Scholarly Publications

Browse scholarly publications researched and authored by the County Health Rankings team and other researchers on a variety of topics related to population health and equity.

Community Action and Guidance

Willems Van Dijk, J.A., Catlin, B.B., Cofsky, A., & Carroll, C. Challenges and Lessons Learned from Communities Using Evidence to Adopt Strategies to Improve Healthy Food Environments. Health Aff (Millwood), 2015, 34(11):1979-85. doi: 10.1377/hlthaff.2015.0643.

Bergum, A., Grigg, L., Givens, M.L., Catlin, B.B., Willems Van Dijk, J. How to Be an Informed Consumer of Evidence Ratings: It's in the Details. Prev. Chronic Dis, 2019 Sept 5; 16:190067. doi:

Ranking Rationale and History

Purtle J., Peters R., Kolker J., Diez Roux A. (2017) Uses of Population Health Rankings in Local Policy Contexts: A Multisite Case Study. Medical Care Research and Review. doi: 10.1177/1077558717726115.

Catlin B.B., Athens JK, Kindig DA, Park H, Remington PL. Different perspectives for assigning weights to determinants of health. County Health Rankings Working Paper.

Remington, P.L, Catlin, B. B., & Gennuso K. P. (2015) The County Health Ranking: rationale and methods. Popul Health Metr, 13(11). doi: 10.1186/s12963-015-0044-2.

Remington, P.L. (2015) County Health Rankings and the Cult of the Imperfect. Health Serv Res, 50(5): 1407-12. doi: 10.1111/1475-6773.12351. 

Remington P.L., Catlin B.B. Measuring the Health of Communities - How and Why? Journal of Public Health Management and Practice 2011; 17,5 397-400.

Rohan AM, Catlin BB, Remington, PL (2009). Using the Wisconsin County Health Rankings to Catalyze cCommunity Health Improvement. Journal of Public Health Management & Practice. 2009 Jan-Feb;15(1):24-32.

Peppard PE, Kindig DA, Dranger E, Jovaag A, Remington PL. (2008). Ranking Community Health Status to Stimulate Discussion of Local Public Health Issues: The Wisconsin County Health Rankings. American Journal of Public Health. 2008 Feb;98(2):209-212. Epub 2008 Jan 2.

Rankings Methods and Results 

Nguyen TQ, Michaels IH, Bustamante-Zamora D, et al. Generating Subcounty Health Data Products: Methods and Recommendations From a Multistate Pilot InitiativeJ Public Health Manag Pract. 2020;10.1097/PHH.0000000000001167. doi:10.1097/PHH.0000000000001167. 

Park, H., Roubal, A.M., Jovaag, A., Gennuso, K.P., & Catlin, B. (2015). Relative Contributions of a Set of Health Factors to Selected Health Outcomes. Am J Prev Med, 2015, 49(6): 961-9. doi: 10.1016/j.amepre.2015.07.016.

Hood, C.M., Gennuso, K.P., Swain, G.R., & Catlin, B.B. County Health Rankings: Relationships Between Determinant Factors and Health Outcomes. Am J Prev Med, 2016, 50(2):129-135. doi: 10.1016/j.amepre.2015.08.024.

Athens, J.K., Remington, P.L., and Gangnon, R.E. (2015). Improving the Rank Precision of Population Health Measures for Small Areas with Longitudinal and Joint Outcome Models. PLoS One, 10(6): e0130027.

Roubal, A. M., Jovaag, A., Park, H., & Gennuso, K. P. (2015). Development of a Nationally Representative Built Environment Measure of Access to Exercise Opportunities. Prev Chronic Dis, 12, E09. doi: 10.5888/pcd12.140378.

Athens, J. K., Catlin, B. B., Remington, P. L., & Gangnon, R. E. (2013). Using Empirical Bayes Methods to Rank Counties on pPopulation Health Measures. Prev Chronic Dis, 10, E129. doi: 10.5888/PCD10.13.

Arndt, S., Acion, L., Caspers, K., & Blood, P. (2013). How reliable are county and regional health rankings? Prev Sci, 14(5), 497-502. doi: 10.1007/s11121-012-0320-3

County-Level Analysis 

Gennuso, K.P., Blomme, C.K., Givens, M.L., Pollock, E.A., Roubal, A.M. Deaths of Despair(ity) in Early 21st Century America: The Rise of Mortality and Racial/Ethnic Disparities. Am J Prev Med, 2019 Nov., 57(5): 585-591. doi: 10.1016/j.amepre.2019.06.018

Nagasako E, Waterman, B, Reidhead M, Lian M, Gehlert S. Measuring Subcounty Differences in Population Health Using Hospital and Census-Derived Data Sets: The Missouri ZIP Health Rankings Project. Journal of Public Health Management & Practice 2017 10 May. doi: 10.1097/PHH.0000000000000578.

McCullough JM, Leider JP. Associations Between County Wealth, Health and Social Services Spending, and Health Outcomes. Am J Prev Med. 2017 Jul 5. pii: S0749-3797(17)30262-3. doi: 10.1016/j.amepre.2017.05.005.

Gennuso, K.P., Jovaag, A., Catlin, B.B., Rodock, M., & Park, H. Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region. Prev Chronic Dis, 2016, 13:E33. doi 10.5888/pcd13.150440.

