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Death Rate Report for United States by County

All Cancer Sites, 2018-2022

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc

County	2023 Rural-Urban Continuum Codes Φ	Met Healthy People Objective of 122.7?	Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
United States	N/A	No	146.0 (145.8, 146.2)	N/A	602,955	falling	-1.5 (-1.6, -1.4)
Culberson County, Texas	Rural	Yes	107.2 (62.7, 176.5)	N/A	4	stable	24.5 (-3.0, 50.4)
Hand County, South Dakota	Rural	No	140.3 (97.1, 200.0)	N/A	8	stable	22.2 (-1.7, 41.0)
Fisher County, Texas	Rural	No	203.5 (150.7, 271.0)	N/A	12	rising	22.1 (0.5, 39.3)
Humphreys County, Mississippi	Rural	No	245.6 (202.5, 295.8)	N/A	25	rising	19.9 (3.2, 32.1)
Coal County, Oklahoma	Rural	No	228.5 (183.5, 282.7)	N/A	19	stable	15.6 (-0.1, 28.6)
Mason County, Texas	Rural	No	198.1 (150.0, 259.9)	N/A	14	stable	14.4 (-0.7, 30.8)
Falls Church City, Virginia	Urban	No	154.9 (127.6, 186.4)	N/A	23	stable	14.2 (-2.8, 29.3)
Dimmit County, Texas	Rural	No	175.3 (140.7, 216.3)	N/A	18	rising	13.6 (0.2, 24.9)
Kingman County, Kansas	Rural	No	378.1 (326.0, 437.2)	N/A	42	rising	13.0 (5.8, 30.2)
Jasper County, Mississippi	Rural	No	195.6 (170.1, 224.2)	N/A	46	stable	12.5 (-0.4, 20.4)
Reeves County, Texas	Rural	No	163.8 (134.0, 198.3)	N/A	21	stable	12.5 (-0.3, 23.3)
Camden County, North Carolina	Urban	No	164.7 (134.4, 200.3)	N/A	22	stable	11.6 (-1.2, 21.3)
Claiborne Parish, Louisiana	Rural	No	180.7 (155.2, 209.8)	N/A	39	stable	10.7 (-0.3, 17.3)
Uinta County, Wyoming	Rural	No	142.6 (120.5, 167.6)	N/A	32	stable	9.4 (-1.6, 16.4)
Franklin County, Nebraska	Rural	No	185.1 (134.2, 253.4)	N/A	10	stable	9.2 (-1.4, 40.3)
Kalkaska County, Michigan	Urban	No	224.8 (197.9, 254.5)	N/A	57	stable	8.1 (-0.3, 14.1)
Las Animas County, Colorado	Rural	No	153.4 (132.3, 177.8)	N/A	41	stable	8.1 (-0.4, 13.9)
Whitman County, Washington	Rural	No	147.7 (131.0, 166.0)	N/A	59	stable	7.9 (-0.4, 13.5)
Grant County, Oregon	Rural	No	172.6 (141.7, 210.3)	N/A	26	stable	7.5 (-1.8, 21.5)
Platte County, Wyoming	Rural	No	167.3 (139.5, 200.6)	N/A	27	stable	7.3 (-1.6, 18.4)
Mitchell County, North Carolina	Rural	No	179.6 (156.1, 206.4)	N/A	46	stable	6.7 (-0.9, 11.4)
Danville City, Virginia	Rural	No	202.4 (186.5, 219.4)	N/A	130	stable	6.5 (-0.8, 11.8)
Wayne County, Georgia	Rural	No	207.1 (186.4, 229.5)	N/A	76	stable	6.4 (-0.2, 10.5)
Desha County, Arkansas	Rural	No	201.3 (169.7, 237.6)	N/A	31	stable	6.1 (-0.9, 15.1)
Pecos County, Texas	Rural	No	147.3 (121.2, 177.3)	N/A	23	stable	5.9 (-0.2, 17.8)
Oregon County, Missouri	Rural	No	225.2 (190.7, 265.3)	N/A	32	stable	5.8 (-0.6, 15.9)
Botetourt County, Virginia	Urban	No	143.5 (129.5, 158.9)	N/A	81	stable	5.7 (-1.2, 10.7)
Hoonah-Angoon Census Area, Alaska	Rural	No	146.7 (93.5, 224.8)	N/A	6	stable	5.7 (-7.0, 31.6)
Steele County, Minnesota	Rural	No	138.2 (124.0, 153.7)	N/A	73	stable	5.7 (-1.3, 10.4)
Bristol City, Virginia	Urban	No	165.2 (143.7, 189.4)	N/A	45	stable	5.2 (-5.1, 13.4)
Prince of Wales-Hyder Census Area, Alaska	Rural	No	217.8 (169.0, 277.0)	N/A	16	stable	4.9 (-5.8, 20.4)
Fairfax City, Virginia	Urban	No	239.2 (213.3, 267.4)	N/A	64	stable	4.6 (-0.6, 19.7)
Wood County, Texas	Rural	No	184.0 (170.2, 198.8)	N/A	152	stable	4.5 (-0.2, 11.7)
Iosco County, Michigan	Rural	No	195.2 (176.6, 215.8)	N/A	97	stable	4.4 (-0.9, 10.9)
Nacogdoches County, Texas	Rural	No	172.0 (158.5, 186.3)	N/A	126	stable	4.3 (-1.0, 9.6)
Real County, Texas	Rural	No	238.7 (181.7, 313.9)	N/A	14	rising	4.2 (0.6, 17.8)
Cameron Parish, Louisiana	Urban	No	143.8 (108.3, 188.7)	N/A	12	stable	4.0 (-4.6, 27.2)
Republic County, Kansas	Rural	No	208.1 (163.5, 263.6)	N/A	18	rising	3.9 (1.3, 15.5)
Smith County, Texas	Urban	No	150.0 (143.7, 156.6)	N/A	441	rising	3.6 (1.6, 7.5)
Ector County, Texas	Urban	No	185.8 (175.1, 197.0)	N/A	236	stable	3.5 (-0.8, 6.7)
Jim Wells County, Texas	Rural	No	184.7 (167.2, 203.5)	N/A	85	stable	3.4 (-0.6, 11.0)
Petersburg Census Area, Alaska	Rural	No	172.5 (122.0, 239.1)	N/A	8	stable	3.4 (-14.6, 31.7)
Colonial Heights City, Virginia	Urban	No	204.8 (180.3, 231.9)	N/A	54	rising	3.3 (0.2, 11.1)
Cameron County, Texas	Urban	No	125.4 (120.7, 130.2)	N/A	546	stable	3.1 (-0.8, 5.2)
Olmsted County, Minnesota	Urban	No	128.6 (121.6, 136.0)	N/A	258	stable	2.9 (-1.3, 5.2)
La Paz County, Arizona ³	Rural	No	175.1 (151.3, 202.4)	N/A	63	rising	2.6 (0.4, 12.4)
Tolland County, Connecticut	Urban	No	134.9 (127.3, 142.8)	N/A	251	stable	2.5 (-1.8, 5.5)
Lubbock County, Texas	Urban	No	161.0 (154.6, 167.6)	N/A	488	stable	2.4 (-0.8, 5.1)
Butler County, Nebraska	Rural	No	178.9 (146.2, 217.6)	N/A	23	stable	2.3 (-1.1, 16.7)
Tehama County, California	Rural	No	173.3 (161.2, 186.1)	N/A	162	stable	2.3 (-1.5, 8.3)
Webster County, Nebraska	Rural	No	209.6 (157.8, 276.2)	N/A	12	stable	2.2 (-0.6, 14.7)
Hanson County, South Dakota	Rural	No	264.6 (174.6, 380.5)	N/A	7	rising	2.1 (0.4, 3.9)
Martinsville City, Virginia	Rural	No	238.7 (207.3, 274.0)	N/A	43	rising	2.1 (0.3, 10.1)
Midland County, Michigan	Urban	No	150.6 (140.7, 161.0)	N/A	183	rising	2.1 (0.6, 4.8)
Wood County, Ohio	Urban	No	166.5 (157.4, 176.1)	N/A	259	stable	2.1 (-0.9, 4.4)
Pontotoc County, Mississippi	Rural	No	203.0 (182.4, 225.3)	N/A	74	stable	2.0 (-0.1, 11.6)
Todd County, South Dakota	Rural	No	285.6 (218.4, 364.9)	N/A	14	rising	2.0 (0.3, 10.5)
Union County, Mississippi	Rural	No	194.6 (174.1, 217.0)	N/A	67	stable	1.9 (-0.3, 9.9)
Cherokee County, Texas	Rural	No	169.0 (155.0, 183.9)	N/A	112	stable	1.8 (-1.4, 8.4)
Nelson County, Kentucky	Urban	No	193.5 (177.2, 210.9)	N/A	110	stable	1.8 (-0.8, 7.3)
Carlisle County, Kentucky	Urban	No	250.0 (199.9, 310.3)	N/A	18	rising	1.7 (0.1, 12.2)
Davis County, Utah	Urban	Yes	119.6 (114.0, 125.4)	N/A	354	stable	1.7 (-1.0, 4.7)
Nemaha County, Kansas	Rural	No	181.7 (151.3, 217.0)	N/A	29	rising	1.7 (0.1, 10.0)
Okfuskee County, Oklahoma	Rural	No	256.6 (221.4, 296.4)	N/A	39	rising	1.5 (0.6, 6.5)
Lawrence County, Ohio	Urban	No	227.7 (213.0, 243.3)	N/A	186	rising	1.4 (0.5, 3.1)
Lincoln County, Colorado	Rural	No	164.6 (126.1, 212.4)	N/A	13	stable	1.4 (-1.0, 14.1)
Issaquena County, Mississippi	Rural	No	274.8 (165.4, 445.5)	N/A	4	stable	1.3 (-1.0, 3.7)
Tulare County, California	Urban	No	150.2 (144.9, 155.5)	N/A	639	stable	1.3 (-1.0, 3.7)
Webster County, Missouri	Urban	No	182.5 (165.2, 201.2)	N/A	84	stable	1.3 (-0.4, 7.0)
Madison County, North Carolina	Urban	No	150.7 (132.1, 171.6)	N/A	52	stable	1.2 (-1.3, 7.3)
Marion County, Florida	Urban	No	164.1 (159.5, 168.7)	N/A	1,181	stable	1.2 (-1.0, 2.7)
Dooly County, Georgia	Rural	No	143.5 (118.6, 172.9)	N/A	25	stable	1.1 (-1.4, 11.4)
Neshoba County, Mississippi	Rural	No	189.6 (169.2, 211.9)	N/A	65	rising	1.1 (0.1, 4.3)
Christian County, Missouri	Urban	No	156.2 (145.6, 167.3)	N/A	167	stable	1.0 (-0.2, 4.3)
Edwards County, Kansas	Rural	No	241.9 (173.0, 330.8)	N/A	10	stable	1.0 (-0.7, 2.7)
Mercer County, Missouri	Rural	No	195.8 (145.3, 260.8)	N/A	11	stable	1.0 (-0.2, 2.2)
Grant County, Oklahoma	Rural	No	240.4 (186.4, 306.9)	N/A	15	stable	0.9 (-0.3, 2.0)
Ringgold County, Iowa	Rural	No	198.5 (156.2, 251.1)	N/A	16	stable	0.9 (-0.2, 2.0)
Benson County, North Dakota	Rural	No	180.6 (135.3, 236.4)	N/A	12	stable	0.8 (-0.5, 2.0)
Glascock County, Georgia	Rural	No	177.2 (121.7, 251.8)	N/A	7	stable	0.8 (-0.8, 2.7)
Major County, Oklahoma	Rural	No	148.6 (117.1, 186.9)	N/A	17	stable	0.8 (-0.2, 1.8)
Thurston County, Nebraska	Rural	No	303.7 (242.9, 374.6)	N/A	18	stable	0.8 (-0.6, 2.1)
Vermilion Parish, Louisiana	Urban	No	174.3 (160.5, 189.0)	N/A	123	stable	0.8 (-1.8, 6.2)
McCook County, South Dakota	Urban	No	200.5 (158.1, 251.8)	N/A	16	stable	0.7 (-0.5, 1.9)
Charlotte County, Virginia	Rural	No	186.8 (159.2, 218.7)	N/A	35	stable	0.6 (-0.9, 5.5)
Jefferson County, Oklahoma	Rural	No	237.9 (190.7, 294.5)	N/A	19	stable	0.6 (-0.2, 1.5)
Malheur County, Oregon	Rural	No	158.2 (140.8, 177.3)	N/A	62	stable	0.6 (-0.5, 6.8)
Ripley County, Missouri	Rural	No	252.8 (217.6, 292.5)	N/A	40	stable	0.6 (0.0, 1.3)
Stewart County, Georgia	Urban	No	232.5 (178.9, 299.2)	N/A	13	stable	0.6 (-0.3, 1.4)
Yoakum County, Texas	Rural	No	171.6 (130.7, 221.1)	N/A	12	stable	0.6 (-0.8, 2.3)
Bristol County, Massachusetts	Urban	No	152.8 (148.8, 156.9)	N/A	1,166	stable	0.5 (-1.5, 1.8)
Hitchcock County, Nebraska	Rural	No	234.4 (171.3, 317.4)	N/A	11	stable	0.5 (-0.6, 1.6)
Kiowa County, Oklahoma	Rural	No	232.0 (193.7, 276.4)	N/A	28	stable	0.5 (-0.4, 1.3)
Lane County, Kansas	Rural	No	182.4 (115.9, 282.2)	N/A	5	stable	0.5 (-1.0, 2.0)
Park County, Montana	Rural	No	145.8 (126.1, 168.3)	N/A	42	stable	0.5 (-1.3, 5.6)
Bremer County, Iowa	Urban	No	140.8 (123.3, 160.2)	N/A	50	stable	0.4 (-3.0, 4.5)
Brevard County, Florida	Urban	No	152.6 (149.2, 156.2)	N/A	1,632	stable	0.4 (-1.9, 1.9)
Caddo County, Oklahoma	Rural	No	233.5 (210.4, 258.5)	N/A	76	stable	0.4 (-0.3, 1.1)
Clay County, Kentucky	Rural	No	247.5 (220.1, 277.6)	N/A	63	stable	0.4 (-0.2, 1.0)
Cumberland County, Kentucky	Rural	No	230.0 (189.5, 278.4)	N/A	23	stable	0.4 (-0.7, 1.6)
DeSoto County, Florida	Rural	No	165.0 (149.5, 181.9)	N/A	89	stable	0.4 (-1.3, 7.9)
Garvin County, Oklahoma	Rural	No	229.0 (206.2, 253.7)	N/A	77	stable	0.4 (-0.1, 0.9)
Haskell County, Kansas	Rural	Yes	117.7 (74.3, 177.4)	N/A	5	stable	0.4 (-0.9, 2.0)
Kinney County, Texas	Rural	No	162.0 (114.9, 225.4)	N/A	9	stable	0.4 (-0.9, 1.9)
Mellette County, South Dakota	Rural	No	274.8 (181.1, 401.3)	N/A	6	stable	0.4 (-1.3, 2.3)
Atoka County, Oklahoma	Rural	No	191.7 (164.5, 222.6)	N/A	37	stable	0.3 (-0.5, 1.2)
Bee County, Texas	Rural	No	163.9 (144.1, 185.6)	N/A	51	stable	0.3 (-1.0, 6.6)
Brown County, Kansas	Rural	No	198.3 (165.7, 236.3)	N/A	28	stable	0.3 (-0.7, 1.4)
Chester County, Tennessee	Urban	No	211.5 (184.7, 241.4)	N/A	47	stable	0.3 (-0.5, 1.2)
Clark County, Wisconsin	Rural	No	161.0 (144.4, 179.2)	N/A	72	stable	0.3 (-0.4, 3.0)
Covington City, Virginia	Rural	No	210.7 (167.6, 262.6)	N/A	18	stable	0.3 (-0.9, 1.5)
DeBaca County, New Mexico	Rural	No	162.6 (108.0, 247.9)	N/A	6	stable	0.3 (-1.3, 1.8)
Gentry County, Missouri	Rural	No	223.4 (180.3, 274.6)	N/A	20	stable	0.3 (-0.8, 1.4)
Grundy County, Tennessee	Rural	No	191.7 (164.9, 222.2)	N/A	39	stable	0.3 (-0.6, 1.3)
Houston County, Tennessee	Rural	No	218.4 (182.4, 260.4)	N/A	27	stable	0.3 (-0.5, 1.1)
Love County, Oklahoma	Rural	No	215.9 (181.7, 255.3)	N/A	29	stable	0.3 (-0.4, 1.1)
Meade County, Kansas	Rural	No	181.0 (134.7, 239.9)	N/A	11	stable	0.3 (-1.1, 1.6)
Meigs County, Tennessee	Rural	No	195.7 (166.9, 228.6)	N/A	36	stable	0.3 (-0.6, 1.5)
Morton County, Kansas	Rural	No	213.2 (154.7, 290.6)	N/A	9	stable	0.3 (-1.0, 1.7)
Nance County, Nebraska	Rural	No	230.6 (170.3, 307.3)	N/A	11	stable	0.3 (-1.1, 1.7)
Nome Census Area, Alaska	Rural	No	228.5 (172.1, 295.7)	N/A	14	stable	0.3 (-1.1, 2.0)
Reagan County, Texas	Rural	No	223.8 (144.7, 327.3)	N/A	6	stable	0.3 (-1.9, 2.6)
Swain County, North Carolina	Rural	No	232.4 (202.7, 265.6)	N/A	47	stable	0.3 (-0.4, 1.1)
Treutlen County, Georgia	Rural	No	199.9 (158.8, 249.2)	N/A	17	stable	0.3 (-0.4, 1.0)
Wabash County, Indiana	Rural	No	183.2 (166.0, 201.9)	N/A	92	stable	0.3 (-0.6, 4.6)
Aurora County, South Dakota	Rural	No	196.3 (140.6, 270.2)	N/A	9	stable	0.2 (-1.4, 1.7)
Coleman County, Texas	Rural	No	225.7 (190.8, 266.7)	N/A	32	stable	0.2 (-0.7, 1.1)
Crockett County, Tennessee	Urban	No	208.5 (179.7, 241.0)	N/A	40	stable	0.2 (-0.5, 1.0)
Grayson County, Kentucky	Rural	No	211.0 (189.5, 234.4)	N/A	75	stable	0.2 (-0.2, 0.6)
Green County, Kentucky	Rural	No	201.6 (172.3, 235.1)	N/A	35	stable	0.2 (-0.7, 1.2)
Harmon County, Oklahoma	Rural	No	196.1 (131.7, 283.3)	N/A	7	stable	0.2 (-1.7, 2.0)
Kiowa County, Kansas	Rural	No	171.3 (117.9, 245.6)	N/A	7	stable	0.2 (-1.5, 1.7)
Knox County, Missouri	Rural	No	185.6 (136.3, 248.9)	N/A	10	stable	0.2 (-1.2, 1.5)
Knox County, Texas	Rural	No	208.2 (153.4, 278.5)	N/A	10	stable	0.2 (-1.0, 1.3)
Monroe County, Iowa	Rural	No	170.3 (137.4, 209.7)	N/A	19	stable	0.2 (-0.8, 1.1)
Morgan County, Kentucky	Rural	No	201.9 (172.3, 235.5)	N/A	35	stable	0.2 (-0.6, 1.1)
Rutherford County, North Carolina	Rural	No	173.3 (161.6, 185.7)	N/A	174	stable	0.2 (-1.2, 3.3)
Stevens County, Kansas	Rural	No	142.0 (102.8, 191.9)	N/A	9	stable	0.2 (-1.5, 2.0)
Trinity County, Texas	Rural	No	216.1 (189.7, 246.0)	N/A	54	stable	0.2 (-0.5, 0.9)
Van Buren County, Iowa	Rural	No	199.2 (163.2, 242.0)	N/A	23	stable	0.2 (-0.8, 1.3)
Boyd County, Nebraska	Rural	No	162.1 (106.3, 247.9)	N/A	7	stable	0.1 (-1.1, 1.2)
Carter County, Missouri	Rural	No	207.6 (164.4, 260.3)	N/A	16	stable	0.1 (-1.0, 1.2)
Catahoula Parish, Louisiana	Rural	No	199.9 (164.4, 241.3)	N/A	24	stable	0.1 (-0.7, 1.0)
Clarke County, Iowa	Rural	No	188.8 (156.7, 226.3)	N/A	26	stable	0.1 (-1.0, 1.3)
Comanche County, Kansas	Rural	No	167.7 (110.0, 255.7)	N/A	5	stable	0.1 (-2.1, 2.3)
Eddy County, North Dakota	Rural	No	160.4 (106.9, 236.3)	N/A	7	stable	0.1 (-15.0, 2.6)
Franklin County, Georgia	Rural	No	196.0 (174.5, 219.7)	N/A	64	stable	0.1 (-0.4, 0.7)
Greene County, Indiana	Rural	No	201.9 (183.3, 222.1)	N/A	91	stable	0.1 (-0.4, 0.7)
Greene County, Iowa	Rural	No	186.8 (155.1, 224.1)	N/A	27	stable	0.1 (-0.9, 1.1)
Hamilton County, Texas	Rural	No	204.8 (170.2, 245.5)	N/A	29	stable	0.1 (-0.6, 0.8)
Harlan County, Nebraska	Rural	No	168.2 (124.3, 228.0)	N/A	10	stable	0.1 (-1.2, 1.6)
Jackson County, Arkansas	Rural	No	196.6 (171.0, 225.3)	N/A	44	stable	0.1 (-0.6, 0.9)
Johnson County, Missouri	Rural	No	171.0 (155.5, 187.8)	N/A	92	stable	0.1 (-0.5, 0.8)
Knox County, Kentucky	Rural	No	242.3 (220.8, 265.5)	N/A	96	stable	0.1 (-0.3, 0.6)
Leslie County, Kentucky	Rural	No	241.2 (206.3, 281.0)	N/A	36	stable	0.1 (-0.5, 0.9)
Livingston County, Kentucky	Urban	No	225.4 (191.1, 265.1)	N/A	33	stable	0.1 (-0.8, 1.0)
Livingston County, Missouri	Rural	No	172.2 (147.4, 200.3)	N/A	37	stable	0.1 (-0.6, 0.8)
Martin County, Texas	Urban	No	222.0 (165.5, 291.2)	N/A	11	stable	0.1 (-1.4, 1.7)
Ness County, Kansas	Rural	No	145.8 (100.9, 209.5)	N/A	8	stable	0.1 (-1.4, 1.5)
Owsley County, Kentucky	Rural	No	265.9 (207.6, 337.0)	N/A	15	stable	0.1 (-0.7, 1.1)
Perkins County, South Dakota	Rural	No	145.7 (103.3, 205.6)	N/A	8	stable	0.1 (-1.7, 1.9)
Polk County, Texas	Rural	No	257.2 (237.1, 278.6)	N/A	151	stable	0.1 (-0.5, 0.7)
Prentiss County, Mississippi	Rural	No	188.5 (167.7, 211.4)	N/A	62	stable	0.1 (-0.6, 0.8)
Putnam County, Missouri	Rural	No	192.2 (150.6, 244.1)	N/A	16	stable	0.1 (-0.9, 1.2)
Renville County, North Dakota	Urban	No	141.3 (89.9, 216.5)	N/A	5	stable	0.1 (-1.5, 1.7)
Roosevelt County, Montana	Rural	No	196.3 (158.0, 241.0)	N/A	20	stable	0.1 (-1.0, 1.2)
Seminole County, Oklahoma	Rural	No	214.1 (191.7, 238.6)	N/A	69	stable	0.1 (-0.3, 0.4)
Wadena County, Minnesota	Rural	No	191.7 (165.8, 221.0)	N/A	42	stable	0.1 (-0.6, 0.8)
Alfalfa County, Oklahoma	Rural	No	181.8 (142.4, 230.3)	N/A	15	stable	0.0 (-1.1, 1.1)
Atchison County, Missouri	Rural	No	198.5 (158.2, 248.1)	N/A	18	stable	0.0 (-1.1, 1.1)
Blanco County, Texas	Rural	No	171.5 (146.2, 201.0)	N/A	36	stable	0.0 (-0.8, 1.0)
Calhoun County, Arkansas	Rural	No	217.4 (171.7, 273.7)	N/A	17	stable	0.0 (-1.0, 1.0)
Calhoun County, Mississippi	Rural	No	175.5 (148.9, 206.1)	N/A	33	stable	0.0 (-0.8, 0.9)
Calloway County, Kentucky	Rural	No	198.5 (180.4, 218.0)	N/A	92	stable	0.0 (-0.3, 0.4)
Clinton County, Kentucky	Rural	No	245.1 (208.4, 287.1)	N/A	33	stable	0.0 (-0.8, 0.9)
Cotton County, Oklahoma	Urban	No	188.3 (147.9, 237.9)	N/A	16	stable	0.0 (-0.8, 0.8)
Crawford County, Georgia	Urban	No	201.2 (170.6, 236.2)	N/A	34	stable	0.0 (-1.0, 1.1)
Deaf Smith County, Texas	Rural	No	147.5 (123.1, 175.2)	N/A	27	stable	0.0 (-0.9, 0.8)
Edwards County, Texas	Rural	No	188.9 (116.7, 299.5)	N/A	5	stable	0.0 (-2.0, 2.1)
Ellsworth County, Kansas	Rural	No	181.3 (144.2, 226.5)	N/A	18	stable	0.0 (-1.1, 1.2)
Estill County, Kentucky	Rural	No	213.9 (185.0, 246.5)	N/A	42	stable	0.0 (-0.7, 0.7)
Faribault County, Minnesota	Rural	No	171.3 (147.9, 198.0)	N/A	42	stable	0.0 (-0.6, 0.7)
Fulton County, Arkansas	Rural	No	190.1 (163.5, 220.7)	N/A	41	stable	0.0 (-0.8, 0.9)
Hancock County, Tennessee	Rural	No	197.6 (159.8, 242.9)	N/A	21	stable	0.0 (-1.0, 1.0)
Harper County, Kansas	Rural	No	215.6 (172.2, 268.2)	N/A	18	stable	0.0 (-1.1, 1.2)
Hinds County, Mississippi	Urban	No	171.0 (163.8, 178.4)	N/A	451	stable	0.0 (-0.3, 0.4)
Jackson County, Oklahoma	Rural	No	177.8 (156.4, 201.5)	N/A	51	stable	0.0 (-0.5, 0.5)
Lawrence County, Arkansas	Rural	No	216.7 (190.2, 246.1)	N/A	51	stable	0.0 (-0.6, 0.6)
Leflore County, Mississippi	Rural	No	243.3 (219.0, 269.7)	N/A	76	stable	0.0 (-0.5, 0.5)
Linn County, Kansas	Urban	No	182.2 (152.5, 217.0)	N/A	28	stable	0.0 (-0.9, 0.9)
Marshall County, Oklahoma	Rural	No	191.5 (167.2, 218.9)	N/A	47	stable	0.0 (-0.6, 0.6)
McDowell County, North Carolina	Rural	No	194.0 (179.0, 210.0)	N/A	131	stable	0.0 (-0.4, 0.4)
Miner County, South Dakota	Rural	No	155.4 (100.3, 234.5)	N/A	6	stable	0.0 (-1.5, 1.3)
Nemaha County, Nebraska	Rural	No	182.3 (145.7, 226.2)	N/A	19	stable	0.0 (-1.0, 1.0)
New Madrid County, Missouri	Rural	No	232.9 (206.1, 262.7)	N/A	57	stable	0.0 (-0.5, 0.6)
Overton County, Tennessee	Rural	No	237.8 (213.8, 264.0)	N/A	77	stable	0.0 (-0.5, 0.6)
Pleasants County, West Virginia	Rural	No	213.1 (174.8, 258.2)	N/A	23	stable	0.0 (-1.1, 1.2)
Polk County, Nebraska	Rural	No	142.7 (107.8, 187.4)	N/A	12	stable	0.0 (-1.3, 1.3)
Red River Parish, Louisiana	Rural	No	193.0 (157.6, 234.8)	N/A	22	stable	0.0 (-1.3, 1.4)
Rowan County, Kentucky	Rural	No	184.2 (161.3, 209.5)	N/A	48	stable	0.0 (-0.7, 0.8)
Rush County, Kansas	Rural	No	207.7 (154.4, 278.0)	N/A	11	stable	0.0 (-1.3, 1.4)
Scotland County, Missouri	Rural	No	174.1 (130.2, 229.2)	N/A	11	stable	0.0 (-1.2, 1.2)
Scott County, Illinois	Rural	No	194.9 (150.6, 249.8)	N/A	14	stable	0.0 (-0.9, 1.0)
Sharp County, Arkansas	Rural	No	201.5 (178.9, 226.6)	N/A	64	stable	0.0 (-0.7, 0.7)
Sumner County, Tennessee	Urban	No	160.8 (153.5, 168.3)	N/A	384	stable	0.0 (-1.4, 3.1)
Taylor County, Kentucky	Rural	No	202.5 (181.4, 225.5)	N/A	71	stable	0.0 (-0.5, 0.5)
Wayne County, Nebraska	Rural	No	135.1 (105.5, 170.9)	N/A	15	stable	0.0 (-1.3, 1.3)
Worth County, Missouri	Rural	No	167.2 (109.9, 251.0)	N/A	6	stable	0.0 (-1.8, 1.7)
Adair County, Iowa	Rural	No	147.2 (117.7, 183.2)	N/A	19	stable	-0.1 (-0.9, 0.6)
Appanoose County, Iowa	Rural	No	168.1 (144.1, 195.9)	N/A	37	stable	-0.1 (-1.1, 1.0)
Blaine County, Oklahoma	Rural	No	216.9 (180.4, 259.4)	N/A	27	stable	-0.1 (-0.9, 0.7)
Bon Homme County, South Dakota	Rural	No	146.8 (115.2, 185.6)	N/A	16	stable	-0.1 (-1.5, 1.4)
Caldwell County, Missouri	Urban	No	163.3 (131.7, 200.9)	N/A	20	stable	-0.1 (-1.1, 1.0)
Chase County, Kansas	Rural	No	195.8 (135.1, 277.7)	N/A	8	stable	-0.1 (-1.5, 1.2)
Chautauqua County, Kansas	Rural	No	178.8 (131.3, 241.3)	N/A	11	stable	-0.1 (-1.7, 1.4)
Cheyenne County, Colorado	Rural	No	224.1 (151.0, 326.8)	N/A	6	stable	-0.1 (-2.0, 1.8)
Chicot County, Arkansas	Rural	No	224.5 (191.7, 262.0)	N/A	36	stable	-0.1 (-0.9, 0.7)
Chippewa County, Minnesota	Rural	No	173.2 (147.1, 203.2)	N/A	35	stable	-0.1 (-0.9, 0.6)
Clark County, Illinois	Rural	No	183.6 (158.7, 211.7)	N/A	41	stable	-0.1 (-0.8, 0.6)
Covington County, Mississippi	Rural	No	205.1 (179.6, 233.4)	N/A	48	stable	-0.1 (-0.7, 0.5)
Davis County, Iowa	Rural	No	167.5 (134.4, 206.7)	N/A	19	stable	-0.1 (-1.2, 0.9)
East Carroll Parish, Louisiana	Rural	No	254.8 (207.4, 310.0)	N/A	21	stable	-0.1 (-1.2, 0.9)
Emmet County, Iowa	Rural	No	175.7 (145.2, 211.4)	N/A	27	stable	-0.1 (-0.9, 0.6)
Fleming County, Kentucky	Rural	No	213.3 (184.8, 245.3)	N/A	43	stable	-0.1 (-0.8, 0.7)
Florence County, Wisconsin	Rural	No	165.6 (126.3, 217.4)	N/A	14	stable	-0.1 (-1.3, 1.2)
Ford County, Illinois	Urban	No	193.9 (166.8, 224.6)	N/A	39	stable	-0.1 (-0.8, 0.5)
Franklin County, Iowa	Rural	No	153.7 (126.6, 185.8)	N/A	24	stable	-0.1 (-1.0, 0.9)
Gilmer County, West Virginia	Rural	No	210.5 (171.6, 256.7)	N/A	21	stable	-0.1 (-1.0, 0.9)
Goshen County, Wyoming	Rural	No	181.1 (154.8, 211.3)	N/A	37	stable	-0.1 (-0.8, 0.7)
Greensville County, Virginia	Rural	No	216.5 (181.0, 257.3)	N/A	28	stable	-0.1 (-1.1, 0.9)
Hamlin County, South Dakota	Rural	No	177.9 (136.0, 229.2)	N/A	13	stable	-0.1 (-0.9, 0.7)
Hawkins County, Tennessee	Urban	No	186.7 (173.6, 200.6)	N/A	163	stable	-0.1 (-0.5, 0.3)
Holmes County, Mississippi	Urban	No	242.0 (212.0, 275.4)	N/A	49	stable	-0.1 (-0.9, 0.6)
Hughes County, South Dakota	Rural	No	165.0 (141.8, 191.2)	N/A	38	stable	-0.1 (-1.0, 0.8)
Jefferson County, Oregon	Urban	No	162.6 (142.7, 184.6)	N/A	53	stable	-0.1 (-0.6, 0.5)
Johnson County, Tennessee	Rural	No	201.1 (177.9, 226.9)	N/A	59	stable	-0.1 (-1.0, 0.8)
Kay County, Oklahoma	Rural	No	194.0 (178.4, 210.7)	N/A	120	stable	-0.1 (-0.5, 0.2)
Lafayette County, Florida	Rural	No	195.3 (158.8, 238.5)	N/A	20	stable	-0.1 (-1.1, 1.2)
Lincoln County, Arkansas	Rural	No	167.8 (139.9, 200.1)	N/A	26	stable	-0.1 (-0.8, 0.6)
Lynn County, Texas	Urban	No	189.9 (146.0, 243.6)	N/A	13	stable	-0.1 (-1.4, 1.2)
Monroe County, Kentucky	Rural	No	214.8 (182.7, 251.4)	N/A	34	stable	-0.1 (-0.8, 0.6)
Montgomery County, Arkansas	Rural	No	160.9 (131.9, 195.7)	N/A	26	stable	-0.1 (-1.1, 0.9)
Moultrie County, Illinois	Rural	No	177.9 (152.3, 206.9)	N/A	36	stable	-0.1 (-0.8, 0.5)
Pawnee County, Nebraska	Rural	No	156.9 (104.3, 231.2)	N/A	8	stable	-0.1 (-1.7, 1.3)
Phelps County, Nebraska	Rural	No	144.1 (117.0, 176.5)	N/A	21	stable	-0.1 (-1.0, 0.8)
Pike County, Ohio	Rural	No	211.0 (190.3, 233.6)	N/A	79	stable	-0.1 (-0.6, 0.5)
Red Lake County, Minnesota	Rural	No	168.3 (123.4, 226.4)	N/A	10	stable	-0.1 (-1.2, 1.0)
Saguache County, Colorado	Rural	No	143.7 (110.0, 186.0)	N/A	15	stable	-0.1 (-1.6, 1.7)
Starr County, Texas	Rural	No	127.2 (114.5, 140.9)	N/A	74	stable	-0.1 (-0.6, 0.5)
Swisher County, Texas	Rural	No	191.4 (152.5, 238.0)	N/A	17	stable	-0.1 (-0.9, 0.7)
Van Buren County, Tennessee	Rural	No	209.6 (170.5, 256.6)	N/A	22	stable	-0.1 (-1.2, 1.2)
Wayne County, Missouri	Rural	No	201.2 (172.4, 234.4)	N/A	39	stable	-0.1 (-0.8, 0.6)
Wayne County, Tennessee	Rural	No	194.0 (169.4, 221.6)	N/A	46	stable	-0.1 (-0.7, 0.6)
Wayne County, Utah	Rural	No	161.0 (104.6, 239.9)	N/A	6	stable	-0.1 (-1.9, 2.1)
Yazoo County, Mississippi	Urban	No	241.8 (216.6, 269.2)	N/A	69	stable	-0.1 (-0.7, 0.6)
Zapata County, Texas	Rural	No	129.2 (103.3, 159.6)	N/A	17	stable	-0.1 (-1.6, 1.6)
Zavala County, Texas	Rural	No	197.2 (159.9, 240.6)	N/A	20	stable	-0.1 (-1.1, 0.9)
Attala County, Mississippi	Rural	No	200.4 (176.1, 227.5)	N/A	51	stable	-0.2 (-0.9, 0.5)
Baylor County, Texas	Rural	No	244.5 (187.9, 315.4)	N/A	14	stable	-0.2 (-1.5, 1.0)
Cherokee County, Oklahoma	Rural	No	199.8 (183.8, 217.0)	N/A	120	stable	-0.2 (-0.6, 0.3)
Choctaw County, Oklahoma	Rural	No	189.1 (163.2, 218.5)	N/A	40	stable	-0.2 (-0.9, 0.6)
Clark County, Kansas	Rural	No	155.6 (95.5, 243.7)	N/A	5	stable	-0.2 (-1.9, 1.5)
Clay County, Arkansas	Rural	No	206.9 (181.1, 236.0)	N/A	48	stable	-0.2 (-0.8, 0.4)
Coahoma County, Mississippi	Rural	No	230.8 (204.6, 259.6)	N/A	60	stable	-0.2 (-3.7, 0.3)
Corson County, South Dakota	Rural	No	182.9 (122.1, 262.5)	N/A	6	stable	-0.2 (-1.4, 1.0)
Custer County, Idaho	Rural	No	152.5 (115.5, 201.7)	N/A	13	stable	-0.2 (-1.3, 1.2)
Dawson County, Texas	Rural	No	167.7 (137.9, 202.0)	N/A	23	stable	-0.2 (-1.1, 0.6)
Dickenson County, Virginia	Rural	No	193.4 (167.8, 222.5)	N/A	44	stable	-0.2 (-0.9, 0.6)
Floyd County, Virginia	Urban	No	155.0 (133.3, 179.7)	N/A	40	stable	-0.2 (-0.9, 0.7)
Gosper County, Nebraska	Rural	No	164.9 (100.9, 259.5)	N/A	5	stable	-0.2 (-2.1, 1.9)
Grenada County, Mississippi	Rural	No	209.2 (185.8, 235.0)	N/A	61	stable	-0.2 (-0.8, 0.4)
Hamilton County, Kansas	Rural	No	198.6 (127.4, 295.1)	N/A	5	stable	-0.2 (-1.7, 1.1)
Henry County, Virginia	Rural	No	171.0 (158.1, 184.9)	N/A	148	stable	-0.2 (-0.7, 0.3)
Hughes County, Oklahoma	Rural	No	192.5 (164.8, 224.0)	N/A	35	stable	-0.2 (-0.8, 0.5)
Iroquois County, Illinois	Rural	No	191.3 (172.9, 211.4)	N/A	85	stable	-0.2 (-0.6, 0.2)
Jackson County, South Dakota	Rural	No	215.5 (145.6, 307.7)	N/A	6	stable	-0.2 (-1.9, 1.7)
Jay County, Indiana	Rural	No	178.1 (155.8, 202.8)	N/A	48	stable	-0.2 (-1.0, 0.6)
Johnson County, Arkansas	Rural	No	183.4 (162.6, 206.2)	N/A	59	stable	-0.2 (-0.7, 0.4)
Lawrence County, Kentucky	Urban	No	235.3 (206.1, 267.9)	N/A	50	stable	-0.2 (-0.6, 0.3)
Lawrence County, Mississippi	Rural	No	209.5 (177.5, 245.9)	N/A	33	stable	-0.2 (-0.9, 0.6)
Lewis County, Kentucky	Rural	No	224.6 (194.0, 259.0)	N/A	41	stable	-0.2 (-0.8, 0.5)
Lincoln County, Kansas	Rural	Yes	120.8 (81.5, 177.8)	N/A	7	stable	-0.2 (-1.5, 1.1)
Mahaska County, Iowa	Rural	No	168.9 (148.4, 191.6)	N/A	52	stable	-0.2 (-0.6, 0.3)
Mahnomen County, Minnesota	Rural	No	205.3 (159.1, 261.6)	N/A	14	stable	-0.2 (-0.9, 0.6)
Marion County, Illinois	Rural	No	204.5 (187.5, 222.8)	N/A	113	stable	-0.2 (-0.8, 0.3)
Marquette County, Wisconsin	Rural	No	190.1 (166.9, 216.5)	N/A	53	stable	-0.2 (-0.8, 0.5)
Metcalfe County, Kentucky	Rural	No	207.1 (175.4, 243.5)	N/A	31	stable	-0.2 (-1.1, 0.8)
Moody County, South Dakota	Rural	No	142.5 (108.5, 184.8)	N/A	13	stable	-0.2 (-1.2, 0.9)
Nowata County, Oklahoma	Rural	No	220.9 (186.7, 260.3)	N/A	31	stable	-0.2 (-1.1, 0.8)
Okmulgee County, Oklahoma	Urban	No	200.9 (183.4, 219.8)	N/A	101	stable	-0.2 (-0.5, 0.2)
Pemiscot County, Missouri	Rural	No	213.0 (185.1, 244.3)	N/A	44	stable	-0.2 (-0.8, 0.4)
Perry County, Kentucky	Rural	No	245.2 (222.4, 269.9)	N/A	90	stable	-0.2 (-0.7, 0.4)
Perry County, Mississippi	Urban	No	203.2 (172.4, 238.5)	N/A	32	stable	-0.2 (-1.0, 0.7)
Pike County, Illinois	Rural	No	193.4 (168.4, 221.6)	N/A	46	stable	-0.2 (-0.9, 0.5)
Randolph County, Arkansas	Rural	No	200.2 (175.8, 227.2)	N/A	52	stable	-0.2 (-0.7, 0.4)
Roane County, West Virginia	Rural	No	220.9 (192.4, 253.0)	N/A	48	stable	-0.2 (-0.8, 0.4)
Roscommon County, Michigan	Rural	No	182.8 (164.5, 203.3)	N/A	91	stable	-0.2 (-0.8, 0.3)
Russell County, Kentucky	Rural	No	207.5 (182.8, 234.9)	N/A	55	stable	-0.2 (-0.8, 0.5)
San Saba County, Texas	Rural	No	157.8 (124.0, 200.0)	N/A	15	stable	-0.2 (-1.4, 1.1)
Smith County, Tennessee	Urban	No	195.8 (171.7, 222.6)	N/A	51	stable	-0.2 (-0.8, 0.5)
Smyth County, Virginia	Rural	No	202.8 (184.6, 222.5)	N/A	98	stable	-0.2 (-0.6, 1.5)
Trego County, Kansas	Rural	No	168.7 (123.7, 231.2)	N/A	10	stable	-0.2 (-1.4, 0.9)
Unicoi County, Tennessee	Urban	No	192.2 (169.8, 217.3)	N/A	57	stable	-0.2 (-0.7, 0.3)
Vernon Parish, Louisiana	Rural	No	191.8 (174.5, 210.4)	N/A	92	stable	-0.2 (-0.8, 0.5)
Washington County, Missouri	Rural	No	210.7 (188.0, 235.5)	N/A	66	stable	-0.2 (-0.8, 0.5)
Washita County, Oklahoma	Rural	No	163.0 (134.5, 196.2)	N/A	24	stable	-0.2 (-1.1, 0.7)
Waynesboro City, Virginia	Urban	No	216.6 (193.4, 242.0)	N/A	66	stable	-0.2 (-0.7, 0.4)
Wetzel County, West Virginia	Rural	No	203.3 (177.9, 231.9)	N/A	49	stable	-0.2 (-0.9, 0.5)
Wilson County, Kansas	Rural	No	178.5 (147.4, 215.3)	N/A	25	stable	-0.2 (-1.1, 0.6)
Yancey County, North Carolina	Rural	No	161.1 (142.4, 182.2)	N/A	56	stable	-0.2 (-0.8, 0.4)
Yukon-Koyukuk Census Area, Alaska	Rural	No	174.8 (129.5, 231.3)	N/A	11	stable	-0.2 (-1.8, 1.6)
Adams County, Indiana	Rural	No	162.0 (145.0, 180.6)	N/A	70	stable	-0.3 (-0.9, 0.3)
Adams County, Ohio	Rural	No	241.9 (219.4, 266.3)	N/A	90	stable	-0.3 (-0.9, 0.3)
Atkinson County, Georgia	Rural	No	215.0 (173.7, 263.3)	N/A	20	stable	-0.3 (-1.5, 1.1)
Baca County, Colorado	Rural	No	203.4 (154.6, 266.2)	N/A	13	stable	-0.3 (-1.5, 0.9)
Benton County, Indiana	Urban	No	183.1 (150.0, 222.0)	N/A	22	stable	-0.3 (-1.2, 0.6)
Boone County, Nebraska	Rural	No	135.2 (104.9, 173.9)	N/A	14	stable	-0.3 (-1.5, 0.8)
Carroll County, Tennessee	Rural	No	203.6 (184.1, 224.8)	N/A	84	stable	-0.3 (-0.7, 0.0)
Casey County, Kentucky	Rural	No	197.8 (172.5, 226.2)	N/A	46	stable	-0.3 (-1.0, 0.4)
Chariton County, Missouri	Rural	No	173.5 (140.3, 213.5)	N/A	23	stable	-0.3 (-1.1, 0.5)
Chippewa County, Michigan	Rural	No	193.1 (176.0, 211.6)	N/A	98	stable	-0.3 (-0.8, 0.3)
Clarion County, Pennsylvania	Rural	No	178.1 (162.0, 195.5)	N/A	97	stable	-0.3 (-0.8, 0.2)
Clark County, Arkansas	Rural	No	188.2 (164.7, 214.4)	N/A	48	stable	-0.3 (-1.0, 0.3)
Clarke County, Mississippi	Rural	No	156.9 (134.5, 182.5)	N/A	37	stable	-0.3 (-1.0, 0.5)
Cleveland County, North Carolina	Rural	No	183.7 (173.4, 194.6)	N/A	250	stable	-0.3 (-0.6, 0.1)
Clinton County, Indiana	Rural	No	175.5 (157.6, 194.9)	N/A	74	stable	-0.3 (-0.9, 0.3)
Colfax County, Nebraska	Rural	No	161.6 (129.6, 199.2)	N/A	18	stable	-0.3 (-1.2, 0.6)
Crawford County, Missouri	Rural	No	201.1 (179.5, 224.9)	N/A	67	stable	-0.3 (-0.8, 0.2)
Crenshaw County, Alabama	Rural	No	203.9 (174.9, 236.7)	N/A	38	stable	-0.3 (-1.0, 0.5)
Crittenden County, Kentucky	Rural	No	208.4 (173.9, 248.6)	N/A	27	stable	-0.3 (-1.3, 0.7)
Crockett County, Texas	Rural	No	248.1 (181.9, 332.2)	N/A	10	stable	-0.3 (-1.9, 1.2)
Custer County, Oklahoma	Rural	No	166.8 (146.6, 189.1)	N/A	51	stable	-0.3 (-1.0, 0.5)
DeKalb County, Tennessee	Rural	No	192.9 (170.3, 218.0)	N/A	55	stable	-0.3 (-0.9, 0.3)
Dewey County, South Dakota	Rural	No	235.8 (172.0, 314.4)	N/A	10	stable	-0.3 (-1.6, 1.1)
Dixon County, Nebraska	Rural	No	146.0 (112.3, 188.4)	N/A	13	stable	-0.3 (-1.3, 0.8)
Dodge County, Nebraska	Rural	No	163.5 (148.1, 180.3)	N/A	87	stable	-0.3 (-0.7, 0.2)
Duval County, Texas	Rural	No	178.3 (145.7, 216.4)	N/A	22	stable	-0.3 (-1.1, 0.6)
Dyer County, Tennessee	Rural	No	190.9 (173.7, 209.4)	N/A	94	stable	-0.3 (-0.7, 0.2)
Fountain County, Indiana	Rural	No	225.1 (199.1, 254.0)	N/A	56	stable	-0.3 (-0.9, 0.3)
Franklin County, Kansas	Rural	No	186.5 (165.9, 209.0)	N/A	63	stable	-0.3 (-0.8, 0.2)
Fulton County, Ohio	Urban	No	166.4 (151.6, 182.3)	N/A	98	stable	-0.3 (-0.6, 0.2)
Grant County, Arkansas	Urban	No	180.7 (157.5, 206.7)	N/A	45	stable	-0.3 (-1.1, 0.5)
Greeley County, Nebraska	Rural	No	187.5 (122.1, 278.8)	N/A	7	stable	-0.3 (-2.5, 1.9)
Grundy County, Iowa	Urban	No	151.3 (127.6, 178.9)	N/A	30	stable	-0.3 (-1.2, 0.6)
Hansford County, Texas	Rural	No	172.1 (128.4, 226.5)	N/A	11	stable	-0.3 (-1.5, 0.9)
Hardin County, Illinois	Rural	No	191.2 (146.5, 249.6)	N/A	13	stable	-0.3 (-1.2, 0.7)
Hardin County, Ohio	Rural	No	210.0 (189.2, 232.6)	N/A	78	stable	-0.3 (-0.9, 0.3)
Harvey County, Kansas	Urban	No	159.5 (143.6, 176.9)	N/A	80	stable	-0.3 (-0.8, 0.2)
Haskell County, Texas	Rural	No	182.7 (143.0, 231.9)	N/A	16	stable	-0.3 (-1.6, 0.9)
Henderson County, Tennessee	Rural	No	199.2 (179.2, 220.9)	N/A	76	stable	-0.3 (-0.8, 0.2)
Henry County, Indiana	Rural	No	195.5 (180.7, 211.3)	N/A	135	stable	-0.3 (-0.7, 0.1)
Henry County, Kentucky	Urban	No	206.2 (178.9, 236.7)	N/A	44	stable	-0.3 (-0.9, 0.2)
Hickman County, Tennessee	Urban	No	213.4 (191.1, 237.8)	N/A	70	stable	-0.3 (-1.0, 0.5)
Hidalgo County, New Mexico	Rural	No	147.2 (109.7, 196.5)	N/A	10	stable	-0.3 (-1.4, 0.8)
Howard County, Iowa	Rural	No	175.9 (146.3, 210.6)	N/A	27	stable	-0.3 (-1.1, 0.6)
Jefferson County, Georgia	Rural	No	214.3 (186.6, 245.4)	N/A	45	stable	-0.3 (-1.0, 0.4)
Kingfisher County, Oklahoma	Rural	No	157.4 (132.7, 185.7)	N/A	30	stable	-0.3 (-1.0, 0.5)
Knott County, Kentucky	Rural	No	198.0 (170.2, 229.4)	N/A	40	stable	-0.3 (-1.0, 0.4)
Lake County, Michigan	Rural	No	192.9 (166.4, 223.6)	N/A	44	stable	-0.3 (-1.7, 7.0)
Le Flore County, Oklahoma	Rural	No	208.6 (192.8, 225.5)	N/A	133	stable	-0.3 (-0.6, 0.1)
Lee County, Kentucky	Rural	No	230.7 (188.3, 280.6)	N/A	22	stable	-0.3 (-1.3, 0.7)
Marion County, Kansas	Rural	No	144.4 (121.8, 170.9)	N/A	31	stable	-0.3 (-1.2, 0.6)
Maverick County, Texas	Urban	No	137.7 (123.7, 152.9)	N/A	72	stable	-0.3 (-0.7, 0.3)
McPherson County, Kansas	Rural	No	137.1 (121.9, 154.0)	N/A	65	stable	-0.3 (-0.8, 0.2)
Mercer County, Illinois	Urban	No	176.5 (153.4, 202.6)	N/A	44	stable	-0.3 (-1.0, 0.4)
Mills County, Texas	Rural	No	189.7 (147.7, 243.1)	N/A	16	stable	-0.3 (-1.6, 1.0)
Monroe County, Ohio	Rural	No	174.5 (149.8, 202.7)	N/A	38	stable	-0.3 (-1.0, 0.3)
Monroe County, West Virginia	Rural	No	177.3 (151.8, 206.7)	N/A	38	stable	-0.3 (-0.9, 0.4)
Neosho County, Kansas	Rural	No	191.0 (165.7, 219.4)	N/A	44	stable	-0.3 (-0.8, 0.2)
Nolan County, Texas	Rural	No	206.6 (178.7, 237.9)	N/A	41	stable	-0.3 (-0.9, 0.3)
Orange County, Indiana	Rural	No	203.0 (179.6, 228.8)	N/A	58	stable	-0.3 (-0.8, 0.3)
Osage County, Missouri	Urban	No	149.2 (124.1, 178.1)	N/A	26	stable	-0.3 (-1.1, 0.5)
Page County, Virginia	Rural	No	181.0 (161.9, 202.0)	N/A	69	stable	-0.3 (-0.9, 0.3)
Pawnee County, Kansas	Rural	No	149.6 (115.6, 192.1)	N/A	15	stable	-0.3 (-1.3, 0.6)
Perry County, Arkansas	Urban	No	170.9 (142.2, 204.5)	N/A	26	stable	-0.3 (-1.0, 0.5)
Pipestone County, Minnesota	Rural	No	180.0 (149.9, 215.2)	N/A	27	stable	-0.3 (-1.2, 0.6)
Pottawatomie County, Oklahoma	Rural	No	202.2 (189.0, 216.0)	N/A	182	stable	-0.3 (-0.6, 0.1)
Randolph County, Missouri	Rural	No	213.4 (191.0, 238.0)	N/A	68	stable	-0.3 (-0.8, 0.2)
Ray County, Missouri	Urban	No	198.9 (177.5, 222.5)	N/A	65	stable	-0.3 (-1.0, 0.4)
Rice County, Kansas	Rural	No	176.4 (145.1, 213.2)	N/A	24	stable	-0.3 (-1.4, 0.8)
Rockcastle County, Kentucky	Rural	No	209.1 (182.4, 239.1)	N/A	47	stable	-0.3 (-1.0, 0.5)
Russell County, Kansas	Rural	No	205.9 (166.2, 253.3)	N/A	22	stable	-0.3 (-1.5, 0.9)
San Juan County, Utah	Rural	No	128.7 (104.2, 157.3)	N/A	20	stable	-0.3 (-1.4, 1.0)
Schoolcraft County, Michigan	Rural	No	185.5 (155.2, 221.9)	N/A	29	stable	-0.3 (-0.9, 0.3)
Schuyler County, Missouri	Rural	No	178.0 (130.6, 238.4)	N/A	10	stable	-0.3 (-1.5, 0.9)
Shannon County, Missouri	Rural	No	220.0 (181.9, 265.1)	N/A	25	stable	-0.3 (-1.2, 0.7)
Stewart County, Tennessee	Urban	No	195.1 (167.9, 225.9)	N/A	39	stable	-0.3 (-1.2, 0.8)
Sullivan County, Missouri	Rural	No	178.4 (140.4, 224.7)	N/A	16	stable	-0.3 (-1.4, 0.7)
Sunflower County, Mississippi	Rural	No	221.8 (197.9, 247.9)	N/A	65	stable	-0.3 (-0.7, 0.1)
Surry County, North Carolina	Rural	No	186.7 (175.2, 199.0)	N/A	202	stable	-0.3 (-0.6, 0.1)
Tallahatchie County, Mississippi	Rural	No	204.1 (173.3, 239.2)	N/A	32	stable	-0.3 (-1.0, 0.3)
Traill County, North Dakota	Rural	No	138.3 (109.5, 173.4)	N/A	17	stable	-0.3 (-0.9, 0.4)
Traverse County, Minnesota	Rural	No	197.4 (150.6, 258.3)	N/A	13	stable	-0.3 (-1.7, 1.1)
Union County, Florida	Rural	No	387.8 (348.9, 430.1)	N/A	76	stable	-0.3 (-1.4, 0.4)
Union County, Indiana	Rural	No	171.8 (136.6, 214.2)	N/A	17	stable	-0.3 (-1.3, 0.8)
Valley County, Nebraska	Rural	No	145.3 (104.9, 198.5)	N/A	10	stable	-0.3 (-1.6, 0.9)
Van Wert County, Ohio	Rural	No	171.0 (153.3, 190.5)	N/A	71	stable	-0.3 (-0.9, 0.2)
Wakulla County, Florida	Urban	No	181.5 (162.3, 202.4)	N/A	72	stable	-0.3 (-1.1, 3.6)
Warren County, Tennessee	Rural	No	195.5 (178.8, 213.4)	N/A	105	stable	-0.3 (-0.8, 0.2)
