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US SummaryAppendixRankings Measures TableSupplemental Measures TableData Source DescriptionsThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUS SummaryAppendixRankings Measures TableSupplemental Measures TableData Source DescriptionsThe TeamBehaviors
E-cigarette Use
Percentage of adults who reported using e-cigarettes or other electronic vaping products daily or some days.
Behavioral Risk Factor Surveillance System, 2018
Fruits*
Mean number of fruits consumed per day by adults.
Behavioral Risk Factor Surveillance System, 2017
Insufficient Sleep
Percentage of adults who reported sleeping less than seven hours in a 24-hour period on average.
Behavioral Risk Factor Surveillance System, 2018
Seat Belt Use
Percentage of adults who reported always using a seat belt when driving or riding in a car.
Behavioral Risk Factor Surveillance System, 2018
Vegetables*
Mean number of vegetables consumed per day by adults.
Behavioral Risk Factor Surveillance System, 2017
Community & Environment
Adverse Childhood Experiences
Percentage of children ages 0-17 who experienced two or more of the following: economic hardship; parental divorce or separation; living with someone who had an alcohol or drug problem; neighborhood violence victim or witness; living with someone who was mentally ill, suicidal or severely depressed; domestic violence witness; parent served jail time; being treated or judged unfairly due to race/ethnicity; or death of parent.
National Survey of Children’s Health, 2017-2017
Concentrated Disadvantage
Percentage of households located in census tracts whose averaged z-scores of family households below the poverty line, individuals receiving public assistance, female-headed households, unemployed ages 16 and older, and population younger than 18 fall within the 75th percentile.
American Community Survey and IPUMS National Historical Geographic Information System, 2013-2017
Disconnected Youth
Percentage of teens and young adults ages 16-24 who are neither working nor in school.
Measure of America, Youth Disconnection Report, 2017
Median Household Income
Dollar amount that divides the household income distribution of the population into two equal groups.
Current Population Survey, Annual Social and Economic Supplement, 2018
Neighberhood Amenities
Percentage of children ages 0-17 with access to a park or playground; recreation center, community center or boys' and girls' club; library or bookmobile; and sidewalks or walking paths.
National Survey of Children’s Health, 2016-2017
Severe Housing Problems
Percentage of occupied housing units with at least one of four problems: lack of complete kitchen facilities, lack of plumbing facilities, severely crowded, or severely cost-burdened occupants.
Comprehensive Housing Affordability Strategy, 2012-2016
Underemployment Rate
Total unemployed and employed part-time for economic reasons and all marginally attached workers, as a percentage of the civilian workforce and all marginally attached workers (U-6 definition).
Bureau of Labor Statistics, 2018
Unemployment Rate
Total unemployed, as a percentage of the civilian workforce (U-3 definition).
Bureau of Labor Statistics, 2018
Voter Registration
Percentage of U.S. citizens ages 18 and older registered to vote in biennial national elections.
Current Population Survey, Voter Registration, 2018
Policy
Water Flouridation*
Percentage of population served by community water systems that receive fluoridated water.
Water Fluoridation Reporting System, 2014
Clinical Care
Cholesterol Check*
Percentage of adults who reported having their blood cholesterol checked within the past five years.
Behavioral Risk Factor Surveillance System, 2017
Colorectal Cancer Screening
Percentage of adults ages 50-75 who reported receiving one or more of the recommended colorectal cancer screening tests within the recommended time interval (fecal occult blood test [FOBT] within the past year, colonoscopy within the past 10 years, or sigmoidoscopy within five years and a home FOBT within the past three years).
Behavioral Risk Factor Surveillance System, 2018
Dedicated Health Care Provider
Percentage of adults who reported having a personal doctor or health care provider.
Behavioral Risk Factor Surveillance System, 2018
Dental Visit
Percentage of adults who reported visiting the dentist or dental clinic within the past year.
Behavioral Risk Factor Surveillance System, 2018
Outcomes
Heart Attack
Percentage of adults who reported being told by a health professional that they had a heart attack (myocardial infarction).
Behavioral Risk Factor Surveillance System, 2018
Heart Disease
Percentage of adults who reported being told by a health professional that they have angina or coronary heart disease.
Behavioral Risk Factor Surveillance System, 2018
High Blood Pressure*
Percentage of adults who reported being told by a health professional that they have high blood pressure.
Behavioral Risk Factor Surveillance System, 2017
High Cholesterol*
Percentage of adults who reported having their cholesterol checked and were told by a health professional that it was high.
Behavioral Risk Factor Surveillance System, 2017
High Health Status
Percentage of adults who reported that their health is very good or excellent.
Behavioral Risk Factor Surveillance System, 2018
Injury Deaths
Number of deaths due to injury per 100,000 population (age-adjusted to mid-year).
CDC WONDER Mortality data, 2015-2017
Stroke
Percentage of adults who reported being told by a health professional that they had a stroke.
Behavioral Risk Factor Surveillance System, 2018
Suicide
Number of deaths due to intentional self-harm per 100,000 population (age-adjusted to data year).
CDC WONDER Mortality data, 2017
*The data appearing in this edition are the same that appeared in the 2018 edition.