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| Introduction to Outcomes |
| Poor Mental Health Days |
| Poor Physical Health Days |
| Infant Mortality |
| Cardiovascular Deaths |
| Cancer Deaths |
| Premature Death |
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| Intro and Findings |
Components |
State Snapshots |
Methodology |
Perspectives: Determinants of Health Status |
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| Foreword and Introduction | Selection of Components | State-by-State Snapshots | Methodology |
Variations In The Costs And Quality Of Medical Care: Is More Always Better? by Elliott S. Fischer, M.D., M.P.H., Dartmouth Atlas Project |
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| Measures of Success | Combined Measures: Determinants/Outcomes |
All State Snapshots | Weighting of Components |
Improving America's
Health: Personal and Public Solutions by Thomas C. Ricketts, Ph.D., M.P.H., University of North Carolina at Chapel Hill |
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| Scientific Advisory Committee | ||||||||
| 2006 Results | Commentaries |
Partner Commentaries and Notable State Activities |
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| Changes from 2005, 1990 | Determinants  |
Letter from Michael Leavitt, Secretary, US Health and Human Services | Reducing Disease Burden: Engaging the Public by Georges C. Benjamin, M.D., F.A.C.P., Executive Director, American Public Health Association |
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| Comparison to Other Nations | Outcomes |
A National Action Agenda: Eliminating Health Disparities by Admiral John O. Agwunobi, M.D., M.B.A., M.P.H, Assistant Secretary for Health, US Health and Human Services |
We Can Take Action Toward Better Health for All Americans Now by John M. Clymer, President, Partnership for Prevention |
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| Health Disparities | Children's Health Insurance by Marian Wright Edelman, President and Founder, Children's Defense Fund | Taking Health Ranking to the Next Level: the Wisconsin County Health Rankings by Patrick L. Remington, MD, MPH and Bridget C. Booske, PhD, MHSA, University of Wisconsin Population Health Institute |
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| Tobacco at a Crossroads: An Opportunity to Translate Progress into Fundamental Change by Matthew Myers, President, Campaign for Tobacco-Free Kids | Healthy Vision 2010 Summits
by the Texas Medical Association Fetal and Infant Mortality Review (FIMR) by National Fetal and Infant Mortality Review Program |
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Snapshot
Overall Rank:
45 Strengths:
Challenges:
Significant Changes: -In the past year, the rate of uninsured population increased by 14% -In the past year, the high school graduation rate increased by 4% -Since 1990, the prevalence of obesity increased by 135% -Since 1990, the incidence of infectious disease decreased by 45% Ranking: Alabama is 45th this year, unchanged from 2005. Strengths: Strengths include high immunization coverage with 83.3 percent of children ages 19 to 35 months receiving complete immunizations, ready access to adequate prenatal care with 78.0 percent of pregnant women receiving adequate prenatal care and high per capita public health spending at $159 per person. Challenges: Challenges include a high infant mortality rate at 8.8 deaths per 1,000 live births, a high premature death rate with 10,012 years of potential life lost before age 75 per 100,000 population, a high percentage of children in poverty at 24.7 percent of persons under age 18 and many poor physical health days per month at 4.3 days in the previous 30 days. Significant Changes: In the past year, the rate of uninsured population increased from 13.5 percent to 15.4 percent. In the past year, the high school graduation rate increased from 62.1 percent to 64.7 percent of incoming ninth graders who graduate within four years. Since 1990, the prevalence of obesity increased from 12.3 percent to 28.9 percent of the population. ↓ Since 1990, the incidence of infectious disease decreased from 31.3 to 17.3 cases per 100,000 population. Health Disparities: In Alabama, the percentage of women who receive prenatal care varies from 53 percent among Hispanics to 90 percent among whites. Cancer is 40 percent more prevalent among whites (439.0 cases per 100,000 population) than Hispanics (312.7 cases per 100,000 population). Clinical Care: The cost of clinical care in Alabama is low compared to other states and the quality of care is moderate. State Health Department Web Site:
