25 years
in support of
healthier
communities
We at United
Health Foundation,
along with our partners at the American Public
Health Association and Partnership for Prevention,
are pleased to present the 25th Edition of
Americas Health Rankings: A Call to Action for
Individuals and Their Communities.
First published in 1990, Americas Health
Rankings provides the longest running state-bystate analysis of factors affecting our countrys
health. The report has lasted 25 years because it
has welcomed dozens of evolutions. Each evolution has ensured the report remains current and
reflects changes in our nations health and how it is
measured and reported.
We salute the hard work, collaboration, expertise, and guidance provided by our Scientific
Advisory Committee through the years. It is composed of leading public health scholars and led by
Anna Schenck, PhD, MSPH, Director of the Public
Health Leadership Program and North Carolina
Institute for Public Health, at the University of
North Carolina Gillings School of Global Public
Health. This report remains germane, robust and
reflective of the nations true health because the
committee constantly reviews, debates, discusses,
and modifies the methodological framework.
We also thank and appreciate the team at
Arundel Street Consulting, led by Tom Eckstein,
who has been with Americas Health Rankings
since its inception and has played a significant role
in shaping the report.
Over the coming year, well maintain our focus
on this seminal report, appreciative of the past 25
years but also eagerly looking ahead to trends,
ideas and developments to be discussed over the
next 25 years. Well call on thought leaders from
a cross-section of society, business, health and
government, and well share their perspectives with
you across all Americas Health Rankings access
channels, including Facebook, Twitter, Google+,
LinkedIn, our website, our newsletter and our blog.
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
All of us need
to continue
addressing
unhealthy
behaviors and
being leaders
in our families,
among our
friends, at our
workplaces and in
our communities.
We invite you to share ideas or programs
that have made a difference in your community by
emailing unitedhealthfoundationinfo@uhc. com.
Also, please engage with us on LinkedIn, post on
our Facebook page at www.facebook. com/
AmericasHealthRankings, and follow us on Twitter
at @AHR_Rankings. A healthy exchange of ideas
allows us to share information, learn from one
another, and work together to address our
nations health challenges and improve the
lives of all.
We wish to extend our gratitude to Reed
Tuckson, MD, Rhonda Randall, DO, and Russ
Bennett for their commitment and collaboration
in the creation and dissemination of Americas
Health Rankings.
We also acknowledge the following agencies and organizations for providing data that
a m e r i c a s h e a lt h r a n k i n g s
Health is a state
of complete physical,
mental, and social
well-being
World Health Organization
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
Contents
Acknowledgement
Findings
16
22
Core Measures
25
Behaviors
26
38
Policy
46
Clinical Care
50
Outcomes
55
Supplemental Measures
71
State Summaries
83
US Summary
136
Appendix
137
138 139
142
143
The Team
145
Findings
For the third consecutive year, Hawaii is the healthiest
state in Americas Health Rankings 2014 Edition.
Vermont ranks second, also for the third consecutive
year. Massachusetts improves to third after spending 2 years ranked fourth. Connecticut improves 3
places to fourth, and Utah joins the top 5 states after
spending 2 years ranked sixth. Minnesota and New
Hampshire drop out of the top 5.
Mississippi ranks 50th for the third consecutive
year. Arkansas, Louisiana, Kentucky, and Oklahoma
complete the bottom 5 states. Oklahoma changes
from 44th to 46th, and Kentucky changes from 45th
to 47th, which moves West Virginia and Alabama out
of the bottom 5 states.
Table 1 presents the overall ranking for all 50
states, and Table 2 displays the overall ranking alphabetically by state.
Hawaii has consistently been in the top 6 states
since the inception of the rankings in 1990. Its
continued presence among the top states is due to
its low prevalence of both smoking and obesity; a
low percentage of children in poverty; small disparity in health status by education level; and low rates
of preventable hospitalizations, cancer deaths, and
cardiovascular deaths. Hawaiis challenges are a
1120
2130
3140
4150
not ranked
DC
RI
DE
a m e r i c a s h e a lt h r a n k i n g s
Findings
Table 2
2014
rank
(150)
2014
rank
(150)
Table 1
1
2
3
4
5
6
7
8
9
10
11
12
2014 Rankings
13
14
15
16
17
18
18
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
state
Hawaii
Vermont
Massachusetts
Connecticut
Utah
Minnesota
New Hampshire
Colorado
North Dakota
Nebraska
New Jersey
Oregon
Washington
New York
Rhode Island
Maryland
California
Idaho
South Dakota
Maine
Virginia
Montana
Wisconsin
Iowa
Wyoming
Alaska
Kansas
Pennsylvania
Arizona
Illinois
Texas
Florida
New Mexico
Michigan
Delaware
Missouri
North Carolina
Georgia
Nevada
Ohio
Indiana
South Carolina
Alabama
West Virginia
Tennessee
Oklahoma
Kentucky
Louisiana
Arkansas
Mississippi
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
score
.91
.85
.74
.74
.73
.73
.68
.57
.55
.50
.47
.41
.40
.39
.37
.35
.35
.34
.34
.30
.30
.28
.23
.22
.21
.13
.08
.01
-.04
-.08
-.11
-.15
-.18
-.21
-.23
-.28
-.29
-.32
-.33
-.36
-.38
-.64
-.66
-.71
-.71
-.74
-.75
-.80
-.93
-1.00
state
43 Alabama
26 Alaska
29 Arizona
49 Arkansas
17 California
8 Colorado
4 Connecticut
35 Delaware
32 Florida
38 Georgia
1 Hawaii
18 Idaho
score
-.66
.13
-.04
-.93
.35
.57
.74
-.23
-.15
-.32
.91
.34
30 Illinois
-.08
41 Indiana
-.38
24 Iowa
.22
27 Kansas
.08
47 Kentucky
-.75
48 Louisiana
-.80
20 Maine
.30
16 Maryland
.35
3 Massachusetts
.74
34 Michigan
-.21
6 Minnesota
.73
50 Mississippi
-1.00
36 Missouri
-.28
22 Montana
.28
10 Nebraska
.50
39 Nevada
-.33
7
New Hampshire
.68
11
New Jersey
.47
33
New Mexico
-.18
14
New York
.39
37
North Carolina
-.29
9
North Dakota
.55
40 Ohio
-.36
46 Oklahoma
-.74
12 Oregon
.41
28 Pennsylvania
.01
15
Rhode Island
.37
42
South Carolina
-.64
18
South Dakota
.34
45 Tennessee
-.71
31 Texas
-.11
5 Utah
.73
2 Vermont
.85
21 Virginia
.30
13 Washington
.40
44
West Virginia
-.71
23 Wisconsin
.23
25 Wyoming
.21
1120
2130
3140
4150
not ranked
Wyoming
Declined from 17th
to 25th. Obesity and
physical inactivity
increased in the past
year. The incidence
of pertussis increased
in the past year, and
public health funding
decreased.
DC
RI
DE
Maryland
Texas
Improved from 36th to 31st.
In the past year, smoking
decreased 13%, immunization
coverage among children
increased 12%, and disparity in
health status decreased 18%.
TABLE 3
Maryland
Texas
Virginia
Alabama
California
Rhode Island
South Dakota
2013 RANK
2014 RANK
CHANGE
24
36
26
47
21
19
22
16
31
21
43
17
15
18
8
5
5
4
4
4
4
17
12
18
31
16
25
18
24
35
20
8
6
6
4
4
RANK DECLINED
Wyoming
Idaho
Iowa
Delaware
Maine
A M E R I C A S H E A LT H R A N K I N G S
Findings
Oregon
Improved from 28th
in 1990 to 12th. Since
1990, violent crime
dropped from 540
to 248 offenses per
100,000. Infant mortality
declined 50% from 9.9
to 5.0 deaths per 1,000
live births and now ranks
ninth in the country. The
states improvement
resulted from improving
determinants of health,
bettering rank from 35th
for all determinants in
1990 to 8th in 2014.
10
1120
2130
3140
4150
not ranked
Vermont
DC
RI
DE
Iowa
Wisconsin
New York
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
Increase
No change
Decrease
Most decrease
Not ranked
DC
RI
DE
Premature death
decreased 10% or
more in 32 states
between the 1990
and 2014 Edition.
However, during the
same time period,
premature death
increased 10% in
Oklahoma and West
Virginia.
New York
Vermont
Oregon
Maryland
Alaska
New Jersey
1990 rank
2014 rank
change
40
20
28
31
37
21
14
2
12
16
26
11
26
18
16
15
11
10
6
7
12
32
27
24
30
24
23
27
46
40
36
41
18
16
15
14
13
12
11
rank declined
Iowa
Wisconsin
Kansas
Oklahoma
Ohio
Missouri
Indiana
a m e r i c a s h e a lt h r a n k i n g s
11
Findings
Table 5
decreased
smoking
prevalence
increased
immunization
coverage
decreased
infant
mortality
12
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
19.0%
Smoking declined 3% from
19.6% to 19.0% of adults who
smoke regularly.
67.1%
Immunization coverage among
adolescents increased 5% from
64.0% to 67.1% of adolescents
aged 13 to 17 years.
6.0
Table 6
increased
infectious
disease
Pertussis
increased
obesity
increased
drug
deaths
increased
physical
inactivity
15.5
29.4%
Obesity increased 7% from
27.6% to 29.4% of adults
who are obese.
13.0
23.5%
Physical inactivity increased 3%
from 22.9% to 23.5% of adults
who did not participate in physical
activity in the last 30 days.
a m e r i c a s h e a lt h r a n k i n g s
13
Findings
Table 7
14
Smoking
Violent Crime
Air Pollution
Preventable Hospitalizations
Occupational Fatalities
Infant Mortality
Premature Death
Cancer Deaths
Cardiovascular Deaths
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
challenges
Obesity
Physical Inactivity
Children in Poverty
State public health funding continues its slow decline over the
past 4 years. Since 2011, it decreased from $95.01 to $90.00 in
expenditures per person at the state level.
Immunization Coverage
Children
Immunization Coverage
Adolescents
Low Birthweight
Diabetes
In the nation, 9.6% of adults report they have been told they
have diabetes. There has been a steady, upward climb in the
prevalence of diabetes, although data from the last 3 years
shows a leveling of the prevalence.
a m e r i c a s h e a lt h r a n k i n g s
15
Reflections Over a
Quarter of a Century
Americas Health Rankings was first released in
1990. This was a time when the definition of health
and the role of public health were rapidly evolving.
It was 26 years after the landmark 1964 Surgeon
Generals Report on Smoking and Health as well
as 8 years before the Tobacco Master Settlement
Agreement between attorneys general of 46
states and 4 of the largest tobacco companies. In
this period, research supporting the connection
between population health and socioeconomic
factors expanded, entered mainstream discussion,
and became increasingly accepted.
Twenty-five years ago, this stimulating research
and a distinguished expert panel formed the
wellspring of Americas Health Rankings. The
Rankings was built upon the WHO definition of
health: Health is a state of complete physical,
mental, and social well-being and not merely the
absence of disease or infirmity. It was based on
the premise that determinants of health directly
influence health outcomes. The model has evolved
over the last 25 years, but its emphasis on health
determinants remains, and today the determinants account for three-quarters of each states
final ranking. The determinants are divided into 4
categories: behavior, community and environment,
policy, and clinical care.
Behaviors
The strongest
relationship
between cigarette
smoking and health
is in the field of
lung cancer
Surgeon General Luther Terry, 1964
Community &
Environment
Health
Outcomes
Clinical
Care
16
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
Policy
Measures of Mortality
Premature Death
years lost per 100,000 population
Premature Death
In the last 25 years, premature death decreased
20%, from 8,716 to 6,976 years lost before age
75 per 100,000 population. This improvement
means an increase in years of productive life in the
population. While premature death has decreased
nationally, improvement differs greatly by state.
In New York, in the last 25 years premature death
improved 41%, from 9,754 to 5,737 years of
potential life lost, whereas in Oklahoma premature
deaths worsened 13%, from 8,551 to 9,654 years of
potential life lost. Declines in infant mortality and
cardiovascular deaths are 2 measures that contributed greatly to the decline in premature death over
the last quarter of a century.
10,000
8,000
6,000
4,000
2,000
0
1990
1995
Infant Mortality
Cardiovascular Deaths
Cardiovascular disease remains the nations leading killer despite a steep decline in cardiovascular
mortality over the last 25 years. In 1990, the US
cardiovascular death rate was 405.1 deaths per
100,000 population. Todays rate is 251.4 deaths
per 100,000 population, a decline of 38%. The
improvement in US cardiovascular deaths varies
geographically. In the last 25 years, Minnesota
improved 47%, from 350.6 to 184.7 deaths per
100,000 population, while Oklahoma improved
only 23%, from 415.3 to 322.0 deaths per 100,000
population.
Cardiovascular Deaths
Infant Mortality
Infant mortality has declined 41% over the last 25
years, from 10.2 to 6.0 deaths per 1,000 live births.
While this improvement is notable and the result
of decades of continued effort, US infant mortality lags far behind other developed countries and
many middle-income countries. The improvement
in US infant mortality varies geographically. For
example, Alaska improved 58%, from 10.6 to 4.5
deaths per 1,000 live births in the last 25 years,
while Ohio improved only 22%, from 9.9 to 7.7
deaths per 1,000 live births.
2000
2005
2010
2015
12
10
8
6
4
2
0
1990
1995
2000
2005
2010
2015
2000
2005
2010
2015
400
300
200
100
0
1990
1995
a m e r i c a s h e a lt h r a n k i n g s
17
Cancer Deaths
Americas Health Rankings has tracked cancer
deaths since 1990. Since a peak in 1996, there
has been a slow-but-steady decrease in cancer
mortality, reflecting a decline in incidence of some
cancers, like lung cancer, and improvements in
cancer treatment. The populations longer lifespan
over the last 25 years and the overall aging of the
population have masked some improvement in
cancer mortality as more cancer occurs in older
individuals. From 1996 to 2014, US cancer mortality declined 8%, from 205.5 to 189.9 deaths per
100,000 population. In this same time span, this
advance varied geographically, with Maryland
improving 16%, from 224.0 to 187.7 deaths per
100,000 population, and Oklahoma worsening
6%, from 202.4 to 214.1 deaths per 100,000
population.
250
200
150
100
50
0
1990
1995
2000
2005
2010
2015
2000
2005
2010
2015
Children in Poverty
After a decade of decline, in 2002 the prevalence
of children in poverty rose for almost a decade
from 15.8% to 21.4%. Fortunately, it has declined
in the last few years. States experienced much
of the same cyclic nature of children in poverty;
however, the magnitude of the cycles varies from
state to state.
25
20
15
10
5
0
1990
1995
18
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
Smoking
Obesity
30
20
10
0
1990
1995
2000
2005
2010
2015
Key to improving overall health is reducing the leading causes of death, including smoking. Since 1990,
smoking has dropped significantly, yet almost 1
in 5 adults (19.0%) still smoke regularly. In the early
1990s, more than 1 in 4 smokedso there has been
progress, albeit slow. It is especially encouraging to
see the 0.3% annual decrease from 2003 through
2011. This rate of decline appears to continue from
2012 through 2014. (Changes in data-collection
methodology between 1990 and 1991 and between
2011 and 2012 do not allow a comparison over all
25 years).
Smoking among adults with low educational
attainment is disproportionately large throughout
the United States. Nationally, the prevalence of
smoking among adults with less than a high school
education is 32% 4 times the prevalence among
adults with a college degree. The prevalence of
smoking among those with less than a high school
degree varies greatly from state to state, with it
being 3.5 times higher in Alaska than in California.
In no state is the prevalence of smoking among
those with a high school degree or less significantly
lower than those with a college degree.
30
20
10
0
1990
1995
High School
High School
Some College
Some College
College Graduate
College Graduate
0
10
20
30
40
US Rate
Maximum & Minimum
2000
10
2005
20
2010
30
2015
40
a m e r i c a s h e a lt h r a n k i n g s
19
Physical Inactivity
30
20
10
0
1990
1995
2000
2005
2010
2015
10
20
30
40
US Rate
Maximum & Minimum
Diabetes
10
8
6
4
2
0
1990
1995
2000
2005
2010
20
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
50
2015
Clinical Care
Since 2001, preventable hospitalizations have
declined 24% from 82.5 to 62.9 hospitalizations per
1,000 Medicare beneficiaries. In Mississippi, there
are 37.7 fewer preventable hospitalizations per
1,000 Medicare beneficiaries in 2014 than in 2001
a 32% decline. Louisiana has 35.3 fewer preventable
hospitalizations per 1,000 Medicare beneficiaries in
2014 than in 2001a 35% decline.
Looking over the 25 years of health captured
by Americas Health Rankings, there are many
accomplishments to celebrate. However, a lot of
work remains so that we can all live up to our full
life potential. Life expectancy at birth, while the
highest it has ever been at 78.8 years, still lags
behind other developed countries, leaving us
substantial room for improvement. Another key
challenge is that health gains are not experienced
equally across the United States by state, race/ethnicity or educational attainment.
80
60
40
20
0
1990
1995
2000
2005
2010
2015
Non-Hispanic White
Non-Hispanic Black
Hispanic
Native American
Asian
Non-Hispanic Hawaiian/
Pacific Islander
20
40
60
80
US Rate
Maximum & Minimum
Violent Crime
offenses per 1,000 population
Violent Crime
Another bright spot in the nations health is the dramatic reduction in violent crime since the early 1990s.
Violent crime is reduced almost 50% from its 1993
peak. However, this decline does camauflauge the
fact that homicide is still the leading cause of death
among youth aged 10 to 24 years. Violent crime
varies geographically, with 15 states experiencing
an increase since 1990led by the 168% increase
in South Dakota. In New York, violent crime has
dropped 60% since 1990.
800
600
400
200
0
1990
1995
2000
2005
2010
2015
2005
2010
2015
Preventable Hospitalizations
number per 1,000 medicare
beneficiaries
90
80
70
60
50
40
30
20
10
0
1990
1995
2000
a m e r i c a s h e a lt h r a n k i n g s
21
Infant Mortality
Deaths per 1,000 Live Births
<=3
22
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
45
712
>12
Table 8
International Comparison
Country
Andorra
Finland
Iceland
Japan
Luxembourg
Norway
Singapore
Slovenia
Sweden
Australia
Austria
Cyprus
Czech Republic
Denmark
Estonia
Germany
Ireland
Israel
Italy
Monaco
Netherlands
Portugal
Republic of Korea
Life Expectancy
at Birth (Years)**
Health Expenditures
(Percent of GDP)***
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
83
81
82
84
82
82
83
80
82
83
81
82
78
80
77
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
81
81
82
83
82
81
81
81
83
72
80
78
82
81
74
82
83
81
9.4
Bahrain
Canada
Cuba
Hungary
Malta
Montenegro
New Zealand
Poland
Bosnia and Herzegovina
Serbia
Slovakia
The former Yugoslav Republic
of Macedonia
5
5
5
5
5
5
5
5
6
6
6
77
82
79
75
81
76
82
77
77
75
76
3.9
10.9
8.6
7.8
9.1
7.6
10.3
6.7
9.9
10.5
7.8
76
7.1
6
7
7
8
8
15
30
79
80
79
79
80
79
79
17.9
7.2
2.2
San Marino
Belarus
Belgium
Croatia
France
Greece
Lithuania
Spain
Switzerland
United Kingdom of Great Britain
and Northern Ireland
Chile
Qatar
Costa Rica
Lebanon
Columbia
Nauru
8.3
9.2
9.1
10.1
6.9
9.0
4.7
8.8
9.6
9.1
11.5
7.3
7.7
11.2
5.9
11.3
8.1
7.5
9.2
4.4
12.4
9.5
7.5
6.5
5.0
10.8
6.8
11.8
9.3
6.7
9.6
11.3
10.1
7.3
6.8
7.5
a m e r i c a s h e a lt h r a n k i n g s
23
>=82
8081
79
7778
<=76
<=4.0%
24
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
4.1%6.0%
6.1%8.0%
8.1%10.0%
>10.0%
Core Measures
In addition to the contributions of our individual genetic
predispositions to disease, health is the result of:
Our behaviors;
The environment and the community in which we live;
The policies and practices of our health care,
government and other prevention systems;
The clinical care we receive.
