America's Health Rankings, United Health Foundation Logo

America’s Health Rankings Composite Measure

Composite measures are calculated to provide summary information for multiple measures within a topic or model category. These measures are presented as the weighted sum of the z-scores for included measures.

Center for Climate and Energy Solutions

The Center is a non-profit environmental policy think tank which produces data and reports on climate basics, solutions, and policies. Data was accessed from the State Climate Policy Maps.

Guttmacher Institute

The Institute is a research and policy organization committed to advancing sexual and reproductive health and rights in the United States and around the world. The Institute produces a wide range of resources on topics pertaining to sexual and reproductive health and publishes two peer-reviewed journals and a public policy journal. The Institute also publishes a report with state level data titled Publicly Supported Family Planning Services in the United States: Likely Need, Availability and Impact.

IPUMS National Historical Geographic Information System

This information system from the Minnesota Population Center at the University of Minnesota provides summary statistics and geographic information system files for the U.S. Censuses and other nationwide surveys. Data are accessed at IPUMS NHGIS, University of Minnesota.

March of Dimes

March of Dimes is a long-standing non-profit advocacy organization for mom and baby health. The organization educates medical professionals and the public about best practices; supports research and families with babies in NICUs; and advocates on behalf of all moms and babies. PeriStats is an interactive data website developed by the March of Dimes Perinatal Data Center. It provides access to maternal and infant health data for the United States.

U.S. Census Bureau

American Community Survey

This ongoing survey provides information on a yearly basis about population demographics and housing in the nation. Data are accessed using the data.census.gov interface.

Current Population Survey, Voter Registration

The Current Population Survey is an ongoing survey, sponsored jointly by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics. It provides information monthly about employment, earnings and education in the nation. Additionally, voting and registration data are available every two years following national elections. Data are accessed at the Census Bureau’s Voting and Registration website.

Population Estimates Program

This program produces estimates of the population and housing units for the nation, states, metropolitan and micropolitan statistical areas, counties, cities and towns. Data are accessed using the data.census.gov interface.

U.S. Department of Agriculture

Household Food Security in the United States Report

The U.S. Department of Agriculture’s (USDA) Economic Research Service analyzes data from the U.S. Census Bureau’s Current Population Survey (CPS) Food Security Supplements to create the Household Food Security in the United States annual report. This annual report provides national statistics on food security, household food spending, and the use of federal food and nutrition assistance by food-insecure households. Data are analyzed using most recent year USDA report estimates, which are based on most recent three-year CPS estimates.

U.S. Department of Education

National Center for Education Statistics

This is the primary federal entity for collecting and analyzing data related to education in the nation. The survey Common Core of Data collects national, state and local data on public schools and school districts. Data are accessed at Common Core of Data, the Digest of Education Statistics and the National Assessment of Educational Progress (NAEP).

U.S. Department of Health and Human Services

Centers for Disease Control and Prevention

Behavioral Risk Factor Surveillance System
This is the nation's largest phone-based population survey. The survey provides information about U.S. residents’ health-related risk behaviors, chronic health conditions and use of preventive services. Survey data files are accessed at CDC BRFSS and analyzed by America’s Health Rankings.
Breastfeeding Report Card
The Breastfeeding Report Card is released every two years. The breastfeeding data are released annually on the Division of Nutrition, Physical Activity and Obesity National Immunization Survey Breastfeeding Rates web page and on the interactive Data, Trends, and Maps website.
CDC WONDER Mortality and Natality
CDC Wide-ranging Online Data for Epidemiologic Research is a query system for analyzing public-use data. The data are produced by the National Center for Health Statistics. All values based on zero to 9 births and deaths are suppressed. Rates representing fewer than 20 deaths are considered unreliable.
Multiple Cause of Death files contain counts, rates and causes of death, as well as demographic information for U.S. residents based on death certificates. Data are accessed at CDC WONDER Multiple Cause of Death.
Linked birth / Infant death records provide counts and rates for deaths of children under age 1 occuring in the United States to U.S. residents. Data are accessed at CDC WONDER Linked Birth / Infant Death Records.
Natality files are derived from birth certificates and include counts and rates of births to U.S. residents occurring within the United States as well as demographic characteristics. Data are accessed at CDC WONDER Natality.
mPINC State Reports
CDC calculates Maternity Practices in Infant Nutrition and Care (mPINC) scores for participating hospitals to indicate their overall level of maternity care practices and policies that support optimal infant feeding. Scoring of practices and policies is consistent with recommendations from national and international experts in infant feeding within maternity care settings and supported by evidence from peer-reviewed research. The mPINC survey was redesigned in 2018. The 2018 data cannot be compared with results from previous mPINC surveys. Data are accessed at the mPINC State Reports website.
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Atlas
This interactive atlas allows users to create customized tables, maps and charts using more than 15 years of surveillance data on HIV/AIDS, viral hepatitis, sexually transmitted diseases, tuberculosis as well as social and economic data. Data are accessed at NCHHSTP Atlas.
National Immunization Surveys
These phone surveys collect information about vaccination coverage among children 19-35 months and teens 13-17 years, and flu vaccinations for children 6 months-17 years. Data are accessed at ChildVaxView and TeenVaxView.
Pregnancy Risk Assessment Monitoring System
This system collects state-specific population-based data on maternal attitudes and experiences before, during and shortly after pregnancy. These data are used to investigate emerging issues in the field of reproductive health and by state and local governments to plan and review programs and policies aimed at reducing health problems among mothers and babies. The survey covers about 83% of all U.S. births. Data are accessed via a special request to CDC and states with equivalent surveys.
Water Fluoridation Reporting System
The Division of Oral Health monitors community water systems receiving optimally fluoridated drinking water through its Water Fluoridation Reporting System. The division provides national- and state-level water fluoridation statistics. Data are accessed using the Water Fluoridation Reporting System website.
Youth Risk Behavior Surveillance System
This surveillance system includes national, state, territorial, tribal government and local school-based surveys of representative samples of 9th through 12th grade students. The surveys are conducted every two years, usually during the spring semester. The survey monitors health-related behaviors that contribute to the leading causes of death and disability among U.S. youth and adults, the prevalence of obesity, asthma and other health-related behaviors as well as sexual identity and sex of sexual contacts. Data are accessed through the CDC, YRBSS Youth Online tool.

