U.S. News and the Aetna Foundation Examine the Link Between Race, Where You Live and Health in America


Drawn from data on nearly 3,000 communities, the special report analyzes the relationship between race, ethnicity and key social determinants of health across the U.S.


There are clear links between race, ethnicity, geography and drivers of health outcomes in the U.S., a special report from U.S. News & World Report finds.

In one of the largest assessments of social determinants of health to date, U.S. News found that communities with a greater share of white residents generally score better, differing from the negative link between communities’ scores and their share of black residents. Larger Hispanic and Native American populations also are linked to worse Healthiest Communities outcomes.

This report analyzed social determinants of health across nearly 3,000 U.S. counties that were part of the initial Healthiest Communities rankings. The report identifies factors that influence overall well-being such as economy, housing and access to health care, and highlights diverse areas outperforming the norm.

Key Findings include:

  • Nearly 700 communities have a black population share larger than the national average of about 13 percent. Yet just 26 of those communities rank among the top 500 Healthiest Communities overall, with many of those in the Washington, D.C., and Atlanta areas.
  • Some of the strongest predictors of community performance in the U.S. News assessment are also areas in which communities with large black populations generally struggle. These factors include homicide rates, low birth weight and, in particular, access to healthy and affordable food.
  • Low segregation is one of the top 15 drivers of community performance for places with larger than average Hispanic populations. Proximity to jobs and good child care quality reveal some of the largest gaps in social determinants of health between communities with both a Hispanic population share above the national average of about 17 percent and communities with smaller Hispanic populations.
  • There is a negative relationship between the size of a community’s Native American population and its Healthiest Communities score. The strongest drivers of improved community performance in areas with larger- than-average Native American populations are better access to supermarkets and household utilities for heat, as well as lower rates of cancer prevalence.

“In-depth analysis and data-driven journalism powers the Healthiest Communities platform, allowing us to examine the relationship between public health initiatives and community health as a whole,” said Brian Kelly, editor and chief content officer of U.S. News. “Our reporting highlights communities that are making important strides to advance health for economically and socially diverse populations, while also empowering community leaders to seek positive change in counties facing disparities.”

“Your ZIP code can influence your health more than your genetic code. However, even within the varying health outcomes that we see across different geographies, we also see inequality across racial and ethnic groups,” said Dr. Garth Graham, president of the Aetna Foundation and vice president of Community Health for Aetna, Inc. “In order to improve health equity in our country, we need to truly understand where these problems exist so that we can help support local solutions that address these unique needs. The new report from U.S. News not only uses data and research to help identify issues in different locations, but also features communities that are striving to improve health for diverse populations.”