Health Professional Shortage Areas and Components

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This layer displays the location and characteristics of Primary Care Health Professional Shortage Area (HPSA) components. The HPSA component layer is different from other HPSA layers in that each HPSA is broken down from irregular geographic areas, like service areas, to standard census geographic areas – census tracts, county subdivisions, and counties. Data are current as of April 28, 2025.

Medically Underserved Areas and Populations

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This layer displays the location and characteristics of Primary Care Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas and Populations (MUA/Ps). The HPSA layers show data for three themes: Designated Populations, Designated Types, and Clinical Scores. The MUA/P layer shows data by Designated Type. Data are current as of April 28, 2025.

Facilities Designated as Health Professional Shortage Areas

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This layer displays the location and characteristics of institutional HPSAs, or Health Professional Shortage Areas. HPSA facilities are designated by HRSA as having shortages of primary medical care, dental or mental health providers and consist of comprehensive health centers, federally qualified health centers or other public facilities. Data are current as of April 28, 2025.

Population Loss Counties

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Population loss counties are those where the number of county residents declined between the 1990 and 2000 censuses and also between the 2000 and 2010 censuses.

Retirement Destination Counties

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Retirement destination counties are those where the number of residents ages 55 to 74 increased by at least 15 percent from 2010 to 2020 because of migration. Based on data from the Applied Population Laboratory at the University of Wisconsin-Madison.

Persistent Poverty Counties

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Persistent poverty counties are those where 20% or more of county residents were poor, measured by the 1990 and 2000 Decennial Censuses and in the 2007–11 and 2017–21 5-year American Community Surveys.

Housing Stress Counties

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Housing stress counties are those where at least 29 percent of owner- and renter-occupied housing units had at least one of the following conditions in the 2018–22 5-year ACS: 1) lacking complete plumbing facilities, 2) lacking complete kitchen facilities, 3) with 1.01 or more occupants per room, 4) selected monthly owner costs as a percentage of household income greater than 30 percent, or 5) gross rent as a percentage of household income greater than 30 percent.

Non-Specialized Counties

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Non-specialized counties are those that did not have a high concentration of earnings or jobs in any one of farming, mining, manufacturing, or Federal and State Government and did not have a high concentration of economic activity (as measured using a weighted index) in recreation. Metropolitan and non metropolitan areas are based on the U.S. Office of Management and Budget 2023 delineation of core based statistical areas.

Low Education Counties

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Low education counties are those where at least 57 percent of residents ages 25 to 64 did not have any post-secondary education in the 2018–22 5-year American Community Survey (ACS). Metropolitan and nonmetropolitan areas are based on the U.S. Office of Management and Budget 2023 delineation of core based statistical areas.