These 4 aspects interact with each other in a complex
web of cause and effect, and much of this interaction is
just beginning to be fully understood. Understanding
these interactions is vital if we are to create the healthy
outcomes we desire, including a long, disease-free,
robust life for all individuals regardless of race, gender
or socioeconomic status.
Behaviors
Community &
Environment
Health
Outcomes
Clinical
Care
Policy
Behaviors
Core m e as u r e s
Smoking
1990
1995
2000
2005
2010 2015
Smoking by State
Percentage of adults who are current smokers
<=16.5%
16.6%18.4%
18.5%19.7%
19.8%22.0%
DC
RI
DE
Top 5 States
Utah 10.3%
California 12.5%
Hawaii 13.3%
Connecticut 15.5%
New Jersey 15.7%
United States 19.0%
Healthy People 2020 Goal 12.0%
26
Bottom 5 States
West Virginia 27.3%
Kentucky 26.5%
Arkansas 25.9%
Mississippi 24.8%
Tennessee 24.3%
United States 19.0%
Healthy People 2020 Goal 12.0%
>=22.1%
Disparities in
Smoking
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
0
Male
10
20
30
40
50
Percent of Adults
Female
0
10
20
30
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
Rural
0
0
10
15
20
10
20
30
40
50
25
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
$75,000 or more
5
10
15
20
25
30
35
Percent of Adults
10
20
30
40
g
ri
suppor
t
ne
ng
e s tyle
twork
if
rs
ge
avo
avo
medi
cat
i
plan to
quit
ie
at
n e f f o rt
nce
c ounseling
10.3
12.5
13.3
15.5
15.7
15.9
16.1
16.2
16.3
16.4
16.6
16.6
16.6
16.8
17.2
17.3
17.4
17.7
18.0
18.0
18.5
18.7
18.8
19.0
19.0
19.1
19.4
19.5
19.6
19.6
20.0
20.2
20.3
20.6
21.0
21.2
21.4
21.5
21.9
22.0
22.1
22.6
23.4
23.5
23.7
24.3
24.8
25.9
26.5
27.3
19.0
18.8
1 Utah
2 California
3 Hawaii
4 Connecticut
5 New Jersey
6 Texas
7 Washington
8 New Hampshire
9 Arizona
10 Maryland
11 Massachusetts
11 New York
11 Vermont
14 Florida
15 Idaho
16 Oregon
17 Rhode Island
18 Colorado
19 Illinois
19 Minnesota
21 Nebraska
22 Wisconsin
23 Georgia
24 Montana
24 Virginia
26 New Mexico
27 Nevada
28 Iowa
29 Delaware
29 South Dakota
31 Kansas
32 Maine
33 North Carolina
34 Wyoming
35 Pennsylvania
36 North Dakota
37 Michigan
38 Alabama
39 Indiana
40 South Carolina
41 Missouri
42 Alaska
43 Ohio
44 Louisiana
45 Oklahoma
46 Tennessee
47 Mississippi
48 Arkansas
49 Kentucky
50 West Virginia
United States
District of Columbia
Non-Hispanic Black
US Rate
Maximum & Minimum
Non-Hispanic White
av oi d t
by Smoking
Prevalence by Race
Ranking
27
Behaviors
Core m e asu r e s
Binge Drinking
percent of adults
data source :
<= 13.4%
13.5% 15.9%
16.0% 17.1%
17.2%18.9%
DC
RI
DE
Top 5 States
Tennessee 9.6%
Alabama 11.2%
West Virginia 11.2%
Utah 12.3%
Mississippi 12.4%
United States 16.8%
28
Bottom 5 States
North Dakota 23.8%
Wisconsin 22.5%
Illinois 21.8%
Iowa 21.7%
Minnesota 21.0%
United States 16.8%
>=19.0%
Disparities in
Binge Drinking
Ranking
by Binge Drinking
rank state
value
1 Tennessee
2 Alabama
2 West Virginia
4 Utah
5 Mississippi
6 Arkansas
7 Oklahoma
8 North Carolina
9 Georgia
10 Arizona
10 Kentucky
12 Maryland
13 New Mexico
14 Idaho
14 South Carolina
16 Indiana
17 Nevada
18 Kansas
19 Florida
20 Virginia
21 Louisiana
21 New Jersey
23 Oregon
24 Wyoming
25 Texas
26 New Hampshire
26 Washington
28 Delaware
29 Ohio
29 Vermont
31 Maine
31 Missouri
31 Pennsylvania
34 California
34 New York
36 Rhode Island
37 Connecticut
38 Hawaii
39 Colorado
40 Michigan
41 South Dakota
42 Massachusetts
43 Alaska
44 Nebraska
45 Montana
46 Minnesota
47 Iowa
48 Illinois
49 Wisconsin
50 North Dakota
United States
District of Columbia
9.6
11.2
11.2
12.3
12.4
12.5
12.7
13.0
13.1
13.4
13.4
14.2
14.5
14.9
14.9
15.0
15.2
15.4
15.6
15.9
16.3
16.3
16.5
16.6
16.7
16.8
16.8
17.0
17.1
17.1
17.2
17.2
17.2
17.4
17.4
17.8
18.2
18.3
18.5
18.9
19.2
19.4
19.5
20.0
20.8
21.0
21.7
21.8
22.5
23.8
16.8
22.4
Prevalence by Race
Non-Hispanic White
Non-Hispanic Black
US Rate
Maximum & Minimum
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
0
Male
10
20
30
40
Percent of Adults
Female
0
10
20
30
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
Rural
0
0
10
15
20
10
20
30
25
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
0
10
15
20
25
Percent of Adults
30
35
$75,000 or more
0
10
15
20
25
29
Behaviors
Core m e asu r e s
Drug Deaths
data source :
0
1990
1995
2000
2005
2010
2015
<=10.8
10.912.0
12.113.7
13.8 16.9
DC
RI
DE
Top 5 States
North Dakota 3.0
South Dakota 6.1
Nebraska 7.3
Virginia 8.4
Iowa 8.5
United States 13.0
30
Bottom 5 States
West Virginia 31.3
New Mexico 24.8
Kentucky 24.0
Nevada 22.2
Utah 20.1
United States 13.0
>=17.0
Disparities in
Drug Deaths
Prevalence by Race
US Rate
Maximum & Minimum
Non-Hispanic White
Non-Hispanic Black
Prevalence by Gender
Hispanic
Native American
Male
Asian
Female
0
10
20
30
10
20
30
40
ainkillers s
up
po
rt
th
os
in
re
c
p
b osi
ea ond tive
yo rly in p
s u u r i n g a re
p p kid ter co nti
pe edu o r s ven mm ng
er ca t t h e tio un
p r t
f
i
tre are elat ion o s e nfo n cat am
rc t i o i l y
at nta ion
i
i c me l m sh se n r em alk n
a t n o ip lf- e c en t
i o t ni s co o t o
p tor n nt v e
se n
lf- d i s rop ing alox rol r y
co p er on
o
s
e ntr s a l me eek e
pl o l
i
dac
nt
early interv
em
pl
im
er
ke
ep
p
st
ov
gp
in
tices in pr
rac
es
cr
ib
value
1 North Dakota
3.0
2 South Dakota
6.1
3 Nebraska
7.3
4 Virginia
8.4
5 Iowa
8.5
6 Minnesota
8.6
7 New York
9.4
8 Texas
9.9
9 Kansas
10.4
10 Georgia
10.8
11 Mississippi
10.9
12 California
11.0
12 Connecticut
11.0
12 Maine
11.0
15 Illinois
11.1
16 Vermont
11.3
17 New Jersey
11.6
18 Alabama
11.7
18 Hawaii
11.7
20 Wisconsin
11.8
21 Massachusetts
12.1
22 Maryland
12.2
23 Idaho
12.3
24 Arkansas
12.6
24 North Carolina
12.6
26 Montana
12.8
27 Louisiana
12.9
28 Oregon
13.1
29 New Hampshire
13.4
30 South Carolina
13.5
31 Michigan
13.9
32 Washington
14.0
33 Alaska
14.4
34 Colorado
14.8
35 Indiana
15.1
36 Florida
15.2
37 Wyoming
15.7
38 Missouri
16.3
39 Delaware
16.6
40 Tennessee
17.2
41 Rhode Island
17.3
42 Pennsylvania
17.4
43 Ohio
17.5
44 Arizona
17.7
45 Oklahoma
19.8
46 Utah
20.1
47 Nevada
22.2
48 Kentucky
24.0
49 New Mexico
24.8
50 West Virginia
31.3
United States
13.0
District of Columbia 13.9
tb
rank state
en
by Drug Deaths
on
Ranking
pr
es
cr
ip
tio
r
cu
se
n dr
a
u gs i n
31
Behaviors
Core m e asu r e s
Obesityy
data source :
30%
20%
10%
0
1990
1995
2000
2005
2010 2015
Obesity by State
Percentage of adults who are obese, with a body mass index (BMI) of 30.0 or higher
<=25.4 %
25.5% 27.2%
27.3%29.8%
29.9% 31.3%
DC
RI
DE
Top 5 States
Colorado 21.3%
Hawaii 21.8%
Massachusetts 23.6%
California 24.1%
Utah 24.1%
United States 29.4%
32
Bottom 5 States
West Virginia 35.1%
Mississippi 35.1%
Arkansas 34.6%
Tennessee 33.7%
Kentucky 33.2%
United States 29.4%
>=31.4%
Disparities
in Obesity
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
0
Male
10
20
30
40
50
Percent of Adults
Female
0
10
20
30
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
Rural
0
0
10
20
30
10
20
30
40
40
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
$75,000 or more
10
20
30
40
Percent of Adults
on
10
20
30
40
su
pport network stick to your healthy weight plan
e recess count
ai
r
nn
u trition restrict calorie intake weight-loss s u rg e
nt
21.3
21.8
23.6
24.1
24.1
24.6
24.7
24.9
25.4
25.5
26.2
26.3
26.4
26.4
26.5
26.7
26.8
27.2
27.2
27.3
27.8
28.3
28.4
28.9
29.4
29.4
29.6
29.6
29.8
29.9
30.0
30.0
30.3
30.4
30.4
30.9
31.0
31.0
31.3
31.5
31.7
31.8
32.4
32.5
33.1
33.2
33.7
34.6
35.1
35.1
29.4
22.8
mai
1 Colorado
2 Hawaii
3 Massachusetts
4 California
4 Utah
6 Montana
7 Vermont
8 Connecticut
9 New York
10 Minnesota
11 Nevada
12 New Jersey
13 Florida
13 New Mexico
15 Oregon
16 New Hampshire
17 Arizona
18 Virginia
18 Washington
20 Rhode Island
21 Wyoming
22 Maryland
23 Alaska
24 Maine
25 Illinois
25 North Carolina
27 Idaho
27 Nebraska
29 Wisconsin
30 South Dakota
31 Kansas
31 Pennsylvania
33 Georgia
34 Missouri
34 Ohio
36 Texas
37 Delaware
37 North Dakota
39 Iowa
40 Michigan
41 South Carolina
42 Indiana
43 Alabama
44 Oklahoma
45 Louisiana
46 Kentucky
47 Tennessee
48 Arkansas
49 Mississippi
49 West Virginia
United States
District of Columbia
Non-Hispanic Black
US Rate
Maximum & Minimum
Non-Hispanic White
by Obesity
Prevalence by Race
Ranking
33
Behaviors
Core m e asu r e s
Physical Inactivity
data source :
30%
20%
10%
0
1990
1995
2000
2005
2010 2015
<= 20.7%
20.8% 22.9%
23.0% 24.2%
24.3% 26.5%
DC
RI
DE
Top 5 States
Colorado 16.2%
Oregon 16.6%
California 18.6%
Vermont 18.8%
Washington 19.0%
United States 23.5%
34
Bottom 5 States
Mississippi 35.2%
Tennessee 33.6%
Arkansas 31.5%
Oklahoma 31.1%
West Virginia 30.7%
United States 23.5%
>=26.6%
Disparities in
Physical Inactivity
Non-Hispanic Black
US Rate
Maximum & Minimum
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
Male
10
20
30
40
Percent of Adults
Female
0
10
20
30
40
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
Rural
0
0
10
20
30
10
20
30
40
50
40
Percent of Adults
Prevalence by Income
Prevalence by Age
Less Than $25,000
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
10
20
30
40
$75,000 or more
0
Percent of Adults
10
20
30
40
leva
jog
n
ee
do pu
s
hups ten
go
lf
walk the
og
tor
run
im
th
sio
or work
sc
l ub do jumping jacks mow the l a w
mall walk
rake leaves
ol
sw
to scho
he stairs
ake t
ins
te
ad
atching
w
t
n
te
e
l
p
e
s
vi
ride an
exe
rc i
re d
se
uce
tim
e
e
ik
of
alk
es
16.2
16.6
18.6
18.8
19.0
19.1
20.5
20.6
20.7
20.8
21.0
21.2
21.4
21.9
22.0
22.0
22.0
22.3
22.8
23.0
23.0
23.0
23.2
23.3
23.5
23.6
24.1
24.1
24.2
24.2
24.5
24.8
25.0
25.1
25.6
25.8
26.2
26.2
26.5
26.8
27.3
27.4
28.3
29.2
30.3
30.7
31.1
31.5
33.6
35.2
23.5
17.0
join a fitn
1 Colorado
2 Oregon
3 California
4 Vermont
5 Washington
6 Utah
7 New Hampshire
8 Alaska
9 Hawaii
10 Wisconsin
11 Massachusetts
12 Minnesota
13 Montana
14 Maine
15 Idaho
15 Nevada
15 New Mexico
18 South Dakota
19 Connecticut
20 Arizona
20 Michigan
20 Virginia
23 Wyoming
24 Maryland
25 Nebraska
26 Illinois
27 New Jersey
27 Pennsylvania
29 New York
29 Rhode Island
31 Georgia
32 South Carolina
33 Kansas
34 North Carolina
35 Florida
36 North Dakota
37 Delaware
37 Ohio
39 Iowa
40 Missouri
41 Texas
42 Kentucky
43 Indiana
44 Alabama
45 Louisiana
46 West Virginia
47 Oklahoma
48 Arkansas
49 Tennessee
50 Mississippi
United States
District of Columbia
Non-Hispanic White
by Physical Inactivity
Prevalence by Race
is
Ranking
35
Behaviors
Core m e asu r e s
percent of incoming
ninth graders
data source :
>=87%
86%83%
82%79%
78% 77%
<=76%
DC
RI
DE
Top 5 States
Nebraska 93%
Vermont 93%
Wisconsin 92%
North Dakota 91%
Iowa 89%
United States 81%
36
Bottom 5 States
Nevada 60%
Mississippi 68%
Georgia 70%
South Carolina 72%
Louisiana 72%
United States 81%
Disparities in High
School Graduation
Ranking
by High School
Graduation
rank state
value
93
93
92
91
89
89
88
88
87
87
87
86
86
86
86
84
84
84
84
83
83
82
82
82
82
82
80
80
80
79
79
79
79
78
78
78
78
78
77
77
77
76
75
75
74
72
72
70
68
60
81
71
US Rate
Maximum & Minimum
Prevalence by Gender
Male
Female
0
20
40
60
80
Prevalence by Race
Non-Hispanic White
Non-Hispanic Black
Hispanic
Native American
Asian
0
20
40
60
80
100
eat
breakfast
take notes use a tutor
online study resources homework
get enough sleep ask questions attend classes
parent-teacher conferences
guidance counselors parental
involvment complete assignments test preparation form a
study group meet with teachers review notes
participate ask for homework help read
make homework a high priority
ask questions
rest
1 Nebraska
1 Vermont
3 Wisconsin
4 North Dakota
5 Iowa
5 Kansas
7 Minnesota
7 Pennsylvania
9 Maine
9 New Hampshire
9 New Jersey
12 Connecticut
12 Massachusetts
12 Missouri
12 Montana
16 Idaho
16 Maryland
16 Ohio
16 Virginia
20 South Dakota
20 Tennessee
22 California
22 Colorado
22 Illinois
22 Kentucky
22 Texas
27 Indiana
27 West Virginia
27 Wyoming
30 Alaska
30 North Carolina
30 Oklahoma
30 Washington
34 Arkansas
34 Hawaii
34 New York
34 Oregon
34 Utah
39 Arizona
39 Delaware
39 Michigan
42 Rhode Island
43 Alabama
43 Florida
45 New Mexico
46 Louisiana
46 South Carolina
48 Georgia
49 Mississippi
50 Nevada
United States
District of Columbia
37
Core m e asu r e s
Violent Crime
data source :
<=240
241294
295399
400469
>=470
DC
RI
DE
Top 5 States
Maine 123
Vermont 143
New Hampshire 188
Virginia 190
Wyoming 201
United States 387
38
Bottom 5 States
Tennessee 644
Nevada 608
Alaska 603
New Mexico 559
South Carolina 559
United States 387
Core measures
Occupational Fatalities
data source :
1990
1995
2000
2005
2010 2015
<=3.6
3.74.1
4.24.6
4.76.0
>=6.1
DC
RI
DE
Top 5 States
Massachusetts 2.2
Washington 2.5
Connecticut 2.8
New York 3.0
Oregon 3.0
United States 3.8
Bottom 5 States
Wyoming 12.5
North Dakota 11.8
New Mexico 8.8
Louisiana 8.2
Arkansas 7.5
United States 3.8
39
Core m e asu r e s
Children in Povertyy
percent of children
data source :
<=14.2%
14.3%16.0%
16.1%19.5%
19.6%23.9%
DC
RI
DE
Top 5 States
Utah 9.2%
Vermont 12.1%
Hawaii 12.7%
South Dakota 13.0%
New Hampshire 13.5%
United States 19.9%
40
Bottom 5 States
Kentucky 31.8%
Mississippi 30.5%
New Mexico 28.7%
Arizona 27.2%
North Carolina 26.8%
United States 19.9%
>=24.0%
Core measures
Air Pollution
data source :
micrograms of fine
particles per cubic meter
2
0
1990
1995
2000
2005
2010 2015
<=7.4
7.58.7
8.89.5
9.610.2
>=10.3
DC
RI
DE
Top 5 States
Alaska 4.9
Wyoming 5.0
North Dakota 5.4
Montana 6.3
South Dakota 6.3
United States 9.9
Bottom 5 States
California 13.9
Pennsylvania 11.7
Indiana 11.7
Illinois 11.4
Ohio 10.9
United States 9.9
41
Core m e as u r e s
Infectious Disease
Historically, public health focused on combating
infectious diseases caused by poor sanitation and
poor hygiene. Many great public health strides were
made through clean water, immunizations, antibiotics,
and education. In the mid-1900s, public health
shifted its focus from infectious diseases like cholera
and smallpox to chronic diseases like diabetes and
cancer. Despite the current focus on chronic diseases,
infectious diseases still pose a threat and burden on
our nations health. The incidence of these infectious
diseases indicates the toll that largely preventable
diseases place on the population.
