Medical Service Study Areas (MSSAs)As defined by California's Office of Statewide Health Planning and Development (OSHPD) in 2013, "MSSAs are sub-city and sub-county geographical units used to organize and display population, demographic and physician data" (Source). Each census tract in CA is assigned to a given MSSA. The most recent MSSA dataset (2014) was used. Spatial data are available via OSHPD at the California Open Data Portal. This information may be useful in studying health equity.Definitions:Race/Ethnicity: Race/ethnicity is categorized as: All races/ethnicities, Non-Hispanic (NH) White, NH Black, Asian/Pacific Islander, or Hispanic. "All races" includes all of the above, as well as other and unknown race/ethnicity and American Indian/Alaska Native. The latter two groups are not reported separately due to small numbers for many cancer sites.Racial/Ethnic Composition: Distribution of residents' race/ethnicity (e.g., % Hispanic, % non-Hispanic White, % non-Hispanic Black, % non-Hispanic Asian/Pacific Islander). (Source: US Census, 2010.)Rural: Percent of residents who reside in blocks that are designated as rural. (Source: US Census, 2010.)Foreign Born: Percent of residents who were born outside the United States. (Source: American Community Survey, 2008-2012.)Socioeconomic Status (Neighborhood Level): A composite measure of seven indicator variables created by principal component analysis; indicators include: education, blue-collar job, unemployment, household income, poverty, rent, and house value. Quintiles based on state distribution, with quintile 1 being the lowest SES and 5 being the highest. (Source: American Community Survey, 2008-2012.)Spatial extent: CaliforniaSpatial Unit: MSSACreated: n/aUpdated: n/aSource: California Health MapsContact Email: gbacr@ucsf.eduSource Link: https://www.californiahealthmaps.org/?areatype=mssa&address=&sex=Both&site=AllSite&race=&year=05yr&overlays=none&choropleth=Obesity

Medical Service Study Areas (MSSAs)As defined by California's Office of Statewide Health Planning and Development (OSHPD) in 2013, "MSSAs are sub-city and sub-county geographical units used to organize and display population, demographic and physician data" (Source). Each census tract in CA is assigned to a given MSSA. The most recent MSSA dataset (2014) was used. Spatial data are available via OSHPD at the California Open Data Portal. This information may be useful in studying health equity.Definitions:Breast Cancer Screening: Percent of women aged 50-74 years who have received a mammogram in the past 2 years. (Source: PLACES Project. Centers for Disease Control and Prevention, 2020.)Cervical Cancer Screening: Percent of women between the ages of 21 and 65 living within a census tract who reported having had a cervical screening test, and the type of test depends on age of female respondent. For those 21-29, the test used is a pap test, whereas for those 30-65 years old, either pap test alone, HPV test alone, or a combination can be recommended. Data does not include women who reported having a hysterectomy. (Source: PLACES Project. Centers for Disease Control and Prevention, 2020.)Colorectal Cancer Screening: Percent of adults aged 50–75 years who have received a fecal occult blood test (FOBT) within the past year, a sigmoidoscopy within the past 5 years and a FOBT within the past 3 years, or a colonoscopy within the past 10 years. (Source: PLACES Project. Centers for Disease Control and Prevention, 2020.)Preventive Care: Percent of men or women 65 years and older who have received all of the following: an influenza vaccination in the past year; a pneumococcal vaccination ever; either a fecal occult blood test (FOBT) within the past year, a sigmoidoscopy within the past 5 years and a FOBT within the past 3 years, or a colonoscopy within the previous 10 years; and (for women only) a mammogram in the past 2 years. (Source: PLACES Project. Centers for Disease Control and Prevention, 2020.)Routine Checkups: Percent of adults who report having been to a doctor for a routine checkup (e.g., a general physical exam, not an exam for a specific injury, illness, condition) in the previous year. (Source: PLACES Project. Centers for Disease Control and Prevention, 2020.)Uninsured: Percent of residents who did not have health insurance. (Source: American Community Survey, 2008-2012.)Spatial extent: CaliforniaSpatial Unit: MSSACreated: n/aUpdated: n/aSource: California Health MapsContact Email: gbacr@ucsf.eduSource Link: https://www.californiahealthmaps.org/?areatype=mssa&address=&sex=Both&site=AllSite&race=&year=05yr&overlays=none&choropleth=Obesity