This layer contains a Vermont-only subset of block group level 2020 Decennial Census redistricting data as reported by the U.S. Census Bureau for all states plus DC and Puerto Rico. The attributes come from the 2020 Public Law 94-171 (P.L. 94-171) tables.Data download date: August 12, 2021Census tables: P1, P2, P3, P4, H1, P5, HeaderDownloaded from: Census FTP siteProcessing Notes:Data was downloaded from the U.S. Census Bureau FTP site, imported into SAS format and joined to the 2020 TIGER boundaries. Boundaries are sourced from the 2020 TIGER/Line Geodatabases. Boundaries have been projected into Web Mercator and each attribute has been given a clear descriptive alias name. No alterations have been made to the vertices of the data.Each attribute maintains it's specified name from Census, but also has a descriptive alias name and long description derived from the technical documentation provided by the Census. For a detailed list of the attributes contained in this layer, view the Data tab and select "Fields". The following alterations have been made to the tabular data:Joined all tables to create one wide attribute table:P1 - RaceP2 - Hispanic or Latino, and not Hispanic or Latino by RaceP3 - Race for the Population 18 Years and OverP4 - Hispanic or Latino, and not Hispanic or Latino by Race for the Population 18 Years and OverH1 - Occupancy Status (Housing)P5 - Group Quarters Population by Group Quarters Type (correctional institutions, juvenile facilities, nursing facilities/skilled nursing, college/university student housing, military quarters, etc.)HeaderAfter joining, dropped fields: FILEID, STUSAB, CHARITER, CIFSN, LOGRECNO, GEOVAR, GEOCOMP, LSADC, and BLOCK.GEOCOMP was renamed to GEOID and moved be the first column in the table, the original GEOID was dropped.Placeholder fields for future legislative districts have been dropped: CD118, CD119, CD120, CD121, SLDU22, SLDU24, SLDU26, SLDU28, SLDL22, SLDL24 SLDL26, SLDL28.P0020001 was dropped, as it is duplicative of P0010001. Similarly, P0040001 was dropped, as it is duplicative of P0030001.In addition to calculated fields, County_Name and State_Name were added.The following calculated fields have been added (see long field descriptions in the Data tab for formulas used): PCT_P0030001: Percent of Population 18 Years and OverPCT_P0020002: Percent Hispanic or LatinoPCT_P0020005: Percent White alone, not Hispanic or LatinoPCT_P0020006: Percent Black or African American alone, not Hispanic or LatinoPCT_P0020007: Percent American Indian and Alaska Native alone, not Hispanic or LatinoPCT_P0020008: Percent Asian alone, Not Hispanic or LatinoPCT_P0020009: Percent Native Hawaiian and Other Pacific Islander alone, not Hispanic or LatinoPCT_P0020010: Percent Some Other Race alone, not Hispanic or LatinoPCT_P0020011: Percent Population of Two or More Races, not Hispanic or LatinoPCT_H0010002: Percent of Housing Units that are OccupiedPCT_H0010003: Percent of Housing Units that are VacantPlease note these percentages might look strange at the individual block group level, since this data has been protected using differential privacy.*VCGI exported a Vermont-only subset of the nation-wide layer to produce this layer--with fields limited to this popular subset: OBJECTID: OBJECTID GEOID: Geographic Record Identifier NAME: Area Name-Legal/Statistical Area Description (LSAD) Term-Part Indicator County_Name: County Name State_Name: State Name P0010001: Total Population P0010003: Population of one race: White alone P0010004: Population of one race: Black or African American alone P0010005: Population of one race: American Indian and Alaska Native alone P0010006: Population of one race: Asian alone P0010007: Population of one race: Native Hawaiian and Other Pacific Islander alone P0010008: Population of one race: Some Other Race alone P0020002: Hispanic or Latino Population P0020003: Non-Hispanic or Latino Population P0030001: Total population 18 years and over H0010001: Total housing units H0010002: Total occupied housing units H0010003: Total vacant housing units P0050001: Total group quarters population PCT_P0030001: Percent of Population 18 Years and Over PCT_P0020002: Percent Hispanic or Latino PCT_P0020005: Percent White alone, not Hispanic or Latino PCT_P0020006: Percent Black or African American alone, not Hispanic or Latino PCT_P0020007: Percent American Indian and Alaska Native alone, not Hispanic or Latino PCT_P0020008: Percent Asian alone, not Hispanic or Latino PCT_P0020009: Percent Native Hawaiian and Other Pacific Islander alone, not Hispanic or Latino PCT_P0020010: Percent Some Other Race alone, not Hispanic or Latino PCT_P0020011: Percent Population of two or more races, not Hispanic or Latino PCT_H0010002: Percent of Housing Units that are Occupied PCT_H0010003: Percent of Housing Units that are Vacant SUMLEV: Summary Level REGION: Region DIVISION: Division COUNTY: County (FIPS) COUNTYNS: County (NS) TRACT: Census Tract BLKGRP: Block Group AREALAND: Area (Land) AREAWATR: Area (Water) INTPTLAT: Internal Point (Latitude) INTPTLON: Internal Point (Longitude) BASENAME: Area Base Name POP100: Total Population Count HU100: Total Housing Count *To protect the privacy and confidentiality of respondents, data has been protected using differential privacy techniques by the U.S. Census Bureau. This means that some individual block groups will have values that are inconsistent or improbable. However, when aggregated up, these issues become minimized.Download Census redistricting data in this layer as a file geodatabase.Additional links:U.S. Census BureauU.S. Census Bureau Decennial CensusAbout the 2020 Census2020 Census2020 Census data qualityDecennial Census P.L. 94-171 Redistricting Data Program

