Close
Executive HighlightsIntroductionKey FindingsSocial and Economic FactorsPhysical EnvironmentClinical CareBehaviorsHealth OutcomesInternational ComparisonState 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
US SummaryAppendixMeasures TableData Source DescriptionsThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUS SummaryAppendixMeasures TableData Source DescriptionsThe TeamSum of weighted z-scores of all ranked community and family safety measures
America's Health Rankings composite measure, 2020
Number of fatal occupational injuries in construction; manufacturing; professional and business services; and trade, transportation and utilities per 100,000 workers
U.S. Bureau of Labor Statistics, Census of Fatal Occupational Injuries; U.S. Bureau of Economic Analysis, 2016-2018
State dollars dedicated to public health and federal dollars directed to states per person by the Centers for Disease Control and Prevention and the Health Resources & Services Administration
Trust for America’s Health; U.S. Department of Health and Human Services (HHS), 2018-2019
Number of murders, rapes, robberies and aggravated assaults per 100,000 population
U.S. Department of Justice, Federal Bureau of Investigation, 2019
Sum of weighted z-scores of all ranked economic resources measures
America's Health Rankings composite measure, 2020
Compares the economic condition of one state relative to another based on crowded housing, dependency, education, income, poverty and unemployment; normalized index scores range from 0 to 100, with a higher score indicating worse economic conditions
U.S. Census Bureau, American Community Survey, 2019
Percentage of occupied housing units with more than one person per room
U.S. Census Bureau, American Community Survey, 2019
Percentage of population ages 0-17 or 65 and older
U.S. Census Bureau, American Community Survey, 2019
Percentage of population ages 25 and older without a high school diploma
U.S. Census Bureau, American Community Survey, 2019
Per capita income in the past 12 months (in inflation-adjusted dollars to data year)
U.S. Census Bureau, American Community Survey, 2019
Percentage of households living below the federal poverty level
U.S. Census Bureau, American Community Survey, 2019
Percentage of civilian population ages 16-64 that are unemployed
U.S. Census Bureau, American Community Survey, 2019
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 Report, 2016-2018
Ratio of median household income at the 80th percentile to household income at the 20th percentile
U.S. Census Bureau, American Community Survey, 2019
Sum of weighted z-scores of all ranked education measures
America's Health Rankings composite measure, 2020
Percentage of high school students who graduated with a regular high school diploma within four years of starting ninth grade
U.S. Department of Education, National Center for Education Statistics, 2018
Difference in the high school graduation rate between white students and the racial/ethnic group with the lowest rate (varies by state)
U.S. Department of Education, National Center for Education Statistics, 2018
Sum of weighted z-scores of all ranked social support and engagement measures
America's Health Rankings composite measure, 2020
Percentage of children ages 0-17 who experienced two or more of the following: 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
U.S. HHS, Health Resources and Services Administration, Maternal and Child Health Bureau, National Survey of Children’s Health, 2018-2019
Percentage of households that have a broadband internet subscription and a computer, smartphone or tablet
IPUMS National Historical Geographic Information System: Version 14.0, 2018
Index of dissimilarity with higher values indicating greater segregation between Black and white state residents, ranging from zero (complete integration) to 100 (complete segregation)
U.S. Census Bureau, American Community Survey, 2014-2018
Percentage of adults who reported volunteering in the past 12 months
Corporation for National & Community Service, 2018
Percentage of U.S. citizens ages 18 and older who voted in the last midterm national election
U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, 2018
Physical Environment
Sum of weighted z-scores of all ranked air and water quality measures
America's Health Rankings composite measure, 2020
Average exposure of the general public to particulate matter of 2.5 microns or less measured in micrograms per cubic meter
U.S. Environmental Protection Agency, 2017-2019
Percentage of population served by community water systems with a serious drinking water violation during the year
Environmental Protection Agency, Enforcement and Compliance History Online, Safe Drinking Water Information System, 2020
Percentage of population covered by 100% smokefree laws for restaurants, bars and non-hospitality workplaces
American Nonsmokers' Rights Foundation, 2020
Estimated human health-related risk from exposure to toxic chemicals based on emission data of more than 600 chemicals, with higher scores denoting elevated risk
Environmental Protection Agency, Toxic Release Inventory, National Analysis File, 2018
Percentage of population served by community water systems that receive fluoridated water
Centers for Disease Control and Prevention (CDC), Water Fluoridation Reporting System, 2018