Lin, Y.H., Eberth, J.M., & Probst, J.C. Ambulatory Care-Sensitive Condition Hospitalizations Among Medicare Beneficiaries.  Am J Prev Med, 2016, 51(4): 493-501. doi: 10.1016/j.amepre.2016.05.005.

McCullough, J.M., & Leider, J.P. Government Spending in Health and Nonhealth Sectors Associated with Improvement in County Health Rankings. Health Aff (Millwood), 2016, 35(11): 2037-2043.

Greer, S., Schieb, L.J., Ritchey, M., George, M., & Casper, M. County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006-2010. Public Health Rep, 2016, 131(3): 438-48.

Hardin-Fanning, F. & Wiggins, A.T. Food Costs are Higher in Counties with Poor Health Rankings. J Cardiovasc Nurs, 2017, 32(2):93-98. doi: 10.1097/JCN.0000000000000329.

Peyer, K., Welk, G.J., Bailey-Davis, L., & Chen, S. (2016). Relationships between County Health Rankings and child overweight and obesity prevalence: a serial cross-sectional analysis. BMC Public Health, 16(1):404. doi:10.1186/s12889-016-3091-0.

Anderson, T.J., Saman, D.M., Lipsky, M.S., & Lutfiyya, M.N. A cross-sectional study on health differences between rural and non-rural U.S. counties using the County Health Rankings. BMC Health Serv Res. 2015 Oct 1;15(1):441. doi: 10.1186/s12913-015-1053-3.

Fields B.E., Bigbee J.L., Bell JF. Associations of Provider-to-Population Ratios and Population Health by County-Level Rurality. J Rural Health. 2015 Sep 3. doi: 10.1111/jrh.12143.

Winterbauer, N.L., Rafferty, P.L., Tucker, A., Jones, K., and Tucker-McLaughlin, M. (2015). Use and Percieved Impact of the County Health Rankings Report in Florida and North Carolina. J Public Health Manag Pract, 00(00), 1-7.

Courtemanche, C., Soneji, S., and Tchernis, R. (2015). Modeling Area-Level Health Rankings. Health Serv Res. doi: 10.1111/1475-6773.12352.

Hoffman, G. J., & Rodriguez, H. P. (2015). Examining Contextual Influences on Fall-Related iInjuries Among Older Adults for Population Health Management. Popul Health Manag, 2015 Dec;18(6):437-48. doi: 10.1089/pop.2014.0156. Epub 2015 Apr 28.

Singh, S. R., Young, G. J., Daniel Lee, S. Y., Song, P. H., & Alexander, J. A. (2015). Analysis of Hospital Community Benefit Expenditures' Alignment With Community Health Needs: Evidence From a National Investigation of Tax-Exempt Hospitals. Am J Public Health, 105(5), 914-921. doi: 10.2105/AJPH.2014.302436

Harris, A. L., Scutchfield, F. D., Heise, G., & Ingram, R. C. (2014). The relationship between local public health agency administrative variables and county health status rankings in Kentucky. J Public Health Manag Pract, 20(4), 378-383. doi: 10.1097/PHH.0b013e3182a5c2f8

Holzer, J., Canavan, M., & Bradley, E. (2014). County-level correlation between adult obesity rates and prevalence of dentists. J Am Dent Assoc, 145(9), 932-939. doi: 10.14219/jada.2014.48

Kindig DA, Cheng E. Even As Mortality Fell In Most US Counties, Female Mortality Nonetheless Rose In 42.8 Percent Of Counties From 1992 To 2006. Health Affairs 2013;32(3)

Cheng E, Kindig DA. Disparities in Premature Mortality Between High- and Low-Income US Counties. Preventing Chronic Disease 2012;9(3)

Mobilizing Action for Community Health (MATCH) Series

Kindig DA, Catlin BB, Remington PL. Mobilizing Action Toward Community Health (MATCH): Metrics, Incentives, and Partnerships for Population Health. Preventing Chronic Disease 2010;7(4).

Pestronk RM. Using Metrics to Improve Population Health. Preventing Chronic Disease 2010;7(4).

Bilheimer LT. Evaluating Metrics to Improve Population Health. Preventing Chronic Disease 2010;7(4).

Oliver, T. R. (2010). Population Health Rankings as Policy Indicators and Performance Measures. Prev Chronic Dis, 7(5), A101.

Parrish RG. Measuring Population Health Outcomes. Preventing Chronic Disease 2010;7(4).

Asada Y. A Summary Measure of Health Inequalities for a Pay-for-pPopulation Health Performance System. Preventing Chronic Disease 2010;7(4).

Kottke TE, Isham GJ. Measuring Health Care Access and Quality to Improve Health in Populations. Preventing Chronic Disease 2010;7(4).

Lantz PM, Pritchard A. Socioeconomic Indicators That Matter for Population Health. Preventing Chronic Disease 2010;7(4).

Mokdad AH, Remington PL. Measuring Health Behaviors in Populations. Preventing Chronic Disease  2010;7(4).

Jakubowski B, Frumkin H. Environmental Metrics for Community Health Improvement. Preventing Chronic Disease 2010;7(4).

Brownson RC, Seiler R, Eyler AA. Measuring the Impact of Public Health Policy. Preventing Chronic Disease 2010;7(4).