Child Opportunity Index 3.0-2023

The 2023 update of the Child Opportunity Index (COI 3.0) expands neighborhood-level data on children’s access to opportunity through 2023, incorporating enhanced indicators and improved data sources. This release refines measurement across 14 subdomains and standardizes values using the 2023 child population, offering a clearer picture of disparities in resources that shape children’s development. Because of methodological updates, results are not directly comparable to the earlier 2021 version.

Health Insurance Status

Layer displays information about the population without insurance from the American Community Survey (ACS). Data from the 2008-2012 5-Year estimates is available at the state, county, PUMA, and census tract geographic levels. For more health insurance data from the ACS, browse the Map Room data and navigate to Health>Insurance.

Children with Over 4 Hours of Screen Time per Day

This layer displays the percentage of children age 0 – 17 whose parents report that they spend more than 4 hours per day, on average, watching television or playing video games. This state-level data comes from the 2011-2012 National Survey of Children’s Health (NSCH). For additional map layers from this series, search the Map Room for the term NSCH .

Access to Primary Care Providers

This layer displays the estimated number of all primary care physicians within 10, 25, or 50 miles of each census tract. Primary care physicians are those MDs or DOs specializing in family practice, general practice, pediatric medicine, or internal medicine. Physician directory and location data are from the Centers for Medicare and Medicaid Services (CMS) Physician and Other Supplier 2012 Public Use File (PUF), which was released in April 2014, and from the 2013 CMS Physician Compare National Downloadable File. Additional data analysis was performed by CARES.