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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 SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict 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 Team
Behaviors
Chlamydia
Number of new cases of chlamydia per 100,000 females ages 15-44
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Atlas, 2016
Excessive Drinking
Percentage of women ages 18-44 who reported either binge drinking (having four or more drinks on one occasion in the past 30 days) or chronic drinking (having eight or more drinks per week)
Behavioral Risk Factor Surveillance System, 2016-2017
Obesity
Percentage of women ages 18- 44 with a body mass index of 30.0 or higher based on reported height and weight
Behavioral Risk Factor Surveillance System, 2016-2017
Physical Inactivity
Percentage of women ages 18-44 who reported doing no physical activity or exercise other than their regular job in the past 30 days
Behavioral Risk Factor Surveillance System, 2016-2017
Smoking
Percentage of women ages 18-44 who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days)
Behavioral Risk Factor Surveillance System, 2016-2017
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, younger than 18
American Community Survey, 2013-2017
Food Insecurity – Household
Percentage of households unable to provide adequate food for one or more household members due to lack of resources
U.S. Department of Agriculture, Household Food Security in the United States in 2017, 2015-2017
Intimate Partner Violence – Lifetime*
Percentage of women 18 and older who experienced contact sexual violence, physical violence and/or stalking by an intimate partner in their lifetime
National Intimate Partner and Sexual Violence Survey, 2010-2012
Intimate Partner Violence – Pregnancy
Percentage of women with a recent live birth who experienced violence by current or former husband or partner during most recent pregnancy
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
Policy
Postpartum Visit
Percentage of women with a recent live birth who reported receiving a postpartum checkup
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
Publicly-Funded Women's Health Services*
Percentage of need met by publicly-funded providers for contraceptive services by women with a family income 250 percent below the federal poverty level and women younger than 20
Guttmacher Institute, Contraceptive Needs and Services 2014 Update, 2014
Uninsured
Percentage of women ages 19-44 who are not covered by private or public health insurance
American Community Survey, 2017
Clinical Care
Cervical Cancer Screening*
Percentage of women ages 21-44 who received a Pap smear within the past three years
Behavioral Risk Factor Surveillance System, 2016
Dedicated Health Care Provider
Percentage of women ages 18-44 who reported having one or more people they think of as their personal doctor or health care provider
Behavioral Risk Factor Surveillance System, 2016-2017
Dental Visit*
Percentage of women ages 18-44 who reported visiting the dentist or dental clinic within the past year
Behavioral Risk Factor Surveillance System, 2016
Flu Vaccination
Percentage of women ages 18-44 who received the flu vaccine in the last year
Behavioral Risk Factor Surveillance System, 2016-2017
Well-Woman Visit
Percentage of women ages 18-44 with a preventive medical visit in the past year
Behavioral Risk Factor Surveillance System, 2016-2017
Outcomes
Diabetes
Percentage of women ages 18-44 who reported being told by a health professional that they have diabetes (excluding prediabetes and gestational diabetes)
Behavioral Risk Factor Surveillance System, 2016-2017
Drug Deaths
Age-adjusted number of deaths due to drug injury (unintentional, suicide, homicide, or undetermined) per 100,000 females ages 15-44
CDC WONDER Mortality data, 2015-2017
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 one year of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 live births
CDC WONDER Mortality data, 2013-2017
Postpartum Depression
Percentage of women with a recent live birth who reported experiencing postpartum depression (depressive symptoms)
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
Unintended Pregnancy
Percentage of women with a recent live birth who did not want to become pregnant or wanted to become pregnant later
Pregnancy Risk Assessment Monitoring System or equivalent, 2017
* The data in this edition are the same that appeared in the 2018 edition.
** Calculated measure using Natality data as the denominator.