Motor vehicle crash deaths and Flu vaccination among Medicare enrollees
Across 2,479 counties, Motor vehicle crash deaths and Flu vaccination among Medicare enrollees have a link of -0.57, on a scale from −1 (opposite) to +1 (in step). But compare places with the same population density, income and education, and a weak link of -0.22 remains. Most of the first figure came from both measures following how urban, rich and educated a place is, not from a link with each other.
Mostly gone after adjusting
Every place, plotted
One dot for each place reporting both measures. Hover over or tap a dot to see its name and values. The thin line is the straight line that best fits the dots. The bold line, shown for counties, is the link after adjusting for density, income and education. A dot far from the lines is a place that does not follow the pattern.
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What each measure is
Motor vehicle crash deaths
Deaths in car and other motor vehicle crashes per 100,000 people.
County Health Rankings · County Health Rankings v039
Flu vaccination among Medicare enrollees
The percentage of people on Medicare who got a flu shot.
County Health Rankings · County Health Rankings v155
Highest and lowest
Where each measure is highest and lowest among the places reporting both (2023), with the other measure beside it. This is shown for every size of place where both are published. Metro-area values are added up from their counties. A measure that cannot be added up across counties, such as a middle value (median), has no metro figure. Counts are shown per 1,000 residents, since raw totals would only list the largest places. Cities and towns and ZIP codes are shown where the Census survey or the CDC publishes them; most other sources stop at the county. They are shown for places of 5,000 residents or more, and only where the survey’s margin of error is small enough for the figure to be usable. The CDC publishes its health estimates for cities in a version adjusted for age, so places with older or younger people can be compared fairly, but not for ZIP codes.
Counties
By motor vehicle crash deaths
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Big Horn County, MT | 90 | 0.34% |
| Oglala Lakota County, SD | 86.4 | 0.17% |
| Todd County, SD | 80.6 | 0.12% |
| Jackson County, SD | 76.3 | 0.08% |
| Dewey County, SD | 68.3 | 0.22% |
| Lowest | ||
| New York County, NY | 2.71 | 0.55% |
| Arlington County, VA | 2.73 | 0.53% |
| Loudoun County, VA | 3.46 | 0.52% |
| Kings County, NY | 3.66 | 0.38% |
| Richmond County, NY | 3.83 | 0.46% |
By flu vaccination among Medicare enrollees
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Story County, IA | 4.51 | 0.69% |
| Dane County, WI | 6.92 | 0.69% |
| Douglas County, KS | 7.8 | 0.66% |
| Carroll County, IA | 12.7 | 0.65% |
| Johnson County, IA | 6.21 | 0.65% |
| Lowest | ||
| Yuma County, CO | 24.3 | 0.07% |
| Jackson County, SD | 76.3 | 0.08% |
| Ferry County, WA | 32.1 | 0.11% |
| Todd County, SD | 80.6 | 0.12% |
| Lake County, OR | 39.2 | 0.13% |
States
By motor vehicle crash deaths
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Mississippi | 25.5 | 0.42% |
| South Carolina | 20.8 | 0.5% |
| Alabama | 20.7 | 0.41% |
| Arkansas | 19.8 | 0.46% |
| New Mexico | 19.8 | 0.4% |
| Lowest | ||
| New York | 5.9 | 0.51% |
| Massachusetts | 6.01 | 0.58% |
| District of Columbia | 6.39 | 0.43% |
| Rhode Island | 6.89 | 0.52% |
| New Jersey | 6.98 | 0.53% |
By flu vaccination among Medicare enrollees
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Massachusetts | 6.01 | 0.58% |
| Delaware | 13.2 | 0.56% |
| Pennsylvania | 9.46 | 0.55% |
| Connecticut | 8.54 | 0.55% |
| Iowa | 11.4 | 0.54% |
| Lowest | ||
| Alaska | 11.2 | 0.32% |
| Nevada | 11.6 | 0.38% |
| Wyoming | 17 | 0.4% |
| New Mexico | 19.8 | 0.4% |
| Idaho | 13.8 | 0.4% |
Metro areas
By motor vehicle crash deaths
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Palatka, FL | 45.5 | 0.34% |
| Gallup, NM | 42.3 | 0.41% |
| Lumberton, NC | 41.4 | 0.39% |
| Show Low, AZ | 40.2 | 0.38% |
| Selma, AL | 39.2 | 0.39% |
| Lowest | ||
| Amherst Town-Northampton, MA | 5.04 | 0.62% |
| New York-Newark-Jersey City, NY-NJ | 5.04 | 0.495% |
| Boston-Cambridge-Newton, MA-NH | 5.14 | 0.581% |
| Pullman, WA | 5.54 | 0.52% |
| Provo-Orem-Lehi, UT | 5.83 | 0.49% |
By flu vaccination among Medicare enrollees
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Highest | ||
| Ames, IA | 6.31 | 0.673% |
| Madison, WI | 8.41 | 0.663% |
| Lawrence, KS | 7.8 | 0.66% |
| Carroll, IA | 12.7 | 0.65% |
| Iowa City, IA | 6.88 | 0.631% |
| Lowest | ||
| Winnemucca, NV | 19.3 | 0.15% |
| Safford, AZ | 21.6 | 0.19% |
| Andrews, TX | 26.6 | 0.2% |
| Hobbs, NM | 24.8 | 0.22% |
| Hannibal, MO | 18.4 | 0.221% |
Counties furthest from the pattern
Compared with the straight line that best fits all 2,481 counties: the five with far more flu vaccination among Medicare enrollees than their motor vehicle crash deaths would suggest, and the five with far less.
