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Executive HighlightsIntroductionFindingsState RankingsSocial and Economic FactorsSuccessesChallengesState Rankings MeasuresBehaviors-WomenBehaviors-InfantsBehaviors-ChildrenCommunity & Environment-WomenCommunity & Environment-InfantsCommunity & Environment-ChildrenPolicy-WomenPolicy-InfantsPolicy-ChildrenClinical Care-WomenClinical Care-InfantsClinical Care-ChildrenOutcomes-WomenOutcomes-InfantsOutcomes-ChildrenSupplemental 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
United StatesAppendixData Sources and Measures- WomenData Sources and Measures- InfantsData Sources and Measures- ChildrenData Sources and Measures- SupplementalThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesAppendixData Sources and Measures- WomenData Sources and Measures- InfantsData Sources and Measures- ChildrenData Sources and Measures- SupplementalThe TeamBehaviors
High School Graduation
Percentage of high school students who graduate with a regular high school diploma within four years of starting ninth grade
National Center for Education Statistics 2016-2017
Overweight or Obesity
Percentage of children ages 10-17 who are overweight or obese for their age based upon reported height and weight
National Survey of Children's Health 2016-2017
Substance Use Disorder
Percentage of children ages 12-17 who were dependent on or abused illicit drugs or alcohol in the past year
National Survey on Drug Use and Health, 2015-2016
Tobacco Use
Percentage of children ages 12-17 who used a tobacco product in the past month
National Survey on Drug Use and Health, 2015-2016
Community & Environment
Adverse Childhood Experiences
Percentage of children ages 0-17 who experienced two or more of the following variables: 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-race/ethnicity; or death of parent
National Survey of Children's Health, 2016-2017
Neighborhood Amenities
Percentage of children ages 0-17 with access-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
Protective Family Routines and Habits*
Percentage of children ages 0-17 who meet age-specific criteria for protective family routines and habits
National Survey of Children's Health, 2016
Supportive Neighborhoods
Percentage of children ages 0-17 who live in neighborhoods where people help each other, watch out for each other’s children and know where-go for help in the community
National Survey of Children's Health, 2016-2017
Policy
Adequate Health Insurance
Percentage of insured children ages 0-17 whose health plan has either no or reasonable out-of-pocket costs; offers benefits or covered services that meet the children’s needs; and allows them-see needed health care providers
National Survey of Children's Health, 2016-2017
Children With Health Insurance
Percentage of children ages 0-17 with health insurance of any type
National Survey of Children's Health, 2016-2017
Homeless Family Households**
Number of families sleeping outside, in an emergency shelter or in a transitional housing program per 10,000 family households
U.S. Department of Housing and Urban Development, 2018 Annual Homeless Assessment Report, January 2018
Water Fluoridation*
Percentage of population served by community water systems that receive fluoridated water
Water Fluoridation Reporting System, 2014
Outcomes
Adolescent Well-Visit
Percentage of children ages 12-17 who had a preventive checkup in the past 12 months
National Survey of Children's Health, 2016-2017
Developmental Screening
Percentage of children 9 months-5 years with a visit in the past 12 months whose parent completed a standardized developmental screening tool
National Survey of Children's Health, 2016-2017
Immunizations – Adolescents
Mean z score of the percentage of adolescents ages 13-17 who received the recommended doses of Tdap, meningococcal and HPV vaccines
America's Health Rankings composite measure, 2019
HPV Immunization FemalesPercentage of females ages 13-17 who are up-to-date on all recommended doses of human papillomavirus (HPV) vaccine
National Immunization Survey-Teen, 2017
HPV Immunization MalesPercentage of males ages 13-17 who are up-to-date on all recommended doses of human papillomavirus (HPV) vaccine
National Immunization Survey-Teen, 2017
Meningococcal ImmunizationsPercentage of adolescents ages 13-17 who received one or more doses of meningococcal conjugate (MenACWY) vaccine
National Immunization Survey-Teen, 2017
Tdap ImmunizationsPercentage of adolescents ages 13-17 who received one or more doses of tetanus, diphtheria and acellular pertussis (Tdap) vaccine since age 10
National Immunization Survey-Teen, 2017
Immunizations – Children
Percentage of children ages 19-35 months who received recommended doses of diphtheria, tetanus and acellular pertussis (DTaP); measles, mumps and rubella (MMR); polio; Haemophilus influenzae type b (Hib); hepatitis B; varicella; and pneumococcal conjugate vaccines
National Immunization Survey-Child, 2017
Medical Home for Child With Special Health Care Needs
Percentage of children ages 0-17 with special health care needs who received coordinated, ongoing and comprehensive care within a medical home, including having a personal doctor or nurse, a usual source for sick care, family-centered care, and referrals and effective care coordination when needed
National Survey of Children's Health, 2016-2017
Outcomes
Child Mortality
Age-adjusted number of deaths per 100,000 children ages 1-19
CDC WONDER Mortality data, 2015-2017
Missed School Days
Percentage of children ages 6-17 who missed eleven or more days of school in the past school year (excluding homeschooled children)
National Survey of Children's Health, 2016-2017
Teen Births
Number of births per 1,000 females ages 15-19
CDC WONDER Natality data, 2017
Teen Suicide
Number of deaths by suicide per 100,000 adolescents ages 15-19
CDC WONDER Mortality data, 2015-2017
* The data in this edition are the same that appeared in the 2018 edition.
** Calculated measure using 2017 American Community Survey population estimates as the denominator.