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Washington Value:
Average of the percentage of U.S. citizens age 18 and older who voted in the last presidential and the last midterm national elections
Washington Rank:
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Percentage of U.S. citizens age 18 and older who voted in the last presidential election
No Data
US Value: 59.5%
Top State(s): Oregon: 72.1%
Bottom State(s): West Virginia: 47.3%
Definition: Average of the percentage of U.S. citizens age 18 and older who voted in the last presidential and the last midterm national elections
Data Source and Years(s): U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, 2020/2022
Suggested Citation: America's Health Rankings analysis of U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Voting is a form of active civic engagement, which is associated with better health, reduced violence and lower unemployment rates. Civic participation during adolescence and early adulthood is associated with higher educational attainment and income later in life. Voting, in particular, was found to be associated with fewer depressive symptoms and fewer risky health behaviors. While the exact mechanisms behind these relationships are unclear, research suggests that active civic participation improves mental health by providing a greater sense of belonging and decreased social isolation.
The relationship between voting and the social determinants of health is complex. When more groups vote, communities gain more influence over who holds political power. Elected officials can shape policies of the needs and demands of their community, subsequently impacting the social determinants of their health. This relationship works both ways: The social determinants of health can also influence voting patterns as people seek candidates who address their needs. Voting not only decides who governs but also plays a pivotal role in shaping the social factors that impact our well-being.
Although voter participation has steadily increased over the last several decades, disparities remain. Voter participation in 2020 was higher among:
Interventions are needed at multiple levels to increase voter participation in the United States, including:
Many national- and state-level organizations are committed to improving voter access and turnout. One such organization, Vot-ER, promotes civic engagement by empowering health care institutions and providers to register patients and others in their institutions to vote.
Ballard, Parissa J., Lindsay T. Hoyt, and Mark C. Pachucki. “Impacts of Adolescent and Young Adult Civic Engagement on Health and Socioeconomic Status in Adulthood.” Child Development 90, no. 4 (2019): 1138–54. https://doi.org/10.1111/cdev.12998.
Brennan, Jan. “Increasing Voter Turnout in Local Elections.” National Civic Review 109, no. 1 (Spring 2020): 16–23. https://www.jstor.org/stable/10.32543/naticivirevi.109.1.0016.
Brown, Chloe L., Danyaal Raza, and Andrew D. Pinto. “Voting, Health and Interventions in Healthcare Settings: A Scoping Review.” Public Health Reviews 41, no. 1 (December 2020): 16. https://doi.org/10.1186/s40985-020-00133-6.
Citrin, Jack, Donald P. Green, and Morris Levy. “The Effects of Voter ID Notification on Voter Turnout: Results from a Large-Scale Field Experiment.” Election Law Journal: Rules, Politics, and Policy 13, no. 2 (June 2014): 228–42. https://doi.org/10.1089/elj.2013.0209.
Hajnal, Zoltan, Nazita Lajevardi, and Lindsay Nielson. “Voter Identification Laws and the Suppression of Minority Votes.” The Journal of Politics 79, no. 2 (2017): 363–79. https://doi.org/10.1086/688343.
Rome, Sunny Harris. “Why Voting Matters.” In Promote the Vote, by Sunny Harris Rome, 31–49. Cham, Switzerland: Springer International Publishing, 2022. https://doi.org/10.1007/978-3-030-84482-0_2.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.