Washington County, Florida	Urban	No	198.2 (177.1, 221.3)	N/A	68	stable	-0.3 (-0.9, 0.2)
Washington County, Oklahoma	Rural	No	179.2 (165.6, 193.8)	N/A	136	stable	-0.3 (-0.7, 0.1)
Weakley County, Tennessee	Rural	No	183.4 (165.5, 202.9)	N/A	81	stable	-0.3 (-0.7, 0.0)
Wheeler County, Texas	Rural	No	182.8 (141.0, 234.8)	N/A	14	stable	-0.3 (-1.2, 0.6)
Whitley County, Kentucky	Rural	No	220.7 (201.1, 241.7)	N/A	97	stable	-0.3 (-1.0, 0.5)
Wichita County, Kansas	Rural	No	168.9 (104.5, 260.8)	N/A	5	stable	-0.3 (-2.2, 1.5)
Williamson County, Tennessee	Urban	Yes	120.0 (114.1, 126.2)	N/A	320	stable	-0.3 (-1.6, 2.6)
Wise County, Texas	Urban	No	181.3 (168.0, 195.4)	N/A	146	stable	-0.3 (-0.7, 0.1)
Wyoming County, Pennsylvania	Urban	No	184.4 (165.5, 205.2)	N/A	75	stable	-0.3 (-1.0, 0.4)
Alexander County, Illinois	Urban	No	240.6 (196.1, 294.3)	N/A	22	stable	-0.4 (-1.5, 0.5)
Anson County, North Carolina	Urban	No	191.2 (169.4, 215.3)	N/A	60	stable	-0.4 (-0.9, 0.1)
Banks County, Georgia	Rural	No	169.9 (146.4, 196.3)	N/A	40	stable	-0.4 (-1.3, 0.7)
Baraga County, Michigan	Rural	No	198.8 (165.4, 238.2)	N/A	26	stable	-0.4 (-1.1, 0.4)
Barry County, Missouri	Rural	No	179.0 (162.9, 196.5)	N/A	96	stable	-0.4 (-0.8, 0.1)
Beckham County, Oklahoma	Rural	No	190.9 (167.2, 217.1)	N/A	48	stable	-0.4 (-1.0, 0.2)
Brantley County, Georgia	Urban	No	203.0 (177.0, 231.9)	N/A	47	stable	-0.4 (-1.1, 0.4)
Calhoun County, South Carolina	Urban	No	166.6 (143.6, 193.0)	N/A	40	stable	-0.4 (-1.3, 0.5)
Carroll County, Ohio	Urban	No	167.1 (149.3, 186.7)	N/A	69	stable	-0.4 (-1.1, 0.3)
Chase County, Nebraska	Rural	No	148.6 (107.8, 202.3)	N/A	10	stable	-0.4 (-1.5, 0.8)
Cherokee County, Alabama	Rural	No	178.8 (160.4, 199.2)	N/A	74	stable	-0.4 (-1.0, 0.2)
Cheyenne County, Kansas	Rural	No	151.0 (100.1, 222.8)	N/A	7	stable	-0.4 (-1.9, 0.9)
Clay County, Nebraska	Rural	No	164.4 (126.7, 210.9)	N/A	14	stable	-0.4 (-1.9, 1.0)
Cleburne County, Arkansas	Rural	No	163.3 (146.8, 181.7)	N/A	78	stable	-0.4 (-0.9, 0.2)
Clinton County, Missouri	Urban	No	179.0 (157.6, 202.9)	N/A	53	stable	-0.4 (-0.9, 0.1)
Cloud County, Kansas	Rural	No	159.7 (129.7, 195.3)	N/A	22	stable	-0.4 (-1.5, 0.7)
Colleton County, South Carolina	Rural	No	209.4 (192.1, 227.9)	N/A	116	stable	-0.4 (-0.8, 0.1)
Cottonwood County, Minnesota	Rural	No	158.9 (134.2, 187.5)	N/A	33	stable	-0.4 (-1.1, 0.3)
Cowley County, Kansas	Rural	No	188.7 (171.0, 207.9)	N/A	88	stable	-0.4 (-0.8, 0.0)
Crawford County, Kansas	Rural	No	187.0 (169.5, 205.9)	N/A	88	stable	-0.4 (-0.9, 0.1)
Creek County, Oklahoma	Urban	No	197.3 (184.8, 210.4)	N/A	193	falling	-0.4 (-0.6, -0.1)
Dade County, Missouri	Rural	No	172.6 (141.4, 210.1)	N/A	23	stable	-0.4 (-1.1, 0.3)
DeWitt County, Texas	Rural	No	174.6 (153.6, 198.0)	N/A	52	stable	-0.4 (-1.0, 0.1)
Decatur County, Iowa	Rural	No	168.3 (135.4, 207.9)	N/A	20	stable	-0.4 (-1.5, 0.6)
Delta County, Colorado	Rural	No	157.4 (142.3, 174.1)	N/A	89	stable	-0.4 (-0.8, 0.1)
Delta County, Texas	Rural	No	196.5 (154.3, 248.3)	N/A	16	stable	-0.4 (-1.5, 0.8)
Dickson County, Tennessee	Urban	No	195.8 (180.8, 211.9)	N/A	132	falling	-0.4 (-0.8, -0.1)
Doniphan County, Kansas	Urban	No	187.7 (152.0, 230.2)	N/A	20	stable	-0.4 (-1.2, 0.5)
Dunklin County, Missouri	Rural	No	215.4 (194.5, 238.0)	N/A	82	stable	-0.4 (-0.9, 0.1)
Elk County, Kansas	Rural	No	272.6 (201.3, 366.2)	N/A	12	stable	-0.4 (-2.0, 1.1)
Fayette County, Ohio	Rural	No	194.3 (174.3, 216.1)	N/A	73	stable	-0.4 (-1.0, 0.2)
Franklin County, Indiana	Urban	No	173.4 (152.8, 196.2)	N/A	55	stable	-0.4 (-1.0, 0.3)
Freestone County, Texas	Rural	No	185.9 (163.6, 210.7)	N/A	53	stable	-0.4 (-1.0, 0.3)
Fremont County, Idaho	Rural	No	126.6 (103.4, 153.7)	N/A	22	stable	-0.4 (-1.1, 0.2)
Frio County, Texas	Rural	No	162.7 (136.7, 192.2)	N/A	28	stable	-0.4 (-1.2, 0.4)
Fulton County, Pennsylvania	Rural	No	164.3 (141.8, 190.1)	N/A	39	stable	-0.4 (-1.2, 0.5)
Gage County, Nebraska	Rural	No	168.6 (148.9, 190.7)	N/A	57	stable	-0.4 (-1.0, 0.2)
Gallia County, Ohio	Rural	No	188.0 (169.4, 208.3)	N/A	79	stable	-0.4 (-1.0, 0.1)
Garfield County, Nebraska	Rural	No	135.5 (85.4, 215.0)	N/A	5	stable	-0.4 (-2.3, 1.5)
Garfield County, Oklahoma	Urban	No	170.6 (157.6, 184.5)	N/A	133	stable	-0.4 (-0.8, 0.0)
Gibson County, Tennessee	Urban	No	215.8 (200.1, 232.4)	N/A	146	stable	-0.4 (-0.9, 0.1)
Grant County, Indiana	Rural	No	193.5 (180.8, 206.9)	N/A	182	stable	-0.4 (-0.8, 0.0)
Grayson County, Virginia	Rural	No	180.1 (157.4, 205.9)	N/A	49	stable	-0.4 (-1.1, 0.3)
Greer County, Oklahoma	Rural	No	178.8 (137.8, 229.4)	N/A	13	stable	-0.4 (-1.2, 0.4)
Gregory County, South Dakota	Rural	No	147.7 (107.4, 200.9)	N/A	11	stable	-0.4 (-1.3, 0.5)
Hale County, Texas	Rural	No	150.3 (132.5, 169.8)	N/A	53	stable	-0.4 (-0.9, 0.2)
Hamilton County, Illinois	Rural	No	174.2 (142.8, 211.6)	N/A	23	stable	-0.4 (-1.3, 0.5)
Hampton County, South Carolina	Rural	No	195.0 (171.3, 221.5)	N/A	51	stable	-0.4 (-1.0, 0.3)
Hardeman County, Tennessee	Rural	No	203.9 (182.8, 227.0)	N/A	70	stable	-0.4 (-0.9, 0.2)
Harrison County, Missouri	Rural	No	162.1 (131.7, 198.5)	N/A	22	stable	-0.4 (-1.1, 0.3)
Hill County, Texas	Rural	No	205.2 (187.9, 223.7)	N/A	111	stable	-0.4 (-1.0, 0.2)
Hopewell City, Virginia	Urban	No	217.8 (193.3, 244.6)	N/A	59	stable	-0.4 (-0.9, 0.1)
Huerfano County, Colorado	Rural	No	182.5 (149.0, 223.6)	N/A	25	stable	-0.4 (-1.4, 0.7)
Ida County, Iowa	Rural	No	177.3 (144.4, 217.1)	N/A	22	stable	-0.4 (-1.5, 0.7)
Isanti County, Minnesota	Urban	No	155.3 (140.3, 171.6)	N/A	81	stable	-0.4 (-0.9, 0.1)
Jones County, North Carolina	Rural	No	168.7 (139.5, 203.3)	N/A	26	stable	-0.4 (-1.4, 0.7)
Juab County, Utah	Urban	No	159.5 (126.7, 198.0)	N/A	17	stable	-0.4 (-1.8, 1.2)
Kearny County, Kansas	Rural	No	155.3 (108.1, 216.8)	N/A	7	stable	-0.4 (-2.0, 1.4)
Kleberg County, Texas	Rural	No	176.9 (155.9, 199.9)	N/A	53	stable	-0.4 (-1.0, 0.3)
Labette County, Kansas	Rural	No	174.5 (153.5, 197.9)	N/A	53	stable	-0.4 (-1.1, 0.3)
Lamb County, Texas	Rural	No	153.7 (128.2, 183.1)	N/A	26	stable	-0.4 (-1.1, 0.3)
Laurens County, South Carolina	Urban	No	187.8 (175.2, 201.0)	N/A	176	stable	-0.4 (-0.8, 0.0)
Lee County, Virginia	Rural	No	197.2 (176.6, 219.9)	N/A	70	stable	-0.4 (-0.9, 0.2)
Lewis County, Idaho	Rural	No	168.7 (122.9, 229.3)	N/A	11	stable	-0.4 (-1.6, 0.9)
Lincoln County, Kentucky	Rural	No	208.7 (187.0, 232.6)	N/A	70	falling	-0.4 (-1.9, -0.1)
Lincoln County, Oklahoma	Urban	No	185.5 (168.3, 204.1)	N/A	89	stable	-0.4 (-0.8, 0.0)
Lincoln County, West Virginia	Rural	No	240.2 (214.7, 268.2)	N/A	70	stable	-0.4 (-0.9, 0.3)
Linn County, Missouri	Rural	No	183.7 (156.2, 215.4)	N/A	34	stable	-0.4 (-1.2, 0.3)
Logan County, Kansas	Rural	No	181.6 (124.4, 258.6)	N/A	7	stable	-0.4 (-2.0, 1.2)
Lyon County, Kansas	Rural	No	168.4 (149.7, 189.0)	N/A	62	stable	-0.4 (-1.0, 0.2)
Lyon County, Minnesota	Rural	No	144.9 (126.5, 165.2)	N/A	48	stable	-0.4 (-1.1, 0.3)
Marshall County, Kentucky	Rural	No	192.8 (175.4, 211.7)	N/A	96	stable	-0.4 (-0.8, 0.0)
McCurtain County, Oklahoma	Rural	No	218.2 (197.8, 240.2)	N/A	88	stable	-0.4 (-0.9, 0.0)
McIntosh County, Oklahoma	Rural	No	203.8 (181.9, 228.0)	N/A	69	stable	-0.4 (-1.0, 0.3)
McNairy County, Tennessee	Rural	No	191.9 (172.4, 213.2)	N/A	75	stable	-0.4 (-0.8, 0.1)
Merrick County, Nebraska	Urban	No	144.9 (114.5, 182.0)	N/A	17	stable	-0.4 (-1.3, 0.4)
Millard County, Utah	Rural	No	132.7 (108.3, 161.4)	N/A	22	stable	-0.4 (-1.4, 0.9)
Miller County, Georgia	Rural	No	178.3 (139.7, 225.5)	N/A	16	stable	-0.4 (-1.5, 0.8)
Montgomery County, Missouri	Rural	No	207.2 (177.1, 241.6)	N/A	36	stable	-0.4 (-1.2, 0.4)
Morgan County, Colorado	Rural	No	154.7 (136.4, 174.8)	N/A	54	stable	-0.4 (-1.1, 0.3)
Morgan County, West Virginia	Urban	No	202.3 (178.5, 228.9)	N/A	58	stable	-0.4 (-1.0, 0.3)
Muskogee County, Oklahoma	Rural	No	197.2 (183.8, 211.3)	N/A	169	falling	-0.4 (-0.7, -0.1)
Oneida County, Idaho	Rural	Yes	110.0 (76.8, 154.9)	N/A	7	stable	-0.4 (-2.0, 1.3)
Osceola County, Iowa	Rural	No	149.2 (116.9, 189.4)	N/A	16	stable	-0.4 (-1.4, 0.6)
Oscoda County, Michigan	Rural	No	191.9 (160.7, 229.0)	N/A	30	stable	-0.4 (-1.5, 0.7)
Ouachita County, Arkansas	Rural	No	194.9 (173.6, 218.4)	N/A	66	stable	-0.4 (-1.0, 0.2)
Owyhee County, Idaho	Urban	No	150.9 (123.8, 182.4)	N/A	23	stable	-0.4 (-1.5, 0.8)
Palo Alto County, Iowa	Rural	No	203.5 (170.6, 241.8)	N/A	30	stable	-0.4 (-1.3, 0.4)
Payne County, Oklahoma	Rural	No	177.1 (163.9, 191.2)	N/A	137	stable	-0.4 (-0.9, 0.0)
Pickett County, Tennessee	Rural	No	168.5 (130.9, 216.5)	N/A	16	stable	-0.4 (-1.4, 0.6)
Pike County, Arkansas	Rural	No	174.0 (144.9, 207.9)	N/A	27	stable	-0.4 (-1.3, 0.5)
Pike County, Indiana	Rural	No	187.1 (159.0, 219.2)	N/A	34	stable	-0.4 (-1.3, 0.6)
Pittsburg County, Oklahoma	Rural	No	202.7 (187.1, 219.4)	N/A	131	stable	-0.4 (-0.8, 0.0)
Poinsett County, Arkansas	Urban	No	225.4 (201.9, 251.0)	N/A	70	stable	-0.4 (-0.9, 0.1)
Pulaski County, Illinois	Rural	No	215.5 (172.7, 267.7)	N/A	19	stable	-0.4 (-1.7, 0.8)
Pulaski County, Indiana	Rural	No	200.8 (172.2, 233.5)	N/A	38	stable	-0.4 (-1.0, 0.2)
Pulaski County, Kentucky	Rural	No	198.8 (185.8, 212.6)	N/A	182	falling	-0.4 (-0.7, -0.1)
Putnam County, Indiana	Rural	No	194.1 (176.7, 213.0)	N/A	94	stable	-0.4 (-0.8, 0.1)
Putnam County, Tennessee	Rural	No	186.1 (173.9, 199.0)	N/A	179	stable	-0.4 (-0.9, 0.1)
Ralls County, Missouri	Rural	No	171.1 (143.1, 203.9)	N/A	28	stable	-0.4 (-1.1, 0.4)
Randolph County, Indiana	Rural	No	184.2 (164.6, 205.7)	N/A	68	stable	-0.4 (-1.0, 0.2)
Red River County, Texas	Rural	No	198.7 (170.7, 230.7)	N/A	40	stable	-0.4 (-1.2, 0.3)
Richmond County, North Carolina	Rural	No	199.7 (183.3, 217.4)	N/A	114	stable	-0.4 (-0.9, 0.0)
Riley County, Kansas	Urban	No	144.6 (130.2, 160.1)	N/A	77	stable	-0.4 (-0.9, 0.1)
Roger Mills County, Oklahoma	Rural	No	162.2 (116.0, 223.4)	N/A	9	stable	-0.4 (-1.9, 1.2)
Russell County, Virginia	Rural	No	187.4 (168.6, 208.1)	N/A	78	stable	-0.4 (-0.9, 0.1)
Saline County, Missouri	Rural	No	186.2 (164.6, 210.1)	N/A	57	stable	-0.4 (-1.1, 0.4)
Sampson County, North Carolina	Rural	No	189.7 (176.1, 204.2)	N/A	149	stable	-0.4 (-0.8, 0.0)
Sargent County, North Dakota	Rural	No	168.4 (125.0, 225.0)	N/A	11	stable	-0.4 (-1.5, 0.7)
Sequoyah County, Oklahoma	Urban	No	227.1 (209.1, 246.3)	N/A	122	stable	-0.4 (-0.9, 0.1)
Sevier County, Utah	Rural	No	148.8 (127.8, 172.3)	N/A	37	stable	-0.4 (-1.1, 0.5)
Sherman County, Nebraska	Rural	No	138.5 (96.0, 198.5)	N/A	8	stable	-0.4 (-2.0, 1.2)
Sherman County, Texas	Rural	Yes	106.6 (62.8, 170.9)	N/A	4	stable	-0.4 (-2.6, 1.7)
Stonewall County, Texas	Rural	No	219.1 (130.2, 355.2)	N/A	4	stable	-0.4 (-2.3, 1.2)
Tama County, Iowa	Rural	No	169.9 (146.7, 196.1)	N/A	41	stable	-0.4 (-0.9, 0.1)
Tippah County, Mississippi	Rural	No	172.1 (150.4, 196.2)	N/A	47	stable	-0.4 (-1.0, 0.2)
Trimble County, Kentucky	Rural	No	191.7 (156.1, 233.7)	N/A	21	stable	-0.4 (-1.7, 1.0)
Warren County, Georgia	Rural	No	176.9 (138.3, 225.0)	N/A	16	stable	-0.4 (-1.5, 0.9)
Washington County, Mississippi	Rural	No	213.3 (195.8, 231.9)	N/A	119	stable	-0.4 (-0.9, 0.0)
Webb County, Texas	Urban	No	135.3 (128.3, 142.6)	N/A	289	stable	-0.4 (-0.8, 0.0)
Webster County, Mississippi	Rural	No	191.8 (159.6, 229.3)	N/A	26	stable	-0.4 (-1.2, 0.6)
White County, Georgia	Rural	No	156.7 (140.1, 175.0)	N/A	70	stable	-0.4 (-1.0, 0.3)
Wilcox County, Alabama	Rural	No	191.4 (159.6, 228.3)	N/A	28	stable	-0.4 (-1.4, 0.7)
Wolfe County, Kentucky	Rural	No	235.8 (191.4, 288.3)	N/A	21	stable	-0.4 (-1.5, 0.9)
Young County, Texas	Rural	No	204.6 (180.0, 232.0)	N/A	53	stable	-0.4 (-1.0, 0.2)
Yuma County, Colorado	Rural	No	141.2 (113.5, 174.2)	N/A	19	stable	-0.4 (-1.2, 0.4)
Anderson County, Kentucky	Rural	No	177.6 (156.2, 201.1)	N/A	52	stable	-0.5 (-1.3, 0.4)
Apache County, Arizona	Rural	No	125.3 (114.1, 137.4)	N/A	96	stable	-0.5 (-1.0, 0.0)
Arkansas County, Arkansas	Rural	No	221.7 (195.8, 250.4)	N/A	56	stable	-0.5 (-1.0, 0.0)
Audrain County, Missouri	Rural	No	176.0 (156.1, 197.9)	N/A	59	stable	-0.5 (-1.1, 0.1)
Barbour County, West Virginia	Rural	No	202.4 (175.8, 232.3)	N/A	45	stable	-0.5 (-1.1, 0.2)
Barnwell County, South Carolina	Rural	No	182.1 (159.9, 206.8)	N/A	52	falling	-0.5 (-0.9, -0.1)
Barren County, Kentucky	Rural	No	189.7 (174.0, 206.5)	N/A	112	stable	-0.5 (-1.0, 0.0)
Barrow County, Georgia	Urban	No	172.8 (160.1, 186.2)	N/A	147	stable	-0.5 (-1.0, 0.2)
Bolivar County, Mississippi	Rural	No	225.5 (204.0, 248.7)	N/A	85	stable	-0.5 (-1.0, 0.0)
Bollinger County, Missouri	Urban	No	166.3 (138.7, 198.6)	N/A	27	stable	-0.5 (-1.3, 0.3)
Boone County, Iowa	Urban	No	164.2 (145.7, 184.6)	N/A	61	stable	-0.5 (-0.9, 0.0)
Bosque County, Texas	Urban	No	191.2 (169.6, 215.4)	N/A	62	falling	-0.5 (-0.9, -0.1)
Brooks County, Texas	Rural	No	172.7 (134.6, 218.6)	N/A	15	stable	-0.5 (-1.7, 0.7)
Brown County, Minnesota	Rural	No	164.7 (146.6, 184.6)	N/A	68	stable	-0.5 (-1.0, 0.0)
Buchanan County, Virginia	Rural	No	190.4 (169.5, 213.7)	N/A	64	stable	-0.5 (-1.0, 0.1)
Burt County, Nebraska	Rural	No	160.1 (126.4, 201.4)	N/A	18	stable	-0.5 (-1.4, 0.3)
Butte County, South Dakota	Rural	No	178.9 (149.1, 213.6)	N/A	27	stable	-0.5 (-1.7, 0.9)
Butts County, Georgia	Urban	No	190.3 (168.7, 214.2)	N/A	58	stable	-0.5 (-1.1, 0.4)
Callahan County, Texas	Urban	No	160.9 (136.9, 188.4)	N/A	34	stable	-0.5 (-1.3, 0.4)
Carroll County, Mississippi	Rural	No	175.6 (146.7, 209.6)	N/A	29	stable	-0.5 (-1.3, 0.4)
Carter County, Oklahoma	Rural	No	198.4 (182.7, 215.2)	N/A	122	falling	-0.5 (-0.8, -0.2)
Cherokee County, Iowa	Rural	No	151.5 (127.4, 179.6)	N/A	32	stable	-0.5 (-1.4, 0.3)
Cheyenne County, Nebraska	Rural	No	171.3 (140.8, 207.2)	N/A	24	stable	-0.5 (-1.7, 0.8)
Chickasaw County, Iowa	Rural	No	163.1 (136.6, 193.9)	N/A	30	stable	-0.5 (-1.3, 0.3)
Clay County, Illinois	Rural	No	179.5 (153.1, 209.7)	N/A	35	stable	-0.5 (-1.3, 0.3)
Clay County, Kansas	Rural	No	158.1 (129.3, 192.8)	N/A	22	stable	-0.5 (-1.3, 0.4)
Clay County, Mississippi	Rural	No	170.4 (148.3, 195.3)	N/A	45	stable	-0.5 (-1.1, 0.1)
Clearwater County, Minnesota	Rural	No	164.2 (132.9, 201.5)	N/A	21	stable	-0.5 (-1.3, 0.3)
Cochran County, Texas	Urban	No	193.7 (132.0, 276.3)	N/A	6	stable	-0.5 (-2.1, 1.0)
Cooper County, Missouri	Urban	No	175.1 (150.8, 202.5)	N/A	40	stable	-0.5 (-1.2, 0.2)
Covington County, Alabama	Rural	No	184.6 (169.1, 201.4)	N/A	111	stable	-0.5 (-1.0, 0.0)
Craig County, Virginia	Urban	No	168.5 (129.5, 218.1)	N/A	14	stable	-0.5 (-1.7, 1.0)
Crawford County, Michigan	Rural	No	195.2 (170.5, 223.4)	N/A	49	stable	-0.5 (-7.0, 0.9)
Davidson County, North Carolina	Urban	No	173.5 (165.9, 181.4)	N/A	409	falling	-0.5 (-0.9, -0.2)
Davie County, North Carolina	Urban	No	159.3 (145.8, 174.0)	N/A	107	stable	-0.5 (-1.0, 0.0)
Decatur County, Tennessee	Rural	No	186.5 (158.8, 218.5)	N/A	35	stable	-0.5 (-1.2, 0.2)
Dent County, Missouri	Rural	No	186.0 (160.6, 214.8)	N/A	42	stable	-0.5 (-1.0, 0.0)
Dickey County, North Dakota	Rural	No	138.7 (104.1, 183.1)	N/A	11	stable	-0.5 (-1.6, 0.5)
Dickinson County, Kansas	Rural	No	168.8 (147.4, 192.9)	N/A	48	stable	-0.5 (-1.1, 0.0)
Dillingham Census Area, Alaska ³	Rural	No	178.6 (121.8, 251.7)	N/A	8	stable	-0.5 (-2.4, 1.7)
Ellis County, Oklahoma	Rural	No	139.6 (98.1, 195.2)	N/A	8	stable	-0.5 (-1.8, 0.8)
Emanuel County, Georgia	Rural	No	199.2 (176.0, 224.7)	N/A	56	stable	-0.5 (-1.2, 0.2)
Evans County, Georgia	Rural	No	196.0 (163.0, 234.1)	N/A	26	stable	-0.5 (-1.4, 0.6)
Faulk County, South Dakota	Rural	No	205.0 (141.1, 293.2)	N/A	8	stable	-0.5 (-2.4, 1.4)
Fayette County, Alabama	Rural	No	183.5 (159.2, 210.9)	N/A	45	stable	-0.5 (-1.1, 0.1)
Fayette County, West Virginia	Urban	No	205.2 (189.3, 222.3)	N/A	132	falling	-0.5 (-0.8, -0.2)
Floyd County, Texas	Rural	No	163.6 (123.9, 213.1)	N/A	12	stable	-0.5 (-2.0, 0.8)
Franklin County, Texas	Rural	No	175.1 (145.6, 209.5)	N/A	27	stable	-0.5 (-1.3, 0.3)
Fulton County, Illinois	Rural	No	205.6 (188.0, 224.6)	N/A	106	falling	-0.5 (-0.9, -0.1)
Geneva County, Alabama	Urban	No	182.7 (163.8, 203.5)	N/A	72	stable	-0.5 (-1.1, 0.1)
Gratiot County, Michigan	Rural	No	176.2 (160.5, 193.1)	N/A	96	stable	-0.5 (-1.0, 0.1)
Graves County, Kentucky	Rural	No	186.8 (170.0, 205.0)	N/A	95	falling	-0.5 (-0.9, -0.1)
Greene County, Pennsylvania	Rural	No	190.1 (173.1, 208.6)	N/A	96	falling	-0.5 (-0.9, -0.1)
Habersham County, Georgia	Rural	No	162.3 (148.3, 177.5)	N/A	101	stable	-0.5 (-0.9, 0.1)
Haralson County, Georgia	Urban	No	180.2 (161.1, 201.1)	N/A	67	stable	-0.5 (-1.2, 0.2)
Harrison County, Kentucky	Rural	No	193.0 (169.6, 219.1)	N/A	51	stable	-0.5 (-1.2, 0.2)
Haskell County, Oklahoma	Rural	No	205.2 (175.3, 239.3)	N/A	36	stable	-0.5 (-1.1, 0.2)
Heard County, Georgia	Urban	No	164.1 (136.0, 196.7)	N/A	25	stable	-0.5 (-1.3, 0.4)
Hemphill County, Texas	Rural	Yes	115.4 (71.0, 177.9)	N/A	4	stable	-0.5 (-2.1, 1.0)
Hickman County, Kentucky	Rural	No	168.8 (132.2, 215.8)	N/A	15	stable	-0.5 (-1.7, 0.8)
Hill County, Montana	Rural	No	181.9 (154.7, 212.7)	N/A	34	stable	-0.5 (-1.1, 0.1)
Huron County, Ohio	Rural	No	173.6 (160.4, 187.7)	N/A	134	falling	-0.5 (-0.8, -0.2)
Jackson County, Florida	Rural	No	183.5 (169.5, 198.5)	N/A	133	falling	-0.5 (-0.8, -0.1)
Jefferson County, Nebraska	Rural	No	175.8 (144.5, 213.6)	N/A	23	stable	-0.5 (-1.6, 0.5)
Jim Hogg County, Texas	Rural	No	195.9 (146.6, 257.2)	N/A	11	stable	-0.5 (-1.9, 0.9)
Johnson County, Kentucky	Rural	No	207.5 (184.5, 232.9)	N/A	63	stable	-0.5 (-1.2, 0.1)
Kane County, Utah	Rural	No	168.8 (135.3, 209.1)	N/A	20	stable	-0.5 (-1.8, 0.9)
Karnes County, Texas	Rural	No	178.9 (150.3, 211.5)	N/A	29	stable	-0.5 (-1.3, 0.4)
Kimball County, Nebraska	Rural	No	155.4 (111.1, 214.9)	N/A	10	stable	-0.5 (-1.6, 0.6)
Kittson County, Minnesota	Rural	No	179.1 (136.6, 233.7)	N/A	14	stable	-0.5 (-1.6, 0.6)
Knox County, Nebraska	Rural	No	131.8 (105.7, 163.8)	N/A	20	stable	-0.5 (-1.9, 0.8)
Lafayette County, Missouri	Urban	No	171.2 (154.5, 189.4)	N/A	80	falling	-0.5 (-1.0, -0.1)
Lauderdale County, Tennessee	Rural	No	211.6 (188.9, 236.5)	N/A	66	stable	-0.5 (-0.9, 0.0)
Lavaca County, Texas	Rural	No	166.3 (146.7, 188.2)	N/A	57	stable	-0.5 (-1.1, 0.0)
Lewis County, West Virginia	Rural	No	211.6 (186.4, 239.6)	N/A	54	stable	-0.5 (-0.9, 0.0)
Lincoln County, Nebraska	Rural	No	161.3 (145.9, 178.1)	N/A	84	stable	-0.5 (-0.9, 0.0)
Logan County, Illinois	Rural	No	183.2 (164.6, 203.5)	N/A	74	stable	-0.5 (-1.0, 0.0)
Macon County, Missouri	Rural	No	199.5 (173.4, 228.8)	N/A	46	stable	-0.5 (-1.2, 0.2)
Madison County, Georgia	Urban	No	191.5 (172.0, 212.7)	N/A	75	stable	-0.5 (-1.1, 0.2)
Marion County, Iowa	Rural	No	164.8 (148.5, 182.6)	N/A	78	falling	-0.5 (-0.8, -0.1)
Marshall County, Kansas	Rural	No	172.4 (143.5, 206.2)	N/A	28	stable	-0.5 (-1.3, 0.3)
Marshall County, South Dakota	Rural	Yes	111.0 (78.7, 154.7)	N/A	8	stable	-0.5 (-1.7, 0.8)
Martin County, Kentucky	Rural	No	212.5 (179.2, 250.7)	N/A	30	stable	-0.5 (-1.3, 0.4)
Martin County, Minnesota	Rural	No	155.6 (136.6, 177.0)	N/A	55	stable	-0.5 (-1.2, 0.2)
McCulloch County, Texas	Rural	No	218.2 (181.5, 261.4)	N/A	27	stable	-0.5 (-1.2, 0.3)
Mecosta County, Michigan	Rural	No	183.1 (166.9, 200.6)	N/A	102	falling	-0.5 (-0.9, -0.1)
Mifflin County, Pennsylvania	Rural	No	170.1 (156.9, 184.3)	N/A	127	falling	-0.5 (-1.0, -0.1)
Milam County, Texas	Rural	No	168.6 (149.9, 189.2)	N/A	63	stable	-0.5 (-1.1, 0.2)
Mille Lacs County, Minnesota	Urban	No	184.1 (164.3, 205.8)	N/A	66	stable	-0.5 (-1.0, 0.1)
Mitchell County, Kansas	Rural	No	151.3 (116.1, 195.2)	N/A	14	stable	-0.5 (-1.6, 0.5)
Monroe County, Arkansas	Rural	No	211.4 (173.6, 256.4)	N/A	24	stable	-0.5 (-1.4, 0.3)
Monroe County, Mississippi	Rural	No	181.6 (164.6, 200.0)	N/A	89	stable	-0.5 (-1.0, 0.1)
Morris County, Kansas	Rural	No	192.9 (151.1, 244.3)	N/A	18	stable	-0.5 (-1.5, 0.5)
Newberry County, South Carolina	Rural	No	194.7 (177.8, 212.8)	N/A	105	stable	-0.5 (-1.0, 0.0)
Okanogan County, Washington	Rural	No	171.4 (156.9, 187.1)	N/A	112	falling	-0.5 (-0.9, -0.1)
Otero County, New Mexico	Rural	No	158.6 (146.6, 171.3)	N/A	136	stable	-0.5 (-0.8, 0.0)
Ottawa County, Ohio	Urban	No	177.4 (163.4, 192.6)	N/A	130	stable	-0.5 (-0.9, 0.0)
Ottawa County, Oklahoma	Rural	No	219.9 (199.5, 242.0)	N/A	89	falling	-0.5 (-0.9, -0.2)
Pendleton County, West Virginia	Rural	No	179.1 (145.0, 221.1)	N/A	22	stable	-0.5 (-1.7, 0.8)
Phillips County, Kansas	Rural	No	192.8 (149.7, 246.2)	N/A	16	stable	-0.5 (-1.6, 0.5)
Preble County, Ohio	Rural	No	178.2 (162.9, 194.8)	N/A	105	stable	-0.5 (-0.9, 0.0)
Pushmataha County, Oklahoma	Rural	No	201.5 (172.5, 235.0)	N/A	37	stable	-0.5 (-1.3, 0.4)
Quitman County, Mississippi	Rural	No	271.5 (221.1, 330.6)	N/A	22	stable	-0.5 (-1.3, 0.3)
Rhea County, Tennessee	Rural	No	201.0 (182.4, 221.0)	N/A	91	stable	-0.5 (-0.9, 0.0)
Ritchie County, West Virginia	Rural	No	173.7 (143.1, 210.2)	N/A	24	stable	-0.5 (-1.3, 0.4)
Runnels County, Texas	Rural	No	195.2 (164.2, 231.2)	N/A	29	stable	-0.5 (-1.3, 0.3)
Rusk County, Wisconsin	Rural	No	155.1 (132.6, 181.2)	N/A	39	stable	-0.5 (-1.0, 0.1)
Schuyler County, New York	Rural	No	186.6 (163.9, 212.0)	N/A	53	stable	-0.5 (-1.1, 0.2)
Scotland County, North Carolina	Rural	No	196.7 (178.5, 216.4)	N/A	90	stable	-0.5 (-1.1, 0.1)
Scott County, Arkansas	Rural	No	202.5 (171.1, 238.8)	N/A	31	stable	-0.5 (-1.4, 0.4)
Shelby County, Ohio	Rural	No	167.0 (152.6, 182.5)	N/A	104	stable	-0.5 (-0.9, 0.0)
Sheridan County, Montana	Rural	No	191.2 (145.6, 250.3)	N/A	13	stable	-0.5 (-1.8, 0.7)
Sierra County, New Mexico	Rural	No	160.8 (138.0, 187.8)	N/A	46	stable	-0.5 (-1.2, 0.1)
St. Francois County, Missouri	Rural	No	207.2 (193.7, 221.5)	N/A	179	falling	-0.5 (-0.8, -0.1)
Staunton City, Virginia	Urban	No	175.6 (157.0, 196.2)	N/A	68	stable	-0.5 (-1.1, 0.2)
Stephens County, Georgia	Rural	No	198.8 (179.0, 220.3)	N/A	79	stable	-0.5 (-1.0, 0.1)
Stoddard County, Missouri	Rural	No	199.3 (180.3, 219.9)	N/A	85	stable	-0.5 (-1.0, 0.0)
Sweetwater County, Wyoming	Rural	No	166.7 (149.2, 185.7)	N/A	72	stable	-0.5 (-1.0, 0.1)
Taylor County, Iowa	Rural	No	123.6 (93.9, 161.4)	N/A	12	stable	-0.5 (-1.5, 0.4)
Terry County, Texas	Rural	No	168.7 (138.7, 203.4)	N/A	23	stable	-0.5 (-1.4, 0.3)
Texas County, Missouri	Rural	No	170.3 (151.8, 190.6)	N/A	66	stable	-0.5 (-1.1, 0.1)
Tift County, Georgia	Rural	No	181.0 (164.3, 199.0)	N/A	89	stable	-0.5 (-0.9, 0.0)
Tipton County, Tennessee	Urban	No	193.2 (178.5, 208.7)	N/A	136	falling	-0.5 (-0.9, -0.1)
Tishomingo County, Mississippi	Rural	No	207.6 (184.0, 233.7)	N/A	59	stable	-0.5 (-1.2, 0.1)
Todd County, Kentucky	Rural	No	211.0 (179.4, 246.9)	N/A	33	stable	-0.5 (-1.4, 0.5)
Trousdale County, Tennessee	Urban	No	203.4 (167.2, 245.0)	N/A	23	stable	-0.5 (-1.5, 0.7)
Union County, South Carolina	Urban	No	189.8 (170.5, 210.8)	N/A	77	falling	-0.5 (-0.9, -0.1)
Upson County, Georgia	Rural	No	186.1 (166.9, 207.0)	N/A	72	stable	-0.5 (-1.0, 0.1)
Vermilion County, Illinois	Rural	No	199.6 (187.6, 212.3)	N/A	216	falling	-0.5 (-0.8, -0.2)
Vinton County, Ohio	Rural	No	215.6 (184.8, 250.5)	N/A	37	stable	-0.5 (-1.0, 0.2)
Washington County, Iowa	Urban	No	134.8 (116.9, 154.8)	N/A	44	stable	-0.5 (-1.2, 0.3)
Washington County, Kentucky	Rural	No	178.0 (150.1, 210.1)	N/A	30	stable	-0.5 (-1.5, 0.7)
Wells County, Indiana	Urban	No	165.6 (147.5, 185.5)	N/A	64	stable	-0.5 (-1.1, 0.2)
White Pine County, Nevada	Rural	No	162.3 (132.2, 198.0)	N/A	21	stable	-0.5 (-1.6, 0.8)
Whiteside County, Illinois	Rural	No	167.3 (155.2, 180.3)	N/A	148	stable	-0.5 (-1.0, 0.0)
Wilkes County, Georgia	Rural	No	213.3 (180.6, 251.0)	N/A	34	stable	-0.5 (-1.2, 0.2)
Wilkin County, Minnesota	Rural	No	166.4 (130.8, 209.9)	N/A	16	stable	-0.5 (-1.6, 0.5)
Winnebago County, Iowa	Rural	No	147.9 (122.9, 177.4)	N/A	26	stable	-0.5 (-1.3, 0.3)
Wise County, Virginia	Rural	No	215.9 (197.5, 235.8)	N/A	107	stable	-0.5 (-0.9, 0.0)
Wright County, Missouri	Rural	No	178.7 (155.9, 204.2)	N/A	47	stable	-0.5 (-1.1, 0.1)
Adair County, Kentucky	Rural	No	195.9 (171.8, 222.8)	N/A	51	stable	-0.6 (-1.3, 0.1)
Adair County, Missouri	Rural	No	167.9 (147.4, 190.7)	N/A	49	stable	-0.6 (-1.2, 0.0)
Adams County, Mississippi	Rural	No	198.1 (179.1, 218.8)	N/A	85	falling	-0.6 (-1.0, -0.2)
Allen County, Kentucky	Urban	No	175.5 (153.8, 199.7)	N/A	49	stable	-0.6 (-1.4, 0.2)
Ashland County, Ohio	Rural	No	159.4 (146.7, 173.0)	N/A	122	falling	-0.6 (-1.0, -0.2)
Bamberg County, South Carolina	Rural	No	196.8 (170.0, 227.5)	N/A	42	stable	-0.6 (-1.3, 0.2)
Bannock County, Idaho	Urban	No	153.1 (141.7, 165.2)	N/A	139	stable	-0.6 (-1.2, 0.0)
Barton County, Kansas	Rural	No	154.9 (136.9, 174.8)	N/A	59	stable	-0.6 (-1.3, 0.0)
Beauregard Parish, Louisiana	Rural	No	194.7 (176.3, 214.7)	N/A	85	stable	-0.6 (-1.1, 0.0)
Bedford County, Tennessee	Rural	No	184.3 (168.6, 201.2)	N/A	106	stable	-0.6 (-1.1, 0.0)
Blackford County, Indiana	Rural	No	198.5 (170.9, 230.0)	N/A	38	stable	-0.6 (-1.2, 0.0)
Bourbon County, Kansas	Rural	No	155.9 (131.4, 183.9)	N/A	31	stable	-0.6 (-1.4, 0.2)
Box Elder County, Utah	Rural	No	130.8 (117.6, 144.9)	N/A	74	stable	-0.6 (-1.2, 0.1)
Butler County, Kansas	Urban	No	159.8 (147.5, 172.9)	N/A	131	falling	-0.6 (-0.9, -0.2)
Butler County, Kentucky	Urban	No	227.9 (196.0, 263.9)	N/A	38	stable	-0.6 (-1.3, 0.1)
Butler County, Missouri	Rural	No	206.8 (190.6, 224.2)	N/A	124	falling	-0.6 (-1.0, -0.2)
Carroll County, Kentucky	Rural	No	207.0 (173.7, 245.2)	N/A	28	stable	-0.6 (-1.3, 0.1)
Carroll County, Virginia	Rural	No	152.0 (137.1, 168.4)	N/A	81	stable	-0.6 (-1.2, 0.0)
Cass County, Texas	Rural	No	191.0 (173.0, 210.7)	N/A	88	falling	-0.6 (-1.1, -0.1)
Chester County, South Carolina	Urban	No	194.2 (175.9, 214.0)	N/A	87	falling	-0.6 (-1.0, -0.2)
Chickasaw County, Mississippi	Rural	No	184.8 (160.2, 212.4)	N/A	42	stable	-0.6 (-1.2, 0.0)
Clay County, Minnesota	Urban	No	139.5 (127.2, 152.7)	N/A	98	falling	-0.6 (-1.1, -0.1)
Clay County, Texas	Urban	No	153.3 (127.1, 184.3)	N/A	27	stable	-0.6 (-1.3, 0.2)
Clearwater County, Idaho	Rural	No	155.3 (129.8, 186.3)	N/A	28	stable	-0.6 (-1.5, 0.3)
Collingsworth County, Texas	Rural	No	157.8 (101.7, 235.6)	N/A	5	stable	-0.6 (-1.9, 0.5)
Columbia County, Florida	Rural	No	196.4 (183.9, 209.6)	N/A	196	falling	-0.6 (-1.0, -0.2)
Columbia County, Pennsylvania	Rural	No	163.2 (151.6, 175.6)	N/A	154	falling	-0.6 (-1.0, -0.2)
Coshocton County, Ohio	Rural	No	178.9 (162.6, 196.5)	N/A	94	falling	-0.6 (-1.1, -0.1)
Cowlitz County, Washington	Urban	No	185.5 (175.8, 195.7)	N/A	285	falling	-0.6 (-0.9, -0.2)
Crawford County, Illinois	Rural	No	179.2 (157.4, 203.7)	N/A	50	falling	-0.6 (-1.2, -0.3)
Crook County, Wyoming	Rural	No	170.4 (136.0, 212.1)	N/A	19	stable	-0.6 (-1.7, 0.5)
Curry County, Oregon	Rural	No	179.6 (162.7, 198.6)	N/A	98	falling	-0.6 (-1.1, -0.2)
Custer County, Nebraska	Rural	No	134.0 (109.3, 163.4)	N/A	23	stable	-0.6 (-1.5, 0.2)
Dallas County, Arkansas	Rural	No	215.3 (176.4, 261.7)	N/A	24	stable	-0.6 (-1.5, 0.3)
Darke County, Ohio	Rural	No	164.3 (151.3, 178.3)	N/A	125	falling	-0.6 (-1.0, -0.3)
DeKalb County, Illinois	Urban	No	167.2 (156.1, 178.9)	N/A	173	falling	-0.6 (-1.0, -0.3)
DeKalb County, Indiana	Rural	No	167.9 (152.6, 184.5)	N/A	92	falling	-0.6 (-1.1, -0.1)
Dixie County, Florida	Rural	No	194.5 (171.6, 220.2)	N/A	56	stable	-0.6 (-1.1, 0.0)
Donley County, Texas	Rural	No	148.2 (104.1, 208.4)	N/A	8	stable	-0.6 (-1.9, 0.7)
Emmet County, Michigan	Rural	No	152.2 (137.6, 168.2)	N/A	86	stable	-0.6 (-1.2, 1.3)
Floyd County, Kentucky	Rural	No	225.2 (206.2, 245.7)	N/A	111	falling	-0.6 (-1.0, -0.2)
Foster County, North Dakota	Rural	No	160.6 (115.8, 220.2)	N/A	9	stable	-0.6 (-2.3, 0.9)
Franklin County, Idaho	Urban	Yes	118.6 (95.4, 145.8)	N/A	19	stable	-0.6 (-1.7, 0.7)
Gilchrist County, Florida	Urban	No	194.2 (171.2, 219.8)	N/A	55	stable	-0.6 (-1.4, 0.2)
Gove County, Kansas	Rural	No	140.2 (96.9, 201.4)	N/A	7	stable	-0.6 (-2.3, 1.0)
Grant County, Minnesota	Rural	No	161.7 (126.5, 205.2)	N/A	16	stable	-0.6 (-1.5, 0.2)
Greene County, Arkansas	Rural	No	173.5 (158.5, 189.6)	N/A	100	stable	-0.6 (-1.1, 0.0)
Greene County, Illinois	Rural	No	187.9 (160.3, 219.6)	N/A	35	stable	-0.6 (-1.4, 0.2)
Guthrie County, Iowa	Urban	No	138.7 (114.3, 167.7)	N/A	25	stable	-0.6 (-1.5, 0.2)
Halifax County, North Carolina	Rural	No	197.6 (183.1, 213.1)	N/A	148	falling	-0.6 (-0.9, -0.3)
Hampshire County, West Virginia	Urban	No	173.9 (154.8, 195.0)	N/A	66	stable	-0.6 (-1.3, 0.2)
Harper County, Oklahoma	Rural	No	170.4 (121.7, 235.1)	N/A	8	stable	-0.6 (-2.2, 0.8)
Harrison County, Ohio	Rural	No	192.1 (166.4, 221.1)	N/A	43	stable	-0.6 (-1.3, 0.2)
Henderson County, Kentucky	Rural	No	185.1 (169.7, 201.6)	N/A	112	falling	-0.6 (-1.1, -0.2)
Hickory County, Missouri	Rural	No	208.4 (174.7, 248.3)	N/A	36	stable	-0.6 (-1.3, 0.2)
Highland County, Ohio	Rural	No	193.9 (178.0, 210.8)	N/A	116	stable	-0.6 (-1.1, 0.0)
Hillsdale County, Michigan	Rural	No	185.5 (170.8, 201.3)	N/A	125	falling	-0.6 (-1.0, -0.1)
Holmes County, Ohio	Rural	No	141.2 (126.2, 157.4)	N/A	67	stable	-0.6 (-1.1, 0.0)
Holt County, Missouri	Rural	No	140.5 (104.6, 187.9)	N/A	12	stable	-0.6 (-1.8, 0.5)
Howell County, Missouri	Rural	No	190.3 (174.4, 207.5)	N/A	110	falling	-0.6 (-1.0, -0.2)
Jackson County, Minnesota	Rural	No	128.2 (103.6, 157.8)	N/A	22	stable	-0.6 (-1.7, 0.3)
Jackson County, Ohio	Rural	No	208.2 (188.6, 229.4)	N/A	87	falling	-0.6 (-1.1, -0.2)
Jackson County, Texas	Rural	No	161.6 (138.0, 188.4)	N/A	35	stable	-0.6 (-1.4, 0.2)
Jackson Parish, Louisiana	Rural	No	212.8 (185.9, 243.1)	N/A	48	stable	-0.6 (-1.3, 0.2)
Jefferson County, Indiana	Rural	No	188.8 (170.9, 208.2)	N/A	86	stable	-0.6 (-1.1, 0.0)
Jones County, Texas	Urban	No	160.8 (138.3, 186.1)	N/A	37	stable	-0.6 (-1.2, 0.1)
Keith County, Nebraska	Rural	No	157.3 (128.8, 191.6)	N/A	25	stable	-0.6 (-1.4, 0.1)
Klamath County, Oregon	Rural	No	180.0 (168.2, 192.5)	N/A	186	falling	-0.6 (-0.9, -0.3)
Langlade County, Wisconsin	Rural	No	169.4 (149.8, 191.4)	N/A	59	stable	-0.6 (-1.3, 0.2)
Laurel County, Kentucky	Rural	No	186.2 (172.6, 200.6)	N/A	145	falling	-0.6 (-1.1, -0.1)
Lawrence County, Alabama	Urban	No	181.3 (164.2, 200.0)	N/A	86	stable	-0.6 (-1.2, 0.0)
Lawrence County, Indiana	Rural	No	180.4 (165.9, 195.9)	N/A	120	falling	-0.6 (-1.0, -0.3)
Lincoln County, Idaho	Rural	No	161.4 (116.5, 218.0)	N/A	9	stable	-0.6 (-2.0, 0.9)
Lincoln County, Missouri	Urban	No	179.0 (164.4, 194.5)	N/A	118	stable	-0.6 (-1.2, 0.0)
Linn County, Oregon	Urban	No	180.3 (171.3, 189.7)	N/A	315	falling	-0.6 (-0.9, -0.3)
Louisa County, Iowa	Rural	No	167.5 (138.6, 201.3)	N/A	25	stable	-0.6 (-1.6, 0.4)
Lowndes County, Mississippi	Rural	No	188.3 (174.1, 203.3)	N/A	138	falling	-0.6 (-1.1, -0.2)
Lucas County, Iowa	Rural	No	164.0 (135.2, 198.4)	N/A	23	stable	-0.6 (-1.3, 0.0)
Madison County, Arkansas	Urban	No	176.2 (153.0, 202.3)	N/A	43	stable	-0.6 (-1.2, 0.0)
Madison County, Texas	Rural	No	193.5 (163.3, 227.8)	N/A	30	stable	-0.6 (-1.4, 0.1)
Maries County, Missouri	Rural	No	184.0 (152.4, 221.4)	N/A	25	stable	-0.6 (-1.6, 0.5)
Marion County, Alabama	Rural	No	181.7 (164.5, 200.6)	N/A	84	falling	-0.6 (-4.9, -0.1)
Marion County, Missouri	Rural	No	182.1 (163.0, 202.9)	N/A	70	falling	-0.6 (-1.2, -0.1)
Marion County, West Virginia	Rural	No	179.5 (166.3, 193.7)	N/A	143	falling	-0.6 (-1.1, -0.2)
Mason County, Illinois	Rural	No	199.8 (173.0, 230.2)	N/A	43	stable	-0.6 (-1.4, 0.2)
Mason County, Kentucky	Rural	No	200.0 (174.0, 229.0)	N/A	45	stable	-0.6 (-1.2, 0.0)
Mayes County, Oklahoma	Rural	No	195.7 (178.8, 213.8)	N/A	104	falling	-0.6 (-1.1, -0.1)
McDonald County, Missouri	Rural	No	202.5 (178.9, 228.3)	N/A	57	stable	-0.6 (-1.2, 0.1)
Menominee County, Michigan	Rural	No	160.7 (143.7, 179.8)	N/A	69	stable	-0.6 (-1.2, 0.0)
Mercer County, West Virginia	Rural	No	190.4 (177.3, 204.3)	N/A	172	falling	-0.6 (-1.0, -0.3)
Miller County, Arkansas	Urban	No	194.6 (178.1, 212.4)	N/A	105	falling	-0.6 (-1.0, -0.1)
Miller County, Missouri	Rural	No	171.5 (152.4, 192.6)	N/A	61	stable	-0.6 (-1.1, 0.0)
Mineral County, Nevada	Rural	No	201.4 (156.6, 257.3)	N/A	16	stable	-0.6 (-1.7, 0.5)
Missaukee County, Michigan	Rural	No	165.2 (141.5, 192.2)	N/A	38	stable	-0.6 (-1.4, 0.2)
Mississippi County, Arkansas	Rural	No	209.2 (190.6, 229.2)	N/A	98	falling	-0.6 (-1.0, -0.1)
Mississippi County, Missouri	Rural	No	188.6 (160.3, 221.0)	N/A	32	stable	-0.6 (-1.5, 0.2)
Moffat County, Colorado	Rural	No	148.6 (121.7, 179.9)	N/A	23	stable	-0.6 (-1.6, 0.5)
Monroe County, Tennessee	Rural	No	190.2 (175.3, 206.2)	N/A	132	falling	-0.6 (-1.1, -0.1)
Montgomery County, Iowa	Rural	No	182.5 (153.2, 216.6)	N/A	30	stable	-0.6 (-1.3, 0.0)
Montgomery County, Mississippi	Rural	No	174.7 (145.5, 208.7)	N/A	27	stable	-0.6 (-1.2, 0.0)
Montmorency County, Michigan	Rural	No	205.5 (174.3, 242.4)	N/A	39	stable	-0.6 (-1.4, 0.3)
Morgan County, Illinois	Rural	No	182.3 (165.4, 200.6)	N/A	90	falling	-0.6 (-1.0, -0.1)
Morgan County, Ohio	Rural	No	188.7 (163.1, 217.7)	N/A	42	stable	-0.6 (-1.3, 0.2)
Newton County, Arkansas	Rural	No	174.4 (142.7, 212.7)	N/A	24	stable	-0.6 (-1.5, 0.3)
Newton County, Missouri	Urban	No	180.7 (167.6, 194.6)	N/A	147	falling	-0.6 (-1.0, -0.2)
Newton County, Texas	Rural	No	195.9 (167.3, 228.6)	N/A	38	stable	-0.6 (-1.3, 0.2)
Nicholas County, Kentucky	Rural	No	187.8 (150.8, 231.8)	N/A	19	stable	-0.6 (-1.5, 0.2)
Nodaway County, Missouri	Rural	No	151.0 (130.3, 174.3)	N/A	41	stable	-0.6 (-1.2, 0.0)
Norton City, Virginia	Rural	No	243.5 (185.6, 315.5)	N/A	12	stable	-0.6 (-1.9, 0.7)
Okeechobee County, Florida	Rural	No	197.1 (180.9, 214.5)	N/A	115	falling	-0.6 (-1.1, -0.1)
Patrick County, Virginia	Rural	No	173.1 (152.5, 196.5)	N/A	57	stable	-0.6 (-1.2, 0.1)
Perry County, Missouri	Rural	No	176.6 (154.5, 201.3)	N/A	48	stable	-0.6 (-1.4, 0.2)
Pettis County, Missouri	Rural	No	189.0 (172.8, 206.3)	N/A	105	falling	-0.6 (-1.0, -0.1)
Pickaway County, Ohio	Urban	No	184.4 (170.4, 199.3)	N/A	133	falling	-0.6 (-1.0, -0.3)
Pierce County, Georgia	Rural	No	195.4 (170.9, 222.6)	N/A	48	stable	-0.6 (-1.2, 0.1)
Pike County, Georgia	Urban	No	203.4 (177.8, 232.0)	N/A	47	stable	-0.6 (-1.3, 0.3)
Pratt County, Kansas	Rural	No	157.5 (128.3, 192.2)	N/A	23	stable	-0.6 (-1.5, 0.2)
Prowers County, Colorado	Rural	No	182.0 (152.9, 215.5)	N/A	29	stable	-0.6 (-1.4, 0.3)
Pueblo County, Colorado	Urban	No	160.8 (153.4, 168.5)	N/A	372	falling	-0.6 (-0.9, -0.4)
Randolph County, Illinois	Rural	No	174.6 (157.6, 193.2)	N/A	81	stable	-0.6 (-1.1, 0.0)
Randolph County, North Carolina	Urban	No	172.0 (163.7, 180.7)	N/A	335	falling	-0.6 (-0.9, -0.3)
Randolph County, West Virginia	Rural	No	180.7 (162.8, 200.2)	N/A	79	falling	-0.6 (-1.1, -0.1)
Reno County, Kansas	Rural	No	148.7 (137.3, 160.9)	N/A	134	falling	-0.6 (-1.1, -0.2)
Rio Blanco County, Colorado	Rural	No	148.1 (111.2, 193.8)	N/A	11	stable	-0.6 (-1.7, 0.7)
Robeson County, North Carolina	Rural	No	198.8 (188.1, 209.8)	N/A	276	falling	-0.6 (-3.1, -0.2)
Rock County, Minnesota	Urban	No	153.6 (126.5, 185.8)	N/A	23	stable	-0.6 (-1.4, 0.2)
