{
  "alt": "Line chart of three county death rates by tenth of county deprivation, weighted by population. The homicide line rises from the least deprived tenth on the left, bumps up among the less deprived tenths, and reaches its highest value in the most deprived tenth on the right. The suicide line rises across the first seven tenths and then stays level. The overdose line rises to a peak among the less deprived tenths, then falls and rises again toward the end.",
  "caption": "Each ratio compares the most deprived tenth with the least deprived. The point estimates of the homicide and overdose lines fall in {fact:pd_hm_falls} and {fact:pd_od_falls} of the nine steps between tenths. The overdose line reaches {fact:pd_od_peak} in tenth {fact:pd_od_peak_dec}, which is {fact:pd_od_peak_gap} above the most deprived tenth, a difference whose interval includes zero. Each line plots the population-weighted mean of county rates in a tenth of counties, with 95% intervals from a bootstrap over counties. The tenths hold equal numbers of counties, so the most deprived tenth is mostly small rural counties. The second view counts every county once.",
  "data": [
    {
      "cause": "Overdose",
      "conf_high": 25.579,
      "conf_low": 22.1736,
      "decile": 1,
      "estimate": 23.8391,
      "n_units": 302,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 29.9298,
      "conf_low": 24.5707,
      "decile": 2,
      "estimate": 27.2819,
      "n_units": 296,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 34.9633,
      "conf_low": 26.8984,
      "decile": 3,
      "estimate": 30.7448,
      "n_units": 289,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 42.0125,
      "conf_low": 30.6014,
      "decile": 4,
      "estimate": 36.1318,
      "n_units": 283,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 35.494,
      "conf_low": 27.6105,
      "decile": 5,
      "estimate": 31.8564,
      "n_units": 270,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 31.2528,
      "conf_low": 24.5809,
      "decile": 6,
      "estimate": 27.8984,
      "n_units": 268,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 35.134,
      "conf_low": 27.895,
      "decile": 7,
      "estimate": 31.3941,
      "n_units": 270,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 33.1323,
      "conf_low": 21.7074,
      "decile": 8,
      "estimate": 27.1672,
      "n_units": 260,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 30.1164,
      "conf_low": 23.8584,
      "decile": 9,
      "estimate": 26.8274,
      "n_units": 248,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 36.4867,
      "conf_low": 25.6587,
      "decile": 10,
      "estimate": 31.0858,
      "n_units": 215,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 13.1618,
      "conf_low": 11.3059,
      "decile": 1,
      "estimate": 12.1764,
      "n_units": 267,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 15.195,
      "conf_low": 13.2315,
      "decile": 2,
      "estimate": 14.1468,
      "n_units": 255,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 17.1051,
      "conf_low": 14.8276,
      "decile": 3,
      "estimate": 15.8312,
      "n_units": 247,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 17.0358,
      "conf_low": 15.0911,
      "decile": 4,
      "estimate": 16.0308,
      "n_units": 239,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 17.9411,
      "conf_low": 16.0385,
      "decile": 5,
      "estimate": 16.9099,
      "n_units": 243,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.7627,
      "conf_low": 16.5739,
      "decile": 6,
      "estimate": 17.6252,
      "n_units": 225,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 19.0948,
      "conf_low": 17.6008,
      "decile": 7,
      "estimate": 18.3209,
      "n_units": 214,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.9359,
      "conf_low": 14.1985,
      "decile": 8,
      "estimate": 16.6225,
      "n_units": 211,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.8257,
      "conf_low": 17.3283,
      "decile": 9,
      "estimate": 18.1002,
      "n_units": 183,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Suicide",
      "conf_high": 19.4128,
      "conf_low": 15.7053,
      "decile": 10,
      "estimate": 17.3658,
      "n_units": 179,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 5.43713,
      "conf_low": 4.18767,
      "decile": 1,
      "estimate": 4.82114,
      "n_units": 301,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 9.17271,
      "conf_low": 5.65353,
      "decile": 2,
      "estimate": 7.30898,
      "n_units": 292,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 9.01676,
      "conf_low": 6.40015,
      "decile": 3,
      "estimate": 7.86395,
      "n_units": 281,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 14.2438,
