28 SDOH indicators across all 83 Michigan counties in 8 categories — now with MDHHS Senate and House legislative district data embedded per county. Select counties, generate print-ready reports, and cite with full APA references.
28 SDOH indicators across all 83 Michigan counties with MDHHS Senate and House legislative district data. Generate reports, cite with APA references, and make data and human experience driven decisions.
Every indicator is sourced from federal or state open datasets with full APA 7th edition citations. MDHHS Senate (38 districts) and House (110 districts) legislative data is embedded at the county level for cross-geography analysis.
Share of adults reporting one or more adverse childhood experiences — abuse, neglect, or household disruption before age 18 — a validated predictor of lifelong health and social risk.
Traumatic brain injury emergency department visits and hospitalizations per 100,000 residents.
Past-year substance use disorder prevalence among residents aged 12 and older.
Neonatal opioid withdrawal syndrome diagnoses per 1,000 live births.
Substantiated child abuse and neglect investigations per 1,000 children.
Deaths of infants under one year of age per 1,000 live births.
Percentage of children under 18 living below the federal poverty threshold. Fetched live from the Census SAIPE API in reports.
Count of sites listed in the EPA Superfund Enterprise Management System within the county. Fetched live from the EPA FRS API in reports.
Percentage of tested children under six with elevated blood lead levels.
Days per year with air quality classified unhealthy for sensitive groups.
Youth arrests and juvenile justice referrals per 1,000 residents under 18.
Adults incarcerated in state and local facilities per 100,000 residents.
Adults reporting subjective cognitive decline or diagnosed dementia. Live via CDC PLACES cognitive disability estimates in reports.
Older adults experiencing social isolation. Live via CDC PLACES social isolation estimates in reports.
Percentage of Medicare beneficiaries receiving a billed cognitive assessment at annual wellness visits.
Percentage of households above the poverty line but below the basic-survival budget — Asset Limited, Income Constrained, Employed.
Percentage of residents under 65 without health insurance coverage. Fetched live from the Census SAHIE API in reports.
Percentage of households with a broadband internet subscription. Fetched live from the Census ACS API in reports.
Pregnancy-related deaths per 100,000 live births.
Percentage of live births delivered before 37 weeks gestation.
Contacts to the 988 Suicide & Crisis Lifeline and Michigan Crisis and Access Line per 10,000 residents.
Percentage of high school students reporting persistent sadness or hopelessness.
Black–white residential dissimilarity index; higher values indicate more segregated housing patterns.
Percentage of residents lacking consistent access to adequate food. Live via CDC PLACES food insecurity estimates in reports.
Residents experiencing homelessness per 10,000 population, from the annual point-in-time count.
Composite index of urban heat exposure and vulnerability.
Count and proximity of brownfield sites — properties whose reuse is complicated by contamination.
Percentage of households with no vehicle available, a barrier to work, school, and care.
Michigan and its 83 counties, in true shape. Select any indicator to shade the map by county-level burden — live values where feeds allow — then click counties to build a side-by-side comparison.
Six steps, in order — from the raw indicators to a cited, print-ready document and an evidence-based set of solutions. Follow the gold links to jump straight to the tool each step describes.
Read the 28 indicators with their definitions and sources. Note which ones name the problem you are working on — those are your search terms for everything that follows.
Pick an indicator from the dropdown to shade all 83 counties by burden (live values where feeds allow). Click up to five counties to compare them side by side, then use the gold button to carry them into a report.
Select counties (or a region), indicators, and a report type — CHNA, Grant, Board, or Policy. Write your intersectional narrative, check the district and BRFSS bonuses, and Generate: a print-ready document with live data, burden levels, evidence-based solutions, and full citations.
Either click Send This Data to the Solution Forge inside the Report Builder (your counties and narrative carry over, weights pre-set from measured burden), or work the four Forge steps fresh. Finish with the iRISE™ Intersections Report.
The Framework page maps indicators to the eight domains; the Glossary defines all 35 working terms — κ, SIEP, burden levels, the Phase 1 co-design gate — so every reader of your report shares the vocabulary.
Full APA 7th edition references for every data source. Generated reports carry their citations automatically; use this page when excerpting figures into your own documents, testimony, or media materials.
All 28 indicators are mapped to the Healthy People 2030 Social Determinants of Health domains. This framework is the entry point for CHIP planning, Prevention Agenda alignment, and cross-sector coordination.