Create maps of U.S. heart disease death rates by county. Data can be stratified by age, race/ethnicity, and sex. Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceMortality data were obtained from the National Vital Statistics System. Bridged-Race Postcensal Population Estimates were obtained from the National Center for Health Statistics. International Classification of Diseases, 10th Revision (ICD-10) codes: I00-I09, I11, I13, I20-I51; underlying cause of death.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.' Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)   RRR: 3 digits represent race/ethnicity     All - Overall     AIA - American Indian and Alaska Native, non-Hispanic     API - Asian and Pacific Islander, non-Hispanic     BLK - Black, non-Hispanic     HIS - Hispanic     WHT - White, non-Hispanic   S: 1 digit represents sex     A - All    F - Female     M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound.  Example: The column 'BLK_M_65UP' displays rates per 100,000 black men aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 100,000 population. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria: At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

we utilized data from two main sources: the United States Census Bureau's American Community Survey (ACS) and the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR) Social Vulnerability Index (SVI).American Community Survey (ACS):Conducted by the U.S. Census Bureau, the ACS is an ongoing survey that provides detailed demographic and socio-economic data on the population and housing characteristics of the United States.The survey collects information on various topics such as income, education, employment, health insurance coverage, and housing costs and conditions.It offers more frequent and up-to-date information compared to the decennial census, with annual estimates produced based on a rolling sample of households.The ACS data is essential for policymakers, researchers, and communities to make informed decisions and address the evolving needs of the population.CDC/ATSDR Social Vulnerability Index (SVI):Created by ATSDR’s Geospatial Research, Analysis & Services Program (GRASP) and utilized by the CDC, the SVI is designed to identify and map communities that are most likely to need support before, during, and after hazardous events.SVI ranks U.S. Census tracts based on 15 social factors, including unemployment, minority status, and disability, and groups them into four related themesEach tract receives rankings for each Census variable and for each theme, as well as an overall ranking, indicating its relative vulnerability.SVI data provides insights into the social vulnerability of communities at both the tract and county levels, helping public health officials and emergency response planners allocate resources effectively. In our utilization of these sources, we likely integrated data from both the ACS and the SVI to analyze and understand various socio-economic and demographic indicators at the state, county, and possibly tract levels. This integrated data would have been valuable for research, policymaking, and community planning purposes, allowing for a comprehensive understanding of social and economic dynamics across different geographical areas in the United StatesNote: Due to limitations in the ArcGIS Pro environment, the data variable names may be truncated. Refer to the provided table for a clear understanding of the variables.CSV Variable NameShapefile Variable NameDescriptionStateNameStateNameName of the stateStateFipsStateFipsState-level FIPS codeState nameStateNameName of the stateCountyNameCountyNameName of the countyCensusFipsCensusFipsCounty-level