placestats

Food insecurity and Premature mortality

Where Food insecurity is higher, Premature mortality tends to be higher. The link is moderate: +0.54 across 2,245 counties, on a scale from −1 (opposite) to +1 (in step). That figure compares places with the same population density, income and education, so those differences can't explain it. It holds inside states too. Measured separately within each of 30 states, the middle value of the link is +0.73.

Holds 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

Food insecurity

The estimated percentage of adults who were sometimes or often worried about running out of food. It is adjusted so places with older or younger populations can be compared fairly. It is an estimate from a statistical model, not a direct count from a local survey.

CDC PLACES · PLACES FOODINSECU, age-adjusted

Premature mortality

Deaths before age 75 per 100,000 people. It is adjusted so places with older or younger populations can be compared fairly.

County Health Rankings · County Health Rankings v127

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 food insecurity

By premature mortality

Food insecurityPremature mortality
Highest
Sioux County, ND42.6%1,416
Roosevelt County, MT28.1%1,337
Kingman County, KS12.7%1,289
Benson County, ND24.8%1,265
Thurston County, NE23.8%1,119
Lowest
Los Alamos County, NM6.9%178
Loudoun County, VA8.5%181
Fairfax County, VA9.4%182
Summit County, UT7.9%192
Arlington County, VA7.1%195
States — Food insecurity is not published for states

By premature mortality

Food insecurityPremature mortality
Highest
Mississippi—629
West Virginia—625
Alabama—569
Kentucky—565
Louisiana—563
Lowest
Massachusetts—303
Hawaii—310
Minnesota—315
Utah—317
Connecticut—323
Metro areas

By food insecurity

Food insecurityPremature mortality
Highest
Gallup, NM43%1,079
Clarksdale, MS39.3%1,070
Greenville, MS37.3%875
Selma, AL35.9%865
Deming, NM35.2%620
Lowest
Los Alamos, NM6.9%178
Heber, UT8.35%202
Bozeman, MT8.6%207
Nantucket, MA9%203
Portland-South Portland, ME9.08%316

By premature mortality

Food insecurityPremature mortality
Highest
Gallup, NM43%1,079
Clarksdale, MS39.3%1,070
Cleveland, MS34.4%927
Greenwood, MS34.7%891
Greenville, MS37.3%875
Lowest
Los Alamos, NM6.9%178
Jackson, WY-ID10.5%184
Heber, UT8.35%202
Nantucket, MA9%203
Bozeman, MT8.6%207
Cities and towns — Premature mortality is not published for cities and towns

By food insecurity

Food insecurityPremature mortality
Highest
Benton Harbor city, MI52.6%—
Lamont CDP, CA52.1%—
East Bakersfield CDP, CA51.9%—
Buena Vista CDP, MI51.4%—
Tallulah city, LA51.2%—
Lowest
Ladue city, MO4.5%—
Glendale city, MO4.6%—
Difficult Run CDP, VA4.7%—
Great Falls CDP, VA4.8%—
Little Silver borough, NJ4.8%—

Counties furthest from the pattern

Compared with the straight line that best fits all 2,253 counties: the five with far more premature mortality than their food insecurity would suggest, and the five with far less.

Food insecurityPremature mortality
Above the line
Kingman County, KS12.7%1,289
Alpine County, CA12.4%1,053
Roosevelt County, MT28.1%1,337
Benson County, ND24.8%1,265
Edwards County, KS17.3%1,086
Below the line
Bronx County, NY37.5%483
Issaquena County, MS36.9%475
Aleutians East Borough, AK21%198
Claiborne Parish, LA40%580
Santa Cruz County, AZ27.4%333

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+0.7642,245 counties reporting both
After adjusting for density, income and education+0.538the part of the link that is not just how urban, rich and educated a place is
Also adjusting for population size+0.546size taken out as well as density
Also comparing only within each state+0.421each county is compared only with others in its own state, so this is no longer a comparison between states
Giving bigger counties more weight+0.327the adjusted link for the average resident rather than the average county. With this weighting, the data counts for about 187 equally weighted counties
Middle value inside single states+0.728the link worked out inside each of 30 states with at least 20 counties reporting
Using ranks, after adjusting+0.411uses 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 = 2.3e-168. But counties in the same state tend to resemble each other, so the better figure allows for that: p = 4.4e-11. 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 2.5e-167.

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 +0.27 (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?

Not measurable: at least one of these is published for too few of the years a change needs (2014–2019 or 2019–2023), or for too few counties in both.

Related pairs

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 Food insecurity and Premature mortality