Centers for Medicare & Medicaid Services

National Plan and Provider Enumeration System
This is a system used to assign unique identifiers to health care providers and health plans as required by the Health Insurance Portability and Accountability Act of 1996. Data files are downloaded from the National Provider Identifier Registry, or NPI Registry.

Administration for Children and Families (ACF) Children’s Bureau

Child Welfare Outcomes Report Data
This is an annual report to Congress published by the U.S. Department of Health and Human Services. It provides information on state performance in seven categories of outcomes that are widely accepted performance objectives for child welfare practice. The report also includes findings of analyses conducted on performance across states and over time. Data are accessed using the Child Welfare Outcomes data website.
Child Maltreatment Report
The Bureau publishes the Child Maltreatment report annually. Data is provided by states through the National Child Abuse and Neglect Data System (NCANDS). NCANDS was established in 1988 as a voluntary, national data collection and analysis program to make available state child abuse and neglect information. The Child Maltreatment report series is an important resource relied upon by thousands of researchers, practitioners, and advocates. The report is accessed at acf.hhs.gov.

Maternal and Child Health Bureau

Federal public health funding data allocated to states are obtained from the Health Resources & Services Administration (HRSA) and CDC. HRSA grants are awarded to states each year to ensure access to essential health care for underserved populations and to eliminate health disparities. States also receive annual CDC grants as well as federal funds for vaccines via the Vaccines for Children Program.
National Survey of Children's Health
This ongoing survey is funded and directed by the Health Resources & Services Administration’s Maternal and Child Health Bureau. This data — reported by parents and guardians — provides information about children's health and access to health care as well as children’s family, neighborhood, school and social contexts. Data are available at mchb.hrsa.gov.

Substance Abuse and Mental Health Services Administration

National Survey on Drug Use and Health
This survey measures the use of illegal drugs, prescription drugs, alcohol, tobacco, mental disorders, treatment, and co-occurring substance use and mental disorders. Estimates of substance use and mental illness at the national, state, and sub-state levels are available. NSDUH data also help to identify the extent of substance use and mental illness among different sub-groups, estimate trends over time, and determine the need for treatment services. Data are accessed via the Public-use Data Analysis System (PDAS).

U.S. Department of Housing and Urban Development

Comprehensive Housing Affordability Strategy

The department’s Office of Policy Development and Research manages data from the American Community Survey. These data, known as the Comprehensive Housing Affordability Strategy, or CHAS, demonstrate the extent of housing problems and needs, particularly for low-income households. Data are accessed using the CHAS interface.

U.S. DEPARTMENT OF JUSTICE

Federal Bureau of Investigation

The FBI manages the Uniform Crime Reporting Program, a nationwide effort of nearly 18,000 city, university and college, county, state, tribal and federal law enforcement agencies voluntarily reporting data on reported crimes. The program’s annual Crime in the United States report includes the number and rate of violent and property crime offenses in the nation and by state. Data are accessed at Crime in the U.S.

U.S. DEPARTMENT OF LABOR

Bureau of Labor Statistics

The bureau’s Local Area Unemployment Statistics program produces monthly and annual employment, unemployment and labor force data by residence. Data are accessed at Expanded State Employment Status Demographic Data.

U.S. Department of Transportation

Bureau of Transportation Statistics

The Bureau of Transportation Statistics (BTS) is the main source of statistics on commercial aviation, multimodal freight activity, and transportation economics. The Bureau provides context to decision makers and the public for understanding statistics on transportation. Data are accessed at the Bureau’s Energy Consumption and CO2 Emissions webpage.

U.S. ENVIRONMENTAL PROTECTION AGENCY

This agency performs a variety of federal research, monitoring, standard-setting and enforcement activities to ensure environmental protection. The agency publishes public and environmental health data. State-level data are obtained via a special request to the agency.

Enforcement and Compliance History

Online (ECHO), Safe Drinking Water Information System (SDWIS)
The Enforcement and Compliance History Online (ECHO) website provides data detailing compliance assurance and enforcement activities related to federal environmental laws. National Safe Drinking Water Act data, compiled from the SDWIS database for public water systems, are available as a public-use dataset. Data are accessed at the ECHO website.
Toxic Release Inventory, National Analysis File
EPA's Risk-Screening Environmental Indicators (RSEI) model provides important information about the potential health-related impacts of toxic releases from facilities in communities across the United States that report to the Toxics Release Inventory (TRI). The RSEI model brings together large amounts of complex information that can be used for screening, prioritizing and analyzing trends. The value reported is a unitless number that accounts for the size of the toxic release, toxicity, the fate and transport of the toxin through the environment, and the size and location of the exposed population. Data are accessed using the Toxic Release Inventory (TRI) National Analysis Supporting Tables, Where You Live files.