data source :
er
pa
eat
m
ok
co
ng
nki
d egg
an
ss
gla
ri
d
re
o
e fo
be
t
era
ou
rig
ur c
ref
r yo
e
v
co
p
soa
ti
bio
anti
cs
er of sex
hly
a
t sh
on
ts
sho
er
ost
oug
hor
ne
ie
hyg
tn
ene
gi
it
mb
on
a w ar e
inse
a l i te m
nd o
tc
ha
sh
home pes
tra
ve
ge
lw
tv
ise
ac
ly
cin
at
us
ed
co
sa
fe
se
nd
bo
do
ep
har
gh
li m
a n ti b
nu
ics hy
ers
nt
l screenin
tro
g
on
ely
saf
pre
esting
dt
an
ts
ci n a t
hen
ew
hom
e
par
d
foo
wa
t
llen
ac
er s
ost ho
tay
ep
ct r e
ot
ill
Chlamydia
Disparities in
Chlamydia
US Rate
Maximum & Minimum
Prevalence by Gender
Prevalence by Race
Non-Hispanic White
Male
Non-Hispanic Black
Female
0
Hispanic
Native American
500
1000
1500
Percent of Adults
400
600
Percent of Adults
Asian
42
200
2000
800
1000
Chlamydia
data source :
Ranking
by Chlamydia
rank state
500
400
300
200
100
0
1990
1995
2000
2005
2010 2015
1 New Hampshire
2 Maine
3 West Virginia
4 Utah
5 Vermont
6 Idaho
7 New Jersey
8 Minnesota
9 Oregon
10 Massachusetts
11 Washington
12 Connecticut
13 Nebraska
14 Wyoming
15 Iowa
16 Montana
17 Kansas
value
233.0
257.0
258.2
270.3
275.2
287.1
309.2
337.8
347.5
357.5
360.1
364.9
366.2
370.0
371.5
383.4
387.8
rank state
18 Kentucky
19 Florida
20 Nevada
21 Rhode Island
22 Wisconsin
23 Colorado
24 North Dakota
25 Pennsylvania
26 Virginia
27 Oklahoma
28 California
29 Indiana
30 Maryland
31 Ohio
32 Hawaii
33 Missouri
34 Arizona
value
rank state
395.3
407.4
408.9
410.3
415.4
422.7
425.2
431.6
431.8
444.2
444.9
452.7
455.3
460.3
461.2
463.1
469.6
value
476.2
35 South Dakota
36 Michigan
481.6
37 Delaware
489.2
494.8
38 Texas
39 Tennessee
507.9
40 New York
516.5
41 North Carolina
524.0
42 Illinois
526.1
534.0
43 Georgia
44 Arkansas
565.4
45 New Mexico
571.4
46 South Carolina
580.2
597.9
47 Louisiana
48 Alabama
637.6
755.8
49 Alaska
50 Mississippi
774.0
United States
456.7
District of Columbia 1101.6
Chlamydia by State
Number of new cases of chlamydia per 100,000 population
<=360
361409
410459
460519
>=520
DC
RI
DE
Top 5 States
New Hampshire 233.0
Maine 257.0
West Virginia 258.2
Utah 270.3
Vermont 275.2
United States 456.7
Bottom 5 States
Mississippi 774.0
Alaska 755.8
Alabama 637.6
Louisiana 597.9
South Carolina 580.2
United States 456.7
43
Core m e as u r e s
Ranking
by Pertussis
Summary of Notifiable
rank state
1 Louisiana
2 California
3 Mississippi
4 Florida
5 Georgia
6 Nevada
6 Oklahoma
8 Alabama
9 West Virginia
10 South Carolina
10 Tennessee
12 Connecticut
13 Hawaii
14 Delaware
14 Maryland
14 North Carolina
17 Indiana
16
12
8
4
0
1990
1995
2000
2005
2010 2015
value
1.6
2.1
2.6
3.0
3.2
4.1
4.1
4.4
4.6
4.8
4.8
5.1
5.3
6.3
6.3
6.3
6.8
18 Ohio
18 Virginia
20 Arkansas
21 South Dakota
22 Michigan
23 Texas
24 Massachusetts
25 Rhode Island
26 Wyoming
27 Nebraska
28 Missouri
29 Idaho
30 Kentucky
30 Pennsylvania
32 Illinois
32 New Jersey
34 New York
35 Arizona
17.5
36 New Hampshire
20.4
37 Oregon
23.4
38 Colorado
29.2
30.9
39 Kansas
40 North Dakota
31.2
41 New Mexico
44.4
42 Alaska
48.8
43 Montana
55.0
55.5
44 Maine
45 Utah
56.5
46 Iowa
56.7
47 Washington
72.1
77.5
48 Minnesota
49 Vermont
102.9
120.5
50 Wisconsin
United States
15.5
District of Columbia 4.2
7.7
7.7
8.4
8.5
8.6
8.7
9.8
10.8
10.9
13.0
13.6
14.8
15.3
15.3
15.8
15.8
16.3
Pertussis by State
Number of new cases of pertussis per 100,000 population
<=4.7
4.87.9
8.014.9
15.030.9
>=31.0
DC
RI
DE
Top 5 States
Louisiana 1.6
California 2.1
Mississippi 2.6
Florida 3.0
Georgia 3.2
United States 15.5
44
Bottom 5 States
Wisconsin 120.5
Vermont 102.9
Minnesota 77.5
Washington 72.1
Iowa 56.7
United States 15.5
Salmonella
data source :
Ranking
Summary of Notifiable
20
15
10
5
0
1990
1995
2000
2005
2010 2015
by Salmonella
rank state
value
1 Nevada
2 Alaska
3 Idaho
4 Utah
5 North Dakota
6 Colorado
7 Michigan
8 Rhode Island
9 Oregon
10 Montana
11 Ohio
12 New Hampshire
12 West Virginia
14 Indiana
15 California
15 Maine
17 Washington
6.8
8.1
8.5
9.2
9.6
9.9
10.1
10.3
10.4
10.9
11.0
11.8
11.8
12.0
12.1
12.1
12.3
18 Connecticut
19 New Jersey
20 New York
21 Wyoming
22 Arizona
22 Pennsylvania
24 Vermont
25 Virginia
26 Minnesota
27 Illinois
28 Wisconsin
29 Massachusetts
30 New Mexico
31 Delaware
31 Maryland
33 Kentucky
34 Kansas
35 Tennessee
36 Missouri
37 Nebraska
38 Texas
39 Oklahoma
40 Iowa
41 South Dakota
42 North Carolina
43 Alabama
44 Hawaii
45 Georgia
46 South Carolina
47 Louisiana
48 Florida
49 Mississippi
50 Arkansas
United States
District of Columbia
12.4
13.0
13.1
13.2
13.3
13.3
14.0
14.1
14.6
15.3
15.4
15.7
16.1
16.3
16.3
16.8
17.1
17.2
17.8
19.2
19.5
20.1
20.3
20.6
22.8
23.9
24.7
26.9
31.1
33.7
34.2
41.9
47.8
17.3
11.3
Salmonella by State
Number of new cases of Salmonella per 100,000
<=10.9
11.013.0
13.116.0
16.120.2
>=20.3
DC
RI
DE
Top 5 States
Nevada 6.8
Alaska 8.1
Idaho 8.5
Utah 9.2
North Dakota 9.6
United States 17.3
Bottom 5 States
Arkansas 47.8
Mississippi 41.9
Florida 34.2
Louisiana 33.7
South Carolina 31.1
United States 17.3
45
Policy
Core m e a su r e s
percent of population
data source :
<=10.0%
10.1%12.0 %
12.1%14.1%
14.2% 16.9%
DC
RI
DE
Top 5 States
Massachusetts 3.8%
Hawaii 6.8%
Vermont 6.8%
Minnesota 8.1%
Iowa 8.3%
United States 14.6%
46
Bottom 5 States
Texas 22.3%
Nevada 21.4%
Florida 20.0%
Alaska 19.5%
Georgia 18.6%
United States 14.6%
>=17.0%
Policy
Core me a sures
data source :
>=$106
$105$83
$8266
$65$51
<=$50
DC
RI
DE
Top 5 States
Alaska $219
Hawaii $213
New York $149
Idaho $137
West Virginia $135
United States $90
Bottom 5 States
Nevada $39
Wisconsin $44
Arizona $44
Indiana $44
Ohio $45
United States $90
47
Policy
Core m e a su r e s
ImmunizationChildren
data source :
Early childhood immunization is a safe and costeffective means of controlling diseases. Infants
receiving recommended immunizations by age 2
are protected from 14 diseases. Routine childhood
immunizations save an estimated $10 billion in
direct medical costs. Health insurance plans are
required to cover immunizations, and for those
without insurance, there are programs that provide
free vaccines for eligible children. In the last 50
years, vaccinations have led to a 95% decrease in
vaccine-preventable diseases. The CDC included
vaccines in the
80
10 greatest
60
public health
40
achievements of
20
the 20th century.
0
2005
2005
2010 2015
2010 2015
>=75.0%
74.9%72.0%
71.9%69.2%
69.1%66.0%
<=66.0%
DC
RI
DE
Top 5 States
Rhode Island 82.1%
Nebraska 79.0%
Massachusetts 78.5%
Iowa 78.3%
Connecticut 78.2%
United States 70.4%
Health People 80.0%
48
Bottom 5 States
Arkansas 57.1%
Nevada 60.6%
Ohio 61.7%
Oklahoma 62.7%
Alaska 63.9%
United States 70.4%
Health People 80.0%
Policy
Core me a sures
ImmunizationAdolescents
data source :
1990
1995
2000
2005
2010 2015
>=72.0%
71.9%68.0%
67.9%64.1%
64.0%59.5%
<=59.4%
DC
RI
DE
Top 5 States
Rhode Island 81.3%
North Dakota 76.6%
Pennsylvania 75.4%
Massachusetts 74.6%
New Hampshire 74.5%
United States 67.1%
Health People 80.0%
Bottom 5 States
Mississippi 45.2%
Arkansas 47.5%
Alaska 52.2%
Kansas 53.8%
South Dakota 54.7%
United States 67.1%
Health People 80.0%
americas h ealt h r ank i ngs
49
Clinical Care
Core m e a su r e s
Low Birthweight
data source :
1990
1995
2000
2005
2010 2015
<=6.7%
6.87.8%
7.98.2%
8.38.8%
>=8.9%
DC
RI
DE
Top 5 States
Alaska 5.7%
Oregon 6.1%
Washington 6.1%
North Dakota 6.2%
South Dakota 6.2%
United States 8.0%
Healthy People 2020 Goal 7.8%
50
Bottom 5 States
Mississippi 11.6%
Louisiana 10.8%
Alabama 10.0%
South Carolina 9.6%
Georgia 9.3%
United States 8.0%
Healthy People 2020 Goal 7.8%
Ranking
Non-Hispanic White
Non-Hispanic Black
Hispanic
0
10
15
tal v
isits
ug use
get rest
illn
ess
tr
e
quit sm
ok
i
t
gain adequate weigh
healt
during
pregnancy
hy di
et
c
folic a
pr
ena
eve
pr
ke
id
ctio
fe
nt in
ng
5.7
6.1
6.1
6.2
6.2
6.2
6.4
6.6
6.6
6.7
6.7
6.7
6.8
6.9
7.1
7.1
7.3
7.4
7.6
7.7
7.9
7.9
7.9
8.0
8.0
8.0
8.1
8.1
8.1
8.1
8.2
8.3
8.3
8.4
8.5
8.6
8.6
8.7
8.7
8.8
8.8
8.8
8.8
9.2
9.2
9.3
9.6
10.0
10.8
11.6
8.0
9.6
ta
1 Alaska
2 Oregon
2 Washington
4 North Dakota
4 South Dakota
4 Vermont
7 Idaho
8 Maine
8 Minnesota
10 California
10 Iowa
10 Nebraska
13 Utah
14 Arizona
15 Kansas
15 Wisconsin
17 New Hampshire
18 Montana
19 Massachusetts
20 Missouri
21 Connecticut
21 Indiana
21 New York
24 Nevada
24 Oklahoma
24 Rhode Island
27 Hawaii
27 Illinois
27 Pennsylvania
27 Virginia
31 New Jersey
32 Delaware
32 Texas
34 Michigan
35 Wyoming
36 Florida
36 Ohio
38 Arkansas
38 Kentucky
40 Colorado
40 Maryland
40 New Mexico
40 North Carolina
44 Tennessee
44 West Virginia
46 Georgia
47 South Carolina
48 Alabama
49 Louisiana
50 Mississippi
United States
District of Columbia
e
rest
Prevalence by Race
US Rate
Maximum & Minimum
stay
by Low
Birthweight
51
Clinical Care
Core m e a su r e s
data source :
0
1990 1995
1995
1990
2000
2000
2005
2005
2010
2010 2015
2015
>=140.0
139.9125.0
124.9113.0
112.9 102.0
DC
RI
DE
Top 5 States
Massachusetts 200.8
Maryland 178.5
Rhode Island 177.0
Vermont 170.9
New York 167.3
United States 123.5
52
Bottom 5 States
Idaho 80.1
Mississippi 81.8
Oklahoma 84.8
Nevada 85.3
Iowa 85.7
United States 123.5
>=101.9
Clinical Care
Core me a sures
Dentists
data source :
Dentists by State
Number of practicing dentists per 100,000 population
>=71.0
70.9 61.6
61.554.5
54.449.0
<=48.9
DC
RI
DE
Top 5 States
Massachusetts 85.6
New Jersey 83.0
Alaska 80.9
New York 79.5
Hawaii 79.2
United States 62.0
Bottom 5 States
Arkansas 41.7
Mississippi 41.9
Alabama 43.8
North Carolina 46.7
West Virginia 47.3
United States 62.0
53
Clinical Care
Core m e a su r e s
Preventable Hospitalizations
data source :
60
40
20
0
1990 1995
1990
1995
2000
2000
2005
2005
2010 2015
2010 2015
<=46.9
47.054.0
54.159.2
59.365.0
>=65.1
DC
RI
DE
Top 5 States
Hawaii 28.2
Utah 34.0
Idaho 36.4
Oregon 37.7
Colorado 38.2
United States 62.9
54
Bottom 5 States
Kentucky 94.4
West Virginia 93.3
Louisiana 80.3
Mississippi 78.5
Tennessee 73.1
United States 62.9
Health
Outcomes
Health Outcomes
55
Outcomes
Core m e a su r e s
Diabetes
data source :
0
1990
1995
2000
2005
2010 2015
Diabetes by State
Percentage of adults who responded yes to the question: Have you ever been told by a doctor that you have diabetes?
<= 8.4%
8.5%9.2%
9.3%10.1%
10.2%11.0 %
>=11.1%
DC
RI
DE
Top 5 States
Colorado 6.5%
Alaska 7.1%
Utah 7.1%
Minnesota 7.4%
Montana 7.7%
United States 9.6%
56
Bottom 5 States
Alabama 13.8%
West Virginia 13.0%
Mississippi 12.9%
South Carolina 12.5%
Tennessee 12.2%
United States 9.6%
Disparities in
Diabetes
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
0
Male
10
20
30
Percent of Adults
Female
0
10
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
Rural
0
0
10
15
10
15
20
20
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
$75,000 or more
5
10
15
20
25
Percent of Adults
15
20
eat regular me
a
on it or
bl o o
ht
g
ei
evels
bete
n s
es
d ie t
healthier ea
tyle change s
stay active
e xe r
hy
10
ls
maintain a h
lt
ea
li f
6.5
7.1
7.1
7.4
7.7
7.8
8.2
8.3
8.4
8.4
8.5
8.6
8.6
8.9
9.1
9.2
9.2
9.2
9.2
9.3
9.3
9.6
9.6
9.6
9.6
9.8
9.8
9.9
10.1
10.2
10.4
10.4
10.6
10.6
10.7
10.7
10.8
10.9
11.0
11.0
11.1
11.2
11.4
11.5
11.6
12.2
12.5
12.9
13.0
13.8
9.6
7.8
ea
1 Colorado
2 Alaska
2 Utah
4 Minnesota
5 Montana
6 Vermont
7 Wisconsin
8 Connecticut
9 Hawaii
9 Idaho
11 Massachusetts
12 Washington
12 Wyoming
14 North Dakota
15 South Dakota
16 Nebraska
16 New Hampshire
16 New Jersey
16 Oregon
20 Iowa
20 Rhode Island
22 Kansas
22 Maine
22 Missouri
22 Nevada
26 Maryland
26 Virginia
28 Illinois
29 Pennsylvania
30 California
31 Michigan
31 Ohio
33 Kentucky
33 New York
35 Arizona
35 New Mexico
37 Georgia
38 Texas
39 Indiana
39 Oklahoma
41 Delaware
42 Florida
43 North Carolina
44 Arkansas
45 Louisiana
46 Tennessee
47 South Carolina
48 Mississippi
49 West Virginia
50 Alabama
United States
District of Columbia
Non-Hispanic Black
US Rate
Maximum & Minimum
s pills
Non-Hispanic White
by Diabetes
Prevalence by Race
Ranking
c i se healt h y
57
Outcomes
Core m e a su r e s
data source :
4
3
2
1
0
1990
1995
2000
2005
<= 3.2
3.33.5
3.63.7
3.83.9
>=4.0
DC
RI
DE
Top 5 States
South Dakota 2.5
Hawaii 2.7
North Dakota 2.7
Iowa 2.9
Minnesota 2.9
United States 3.7
58
Bottom 5 States
Kentucky 4.5
West Virginia 4.4
Arkansas 4.4
Alabama 4.4
Oregon 4.3
United States 3.7
2010 2015
Disparities in Poor
Mental Health Days
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
-5
Male
10
Percent of Adults
Female
0
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
0
Rural
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
$75,000 or more
2
Percent of Adults
build a
support system
2.5
2.7
2.7
2.9
2.9
3.0
3.1
3.1
3.2
3.2
3.3
3.3
3.3
3.3
3.3
3.3
3.4
3.5
3.5
3.5
3.5
3.6
3.6
3.7
3.7
3.7
3.7
3.7
3.7
3.8
3.8
3.8
3.8
3.8
3.8
3.8
3.8
3.9
3.9
4.0
4.0
4.1
4.2
4.3
4.3
4.3
4.4
4.4
4.4
4.5
3.7
3.6
South Dakota
Hawaii
North Dakota
Iowa
Minnesota
Nebraska
Alaska
Kansas
Texas
Wyoming
Colorado
Maryland
Montana
New Jersey
Vermont
Virginia
Georgia
Connecticut
New Hampshire
Utah
Wisconsin
Delaware
North Carolina
Idaho
Illinois
Nevada
New Mexico
New York
Tennessee
California
Maine
Massachusetts
Missouri
Ohio
Rhode Island
South Carolina
Washington
Arizona
Michigan
Indiana
Pennsylvania
Florida
Louisiana
Mississippi
Oklahoma
Oregon
Alabama
Arkansas
West Virginia
Kentucky
United States
District of Columbia
Non-Hispanic Black
US Rate
Maximum & Minimum
1
2
2
4
4
6
7
7
9
9
11
11
11
11
11
11
17
18
18
18
18
22
22
24
24
24
24
24
24
30
30
30
30
30
30
30
30
38
38
40
40
42
43
44
44
44
47
47
47
50
value
rank state
Non-Hispanic White
by Poor Mental
Health Days
Prevalence by Race
Ranking
59
Outcomes
Core m e a su r e s
data source :
4
3
2
1
0
1990
1995
2000
2005
2010
<=3.4
3.53.7
3.83.9
4.04.2
>=4.3
DC
RI
DE
Top 5 States
South Dakota 2.8
Minnesota 2.9
Nebraska 3.1
Hawaii 3.2
Iowa 3.3
United States 3.9
60
Bottom 5 States
West Virginia 5.3
Tennessee 5.0
Kentucky 4.9
Alabama 4.9
Mississippi 4.8
United States 3.9
2015
Disparities in Poor
Physical Health Days
Hispanic
Native American
Asian
Prevalence by Gender
Non-Hispanic Hawaiian/
Pacific Islander
0
Male
Percent of Adults
Female
0
Prevalence by Education
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
0
Rural
10
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
$75,000 or more
18 to 44 Years
2
Percent of Adults
eat fruit
avoid
healthy
w
in a
ta vegetabl
at
prevent injuries
healthy diet
d
a c i e t a v oi d
h
tiv
it y h e alt
y vir u se s
li f e
s t yle
ht
eig s
e
2.8
2.9
3.1
3.2
3.3
3.3
3.3
3.4
3.4
3.4
3.4
3.4
3.5
3.5
3.6
3.6
3.6
3.6
3.7
3.7
3.7
3.7
3.8
3.8
3.9
3.9
3.9
3.9
3.9
4.0
4.0
4.0
4.0
4.0
4.0
4.1
4.1
4.2
4.2
4.2
4.3
4.4
4.4
4.5
4.8
4.8
4.9
4.9
5.0
5.3
3.9
3.3
South Dakota
Minnesota
Nebraska
Hawaii
Iowa
North Dakota
Utah
Colorado
Connecticut
Kansas
Maryland
New Jersey
Texas
Vermont
Massachusetts
Nevada
New Hampshire
Virginia
Alaska
Idaho
Illinois
Wyoming
Georgia
Rhode Island
California
Delaware
New York
Washington
Wisconsin
Indiana
Maine
Missouri
Montana
North Carolina
Ohio
Michigan
Pennsylvania
Louisiana
New Mexico
South Carolina
Oregon
Arizona
Oklahoma
Florida
Arkansas
Mississippi
Alabama
Kentucky
Tennessee
West Virginia
United States
District of Columbia
Non-Hispanic Black
US Rate
Maximum & Minimum
h e a lt h y l
a
p h y sic
1
2
3
4
5
5
5
8
8
8
8
8
13
13
15
15
15
15
19
19
19
19
23
23
25
25
25
25
25
30
30
30
30
30
30
36
36
38
38
38
41
42
42
44
45
45
47
47
49
50
value
ma
i
e n
rank state
Non-Hispanic White
by Poor Physical
Health Days
Prevalence by Race
Ranking
61
Outcomes
Core m e a su r e s
percent difference
5
0
1990
1995
2000
2005
