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Objective: To quantify the degree to which health care service area (HCSA) definitions captured hospitalizations and heterogeneity in social determinants of health (SDOH). Data Sources and Study Setting: Geospatial data from the Centers for Medicare and Medicaid Services, the Census Bureau, and the Dartmouth Institute. Drive-time isochrones from MapBox. Area Deprivation Index (ADI) data. 2017 inpatient discharge data from Arizona, Florida, Iowa, Maryland, Nebraska, New Jersey, New York, and Wisconsin, State Emergency Department Databases and State Inpatient Databases, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality; and Fee-For-Service Medicare data in 48 states. Study Design: Cross-sectional, descriptive analysis. Data Collection/Extraction Methods: The capture rate was the percentage of inpatient discharges occurring in the same HCSA as the hospital. We compared capture rates for each HCSA definition for different populations and by hospital type. We measured SDOH heterogeneity using the coefficient of variation of the ADI among ZIP codes within each HCSA. Principal Findings: HCSA definitions captured a wide range of inpatient discharges, ranging from 20% to 50% for Public Use Microdata Areas (PUMAs) to 93%-97% for Metropolitan Statistical Areas (MSAs). Three-quarters of inpatient discharges were from facilities within the same county as the patient's residential ZIP code, while nearly two-thirds were within the same Hospital Service Area. From the hospital perspective, 74.7% of inpatient discharges originated from within a 30-min drive and 90.1% within a 60-min drive. Capture rates were the lowest for teaching hospitals. PUMAs and drive-time-based HCSAs encompassed more homogenous populations while MSAs, Commuting Zones, and Hospital Referral Regions captured the most variation. Conclusions: The proportion of hospital discharges captured by each HCSA varied, with MSAs capturing the highest proportion of discharges and PUMAs capturing the lowest. Additionally, researchers face a trade-off between capture rate and population homogeneity when deciding which HCSA to use. KEYWORDS access/demand/utilization of services, geographic/spatial factors/small-area variations, hospitals, social determinants of health, 1 | INTRODUCTION The geography of health care utilization is important to the substance, methods, and impact of health policy and health services research. For example, geographic service area boundaries [...]

Introduction Assessing outcomes for Social Security retirement and disability program participants involves accounting for beneficiary mortality patterns, and studies of mortality have examined death rate variations by socioeconomic status (SES), [...]

Nearly half of renter households spent over 30% of income on housing in 2023. Maine, New Mexico, and Utah saw the largest gross rent increases between 2022 and 2023. Median [...]

(https://wallethub.com/edu/best-states-to-live-in/62617) WalletHub released its 2024 ranking of the best states to live in. The study considered metrics including affordability, economy, and safety. Massachusetts was ranked the No. 1 state to [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Steve Blank is the creator of the Lean Startup Method -- the go-to blueprint for creating successful startups. But has his advice for entrepreneurs changed now that AI is disrupting [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Angela Babin, 62, struggles to live on $1,104 a month in Social Security and $28 in SNAP. Her experience highlights a growing crisis, as many older adults don't have enough [...]

Home prices have taken off in the last few years, even though mortgage rates are high. Even when property prices fall, they're often still cost-prohibitive at over $500,000. Here are [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

SmartAsset identified 12 US cities with the cheapest home prices relative to local incomes. Median home prices in these cities are below $175,000, much lower than the US median. But [...]

Byline: The Center Square Recently released data from the U.S. Census Bureau shows only four of Louisiana's 15 largest cities had population growth, with the rest losing population. Data shows [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

A new study has revealed the states with the fewest young homeowners, with Hawaii taking the top spot. Real estate experts at Agent Advice analyzed data from The United States [...]

The U.S. workforce relies heavily on immigration, with one out of every six workers originating from outside the country's borders in 2021. However, the supply of new immigrant labor has [...]

The prospect of using mass timber products, such as cross-laminated timber (CLT), for building material has increased in recent years because of the advantage of these products over their substitutes in terms of structural rigidity, cost efficiency, and climate benefits. However, the American National Standard developed for CLT currently applies to softwood only. With the expected increase in the market for CLT, the supply chain needs to address the projected rise in demand for hardwood as well. Promoting the production of hardwood mass timber like CLT requires studying the feasibility of quality hardwood lumber supply and identifying the optimal locations for investing capital in CLT manufacturing plants. By presenting a case from Tennessee, this study provides a spatially explicit framework to use a variety of factors such as transportation networks, proximity to sawmills, sawmill capacity, and roundwood supply to identify optimal CLT plant locations. Specifically, fuzzy multicriteria analysis was used to identify potential locations, which provided inputs for a location-allocation model to identify optimal locations for CLT plants. Among the several potential locations, three optimal locations suitable for CLT plants were identified with 12,504 thousand cubic feet (MCF) annual production potential of CLT panels in Tennessee. Although increasing transportation distance for lumber procurement would increase CLT production capacity, it would also result in increased lumber supply costs. Potential investors and regional planners interested in using hardwood forest products can benefit from these findings to locate suitable sites for new investment., Mass timber products are a class of engineered wood products manufactured by combining wood's inherent strength with modern engineering (Atkins et al. 2022). Manufacturing of mass timber products involves gluing [...]

A Census Bureau press release said 62% of counties had 'positive net domestic migration in 2023.' Kaufman County, Texas, had the highest positive net domestic migration rate among counties. All [...]

