{
  "alt": "Five horizontal stacked bars, one per fifth of residents ranked by county deprivation, each filled to the full width with four segments. The overdose segment is shorter in the most deprived fifth than in the least deprived, while the homicide and motor-vehicle segments are longer.",
  "caption": "The overdose share is smaller, and the homicide and motor-vehicle shares are larger, in the most deprived fifth than in the least deprived fifth, and the total toll is larger too. Each bar covers one group of residents ranked by county deprivation; segments are population-weighted mean rates as a share of the four-cause total, with 95% intervals in the tooltip.",
  "data": [
    {
      "cause": "Drug overdose",
      "conf_high": 57.56,
      "conf_low": 46.95,
      "n_units": 71,
      "quintile": "1 (least deprived)",
      "rate": 21.58,
      "share": 50.97
    },
    {
      "cause": "Suicide",
      "conf_high": 29.49,
      "conf_low": 21.62,
      "n_units": 71,
      "quintile": "1 (least deprived)",
      "rate": 10.23,
      "share": 24.16
    },
    {
      "cause": "Homicide",
      "conf_high": 10.21,
      "conf_low": 5.9,
      "n_units": 71,
      "quintile": "1 (least deprived)",
      "rate": 3.74,
      "share": 8.83
    },
    {
      "cause": "Motor-vehicle crash",
      "conf_high": 17.93,
      "conf_low": 12.58,
      "n_units": 71,
      "quintile": "1 (least deprived)",
      "rate": 6.79,
      "share": 16.03
    },
    {
      "cause": "Drug overdose",
      "conf_high": 51.82,
      "conf_low": 43.3,
      "n_units": 117,
      "quintile": "2",
      "rate": 24.84,
      "share": 47.08
    },
    {
      "cause": "Suicide",
      "conf_high": 28.86,
      "conf_low": 22.59,
      "n_units": 117,
      "quintile": "2",
      "rate": 13.46,
      "share": 25.51
    },
    {
      "cause": "Homicide",
      "conf_high": 10.24,
      "conf_low": 7.57,
      "n_units": 117,
      "quintile": "2",
      "rate": 4.78,
      "share": 9.06
    },
    {
      "cause": "Motor-vehicle crash",
      "conf_high": 20.68,
      "conf_low": 15.55,
      "n_units": 117,
      "quintile": "2",
      "rate": 9.68,
      "share": 18.35
    },
    {
      "cause": "Drug overdose",
      "conf_high": 50.35,
      "conf_low": 42.32,
      "n_units": 189,
      "quintile": "3",
      "rate": 27.79,
      "share": 46.56
    },
    {
      "cause": "Suicide",
      "conf_high": 27.08,
      "conf_low": 21.39,
      "n_units": 189,
      "quintile": "3",
      "rate": 14.26,
      "share": 23.88
    },
    {
      "cause": "Homicide",
      "conf_high": 13.28,
      "conf_low": 8.39,
      "n_units": 189,
      "quintile": "3",
      "rate": 6.31,
      "share": 10.58
    },
    {
      "cause": "Motor-vehicle crash",
      "conf_high": 21.38,
      "conf_low": 16.21,
      "n_units": 189,
      "quintile": "3",
      "rate": 11.32,
      "share": 18.97
    },
    {
      "cause": "Drug overdose",
      "conf_high": 52.09,
      "conf_low": 42.41,
      "n_units": 253,
      "quintile": "4",
      "rate": 32.31,
      "share": 47.43
    },
    {
      "cause": "Suicide",
      "conf_high": 24.5,
      "conf_low": 20.81,
      "n_units": 253,
      "quintile": "4",
      "rate": 15.36,
      "share": 22.54
    },
    {
      "cause": "Homicide",
      "conf_high": 13.37,
      "conf_low": 9.49,
      "n_units": 253,
      "quintile": "4",
      "rate": 7.85,
      "share": 11.53
    },
    {
      "cause": "Motor-vehicle crash",
      "conf_high": 20.92,
      "conf_low": 15.9,
      "n_units": 253,
      "quintile": "4",
      "rate": 12.6,
      "share": 18.5
    },
    {
      "cause": "Drug overdose",
      "conf_high": 48.22,
      "conf_low": 38.43,
      "n_units": 618,
      "quintile": "5 (most deprived)",
      "rate": 33.3,
      "share": 43.58
    },
    {
      "cause": "Suicide",
      "conf_high": 23.85,
      "conf_low": 20.06,
      "n_units": 618,
      "quintile": "5 (most deprived)",
      "rate": 16.71,
      "share": 21.87
    },
    {
      "cause": "Homicide",
      "conf_high": 14.67,
      "conf_low": 11.67,
      "n_units": 618,
      "quintile": "5 (most deprived)",
      "rate": 10.05,
      "share": 13.15
    },
    {
      "cause": "Motor-vehicle crash",
      "conf_high": 24.65,
      "conf_low": 18.44,
      "n_units": 618,
      "quintile": "5 (most deprived)",
      "rate": 16.36,
      "share": 21.41
    }
  ],
  "id": "cause_mix_by_quintile",
  "notes": [
    "Only counties with all four rates published enter ({fact:n_mix} counties, {fact:mix_pop} of county residents): County Health Rankings leaves a county out of a cause when it has fewer than {fact:chr_floor} deaths in the window, so small counties are missing and a missing rate means too few deaths, not zero. Fifths hold equal numbers of residents, not counties.",
    "The four rates are crude, so they are comparable with one another, and they overlap a little: a suicide by drug poisoning counts as both an overdose and a suicide. Firearm deaths are left out because they sit inside suicide and homicide, and child mortality has a different denominator. The windows differ by cause (overdose 2019 to 2021, suicide 2017 to 2021, homicide and motor-vehicle crashes 2015 to 2021). Overdose appears in this chapter only in this mix, the leading-kind map and a cross-check against the CDC panel; the overdose maps, gradients and trend are in the chapters on overdose, alcohol and suicide and on mortality trends.",
    "Shares are the cause's population-weighted mean rate divided by the sum of the four means, with 95% intervals from a bootstrap that draws whole states with replacement (replicates and seed are in the methods note). The total toll is {fact:toll_q1} per hundred thousand in the least deprived fifth and {fact:toll_q5} in the most."
  ],
  "source": "County Health Rankings 2024 release, NCHS death counts 2015-2021 in windows that differ by cause, crude rates from full counts, population-weighted; Area Deprivation Index 2023",
  "spec": {
    "category": "quintile",
    "categoryLabel": "Fifth of residents by county deprivation",
    "colors": {
      "Drug overdose": "overdose",
      "Homicide": "homicide",
      "Motor-vehicle crash": "cat1",
      "Suicide": "suicide"
    },
    "format": {
      "digits": 0
    },
    "group": "cause",
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "normalize": true,
    "orientation": "h",
    "sort": "data",
    "stack": true,
    "value": "share",
    "valueLabel": "Share of the four-cause death rate (%)"
  },
  "subtitle": "Each kind of death's share of the sum of four crude death rates (overdose, suicide, homicide, motor-vehicle crash), by fifth of residents ranked by county deprivation, counties with all four rates published",
  "title": "Overdose is {fact:od_sh_q1} of the four-cause toll in the least deprived fifth of residents and {fact:od_sh_q5} in the most, while motor-vehicle crashes go from {fact:mv_sh_q1} to {fact:mv_sh_q5}",
  "type": "bar"
}