FIPS codeState abbreviationStateFipsState abbreviationCountyFipsCountyFipsCounty-level FIPS codeCensusFipsCensusFipsCounty-level FIPS codeCounty nameCountyNameName of the countyAREA_SQMIAREA_SQMITract area in square milesE_TOTPOPE_TOTPOPPopulation estimates, 2014-2018 ACSEP_POVEP_POVPercentage of persons below poverty estimateEP_UNEMPEP_UNEMPUnemployment Rate estimateEP_HBURDEP_HBURDHousing cost burdened occupied housing units with annual income less than $75,000EP_UNINSUREP_UNINSURUninsured in the total civilian noninstitutionalized population estimate, 2015-2019 ACSEP_PCIEP_PCIPer capita income estimate, 2015-2019 ACSEP_DISABLEP_DISABLPercentage of civilian noninstitutionalized population with a disability estimate, 2015-2019 ACSEP_SNGPNTEP_SNGPNTPercentage of single parent households with children under 18 estimate, 2015-2019 ACSEP_MINRTYEP_MINRTYPercentage minority (all persons except white, non-Hispanic) estimate, 2015-2019 ACSEP_LIMENGEP_LIMENGPercentage of persons (age 5+) who speak English "less than well" estimate, 2015-2019 ACSEP_MUNITEP_MUNITPercentage of housing in structures with 10 or more units estimateEP_MOBILEEP_MOBILEPercentage of mobile homes estimateEP_CROWDEP_CROWDPercentage of occupied housing units with more people than rooms estimateEP_NOVEHEP_NOVEHPercentage of households with no vehicle available estimateEP_GROUPQEP_GROUPQPercentage of persons in group quarters estimate, 2014-2018 ACSBelow_5_yrBelow_5_yrUnder 5 years: Percentage of Total populationBelow_18_yrBelow_18_yrUnder 18 years: Percentage of Total population18-39_yr18_39_yr18-39 years: Percentage of Total population40-64_yr40_64_yr40-64 years: Percentage of Total populationAbove_65_yrAbove_65_yrAbove 65 years: Percentage of Total populationPop_malePop_malePercentage of total population malePop_femalePop_femalePercentage of total population femaleWhitewhitePercentage population of white aloneBlackblackPercentage population of black or African American aloneAmerican_indianamerican_iPercentage population of American Indian and Alaska native aloneAsianasianPercentage population of Asian aloneHawaiian_pacific_islanderhawaiian_pPercentage population of Native Hawaiian and Other Pacific Islander aloneSome_othersome_otherPercentage population of some other race aloneMedian_tot_householdsmedian_totMedian household income in the past 12 months (in 2019 inflation-adjusted dollars) by household size – total householdsLess_than_high_schoolLess_than_Percentage of Educational attainment for the population less than 9th grades and 9th to 12th grade, no diploma estimateHigh_schoolHigh_schooPercentage of Educational attainment for the population of High school graduate (includes equivalency)Some_collegeSome_collePercentage of Educational attainment for the population of Some college, no degreeAssociates_degreeAssociatesPercentage of Educational attainment for the population of associate degreeBachelor’s_degreeBachelor_sPercentage of Educational attainment for the population of Bachelor’s degreeMaster’s_degreeMaster_s_dPercentage of Educational attainment for the population of Graduate or professional degreecomp_devicescomp_devicPercentage of Household having one or more types of computing devicesInternetInternetPercentage of Household with an Internet subscriptionBroadbandBroadbandPercentage of Household having Broadband of any typeSatelite_internetSatelite_iPercentage of Household having Satellite Internet serviceNo_internetNo_internePercentage of Household having No Internet accessNo_computerNo_computePercentage of Household having No computerThis table provides a mapping between the CSV variable names and the shapefile variable names, along with a brief description of each variable.