Snapshot Overall Rank: 31 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the incidence of infectious disease decreased by 9% -In the past year, the prevalence of obesity increased by 16% -Since 1990, the infant mortality rate declined by 46% -Since 1990, the violent crime rate increased by 39% Ranking: Alaska is 31st this year, it was 30th in 2005. Strengths: Strengths include high per capita public health spending at $482 per person, a low percentage of children in poverty, at 12.1 percent of persons under age 18 and a low rate of deaths from cardiovascular disease at 263.1 deaths per 100,000 population. Challenges: Challenges include limited access to adequate prenatal care with 63.9 percent of pregnant women receiving adequate prenatal care, low immunization coverage with 75.4 percent of children ages 19 to 35 months receiving complete immunizations, a low high school graduation rate with 68.0 percent of incoming ninth graders who graduate within four years and a high prevalence of smoking at 24.9 percent of the population Significant Changes: ↓ In the past year, the incidence of infectious disease decreased from 15.9 to 14.4 cases per 100,000 population. In the past year, the prevalence of obesity increased from 23.6 percent to 27.4 percent of the population. ↓ Since 1990, the infant mortality rate declined from 10.6 to 5.7 deaths per 1,000 live births. Since 1990, the violent crime rate increased from 455 to 632 offenses per 100,000 population. Health Disparities: In Alaska, the percentage of women who receive prenatal care varies from 71 percent among American Indians/Alaskan Natives to 84 percent among whites. Cancer is 69 percent more prevalent among whites (416.2 cases per 100,000 population) than Hispanics (246.4 cases per 100,000 population). Clinical Care: The cost of clinical care in Alaska is high compared to other states and the quality of care is low. State
Health Department Web Site:
Snapshot Overall Rank: 34 Change: down 3 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking increased by 9% -In the past year, the rate of uninsured population increased by 18% -Since 1990, the rate of motor vehicle deaths decreased by 30% -Since 1990, the incidence of infectious disease decreased by 73% Ranking: Arizona is 34th this year; it was 31st in 2005. Strengths: Strengths include few poor mental health days per month at 2.9 days in the previous 30 days, a low rate of cancer deaths at 183.4 deaths per 100,000 population, a low prevalence of obesity at 21.1 percent of the population, a low rate of deaths from cardiovascular disease at 281.1 deaths per 100,000 population and a low occupational fatalities rate at 4.3 deaths per 100,000 workers. Challenges: Challenges include low per capita public health spending at $81 per person, a high rate of uninsured population at 20.2 percent, limited access to adequate prenatal care with 67.6 percent of pregnant women receiving adequate prenatal care, and a high percentage of children in poverty, at 21.6 percent of persons under age 18. Significant Changes: In the past year, the prevalence of smoking increased from 18.5 percent to 20.2 percent of the population. In the past year, the rate of uninsured population increased from 17.1 percent to 20.2 percent. ↓ Since 1990, the rate of motor vehicle deaths decreased from 3.0 to 2.1 deaths per 100,000,000 miles driven. ↓ Since 1990, the incidence of infectious disease decreased from 91.0 to 24.6 cases per 100,000 population. Health Disparities: In Arizona, the percentage of women who receive prenatal care varies from 67 percent among Hispanics to 88 percent among whites. Cancer is 25 percent more prevalent among whites (396.9 cases per 100,000 population) than Hispanics (318.3 cases per 100,000 population). Clinical Care: The cost of clinical care in Arizona is moderate compared to other states and the quality of care is low. State
