health_behavioral_risk_county_year
Behavioral and lifestyle health risk factors by county. CDC PLACES 2025: smoking, obesity, physical inactivity, binge drinking, sleep deprivation, and preventive care utilization rates.
overview
All 3,144 US counties. PLACES uses BRFSS small-area model - coverage universal but model-based.
current vintage — PLACES 2025 (BRFSS 2022 underlying)
history — PLACES: 2020-present (formerly 500 Cities, 2014-2019)
source & licensing
fields
| name | type | definition |
|---|---|---|
| country_id | string | ISO alpha-2 country code (always 'US' for domestic tables). |
| county_idkey | string | 5-character FIPS code identifying the county.Joins dim.counties on county_id. |
| pct_adults_binge_drinking | float64 · percent (0–100) | Percentage of adults who report binge drinking, defined as consuming 5 or more drinks on one occasion for men or 4 or more for women within the past 30 days. Higher values indicate greater prevalence of heavy episodic alcohol consumption. |
| pct_adults_insufficient_sleep | float64 · percent (0–100) | Percentage of adults who report sleeping fewer than 7 hours per night on average. Higher values indicate greater prevalence of sleep deprivation in the adult population. |
| pct_adults_no_checkup_access | float64 · percent (0–100) | Percentage of adults who report not having had a routine checkup or medical visit in the past year, used as a proxy for limited access to or utilization of preventive care. Higher values indicate lower preventive healthcare engagement. |
| pct_adults_physical_inactivity | float64 · percent (0–100) | Percentage of adults who report no leisure-time physical activity. Higher values indicate a more sedentary adult population. |
| pct_food_insecure | float64 · percent (0–100) | Percentage of the population living in households that lack consistent access to adequate food. Higher values indicate greater food insecurity and associated nutrition-related health risk. |
| pct_housing_insecure | float64 · percent (0–100) | Percentage of the population experiencing housing instability, such as cost burden, overcrowding, or risk of homelessness. Higher values indicate greater prevalence of housing insecurity, a key social determinant of health. |
| pct_lonely | float64 · percent (0–100) | Percentage of adults who report feeling lonely or socially isolated. Higher values indicate greater prevalence of social isolation, which is associated with adverse mental and physical health outcomes. |
| state_id | string | 2-character FIPS code identifying the state.Joins dim.states on state_id. |
| tobacco_use_adult | float64 · percent (0–100) | Percentage of adults who currently use tobacco products, including cigarettes, cigars, or smokeless tobacco. Higher values indicate greater prevalence of tobacco use in the adult population. |
| yearkey | int64 | Reference year of the observation. |
joins
how to use this table
CDC PLACES applies multilevel small-area regression to BRFSS responses, using population characteristics as predictors. Tier C - model prediction, not direct measurement.
Direct measurement claims (this is modeled); year-over-year change at small-county grain (model smoothing); sub-population stratification.
Model-based predictions calibrated against BRFSS - small counties get heavily smoothed toward state means.