Congressional District Health Dashboard (CDHD), a new online tool that provides critical health data for all 435 congressional districts and the District of Columbia. The dashboard incorporates 36 key measures of health, such as deaths from cardiovascular disease and breast cancer, along with conditions that affect health, like housing affordability and access to nutritious foods. Until now, most of these data were not available at the congressional district level, nor were they compiled in a single location or easily available to the public.

The Congressional District Health Dashboard’s data reveal stark geographic, and racial and ethnic differences in health and wellbeing across congressional districts in the United States. For example, people living in congressional districts in the 11 states that have not expanded Medicaid coverage under the Affordable Care Act are twice as likely to be uninsured compared to those in states with expanded Medicaid coverage. In fact, residents of congressional districts in Arkansas, Louisiana, Oklahoma, and Texas on average are almost 3.5 times more likely to be uninsured than those in congressional districts in New England. On average, Hispanic residents have the highest rates of uninsurance in most congressional districts across the country.

“The Congressional District Health Dashboard will help fill a critical need for timely, rigorous, and actionable data that can inform evidence-based policymaking,” says Marc Gourevitch, MD, MPH, chair of the Department of Population Health at NYU Langone Health and the initiative’s principal architect. “Now, policymakers, advocates, and others can drill down to their specific congressional districts to identify the opportunities and challenges affecting the health and wellbeing of all the people they serve, regardless of income, race, or ZIP code.”

The Congressional District Health Dashboard enables users to:

• Explore rigorous, non-partisan data on health, education, poverty, and more by congressional district and compare these findings to state and national averages;
• Compare the rates of select metrics among different racial and ethnic groups within districts; and
• View any congressional district’s snapshot, with all 36 measures compared to the national average, along with district-specific population facts like age and racial/ethnic makeup.

The CDHD’s analysis of the congressional district data also reveals:

• Across congressional districts, there is large variation in several health outcomes including people reporting mental distress which ranges from 9% -21 percent by district.
• Rent burden is lowest in rural districts at 37 percent, and highest in districts along the coastal regions (California, the northeast, and Florida) and urban congressional districts generally, at 50 percent.
• Across the U.S., deaths from cardiovascular disease are lower in suburban districts at 194 deaths per 100,000, compared to urban and rural districts at 215 and 225 deaths per 100,000, respectively.
• Child poverty is lower in suburban districts at about 14 percent, and higher in urban and rural districts at 19 percent.
• Broadband access is significantly lower in rural southern districts, where only 40-50 percent of households have high-speed internet compared to 80-90 percent in urban districts with strong broadband access.
• Racial and ethnic disparities in low birth weight are observed across districts, with particularly stark disparities in Alabama, Florida, Louisiana, North Carolina, and South Carolina. In over three-quarters of the districts in these states, Black newborns are roughly twice as likely to be underweight at birth than White babies (with other racial/ethnic groups falling between), including all of South Carolina’s districts and five of Louisiana’s six districts.

“This dashboard could be a game-changer for health policy in the United States. By using local data, members of Congress and their staff can make more informed decisions about policies affecting people’s healthcare, communities, and workplaces,” said Giridhar Mallya, MD, MSHP, senior policy officer at RWJF. “Our health shouldn’t be determined by our congressional district, but these data clearly show how far we have to go to address persistent inequities across the country. Regardless of who they are or where they live, all people in the United States deserve the opportunity to thrive.”

Overseen and regularly updated by a team of population health and policy experts, epidemiologists, and geospatial specialists, the Congressional District Health Dashboard website displays measures and drivers of health through interactive maps, tables, and charts. Data are drawn from federal sources and other datasets that adhere to rigorous standards of data collection and analysis, including the U.S. Census Bureau, the Centers for Disease Control and Prevention, and the Environmental Protection Agency.

About the Congressional District Health Dashboard

A first-of-its-kind tool, the Congressional District Health Dashboard equips congressional staff, federal and state advocates, journalists, researchers, and others with data on health and conditions that affect health in every congressional district across the country, fueling constituents’ and policymakers' efforts to take action and drive change. With support from the Robert Wood Johnson Foundation, the CDHD builds on the foundation of the City Health Dashboard and responds to requests for additional unbiased health and wellbeing data at the congressional district level.

About NYU Langone Health

The Department of Population Health at NYU Langone Health unites the fields of medicine and public health to improve the health of populations in New York City and around the globe, and to educate students to become leaders in healthcare delivery, health policy, and public health. Partnering with colleagues across diverse public, private and community organizations, the Department conducts basic and applied research to enhance the quality and effectiveness of healthcare and to advance community-level initiatives to improve health and health equity. Trained in diverse disciplines, the Department's more than 130 core faculty and 400 dedicated staff specialize in research areas including: healthcare delivery science, health economics and policy, epidemiology, biostatistics, medical ethics, early childhood development, community health and health equity, decision science, and tobacco, alcohol, and drug use prevention and treatment. Visit us at med.nyu.edu/pophealth.

