy that may lead to differences in life expectancy between neighborhoods can be found in the Bay Area Regional Health Inequities Initiative (BARHII) Health Inequities in the Bay Area report at http://www.barhii.org/wp-content/uploads/2015/09/barhii_hiba.pdf. Vital Signs measures life expectancy at birth (as opposed to cohort life expectancy). A statistical model was used to estimate life expectancy for Bay Area counties and ZIP Codes based on current life tables which require both age and mortality data. A life table is a table which shows, for each age, the survivorship of a people from a certain population.

Current life tables were created using death records and population estimates by age. The California Department of Public Health provided death records based on the California death certificate information. Records include age at death and residential ZIP Code. Single-year age population estimates at the regional- and county-level comes from the California Department of Finance population estimates and projections for ages 0-100+. Population estimates for ages 100 and over are aggregated to a single age interval. Using this data, death rates in a population within age groups for a given year are computed to form unabridged life tables (as opposed to abridged life tables). To calculate life expectancy, the probability of dying between the jth and (j+1)st birthday is assumed uniform after age 1. Special consideration is taken to account for infant mortality.

For the ZIP Code-level life expectancy calculation, it is assumed that postal ZIP Codes share the same boundaries as ZIP Code Census Tabulation Areas (ZCTAs). More information on the relationship between ZIP Codes and ZCTAs can be found at http://www.census.gov/geo/reference/zctas.html. ZIP Code-level data uses three years of mortality data to make robust estimates due to small sample size. Year 2013 ZIP Code life expectancy estimates reflects death records from 2011 through 2013. 2013 is the last year with available mortality data. Death records for ZIP Codes with zero population (like those associated with P.O. Boxes) were assigned to the nearest ZIP Code with population. ZIP Code population for 2000 estimates comes from the Decennial Census. ZIP Code population for 2013 estimates are from the American Community Survey (5-Year Average). ACS estimates are adjusted using Decennial Census data for more accurate population estimates. An adjustment factor was calculated using the ratio between the 2010 Decennial Census population estimates and the 2012 ACS 5-Year (with middle year 2010) population estimates. This adjustment factor is particularly important for ZCTAs with high homeless population (not living in group quarters) where the ACS may underestimate the ZCTA population and therefore underestimate the life expectancy. The ACS provides ZIP Code population by age in five-year age intervals. Single-year age population estimates were calculated by distributing population within an age interval to single-year ages using the county distribution. Counties were assigned to ZIP Codes based on majority land-area.

ZIP Codes in the Bay Area vary in population from over 10,000 residents to less than 20 residents. Traditional life expectancy estimation (like the one used for the regional- and county-level Vital Signs estimates) cannot be used because they are highly inaccurate for small populations and may result in over/underestimation of life expectancy. To avoid inaccurate estimates, ZIP Codes with populations of less than 5,000 were aggregated with neighboring ZIP Codes until the merged areas had a population of more than 5,000. ZIP Code 94103, representing Treasure Island, was dropped from the dataset due to its small population and having no bordering ZIP Codes. In this way, the original 305 Bay Area ZIP Codes were reduced to 217 ZIP Code areas for 2013 estimates. Next, a form of Bayesian random-effects analysis was used which established a prior distribution of the probability of death at each age using the regional distribution. This prior is used to shore up the life expectancy calculations where data were sparse.

Zip Code, Life expectancy; Cancer deaths per 100,000 people; Heart disease deaths per 100,000 people; Alzheimer’s disease deaths per 100,000 people; Stroke deaths per 100,000 people; Chronic lower respiratory disease deaths per 100,000 people; Unintentional injury deaths per 100,000 people; Diabetes deaths per 100,000 people; Influenza and pneumonia deaths per 100,000 people; Hypertension deaths per 100,000 people. Percentages unless otherwise noted. Source information provided at: https://www.sccgov.org/sites/phd/hi/hd/Documents/City%20Profiles/Methodology/Neighborhood%20profile%20methodology_082914%20final%20for%20web.pdf

Note: This dataset is historical only and there are not corresponding datasets for more recent time periods. For that more-recent information, please visit the Chicago Health Atlas at https://chicagohealthatlas.org.

