PROBLEM/CONDITION Estimated trends in county-level vaccination coverage compared with national health objectives and associated with other variables (e.g., access to care, economic conditions, and demographic characteristics) have not been reported previously. REPORTING PERIOD 1995-2008. DESCRIPTION OF SYSTEM The National Immunization Survey (NIS) is an ongoing, random-digit-dialed telephon...

Previous research on land elevation and cancer death rates in the U.S. revealed lower cancer death rates in higher elevations. The present study further tests the possible effect of land elevation on a diffident health outcome, namely, heart disease death rates. U.S. counties not overlapping in their land elevations according to their lowest and highest elevation points were identified. Using a...

AIM To examine the association of counties' urbanization level and gross domestic product (GDP) per capita on the access to health care. METHODS Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100,000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians' w...

the present study intended to determine the priority areas for nature-based tourism in isfahan province, iran. considering the components in question, this study was applied-developmental in nature and its methodology was descriptive-survey based on a systematic analysis of the potentials utilization, potential assessment and identification of priority areas and their combination. to carry out ...

BACKGROUND Inequitable access to healthy food may contribute to health disparities. This study examines the relationship between the prevalence of adult diabetes and food access in the U.S. by county economic/racial composition. METHODS An ecological study from 2012 was used to estimate the relationship between diabetes and retail food outlet access. County diabetes prevalence was measured ba...