Number of the following state policies in place: legally binding electricity portfolio standards, carbon pricing policies, climate change action plans and economy-wide greenhouse gas emission targets
Center for Climate and Energy Solutions, 2020
Per capita energy use by the transportation sector
U.S. Department of Transportation, State Transportation Statistics, 2018
Sum of weighted z-scores of all ranked housing and transit measures
America's Health Rankings composite measure, 2020
Percentage of workers who drive alone to work
U.S. Census Bureau, American Community Survey, 2019
Percentage of housing stock with potential elevated lead risk due to age of housing
U.S. Census Bureau, American Community Survey, 2019
Percentage of occupied housing units with at least one of the following problems: lack of complete kitchen facilities, lack of plumbing facilities, overcrowding or severely cost-burdened occupants
U.S. Department of Housing and Urban Development, Comprehensive Housing Affordability Strategy, 2013-2017
Sum of weighted z-scores of all ranked access to care measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported a time in the past 12 months when they needed to see a doctor but could not because of cost
CDC, Behavioral Risk Factor Surveillance System, 2019
Sum of weighted z-scores of all ranked providers measures
America's Health Rankings composite measure, 2020
Number of general dentists and advanced practice dental therapists per 100,000 population
U.S. HHS, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System, September 2020
Number of psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, advanced practice nurses specializing in mental health care as well as providers that treat alcohol and other drug abuse per 100,000 population
U.S. HHS, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System, September 2020
Number of active primary care providers (including general practice, family practice, obstetrics and gynecology, pediatrics, geriatrics, internal medicine, physician assistants and nurse practitioners) per 100,000 population
U.S. HHS, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System, September 2020
Percentage of population not covered by private or public health insurance
U.S. Census Bureau, American Community Survey, 2019
Sum of weighted z-scores of all ranked preventive clinical services measures
America's Health Rankings composite measure, 2020
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)
CDC, Behavioral Risk Factor Surveillance System, 2018
Percentage of adults who reported visiting the dentist or dental clinic within the past year
CDC, Behavioral Risk Factor Surveillance System, 2018
Sum of weighted z-scores of all ranked immunizations measures
America's Health Rankings composite measure, 2020
Percentage of children who received by age 35 months all recommended doses of the combined 7-vaccine series: diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine; measles, mumps and rubella (MMR) vaccine; poliovirus vaccine; Haemophilus influenzae type b (Hib) vaccine; hepatitis B (HepB) vaccine; varicella vaccine; and pneumococcal conjugate vaccine (PCV)
CDC, National Immunization Survey-Child (Birth Cohort), 2016-2017
Percentage of adults who reported receiving a seasonal flu vaccine in the past 12 months
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adolescents ages 13-17 who have received all recommended doses of the human papillomavirus (HPV) vaccine
CDC, National Immunization Survey-Teen, 2019
Sum of weighted z-scores of all ranked quality of care measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported having a personal doctor or health care provider
CDC, Behavioral Risk Factor Surveillance System, 2019
Discharges following hospitalization for diabetes with short- or long-term complications, uncontrolled diabetes without complications, diabetes with lower-extremity amputation, chronic obstructive pulmonary disease, angina without a procedure, asthma, hypertension, heart failure, dehydration, bacterial pneumonia or urinary tract infection per 100,000 Medicare enrollees ages 18 years or older continuously enrolled in Medicare fee-for-service Part A
Centers for Medicare & Medicaid Services Office of Minority Health's Mapping Medicare Disparities Tool, 2018
Sleep Health
Percentage of adults who reported sleeping, on average, fewer than seven hours in a 24-hour period
CDC, Behavioral Risk Factor Surveillance System, 2018
Sum of weighted z-scores of all ranked nutrition and physical activity measures
America's Health Rankings composite measure, 2020
Percentage of adults who met the federal physical activity guidelines (150 minutes of moderate or 75 minutes of vigorous aerobic activity and two days of muscle strengthening per week)
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported consuming two or more fruits and three or more vegetables daily
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported doing no physical activity or exercise other than their regular job in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2019
Sum of weighted z-scores of all ranked sexual health measures
America's Health Rankings composite measure, 2020
Number of new cases of chlamydia per 100,000 population
CDC, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Atlas, 2018
