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Executive BriefIntroductionDesignNational FindingsKey FindingsSocial and Economic FactorsPhysical EnvironmentClinical CareBehaviorsHealth OutcomesState SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingU.S. SummaryAppendixMeasuresData SourcesMethodologyNational Advisory CommitteeThe Team
Social and Economic Factors
Child Poverty
Subpopulations
– Gender
– Race
– Geography
– Education
Description: Percentage of children younger than 18 years who live in households below the poverty threshold.
U.S. Census Bureau, American Community Survey PUMS, 2005-2009, 2010-2014, 2015-2019
Food Insecurity
Subpopulations
– Gender
– Race
– Geography
– Education
Description: Percentage of households unable to provide adequate food for one or more household members due to lack of resources
Current Population Survey Food Security Supplement, 2003-2007, 2009-2013, 2015-2019
Gender Pay Gap
Subpopulations
– N/A
Description: Women’s median annual earnings as a percentage of men’s median annual earnings for full-time, year-round civilian workers ages 16 and older.
U.S. Census Bureau, American Community Survey 1-Year Summary File, 2011, 2015, 2019
Income Inequality
Subpopulations
– N/A
Description: Ratio of median household income at the 80th percentile to household income at the 20th percentile
U.S. Census Bureau, American Community Survey 1-Year Summary File, 2011, 2015, 2019
Less Than a High School Education
Subpopulations
– Gender
– Race
– Geography
– Income
Description: Percentage of population ages 25 and older without a high school diploma
U.S. Census Bureau, American Community Survey PUMS, 2005-2009, 2010-2014, 2015-2019
Per Capita Income
Subpopulations
– Gender
– Race
– Geography
– Education
Description: Per capita income in the past 12 months (in inflation-adjusted dollars to latest data year in period)
U.S. Census Bureau, American Community Survey PUMS, 2005-2009, 2010-2014, 2015-2019
Poverty
Subpopulations
– Gender
– Race
– Geography
– Education
Description: Percentage of households living below the federal poverty level
U.S. Census Bureau, American Community Survey PUMS, 2005-2009, 2010-2014, 2015-2019
Residential Segregation
Subpopulations
– N/A
Description: 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 5-Year Summary Files, 2005-2009, 2010-2014, 2015-2019
Unemployment
Subpopulations
– Gender
– Race
– Geography
– Education
Description: Percentage of civilian population ages 16-64 that are unemployed
U.S. Census Bureau, American Community Survey PUMS, 2005-2009, 2010-2014, 2015-2019
Physical Environment
Severe Housing Problems
Subpopulations
– Gender
– Race
Description: 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. Census Bureau, American Community Survey 5-Year Summary Files, 2005-2009, 2009-2013, 2013-2017
Clinical Care
Avoided Care Due to Cost
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported a time in the past 12 months when they needed to visit a doctor but could not because of cost
CDC, Behavioral Risk Factor Surveillance System, 2011-2013, 2014-2016, 2017-2019
Dedicated Health Care Provider
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported having one or more people they think of as their personal doctor or health care provider
CDC, Behavioral Risk Factor Surveillance System, 2011-2013, 2014-2016, 2017-2019
Flu Vaccination
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported receiving a flu vaccine in the past 12 months
CDC, Behavioral Risk Factor Surveillance System, 2011-2013, 2014-2016, 2017-2019
Uninsured
Subpopulations
– Gender
– Race
– Education
– Geography
Description: Percentage of population not covered by health insurance
U.S. Census Bureau, American Community Survey PUMS, 2010-2014, 2015-2019
Behaviors
Physical Inactivity
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Smoking
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Health Outcomes
Able-bodied
Subpopulations
– Gender
– Race
– Education
– Geography
Description: Percentage of adults ages 15 and older with no cognitive, visual, auditory, ambulatory, self-care and/or independent-living difficulty disabilities
U.S. Census Bureau, American Community Survey PUMS, 2010-2014, 2015-2019
Asthma
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported being told by a health professional that they currently have asthma
CDC, Behavioral Risk Factor Surveillance Survey, 2011-2013, 2014-2016, 2017-2019
Cancer
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported being told that they had any form of cancer other than skin cancer
CDC, Behavioral Risk Factor Surveillance System, 2011-2013, 2014-2016, 2017-2019
Cardiovascular Diseases
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Depression
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Diabetes
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Excessive Drinking
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Frequent Mental Distress
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
High Health Status
Subpopulations
– Gender
– Race
– Education
Description: Percentage of adults who reported that their health is very good or excellent
CDC, Behavioral Risk Factor Surveillance System, 2011-2013, 2014-2016, 2017-2019
Infant Mortality
Subpopulations
– Race
– Geography
Description: Number of infant deaths (before age 1) per 1,000 live births
NVSS Linked Birth-Death Records, 2003-2006, 2011-2014, 2015-2018
Low Birthweight
Subpopulations
– Race
– Geography
Description: Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
NVSS Linked Birth-Death Records, 2003-2006, 2011-2014, 2015-2018
Maternal Mortality
Subpopulations
– Race
– Geography
Description: 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 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 live births
NVSS Multiple Cause of Death Files, 2005-2009, 2010-2014, 2015-2019
Multiple Chronic Conditions
Subpopulations
– Gender
– Race
– Education
Description: 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, 2011-2013, 2014-2016, 2017-2019
Premature Death
Subpopulations
– Gender
– Race
– Geography
Description: Number of years of potential life lost before age 75 per 100,000 population (age-adjusted)
NVSS Underlying Cause of Death Files, 2005-2009, 2010-2014, 2015-2019