Rolette County, North Dakota	Rural	No	226.4 (188.8, 269.2)	N/A	27	stable	-0.6 (-1.5, 0.3)
Salem City, Virginia	Urban	No	183.6 (163.9, 205.4)	N/A	66	stable	-0.6 (-1.2, 0.0)
Saline County, Kansas	Rural	No	154.8 (142.3, 168.2)	N/A	119	falling	-0.6 (-1.1, -0.2)
San Jacinto County, Texas	Urban	No	176.0 (157.9, 195.9)	N/A	77	stable	-0.6 (-1.3, 0.1)
Sauk County, Wisconsin	Rural	No	158.0 (146.5, 170.1)	N/A	148	falling	-0.6 (-1.0, -0.2)
Searcy County, Arkansas	Rural	No	199.7 (166.7, 238.8)	N/A	28	stable	-0.6 (-1.3, 0.1)
Seneca County, Ohio	Rural	No	169.6 (156.4, 183.7)	N/A	129	falling	-0.6 (-1.1, -0.2)
Shawano County, Wisconsin	Rural	No	159.0 (145.1, 174.0)	N/A	102	falling	-0.6 (-1.0, -0.1)
Smith County, Kansas	Rural	No	166.6 (121.3, 227.0)	N/A	11	stable	-0.6 (-1.8, 0.5)
Spalding County, Georgia	Urban	No	185.8 (173.0, 199.4)	N/A	165	falling	-0.6 (-1.0, -0.2)
Stephens County, Oklahoma	Rural	No	189.7 (174.3, 206.2)	N/A	121	falling	-0.6 (-1.9, -0.2)
Stevens County, Minnesota	Rural	No	131.8 (103.1, 166.5)	N/A	16	stable	-0.6 (-1.5, 0.3)
Sumter County, Alabama	Rural	No	179.3 (148.7, 214.8)	N/A	28	stable	-0.6 (-1.4, 0.2)
Sumter County, Georgia	Rural	No	188.3 (168.5, 210.0)	N/A	69	stable	-0.6 (-1.1, 0.0)
Tate County, Mississippi	Urban	No	190.2 (169.6, 212.6)	N/A	66	stable	-0.6 (-1.0, 0.0)
Thayer County, Nebraska	Rural	No	148.5 (111.2, 196.3)	N/A	13	stable	-0.6 (-1.9, 0.7)
Tillamook County, Oregon	Rural	No	176.7 (159.6, 195.5)	N/A	88	falling	-0.6 (-1.1, -0.1)
Toole County, Montana	Rural	No	179.6 (136.0, 233.9)	N/A	12	stable	-0.6 (-1.6, 0.4)
Tunica County, Mississippi	Urban	No	242.0 (198.3, 292.2)	N/A	24	stable	-0.6 (-1.2, 0.1)
Vernon County, Missouri	Rural	No	172.6 (151.0, 196.6)	N/A	49	stable	-0.6 (-1.2, 0.1)
Vernon County, Wisconsin	Urban	No	160.6 (143.8, 179.1)	N/A	72	falling	-0.6 (-1.1, -0.1)
Walthall County, Mississippi	Rural	No	167.7 (142.6, 196.4)	N/A	33	stable	-0.6 (-1.3, 0.1)
Washington County, Ohio	Rural	No	173.7 (161.6, 186.7)	N/A	162	falling	-0.6 (-0.9, -0.3)
Watonwan County, Minnesota	Rural	No	166.9 (139.2, 199.2)	N/A	28	stable	-0.6 (-1.6, 0.4)
Webster County, Kentucky	Rural	No	206.0 (175.5, 240.6)	N/A	34	stable	-0.6 (-1.2, 0.0)
Whitley County, Indiana	Urban	No	186.8 (169.3, 205.8)	N/A	88	falling	-0.6 (-1.0, -0.1)
Wilbarger County, Texas	Rural	No	171.8 (144.8, 202.8)	N/A	30	stable	-0.6 (-1.4, 0.1)
Windham County, Connecticut	Urban	No	159.3 (150.3, 168.8)	N/A	247	stable	-0.6 (-1.2, 0.8)
Wood County, West Virginia	Urban	No	183.9 (173.2, 195.1)	N/A	234	falling	-0.6 (-0.9, -0.2)
Woods County, Oklahoma	Rural	No	155.1 (123.6, 192.9)	N/A	18	stable	-0.6 (-1.7, 0.4)
Yadkin County, North Carolina	Urban	No	167.8 (152.6, 184.3)	N/A	94	falling	-0.6 (-1.0, -0.2)
Yellow Medicine County, Minnesota	Rural	No	150.5 (122.4, 184.0)	N/A	22	stable	-0.6 (-1.3, 0.1)
York County, Nebraska	Rural	No	145.6 (123.4, 171.2)	N/A	33	stable	-0.6 (-1.1, 0.0)
Abbeville County, South Carolina	Rural	No	171.4 (152.6, 192.2)	N/A	65	falling	-0.7 (-1.2, -0.1)
Adair County, Oklahoma	Rural	No	200.7 (175.8, 228.2)	N/A	49	falling	-0.7 (-1.2, -0.2)
Alcona County, Michigan	Rural	No	185.8 (160.0, 216.9)	N/A	45	falling	-0.7 (-1.2, -0.2)
Alexander County, North Carolina	Urban	No	160.4 (145.5, 176.7)	N/A	88	falling	-0.7 (-1.1, -0.2)
Allen Parish, Louisiana	Rural	No	200.3 (176.3, 226.9)	N/A	51	stable	-0.7 (-1.7, 0.3)
Andrew County, Missouri	Urban	No	169.4 (147.2, 194.4)	N/A	43	stable	-0.7 (-1.4, 0.1)
Ashley County, Arkansas	Rural	No	195.2 (172.5, 220.4)	N/A	57	falling	-0.7 (-1.3, -0.2)
Baker County, Oregon	Rural	No	171.6 (149.6, 196.4)	N/A	50	stable	-0.7 (-1.4, 0.0)
Barton County, Missouri	Rural	No	154.0 (128.0, 184.2)	N/A	27	stable	-0.7 (-1.4, 0.1)
Baxter County, Arkansas	Rural	No	175.5 (162.0, 190.1)	N/A	152	falling	-0.7 (-1.0, -0.5)
Bell County, Kentucky	Rural	No	222.2 (200.1, 246.3)	N/A	78	falling	-0.7 (-1.2, -0.1)
Bethel Census Area, Alaska	Rural	No	176.5 (138.6, 220.4)	N/A	20	stable	-0.7 (-1.7, 0.5)
Bienville Parish, Louisiana	Rural	No	192.5 (165.1, 223.7)	N/A	39	falling	-0.7 (-1.5, -0.1)
Boone County, Arkansas	Rural	No	168.7 (153.6, 185.0)	N/A	96	falling	-0.7 (-1.1, -0.4)
Bossier Parish, Louisiana	Urban	No	161.3 (152.2, 170.9)	N/A	238	stable	-0.7 (-1.7, 2.8)
Box Butte County, Nebraska	Rural	No	154.0 (126.5, 186.3)	N/A	24	stable	-0.7 (-1.7, 0.3)
Breathitt County, Kentucky	Rural	No	211.5 (181.3, 245.7)	N/A	38	stable	-0.7 (-1.6, 0.2)
Brooks County, Georgia	Urban	No	160.1 (137.2, 186.2)	N/A	38	stable	-0.7 (-1.5, 0.1)
Burke County, North Carolina	Urban	No	162.1 (152.4, 172.3)	N/A	220	falling	-0.7 (-1.0, -0.4)
Butte County, Idaho	Urban	No	185.0 (126.2, 265.1)	N/A	7	stable	-0.7 (-2.2, 0.7)
Cache County, Utah	Urban	Yes	112.1 (102.9, 121.9)	N/A	112	falling	-0.7 (-1.2, -0.2)
Caldwell County, North Carolina	Urban	No	178.2 (167.4, 189.6)	N/A	214	falling	-0.7 (-1.0, -0.3)
Calhoun County, Florida	Rural	No	183.0 (157.4, 212.2)	N/A	37	stable	-0.7 (-1.6, 0.2)
Calhoun County, Iowa	Rural	No	145.7 (119.0, 177.4)	N/A	24	stable	-0.7 (-1.4, 0.0)
Calhoun County, West Virginia	Rural	No	197.8 (160.1, 243.6)	N/A	21	stable	-0.7 (-1.7, 0.3)
Camden County, Missouri	Rural	No	158.7 (146.1, 172.4)	N/A	136	falling	-0.7 (-1.1, -0.2)
Campbell County, Tennessee	Urban	No	193.1 (177.0, 210.4)	N/A	113	falling	-0.7 (-1.0, -0.3)
Canyon County, Idaho	Urban	No	147.8 (141.0, 155.0)	N/A	361	falling	-0.7 (-1.0, -0.3)
Carbon County, Utah	Rural	No	154.0 (132.3, 178.4)	N/A	38	stable	-0.7 (-7.3, 0.0)
Carlton County, Minnesota	Urban	No	156.8 (141.3, 173.6)	N/A	78	stable	-0.7 (-1.5, 0.1)
Cedar County, Missouri	Rural	No	157.5 (134.6, 183.7)	N/A	37	stable	-0.7 (-1.6, 0.2)
Cedar County, Nebraska	Rural	No	139.5 (110.8, 174.2)	N/A	19	stable	-0.7 (-1.6, 0.3)
Charles Mix County, South Dakota	Rural	No	146.4 (116.2, 182.5)	N/A	18	stable	-0.7 (-1.8, 0.4)
Cherokee County, Kansas	Urban	No	190.2 (167.4, 215.5)	N/A	53	falling	-0.7 (-1.1, -0.2)
Chilton County, Alabama	Urban	No	171.9 (156.8, 188.1)	N/A	100	falling	-0.7 (-1.2, -0.2)
Citrus County, Florida	Urban	No	174.8 (167.7, 182.3)	N/A	616	falling	-0.7 (-1.0, -0.5)
Claiborne County, Mississippi	Rural	No	203.3 (165.7, 247.2)	N/A	22	stable	-0.7 (-1.6, 0.2)
Clare County, Michigan	Rural	No	205.1 (187.0, 224.7)	N/A	105	falling	-0.7 (-1.1, -0.2)
Clark County, Kentucky	Urban	No	179.0 (162.3, 197.0)	N/A	88	falling	-0.7 (-1.2, -0.2)
Clarke County, Alabama	Rural	No	209.5 (187.8, 233.3)	N/A	72	stable	-0.7 (-1.5, 0.0)
Clay County, Alabama	Rural	No	170.2 (146.3, 197.4)	N/A	38	stable	-0.7 (-1.5, 0.2)
Clay County, South Dakota	Rural	No	160.7 (131.6, 194.6)	N/A	22	stable	-0.7 (-1.8, 0.5)
Clay County, Tennessee	Rural	No	199.7 (166.4, 239.3)	N/A	27	stable	-0.7 (-1.6, 0.2)
Clearfield County, Pennsylvania	Rural	No	165.6 (155.4, 176.4)	N/A	205	falling	-0.7 (-1.0, -0.4)
Clinch County, Georgia	Rural	No	167.0 (130.0, 211.9)	N/A	15	stable	-0.7 (-1.7, 0.4)
Clinton County, Ohio	Rural	No	185.6 (169.7, 202.8)	N/A	105	falling	-0.7 (-1.1, -0.3)
Coffee County, Georgia	Rural	No	169.3 (152.8, 187.2)	N/A	80	falling	-0.7 (-1.2, -0.1)
Columbia County, Arkansas	Rural	No	184.8 (162.8, 209.1)	N/A	54	falling	-0.7 (-1.3, -0.2)
Conejos County, Colorado	Rural	No	156.1 (122.7, 196.5)	N/A	16	stable	-0.7 (-1.7, 0.3)
Coryell County, Texas	Urban	No	177.2 (163.3, 192.0)	N/A	123	falling	-0.7 (-1.1, -0.2)
Crawford County, Indiana	Rural	No	172.7 (144.2, 205.9)	N/A	28	stable	-0.7 (-1.4, 0.1)
Crawford County, Wisconsin	Rural	No	165.7 (143.6, 190.7)	N/A	45	falling	-0.7 (-1.2, -0.1)
Crosby County, Texas	Urban	No	141.7 (104.7, 188.7)	N/A	10	stable	-0.7 (-1.6, 0.3)
Cumberland County, Illinois	Rural	No	145.1 (118.6, 176.5)	N/A	22	stable	-0.7 (-1.7, 0.4)
Dade County, Georgia	Urban	No	177.6 (153.6, 204.7)	N/A	41	stable	-0.7 (-1.4, 0.0)
Decatur County, Indiana	Rural	No	174.5 (154.8, 196.1)	N/A	59	falling	-0.7 (-1.3, -0.1)
Douglas County, Illinois	Rural	No	170.5 (148.6, 195.1)	N/A	46	falling	-0.7 (-1.3, -0.2)
Douglas County, Oregon	Rural	No	179.5 (170.8, 188.5)	N/A	359	falling	-0.7 (-0.9, -0.4)
Drew County, Arkansas	Rural	No	176.1 (152.1, 203.2)	N/A	40	falling	-0.7 (-1.3, -0.1)
Duchesne County, Utah	Rural	No	146.3 (122.3, 173.6)	N/A	27	stable	-0.7 (-1.6, 0.4)
Dunn County, Wisconsin	Rural	No	133.8 (120.0, 148.7)	N/A	73	falling	-0.7 (-1.2, -0.2)
Early County, Georgia	Rural	No	177.4 (147.4, 212.2)	N/A	26	stable	-0.7 (-1.4, 0.0)
Edwards County, Illinois	Rural	No	183.3 (145.7, 229.1)	N/A	18	stable	-0.7 (-1.6, 0.2)
Effingham County, Georgia	Urban	No	174.7 (159.7, 190.7)	N/A	109	falling	-0.7 (-1.2, -0.1)
Fayette County, Indiana	Rural	No	198.8 (177.3, 222.5)	N/A	66	falling	-0.7 (-1.2, -0.1)
Fillmore County, Minnesota	Urban	No	153.6 (134.9, 174.7)	N/A	53	falling	-0.7 (-1.2, -0.2)
Fillmore County, Nebraska	Rural	No	139.7 (109.0, 178.8)	N/A	15	stable	-0.7 (-1.9, 0.4)
Franklin City, Virginia	Rural	No	223.1 (186.3, 266.0)	N/A	27	falling	-0.7 (-1.4, -0.1)
Franklin County, Arkansas	Rural	No	179.1 (155.8, 205.3)	N/A	45	falling	-0.7 (-1.3, -0.1)
Freeborn County, Minnesota	Rural	No	145.0 (130.0, 161.6)	N/A	75	falling	-0.7 (-1.1, -0.4)
Fulton County, Indiana	Rural	No	190.3 (167.7, 215.4)	N/A	55	falling	-0.7 (-1.2, -0.2)
Fulton County, Kentucky	Rural	No	213.6 (171.7, 263.5)	N/A	20	stable	-0.7 (-1.4, 0.0)
Garrard County, Kentucky	Rural	No	177.8 (154.1, 204.5)	N/A	43	stable	-0.7 (-1.3, 0.0)
Gladwin County, Michigan	Rural	No	185.7 (167.3, 206.0)	N/A	86	falling	-0.7 (-1.3, -0.1)
Goodhue County, Minnesota	Rural	No	158.6 (145.4, 172.8)	N/A	113	falling	-0.7 (-1.1, -0.3)
Grant County, West Virginia	Rural	No	155.2 (129.6, 185.2)	N/A	29	stable	-0.7 (-1.6, 0.2)
Grant County, Wisconsin	Rural	No	165.5 (151.7, 180.3)	N/A	114	falling	-0.7 (-1.2, -0.2)
Hall County, Texas	Rural	Yes	122.6 (83.7, 179.1)	N/A	6	stable	-0.7 (-2.3, 0.8)
Hardee County, Florida	Rural	No	152.9 (133.6, 174.2)	N/A	46	falling	-0.7 (-1.2, -0.2)
Hardin County, Kentucky	Urban	No	185.2 (174.6, 196.4)	N/A	233	falling	-0.7 (-0.9, -0.4)
Hardin County, Tennessee	Rural	No	159.0 (142.0, 177.8)	N/A	70	stable	-0.7 (-1.4, 0.1)
Hart County, Georgia	Rural	No	161.8 (144.5, 180.9)	N/A	68	stable	-0.7 (-1.5, 0.1)
Henry County, Tennessee	Rural	No	186.0 (169.5, 203.9)	N/A	100	falling	-0.7 (-1.1, -0.3)
Hot Spring County, Arkansas	Rural	No	175.8 (158.9, 194.1)	N/A	83	falling	-0.7 (-1.1, -0.3)
Humphreys County, Tennessee	Rural	No	192.9 (170.3, 218.2)	N/A	55	stable	-0.7 (-1.3, 0.0)
Huntington County, Indiana	Rural	No	178.6 (162.2, 196.3)	N/A	91	falling	-0.7 (-1.1, -0.3)
Huron County, Michigan	Rural	No	161.0 (146.0, 177.4)	N/A	94	falling	-0.7 (-1.1, -0.4)
Hyde County, North Carolina	Rural	No	148.3 (109.2, 199.1)	N/A	11	stable	-0.7 (-1.9, 0.4)
Idaho County, Idaho	Rural	No	149.9 (131.0, 171.6)	N/A	49	stable	-0.7 (-1.3, 0.0)
Isabella County, Michigan	Rural	No	180.0 (165.1, 195.9)	N/A	113	stable	-0.7 (-1.2, 0.0)
Jackson County, Alabama	Rural	No	191.2 (177.3, 206.0)	N/A	149	falling	-0.7 (-1.0, -0.3)
Jackson County, Illinois	Rural	No	169.9 (155.3, 185.7)	N/A	106	falling	-0.7 (-1.2, -0.3)
Jackson County, Kentucky	Rural	No	176.6 (149.0, 208.4)	N/A	31	stable	-0.7 (-1.5, 0.1)
Jefferson County, Illinois	Rural	No	182.9 (166.7, 200.3)	N/A	98	falling	-0.7 (-1.1, -0.3)
Jefferson County, Mississippi	Rural	No	197.4 (157.9, 244.4)	N/A	19	stable	-0.7 (-1.6, 0.2)
Jefferson County, Pennsylvania	Rural	No	160.8 (147.3, 175.5)	N/A	111	falling	-0.7 (-1.1, -0.3)
Jersey County, Illinois	Urban	No	182.6 (161.7, 205.8)	N/A	58	falling	-0.7 (-1.3, -0.1)
Juniata County, Pennsylvania	Rural	No	164.7 (145.6, 185.9)	N/A	58	falling	-0.7 (-1.2, -0.2)
Kemper County, Mississippi	Rural	No	140.7 (112.3, 175.0)	N/A	19	stable	-0.7 (-1.9, 0.5)
Keokuk County, Iowa	Rural	No	159.2 (130.9, 192.7)	N/A	24	stable	-0.7 (-1.6, 0.2)
King and Queen County, Virginia	Urban	No	197.7 (159.3, 244.1)	N/A	21	stable	-0.7 (-1.6, 0.2)
Knox County, Illinois	Rural	No	172.6 (159.4, 186.8)	N/A	135	falling	-0.7 (-1.1, -0.3)
La Salle County, Illinois	Rural	No	184.2 (174.7, 194.2)	N/A	292	falling	-0.7 (-0.9, -0.5)
LaGrange County, Indiana	Rural	No	163.0 (145.8, 181.8)	N/A	67	falling	-0.7 (-1.2, -0.1)
Laclede County, Missouri	Rural	No	187.0 (169.9, 205.5)	N/A	91	falling	-0.7 (-1.1, -0.3)
Lafayette County, Wisconsin	Rural	No	173.3 (149.8, 199.9)	N/A	42	stable	-0.7 (-1.4, 0.1)
Larue County, Kentucky	Urban	No	186.6 (159.3, 217.4)	N/A	35	stable	-0.7 (-1.5, 0.1)
Latah County, Idaho	Rural	No	138.8 (122.8, 156.4)	N/A	57	stable	-0.7 (-1.3, 0.0)
Laurens County, Georgia	Rural	No	167.8 (153.9, 182.8)	N/A	111	falling	-0.7 (-1.3, -0.2)
Lawrence County, Illinois	Rural	No	194.3 (168.1, 223.9)	N/A	41	stable	-0.7 (-1.5, 0.0)
Lawrence County, Missouri	Rural	No	183.0 (166.6, 200.7)	N/A	95	falling	-0.7 (-1.1, -0.2)
Le Sueur County, Minnesota	Urban	No	158.6 (141.0, 177.9)	N/A	61	falling	-0.7 (-1.2, -0.1)
Lee County, Georgia	Urban	No	179.9 (159.0, 202.7)	N/A	59	stable	-0.7 (-1.3, 0.1)
Letcher County, Kentucky	Rural	No	201.1 (178.6, 226.1)	N/A	63	falling	-0.7 (-1.4, -0.1)
Lewis County, Missouri	Rural	No	162.6 (133.1, 197.3)	N/A	23	stable	-0.7 (-1.9, 0.6)
Lewis County, Tennessee	Rural	No	203.6 (174.9, 236.2)	N/A	39	falling	-0.7 (-1.3, -0.2)
Lincoln County, Mississippi	Rural	No	190.3 (172.3, 209.7)	N/A	86	falling	-0.7 (-1.3, -0.2)
Logan County, Arkansas	Rural	No	186.1 (165.1, 209.4)	N/A	60	falling	-0.7 (-1.2, -0.2)
Logan County, Kentucky	Rural	No	194.0 (174.0, 215.8)	N/A	72	stable	-0.7 (-1.3, 0.0)
Lycoming County, Pennsylvania	Urban	No	167.5 (158.6, 176.9)	N/A	281	falling	-0.7 (-0.9, -0.5)
Lyman County, South Dakota	Rural	No	207.2 (151.6, 277.8)	N/A	10	stable	-0.7 (-2.2, 1.0)
Macoupin County, Illinois	Urban	No	173.0 (158.9, 188.2)	N/A	119	falling	-0.7 (-1.0, -0.3)
Madison County, Florida	Rural	No	178.8 (156.9, 203.4)	N/A	50	stable	-0.7 (-1.5, 0.2)
Magoffin County, Kentucky	Rural	No	209.3 (177.2, 246.0)	N/A	32	stable	-0.7 (-1.7, 0.3)
Marshall County, Mississippi	Urban	No	211.7 (192.8, 232.1)	N/A	98	falling	-0.7 (-1.1, -0.3)
Marshall County, Tennessee	Rural	No	186.5 (168.2, 206.4)	N/A	80	falling	-0.7 (-1.1, -0.2)
Martin County, Indiana	Rural	No	173.1 (143.6, 207.8)	N/A	26	stable	-0.7 (-1.7, 0.3)
Mason County, Michigan	Rural	No	178.2 (161.0, 197.1)	N/A	87	falling	-0.7 (-1.2, -0.3)
Matagorda County, Texas	Rural	No	187.0 (169.4, 206.0)	N/A	87	falling	-0.7 (-1.2, -0.1)
McClain County, Oklahoma	Urban	No	178.2 (161.4, 196.3)	N/A	86	falling	-0.7 (-1.2, -0.2)
McKinley County, New Mexico	Rural	No	143.0 (130.4, 156.5)	N/A	99	falling	-0.7 (-1.1, -0.2)
Menifee County, Kentucky	Rural	No	218.0 (176.2, 268.2)	N/A	20	stable	-0.7 (-2.1, 0.9)
Mercer County, North Dakota	Rural	No	149.6 (119.3, 186.1)	N/A	19	stable	-0.7 (-1.6, 0.2)
Mingo County, West Virginia	Rural	No	212.5 (189.8, 237.5)	N/A	69	falling	-0.7 (-1.1, -0.3)
Minnehaha County, South Dakota	Urban	No	176.4 (168.0, 185.2)	N/A	351	falling	-0.7 (-0.9, -0.4)
Mitchell County, Texas	Rural	No	186.8 (150.0, 230.1)	N/A	18	stable	-0.7 (-1.9, 0.4)
Moniteau County, Missouri	Urban	No	170.6 (145.3, 199.4)	N/A	33	stable	-0.7 (-1.6, 0.3)
Monroe County, Wisconsin	Rural	No	159.7 (145.5, 174.9)	N/A	98	falling	-0.7 (-1.1, -0.3)
Montgomery County, Kentucky	Rural	No	207.8 (186.6, 230.8)	N/A	73	falling	-0.7 (-1.3, -0.1)
Morgan County, Missouri	Rural	No	188.0 (167.4, 210.9)	N/A	66	falling	-0.7 (-1.3, -0.1)
Morgan County, Tennessee	Urban	No	189.2 (166.6, 214.3)	N/A	53	stable	-0.7 (-1.3, 0.0)
Muskegon County, Michigan	Urban	No	177.7 (169.9, 185.8)	N/A	410	falling	-0.7 (-0.9, -0.5)
Nelson County, Virginia	Urban	No	154.0 (133.0, 178.2)	N/A	44	stable	-0.7 (-1.4, 0.0)
Noble County, Indiana	Rural	No	170.5 (155.4, 186.7)	N/A	100	falling	-0.7 (-1.2, -0.2)
Norman County, Minnesota	Rural	No	180.0 (144.7, 222.7)	N/A	19	stable	-0.7 (-1.6, 0.2)
Noxubee County, Mississippi	Rural	No	175.0 (142.9, 212.6)	N/A	22	stable	-0.7 (-1.7, 0.4)
Oglethorpe County, Georgia	Urban	No	167.3 (143.3, 194.6)	N/A	36	stable	-0.7 (-1.6, 0.3)
Ohio County, Kentucky	Rural	No	206.7 (184.8, 230.8)	N/A	67	falling	-0.7 (-1.1, -0.2)
Orleans County, New York	Urban	No	180.3 (164.4, 197.6)	N/A	99	falling	-0.7 (-1.3, -0.2)
Osage County, Oklahoma	Urban	No	165.9 (152.1, 180.8)	N/A	114	falling	-0.7 (-1.0, -0.3)
Osborne County, Kansas	Rural	No	141.0 (103.6, 191.9)	N/A	10	stable	-0.7 (-2.0, 0.6)
Otero County, Colorado	Rural	No	162.2 (140.7, 186.4)	N/A	44	falling	-0.7 (-1.4, -0.1)
Page County, Iowa	Rural	No	152.7 (131.8, 176.7)	N/A	40	stable	-0.7 (-1.4, 0.0)
Panola County, Mississippi	Rural	No	194.5 (175.7, 214.8)	N/A	83	falling	-0.7 (-1.1, -0.2)
Parmer County, Texas	Rural	No	131.8 (102.6, 166.9)	N/A	14	stable	-0.7 (-2.2, 0.6)
Pearl River County, Mississippi	Rural	No	194.0 (180.0, 208.9)	N/A	152	falling	-0.7 (-1.1, -0.4)
Pennington County, Minnesota	Rural	No	163.0 (137.9, 191.8)	N/A	32	stable	-0.7 (-1.5, 0.0)
Pierce County, Nebraska	Rural	No	135.5 (105.4, 172.5)	N/A	15	stable	-0.7 (-1.6, 0.2)
Pocahontas County, West Virginia	Rural	No	191.1 (157.4, 231.2)	N/A	26	stable	-0.7 (-1.8, 0.4)
Polk County, Oregon	Urban	No	146.2 (136.3, 156.7)	N/A	168	falling	-0.7 (-1.0, -0.3)
Pontotoc County, Oklahoma	Rural	No	170.6 (154.3, 188.4)	N/A	83	falling	-0.7 (-1.2, -0.1)
Powell County, Kentucky	Rural	No	242.1 (207.8, 280.6)	N/A	38	stable	-0.7 (-1.5, 0.1)
Putnam County, Florida	Rural	No	189.3 (177.9, 201.3)	N/A	229	falling	-0.7 (-1.2, -0.3)
Randall County, Texas	Urban	No	147.3 (138.9, 156.1)	N/A	235	falling	-0.7 (-0.9, -0.4)
Randolph County, Alabama	Rural	No	151.7 (132.9, 172.8)	N/A	51	falling	-0.7 (-1.3, -0.1)
Richardson County, Nebraska	Rural	No	166.5 (136.8, 202.4)	N/A	24	stable	-0.7 (-1.5, 0.2)
Rush County, Indiana	Rural	No	196.0 (170.9, 224.0)	N/A	46	falling	-0.7 (-1.3, -0.1)
Sac County, Iowa	Rural	No	140.5 (115.0, 171.0)	N/A	24	stable	-0.7 (-1.5, 0.1)
Sanilac County, Michigan	Rural	No	176.9 (162.0, 192.9)	N/A	115	falling	-0.7 (-1.2, -0.3)
Schuyler County, Illinois	Rural	No	144.7 (114.2, 182.5)	N/A	17	stable	-0.7 (-1.6, 0.2)
Scioto County, Ohio	Rural	No	202.8 (190.3, 216.0)	N/A	203	falling	-0.7 (-1.0, -0.4)
Scott County, Indiana	Rural	No	217.8 (194.9, 243.0)	N/A	69	stable	-0.7 (-1.3, 0.1)
Scott County, Mississippi	Urban	No	170.6 (151.0, 192.0)	N/A	57	falling	-0.7 (-1.3, -0.1)
Scott County, Missouri	Rural	No	173.1 (157.1, 190.4)	N/A	89	falling	-0.7 (-1.1, -0.3)
Scott County, Virginia	Urban	No	175.5 (156.1, 197.1)	N/A	65	falling	-0.7 (-1.3, -0.1)
Screven County, Georgia	Rural	No	185.9 (159.9, 215.4)	N/A	39	falling	-0.7 (-1.2, -0.1)
Shelby County, Indiana	Urban	No	169.2 (154.7, 184.8)	N/A	105	falling	-0.7 (-1.2, -0.1)
Sibley County, Minnesota	Rural	No	151.0 (127.5, 178.0)	N/A	32	stable	-0.7 (-1.4, 0.1)
Somerset County, Pennsylvania	Rural	No	151.7 (141.7, 162.4)	N/A	186	falling	-0.7 (-1.0, -0.5)
St. Landry Parish, Louisiana	Rural	No	206.1 (193.4, 219.3)	N/A	210	falling	-0.7 (-1.0, -0.4)
Ste. Genevieve County, Missouri	Rural	No	155.6 (134.9, 179.0)	N/A	43	falling	-0.7 (-1.3, -0.1)
Stephenson County, Illinois	Rural	No	163.1 (149.5, 177.7)	N/A	120	falling	-0.7 (-1.1, -0.4)
Sullivan County, Pennsylvania	Rural	No	174.6 (141.5, 217.2)	N/A	22	stable	-0.7 (-1.9, 0.4)
Suwannee County, Florida	Rural	No	178.4 (164.2, 193.7)	N/A	124	falling	-0.7 (-1.1, -0.2)
Sweet Grass County, Montana	Rural	Yes	109.9 (75.6, 158.5)	N/A	8	stable	-0.7 (-2.3, 0.9)
Tallapoosa County, Alabama	Rural	No	169.6 (154.9, 185.5)	N/A	109	falling	-0.7 (-1.3, -0.1)
Taylor County, Georgia	Rural	No	181.4 (147.0, 222.5)	N/A	21	stable	-0.7 (-1.7, 0.4)
Tazewell County, Virginia	Rural	No	188.6 (173.4, 205.0)	N/A	122	falling	-0.7 (-1.1, -0.2)
Texas County, Oklahoma	Rural	No	163.4 (138.8, 191.0)	N/A	33	stable	-0.7 (-1.5, 0.2)
Trempealeau County, Wisconsin	Rural	No	142.0 (126.1, 159.5)	N/A	61	falling	-0.7 (-1.1, -0.3)
Tuscarawas County, Ohio	Rural	No	169.8 (159.8, 180.4)	N/A	226	falling	-0.7 (-1.0, -0.3)
Tuscola County, Michigan	Rural	No	171.9 (159.0, 185.7)	N/A	140	falling	-0.7 (-1.1, -0.3)
Tyrrell County, North Carolina	Rural	No	196.7 (148.0, 260.1)	N/A	12	stable	-0.7 (-2.2, 0.8)
Union County, Arkansas	Rural	No	193.1 (176.3, 211.2)	N/A	102	falling	-0.7 (-1.1, -0.4)
Union County, Iowa	Rural	No	168.7 (141.7, 199.8)	N/A	30	stable	-0.7 (-1.6, 0.1)
Union County, Kentucky	Rural	No	194.0 (165.9, 225.9)	N/A	36	stable	-0.7 (-1.4, 0.0)
Utah County, Utah	Urban	Yes	114.2 (109.5, 119.0)	N/A	465	falling	-0.7 (-0.9, -0.5)
Warren County, Pennsylvania	Rural	No	171.1 (156.7, 186.8)	N/A	112	falling	-0.7 (-1.1, -0.3)
Wayne County, Illinois	Rural	No	159.2 (137.7, 183.7)	N/A	42	falling	-0.7 (-1.4, -0.1)
Wayne County, Mississippi	Rural	No	187.7 (164.1, 213.8)	N/A	48	stable	-0.7 (-1.3, 0.0)
White County, Illinois	Rural	No	161.3 (138.2, 187.8)	N/A	38	stable	-0.7 (-1.5, 0.1)
White County, Indiana	Rural	No	175.5 (156.3, 196.7)	N/A	65	falling	-0.7 (-1.3, -0.2)
Williams County, Ohio	Rural	No	167.9 (152.5, 184.7)	N/A	91	falling	-0.7 (-1.1, -0.3)
Williamsburg County, South Carolina	Rural	No	181.9 (164.5, 200.9)	N/A	86	stable	-0.7 (-1.3, 0.0)
Wirt County, West Virginia	Urban	No	167.9 (129.0, 216.8)	N/A	14	stable	-0.7 (-1.8, 0.4)
Woodbury County, Iowa	Urban	No	166.8 (156.6, 177.6)	N/A	204	falling	-0.7 (-1.0, -0.4)
Woodford County, Illinois	Urban	No	150.7 (135.9, 166.7)	N/A	81	falling	-0.7 (-1.2, -0.2)
Wyandot County, Ohio	Rural	No	160.9 (141.8, 182.1)	N/A	54	falling	-0.7 (-1.5, -0.3)
Wyoming County, West Virginia	Rural	No	185.1 (163.4, 209.3)	N/A	59	falling	-0.7 (-1.2, -0.1)
Yakima County, Washington	Urban	No	159.7 (152.9, 166.7)	N/A	432	falling	-0.7 (-0.9, -0.6)
Adams County, Wisconsin	Rural	No	167.2 (148.5, 188.3)	N/A	70	falling	-0.8 (-1.3, -0.2)
Alamance County, North Carolina	Urban	No	173.3 (165.5, 181.4)	N/A	384	falling	-0.8 (-1.0, -0.5)
Alamosa County, Colorado	Rural	No	124.9 (102.5, 150.9)	N/A	22	falling	-0.8 (-1.4, -0.1)
Alcorn County, Mississippi	Rural	No	167.8 (151.3, 185.6)	N/A	79	falling	-0.8 (-1.3, -0.3)
Allamakee County, Iowa	Rural	No	151.9 (128.5, 178.9)	N/A	34	stable	-0.8 (-1.7, 0.1)
Allen County, Kansas	Rural	No	169.1 (142.6, 199.7)	N/A	31	stable	-0.8 (-1.6, 0.0)
Alpena County, Michigan	Rural	No	179.0 (162.2, 197.4)	N/A	91	falling	-0.8 (-1.2, -0.4)
Audubon County, Iowa	Rural	No	146.9 (113.9, 188.6)	N/A	15	stable	-0.8 (-2.3, 0.5)
Baldwin County, Georgia	Rural	No	158.8 (143.7, 175.3)	N/A	85	falling	-0.8 (-1.2, -0.3)
Ben Hill County, Georgia	Rural	No	174.1 (150.1, 201.2)	N/A	40	stable	-0.8 (-1.6, 0.0)
Benton County, Arkansas	Urban	No	145.8 (139.6, 152.1)	N/A	434	falling	-0.8 (-1.1, -0.6)
Big Horn County, Wyoming	Rural	No	151.1 (125.8, 180.6)	N/A	27	falling	-0.8 (-1.5, -0.1)
Bingham County, Idaho	Rural	No	140.6 (126.2, 156.2)	N/A	72	falling	-0.8 (-1.3, -0.3)
Bradley County, Arkansas	Rural	No	155.8 (127.4, 189.3)	N/A	22	falling	-0.8 (-1.6, -0.1)
Branch County, Michigan	Rural	No	164.1 (149.7, 179.6)	N/A	101	falling	-0.8 (-1.3, -0.3)
Brookings County, South Dakota	Rural	No	138.8 (121.1, 158.3)	N/A	47	falling	-0.8 (-1.4, -0.1)
Brown County, Illinois	Rural	No	149.4 (112.5, 195.3)	N/A	11	stable	-0.8 (-2.2, 0.7)
Brown County, Ohio	Urban	No	190.7 (175.1, 207.3)	N/A	116	falling	-0.8 (-1.2, -0.4)
Buchanan County, Missouri	Urban	No	175.9 (164.7, 187.8)	N/A	188	falling	-0.8 (-1.2, -0.4)
Butler County, Alabama	Rural	No	168.8 (147.1, 193.0)	N/A	47	falling	-0.8 (-1.4, -0.1)
Caledonia County, Vermont	Rural	No	161.7 (145.1, 179.9)	N/A	75	falling	-0.8 (-1.3, -0.3)
Calhoun County, Illinois	Urban	No	176.2 (136.3, 227.1)	N/A	14	stable	-0.8 (-1.9, 0.3)
Calhoun County, Michigan	Urban	No	183.9 (174.9, 193.2)	N/A	329	falling	-0.8 (-1.0, -0.5)
Callaway County, Missouri	Urban	No	172.6 (157.4, 189.0)	N/A	99	falling	-0.8 (-1.2, -0.4)
Carroll County, Indiana	Urban	No	150.4 (131.0, 172.2)	N/A	45	falling	-0.8 (-1.5, -0.2)
Carroll County, Iowa	Rural	No	139.0 (121.4, 158.8)	N/A	48	falling	-0.8 (-1.5, -0.1)
Cedar County, Iowa	Rural	No	143.6 (124.0, 166.0)	N/A	41	stable	-0.8 (-1.5, 0.0)
Champaign County, Ohio	Rural	No	169.6 (154.1, 186.3)	N/A	92	falling	-0.8 (-1.2, -0.3)
Cheatham County, Tennessee	Urban	No	199.1 (180.9, 218.8)	N/A	97	falling	-0.8 (-1.4, -0.1)
Chouteau County, Montana	Rural	No	136.0 (104.3, 176.2)	N/A	13	stable	-0.8 (-1.8, 0.3)
Christian County, Kentucky	Urban	No	189.0 (174.6, 204.3)	N/A	131	falling	-0.8 (-1.2, -0.4)
Clay County, Indiana	Urban	No	180.9 (161.5, 202.2)	N/A	66	falling	-0.8 (-1.3, -0.2)
Clayton County, Iowa	Rural	No	166.1 (144.7, 190.4)	N/A	49	falling	-0.8 (-1.3, -0.3)
Cleveland County, Oklahoma	Urban	No	147.9 (141.9, 154.2)	N/A	467	falling	-0.8 (-1.1, -0.5)
Cocke County, Tennessee	Rural	No	191.7 (175.1, 209.5)	N/A	107	falling	-0.8 (-1.2, -0.3)
Columbiana County, Ohio	Rural	No	172.7 (163.4, 182.6)	N/A	271	falling	-0.8 (-1.1, -0.6)
Columbus County, North Carolina	Rural	No	192.3 (178.1, 207.5)	N/A	143	falling	-0.8 (-1.2, -0.4)
Concordia Parish, Louisiana	Rural	No	187.3 (162.9, 214.6)	N/A	45	falling	-0.8 (-1.2, -0.3)
Crowley County, Colorado	Rural	No	136.6 (97.9, 187.2)	N/A	8	stable	-0.8 (-2.6, 1.1)
Curry County, New Mexico	Rural	No	153.9 (138.5, 170.5)	N/A	75	falling	-0.8 (-1.4, -0.2)
Dallas County, Missouri	Urban	No	181.5 (158.4, 207.5)	N/A	47	falling	-0.8 (-1.3, -0.3)
Dawes County, Nebraska	Rural	No	172.3 (137.7, 213.7)	N/A	19	stable	-0.8 (-1.9, 0.3)
DeKalb County, Missouri	Urban	No	175.7 (147.2, 208.6)	N/A	28	stable	-0.8 (-2.1, 0.5)
Des Moines County, Iowa	Rural	No	161.2 (146.7, 177.0)	N/A	95	falling	-0.8 (-1.3, -0.2)
Dillon County, South Carolina	Rural	No	205.6 (184.7, 228.4)	N/A	75	falling	-0.8 (-1.3, -0.2)
Dodge County, Minnesota	Urban	No	138.8 (118.2, 162.1)	N/A	33	stable	-0.8 (-1.5, 0.0)
Douglas County, Minnesota	Rural	No	141.2 (128.5, 155.0)	N/A	97	falling	-0.8 (-1.3, -0.2)
Douglas County, Washington	Urban	No	141.3 (127.5, 156.4)	N/A	79	falling	-0.8 (-1.3, -0.3)
Eaton County, Michigan	Urban	No	154.9 (146.1, 164.3)	N/A	239	falling	-0.8 (-1.2, -0.4)
Fannin County, Texas	Rural	No	188.5 (171.5, 207.0)	N/A	93	falling	-0.8 (-1.2, -0.3)
Fentress County, Tennessee	Rural	No	188.2 (165.7, 213.5)	N/A	55	falling	-0.8 (-1.4, -0.1)
Forest County, Pennsylvania	Rural	No	178.5 (143.9, 234.1)	N/A	20	stable	-0.8 (-1.8, 0.2)
Forrest County, Mississippi	Urban	No	191.4 (178.1, 205.6)	N/A	157	falling	-0.8 (-1.1, -0.5)
Franklin County, Illinois	Rural	No	195.7 (179.3, 213.4)	N/A	110	falling	-0.8 (-1.2, -0.4)
Gaines County, Texas	Rural	No	147.7 (120.9, 178.3)	N/A	23	stable	-0.8 (-1.7, 0.1)
Gallatin County, Kentucky	Urban	No	213.5 (165.8, 270.0)	N/A	18	stable	-0.8 (-1.8, 0.3)
George County, Mississippi	Rural	No	202.5 (177.8, 229.6)	N/A	54	stable	-0.8 (-1.5, 0.0)
Graham County, North Carolina	Rural	No	174.4 (143.6, 211.1)	N/A	24	stable	-0.8 (-1.7, 0.2)
Gray County, Texas	Rural	No	158.1 (137.2, 181.5)	N/A	42	falling	-0.8 (-1.5, -0.2)
Grayson County, Texas	Urban	No	176.1 (167.3, 185.2)	N/A	319	falling	-0.8 (-1.1, -0.6)
Green County, Wisconsin	Urban	No	149.1 (134.5, 165.0)	N/A	81	falling	-0.8 (-1.3, -0.3)
Grundy County, Missouri	Rural	No	162.9 (135.1, 195.6)	N/A	26	stable	-0.8 (-1.8, 0.2)
Guernsey County, Ohio	Rural	No	190.3 (173.9, 208.0)	N/A	105	falling	-0.8 (-1.2, -0.4)
Halifax County with South Boston City, Virginia	Rural	No	191.7 (175.3, 209.4)	N/A	113	falling	-0.8 (-1.2, -0.3)
Hancock County, Kentucky	Rural	No	185.2 (151.9, 224.2)	N/A	22	stable	-0.8 (-1.9, 0.3)
Hancock County, Mississippi	Urban	No	165.9 (152.1, 180.7)	N/A	116	falling	-0.8 (-1.2, -0.4)
Hancock County, Ohio	Rural	No	155.5 (144.5, 167.0)	N/A	156	falling	-0.8 (-1.1, -0.4)
Harrison County, Indiana	Urban	No	170.1 (154.5, 187.1)	N/A	92	falling	-0.8 (-1.3, -0.3)
Haywood County, North Carolina	Rural	No	157.0 (146.2, 168.4)	N/A	171	falling	-0.8 (-1.1, -0.4)
Henry County, Alabama	Urban	No	171.8 (149.9, 196.5)	N/A	48	falling	-0.8 (-1.3, -0.2)
Hockley County, Texas	Urban	No	166.4 (144.0, 191.4)	N/A	41	stable	-0.8 (-1.6, 0.0)
Holmes County, Florida	Rural	No	185.8 (163.8, 210.3)	N/A	54	stable	-0.8 (-1.5, 0.0)
Holt County, Nebraska	Rural	No	146.1 (119.1, 178.2)	N/A	24	stable	-0.8 (-1.7, 0.0)
Howard County, Indiana	Urban	No	177.6 (166.8, 189.0)	N/A	210	falling	-0.8 (-1.1, -0.5)
Hunt County, Texas	Urban	No	172.0 (161.6, 182.9)	N/A	212	falling	-0.8 (-1.2, -0.4)
Huntingdon County, Pennsylvania	Rural	No	154.6 (141.4, 168.9)	N/A	106	stable	-0.8 (-1.2, 0.0)
Hutchinson County, Texas	Rural	No	156.8 (135.7, 180.6)	N/A	42	falling	-0.8 (-1.3, -0.3)
Ingham County, Michigan	Urban	No	160.9 (154.3, 167.6)	N/A	480	falling	-0.8 (-1.1, -0.1)
Iowa County, Iowa	Rural	No	156.9 (135.0, 181.8)	N/A	40	falling	-0.8 (-1.4, -0.2)
Iron County, Utah	Rural	No	125.9 (112.2, 140.8)	N/A	65	stable	-0.8 (-1.5, 0.2)
Itawamba County, Mississippi	Rural	No	171.0 (150.8, 193.3)	N/A	54	falling	-0.8 (-1.3, -0.3)
Jackson County, Tennessee	Rural	No	189.1 (161.7, 220.8)	N/A	37	stable	-0.8 (-1.7, 0.3)
Jackson County, West Virginia	Rural	No	166.4 (149.3, 185.2)	N/A	72	falling	-0.8 (-1.4, -0.2)
Jeff Davis County, Texas	Rural	Yes	110.2 (70.8, 215.5)	N/A	6	stable	-0.8 (-2.8, 1.6)
Jefferson Davis Parish, Louisiana	Urban	No	188.4 (169.6, 208.9)	N/A	76	falling	-0.8 (-1.2, -0.4)
Johnston County, Oklahoma	Rural	No	193.2 (161.0, 230.4)	N/A	27	falling	-0.8 (-1.5, -0.1)
Josephine County, Oregon	Urban	No	179.4 (169.8, 189.5)	N/A	291	falling	-0.8 (-1.1, -0.5)
Knox County, Indiana	Rural	No	181.0 (164.3, 199.1)	N/A	90	falling	-0.8 (-1.3, -0.4)
Kosciusko County, Indiana	Rural	No	163.6 (152.6, 175.4)	N/A	169	falling	-0.8 (-1.2, -0.5)
Lake County, South Dakota	Rural	No	141.6 (115.0, 173.1)	N/A	22	stable	-0.8 (-1.8, 0.1)
Lanier County, Georgia	Urban	No	180.4 (146.5, 220.0)	N/A	21	stable	-0.8 (-1.7, 0.2)
Lee County, Arkansas	Rural	No	221.2 (185.5, 262.6)	N/A	28	falling	-0.8 (-1.6, -0.2)
Lincoln County, South Dakota	Urban	Yes	113.0 (101.8, 125.2)	N/A	77	stable	-0.8 (-2.4, 3.8)
Livingston County, Illinois	Rural	No	171.6 (155.7, 188.9)	N/A	90	falling	-0.8 (-1.2, -0.4)
Logan County, Colorado	Rural	No	133.6 (115.1, 154.4)	N/A	39	falling	-0.8 (-1.3, -0.2)
Lynchburg City, Virginia	Urban	No	185.0 (172.0, 198.9)	N/A	158	falling	-0.8 (-1.2, -0.5)
Macon County, Georgia	Rural	No	163.1 (135.3, 195.4)	N/A	26	falling	-0.8 (-1.4, -0.1)
Madison County, Virginia	Rural	No	160.5 (136.0, 188.6)	N/A	34	stable	-0.8 (-1.6, 0.0)
Marion County, Arkansas	Rural	No	183.7 (161.1, 209.3)	N/A	59	falling	-0.8 (-1.4, -0.2)
McCreary County, Kentucky	Rural	No	223.5 (195.0, 255.2)	N/A	46	falling	-0.8 (-1.5, -0.1)
McDowell County, West Virginia	Rural	No	204.2 (181.7, 229.3)	N/A	64	falling	-0.8 (-1.3, -0.3)
McHenry County, Illinois	Urban	No	152.4 (146.6, 158.3)	N/A	560	stable	-0.8 (-1.9, 1.0)
McHenry County, North Dakota	Urban	No	158.8 (121.2, 206.1)	N/A	13	stable	-0.8 (-2.2, 0.4)
McLeod County, Minnesota	Rural	No	132.9 (119.3, 147.8)	N/A	73	falling	-0.8 (-1.4, -0.1)
McMinn County, Tennessee	Rural	No	189.3 (175.6, 203.9)	N/A	149	falling	-0.8 (-3.6, -0.3)
Menard County, Illinois	Urban	No	164.1 (138.1, 194.2)	N/A	30	falling	-0.8 (-1.6, -0.1)
Mercer County, Pennsylvania	Rural	No	163.9 (155.3, 172.8)	N/A	297	falling	-0.8 (-1.1, -0.6)
Miami County, Indiana	Rural	No	181.7 (164.7, 200.1)	N/A	87	falling	-0.8 (-1.2, -0.4)
Mills County, Iowa	Urban	No	158.7 (133.9, 187.1)	N/A	31	stable	-0.8 (-1.5, 0.0)
Mineral County, Montana	Urban	No	156.3 (118.7, 205.2)	N/A	14	stable	-0.8 (-2.0, 0.7)
Mineral County, West Virginia	Rural	No	176.3 (158.1, 196.2)	N/A	74	falling	-0.8 (-1.3, -0.2)
Morehouse Parish, Louisiana	Urban	No	179.5 (159.8, 201.2)	N/A	64	falling	-0.8 (-1.3, -0.4)
Morgan County, Georgia	Urban	No	160.5 (140.5, 183.0)	N/A	48	stable	-0.8 (-1.5, 0.0)
Morris County, Texas	Rural	No	192.8 (164.7, 225.0)	N/A	36	stable	-0.8 (-1.5, 0.0)
Morrison County, Minnesota	Rural	No	156.3 (140.9, 173.2)	N/A	80	falling	-0.8 (-1.3, -0.3)
Morrow County, Ohio	Urban	No	172.6 (155.8, 190.8)	N/A	82	falling	-0.8 (-1.2, -0.3)
Motley County, Texas	Rural	No	146.7 (78.4, 268.6)	N/A	3	stable	-0.8 (-2.8, 1.0)
Murray County, Georgia	Urban	No	189.1 (171.6, 208.0)	N/A	90	falling	-0.8 (-1.3, -0.2)
Muscatine County, Iowa	Rural	No	154.6 (140.0, 170.3)	N/A	87	falling	-0.8 (-1.4, -0.2)
Noble County, Oklahoma	Rural	No	175.1 (147.6, 206.8)	N/A	30	falling	-0.8 (-1.5, -0.1)
Nobles County, Minnesota	Rural	No	141.6 (122.2, 163.3)	N/A	40	falling	-0.8 (-1.5, -0.2)
Oceana County, Michigan	Rural	No	157.1 (139.8, 176.2)	N/A	65	falling	-0.8 (-1.3, -0.1)
Oklahoma County, Oklahoma	Urban	No	172.0 (168.0, 176.1)	N/A	1,465	falling	-0.8 (-0.9, -0.7)
Oneida County, Wisconsin	Rural	No	163.8 (149.7, 179.0)	N/A	113	falling	-0.8 (-1.2, -0.5)
Osceola County, Michigan	Rural	No	174.1 (154.6, 195.7)	N/A	62	falling	-0.8 (-1.3, -0.3)
Pendleton County, Kentucky	Urban	No	198.5 (169.6, 231.2)	N/A	36	falling	-0.8 (-1.3, -0.2)
Perry County, Indiana	Rural	No	159.5 (138.3, 183.3)	N/A	43	stable	-0.8 (-1.6, 0.1)
Perry County, Ohio	Urban	No	191.8 (173.7, 211.4)	N/A	88	falling	-0.8 (-1.4, -0.1)
Perry County, Pennsylvania	Urban	No	176.2 (161.5, 191.9)	N/A	113	falling	-0.8 (-1.1, -0.4)
Person County, North Carolina	Urban	No	170.8 (155.8, 187.0)	N/A	101	falling	-0.8 (-1.4, -0.2)
Pike County, Mississippi	Rural	No	176.2 (159.9, 193.7)	N/A	90	stable	-0.8 (-1.4, 0.0)
Pine County, Minnesota	Rural	No	166.3 (149.7, 184.5)	N/A	77	falling	-0.8 (-1.3, -0.3)
Platte County, Nebraska	Rural	No	139.6 (124.1, 156.6)	N/A	63	falling	-0.8 (-1.4, -0.1)
Polk County, Georgia	Rural	No	192.2 (175.1, 210.5)	N/A	97	falling	-0.8 (-1.3, -0.4)
Polk County, Tennessee	Urban	No	204.1 (179.8, 231.2)	N/A	54	falling	-0.8 (-1.5, -0.1)
Pope County, Arkansas	Rural	No	164.5 (151.8, 178.0)	N/A	128	falling	-0.8 (-1.2, -0.3)
Portage County, Ohio	Urban	No	170.3 (162.2, 178.6)	N/A	354	falling	-0.8 (-1.1, -0.5)
Potter County, Pennsylvania	Rural	No	169.7 (148.0, 194.4)	N/A	48	falling	-0.8 (-1.4, -0.2)
Prince Edward County, Virginia	Rural	No	187.9 (164.2, 214.3)	N/A	49	falling	-0.8 (-1.2, -0.3)
Quitman County, Georgia	Rural	No	162.2 (113.6, 234.3)	N/A	8	stable	-0.8 (-2.6, 1.3)
Radford City, Virginia	Urban	No	184.9 (151.2, 223.9)	N/A	22	falling	-0.8 (-1.6, -0.1)
Raleigh County, West Virginia	Urban	No	166.6 (155.7, 178.1)	N/A	186	falling	-0.8 (-1.2, -0.5)
Ravalli County, Montana	Rural	No	147.9 (135.6, 161.3)	N/A	118	falling	-0.8 (-1.3, -0.3)
Renville County, Minnesota	Rural	No	152.9 (130.4, 178.7)	N/A	36	falling	-0.8 (-1.5, -0.2)
Richland County, Illinois	Rural	No	169.2 (146.0, 195.4)	N/A	41	falling	-0.8 (-1.3, -0.2)
Robertson County, Tennessee	Urban	No	178.9 (166.0, 192.5)	N/A	153	falling	-0.8 (-1.2, -0.4)
Rutland County, Vermont	Rural	No	164.7 (153.2, 177.0)	N/A	165	falling	-0.8 (-1.0, -0.5)
Saline County, Arkansas	Urban	No	152.4 (144.0, 161.2)	N/A	252	falling	-0.8 (-1.1, -0.4)
San Miguel County, New Mexico	Rural	No	131.3 (115.8, 148.7)	N/A	57	falling	-0.8 (-1.5, -0.1)
Saunders County, Nebraska	Urban	No	146.3 (127.6, 167.2)	N/A	47	falling	-0.8 (-1.3, -0.2)
Shelby County, Illinois	Rural	No	166.3 (147.8, 187.0)	N/A	61	falling	-0.8 (-1.5, -0.1)
