{
  "alt": "Dot plot of eight differences between the most and the least deprived tenth of tracts, grouped as checkup and treatment, dental visit and screening, and barriers. The four dental and screening dots lie left of the zero line, with the dental visit furthest left. The two barrier dots and the two checkup and treatment dots lie right of zero, and no interval crosses zero.",
  "caption": "The four dots for the dental visit and screening lie left of zero, the two barrier dots lie right of zero, and the checkup and blood pressure medicine dots lie right of zero by {fact:flat_checkup_delta} and {fact:flat_bpmed_delta} points. Each dot is a difference between population-weighted tenth means with a 95% interval from a bootstrap over counties.",
  "data": [
    {
      "conf_high": 4.61,
      "conf_low": 2.39,
      "estimate": 3.6,
      "kind": "Checkup and treatment",
      "level_least": 74.2,
      "level_most": 77.8,
      "measure": "Annual checkup",
      "n": 8213
    },
    {
      "conf_high": 6.74,
      "conf_low": 4.79,
      "estimate": 5.9,
      "kind": "Checkup and treatment",
      "level_least": 73.6,
      "level_most": 79.5,
      "measure": "Blood pressure medicine, adults with high blood pressure",
      "n": 7946
    },
    {
      "conf_high": -22.51,
      "conf_low": -26.49,
      "estimate": -24.44,
      "kind": "Dental visit and screening",
      "level_least": 70.3,
      "level_most": 45.8,
      "measure": "Dental visit",
      "n": 8213
    },
    {
      "conf_high": -6.33,
      "conf_low": -7.84,
      "estimate": -7.04,
      "kind": "Dental visit and screening",
      "level_least": 78.8,
      "level_most": 71.7,
      "measure": "Mammography, women ages 50 to 74",
      "n": 8213
    },
    {
      "conf_high": -6.25,
      "conf_low": -7.51,
      "estimate": -6.86,
      "kind": "Dental visit and screening",
      "level_least": 87.9,
      "level_most": 81,
      "measure": "Cholesterol screening",
      "n": 7946
    },
    {
      "conf_high": -4.44,
      "conf_low": -8.25,
      "estimate": -6.17,
      "kind": "Dental visit and screening",
      "level_least": 65.3,
      "level_most": 59.1,
      "measure": "Colorectal cancer screening, ages 45 to 75",
      "n": 8213
    },
    {
      "conf_high": 10.55,
      "conf_low": 8.99,
      "estimate": 9.73,
      "kind": "Barriers",
      "level_least": 6.1,
      "level_most": 15.9,
      "measure": "No reliable transportation",
      "n": 6348
    },
    {
      "conf_high": 12.75,
      "conf_low": 9.7,
      "estimate": 11.11,
      "kind": "Barriers",
      "level_least": 6.3,
      "level_most": 17.4,
      "measure": "No health insurance, ages 18 to 64",
      "n": 8213
    }
  ],
  "id": "care_ledger",
  "notes": [
    "Blood pressure medicine is the share of adults with high blood pressure who take medicine for it, and blood pressure medicine and cholesterol screening are BRFSS 2021 estimates; the other measures are BRFSS 2022. The transportation question was asked in only some states, so that row covers fewer tracts. The grouping into checkup and treatment, dental visit and screening, and barriers is this book's: PLACES files the checkup, blood pressure medicine, the dental visit and insurance together under prevention. Some measures cover only some ages (insurance, mammography, colorectal screening), and tract means weight each tract by all its adults.",
    "PLACES values are modeled estimates. They are built from BRFSS survey responses with census and American Community Survey inputs (county poverty, the age, sex, race and ethnicity of each tract's residents, and education), with state and county random effects, and the Area Deprivation Index is built from American Community Survey data too, so part of each gradient here is mechanical. Within a county, tract values differ through the demographic composition of tracts. The tract file has no intervals; the bands are 95% intervals for the weighted mean from a bootstrap over counties (replicates and seed in the methods note)."
  ],
  "source": "CDC PLACES 2024 release (BRFSS 2021 and 2022) and Area Deprivation Index 2023; modeled estimates, population-weighted (adults in each tract)",
  "spec": {
    "colors": {
      "Barriers": "cat2",
      "Checkup and treatment": "accent",
      "Dental visit and screening": "highlight"
    },
    "group": "kind",
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n",
    "reference": 0,
    "referenceLabel": "No difference",
    "sort": "data",
    "x": "estimate",
    "xDomain": [
      -30,
      15
    ],
    "xFormat": {
      "digits": 1,
      "signed": true
    },
    "xLabel": "Most deprived tenth minus least deprived tenth (percentage points)",
    "y": "measure"
  },
  "subtitle": "Difference in the share of adults, most deprived tenth of tracts minus least deprived tenth, percentage points, eight measures of care, 2021 and 2022",
  "table": {
    "columns": [
      {
        "key": "measure",
        "label": "Measure"
      },
      {
        "key": "kind",
        "label": "Group"
      },
      {
        "format": {
          "digits": 1
        },
        "key": "level_least",
        "label": "Least deprived tenth (%)"
      },
      {
        "format": {
          "digits": 1
        },
        "key": "level_most",
        "label": "Most deprived tenth (%)"
      },
      {
        "format": {
          "digits": 1
        },
        "key": "estimate",
        "label": "Difference (points)"
      },
      {
        "format": {
          "digits": 1
        },
        "key": "conf_low",
        "label": "Lower limit of the 95% interval"
      },
      {
        "format": {
          "digits": 1
        },
        "key": "conf_high",
        "label": "Upper limit of the 95% interval"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "n",
        "label": "Tracts in the most deprived tenth"
      }
    ]
  },
  "title": "In the most deprived tenth of tracts, the dental visit and screening tests are less common by {fact:flat_colon_delta} to {fact:flat_dental_delta} points and barriers to care are more common by {fact:flat_notrans_delta} and {fact:flat_uninsured_delta} points",
  "type": "dot",
  "width": "wide"
}