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IntroductionKey FindingsNational InsightsOverviewAccess to Health CareImmunizationsChronic Disease PreventionInequity InsightsAccess to Health Care: Dedicated Health Care ProviderImmunizations: Pneumococcal VaccinationChronic Disease Prevention: Colorectal Cancer ScreeningState Insights: OverallState Insights: Access to Health CareState Insights: ImmunizationsState Insights: Chronic Disease PreventionAppendix 1Appendix 2Footnotes
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.
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.
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.
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.