Shenandoah County, Virginia	Rural	No	169.1 (155.4, 184.0)	N/A	117	falling	-0.8 (-1.1, -0.5)
Sheridan County, Nebraska	Rural	Yes	120.5 (91.7, 158.5)	N/A	12	stable	-0.8 (-1.7, 0.1)
Stearns County, Minnesota	Urban	No	146.0 (138.2, 154.1)	N/A	273	falling	-0.8 (-1.1, -0.5)
Sullivan County, Indiana	Urban	No	173.0 (151.5, 196.9)	N/A	48	falling	-0.8 (-1.5, -0.2)
Sullivan County, Tennessee	Urban	No	176.4 (168.9, 184.2)	N/A	438	falling	-0.8 (-1.0, -0.5)
Switzerland County, Indiana	Rural	No	183.6 (151.6, 220.8)	N/A	24	stable	-0.8 (-1.8, 0.3)
Talladega County, Alabama	Rural	No	180.6 (169.3, 192.5)	N/A	201	falling	-0.8 (-1.1, -0.5)
Tipton County, Indiana	Urban	No	164.3 (141.6, 190.2)	N/A	39	stable	-0.8 (-1.5, 0.0)
Toombs County, Georgia	Rural	No	192.6 (171.8, 215.4)	N/A	65	falling	-0.8 (-1.4, -0.2)
Tucker County, West Virginia	Rural	No	182.8 (148.7, 224.6)	N/A	23	stable	-0.8 (-1.7, 0.2)
Twiggs County, Georgia	Urban	No	189.1 (154.8, 229.9)	N/A	24	stable	-0.8 (-1.5, 0.0)
Union County, Tennessee	Urban	No	195.7 (172.3, 221.8)	N/A	54	falling	-0.8 (-1.3, -0.2)
Van Buren County, Arkansas	Rural	No	177.1 (155.4, 201.8)	N/A	52	falling	-0.8 (-1.3, -0.2)
Vigo County, Indiana	Urban	No	184.4 (174.0, 195.3)	N/A	245	falling	-0.8 (-1.1, -0.4)
Wabaunsee County, Kansas	Urban	No	145.6 (114.9, 183.4)	N/A	16	stable	-0.8 (-2.0, 0.4)
Walla Walla County, Washington	Urban	No	141.7 (130.4, 153.9)	N/A	123	falling	-0.8 (-1.2, -0.4)
Wapello County, Iowa	Rural	No	183.5 (166.3, 202.1)	N/A	87	falling	-0.8 (-1.2, -0.4)
Ware County, Georgia	Rural	No	177.8 (160.8, 196.3)	N/A	83	falling	-0.8 (-1.3, -0.2)
Warren County, Illinois	Rural	No	187.4 (162.8, 215.0)	N/A	45	stable	-0.8 (-1.8, 0.0)
Washington County, Georgia	Rural	No	178.1 (155.5, 203.4)	N/A	47	stable	-0.8 (-1.6, 0.1)
Washington County, Kansas	Rural	No	125.0 (96.3, 162.1)	N/A	13	stable	-0.8 (-2.0, 0.4)
Washington County, Maine	Rural	No	191.3 (174.1, 210.1)	N/A	101	falling	-0.8 (-1.1, -0.4)
Wayne County, Iowa	Rural	No	160.6 (126.2, 202.9)	N/A	17	stable	-0.8 (-1.8, 0.2)
Wilkes County, North Carolina	Rural	No	164.5 (153.5, 176.2)	N/A	176	falling	-0.8 (-2.9, -0.5)
Winston County, Mississippi	Rural	No	164.3 (142.4, 189.0)	N/A	43	falling	-0.8 (-1.6, -0.1)
Yalobusha County, Mississippi	Rural	No	194.5 (166.7, 226.2)	N/A	37	falling	-0.8 (-1.4, -0.2)
Yavapai County, Arizona	Urban	No	149.7 (144.4, 155.1)	N/A	745	falling	-0.8 (-1.0, -0.6)
Yuma County, Arizona ³	Urban	Yes	121.6 (115.6, 127.8)	N/A	340	falling	-0.8 (-1.2, -0.4)
Acadia Parish, Louisiana	Urban	No	196.8 (182.0, 212.5)	N/A	137	falling	-0.9 (-1.3, -0.6)
Adams County, Nebraska	Rural	No	153.0 (136.5, 171.1)	N/A	66	falling	-0.9 (-1.3, -0.5)
Anderson County, Tennessee	Urban	No	169.1 (158.4, 180.5)	N/A	192	falling	-0.9 (-1.3, -0.5)
Andrews County, Texas	Rural	No	159.7 (131.5, 191.9)	N/A	23	stable	-0.9 (-1.8, 0.0)
Appling County, Georgia	Rural	No	174.4 (151.1, 200.5)	N/A	42	falling	-0.9 (-1.6, -0.2)
Ashe County, North Carolina	Rural	No	150.8 (135.7, 167.6)	N/A	78	falling	-0.9 (-1.4, -0.4)
Ashland County, Wisconsin	Rural	No	161.1 (138.5, 186.9)	N/A	39	stable	-0.9 (-1.7, 0.0)
Atascosa County, Texas	Urban	No	155.8 (141.3, 171.5)	N/A	86	falling	-0.9 (-1.4, -0.4)
Atchison County, Kansas	Rural	No	162.6 (138.5, 190.0)	N/A	34	falling	-0.9 (-1.6, -0.2)
Baker County, Georgia	Rural	No	146.1 (100.0, 210.3)	N/A	7	stable	-0.9 (-2.5, 0.8)
Barber County, Kansas	Rural	No	180.5 (135.7, 237.7)	N/A	12	stable	-0.9 (-2.0, 0.0)
Barron County, Wisconsin	Rural	No	164.0 (151.1, 177.9)	N/A	127	falling	-0.9 (-1.2, -0.6)
Bartholomew County, Indiana	Urban	No	164.0 (152.9, 175.7)	N/A	168	falling	-0.9 (-1.3, -0.5)
Bay County, Michigan	Urban	No	168.7 (159.5, 178.4)	N/A	265	falling	-0.9 (-1.1, -0.7)
Bedford County, Pennsylvania	Rural	No	141.9 (130.2, 154.6)	N/A	115	falling	-0.9 (-1.5, -0.3)
Bent County, Colorado	Rural	Yes	120.6 (88.8, 162.0)	N/A	10	stable	-0.9 (-2.5, 0.7)
Bland County, Virginia	Rural	No	139.9 (109.2, 178.8)	N/A	15	stable	-0.9 (-2.3, 0.7)
Boundary County, Idaho	Rural	No	155.3 (130.4, 184.2)	N/A	31	stable	-0.9 (-1.8, 0.2)
Bracken County, Kentucky	Urban	No	179.1 (144.2, 220.4)	N/A	19	stable	-0.9 (-1.9, 0.2)
Brown County, Nebraska	Rural	No	150.5 (104.0, 215.0)	N/A	8	stable	-0.9 (-2.3, 0.3)
Brown County, Texas	Rural	No	168.8 (153.6, 185.3)	N/A	95	falling	-0.9 (-1.3, -0.5)
Buffalo County, Nebraska	Rural	No	139.9 (126.4, 154.5)	N/A	82	falling	-0.9 (-1.5, -0.3)
Bulloch County, Georgia	Rural	No	155.0 (142.2, 168.6)	N/A	113	falling	-0.9 (-1.3, -0.5)
Cambria County, Pennsylvania	Urban	No	163.6 (155.9, 171.7)	N/A	364	falling	-0.9 (-1.2, -0.7)
Candler County, Georgia	Rural	No	162.4 (133.8, 195.8)	N/A	24	stable	-0.9 (-1.9, 0.2)
Carter County, Kentucky	Urban	No	203.8 (183.8, 225.6)	N/A	79	falling	-0.9 (-1.5, -0.4)
Cass County, Michigan	Urban	No	172.5 (159.4, 186.6)	N/A	138	falling	-0.9 (-1.3, -0.5)
Cass County, Minnesota	Rural	No	158.1 (142.4, 175.4)	N/A	85	falling	-0.9 (-1.3, -0.4)
Cass County, Missouri	Urban	No	157.3 (148.1, 167.0)	N/A	225	falling	-0.9 (-1.3, -0.5)
Chattooga County, Georgia	Rural	No	192.5 (171.8, 215.2)	N/A	65	falling	-0.9 (-1.3, -0.4)
Chautauqua County, New York	Rural	No	154.9 (146.8, 163.3)	N/A	299	falling	-0.9 (-1.2, -0.7)
Childress County, Texas	Rural	No	172.9 (134.1, 220.0)	N/A	14	stable	-0.9 (-2.1, 0.2)
Chowan County, North Carolina	Rural	No	155.1 (133.0, 180.6)	N/A	39	falling	-0.9 (-1.5, -0.3)
Christian County, Illinois	Rural	No	177.8 (161.4, 195.7)	N/A	90	falling	-0.9 (-1.3, -0.4)
Clallam County, Washington	Rural	No	161.5 (152.2, 171.4)	N/A	259	falling	-0.9 (-1.2, -0.6)
Clarendon County, South Carolina	Rural	No	181.0 (164.0, 199.5)	N/A	93	falling	-0.9 (-1.4, -0.4)
Clinton County, Iowa	Rural	No	170.5 (156.7, 185.4)	N/A	118	falling	-0.9 (-1.3, -0.5)
Clinton County, New York	Rural	No	168.0 (157.1, 179.6)	N/A	184	falling	-0.9 (-1.2, -0.6)
Coffee County, Tennessee	Rural	No	179.4 (166.0, 193.8)	N/A	136	falling	-0.9 (-1.3, -0.4)
Colorado County, Texas	Rural	No	168.6 (148.4, 191.1)	N/A	54	falling	-0.9 (-1.5, -0.3)
Conway County, Arkansas	Rural	No	154.6 (134.8, 176.8)	N/A	46	falling	-0.9 (-1.5, -0.3)
Cooke County, Texas	Rural	No	166.4 (151.4, 182.5)	N/A	96	falling	-0.9 (-1.4, -0.3)
Crawford County, Arkansas	Urban	No	179.9 (166.7, 193.9)	N/A	142	falling	-0.9 (-1.2, -0.6)
Crawford County, Ohio	Rural	No	182.5 (167.6, 198.5)	N/A	116	falling	-0.9 (-1.2, -0.5)
Cross County, Arkansas	Rural	No	214.6 (188.1, 244.2)	N/A	49	falling	-0.9 (-6.3, -0.2)
Cumberland County, Tennessee	Rural	No	160.4 (149.6, 172.0)	N/A	200	falling	-0.9 (-1.2, -0.5)
Darlington County, South Carolina	Urban	No	180.6 (167.7, 194.3)	N/A	156	falling	-0.9 (-1.2, -0.6)
De Witt County, Illinois	Rural	No	184.8 (160.2, 212.7)	N/A	42	falling	-0.9 (-1.5, -0.3)
DeKalb County, Alabama	Rural	No	160.1 (148.6, 172.3)	N/A	150	falling	-0.9 (-3.6, -0.5)
DeSoto County, Mississippi	Urban	No	178.1 (169.5, 187.0)	N/A	337	falling	-0.9 (-1.2, -0.6)
Delaware County, Indiana	Urban	No	173.2 (163.4, 183.4)	N/A	248	falling	-0.9 (-1.1, -0.6)
Delaware County, Iowa	Rural	No	143.7 (123.9, 166.3)	N/A	40	falling	-0.9 (-1.4, -0.3)
Delta County, Michigan	Rural	No	165.4 (151.0, 181.1)	N/A	107	falling	-0.9 (-1.3, -0.5)
Dickens County, Texas	Rural	No	181.3 (114.6, 280.0)	N/A	5	stable	-0.9 (-2.7, 0.7)
Duval County, Florida	Urban	No	162.9 (159.5, 166.3)	N/A	1,842	stable	-0.9 (-1.8, 1.0)
Eastland County, Texas	Rural	No	187.3 (164.1, 213.2)	N/A	52	falling	-0.9 (-1.5, -0.2)
Effingham County, Illinois	Rural	No	157.7 (141.7, 175.1)	N/A	74	falling	-0.9 (-1.4, -0.4)
Elbert County, Georgia	Rural	No	188.7 (166.7, 213.2)	N/A	57	falling	-0.9 (-1.4, -0.3)
Ellis County, Kansas	Rural	No	137.8 (119.9, 157.6)	N/A	45	falling	-0.9 (-1.4, -0.3)
Erie County, Pennsylvania	Urban	No	162.9 (157.1, 169.0)	N/A	615	falling	-0.9 (-1.2, -0.7)
Escambia County, Alabama	Rural	No	192.0 (175.0, 210.5)	N/A	97	falling	-0.9 (-1.3, -0.5)
Evangeline Parish, Louisiana	Rural	No	186.9 (168.0, 207.3)	N/A	74	falling	-0.9 (-1.4, -0.4)
Fairfield County, South Carolina	Urban	No	190.8 (168.9, 215.1)	N/A	62	falling	-0.9 (-1.5, -0.3)
Fall River County, South Dakota	Rural	No	175.8 (143.9, 215.1)	N/A	24	stable	-0.9 (-1.7, 0.0)
Fayette County, Pennsylvania	Urban	No	173.9 (165.7, 182.6)	N/A	356	falling	-0.9 (-1.2, -0.6)
Ferry County, Washington	Rural	No	169.7 (138.0, 208.6)	N/A	23	stable	-0.9 (-2.2, 0.7)
Franklin County, Pennsylvania	Urban	No	158.9 (151.6, 166.6)	N/A	365	falling	-0.9 (-1.1, -0.7)
Franklin County, Virginia	Urban	No	151.4 (139.7, 164.0)	N/A	137	falling	-0.9 (-1.3, -0.5)
Fremont County, Iowa	Rural	No	155.7 (123.1, 195.9)	N/A	17	stable	-0.9 (-2.3, 0.4)
Fremont County, Wyoming	Rural	No	162.0 (146.6, 178.6)	N/A	87	falling	-0.9 (-1.5, -0.2)
Gallatin County, Illinois	Rural	No	202.6 (159.1, 256.4)	N/A	16	falling	-0.9 (-1.7, -0.2)
Garden County, Nebraska	Rural	No	132.4 (88.5, 203.9)	N/A	6	stable	-0.9 (-2.6, 0.7)
Geary County, Kansas	Urban	No	169.5 (146.8, 194.6)	N/A	41	falling	-0.9 (-1.7, -0.2)
Glacier County, Montana	Rural	No	168.8 (138.7, 203.5)	N/A	23	stable	-0.9 (-1.8, 0.2)
Gonzales County, Texas	Rural	No	166.6 (144.3, 191.5)	N/A	42	falling	-0.9 (-1.5, -0.3)
Gordon County, Georgia	Rural	No	181.1 (166.9, 196.3)	N/A	124	falling	-0.9 (-1.2, -0.4)
Grant County, Kansas	Rural	No	151.4 (115.2, 195.6)	N/A	12	stable	-0.9 (-2.1, 0.4)
Grant County, South Dakota	Rural	No	140.0 (112.2, 174.0)	N/A	19	falling	-0.9 (-1.7, -0.1)
Grant County, Washington	Rural	No	154.0 (143.3, 165.3)	N/A	160	falling	-0.9 (-1.2, -0.6)
Green Lake County, Wisconsin	Rural	No	140.2 (122.2, 160.6)	N/A	45	falling	-0.9 (-1.5, -0.2)
Greenbrier County, West Virginia	Rural	No	180.9 (164.8, 198.5)	N/A	100	falling	-0.9 (-1.3, -0.4)
Guadalupe County, New Mexico	Rural	No	137.2 (100.5, 185.4)	N/A	9	stable	-0.9 (-2.2, 0.6)
Hale County, Alabama	Urban	No	178.5 (153.1, 207.3)	N/A	38	stable	-0.9 (-1.9, 0.0)
Hamblen County, Tennessee	Urban	No	177.0 (164.6, 190.3)	N/A	154	falling	-0.9 (-1.4, -0.4)
Hardeman County, Texas	Rural	No	135.5 (95.5, 189.6)	N/A	8	stable	-0.9 (-2.5, 0.5)
Harrison County, West Virginia	Rural	No	194.0 (181.5, 207.3)	N/A	187	falling	-0.9 (-3.2, -0.6)
Haywood County, Tennessee	Rural	No	188.0 (164.2, 214.7)	N/A	48	falling	-0.9 (-1.6, -0.2)
Hempstead County, Arkansas	Rural	No	182.7 (160.1, 207.9)	N/A	50	falling	-0.9 (-1.5, -0.2)
Hendry County, Florida	Rural	No	154.3 (137.8, 172.3)	N/A	65	falling	-0.9 (-1.6, -0.2)
Henry County, Illinois	Urban	No	159.2 (146.4, 173.0)	N/A	120	falling	-0.9 (-1.4, -0.5)
Henry County, Iowa	Rural	No	152.6 (133.0, 174.6)	N/A	45	falling	-0.9 (-1.5, -0.2)
Henry County, Ohio	Rural	No	170.2 (151.9, 190.3)	N/A	66	falling	-0.9 (-1.4, -0.4)
Hidalgo County, Texas	Urban	Yes	114.8 (111.4, 118.2)	N/A	884	falling	-0.9 (-1.1, -0.6)
Hopkins County, Kentucky	Rural	No	182.7 (167.6, 198.9)	N/A	113	falling	-0.9 (-1.3, -0.4)
Hot Springs County, Wyoming	Rural	No	172.4 (134.7, 220.6)	N/A	16	falling	-0.9 (-1.7, -0.1)
Houghton County, Michigan	Rural	No	172.6 (155.7, 191.0)	N/A	81	falling	-0.9 (-1.3, -0.4)
Iberville Parish, Louisiana	Urban	No	195.3 (175.8, 216.4)	N/A	77	falling	-0.9 (-1.3, -0.4)
Jackson County, Iowa	Rural	No	152.8 (133.2, 174.9)	N/A	47	falling	-0.9 (-1.6, -0.2)
Jackson County, Michigan	Urban	No	172.5 (164.7, 180.7)	N/A	379	falling	-0.9 (-1.2, -0.6)
Jasper County, Missouri	Urban	No	175.0 (165.4, 185.0)	N/A	258	falling	-0.9 (-1.2, -0.5)
Jefferson County, Iowa	Rural	No	140.1 (119.2, 164.2)	N/A	36	falling	-0.9 (-1.4, -0.4)
Jefferson County, Kansas	Urban	No	163.3 (141.4, 188.0)	N/A	42	falling	-0.9 (-1.5, -0.3)
Jefferson County, Montana	Urban	No	190.1 (160.6, 224.1)	N/A	34	stable	-0.9 (-1.7, 0.2)
Jefferson County, Tennessee	Urban	No	163.8 (151.4, 177.1)	N/A	137	falling	-0.9 (-1.4, -0.3)
Jefferson County, West Virginia	Urban	No	180.3 (166.4, 195.1)	N/A	132	falling	-0.9 (-1.4, -0.3)
Johnson County, Nebraska	Rural	No	162.7 (123.9, 211.4)	N/A	12	stable	-0.9 (-2.2, 0.5)
Kings County, California	Urban	No	144.1 (134.9, 153.8)	N/A	187	falling	-0.9 (-1.3, -0.5)
LaFourche Parish, Louisiana	Urban	No	168.1 (157.8, 179.0)	N/A	203	falling	-0.9 (-1.2, -0.5)
Lake County, Tennessee	Rural	No	194.4 (154.5, 242.4)	N/A	17	stable	-0.9 (-1.8, 0.0)
Lake of the Woods County, Minnesota	Rural	No	141.8 (100.6, 197.5)	N/A	9	stable	-0.9 (-2.1, 0.2)
Lamar County, Texas	Rural	No	190.8 (176.2, 206.4)	N/A	133	falling	-0.9 (-1.3, -0.6)
Lawrence County, Pennsylvania	Urban	No	167.6 (157.9, 177.9)	N/A	239	falling	-0.9 (-1.1, -0.7)
Lawrence County, Tennessee	Rural	No	183.0 (167.6, 199.5)	N/A	108	falling	-0.9 (-1.3, -0.4)
Lee County, Texas	Rural	No	159.7 (137.7, 184.6)	N/A	40	falling	-0.9 (-1.5, -0.2)
Lemhi County, Idaho	Rural	No	152.9 (125.8, 186.2)	N/A	25	stable	-0.9 (-1.8, 0.1)
Lenawee County, Michigan	Rural	No	158.7 (149.2, 168.6)	N/A	223	falling	-0.9 (-1.2, -0.7)
Lewis County, Washington	Rural	No	174.0 (163.5, 185.1)	N/A	216	falling	-0.9 (-1.1, -0.6)
Lincoln County, Washington	Rural	No	146.2 (121.2, 175.7)	N/A	28	falling	-0.9 (-1.5, -0.3)
Lonoke County, Arkansas	Urban	No	173.7 (160.9, 187.3)	N/A	141	falling	-0.9 (-1.4, -0.4)
Macon County, North Carolina	Rural	No	146.1 (133.1, 160.3)	N/A	104	falling	-0.9 (-1.3, -0.4)
Madison County, Illinois	Urban	No	169.0 (163.0, 175.3)	N/A	607	falling	-0.9 (-1.1, -0.7)
Madison County, Indiana	Urban	No	170.6 (161.9, 179.6)	N/A	303	falling	-0.9 (-1.2, -0.7)
Madison County, Missouri	Rural	No	208.3 (179.4, 241.0)	N/A	39	falling	-0.9 (-1.4, -0.3)
Marinette County, Wisconsin	Rural	No	161.6 (148.1, 176.2)	N/A	118	falling	-0.9 (-1.3, -0.5)
Marion County, South Carolina	Rural	No	189.8 (171.0, 210.4)	N/A	80	falling	-0.9 (-1.4, -0.3)
Marquette County, Michigan	Rural	No	151.5 (140.2, 163.6)	N/A	142	falling	-0.9 (-1.3, -0.4)
Marshall County, Illinois	Urban	No	154.2 (129.7, 182.8)	N/A	30	stable	-0.9 (-1.7, 0.0)
Massac County, Illinois	Urban	No	175.9 (151.1, 204.1)	N/A	39	falling	-0.9 (-1.6, -0.2)
McDonough County, Illinois	Rural	No	153.0 (134.7, 173.4)	N/A	55	falling	-0.9 (-1.4, -0.4)
McLean County, Kentucky	Urban	No	184.1 (152.4, 221.2)	N/A	25	falling	-0.9 (-1.7, -0.2)
Meeker County, Minnesota	Rural	No	148.4 (130.5, 168.3)	N/A	53	falling	-0.9 (-1.4, -0.4)
Mercer County, Ohio	Rural	No	154.5 (139.9, 170.2)	N/A	89	falling	-0.9 (-1.3, -0.4)
Mitchell County, Iowa	Rural	No	153.3 (128.0, 183.1)	N/A	28	falling	-0.9 (-1.7, -0.1)
Monroe County, Alabama	Rural	No	168.1 (147.3, 191.5)	N/A	50	falling	-0.9 (-1.6, -0.2)
Montgomery County, Georgia	Rural	No	208.8 (170.5, 253.5)	N/A	22	stable	-0.9 (-1.9, 0.2)
Muhlenberg County, Kentucky	Rural	No	180.5 (162.9, 199.6)	N/A	80	falling	-0.9 (-1.5, -0.3)
Murray County, Oklahoma	Rural	No	186.9 (160.8, 216.5)	N/A	39	falling	-0.9 (-1.7, -0.1)
Natchitoches Parish, Louisiana	Rural	No	186.1 (168.2, 205.4)	N/A	84	falling	-0.9 (-1.5, -0.3)
Newton County, Georgia	Urban	No	169.6 (158.8, 180.8)	N/A	197	falling	-0.9 (-1.2, -0.4)
Nez Perce County, Idaho	Urban	No	151.2 (137.7, 165.9)	N/A	97	falling	-0.9 (-1.3, -0.4)
Nottoway County, Virginia	Rural	No	200.2 (174.2, 229.2)	N/A	44	falling	-0.9 (-1.4, -0.3)
O'Brien County, Iowa	Rural	No	143.8 (121.2, 169.8)	N/A	33	falling	-0.9 (-1.7, -0.2)
Ogle County, Illinois	Rural	No	166.3 (153.0, 180.5)	N/A	122	falling	-0.9 (-1.3, -0.5)
Ontonagon County, Michigan	Rural	No	150.8 (124.2, 187.3)	N/A	24	stable	-0.9 (-2.0, 0.1)
Orangeburg County, South Carolina	Rural	No	176.5 (165.6, 188.0)	N/A	212	falling	-0.9 (-1.2, -0.6)
Osage County, Kansas	Urban	No	152.2 (129.6, 178.0)	N/A	35	falling	-0.9 (-1.6, -0.2)
Otoe County, Nebraska	Rural	No	151.5 (129.7, 176.4)	N/A	37	falling	-0.9 (-1.5, -0.2)
Ottawa County, Kansas	Rural	No	143.1 (108.1, 187.1)	N/A	12	stable	-0.9 (-2.0, 0.2)
Ottawa County, Michigan	Urban	No	137.0 (131.5, 142.7)	N/A	478	falling	-0.9 (-1.1, -0.7)
Ozark County, Missouri	Rural	No	192.6 (162.1, 228.8)	N/A	33	falling	-0.9 (-1.6, -0.2)
Pacific County, Washington	Rural	No	166.8 (149.7, 186.0)	N/A	82	falling	-0.9 (-1.6, -0.3)
Panola County, Texas	Rural	No	182.9 (162.2, 205.7)	N/A	60	falling	-0.9 (-1.5, -0.3)
Paulding County, Ohio	Rural	No	182.7 (159.8, 208.3)	N/A	48	falling	-0.9 (-1.5, -0.3)
Payette County, Idaho	Rural	No	162.7 (143.9, 183.5)	N/A	57	falling	-0.9 (-1.4, -0.4)
Pend Oreille County, Washington	Rural	No	161.1 (138.1, 187.6)	N/A	40	falling	-0.9 (-1.7, -0.1)
Pender County, North Carolina	Urban	No	165.3 (152.7, 178.6)	N/A	136	falling	-0.9 (-1.4, -0.4)
Pickens County, Georgia	Urban	No	158.1 (142.2, 175.5)	N/A	80	falling	-0.9 (-1.5, -0.2)
Piscataquis County, Maine	Rural	No	185.8 (164.3, 210.2)	N/A	59	falling	-0.9 (-1.4, -0.5)
Pope County, Illinois	Rural	No	147.5 (108.9, 201.4)	N/A	12	stable	-0.9 (-2.4, 0.6)
Poweshiek County, Iowa	Rural	No	135.3 (116.7, 156.5)	N/A	41	falling	-0.9 (-1.5, -0.3)
Preston County, West Virginia	Urban	No	164.1 (147.9, 181.7)	N/A	79	falling	-0.9 (-1.4, -0.3)
Red Willow County, Nebraska	Rural	No	155.4 (129.1, 186.2)	N/A	27	falling	-0.9 (-1.6, -0.2)
Richland County, Ohio	Urban	No	170.1 (161.5, 179.1)	N/A	308	falling	-0.9 (-1.1, -0.6)
Richmond County, Virginia	Rural	No	183.9 (153.6, 219.7)	N/A	27	falling	-0.9 (-1.7, -0.1)
Rio Grande County, Colorado	Rural	No	149.2 (123.3, 179.6)	N/A	25	falling	-0.9 (-1.7, -0.1)
Roanoke City, Virginia	Urban	No	184.5 (173.9, 195.6)	N/A	241	falling	-0.9 (-1.1, -0.7)
Roanoke County, Virginia	Urban	No	141.0 (132.6, 150.0)	N/A	215	falling	-0.9 (-1.2, -0.5)
Rogers County, Oklahoma	Urban	No	168.0 (157.6, 178.8)	N/A	203	falling	-0.9 (-1.2, -0.5)
Ross County, Ohio	Rural	No	186.8 (174.8, 199.5)	N/A	187	falling	-0.9 (-1.3, -0.5)
Sabine Parish, Louisiana	Rural	No	182.7 (161.8, 206.0)	N/A	59	falling	-0.9 (-1.6, -0.3)
Saline County, Illinois	Rural	No	179.9 (160.6, 201.2)	N/A	66	falling	-0.9 (-1.3, -0.4)
Saline County, Nebraska	Rural	Yes	121.7 (99.6, 147.6)	N/A	22	falling	-0.9 (-1.7, -0.1)
San Augustine County, Texas	Rural	No	177.3 (148.2, 212.2)	N/A	28	falling	-0.9 (-1.6, -0.1)
Scott County, Kansas	Rural	Yes	116.1 (84.3, 157.7)	N/A	9	stable	-0.9 (-2.3, 0.5)
Scotts Bluff County, Nebraska	Rural	No	142.3 (127.5, 158.6)	N/A	73	falling	-0.9 (-1.5, -0.3)
Shawnee County, Kansas	Urban	No	158.8 (151.6, 166.3)	N/A	388	falling	-0.9 (-1.2, -0.7)
Shelby County, Texas	Rural	No	195.4 (174.0, 219.0)	N/A	62	falling	-0.9 (-1.3, -0.4)
Simpson County, Mississippi	Urban	No	168.7 (149.5, 190.0)	N/A	59	falling	-0.9 (-1.5, -0.2)
Skagit County, Washington	Urban	No	155.9 (147.9, 164.2)	N/A	303	falling	-0.9 (-1.2, -0.5)
Stafford County, Kansas	Rural	No	153.9 (110.8, 210.3)	N/A	10	stable	-0.9 (-2.0, 0.2)
Stanly County, North Carolina	Rural	No	168.8 (156.6, 181.9)	N/A	147	falling	-0.9 (-1.4, -0.6)
Stark County, Illinois	Urban	No	167.0 (130.5, 212.7)	N/A	15	stable	-0.9 (-1.8, 0.0)
Stark County, Ohio	Urban	No	162.3 (157.4, 167.3)	N/A	885	falling	-0.9 (-1.1, -0.8)
Summers County, West Virginia	Rural	No	178.3 (152.9, 207.8)	N/A	39	falling	-0.9 (-1.5, -0.3)
Tioga County, Pennsylvania	Rural	No	162.9 (148.8, 178.2)	N/A	107	falling	-0.9 (-1.4, -0.4)
Towner County, North Dakota	Rural	No	131.8 (87.1, 201.0)	N/A	6	stable	-0.9 (-2.5, 0.5)
Upshur County, West Virginia	Rural	No	165.8 (147.0, 186.7)	N/A	60	falling	-0.9 (-1.5, -0.3)
Uvalde County, Texas	Rural	No	175.3 (154.6, 198.2)	N/A	53	falling	-0.9 (-1.5, -0.2)
Van Buren County, Michigan	Rural	No	162.4 (151.3, 174.2)	N/A	169	falling	-0.9 (-1.3, -0.5)
Vance County, North Carolina	Rural	No	193.1 (176.8, 210.5)	N/A	112	falling	-0.9 (-1.3, -0.5)
Venango County, Pennsylvania	Rural	No	160.9 (148.6, 174.1)	N/A	139	falling	-0.9 (-1.3, -0.6)
Vermillion County, Indiana	Urban	No	200.7 (174.2, 230.6)	N/A	44	falling	-0.9 (-1.6, -0.1)
Walton County, Georgia	Urban	No	168.5 (158.1, 179.4)	N/A	202	falling	-0.9 (-1.2, -0.4)
Warren County, Mississippi	Rural	No	185.0 (169.2, 202.0)	N/A	107	falling	-0.9 (-1.3, -0.6)
Wasco County, Oregon	Rural	No	160.9 (143.1, 180.5)	N/A	64	falling	-0.9 (-1.4, -0.4)
Waseca County, Minnesota	Rural	No	160.4 (138.9, 184.6)	N/A	42	falling	-0.9 (-1.6, -0.2)
Washakie County, Wyoming	Rural	No	152.8 (123.5, 188.2)	N/A	20	stable	-0.9 (-1.9, 0.1)
Washburn County, Wisconsin	Rural	No	184.2 (162.0, 209.3)	N/A	57	falling	-0.9 (-1.5, -0.1)
Washington County, Alabama	Rural	No	153.0 (130.5, 178.7)	N/A	35	falling	-0.9 (-1.6, -0.1)
Waupaca County, Wisconsin	Rural	No	160.2 (147.8, 173.5)	N/A	131	falling	-0.9 (-1.3, -0.5)
Wayne County, North Carolina	Urban	No	192.2 (182.0, 202.8)	N/A	280	falling	-0.9 (-1.2, -0.5)
Weber County, Utah	Urban	Yes	122.3 (116.0, 128.8)	N/A	294	falling	-0.9 (-1.2, -0.7)
Webster Parish, Louisiana	Rural	No	201.8 (184.6, 220.3)	N/A	108	falling	-0.9 (-1.2, -0.5)
White County, Tennessee	Rural	No	176.5 (158.5, 196.3)	N/A	73	falling	-0.9 (-1.3, -0.3)
Wichita County, Texas	Urban	No	185.3 (175.4, 195.6)	N/A	275	falling	-0.9 (-1.1, -0.6)
Wilkinson County, Georgia	Rural	No	166.2 (135.4, 202.8)	N/A	22	stable	-0.9 (-1.9, 0.2)
Wilkinson County, Mississippi	Rural	No	197.6 (161.8, 239.7)	N/A	23	falling	-0.9 (-1.7, -0.1)
Willacy County, Texas	Rural	No	136.3 (115.2, 160.3)	N/A	30	stable	-0.9 (-1.9, 0.2)
Wilson County, Texas	Urban	No	152.9 (139.2, 167.7)	N/A	96	falling	-0.9 (-1.4, -0.2)
Worth County, Georgia	Urban	No	162.1 (141.6, 185.1)	N/A	48	falling	-0.9 (-1.5, -0.2)
Wythe County, Virginia	Rural	No	172.7 (155.3, 191.7)	N/A	76	falling	-0.9 (-1.4, -0.5)
Allegan County, Michigan	Rural	No	161.6 (152.4, 171.2)	N/A	247	falling	-1.0 (-1.3, -0.6)
Anderson County, Kansas	Rural	No	188.8 (154.8, 229.2)	N/A	23	stable	-1.0 (-2.0, 0.0)
Appomattox County, Virginia	Urban	No	151.2 (129.3, 176.1)	N/A	36	falling	-1.0 (-1.8, -0.1)
Aransas County, Texas	Urban	No	179.5 (160.4, 200.6)	N/A	78	falling	-1.0 (-1.5, -0.4)
Arenac County, Michigan	Rural	No	175.0 (151.3, 202.2)	N/A	45	falling	-1.0 (-1.5, -0.4)
Armstrong County, Pennsylvania	Urban	No	160.9 (150.1, 172.4)	N/A	177	falling	-1.0 (-1.4, -0.7)
Aroostook County, Maine	Rural	No	161.7 (151.4, 172.7)	N/A	198	falling	-1.0 (-1.3, -0.7)
Auglaize County, Ohio	Rural	No	168.2 (154.0, 183.5)	N/A	109	falling	-1.0 (-1.5, -0.5)
Barnes County, North Dakota	Rural	No	145.8 (121.1, 175.0)	N/A	27	falling	-1.0 (-1.9, -0.2)
Barry County, Michigan	Urban	No	151.8 (139.9, 164.4)	N/A	129	falling	-1.0 (-1.4, -0.5)
Bates County, Missouri	Urban	No	167.3 (143.5, 194.1)	N/A	38	falling	-1.0 (-1.6, -0.3)
Beaufort County, North Carolina	Rural	No	168.9 (155.5, 183.4)	N/A	127	falling	-1.0 (-1.4, -0.6)
Beaver County, Utah	Rural	No	145.0 (105.8, 193.4)	N/A	10	stable	-1.0 (-2.3, 0.3)
Becker County, Minnesota	Rural	No	144.7 (130.3, 160.5)	N/A	78	falling	-1.0 (-1.4, -0.5)
Bedford City and County, Virginia	Urban	No	158.2 (148.3, 168.8)	N/A	202	falling	-1.0 (-1.3, -0.6)
Bennett County, South Dakota	Rural	No	149.1 (97.2, 219.3)	N/A	5	stable	-1.0 (-2.9, 1.1)
Berkeley County, West Virginia	Urban	No	189.3 (178.8, 200.2)	N/A	264	falling	-1.0 (-1.3, -0.6)
Bladen County, North Carolina	Rural	No	175.8 (158.6, 194.7)	N/A	84	falling	-1.0 (-1.6, -0.3)
Blount County, Alabama	Urban	No	169.9 (157.2, 183.4)	N/A	138	falling	-1.0 (-1.4, -0.5)
Bond County, Illinois	Urban	No	164.1 (140.9, 190.4)	N/A	38	falling	-1.0 (-1.9, -0.2)
Bonneville County, Idaho	Urban	No	131.8 (122.8, 141.2)	N/A	165	falling	-1.0 (-1.4, -0.5)
Bottineau County, North Dakota	Rural	No	135.5 (105.1, 173.6)	N/A	15	stable	-1.0 (-2.4, 0.3)
Bowie County, Texas	Urban	No	180.3 (169.5, 191.7)	N/A	214	falling	-1.0 (-1.4, -0.6)
Bradley County, Tennessee	Urban	No	167.6 (158.0, 177.7)	N/A	236	falling	-1.0 (-1.3, -0.6)
Braxton County, West Virginia	Rural	No	170.0 (145.3, 198.6)	N/A	36	stable	-1.0 (-1.9, 0.0)
Brown County, South Dakota	Rural	No	138.1 (123.6, 153.9)	N/A	71	falling	-1.0 (-1.6, -0.5)
Brown County, Wisconsin	Urban	No	144.1 (138.1, 150.3)	N/A	451	falling	-1.0 (-1.2, -0.8)
Burleson County, Texas	Urban	No	177.7 (155.1, 203.1)	N/A	49	falling	-1.0 (-1.5, -0.5)
Butte County, California	Urban	No	171.1 (164.1, 178.3)	N/A	478	falling	-1.0 (-1.3, -0.7)
Cabell County, West Virginia	Urban	No	180.7 (170.2, 191.7)	N/A	235	falling	-1.0 (-1.2, -0.7)
Calhoun County, Texas	Rural	No	169.3 (147.8, 193.3)	N/A	47	falling	-1.0 (-1.6, -0.3)
Canadian County, Oklahoma	Urban	No	149.3 (140.8, 158.1)	N/A	240	falling	-1.0 (-1.4, -0.6)
Carroll County, Arkansas	Rural	No	162.6 (145.9, 180.9)	N/A	75	falling	-1.0 (-1.6, -0.4)
Carroll County, Missouri	Rural	No	144.2 (116.8, 177.1)	N/A	20	falling	-1.0 (-1.9, -0.2)
Caswell County, North Carolina	Rural	No	173.0 (154.0, 194.2)	N/A	64	falling	-1.0 (-1.5, -0.5)
Cayuga County, New York	Rural	No	146.3 (136.3, 156.9)	N/A	169	falling	-1.0 (-1.5, -0.6)
Charlevoix County, Michigan	Rural	No	158.8 (141.9, 177.5)	N/A	72	falling	-1.0 (-1.4, -0.5)
Chemung County, New York	Urban	No	179.6 (168.8, 190.9)	N/A	219	falling	-1.0 (-1.3, -0.7)
Cherry County, Nebraska	Rural	No	132.0 (98.9, 174.3)	N/A	12	stable	-1.0 (-2.2, 0.1)
Chesterfield County, South Carolina	Rural	No	185.6 (170.0, 202.2)	N/A	112	falling	-1.0 (-5.0, -0.3)
Clark County, Missouri	Rural	No	150.0 (117.9, 189.5)	N/A	16	stable	-1.0 (-2.2, 0.2)
Clark County, Ohio	Urban	No	172.1 (163.8, 180.8)	N/A	338	falling	-1.0 (-1.3, -0.7)
Clark County, South Dakota	Rural	No	131.7 (92.5, 184.6)	N/A	8	stable	-1.0 (-2.4, 0.3)
Colbert County, Alabama	Urban	No	173.6 (160.9, 187.2)	N/A	145	falling	-1.0 (-1.3, -0.6)
Coles County, Illinois	Rural	No	161.5 (147.3, 176.7)	N/A	102	falling	-1.0 (-1.6, -0.3)
Concho County, Texas	Rural	Yes	108.1 (72.2, 159.7)	N/A	6	stable	-1.0 (-2.3, 0.3)
Coos County, Oregon	Rural	No	178.9 (167.6, 190.8)	N/A	212	falling	-1.0 (-1.3, -0.8)
Cortland County, New York	Rural	No	159.9 (145.4, 175.5)	N/A	94	falling	-1.0 (-1.5, -0.6)
Craig County, Oklahoma	Rural	No	170.7 (146.1, 198.8)	N/A	36	falling	-1.0 (-1.7, -0.4)
Craighead County, Arkansas	Urban	No	169.8 (159.2, 180.8)	N/A	199	falling	-1.0 (-2.0, -0.6)
Craven County, North Carolina	Rural	No	172.7 (162.9, 183.0)	N/A	249	falling	-1.0 (-1.2, -0.7)
Crisp County, Georgia	Rural	No	172.0 (150.2, 196.3)	N/A	48	falling	-1.0 (-1.8, -0.2)
Cumberland County, Virginia	Rural	No	182.3 (151.5, 218.3)	N/A	28	falling	-1.0 (-1.7, -0.2)
Cuming County, Nebraska	Rural	No	134.9 (107.9, 167.5)	N/A	19	stable	-1.0 (-2.0, 0.0)
Daviess County, Indiana	Rural	No	154.5 (137.4, 173.3)	N/A	61	falling	-1.0 (-1.3, -0.6)
Dearborn County, Indiana	Urban	No	176.1 (161.9, 191.3)	N/A	120	falling	-1.0 (-1.5, -0.4)
Delaware County, Oklahoma	Rural	No	161.7 (148.0, 176.6)	N/A	114	falling	-1.0 (-1.5, -0.5)
Dickinson County, Iowa	Rural	No	137.3 (119.0, 158.2)	N/A	47	falling	-1.0 (-1.7, -0.4)
Dona Ana County, New Mexico	Urban	No	135.7 (129.3, 142.4)	N/A	348	falling	-1.0 (-1.2, -0.7)
Dougherty County, Georgia	Urban	No	171.9 (160.5, 183.9)	N/A	179	falling	-1.0 (-1.5, -0.6)
Dubois County, Indiana	Rural	No	143.0 (129.2, 157.9)	N/A	83	falling	-1.0 (-1.5, -0.4)
Edgar County, Illinois	Rural	No	168.9 (147.5, 193.1)	N/A	49	falling	-1.0 (-1.5, -0.4)
Elkhart County, Indiana	Urban	No	152.8 (145.8, 160.0)	N/A	367	falling	-1.0 (-1.4, -0.8)
Escambia County, Florida	Urban	No	175.7 (169.9, 181.6)	N/A	735	falling	-1.0 (-1.2, -0.8)
Essex County, Virginia	Rural	No	172.0 (144.2, 204.5)	N/A	30	falling	-1.0 (-1.8, -0.2)
Etowah County, Alabama	Urban	No	179.7 (169.9, 190.0)	N/A	263	falling	-1.0 (-1.5, -0.8)
Faulkner County, Arkansas	Urban	No	150.3 (140.9, 160.2)	N/A	195	falling	-1.0 (-1.3, -0.6)
Flagler County, Florida	Urban	No	148.9 (141.6, 156.6)	N/A	361	falling	-1.0 (-1.3, -0.7)
Franklin County, Alabama	Rural	No	183.8 (165.5, 203.7)	N/A	76	falling	-1.0 (-1.6, -0.4)
Franklin County, Missouri	Urban	No	165.6 (156.0, 175.7)	N/A	235	falling	-1.0 (-1.3, -0.7)
Fremont County, Colorado	Rural	No	145.4 (133.4, 158.5)	N/A	113	falling	-1.0 (-1.4, -0.6)
Furnas County, Nebraska	Rural	No	153.8 (114.3, 204.5)	N/A	12	stable	-1.0 (-2.1, 0.0)
Garrett County, Maryland	Rural	No	131.5 (116.9, 147.7)	N/A	64	falling	-1.0 (-1.5, -0.5)
Gasconade County, Missouri	Rural	No	163.1 (140.5, 188.9)	N/A	41	falling	-1.0 (-1.6, -0.4)
Giles County, Tennessee	Rural	No	168.5 (151.5, 187.2)	N/A	76	falling	-1.0 (-1.6, -0.4)
Giles County, Virginia	Urban	No	187.5 (164.4, 213.5)	N/A	50	falling	-1.0 (-1.6, -0.4)
Grant County, Kentucky	Urban	No	187.8 (164.8, 213.2)	N/A	51	falling	-1.0 (-1.6, -0.3)
Greene County, Alabama	Urban	No	181.7 (147.6, 222.3)	N/A	22	falling	-1.0 (-1.9, -0.1)
Greenwood County, Kansas	Rural	No	175.9 (140.5, 219.6)	N/A	19	falling	-1.0 (-2.0, -0.1)
Grundy County, Illinois	Urban	No	173.4 (158.5, 189.4)	N/A	103	falling	-1.0 (-1.4, -0.6)
Hancock County, Indiana	Urban	No	154.1 (143.3, 165.5)	N/A	157	falling	-1.0 (-1.3, -0.6)
Hardin County, Iowa	Rural	No	155.0 (134.4, 178.5)	N/A	45	falling	-1.0 (-1.6, -0.5)
Henderson County, Texas	Rural	No	185.1 (174.4, 196.4)	N/A	240	falling	-1.0 (-1.3, -0.6)
Hernando County, Florida	Urban	No	165.9 (159.7, 172.3)	N/A	608	falling	-1.0 (-1.2, -0.8)
Highlands County, Florida	Urban	No	142.7 (134.9, 151.0)	N/A	332	falling	-1.0 (-1.3, -0.6)
Howard County, Texas	Rural	No	159.8 (141.6, 179.8)	N/A	58	falling	-1.0 (-1.5, -0.5)
Ionia County, Michigan	Urban	No	162.3 (149.4, 176.1)	N/A	123	falling	-1.0 (-1.4, -0.5)
Iowa County, Wisconsin	Urban	No	145.0 (126.6, 165.6)	N/A	47	falling	-1.0 (-1.6, -0.3)
Iron County, Missouri	Rural	No	207.7 (176.0, 244.4)	N/A	32	falling	-1.0 (-1.7, -0.3)
Jasper County, Georgia	Urban	No	161.5 (136.9, 189.7)	N/A	32	falling	-1.0 (-1.7, -0.1)
Jasper County, Illinois	Rural	No	157.9 (130.1, 191.0)	N/A	24	falling	-1.0 (-2.0, -0.1)
Jasper County, Iowa	Urban	No	154.6 (139.9, 170.6)	N/A	85	falling	-1.0 (-1.5, -0.4)
Jasper County, Texas	Rural	No	191.7 (173.8, 211.1)	N/A	91	falling	-1.0 (-1.6, -0.5)
Jefferson County, Arkansas	Rural	No	184.1 (171.4, 197.6)	N/A	164	falling	-1.0 (-1.3, -0.7)
Jefferson County, Ohio	Urban	No	184.4 (172.4, 197.1)	N/A	189	falling	-1.0 (-1.3, -0.8)
Jenkins County, Georgia	Rural	No	166.7 (133.7, 205.9)	N/A	18	stable	-1.0 (-2.0, 0.0)
Jennings County, Indiana	Rural	No	200.4 (179.5, 223.1)	N/A	71	falling	-1.0 (-2.3, -0.5)
Johnson County, Illinois	Rural	No	156.7 (132.6, 184.6)	N/A	31	falling	-1.0 (-1.9, -0.1)
Johnson County, Texas	Urban	No	166.0 (157.8, 174.4)	N/A	325	falling	-1.0 (-1.3, -0.7)
Kershaw County, South Carolina	Urban	No	183.3 (170.7, 196.7)	N/A	166	falling	-1.0 (-1.3, -0.6)
Kimble County, Texas	Rural	No	176.7 (133.7, 232.0)	N/A	14	stable	-1.0 (-1.9, 0.0)
Kingsbury County, South Dakota	Rural	No	134.7 (101.2, 177.8)	N/A	12	falling	-1.0 (-2.0, -0.1)
Knox County, Maine	Rural	No	155.1 (142.2, 169.2)	N/A	116	falling	-1.0 (-1.5, -0.6)
Knox County, Ohio	Rural	No	163.3 (151.1, 176.4)	N/A	139	falling	-1.0 (-1.4, -0.6)
Lackawanna County, Pennsylvania	Urban	No	163.6 (157.2, 170.1)	N/A	527	falling	-1.0 (-1.2, -0.8)
Lamar County, Georgia	Rural	No	158.8 (136.4, 184.2)	N/A	38	falling	-1.0 (-1.7, -0.3)
Lamoille County, Vermont	Rural	No	154.8 (136.5, 175.1)	N/A	54	falling	-1.0 (-1.5, -0.5)
Lapeer County, Michigan	Urban	No	163.2 (153.0, 174.0)	N/A	205	falling	-1.0 (-1.4, -0.6)
Lebanon County, Pennsylvania	Urban	No	149.4 (142.0, 157.2)	N/A	318	falling	-1.0 (-1.3, -0.7)
Leon County, Texas	Rural	No	183.9 (160.8, 210.0)	N/A	50	falling	-1.0 (-1.7, -0.3)
Lincoln County, Oregon	Rural	No	169.9 (157.3, 183.4)	N/A	163	falling	-1.0 (-1.3, -0.6)
Lincoln County, Tennessee	Rural	No	172.3 (156.2, 189.9)	N/A	88	falling	-1.0 (-1.6, -0.3)
Live Oak County, Texas	Rural	No	151.4 (124.8, 182.5)	N/A	25	falling	-1.0 (-1.9, -0.1)
Logan County, West Virginia	Rural	No	210.8 (192.3, 230.8)	N/A	104	falling	-1.0 (-1.5, -0.6)
Lumpkin County, Georgia	Urban	No	159.3 (142.1, 178.3)	N/A	67	falling	-1.0 (-1.7, -0.1)
Lunenburg County, Virginia	Rural	No	159.9 (134.7, 189.2)	N/A	30	falling	-1.0 (-1.8, -0.3)
Macomb County, Michigan	Urban	No	162.6 (159.3, 166.0)	N/A	1,906	falling	-1.0 (-1.1, -0.9)
Madera County, California	Urban	No	140.1 (132.0, 148.6)	N/A	229	falling	-1.0 (-1.4, -0.7)
Madison County, Tennessee	Urban	No	163.2 (153.2, 173.8)	N/A	208	falling	-1.0 (-1.3, -0.6)
Manitowoc County, Wisconsin	Rural	No	143.4 (133.9, 153.4)	N/A	183	falling	-1.0 (-1.3, -0.7)
Marion County, Ohio	Rural	No	167.1 (155.0, 179.9)	N/A	148	falling	-1.0 (-1.4, -0.6)
Marlboro County, South Carolina	Rural	No	192.1 (171.9, 214.1)	N/A	70	falling	-1.0 (-1.9, -0.6)
Matanuska-Susitna Borough, Alaska	Urban	No	162.5 (150.7, 174.9)	N/A	165	falling	-1.0 (-1.5, -0.3)
Mecklenburg County, Virginia	Rural	No	174.0 (158.2, 191.3)	N/A	98	falling	-1.0 (-1.4, -0.6)
Medina County, Texas	Urban	No	144.2 (131.1, 158.2)	N/A	93	falling	-1.0 (-1.4, -0.6)
Mercer County, Kentucky	Rural	No	190.9 (169.7, 214.2)	N/A	62	falling	-1.0 (-1.6, -0.3)
Meriwether County, Georgia	Urban	No	176.8 (156.1, 199.8)	N/A	56	falling	-1.0 (-1.6, -0.4)
Miami County, Ohio	Urban	No	160.2 (151.1, 169.7)	N/A	244	falling	-1.0 (-1.2, -0.8)
Montcalm County, Michigan	Urban	No	177.3 (164.9, 190.5)	N/A	157	falling	-1.0 (-1.4, -0.6)
Montour County, Pennsylvania	Rural	No	150.1 (129.5, 173.4)	N/A	42	falling	-1.0 (-1.8, -0.3)
Morgan County, Indiana	Urban	No	176.2 (164.2, 189.0)	N/A	168	falling	-1.0 (-3.1, -0.4)
Murray County, Minnesota	Rural	No	126.1 (102.0, 155.9)	N/A	20	stable	-1.0 (-2.1, 0.2)
Musselshell County, Montana	Rural	No	169.2 (129.3, 220.1)	N/A	14	stable	-1.0 (-2.2, 0.2)
Navajo County, Arizona	Rural	No	139.9 (131.0, 149.3)	N/A	198	falling	-1.0 (-1.3, -0.6)
Newaygo County, Michigan	Rural	No	163.2 (149.8, 177.6)	N/A	118	falling	-1.0 (-1.5, -0.5)
Obion County, Tennessee	Rural	No	183.6 (166.2, 202.6)	N/A	85	falling	-1.0 (-5.1, -0.5)
Otsego County, Michigan	Rural	No	158.5 (140.6, 178.4)	N/A	61	falling	-1.0 (-1.5, -0.3)
Otter Tail County, Minnesota	Rural	No	141.8 (131.2, 153.2)	N/A	148	falling	-1.0 (-1.4, -0.5)
Palo Pinto County, Texas	Rural	No	187.7 (168.9, 208.3)	N/A	77	falling	-1.0 (-1.7, -0.4)
Park County, Colorado	Urban	Yes	110.8 (90.6, 134.7)	N/A	29	stable	-1.0 (-2.3, 0.8)
Pawnee County, Oklahoma	Urban	No	185.2 (160.2, 213.4)	N/A	41	falling	-1.0 (-5.3, -0.3)
Peoria County, Illinois	Urban	No	166.3 (158.9, 174.0)	N/A	392	falling	-1.0 (-1.3, -0.8)
Perry County, Illinois	Rural	No	166.5 (145.8, 189.7)	N/A	49	falling	-1.0 (-1.5, -0.4)
Petersburg City, Virginia	Urban	No	246.8 (225.2, 269.9)	N/A	104	falling	-1.0 (-1.4, -0.5)
Pickens County, South Carolina	Urban	No	150.9 (142.4, 159.7)	N/A	249	falling	-1.0 (-1.3, -0.7)
Pierce County, Wisconsin	Urban	No	142.3 (127.3, 158.6)	N/A	69	falling	-1.0 (-1.6, -0.5)
Pike County, Alabama	Rural	No	172.1 (153.3, 192.7)	N/A	64	falling	-1.0 (-1.6, -0.4)
Pittsylvania County, Virginia	Rural	No	159.7 (148.3, 171.9)	N/A	160	falling	-1.0 (-1.4, -0.6)
Polk County, Minnesota	Urban	No	169.0 (151.9, 187.7)	N/A	76	falling	-1.0 (-1.6, -0.5)
Polk County, Wisconsin	Rural	No	158.6 (145.4, 172.7)	N/A	114	falling	-1.0 (-1.4, -0.6)
Pondera County, Montana	Rural	No	168.6 (131.2, 214.8)	N/A	16	stable	-1.0 (-2.0, 0.0)
Pope County, Minnesota	Rural	No	147.1 (121.9, 176.7)	N/A	27	falling	-1.0 (-1.7, -0.3)
