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Executive SummaryIntroductionExplore the Health of Women, Children and InfantsFindingsThe Health of Women and Children between StatesThe Health of Women and Children within StatesHealthy Communities for ChildrenClinical Preventive Services for ChildrenRacial Disparities in Measures of MortalityVariations in SmokingMeasures of Women's HealthBehaviors | Measures of Women’s HealthCommunity & Environment | Measures of Women’s HealthPolicy | Measures of Women’s HealthClinical Care | Measures of Women’s HealthOutcomes | Measures of Women’s HealthMeasures of Infants' HealthBehaviors | Measures of Infants’ HealthCommunity & Environment | Measures of Infants’ HealthPolicy | Measures of Infants’ HealthClinical Care | Measures of Infants’ HealthOutcomes | Measures of Infants’ HealthMeasures of Children's HealthBehaviors | Measures of Children’s HealthCommunity & Environment | Measures of Children’s HealthPolicy | Measures of Children’s HealthClinical Care | Measures of Children’s HealthOutcomes | Measures of Children’s HealthState SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaUnited StatesAppendixData Sources and Measures of Women’s HealthData Sources and Measures of Infants’ HealthData Sources and Measures of Children’s HealthMethodologyModel DevelopmentAmerica’s Health Rankings® Health of Women and Children Steering GroupThe Team

Behaviors

Chlamydia

Number of new cases of chlamydia per 100,000 females aged 15 to 44
Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, NCHHSTP Atlas, 2014

Excessive Drinking

Percentage of women aged 18 to 44 who self-report either binge drinking (having 4 or more alcoholic beverages on a single occasion in the past month) or chronic drinking (having 8 or more alcoholic beverages per week)
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Obesity

Percentage of women aged 18 to 44 who are obese by self-report with a body mass index of 30.0 or higher
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Physical Inactivity

Percentage of women aged 18 to 44 who self-report doing no physical activity or exercise other than their regular job in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Smoking

Percentage of women aged 18 to 44 who are self-reported smokers (smoked at least 100 cigarettes in their lifetime and currently smoke)
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Community & Environment

Concentrated Disadvantage

Percentage of households located in census tracts with a high level of concentrated disadvantage, calculated using five census variables (percentage below poverty line, receiving public assistance, female-headed households, unemployed, less than aged 18 years)
US Census Bureau, American Community Survey, 2010-2014

Food Insecurity

Percentage of households unable to provide adequate food for one or more household members due to lack of resources
US Department of Agriculture, Current Population Survey Food Security Supplement, 2012-2014

Intimate Partner Violence — Lifetime

Percentage of women aged 18 and older who experienced sexual violence, physical violence, stalking, psychological aggression, or control of reproductive or sexual health by an intimate partner in their lifetime
CDC, National Intimate Partner and Sexual Violence Survey, 2010

Intimate Partner Violence — Pregnancy

Percentage of women with a recent live birth who experienced violence by husband or partner during most recent pregnancy
CDC, Pregnancy Risk Assessment Monitoring System, 2012; California Department of Public Health (CDPH), Maternal and Infant Health Assessment, 2012

Policy

Postpartum Visit

Percentage of women with a recent live birth who report receiving a postpartum checkup
CDC, Pregnancy Risk Assessment Monitoring System, 2012; CDPH, Maternal and Infant Health Assessment, 2012

Publicly-Funded Women’s Health Services

Percentage of need for contraceptive services by women with a family income below 250% of the federal poverty level and women younger than age 20 met by publicly-funded providers
Guttmacher Institute, 2013

Uninsured Women

Percentage of women aged 18 to 44 who are not covered by private or public health insurance
US Census Bureau, American Community Survey, 2014

Clinical Care

Cervical Cancer Screening

Percentage of women aged 18 to 44 who received a Pap smear within the past three years
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Dedicated Health Care Provider

Percentage of women aged 18 to 44 who report having a personal doctor or health care provider
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Dental Visit

Percentage of women aged 18 to 44 who self-report having visited a dental health professional within the past year
CDC, Behavioral Risk Factor Surveillance System, 2014

Flu Vaccine

Percentage of women aged 18 to 44 who received the flu vaccine in the past year
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Well-Woman Visit

Percentage of women aged 18 to 44 with a preventive medical visit in the past year
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Outcomes

Diabetes

Percentage of women aged 18 to 44 who have been told by a doctor that they have diabetes (excludes prediabetes and gestational diabetes)
CDC, Behavioral Risk Factor Surveillance System, 2013-2014

Drug Deaths

Number of deaths due to drug injury of any intent (unintentional, suicide, homicide, or undetermined) per 100,000 females aged 15 to 44
CDC, National Vital Statistics System, 2012-2014

Maternal Mortality

Number of deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 births
CDC, National Vital Statistics System, 2012-2014

Postpartum Depression

Percentage of women with a recent live birth who report experiencing postpartum depression (depressive symptoms)
CDC, Pregnancy Risk Assessment Monitoring System, 2012: CDPH, Maternal and Infant Health Assessment. 2012

Unintended Pregnancy

Percentage of all pregnancies that were unintended
Guttmacher Institute, 2010