Health Department Web Site: Snapshot Overall Rank: 46 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking decreased by 8% -In the past year, the percentage of children in poverty declined by 15% -In the past year, immunization coverage decreased by 18% -Since 1990, the prevalence of obesity increased by 112% Ranking: Arkansas is 46th this year; it was 47th in 2005. Strengths: Strengths include a high rate of high school graduation with 76.6 percent of incoming ninth graders who graduate within four years and a low incidence of infectious disease at 15.8 cases per 100,000 population. Challenges: Challenges include low immunization coverage with 67.8 percent of children ages 19 to 35 months receiving complete immunizations, low per capita public health spending at $64 per person, a high prevalence of obesity at 28.0 percent of the population, and a high prevalence of smoking at 23.5 percent of the populatioin. Significant Changes: ↓ In the past year, the prevalence of smoking decreased from 25.5 percent to 23.5 percent of the population. ↓ Percentage of children in poverty declined from 21.8 percent to 18.6 percent of persons under age 18. ↓ In the past year, immunization coverage declined from 82.4 percent to 67.8 percent of children ages 19 to 35 months receiving complete immunizations. Since 1990, the prevalence of obesity increased from 13.2 percent to 28.0 percent of the population. Health Disparities: In Arkansas, the percentage of women who receive prenatal care varies from 69 percent among Hispanics to 84 percent among whites. Clinical Care: The cost of clinical care in Arkansas is moderate compared to other states and the quality of care is low. State Health Department Web Site:
Snapshot Overall Rank: 23 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the rate of motor vehicle deaths increased by 8% -In the past year, the occupational fatalities rate decreased by 12% -Since 1990, the violent crime rate decreased by 43% -Since 1990, the incidence of infectious disease decreased by 65% Ranking: California is 23rd this year; it was 22nd in 2005. Strengths: Strengths include a low prevalence of smoking at 15.2 percent of the population, a low infant mortality rate at 5.1 deaths per 1,000 live births, a low rate of cancer deaths at 190.7 deaths per 100,000 population and a low occupational fatalities rate at 3.0 deaths per 100,000 workers. Challenges: Challenges include a high rate of uninsured population at 19.4 percent, low immunization coverage with 77.9 percent of children ages 19 to 35 months receiving complete immunizations and a high incidence of infectious disease at 24.8 cases per 100,000 population. Significant Changes: In the past year, the rate of motor vehicle deaths increased from 1.2 to 1.3 deaths per 100,000,000 miles driven. ↓ In the past year, the occupational fatalities rate declined from 3.4 to 3.0 deaths per 100,000 workers. ↓ Since 1990, the violent crime rate decreased from 918 to 526 offenses per 100,000 population. ↓ Since 1990, the incidence of infectious disease declined from 70.6 to 24.8 cases per 100,000 population. Health Disparities: In California, the percentage of women who receive prenatal care varies from 75 percent among American Indians to 90 percent among whites. Cancer is 35 percent more prevalent among blacks (465.6 cases per 100,000 population) than Hispanics (345.2 cases per 100,000 population). Clinical Care: The cost of clinical care in California is high compared to other states and the quality of care is low. State
Health Department Web Site:
Snapshot Overall Rank: 16 Change: up 1 Strengths:
Challenges:
Significant Changes: -In the past year, immunization coverage increased by 8% -In the past year, the percentage of children in poverty increased by 26% -Since 1990, the prevalence of smoking decreased by 31% -Since 1990, the rate of uninsured population increased by 33% Ranking: Colorado is 16th this year; it was 17th in 2005. Strengths: Strengths include a low prevalence of obesity at 17.8 percent of the population, a low rate of cancer deaths at 180.6 deaths per 100,000 population, few poor physical health days per month at 3.0 days in the previous 30 days and a low rate of cardiovascular deaths at 274.0 deaths per 100,000 population. Challenges: Challenges include limited access to adequate prenatal care with 68.6 percent of pregnant women receiving adequate prenatal care, a high rate of uninsured population at 17.0 percent and low per capita public health spending at $92 per person. Significant Changes: In the past year, immunization coverage increased from 77.1 percent to 83.4 percent of children ages 19 to 35 months receiving complete immunizations. In the last year, the percentage of children in poverty increased from 11.7 percent to 14.7 percent of persons under age 18. ↓ Since 1990, the prevalence of smoking decreased from 28.6 percent to 19.8 percent of the population. Since 1990, the rate of uninsured population increased from 12.8 percent to 17.0 percent. Health Disparities: In Colorado, the percentage of women who receive prenatal care varies from 65 percent among American Indians to 87 percent among whites. Cancer is 14 percent more prevalent among whites (435.2 cases per 100,000 population) than Hispanics (382.3 cases per 100,000 population). Clinical Care: The cost of clinical care in Colorado is moderate compared to other states and the quality of care is high. State