Lead Burden, ACE Rate, TBI Rate, SUD Prevalence
NOWS, CPS, Infant Mortality, Child Poverty
Superfund Sites, Lead Exposure, Air Quality
Juvenile Justice, Adult Incarceration
Dementia, Senior Isolation, Medicare Cognitive Assessment
ALICE, Uninsured, Broadband Access
Maternal Mortality, Preterm Birth, 988 Crisis Calls, Youth Sadness
Segregation, Food Insecurity, Unhoused, Heat Island, Brownfield, Transportation
Plain-language definitions for all key terms used in the Michigan Prevention Data Atlas.
Intersectional Resilience Index for Social Equity. A prioritization framework — not a data feed — that reads county data through eight domains, directs attention to where burden stacks across multiple domains at once, and generates ranked, evidence-based intervention pathways. Authored by Dr. Crystallee Crain.
The guided four-step instrument that operationalizes iRISE™: name the problem and place, map the intersections, weigh the burdens (κ), and forge the pathways — finishing in a copy-ready solution brief. Runs entirely in the browser.
The Atlas tool that generates print-ready county reports — CHNA, Grant Application, Board Presentation, and Policy Brief formats — with live data feeds, embedded MDHHS district dashboards, storytelling, and full APA references.
The mathematical expression of intersectionality in iRISE™: when two or more domains exceed the 75th-percentile burden threshold, κ rises above 1, quantifying that co-occurring burdens amplify rather than add.
iRISE™'s organizing structure: D1 Economic Security & Poverty, D2 Housing Stability & Quality, D3 Health Access & Outcomes, D4 Education & Opportunity, D5 Safety & Violence, D6 Environmental Conditions, D7 Social Capital & Cohesion, D8 Racial & Structural Equity.
The analytic framework, originated by Kimberlé Crenshaw, holding that overlapping identities and systems — race, class, gender, place, health — produce compounding experiences of burden that single-axis analysis cannot see.
A program designed around one indicator or one identity at a time. The intersectionality literature documents that single-axis interventions can worsen inequities for the most-burdened subgroups.
The multilevel escalation path in iRISE™: when burden is high, the framework forces organizational- and structural-level pathways rather than allowing individual-level responses to stand alone — the solution must match the scale of the problem.
The three levels at which every iRISE™ evidence-based solution is expressed: direct supports to households, redesign of institutions and delivery systems, and change to laws, financing, and structures.
An intervention pathway grounded in the peer-reviewed intersectionality and multilevel-intervention literature — the standard for every pathway the Forge and Report Builder generate. Methodology references are available on request from Dr. Crystallee Crain (crystallee.crain@gmail.com).
The iRISE™ requirement, within Phase 1, that the affected community be co-designing the work before pathways are marked implementation-ready; without it, generated pathways are flagged provisional.
Shared authorship of problem definition, priorities, and solutions between institutions and the community carrying the burden — community knowledge enters the iRISE™ math through the domain weights.
A 0–100 value assigned to each of the eight domains in the Forge, ideally set with the affected community. Weights determine which counties surface in the burden ranking and which pathways lead the brief.
The Atlas classification of a county's rank on an indicator among all 83 Michigan counties: High Burden (1–20), Elevated (21–45), Moderate (46–65), Lower Burden (66–83).
A 0–100 summary of a county's overall position across measured indicators; in the Forge, the iRISE™ score is the weighted mean of domain burdens multiplied by the county-level κ.
A county's position among all 83 Michigan counties on an indicator, where rank 1 carries the heaviest burden; the basis for burden levels and domain scores.
Reading burden at three levels together — county (foundational unit), legislative district (MDHHS Senate and House dashboards), and state (Michigan benchmarks) — as every generated report does.
A value fetched in the browser at report time from the publishing agency's open API — CDC PLACES, Census SAIPE, SAHIE, ACS, and EPA FRS — marked LIVE in reports and ranked across all 83 counties from the same live pull.
A statistically modeled value (such as CDC PLACES small-area estimates) rather than a direct count; the Atlas labels these distinctly from live administrative figures.
The conditions in which people are born, live, learn, work, and age — the non-clinical drivers of health outcomes that the Atlas measures across its 28 indicators.
The federal framework of national health objectives whose SDOH structure the iRISE™ eight domains align with.
