{
  "alt": "Line chart of premature mortality across ten deciles of county deprivation, rising from the least deprived decile on the left to the most deprived on the right, with overlapping intervals among the middle deciles and separate intervals at both ends.",
  "caption": "The estimate is higher in each decile than in the one before it, and the intervals separate the first decile from the second and the ninth from the tenth while those in the middle of the range overlap. The line plots the population-weighted mean of county rates in each decile with a 95% interval from a bootstrap over states; the correlation across counties is {fact:pmm_r}.",
  "data": [
    {
      "conf_high": 317.6,
      "conf_low": 296.1,
      "decile": 1,
      "estimate": 306.9,
      "n_units": 308
    },
    {
      "conf_high": 387.5,
      "conf_low": 356.6,
      "decile": 2,
      "estimate": 372.7,
      "n_units": 308
    },
    {
      "conf_high": 438.9,
      "conf_low": 399.7,
      "decile": 3,
      "estimate": 417.1,
      "n_units": 308
    },
    {
      "conf_high": 493.3,
      "conf_low": 439.2,
      "decile": 4,
      "estimate": 465.4,
      "n_units": 309
    },
    {
      "conf_high": 510.6,
      "conf_low": 465.7,
      "decile": 5,
      "estimate": 490.1,
      "n_units": 308
    },
    {
      "conf_high": 536.2,
      "conf_low": 483.2,
      "decile": 6,
      "estimate": 505.8,
      "n_units": 308
    },
    {
      "conf_high": 563.4,
      "conf_low": 502,
      "decile": 7,
      "estimate": 531.3,
      "n_units": 309
    },
    {
      "conf_high": 588.4,
      "conf_low": 508.8,
      "decile": 8,
      "estimate": 543.4,
      "n_units": 308
    },
    {
      "conf_high": 631.6,
      "conf_low": 568.9,
      "decile": 9,
      "estimate": 604,
      "n_units": 307
    },
    {
      "conf_high": 739.9,
      "conf_low": 659.7,
      "decile": 10,
      "estimate": 701.1,
      "n_units": 310
    }
  ],
  "id": "premature_death_gradient",
  "notes": [
    "Counties are ranked by the population-weighted mean of their tract Area Deprivation Index ranks and split into ten groups with equal numbers of counties; the means are weighted by county population. {fact:pmm_n} counties have both a rate and a rank; County Health Rankings leaves out a county with fewer than {fact:chr_floor_pmm} premature deaths in the window. Puerto Rico is not in County Health Rankings and is not drawn.",
    "The band is a 95% interval for the mean, from a bootstrap that draws whole states with replacement (replicates and seed are in the methods note); it is not the spread of counties within a decile. The rate is County Health Rankings premature age-adjusted mortality, deaths of residents under {fact:pmm_age} per hundred thousand, pooled over 2019 to 2021.",
    "Across all the counties in the comparison the rate is {fact:us_premature} per hundred thousand residents."
  ],
  "source": "County Health Rankings 2024 release, NCHS death counts 2019-2021, age-adjusted rates from full counts, population-weighted; Area Deprivation Index 2023",
  "spec": {
    "annotations": [
      {
        "label": "All counties",
        "type": "y-rule",
        "y": 392
      }
    ],
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "x": "decile",
    "xDomain": [
      1,
      10
    ],
    "xLabel": "Decile of the county area deprivation index (1 least deprived, 10 most deprived)",
    "xTicks": [
      1,
      2,
      3,
      4,
      5,
      6,
      7,
      8,
      9,
      10
    ],
    "y": "estimate",
    "yDomain": [
      200,
      800
    ],
    "yFormat": {
      "digits": 0
    },
    "yLabel": "Premature deaths per 100,000 residents, age-adjusted"
  },
  "subtitle": "Population-weighted mean age-adjusted deaths before age 75 per 100,000 residents, by decile of the county Area Deprivation Index, counties, County Health Rankings 2024 release",
  "title": "Premature mortality rises from {fact:pmm_d1} to {fact:pmm_d10} per hundred thousand residents across deciles of county deprivation",
  "type": "line"
}