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Pierce County remains near bottom third among Washington’s County Health Rankings

March 26, 2014

Continued community collaboration needed to improve health of residents

TACOMA, Wash. – In the 2014 County Health Rankings, Pierce County ranked near the bottom third on overall health—25 out of 39—compared with other counties in the state.

The county’s position has remained relatively unchanged since the Robert Wood Johnson Foundation began the national ranking of counties by state in 2010.

“The County Health Rankings make it clear that where you live, work and play determine how healthy you are,” said Anthony L-T Chen, MD, MPH, director of health. “This annual report on our community health is a signal that all community partners need to reinforce our current collaborative efforts to address specific health issues that impact Pierce County residents as well as the underlying problems of poor health, such as education and income levels.”

Pierce County fared worse than the state average in 26 out of 34 health indicators. Examples of worse health factors and outcomes among Pierce County residents include:

  • Premature deaths
  • Poor mental health days
  • Smoking among adults
  • Food environment index (an index of factors that contribute to a healthy food environment)
  • Chlamydia infections
  • Teen births
  • Ratios of primary care physicians and dentists to people
  • High school graduation
  • Unemployment
  • Violent crime

“The County Health Rankings mirror data from our recent Pierce County community health assessment that show Pierce County residents are not as healthy as other places in Washington state,” said Cindan Gizzi, assessment manager for Tacoma-Pierce County Health Department.

While the health department and community partners have taken important steps to improve the health of our community over the years, according to Gizzi, there is more that those who are interested in improving community health can do to help our residents lead healthier lives.

To combat Pierce County’s poor overall health status, the Health Department has focused on ongoing initiatives such as the prevention-focused Community Transformation Partnership, which has funded community-based efforts such as healthy eating and physical activity, active transportation, tobacco-free living, clinical and community health and health equity. Community partners lead efforts such as Graduate Tacoma! to address the underlying social and economic issues.

In addition, in 2012, the health department initiated the Community Health Improvement Plan, a long-term collaborative strategy to address major community health problems. Completed in partnership with Franciscan Health System, MultiCare Health System, and University of Washington-Tacoma, it will provide valuable information on the county’s top health priorities in order to address them as effectively as possible. Community partners can use the information for their strategic planning, budget preparation, collaboration, grant writing and other efforts. The recently completed the assessment portion of the plan included input from community members, including community leaders and diverse populations.

In the 2014 County Health Rankings, Pierce County scored the lowest in the health behaviors category, which accounts for smoking rates, adult obesity, access to exercise opportunities, a food environment index and sexually-transmitted infections. For example, the county had the highest rate of chlamydia infections in the state as of the 2011 national data.

In addition, the social and economic factors that affect health outcomes are also worse in Pierce County compared to the state. For example, the high school graduate rate is worse, violent crime rate is worse and the percent of residents with some college or higher is lower than the state average.

The County Health Rankings measure the health of nearly every county in the nation. Published online at, the rankings help counties understand what influences how healthy residents are and how long they will live. The rankings look at a variety of measures that affect health, such as high school graduation rates, access to healthy foods, rates of smoking, obesity, and teen births. The rankings are unique in their ability to measure the overall health of each county in all 50 states.

The Robert Wood Johnson Foundation is the largest philanthropy devoted exclusively to health and health care in the United States. Learn more at .

For more information on the CHIP, visit

Edie Jeffers, Communications Manager, (253) 798-2853, (253) 405-6822,
Cindan Gizzi, Assessment Manager, (253) 798-7695,

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