The County Health Rankings (CHR) calculate the number of social associations (such as memberships in civic organizations, bowling centers, golf clubs, fitness centers, sports organizations, religious organizations, political organizations, labor organizations, business organizations, and professional organizations) per 10,000 population. Top US performing rate was 21.9 memberships per 10,000 population in the 2019 rankings vs. 9 for the US, while Nevada was 4.3 and Washoe County increased to 6.2.
Social associations are indicators of social support, isolation, social capital, and facilitate community engagement; however, membership alone doesn’t guarantee social support from these organizations which could also come from family or friendships. Social isolation has also been associated with unhealthy behaviors, leading to increased morbidity and early mortality.
- County Health Rankings data are calculated from county business pattern data, lagged 3-4 years behind reporting years
- Associations are identified by NAICS codes 813410, 713950, 713910, 713940, 711211, 813110, 813940, 813930, 813910 and 813920