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Executive SummarySenior Report SpotlightIntroductionFindingsOverviewState RankingsSuccessesChallengesDisparities in Rural HealthCore MeasuresBehaviorsCommunity & EnvironmentPolicyClinical CareOutcomesSupplemental MeasuresState Summaries
Alabama
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Louisiana
Maine
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Michigan
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Mississippi
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Texas
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United StatesAppendixCore Measures TableSupplemental Measures TableThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesAppendixCore Measures TableSupplemental Measures TableThe Team
Behaviors
Education
Percentage of adults aged 65 and older who reported having a college degree
U.S. Census Bureau, American Community Survey, 2016
Clinical Care
Overuse—Mammography*
Percentage of female Medicare enrollees aged 75 and older who had a screening mammogram
The Dartmouth Atlas of Health Care, 2014
Overuse—PSA Test*
Percentage of male Medicare enrollees aged 75 and older who had a screening prostate-specific antigen (PSA) test
The Dartmouth Atlas of Health Care, 2014
Outcomes
Cognitive Difficulty
Percentage of adults aged 65 and older who reported having cognitive difficulty
U.S. Census Bureau, American Community Survey, 2016
Depression
Percentage of adults aged 65 and older who reported being told by a health professional they have a depressive disorder
Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System, 2016
Multiple Chronic Conditions*
Percentage of Medicare enrollees aged 65 and older with four or more chronic conditions
U.S. HHS, Centers for Medicare & Medicaid Services, 2015
Suicide
Number of deaths due to intentional self-harm per 100,000 adults aged 65 and older
CDC, National Vital Statistics System, 2014-2016
Poor Mental Health Days
Number of days in the past 30 days when adults aged 65 and older reported their mental health was not good
CDC, Behavioral Risk Factor Surveillance System, 2016
Risk of Social Isolation
Percentile of the mean z scores for six risk factors of social isolation in adults aged 65 and older (poverty; living alone; divorced, separated or widowed; never married; disability; independent living difficulty)
US Census Bureau, American Community Survey, 2012-2016
*The data appearing in this edition are the same that appeared in the 2017 edition. A data update was not available at the time of this publication.