b'51 The Kaiser Family Foundation, statehealthfacts.org. Data Source: Agency for Healthcare Research and Quality, Center for Cost and Financing Studies. 2008 www.statehealthfacts.org/comparemaptable.jsp?ind=176&cat=352 The Behavioral Risk Factors Surveillance System survey (Centers for Disease Control) asks adults ages 18 and older:Was there a time in the past 12 monthswhen you needed to see a doctor but could not because of the cost?53 American College of Physicians. How Is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care?. Philadelphia: American College of Physicians; 2008: White Paper. (Available from American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.) 54 The AMA and the NH Board of Medicine define Primary Care Physicians as practicing in five areas: Internal Medicine, Family Practice, Pediatrics, Obstetrics/Gynecology and General Practice. National and NH data is from the AMA, Cheshire County data is from the NH Board of Medicine. Based on 2008 estimatesof population from the American Community Survey (U.S. Census). This is baseline data (no trends available). www.statehealthfacts.org55 United States Census, 2000. www.quickfacts.census.gov/qfd/states/33/33005.html56 United States Department of Education. www.ed.gov/nclb/landing.jhtml?src=pb57 U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. www.cdc.gov/nccdphp/sgr/pdf/adults.pdf58 The Behavioral Risk Factors Surveillance System survey asks adults ages 18 and older: During the past month, other that your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening or walking for exercise?59 United States Environmental Protection Agency. www.epa.gov/ebtpages/air.html60 This indicator is based on the Air Quality Index (AQI). The Air Quality Index is a nationally standardized method established by the U.S. Environmental ProtectionAgency (EPA) for reporting air quality in communities across the country. The EPA offers the following disclaimer, and therefore we chose not to include state and national comparisons for Cheshire County: Readers are cautioned not to infer a qualitative ranking order of geographic areas based on AirData maps, charts, or eports. Air pollution levels measured in the vicinity of a particular monitoring site may not be representative of the prevailing air quality of a county or urban area. Pollutants emitted from a particular source may have little impact on the immediate geographic area, and the amount of pollutants emitted does not indicate whetherthe source is complying with applicable regulations.61 The definition of affordability is housing which, be it rented or owned, costs a person or family no more than 25-30% of a households gross income, and availability refers to the proportion of affordably priced housing relative to income in a given area.62 U.S. Census Bureau, 2007 American Community Survey. www.factfinder.census.gov/servlet/GCTSelectedDatasetPageServlet?_lang=en&_ts=2622527263595 8 Engaging Our Community In Health88222_CMC2.indd 60 2/1/10 12:27 PM'