Poquoson City, Virginia	Urban	No	160.9 (135.5, 190.2)	N/A	29	stable	-1.0 (-2.5, 3.0)
Pottawattamie County, Iowa	Urban	No	174.8 (164.3, 185.9)	N/A	216	falling	-1.0 (-4.0, -0.4)
Price County, Wisconsin	Rural	No	138.6 (118.5, 162.1)	N/A	38	falling	-1.0 (-1.9, -0.1)
Redwood County, Minnesota	Rural	No	135.8 (115.2, 159.6)	N/A	33	falling	-1.0 (-1.6, -0.4)
Richland County, Montana	Rural	No	162.9 (133.0, 197.8)	N/A	22	falling	-1.0 (-1.8, -0.2)
Richmond County, Georgia	Urban	No	184.8 (176.7, 193.2)	N/A	417	falling	-1.0 (-1.3, -0.8)
Rock County, Wisconsin	Urban	No	156.8 (149.2, 164.7)	N/A	335	falling	-1.0 (-1.3, -0.8)
Rusk County, Texas	Urban	No	171.8 (157.8, 186.7)	N/A	116	falling	-1.0 (-1.4, -0.6)
Sabine County, Texas	Rural	No	171.8 (144.9, 203.6)	N/A	35	falling	-1.0 (-1.7, -0.2)
Saluda County, South Carolina	Urban	No	164.0 (143.5, 186.9)	N/A	48	falling	-1.0 (-1.6, -0.2)
Sanpete County, Utah	Rural	No	128.1 (110.1, 148.3)	N/A	37	falling	-1.0 (-1.7, -0.3)
Santa Rosa County, Florida	Urban	No	158.5 (151.1, 166.1)	N/A	366	falling	-1.0 (-1.4, -0.6)
Sherman County, Kansas	Rural	Yes	115.1 (85.6, 153.1)	N/A	11	stable	-1.0 (-2.5, 0.5)
Shiawassee County, Michigan	Rural	No	161.8 (150.3, 174.0)	N/A	155	falling	-1.0 (-1.3, -0.7)
Siskiyou County, California	Rural	No	165.5 (151.9, 180.2)	N/A	126	falling	-1.0 (-1.3, -0.6)
Somerset County, Maine	Rural	No	181.3 (167.8, 195.6)	N/A	145	falling	-1.0 (-1.3, -0.6)
Southeast Fairbanks Census Area, Alaska	Rural	No	156.8 (114.8, 208.6)	N/A	11	stable	-1.0 (-2.2, 0.5)
St. Charles Parish, Louisiana	Urban	No	171.7 (156.2, 188.4)	N/A	97	falling	-1.0 (-1.4, -0.5)
St. Clair County, Missouri	Rural	No	186.0 (156.2, 221.0)	N/A	32	falling	-1.0 (-1.7, -0.2)
St. Joseph County, Indiana	Urban	No	165.9 (159.6, 172.3)	N/A	555	falling	-1.0 (-1.1, -0.8)
St. Marys County, Maryland	Urban	No	169.4 (159.0, 180.2)	N/A	209	falling	-1.0 (-1.3, -0.7)
Stanislaus County, California	Urban	No	156.9 (152.3, 161.6)	N/A	891	falling	-1.0 (-3.1, -0.5)
Stark County, North Dakota	Rural	No	132.3 (115.4, 151.0)	N/A	48	falling	-1.0 (-1.7, -0.4)
Stephens County, Texas	Rural	No	177.3 (145.8, 214.3)	N/A	23	falling	-1.0 (-1.6, -0.5)
Steuben County, New York	Rural	No	172.6 (162.8, 183.0)	N/A	241	falling	-1.0 (-1.3, -0.7)
Stokes County, North Carolina	Urban	No	166.9 (153.3, 181.6)	N/A	119	falling	-1.0 (-1.4, -0.5)
Sumner County, Kansas	Urban	No	179.9 (159.4, 202.5)	N/A	60	falling	-1.0 (-1.4, -0.5)
Sumter County, Florida	Urban	No	132.0 (125.0, 139.5)	N/A	554	falling	-1.0 (-1.4, -0.6)
Taylor County, Texas	Urban	No	161.5 (152.6, 170.8)	N/A	256	falling	-1.0 (-1.3, -0.7)
Tazewell County, Illinois	Urban	No	160.8 (152.6, 169.3)	N/A	304	falling	-1.0 (-1.3, -0.8)
Terrebonne Parish, Louisiana	Urban	No	184.9 (174.2, 196.0)	N/A	235	falling	-1.0 (-1.3, -0.7)
Thomas County, Georgia	Rural	No	176.0 (161.1, 191.9)	N/A	108	falling	-1.0 (-1.4, -0.5)
Throckmorton County, Texas	Rural	No	124.9 (76.0, 208.3)	N/A	4	stable	-1.0 (-2.7, 0.8)
Towns County, Georgia	Rural	No	126.3 (106.7, 150.2)	N/A	37	stable	-1.0 (-1.9, 0.1)
Umatilla County, Oregon	Rural	No	155.5 (144.3, 167.4)	N/A	147	falling	-1.0 (-1.3, -0.5)
Union County, New Mexico	Rural	No	171.6 (126.2, 229.9)	N/A	10	stable	-1.0 (-2.2, 0.3)
Union County, Oregon	Rural	No	155.5 (137.7, 175.1)	N/A	60	falling	-1.0 (-1.5, -0.5)
Union County, Pennsylvania	Rural	No	130.9 (118.1, 144.9)	N/A	80	falling	-1.0 (-1.4, -0.6)
Union Parish, Louisiana	Urban	No	196.3 (174.5, 220.5)	N/A	64	falling	-1.0 (-1.6, -0.4)
Volusia County, Florida	Urban	No	160.1 (156.5, 163.8)	N/A	1,584	falling	-1.0 (-1.1, -0.8)
Wabasha County, Minnesota	Urban	No	143.4 (125.8, 163.2)	N/A	51	falling	-1.0 (-1.5, -0.4)
Warren County, Iowa	Urban	No	131.5 (119.3, 144.8)	N/A	87	falling	-1.0 (-1.5, -0.4)
Washington County, Colorado	Rural	No	156.8 (118.1, 205.9)	N/A	12	stable	-1.0 (-2.4, 0.3)
Washington County, Illinois	Rural	No	144.6 (121.8, 171.1)	N/A	30	falling	-1.0 (-1.8, -0.2)
Washington County, Nebraska	Urban	No	149.1 (129.1, 171.6)	N/A	42	falling	-1.0 (-1.6, -0.4)
Washington County, Pennsylvania	Urban	No	165.7 (159.3, 172.3)	N/A	538	falling	-1.0 (-1.2, -0.8)
Washington County, Virginia	Urban	No	164.7 (152.4, 177.8)	N/A	146	falling	-1.0 (-1.4, -0.6)
Waushara County, Wisconsin	Rural	No	157.8 (140.8, 176.8)	N/A	69	falling	-1.0 (-1.5, -0.4)
Webster County, Iowa	Rural	No	157.3 (142.0, 173.9)	N/A	84	falling	-1.0 (-1.4, -0.5)
Wright County, Minnesota	Urban	No	145.6 (136.8, 154.8)	N/A	213	falling	-1.0 (-1.3, -0.6)
Wyoming County, New York	Rural	No	152.8 (138.4, 168.4)	N/A	87	falling	-1.0 (-1.4, -0.5)
Adams County, Iowa	Rural	Yes	116.0 (81.0, 164.8)	N/A	8	stable	-1.1 (-2.4, 0.0)
Alger County, Michigan	Rural	No	144.9 (118.1, 177.4)	N/A	22	falling	-1.1 (-1.9, -0.3)
Allegany County, Maryland	Rural	No	158.1 (147.2, 169.7)	N/A	164	falling	-1.1 (-1.5, -0.8)
Amelia County, Virginia	Urban	No	178.1 (152.3, 207.5)	N/A	36	falling	-1.1 (-1.8, -0.2)
Bandera County, Texas	Urban	No	153.3 (136.0, 173.0)	N/A	63	falling	-1.1 (-1.7, -0.4)
Barbour County, Alabama	Rural	No	180.6 (161.2, 202.1)	N/A	65	falling	-1.1 (-1.8, -0.4)
Bartow County, Georgia	Urban	No	177.7 (167.0, 188.9)	N/A	219	falling	-1.1 (-1.5, -0.6)
Bath County, Virginia	Rural	No	171.8 (133.3, 222.1)	N/A	14	stable	-1.1 (-2.4, 0.2)
Beltrami County, Minnesota	Rural	No	143.7 (129.6, 159.0)	N/A	81	falling	-1.1 (-1.5, -0.6)
Bennington County, Vermont	Rural	No	160.4 (146.0, 176.1)	N/A	100	falling	-1.1 (-1.5, -0.8)
Benton County, Missouri	Rural	No	193.2 (173.2, 215.6)	N/A	79	falling	-1.1 (-1.6, -0.6)
Benton County, Oregon	Urban	No	124.0 (114.8, 133.7)	N/A	143	falling	-1.1 (-1.5, -0.6)
Berks County, Pennsylvania	Urban	No	148.0 (143.5, 152.6)	N/A	849	falling	-1.1 (-1.3, -1.0)
Berrien County, Michigan	Urban	No	162.0 (154.5, 169.7)	N/A	373	falling	-1.1 (-1.4, -0.8)
Bibb County, Alabama	Urban	No	170.1 (149.2, 193.2)	N/A	49	falling	-1.1 (-1.6, -0.5)
Bowman County, North Dakota	Rural	No	137.3 (93.9, 197.9)	N/A	7	stable	-1.1 (-2.4, 0.3)
Breckinridge County, Kentucky	Rural	No	196.1 (173.7, 220.9)	N/A	59	falling	-1.1 (-1.5, -0.6)
Brooke County, West Virginia	Urban	No	162.5 (144.2, 183.0)	N/A	62	falling	-1.1 (-1.6, -0.6)
Buckingham County, Virginia	Rural	No	161.3 (139.3, 186.1)	N/A	40	falling	-1.1 (-2.0, -0.2)
Cameron County, Pennsylvania	Rural	No	171.2 (132.9, 220.9)	N/A	15	stable	-1.1 (-2.4, 0.2)
Carroll County, Illinois	Rural	No	169.0 (146.7, 194.3)	N/A	45	falling	-1.1 (-1.7, -0.5)
Cass County, Indiana	Rural	No	170.1 (154.4, 187.2)	N/A	89	falling	-1.1 (-1.5, -0.6)
Chaffee County, Colorado	Rural	Yes	115.5 (99.1, 134.3)	N/A	39	stable	-1.1 (-2.1, 0.0)
Cheboygan County, Michigan	Rural	No	158.5 (142.0, 177.0)	N/A	76	falling	-1.1 (-1.6, -0.4)
Choctaw County, Mississippi	Rural	No	144.0 (115.6, 178.3)	N/A	19	falling	-1.1 (-2.1, -0.2)
Cibola County, New Mexico	Rural	No	126.7 (110.1, 145.3)	N/A	44	falling	-1.1 (-1.7, -0.4)
Cleburne County, Alabama	Rural	No	171.8 (147.8, 199.1)	N/A	38	falling	-1.1 (-1.9, -0.2)
Cochise County, Arizona	Urban	No	148.9 (141.2, 156.9)	N/A	304	falling	-1.1 (-1.3, -0.8)
Codington County, South Dakota	Rural	No	145.9 (129.3, 164.4)	N/A	59	falling	-1.1 (-1.6, -0.5)
Colquitt County, Georgia	Rural	No	159.9 (145.0, 176.0)	N/A	86	falling	-1.1 (-1.4, -0.8)
Columbia County, Wisconsin	Urban	No	155.9 (143.8, 168.9)	N/A	128	falling	-1.1 (-1.5, -0.7)
Comanche County, Oklahoma	Urban	No	180.7 (170.1, 191.9)	N/A	224	falling	-1.1 (-2.7, -0.8)
Coosa County, Alabama	Rural	No	161.6 (134.4, 193.9)	N/A	28	falling	-1.1 (-1.9, -0.3)
Copiah County, Mississippi	Urban	No	172.8 (153.9, 193.5)	N/A	65	falling	-1.1 (-1.6, -0.6)
Crittenden County, Arkansas	Urban	No	207.4 (190.1, 226.0)	N/A	111	stable	-1.1 (-8.8, 0.3)
Crow Wing County, Minnesota	Rural	No	148.3 (138.0, 159.4)	N/A	166	falling	-1.1 (-1.4, -0.7)
Daviess County, Kentucky	Urban	No	167.8 (157.9, 178.3)	N/A	222	falling	-1.1 (-1.4, -0.8)
Dawson County, Nebraska	Rural	No	138.6 (120.3, 159.0)	N/A	43	falling	-1.1 (-1.7, -0.5)
Dewey County, Oklahoma	Rural	No	162.8 (120.8, 216.3)	N/A	10	falling	-1.1 (-2.1, -0.2)
Douglas County, Kansas	Urban	No	137.1 (127.4, 147.3)	N/A	155	falling	-1.1 (-1.5, -0.7)
Edgecombe County, North Carolina	Urban	No	189.9 (175.6, 205.3)	N/A	139	stable	-1.1 (-3.1, 0.4)
Elk County, Pennsylvania	Rural	No	159.2 (143.8, 176.0)	N/A	84	falling	-1.1 (-1.5, -0.7)
Erath County, Texas	Rural	No	147.7 (132.0, 164.8)	N/A	67	falling	-1.1 (-1.8, -0.4)
Fannin County, Georgia	Rural	No	156.9 (140.1, 175.7)	N/A	78	falling	-1.1 (-1.5, -0.6)
Fayette County, Illinois	Rural	No	159.9 (140.2, 182.0)	N/A	49	falling	-1.1 (-1.8, -0.4)
Floyd County, Georgia	Urban	No	176.5 (166.0, 187.5)	N/A	219	falling	-1.1 (-1.4, -0.8)
Floyd County, Iowa	Rural	No	154.4 (133.0, 178.8)	N/A	39	falling	-1.1 (-1.7, -0.5)
Fond du Lac County, Wisconsin	Urban	No	140.4 (131.8, 149.4)	N/A	209	falling	-1.1 (-1.4, -0.7)
Franklin County, Maine	Rural	No	165.3 (148.7, 183.5)	N/A	80	falling	-1.1 (-1.6, -0.6)
Franklin County, Vermont	Urban	No	161.8 (147.8, 176.8)	N/A	104	falling	-1.1 (-1.6, -0.6)
Fulton County, New York	Rural	No	164.2 (151.4, 177.9)	N/A	130	falling	-1.1 (-1.5, -0.8)
Gooding County, Idaho	Rural	No	133.2 (111.7, 157.9)	N/A	28	falling	-1.1 (-1.9, -0.3)
Graham County, Arizona	Rural	No	142.7 (126.6, 160.3)	N/A	58	falling	-1.1 (-1.6, -0.5)
Greene County, North Carolina	Rural	No	176.3 (153.7, 201.5)	N/A	46	stable	-1.1 (-11.6, 0.7)
Greenup County, Kentucky	Urban	No	176.2 (160.7, 193.1)	N/A	98	falling	-1.1 (-1.6, -0.6)
Greenwood County, South Carolina	Rural	No	164.3 (152.8, 176.4)	N/A	160	falling	-1.1 (-1.5, -0.7)
Haakon County, South Dakota	Rural	No	142.0 (92.0, 219.3)	N/A	5	stable	-1.1 (-2.9, 0.7)
Hancock County, Georgia	Rural	No	166.8 (136.6, 203.2)	N/A	23	stable	-1.1 (-2.1, 0.0)
Hancock County, Iowa	Rural	No	131.3 (107.5, 159.6)	N/A	24	falling	-1.1 (-2.1, -0.1)
Hancock County, West Virginia	Urban	No	168.6 (152.3, 186.5)	N/A	84	falling	-1.1 (-1.6, -0.5)
Hardy County, West Virginia	Rural	No	156.0 (132.8, 182.7)	N/A	35	falling	-1.1 (-1.7, -0.5)
Hawaii County, Hawaii ⁸	Rural	No	136.7 (130.6, 143.0)	N/A	420	falling	-1.1 (-1.6, -0.6)
Henderson County, Illinois	Rural	No	145.8 (115.5, 183.7)	N/A	18	falling	-1.1 (-2.1, -0.2)
Henderson County, North Carolina	Urban	No	145.6 (138.1, 153.6)	N/A	307	falling	-1.1 (-1.4, -0.7)
Henry County, Georgia	Urban	No	156.5 (149.0, 164.3)	N/A	360	falling	-1.1 (-1.3, -0.8)
Houston County, Minnesota	Urban	No	139.0 (120.1, 160.6)	N/A	42	falling	-1.1 (-1.6, -0.6)
Hubbard County, Minnesota	Rural	No	146.5 (128.7, 166.5)	N/A	55	falling	-1.1 (-1.8, -0.4)
Indian River County, Florida	Urban	No	152.6 (146.2, 159.3)	N/A	555	falling	-1.1 (-1.3, -0.8)
Iron County, Wisconsin	Rural	No	151.5 (122.6, 188.8)	N/A	22	falling	-1.1 (-2.0, -0.2)
Itasca County, Minnesota	Rural	No	160.0 (147.0, 174.1)	N/A	123	falling	-1.1 (-1.5, -0.8)
Jack County, Texas	Rural	No	174.6 (141.2, 214.1)	N/A	19	falling	-1.1 (-2.0, -0.2)
Jasper County, Indiana	Urban	No	161.2 (144.8, 179.2)	N/A	73	falling	-1.1 (-1.7, -0.4)
Jefferson Davis County, Mississippi	Rural	No	178.2 (150.1, 210.7)	N/A	32	falling	-1.1 (-1.9, -0.4)
Johnson County, Indiana	Urban	No	159.9 (151.8, 168.3)	N/A	300	falling	-1.1 (-1.3, -0.7)
Kalamazoo County, Michigan	Urban	No	155.3 (149.0, 161.9)	N/A	470	falling	-1.1 (-1.4, -0.8)
Kandiyohi County, Minnesota	Rural	No	137.7 (124.5, 152.1)	N/A	85	falling	-1.1 (-1.5, -0.7)
Kenosha County, Wisconsin	Urban	No	159.3 (151.3, 167.6)	N/A	313	falling	-1.1 (-1.4, -0.8)
Kent County, Delaware	Urban	No	168.1 (160.6, 175.9)	N/A	394	falling	-1.1 (-1.4, -0.9)
Kent County, Michigan	Urban	No	151.8 (147.7, 156.0)	N/A	1,084	falling	-1.1 (-1.2, -0.9)
Kerr County, Texas	Rural	No	149.3 (138.1, 161.3)	N/A	153	falling	-1.1 (-1.4, -0.7)
La Salle Parish, Louisiana	Rural	No	176.7 (149.9, 207.3)	N/A	32	falling	-1.1 (-1.9, -0.2)
Lamar County, Alabama	Rural	No	170.3 (146.2, 197.8)	N/A	38	falling	-1.1 (-2.4, -0.6)
Lampasas County, Texas	Urban	No	185.5 (164.3, 209.0)	N/A	58	falling	-1.1 (-1.7, -0.4)
Laramie County, Wyoming	Urban	No	159.1 (149.1, 169.7)	N/A	196	falling	-1.1 (-1.6, -0.6)
Latimer County, Oklahoma	Rural	No	175.9 (146.9, 209.9)	N/A	27	falling	-1.1 (-1.9, -0.2)
Lee County, Illinois	Rural	No	162.4 (146.9, 179.3)	N/A	85	falling	-1.1 (-1.6, -0.6)
Llano County, Texas	Rural	No	152.8 (135.2, 172.7)	N/A	76	falling	-1.1 (-1.5, -0.7)
Logan County, North Dakota	Rural	Yes	103.0 (58.6, 176.7)	N/A	4	stable	-1.1 (-2.7, 0.3)
Logan County, Oklahoma	Urban	No	152.4 (138.7, 167.3)	N/A	95	falling	-1.1 (-1.5, -0.6)
Lowndes County, Alabama	Urban	No	165.2 (136.4, 198.9)	N/A	25	falling	-1.1 (-1.8, -0.3)
Luce County, Michigan	Rural	No	197.8 (158.0, 246.8)	N/A	19	stable	-1.1 (-2.1, 0.0)
Lyon County, Kentucky	Rural	No	168.9 (139.6, 204.2)	N/A	25	falling	-1.1 (-2.0, -0.1)
Madison County, Iowa	Urban	No	166.6 (142.6, 193.7)	N/A	36	falling	-1.1 (-1.8, -0.3)
Madison County, Kentucky	Rural	No	172.2 (160.7, 184.4)	N/A	173	falling	-1.1 (-1.6, -0.5)
Madison County, Nebraska	Rural	No	136.9 (121.4, 153.9)	N/A	61	falling	-1.1 (-1.5, -0.7)
Manistee County, Michigan	Rural	No	171.0 (153.7, 190.2)	N/A	79	falling	-1.1 (-1.5, -0.7)
Marion County, Georgia	Urban	No	143.5 (114.1, 179.5)	N/A	18	stable	-1.1 (-2.1, 0.2)
Marion County, Texas	Rural	No	148.2 (123.7, 177.7)	N/A	28	falling	-1.1 (-2.0, -0.2)
Marshall County, Indiana	Rural	No	153.9 (140.0, 168.8)	N/A	95	falling	-1.1 (-1.5, -0.7)
Marshall County, Minnesota	Rural	No	150.2 (123.0, 182.7)	N/A	23	falling	-1.1 (-1.9, -0.4)
Marshall County, West Virginia	Urban	No	163.0 (146.9, 180.7)	N/A	81	falling	-1.1 (-1.6, -0.6)
Mason County, Washington	Rural	No	168.1 (156.8, 180.2)	N/A	179	falling	-1.1 (-1.4, -0.6)
Mason County, West Virginia	Rural	No	201.1 (181.5, 222.6)	N/A	81	falling	-1.1 (-1.6, -0.6)
Maui County, Hawaii ⁸	Urban	No	129.9 (123.2, 137.0)	N/A	297	falling	-1.1 (-1.6, -0.6)
McCracken County, Kentucky	Urban	No	165.9 (154.4, 178.1)	N/A	164	falling	-1.1 (-1.3, -0.8)
McLean County, Illinois	Urban	No	149.5 (141.5, 157.8)	N/A	273	falling	-1.1 (-1.3, -0.9)
Meade County, Kentucky	Urban	No	183.5 (163.4, 205.5)	N/A	65	falling	-1.1 (-1.7, -0.4)
Meade County, South Dakota	Urban	No	151.7 (133.6, 171.6)	N/A	54	falling	-1.1 (-1.9, -0.3)
Meigs County, Ohio	Rural	No	185.2 (164.1, 208.5)	N/A	60	falling	-1.1 (-1.7, -0.6)
Merrimack County, New Hampshire	Rural	No	148.9 (141.4, 156.7)	N/A	317	falling	-1.1 (-1.4, -0.8)
Midland County, Texas	Urban	No	142.6 (133.7, 151.8)	N/A	206	falling	-1.1 (-1.4, -0.8)
Mitchell County, Georgia	Rural	No	182.2 (160.5, 206.3)	N/A	53	falling	-1.1 (-1.7, -0.5)
Monroe County, Michigan	Urban	No	165.9 (158.1, 174.0)	N/A	358	falling	-1.1 (-1.3, -0.8)
Monroe County, Missouri	Rural	No	166.7 (136.6, 202.5)	N/A	24	falling	-1.1 (-2.0, -0.3)
Montague County, Texas	Rural	No	168.5 (148.7, 190.6)	N/A	55	falling	-1.1 (-1.7, -0.5)
Montgomery County, Illinois	Rural	No	178.6 (160.9, 198.1)	N/A	79	falling	-1.1 (-1.5, -0.7)
Montgomery County, New York	Rural	No	160.1 (146.9, 174.3)	N/A	114	falling	-1.1 (-1.6, -0.6)
Mora County, New Mexico	Rural	Yes	120.7 (86.9, 167.2)	N/A	10	stable	-1.1 (-2.8, 0.7)
Morton County, North Dakota	Urban	No	154.4 (137.4, 173.1)	N/A	64	falling	-1.1 (-1.7, -0.4)
Mower County, Minnesota	Rural	No	136.1 (122.5, 151.0)	N/A	77	falling	-1.1 (-1.6, -0.5)
Navarro County, Texas	Rural	No	164.6 (150.7, 179.4)	N/A	109	falling	-1.1 (-1.7, -0.4)
Northumberland County, Pennsylvania	Rural	No	164.4 (154.9, 174.3)	N/A	240	falling	-1.1 (-1.4, -0.8)
Oconee County, South Carolina	Rural	No	146.4 (136.7, 156.7)	N/A	186	falling	-1.1 (-1.5, -0.7)
Oconto County, Wisconsin	Urban	No	149.4 (135.4, 164.7)	N/A	90	falling	-1.1 (-1.6, -0.6)
Ogemaw County, Michigan	Rural	No	187.4 (167.2, 210.0)	N/A	72	falling	-1.1 (-1.7, -0.6)
Oktibbeha County, Mississippi	Rural	No	155.1 (139.0, 172.5)	N/A	71	falling	-1.1 (-1.6, -0.5)
Oneida County, New York	Urban	No	155.5 (149.4, 161.8)	N/A	517	falling	-1.1 (-1.3, -0.9)
Orange County, Virginia	Rural	No	183.4 (167.2, 201.0)	N/A	99	falling	-1.1 (-1.5, -0.6)
Orleans County, Vermont	Rural	No	162.8 (145.7, 181.7)	N/A	71	falling	-1.1 (-1.4, -0.7)
Oswego County, New York	Urban	No	166.0 (156.6, 175.7)	N/A	252	falling	-1.1 (-1.4, -0.8)
Otsego County, New York	Rural	No	151.5 (139.8, 164.1)	N/A	136	falling	-1.1 (-1.6, -0.6)
Ouachita Parish, Louisiana	Urban	No	175.2 (166.7, 184.1)	N/A	328	falling	-1.1 (-1.3, -0.8)
Parker County, Texas	Urban	No	162.3 (153.8, 171.1)	N/A	288	falling	-1.1 (-1.4, -0.8)
Pennington County, South Dakota	Urban	No	153.6 (144.4, 163.3)	N/A	225	falling	-1.1 (-1.4, -0.8)
Pocahontas County, Iowa	Rural	No	162.3 (130.8, 200.6)	N/A	21	falling	-1.1 (-2.0, -0.2)
Portage County, Wisconsin	Rural	No	144.4 (133.1, 156.4)	N/A	127	falling	-1.1 (-1.5, -0.7)
Posey County, Indiana	Urban	No	158.7 (140.5, 179.0)	N/A	58	falling	-1.1 (-1.5, -0.6)
Pottawatomie County, Kansas	Urban	No	138.3 (119.3, 159.4)	N/A	40	falling	-1.1 (-1.7, -0.5)
Pulaski County, Missouri	Rural	No	176.1 (157.8, 195.9)	N/A	70	falling	-1.1 (-1.7, -0.5)
Putnam County, Georgia	Rural	No	151.0 (133.0, 171.3)	N/A	57	falling	-1.1 (-1.8, -0.4)
Quay County, New Mexico	Rural	No	166.8 (137.6, 201.5)	N/A	25	falling	-1.1 (-1.9, -0.2)
Rabun County, Georgia	Rural	No	154.0 (134.4, 176.5)	N/A	50	falling	-1.1 (-1.7, -0.5)
Refugio County, Texas	Rural	No	171.7 (138.4, 212.2)	N/A	19	stable	-1.1 (-9.6, 0.6)
Robertson County, Texas	Urban	No	184.7 (160.4, 212.0)	N/A	45	falling	-1.1 (-1.6, -0.5)
Rock Island County, Illinois	Urban	No	158.4 (150.6, 166.5)	N/A	330	falling	-1.1 (-1.3, -1.0)
Salt Lake County, Utah	Urban	Yes	120.1 (117.0, 123.1)	N/A	1,236	falling	-1.1 (-1.3, -0.9)
Sedgwick County, Kansas	Urban	No	156.1 (151.6, 160.7)	N/A	938	stable	-1.1 (-1.5, 0.3)
Seminole County, Georgia	Rural	No	157.7 (130.0, 190.8)	N/A	25	falling	-1.1 (-1.9, -0.2)
Seward County, Kansas	Rural	No	154.1 (129.7, 181.6)	N/A	29	falling	-1.1 (-1.8, -0.4)
Shasta County, California	Urban	No	162.4 (155.5, 169.6)	N/A	443	falling	-1.1 (-1.3, -0.8)
Shelby County, Missouri	Rural	No	167.5 (132.9, 210.1)	N/A	17	falling	-1.1 (-2.1, -0.1)
Sherburne County, Minnesota	Urban	No	149.0 (137.7, 161.0)	N/A	137	falling	-1.1 (-1.6, -0.6)
Socorro County, New Mexico	Rural	No	130.3 (109.7, 154.0)	N/A	30	falling	-1.1 (-1.8, -0.3)
Spokane County, Washington	Urban	No	153.1 (148.8, 157.5)	N/A	1,020	falling	-1.1 (-1.3, -0.9)
St. Clair County, Michigan	Urban	No	168.5 (160.9, 176.4)	N/A	388	falling	-1.1 (-1.3, -0.9)
St. Joseph County, Michigan	Rural	No	158.7 (146.4, 171.8)	N/A	130	falling	-1.1 (-1.5, -0.8)
Steuben County, Indiana	Rural	No	160.9 (145.2, 178.1)	N/A	82	falling	-1.1 (-1.6, -0.6)
Stevens County, Washington	Urban	No	157.6 (144.8, 171.6)	N/A	121	falling	-1.1 (-1.5, -0.7)
Stone County, Arkansas	Rural	No	174.4 (150.0, 202.6)	N/A	41	falling	-1.1 (-1.8, -0.3)
Susquehanna County, Pennsylvania	Rural	No	167.2 (153.3, 182.4)	N/A	113	falling	-1.1 (-1.5, -0.7)
Sutton County, Texas	Rural	No	173.0 (123.9, 237.6)	N/A	9	stable	-1.1 (-2.6, 0.5)
Tillman County, Oklahoma	Rural	No	186.7 (150.8, 229.8)	N/A	20	falling	-1.1 (-2.1, -0.1)
Tom Green County, Texas	Urban	No	148.5 (139.5, 157.9)	N/A	211	falling	-1.1 (-1.4, -0.8)
Tooele County, Utah	Urban	No	140.8 (126.5, 156.2)	N/A	76	falling	-1.1 (-1.6, -0.5)
Uintah County, Utah	Rural	No	134.4 (116.5, 154.3)	N/A	42	falling	-1.1 (-1.7, -0.3)
Van Zandt County, Texas	Rural	No	168.0 (155.8, 181.1)	N/A	147	falling	-1.1 (-1.6, -0.6)
Vanderburgh County, Indiana	Urban	No	172.1 (164.5, 180.0)	N/A	407	falling	-1.1 (-1.3, -0.9)
Victoria County, Texas	Urban	No	156.4 (145.9, 167.4)	N/A	173	falling	-1.1 (-1.6, -0.5)
Wagoner County, Oklahoma	Urban	No	145.9 (135.4, 157.0)	N/A	150	falling	-1.1 (-1.5, -0.6)
Wahkiakum County, Washington	Rural	No	148.2 (114.2, 194.0)	N/A	14	stable	-1.1 (-2.3, 0.3)
Walworth County, Wisconsin	Rural	No	153.7 (144.5, 163.5)	N/A	220	falling	-1.1 (-1.4, -0.8)
Warren County, Virginia	Urban	No	175.3 (159.3, 192.5)	N/A	94	falling	-1.1 (-1.5, -0.6)
Washington County, Tennessee	Urban	No	166.7 (158.2, 175.5)	N/A	303	falling	-1.1 (-1.6, -0.9)
Washington County, Utah	Urban	Yes	112.3 (106.5, 118.4)	N/A	307	falling	-1.1 (-1.4, -0.7)
Washington Parish, Louisiana	Rural	No	189.9 (174.5, 206.3)	N/A	119	falling	-1.1 (-1.5, -0.6)
Wayne County, Ohio	Rural	No	150.2 (141.6, 159.3)	N/A	237	falling	-1.1 (-1.3, -0.9)
West Carroll Parish, Louisiana	Rural	No	179.7 (149.3, 215.3)	N/A	26	falling	-1.1 (-1.9, -0.4)
Westmoreland County, Pennsylvania	Urban	No	154.2 (149.7, 158.9)	N/A	933	falling	-1.1 (-1.2, -1.0)
Weston County, Wyoming	Rural	No	165.6 (132.1, 206.4)	N/A	18	falling	-1.1 (-2.1, -0.1)
White County, Arkansas	Rural	No	172.2 (160.5, 184.5)	N/A	167	falling	-1.1 (-1.4, -0.8)
Wilson County, North Carolina	Rural	No	171.3 (160.1, 183.0)	N/A	185	falling	-1.1 (-1.4, -0.7)
Winnebago County, Wisconsin	Urban	No	148.7 (141.4, 156.3)	N/A	324	falling	-1.1 (-1.4, -0.9)
Winona County, Minnesota	Rural	No	147.5 (134.2, 162.0)	N/A	96	falling	-1.1 (-1.4, -0.7)
Woodruff County, Arkansas	Rural	No	167.8 (134.4, 208.7)	N/A	18	falling	-1.1 (-2.1, -0.2)
York County, Pennsylvania	Urban	No	154.3 (149.9, 158.8)	N/A	967	falling	-1.1 (-1.2, -0.9)
Aitkin County, Minnesota	Rural	No	150.1 (130.2, 173.2)	N/A	53	falling	-1.2 (-1.8, -0.6)
Androscoggin County, Maine	Urban	No	164.0 (154.9, 173.7)	N/A	251	falling	-1.2 (-1.5, -0.9)
Anoka County, Minnesota	Urban	No	141.6 (136.4, 147.0)	N/A	580	falling	-1.2 (-1.5, -1.0)
Archuleta County, Colorado	Rural	Yes	102.1 (83.4, 124.7)	N/A	24	stable	-1.2 (-2.3, 0.1)
Beadle County, South Dakota	Rural	No	139.2 (119.3, 161.9)	N/A	37	falling	-1.2 (-1.9, -0.6)
Bear Lake County, Idaho	Rural	No	127.7 (97.0, 166.4)	N/A	12	stable	-1.2 (-2.4, 0.1)
Belmont County, Ohio	Urban	No	166.4 (155.1, 178.5)	N/A	171	falling	-1.2 (-1.5, -0.9)
Benton County, Washington	Urban	No	146.4 (139.5, 153.6)	N/A	346	falling	-1.2 (-1.5, -0.9)
Black Hawk County, Iowa	Urban	No	151.5 (143.0, 160.4)	N/A	250	falling	-1.2 (-1.5, -1.0)
Blaine County, Montana	Rural	No	143.7 (108.2, 187.5)	N/A	12	stable	-1.2 (-2.6, 0.2)
Blue Earth County, Minnesota	Urban	No	138.6 (126.7, 151.3)	N/A	104	falling	-1.2 (-1.6, -0.8)
Boone County, Illinois	Urban	No	147.1 (134.1, 161.0)	N/A	98	falling	-1.2 (-1.7, -0.7)
Boone County, Indiana	Urban	No	158.0 (145.6, 171.3)	N/A	123	falling	-1.2 (-1.5, -0.8)
Boyle County, Kentucky	Rural	No	172.6 (155.0, 191.8)	N/A	73	falling	-1.2 (-1.9, -0.6)
Bryan County, Oklahoma	Rural	No	175.3 (160.3, 191.3)	N/A	105	falling	-1.2 (-1.7, -0.7)
Buchanan County, Iowa	Rural	No	159.6 (138.9, 182.9)	N/A	44	falling	-1.2 (-1.8, -0.6)
Buena Vista County, Iowa	Rural	No	132.7 (112.9, 155.1)	N/A	35	falling	-1.2 (-2.0, -0.5)
Burnett County, Wisconsin	Rural	No	149.9 (131.5, 171.2)	N/A	53	falling	-1.2 (-1.7, -0.6)
Butler County, Iowa	Rural	No	148.1 (125.9, 173.7)	N/A	35	falling	-1.2 (-1.9, -0.6)
Campbell County, Virginia	Urban	No	155.4 (143.4, 168.3)	N/A	131	falling	-1.2 (-1.6, -0.7)
Carter County, Tennessee	Urban	No	159.1 (147.5, 171.5)	N/A	147	falling	-1.2 (-1.6, -0.8)
Cass County, Illinois	Rural	No	166.1 (139.0, 197.3)	N/A	28	falling	-1.2 (-2.0, -0.5)
Charlotte County, Florida	Urban	No	133.0 (127.6, 138.5)	N/A	658	falling	-1.2 (-1.4, -1.0)
Cheshire County, New Hampshire	Rural	No	148.6 (138.6, 159.2)	N/A	176	falling	-1.2 (-1.7, -0.8)
Chippewa County, Wisconsin	Urban	No	141.2 (130.3, 152.8)	N/A	131	falling	-1.2 (-1.7, -0.7)
Colfax County, New Mexico	Rural	Yes	122.1 (102.2, 145.9)	N/A	29	falling	-1.2 (-1.9, -0.5)
Comal County, Texas	Urban	No	142.0 (134.8, 149.5)	N/A	310	falling	-1.2 (-1.5, -0.8)
Cook County, Georgia	Rural	No	156.0 (133.0, 182.2)	N/A	34	falling	-1.2 (-2.0, -0.3)
Crawford County, Iowa	Rural	No	127.3 (106.6, 151.0)	N/A	28	falling	-1.2 (-1.9, -0.4)
Cumberland County, North Carolina	Urban	No	171.8 (165.3, 178.4)	N/A	556	falling	-1.2 (-1.4, -1.0)
Dawson County, Georgia	Urban	No	160.3 (142.2, 180.3)	N/A	63	falling	-1.2 (-1.9, -0.2)
Deer Lodge County, Montana	Rural	No	149.6 (122.2, 182.7)	N/A	23	falling	-1.2 (-2.1, -0.3)
Del Norte County, California	Rural	No	177.2 (158.3, 198.0)	N/A	68	falling	-1.2 (-1.8, -0.6)
Delaware County, New York	Rural	No	154.0 (141.4, 167.7)	N/A	124	falling	-1.2 (-1.6, -0.8)
Deuel County, South Dakota	Rural	No	127.8 (92.4, 175.0)	N/A	9	stable	-1.2 (-2.5, 0.0)
Dickinson County, Michigan	Rural	No	140.2 (124.3, 157.9)	N/A	61	falling	-1.2 (-1.7, -0.7)
Dinwiddie County, Virginia	Urban	No	174.1 (155.6, 194.5)	N/A	68	falling	-1.2 (-1.8, -0.4)
Dodge County, Georgia	Rural	No	168.9 (148.1, 192.2)	N/A	48	falling	-1.2 (-1.9, -0.4)
Door County, Wisconsin	Rural	No	129.6 (116.5, 144.3)	N/A	81	falling	-1.2 (-1.8, -0.6)
Douglas County, Georgia	Urban	No	155.3 (145.6, 165.4)	N/A	211	falling	-1.2 (-1.7, -0.6)
East Feliciana Parish, Louisiana	Urban	No	162.3 (141.4, 185.9)	N/A	46	falling	-1.2 (-1.9, -0.6)
El Paso County, Colorado	Urban	No	137.2 (133.4, 141.1)	N/A	1,010	falling	-1.2 (-1.3, -1.0)
Elmore County, Alabama	Urban	No	169.4 (158.3, 181.2)	N/A	180	falling	-1.2 (-1.4, -0.9)
Elmore County, Idaho	Rural	No	157.5 (137.5, 179.5)	N/A	47	falling	-1.2 (-1.8, -0.4)
Fairfield County, Ohio	Urban	No	158.5 (150.6, 166.7)	N/A	314	falling	-1.2 (-1.5, -1.0)
Fallon County, Montana	Rural	No	138.3 (88.3, 207.7)	N/A	5	stable	-1.2 (-3.3, 0.8)
Falls County, Texas	Urban	No	165.3 (142.6, 190.8)	N/A	40	falling	-1.2 (-1.9, -0.7)
Finney County, Kansas	Rural	No	139.0 (121.6, 158.2)	N/A	48	falling	-1.2 (-1.7, -0.7)
Ford County, Kansas	Rural	No	140.5 (122.4, 160.5)	N/A	46	falling	-1.2 (-1.9, -0.6)
Forest County, Wisconsin	Rural	No	157.7 (130.9, 189.7)	N/A	26	falling	-1.2 (-2.1, -0.2)
Franklin County, Florida	Rural	No	156.4 (132.7, 184.0)	N/A	34	falling	-1.2 (-2.1, -0.4)
Franklin County, Mississippi	Rural	No	161.0 (129.5, 199.0)	N/A	19	falling	-1.2 (-2.2, -0.3)
Franklin County, New York	Rural	No	172.9 (158.6, 188.3)	N/A	113	falling	-1.2 (-1.6, -0.8)
Franklin Parish, Louisiana	Rural	No	180.7 (158.2, 205.8)	N/A	49	falling	-1.2 (-2.0, -0.5)
Fresno County, California	Urban	No	138.2 (134.9, 141.6)	N/A	1,353	falling	-1.2 (-1.3, -1.1)
Genesee County, New York	Rural	No	155.0 (143.3, 167.6)	N/A	136	falling	-1.2 (-1.5, -0.8)
Georgetown County, South Carolina	Rural	No	156.0 (145.1, 167.6)	N/A	184	falling	-1.2 (-1.6, -0.7)
Gibson County, Indiana	Rural	No	153.9 (137.5, 171.8)	N/A	67	falling	-1.2 (-1.6, -0.7)
Glenn County, California	Rural	No	168.5 (149.6, 189.3)	N/A	59	falling	-1.2 (-1.9, -0.6)
Gloucester County, Virginia	Urban	No	181.7 (165.8, 198.9)	N/A	102	falling	-1.2 (-1.6, -0.6)
Grand Forks County, North Dakota	Urban	No	150.6 (138.1, 164.0)	N/A	112	falling	-1.2 (-1.6, -0.7)
Grant County, New Mexico	Rural	No	142.2 (127.1, 158.9)	N/A	76	falling	-1.2 (-1.8, -0.6)
Grant Parish, Louisiana	Urban	No	185.4 (162.4, 210.9)	N/A	49	falling	-1.2 (-1.8, -0.5)
Grays Harbor County, Washington	Rural	No	175.4 (164.6, 187.0)	N/A	209	falling	-1.2 (-1.5, -0.8)
Greene County, Mississippi	Rural	No	152.8 (126.8, 182.9)	N/A	25	falling	-1.2 (-1.9, -0.4)
Hall County, Nebraska	Urban	No	139.8 (127.7, 152.8)	N/A	101	falling	-1.2 (-1.6, -0.9)
Harnett County, North Carolina	Rural	No	173.4 (163.5, 183.6)	N/A	241	falling	-1.2 (-1.5, -0.8)
Hodgeman County, Kansas	Rural	No	164.0 (105.3, 252.3)	N/A	5	stable	-1.2 (-2.9, 0.4)
Hopkins County, Texas	Rural	No	166.3 (150.5, 183.5)	N/A	84	falling	-1.2 (-1.7, -0.7)
Houston County, Alabama	Urban	No	154.4 (145.2, 164.1)	N/A	220	falling	-1.2 (-3.5, -0.9)
Humboldt County, California	Rural	No	171.8 (163.0, 180.9)	N/A	311	falling	-1.2 (-1.5, -0.9)
Iberia Parish, Louisiana	Rural	No	186.3 (173.0, 200.5)	N/A	153	falling	-1.2 (-1.6, -0.7)
Independence County, Arkansas	Rural	No	150.7 (135.5, 167.2)	N/A	75	falling	-1.2 (-1.7, -0.7)
Iron County, Michigan	Rural	No	177.2 (151.1, 207.8)	N/A	41	falling	-1.2 (-2.0, -0.6)
Island County, Washington	Rural	No	146.8 (137.7, 156.6)	N/A	212	falling	-1.2 (-1.5, -0.8)
Jackson County, Mississippi	Urban	No	183.0 (174.0, 192.4)	N/A	325	falling	-1.2 (-1.4, -0.9)
Jackson County, Oregon	Urban	No	149.3 (143.5, 155.4)	N/A	524	falling	-1.2 (-1.4, -1.0)
James City County, Virginia	Urban	No	127.0 (118.7, 135.9)	N/A	185	falling	-1.2 (-1.6, -0.7)
Jefferson County, New York	Urban	No	164.2 (154.2, 174.7)	N/A	208	falling	-1.2 (-1.5, -0.8)
Jerome County, Idaho	Urban	No	144.9 (123.6, 168.7)	N/A	34	falling	-1.2 (-1.8, -0.7)
Jo Daviess County, Illinois	Rural	No	141.7 (125.2, 160.4)	N/A	62	falling	-1.2 (-1.7, -0.6)
Jones County, Georgia	Urban	No	142.9 (126.2, 161.5)	N/A	55	falling	-1.2 (-1.8, -0.4)
Jones County, Mississippi	Rural	No	156.5 (144.6, 169.1)	N/A	136	falling	-1.2 (-1.5, -0.8)
Judith Basin County, Montana	Rural	No	161.4 (108.7, 239.3)	N/A	6	stable	-1.2 (-3.1, 0.8)
Kankakee County, Illinois	Urban	No	171.4 (161.6, 181.6)	N/A	240	falling	-1.2 (-1.5, -0.8)
Kennebec County, Maine	Rural	No	165.0 (156.6, 173.7)	N/A	311	falling	-1.2 (-1.4, -0.9)
Kittitas County, Washington	Rural	No	153.9 (139.3, 169.7)	N/A	85	falling	-1.2 (-1.6, -0.6)
Klickitat County, Washington	Rural	No	151.5 (134.1, 171.0)	N/A	59	falling	-1.2 (-1.7, -0.6)
Kossuth County, Iowa	Rural	No	132.4 (112.1, 155.9)	N/A	35	falling	-1.2 (-1.7, -0.8)
La Salle County, Texas	Rural	No	166.1 (126.3, 214.9)	N/A	12	stable	-1.2 (-2.7, 0.4)
LaMoure County, North Dakota	Rural	Yes	114.1 (78.1, 163.5)	N/A	8	falling	-1.2 (-2.5, -0.1)
LaPorte County, Indiana	Urban	No	161.8 (152.7, 171.3)	N/A	249	falling	-1.2 (-1.5, -0.9)
Lake County, Montana	Rural	No	148.4 (133.0, 165.4)	N/A	74	falling	-1.2 (-1.8, -0.7)
Lancaster County, South Carolina	Urban	No	147.3 (138.3, 156.7)	N/A	213	falling	-1.2 (-1.6, -0.7)
Lawrence County, South Dakota	Rural	No	134.1 (118.0, 152.1)	N/A	55	falling	-1.2 (-1.7, -0.7)
Lenoir County, North Carolina	Rural	No	164.6 (152.1, 177.8)	N/A	139	falling	-1.2 (-1.6, -0.9)
Liberty County, Florida	Rural	No	175.4 (139.1, 219.0)	N/A	17	falling	-1.2 (-2.2, -0.1)
Lincoln County, Wyoming	Rural	Yes	118.3 (98.9, 140.5)	N/A	29	falling	-1.2 (-2.1, -0.2)
Lincoln Parish, Louisiana	Rural	No	157.9 (142.5, 174.7)	N/A	79	falling	-1.2 (-1.6, -0.8)
Little River County, Arkansas	Urban	No	162.7 (136.6, 192.9)	N/A	29	falling	-1.2 (-2.1, -0.4)
Louisa County, Virginia	Rural	No	158.6 (143.6, 175.0)	N/A	89	falling	-1.2 (-1.8, -0.6)
Luzerne County, Pennsylvania	Urban	No	160.0 (154.9, 165.3)	N/A	770	falling	-1.2 (-3.7, -1.0)
Marion County, Kentucky	Rural	No	160.1 (138.3, 184.5)	N/A	41	falling	-1.2 (-1.9, -0.4)
Maury County, Tennessee	Urban	No	159.4 (149.4, 169.9)	N/A	202	falling	-1.2 (-1.6, -0.8)
McKean County, Pennsylvania	Rural	No	161.6 (147.1, 177.3)	N/A	97	falling	-1.2 (-1.6, -0.8)
Merced County, California	Urban	No	145.3 (138.6, 152.2)	N/A	367	falling	-1.2 (-1.5, -1.0)
Montezuma County, Colorado	Rural	No	137.0 (120.7, 155.2)	N/A	56	falling	-1.2 (-1.6, -0.7)
Montgomery County, Indiana	Rural	No	160.7 (145.4, 177.4)	N/A	84	falling	-1.2 (-1.9, -0.8)
Montgomery County, Ohio	Urban	No	164.5 (160.2, 168.8)	N/A	1,199	falling	-1.2 (-1.3, -1.1)
Moore County, North Carolina	Urban	No	151.8 (143.3, 160.7)	N/A	261	falling	-1.2 (-1.5, -0.9)
Nassau County, Florida	Urban	No	169.2 (159.5, 179.5)	N/A	245	falling	-1.2 (-1.6, -0.8)
New London County, Connecticut	Urban	No	148.8 (143.2, 154.6)	N/A	560	falling	-1.2 (-1.5, -1.0)
Newport News City, Virginia	Urban	No	175.3 (166.9, 184.0)	N/A	341	falling	-1.2 (-1.5, -1.0)
Niagara County, New York	Urban	No	163.1 (156.6, 169.8)	N/A	507	falling	-1.2 (-2.5, -1.0)
Nicholas County, West Virginia	Rural	No	159.2 (141.3, 179.0)	N/A	62	falling	-1.2 (-1.7, -0.7)
Northampton County, North Carolina	Rural	No	160.7 (140.1, 184.2)	N/A	53	falling	-1.2 (-1.8, -0.6)
Northampton County, Pennsylvania	Urban	No	148.9 (143.8, 154.2)	N/A	685	falling	-1.2 (-1.4, -1.0)
Osceola County, Florida	Urban	No	147.0 (141.7, 152.5)	N/A	591	falling	-1.2 (-1.4, -0.9)
Oxford County, Maine	Rural	No	167.7 (155.9, 180.4)	N/A	162	falling	-1.2 (-1.4, -0.9)
Parke County, Indiana	Rural	No	152.9 (130.7, 178.2)	N/A	36	falling	-1.2 (-1.8, -0.5)
Pasquotank County, North Carolina	Rural	No	160.5 (145.4, 177.0)	N/A	86	falling	-1.2 (-1.6, -0.7)
Peach County, Georgia	Urban	No	185.9 (165.6, 208.2)	N/A	65	falling	-1.2 (-1.7, -0.6)
Pepin County, Wisconsin	Rural	No	139.1 (109.3, 175.8)	N/A	16	stable	-1.2 (-2.4, 0.0)
Phelps County, Missouri	Rural	No	151.9 (137.6, 167.4)	N/A	86	falling	-1.2 (-1.8, -0.6)
Phillips County, Arkansas	Rural	No	209.2 (183.0, 238.4)	N/A	49	falling	-1.2 (-1.8, -0.6)
Phillips County, Colorado	Rural	No	139.7 (101.7, 189.3)	N/A	11	falling	-1.2 (-2.4, -0.1)
Polk County, Missouri	Urban	No	158.2 (141.4, 176.6)	N/A	68	falling	-1.2 (-1.9, -0.5)
Porter County, Indiana	Urban	No	156.2 (148.8, 164.0)	N/A	348	falling	-1.2 (-1.4, -0.9)
Portsmouth City, Virginia	Urban	No	186.1 (174.7, 198.0)	N/A	208	falling	-1.2 (-1.5, -0.9)
Presque Isle County, Michigan	Rural	No	146.5 (125.0, 171.9)	N/A	41	falling	-1.2 (-1.8, -0.6)
Racine County, Wisconsin	Urban	No	153.0 (146.2, 160.1)	N/A	393	falling	-1.2 (-1.4, -0.9)
Rains County, Texas	Rural	No	160.4 (136.7, 187.9)	N/A	35	falling	-1.2 (-2.0, -0.3)
Roberts County, South Dakota	Rural	No	153.4 (125.4, 186.5)	N/A	22	falling	-1.2 (-2.0, -0.3)
Saginaw County, Michigan	Urban	No	157.7 (150.9, 164.7)	N/A	433	falling	-1.2 (-1.4, -1.0)
San Juan County, Washington	Rural	Yes	117.1 (100.9, 136.2)	N/A	46	falling	-1.2 (-1.9, -0.4)
San Patricio County, Texas	Urban	No	175.0 (161.9, 189.0)	N/A	135	falling	-1.2 (-1.5, -0.8)
Sandoval County, New Mexico	Urban	No	130.8 (123.5, 138.4)	N/A	257	falling	-1.2 (-1.4, -0.9)
Sarasota County, Florida	Urban	No	130.6 (127.1, 134.2)	N/A	1,444	falling	-1.2 (-1.4, -1.1)
Scurry County, Texas	Rural	No	163.1 (138.3, 191.1)	N/A	31	falling	-1.2 (-2.1, -0.6)
Seneca County, New York	Rural	No	151.4 (135.9, 168.4)	N/A	74	falling	-1.2 (-1.7, -0.7)
Sevier County, Arkansas	Rural	No	166.6 (140.1, 196.7)	N/A	29	falling	-1.2 (-2.0, -0.4)
Sheboygan County, Wisconsin	Urban	No	139.7 (131.6, 148.2)	N/A	230	falling	-1.2 (-1.6, -0.8)
Shelby County, Kentucky	Urban	No	158.6 (144.1, 174.2)	N/A	92	falling	-1.2 (-1.9, -0.5)
Snohomish County, Washington	Urban	No	149.2 (145.5, 152.9)	N/A	1,326	falling	-1.2 (-1.4, -1.0)
Spencer County, Kentucky	Urban	No	167.8 (143.2, 195.6)	N/A	37	falling	-1.2 (-1.9, -0.4)
St. Helena Parish, Louisiana	Urban	No	156.3 (130.5, 186.5)	N/A	27	falling	-1.2 (-2.1, -0.2)
Stone County, Mississippi	Urban	No	187.1 (161.0, 216.4)	N/A	40	falling	-1.2 (-1.9, -0.4)
Stone County, Missouri	Rural	No	150.7 (135.9, 167.1)	N/A	94	falling	-1.2 (-1.8, -0.6)
Strafford County, New Hampshire	Urban	No	162.9 (153.9, 172.2)	N/A	261	falling	-1.2 (-1.5, -0.9)
Taney County, Missouri	Rural	No	156.2 (144.2, 169.0)	N/A	135	falling	-1.2 (-1.7, -0.7)
Taylor County, West Virginia	Rural	No	181.8 (158.5, 208.1)	N/A	46	falling	-1.2 (-1.8, -0.5)
Terrell County, Georgia	Urban	No	195.4 (161.9, 234.4)	N/A	25	falling	-1.2 (-2.1, -0.5)