| Motor vehicle crash deaths | Flu vaccination among Medicare enrollees | |
|---|---|---|
| Above the line | ||
| Big Horn County, MT | 90 | 0.34% |
| Polk County, NE | 46.5 | 0.55% |
| Nicholas County, KY | 50.6 | 0.48% |
| Ballard County, KY | 39.9 | 0.52% |
| Jefferson Davis County, MS | 60.1 | 0.41% |
| Below the line | ||
| Yuma County, CO | 24.3 | 0.07% |
| Humboldt County, NV | 19.3 | 0.15% |
| Todd County, MN | 15 | 0.2% |
| Seward County, NE | 11.5 | 0.22% |
| Clay County, KY | 22.7 | 0.16% |
Two series, one county
Both measures over time for a county you pick. The two charts are stacked, so they share only the years along the bottom. You can pick from the thirty largest counties reporting both. This panel covers 2010–2024, and a measure published only once shows as a single dot.
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Every version of the link
Each row measures the same link, from −1 to +1, in a different way. If the rows mostly agree, the link does not depend on one choice of method.
| Before adjusting for anything | -0.569 | 2,479 counties reporting both |
| After adjusting for density, income and education | -0.224 | the part of the link that is not just how urban, rich and educated a place is |
| Also adjusting for population size | -0.244 | size taken out as well as density |
| Also comparing only within each state | -0.184 | each county is compared only with others in its own state, so this is no longer a comparison between states |
| Giving bigger counties more weight | -0.210 | the adjusted link for the average resident rather than the average county. With this weighting, the data counts for about 276 equally weighted counties |
| Middle value inside single states | -0.579 | the link worked out inside each of 36 states with at least 20 counties reporting |
| Using ranks, after adjusting | -0.178 | uses each county’s rank, not its value, so a few extreme counties cannot create the link |
How much to believe it
Could it be chance?
The p-value is the chance of seeing a link this strong if there were really none. A value of 0.05 or less means the link is unlikely to be chance. Very small values are written in short form: 3.1e-16 means 0.00000000000000031, and the bigger the number after “e-”, the smaller the value. Treating every county as a separate case gives p = 1.5e-29. But counties in the same state tend to resemble each other, so the better figure allows for that: p = 2.1e-6. The site tested 20,910 pairs, and testing so many turns up some flukes. The q-value allows for that too. For this pair it is 6.0e-29.
Do nearby places look alike?
Moran’s I measures how much nearby places look alike: 0 means no map pattern, and higher means neighbours are more similar. For the part of each county that the adjustment leaves unexplained, it is +0.35 (p = 0.001). That unexplained part still clusters on the map. So some regional factor shared by both measures is not accounted for.
Did they change together?
The figures above compare counties at one moment. This asks a different question: where motor vehicle crash deaths rose most, did flu vaccination among medicare enrolleesmove too? Each county’s change is compared with the average change in its own state. That takes out ups and downs that hit a whole region at once. Each change is the gap between two estimates that both contain some error. That error pulls these links towards zero, so a weak one is weak partly for that reason. The q column shows whether a link could be a fluke, allowing for the many pairs tested: 0.05 or less means it is unlikely to be chance.
| Period | Counties | Change together | Within states | q |
|---|---|---|---|---|
| 2014–2019 the main test: each Census survey figure averages five years, and these two do not overlap; before the pandemic | — | — | — | — |
| 2019–2023 a repeat check: its two five-year survey figures both include 2019, and it covers the COVID years | 2,408 | -0.01 | -0.00 | 0.935 |
Measured over the nearest years published: Motor vehicle crash deaths: 2019–2022 for the 2019–2023 row; Flu vaccination among Medicare enrollees: 2019–2022 for the 2019–2023 row.
Not measurable over the main period, so only the second period is shown. How change is measured.
Related pairs
- Motor vehicle crash deaths and Years of potential life lost — +0.56
- Motor vehicle crash deaths and Premature mortality — +0.54
- Child mortality and Motor vehicle crash deaths — +0.53
- Motor vehicle crash deaths and Life expectancy — -0.51
- Motor vehicle crash deaths and Health score — -0.50
- Motor vehicle crash deaths and Homicide rate, annual — +0.50
- Stroke and Motor vehicle crash deaths — +0.49
- Lack of reliable transportation and Motor vehicle crash deaths — +0.47
Association only. Nothing here shows that either measure changes the other. This describes counties, not the people in them. Two measures going together across places does not mean the same people have both. How the US county data works · Explore Motor vehicle crash deaths and Flu vaccination among Medicare enrollees