Health Department Web Site:
Snapshot Overall Rank: 5 Change: up 2 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking decreased by 8% -In the past year, the rate of motor vehicle deaths decreased by 10% -Since 1990, the infant mortality rate decreased by 38% -Since 1990, the rate of uninsured population increased by 77% Ranking: Connecticut is 5th this year; it was 7th in 2005. Strengths: Strengths include high immunization coverage with 86.1 percent of children ages 19 to 35 months receiving complete immunizations, a low prevalence of smoking at 16.5 percent of the population, a low prevalence of obesity at 20.1 percent of the population, a low rate of motor vehicle deaths at 0.9 deaths per 100,000,000 miles driven and a low premature death rate with 6,043 years of potential life lost before age 75 per 100,000 population. Challenges: Challenges include a high incidence of infectious disease at 24.4 cases per 100,000 population. Significant Changes: ↓ In the past year, the prevalence of smoking decreased from 18.0 percent to 16.5 percent. ↓ In the past year, the rate of motor vehicle deaths declined from 1.0 to 0.9 deaths per 100,000,000 miles driven. ↓ Since 1990, the infant mortality rate decreased from 8.9 to 5.5 deaths per 1,000 live births. Since 1990, the rate of uninsured population increased from 6.4 percent to 11.3 percent. Health Disparities: In Connecticut, the percentage of women who receive prenatal care varies from 78 percent among Hispanics to 92 percent among whites. Cancer is 8 percent more prevalent among whites (493.5 cases per 100,000 population) than Hispanics (457.7 cases per 100,000 population). Clinical Care: The cost of clinical care in Connecticut is high compared to other states and the quality of care is high. To view Connecticut in comparison to other states, see pages [xabcx to xdefx]. State
Health Department Web Site: Snapshot Overall Rank: 30 Change: up 3 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of obesity increased by 12% -In the past year, the prevalence of smoking decreased by 15% -Since 1990, the rate of motor vehicle deaths decreased by 46% -Since 1990, the percentage of children in poverty increased by 64% Ranking: Delaware is 30th this year; it was 33rd in 2005. Strengths: Strengths include high immunization coverage with 84.2 percent of children ages 19 to 35 months receiving complete immunizations, ready access to adequate prenatal care with 80.3 percent of pregnant women receiving adequate prenatal care and high per capita public health spending at $246 per person. Challenges: Challenges include a high violent crime rate at 632 offenses per 100,000 population, a high incidence of infectious disease at 31.5 cases per 100,000 population and a high infant mortality rate at 7.6 deaths per 1,000 live births. Significant Changes: In the past year, the prevalence of obesity increased from 21.0 percent to 23.5 percent of the population. ↓ In the past year, the prevalence of smoking decreased from 24.3 percent to 20.6 percent of the population. ↓ Since 1990, the rate of motor vehicle deaths decreased from 2.6 to 1.4 deaths per 100,000,000 miles driven. Since 1990, the percentage of children in poverty increased from 8.6 percent to 14.2 percent of persons under age 18 Health Disparities: In Delaware, the percentage of women who receive prenatal care varies from 73 percent among Hispanics to 92 percent among Asians/Pacific Islanders. Cancer is 74 percent more prevalent among blacks (511.0 cases per 100,000 population) than Hispanics (293.3 cases per 100,000 population). Clinical Care: The cost of clinical care in Delaware is high compared to other states and the quality of care is moderate. State