      "conf_low": 8.53285,
      "decile": 4,
      "estimate": 11.4357,
      "n_units": 282,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 12.3323,
      "conf_low": 7.48426,
      "decile": 5,
      "estimate": 9.89455,
      "n_units": 277,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 9.99117,
      "conf_low": 6.86859,
      "decile": 6,
      "estimate": 8.44637,
      "n_units": 275,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 10.0039,
      "conf_low": 6.19228,
      "decile": 7,
      "estimate": 7.86241,
      "n_units": 275,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 7.72652,
      "conf_low": 5.66043,
      "decile": 8,
      "estimate": 6.63087,
      "n_units": 280,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 10.3129,
      "conf_low": 7.39512,
      "decile": 9,
      "estimate": 8.78569,
      "n_units": 273,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Homicide",
      "conf_high": 16.1735,
      "conf_low": 11.1429,
      "decile": 10,
      "estimate": 13.631,
      "n_units": 257,
      "weighting": "Population-weighted"
    },
    {
      "cause": "Overdose",
      "conf_high": 23.2497,
      "conf_low": 21.053,
      "decile": 1,
      "estimate": 22.1854,
      "n_units": 302,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 25.6082,
      "conf_low": 22.6319,
      "decile": 2,
      "estimate": 24.0691,
      "n_units": 296,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 25.7183,
      "conf_low": 22.4485,
      "decile": 3,
      "estimate": 24.0408,
      "n_units": 289,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 27.0562,
      "conf_low": 22.9676,
      "decile": 4,
      "estimate": 25.0065,
      "n_units": 283,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 24.5925,
      "conf_low": 20.7022,
      "decile": 5,
      "estimate": 22.5601,
      "n_units": 270,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 23.1968,
      "conf_low": 19.5547,
      "decile": 6,
      "estimate": 21.3975,
      "n_units": 268,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 26.0588,
      "conf_low": 21.6413,
      "decile": 7,
      "estimate": 23.8074,
      "n_units": 270,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 25.136,
      "conf_low": 20.3324,
      "decile": 8,
      "estimate": 22.6793,
      "n_units": 260,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 23.6182,
      "conf_low": 19.261,
      "decile": 9,
      "estimate": 21.333,
      "n_units": 248,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Overdose",
      "conf_high": 26.3942,
      "conf_low": 19.5469,
      "decile": 10,
      "estimate": 22.9578,
      "n_units": 215,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 16.1216,
      "conf_low": 14.571,
      "decile": 1,
      "estimate": 15.3371,
      "n_units": 267,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.1943,
      "conf_low": 16.7506,
      "decile": 2,
      "estimate": 17.462,
      "n_units": 255,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.6291,
      "conf_low": 17.0865,
      "decile": 3,
      "estimate": 17.8464,
      "n_units": 247,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.27,
      "conf_low": 16.9057,
      "decile": 4,
      "estimate": 17.5779,
      "n_units": 239,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.4531,
      "conf_low": 16.6185,
      "decile": 5,
      "estimate": 17.4648,
      "n_units": 243,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.3551,
      "conf_low": 16.645,
      "decile": 6,
      "estimate": 17.4867,
      "n_units": 225,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 18.3956,
      "conf_low": 16.9549,
      "decile": 7,
      "estimate": 17.6598,
      "n_units": 214,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 17.5313,
      "conf_low": 15.883,
      "decile": 8,
      "estimate": 16.7188,
      "n_units": 211,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 16.8868,
      "conf_low": 15.0921,
      "decile": 9,
      "estimate": 16.0412,
      "n_units": 183,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Suicide",
      "conf_high": 15.3272,
      "conf_low": 13.2355,
      "decile": 10,
      "estimate": 14.2163,
      "n_units": 179,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 3.74089,
      "conf_low": 3.10977,
      "decile": 1,
      "estimate": 3.41156,
      "n_units": 301,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 4.87697,
      "conf_low": 3.94124,
      "decile": 2,
      "estimate": 4.34288,
      "n_units": 292,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 4.76045,
      "conf_low": 3.85665,
      "decile": 3,
      "estimate": 4.28875,
      "n_units": 281,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 5.47801,