2019 - 2021, county-level U.S. stroke death rates. Dataset developed by the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention.Create maps of U.S. stroke death rates by county. Data can be stratified by age, race/ethnicity, and sex.Visit the CDC Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceMortality data were obtained from the National Vital Statistics System. Bridged-Race Postcensal Population Estimates were obtained from the National Center for Health Statistics. International Classification of Diseases, 10th Revision (ICD-10) codes: I60-I69; underlying cause of death.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)  RRR: 3 digits represent race/ethnicity    All - Overall    AIA - American Indian and Alaska Native, non-Hispanic    ASN - Asian, non-Hispanic    BLK - Black, non-Hispanic    HIS - Hispanic NHP – Native Hawaiian or Other Pacific Islander, non-Hispanic MOR – More than one race, non-Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 100,000 black men aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 100,000 population. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

Create maps of U.S. stroke death rates by county. Data can be stratified by age, race/ethnicity, and sex. Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceMortality data were obtained from the National Vital Statistics System. Bridged-Race Postcensal Population Estimates were obtained from the National Center for Health Statistics. International Classification of Diseases, 10th Revision (ICD-10) codes: I60-I69; underlying cause of death.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.' Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)   RRR: 3 digits represent race/ethnicity     All - Overall     AIA - American Indian and Alaska Native, non-Hispanic     API - Asian and Pacific Islander, non-Hispanic     BLK - Black, non-Hispanic     HIS - Hispanic     WHT - White, non-Hispanic   S: 1 digit represents sex     A - All    F - Female     M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound.  Example: The column 'BLK_M_65UP' displays rates per 100,000 black men aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 100,000 population. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria: At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

2019 - 2021, county-level U.S. heart disease death rates. Dataset developed by the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention.Data SourceMortality data were obtained from the National Vital Statistics System. Bridged-Race Postcensal Population Estimates were obtained from the National Center for Health Statistics. International Classification of Diseases, 10th Revision (ICD-10) codes: I00-I09, I11, I13, I20-I51; underlying cause of death.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)  RRR: 3 digits represent race/ethnicity    All - Overall    AIA - American Indian and Alaska Native, non-Hispanic    ASN - Asian, non-Hispanic    BLK - Black, non-Hispanic    HIS - Hispanic NHP – Native Hawaiian or Other Pacific Islander, non-Hispanic MOR – More than one race, non-Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 100,000 black men aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 100,000 population. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

Create maps of U.S. blood pressure medication nonadherence among Medicare Part D beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and blood pressure medication class. Blood pressure medication nonadherence is defined as a proportion of days a beneficiary was covered with blood pressure medication of <80%.Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps.Atlas of Heart Disease and StrokeData Source and MethodologyAntihypertensive nonadherence, defined as a proportion of days a beneficiary was covered with antihypertensives of <80%, was assessed using prescription drug claims data among Medicare Advantage or Medicare fee-for-service beneficiaries aged ≥65 years with Medicare Part D coverage. Administrative data and prescription drug event data were accessed via the Centers for Medicare and Medicaid Services Chronic Conditions Data Warehouse. Analyses were stratified by antihypertensive class, beneficiaries’ state and county of residence, type of prescription drug plan, and treatment and demographic characteristics. Visit the Vital Signs Morbidity and Mortality Weekly Report for more detailed information.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptions  stcty_fips: state FIPS code + county FIPS code  county: county name  Blood pressure medication nonadherence percentage for Medicare Part D Beneficiaries aged 65 and older    htnadh_all: All beneficiaries    htnadh_aian: American Indian and Alaska Native, non-Hispanic beneficiaries    htnadh_api: Asian and Pacific Islander, non-Hispanic beneficiaries    htnadh_black: Black, non-Hispanic beneficiaries    htnadh_hisp: Hispanic beneficiaries    htnadh_white: White, non-Hispanic beneficiaries    diuradh: Diuretic nonadherence    rasadh: Renin-Angiotensin System nonadherenceMore Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