Community Health Needs Assessment — the evaluation nonprofit hospitals must conduct under IRS 501(r)(3); the Report Builder generates the four-step CHNA format.
Community Health Improvement Plan — the action plan public health agencies build from assessment findings; Atlas county data serves as its quantitative baseline.
Potentially traumatic events before age 18 — abuse, neglect, household disruption — whose accumulation predicts lifelong health and social risk (CDC-Kaiser ACE Study).
Asset Limited, Income Constrained, Employed — United Way's measure of households earning above the poverty line but below a basic survival budget.
Behavioral Risk Factor Surveillance System — the CDC's national telephone survey of adult health behaviors, chronic conditions, and preventive service use; the basis for the Atlas's Adult Community Health Profile.
The CDC's model-based small-area estimates program publishing county-level prevalence for dozens of BRFSS measures; one of the Atlas's live feeds.
The Census Bureau's Small Area Income and Poverty Estimates and Small Area Health Insurance Estimates programs — the Atlas's live sources for child poverty and uninsured rates.
Neonatal Opioid Withdrawal Syndrome — withdrawal experienced by newborns exposed to opioids in utero, measured per 1,000 live births.
A 0–100 measure of residential segregation indicating the share of one group that would need to relocate for even distribution; the Atlas's D8 segregation measure.
HUD's annual single-night census of people experiencing homelessness; the Atlas's unhoused population source.
The hypothesis (Geronimus) that chronic exposure to social and economic adversity accelerates physiological aging in marginalized populations — encoded by the Forge as a measurable framing in maternal health cases.
Patricia Hill Collins's framework describing how intersecting systems of power organize experience across structural, disciplinary, hegemonic, and interpersonal domains — the grounding of iRISE™'s structural-systems checklist.
When a facially neutral policy or practice produces disproportionate harm to a protected group — measured in D8 and audited in iRISE™'s fairness audit.
The iRISE™ phase testing whether generated priorities and pathways hold up when results are disaggregated across intersectional subgroups rather than averaged.
All 28 indicators are sourced from publicly available federal and state datasets. Full citations below are formatted for direct use in CHNAs, grant applications, academic papers, and policy briefs.
Select counties and indicators, choose your report purpose, then click Generate. All 83 Michigan counties and all 28 indicators are available. MDHHS Senate and House district data is included.
Click counties above to add them to your report
Second path to solutions: your selected counties, indicators, and story carry into the Forge automatically — domain weights set from your counties’ measured burden, ready to score and forge.
Opens in a new window and fetches live county data from CDC PLACES, U.S. Census (SAIPE · SAHIE · ACS), and U.S. EPA at report time — values marked LIVE are real figures, not estimates. Print / Save as PDF with Ctrl+P. Source: Michigan Prevention Data Atlas · Prevention at the Intersections · preventionagenda.org
Select counties to preview report scope.
Michigan’s Senate community-health dashboard publishes six measures by state Senate district — life expectancy, opioid overdose deaths, early prenatal care, childhood lead exposure, rent burden, and MMR vaccination. Source: MDHHS Division for Vital Records & Health Statistics.
Michigan’s House community-health dashboard publishes the same public health metrics by state House district — covering all 110 districts. Includes health outcomes, behavior trends, social/economic factors, physical environment, and clinical care access. Source: MDHHS Division for Vital Records & Health Statistics.
The Behavioral Risk Factor Surveillance System (BRFSS) is the nation’s premier system of health-related telephone surveys. This profile uses BRFSS and CDC PLACES model-based county estimates for adult health behaviors, chronic conditions, preventive services, and disability status across Michigan. Select counties above and the generated report will include the full CDC PLACES table of real, live-fetched estimates for each county — smoking, binge drinking, physical inactivity, obesity, diabetes, COPD, heart disease, depression, high blood pressure, mental distress, checkups, dental visits, cancer screenings, insurance coverage, social isolation, and food insecurity.
Current smoking, binge drinking, physical inactivity, obesity, sleep <7 hours, no leisure-time physical activity
Arthritis, asthma, cancer, COPD, coronary heart disease, diabetes, high blood pressure, high cholesterol, kidney disease, stroke, depression
Annual checkup, dental visit, cholesterol screening, colorectal cancer screening, mammography, core preventive services for older adults, health insurance coverage
The atlas serves government agencies, health systems, nonprofits, funders, researchers, and community advocates.
