2023 Annual Report | 2023 Annual Report

Executive BriefIntroductionNational HighlightsFindingsHealth OutcomesSocial and Economic FactorsPhysical EnvironmentClinical CareState RankingsInternational ComparisonAppendixMeasures TableData Source DescriptionsMethodologyState Summaries

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2023 Annual Report – Executive Brief 2023 Annual Report 2023 Annual Report – State Summaries 2023 Annual Report – Economic Hardship Index County-Level Maps 2023 Annual Report – Measures Table 2023 Annual Report – Infographics 2023 Annual Report – Report Data (All States)

The United Health Foundation, in partnership with the American Public Health Association, presents the 2023 Annual Report. Building on the America’s Health Rankings® platform’s longstanding commitment to better understand the comprehensive health and well-being of the nation, the report analyzes the latest data encompassing 87 measures from 28 distinct data sources.

This year’s Annual Report finds several concerning trends in chronic conditions and premature death across the nation.

Eight chronic conditions — arthritis, depression, diabetes, asthma, cancer, cardiovascular diseases (CVDs), chronic obstructive pulmonary disease (COPD) and chronic kidney disease (CKD) — reached their highest level since America’s Health Rankings began tracking them.
For all eight chronic conditions, there were striking disparities by nearly every measured demographic group.
In 2022, 29.3 million adults, representing 11.2% of the population, reported having three or more chronic conditions.
The number of primary care providers decreased 13% between 2022 and 2023 — a nationwide decline of over 107,000 providers.
Newly available data on chronic condition care from America’s Health Rankings highlight broad racial/ethnic disparities in the management of certain chronic conditions.
Hispanic adults were 2.1 times and Black adults were 1.8 times more likely, respectively, to have uncontrolled A1c compared to multiracial adults.
In 2013-2016, asthma-related emergency room visits were 2.5 times higher among Black compared with white adults with asthma.
White adults with hypertension were 1.5 times more likely to have their blood pressure “controlled” compared to Black adults with hypertension.
The premature death rate increased 9% between 2020 and 2021, marking the highest value recorded by America’s Health Rankings.
Drug deaths increased 15%, while firearm death and homicide increased 7% and 33% respectively.
Mental health providers continued to increase 7% between 2022 and 2023.
The healthiest states were New Hampshire, Massachusetts, Vermont, Connecticut and Minnesota. Louisiana had the most opportunity to improve, followed by Mississippi, Arkansas, Oklahoma and Alabama.

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