Identifying characteristics of high-poverty counties in the United States with high well-being: an observational cross-sectional study

In this study of high-poverty counties in the USA, we used a unique and validated measure of population well-being, the Gallup-Sharecare Well-being Index. We described high-poverty counties with high and low well-being using 29 characteristics from the Robert Wood Johnson Foundation County Health Rankings and Roadmaps, a well-established model of population health. Our study examined associations by county, due to lack of well-being data at the city or neighbourhood level, and both poverty and well-being are likely to be heterogeneous at the county level.