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新泽西州普林斯顿大学今天，纽约大学格罗斯曼医学院的研究人员与罗伯特·伍德·约翰逊基金会(RWJF)合作，公布了一项新的研究国会选区健康仪表盘(CDHD)，一个新的在线工具，提供所有435个国会选区和哥伦比亚特区的关键健康数据。该仪表板包括36项关键的健康指标，如心血管疾病和乳腺癌导致的死亡，以及影响健康的条件，如住房负担能力和获得营养食品的机会。到目前为止，大多数这些数据在国会选区层面上都无法获得，也不是在单一地点汇编的，也不容易向公众提供。

国会选区健康仪表板的数据揭示了美国国会选区在健康和幸福方面的明显地理、种族和民族差异。例如，在根据《平价医疗法案》(Affordable Care Act)尚未扩大医疗补助覆盖范围的11个州的国会选区，与医疗补助覆盖范围扩大的州相比，未参保的可能性是后者的两倍。事实上，阿肯色州、路易斯安那州、俄克拉荷马州和德克萨斯州国会选区的居民平均没有保险的可能性几乎是新英格兰国会选区居民的3.5倍。平均而言，在全国大多数国会选区，西班牙裔居民的无保险率最高。

“国会选区健康仪表板将有助于满足对及时、严格和可操作数据的关键需求，这些数据可以为基于证据的政策制定提供信息，”纽约大学朗格尼健康学院人口健康系主任、公共卫生硕士Marc Gourevitch说。“现在，政策制定者、倡导者和其他人可以深入到他们特定的国会选区，以确定影响他们所服务的所有人的健康和福祉的机会和挑战，无论收入、种族或邮政编码如何。”

“国会选区健康状况仪表板”使用户能够:

• 按国会选区探索有关健康、教育、贫困等方面的严格、无党派的数据，并将这些结果与州和全国平均水平进行比较;
• 比较地区内不同种族和民族的选择指标比率;而且
• 查看任何国会选区的快照，将所有36项指标与全国平均水平进行比较，以及特定选区的人口事实，如年龄和种族/民族构成。

CDHD对国会选区数据的分析还揭示:

• 在各个国会选区，一些健康结果存在很大差异，包括报告精神困扰的人，各选区的比例从9%到21%不等。
• 租金负担在农村地区最低，为37%，沿海地区(加利福尼亚州、东北部和佛罗里达州)和城市国会选区最高，一般为50%。
• 在美国，郊区心血管疾病的死亡率较低，每10万人中有194人死亡，而城市和农村地区分别为每10万人中有215人和225人死亡。
• 郊区的儿童贫困率较低，约为14%，城市和农村地区的儿童贫困率较高，为19%。
• 南部农村地区的宽带接入明显较低，只有40- 50%的家庭拥有高速互联网，而在宽带接入较好的城市地区，这一比例为80- 90%。
• 低出生体重的种族和民族差异在各个地区都可以观察到，在阿拉巴马州、佛罗里达州、路易斯安那州、北卡罗来纳州和南卡罗来纳州的差异尤其明显。在这些州超过四分之三的地区，黑人新生儿出生时体重不足的可能性大约是白人婴儿的两倍(其他种族/民族介于两者之间)，包括南卡罗来纳州的所有地区和路易斯安那州六个地区中的五个地区。

“这个仪表盘可能会改变美国的卫生政策。通过使用当地数据，国会议员及其工作人员可以就影响人们医疗保健、社区和工作场所的政策做出更明智的决定，”RWJF高级政策官员、MSHP医学博士Giridhar Mallya说。“我们的健康状况不应该由我们的国会选区决定，但这些数据清楚地表明，要解决全国各地持续存在的不平等问题，我们还有很长的路要走。无论他们是谁，住在哪里，所有在美国的人都应该有机会茁壮成长。”

在人口健康和政策专家、流行病学家和地理空间专家团队的监督和定期更新下，国会选区健康仪表板网站通过交互式地图、表格和图表展示了健康的衡量标准和驱动因素。数据来自联邦来源和其他数据集，这些数据集遵循严格的数据收集和分析标准，包括美国人口普查局、疾病控制和预防中心和环境保护局。

关于国会选区健康仪表盘

作为首个此类工具，国会选区健康仪表板为国会工作人员、联邦和州的倡导者、记者、研究人员和其他人提供了影响全国每个国会选区健康状况的数据，推动选民和政策制定者采取行动和推动变革。在罗伯特·伍德·约翰逊基金会的支持下，CDHD建立在城市健康仪表盘并在国会选区一级回应提供更多公正的健康和福利数据的要求。

关于纽约大学朗格尼健康中心

纽约大学朗格尼健康学院人口健康系将医学和公共卫生领域结合起来，以改善纽约市和全球人口的健康，并教育学生成为医疗保健服务、卫生政策和公共卫生领域的领导者。该部与来自不同公共、私营和社区组织的同事合作，开展基础和应用研究，以提高医疗保健的质量和有效性，并推动社区一级的举措，以改善健康和卫生公平。接受过不同学科的培训，该部门的130多名核心教师和400多名敬业的员工专注于研究领域，包括:医疗保健交付科学，卫生经济学和政策，流行病学，生物统计学，医学伦理学，儿童早期发展，社区卫生和卫生公平，决策科学，烟草，酒精和药物使用预防和治疗。访问我们的网站med.nyu.edu/pophealth．