This dataset gives the average life expectancy and corresponding confidence intervals for each Chicago community area for the years 1990, 2000 and 2010. See the full description at: https://data.cityofchicago.org/api/views/qjr3-bm53/files/AAu4x8SCRz_bnQb8SVUyAXdd913TMObSYj6V40cR6p8?download=true&filename=P:\EPI\OEPHI\MATERIALS\REFERENCES\Life Expectancy\Dataset description - LE by community area.pdf

The average number of years a newborn can expect to live, assuming he or she experiences the currently prevailing rates of death through their lifespan. Source: Baltimore City Health Department Years Available: 2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018

This dataset contains counts of deaths for California residents by ZIP Code based on information entered on death certificates. Final counts are derived from static data and include out-of-state deaths of California residents. The data tables include deaths of residents of California by ZIP Code of residence (by residence). The data are reported as totals, as well as stratified by age and gender. Deaths due to all causes (ALL) and selected underlying cause of death categories are provided. See temporal coverage for more information on which combinations are available for which years.

The cause of death categories are based solely on the underlying cause of death as coded by the International Classification of Diseases. The underlying cause of death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." It is a single value assigned to each death based on the details as entered on the death certificate. When more than one cause is listed, the order in which they are listed can affect which cause is coded as the underlying cause. This means that similar events could be coded with different underlying causes of death depending on variations in how they were entered. Consequently, while underlying cause of death provides a convenient comparison between cause of death categories, it may not capture the full impact of each cause of death as it does not always take into account all conditions contributing to the death.

This dataset contains the number of deaths and the average age at death for all deaths in a ZIP Code between 2011 and 2015. The data were obtained by special request from Texas Department of State Health Services Vital Statistics.

The Pierce County Equity Index data highlights opportunities to improve equitable access and outcomes for residents of Pierce County. The very low definition is indicative of overall lower community conditions and vice versa. This Index includes an overall Equity Index rating which is made up of six categories (Community Vitality, Education, Environmental Health, Health and Wellness, Housing and Infrastructure, Jobs and Economy), and 42 individual data points. The data is presented in the Pierce County Equity Index web application (https://piercecountywa.equityindex.econw.io/).How Are Index Scores Calculated?Each block group is assigned a z-score, which indicates how it compares to the county average for a specific indicator. After normalizing the underlying estimates, these z-scores are averaged across all indicators within a category to calculate the Category Score. Finally, the Category Scores are averaged to produce the Overall Equity Index Score.The z-scores range from negative to positive values, where:Negative Scores: Indicate performance below the county average.Scores of 0 Indicate performance at the county average.Positive Scores: Indicate performance above the county average.These scores help you evaluate the relative strengths and weaknesses of block groups in terms of equity dimensions such as housing, health, and education. They also provide insights into how these dimensions contribute to the overall equity index. Equity Index: measures the average score of all 6 categories, providing a single assessment of equity for Pierce County.Community Vitality: Measures community participation and connection, including access to amenities and services that contribute to the overall well-being of a community. Indicators include, Community and Recreation Center Access, Crime Rate, Daycare Access, Heavy Traffic Proximity, Library Access, Park Access, Transit Access, Voter Participation.Education: Measures educational outcomes. Indicators include, Assessment met Standard, Chronic Absentee, Dual Credit Enrollment, Education Attainment, High School Graduation Rate, Kindergarten Readiness, Student Teacher Ratio.Environmental Health: Measures environmental factors that can impact community safety and health. Indicators include, Diesel Emissions, Drinking Water Non-Compliant, Extreme Heat Days, Fire Risk, Flood Risk, Ozone Concentration, Tree Canopy Cover, Particulate Matter (PM) 2.5 Concentration, Superfund Site Proximity.Health and Wellness: Measures health results and access to healthy living. Indicators include: Cancer Rate, Depression Prevalence, Healthy Food Access, Health Uninsured rate, Opiod Overdose Call Rate, Low Life Expectancy, Poor Health.Housing and Infrastructure: Measures housing conditions and community access to important infrastructure. Indicators include, Housing Affordability, Average Transit Stop Per Hour, Total Cost Burdened Households, Homeownership Rate, Internet AccessJobs and Economy: Measures the local economy and job access. Indicators include, Commute under 15 min, High Quality Jobs, Median Household Income, Households at 200% of the Poverty Line or Less, Unemployment Rate, Vehicle Access. Please read metadata for additional information (https://matterhorn.piercecountywa.gov/GISmetadata/pdbis_equity_zipcode.html). Any use or data download constitutes acceptance of the Terms of Use (https://matterhorn.piercecountywa.gov/disclaimer/PierceCountyGISDataTermsofUse.pdf).