Teton County, Montana	Rural	No	134.9 (105.4, 172.0)	N/A	15	falling	-1.2 (-2.1, -0.2)
Torrance County, New Mexico	Urban	No	146.4 (124.9, 171.2)	N/A	35	falling	-1.2 (-1.9, -0.4)
Union County, Georgia	Rural	No	136.9 (122.8, 152.8)	N/A	77	falling	-1.2 (-1.9, -0.4)
Union County, Illinois	Rural	No	167.3 (145.8, 191.7)	N/A	47	falling	-1.2 (-7.1, -0.5)
Valencia County, New Mexico	Urban	No	140.7 (130.3, 151.7)	N/A	143	falling	-1.2 (-1.7, -0.7)
Wabash County, Illinois	Rural	No	167.3 (140.1, 198.9)	N/A	30	falling	-1.2 (-1.9, -0.6)
Waldo County, Maine	Rural	No	171.2 (156.4, 187.3)	N/A	109	falling	-1.2 (-1.6, -0.8)
Walton County, Florida	Urban	No	153.4 (142.8, 164.6)	N/A	170	falling	-1.2 (-1.6, -0.7)
Warren County, Kentucky	Urban	No	173.1 (163.2, 183.4)	N/A	238	falling	-1.2 (-1.5, -0.9)
Warren County, New Jersey	Urban	No	152.7 (144.0, 161.9)	N/A	241	falling	-1.2 (-1.5, -1.0)
Washington County, Indiana	Urban	No	177.2 (157.9, 198.3)	N/A	65	falling	-1.2 (-3.4, -0.8)
Washington County, Maryland	Urban	No	160.2 (152.6, 168.2)	N/A	337	falling	-1.2 (-1.4, -1.0)
Washington County, North Carolina	Rural	No	186.1 (156.5, 220.4)	N/A	34	falling	-1.2 (-2.2, -0.2)
Watauga County, North Carolina	Rural	No	127.2 (114.6, 141.0)	N/A	79	falling	-1.2 (-1.8, -0.6)
Wayne County, New York	Urban	No	154.3 (144.7, 164.5)	N/A	204	falling	-1.2 (-1.5, -0.9)
Wells County, North Dakota	Rural	Yes	113.6 (80.5, 159.7)	N/A	9	falling	-1.2 (-2.3, -0.1)
Whatcom County, Washington	Urban	No	138.6 (132.5, 145.0)	N/A	399	falling	-1.2 (-1.5, -0.8)
Whitfield County, Georgia	Urban	No	160.7 (150.4, 171.6)	N/A	185	falling	-1.2 (-1.5, -0.8)
Wicomico County, Maryland	Urban	No	175.3 (164.9, 186.3)	N/A	221	falling	-1.2 (-1.6, -0.8)
Winn Parish, Louisiana	Rural	No	184.9 (158.1, 215.3)	N/A	35	falling	-1.2 (-2.0, -0.4)
Woodford County, Kentucky	Urban	No	163.9 (145.7, 184.0)	N/A	63	falling	-1.2 (-1.8, -0.5)
Yell County, Arkansas	Rural	No	169.1 (147.5, 193.2)	N/A	46	falling	-1.2 (-1.7, -0.7)
Yellowstone County, Montana	Urban	No	146.5 (139.2, 154.1)	N/A	316	falling	-1.2 (-1.4, -0.9)
Yuba County, California	Urban	No	165.5 (152.8, 178.9)	N/A	134	falling	-1.2 (-1.6, -0.7)
Adams County, Pennsylvania	Urban	No	140.9 (132.5, 149.8)	N/A	223	falling	-1.3 (-1.6, -0.9)
Aiken County, South Carolina	Urban	No	154.1 (147.0, 161.4)	N/A	377	falling	-1.3 (-1.6, -1.0)
Alleghany County and Clifton Forge City, Virginia	Rural	No	165.9 (143.8, 191.2)	N/A	45	falling	-1.3 (-1.9, -0.6)
Allen County, Indiana	Urban	No	159.0 (153.7, 164.5)	N/A	701	falling	-1.3 (-3.1, -1.0)
Allendale County, South Carolina	Rural	No	186.2 (150.9, 228.1)	N/A	21	falling	-1.3 (-2.2, -0.4)
Anchorage Borough, Alaska	Urban	No	149.7 (142.9, 156.8)	N/A	397	falling	-1.3 (-1.6, -0.9)
Angelina County, Texas	Rural	No	156.9 (146.3, 168.2)	N/A	166	falling	-1.3 (-1.6, -1.1)
Antelope County, Nebraska	Rural	No	124.3 (93.6, 163.3)	N/A	13	falling	-1.3 (-2.3, -0.3)
Assumption Parish, Louisiana	Urban	No	176.0 (154.4, 199.9)	N/A	51	falling	-1.3 (-1.9, -0.8)
Austin County, Texas	Urban	No	144.3 (128.4, 161.8)	N/A	64	falling	-1.3 (-1.8, -0.7)
Bacon County, Georgia	Rural	No	188.9 (157.0, 225.6)	N/A	26	falling	-1.3 (-2.1, -0.5)
Beaver County, Pennsylvania	Urban	No	158.0 (151.1, 165.1)	N/A	429	falling	-1.3 (-1.5, -1.1)
Bernalillo County, New Mexico	Urban	No	131.6 (128.1, 135.2)	N/A	1,116	falling	-1.3 (-1.4, -1.1)
Berrien County, Georgia	Rural	No	174.3 (151.5, 199.9)	N/A	43	falling	-1.3 (-1.8, -0.7)
Bexar County, Texas	Urban	No	140.6 (138.2, 143.1)	N/A	2,721	falling	-1.3 (-1.4, -1.2)
Blount County, Tennessee	Urban	No	155.6 (147.8, 163.7)	N/A	317	falling	-1.3 (-3.9, -1.0)
Boone County, Missouri	Urban	No	149.3 (141.3, 157.7)	N/A	269	falling	-1.3 (-1.6, -0.9)
Bourbon County, Kentucky	Urban	No	189.4 (167.5, 213.6)	N/A	56	falling	-1.3 (-2.0, -0.6)
Brunswick County, North Carolina	Urban	No	153.2 (146.1, 160.8)	N/A	423	falling	-1.3 (-1.5, -1.0)
Bryan County, Georgia	Urban	No	174.8 (156.0, 195.1)	N/A	67	falling	-1.3 (-1.9, -0.6)
Burleigh County, North Dakota	Urban	No	129.2 (120.3, 138.6)	N/A	166	falling	-1.3 (-1.8, -0.7)
Calaveras County, California	Rural	No	143.5 (131.6, 156.4)	N/A	125	falling	-1.3 (-1.7, -0.9)
Caldwell County, Texas	Urban	No	158.6 (143.5, 174.8)	N/A	84	falling	-1.3 (-1.8, -0.7)
Calhoun County, Georgia	Rural	No	171.4 (130.0, 222.9)	N/A	12	stable	-1.3 (-2.7, 0.2)
Carson City, Nevada	Urban	No	169.4 (157.1, 182.5)	N/A	147	falling	-1.3 (-1.7, -0.9)
Carson County, Texas	Urban	No	146.9 (111.7, 191.3)	N/A	12	falling	-1.3 (-2.5, -0.1)
Carteret County, North Carolina	Rural	No	160.8 (150.5, 171.7)	N/A	200	falling	-1.3 (-1.6, -1.0)
Cassia County, Idaho	Rural	No	128.4 (109.7, 149.5)	N/A	34	falling	-1.3 (-2.3, -0.2)
Catoosa County, Georgia	Urban	No	149.2 (138.1, 161.1)	N/A	137	falling	-1.3 (-2.9, -0.8)
Chenango County, New York	Rural	No	159.6 (146.4, 173.8)	N/A	116	falling	-1.3 (-1.6, -1.0)
Cherokee County, Georgia	Urban	No	138.7 (132.5, 145.0)	N/A	410	falling	-1.3 (-1.6, -1.0)
Clatsop County, Oregon	Rural	No	165.3 (150.9, 181.0)	N/A	106	falling	-1.3 (-1.8, -0.8)
Clay County, West Virginia	Urban	No	200.3 (166.0, 240.7)	N/A	25	falling	-1.3 (-1.9, -0.6)
Clayton County, Georgia	Urban	No	151.8 (144.3, 159.6)	N/A	364	falling	-1.3 (-1.5, -1.0)
Clinton County, Illinois	Urban	No	142.3 (127.4, 158.6)	N/A	70	falling	-1.3 (-1.9, -0.7)
Coconino County, Arizona	Urban	No	125.4 (116.9, 134.3)	N/A	175	falling	-1.3 (-1.6, -0.9)
Coke County, Texas	Rural	No	189.6 (143.1, 250.8)	N/A	12	falling	-1.3 (-2.5, -0.1)
Coos County, New Hampshire	Rural	No	162.8 (147.6, 179.6)	N/A	92	falling	-1.3 (-1.9, -0.8)
Crane County, Texas	Rural	No	173.1 (122.5, 237.5)	N/A	8	stable	-1.3 (-2.8, 0.1)
Culpeper County, Virginia	Urban	No	156.2 (142.6, 170.7)	N/A	101	falling	-1.3 (-1.7, -0.9)
Cumberland County, Pennsylvania	Urban	No	138.5 (133.1, 144.2)	N/A	501	falling	-1.3 (-1.5, -1.1)
Custer County, South Dakota	Urban	No	137.7 (112.8, 168.8)	N/A	24	falling	-1.3 (-2.3, -0.2)
Dakota County, Nebraska	Urban	No	136.5 (115.3, 160.5)	N/A	30	falling	-1.3 (-2.1, -0.5)
Dare County, North Carolina	Rural	No	147.5 (133.2, 163.3)	N/A	87	falling	-1.3 (-1.9, -0.7)
Daviess County, Missouri	Rural	No	148.1 (117.9, 184.5)	N/A	18	falling	-1.3 (-2.2, -0.3)
Dawson County, Montana	Rural	No	128.7 (102.1, 160.9)	N/A	17	falling	-1.3 (-2.3, -0.3)
Day County, South Dakota	Rural	No	133.3 (104.3, 170.8)	N/A	15	falling	-1.3 (-2.4, -0.4)
Decatur County, Georgia	Rural	No	175.0 (156.1, 195.6)	N/A	65	falling	-1.3 (-1.8, -0.8)
Divide County, North Dakota	Rural	No	151.0 (98.0, 228.7)	N/A	6	stable	-1.3 (-2.9, 0.1)
Douglas County, Missouri	Rural	No	173.9 (149.0, 202.7)	N/A	37	falling	-1.3 (-2.0, -0.5)
Douglas County, Nevada	Rural	No	136.1 (125.1, 148.1)	N/A	134	falling	-1.3 (-1.7, -0.9)
Dunn County, North Dakota	Rural	No	138.8 (93.3, 199.2)	N/A	7	stable	-1.3 (-3.0, 0.2)
Eau Claire County, Wisconsin	Urban	No	139.2 (130.0, 148.9)	N/A	178	falling	-1.3 (-1.7, -0.8)
Edmonson County, Kentucky	Urban	No	162.0 (136.9, 191.1)	N/A	31	falling	-1.3 (-1.8, -0.8)
El Paso County, Texas	Urban	No	129.8 (126.4, 133.4)	N/A	1,102	falling	-1.3 (-1.5, -1.1)
Erie County, Ohio	Urban	No	154.7 (144.7, 165.3)	N/A	193	falling	-1.3 (-1.6, -1.0)
Fayette County, Iowa	Rural	No	132.1 (113.7, 152.9)	N/A	42	falling	-1.3 (-1.9, -0.7)
Fayette County, Texas	Rural	No	133.7 (117.9, 151.3)	N/A	59	falling	-1.3 (-1.9, -0.6)
Floyd County, Indiana	Urban	No	167.6 (156.3, 179.5)	N/A	173	falling	-1.3 (-1.6, -0.9)
Franklin County, Massachusetts	Rural	No	139.7 (129.7, 150.4)	N/A	160	falling	-1.3 (-1.6, -1.0)
Frederick County, Virginia	Urban	No	162.4 (152.3, 173.1)	N/A	200	falling	-1.3 (-1.7, -1.0)
Frontier County, Nebraska	Rural	Yes	103.9 (65.7, 162.4)	N/A	5	stable	-1.3 (-3.5, 0.7)
Gallatin County, Montana	Urban	Yes	118.2 (109.0, 127.9)	N/A	131	falling	-1.3 (-1.8, -0.7)
Gem County, Idaho	Urban	No	139.4 (120.8, 160.5)	N/A	43	falling	-1.3 (-1.9, -0.6)
Gillespie County, Texas	Rural	No	123.4 (109.6, 138.8)	N/A	69	falling	-1.3 (-1.7, -0.9)
Grand Traverse County, Michigan	Urban	No	140.1 (131.3, 149.5)	N/A	198	falling	-1.3 (-1.7, -0.9)
Gray County, Kansas	Rural	No	159.4 (119.5, 209.1)	N/A	11	stable	-1.3 (-2.8, 0.2)
Greene County, New York	Rural	No	172.9 (159.8, 187.0)	N/A	138	falling	-1.3 (-1.8, -0.8)
Gregg County, Texas	Urban	No	170.1 (160.7, 180.0)	N/A	251	falling	-1.3 (-1.5, -1.1)
Grimes County, Texas	Rural	No	156.1 (138.9, 175.0)	N/A	63	falling	-1.3 (-1.8, -0.7)
Guilford County, North Carolina	Urban	No	150.4 (146.1, 154.8)	N/A	952	falling	-1.3 (-1.5, -1.2)
Gulf County, Florida	Rural	No	181.8 (157.4, 209.5)	N/A	44	falling	-1.3 (-2.0, -0.5)
Hall County, Georgia	Urban	No	140.4 (133.6, 147.4)	N/A	336	falling	-1.3 (-1.6, -0.9)
Hampden County, Massachusetts	Urban	No	152.4 (148.0, 157.0)	N/A	931	falling	-1.3 (-1.5, -1.2)
Hampton City, Virginia	Urban	No	172.8 (163.7, 182.3)	N/A	283	falling	-1.3 (-1.5, -1.0)
Harrison County, Mississippi	Urban	No	185.1 (177.5, 193.0)	N/A	464	falling	-1.3 (-2.3, -1.0)
Hays County, Texas	Urban	No	137.6 (130.2, 145.2)	N/A	286	falling	-1.3 (-1.6, -0.9)
Henrico County, Virginia	Urban	No	146.7 (141.4, 152.1)	N/A	608	falling	-1.3 (-1.5, -1.1)
Hettinger County, North Dakota	Rural	No	164.0 (110.0, 239.2)	N/A	7	stable	-1.3 (-2.9, 0.2)
Hocking County, Ohio	Urban	No	183.9 (165.0, 204.5)	N/A	74	falling	-1.3 (-5.1, -0.8)
Honolulu County, Hawaii ⁸	Urban	Yes	118.4 (115.8, 121.0)	N/A	1,670	falling	-1.3 (-1.5, -1.1)
Howard County, Missouri	Urban	No	145.4 (117.7, 178.2)	N/A	20	falling	-1.3 (-2.1, -0.5)
Howard County, Nebraska	Urban	No	134.8 (104.1, 173.1)	N/A	14	falling	-1.3 (-2.4, -0.3)
Hutchinson County, South Dakota	Rural	No	146.9 (118.1, 182.1)	N/A	20	falling	-1.3 (-2.6, -0.2)
Indiana County, Pennsylvania	Rural	No	137.9 (128.3, 148.1)	N/A	164	falling	-1.3 (-1.7, -1.0)
Izard County, Arkansas	Rural	No	169.0 (145.7, 195.7)	N/A	42	falling	-1.3 (-2.1, -0.4)
Jackson County, Wisconsin	Rural	No	153.7 (134.3, 175.5)	N/A	47	falling	-1.3 (-1.8, -0.7)
Jasper County, South Carolina	Urban	No	148.4 (131.7, 166.9)	N/A	64	falling	-1.3 (-2.0, -0.5)
Jewell County, Kansas	Rural	No	152.8 (110.7, 212.4)	N/A	9	falling	-1.3 (-2.4, -0.3)
Juneau Borough, Alaska	Rural	No	148.5 (129.8, 169.1)	N/A	51	falling	-1.3 (-2.0, -0.4)
Kendall County, Illinois	Urban	No	143.3 (133.3, 153.9)	N/A	160	falling	-1.3 (-1.6, -0.9)
Kern County, California	Urban	No	145.5 (141.7, 149.4)	N/A	1,176	falling	-1.3 (-1.5, -1.2)
Koochiching County, Minnesota	Rural	No	130.7 (110.5, 154.9)	N/A	31	falling	-1.3 (-2.1, -0.4)
La Crosse County, Wisconsin	Urban	No	140.6 (132.2, 149.5)	N/A	216	falling	-1.3 (-1.6, -1.0)
Lake County, California	Rural	No	169.7 (158.5, 181.6)	N/A	187	falling	-1.3 (-1.6, -0.9)
Lake County, Florida	Urban	No	145.6 (141.5, 149.8)	N/A	1,044	falling	-1.3 (-1.5, -1.1)
Lancaster County, Nebraska	Urban	No	141.8 (136.2, 147.7)	N/A	490	falling	-1.3 (-1.5, -1.0)
Lane County, Oregon	Urban	No	154.9 (150.1, 159.8)	N/A	840	falling	-1.3 (-3.0, -1.1)
Larimer County, Colorado	Urban	Yes	119.9 (115.1, 124.7)	N/A	504	falling	-1.3 (-1.5, -1.1)
Lauderdale County, Mississippi	Rural	No	150.4 (139.4, 162.0)	N/A	146	stable	-1.3 (-2.9, 3.2)
Lea County, New Mexico	Rural	No	161.4 (147.6, 176.0)	N/A	106	falling	-1.3 (-1.7, -0.9)
Lewis and Clark County, Montana	Urban	No	148.9 (137.9, 160.7)	N/A	145	falling	-1.3 (-1.7, -0.9)
Lexington County, South Carolina	Urban	No	156.5 (150.7, 162.5)	N/A	573	falling	-1.3 (-1.5, -1.0)
Licking County, Ohio	Urban	No	161.7 (154.2, 169.4)	N/A	367	falling	-1.3 (-1.5, -1.1)
Limestone County, Texas	Rural	No	168.5 (148.3, 191.0)	N/A	54	falling	-1.3 (-1.8, -0.7)
Lincoln County, Wisconsin	Rural	No	148.9 (133.4, 166.0)	N/A	72	falling	-1.3 (-1.7, -0.9)
Linn County, Iowa	Urban	No	143.5 (137.2, 149.9)	N/A	414	falling	-1.3 (-2.2, -1.1)
Lyon County, Iowa	Rural	No	149.2 (123.6, 179.0)	N/A	26	falling	-1.3 (-2.2, -0.4)
Macon County, Alabama	Urban	No	181.0 (158.0, 206.8)	N/A	49	falling	-1.3 (-1.8, -0.8)
Madison County, Ohio	Urban	No	168.7 (153.3, 185.2)	N/A	91	falling	-1.3 (-1.7, -0.8)
Madison Parish, Louisiana	Rural	No	198.6 (164.2, 238.4)	N/A	25	falling	-1.3 (-2.3, -0.4)
Marathon County, Wisconsin	Urban	No	134.9 (127.5, 142.6)	N/A	258	falling	-1.3 (-1.6, -0.9)
Marshall County, Iowa	Rural	No	152.9 (138.3, 168.7)	N/A	84	falling	-1.3 (-1.9, -0.6)
Miami-Dade County, Florida	Urban	No	123.8 (122.2, 125.5)	N/A	4,343	falling	-1.3 (-1.6, -0.3)
Minidoka County, Idaho	Rural	No	139.5 (119.4, 162.2)	N/A	35	falling	-1.3 (-1.9, -0.7)
Modoc County, California	Rural	No	134.2 (109.1, 164.9)	N/A	23	falling	-1.3 (-2.2, -0.4)
Monona County, Iowa	Rural	No	156.5 (129.1, 189.3)	N/A	25	falling	-1.3 (-2.1, -0.5)
Montgomery County, North Carolina	Rural	No	151.4 (134.3, 170.4)	N/A	61	falling	-1.3 (-1.8, -0.7)
Montgomery County, Tennessee	Urban	No	173.9 (164.8, 183.2)	N/A	299	falling	-1.3 (-4.3, -0.9)
Montrose County, Colorado	Rural	Yes	117.9 (106.6, 130.4)	N/A	87	falling	-1.3 (-1.8, -0.7)
Moore County, Texas	Rural	No	132.3 (110.2, 157.4)	N/A	26	falling	-1.3 (-2.0, -0.6)
Morgan County, Alabama	Urban	No	159.7 (151.0, 168.8)	N/A	263	falling	-1.3 (-2.8, -0.9)
Morgan County, Utah	Urban	No	131.0 (101.8, 165.8)	N/A	14	stable	-1.3 (-2.4, 0.1)
Morrill County, Nebraska	Rural	No	142.7 (105.3, 191.1)	N/A	11	stable	-1.3 (-2.8, 0.1)
Morrow County, Oregon	Rural	No	157.2 (128.9, 190.2)	N/A	23	stable	-1.3 (-2.7, 0.1)
Nevada County, Arkansas	Rural	No	159.3 (129.8, 194.7)	N/A	21	falling	-1.3 (-2.1, -0.5)
Okaloosa County, Florida	Urban	No	153.7 (146.9, 160.8)	N/A	398	falling	-1.3 (-1.6, -1.0)
Onondaga County, New York	Urban	No	139.7 (135.6, 144.0)	N/A	894	stable	-1.3 (-3.4, 0.8)
Orange County, Texas	Urban	No	174.5 (163.1, 186.5)	N/A	181	falling	-1.3 (-1.7, -1.0)
Owen County, Kentucky	Rural	No	166.0 (138.5, 197.9)	N/A	27	falling	-1.3 (-2.2, -0.4)
Penobscot County, Maine	Urban	No	168.7 (160.9, 176.8)	N/A	370	falling	-1.3 (-1.5, -1.1)
Piatt County, Illinois	Urban	No	146.5 (125.5, 170.4)	N/A	37	falling	-1.3 (-2.0, -0.7)
Pinal County, Arizona	Urban	No	128.4 (124.3, 132.7)	N/A	789	falling	-1.3 (-1.6, -1.0)
Plymouth County, Iowa	Rural	No	133.6 (116.9, 152.2)	N/A	49	falling	-1.3 (-1.8, -0.7)
Pointe Coupee Parish, Louisiana	Urban	No	170.8 (150.5, 193.3)	N/A	55	falling	-1.3 (-2.0, -0.7)
Polk County, North Carolina	Rural	No	142.6 (124.2, 163.6)	N/A	59	falling	-1.3 (-1.8, -0.7)
Potter County, Texas	Urban	No	167.6 (157.5, 178.3)	N/A	210	falling	-1.3 (-1.6, -1.0)
Power County, Idaho	Rural	No	130.9 (99.9, 169.0)	N/A	12	stable	-1.3 (-2.6, 0.0)
Prairie County, Arkansas	Rural	No	159.2 (130.1, 194.2)	N/A	23	falling	-1.3 (-2.5, -0.2)
Putnam County, Ohio	Rural	No	133.3 (118.6, 149.4)	N/A	63	falling	-1.3 (-1.9, -0.7)
Ramsey County, North Dakota	Rural	No	137.9 (114.3, 165.6)	N/A	25	falling	-1.3 (-2.2, -0.4)
Rice County, Minnesota	Rural	No	143.9 (132.2, 156.3)	N/A	117	falling	-1.3 (-1.9, -1.0)
Richland County, South Carolina	Urban	No	164.3 (158.8, 170.0)	N/A	696	falling	-1.3 (-1.5, -1.1)
Rockdale County, Georgia	Urban	No	155.5 (144.8, 166.9)	N/A	167	falling	-1.3 (-1.6, -0.8)
Rockingham County, Virginia	Urban	No	141.4 (132.0, 151.4)	N/A	175	falling	-1.3 (-4.4, -0.7)
Roosevelt County, New Mexico	Rural	No	138.4 (116.6, 163.3)	N/A	29	falling	-1.3 (-2.0, -0.6)
Russell County, Alabama	Urban	No	191.4 (176.5, 207.2)	N/A	129	falling	-1.3 (-5.5, -0.8)
Rutherford County, Tennessee	Urban	No	160.6 (154.0, 167.4)	N/A	477	falling	-1.3 (-1.5, -1.1)
Salem County, New Jersey	Urban	No	161.0 (149.4, 173.4)	N/A	150	falling	-1.3 (-1.6, -0.9)
San Juan County, New Mexico	Urban	No	131.6 (123.1, 140.5)	N/A	187	falling	-1.3 (-1.7, -0.9)
Sanders County, Montana	Rural	No	154.7 (132.3, 181.1)	N/A	40	falling	-1.3 (-2.0, -0.5)
Santa Barbara County, California	Urban	No	126.5 (122.2, 130.9)	N/A	683	falling	-1.3 (-1.5, -1.1)
Sarpy County, Nebraska	Urban	No	146.3 (138.3, 154.5)	N/A	264	falling	-1.3 (-1.6, -0.9)
Schoharie County, New York	Urban	No	165.3 (149.1, 183.2)	N/A	81	falling	-1.3 (-1.7, -0.9)
Sheridan County, Wyoming	Rural	No	137.9 (122.9, 154.5)	N/A	66	falling	-1.3 (-1.9, -0.7)
Sioux County, Iowa	Rural	Yes	106.5 (93.2, 121.3)	N/A	49	falling	-1.3 (-1.7, -0.8)
Solano County, California	Urban	No	150.8 (146.2, 155.6)	N/A	829	falling	-1.3 (-1.5, -1.2)
St. James Parish, Louisiana	Urban	No	169.6 (148.1, 193.7)	N/A	47	falling	-1.3 (-2.0, -0.6)
St. Louis County, Missouri	Urban	No	149.7 (146.8, 152.7)	N/A	2,066	falling	-1.3 (-1.4, -1.2)
St. Martin Parish, Louisiana	Urban	No	175.6 (160.9, 191.3)	N/A	111	falling	-1.3 (-1.8, -0.8)
St. Mary Parish, Louisiana	Rural	No	173.7 (159.5, 189.0)	N/A	116	falling	-1.3 (-1.7, -0.9)
Stutsman County, North Dakota	Rural	No	136.8 (118.6, 157.4)	N/A	44	falling	-1.3 (-1.9, -0.8)
Sussex County, Virginia	Urban	No	211.7 (178.6, 249.8)	N/A	31	falling	-1.3 (-2.0, -0.7)
Tangipahoa Parish, Louisiana	Urban	No	182.2 (172.3, 192.4)	N/A	271	falling	-1.3 (-1.5, -1.0)
Tensas Parish, Louisiana	Rural	No	200.9 (155.7, 258.2)	N/A	15	stable	-1.3 (-2.8, 0.1)
Titus County, Texas	Rural	No	164.3 (145.3, 185.2)	N/A	56	falling	-1.3 (-1.9, -0.6)
Trigg County, Kentucky	Urban	No	179.7 (155.1, 207.6)	N/A	42	falling	-1.3 (-1.9, -0.6)
Tyler County, Texas	Rural	No	164.3 (144.3, 186.8)	N/A	52	falling	-1.3 (-1.8, -0.7)
Upshur County, Texas	Urban	No	178.4 (162.7, 195.3)	N/A	101	falling	-1.3 (-1.8, -0.7)
Wallowa County, Oregon	Rural	No	151.3 (122.5, 186.8)	N/A	22	falling	-1.3 (-2.4, -0.3)
Ward County, Texas	Rural	No	137.6 (108.7, 171.9)	N/A	16	falling	-1.3 (-2.2, -0.5)
Washington County, New York	Urban	No	165.5 (153.8, 178.0)	N/A	155	falling	-1.3 (-1.6, -0.9)
Washington County, Texas	Rural	No	139.5 (125.5, 154.7)	N/A	80	falling	-1.3 (-1.7, -0.9)
Washington County, Wisconsin	Urban	No	132.7 (125.4, 140.5)	N/A	254	falling	-1.3 (-1.6, -0.9)
Wharton County, Texas	Rural	No	154.7 (139.9, 170.7)	N/A	84	falling	-1.3 (-1.7, -0.9)
Wheeler County, Georgia	Rural	No	137.1 (104.9, 177.0)	N/A	12	stable	-1.3 (-2.6, 0.2)
Windsor County, Vermont	Rural	No	140.7 (129.9, 152.3)	N/A	138	falling	-1.3 (-1.8, -0.9)
Winston County, Alabama	Rural	No	159.2 (141.3, 179.2)	N/A	60	falling	-1.3 (-1.8, -0.7)
Worth County, Iowa	Rural	No	135.9 (107.6, 170.8)	N/A	16	falling	-1.3 (-2.3, -0.3)
York County, Maine	Urban	No	156.6 (150.4, 163.1)	N/A	509	falling	-1.3 (-1.5, -1.1)
Ada County, Idaho	Urban	No	131.8 (127.5, 136.2)	N/A	739	falling	-1.4 (-1.6, -1.1)
Adams County, Illinois	Rural	No	169.9 (158.2, 182.4)	N/A	167	falling	-1.4 (-1.8, -1.0)
Adams County, North Dakota	Rural	No	140.7 (86.6, 221.3)	N/A	6	falling	-1.4 (-2.8, -0.1)
Amador County, California	Rural	No	138.7 (126.9, 151.6)	N/A	108	falling	-1.4 (-1.9, -0.9)
Amherst County, Virginia	Urban	No	164.0 (148.0, 181.6)	N/A	81	falling	-1.4 (-2.0, -0.8)
Anderson County, South Carolina	Urban	No	156.8 (150.1, 163.7)	N/A	429	stable	-1.4 (-2.3, 1.1)
Arapahoe County, Colorado	Urban	No	123.4 (119.6, 127.3)	N/A	837	falling	-1.4 (-1.6, -1.1)
Archer County, Texas	Urban	Yes	121.5 (96.5, 152.2)	N/A	17	falling	-1.4 (-2.3, -0.6)
Athens County, Ohio	Rural	No	164.5 (150.4, 179.7)	N/A	106	falling	-1.4 (-1.8, -0.9)
Augusta County, Virginia	Urban	No	135.8 (126.6, 145.6)	N/A	169	falling	-1.4 (-1.9, -0.9)
Avery County, North Carolina	Rural	No	134.9 (116.1, 156.6)	N/A	38	falling	-1.4 (-2.0, -0.7)
Beaverhead County, Montana	Rural	No	128.8 (103.7, 159.3)	N/A	20	falling	-1.4 (-2.2, -0.4)
Benton County, Iowa	Urban	No	141.8 (124.6, 160.8)	N/A	53	falling	-1.4 (-1.9, -0.9)
Benton County, Minnesota	Urban	No	153.8 (137.7, 171.3)	N/A	70	falling	-1.4 (-2.0, -0.8)
Benzie County, Michigan	Urban	No	145.0 (125.5, 167.4)	N/A	47	falling	-1.4 (-2.1, -0.6)
Big Stone County, Minnesota	Rural	No	171.8 (132.4, 221.2)	N/A	16	falling	-1.4 (-2.3, -0.6)
Bradford County, Florida	Rural	No	172.7 (154.3, 192.8)	N/A	66	falling	-1.4 (-1.9, -0.8)
Broome County, New York	Urban	No	149.1 (142.6, 155.7)	N/A	440	falling	-1.4 (-1.6, -1.1)
Buffalo County, Wisconsin	Rural	No	130.1 (109.3, 154.5)	N/A	29	falling	-1.4 (-2.2, -0.7)
Butler County, Pennsylvania	Urban	No	151.2 (144.7, 157.9)	N/A	431	falling	-1.4 (-3.5, -1.1)
Calcasieu Parish, Louisiana	Urban	No	162.1 (154.9, 169.5)	N/A	399	falling	-1.4 (-1.7, -1.2)
Calumet County, Wisconsin	Urban	No	124.9 (112.6, 138.2)	N/A	79	falling	-1.4 (-2.2, -0.7)
Camden County, Georgia	Rural	No	165.1 (150.0, 181.3)	N/A	95	falling	-1.4 (-1.9, -0.6)
Camp County, Texas	Rural	No	182.3 (153.2, 215.7)	N/A	30	falling	-1.4 (-2.3, -0.5)
Campbell County, Wyoming	Rural	No	145.1 (127.8, 164.1)	N/A	59	falling	-1.4 (-2.4, -0.2)
Cape May County, New Jersey	Urban	No	156.0 (147.5, 164.9)	N/A	286	falling	-1.4 (-1.6, -1.1)
Caroline County, Maryland	Rural	No	180.0 (162.3, 199.2)	N/A	79	falling	-1.4 (-1.8, -0.9)
Cascade County, Montana	Urban	No	143.7 (134.0, 154.0)	N/A	171	falling	-1.4 (-1.7, -1.1)
Catawba County, North Carolina	Urban	No	154.1 (146.7, 161.9)	N/A	333	falling	-1.4 (-2.9, -1.2)
Cavalier County, North Dakota	Rural	No	160.8 (116.6, 219.2)	N/A	11	falling	-1.4 (-2.5, -0.4)
Chelan County, Washington	Urban	No	140.1 (130.3, 150.6)	N/A	159	falling	-1.4 (-1.7, -1.1)
Claiborne County, Tennessee	Rural	No	194.7 (176.3, 214.6)	N/A	88	falling	-1.4 (-6.8, -0.6)
Clark County, Indiana	Urban	No	172.1 (162.6, 182.0)	N/A	257	falling	-1.4 (-1.7, -1.1)
Clarke County, Georgia	Urban	No	140.0 (130.2, 150.4)	N/A	156	falling	-1.4 (-1.7, -1.0)
Clermont County, Ohio	Urban	No	160.1 (153.3, 167.2)	N/A	435	falling	-1.4 (-1.7, -1.2)
Cleveland County, Arkansas	Rural	No	157.7 (126.8, 195.2)	N/A	19	falling	-1.4 (-2.6, -0.2)
Clinton County, Michigan	Urban	No	134.2 (124.3, 144.8)	N/A	140	falling	-1.4 (-1.8, -1.0)
Columbia County, Oregon	Urban	No	167.6 (154.5, 181.6)	N/A	128	falling	-1.4 (-1.8, -0.9)
Cottle County, Texas	Rural	No	131.7 (73.2, 231.7)	N/A	3	stable	-1.4 (-3.5, 0.3)
Coweta County, Georgia	Urban	No	148.7 (140.1, 157.6)	N/A	240	falling	-1.4 (-1.8, -0.9)
Custer County, Montana	Rural	No	163.1 (137.1, 193.3)	N/A	29	falling	-1.4 (-2.1, -0.7)
Dauphin County, Pennsylvania	Urban	No	148.6 (143.0, 154.4)	N/A	554	falling	-1.4 (-1.6, -1.3)
Davison County, South Dakota	Rural	No	129.7 (111.2, 150.8)	N/A	38	falling	-1.4 (-2.1, -0.7)
De Soto Parish, Louisiana	Urban	No	169.1 (150.3, 189.8)	N/A	61	falling	-1.4 (-2.0, -0.8)
Dorchester County, Maryland	Rural	No	168.5 (152.4, 186.1)	N/A	87	stable	-1.4 (-2.7, 0.5)
Douglas County, South Dakota	Rural	Yes	113.8 (72.9, 173.8)	N/A	6	stable	-1.4 (-3.1, 0.1)
Dubuque County, Iowa	Urban	No	143.3 (134.3, 152.9)	N/A	198	falling	-1.4 (-1.6, -1.1)
Ellis County, Texas	Urban	No	160.8 (152.7, 169.2)	N/A	311	falling	-1.4 (-1.6, -1.1)
Emery County, Utah	Rural	No	124.3 (97.5, 156.6)	N/A	16	falling	-1.4 (-2.6, -0.2)
Franklin County, Tennessee	Rural	No	153.0 (139.2, 167.9)	N/A	96	falling	-1.4 (-4.2, -1.0)
Gadsden County, Florida	Urban	No	170.2 (155.5, 186.1)	N/A	104	falling	-1.4 (-1.8, -0.9)
Gaston County, North Carolina	Urban	No	162.3 (155.6, 169.1)	N/A	468	falling	-1.4 (-1.9, -1.1)
Gates County, North Carolina	Urban	No	157.3 (129.7, 189.8)	N/A	25	falling	-1.4 (-2.2, -0.6)
Glades County, Florida	Rural	No	144.7 (123.0, 170.5)	N/A	34	falling	-1.4 (-2.0, -0.6)
Goliad County, Texas	Urban	No	136.7 (107.6, 172.9)	N/A	17	falling	-1.4 (-2.7, -0.2)
Grady County, Oklahoma	Urban	No	171.9 (158.0, 186.6)	N/A	119	falling	-1.4 (-7.3, -0.5)
Grand County, Colorado	Rural	Yes	99.0 (78.3, 123.8)	N/A	19	stable	-1.4 (-2.7, 0.2)
Grand Isle County, Vermont	Urban	No	168.7 (132.6, 212.5)	N/A	18	stable	-1.4 (-2.6, 0.0)
Grant County, North Dakota	Rural	Yes	105.3 (66.6, 167.9)	N/A	5	stable	-1.4 (-3.0, 0.0)
Guadalupe County, Texas	Urban	No	141.6 (134.0, 149.5)	N/A	270	falling	-1.4 (-1.6, -1.0)
Gwinnett County, Georgia	Urban	No	132.2 (128.5, 136.0)	N/A	1,071	falling	-1.4 (-1.6, -1.3)
Hamilton County, Nebraska	Rural	No	145.8 (117.9, 179.0)	N/A	20	falling	-1.4 (-2.4, -0.4)
Harlan County, Kentucky	Rural	No	240.2 (217.7, 264.6)	N/A	89	stable	-1.4 (-8.6, 0.0)
Herkimer County, New York	Urban	No	142.2 (131.2, 153.9)	N/A	133	falling	-1.4 (-1.8, -1.0)
Humboldt County, Iowa	Rural	No	129.0 (104.6, 158.3)	N/A	21	falling	-1.4 (-2.1, -0.7)
Irwin County, Georgia	Rural	No	147.7 (119.5, 181.2)	N/A	20	falling	-1.4 (-2.5, -0.3)
Jackson County, Kansas	Urban	No	133.8 (111.4, 160.0)	N/A	26	falling	-1.4 (-2.2, -0.7)
Johnson County, Kansas	Urban	No	128.6 (124.8, 132.5)	N/A	896	falling	-1.4 (-1.5, -1.2)
Johnston County, North Carolina	Urban	No	161.6 (154.0, 169.4)	N/A	367	falling	-1.4 (-1.8, -1.2)
Jones County, Iowa	Urban	No	126.5 (109.3, 146.1)	N/A	41	falling	-1.4 (-1.9, -0.9)
Kanabec County, Minnesota	Rural	No	158.3 (136.5, 183.1)	N/A	40	falling	-1.4 (-2.2, -0.5)
Kaufman County, Texas	Urban	No	173.3 (163.1, 184.0)	N/A	232	falling	-1.4 (-1.7, -1.1)
Kewaunee County, Wisconsin	Urban	No	132.1 (114.1, 152.5)	N/A	41	falling	-1.4 (-2.0, -0.8)
Lafayette County, Mississippi	Rural	No	147.4 (132.9, 163.1)	N/A	79	falling	-1.4 (-1.9, -0.9)
Lake County, Minnesota	Rural	No	159.2 (134.4, 188.3)	N/A	33	falling	-1.4 (-2.1, -0.6)
Lancaster County, Pennsylvania	Urban	No	140.0 (136.2, 143.9)	N/A	1,094	falling	-1.4 (-1.5, -1.2)
Lee County, Iowa	Rural	No	162.2 (146.8, 179.1)	N/A	86	falling	-1.4 (-7.3, -0.4)
Lee County, North Carolina	Rural	No	152.4 (140.4, 165.2)	N/A	124	falling	-1.4 (-1.7, -1.0)
Lexington City, Virginia	Rural	No	177.3 (137.6, 226.9)	N/A	14	falling	-1.4 (-2.7, -0.2)
Liberty County, Texas	Urban	No	192.8 (179.9, 206.4)	N/A	177	falling	-1.4 (-1.8, -1.0)
Lincoln County, Maine	Rural	No	164.1 (150.3, 179.1)	N/A	115	falling	-1.4 (-1.9, -0.9)
Lincoln County, Montana	Rural	No	148.1 (130.1, 168.5)	N/A	57	falling	-1.4 (-2.0, -0.8)
Lincoln County, New Mexico	Rural	Yes	110.6 (96.1, 127.3)	N/A	46	falling	-1.4 (-2.1, -0.7)
Los Alamos County, New Mexico	Rural	Yes	105.9 (88.9, 125.6)	N/A	28	falling	-1.4 (-2.1, -0.6)
Loudon County, Tennessee	Urban	No	145.9 (134.8, 157.8)	N/A	146	falling	-1.4 (-1.8, -0.9)
Maricopa County, Arizona	Urban	No	131.3 (129.9, 132.8)	N/A	6,845	falling	-1.4 (-1.5, -1.3)
Marion County, Oregon	Urban	No	153.0 (147.6, 158.5)	N/A	629	falling	-1.4 (-2.0, -1.2)
McPherson County, South Dakota	Rural	Yes	94.6 (61.3, 149.4)	N/A	5	stable	-1.4 (-3.2, 0.1)
Medina County, Ohio	Urban	No	139.9 (133.4, 146.7)	N/A	357	falling	-1.4 (-1.6, -1.1)
Miami County, Kansas	Urban	No	132.6 (117.9, 148.8)	N/A	61	falling	-1.4 (-2.0, -0.7)
Mohave County, Arizona	Urban	No	172.5 (166.6, 178.7)	N/A	769	falling	-1.4 (-3.4, -1.0)
Monroe County, Georgia	Urban	No	153.7 (136.4, 172.6)	N/A	61	falling	-1.4 (-1.9, -0.8)
Montgomery County, Alabama	Urban	No	161.4 (154.6, 168.5)	N/A	434	falling	-1.4 (-1.6, -1.2)
Moore County, Tennessee	Rural	No	129.9 (98.9, 168.7)	N/A	13	stable	-1.4 (-2.7, 0.2)
Newton County, Mississippi	Rural	No	159.1 (138.2, 182.5)	N/A	43	falling	-1.4 (-2.1, -0.7)
Nicollet County, Minnesota	Urban	No	129.8 (115.0, 146.1)	N/A	58	falling	-1.4 (-2.1, -0.6)
Nuckolls County, Nebraska	Rural	No	168.6 (128.8, 220.4)	N/A	14	falling	-1.4 (-2.6, -0.3)
Ohio County, West Virginia	Urban	No	163.2 (149.1, 178.5)	N/A	109	falling	-1.4 (-1.7, -1.1)
Orange County, Vermont	Rural	No	139.1 (124.0, 156.0)	N/A	66	falling	-1.4 (-2.0, -0.7)
Outagamie County, Wisconsin	Urban	No	142.0 (135.1, 149.3)	N/A	326	falling	-1.4 (-1.7, -1.1)
Perkins County, Nebraska	Rural	No	154.2 (104.6, 222.6)	N/A	7	stable	-1.4 (-3.0, 0.0)
Perquimans County, North Carolina	Rural	No	154.4 (132.4, 180.0)	N/A	39	falling	-1.4 (-2.0, -0.8)
Pima County, Arizona	Urban	No	135.3 (132.6, 138.0)	N/A	2,043	falling	-1.4 (-1.5, -1.3)
Polk County, Florida	Urban	No	147.0 (143.7, 150.5)	N/A	1,542	falling	-1.4 (-1.6, -1.2)
Potter County, South Dakota	Rural	Yes	108.6 (72.5, 165.3)	N/A	6	stable	-1.4 (-2.9, 0.1)
Rapides Parish, Louisiana	Urban	No	159.8 (151.1, 169.0)	N/A	258	falling	-1.4 (-1.7, -1.1)
Richland County, North Dakota	Rural	Yes	116.5 (97.1, 139.1)	N/A	28	falling	-1.4 (-2.1, -0.7)
Richland County, Wisconsin	Rural	No	138.6 (119.7, 160.2)	N/A	42	falling	-1.4 (-2.1, -0.7)
Riverside County, California	Urban	No	140.6 (138.6, 142.6)	N/A	3,870	falling	-1.4 (-1.5, -1.3)
Rockbridge County, Virginia	Rural	No	143.4 (126.9, 162.0)	N/A	61	falling	-1.4 (-2.1, -0.7)
Rockingham County, North Carolina	Urban	No	168.6 (158.9, 178.8)	N/A	237	falling	-1.4 (-2.2, -1.1)
Rosebud County, Montana	Rural	No	169.6 (133.6, 212.5)	N/A	16	falling	-1.4 (-2.6, -0.1)
Sacramento County, California	Urban	No	146.2 (143.6, 148.8)	N/A	2,583	falling	-1.4 (-2.3, -1.3)
San Bernardino County, California	Urban	No	149.3 (146.9, 151.7)	N/A	3,056	falling	-1.4 (-1.9, -1.3)
San Luis Obispo County, California	Urban	No	133.1 (127.9, 138.3)	N/A	551	falling	-1.4 (-1.6, -1.2)
Schenectady County, New York	Urban	No	146.0 (138.7, 153.7)	N/A	312	falling	-1.4 (-1.6, -1.1)
Sedgwick County, Colorado	Rural	No	142.5 (97.4, 209.6)	N/A	7	stable	-1.4 (-3.0, 0.0)
Sharkey County, Mississippi	Rural	No	238.7 (181.3, 310.4)	N/A	13	falling	-1.4 (-2.7, -0.3)
Sheridan County, Kansas	Rural	Yes	118.4 (77.7, 179.5)	N/A	6	falling	-1.4 (-2.9, -0.1)
Snyder County, Pennsylvania	Rural	No	147.6 (133.8, 162.6)	N/A	88	falling	-1.4 (-1.8, -0.9)
Sonoma County, California	Urban	No	139.6 (135.7, 143.7)	N/A	995	falling	-1.4 (-1.6, -1.2)
Southampton County, Virginia	Rural	No	155.5 (135.5, 178.2)	N/A	45	falling	-1.4 (-2.0, -0.8)
Spencer County, Indiana	Rural	No	154.3 (133.8, 177.4)	N/A	44	falling	-1.4 (-1.9, -0.8)
St. Clair County, Illinois	Urban	No	166.2 (159.8, 172.8)	N/A	534	falling	-1.4 (-1.6, -1.2)
St. Lawrence County, New York	Rural	No	162.4 (153.1, 172.2)	N/A	239	falling	-1.4 (-1.7, -1.0)
St. Lucie County, Florida	Urban	No	146.6 (142.0, 151.3)	N/A	840	falling	-1.4 (-1.6, -1.2)
Stanton County, Nebraska	Rural	No	129.0 (95.7, 171.4)	N/A	11	stable	-1.4 (-2.9, 0.0)
Summit County, Ohio	Urban	No	160.6 (156.4, 164.9)	N/A	1,194	falling	-1.4 (-2.8, -1.2)
Sumter County, South Carolina	Urban	No	177.0 (166.8, 187.7)	N/A	235	falling	-1.4 (-4.4, -1.0)
Sutter County, California	Urban	No	143.8 (134.3, 153.9)	N/A	173	falling	-1.4 (-1.7, -1.0)
Taylor County, Wisconsin	Rural	No	138.1 (118.7, 160.1)	N/A	40	falling	-1.4 (-2.1, -0.7)
Telfair County, Georgia	Rural	No	176.2 (148.6, 208.1)	N/A	30	falling	-1.4 (-2.2, -0.6)
Thomas County, Kansas	Rural	No	139.9 (109.8, 176.6)	N/A	15	falling	-1.4 (-2.6, -0.3)
Todd County, Minnesota	Rural	No	128.5 (112.7, 146.3)	N/A	53	falling	-1.4 (-2.0, -0.8)
Tulsa County, Oklahoma	Urban	No	160.2 (156.1, 164.4)	N/A	1,209	falling	-1.4 (-1.8, -1.2)
Tyler County, West Virginia	Rural	No	148.3 (121.6, 180.5)	N/A	22	falling	-1.4 (-2.2, -0.7)
Union County, South Dakota	Urban	No	150.1 (127.8, 175.5)	N/A	34	falling	-1.4 (-2.2, -0.5)
Ventura County, California	Urban	No	128.9 (125.8, 132.0)	N/A	1,347	falling	-1.4 (-1.6, -1.2)
Vilas County, Wisconsin	Rural	No	146.9 (131.3, 164.6)	N/A	73	falling	-1.4 (-2.0, -0.8)
Waller County, Texas	Urban	No	154.2 (139.0, 170.7)	N/A	79	falling	-1.4 (-1.8, -1.0)
Walsh County, North Dakota	Rural	No	158.2 (131.5, 189.5)	N/A	27	falling	-1.4 (-2.2, -0.6)
Warren County, North Carolina	Rural	No	162.0 (142.7, 183.7)	N/A	56	falling	-1.4 (-2.2, -0.6)
Warrick County, Indiana	Urban	No	152.6 (141.0, 165.1)	N/A	132	falling	-1.4 (-1.8, -0.9)
Washington County, Idaho	Rural	No	139.5 (116.1, 167.3)	N/A	27	falling	-1.4 (-2.3, -0.4)
Windham County, Vermont	Rural	No	152.7 (139.8, 166.7)	N/A	114	falling	-1.4 (-1.8, -1.0)
Yankton County, South Dakota	Rural	Yes	119.1 (103.4, 136.9)	N/A	44	falling	-1.4 (-2.0, -0.8)
Yates County, New York	Rural	No	151.1 (133.7, 170.5)	N/A	57	falling	-1.4 (-1.8, -0.9)
Yolo County, California	Urban	No	142.4 (135.2, 149.8)	N/A	304	falling	-1.4 (-1.7, -1.1)
Addison County, Vermont	Rural	No	136.8 (123.0, 151.9)	N/A	78	falling	-1.5 (-2.0, -1.0)
Albany County, New York	Urban	No	141.8 (136.6, 147.1)	N/A	593	falling	-1.5 (-3.3, -1.3)
Antrim County, Michigan	Rural	No	147.6 (130.9, 166.5)	N/A	64	falling	-1.5 (-2.0, -1.0)
Baker County, Florida	Urban	No	173.0 (152.6, 195.4)	N/A	54	falling	-1.5 (-2.1, -0.8)
Ballard County, Kentucky	Urban	No	170.3 (138.6, 208.4)	N/A	21	falling	-1.5 (-2.5, -0.5)
Baltimore County, Maryland	Urban	No	151.8 (148.6, 155.2)	N/A	1,737	falling	-1.5 (-1.7, -1.4)
Bastrop County, Texas	Urban	No	145.1 (135.1, 155.7)	N/A	166	falling	-1.5 (-1.9, -1.0)
Belknap County, New Hampshire	Rural	No	157.7 (146.7, 169.5)	N/A	165	falling	-1.5 (-1.8, -1.3)
Bell County, Texas	Urban	No	158.3 (152.2, 164.6)	N/A	523	falling	-1.5 (-1.8, -1.3)
Berkshire County, Massachusetts	Urban	No	143.6 (136.4, 151.1)	N/A	324	falling	-1.5 (-1.8, -1.2)
Blair County, Pennsylvania	Urban	No	164.3 (155.9, 173.0)	N/A	307	falling	-1.5 (-2.6, -1.1)
Boone County, West Virginia	Urban	No	194.4 (172.9, 218.2)	N/A	65	falling	-1.5 (-2.2, -1.0)
Brazoria County, Texas	Urban	No	155.3 (149.5, 161.3)	N/A	558	falling	-1.5 (-1.8, -1.3)
Brown County, Indiana	Urban	No	154.5 (132.9, 179.2)	N/A	41	falling	-1.5 (-5.3, -0.7)
Bureau County, Illinois	Rural	No	162.0 (147.0, 178.4)	N/A	90	falling	-1.5 (-5.5, -0.9)
Caddo Parish, Louisiana	Urban	No	175.7 (169.0, 182.6)	N/A	551	falling	-1.5 (-3.3, -1.1)
Calhoun County, Alabama	Urban	No	175.8 (166.3, 185.8)	N/A	269	falling	-1.5 (-4.1, -1.2)
Campbell County, Kentucky	Urban	No	163.7 (153.3, 174.8)	N/A	192	falling	-1.5 (-1.8, -1.2)
Caroline County, Virginia	Rural	No	162.4 (144.9, 181.7)	N/A	65	falling	-1.5 (-2.0, -1.0)
Carroll County, Maryland	Urban	No	154.1 (146.9, 161.6)	N/A	355	falling	-1.5 (-1.7, -1.2)
Carver County, Minnesota	Urban	No	123.9 (114.5, 133.8)	N/A	136	falling	-1.5 (-1.9, -1.1)
Cecil County, Maryland	Urban	No	171.3 (161.1, 182.1)	N/A	221	falling	-1.5 (-3.1, -1.2)
Cerro Gordo County, Iowa	Rural	No	144.8 (131.8, 158.9)	N/A	102	falling	-1.5 (-1.8, -1.1)
Chambers County, Texas	Urban	No	162.2 (145.0, 180.9)	N/A	69	falling	-1.5 (-2.2, -0.7)
Charles City County, Virginia	Urban	No	171.0 (139.7, 209.6)	N/A	22	falling	-1.5 (-2.4, -0.5)
Chisago County, Minnesota	Urban	No	166.7 (153.1, 181.3)	N/A	116	falling	-1.5 (-2.1, -0.8)
Clarke County, Virginia	Urban	No	140.0 (119.7, 163.6)	N/A	35	falling	-1.5 (-2.3, -0.7)
Clay County, North Carolina	Rural	No	132.2 (110.3, 158.5)	N/A	31	falling	-1.5 (-2.1, -0.9)
Clinton County, Pennsylvania	Rural	No	150.3 (135.6, 166.3)	N/A	81	falling	-1.5 (-2.1, -0.9)
Doddridge County, West Virginia	Rural	No	147.7 (118.3, 183.8)	N/A	18	falling	-1.5 (-2.4, -0.7)
Dodge County, Wisconsin	Rural	No	160.0 (150.1, 170.5)	N/A	202	falling	-1.5 (-5.2, -1.0)
Douglas County, Nebraska	Urban	No	152.8 (148.3, 157.3)	N/A	918	falling	-1.5 (-2.1, -1.3)
Douglas County, Wisconsin	Urban	No	167.4 (152.9, 183.1)	N/A	104	falling	-1.5 (-1.8, -1.1)
Duplin County, North Carolina	Rural	No	165.0 (151.1, 179.8)	N/A	112	falling	-1.5 (-2.0, -1.0)
Eddy County, New Mexico	Rural	No	150.4 (137.4, 164.3)	N/A	102	falling	-1.5 (-5.2, -0.9)
Essex County, Vermont	Rural	No	168.2 (136.1, 208.4)	N/A	20	falling	-1.5 (-2.4, -0.4)
Fayette County, Tennessee	Urban	No	147.9 (134.5, 162.5)	N/A	97	falling	-1.5 (-2.1, -0.7)
Forsyth County, Georgia	Urban	Yes	118.0 (111.8, 124.4)	N/A	286	falling	-1.5 (-1.9, -1.0)
Fort Bend County, Texas	Urban	Yes	116.5 (112.9, 120.2)	N/A	872	stable	-1.5 (-2.1, 0.3)
Garfield County, Utah	Rural	Yes	116.5 (82.0, 161.8)	N/A	8	stable	-1.5 (-3.3, 0.4)
Genesee County, Michigan	Urban	No	170.3 (165.3, 175.4)	N/A	937	falling	-1.5 (-3.0, -1.1)
Greene County, Missouri	Urban	No	147.1 (141.6, 152.8)	N/A	552	falling	-1.5 (-3.2, -1.3)
Greene County, Ohio	Urban	No	145.6 (138.3, 153.1)	N/A	318	falling	-1.5 (-1.8, -1.1)
Greenlee County, Arizona	Rural	No	150.8 (117.6, 190.5)	N/A	15	falling	-1.5 (-2.6, -0.3)
Griggs County, North Dakota	Rural	Yes	91.4 (59.5, 145.8)	N/A	5	stable	-1.5 (-3.4, 0.2)
Hamilton County, Florida	Rural	No	198.2 (170.4, 229.6)	N/A	38	falling	-1.5 (-2.0, -1.0)
Harford County, Maryland	Urban	No	148.3 (142.4, 154.4)	N/A	492	falling	-1.5 (-1.6, -1.3)
Harrisonburg City, Virginia	Urban	No	146.2 (129.8, 164.1)	N/A	60	falling	-1.5 (-2.3, -0.8)
Houston County, Georgia	Urban	No	146.1 (138.0, 154.7)	N/A	250	falling	-1.5 (-1.8, -1.1)
Isle of Wight County, Virginia	Urban	No	163.1 (148.0, 179.5)	N/A	91	falling	-1.5 (-2.0, -0.9)
Jefferson County, Colorado ⁸	Urban	No	125.5 (121.8, 129.3)	N/A	910	falling	-1.5 (-1.7, -1.3)
Jefferson County, Texas	Urban	No	153.6 (147.3, 160.2)	N/A	460	falling	-1.5 (-1.8, -1.3)
Jefferson County, Wisconsin	Rural	No	139.7 (130.0, 150.0)	N/A	160	falling	-1.5 (-1.7, -1.2)
Jessamine County, Kentucky	Urban	No	158.0 (144.4, 172.6)	N/A	104	falling	-1.5 (-1.9, -1.1)
King William County, Virginia	Urban	No	159.4 (136.2, 185.6)	N/A	36	falling	-1.5 (-2.3, -0.6)
Lac qui Parle County, Minnesota	Rural	No	128.2 (99.9, 163.9)	N/A	17	falling	-1.5 (-2.4, -0.8)
Lafayette County, Arkansas	Rural	No	162.2 (129.2, 202.9)	N/A	18	falling	-1.5 (-2.6, -0.6)
Lamar County, Mississippi	Urban	No	135.2 (123.2, 148.1)	N/A	96	falling	-1.5 (-2.0, -0.9)
Lassen County, California	Rural	No	143.4 (126.1, 162.4)	N/A	52	falling	-1.5 (-2.0, -0.9)
Leavenworth County, Kansas	Urban	No	157.0 (145.8, 169.0)	N/A	150	falling	-1.5 (-1.9, -1.2)
Lee County, Florida	Urban	No	123.6 (120.9, 126.3)	N/A	1,864	falling	-1.5 (-1.7, -1.4)
Lehigh County, Pennsylvania	Urban	No	146.4 (141.6, 151.4)	N/A	711	falling	-1.5 (-3.1, -1.2)
Liberty County, Montana	Rural	Yes	111.3 (63.4, 186.9)	N/A	4	stable	-1.5 (-3.7, 0.5)
Litchfield County, Connecticut	Rural	No	139.1 (133.0, 145.5)	N/A	412	falling	-1.5 (-2.2, -1.3)
Los Angeles County, California	Urban	No	130.3 (129.4, 131.3)	N/A	14,510	falling	-1.5 (-1.6, -1.5)
Macon County, Illinois	Urban	No	170.3 (160.9, 180.2)	N/A	263	falling	-1.5 (-3.4, -1.0)
Marion County, Indiana	Urban	No	171.3 (167.6, 175.1)	N/A	1,681	falling	-1.5 (-2.4, -1.3)
Marshall County, Alabama	Rural	No	162.8 (152.8, 173.4)	N/A	204	falling	-1.5 (-4.1, -1.0)
Mesa County, Colorado	Urban	No	135.0 (128.1, 142.2)	N/A	301	falling	-1.5 (-1.8, -1.2)
Middlesex County, Virginia	Rural	No	147.6 (126.1, 173.4)	N/A	37	falling	-1.5 (-2.1, -0.9)
Monongalia County, West Virginia	Urban	No	139.5 (129.2, 150.4)	N/A	143	falling	-1.5 (-1.9, -1.1)
Montgomery County, Maryland	Urban	Yes	106.9 (104.4, 109.5)	N/A	1,418	stable	-1.5 (-1.9, 0.5)
Montgomery County, Virginia	Urban	No	137.3 (127.0, 148.3)	N/A	134	falling	-1.5 (-1.8, -1.1)
Natrona County, Wyoming	Urban	No	143.3 (132.5, 154.7)	N/A	138	falling	-1.5 (-1.8, -1.1)
New Hanover County, North Carolina	Urban	No	147.4 (141.2, 153.8)	N/A	449	falling	-1.5 (-1.7, -1.2)
New Kent County, Virginia	Urban	No	171.6 (149.9, 195.6)	N/A	51	falling	-1.5 (-2.1, -0.7)
Northampton County, Virginia	Rural	No	165.0 (140.7, 193.4)	N/A	38	falling	-1.5 (-2.2, -0.8)
Oldham County, Kentucky	Urban	No	141.9 (129.4, 155.2)	N/A	103	falling	-1.5 (-1.9, -1.0)
Orange County, California	Urban	No	125.0 (123.4, 126.6)	N/A	4,741	falling	-1.5 (-1.6, -1.5)
Ozaukee County, Wisconsin	Urban	No	133.5 (124.9, 142.6)	N/A	187	falling	-1.5 (-1.8, -1.1)
Park County, Wyoming	Rural	No	126.9 (112.5, 142.9)	N/A	63	falling	-1.5 (-2.0, -0.9)
Pierce County, North Dakota	Rural	No	139.5 (103.1, 188.0)	N/A	10	falling	-1.5 (-3.0, -0.3)
Plaquemines Parish, Louisiana	Urban	No	179.5 (156.8, 204.7)	N/A	46	falling	-1.5 (-2.3, -0.7)
Rockwall County, Texas	Urban	No	134.8 (124.9, 145.4)	N/A	143	falling	-1.5 (-1.9, -1.0)
Roseau County, Minnesota	Rural	No	129.6 (109.0, 153.5)	N/A	29	falling	-1.5 (-2.1, -0.9)
Santa Cruz County, California	Urban	No	126.9 (121.4, 132.5)	N/A	427	falling	-1.5 (-1.8, -1.2)
Santa Fe County, New Mexico	Urban	Yes	114.2 (108.2, 120.5)	N/A	301	falling	-1.5 (-1.7, -1.3)
Seminole County, Florida	Urban	No	142.2 (137.8, 146.7)	N/A	824	falling	-1.5 (-1.6, -1.3)
Sitka Borough, Alaska	Rural	No	139.1 (108.4, 176.3)	N/A	15	falling	-1.5 (-2.5, -0.2)
Somerset County, Maryland	Urban	No	200.7 (179.0, 224.6)	N/A	65	falling	-1.5 (-2.0, -1.0)
St. Clair County, Alabama	Urban	No	161.9 (151.7, 172.7)	N/A	195	falling	-1.5 (-2.7, -1.1)
Sullivan County, New Hampshire	Rural	No	159.9 (146.4, 174.5)	N/A	112	falling	-1.5 (-1.9, -1.1)
Surry County, Virginia	Urban	No	143.8 (113.4, 182.0)	N/A	17	falling	-1.5 (-2.7, -0.3)
Taos County, New Mexico	Rural	Yes	117.3 (104.8, 131.2)	N/A	75	falling	-1.5 (-2.0, -0.9)
Tarrant County, Texas	Urban	No	145.5 (143.0, 147.9)	N/A	2,877	falling	-1.5 (-1.6, -1.4)
Tippecanoe County, Indiana	Urban	No	151.3 (143.0, 160.0)	N/A	256	falling	-1.5 (-1.8, -1.2)
Troup County, Georgia	Rural	No	159.7 (147.5, 172.6)	N/A	133	falling	-1.5 (-4.2, -1.2)
Union County, North Carolina	Urban	No	141.0 (134.3, 148.0)	N/A	348	falling	-1.5 (-1.8, -1.1)
Val Verde County, Texas	Rural	No	142.8 (128.2, 158.5)	N/A	71	falling	-1.5 (-2.0, -1.0)
Virginia Beach City, Virginia	Urban	No	144.9 (140.2, 149.7)	N/A	757	falling	-1.5 (-1.7, -1.3)
Warren County, Missouri	Urban	No	152.6 (137.0, 169.6)	N/A	74	falling	-1.5 (-2.0, -1.0)
Warren County, New York	Urban	No	150.7 (140.0, 162.0)	N/A	161	falling	-1.5 (-6.0, -1.0)
Wasatch County, Utah	Rural	Yes	111.9 (95.1, 130.7)	N/A	35	falling	-1.5 (-2.3, -0.3)
Washington County, Minnesota	Urban	No	133.6 (127.9, 139.6)	N/A	426	falling	-1.5 (-1.8, -1.1)
Washington County, Rhode Island	Urban	No	144.0 (136.5, 151.9)	N/A	296	falling	-1.5 (-1.7, -1.3)
Washington County, Vermont	Rural	No	146.2 (134.9, 158.4)	N/A	130	falling	-1.5 (-1.9, -1.2)
Washtenaw County, Michigan	Urban	No	134.7 (129.6, 140.0)	N/A	545	falling	-1.5 (-1.7, -1.3)
Wayne County, West Virginia	Urban	No	177.5 (162.5, 193.8)	N/A	108	falling	-1.5 (-2.8, -1.1)
Weld County, Colorado ⁸	Urban	No	131.5 (125.8, 137.5)	N/A	413	falling	-1.5 (-1.9, -1.0)
Will County, Illinois	Urban	No	153.2 (149.2, 157.3)	N/A	1,141	falling	-1.5 (-1.9, -1.3)
Winchester City, Virginia	Urban	No	156.8 (138.7, 176.8)	N/A	56	falling	-1.5 (-2.0, -1.0)
Winneshiek County, Iowa	Rural	Yes	111.7 (95.6, 130.2)	N/A	37	falling	-1.5 (-2.1, -0.9)
Woodward County, Oklahoma	Rural	No	145.7 (125.3, 168.6)	N/A	37	falling	-1.5 (-4.3, -0.6)
Ashtabula County, Ohio	Urban	No	175.2 (165.2, 185.6)	N/A	246	falling	-1.6 (-5.3, -0.9)
Asotin County, Washington	Urban	No	137.8 (121.0, 156.7)	N/A	54	falling	-1.6 (-2.2, -0.9)
Bailey County, Texas	Rural	Yes	118.6 (86.5, 159.0)	N/A	9	falling	-1.6 (-3.0, -0.3)
Bay County, Florida	Urban	No	159.0 (151.9, 166.4)	N/A	395	falling	-1.6 (-2.1, -1.1)
Beaufort County, South Carolina	Urban	No	124.1 (118.5, 129.9)	N/A	423	falling	-1.6 (-3.3, -0.4)
Bleckley County, Georgia	Rural	No	157.4 (131.5, 187.4)	N/A	27	falling	-1.6 (-2.5, -0.6)
Bledsoe County, Tennessee	Rural	No	127.9 (107.4, 151.9)	N/A	29	falling	-1.6 (-2.4, -0.6)
Boyd County, Kentucky	Urban	No	182.9 (168.7, 198.2)	N/A	128	falling	-1.6 (-3.4, -1.2)
Brewster County, Texas	Rural	Yes	102.5 (80.4, 130.0)	N/A	16	falling	-1.6 (-2.6, -0.7)
Brule County, South Dakota	Rural	Yes	113.5 (81.3, 155.7)	N/A	10	falling	-1.6 (-3.0, -0.2)
Buena Vista City, Virginia	Rural	No	176.2 (138.7, 221.7)	N/A	16	falling	-1.6 (-2.6, -0.6)
Bullitt County, Kentucky	Urban	No	151.4 (140.6, 162.8)	N/A	154	falling	-1.6 (-2.0, -1.2)
Buncombe County, North Carolina	Urban	No	135.3 (130.1, 140.6)	N/A	541	falling	-1.6 (-1.8, -1.4)
Burnet County, Texas	Rural	No	146.2 (134.2, 159.2)	N/A	119	falling	-1.6 (-2.0, -1.2)
Calvert County, Maryland	Urban	No	155.5 (145.3, 166.3)	N/A	179	falling	-1.6 (-2.0, -1.2)
Campbell County, South Dakota	Rural	Yes	94.5 (53.0, 179.7)	N/A	3	stable	-1.6 (-3.5, 0.2)
Carbon County, Wyoming	Rural	Yes	112.3 (91.5, 136.7)	N/A	22	falling	-1.6 (-2.7, -0.6)
Cass County, North Dakota	Urban	No	135.4 (127.6, 143.4)	N/A	242	falling	-1.6 (-2.0, -1.3)
Cattaraugus County, New York	Rural	No	153.6 (143.2, 164.7)	N/A	173	falling	-1.6 (-3.8, -1.2)
Centre County, Pennsylvania	Urban	No	124.7 (117.4, 132.4)	N/A	222	falling	-1.6 (-1.8, -1.3)
Chatham County, North Carolina	Urban	No	124.2 (115.7, 133.2)	N/A	172	falling	-1.6 (-2.0, -1.2)
Cherokee County, South Carolina	Rural	No	179.3 (165.3, 194.1)	N/A	128	falling	-1.6 (-2.5, -1.0)
Chesapeake City, Virginia	Urban	No	164.0 (157.0, 171.2)	N/A	433	falling	-1.6 (-1.8, -1.3)
Chittenden County, Vermont	Urban	No	142.3 (134.9, 150.1)	N/A	286	falling	-1.6 (-1.8, -1.3)
Clark County, Nevada	Urban	No	147.3 (145.1, 149.4)	N/A	3,743	falling	-1.6 (-1.8, -1.5)
Clay County, Florida	Urban	No	163.5 (156.6, 170.7)	N/A	440	falling	-1.6 (-3.3, -1.2)
Coffee County, Alabama	Rural	No	157.0 (143.8, 171.1)	N/A	108	falling	-1.6 (-4.7, -1.2)
Columbia County, New York	Rural	No	143.5 (133.1, 154.7)	N/A	153	falling	-1.6 (-3.8, -1.3)
Cook County, Minnesota	Rural	Yes	101.4 (75.6, 136.6)	N/A	12	stable	-1.6 (-3.6, 0.5)
Crawford County, Pennsylvania	Rural	No	159.9 (150.0, 170.3)	N/A	209	falling	-1.6 (-3.0, -1.1)
Custer County, Colorado	Rural	Yes	110.9 (77.9, 157.2)	N/A	11	stable	-1.6 (-2.9, 0.3)
Cuyahoga County, Ohio	Urban	No	159.5 (156.8, 162.2)	N/A	2,824	falling	-1.6 (-2.3, -1.4)
Dallas County, Texas	Urban	No	144.5 (142.3, 146.7)	N/A	3,373	falling	-1.6 (-2.0, -1.5)
Dane County, Wisconsin	Urban	No	132.1 (128.0, 136.4)	N/A	795	falling	-1.6 (-3.3, -1.3)
DeKalb County, Georgia	Urban	No	130.0 (126.3, 133.7)	N/A	1,009	falling	-1.6 (-2.1, -1.5)
Elko County, Nevada	Rural	No	125.4 (111.6, 140.3)	N/A	65	falling	-1.6 (-2.2, -0.9)
Elliott County, Kentucky	Rural	No	176.2 (142.7, 216.6)	N/A	20	falling	-1.6 (-2.7, -0.4)
Essex County, New York	Rural	No	148.5 (135.3, 163.0)	N/A	100	falling	-1.6 (-2.2, -1.1)
Fayette County, Georgia	Urban	No	126.2 (118.5, 134.5)	N/A	206	falling	-1.6 (-2.0, -1.1)
Flathead County, Montana	Rural	No	137.6 (129.1, 146.6)	N/A	206	falling	-1.6 (-1.9, -1.2)
Forsyth County, North Carolina	Urban	No	156.1 (151.0, 161.4)	N/A	736	falling	-1.6 (-2.1, -1.3)
Garza County, Texas	Urban	No	163.2 (118.8, 219.0)	N/A	9	falling	-1.6 (-2.9, -0.3)
Geauga County, Ohio	Urban	No	131.9 (123.6, 140.7)	N/A	199	falling	-1.6 (-5.9, -0.9)
Glynn County, Georgia	Urban	No	148.8 (139.3, 158.8)	N/A	196	falling	-1.6 (-2.0, -1.3)
Greene County, Georgia	Rural	No	133.8 (116.0, 154.1)	N/A	48	falling	-1.6 (-2.3, -0.8)
Greene County, Tennessee	Rural	No	181.6 (170.2, 193.7)	N/A	199	falling	-1.6 (-4.9, -0.8)
Hamilton County, Indiana	Urban	No	123.7 (118.5, 129.1)	N/A	436	falling	-1.6 (-1.9, -1.3)
Hamilton County, Iowa	Rural	No	138.5 (117.5, 162.8)	N/A	33	falling	-1.6 (-2.3, -0.9)
Hampshire County, Massachusetts	Urban	No	132.1 (125.1, 139.5)	N/A	282	falling	-1.6 (-1.8, -1.3)
Hancock County, Illinois	Rural	No	132.8 (114.7, 153.6)	N/A	41	falling	-1.6 (-2.2, -1.1)
Hanover County, Virginia	Urban	No	151.0 (142.3, 160.2)	N/A	231	falling	-1.6 (-1.9, -1.2)
Hartford County, Connecticut	Urban	No	135.2 (132.2, 138.2)	N/A	1,615	falling	-1.6 (-1.7, -1.6)
Hartley County, Texas	Rural	Yes	119.3 (85.1, 163.5)	N/A	8	falling	-1.6 (-2.8, -0.4)
Hendricks County, Indiana	Urban	No	143.7 (136.1, 151.7)	N/A	273	falling	-1.6 (-1.9, -1.3)
Hillsborough County, Florida	Urban	No	144.8 (142.2, 147.5)	N/A	2,395	falling	-1.6 (-1.8, -1.5)
Hillsborough County, New Hampshire	Urban	No	140.4 (135.8, 145.1)	N/A	748	falling	-1.6 (-1.8, -1.4)
Hoke County, North Carolina	Urban	No	169.8 (152.3, 188.5)	N/A	77	falling	-1.6 (-2.2, -0.9)
Inyo County, California	Rural	No	128.8 (110.8, 149.4)	N/A	41	falling	-1.6 (-2.1, -1.1)
Jefferson County, Alabama	Urban	No	160.0 (156.1, 164.0)	N/A	1,322	falling	-1.6 (-2.3, -1.4)
Johnson County, Georgia	Rural	No	142.2 (114.5, 175.4)	N/A	19	falling	-1.6 (-2.6, -0.6)
Kanawha County, West Virginia	Urban	No	170.9 (163.9, 178.3)	N/A	472	falling	-1.6 (-3.8, -1.3)
Kane County, Illinois	Urban	No	136.5 (132.2, 140.9)	N/A	789	falling	-1.6 (-1.8, -1.4)
Kent County, Rhode Island	Urban	No	158.3 (151.3, 165.6)	N/A	402	falling	-1.6 (-2.2, -1.3)
Lake County, Ohio	Urban	No	155.3 (149.3, 161.4)	N/A	549	falling	-1.6 (-2.8, -1.3)
Lake County, Oregon	Rural	No	147.9 (120.2, 181.4)	N/A	21	falling	-1.6 (-2.5, -0.7)
Lancaster County, Virginia	Rural	No	188.4 (160.3, 221.6)	N/A	49	falling	-1.6 (-2.3, -0.9)
Leelanau County, Michigan	Urban	Yes	115.4 (101.2, 131.6)	N/A	57	falling	-1.6 (-2.2, -0.9)
Leon County, Florida	Urban	No	141.9 (135.9, 148.2)	N/A	431	falling	-1.6 (-1.9, -1.3)
Lincoln County, Georgia	Urban	No	161.5 (130.5, 199.0)	N/A	22	falling	-1.6 (-2.4, -0.9)
Lipscomb County, Texas	Rural	No	162.0 (111.0, 231.0)	N/A	7	falling	-1.6 (-3.2, -0.2)
Livingston County, Michigan	Urban	No	146.2 (139.5, 153.1)	N/A	381	falling	-1.6 (-1.8, -1.3)
Lorain County, Ohio	Urban	No	158.4 (153.1, 163.9)	N/A	696	falling	-1.6 (-2.3, -1.4)
Macon County, Tennessee	Urban	No	196.5 (174.3, 220.8)	N/A	60	falling	-1.6 (-5.8, -0.7)
Marion County, Mississippi	Rural	No	173.2 (153.5, 195.0)	N/A	59	stable	-1.6 (-4.1, 2.8)
Martin County, Florida	Urban	No	132.3 (126.5, 138.4)	N/A	477	falling	-1.6 (-1.9, -1.4)
Martin County, North Carolina	Rural	No	176.0 (156.7, 197.4)	N/A	66	falling	-1.6 (-2.2, -1.1)
Mendocino County, California	Rural	No	144.5 (135.4, 154.1)	N/A	207	falling	-1.6 (-1.8, -1.3)
Middlesex County, Connecticut	Urban	No	129.0 (122.7, 135.5)	N/A	336	falling	-1.6 (-1.8, -1.4)
Mountrail County, North Dakota	Rural	No	152.6 (117.4, 194.9)	N/A	14	falling	-1.6 (-2.9, -0.3)
New Castle County, Delaware	Urban	No	154.0 (149.9, 158.2)	N/A	1,088	falling	-1.6 (-1.8, -1.5)
Norfolk City, Virginia	Urban	No	178.0 (170.1, 186.2)	N/A	407	falling	-1.6 (-1.8, -1.4)
Nueces County, Texas	Urban	No	138.5 (133.4, 143.8)	N/A	560	falling	-1.6 (-1.8, -1.4)
Oakland County, Michigan	Urban	No	137.3 (134.7, 139.8)	N/A	2,311	falling	-1.6 (-2.5, -1.5)
Ontario County, New York	Urban	No	140.2 (132.2, 148.7)	N/A	243	falling	-1.6 (-1.9, -1.3)
Pierce County, Washington	Urban	No	152.8 (149.3, 156.3)	N/A	1,512	falling	-1.6 (-2.0, -1.4)
Pitt County, North Carolina	Urban	No	155.1 (147.0, 163.7)	N/A	282	falling	-1.6 (-1.8, -1.3)
Polk County, Iowa	Urban	No	158.9 (154.0, 163.9)	N/A	822	falling	-1.6 (-3.8, -1.0)
Powell County, Montana	Rural	No	144.8 (113.7, 183.3)	N/A	15	falling	-1.6 (-2.5, -0.7)
Putnam County, Illinois	Rural	No	162.6 (127.0, 207.2)	N/A	15	falling	-1.6 (-3.0, -0.2)
Queen Annes County, Maryland	Urban	No	145.0 (132.6, 158.3)	N/A	106	falling	-1.6 (-2.1, -1.2)
Richland Parish, Louisiana	Urban	No	172.1 (149.9, 196.8)	N/A	46	falling	-1.6 (-2.2, -1.0)
San Diego County, California	Urban	No	136.5 (134.8, 138.2)	N/A	5,064	falling	-1.6 (-2.6, -1.4)
Sanborn County, South Dakota	Rural	No	134.2 (85.9, 205.0)	N/A	5	falling	-1.6 (-3.1, -0.2)
Sawyer County, Wisconsin	Rural	No	149.0 (130.5, 170.2)	N/A	51	falling	-1.6 (-2.3, -0.9)
Scott County, Kentucky	Urban	No	159.7 (144.6, 176.0)	N/A	87	falling	-1.6 (-2.1, -1.0)
Seward County, Nebraska	Urban	No	151.6 (129.7, 176.5)	N/A	36	falling	-1.6 (-6.1, -0.7)
Spartanburg County, South Carolina	Urban	No	161.5 (155.9, 167.3)	N/A	650	falling	-1.6 (-3.3, -1.2)
Suffolk City, Virginia	Urban	No	167.4 (156.5, 178.9)	N/A	183	falling	-1.6 (-2.0, -1.2)
Summit County, Utah	Rural	Yes	97.3 (83.5, 112.8)	N/A	41	falling	-1.6 (-2.5, -0.5)
Sussex County, Delaware	Rural	No	154.4 (148.8, 160.1)	N/A	691	falling	-1.6 (-1.8, -1.4)
Sussex County, New Jersey	Urban	No	149.3 (141.5, 157.4)	N/A	293	falling	-1.6 (-1.8, -1.4)
Talbot County, Maryland	Rural	No	133.1 (121.4, 145.9)	N/A	108	falling	-1.6 (-2.1, -1.1)
Tompkins County, New York	Urban	No	124.9 (115.7, 134.6)	N/A	146	falling	-1.6 (-2.0, -1.3)
Transylvania County, North Carolina	Rural	No	130.7 (118.1, 144.6)	N/A	93	falling	-1.6 (-2.2, -1.1)
Tripp County, South Dakota	Rural	Yes	121.1 (90.2, 161.0)	N/A	12	falling	-1.6 (-2.7, -0.6)
Walworth County, South Dakota	Rural	No	151.8 (116.7, 196.1)	N/A	14	falling	-1.6 (-3.1, -0.2)
Washington County, Oregon	Urban	No	126.5 (122.6, 130.6)	N/A	808	falling	-1.6 (-1.7, -1.4)
Westmoreland County, Virginia	Rural	No	166.7 (146.8, 189.2)	N/A	56	falling	-1.6 (-2.2, -0.9)
Wheeler County, Oregon	Rural	Yes	112.8 (70.6, 199.0)	N/A	4	stable	-1.6 (-3.5, 0.4)
Wilcox County, Georgia	Rural	No	140.7 (112.4, 174.7)	N/A	18	falling	-1.6 (-2.4, -0.7)
Wright County, Iowa	Rural	No	141.0 (118.0, 167.9)	N/A	30	falling	-1.6 (-7.8, -1.0)
Adams County, Idaho	Rural	No	146.6 (111.5, 193.7)	N/A	14	falling	-1.7 (-3.0, -0.2)
Baltimore City, Maryland	Urban	No	186.0 (181.3, 190.8)	N/A	1,245	falling	-1.7 (-1.9, -1.5)
Berkeley County, South Carolina	Urban	No	150.9 (143.8, 158.1)	N/A	371	falling	-1.7 (-1.9, -1.4)
Bertie County, North Carolina	Rural	No	180.1 (157.6, 205.5)	N/A	52	falling	-1.7 (-2.3, -1.0)
Big Horn County, Montana	Rural	No	170.5 (139.0, 206.9)	N/A	22	falling	-1.7 (-2.7, -0.8)
Boulder County, Colorado ⁸	Urban	Yes	114.5 (109.6, 119.6)	N/A	422	falling	-1.7 (-2.2, -1.1)
Brazos County, Texas	Urban	No	126.9 (119.3, 134.7)	N/A	219	falling	-1.7 (-2.0, -1.4)
Brunswick County, Virginia	Rural	No	184.3 (160.8, 210.7)	N/A	47	falling	-1.7 (-2.4, -1.1)
Bucks County, Pennsylvania	Urban	No	141.9 (138.5, 145.4)	N/A	1,355	falling	-1.7 (-1.8, -1.5)
Burke County, North Dakota	Rural	No	153.7 (96.2, 236.6)	N/A	5	falling	-1.7 (-3.3, -0.3)
Carbon County, Pennsylvania	Urban	No	160.0 (148.9, 171.8)	N/A	165	falling	-1.7 (-6.7, -1.1)
Carroll County, New Hampshire	Rural	No	139.7 (128.9, 151.5)	N/A	141	falling	-1.7 (-2.1, -1.2)
Castro County, Texas	Rural	No	138.0 (103.8, 180.0)	N/A	12	falling	-1.7 (-2.7, -0.8)
Charlton County, Georgia	Rural	No	168.5 (140.6, 200.7)	N/A	26	falling	-1.7 (-2.8, -0.3)
Cherokee County, North Carolina	Rural	No	149.7 (135.0, 166.0)	N/A	88	falling	-1.7 (-5.0, -1.0)
Choctaw County, Alabama	Rural	No	152.6 (129.9, 178.9)	N/A	34	falling	-1.7 (-2.4, -1.0)
Cobb County, Georgia	Urban	No	133.8 (130.1, 137.7)	N/A	1,025	falling	-1.7 (-2.8, -1.4)
Dakota County, Minnesota	Urban	No	131.1 (126.6, 135.8)	N/A	662	falling	-1.7 (-3.3, -1.4)
Delaware County, Ohio	Urban	No	125.4 (118.9, 132.2)	N/A	288	falling	-1.7 (-2.0, -1.4)
Deuel County, Nebraska	Rural	No	144.0 (89.8, 227.9)	N/A	5	stable	-1.7 (-3.9, 0.1)
Fairbanks North Star, Alaska	Urban	No	127.9 (116.6, 140.0)	N/A	106	falling	-1.7 (-2.2, -1.0)
Fairfield County, Connecticut	Urban	Yes	122.5 (119.7, 125.4)	N/A	1,486	falling	-1.7 (-1.9, -1.2)
Fauquier County, Virginia	Urban	No	145.6 (134.7, 157.2)	N/A	138	falling	-1.7 (-2.2, -1.2)
Fayette County, Kentucky	Urban	No	145.2 (139.5, 151.1)	N/A	501	falling	-1.7 (-1.9, -1.5)
Fluvanna County, Virginia	Urban	No	138.9 (122.9, 156.7)	N/A	57	falling	-1.7 (-2.3, -1.0)
Gilmer County, Georgia	Rural	No	149.5 (134.3, 166.3)	N/A	81	falling	-1.7 (-2.3, -1.0)
Grainger County, Tennessee	Urban	No	185.0 (164.8, 207.2)	N/A	66	falling	-1.7 (-8.8, -0.5)
Grand County, Utah	Rural	No	132.8 (106.2, 164.9)	N/A	18	falling	-1.7 (-2.6, -0.7)
Hamilton County, New York	Rural	No	137.2 (107.4, 178.2)	N/A	16	falling	-1.7 (-2.8, -0.5)
Hamilton County, Ohio	Urban	No	156.4 (152.9, 160.0)	N/A	1,568	falling	-1.7 (-2.2, -1.6)
Hertford County, North Carolina	Rural	No	164.9 (145.3, 186.9)	N/A	54	falling	-1.7 (-2.2, -1.2)
Jefferson County, Florida	Urban	No	140.6 (120.0, 164.5)	N/A	36	falling	-1.7 (-2.5, -0.9)
Johnson County, Wyoming	Rural	Yes	121.1 (97.1, 150.9)	N/A	19	falling	-1.7 (-2.9, -0.5)
Juneau County, Wisconsin	Rural	No	172.1 (154.4, 191.6)	N/A	72	falling	-1.7 (-4.6, -1.0)
Kearney County, Nebraska	Rural	No	129.4 (99.0, 167.4)	N/A	13	falling	-1.7 (-2.8, -0.8)
Kenai Peninsula Borough, Alaska	Rural	No	149.9 (137.1, 163.7)	N/A	113	falling	-1.7 (-2.2, -1.0)
King George County, Virginia	Rural	No	147.9 (128.3, 169.6)	N/A	43	falling	-1.7 (-2.4, -0.9)
La Plata County, Colorado	Rural	Yes	110.3 (99.3, 122.2)	N/A	80	falling	-1.7 (-2.2, -1.2)
Liberty County, Georgia	Urban	No	169.9 (153.3, 187.8)	N/A	84	falling	-1.7 (-2.2, -1.0)
Lincoln County, Minnesota	Rural	No	176.1 (138.7, 222.2)	N/A	18	falling	-1.7 (-2.8, -0.8)
Livingston Parish, Louisiana	Urban	No	158.7 (149.7, 168.1)	N/A	244	falling	-1.7 (-2.0, -1.4)
Mariposa County, California	Rural	No	130.6 (112.4, 151.6)	N/A	44	falling	-1.7 (-2.4, -0.9)
Mathews County, Virginia	Urban	No	166.5 (137.7, 201.4)	N/A	29	falling	-1.7 (-2.7, -0.9)
McIntosh County, Georgia	Urban	No	170.0 (144.3, 200.3)	N/A	36	falling	-1.7 (-2.4, -0.8)
Menard County, Texas	Rural	No	138.6 (87.4, 218.5)	N/A	6	stable	-1.7 (-3.7, 0.2)
Monroe County, Illinois	Urban	No	136.0 (121.3, 152.2)	N/A	66	falling	-1.7 (-2.1, -1.2)
Monroe County, Indiana	Urban	No	141.7 (133.0, 150.9)	N/A	206	falling	-1.7 (-3.7, -1.3)
Monroe County, New York	Urban	No	143.8 (140.4, 147.2)	N/A	1,463	falling	-1.7 (-2.3, -1.5)
Monroe County, Pennsylvania	Rural	No	155.8 (148.4, 163.5)	N/A	356	falling	-1.7 (-3.2, -1.4)
Monterey County, California	Urban	Yes	119.2 (114.8, 123.7)	N/A	566	falling	-1.7 (-1.9, -1.5)
Muscogee County, Georgia	Urban	No	168.9 (161.2, 176.8)	N/A	378	falling	-1.7 (-4.7, -1.2)
Nevada County, California	Rural	No	126.6 (119.0, 134.6)	N/A	243	falling	-1.7 (-2.1, -1.4)
Pamlico County, North Carolina	Rural	No	149.1 (125.9, 176.5)	N/A	37	falling	-1.7 (-2.5, -1.0)
Pembina County, North Dakota	Rural	No	166.9 (134.1, 206.9)	N/A	21	falling	-1.7 (-2.6, -0.8)
Pike County, Pennsylvania	Rural	No	132.4 (122.3, 143.4)	N/A	135	falling	-1.7 (-2.2, -1.1)
Placer County, California	Urban	No	129.5 (125.4, 133.7)	N/A	777	falling	-1.7 (-1.9, -1.4)
Putnam County, West Virginia	Urban	No	149.3 (137.3, 162.2)	N/A	119	falling	-1.7 (-3.8, -1.3)
Ramsey County, Minnesota	Urban	No	142.8 (138.5, 147.1)	N/A	895	falling	-1.7 (-2.0, -1.5)
Sagadahoc County, Maine	Urban	No	145.9 (132.6, 160.4)	N/A	92	falling	-1.7 (-2.3, -1.1)
San Benito County, California	Urban	No	130.1 (117.8, 143.4)	N/A	85	falling	-1.7 (-2.3, -1.0)
Santa Cruz County, Arizona	Rural	Yes	110.2 (98.7, 122.9)	N/A	69	falling	-1.7 (-2.3, -1.1)
Scott County, Minnesota	Urban	No	127.6 (119.2, 136.5)	N/A	181	falling	-1.7 (-2.1, -1.2)
Sebastian County, Arkansas	Urban	No	161.4 (152.5, 170.7)	N/A	256	falling	-1.7 (-5.0, -1.1)
Silver Bow County, Montana	Rural	No	156.5 (141.1, 173.3)	N/A	79	falling	-1.7 (-4.5, -1.1)
Somervell County, Texas	Rural	No	149.1 (120.8, 183.0)	N/A	20	falling	-1.7 (-2.4, -0.8)
Spink County, South Dakota	Rural	Yes	112.9 (84.1, 149.7)	N/A	12	falling	-1.7 (-2.8, -0.8)
Storey County, Nevada	Urban	No	133.2 (95.1, 187.2)	N/A	11	stable	-1.7 (-3.5, 0.6)
Sully County, South Dakota	Rural	No	127.5 (68.3, 226.8)	N/A	3	stable	-1.7 (-3.8, 0.4)
Taylor County, Florida	Rural	No	169.1 (148.8, 191.6)	N/A	54	falling	-1.7 (-2.1, -1.2)
Twin Falls County, Idaho	Urban	No	143.2 (133.2, 153.9)	N/A	155	falling	-1.7 (-5.7, -0.9)
Ulster County, New York	Urban	No	140.8 (134.4, 147.5)	N/A	387	falling	-1.7 (-2.0, -1.5)
Warren County, Ohio	Urban	No	139.4 (133.1, 145.8)	N/A	391	falling	-1.7 (-1.9, -1.5)
Williamson County, Texas	Urban	Yes	122.3 (118.3, 126.4)	N/A	727	falling	-1.7 (-1.9, -1.5)
Adams County, Colorado ⁸	Urban	No	138.3 (133.3, 143.5)	N/A	611	falling	-1.8 (-2.2, -1.3)
Adams County, Washington	Rural	No	136.8 (112.8, 164.1)	N/A	24	falling	-1.8 (-2.5, -1.0)
Allegany County, New York	Rural	No	157.7 (144.1, 172.4)	N/A	106	falling	-1.8 (-3.9, -1.4)
Autauga County, Alabama	Urban	No	151.6 (139.0, 165.0)	N/A	110	falling	-1.8 (-2.4, -1.2)
Avoyelles Parish, Louisiana	Rural	No	187.5 (170.9, 205.3)	N/A	98	falling	-1.8 (-7.1, -0.9)
Beaver County, Oklahoma	Rural	Yes	118.4 (86.3, 160.5)	N/A	9	falling	-1.8 (-3.2, -0.6)
Bristol County, Rhode Island	Urban	No	128.6 (117.4, 140.8)	N/A	102	falling	-1.8 (-2.3, -1.2)
Butler County, Ohio	Urban	No	157.0 (151.8, 162.4)	N/A	714	falling	-1.8 (-2.1, -1.5)
Chesterfield County, Virginia	Urban	No	145.2 (139.9, 150.6)	N/A	606	falling	-1.8 (-2.9, -1.5)
Clackamas County, Oregon	Urban	No	139.0 (134.7, 143.5)	N/A	800	falling	-1.8 (-2.4, -1.5)
Columbia County, Washington	Rural	No	174.7 (135.0, 226.6)	N/A	14	stable	-1.8 (-8.5, 0.6)
Colusa County, California	Rural	No	126.1 (106.8, 147.9)	N/A	31	falling	-1.8 (-2.6, -1.1)
Conecuh County, Alabama	Rural	No	167.3 (140.5, 198.4)	N/A	31	stable	-1.8 (-15.8, 1.0)
Converse County, Wyoming	Rural	No	139.7 (115.7, 167.7)	N/A	25	falling	-1.8 (-2.7, -0.8)
Dale County, Alabama	Rural	No	166.6 (152.6, 181.6)	N/A	108	falling	-1.8 (-6.4, -1.0)
Dallam County, Texas	Rural	No	138.1 (100.1, 185.5)	N/A	9	falling	-1.8 (-3.2, -0.5)
Dorchester County, South Carolina	Urban	No	149.3 (141.2, 157.8)	N/A	266	falling	-1.8 (-3.7, -1.5)
Douglas County, Colorado	Urban	Yes	111.7 (106.7, 116.9)	N/A	394	falling	-1.8 (-2.1, -1.3)
Edgefield County, South Carolina	Urban	No	143.1 (126.0, 162.3)	N/A	53	falling	-1.8 (-2.4, -1.2)
El Dorado County, California	Urban	No	124.4 (118.7, 130.5)	N/A	373	falling	-1.8 (-2.0, -1.5)
Fergus County, Montana	Rural	No	139.9 (117.2, 166.7)	N/A	28	falling	-1.8 (-2.6, -1.0)
Garfield County, Colorado	Rural	Yes	119.5 (107.2, 132.9)	N/A	74	falling	-1.8 (-2.2, -1.3)
Gila County, Arizona	Rural	No	139.1 (128.1, 150.9)	N/A	146	falling	-1.8 (-5.9, -1.2)
Grafton County, New Hampshire	Rural	No	137.2 (128.4, 146.5)	N/A	198	falling	-1.8 (-2.1, -1.5)
Greene County, Virginia	Urban	No	125.0 (106.7, 145.9)	N/A	35	falling	-1.8 (-2.5, -0.8)
Hancock County, Maine	Rural	No	155.1 (143.6, 167.4)	N/A	150	falling	-1.8 (-2.2, -1.5)
Harris County, Georgia	Urban	No	150.4 (134.5, 167.8)	N/A	70	falling	-1.8 (-2.3, -1.2)
Hennepin County, Minnesota	Urban	No	133.8 (131.1, 136.5)	N/A	1,925	falling	-1.8 (-2.1, -1.6)
Jeff Davis County, Georgia	Rural	No	186.3 (158.4, 217.9)	N/A	33	falling	-1.8 (-2.7, -0.8)
Jefferson County, Kentucky	Urban	No	163.3 (159.6, 167.0)	N/A	1,593	falling	-1.8 (-2.1, -1.7)
Jefferson County, Missouri	Urban	No	173.5 (166.4, 180.9)	N/A	477	falling	-1.8 (-4.1, -1.2)
Kendall County, Texas	Urban	No	125.5 (113.4, 138.7)	N/A	83	falling	-1.8 (-2.3, -1.3)
Lewis County, New York	Rural	No	140.8 (124.1, 159.4)	N/A	54	falling	-1.8 (-2.3, -1.2)
Mackinac County, Michigan	Rural	No	148.1 (125.0, 175.7)	N/A	32	falling	-1.8 (-2.6, -1.0)
Madison County, Alabama	Urban	No	141.4 (136.5, 146.4)	N/A	660	falling	-1.8 (-2.2, -1.6)
Madison County, Idaho	Rural	Yes	99.5 (81.6, 119.8)	N/A	22	falling	-1.8 (-2.5, -1.2)
Manassas City, Virginia	Urban	No	140.4 (122.4, 160.1)	N/A	49	falling	-1.8 (-2.6, -0.9)
McLean County, North Dakota	Rural	Yes	116.9 (93.6, 145.4)	N/A	19	falling	-1.8 (-2.6, -1.0)
McLennan County, Texas	Urban	No	155.1 (148.7, 161.7)	N/A	456	falling	-1.8 (-2.4, -1.5)
Meagher County, Montana	Rural	No	132.0 (83.8, 209.3)	N/A	5	stable	-1.8 (-3.6, 0.1)
Montgomery County, Pennsylvania	Urban	No	133.7 (130.8, 136.8)	N/A	1,604	falling	-1.8 (-2.5, -1.6)
Nelson County, North Dakota	Rural	No	143.6 (104.9, 198.6)	N/A	9	falling	-1.8 (-3.5, -0.4)
Noble County, Ohio	Rural	Yes	109.0 (88.9, 132.9)	N/A	28	falling	-1.8 (-2.6, -1.0)
Orange County, Florida	Urban	No	136.1 (133.4, 138.9)	N/A	1,928	falling	-1.8 (-3.7, -1.4)
Pickens County, Alabama	Urban	No	166.5 (145.3, 190.3)	N/A	46	falling	-1.8 (-4.7, -1.1)
Platte County, Missouri	Urban	No	128.7 (119.8, 138.1)	N/A	161	falling	-1.8 (-2.1, -1.5)
Puerto Rico ⁸	Urban	Yes	100.7 (99.5, 102.0)	N/A	5,197	falling	-1.8 (-3.2, -0.3)
Randolph County, Georgia	Rural	No	163.8 (130.0, 205.3)	N/A	18	falling	-1.8 (-2.7, -0.9)
Rensselaer County, New York	Urban	No	156.1 (148.5, 164.0)	N/A	334	falling	-1.8 (-2.7, -1.5)
Reynolds County, Missouri	Rural	No	181.7 (145.6, 225.9)	N/A	19	falling	-1.8 (-4.6, -0.6)
Rooks County, Kansas	Rural	No	143.7 (108.7, 188.7)	N/A	12	falling	-1.8 (-3.7, -0.9)
St. Charles County, Missouri	Urban	No	138.8 (134.2, 143.6)	N/A	694	falling	-1.8 (-3.9, -1.5)
St. John the Baptist Parish, Louisiana	Urban	No	163.7 (147.0, 181.9)	N/A	76	falling	-1.8 (-2.7, -1.2)
Stillwater County, Montana	Urban	No	124.6 (99.4, 155.5)	N/A	19	falling	-1.8 (-2.9, -0.6)
Sullivan County, New York	Rural	No	149.5 (139.2, 160.5)	N/A	164	falling	-1.8 (-2.1, -1.5)
Thurston County, Washington	Urban	No	146.0 (140.5, 151.7)	N/A	554	falling	-1.8 (-2.9, -1.4)
Tioga County, New York	Urban	No	141.8 (129.8, 154.8)	N/A	109	falling	-1.8 (-2.1, -1.4)
Tuolumne County, California	Rural	No	146.2 (135.3, 157.9)	N/A	149	falling	-1.8 (-4.9, -1.3)
Union County, Ohio	Urban	No	143.0 (129.8, 157.2)	N/A	91	falling	-1.8 (-2.2, -1.4)
Waukesha County, Wisconsin	Urban	No	133.8 (129.6, 138.2)	N/A	797	falling	-1.8 (-3.1, -1.5)
Wayne County, Indiana	Rural	No	176.9 (164.8, 189.7)	N/A	168	falling	-1.8 (-6.7, -0.9)
West Feliciana Parish, Louisiana	Urban	No	159.8 (135.4, 187.8)	N/A	32	falling	-1.8 (-2.8, -0.7)
Wrangell Borough, Alaska	Rural	No	175.4 (114.7, 262.9)	N/A	6	stable	-1.8 (-7.6, 4.9)
Albany County, Wyoming	Rural	No	126.0 (108.9, 144.9)	N/A	42	falling	-1.9 (-2.5, -1.3)
Allegheny County, Pennsylvania	Urban	No	152.6 (150.0, 155.2)	N/A	2,764	falling	-1.9 (-2.1, -1.7)
Anderson County, Texas	Rural	No	218.8 (203.3, 235.3)	N/A	151	falling	-1.9 (-3.0, -1.2)
Burlington County, New Jersey	Urban	No	142.2 (138.0, 146.6)	N/A	896	falling	-1.9 (-3.5, -1.7)
Camden County, New Jersey	Urban	No	155.3 (150.9, 159.7)	N/A	999	falling	-1.9 (-2.1, -1.7)
Champaign County, Illinois	Urban	No	133.0 (125.9, 140.4)	N/A	275	falling	-1.9 (-2.5, -1.6)
Charlottesville City, Virginia	Urban	No	140.1 (124.4, 157.3)	N/A	61	falling	-1.9 (-2.3, -1.5)
Chattahoochee County, Georgia	Urban	No	204.8 (143.7, 280.5)	N/A	8	falling	-1.9 (-3.0, -0.7)
Clark County, Washington	Urban	No	149.2 (144.7, 153.8)	N/A	878	falling	-1.9 (-2.6, -1.5)
Clay County, Missouri	Urban	No	153.6 (147.2, 160.4)	N/A	436	falling	-1.9 (-2.9, -1.5)
Cole County, Missouri	Urban	No	138.8 (128.5, 149.8)	N/A	139	falling	-1.9 (-2.7, -1.5)
Collier County, Florida	Urban	Yes	104.0 (100.7, 107.5)	N/A	897	falling	-1.9 (-2.1, -1.6)
Collin County, Texas	Urban	Yes	116.7 (113.6, 119.9)	N/A	1,114	falling	-1.9 (-2.1, -1.7)
Edmunds County, South Dakota	Rural	No	125.4 (89.6, 173.7)	N/A	9	falling	-1.9 (-3.3, -0.5)
Florence County, South Carolina	Urban	No	160.3 (151.9, 169.2)	N/A	283	falling	-1.9 (-6.3, -1.4)
Fulton County, Georgia	Urban	No	139.6 (136.3, 142.9)	N/A	1,438	falling	-1.9 (-2.3, -0.5)
Garland County, Arkansas	Urban	No	154.9 (146.2, 164.0)	N/A	260	falling	-1.9 (-3.0, -1.1)
Graham County, Kansas	Rural	Yes	118.4 (80.8, 176.6)	N/A	7	falling	-1.9 (-3.5, -0.5)
Hamilton County, Tennessee	Urban	No	146.5 (141.7, 151.5)	N/A	723	falling	-1.9 (-2.3, -1.7)
Harris County, Texas	Urban	No	136.3 (134.7, 138.0)	N/A	5,677	falling	-1.9 (-2.0, -1.8)
Hood County, Texas	Rural	No	149.0 (138.3, 160.5)	N/A	160	falling	-1.9 (-2.3, -1.3)
Kidder County, North Dakota	Rural	No	140.4 (90.6, 212.7)	N/A	6	falling	-1.9 (-4.1, -0.1)
Kit Carson County, Colorado	Rural	Yes	104.3 (78.2, 137.6)	N/A	11	falling	-1.9 (-3.1, -0.7)
Lafayette Parish, Louisiana	Urban	No	158.6 (151.6, 165.7)	N/A	417	falling	-1.9 (-2.7, -1.5)
Lake County, Illinois	Urban	No	137.1 (133.5, 140.8)	N/A	1,123	falling	-1.9 (-3.7, -1.6)
Lincoln County, Nevada	Rural	Yes	120.6 (89.3, 162.4)	N/A	10	falling	-1.9 (-2.9, -0.8)
Livingston County, New York	Urban	No	153.3 (141.5, 165.9)	N/A	134	falling	-1.9 (-4.8, -1.4)
Madison County, New York	Urban	No	146.0 (135.1, 157.6)	N/A	141	falling	-1.9 (-4.7, -1.4)
Manatee County, Florida	Urban	No	123.9 (120.2, 127.7)	N/A	981	falling	-1.9 (-2.5, -1.7)
McDuffie County, Georgia	Urban	No	174.5 (152.9, 198.5)	N/A	50	falling	-1.9 (-3.7, -1.0)
Montgomery County, Texas	Urban	No	139.5 (135.4, 143.8)	N/A	907	falling	-1.9 (-5.2, -1.1)
New Haven County, Connecticut	Urban	No	142.7 (139.6, 145.9)	N/A	1,651	falling	-1.9 (-2.4, -1.6)
Norfolk County, Massachusetts	Urban	No	135.3 (132.0, 138.7)	N/A	1,305	falling	-1.9 (-2.2, -1.8)
Northumberland County, Virginia	Rural	No	140.6 (121.8, 163.6)	N/A	44	falling	-1.9 (-2.6, -1.2)
Northwest Arctic Borough, Alaska	Rural	No	158.5 (112.0, 216.4)	N/A	8	falling	-1.9 (-3.5, -0.1)
Nye County, Nevada	Rural	No	169.1 (157.0, 182.2)	N/A	173	falling	-1.9 (-5.1, -1.0)
Ochiltree County, Texas	Rural	Yes	108.9 (81.0, 143.3)	N/A	11	falling	-1.9 (-3.1, -0.8)
Orange County, New York	Urban	No	141.2 (136.3, 146.4)	N/A	628	falling	-1.9 (-4.1, -1.8)
Owen County, Indiana	Urban	No	184.7 (163.1, 208.8)	N/A	57	stable	-1.9 (-3.5, 0.9)
Prince George County, Virginia	Urban	No	150.1 (133.7, 167.9)	N/A	63	falling	-1.9 (-2.6, -1.1)
Pulaski County, Virginia	Urban	No	148.9 (134.5, 164.6)	N/A	83	falling	-1.9 (-10.7, -1.2)
Richmond County, New York	Urban	No	136.2 (132.0, 140.4)	N/A	849	falling	-1.9 (-2.0, -1.8)
Sierra County, California	Rural	Yes	114.9 (81.2, 165.1)	N/A	8	falling	-1.9 (-3.2, -0.5)
Sioux County, North Dakota	Rural	No	181.5 (117.0, 267.0)	N/A	6	stable	-1.9 (-4.7, 1.5)
Spotsylvania County, Virginia	Urban	No	148.2 (139.6, 157.2)	N/A	233	falling	-1.9 (-5.0, -1.4)
St. Tammany Parish, Louisiana	Urban	No	146.3 (140.5, 152.3)	N/A	504	falling	-1.9 (-2.8, -1.7)
Starke County, Indiana	Rural	No	191.6 (170.7, 214.7)	N/A	65	falling	-1.9 (-7.7, -0.6)
Summit County, Colorado	Rural	Yes	69.1 (54.3, 86.6)	N/A	20	stable	-1.9 (-3.2, 0.2)
Swift County, Minnesota	Rural	No	128.6 (104.0, 158.1)	N/A	21	falling	-1.9 (-2.7, -1.1)
Trumbull County, Ohio	Urban	No	155.5 (149.2, 162.0)	N/A	493	falling	-1.9 (-3.4, -1.4)
Turner County, South Dakota	Urban	No	125.6 (100.0, 156.8)	N/A	18	stable	-1.9 (-17.0, 0.7)
Walker County, Georgia	Urban	No	169.4 (157.7, 181.8)	N/A	163	falling	-1.9 (-3.1, -1.4)
Ward County, North Dakota	Urban	No	125.4 (113.9, 137.7)	N/A	91	falling	-1.9 (-4.5, -1.4)
Warren County, Indiana	Urban	Yes	122.1 (96.7, 153.3)	N/A	16	falling	-1.9 (-3.1, -0.7)
Washington County, Arkansas	Urban	No	147.2 (140.2, 154.5)	N/A	339	falling	-1.9 (-2.5, -1.5)
Yamhill County, Oregon	Urban	No	143.2 (134.4, 152.5)	N/A	204	falling	-1.9 (-6.0, -1.1)
Alleghany County, North Carolina	Rural	No	145.2 (123.3, 171.4)	N/A	32	falling	-2.0 (-7.4, -1.2)
Ascension Parish, Louisiana	Urban	No	142.9 (133.3, 153.1)	N/A	177	falling	-2.0 (-2.3, -1.5)
Carbon County, Montana	Urban	Yes	110.3 (89.5, 135.9)	N/A	21	falling	-2.0 (-2.9, -1.2)
Catron County, New Mexico	Rural	Yes	100.3 (73.8, 147.1)	N/A	10	falling	-2.0 (-3.6, -0.1)
Columbia County, Georgia	Urban	No	136.9 (129.1, 145.2)	N/A	234	falling	-2.0 (-2.5, -1.6)
Daniels County, Montana	Rural	No	143.9 (85.3, 236.2)	N/A	4	falling	-2.0 (-4.1, -0.2)
Defiance County, Ohio	Rural	No	160.9 (145.9, 177.2)	N/A	88	falling	-2.0 (-6.7, -0.8)
Dolores County, Colorado	Rural	Yes	90.3 (54.9, 148.7)	N/A	4	stable	-2.0 (-3.9, 0.0)
DuPage County, Illinois	Urban	No	126.9 (124.0, 129.9)	N/A	1,467	falling	-2.0 (-3.6, -1.7)
Dutchess County, New York	Urban	No	138.6 (133.5, 143.9)	N/A	580	falling	-2.0 (-2.3, -1.8)
Fredericksburg City, Virginia	Urban	No	154.2 (132.8, 178.0)	N/A	39	falling	-2.0 (-2.8, -1.3)
Galveston County, Texas	Urban	No	161.0 (155.3, 166.8)	N/A	644	falling	-2.0 (-4.5, -1.5)
Hardin County, Texas	Urban	No	160.3 (147.2, 174.2)	N/A	116	falling	-2.0 (-5.5, -1.5)
Harney County, Oregon	Rural	No	147.2 (119.0, 181.8)	N/A	20	falling	-2.0 (-2.8, -1.2)
Harrison County, Texas	Urban	No	149.8 (138.4, 161.9)	N/A	135	falling	-2.0 (-3.6, -1.4)
Highland County, Virginia	Rural	No	155.7 (111.5, 226.5)	N/A	8	falling	-2.0 (-3.6, -0.5)
Imperial County, California	Urban	Yes	114.3 (107.4, 121.5)	N/A	210	falling	-2.0 (-2.4, -1.7)
Jackson County, Missouri	Urban	No	157.2 (153.4, 161.1)	N/A	1,338	falling	-2.0 (-3.5, -1.5)
Jefferson County, Idaho	Urban	Yes	119.0 (101.1, 139.2)	N/A	33	falling	-2.0 (-11.0, -0.5)
Jefferson County, Washington	Rural	No	130.8 (118.2, 144.9)	N/A	103	falling	-2.0 (-2.8, -1.5)
Jefferson Parish, Louisiana	Urban	No	152.8 (148.2, 157.5)	N/A	882	falling	-2.0 (-2.6, -1.8)
Kauai County, Hawaii ⁸	Rural	Yes	122.4 (113.0, 132.5)	N/A	133	falling	-2.0 (-2.5, -1.4)
Kenton County, Kentucky	Urban	No	166.6 (158.3, 175.2)	N/A	321	falling	-2.0 (-3.4, -1.6)
Keweenaw County, Michigan	Rural	No	131.6 (85.9, 206.0)	N/A	6	falling	-2.0 (-3.6, -0.2)
Levy County, Florida	Urban	No	190.4 (175.9, 206.0)	N/A	143	falling	-2.0 (-6.5, -0.7)
Long County, Georgia	Urban	No	160.9 (130.6, 195.9)	N/A	22	falling	-2.0 (-3.1, -0.6)
Lyon County, Nevada	Urban	No	160.1 (147.9, 173.1)	N/A	141	falling	-2.0 (-4.2, -1.5)
McIntosh County, North Dakota	Rural	No	153.7 (101.3, 229.0)	N/A	9	falling	-2.0 (-4.0, -0.6)
Napa County, California	Urban	No	132.2 (125.1, 139.7)	N/A	271	falling	-2.0 (-2.4, -1.7)
Nassau County, New York	Urban	Yes	119.2 (117.0, 121.5)	N/A	2,321	falling	-2.0 (-2.1, -1.9)
Ocean County, New Jersey	Urban	No	147.7 (144.3, 151.2)	N/A	1,545	falling	-2.0 (-3.3, -1.6)
Oconee County, Georgia	Urban	Yes	120.3 (106.8, 135.1)	N/A	60	falling	-2.0 (-2.6, -1.3)
Plymouth County, Massachusetts	Urban	No	148.5 (144.5, 152.6)	N/A	1,104	falling	-2.0 (-3.9, -1.7)
Pulaski County, Georgia	Rural	No	144.6 (118.7, 175.5)	N/A	23	falling	-2.0 (-2.9, -1.2)
Rankin County, Mississippi	Urban	No	133.3 (126.0, 140.9)	N/A	257	falling	-2.0 (-5.6, -0.4)
Ransom County, North Dakota	Rural	Yes	116.3 (85.8, 155.8)	N/A	11	falling	-2.0 (-3.1, -1.1)
Rappahannock County, Virginia	Urban	Yes	115.8 (91.0, 147.5)	N/A	16	falling	-2.0 (-3.1, -0.8)
Rio Arriba County, New Mexico	Rural	No	123.5 (110.9, 137.4)	N/A	74	falling	-2.0 (-6.3, -1.0)
Shelby County, Iowa	Rural	No	126.5 (104.9, 152.1)	N/A	27	falling	-2.0 (-8.8, -0.9)
St. Francis County, Arkansas	Rural	No	186.4 (164.2, 210.8)	N/A	53	falling	-2.0 (-4.3, -1.4)
Stafford County, Virginia	Urban	No	142.5 (133.4, 152.1)	N/A	196	falling	-2.0 (-2.5, -1.6)
Washoe County, Nevada	Urban	No	136.8 (132.4, 141.2)	N/A	801	falling	-2.0 (-2.5, -1.7)
Wayne County, Michigan	Urban	No	164.0 (161.5, 166.5)	N/A	3,540	falling	-2.0 (-2.4, -1.7)
West Baton Rouge Parish, Louisiana	Urban	No	154.5 (135.2, 175.9)	N/A	49	falling	-2.0 (-2.7, -1.2)
Wilson County, Tennessee	Urban	No	149.5 (141.4, 158.0)	N/A	264	falling	-2.0 (-2.8, -1.5)
York County, South Carolina	Urban	No	154.5 (148.3, 161.0)	N/A	484	falling	-2.0 (-3.9, -1.5)
Bayfield County, Wisconsin	Rural	No	130.4 (111.8, 152.2)	N/A	41	falling	-2.1 (-2.8, -1.3)
Boise County, Idaho	Urban	Yes	96.0 (72.7, 126.6)	N/A	14	falling	-2.1 (-3.1, -0.9)
Chaves County, New Mexico	Rural	No	131.9 (120.5, 144.1)	N/A	103	falling	-2.1 (-9.5, -1.3)
Contra Costa County, California	Urban	No	126.4 (123.7, 129.0)	N/A	1,823	falling	-2.1 (-2.8, -1.8)
Cumberland County, Maine	Urban	No	141.3 (136.2, 146.5)	N/A	618	falling	-2.1 (-3.8, -1.7)
Currituck County, North Carolina	Urban	No	144.0 (126.2, 163.8)	N/A	53	falling	-2.1 (-2.6, -1.5)
Emporia City, Virginia	Rural	No	168.1 (129.2, 216.0)	N/A	14	falling	-2.1 (-3.2, -1.1)
Franklin County, Ohio	Urban	No	149.3 (146.2, 152.4)	N/A	1,921	falling	-2.1 (-2.4, -1.9)
Goochland County, Virginia	Urban	No	130.5 (114.7, 148.4)	N/A	54	falling	-2.1 (-2.7, -1.3)
Houston County, Texas	Rural	No	153.3 (135.6, 173.1)	N/A	56	falling	-2.1 (-6.4, -1.3)
Hunterdon County, New Jersey	Urban	Yes	117.7 (110.8, 125.0)	N/A	226	falling	-2.1 (-2.3, -1.8)
Kent County, Maryland	Rural	No	137.1 (119.8, 156.8)	N/A	51	falling	-2.1 (-2.7, -1.4)
Kodiak Island Borough, Alaska	Rural	No	136.0 (105.8, 171.9)	N/A	16	falling	-2.1 (-3.4, -0.5)
Marion County, Tennessee	Urban	No	178.9 (160.8, 198.8)	N/A	75	falling	-2.1 (-9.4, -0.9)
McCormick County, South Carolina	Rural	No	141.3 (117.5, 170.9)	N/A	31	falling	-2.1 (-2.8, -1.5)
Mercer County, New Jersey	Urban	No	128.9 (124.3, 133.7)	N/A	607	falling	-2.1 (-3.6, -1.9)
Mobile County, Alabama	Urban	No	169.0 (163.9, 174.2)	N/A	875	falling	-2.1 (-3.7, -1.4)
Montgomery County, Kansas	Rural	No	168.1 (151.5, 186.2)	N/A	79	falling	-2.1 (-9.4, -0.9)
Multnomah County, Oregon	Urban	No	146.5 (142.9, 150.3)	N/A	1,257	falling	-2.1 (-3.3, -1.7)
Norton County, Kansas	Rural	Yes	121.0 (88.7, 162.8)	N/A	10	falling	-2.1 (-3.5, -0.9)
Ohio County, Indiana	Urban	No	161.3 (128.5, 202.0)	N/A	17	falling	-2.1 (-3.7, -1.2)
Ouray County, Colorado	Rural	Yes	108.2 (76.4, 152.4)	N/A	9	stable	-2.1 (-4.5, 0.6)
Paulding County, Georgia	Urban	No	145.3 (136.4, 154.5)	N/A	222	falling	-2.1 (-3.7, -1.6)
Phillips County, Montana	Rural	No	140.3 (103.6, 188.7)	N/A	10	falling	-2.1 (-3.4, -0.9)
Pulaski County, Arkansas	Urban	No	152.8 (147.8, 157.9)	N/A	734	falling	-2.1 (-4.4, -1.6)
Ripley County, Indiana	Rural	No	160.9 (143.3, 180.2)	N/A	64	falling	-2.1 (-9.4, -1.0)
Skamania County, Washington	Urban	Yes	122.5 (100.9, 148.4)	N/A	25	falling	-2.1 (-3.0, -1.1)
St. Johns County, Florida	Urban	No	127.4 (122.5, 132.5)	N/A	528	falling	-2.1 (-2.3, -1.8)
Tattnall County, Georgia	Rural	No	180.4 (158.4, 204.7)	N/A	50	falling	-2.1 (-7.8, -1.0)
Travis County, Texas	Urban	Yes	118.5 (115.5, 121.6)	N/A	1,255	falling	-2.1 (-2.5, -2.0)
Walker County, Texas	Rural	No	134.1 (122.9, 146.1)	N/A	109	falling	-2.1 (-6.7, -1.3)
Wayne County, Pennsylvania	Rural	No	156.1 (144.2, 168.9)	N/A	138	falling	-2.1 (-6.8, -1.4)
Worcester County, Massachusetts	Urban	No	142.4 (139.2, 145.7)	N/A	1,541	falling	-2.1 (-3.7, -1.6)
Alameda County, California	Urban	Yes	119.7 (117.5, 121.9)	N/A	2,259	falling	-2.2 (-2.7, -2.1)
Amite County, Mississippi	Rural	No	141.0 (119.3, 166.5)	N/A	32	falling	-2.2 (-4.9, -1.4)
Atlantic County, New Jersey	Urban	No	154.3 (148.6, 160.1)	N/A	591	falling	-2.2 (-3.2, -1.8)
Cabarrus County, North Carolina	Urban	No	139.3 (132.5, 146.3)	N/A	327	falling	-2.2 (-3.2, -1.7)
Charles County, Maryland	Urban	No	152.4 (144.1, 160.9)	N/A	271	falling	-2.2 (-6.1, -1.7)
District of Columbia	Urban	No	150.0 (145.9, 154.3)	N/A	1,005	falling	-2.2 (-3.4, -2.1)
Echols County, Georgia	Urban	No	131.8 (83.6, 197.5)	N/A	5	falling	-2.2 (-4.2, -0.1)
Elbert County, Colorado	Urban	Yes	115.8 (98.7, 135.0)	N/A	38	falling	-2.2 (-3.0, -1.0)
Gunnison County, Colorado	Rural	Yes	112.4 (89.4, 139.5)	N/A	18	falling	-2.2 (-3.3, -1.0)
Marin County, California	Urban	Yes	111.1 (106.6, 115.7)	N/A	492	falling	-2.2 (-2.4, -1.9)
Middlesex County, Massachusetts	Urban	No	128.1 (125.9, 130.4)	N/A	2,549	falling	-2.2 (-2.4, -2.1)
Middlesex County, New Jersey	Urban	No	123.3 (120.3, 126.4)	N/A	1,276	falling	-2.2 (-2.3, -2.0)
Muskingum County, Ohio	Rural	No	170.9 (160.3, 182.0)	N/A	202	falling	-2.2 (-4.8, -1.3)
Newport County, Rhode Island	Urban	No	125.2 (117.0, 134.0)	N/A	186	falling	-2.2 (-4.9, -1.9)
Pike County, Kentucky	Rural	No	200.5 (186.7, 215.1)	N/A	167	falling	-2.2 (-5.5, -1.0)
Pinellas County, Florida	Urban	No	141.8 (139.2, 144.4)	N/A	2,511	falling	-2.2 (-3.9, -1.0)
Prince William County, Virginia	Urban	No	127.7 (122.6, 132.9)	N/A	518	falling	-2.2 (-2.4, -2.0)
Putnam County, New York	Urban	No	129.0 (120.4, 138.1)	N/A	175	falling	-2.2 (-2.5, -1.8)
Sherman County, Oregon	Rural	No	137.5 (86.0, 217.0)	N/A	5	falling	-2.2 (-4.0, -0.6)
Teller County, Colorado	Urban	No	125.1 (107.8, 144.6)	N/A	48	falling	-2.2 (-2.9, -1.2)
Valley County, Idaho	Rural	Yes	113.3 (91.9, 139.1)	N/A	23	falling	-2.2 (-3.3, -0.9)
Arlington County, Virginia	Urban	Yes	107.2 (100.9, 113.8)	N/A	223	falling	-2.3 (-2.5, -2.1)
Barnstable County, Massachusetts	Urban	No	130.2 (125.4, 135.2)	N/A	650	falling	-2.3 (-3.6, -1.9)
Benton County, Mississippi	Urban	No	153.5 (120.5, 193.6)	N/A	16	falling	-2.3 (-14.3, -0.7)
Bergen County, New Jersey	Urban	Yes	120.1 (117.4, 122.8)	N/A	1,572	falling	-2.3 (-3.0, -2.2)
Broward County, Florida	Urban	No	131.0 (129.0, 133.0)	N/A	3,408	falling	-2.3 (-3.5, -1.7)
Chatham County, Georgia	Urban	No	138.4 (132.9, 144.2)	N/A	491	falling	-2.3 (-2.9, -2.0)
Denton County, Texas	Urban	Yes	118.3 (114.8, 121.8)	N/A	941	falling	-2.3 (-3.6, -2.0)
Emmons County, North Dakota	Rural	Yes	120.3 (83.3, 173.4)	N/A	9	falling	-2.3 (-3.4, -1.3)
Frederick County, Maryland	Urban	No	127.1 (121.5, 132.8)	N/A	407	falling	-2.3 (-5.0, -1.8)
Garfield County, Washington	Rural	No	138.5 (88.6, 212.3)	N/A	6	falling	-2.3 (-3.6, -1.3)
Gloucester County, New Jersey	Urban	No	157.4 (151.6, 163.4)	N/A	587	falling	-2.3 (-2.9, -1.9)
Howard County, Maryland	Urban	Yes	112.6 (107.7, 117.6)	N/A	414	falling	-2.3 (-2.5, -2.0)
King County, Washington	Urban	No	124.9 (122.8, 126.9)	N/A	2,958	falling	-2.3 (-2.8, -2.0)
Lander County, Nevada	Rural	No	124.6 (89.4, 169.6)	N/A	9	falling	-2.3 (-3.9, -0.5)
Newton County, Indiana	Urban	No	168.4 (144.0, 196.4)	N/A	36	falling	-2.3 (-11.1, -1.3)
Passaic County, New Jersey	Urban	No	124.9 (120.9, 129.0)	N/A	765	falling	-2.3 (-2.5, -2.1)
San Joaquin County, California	Urban	No	146.1 (142.3, 150.0)	N/A	1,155	falling	-2.3 (-4.4, -1.4)
Santa Clara County, California	Urban	Yes	109.9 (107.9, 112.0)	N/A	2,372	falling	-2.3 (-2.9, -1.2)
Schley County, Georgia	Rural	No	177.5 (132.7, 234.2)	N/A	11	falling	-2.3 (-3.5, -1.0)
Valley County, Montana	Rural	No	130.9 (102.5, 166.0)	N/A	17	falling	-2.3 (-3.7, -1.0)
Alachua County, Florida	Urban	No	148.5 (142.3, 154.9)	N/A	448	falling	-2.4 (-4.2, -1.7)
Anne Arundel County, Maryland	Urban	No	142.6 (138.6, 146.7)	N/A	995	falling	-2.4 (-3.2, -2.0)
Blaine County, Idaho	Rural	Yes	88.3 (74.6, 104.2)	N/A	31	falling	-2.4 (-3.2, -1.5)
Broadwater County, Montana	Urban	Yes	116.1 (88.0, 151.7)	N/A	13	falling	-2.4 (-3.7, -1.0)
Chambers County, Alabama	Rural	No	165.3 (149.5, 182.5)	N/A	85	falling	-2.4 (-6.3, -1.3)
Dallas County, Iowa	Urban	Yes	117.6 (108.1, 127.8)	N/A	115	falling	-2.4 (-3.5, -1.9)
Erie County, New York	Urban	No	152.0 (149.0, 155.1)	N/A	2,012	falling	-2.4 (-3.7, -1.8)
Essex County, Massachusetts	Urban	No	130.8 (127.7, 134.0)	N/A	1,418	falling	-2.4 (-2.6, -2.3)
Fairfax County, Virginia	Urban	Yes	103.9 (101.4, 106.5)	N/A	1,299	falling	-2.4 (-3.3, -2.2)
Franklin County, Washington	Urban	No	132.6 (120.7, 145.3)	N/A	98	falling	-2.4 (-5.3, -1.8)
Granville County, North Carolina	Rural	No	169.3 (156.6, 182.9)	N/A	137	falling	-2.4 (-6.3, -1.4)
Greenville County, South Carolina	Urban	No	139.8 (135.7, 144.1)	N/A	894	falling	-2.4 (-4.4, -1.6)
Limestone County, Alabama	Urban	No	135.1 (126.1, 144.7)	N/A	173	falling	-2.4 (-3.2, -1.7)
Loudoun County, Virginia	Urban	Yes	114.0 (109.0, 119.2)	N/A	403	falling	-2.4 (-2.6, -2.1)
McKenzie County, North Dakota	Rural	Yes	117.5 (88.8, 151.9)	N/A	12	falling	-2.4 (-3.5, -1.4)
Pershing County, Nevada	Rural	Yes	109.5 (80.7, 146.5)	N/A	10	falling	-2.4 (-3.5, -1.2)
Pitkin County, Colorado	Rural	Yes	65.8 (52.0, 82.7)	N/A	17	falling	-2.4 (-3.5, -1.0)
Providence County, Rhode Island	Urban	No	142.0 (138.3, 145.8)	N/A	1,148	falling	-2.4 (-4.0, -1.2)
Rockland County, New York	Urban	Yes	112.9 (108.3, 117.7)	N/A	463	falling	-2.4 (-4.0, -2.0)
Saratoga County, New York	Urban	No	141.8 (136.0, 147.8)	N/A	472	falling	-2.4 (-4.9, -1.5)
Suffolk County, New York	Urban	No	130.7 (128.4, 132.9)	N/A	2,679	falling	-2.4 (-3.5, -2.2)
Upton County, Texas	Rural	Yes	119.2 (72.8, 184.6)	N/A	4	falling	-2.4 (-3.8, -1.1)
York County, Virginia	Urban	No	126.6 (116.3, 137.7)	N/A	115	falling	-2.4 (-3.0, -1.8)
Alexandria City, Virginia	Urban	Yes	116.5 (108.7, 124.6)	N/A	176	falling	-2.5 (-2.8, -2.1)
Boone County, Kentucky	Urban	No	138.9 (130.4, 147.9)	N/A	208	falling	-2.5 (-4.8, -1.9)
Charleston County, South Carolina	Urban	No	140.3 (135.7, 145.1)	N/A	728	falling	-2.5 (-4.0, -1.9)
Chester County, Pennsylvania	Urban	No	128.8 (125.0, 132.7)	N/A	894	falling	-2.5 (-4.5, -1.9)
Clear Creek County, Colorado	Urban	Yes	86.2 (65.0, 113.5)	N/A	13	falling	-2.5 (-3.7, -1.2)
Delaware County, Pennsylvania	Urban	No	149.6 (145.6, 153.7)	N/A	1,112	falling	-2.5 (-3.5, -1.9)
Iredell County, North Carolina	Urban	No	145.3 (138.3, 152.6)	N/A	338	falling	-2.5 (-5.8, -0.1)
Knox County, Tennessee	Urban	No	153.0 (148.5, 157.7)	N/A	887	falling	-2.5 (-4.5, -1.6)
Lake County, Colorado	Rural	Yes	86.0 (56.3, 125.4)	N/A	6	falling	-2.5 (-4.1, -0.8)
Madison County, Montana	Rural	Yes	114.8 (90.5, 145.2)	N/A	18	falling	-2.5 (-3.7, -1.1)
Morris County, New Jersey	Urban	Yes	119.6 (116.0, 123.3)	N/A	843	falling	-2.5 (-2.9, -2.3)
Palm Beach County, Florida	Urban	Yes	119.1 (117.2, 121.1)	N/A	3,251	falling	-2.5 (-4.0, -1.8)
Prince Georges County, Maryland	Urban	No	133.4 (130.2, 136.6)	N/A	1,394	falling	-2.5 (-2.8, -2.4)
Roane County, Tennessee	Urban	No	160.3 (148.4, 173.1)	N/A	144	falling	-2.5 (-7.0, -1.3)
Rockingham County, New Hampshire	Urban	No	136.8 (131.8, 141.9)	N/A	610	falling	-2.5 (-3.8, -2.0)
Routt County, Colorado	Rural	Yes	96.6 (80.1, 115.6)	N/A	28	falling	-2.5 (-3.4, -1.4)
San Mateo County, California	Urban	Yes	111.4 (108.4, 114.4)	N/A	1,101	falling	-2.5 (-2.8, -2.3)
Scott County, Iowa	Urban	No	151.2 (144.0, 158.8)	N/A	337	falling	-2.5 (-6.1, -1.3)
St. Louis County, Minnesota	Urban	No	149.6 (143.3, 156.2)	N/A	447	falling	-2.5 (-5.6, -1.4)
Winnebago County, Illinois	Urban	No	163.4 (157.6, 169.3)	N/A	627	falling	-2.5 (-5.6, -1.1)
Albemarle County, Virginia	Urban	Yes	114.2 (106.8, 121.9)	N/A	189	falling	-2.6 (-6.0, -1.8)
East Baton Rouge Parish, Louisiana	Urban	No	145.7 (140.9, 150.6)	N/A	723	falling	-2.6 (-4.9, -1.8)
Lowndes County, Georgia	Urban	No	142.9 (133.1, 153.3)	N/A	164	falling	-2.6 (-8.9, -1.9)
Mahoning County, Ohio	Urban	No	148.6 (142.8, 154.6)	N/A	535	falling	-2.6 (-5.5, -1.6)
Mecklenburg County, North Carolina	Urban	No	131.3 (128.1, 134.6)	N/A	1,347	falling	-2.6 (-4.5, -1.9)
Menominee County, Wisconsin	Rural	No	181.8 (128.6, 250.1)	N/A	8	falling	-2.6 (-4.0, -1.2)
Monmouth County, New Jersey	Urban	No	135.0 (131.5, 138.5)	N/A	1,216	falling	-2.6 (-2.8, -2.4)
Shackelford County, Texas	Rural	No	127.2 (84.8, 186.5)	N/A	6	falling	-2.6 (-4.1, -1.3)
Stanley County, South Dakota	Rural	No	126.4 (85.1, 184.9)	N/A	6	falling	-2.6 (-3.9, -1.1)
Teton County, Wyoming	Rural	Yes	96.5 (79.7, 115.9)	N/A	25	falling	-2.6 (-3.5, -1.4)
Williamsburg City, Virginia	Urban	No	139.2 (116.1, 166.6)	N/A	27	falling	-2.6 (-4.2, -1.1)
Bibb County, Georgia	Urban	No	155.1 (147.1, 163.4)	N/A	293	falling	-2.7 (-7.4, -1.4)
Orange County, North Carolina	Urban	Yes	118.9 (111.4, 126.9)	N/A	194	falling	-2.7 (-5.5, -2.1)
Plumas County, California	Rural	No	130.3 (113.7, 149.4)	N/A	51	falling	-2.7 (-6.7, -2.0)
Sangamon County, Illinois	Urban	No	158.0 (151.2, 165.0)	N/A	427	falling	-2.7 (-5.7, -1.5)
Simpson County, Kentucky	Rural	No	175.9 (152.5, 202.0)	N/A	43	falling	-2.7 (-10.4, -0.3)
St. Louis City, Missouri	Urban	No	166.4 (160.1, 172.9)	N/A	563	falling	-2.7 (-3.6, -2.3)
Tuscaloosa County, Alabama	Urban	No	136.5 (129.8, 143.5)	N/A	328	falling	-2.7 (-4.7, -2.0)
Cook County, Illinois	Urban	No	143.1 (141.8, 144.5)	N/A	8,794	falling	-2.8 (-3.5, -2.4)
Davidson County, Tennessee	Urban	No	148.1 (144.0, 152.2)	N/A	1,052	falling	-2.8 (-3.2, -2.4)
Hudson County, New Jersey	Urban	Yes	113.4 (109.8, 117.1)	N/A	790	falling	-2.8 (-4.5, -2.6)
Lauderdale County, Alabama	Urban	No	148.3 (139.0, 158.2)	N/A	202	falling	-2.8 (-5.8, -1.7)
Valdez-Cordova Census Area, Alaska	Rural	Yes	107.3 (78.0, 143.9)	N/A	11	falling	-2.8 (-4.0, -1.5)
Deschutes County, Oregon	Urban	Yes	121.7 (115.8, 127.8)	N/A	341	falling	-2.9 (-7.5, -1.8)
Grady County, Georgia	Rural	No	149.7 (131.9, 169.4)	N/A	54	falling	-2.9 (-6.4, -1.6)
Kitsap County, Washington	Urban	No	138.0 (132.5, 143.6)	N/A	505	falling	-2.9 (-5.5, -1.7)
Philadelphia County, Pennsylvania	Urban	No	164.7 (162.0, 167.5)	N/A	2,849	falling	-2.9 (-4.4, -1.7)
Presidio County, Texas	Rural	Yes	86.5 (60.5, 121.0)	N/A	9	falling	-2.9 (-4.6, -1.5)
Shelby County, Tennessee	Urban	No	162.1 (158.5, 165.7)	N/A	1,638	falling	-2.9 (-4.2, -2.2)
Cape Girardeau County, Missouri	Urban	No	149.1 (138.6, 160.3)	N/A	156	falling	-3.0 (-8.4, -0.7)
Churchill County, Nevada	Rural	No	157.4 (138.7, 178.0)	N/A	55	stable	-3.0 (-5.3, 0.3)
Coffey County, Kansas	Rural	No	139.1 (112.0, 172.1)	N/A	19	falling	-3.0 (-12.1, -1.2)
Cullman County, Alabama	Rural	No	152.3 (142.4, 162.8)	N/A	186	falling	-3.0 (-7.1, -1.4)
Dukes County, Massachusetts	Rural	Yes	116.6 (100.7, 135.0)	N/A	42	falling	-3.0 (-3.8, -2.5)
Granite County, Montana	Rural	Yes	88.7 (57.8, 137.3)	N/A	6	falling	-3.0 (-4.9, -1.2)
Leake County, Mississippi	Rural	No	187.1 (164.4, 212.3)	N/A	51	falling	-3.0 (-10.7, -1.0)
Lee County, Alabama	Urban	No	163.1 (154.3, 172.2)	N/A	272	falling	-3.0 (-6.7, -1.2)
Monroe County, Florida	Rural	Yes	121.9 (113.7, 130.7)	N/A	174	falling	-3.0 (-6.0, -2.2)
Orleans Parish, Louisiana	Urban	No	147.7 (142.6, 152.9)	N/A	679	falling	-3.0 (-3.6, -2.6)
Sublette County, Wyoming	Rural	Yes	112.4 (87.1, 143.8)	N/A	14	falling	-3.0 (-4.2, -1.8)
Talbot County, Georgia	Urban	No	162.7 (127.6, 206.9)	N/A	16	falling	-3.0 (-16.3, -1.4)
Durham County, North Carolina	Urban	No	135.9 (130.3, 141.7)	N/A	458	falling	-3.1 (-4.6, -2.5)
Lee County, Mississippi	Rural	No	201.5 (188.8, 214.8)	N/A	194	stable	-3.1 (-4.9, 0.3)
Pasco County, Florida	Urban	No	157.7 (154.0, 161.5)	N/A	1,427	falling	-3.1 (-4.6, -1.2)
Richmond City, Virginia	Urban	No	146.5 (139.5, 153.8)	N/A	352	falling	-3.1 (-3.8, -2.7)
Wexford County, Michigan	Rural	No	163.0 (146.8, 180.6)	N/A	79	stable	-3.1 (-8.2, 1.9)
Denver County, Colorado	Urban	No	134.0 (130.0, 138.1)	N/A	875	falling	-3.2 (-5.5, -1.7)
Eagle County, Colorado	Rural	Yes	70.9 (60.0, 83.2)	N/A	36	falling	-3.2 (-4.1, -2.0)
Lucas County, Ohio	Urban	No	173.8 (168.7, 179.0)	N/A	940	falling	-3.2 (-4.4, -1.5)
Milwaukee County, Wisconsin	Urban	No	164.6 (161.0, 168.3)	N/A	1,673	falling	-3.2 (-5.0, -1.2)
San Francisco County, California	Urban	Yes	116.3 (113.4, 119.2)	N/A	1,290	falling	-3.2 (-5.5, -2.1)
St. Bernard Parish, Louisiana	Urban	No	175.3 (157.4, 194.6)	N/A	76	falling	-3.2 (-6.4, -1.8)
Williamson County, Illinois	Rural	No	160.9 (149.6, 172.9)	N/A	155	falling	-3.2 (-6.7, -1.8)
Accomack County, Virginia	Rural	No	171.5 (156.1, 188.3)	N/A	100	falling	-3.3 (-8.4, -1.5)
Bradford County, Pennsylvania	Rural	No	148.7 (137.7, 160.6)	N/A	142	falling	-3.3 (-8.5, -1.1)
Horry County, South Carolina	Urban	No	161.1 (156.2, 166.1)	N/A	938	falling	-3.3 (-5.4, -1.1)
Powhatan County, Virginia	Urban	No	130.6 (115.1, 147.8)	N/A	56	falling	-3.3 (-8.8, -2.4)
Rowan County, North Carolina	Urban	No	165.2 (157.0, 173.6)	N/A	322	falling	-3.3 (-4.8, -2.5)
Shelby County, Alabama	Urban	Yes	119.2 (113.4, 125.3)	N/A	326	falling	-3.3 (-7.4, -1.9)
Carroll County, Georgia	Urban	No	165.8 (155.7, 176.4)	N/A	209	falling	-3.4 (-9.0, -0.9)
Cass County, Iowa	Rural	No	168.6 (144.0, 196.9)	N/A	37	falling	-3.4 (-9.1, -1.0)
Henry County, Missouri	Rural	No	170.9 (152.1, 191.7)	N/A	63	falling	-3.4 (-10.7, -0.8)
Lake County, Indiana	Urban	No	156.3 (152.0, 160.8)	N/A	1,005	falling	-3.4 (-4.9, -2.2)
Onslow County, North Carolina	Urban	No	193.9 (183.9, 204.3)	N/A	295	stable	-3.4 (-7.9, 0.1)
Union County, New Jersey	Urban	Yes	119.9 (116.1, 123.7)	N/A	796	falling	-3.4 (-6.2, -1.4)
Walker County, Alabama	Urban	No	187.6 (175.0, 200.9)	N/A	174	falling	-3.4 (-8.2, -1.2)
Westchester County, New York	Urban	Yes	110.9 (108.4, 113.5)	N/A	1,528	falling	-3.4 (-5.1, -2.7)
Wyandotte County, Kansas	Urban	No	166.7 (158.0, 175.8)	N/A	289	falling	-3.4 (-6.0, -2.2)
Bath County, Kentucky	Rural	No	193.2 (164.1, 226.4)	N/A	33	falling	-3.5 (-11.5, -0.7)
Jackson County, Indiana	Rural	No	162.9 (148.6, 178.4)	N/A	97	falling	-3.5 (-8.4, -1.7)
New York County, New York	Urban	Yes	104.2 (102.3, 106.2)	N/A	2,260	falling	-3.5 (-4.0, -3.1)
Suffolk County, Massachusetts	Urban	No	130.1 (126.4, 133.8)	N/A	1,008	falling	-3.5 (-4.4, -2.9)
Webster County, Georgia	Rural	No	140.4 (92.3, 211.1)	N/A	6	falling	-3.5 (-13.5, -1.3)
Franklin County, Kentucky	Rural	No	160.8 (147.3, 175.3)	N/A	109	falling	-3.6 (-10.0, -1.6)
Somerset County, New Jersey	Urban	Yes	112.5 (108.1, 117.1)	N/A	509	falling	-3.6 (-6.2, -2.5)
Gogebic County, Michigan	Rural	No	135.7 (116.2, 158.6)	N/A	38	falling	-3.7 (-11.8, -1.6)
Story County, Iowa	Urban	No	128.4 (118.1, 139.4)	N/A	120	falling	-3.7 (-9.9, -1.2)
Comanche County, Texas	Rural	No	140.7 (118.0, 167.1)	N/A	31	falling	-3.8 (-11.8, -1.7)
Howard County, Arkansas	Rural	No	148.7 (124.0, 177.4)	N/A	26	falling	-3.8 (-9.5, -1.9)
Jackson County, Georgia	Rural	No	157.5 (145.5, 170.2)	N/A	134	falling	-3.8 (-11.3, -1.3)
Nash County, North Carolina	Urban	No	162.4 (152.6, 172.8)	N/A	214	falling	-3.8 (-7.2, -1.2)
Queens County, New York	Urban	Yes	103.7 (102.1, 105.4)	N/A	3,120	falling	-3.8 (-4.6, -3.2)
Schuylkill County, Pennsylvania	Rural	No	179.0 (171.0, 187.3)	N/A	395	falling	-3.8 (-6.6, -0.7)
Worcester County, Maryland	Rural	No	143.6 (132.6, 155.5)	N/A	147	falling	-3.8 (-7.6, -1.9)
Lee County, South Carolina	Rural	No	168.5 (145.0, 195.1)	N/A	40	falling	-3.9 (-11.5, -1.4)
Nantucket County, Massachusetts	Rural	Yes	111.5 (89.6, 137.4)	N/A	19	falling	-3.9 (-5.2, -3.1)
Smith County, Mississippi	Rural	No	161.3 (137.3, 188.8)	N/A	34	falling	-4.0 (-12.9, -1.8)
Burke County, Georgia	Urban	No	150.0 (130.4, 171.9)	N/A	45	falling	-4.1 (-10.1, -2.2)
Caldwell County, Kentucky	Rural	No	170.5 (145.0, 199.9)	N/A	33	falling	-4.1 (-14.3, -1.3)
Kings County, New York	Urban	Yes	109.3 (107.7, 111.1)	N/A	3,285	falling	-4.1 (-4.7, -3.7)
Caldwell Parish, Louisiana	Rural	No	147.6 (119.1, 181.5)	N/A	19	falling	-4.2 (-18.7, -1.8)
Clay County, Georgia	Rural	No	130.7 (88.9, 190.7)	N/A	7	falling	-4.2 (-18.5, -2.0)
Hood River County, Oregon	Rural	No	127.7 (110.1, 147.5)	N/A	39	falling	-4.3 (-11.0, -1.6)
Wake County, North Carolina	Urban	No	123.9 (120.9, 127.0)	N/A	1,335	falling	-4.3 (-5.8, -3.3)
Logan County, Ohio	Rural	No	168.7 (154.4, 184.1)	N/A	109	falling	-4.4 (-9.9, -1.1)
Missoula County, Montana	Urban	No	127.1 (118.5, 136.1)	N/A	174	falling	-4.4 (-10.7, -1.6)
Bronx County, New York	Urban	No	122.8 (120.3, 125.3)	N/A	1,896	falling	-4.5 (-6.5, -3.3)
Pike County, Missouri	Rural	No	160.1 (138.1, 184.8)	N/A	39	falling	-4.5 (-10.9, -0.9)
Humboldt County, Nevada	Rural	Yes	122.6 (100.1, 148.5)	N/A	22	falling	-4.6 (-17.0, -1.9)
Kootenai County, Idaho	Urban	No	151.4 (144.3, 158.8)	N/A	358	falling	-4.6 (-7.7, -1.2)
Ketchikan Gateway Borough, Alaska	Rural	No	129.2 (105.6, 156.9)	N/A	22	falling	-4.7 (-20.4, -1.9)
Clay County, Iowa	Rural	Yes	121.2 (102.6, 142.7)	N/A	32	falling	-4.8 (-18.9, -1.1)
Sandusky County, Ohio	Rural	No	159.3 (147.2, 172.2)	N/A	135	falling	-4.8 (-9.3, -1.2)
Baldwin County, Alabama	Urban	No	145.9 (140.1, 151.9)	N/A	511	falling	-4.9 (-7.1, -1.9)
Broomfield County, Colorado ⁸	Urban	Yes	108.9 (99.0, 119.6)	N/A	90	falling	-4.9 (-8.2, -3.2)
Cass County, Nebraska	Urban	No	137.4 (120.0, 156.8)	N/A	48	falling	-4.9 (-13.5, -1.3)
Winkler County, Texas	Rural	Yes	121.3 (89.2, 161.4)	N/A	10	falling	-4.9 (-20.6, -1.8)
Essex County, New Jersey	Urban	Yes	119.5 (116.4, 122.7)	N/A	1,121	falling	-5.0 (-7.5, -3.2)
Madison County, Mississippi	Urban	No	197.8 (186.4, 209.7)	N/A	238	falling	-5.0 (-5.8, -4.3)
Gilliam County, Oregon	Rural	Yes	72.7 (42.1, 131.0)	N/A	3	falling	-5.1 (-18.2, -2.4)
Niobrara County, Wyoming	Rural	Yes	110.3 (69.0, 173.0)	N/A	5	falling	-5.1 (-17.4, -2.8)
Cumberland County, New Jersey	Urban	No	168.1 (159.8, 176.9)	N/A	310	falling	-5.2 (-8.4, -1.2)
Costilla County, Colorado	Rural	Yes	83.5 (51.9, 131.3)	N/A	5	falling	-5.3 (-29.3, -1.7)
Perry County, Alabama	Rural	No	147.8 (117.7, 184.1)	N/A	18	falling	-5.3 (-22.2, -1.4)
Woodson County, Kansas	Rural	No	169.4 (124.5, 230.2)	N/A	10	falling	-5.3 (-21.5, -0.7)
Benewah County, Idaho	Rural	No	157.2 (129.2, 190.4)	N/A	24	falling	-5.4 (-15.9, -1.1)
Caribou County, Idaho	Rural	Yes	120.5 (90.3, 158.3)	N/A	11	falling	-5.4 (-26.3, -0.2)
Sequatchie County, Tennessee	Urban	No	148.6 (126.5, 174.0)	N/A	35	falling	-5.5 (-14.0, -2.0)
Allen County, Ohio	Urban	No	161.6 (152.0, 171.7)	N/A	222	falling	-5.6 (-9.9, -1.1)
Schleicher County, Texas	Rural	Yes	114.8 (71.4, 179.7)	N/A	4	falling	-5.6 (-26.7, -0.7)
Crook County, Oregon	Urban	No	146.3 (129.7, 164.9)	N/A	62	falling	-5.7 (-11.1, -2.9)
Dallas County, Alabama	Rural	No	168.2 (152.4, 185.4)	N/A	89	falling	-5.7 (-12.1, -1.7)
Lincoln County, North Carolina	Urban	No	150.2 (140.3, 160.7)	N/A	181	falling	-5.7 (-9.2, -1.2)
Luna County, New Mexico	Rural	No	145.0 (127.6, 164.3)	N/A	54	falling	-5.7 (-13.0, -0.8)
Sevier County, Tennessee	Rural	No	175.9 (165.9, 186.4)	N/A	249	falling	-5.7 (-9.4, -0.8)
Webster County, West Virginia	Rural	No	159.6 (130.0, 195.1)	N/A	22	falling	-5.7 (-13.5, -2.5)
Manassas Park City, Virginia	Urban	Yes	75.8 (55.3, 101.0)	N/A	10	falling	-6.4 (-10.3, -4.7)
Bonner County, Idaho	Rural	No	134.5 (122.8, 147.2)	N/A	109	falling	-6.8 (-12.3, -3.4)
Franklin County, North Carolina	Urban	No	159.7 (147.8, 172.4)	N/A	140	falling	-6.9 (-12.9, -1.2)
Johnson County, Iowa	Urban	Yes	114.6 (106.8, 122.8)	N/A	167	falling	-7.2 (-10.9, -2.7)
Trinity County, California	Rural	Yes	92.4 (77.1, 110.7)	N/A	30	falling	-7.2 (-21.9, -3.7)
Shoshone County, Idaho	Rural	No	153.7 (129.8, 181.4)	N/A	33	falling	-7.4 (-18.2, -1.4)
St. Croix County, Wisconsin	Urban	No	141.5 (131.3, 152.3)	N/A	150	falling	-7.6 (-13.1, -1.4)
Benton County, Tennessee	Rural	No	210.3 (184.6, 239.0)	N/A	54	stable	-8.5 (-18.1, 0.2)
Wood County, Wisconsin	Rural	No	152.1 (142.2, 162.7)	N/A	183	falling	-9.0 (-11.5, -5.7)
Galax City, Virginia	Rural	No	285.8 (236.7, 342.8)	N/A	25	falling	-9.6 (-22.5, -2.1)
Hart County, Kentucky	Rural	No	197.8 (172.9, 225.5)	N/A	48	stable	-9.6 (-20.7, 0.0)
Bullock County, Alabama	Rural	No	138.2 (111.0, 170.5)	N/A	19	falling	-9.7 (-22.2, -1.6)
Williams County, North Dakota	Rural	No	133.8 (115.6, 153.8)	N/A	42	falling	-10.2 (-18.9, -1.2)
Wayne County, Kentucky	Rural	No	179.5 (158.1, 203.5)	N/A	54	stable	-10.3 (-20.8, 0.0)
Jackson County, North Carolina	Rural	No	131.2 (118.0, 145.6)	N/A	78	falling	-11.5 (-18.5, -2.0)
Cannon County, Tennessee	Urban	No	194.5 (166.9, 225.9)	N/A	37	stable	-11.6 (-21.6, 0.1)
Harrison County, Iowa	Urban	No	149.2 (126.7, 175.0)	N/A	33	falling	-11.9 (-20.7, -1.4)
Polk County, Arkansas	Rural	No	172.5 (151.9, 195.6)	N/A	55	falling	-12.7 (-21.7, -1.8)
Scott County, Tennessee	Rural	No	189.8 (167.5, 214.4)	N/A	54	falling	-13.9 (-20.9, -6.9)
Robertson County, Kentucky	Rural	Yes	95.6 (57.5, 157.4)	N/A	4	falling	-14.3 (-39.2, -1.2)
North Slope Borough, Alaska	Rural	No	149.0 (105.7, 202.5)	N/A	11	falling	-14.8 (-38.0, -1.5)
Marengo County, Alabama	Rural	No	156.0 (135.3, 179.3)	N/A	43	falling	-15.0 (-23.3, -4.8)
Perry County, Tennessee	Rural	No	152.8 (123.9, 187.5)	N/A	20	falling	-15.0 (-31.5, -1.6)
Mono County, California	Rural	Yes	48.9 (35.3, 66.6)	N/A	9	falling	-15.2 (-44.7, -4.1)
Turner County, Georgia	Rural	No	153.4 (123.2, 189.5)	N/A	19	falling	-16.5 (-29.9, -1.5)
Rawlins County, Kansas	Rural	No	136.0 (94.4, 196.8)	N/A	7	falling	-17.1 (-30.3, -0.5)
Decatur County, Kansas	Rural	No	132.7 (87.9, 197.5)	N/A	7	falling	-28.4 (-51.1, -0.3)
Alpine County, California	Rural	No	187.9 (108.9, 316.4)	N/A	4	*	*
Armstrong County, Texas	Urban	No	135.2 (80.5, 219.5)	N/A	4	*	*
Briscoe County, Texas	Rural	No	140.4 (82.1, 235.3)	N/A	4	*	*
Buffalo County, South Dakota	Rural	No	237.6 (131.4, 389.4)	N/A	3	*	*
Carter County, Montana	Rural	No	141.8 (79.3, 246.5)	N/A	3	*	*
Eureka County, Nevada	Rural	No	147.7 (84.1, 244.7)	N/A	3	*	*
Gilpin County, Colorado	Urban	Yes	108.6 (71.3, 159.2)	N/A	7	*	*
Hudspeth County, Texas	Urban	No	258.3 (175.6, 365.3)	N/A	6	*	*
Hyde County, South Dakota	Rural	No	188.7 (115.8, 303.8)	N/A	5	*	*
Irion County, Texas	Urban	No	156.7 (91.9, 257.6)	N/A	4	*	*
Jackson County, Colorado	Rural	No	184.5 (111.6, 299.1)	N/A	4	*	*
Jerauld County, South Dakota	Rural	No	129.6 (79.9, 210.9)	N/A	5	*	*
Jones County, South Dakota	Rural	No	203.0 (119.2, 346.9)	N/A	4	*	*
Kiowa County, Colorado	Rural	No	143.3 (75.3, 253.8)	N/A	3	*	*
Kusilvak Census Area, Alaska	Rural	No	207.6 (139.7, 292.7)	N/A	8	*	*
Oglala Lakota, South Dakota	Rural	No	228.8 (180.5, 284.7)	N/A	19	*	*
Oldham County, Texas	Urban	No	234.5 (143.4, 363.2)	N/A	4	*	*
Piute County, Utah	Rural	No	150.8 (91.5, 247.3)	N/A	5	*	*
Powder River County, Montana	Rural	Yes	112.1 (59.2, 201.7)	N/A	3	*	*
Prairie County, Montana	Rural	No	219.6 (133.9, 358.8)	N/A	5	*	*
San Miguel County, Colorado	Rural	No	129.6 (91.1, 178.2)	N/A	9	*	*
Stanton County, Kansas	Rural	No	145.7 (86.1, 233.6)	N/A	4	*	*
Taliaferro County, Georgia	Rural	No	184.1 (121.8, 279.5)	N/A	6	*	*
Teton County, Idaho	Rural	No	140.0 (107.6, 178.7)	N/A	15	*	*
Wheatland County, Montana	Rural	No	163.0 (99.8, 254.6)	N/A	5	*	*
Aleutians East Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Aleutians West Census Area, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Arthur County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Banner County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Billings County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Blaine County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Borden County, Texas	Rural	*******	*	*	3 or fewer	*	*
Bristol Bay Borough, Alaska	Rural	*******	*	*	3 or fewer	*	*
Camas County, Idaho	Rural	*******	*	*	3 or fewer	*	*
Cimarron County, Oklahoma	Rural	*******	*	*	3 or fewer	*	*
Clark County, Idaho	Rural	*******	*	*	3 or fewer	*	*
Daggett County, Utah	Rural	*******	*	*	3 or fewer	*	*
Denali, Alaska	Rural	*******	*	*	3 or fewer	*	*
Dundy County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Esmeralda County, Nevada	Rural	*******	*	*	3 or fewer	*	*
Foard County, Texas	Rural	*******	*	*	3 or fewer	*	*
Garfield County, Montana	Rural	*******	*	*	3 or fewer	*	*
Glasscock County, Texas	Rural	*******	*	*	3 or fewer	*	*
Golden Valley County, Montana	Rural	*******	*	*	3 or fewer	*	*
Golden Valley County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Grant County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Greeley County, Kansas	Rural	*******	*	*	3 or fewer	*	*
Haines Borough, Alaska	Rural	*******	*	*	3 or fewer	*	*
Harding County, New Mexico	Rural	*******	*	*	3 or fewer	*	*
Harding County, South Dakota	Rural	*******	*	*	3 or fewer	*	*
Hayes County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Hinsdale County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Hooker County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Kalawao County, Hawaii ⁸	Urban	*******	*	*	3 or fewer	*	*
Kenedy County, Texas	Rural	*******	*	*	3 or fewer	*	*
Kent County, Texas	Rural	*******	*	*	3 or fewer	*	*
Keya Paha County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
King County, Texas	Rural	*******	*	*	3 or fewer	*	*
Lake and Peninsula Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Logan County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Loup County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Loving County, Texas	Rural	*******	*	*	3 or fewer	*	*
McCone County, Montana	Rural	*******	*	*	3 or fewer	*	*
McMullen County, Texas	Rural	*******	*	*	3 or fewer	*	*
McPherson County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Mineral County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Oliver County, North Dakota	Urban	*******	*	*	3 or fewer	*	*
Petroleum County, Montana	Rural	*******	*	*	3 or fewer	*	*
Rich County, Utah	Rural	*******	*	*	3 or fewer	*	*
Roberts County, Texas	Rural	*******	*	*	3 or fewer	*	*
Rock County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
San Juan County, Colorado	Rural	*******	*	*	3 or fewer	*	*
Sheridan County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Sioux County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Skagway Municipality, Alaska	Rural	*******	*	*	3 or fewer	*	*
Slope County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Steele County, North Dakota	Rural	*******	*	*	3 or fewer	*	*
Sterling County, Texas	Rural	*******	*	*	3 or fewer	*	*
Terrell County, Texas	Rural	*******	*	*	3 or fewer	*	*
Thomas County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Treasure County, Montana	Rural	*******	*	*	3 or fewer	*	*
Wallace County, Kansas	Rural	*******	*	*	3 or fewer	*	*
Wheeler County, Nebraska	Rural	*******	*	*	3 or fewer	*	*
Wibaux County, Montana	Rural	*******	*	*	3 or fewer	*	*
Yakutat City and Borough, Alaska ³	Rural	*******	*	*	3 or fewer	*	*
Ziebach County, South Dakota	Rural	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 07/15/2025 5:12 pm.

Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website now uses Kusilvak.

South Dakota County Name Change: please note that Shannon County, SD (FIPS code=46113) was renamed effective May 1, 2015, and the new name is Oglala Lakota County (FIPS Code=46102). This website now uses Oglala Lakota.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
³ Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⁸ Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Note: This website still uses Connecticut counties instead of planning regions for consistency of geographies across data topics. If/when all data sources have new planning regions, then this website will switch to using them. 2013 Rural-Urban Continuum Codes will be used for Connecticut counties.

Φ Rural-Urban Continuum Codes provided by the USDA.
Puerto Rico is treated as urban because over 90% of the population lives in urban areas.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.

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State Cancer Profiles

Death Rates Table

Death Rate Report for United States by CountyAll Cancer Sites, 2018-2022All Races (includes Hispanic), Both Sexes, All AgesSorted by Recentaapc

Death Rate Report for United States by County

All Cancer Sites, 2018-2022

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc