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Executive SummaryIntroductionFindingsSmoking and Obesity- A Public Health Success and ChallengeExplore How the Prevalence of Obesity and Smoking Has ChangedComparison with Other NationsCore MeasuresBehaviorsCommunity & EnvironmentPolicyClinical CareOutcomesSupplemental MeasuresState Summaries
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
US SummaryAppendixData Sources and MeasuresMethodology2016 Model DevelopmentScientific Advisory CommitteeThe TeamConclusion
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUS SummaryAppendixData Sources and MeasuresMethodology2016 Model DevelopmentScientific Advisory CommitteeThe TeamConclusionBehaviors
Drug Deaths
Number of deaths due to drug injury of any intent (unintentional, suicide, homicide, or undetermined) per 100,000 population.
Centers for Disease Control and Prevention (CDC), National Vital Statistics System, 2012-2014
Excessive Drinking
Percentage of adults who reported either binge drinking (having four or more [women] or five or more [men] drinks on one occasion in the past month) or chronic drinking (having eight or more [women] or 15 or more [men] drinks per week)
CDC, Behavioral Risk Factor Surveillance System, 2015
High School Graduation**
Percentage of high school students who graduate with a regular high school diploma within four years of starting ninth grade (ACGR)
US Department of Education, National Center for Education Statistics, 2014-2015
Obesity
Percentage of adults with a body mass index of 30.0 or higher based on reported height and weight
CDC, Behavioral Risk Factor Surveillance System, 2015
Physical Inactivity
Percentage of adults who reported doing no physical activity or exercise other than their regular job in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2015
Smoking
Percentage of adults who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke every or some days)
CDC, Behavioral Risk Factor Surveillance System, 2015
Community & Environment
Air Pollution
Average exposure of the general public to particulate matter of 2.5 microns or less in size (PM2.5)
US Environmental Protection Agency, 2013-2015
Children in Poverty
Percentage of children younger than 18 years who live in households at or below the poverty threshold
US Census Bureau, Current Population Survey, 2016 Annual Social and Economic Supplement, 2015
Infectious Disease
Mean z score of the incidence of chlamydia, pertussis, and Salmonella per 100,000 population
CDC, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) Atlas, 2014 and Morbidity and Mortality Weekly Report (MMWR), Summary of Notifiable Infectious Diseases and Conditions, 2014
Chlamydia:
Number of new cases of chlamydia per 100,000 population
CDC, NCHHSTP Atlas, 2014
Pertussis:
Number of new cases of pertussis per 100,000 population
CDC, MMWR, Summary of Notifiable Infectious Diseases and Conditions, 2014
Salmonella:
Number of new cases of Salmonella per 100,000 population
CDC, MMWR, Summary of Notifiable Infectious Diseases and Conditions, 2014
Occupational Fatalities*
Number of fatal occupational injuries in construction, manufacturing, trade, transportation, utilities, and professional and business services per 100,000 workers
US Bureau of Labor Statistics, Census of Fatal Occupational Injuries & US Bureau of Economic Analysis, 2012-2014
Violent Crime**
Number of murders, rapes, robberies, and aggravated assaults per 100,000 population
Federal Bureau of Investigation, 2015
Policy
Immunizations-Adolescents
Mean z score of the percentage of children aged 13 to 17 years who received ≥1 dose of Tdap since age 10 years, ≥1 dose of meningococcal conjugate vaccine, and ≥3 doses of human papillomavirus (HPV) vaccine (females and males)
Centers for Disease Control and Prevention (CDC), National Immunization Survey, 2015
HPV Females:
Percentage of females aged 13 to 17 years who received ≥3 doses of human papillomavirus (HPV) vaccine, either quadrivalent or bivalent
CDC, National Immunization Survey, 2015
HPV Males:
Percentage of males aged 13 to 17 years who received ≥3 doses of human papillomavirus (HPV) vaccine, either quadrivalent or bivalent
CDC, National Immunization Survey, 2015
Meningococcal:
Percentage of adolescents aged 13 to 17 years who received ≥1 dose of meningococcal conjugate vaccine (MenACWY)
CDC, National Immunization Survey, 2015
Tdap:
Percentage of adolescents aged 13 to 17 years who received ≥1 dose of tetanus-diphtheria-acellular pertussis (Tdap) vaccine, since age 10 years
CDC, National Immunization Survey, 2015
Immunizations-Children
Percentage of children aged 19 to 35 months who received recommended doses of diphtheria, tetanus, and acellular pertussis (DTaP), measles, mumps, and rubella (MMR), polio, Haemophilus influenzae (Hib), hepatitis B, varicella, and pneumococcal conjugate vaccines
CDC, National Immunization Survey, 2015
Lack of Health Insurance
Percentage of the population that does not have health insurance privately, through their employer, or through the government
US Census Bureau, American Community Survey, 2014-2015
Public Health Funding
State dollars dedicated to public health and federal dollars directed to states by the CDC and the Health Resources and Services Administration (HRSA) per person
Trust For America’s Health, 2014-2015
Clinical Care
Dentists**
Number of practicing dentists per 100,000 population
American Dental Association, 2015
Low Birthweight
Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
CDC, National Vital Statistics System, 2014
Preventable Hospitalizations
Number of discharges for ambulatory care-sensitive conditions per 1,000 Medicare enrollees
The Dartmouth Atlas of Health Care, 2014
Primary Care Physicians
Number of active primary care physicians (including general practice, family practice, obstetrics and gynecology, pediatrics, geriatrics, and internal medicine) per 100,000 population
American Medical Association, Special data request for information on active state licensed physicians provided by Redi-Data, Inc, Oct 24, 2016
Outcomes
Cancer Deaths
Number of deaths due to all causes of cancer per 100,000 population
CDC, National Vital Statistics System, 2012-2014
Cardiovascular Deaths
Number of deaths due to all cardiovascular diseases including heart disease and stroke per 100,000 population
CDC, National Vital Statistics System, 2012-2014
Diabetes
Percentage of adults who reported being told by a health professional that they have diabetes (excludes prediabetes and gestational diabetes)
CDC, Behavioral Risk Factor Surveillance System, 2015
Disparity in Health Status
Difference between the percentage of adults with a high school education compared with those without who reported their health is very good or excellent (adults aged <25 excluded)
CDC, Behavioral Risk Factor Surveillance System, 2015
Frequent Mental Distress
Percentage of adults who reported their mental health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2015
Frequent Physical Distress
Percentage of adults who reported their physical health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2015
Infant Mortality
Number of infant deaths (before age 1 year) per 1,000 live births
CDC, National Vital Statistics System, 2013-2014
Premature Death
Number of years of potential life lost before age 75 years per 100,000 population
CDC, National Vital Statistics System, 2014
*The data appearing in this edition are the same that appeared in the 2015 edition. An update was not available at the time of this publication.
**Since the release of the 2015 edition, the data source has published two updates. This edition contains the most recent data, which might cause a jump between 2015 and 2016 edition values.