Health Department Web Site: Snapshot Overall Rank: 41 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking increased by 7% -In the past year, the immunization coverage decreased by 10% -Since 1990, the percentage of children in poverty declined by 38% -Since 1990, the rate of motor vehicle deaths decreased by 42% Ranking: Florida is 41st this year; it was 40th in 2005. Strengths: Strengths include a low rate of cancer deaths at 191.8 deaths per 100,000 population and a low prevalence of obesity at 22.8 percent of the population. Challenges: Challenges include a low high school graduation rate with 66.7 percent of incoming ninth graders who graduate within four years, a high violent crime rate at 708 offenses per 100,000 population, a high rate of uninsured population at 20.7 percent and a high incidence of infectious disease at 39.1 cases per 100,000 population. Significant Changes: In the past year, the prevalence of smoking increased from 20.2 percent to 21.7 percent of the population. In the past year, the immunization coverage decreased from 88.5 percent to 79.3 percent of children ages 19 to 35 months receiving complete immunizations. ↓ Since 1990, the percentage of children in poverty declined from 25.4 percent to 15.8 percent of persons under age 18. ↓ Since 1990, the rate of motor vehicle deaths decreased from 3.1 to 1.8 deaths per 100,000,000 miles driven. Health Disparities: In Florida, the percentage of women who receive prenatal care varies from 68 percent among American Indians to 90 percent among whites. Cancer is 4 percent more prevalent among whites (460.2 cases per 100,000 population) than blacks (442.2 cases per 100,000 population). Clinical Care: The cost of clinical care in Florida is high compared to other states and the quality of care is low. State
Health Department Web Site:
Snapshot Overall Rank: 42 Change: up 1 Strengths:
Challenges:
Significant Changes: -In the past year, the incidence of infectious disease decreased by 12% -In the past year, the prevalence of smoking increased by 11% -Since 1990, the infant mortality rate decreased by 36% -Since 1990, the rate of motor vehicle deaths decreased by 40% Ranking: Georgia is 42nd this year; it was 43rd in 2005. Strengths: Strengths include high immunization coverage with 84.7 percent of children ages 19 to 35 months receiving complete immunizations and moderate per capita public health spending at $138 per person. Challenges: Challenges include a low high school graduation rate with 60.8 percent of incoming ninth graders who graduate within four years, a high incidence of infectious disease at 33.3 cases per 100,000 population, a high infant mortality rate at 8.1 deaths per 1,000 live births and a high rate of uninsured population at 18.9 percent. Significant Changes: ↓ In the past year, the incidence of infectious disease decreased from 37.7 to 33.3 cases per 100,000 population. In the past year, the prevalence of smoking increased from 19.9 percent to 22.1 percent of the population. ↓ Since 1990, the infant mortality rate decreased from 12.6 to 8.1 deaths per 1,000 live births. ↓ Since 1990, the rate of motor vehicle deaths decreased from 2.5 to 1.5 deaths per 100,000,000 miles driven. Health Disparities: In Georgia, the percentage of women who receive prenatal care varies from 73 percent among Hispanics to 91 percent among whites. Cancer is 57 percent more prevalent among blacks (483.7 cases per 100,000 population) than Hispanics (307.5 cases per 100,000 population). Clinical Care: The cost of clinical care in Georgia is moderate compared to other states and the quality of care is low. State
Health Department Web Site:
Snapshot Overall Rank: 4 Change: up 1 Strengths:
Challenges:
Significant Changes: -In the past year, the incidence of infectious disease decreased by 9% -In the past year, the number of poor mental health days increased by 40% -Since 1990, the percentage of children in poverty declined by 52% -Since 1990, the prevalence of smoking decreased by 38% Ranking: Hawaii is 4th this year; it was 5th in 2005. Strengths: Strengths include high per capita public health spending at $499 per person, a low prevalence of obesity at 19.7 percent of the population, a low prevalence of smoking at 17.0 percent of the population, a low rate of uninsured population at 9.1 percent, a low percentage of children in poverty at 10.0 percent of persons under age 18, a low rate of deaths from cardiovascular disease at 230.9 deaths per 100,000 population and a low rate of cancer deaths at 159.8 deaths per 100,000 population. Challenges: Challenges include limited access to adequate prenatal care with 66.1 percent of pregnant women receiving adequate prenatal care and a low high school graduation rate with 71.3 percent of incoming ninth graders who graduate within four years. (Note: graduation statistics are from National Center for Education Statistics and vary greatly from the state department of education