      "conf_low": 4.14059,
      "decile": 4,
      "estimate": 4.78929,
      "n_units": 282,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 5.48139,
      "conf_low": 4.17186,
      "decile": 5,
      "estimate": 4.79191,
      "n_units": 277,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 5.10158,
      "conf_low": 3.895,
      "decile": 6,
      "estimate": 4.47978,
      "n_units": 275,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 6.0574,
      "conf_low": 4.63498,
      "decile": 7,
      "estimate": 5.312,
      "n_units": 275,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 5.5495,
      "conf_low": 4.2325,
      "decile": 8,
      "estimate": 4.90857,
      "n_units": 280,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 7.24265,
      "conf_low": 5.54386,
      "decile": 9,
      "estimate": 6.36095,
      "n_units": 273,
      "weighting": "Each county counted once"
    },
    {
      "cause": "Homicide",
      "conf_high": 10.8583,
      "conf_low": 8.1613,
      "decile": 10,
      "estimate": 9.47058,
      "n_units": 257,
      "weighting": "Each county counted once"
    }
  ],
  "id": "three_causes_by_decile",
  "notes": [
    "The deprivation rank of a county is the population-weighted mean of the Area Deprivation Index national ranks of its tracts, so a county ranked as least deprived can contain deprived tracts. The index understates deprivation in high-cost areas.",
    "Counties without a stable rate in all five years are left out of that cause's line: {fact:p_od_n} counties for overdose, {fact:p_su_n} for suicide and {fact:p_hm_n} for homicide, out of {fact:a_n} counties with a deprivation rank. The suicide line is thinnest in the most deprived tenth, where CDC marks the most small-county rates unstable. Connecticut is not in CDC's county file.",
    "The weighted and unweighted views differ for suicide and overdose: counting every county once, the ratio of the most deprived tenth to the least deprived is {fact:pu_ratio_su} for suicide and {fact:pu_ratio_od} for overdose, against {fact:pu_ratio_hm} for homicide, so the weighted rise comes from the larger counties.",
    "Across all the counties in the comparison, weighted by population, the rate is {fact:us_overdose} per hundred thousand residents for overdose, {fact:us_suicide} for suicide and {fact:us_homicide_cty} for homicide."
  ],
  "source": "CDC Mapping Injury, Overdose, and Violence county file, 2019-2023, and Area Deprivation Index 2023; modeled estimates, crude rates, population-weighted and unweighted",
  "spec": {
    "bandSeries": [
      "Overdose",
      "Suicide",
      "Homicide"
    ],
    "colors": {
      "Alcohol-induced causes": "alcohol",
      "Homicide": "homicide",
      "Overdose": "overdose",
      "Suicide": "suicide"
    },
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "series": "cause",
    "x": "decile",
    "xDomain": [
      1,
      10
    ],
    "xLabel": "Tenth of counties by Area Deprivation Index (1 = least deprived, 10 = most deprived)",
    "xTicks": [
      1,
      2,
      3,
      4,
      5,
      6,
      7,
      8,
      9,
      10
    ],
    "y": "estimate",
    "yDomain": [
      0,
      45
    ],
    "yFormat": {
      "digits": 1
    },
    "yLabel": "Deaths per 100,000 residents"
  },
  "subtitle": "CDC modeled death rates per 100,000 residents by tenth of counties ranked by Area Deprivation Index, mean of annual rates for 2019 to 2023, county rates weighted by population",
  "title": "Weighted by population, homicide rates in the most deprived tenth of counties are {fact:pd_ratio_hm} times those in the least deprived, suicide rates {fact:pd_ratio_su} times and overdose rates {fact:pd_ratio_od} times, but the homicide and overdose lines do not rise steadily",
  "type": "line",
  "views": [
    {
      "filter": {
        "weighting": "Population-weighted"
      },
      "id": "weighted",
      "label": "Population-weighted"
    },
    {
      "caption": "Homicide is {fact:pu_hm_d10} per hundred thousand residents in the most deprived tenth against {fact:pu_hm_d1} in the least deprived. The intervals of the suicide and overdose ratios allow no difference between the two tenths, and the correlation of the county rate with deprivation is {fact:p_adi_su_u} for suicide and {fact:p_adi_od_u} for overdose. Each line plots the unweighted mean of county rates in a tenth of counties.",
      "filter": {
        "weighting": "Each county counted once"
      },
      "id": "unweighted",
      "label": "Each county counted once",
      "title": "Counting every county once, homicide rates in the most deprived tenth of counties are {fact:pu_ratio_hm} times those in the least deprived, while the suicide ratio is {fact:pu_ratio_su} and the overdose ratio {fact:pu_ratio_od}"
    }
  ]
}