Percentage of adults who reported any of the following situations in the past year: injected any drug other than those prescribed for you, been treated for a sexually transmitted disease (STD), or given or received money or drugs in exchange for sex
CDC, Behavioral Risk Factor Surveillance System, 2019
Number of births per 1,000 females ages 15-19
CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER), Natality public-use data, 2018
Sum of weighted z-scores of all ranked tobacco use measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported using e-cigarettes or other electronic vaping products at least once in their lifetime and now use daily or some days
CDC, Behavioral Risk Factor Surveillance System, 2018
Percentage of adults who reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days
CDC, Behavioral Risk Factor Surveillance System, 2019
Sum of weighted z-scores of all ranked behavioral health measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported being told by a health professional that they have a depressive disorder including depression, major depression, minor depression, or dysthymia including depression, major depression, minor depression or dysthymia
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported binge drinking (four or more [women] or five or more [men] drinks on one occasion in the past 30 days) or chronic drinking (eight or more [women] or 15 or more [men] drinks per week)
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported their mental health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported using prescription drugs non-medically (pain relievers, stimulants, sedatives) or illicit drugs (excluding cannabis) in the last 12 months
Rocky Mountain Poison & Drug Safety, RADARS® System Survey of Non-Medical Use of Prescription Drugs Program, 2020
Percentage of adults who reported using prescription drugs non-medically (pain relievers, stimulants, sedatives) or illicit drugs (excluding cannabis) in the last 30 days
Rocky Mountain Poison & Drug Safety, RADARS® System Survey of Non-Medical Use of Prescription Drugs Program, 2020
Sum of weighted z-scores of all ranked mortality measures
America's Health Rankings composite measure, 2020
Number of deaths due to drug injury (unintentional, suicide, homicide or undetermined) per 100,000 population
CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death files, 2018
Number of years of potential life lost before age 75 per 100,000 population
CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death files, 2018
Ratio of the racial/ethnic group with the highest premature death rate before age 75 (varies by state) to the white population
CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death files, 2016-2018
Number of deaths due to intentional self-harm per 100,000 population (age-adjusted to data year)
CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death files, 2018
Sum of weighted z-scores of all ranked physical health measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported their physical health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported that their health is very good or excellent
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
CDC WONDER Online Database, Natality public-use data, 2018
Difference between the racial/ethnic group with the highest percentage of infants with low birthweight (varies by state) and white infants with low birthweight
CDC WONDER Online Database, Natality public-use data, 2018
Percentage of adults who have three or more of the following chronic health conditions: arthritis; asthma; chronic kidney disease; chronic obstructive pulmonary disease; cardiovascular disease (heart disease; heart attack or stroke); cancer (excluding skin); depression; diabetes
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they have some form of arthritis
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they currently have asthma
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told that they had any form of cancer other than skin cancer
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they had angina or coronary heart disease; a heart attack or myocardial infarction; or a stroke
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they have kidney disease not including kidney stones, bladder infection or incontinence
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they have chronic obstructive pulmonary disease, emphysema or chronic bronchitis
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported being told by a health professional that they have diabetes (excluding prediabetes and gestational diabetes)
CDC, Behavioral Risk Factor Surveillance System, 2019
Sum of weighted z-scores of all ranked risk factors measures
America's Health Rankings composite measure, 2020
Percentage of adults who reported being told by a health professional that they have high blood pressure
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults who reported having their cholesterol checked and were told by a health professional that it was high
CDC, Behavioral Risk Factor Surveillance System, 2019
Percentage of adults with a body mass index of 30.0 or higher based on reported height and weight
CDC, Behavioral Risk Factor Surveillance System, 2019
*Measure is not included in overall score and/or is a component of another measure.
NOTE: All Behavioral Risk Factor Surveillance System data for New Jersey are from 2018.