Indiana added 29,925 residents in 2023 to reach a total population of 6.862 million, according to the latest population estimates from the U.S. Census Bureau. Analysis by the Indiana Business [...]

The South's population growth is accelerating, driving economic growth. Counties in Texas, Georgia, South Carolina, and Virginia saw some of the fastest growth in 2023. The South saw its population [...]

Wildwood-The Villages, Florida, saw its population increase 4.7% from July 1, 2022, to a year later. On Realtor.com, The Villages was called a seller's market for February. Napa, California; Ithaca, [...]

Newly published estimates for counties showed how population growth changed from 2022 to 2023. Among counties with at least 20,000 people, Kaufman County in Texas was growing the quickest. There [...]

A Chamber of Commerce post using Census Bureau data showed just how bad the pay gap is for women. The gap based on median earnings was $18,044 in New Hampshire, [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Many federal agencies are required to use this ACS data, and many non-profits rely on it when applying for grants for their operations and decision-making. Esri, a company focusing on [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Most research on differences in earnings between Black and white individuals has focused on differences at a point in time--for example, over the course of a month or a year. However, this approach may understate labor market inequality between Black and white individuals, especially if their lifetime employment differs. Differences in the incidence of unemployment may translate into differences in years worked over an entire career. Thus, entire lifetime earnings histories may provide a more accurate picture of labor market inequality. Andrew Glover, Jose Mustre-del-Rio, and Emily Pollard go beyond point-in-time measures of earnings and examine lifetime earnings differences between Black and white individuals. They find that, on average, Black individuals earn about one-third less than white individuals over the course of their lifetimes (a difference equivalent to about $550,000), though the size of this gap varies by sex and education level. In addition, they find that differences in years worked, which are not captured by point-in-time measures, contribute substantially to earnings differences between Black and white individuals., Understanding differences in earnings between Black and white individuals is important to designing policies and programs aimed at reducing these differences. Most research on this topic has focused on differences [...]

The Census Bureau released new 2023 estimates that indicate just how much state populations have expanded or shrunk. South Carolina was the fastest-growing state from July 1, 2022, to July [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

'GDP has become something of a talisman. When GDP is growing, it gives people and companies hope, and when it declines, governments pull out all the policy stops to reverse [...]

California had a net outflow of nearly 350,000 residents between 2021 and 2022, the census found. San Francisco, Los Angeles, and San Diego residents are looking to move to Las [...]

Land area 9,161,923 sq km Population 333.3m (July 2022; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2022; US Census Bureau estimates) New York: 8.3 [...]

Homes are becoming larger and more extravagant, Census Bureau data shows. More four-bedroom homes are being built, and nearly all are being constructed with air conditioning. Home prices are expected [...]

Insider examined the median earnings by field of bachelor's degree using data from the Census Bureau. The median earnings of those with a degree in electrical engineering was the highest. [...]

Over 818,000 people left California between 2021 and 2022, while just 475,800 moved in. Over 100,000 moved from California to Texas, while 74,000 moved to Arizona and 50,700 to Florida. [...]

The proportion of Americans working from home is at its lowest level since the pandemic started. Only around 26% of households now have at least one regular remote worker, per [...]

Land area 9,161,923 sq km Population 331.9m (July 2021; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2021; US Census Bureau estimates) New York: 19.8 [...]

Women owned 41-1% (11.2 million) and minorities owned 36.7% (10 million) of the nation's nonemployer businesses (those without paid employees) and had $307.9 billion and $345.1 billion, respectively, in receipts [...]

Land area 9,161,923 sq km Population 331.9m (July 2021; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2021; US Census Bureau estimates) New York: 19.8 [...]

Many Californians have relocated to Texas, as higher housing costs drive them out of the state. California to Texas is a popular interstate relocation path, according to the Census Bureau. [...]

Jackson, Mississippi, led the nation in the rate of population decline from July 2021 to July 2022. Many left the Bay Area and Utah, as well as St. Louis and [...]

Byline: The Center Square Photo courtesy DepositPhotos The median age of Americans is getting closer and closer to 40 years. The median age in the United States increased by 0.2 [...]

Over half of the 10 fastest-growing cities are in Florida. That's according to population changes from July 1, 2021, to July 1, 2022, for metropolitan statistical areas. The Villages, Florida, [...]

Insider looked at domestic migration data from the Census Bureau to see how people have recently moved around the US. The below map shows that many counties within Florida had [...]

Land area 9,161,923 sq km Population 331.9m (July 2021; US Census Bureau estimate) Main urban centres (incl suburbs) Population in millions (July 2021; US Census Bureau estimates) New York: 19.8 [...]

More than 338,000 older Americans retired to a new home in 2023, a quarter of them settling in a different state, according to U.S. Census Bureau data analyzed by online [...]

Like so much of the nation's infrastructure, the U.S. Federal Statistical System (FSS) enters the second decade of the 21st century under stress and strain. Current and former federal agency [...]

The latest data release from the 2020 Census shows that Indiana's population continues to become more diverse. In fact, one-quarter of Hoosiers identified as part of a minority race or [...]

Introduction Housing is the largest single expenditure category for U.S. households. On average, in 2018, expenditures for housing were equal to 25.5 percent of household income among all U.S. households; [...]