State, county, and municipal agencies responsible for Community Health Improvement Plans, budget justification, and program targeting. The Atlas provides multi-level geographic analysis — county values ranked statewide, MDHHS Senate and House legislative district dashboards, and Michigan benchmarks in one instrument — enabling agencies to align county-level programming with district-level advocacy and state-level policy, with every figure carrying a full APA citation suitable for the public record.
Nonprofit hospitals subject to IRS 501(r)(3) Community Health Needs Assessment requirements. The Report Builder generates CHNA-formatted profiles following the four-step framework — community definition, quantitative data collection, prioritization, and implementation planning — with live CDC PLACES, Census, and EPA values, composite burden scores, and the BRFSS Adult Community Health Profile embedded per county.
Investigators in public health, social work, sociology, and health equity requiring transparent, replicable county-level measures. The Atlas documents each indicator's source, year, and unit; distinguishes live API-fetched values from model-based estimates; and grounds its intersectional method in the peer-reviewed literature, with the iRISE™ methodology references available on request from Dr. Crystallee Crain (crystallee.crain@gmail.com) — supporting citation in manuscripts, grant applications, and IRB protocols.
Direct service and advocacy organizations building needs statements, program designs, and evaluation baselines. The Grant Application report type generates a five-part needs statement with real county figures; the Solution Forge translates measured burden into individual, organizational, and structural pathways the organization can carry into strategic plans and funder conversations.
Foundations, donor-advised funds, and corporate giving programs allocating resources across Michigan geographies. The iRISE™ county scoring and burden rankings support portfolio targeting where layered, cross-domain burden is heaviest, while the eight-domain framework offers a shared vocabulary for grantee reporting and cross-portfolio comparison rooted in equity rather than population size alone.
The people closest to the burden and to its solutions. Every tool on this site runs in the browser at no cost, requires no data science training, and produces print-ready documents residents can carry into county commissions, school boards, and legislative offices — because the Phase 1 co-design gate of iRISE™ holds that pathways are only implementation-ready when the affected community is at the table.
The Solution Forge turns the same iRISE™ engine behind this Atlas into a guided tool. Name a social problem, map the intersecting identities and systems, weigh the burdens, and the Forge generates ranked intervention pathways — escalated across individual, organizational, and structural levels. No data science required.
Work through the four steps. Everything runs in your browser — nothing is sent anywhere. You’ll finish with a copy-ready solution brief: ranked pathways, with methodology references available on request.
iRISE™ begins by locating the problem in a specific community. Be concrete — your location frames the problem in context.
Who carries this burden where systems overlap? Name the intersecting identity axes, then the populations at their center — the questions force the analysis past one wound at a time toward the compounding cause.
Community knowledge enters the math here. Weight each of the eight iRISE™ domains (D1–D8) 0–100. When two or more domains exceed the 75th-percentile threshold, the compounding coefficient κ rises above 1 — the mathematical expression of intersectionality: co-occurring burdens amplify each other.
The scale: 0–25 = background (present but not driving this issue) · 26–50 = contributing (shapes the issue indirectly) · 51–75 = significant (a direct driver) · 76–100 = central — crossing 75 marks the domain as compounding, and two or more above 75 raises κ.
Worked examples:
◆ Black maternal & infant mortality — D3 Health 90 · D8 Equity 85 · D1 Economic 60 · D7 Cohesion 55 · others 25–40. Health and equity compound (κ rises); economic and social context contribute.
◆ Childhood lead exposure — D6 Environment 90 · D2 Housing 85 · D8 Equity 80 · D3 Health 65 · others 20–40. Three domains cross 75: the issue is structurally compounded.
◆ Eviction crisis — D2 Housing 95 · D1 Economic 85 · D8 Equity 70 · D5 Safety 45 · others 20–35.
◆ Rural senior isolation — D7 Cohesion 90 · D3 Health 75 · D4 Education/broadband 70 · D1 Economic 50 · others 20–30.
◆ Youth justice involvement — D5 Safety 90 · D4 Education 80 · D1 Economic 70 · D8 Equity 70 · others 25–40.
The rule that matters most: set the weights with the community carrying the burden, not for them — community knowledge enters the math here, and the Phase 1 co-design gate holds pathways provisional until it does.
Move the sliders. When two or more domains exceed the 75th-percentile threshold, κ rises above 1 — quantifying how intersecting burdens compound into harm greater than their sum.
iRISE™ generates a ranked solution set. The SIEP escalation rule forces meso- and macro-level pathways when burden is high — so the solution matches the scale of the problem.
Opens a print-ready report: your problem statement, intersections, domain weights, κ, the highest-burden counties on your weights (with live data), and ranked micro/meso/macro solution pathways, with APA data references.
Each case shows the Forge at work: the intersectional question it prompts you to answer, the single-axis response a community would usually be handed, and the alternative the Forge generates once the question is answered honestly. The questions are the engine — they force the analysis past one wound at a time toward the compounding cause.
The Forge asks: “Who, specifically, carries this burden — and which systems intersect at that point?”
Fund individual re-entry programs — job training and counseling after release.
Naming race × place × class × family × health (1 in 36 Black Wisconsinites incarcerated) surfaces that re-entry alone never reaches the cause. The Forge escalates to parole-revocation reform and racial-impact statements on sentencing — structural levers, with re-entry as one tier, not the whole plan.
The Forge asks: “What does a voucher fail to fix once race, age, and disability are layered in?”
Issue more housing vouchers and build shelter capacity.
Naming race × wealth × age × disability × immigration (Black Californians 5× overrepresented) shows vouchers stall on the wealth gap and landlord rejection. The Forge targets voucher usability, source-of-income protections, and the wealth gap — reaching aging Black renters specifically, not an undifferentiated “homeless” average.
The Forge asks: “Is the gap an average to lower, or a ratio between groups to close?”
Expand prenatal-care access and improve clinic outreach.
Naming race × gender × place × food × clinical bias (Black infant mortality 3×+ the white rate) reframes the goal. The Forge encodes “weathering” as a measurable variable and audits to close the racial ratio — doula coverage, bias accountability, and food access — not just nudge the statewide average.
The Forge asks: “Are two crises being treated separately that are actually one compounding pair?”
Run a maternal-health program and a separate opioid-response program.
Naming race × maternal status × SUD × geography surfaces the SUD × infant-mortality compounding pair that two siloed programs each miss. The Forge generates integrated maternal–SUD treatment — one pathway for the people living at both crises at once.
The Forge asks: “Within this crisis, which stratum is hit sharpest — and is the remedy built for them?”
Expand rental-assistance funds for tenants behind on rent.
Naming race × gender × disability × language × family (~200K eviction filings in 2022, hitting Black women hardest) sharpens the remedy. The Forge prioritizes right-to-counsel and voucher alignment for the sharpest stratum — assistance funds alone leave that group exposed.
The Forge asks: “Whose children absorbed the pandemic’s losses — and which systems converged on them at once?”
Fund after-school tutoring and academic catch-up to recover lost learning.
Naming race × class × place × language × broadband shows the loss landed hardest on low-income Latino and Native children — where remote learning collided with the digital divide, caregiver job loss, family COVID deaths, and a child mental-health system already stretched thin. Tutoring alone treats one symptom. The Forge escalates to school-based mental-health services, tribal and bilingual family support, and closing the home-broadband gap — reaching the children who carried the heaviest, most compounded burden rather than the average student.
The iRISE™ method and this Forge are grounded in the peer-reviewed intersectionality literature. The full reference list behind the compounding coefficient, the multilevel escalation path, and the fairness audit is available upon request — for research, teaching, grant, or IRB use.
Contact Dr. Crystallee Crain: crystallee.crain@gmail.com
© 2026 Dr. Crystallee Crain and Prevention at the Intersections. All Rights Reserved. The iRISE™ algorithm — its formula set, tensor architecture, variable definitions, nine-phase structure, compounding-coefficient logic, structural-escalation path, and fairness-audit method — together with this Solution Forge, the Michigan Prevention Data Atlas, and their documentation, are original works authored by Dr. Crystallee Crain. They are protected under the U.S. Copyright Act (17 U.S.C. §§ 101 et seq.), common-law trade-secret protection, and a pending patent application covering the computational method for intersectional intervention-pathway resolution.
Mark claimed by Prevention at the Intersections: iRISE™
The Forge runs entirely in your browser — nothing you enter is transmitted or stored — and it supports, but does not replace, community knowledge and human judgment. Open the live Forge at midataatlas.org →