2010
2015
<=25.0%
25.1%27.5%
27.6%30.0%
30.1%32.3%
DC
RI
DE
Top 5 States
Hawaii 15.5
Mississippi 18.0
Alabama 19.4
North Dakota 19.9
Missouri 20.5
United States 31.4
62
Bottom 5 States
California 38.6
Washington 37.5
Arizona 36.6
Colorado 36.5
Nebraska 36.1
United States 31.4
>=32.4%
Disparities in
Health Status*
Hispanic
US Rate
Maximum & Minimum
Native American
Asian
Non-Hispanic Hawaiian/
Pacific Islander
Prevalence by Gender
Male
20
40
60
Percent of Adults
Female
0
20
40
Prevalence by Education
60
Percent of Adults
Prevalence by Urbanicity
High School
Urban
Some College
Suburban
College Graduate
0
Rural
20
40
60
20
40
60
Percent of Adults
Prevalence by Income
Prevalence by Age
Age 65+
$2549,999
45 to 64 Years
$5074,999
18 to 44 Years
$75,000 or more
20
30
40
50
60
Percent of Adults
ro m o t e
p
h
ili
ome fam
alth care ac
he
c
ns
ctiv
inc
i ro
nme
nts fo
r
lo
un
public health alerts
w-
s t a y i n sc
ho
du
community interventions
t y-
es
m mu ni
60
co
y social e
n
h av
be
40
ol
es
20
immunization programs
10
outreach education
lth
15.5
18.0
19.4
19.9
20.5
23.4
23.4
23.8
24.2
24.7
25.3
25.4
25.7
25.7
26.1
26.5
26.5
26.8
27.2
27.4
27.7
28.0
28.3
28.6
28.8
28.8
29.1
29.1
29.7
30.3
30.3
30.4
30.4
30.5
30.6
30.7
30.9
32.1
32.1
32.4
32.7
33.9
34.3
35.0
35.3
36.1
36.5
36.6
37.5
38.6
31.4
28.4
ea
1 Hawaii
2 Mississippi
3 Alabama
4 North Dakota
5 Missouri
6 South Dakota
6 West Virginia
8 Pennsylvania
9 Arkansas
10 Kentucky
11 Minnesota
12 Ohio
13 Alaska
13 Indiana
15 Maine
16 Louisiana
16 Utah
18 Montana
19 Rhode Island
20 Nevada
21 New Hampshire
22 Georgia
23 Texas
24 Kansas
25 Delaware
25 Oregon
27 Florida
27 Virginia
29 Michigan
30 Iowa
30 Wyoming
32 Illinois
32 South Carolina
34 Maryland
35 New Jersey
36 Connecticut
37 Wisconsin
38 Oklahoma
38 Tennessee
40 New Mexico
41 Idaho
42 Massachusetts
43 North Carolina
44 Vermont
45 New York
46 Nebraska
47 Colorado
48 Arizona
49 Washington
50 California
United States
District of Columbia
Non-Hispanic Black
program
Non-Hispanic White
sed
by Disparities in
Health Status
Prevalence by Race
ba
Ranking
63
Outcomes
Core m e a su r e s
Infant Mortality
data source :
<=5.0
5.15.9
6.06.5
6.67.2
>=7.3
DC
RI
DE
Top 5 States
Massachusetts 4.2
Alaska 4.5
New Hampshire 4.5
California 4.6
Vermont 4.6
United States 6.0
64
Bottom 5 States
Mississippi 9.1
Alabama 8.6
Louisiana 8.2
Delaware 8.2
Ohio 7.7
United States 6.0
Prevalence by Race
Non-Hispanic White
Non-Hispanic Black
Hispanic
Native American
Asian
0
10
15
pacifier
men
wo
ntinuous pre
na
t
e duce p
rete
nt
na
eg
H I V te
stin
gf
or
pr
e
car
al
o
ation put baby to sleep on their back sa f e h
re
ed
stfe
ea
nu
ti
c
tb
irth d ef e
acid b
olic
r
f
con
r
t
ea
ancy
egn
pr
health
g
y
rin
ca
u n iz
pacifie
r
env
ironment
im
d
4.2
4.5
4.5
4.6
4.6
4.8
4.9
4.9
5.0
5.0
5.1
5.1
5.1
5.1
5.1
5.2
5.2
5.3
5.8
5.9
5.9
5.9
6.0
6.1
6.3
6.3
6.3
6.4
6.5
6.5
6.6
6.6
6.6
6.6
6.7
6.7
6.7
7.0
7.2
7.2
7.3
7.3
7.4
7.5
7.5
7.7
8.2
8.2
8.6
9.1
6.0
7.8
ee
rm birth bre a stf
Massachusetts
Alaska
New Hampshire
California
Vermont
New Jersey
Minnesota
Washington
Iowa
Oregon
Colorado
Connecticut
Hawaii
Nebraska
New York
Idaho
Utah
Nevada
Texas
Arizona
Montana
Wyoming
Wisconsin
New Mexico
Florida
Kansas
North Dakota
Rhode Island
Illinois
Missouri
Georgia
Maine
Maryland
Virginia
Kentucky
Michigan
Pennsylvania
West Virginia
Arkansas
Indiana
North Carolina
Tennessee
Oklahoma
South Carolina
South Dakota
Ohio
Delaware
Louisiana
Alabama
Mississippi
United States
District of Columbia
1
2
2
4
4
6
7
7
9
9
11
11
11
11
11
16
16
18
19
20
20
20
23
24
25
25
25
28
29
29
31
31
31
31
35
35
35
38
39
39
41
41
43
44
44
46
47
47
49
50
Thanks to advances
in neonatal medicine,
improved access
to regular prenatal
care and lifestyle
changes like smoking
cessation, the infant
mortality rate in the
United States has
declined by more than
one-third over the
past 25 years.
ts
room sh
a
by Infant
Mortality
co
Ranking
ous
p re n a
ta
65
Outcomes
Core m e a su r e s
Cardiovascular Deaths
data source :
<=216.3
216.4232.9
233.0250.9
251.0279.9
>=280.0
DC
RI
DE
Top 5 States
Minnesota 184.7
Colorado 197.1
Hawaii 199.1
Massachusetts 206.9
Oregon 210.5
United States 251.4
66
Bottom 5 States
Mississippi 346.0
Alabama 329.2
Oklahoma 322.0
Arkansas 313.7
Louisiana 307.5
United States 251.4
Ranking
by Cardiovascular
Deaths
rank state value
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Minnesota
Colorado
Hawaii
Massachusetts
Oregon
Utah
New Hampshire
Washington
Maine
Arizona
Connecticut
New Mexico
Vermont
Alaska
Florida
Montana
Nebraska
North Dakota
Rhode Island
Idaho
South Dakota
Wyoming
California
Wisconsin
Virginia
Iowa
Kansas
New Jersey
Delaware
Maryland
North Carolina
Illinois
Texas
Pennsylvania
New York
Nevada
South Carolina
Georgia
Indiana
Ohio
Missouri
Michigan
Kentucky
Tennessee
West Virginia
Louisiana
Arkansas
Oklahoma
Alabama
Mississippi
United States
District of Columbia
184.7
197.1
199.1
206.9
210.5
212.2
213.8
214.8
215.4
216.1
216.5
217.0
218.4
219.2
223.0
224.8
224.9
226.8
229.1
230.7
233.1
233.6
234.4
236.8
241.1
245.4
245.6
246.8
246.9
250.7
252.2
253.9
255.3
259.7
260.8
271.9
272.2
273.0
274.4
274.6
281.1
282.4
297.3
300.6
303.7
307.5
313.7
322.0
329.2
346.0
251.4
288.2
Prevalence by Race
US Rate
Maximum & Minimum
Non-Hispanic White
Non-Hispanic Black
Prevalence by Gender
Hispanic
Male
Native American
Female
Asian
0
100
200
300
400
100
200
300
400
avoid bad
smoke-free
cholesterol environments
healthy diet manage diabetes
eat fruits and vegetables stay active
massage therapy manage stress
exercise maintain a healthy weight
maintain your social life be happy
manage anxiety and depression
diet low in saturated fat
regular physical activity
quit smoking
be happy
67
Outcomes
Core m e a su r e s
Cancer Deaths
data source :
<=179.7
179.8187.8
187.9192.9
193.0204.9
>=205.0
DC
RI
DE
Top 5 States
Utah 145.7
Hawaii 155.3
Colorado 163.0
New Mexico 167.1
Arizona 170.2
United States 189.9
68
Bottom 5 States
Kentucky 228.3
Mississippi 223.7
West Virginia 220.5
Louisiana 217.4
Arkansas 214.9
United States 189.9
Prevalence by Race
Non-Hispanic White
Non-Hispanic Black
Hispanic
Native America
Asian
150
200
250
Prevalence by Gender
Male
Female
50
100
150
200
250
t e
at vege
igh
we
th
al
el
f-e
xa
ai
nt
ai
m
to
rv
isi
ts
t
f r ui
e
ok
sm
nd
oc
ha
rd
nd
la
us
to
co
re
gu
n't
ba
se
do
cc
o
re g
av
oi
d
be ds
les
tab
id
vo
a
in
ok
sm
op
es
st
id
he
li a
m
it
fa
ob
er
ic p
x
se
e
pe
ic
st
in g
ta
nn
ee
scr
ty
et imm u n i z e d
af
ts
av
d
oi
e a t f ru
it
ct i ve
it fat
h y s i ca l a c t i v i
lim
be a
ning
visi
eat
100
fat
50
sa
fe
se
l imit
ms
145.7
155.3
163.0
167.1
170.2
171.0
173.7
174.6
177.0
179.7
179.8
180.2
180.9
182.5
182.7
184.7
184.7
185.5
186.8
187.7
187.9
188.0
189.5
189.9
190.9
191.6
191.8
191.8
192.3
192.4
193.2
195.6
196.2
197.9
199.7
200.3
201.9
203.5
204.8
205.4
207.7
208.2
211.5
213.5
214.1
214.9
217.4
220.5
223.7
228.3
189.9
201.4
exa
Utah
Hawaii
Colorado
New Mexico
Arizona
California
North Dakota
Idaho
Connecticut
New York
Montana
Wyoming
Minnesota
Texas
Florida
Nebraska
Washington
New Jersey
Massachusetts
Maryland
South Dakota
Nevada
Virginia
Rhode Island
Kansas
New Hampshire
Alaska
Iowa
Georgia
Oregon
Wisconsin
Vermont
North Carolina
Illinois
Michigan
Pennsylvania
Delaware
South Carolina
Missouri
Maine
Ohio
Indiana
Alabama
Tennessee
Oklahoma
Arkansas
Louisiana
West Virginia
Mississippi
Kentucky
United States
District of Columbia
se l f -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
16
18
19
20
21
22
23
24
25
26
27
27
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
tor
US Rate
Maximum & Minimum
doc
ular
by Cancer Deaths
Ranking
69
Outcomes
Core m e a su r e s
Premature Deaths
data source :
2000
0
1990
1995
2000
2005
2010 2015
<=5950
59516699
67007390
74008299
>=8300
DC
RI
DE
Top 5 States
Massachusetts 5,345
Minnesota 5,358
New Hampshire 5,580
California 5,590
Connecticut 5,603
United States 6,976
70
Bottom 5 States
Mississippi 10,354
West Virginia 10,159
Alabama 10,008
Arkansas 9,656
Oklahoma 9,654
United States 6,976
Supplemental Measures
sup p l e m e nta l m e as ur e s
Excessive Drinking
Behaviors
United States, which translates to $746 per person in missed
work, additional health care expenses, and increased crime.
Over time, excessive alcohol consumption can lead to fetal
damage, liver diseases, high blood pressure, cardiovascular
diseases, and other major health problems.
Excessive Drinking
<=14.2%
14.3%17.3%
DC
17.4%18.4%
RI
18.5%19.8%
DE
>=19.9%
data source:
20%
15%
10%
5%
0
1990
1995
2000
2005
2010
2015
Cholesterol Check
Behaviors
Approximately 1 in 6 people have high cholesterol. Factors
that influence individuals receiving a blood cholesterol
check include access, cost, education, and motivation. It
is recommended that adults aged 20 and older have their
cholesterol checked every 5 years.
Cholesterol Check
>=81.0%
77.6%80.9%
DC
RI
DE
75.0%77.5%
73.8%74.9%
<=73.7%
data source:
80%
60%
40%
20%
0
1990
1995
2000
2005
2010
2015
72
Behaviors
>=71.0%
67.6%70.9%
DC
65.3%67.5%
RI
60.9%65.2%
DE
<=60.8%
data source:
80%
60%
40%
20%
0
1990
1995
2000
2005
2010
2015
Fruits
Behaviors
cataracts, and diabetes. Fruits and vegetables as part of a
healthy diet can decrease risk for numerous diseases and
help reduce the burden of diseases once they have been
diagnosed by helping to lower cholesterol, control blood
glucose, and contribute toward weight loss.
Fruit Consumption
>=1.48
1.401.47
DC
RI
DE
1.331.39
1.251.32
1.40
1.00
0.60
0.20
0
1990
1995
2000
2005
2010
2015
<=1.24
data source:
73
sup p l e m e nta l m e as ur e s
Vegetables
Behaviors
cataracts, and diabetes. Fruits and vegetables as part of a
healthy diet can decrease risk for numerous diseases and
help reduce the burden of diseases once they have been
diagnosed by helping to lower cholesterol, control blood
glucose, and contribute toward weight loss.
Vegetable Consumption
>=2.00
1.941.99
1.851.93
DC
1.6
1.2
0.8
0.4
0
1990
1.731.84
RI
2.0
1995
2000
2005
2010
2015
<=1.72
DE
data source:
Insufficient Sleep
Behaviors
who average less than 7 hours of sleep are more likely to
have chronic illnesses including obesity, stroke, cancer, and
coronary heart disease; they are also more likely to suffer
from depression, reduced quality of life, and diminished
concentrating ability.
Insufficient Sleep
<=31.5%
31.6%32.9%
DC
RI
DE
33.0%36.1%
36.2%37.8%
>=37.9%
data source:
40%
30%
20%
10%
0
1990
1995
2000
2005
2010
2015
74
Behaviors
>=22.0
22.126.4
26.532.0
DC
32.137.9
RI
70
50
30
10
0
1990
1995
2000
2005
2010
2015
>=38.0
DE
data source:
Youth Smoking
Behaviors
are less physically fit and have more respiratory illness than
their nonsmoking peers. Tobacco use during adolescence
is associated with high risk sexual activities, alcohol use,
and illicit drug use.
Youth Smoking
15.4%19.1%
RI
>=19.2%
DE
percent of high
school students
20%
15%
10%
5%
0
1990
1995
2000
2005
2010
2015
no data
data source:
75
sup p l e m e nta l m e as ur e s
Youth Obesity
Behaviors
psychological disorders. Causes of youth obesity include
lifestyle, social and physical environment, genetics, and
medical history. Receptivity to televised fast-food marketing,
poor diet, and decreased physical activity are major lifestyle
contributors to youth obesity.
Youth Obesity
percent of high
school students
<=11.0%
11.1%12.3%
12.4%13.4%
DC
13.5%17.0%
RI
>=17.1%
DE
no data
18%
16%
14%
12%
0
1990
data source:
1995
2000
2005
2010
2015
Heart Disease
Chronic Disease
cost of heart disease exceeds $100 billion annually. Lifestyle
changes, medicines, and medical procedures help prevent or
treat coronary heart disease and angina. These treatments may
also reduce the risk of related health problems.
Heart Disease
<=3.3%
3.4%3.9%
DC
4.0%4.4%
RI
4.5%4.9%
DE
4.5%
3.5%
2.5%
1.5%
.5%
0
1990
1995
2000
2005
2010
2015
>=5.0%
data source:
76
High Cholesterol
Chronic Disease
>=36.4%
36.5%37.5%
DC
37.6%38.6%
RI
38.7%40.6%
DE
>=40.7%
data source:
High Cholesterol
35%
25%
15%
5%
0
1990
1995
2000
2005
2010
2015
Heart Attack
Chronic Disease
<=3.8%
3.9%4.1%
DC
RI
DE
4.2%4.5%
4.6% 5.2%
>=5.3%
data source:
Heart Attack
5%
4%
3%
2%
1%
0
1990
1995
2000
2005
2010
2015
77
sup p l e m e nta l m e as ur e s
Stroke
Chronic Disease
economic cost of stroke is $54 billion annually. Strokes
often lead to serious disability, and stroke is a leading
cause of long-term disability.
Stroke
<=2.4%
2.5%2.7%
DC
RI
DE
2.8%3.0%
3.1%3.6%
>=3.7%
data source:
3%
1.5%
0
1990
1995
2000
2005
2010
2015
Chronic Disease
risk factors that can be addressed through such strategies
as behavior modification and pharmaceutical intervention.
Individuals should maintain a healthy lifestyle and be screened
regularly to prevent both conditions.
>=29.4%
29.5%31.0%
DC
RI
DE
31.1%32.4%
32.5%35.4%
>=35.5%
data source:
35%
25%
15%
5%
0
1990
1995
2000
2005
2010
2015
78
Preterm Birth
Clinical Care
14%
10%
<=10.1%
10.2%10.9%
DC
RI
DE
11.0%11.7%
11.8%12.6%
6%
4%
0
1990
1995
2000
2005
2010
2015
>=12.7%
data source:
Personal Income
Economic Environment
of illness and death. This relationship is independent of the
classification of poverty, meaning people with low personal
incomeregardless of whether or not they are classified as
living in povertyare more likely to have poorer health than
higher income people.
>=$50,000
$46,000$49,999
DC
$41,100$45,999
RI
$38,000$41,099
DE
Personal Income
50K
40K
30K
20K
10K
0
1990
1995
2000
2005
2010
2015
<=$37,999
data source:
79
sup p l e m e nta l m e as ur e s
Economic Environment
>=$61,000
$54,850$60,999
$51,000$54,849
DC
$44,001$50,999
RI
60K
40K
20K
0
1990
1995
2000
2005
2010
2015
<=$44,000
DE
data source:
Unemployment Rate
Economic Environment
treatment. Unemployment is also associated with an increase
in unhealthy behaviors such as poor diet, lack of exercise,
tobacco use, and excessive alcohol consumption. Long-term
unemployment is associated with a decrease in self-rated
health satisfaction for men and women alike.
Unemployment Rate
<=5.3%
5.4%6.5%
DC
6.6%7.2%
RI
7.3%8.1%
DE
>=8.2%
10%
8%
6%
4%
0
1990
data source:
1995
2000
2005
2010
2015
80
Underemployment Rate
Economic Environment
DC
percent of civilian
labor force
Underemployment Rate
18%
14%
10%
6%
0
1990
13.8%14.7%
RI
1995
2000
2005
2010
2015
>=14.8%
DE
data source:
Income Disparity
Economic Environment
in areas with less disparity. Additionally, income disparity is
associated with poor health for infants in the United States.
As it relates to overall public health, income disparity reflects
the economic environment and affects how a community plans
and acts to change health.
Income Disparity
<=0.445
0.4460.459
DC
RI
0.4600.467
0.4680.479
0=Equality, 1=Inequality
0.5
0.4
0.3
0.2
0.1
0
1990
1995
2000
2005
2010
2015
>=0.480
DE
data source:
US Census, 2013
81
sup p l e m e nta l m e as ur e s
Outcomes
reported health status have lower rates of mortality from all
causes than those with lower self-reported health status. The
association between health status and mortality makes this
measure a good predictor of future mortality rates and future
utilization of health care.
>=55.5%
53.7%55.4%
DC
RI
DE
51.0%53.6%
49.1%50.9%
<=49.0%
data source:
60%
40%
20%
0
1990
1995
2000
2005
2010
2015
Suicide
Outcomes
occur from suicide than from homicides each year. For each
completed suicide, there are roughly 10 attempted suicides,
many leading to hospitalizations. Suicide deaths are strongly
correlated with firearm ownership.
<=12.0
12.113.2
13.314.9
DC
RI
15.017.7
>=17.8
Suicide
14
12
10
8
6
4
2
0
1990
1995
2000
2005
2010
2015
DE
data source:
82
State Summaries
State Summaries
The following pages describe the overall ranking,
strengths, challenges, and highlightsincluding
notable changes in metricsfor each state. The
main table outlines the values and ranks for all core
metrics. Also included are tables with indicators of
the current economic climate of the state and the
population affected by smoking, obesity, physical
inactivity, and diabetes. Each state summary also
contains trend graphs of smoking and obesity
allowing states to compare their prevalence with
the US prevalence. To compare states side by side,
go to www.americashealthrankings.org/states and
select the first state of interest. At the bottom of the
selected states page is the Compare States selector
where a second state can be selected.
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Alabama
2014
Value
Rank
NO 1
State
Policy
21.5
11.2
11.7
32.4
29.2
75.0
38
2
18
43
44
43
450
5.3
0.65
637.6
4.4
23.9
26.4
10.0
37
34
45
48
8
43
43
36
25
6
6
25
13.4
$117
77.0
65.5
Clinical Care
10.0
101.9
43.8
71.5
-0.34
48
40
48
43
41
13.8
4.4
4.9
19.4
8.6
329.2
211.5
10,008
-0.33
-0.66
50
47
47
3
49
49
43
48
49
43
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
al
us
6.5
12.2
$41,381
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
783,000
1,165,000
1,090,000
514,000
alab am a
Behaviors
Overall
Rank: 43
Change: 4
Determinants Rank: 41
Outcomes Rank: 49
Strengths:
Low prevalence of binge drinking
High immunization coverage
among children
Small disparity in health status by
education level
Challenges:
High prevalence of low birthweight
Limited availability of dentists
High prevalence of diabetes
Ranking:
Alabama is 43rd this year; it was 47th in 2013.
The ranking for senior health in Alabama was
44th in 2014.
Highlights:
In the past 2 years, smoking decreased
by 12 percent from 24.3 percent to 21.5
percent of adults.
In the past 2 years, binge drinking
decreased by 18 percent from 13.7 percent
to 11.2 percent of adults, the second
lowest rate in the nation.
Children in poverty remains virtually the
same as 25 years ago, at 26.4 percent of
children. In 1990, the rate was 26.2 percent
of children.
In the past 2 years, diabetes increased
by 17 percent from 11.8 percent to 13.8
percent of adults, the highest rate in
the nation.
Since 1990, infant mortality decreased by
32 percent from 12.7 to 8.6 deaths per
1,000 live births. However, Alabama still
ranks 49th among states.
85
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Alaska
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 26
Change: 1
Determinants Rank: 29
Outcomes Rank: 6
Strengths:
Low levels of air pollution
Low prevalence of low birthweight
Low infant mortality rate
Highlights:
48
42
46
49
42
2
17
1
603
6.1
0.72
755.8
48.8
8.1
15.9
4.9
Policy
19.5
$219
63.9
52.2
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
42
43
33
23
8
30
OUTCOMES
Ranking:
22.6
19.5
14.4
28.4
20.6
79.0
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
47
1
46
48
5.7
113.2
80.9
46.7
-0.06
1
29
3
10
29
7.1
3.1
3.7
25.7
4.5
219.2
191.8
7,600
0.18
0.13
2
7
19
13
2
14
27
34
6
26
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
smoking
PERCENT OF POPULATION
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
alask a
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
86
ak
us
6.5
12.1
$61,137
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
122,000
150,000
114,000
39,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Arizona
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
16.3
13.4
17.7
26.8
23.0
77.0
9
10
44
17
20
39
429
3.2
-0.10
469.6
17.5
13.3
27.2
9.9
36
7
24
34
35
22
47
35
17.3
$44
65.1
69.5
42
48
45
16
6.9
98.4
55.0
45.2
-0.01
14
43
28
8
28
10.7
3.9
4.4
36.6
5.9
216.1
170.2
7,124
-0.03
-0.04
35
38
42
48
20
10
5
26
32
29
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 29
ar i zo na
Behaviors
Change: 1
Determinants Rank: 28
Outcomes Rank: 32
Strengths:
Low prevalence of smoking
Low occupational fatalities rate
Low rate of preventable hospitalizations
Challenges:
High rate of drug deaths
High percentage of children in poverty
Low immunization coverage among
children
Ranking:
Arizona is 29th this year; it was 28th in 2013.
The ranking for senior health in Arizona was
23rd in 2014.
Highlights:
In the past 2 years, binge drinking
decreased by 26 percent from 18.0 percent
to 13.4 percent of adults.
In the past year, chlamydia increased by
31 percent from 358.0 to 469.6 cases per
100,000 population.
In the past year, preventable
hospitalizations decreased by 12 percent
from 51.4 to 45.2 per 1,000 Medicare
beneficiaries.
In the past 2 years, diabetes increased
by 11 percent from 9.6 percent to 10.7
percent of adults.
Since 1990, children in poverty increased
by 37 percent from 19.8 percent to 27.2
percent of children.
economic environment
az
us
8.0
16.0
$50,602
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
788,000
1,261,000
1,153,000
533,000
87
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Arkansas
2014
Value
Rank
NO 1
State
ar k ans as
Behaviors
Overall
Rank: 49
Change: no change
Determinants Rank: 49
Outcomes Rank: 45
Policy
Strengths:
Low prevalence of binge drinking
High per capita public health funding
Small disparity in health status by
education level
Highlights:
88
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
www.healthy.arkansas.gov
OUTCOMES
Ranking:
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
10.3
9.6
3.0
21.3
16.2
93.0
469
7.5
0.90
565.4
8.4
47.8
23.8
10.3
40
46
49
44
20
50
40
42
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
16.2
$99
57.1
47.5
36
15
50
49
8.7
102.6
41.7
71.6
-0.66
38
39
50
44
49
11.5
4.4
4.8
24.2
7.2
313.7
214.9
9,656
-0.28
-0.93
44
47
45
9
39
47
46
47
45
49
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
48
6
24
48
48
34
25.9
12.5
12.6
34.6
31.5
78.0
ar
us
7.5
13.7
$39,919
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
568,000
748,000
710,000
259,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
California
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
12.5
17.4
11.0
24.1
18.6
82.0
2
34
12
4
3
22
423
3.2
-0.40
444.9
2.1
12.1
20.3
13.9
35
7
11
28
2
15
33
50
17.5
$104
69.3
72.6
43
12
28
10
6.7
122.2
78.0
45.3
0.29
10
22
7
9
17
10.2
3.8
3.9
38.6
4.6
234.4
171.0
5,590
0.05
0.35
30
30
25
50
4
23
6
4
24
17
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
ca
us
8.9
17.3
$57,528
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
3,348,000
6,489,000
5,449,000
2,970,000
Overall
Rank: 17
c ali fo r ni a
2014
Value
Rank
Change: 4
Determinants Rank: 17
Outcomes Rank: 24
Strengths:
Low prevalence of smoking
Low prevalence of obesity
Low prevalence of physical inactivity
Challenges:
High levels of air pollution
Large disparity in health status
by education level
Moderate violent crime rate
Ranking:
California is 17th this year; it was 21st in 2013.
The ranking for senior health in California
was 18th in 2014.
Highlights:
In the past 2 years, drug deaths decreased
by 14 percent from 12.8 to 11.0 deaths per
100,000 population.
In the past 2 years, high school graduation
increased by 15 percent from 71.0 percent
to 82.0 percent of incoming ninth graders.
Since 1990, violent crime decreased by
54 percent from 918 to 423 offenses per
100,000 population.
In the past 2 years, disparity in health
status increased by 10 percent from a
35.1 percent difference to a 38.6 percent
difference between adults aged 25
and older with vs without a high school
education.
In the past 2 years, diabetes increased
by 15 percent from 8.9 percent to 10.2
percent of adults.
89
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Colorado
c o lo r ad o
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 8
Change: no change
Determinants Rank: 11
Outcomes Rank: 4
Policy
Strengths:
Low prevalence of obesity
Low prevalence of physical inactivity
Low prevalence of diabetes
Highlights:
32
19
29
22
Clinical Care
8.8
120.7
69.4
38.2
0.35
40
24
11
5
11
6.5
3.3
3.4
36.5
5.1
197.1
163.0
5,991
0.22
0.57
1
11
8
47
11
2
3
11
4
8
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
23
21
20
23
38
6
6
7
14.4
$85
69.2
66.6
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
309
4.2
-0.22
422.7
29.2
9.9
14.0
6.8
OUTCOMES
Ranking:
18
39
34
1
1
22
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
17.7
18.5
14.8
21.3
16.2
82.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.cdphe.state.co.us
economic environment
90
co
us
6.8
12.5
$63,371
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
671,000
808,000
654,000
260,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
15.5
18.2
11.0
24.9
22.8
86.0
4
37
12
8
19
12
283
2.8
-0.59
364.9
5.1
12.4
15.3
8.7
19
3
6
12
12
18
14
19
9.3
$71
78.2
73.8
8
26
5
6
7.9
166.7
79.1
56.7
0.56
21
6
6
26
4
8.3
3.5
3.4
30.7
5.1
216.5
177.0
5,603
0.18
0.74
8
18
8
36
11
11
9
5
7
4
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 4
c o nnec t i c ut
Connecticut
Change: 3
Determinants Rank: 4
Outcomes Rank: 7
Strengths:
Low prevalence of smoking
Low occupational fatalities rate
High immunization coverage
among children
Challenges:
High prevalence of binge drinking
High rate of preventable hospitalizations
Large disparity in health status by
education level
Ranking:
Connecticut is 4th this year; it was 7th
in 2013. The ranking for senior health in
Connecticut was 12th in 2014.
Highlights:
In the past 2 years, physical inactivity
decreased by 11 percent from 25.5 percent
to 22.8 percent of adults.
Since 1990, children in poverty increased
by 66 percent from 9.2 percent to 15.3
percent of children.
In the past year, preventable
hospitalizations decreased by 5 percent
from 59.8 to 56.7 per 1,000 Medicare
beneficiaries.
In the past 2 years, diabetes decreased by
11 percent from 9.3 percent to 8.3 percent
of adults.
Since 1990, cancer deaths decreased by
12 percent from 200.1 to 177.0 deaths per
100,000 population.
CT
us
7.8
13.9
$67,781
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
422,000
665,000
642,000
234,000
www.dph.state.ct.us
91
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Delaware
2014
Value
Rank
NO 1
State
d elawar e
Behaviors
Overall
Rank: 35
Change: 4
Determinants Rank: 33
Outcomes Rank: 37
Policy
Strengths:
High per capita public health funding
High immunization coverage among teens
Low incidence of pertussis
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Ranking:
OUTCOMES
Challenges:
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
29
28
39
37
37
39
547
4.5
-0.06
489.2
6.3
16.3
22.7
10.2
45
29
26
37
14
31
36
40
9.0
$105
71.8
72.6
6
11
21
9
8.3
112.8
47.7
53.9
-0.13
32
30
43
19
33
11.1
3.6
3.9
28.8
8.2
246.9
201.9
7,729
-0.10
-0.23
41
22
25
25
47
29
37
37
37
35
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
19.6
17.0
16.6
31.0
26.2
77.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.dhss.delaware.gov/dhss
economic environment
92
DE
us
6.7
13.5
$52,219
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
137,000
211,000
190,000
80,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Florida
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
16.8
15.6
15.2
26.4
25.6
75.0
14
19
36
13
35
43
487
4.2
0.37
407.4
3.0
34.2
19.3
7.4
43
21
40
19
4
48
29
10
20.0
$58
70.0
63.8
48
35
24
32
8.6
110.0
54.7
59.3
-0.10
36
32
29
30
31
11.2
4.1
4.5
29.1
6.3
223.0
182.7
7,116
-0.05
-0.15
42
42
44
27
25
15
15
25
36
32
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
Change: 1
Determinants Rank: 31
Outcomes Rank: 36
Strengths:
Low prevalence of smoking
Low prevalence of obesity
Low levels of air pollution
Challenges:
Low rate of high school graduation
High incidence of Salmonella
Many poor physical health days
Ranking:
Florida is 32nd this year; it was 33rd in 2013.
The ranking for senior health in Florida was
28th in 2014.
Highlights:
In the past year, binge drinking decreased
by 5 percent from 16.5 percent to 15.6
percent of adults.
In the past year, physical inactivity
increased by 10 percent from 23.2 percent
to 25.6 percent of adults.
In the past 2 years, drug deaths decreased
by 13 percent from 17.4 to 15.2 deaths per
100,000 population.
Since 1990, children in poverty decreased
by 24 percent from 25.4 percent to 19.3
percent of children.
Since 1990, infant mortality decreased by
42 percent from 10.8 to 6.3 deaths per
1,000 live births.
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
Overall
Rank: 32
flo r i d a
Behaviors
fl
us
7.2
14.3
$47,886
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
2,517,000
3,895,000
3,984,000
1,737,000
93
U n i t e d H e a lt h F o u n d at i o n
Georgia
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
geo r gi a
Overall
Rank: 38
Change: no change
Determinants Rank: 40
Outcomes Rank: 32
Policy
Strengths:
Low prevalence of binge drinking
Low rate of drug deaths
Low occupational fatalities rate
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Ranking:
OUTCOMES
Challenges:
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
www.health.state.ga.us
smoking
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
30
6
42
43
5
45
37
42
18.6
$60
69.8
64.0
46
34
27
30
9.3
105.4
47.3
60.6
-0.29
46
36
45
33
40
10.8
3.4
3.8
28.0
6.6
273.0
192.3
7,624
-0.03
-0.32
37
17
23
22
31
38
29
35
32
38
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
2015
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
94
379
3.1
0.45
534.0
3.2
26.9
23.2
10.3
10.3
9.6
3.0
21.3
16.2
93.0
obesity
35
PERCENT OF POPULATION
23
9
10
33
31
48
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
PERCENT OF POPULATION
18.8
13.1
10.8
30.3
24.5
70.0
ga
us
8.2
14.8
$47,439
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,349,000
2,135,000
1,850,000
814,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Hawaii
2014
Value
Rank
NO 1
State
Policy
13.3
18.3
11.7
21.8
20.7
78.0
3
38
18
2
9
34
239
4.4
0.18
461.2
5.3
24.7
12.7
8.7
10
25
36
32
13
44
3
19
2
2
40
33
6.8
$213
66.5
63.2
Clinical Care
8.1
140.2
79.2
28.2
0.57
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
8.4
2.7
3.2
15.5
5.1
199.1
155.3
5,865
0.34
0.91
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
27
9
5
1
3
5.7
324.6
107.6
28.2
0.71
9
2
4
1
11
3
2
9
1
1
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
hi
us
4.8
11.5
$61,408
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
143,000
231,000
227,000
92,000
Overall
Rank: 1
hawai i
Behaviors
Change: no change
Determinants Rank: 3
Outcomes Rank: 1
Strengths:
Low prevalence of obesity
Low rate of preventable hospitalizations
Low rate of cancer deaths
Challenges:
High prevalence of binge drinking
High incidence of infectious disease
Low immunization coverage among
children
Ranking:
Hawaii is 1st this year; it was 1st in 2013. The
ranking for senior health in Hawaii was 2nd
in 2014.
Highlights:
In the past 2 years, smoking decreased
by 21 percent from 16.8 percent to 13.3
percent of adults. However, Hawaii still
ranks 3rd among states.
In the past 2 years, binge drinking
decreased by 15 percent from 21.5 percent
to 18.3 percent of adults.
Since 1990, children in poverty decreased
by 39 percent from 20.7 percent to 12.7
percent of children.
In the past year, immunization coverage
among children decreased by 17 percent
from 80.2 percent to 66.5 percent of
children aged 19 to 35 months, changing
rank from 1st to 40th.
In the past 2 years, preventable
hospitalizations increased by 13 percent
from 25.0 to 28.2 per 1,000 Medicare
beneficiaries. However, Hawaii still has the
lowest rate in the country.
95
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Idaho
2014
Value
Rank
NO 1
State
Behaviors
i d aho
Overall
Rank: 18
Change: 6
Determinants Rank: 20
Outcomes Rank: 16
Policy
Strengths:
Low incidence of infectious disease
High per capita public health funding
Low rate of preventable hospitalizations
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
High levels of air pollution
Low immunization coverage among teens
Limited availability of primary care
physicians
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Idaho is 18th this year; it was 12th in 2013.
The ranking for senior health in Idaho was
25th in 2014.
Highlights:
15
14
23
27
15
16
208
4.6
-0.85
287.1
14.8
8.5
16.0
10.4
7
30
2
6
29
3
20
44
16.2
$137
70.2
59.2
36
4
23
41
6.4
80.1
59.3
36.4
0.23
7
50
22
3
20
8.4
3.7
3.7
32.7
5.2
230.7
174.6
6,310
0.11
0.34
9
24
19
41
16
20
8
17
16
18
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
17.2
14.9
12.3
29.6
22.0
84.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.healthandwelfare.idaho.gov
economic environment
96
id
us
6.2
12.7
$51,767
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
199,000
330,000
260,000
99,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Illinois
2014
Value
Rank
NO 1
State
18.0
21.8
11.1
29.4
23.6
82.0
19
48
15
25
26
22
10.3
9.6
3.0
21.3
16.2
93.0
415
3.7
0.13
526.1
15.8
15.3
17.7
11.4
34
11
35
42
32
27
25
47
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
22
32
38
23
Policy
12.8
$64
66.8
66.3
Clinical Care
8.1
133.9
67.5
65.2
-0.07
27
11
12
40
30
9.9
3.7
3.7
30.4
6.5
253.9
197.9
6,721
-0.01
-0.08
28
24
19
32
29
32
34
21
31
30
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
il
us
9.2
16.0
$57,196
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,740,000
2,822,000
2,325,000
970,000
Overall
Rank: 30
i lli no i s
Behaviors
Change: no change
Determinants Rank: 30
Outcomes Rank: 31
Strengths:
Low occupational fatalities rate
Ready availability of primary care
physicians
Ready availability of dentists
Challenges:
High prevalence of binge drinking
High levels of air pollution
High rate of preventable hospitalizations
Ranking:
Illinois is 30th this year; it was 30th in 2013.
The ranking for senior health in Illinois was
35th in 2014.
Highlights:
In the past year, physical inactivity
increased by 8 percent from 21.8 percent
to 23.6 percent of adults.
In the past year, immunization coverage
among adolescents increased by 20
percent from 55.4 percent to 66.3 percent
of adolescents aged 13 to 17 years.
In the past year, preventable
hospitalizations decreased by 11 percent
from 73.1 to 65.2 per 1,000 Medicare
beneficiaries. However, Illinois still ranks
40th among states.
Since 1990, infant mortality decreased by
45 percent from 11.9 to 6.5 deaths per
1,000 live births.
Since 1990, premature death decreased by
24 percent from 8,791 to 6,721 years lost
per 100,000 population.
97
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Indiana
2014
Value
Rank
NO 1
State
Behaviors
i nd i ana
Overall
Rank: 41
Change: no change
Determinants Rank: 39
Outcomes Rank: 41
Policy
Strengths:
Low incidence of infectious disease
Low percentage of children in poverty
High immunization coverage among teens
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Ranking:
OUTCOMES
Challenges:
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
39
16
35
42
43
27
346
5.3
-0.33
452.7
6.8
12.0
14.7
11.7
26
34
14
29
17
14
13
48
14.1
$44
68.5
72.9
28
47
33
7
7.9
104.2
48.6
70.0
-0.26
21
37
42
41
39
11.0
4.0
4.0
25.7
7.2
274.4
208.2
7,993
-0.12
-0.38
39
40
30
13
39
39
42
39
41
41
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
21.9
15.0
15.1
31.8
28.3
80.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.in.gov/isdh
economic environment
98
in
us
7.5
13.2
$50,553
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,059,000
1,497,000
1,409,000
546,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Iowa
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
19.5
21.7
8.5
31.3
26.5
89.0
28
47
5
39
39
5
264
5.6
0.39
371.5
56.7
20.3
14.3
9.6
16
39
41
15
46
40
10
32
8.3
$56
78.3
61.7
5
38
4
35
6.7
85.7
55.7
55.7
0.07
10
46
27
23
25
9.3
2.9
3.3
30.3
5.0
245.4
191.8
6,309
0.14
0.22
20
4
5
30
9
26
27
16
13
24
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 24
i o wa
Behaviors
Change: 6
Determinants Rank: 25
Outcomes Rank: 13
Strengths:
Low rate of drug deaths
High rate of high school graduation
High immunization coverage among
children
Challenges:
High prevalence of binge drinking
High incidence of infectious disease
Limited availability of primary care
physicians
Ranking:
Iowa is 24th this year; it was 18th in 2013.
