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Data & Research
Evidence that moves systems and communities forward.
Overview
ARCHI uses shared data to target the root conditions that shape health across Atlanta. We track education, health access and use, economic stability, and the built environment—including 3rd grade reading, routine checkups, insurance and transportation access, SNAP, income and poverty, housing cost burden, air quality, aging housing, and physical activity.
​Our goal is to move the outcomes that matter: years of life lost before 75, preventable ER visits, hospital discharges for major cardiovascular disease, and ER visits for diabetes. We will monitor these indicators and focus collaboration with partners demonstrating measurable gains.
Trends in Five Core Counties
We continue to track trends in five key metro-Atlanta counties: Clayton, Cobb, Dekalb, Fulton, Gwinnett. Explore the latest data.
Premature Death
The YPLL-75 rate stayed relatively flat up until the pandemic, when it soared by 30%. Although it is coming down, it is still above the trendline established pre-pandemic. Further, there remains great disparities based on race, particularly among Black or African American populations, whose YPLL75 rate is almost twice that of white populations.*​​​​​​​
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Years of life lost before 75
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2023 - Socioeconomic statuses
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Preventable ER Visits
Preventable trips to the ER by low or extremely low socioeconomic status patients did decrease slightly over the 12- year horizon, but we’ve experienced a slight uptick since the pandemic. And, once again, we see the Black or African American patients are more likely to make these potentially preventable ER trips.*
Percent of ER Visits for preventable causes
2023 - Socioeconomic statuses
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Cardiovascular Health
The age-adjusted discharge rate has declined over the 12-year horizon, but some of that is due to the nature of the pandemic when people were not going to the hospital. Since the pandemic, the discharge rate has increased but is still slightly lower than what we saw pre-pandemic. And, unfortunately, great disparities persist on this measure based on race, with the discharge rate about 90% higher for Black or African American populations than the discharge rate for white populations. There are several strategies that patients can employ to reduce hospital admissions for cardiovascular diseases. One of ARCHI’s goals is to reduce overall hospital readmissions by 13% by 2040.*
Age-adjusted discharge rate for major cardiovascular diseases
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2023 - Socioeconomic statuses
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Diabetes
The age-adjusted ER visit rate has increased over the 12-year horizon, particularly in the last year. And, once again, we see significantly higher rates among Black or African American and Hispanic patients.*
*Referenced from data collected from https://oasis.state.ga.us.
Age-adjusted ER visit rate for diabetes
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2023 - Socioeconomic statuses
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Social Determinants of Health
Access to Care
Roughly 75% of adults had a routine checkup in the past year. But research shows that uninsured adults, those with lower incomes, and some racial and ethnic groups are less likely to get a routine checkup. Obtaining regular checkups can reduce hospitalizations from chronic conditions.
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The percent of uninsured individuals has seen a steady decline over the past decade. Again, those with low income and some racial and ethnic minorities, particularly Hispanic and Latino populations, are more likely not to have insurance. Without health insurance, people are less likely to receive preventive care which puts them at increased health risks.
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Reference: PLACES Data Portal, Centers for Disease Control & Prevention
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Preventative Health
Percent visits to doctor for routine checkup within past year among adults
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Health Insurance
Percent uninsured - five core counties (under 65)
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Economics
The percent of those in poverty has declined over the past five years, regardless of race or ethnicity. But almost 12% of the population is still in poverty, and, again, much higher for populations of color. Poverty is strongly correlated with a range of poor health behaviors and outcomes.
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The percent of renters paying more than 50% of income on rent has increased across the fivecounty area. But, 1 out of every 4 renters are severely cost-burdened in the Atlanta region. Living in unaffordable housing has been shown to correlate to overall poor health and increased risk of disease, including hypertension and cardiovascular disease.​​
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Reference: The American Community Survey, United States Census Bureau
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Poverty Rate
Change in poverty rate
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Severely cost burdened renters
Change in percent of severe cost burdened renters
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Built Environment
A little over 20% of adults report having no leisure time activity over the past month. Regular physical activity can improve the health and quality of life for everyone, regardless of the presence of a chronic disease or disability. Physical activity can lower the risk of early death, coronary heart disease, stroke, high blood pressure, type 2 diabetes, breast and colon cancer, falls, and depression.*
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Almost 18% of housing units today were built before 1960, meaning there is a higher likelihood of presence of lead paint. Lead paint has been associated with a wide range of health risks, from behavioral problems to learning disabilities. Children are at the highest risk.**​​
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*PLACES Data Portal, Centers for Disease Control & Prevention
**The American Community Survey, United States Census Bureau
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Physical Activity
Percent of adults with no leisure time activity
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Toxicity
Percent built before 1960
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Education
Roughly 41% of 3rd graders in the fivecounty area are proficient in reading. Third grade reading proficiency is a critical indicator for children’s future success and is strongly correlated with overall health.
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Student turnover (i.e. students leaving or entering a school during the school year) might be an indicator of housing financial instability. Educational stability is a strong correlate of student success.​
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Reference: GOSA.georgia.gov
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Reading proficiency
Percent proficient or above, 3rd grade reading - five core counties
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Student turnover
Student mobility (percent of study body turnover) - five core counties
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2012
Explore Other Georgia and National Data Sources
