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Almost all prevention measures analyzed in this report vary by income, race/ethnicity, education, or geography. For example, a lower percentage of Hispanics report using preventive services than non-Hispanic whites and non-Hispanic blacks.






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Access to health care is strongly associated with overall prevention. For instance, having a dedicated health care provider is highly correlated with receiving recommended colorectal cancer screening tests.






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States that score well in one category of prevention generally score well across the other two categories in the model, suggesting the importance of taking a holistic view of prevention activities. New England states, for instance, tend to excel in prevention activities across all three categories and may serve as a potential source for best practices.





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Immunization coverage levels vary widely among states. For instance, childhood immunization coverage ranges from 84.7% in Maine to 63.4% in West Virginia. Nationally, coverage levels for most immunizations examined in this report lag behind US Department of Health and Human Services’ Healthy People 2020 targets.