The ranking for senior health in Iowa was
13th in 2014.
Highlights:
In the past year, smoking increased by 8
percent from 18.1 percent to 19.5 percent
of adults.
In the past year, physical inactivity
increased by 15 percent from 23.1 percent
to 26.5 percent of adults.
In the past year, pertussis increased by 636
percent from 7.7 to 56.7 cases per 100,000
population.
In the past 2 years, immunization coverage
among children increased by 9 percent
from 71.6 percent to 78.3 percent of
children aged 19 to 35 months.
Since 1990, infant mortality decreased by
43 percent from 8.8 to 5.0 deaths per 1,000
live births.
ia
us
4.6
9.2
$54,855
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
451,000
697,000
626,000
221,000
http://www.idph.state.ia.us/
99
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Kansas
2014
Value
Rank
NO 1
State
Behaviors
k ansas
Overall
Rank: 27
Change: no change
Determinants Rank: 27
Outcomes Rank: 18
Policy
Strengths:
Low rate of drug deaths
High rate of high school graduation
Low prevalence of low birthweight
20
42
32
47
Clinical Care
7.1
106.6
52.0
59.9
0.00
15
35
33
31
27
9.6
3.1
3.4
28.6
6.3
245.6
190.9
7,209
0.07
0.08
22
7
8
24
25
27
25
27
18
27
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
29
40
27
17
39
34
27
22
12.4
$50
68.7
53.8
Ranking:
Highlights:
355
6.0
-0.01
387.8
30.9
17.1
18.1
8.8
31
18
9
31
33
5
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
20.0
15.4
10.4
30.0
25.0
89.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
100
ks
us
5.4
11.0
$51,485
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
428,000
614,000
545,000
208,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Kentucky
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
26.5
13.4
24.0
33.2
27.4
82.0
49
10
48
46
42
22
223
5.4
-0.20
395.3
15.3
16.8
31.8
10.4
8
36
21
18
30
33
50
44
14.1
$83
72.7
60.8
28
21
16
37
8.7
103.0
56.4
94.4
-0.49
38
38
25
50
47
10.6
4.5
4.9
24.7
6.7
297.3
228.3
9,575
-0.27
-0.75
33
50
47
10
35
43
50
44
43
47
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
ky
us
8.3
15.0
$42,158
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
857,000
1,055,000
929,000
359,000
Overall Rank: 47
k entuc k y
Behaviors
Change: 2
Determinants Rank: 47
Outcomes Rank: 43
Strengths:
Low prevalence of binge drinking
Low violent crime rate
High immunization coverage
among children
Challenges:
High prevalence of smoking
High percentage of children in poverty
High rate of preventable hospitalizations
Ranking:
Kentucky is 47th this year; it was 45th in 2013.
The ranking for senior health in Kentucky was
48th in 2014.
Highlights:
In the past 2 years, smoking decreased
by 9 percent from 29.0 percent to 26.5
percent of adults. In 1990, 35.3 percent of
Kentucky adults smoked.
In the past 2 years, drug deaths increased
by 30 percent from 18.4 to 24.0 deaths per
100,000 population.
In the past 2 years, children in poverty
increased by 36 percent from 23.3 percent
to 31.8 percent of children, the highest
rate in the nation. In 1990, 23.7 percent of
children in Kentucky were living in poverty.
In the past 2 years, immunization coverage
among adolescents increased by 17
percent from 51.8 percent to 60.8 percent
of adolescents aged 13 to 17 years.
Since 1990, infant mortality decreased by
32 percent from 9.8 to 6.7 deaths per 1,000
live births.
101
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Louisiana
2014
Value
Rank
NO 1
State
lo ui si ana
Behaviors
Overall
Rank: 48
Change: no change
Determinants Rank: 48
Outcomes Rank: 44
Policy
Strengths:
Low incidence of pertussis
High immunization coverage among teens
Small disparity in health status by
education level
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
High incidence of infectious disease
High prevalence of low birthweight
High rate of preventable hospitalizations
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Louisiana is 48th this year; it was 48th in 2013.
The ranking for senior health in Louisiana
was 49th in 2014.
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
497
8.2
0.88
597.9
1.6
33.7
26.5
9.2
44
47
48
47
1
47
44
26
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
16.7
$69
69.1
72.6
39
27
31
11
10.8
123.7
49.6
80.3
-0.53
49
20
39
48
48
11.6
4.2
4.2
26.5
8.2
307.5
217.4
9,625
-0.27
-0.80
45
43
38
16
47
46
47
45
44
48
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
44
21
27
45
45
46
23.5
16.3
12.9
33.1
30.3
72.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
102
la
us
6.2
12.7
$39,622
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
811,000
1,124,000
1,065,000
407,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Maine
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
20.2
17.2
11.0
28.9
21.9
87.0
32
31
12
24
14
9
123
3.7
-0.28
257.0
55.5
12.1
20.9
7.6
1
11
17
2
44
15
35
12
10.7
$83
68.0
66.7
12
22
35
21
6.6
130.2
51.1
55.1
0.29
8
14
35
21
18
9.6
3.8
4.0
26.1
6.6
215.4
205.4
6,645
0.01
0.30
22
30
30
15
31
9
40
20
29
20
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
me
us
6.7
13.7
$50,121
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
211,000
297,000
233,000
103,000
Overall
Rank: 20
m ai ne
Behaviors
Change: 4
Determinants Rank: 18
Outcomes Rank: 29
Strengths:
High rate of high school graduation
Low violent crime rate
Low prevalence of low birthweight
Challenges:
High percentage of children in poverty
Low immunization coverage among
children
Limited availability of dentists
Ranking:
Maine is 20th this year; it was 16th in 2013.
The ranking for senior health in Maine was
14th in 2014.
Highlights:
In the past 2 years, smoking decreased
by 11 percent from 22.8 percent to 20.2
percent of adults. In 1990, the prevalence
of smoking in Maine was 30.3 percent of
adults.
In the past 2 years, drug deaths decreased
by 16 percent from 13.1 to 11.0 deaths per
100,000 population.
In the past 2 years, immunization coverage
among adolescents increased by 12
percent from 59.5 percent to 66.7 percent
of adolescents aged 13 to 17 years.
In the past 5 years, high school graduation
increased by 14 percent from 76.3 percent
to 87.0 percent of incoming ninth graders.
Children in poverty is essentially
unchanged in the past 25 years at 20.9
percent of children. In 1990, the rate was
21.6 percent of children.
103
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Maryland
m ary land
2014
Value
Rank
Behaviors
Overall
Rank: 16
Change: 8
Determinants Rank: 16
Outcomes Rank: 25
Policy
Strengths:
Low prevalence of smoking
High immunization coverage
among children
Ready availability of primary
care physicians
Highlights:
www.dhmh.maryland.gov
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
OUTCOMES
Ranking:
16.4
14.2
12.2
28.3
23.3
84.0
10
12
22
22
24
16
477
3.8
-0.16
455.3
6.3
16.3
15.3
10.0
42
16
23
30
14
31
14
36
10.2
$77
75.8
64.9
10
25
7
28
8.8
178.5
74.7
53.8
0.31
40
2
8
18
16
9.8
3.3
3.4
30.5
6.6
250.7
187.7
6,772
0.05
0.35
26
11
8
34
31
30
20
22
25
16
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
104
NO 1
State
md
us
6.6
12.5
$65,262
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
727,000
1,212,000
1,073,000
451,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
11
42
21
3
11
12
16.6
19.4
12.1
23.6
21.0
86.0
406
2.2
-0.42
357.5
9.8
15.7
15.3
7.7
31
1
10
10
24
29
14
13
3.8
$106
78.5
74.6
1
10
3
4
7.6
200.8
85.6
62.7
0.60
19
1
1
36
2
8.5
3.8
3.6
33.9
4.2
206.9
186.8
5,345
0.14
0.74
11
30
15
42
1
4
19
1
11
3
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
ma
us
7.1
13.2
$62,963
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
840,000
1,158,000
1,116,000
453,000
Overall Rank: 3
m assac hus et t s
Massachusetts
Change: 1
Determinants Rank: 2
Outcomes Rank: 11
Strengths:
Low percentage of uninsured population
Ready availability of primary care
physicians
Low infant mortality rate
Challenges:
High prevalence of binge drinking
High rate of preventable hospitalizations
Large disparity in health status by
education level
Ranking:
Massachusetts is 3rd this year; it was 4th
in 2013. The ranking for senior health in
Massachusetts was 5th in 2014.
Highlights:
In the past 2 years, drug deaths decreased
by 9 percent from 13.3 to 12.1 deaths per
100,000 population.
In the past 2 years, physical inactivity
decreased by 11 percent from 23.5 percent
to 21.0 percent of adults.
In the past 2 years, immunization coverage
among children increased by 11 percent
from 70.7 percent to 78.5 percent of
children aged 19 to 35 months.
In the past 5 years, preventable
hospitalizations decreased by 20 percent
from 78.7 to 62.7 per 1,000 Medicare
beneficiaries.
Since 1990, premature death decreased by
27 percent from 7,270 to 5,345 years lost
per 100,000 population. Massachusetts
has the lowest rate of premature death
among states.
105
U n i t e d H e a lt h F o u n d at i o n
Michigan
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Overall
Rank: 34
Change: no change
Determinants Rank: 32
Outcomes Rank: 38
Strengths:
Low incidence of infectious disease
Ready availability of dentists
High immunization coverage among teens
455
3.9
-0.30
481.6
8.6
10.1
19.8
8.8
Policy
11.2
$53
70.0
68.7
15
40
24
18
8.4
122.2
62.3
64.5
-0.10
34
22
18
38
32
10.4
3.9
4.1
29.7
6.7
282.4
199.7
7,574
-0.11
-0.21
31
38
36
29
35
42
35
32
38
34
Clinical Care
Ranking:
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
smoking
PERCENT OF POPULATION
39
18
15
36
22
7
31
22
37
40
31
40
20
39
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
21.4
18.9
13.9
31.5
23.0
77.0
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
m i c hi gan
Behaviors
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
106
mi
us
8.8
15.3
$48,801
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,597,000
2,289,000
1,756,000
790,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Minnesota
NO 1
State
Behaviors
Policy
18.0
21.0
8.6
25.5
21.2
88.0
19
46
6
10
12
7
231
3.2
0.22
337.8
77.5
14.6
14.0
8.0
9
7
38
8
48
26
6
14
4
44
12
26
8.1
$48
74.1
65.1
Clinical Care
6.6
145.2
62.4
44.9
0.40
8
7
17
7
7
7.4
2.9
2.9
25.3
4.9
184.7
180.9
5,358
0.33
0.73
4
4
2
11
7
1
13
2
2
6
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
mn
us
5.1
10.6
$60,907
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
707,000
984,000
878,000
308,000
Overall
Rank: 6
m i nnes o ta
2014
Value
Rank
Change: 3
Determinants Rank: 7
Outcomes Rank: 2
Strengths:
Low rate of drug deaths
Low prevalence of diabetes
Few poor physical health days
Challenges:
High prevalence of binge drinking
High incidence of pertussis
Low per capita public health funding
Ranking:
Minnesota is 6th this year; it was 3rd in 2013.
The ranking for senior health in Minnesota
was 1st in 2014.
Highlights:
In the past year, immunization coverage
among children increased by 12 percent
from 66.2 percent to 74.1 percent of
children aged 19 to 35 months.
In the past year, drug deaths increased
by 15 percent from 7.5 to 8.6 deaths per
100,000 population.
In the past 2 years, premature death
decreased by 5 percent from 5,621 to
5,358 years lost per 100,000 population.
Minnesota has the second lowest rate of
premature death among states.
In the past 10 years, preventable
hospitalizations decreased by 33 percent
from 66.7 to 44.9 per 1,000 Medicare
beneficiaries.
Since 1990, infant mortality decreased by
45 percent from 8.9 to 4.9 deaths per 1,000
live births.
107
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Mississippi
m i ssi ss i ppi
2014
Value
Rank
Behaviors
Overall
Rank: 50
Change: no change
Determinants Rank: 50
Outcomes Rank: 50
Policy
Strengths:
Low prevalence of binge drinking
High immunization coverage
among children
Small disparity in health status by
education level
Highlights:
www.msdh.state.ms.us
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
OUTCOMES
Ranking:
47
5
11
49
50
49
10.3
9.6
3.0
21.3
16.2
93.0
261
7.2
1.17
774.0
2.6
41.9
30.5
9.3
15
45
50
50
3
49
49
27
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
17.1
$65
74.6
45.2
40
31
11
50
11.6
81.8
41.9
78.5
-0.66
50
49
49
47
50
12.9
4.3
4.8
18.0
9.1
346.0
223.7
10,354
-0.34
-1.00
48
44
45
2
50
50
49
50
50
50
24.8
12.4
10.9
35.1
35.2
68.0
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
108
NO 1
State
ms
us
8.6
14.6
$40,850
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
540,000
747,000
791,000
289,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Missouri
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
22.1
17.2
16.3
30.4
26.8
86.0
41
31
38
34
40
12
451
4.8
0.02
463.1
13.6
17.8
19.8
10.0
38
31
30
33
28
36
31
36
13.3
$45
67.9
57.0
24
45
36
43
7.7
111.8
49.9
64.7
-0.24
20
31
38
39
37
9.6
3.8
4.0
20.5
6.5
281.1
204.8
8,120
-0.04
-0.28
22
30
30
5
29
41
39
40
34
36
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
mo
us
6.5
11.6
$50,311
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,006,000
1,338,000
1,245,000
445,000
Overall
Rank: 36
m i sso ur i
Behaviors
Change: 3
Determinants Rank: 37
Outcomes Rank: 34
Strengths:
High rate of high school graduation
Low prevalence of low birthweight
Small disparity in health status by
education level
Challenges:
High prevalence of smoking
High prevalence of physical inactivity
Low immunization coverage among teens
Ranking:
Missouri is 36th this year; it was 39th in 2013.
The ranking for senior health in Missouri was
39th in 2014.
Highlights:
In the past 2 years, smoking decreased
by 12 percent from 25.0 percent to 22.1
percent of adults.
In the past 2 years, drug deaths increased
by 12 percent from 14.6 to 16.3 deaths per
100,000 population.
In the past year, disparity in health status
decreased by 29 percent from a 29.0
percent difference to a 20.5 percent
difference between adults aged 25
and older with vs without a high school
education.
In the past 5 years, preventable
hospitalizations decreased by 21 percent
from 81.6 to 64.7 per 1,000 Medicare
beneficiaries.
Children in poverty has remained
essentially unchanged in the past 25 years
at 19.8 percent of children. In 1990, the
rate was 19.4 percent of children.
109
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Montana
2014
Value
Rank
NO 1
State
m o ntana
Behaviors
Overall
Rank: 22
Change: 1
Determinants Rank: 23
Outcomes Rank: 15
Policy
Strengths:
Low prevalence of obesity
Low levels of air pollution
Low prevalence of diabetes
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
High prevalence of binge drinking
Low immunization coverage among teens
Limited availability of primary care
physicians
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Montana is 22nd this year; it was 23rd
in 2013. The ranking for senior health in
Montana was 30th in 2014.
Highlights:
24
45
26
6
13
12
272
5.4
0.03
383.4
55.0
10.9
20.3
6.3
17
36
32
16
43
10
33
4
17.2
$98
65.4
54.7
41
16
44
45
7.4
99.7
61.6
47.0
0.16
18
41
20
11
23
7.7
3.3
4.0
26.8
5.9
224.8
179.8
7,480
0.12
0.28
5
11
30
18
20
16
11
31
15
22
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
19.0
20.8
12.8
24.6
21.4
86.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.dphhs.mt.gov
economic environment
110
mt
us
5.6
11.6
$44,132
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
148,000
187,000
169,000
61,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Nebraska
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
18.5
20.0
7.3
29.6
23.5
93.0
21
44
3
27
25
1
259
4.2
-0.22
366.2
13.0
19.2
14.3
8.0
14
21
19
13
27
37
10
14
11.3
$81
79.0
68.4
16
23
2
19
6.7
118.5
63.4
55.8
0.36
10
25
16
24
10
9.2
3.0
3.1
36.1
5.1
224.9
184.7
6,224
0.14
0.50
16
6
3
46
11
17
16
15
12
10
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
Strengths:
5.7
324.6
107.6
28.2
0.71
Challenges:
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
obesity
35
ne
us
3.9
8.0
$53,774
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
252,000
393,000
331,000
129,000
Change: 1
Determinants Rank: 10
Outcomes Rank: 12
3.8
$219
82.1
81.3
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
smoking
Overall
Rank: 10
neb r as k a
Behaviors
Ranking:
Nebraska is 10th this year; it was 11th in 2013.
The ranking for senior health in Nebraska was
16th in 2014.
Highlights:
In the past 2 years, high school graduation
increased by 12 percent from 82.9 percent
to 93.0 percent of incoming ninth graders.
Nebraska is tied with Vermont for the
highest graduation rate in the nation.
In the past year, children in poverty
decreased by 27 percent from 19.6 percent
to 14.3 percent of children.
In the past year, immunization coverage
among children increased by 9 percent from
72.6 percent to 79.0 percent of children
aged 19 to 35 months. Nebraska has the
second best child immunization coverage in
the nation.
In the past year, preventable hospitalizations
decreased by 13 percent from 63.8 to 55.8
per 1,000 Medicare beneficiaries.
In the past 2 years, diabetes increased by
10 percent from 8.4 percent to 9.2 percent
of adults.
111
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Nevada
2014
Value
Rank
NO 1
State
Behaviors
nevad a
Overall
Rank: 39
Change: 2
Determinants Rank: 42
Outcomes Rank: 26
Policy
Strengths:
Low prevalence of obesity
Low prevalence of physical inactivity
Low incidence of infectious disease
Highlights:
112
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
http://dhhs.nv.gov/
OUTCOMES
Ranking:
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
27
17
47
11
15
50
608
4.4
-0.69
408.9
4.1
6.8
25.3
9.3
49
25
4
20
6
1
42
27
21.4
$39
60.6
59.9
49
50
49
39
8.0
85.3
53.6
52.0
-0.37
24
47
32
16
42
9.6
3.7
3.6
27.4
5.3
271.9
188.0
7,297
0.04
-0.33
22
24
15
20
18
36
22
29
26
39
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
19.4
15.2
22.2
26.2
22.0
60.0
nv
us
9.8
18.1
$45,369
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
400,000
531,000
468,000
204,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
16.2
16.8
13.4
26.7
20.5
87.0
8
26
29
16
7
9
3
11
3
1
36
12
5
11
188
3.7
-0.80
233.0
20.4
11.8
13.5
7.5
Policy
10.7
$57
74.9
74.5
12
37
10
5
7.3
135.7
64.9
50.7
0.52
17
10
14
15
5
9.2
3.5
3.6
27.7
4.5
213.8
191.6
5,580
0.16
0.68
16
18
15
21
2
7
26
3
8
7
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
nh
us
5.3
10.9
$71,322
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
Change: 2
Determinants Rank: 5
Outcomes Rank: 8
Strengths:
Low incidence of infectious disease
High immunization coverage among teens
Low infant mortality rate
Challenges:
High prevalence of binge drinking
High rate of drug deaths
Low per capita public health funding
Ranking:
New Hampshire is 7th this year; it was 5th in
2013. The ranking for senior health in New
Hampshire was 3rd in 2014.
Highlights:
In the past year, drug deaths increased by
20 percent from 11.2 to 13.4 deaths per
100,000 population.
In the past 2 years, smoking decreased
by 17 percent from 19.4 percent to 16.2
percent of adults.
In the past 5 years, high school graduation
increased by 7 percent from 81.1 percent
to 87.0 percent of incoming ninth graders.
In the past 5 years, preventable
hospitalizations decreased by 18 percent
from 61.5 to 50.7 per 1,000 Medicare
beneficiaries.
Since 1990, infant mortality decreased by
46 percent from 8.4 to 4.5 deaths per 1,000
live births.
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
Overall
Rank: 7
new ham ps hi r e
New Hampshire
adult population
affected
166,000
268,000
216,000
97,000
113
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
New Jersey
new jer s ey
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 11
Change: 1
Determinants Rank: 12
Outcomes Rank: 14
Policy
Strengths:
Low prevalence of smoking
Low incidence of infectious disease
Ready availability of dentists
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
High prevalence of low birthweight
High rate of preventable hospitalizations
Large disparity in health status by
education level
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
New Jersey is 11th this year; it was 10th in
2013. The ranking for senior health in New
Jersey was 24th in 2014.
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
290
3.7
-0.59
309.2
15.8
13.0
16.5
9.0
20
11
5
7
32
19
21
24
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
13.0
$61
72.9
69.6
23
33
14
15
8.2
143.7
83.0
60.8
0.34
31
8
2
34
12
9.2
3.3
3.4
30.6
4.8
246.8
185.5
5,837
0.14
0.47
16
11
8
35
6
28
18
8
14
11
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
5
21
17
12
27
9
15.7
16.3
11.6
26.3
24.1
87.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.state.nj.us/health
economic environment
114
nj
us
8.2
14.7
$61,782
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,020,000
1,657,000
1,660,000
633,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
New Mexico
NO 1
State
Behaviors
19.1
14.5
24.8
26.4
22.0
74.0
26
13
49
13
15
45
559
8.8
0.65
571.4
44.4
16.1
28.7
7.1
47
48
44
45
41
30
48
9
18.5
$116
65.7
66.9
45
7
42
20
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
8.8
115.6
48.9
50.1
-0.16
40
27
41
13
34
5.7
324.6
107.6
28.2
0.71
OUTCOMES
10.7
3.7
4.2
32.4
6.1
217.0
167.1
8,445
-0.01
-0.18
35
24
38
40
24
12
4
41
30
33
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
Policy
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
nm
us
6.9
13.7
$42,127
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
Change: 1
Determinants Rank: 34
Outcomes Rank: 30
Strengths:
Low prevalence of binge drinking
Low prevalence of obesity
Low levels of air pollution
Challenges:
High rate of drug deaths
Low rate of high school graduation
High percentage of children in poverty
Ranking:
New Mexico is 33rd this year; it was 32nd in
2013. The ranking for senior health in New
Mexico was 38th in 2014.
Highlights:
In the past year, high school graduation
increased by 10 percent from 67.3 percent
to 74.0 percent of incoming ninth graders.
In the past 5 years, public health funding
decreased by 12 percent from $132 to
$116 per person.
In the past 5 years, preventable
hospitalizations decreased by 20 percent
from 62.8 to 50.1 per 1,000 Medicare
beneficiaries.
Since 1990, violent crime decreased by
11 percent from 628 to 559 offenses per
100,000 population.
In the past 20 years, low birthweight
increased by 24 percent from 7.1 percent
to 8.8 percent of live births.
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
Overall
Rank: 33
new m ex i c o
2014
Value
Rank
adult population
affected
295,000
396,000
348,000
169,000
115
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
New York
2014
Value
Rank
NO 1
State
New y o r k
Behaviors
Overall
Rank: 14
Change: 1
Determinants Rank: 9
Outcomes Rank: 28
Policy
Strengths:
High per capita public health funding
Ready availability of primary care
physicians
Ready availability of dentists
Highlights:
116
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
www.health.state.ny.us
OUTCOMES
Ranking:
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
11
34
7
9
29
34
407
3.0
0.02
516.5
16.3
13.1
19.5
8.5
32
4
31
40
34
20
30
18
10.8
$149
72.2
72.7
14
3
18
8
7.9
167.3
79.5
59.2
0.37
21
5
4
29
9
10.6
3.7
3.9
35.3
5.1
260.8
179.7
5,737
0.02
0.39
33
24
25
45
11
35
10
7
28
14
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
16.6
17.4
9.4
25.4
24.2
78.0
ny
us
7.7
13.8
$53,843
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
2,464,000
3,693,000
3,726,000
1,625,000
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
North Carolina
2014
Value
Rank
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
20.3
13.0
12.6
29.4
25.1
79.0
33
8
24
25
34
30
353
4.1
0.30
524.0
6.3
22.8
26.8
9.0
28
20
39
41
14
42
46
24
16.1
$50
72.0
64.9
35
43
19
27
8.8
117.9
46.7
56.7
-0.17
40
26
47
26
36
11.4
3.6
4.0
34.3
7.3
252.2
196.2
7,661
-0.11
-0.29
43
22
30
43
41
31
33
36
40
37
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 37
no rth c ar o li na
U n i t e d H e a lt h F o u n d at i o n
Change: 2
Determinants Rank: 36
Outcomes Rank: 40
Strengths:
Low prevalence of binge drinking
Low incidence of pertussis
High immunization coverage
among children
Challenges:
High percentage of children in poverty
Limited availability of dentists
High prevalence of diabetes
Ranking:
North Carolina is 37th this year; it was 35th in
2013. The ranking for senior health in North
Carolina was 29th in 2014.
Highlights:
In the past 2 years, physical inactivity
decreased by 6 percent from 26.7 percent
to 25.1 percent of adults.
In the past 5 years, high school graduation
increased by 10 percent from 71.8 percent
to 79.0 percent of incoming ninth graders.
In the past 5 years, air pollution decreased
by 29 percent from 12.6 to 9.0 micrograms
of fine particles per cubic meter.
In the past 10 years, preventable
hospitalizations decreased by 27 percent
from 78.1 to 56.7 per 1,000 Medicare
beneficiaries.
Since 1990, children in poverty increased
by 39 percent from 19.3 percent to 26.8
percent of children.
economic environment
nc
us
8.0
14.7
$41,208
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,506,000
2,070,000
1,899,000
860,000
117
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 9
Change: no change
Determinants Rank: 13
Outcomes Rank: 5
Strengths:
Low rate of drug deaths
High immunization coverage among teens
Low prevalence of low birthweight
245
11.8
-0.19
425.2
31.2
9.6
14.1
5.4
Policy
10.2
$109
72.0
76.6
Clinical Care
Ranking:
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
10
9
19
2
6.2
123.6
56.1
56.1
0.33
4
21
26
25
13
8.9
2.7
3.3
19.9
6.3
226.8
173.7
6,878
0.22
0.55
14
2
5
4
25
18
7
23
5
9
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
smoking
PERCENT OF POPULATION
11
49
22
24
40
5
8
3
36
50
1
37
36
4
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
21.2
23.8
3.0
31.0
25.8
91.0
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
no rth d ak o ta
North Dakota
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.ndhealth.gov
economic environment
118
nd
us
2.9
5.6
$52,888
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
116,000
165,000
144,000
50,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Ohio
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
23.4
17.1
17.5
30.4
26.2
84.0
43
29
43
34
37
16
300
3.7
-0.33
460.3
7.7
11.0
16.9
10.9
22
11
13
31
18
11
22
46
11.3
$45
61.7
62.9
16
46
48
34
8.6
125.0
54.0
71.7
-0.25
36
17
30
45
38
5.7
324.6
107.6
28.2
0.71
31
30
30
12
46
40
41
38
39
40
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
10.4
3.8
4.0
25.4
7.7
274.6
207.7
7,928
-0.11
-0.36
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
oh
us
7.4
13.6
$46,398
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,996,000
2,553,000
2,335,000
921,000
Overall
Rank: 40
o hi o
Behaviors
Change: no change
Determinants Rank: 38
Outcomes Rank: 39
Strengths:
High rate of high school graduation
Low incidence of infectious disease
Small disparity in health status by
education level
Challenges:
Low immunization coverage
among children
High rate of preventable hospitalizations
High infant mortality rate
Ranking:
Ohio is 40th this year; it was 40th in 2013.
The ranking for senior health in Ohio was
31st in 2014.
Highlights:
In the past year, drug deaths increased by
25 percent from 14.0 to 17.5 deaths per
100,000 population.
In the past 2 years, immunization coverage
among children decreased by 17 percent
from 74.7 percent to 61.7 percent of
children aged 19 to 35 months.
In the past 5 years, children in poverty
decreased by 20 percent from 21.0 percent
to 16.9 percent of children.
In the past 10 years, preventable
hospitalizations decreased by 21 percent
from 91.3 to 71.7 per 1,000 Medicare
beneficiaries.
Since 1990, infant mortality decreased by
22 percent from 9.9 to 7.7 deaths per 1,000
live births. Ohio now ranks 46th among
the states.
119
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Oklahoma
o k laho m a
2014
Value
Rank
Behaviors
Overall
Rank: 46
Change: 2
Determinants Rank: 45
Outcomes Rank: 47
Policy
Strengths:
Low prevalence of binge drinking
Low incidence of pertussis
Low prevalence of low birthweight
Highlights:
www.ok.gov/health
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
OUTCOMES
Ranking:
23.7
12.7
19.8
32.5
31.1
79.0
45
7
45
44
47
30
469
7.1
-0.07
444.2
4.1
20.1
17.8
9.7
41
44
25
27
6
39
26
33
18.0
$79
62.7
59.9
44
24
47
39
8.0
84.8
50.2
71.4
-0.44
24
48
37
42
45
11.0
4.3
4.4
32.1
7.4
322.0
214.1
9,654
-0.30
-0.74
39
44
42
38
43
48
45
46
47
46
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
120
NO 1
State
ok
us
5.4
10.2
$43,777
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
679,000
900,000
904,000
321,000
U n i t e d H e a lt h F o u n d at i o n
Oregon
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
17.3
16.5
13.1
26.5
16.6
78.0
16
23
28
15
2
34
248
3.0
-0.49
347.5
23.4
10.4
17.0
6.9
12
4
7
9
37
9
24
8
14.8
$58
66.6
63.9
34
36
39
31
6.1
131.5
70.6
37.7
0.38
2
12
10
4
8
9.2
4.3
4.3
28.8
5.0
210.5
192.4
6,371
0.03
0.41
16
44
41
25
9
5
30
18
27
12
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 12
o r ego n
Behaviors
Change: 1
Determinants Rank: 8
Outcomes Rank: 27
Strengths:
Low prevalence of physical inactivity
Low prevalence of low birthweight
Low rate of preventable hospitalizations
Challenges:
High incidence of pertussis
Low immunization coverage
among children
Many poor mental health days
Ranking:
Oregon is 12th this year; it was 13th in 2013.
The ranking for senior health in Oregon was
8th in 2014.
Highlights:
In the past year, preventable
hospitalizations decreased by 11 percent
from 42.2 to 37.7 per 1,000 Medicare
beneficiaries.
In the past 2 years, smoking decreased
by 12 percent from 19.7 percent to 17.3
percent of adults.
In the past 2 years, physical inactivity
decreased by 16 percent from 19.8 percent
to 16.6 percent of adults.
Since 1990, violent crime decreased by
54 percent from 540 to 248 offenses per
100,000 population.
Since 1990, infant mortality decreased by
50 percent from 9.9 to 5.0 deaths per 1,000
live births.
economic environment
or
us
7.7
16.5
$56,307
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
515,000
770,000
511,000
282,000
121
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
pennsy lvani a
Pennsylvania
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 28
Change: 1
Determinants Rank: 26
Outcomes Rank: 35
Policy
Strengths:
High rate of high school graduation
High immunization coverage among teens
High immunization coverage among
children
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
High rate of drug deaths
High levels of air pollution
Low per capita public health funding
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Pennsylvania is 28th this year; it was 29th
in 2013. The ranking for senior health in
Pennsylvania was 22nd in 2014.
Highlights:
35
31
42
31
27
7
349
4.4
-0.23
431.6
15.3
13.3
16.9
11.7
27
25
18
25
30
22
22
48
9.7
$51
75.5
75.4
9
41
8
3
8.1
130.3
63.6
62.6
0.05
27
13
15
35
26
10.1
4.0
4.1
23.8
6.7
259.7
200.3
7,287
-0.05
0.01
29
40
36
8
35
34
36
28
35
28
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
21.0
17.2
17.4
30.0
24.1
88.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
122
pa
us
7.4
13.4
$53,952
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
2,044,000
2,870,000
2,433,000
1,015,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
17.4
17.8
17.3
27.3
24.2
76.0
17
36
41
20
29
42
252
4.0
-0.47
410.3
10.8
10.3
23.2
8.4
13
19
9
21
25
8
37
17
11.3
$112
82.1
81.3
16
8
1
1
8.0
177.0
59.1
60.4
0.31
24
3
23
32
15
9.3
3.8
3.8
27.2
6.4
229.1
189.9
6,049
0.06
0.37
20
30
23
19
28
19
24
12
22
15
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 15
r ho d e i s land
Rhode Island
Change: 4
Determinants Rank: 15
Outcomes Rank: 22
Strengths:
High immunization coverage
among children
High immunization coverage among teens
Ready availability of primary care
physicians
Challenges:
High rate of drug deaths
Low rate of high school graduation
High percentage of children in poverty
Ranking:
Rhode Island is 15th this year; it was 19th in
2013. The ranking for senior health in Rhode
Island was 26th in 2014.
Highlights:
In the past year, low birthweight increased
by 8 percent from 7.4 percent to 8.0
percent of births.
In the past year, preventable
hospitalizations decreased by 14 percent
from 70.3 to 60.4 per 1,000 Medicare
beneficiaries.
In the past 2 years, immunization coverage
among children increased by 22 percent
from 67.3 percent to 82.1 percent of
children aged 19 to 35 months. Rhode
Island has the highest child immunization
coverage among the states.
Since 1990, children in poverty increased
by 98 percent from 11.7 percent to 23.2
percent of children.
ri
us
9.5
15.5
$57,812
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
140,000
216,000
202,000
77,000
www.health.state.ri.us
123
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
South Carolina
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 42
Change: 1
Determinants Rank: 46
Outcomes Rank: 42
Strengths:
Low prevalence of binge drinking
Low incidence of pertussis
Low rate of preventable hospitalizations
559
5.5
0.77
580.2
4.8
31.1
18.5
9.5
Policy
16.3
$68
66.5
60.4
38
29
40
38
9.6
107.9
47.6
54.1
-0.45
47
33
44
20
46
12.5
3.8
4.2
30.4
7.5
272.2
203.5
8,645
-0.19
-0.64
47
30
38
32
44
37
38
42
42
42
Clinical Care
Ranking:
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
smoking
PERCENT OF POPULATION
46
38
47
46
10
46
28
30
40
14
30
41
32
46
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
22.0
14.9
13.5
31.7
24.8
72.0
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
so uth c ar o li na
U n i t e d H e a lt h F o u n d at i o n
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.scdhec.gov
economic environment
124
sc
us
7.6
14.0
$43,749
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
792,000
1,121,000
918,000
461,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
19.6
19.2
6.1
29.9
22.3
83.0
29
41
2
30
18
20
322
6.0
0.10
476.2
8.5
20.6
13.0
6.3
25
40
33
35
21
41
4
4
11.4
$87
73.8
54.7
19
17
13
46
6.2
113.5
53.6
57.5
0.18
4
28
31
28
21
9.1
2.5
2.8
23.4
7.5
233.1
187.9
7,330
0.16
0.34
15
1
1
6
44
21
21
30
9
18
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 18
so uth d ak o ta
South Dakota
Change: 4
Determinants Rank: 21
Outcomes Rank: 9
Strengths:
Low rate of drug deaths
Low percentage of children in poverty
Low prevalence of low birthweight
Challenges:
High prevalence of binge drinking
High occupational fatalities rate
Low immunization coverage among teens
Ranking:
South Dakota is 18th this year; it was 22nd in
2013. The ranking for senior health in South
Dakota was 27th in 2014.
Highlights:
In the past year, smoking decreased by 11
percent from 22.0 percent to 19.6 percent
of adults.
In the past year, immunization among
children increased by 16 percent from 63.6
percent to 73.8 percent of children aged
19 to 35 months.
In the last 2 years, children in poverty
decreased by 42 percent from 22.6 percent
to 13.0 percent of children.
In the last 5 years, preventable
hospitalizations decreased by 19 percent
from 71.1 to 57.5 per 1,000 Medicare
beneficiaries.
Since 1990, violent crime increased by
168 percent from 120 to 322 offenses per
100,000 population.
economic environment
sd
us
3.8
7.1
$54,453
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
122,000
180,000
143,000
58,000
125
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Tennessee
tennes s ee
2014
Value
Rank
Behaviors
Overall Rank: 45
Change: 3
Determinants Rank: 44
Outcomes Rank: 46
Policy
Strengths:
Low prevalence of binge drinking
Low incidence of pertussis
Ready availability of primary care
physicians
Highlights:
http://health.state.tn.us
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
OUTCOMES
Ranking:
24.3
9.6
17.2
33.7
33.6
83.0
46
1
40
47
49
20
644
5.0
0.01
507.9
4.8
17.2
26.7
9.5
50
32
29
39
10
35
45
30
13.9
$83
68.5
61.2
26
20
33
36
9.2
124.4
50.9
73.1
-0.43
44
19
36
46
44
12.2
3.7
5.0
32.1
7.3
300.6
213.5
9,168
-0.29
-0.71
46
24
49
38
41
44
44
43
46
45
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
126
NO 1
State
tn
us
8.2
14.7
$42,499
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,163,000
1,595,000
1,691,000
615,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Texas
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
15.9
16.7
9.9
30.9
27.3
82.0
6
25
8
36
41
22
409
5.2
0.11
494.8
8.7
19.5
24.2
10.2
33
33
34
38
23
38
41
40
22.3
$55
72.5
70.9
50
39
17
13
8.3
98.8
48.9
62.9
-0.17
32
42
40
37
35
10.9
3.2
3.5
28.3
5.8
255.3
182.5
7,050
0.06
-0.11
38
9
13
23
19
33
14
24
21
31
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 31
tex as
Behaviors
Change: 5
Determinants Rank: 35
Outcomes Rank: 21
Strengths:
Low prevalence of smoking
Low rate of drug deaths
High immunization coverage among teens
Challenges:
High prevalence of physical inactivity
High percentage of children in poverty
Limited availability of primary care
physicians
Ranking:
Texas is 31st this year; it was 36th in 2013.
The ranking for senior health in Texas was
41st in 2014.
Highlights:
In the past year, smoking decreased by 13
percent from 18.2 percent to 15.9 percent
of adults.
In the past year, immunization coverage
among children increased by 12 percent
from 64.8 percent to 72.5 percent of
children aged 19 to 35 months.
In the past year, poor mental health days
decreased by 11 percent from 3.6 to 3.2
days in the previous 30 days.
In the last year, obesity increased by 6
percent from 29.2 percent to 30.9 percent
of adults.
Since 1990, infant mortality decreased by
38 percent from 9.3 to 5.8 deaths per 1,000
live births.
economic environment
tx
us
6.3
11.3
$53,027
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
2,993,000
5,545,000
5,337,000
2,133,000
127
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Utah
2014
Value
Rank
NO 1
State
Behaviors
utah
Overall
Rank: 5
Change: 1
Determinants Rank: 6
Outcomes Rank: 3
Policy
Strengths:
Low prevalence of smoking
Low percentage of children in poverty
Low rate of preventable hospitalizations
Highlights:
128
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
www.health.utah.gov
OUTCOMES
Ranking:
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
1
4
46
4
6
34
206
3.5
-0.35
270.3
56.5
9.2
9.2
10.1
6
10
12
4
45
4
1
39
14.2
$67
75.2
55.9
30
30
9
44
6.8
90.8
67.3
34.0
0.47
13
44
13
2
6
7.1
3.5
3.3
26.5
5.2
212.2
145.7
6,143
0.26
0.73
2
18
5
16
16
6
1
13
3
5
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
10.3
12.3
20.1
24.1
19.1
78.0
ut
us
4.4
9.7
$62,967
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
204,000
460,000
387,000
144,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Vermont
2014
Value
Rank
NO 1
State
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
16.6
17.1
11.3
24.7
18.8
93.0
11
29
16
7
4
1
143
4.3
0.01
275.2
102.9
14.0
12.1
6.4
2
24
28
5
49
24
2
6
6.8
$104
66.9
71.2
2
13
37
12
6.2
170.9
60.0
48.3
0.71
4
4
21
12
1
7.8
3.3
3.5
35.0
4.6
218.4
195.6
5,679
0.15
0.85
6
11
13
44
4
13
32
6
10
2
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 2
ver m o nt
Behaviors
Change: no change
Determinants Rank: 1
Outcomes Rank: 10
Strengths:
High rate of high school graduation
Low percentage of children in poverty
Low violent crime rate
Challenges:
High prevalence of binge drinking
Low immunization coverage among
children
Large disparity in health status by
education level
Ranking:
Vermont is 2nd this year; it was 2nd in 2013.
The ranking for senior health in Vermont was
4th in 2014.
Highlights:
In the past year, binge drinking decreased
by 11 percent from 19.3 percent to 17.1
percent of adults.
In the past year, pertussis increased by
over 500 percent from 15.1 to 102.9 cases
per 100,000 population, the second
highest incidence in the nation.
In the last 2 years, smoking decreased
by 13 percent from 19.1 percent to 16.6
percent of adults.
In the last 2 years, public health funding
decreased by 30 percent from $149 to
$104 per person.
Since 1990, infant mortality decreased by
50 percent from 9.2 to 4.6 deaths per 1,000
live births.
vt
us
4.4
9.3
$54,842
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
81,000
119,000
95,000
39,000
www.healthvermont.gov
129
U n i t e d H e a lt h F o u n d at i o n
Virginia
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
vi r gi ni a
Overall Rank: 21
Change: 5
Determinants Rank: 19
Outcomes Rank: 23
Policy
Strengths:
Low rate of drug deaths
Low violent crime rate
Low percentage of children in poverty
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Challenges:
Low immunization coverage
among children
Low immunization coverage among teens
High infant mortality rate
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Virginia is 21st this year; it was 26th in 2013.
The ranking for senior health in Virginia was
21st in 2014.
Highlights:
10.3
9.6
3.0
21.3
16.2
93.0
190
4.4
-0.29
431.8
7.7
14.1
14.5
8.7
4
25
16
26
18
25
12
19
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
12.4
$68
69.2
58.5
20
28
29
42
8.1
125.8
61.6
55.2
0.24
27
16
19
22
19
9.8
3.3
3.6
29.1
6.6
241.1
189.5
6,502
0.06
0.30
26
11
15
27
31
25
23
19
23
21
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
24
20
4
18
20
16
19.0
15.9
8.4
27.2
23.0
84.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.vdh.state.va.us
economic environment
130
va
us
5.5
11.5
$67,620
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
1,159,000
1,632,000
1,481,000
631,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
2014
Value
Rank
NO 1
State
Behaviors
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
16.1
16.8
14.0
27.2
19.0
79.0
7
26
32
18
5
30
296
2.5
0.19
360.1
72.1
12.3
15.9
8.1
21
2
37
11
47
17
17
16
13.9
$86
70.8
70.2
26
18
22
14
6.1
126.7
72.3
39.3
0.33
2
15
9
6
14
8.6
3.8
3.9
37.5
4.9
214.8
184.7
5,912
0.07
0.40
12
30
25
49
7
8
16
10
19
13
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 13
washi ngt o n
Washington
Change: 1
Determinants Rank: 14
Outcomes Rank: 19
Strengths:
Low prevalence of physical inactivity
Low prevalence of low birthweight
Low rate of preventable hospitalizations
Challenges:
High rate of drug deaths
High incidence of pertussis
Large disparity in health status by
education level
Ranking:
Washington is 13th this year; it was 14th
in 2013. The ranking for senior health in
Washington was 15th in 2014.
Highlights:
In the past 2 years, smoking decreased
by 8 percent from 17.5 percent to 16.1
percent of adults.
In the last 2 years, high school graduation
increased by 7 percent from 73.7 percent
to 79.0 percent of incoming ninth graders.
In the past year, pertussis increased by
over 400 percent from 14.3 to 72.1 cases
per 100,000 population.
In the last 10 years, preventable
hospitalizations decreased by 26 percent
from 53.3 to 39.3 per 1,000 Medicare
beneficiaries.
Since 1990, infant mortality decreased by
50 percent from 9.7 to 4.9 deaths per 1,000
live births.
economic environment
wa
us
7.0
14.0
$60,106
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
854,000
1,384,000
1,029,000
463,000
131
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
West vi r gi ni a
West Virginia
2014
Value
Rank
NO 1
State
Behaviors
Overall
Rank: 44
Change: 2
Determinants Rank: 43
Outcomes Rank: 48
Policy
Strengths:
Low prevalence of binge drinking
Low incidence of infectious disease
High per capita public health funding
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
Ranking:
OUTCOMES
Challenges:
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Highlights:
50
2
50
49
46
27
316
6.8
-0.93
258.2
4.6
11.8
23.3
9.8
24
43
1
3
9
12
39
34
14.2
$135
65.5
64.1
30
5
43
29
9.2
107.8
47.3
93.3
-0.40
44
34
46
49
43
13.0
4.4
5.3
23.4
7.0
303.7
220.5
10,159
-0.31
-0.71
49
47
50
6
38
45
48
49
48
44
10.3
9.6
3.0
21.3
16.2
93.0
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
27.3
11.2
31.3
35.1
30.7
80.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
www.dhhr.wv.gov
economic environment
132
wv
us
6.5
12.0
$40,241
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
399,000
496,000
453,000
192,000
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Wisconsin
NO 1
State
Behaviors
18.7
22.5
11.8
29.8
20.8
92.0
281
3.8
0.48
415.4
120.5
15.4
15.9
9.3
Policy
9.0
$43
72.8
69.3
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
OUTCOMES
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
22
49
20
29
10
3
10.3
9.6
3.0
21.3
16.2
93.0
18
16
43
22
50
28
17
27
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
6
49
15
17
7.1
125.0
58.3
50.6
0.17
15
17
24
14
22
8.2
3.5
3.9
30.9
6.0
236.8
193.2
6,207
0.07
0.23
7
18
25
37
23
24
31
14
20
23
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
Overall
Rank: 23
wi sc o ns i n
2014
Value
Rank
Change: 3
Determinants Rank: 22
Outcomes Rank: 20
Strengths:
High rate of high school graduation
Low prevalence of diabetes
Low prevalence of physical inactivity
Challenges:
High prevalence of binge drinking
High incidence of infectious disease
Low per capita public health funding
Ranking:
Wisconsin is 23rd this year; it was 20th
in 2013. The ranking for senior health in
Wisconsin was 10th in 2014.
Highlights:
In the past year, binge drinking decreased
by 11 percent from 25.2 percent to 22.5
percent of adults, improving Wisconsins
rank from 50th to 49th.
In the last 2 years, pertussis increased by
over 10 times from 10.3 to 120.5 cases per
100,000 population, the highest incidence
in the nation.
Since 1990, children in poverty increased
by 26 percent from 12.6 percent to 15.9
percent of children.
In the past year, preventable
hospitalizations decreased by 8 percent
from 55.0 to 50.6 per 1,000 Medicare
beneficiaries.
Since 1990, infant mortality decreased by
33 percent from 8.9 to 6.0 deaths per 1,000
live births.
wi
us
6.7
12.1
$55,258
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
782,000
1,239,000
921,000
365,000
www.dhs.wisconsin.gov
133
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Wyoming
2014
Value
Rank
NO 1
State
Wy o m i ng
Behaviors
20.6
16.6
15.7
27.8
23.2
80.0
34
24
37
21
23
27
201
12.5
-0.47
370.0
10.9
13.2
14.1
5.0
5
50
8
14
26
21
8
2
14.4
$102
70.0
65.8
32
14
24
24
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
ALL DETERMINANTS
8.5
90.0
51.7
52.7
0.12
OUTCOMES
35
45
34
17
24
8.6
3.2
3.7
30.3
5.9
233.6
180.2
7,593
0.09
0.21
Overall
Rank: 25
Change: 8
Determinants Rank: 24
Outcomes Rank: 17
Policy
Strengths:
Low violent crime rate
Low percentage of children in poverty
Low levels of air pollution
Challenges:
High occupational fatalities rate
High prevalence of low birthweight
Limited availability of primary care
physicians
Clinical Care
Diabetes (Percent of adult population)
Poor Mental Health Days (Days in previous 30 days)
Poor Physical Health Days (Days in previous 30 days)
Disparity in Health Status (Percent difference by education level**)
Infant Mortality (Deaths per 1,000 live births)
Cardiovascular Deaths (Deaths per 100,000 population)
Cancer Deaths (Deaths per 100,000 population)
Premature Deaths (Years lost per 100,000 population)
ALL OUTCOMES
OVERALL
Ranking:
Wyoming is 25th this year; it was 17th
in 2013. The ranking for senior health in
Wyoming was 33rd in 2014.
Highlights:
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
3.8
$219
82.1
81.3
5.7
324.6
107.6
28.2
0.71
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
0.34
0.91
12
9
19
30
20
22
12
33
17
25
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
PERCENT OF POPULATION
smoking
PERCENT OF POPULATION
10.3
9.6
3.0
21.3
16.2
93.0
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
http://www.health.wyo.gov
economic environment
134
wy
us
4.6
8.4
$55,700
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
91,000
119,000
104,000
39,000
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
District of Columbia
2014
Value
NO 1
State
Behaviors
18.8
22.4
13.9
22.8
17.0
71.0
10.3
9.6
3.0
21.3
16.2
93.0
1,244
NA
1,101.6
4.2
11.3
37.2
11.3
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
6.3
$436
76.9
68.2
3.8
$219
82.1
81.3
9.6
324.6
107.6
47.2
5.7
324.6
107.6
28.2
7.8
3.6
3.3
28.4
7.8
288.2
201.4
8,531
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
OUTCOMES
d i str i c t o f c o lum b i a
U n i t e d H e a lt h F o u n d at i o n
Strengths:
Low prevalence of obesity
Low prevalence of physical inactivity
Ready availability of dentists
Challenges:
High prevalence of binge drinking
Low rate of high school graduation
High prevalence of low birthweight
Ranking:
District of Columbia is not ranked.
Highlights:
In the past year, drug deaths increased
by 46 percent from 9.5 to 13.9 deaths per
100,000 population.
In the last 2 years, smoking decreased
by 10 percent from 20.8 percent to 18.8
percent of adults.
In the last 2 years, diabetes decreased by
14 percent from 9.1 percent to 7.8 percent
of adults.
In the last 5 years, low birthweight
decreased by 17 percent from 11.5 percent
to 9.6 percent of births.
In the last 5 years, infant mortality
decreased by 38 percent from 12.6 to 7.8
deaths per 1,000 live births.
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education who report
their health is very good or excellent
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
2015
PERCENT OF POPULATION
PERCENT OF POPULATION
smoking
dc
us
8.3
14.1
$60,675
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
96,000
116,000
91,000
42,000
135
U n i t e d H e a lt h F o u n d at i o n
a m e r i c a s h e a lt h r a n k i n g s 2 0 14
Strengths:
In the past year, smoking decreased by 3
percent from 19.6 percent to 19.0 percent
of adults.
In the past year, immunization coverage
among adolescents increased by 5 percent
from 64.0 percent to 67.1 percent of
adolescents aged 13 to 17 years.
In the past 5 years, high school graduation
increased by 10 percent from 73.4 percent
to 81.0 percent of incoming ninth graders.
In the past 10 years, preventable
hospitalizations decreased by 22 percent
from 80.6 to 62.9 per 1,000 Medicare
beneficiaries.
In the past 10 years, air pollution
decreased by 23 percent from 12.8 to 9.9
micrograms of fine particles per cubic
meter.
Since 1990, infant mortality decreased by
41 percent from 10.2 to 6.0 deaths per
1,000 live births.
no 1
state
19.0
16.8
13.0
29.4
23.5
81.0
10.3
9.6
3.0
21.3
16.2
93.0
Websites:
Centers for Disease Control and Prevention
(CDC): www.cdc.gov
Healthy People: www.healthypeople.gov
Office of Disease Prevention and Health
Promotion: www.health.gov
US Department of Health & Human Services:
www.hhs.gov
387
3.8
0.00
456.7
15.5
17.3
19.9
9.9
123
2.2
-0.9
233.0
1.6
6.8
9.2
4.9
14.6
$90
70.4
67.1
3.8
$219
82.1
81.3
8.0
123.5
62.0
62.9
5.7
324.6
107.6
28.2
9.6
3.7
3.9
31.4
6.0
251.4
189.9
6,976
6.5
2.5
2.8
15.5
4.2
184.7
145.7
5,345
Policy
Clinical Care
Low Birthweight (Percent of live births)
Primary Care Physicians (Number per 100,000 population)
Dentists (Number per 100,000 poplulation)
Preventable Hospitalizations (Number per 1,000 Medicare beneficiaries)
OUTCOMES
*Negative score denotes less disease than US average, positive score indicates more than US average
**Difference in the percentage of adults aged 25 and older with vs without a high school education
who report their health is very good or excellent
smoking
PERCENT OF POPULATION
Challenges:
obesity
35
30
25
20
15
10
5
0
1990
STATE
1995
2000
2005
NATION
2010
2015
40
35
30
25
20
15
10
5
0
1990
1995
2000
2005
2010
2015
The 20122014 data in the above graphs are not directly comparable
to prior years. See Methodology for additional information.
economic environment
136
2014
Value
Behaviors
PERCENT OF POPULATION
United States
us
7.4
13.8
$51,939
measure
Smoking
Obesity
Physical Inactivity
Diabetes
adult population
affected
42,498,000
64,597,000
58,303,000
24,801,000
Appendix
Appendix
Table 9
Behaviors
Community &
Environment
Measure
Description
Smoking
Binge Drinking
Drug Deaths*
Obesity
Physical Inactivity
High School
Graduation*
Measure
Description
Violent Crime**
Occupational
Fatalities
Children in Poverty
Infectious Disease
Chlamydia
Pertussis
Environmental Protection
Agency, 2011-2013
Salmonella
Air pollution
*Since the release of the 2013 Edition, the data source has released 2 data updates. This report contains the most recent data, which might cause a
jump between 2013 and 2014 values.
**The data appearing in this edition are the same data that appeared in the 2013 Edition. An update was not available at time of publication.
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Policy
Clinical
Care
OUTCOMES
Measure
Description
Lack of Health
Insurance
Public Health
Funding
immunization
children
immunization
Adolesents
Measure
Description
Low Birthweight
Primary Care
Physicians
Dentists**
Preventable
Hospitalizations
Measure
Description
Diabetes
Poor Mental
Health Days
Poor Physical
Health Days
Disparity in
Health Status
Infant Mortality*
Cardiovascular
Deaths*
Cancer Deaths*
Premature Death*
139
Appendix
Table 10
Behaviors
Chronic
Disease
140
Measure
Description
Excessive Drinking
Cholesterol Check
Fruits
Vegetables
Insufficient sleep
Youth Smoking
Youth Obesity
Measure
Description
Heart Disease
High Cholesterol
Heart Attack
Stroke
High Blood
Pressure
w w w. a m e r i c a s h e a l t h r a n k i n g s . o rg
Clinical
Care
Community &
Environment
OUTCOMES
Measure
Description
Preterm Birth
Measure
Description
Personal Income
Median HH Income
Unemployment Rate
Undermployment
Rate
Income Disparity
Measure
Description
suicide*
*Since the release of the 2013 Edition, the data source has released 2 data updates. This report contains the most recent data, which might cause a
jump between 2013 and 2014 values.
**The data appearing in this edition are the same data that appeared in the 2013 Edition. An update was not available at time of publication.
a m e r i c a s h e a lt h r a n k i n g s
141
Appendix
Proposed Model Revisions,
2015 Edition
The model for this edition is identical to the
model for the 2013 Edition of Americas Health
Rankings.
For the 2015 Edition, we propose the following
modifications to the models Behaviors portion:
Replace binge drinking with excessive drinking (page 72). Excessive drinking is defined as
adults who had 4 or more (women) or 5 or more
(men) alcoholic beverages on a single occasion in the past 30 days, or adults who consume
more than 1 (women) or 2 (men) drinks per day
on average. Excessive drinking and binge drinking are highly correlated (r= 0.95). Substituting
excessive drinking for binge drinking allows for
discussion of both the frequency of drinking and
the amount of alcohol consumed as health risks.
The measure excessive drinking aligns Americas
Health Rankings with County Health Rankings
and Roadmaps, allowing for easier comparisons
between the publications. See www.americashealthrankings.org/all/excessdrink.
Add insufficient sleep (page 74). Insufficient
sleep is the percentage of adults who sleep fewer
than 7 hours per night on average. The importance of sleep as a public health issue is growing.
Adding insufficient sleep expands the Behaviors
section to include a vital aspect of health and
chronic disease prevention. See www.americashealthrankings.org/all/sleep.
In early 2015, preliminary modeling will be
completed, and well be able to understand the
impact of these modifications. We will share the
final recommendations with the Scientific Advisory
Committee in early spring; we will also post final
recommendations on americashealthrankings.org
and announce them via our newsletter and social
channels. If you wish to receive this information
or if you have metric suggestions to suggest for
inclusion in Americas Health Rankings, contact
us at www.americashealthrankings.org/home/
contactus.
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Scientific Advisory
Committee
The Scientific Advisory Committee, led by
Anna Schenck, PhD, MSPH at UNC Gillings
School of Global Public Health, meets annually
to review Americas Health Rankings. The
committee assesses the Rankings for potential
improvements that maintain the value of the
comparative, longitudinal information; reflect
the evolving role and science of public health;
utilize new or improved measures of health as
they become available; and incorporate new
methods as feasible. The Committee emphasizes
the importance of this tool as a vehicle to
promote and improve the general discussion of
public health and, also, to encourage balance
among public health efforts to benefit the entire
community.
The Scientific Advisory Committee represents a
variety of stakeholders, including representatives
from local health departments and the Association
of State & Territorial Health Officials, members of
the American Public Health Association, as well as
experts from many academic disciplines. Scientific
Advisory Committee members include:
a m e r i c a s h e a lt h r a n k i n g s
143
Appendix
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The Team
Americas Health Rankings is a team effort in
which all contribute a vital part to the creation and
dissemination of this report. Members of this team,
listed alphabetically by organization, follow:
Aldrich Design
Emily Aldrich
Jenna Brouse
Ian Kolstad
Arundel Street Consulting, Inc
Tom Eckstein
Kate Jensen
Ben Kofoed
Gary Legwold
Sarah Milder
Mariah Quick
Bahr Digital
Elen Bahr
Calline Cronin
Balsera Communications
Sonia Diaz
The Glover Park Group
Carol Andes
Cara Paley
Morgan Warners
Scott Weier
Lisa Wolford
Rockfish Interactive
Tom Black
Pam Bottles
Jeremy Daley
Mike Green
Jason Ferrara
Teni Hallums
Scott Hamm
Tyler Hartsook
Evan Heiter
Kelsey Jackson
Caleb Khazoyan
Craig McCoy
Bill Mason
Megan Mikles
Casey Miller
Jake Mitchell
Mike Moffitt
Molly Petre
Steve Plunkett
David Routon
Jennifer Wiens
RoninWare Inc
TJ Kellie
Tuckson Health Connections
Reed Tuckson
United Health Foundation
Russell Bennett
Shelly Espinosa
Catherine Kelley
Lauren Mihajlov
Jane Pennington
Rhonda Randall
Kate Rubin
Ipyana Spencer
a m e r i c a s h e a lt h r a n k i n g s
145
Appendix
Americas Health Rankings2014 Edition is available in its entirety at www.americashealthrankings.org. Visit the site to request or download additional copies.
United Health Foundation, the American Public Health Association and Partnership
for Prevention encourage the distribution of information contained in this publication for non-commercial and charitable, educational or scientific purposes. Please
acknowledge Americas Health Rankings2014 Edition as the source and provide
the following notice: 2014 United Health Foundation. All Rights Reserved. Please
acknowledge the original source of specific data as cited.
This project was conducted for and in cooperation with United Health Foundation, the
American Public Health Association and Partnership for Prevention by Arundel Street
Consulting, Inc., Saint Paul, Minnesota.
Design by Aldrich Design, Saint Paul, Minnesota.
Questions and comments on the report should be directed to United Health
Foundation at unitedhealthfoundationinfo@uhc.org.
Copyright 2014 United Health Foundation
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25 years
d e c e m b e r 2014
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