Create maps of U.S. heart disease hospitalization rates among Medicare fee-for-service beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and sex.Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceHospitalization data were obtained from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Part A and the Master Beneficiary Summary File (MBSF). International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes: 390-398, 402, 404, 410-429; principle (i.e., first-listed) diagnosis. Medicare fee-for-service beneficiaries 65 and older were included. Visit the Atlas of Heart Disease and Stroke Statistical Methods pages for more detailed Medicare data inclusion criteria.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format:RRR_S_aaaa (e.g., BLK_M_65UP)  RRR: 3 digits represent race/ethnicity    All - Overall  BLK - Black, non-Hispanic    HIS - Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 1,000 black Medicare beneficiaries aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 1,000 Medicare beneficiaries. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

2019 - 2021, county-level U.S. heart disease hospitalization rates. Dataset developed by the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention.Create maps of U.S. heart disease hospitalization rates among Medicare fee-for-service beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and sex.Visit the CDC Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceHospitalization data were obtained from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Part A and the Master Beneficiary Summary File (MBSF). International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes: I00-I09, I11, I13, I20-I51; principle (i.e., first-listed) diagnosis. Medicare fee-for-service beneficiaries 65 and older were included. Visit the Atlas of Heart Disease and Stroke Statistical Methods pages for more detailed Medicare data inclusion criteriaData DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)  RRR: 3 digits represent race/ethnicity    All - Overall   BLK - Black, non-Hispanic    HIS - Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 1,000 black Medicare beneficiaries aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 1,000 Medicare beneficiaries. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

Create maps of U.S. stroke hospitalization rates among Medicare fee-for-service beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and sex. Visit the CDC/DHDSP Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceHospitalization data were obtained from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Part A and the Master Beneficiary Summary File (MBSF). International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes: 430-434, 436-438; principle (i.e., first-listed) diagnosis. Medicare fee-for-service beneficiaries 65 and older were included. Visit the Atlas of Heart Disease and Stroke Statistical Methods pages for more detailed Medicare data inclusion criteria.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC/DHDSP excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.' Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., BLK_M_65UP)   RRR: 3 digits represent race/ethnicity     All - Overall  BLK - Black, non-Hispanic     HIS - Hispanic     WHT - White, non-Hispanic   S: 1 digit represents sex     A - All    F - Female     M - Male aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound.  Example: The column 'BLK_M_65UP' displays rates per 1,000 black Medicare beneficiaries aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 1,000 Medicare beneficiaries. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria: At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

Description2019 - 2022, county-level U.S. stroke hospitalization rates. Dataset developed by the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention.Create maps of U.S. stroke hospitalization rates among Medicare fee-for-service beneficiaries aged 65 and older, by county. Data can be stratified by race/ethnicity and sex.Visit the CDC Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceHospitalization data were obtained from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Part A and the Master Beneficiary Summary File (MBSF). International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes: I60-I69; principle (i.e., first-listed) diagnosis. Medicare fee-for-service beneficiaries 65 and older were included. Visit the Atlas of Heart Disease and Stroke Statistical Methods pages for more detailed Medicare data inclusion criteria.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)  RRR: 3 digits represent race/ethnicity    All - Overall   BLK - Black, non-Hispanic    HIS - Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 1,000 black Medicare beneficiaries aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 1,000 Medicare beneficiaries. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods