“…For each indicator, a statewide distribution was created. Each county was compared with the state distribution for that indicator and ranked by quartile (1)(2)(3)(4). Quartile rankings for each indicator were then summed by the following domains: social capital (number of schools, number of churches/temples/synagogues, number of adults with high school diplomas, number of two-parent households); access to physicians (number of pediatricians, obstetrician/ gynecologists, family physicians, adolescent medicine); availability of safety net settings (community health centers, public substance abuse and family planning clinics); community risky behavior rates (teen pregnancy prevalence, STD prevalence among teens, teen tobacco use prevalence, teen suicide prevalence); violence (crime rate, teen nonsuicide deaths); and percentages of the county population that were African American and Hispanic.…”