statistics.) Significant Changes: ↓ In the past year, the incidence of infectious disease decreased from 23.4 to 21.4 cases per 100,000 population. In the past year, the number of poor mental health days per month increased from 2.0 to 2.8 days in the previous 30 days. ↓ Since 1990, the percentage of children in poverty decreased from 20.7 percent to 10.0 percent of persons under age 18. ↓ Since 1990, the prevalence of smoking decreased from 27.6 percent to 17.0 percent of the population. Health Disparities: In Hawaii, the percentage of women who receive prenatal care varies from 82 percent among American Indians to 92 percent among blacks. Cancer is 59 percent more prevalent among whites (486.3 cases per 100,000 population) than blacks (305.0 cases per 100,000 population). Clinical Care: The cost of clinical care in Hawaii is high compared to other states and the quality of care is low.
State Health Department Web Site: Snapshot Overall Rank: 19 Change: down 3 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of obesity increased by 18% -In the past year, the occupational fatalities rate increased by 62% -Since 1990, the incidence of infectious disease decreased by 89% -Since 1990, the infant mortality rate declined by 38% Ranking: Idaho is 19th this year; it was 16th in 2005. Strengths: Strengths include a low prevalence of smoking at 17.9 percent of the population, a high rate of high school graduation at 81.4 percent of incoming ninth graders who graduate within four years, a low rate of cancer deaths at 187.8 deaths per 100,000 population, a low incidence of infectious disease at 4.4 cases per 100,000 population and a low percentage of children in poverty at 12.4 percent of persons under age 18. Challenges: Challenges include low per capita public health spending at $70 per person and a low rate of immunization coverage at 78.1 percent of children ages 19 to 35 months. Significant Changes: In the past year, the prevalence of obesity increased from 20.8 percent to 24.5 percent of the population. In the past year, the occupational fatalities rate increased from 6.1 to 9.9 deaths per 100,000 workers. ↓ Since 1990, the incidence of infectious disease decreased from 38.8 to 4.4 cases per 100,000 population. ↓ Since 1990, the infant mortality rate declined from 10.8 to 6.7 deaths per 1,000 live births. Health Disparities: In Idaho, the percentage of women who receive prenatal care varies from 69 percent among Hispanics to 84 percent among whites. Cancer is 11 percent more prevalent among whites (456.9 cases per 100,000 population) than Hispanics (409.9 cases per 100,000 population). Clinical Care: The cost of clinical care in Idaho is low compared to other states and the quality of care is high.
State Health Department Web Site: Snapshot Overall Rank: 25 Change: up 3 Strengths:
Challenges:
Significant Changes: -In the past year, the percentage of children in poverty decreased by 13% -In the past year, the prevalence of smoking decreased by 10% -Since 1990, the prevalence of obesity increased by 130% -Since 1990, the lack of health insurance increased by 42% Ranking: Illinois is 25th this year; it was 28th in 2005. Strengths: Strengths include high per capita public health spending at $190 per person, a low rate of motor vehicle deaths at 1.2 deaths per 100,000,000 miles driven, a low occupational fatalities rate at 3.5 deaths per 100,000 workers and few poor physical health days per month with 3.2 days in the previous 30 days. Challenges: Challenges include a high violent crime rate at 552 offenses per 100,000 population and a high rate of cancer deaths at 209.2 deaths per 100,000 population. Significant Changes: ↓ In the past year, the percentage of children in poverty decreased from 18.0 percent to 15.6 percent of persons under age 18. ↓ In the past year, the prevalence of smoking decreased from 22.2 percent to 19.9 percent of the population. Since 1990, the prevalence of obesity increased from 10.9 percent to 25.1 percent of the population. Since 1990, the lack of health insurance increased from 10.1 percent to 14.3 percent of the population. Health Disparities: In Illinois, the percentage of women who receive prenatal care varies from 74 percent among blacks to 91 percent among whites. Cancer is 50 percent more prevalent among blacks (509.2 cases per 100,000 population) than Hispanics (338.7 cases per 100,000 population). Clinical Care: The cost of clinical care in Illinois is high compared to other states and the quality of care is moderate.
State Health Department Web Site:
Snapshot Overall Rank: 33 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking increased by 10% -Since 1990, the rate of motor vehicle deaths declined by 48% -Since 1990, the rate of uninsured population increased by 30% -Since 1990, the incidence of infectious disease decreased by 37% Ranking: Indiana is 33rd this year, it was 32nd in 2005. Strengths: Strengths include a low rate of motor vehicle deaths at 1.3 deaths per 100,000,000 miles driven, a low incidence of infectious disease at 11.3 cases per 100,000 population and a low violent crime rate at 324 offenses per 100,000 population. Challenges: Challenges include a high prevalence of smoking at 27.3 percent of the population, a high prevalence of obesity at 27.2 percent of the population, a high rate of cancer deaths at 219.7 deaths per 100,000 population and many poor mental health days per month at 3.7 days in the previous 30 days. Significant Changes: In the past year, the prevalence of smoking increased from 24.8 percent to 27.3 percent of the population. ↓ Since 1990, the rate of motor vehicle deaths declined from 2.5 to 1.3 deaths per 100,000,000 miles driven. Since 1990, the rate of uninsured population increased from 10.9 percent to 14.2 percent. ↓ Since 1990, the incidence of infectious disease decreased from 18.0 to 11.3 cases per 100,000 population. Health Disparities: In Indiana, the percentage of women who receive prenatal care varies from 65 percent among Hispanics to 84 percent among whites. Cancer is 52 percent more prevalent among blacks (497.6 cases per 100,000 population) than Hispanics (328.4 cases per 100,000 population). Clinical Care: The cost of clinical care in Indiana is low compared to other states and the quality of care is moderate.
State Health Department Web Site: Snapshot Overall Rank: 11 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the rate of uninsured population declined by 9% -In the past year, the percentage of children in poverty increased by 13% -Since 1990, the rate of motor vehicle deaths decreased by 46% -Since 1990, the infant mortality rate decreased by 41% Ranking: Iowa is 11th this year; it was 10th in 2005. Strengths: Strengths include a low rate of uninsured population at 8.6 percent, a low incidence of infectious disease at 5.9 cases per 100,000 population, ready access to adequate prenatal care with 83.0 percent of pregnant women receiving adequate prenatal care, a high rate of high school graduation with 85.3 percent of incoming ninth graders who graduate within four years and a low infant mortality rate at 5.2 deaths per 1,000 live births. Challenges: Challenges include low per capita public health spending at $59 per person and a high prevalence of obesity at 25.4 percent of the population. Significant Changes: ↓ In the past year, the rate of uninsured population decreased from 9.5 percent to 8.6 percent. In the past year, the percentage of children in poverty increased from 12.8 percent to 14.5 percent of persons under age 18. ↓ Since 1990, the rate of motor vehicle deaths decreased from 2.6 to 1.4 deaths per 100,000,000 miles driven. Since 1990, the prevalence of obesity increased from 12.8 percent to 25.4 percent of the population. Health Disparities: In Iowa, the percentage of women who receive prenatal care varies from 75 percent among Hispanics to 90 percent among whites. Cancer is 71 percent more prevalent among blacks (486.5 cases per 100,000 population) than Hispanics (283.7 cases per 100,000 population). Clinical Care: The cost of clinical care in Iowa is low compared to other states and the quality of care is high.
State Health Department Web Site: Snapshot Overall Rank: 17 Change: up 6 Strengths:
Challenges:
Significant Changes: -In the past year, the prevalence of smoking decreased by 10% -In the past year, the percentage of children in poverty increased by 14% -Since 1990, the prevalence of obesity increased by 82% -Since 1990, the incidence of infectious disease decreased by 66% Ranking: Kansas is 17th this year; it was 23rd in 2005. Strengths: Strengths include a low rate of uninsured population at 10.8 percent, a low prevalence of smoking at 17.8 percent of the population, a low incidence of infectious disease at 7.9 cases per 100,000 population, ready access to adequate prenatal care, with 79.1 percent of pregnant women receiving adequate prenatal care, and high immunization coverage with 83.8 percent of children ages 19 to 35 months receiving complete immunizations. Challenges: Challenges include a high infant mortality rate at 7.1 deaths per 1,000 live births and high prevalence of obesity at 23.9 percent of the population. Significant Changes: ↓ In the past year, the prevalence of smoking decreased from 19.8 percent to 17.8 percent of the population. In the past year, the percentage of children in poverty increased from 15.6 percent to 17.8 percent of persons under age 18. Since 1990, the prevalence of obesity increased from 13.1 percent to 23.9 percent of the population. ↓ Since 1990, the incidence of infectious disease decreased from 23.3 to 7.9 cases per 100,000 population. Health Disparities: In Kansas, the percentage of women who receive prenatal care varies from 74 percent among Hispanics to 90 percent among whites. Cancer is 51 percent more prevalent among blacks (470.1 cases per 100,000 population) than Hispanics (311.4 cases per 100,000 population). Clinical Care: The cost of clinical care in Kansas is moderate compared to other states and the quality of care is moderate.
State Health Department Web Site:
Snapshot Overall Rank: 39 Change: up 3 Strengths:
Challenges:
Significant Changes: -In the past year, the rate of uninsured population declined by 11% -In the past year, the percentage of children in poverty decreased by 11% -Since 1990, the incidence of infectious disease declined by 57% -Since 1990, the prevalence of obesity increased by 134% Ranking: Kentucky is 39th this year; it was 42nd in 2005. Strengths: Strengths include a low violent crime rate at 267 offenses per 100,000 population, a low incidence of infectious disease at 11.7 cases per 100,000 population, and a low rate of uninsured population at 12.7 percent. Challenges: Challenges include a high prevalence of smoking at 28.7 percent of the population, a high rate of cancer deaths at 236.8 deaths per 100,000 population, many poor mental health days per month at 4.3 days in the previous 30 days and a high prevalence of obesity at 28.6 percent of the population. Significant Changes: ↓ In the past year, the rate of uninsured population declined from 14.3 percent to 12.7 percent. ↓ In the past year, the percentage of children in poverty decreased from 23.8 percent to 21.2 percent of persons under age 18. ↓ Since 1990, the incidence of infectious disease declined from 27.4 to 11.7 cases per 100,000 population. Since 1990, the prevalence of obesity increased from 12.2 percent to 28.6 percent of the population. Health Disparities: In Kentucky, the percentage of women who receive prenatal care varies from 72 percent among Hispanics to 88 percent among whites. Cancer is 11 percent more prevalent among whites (491.3 cases per 100,000 population) than blacks (547.3 cases per 100,000 population). Clinical Care: The cost of clinical care in Kentucky is low compared to other states and the quality of care is moderate.
State Health Department Web Site: Snapshot Overall Rank: 50 Change: down 1 Strengths:
Challenges:
Significant Changes: -In the past year, the rate of uninsured population increased by 9% -In the past year, the incidence of infectious disease decreased by 13% -Since 1990, the percentage of children in poverty decreased by 36% -Since 1990, the prevalence of obesity increased by 150% Ranking: Louisiana is 50th this year; it was 49th in 2005. Strengths: Strengths include ready access to adequate prenatal care with 82.8 percent of pregnant women receiving adequate prenatal care and few poor mental health days at 2.7 days in the previous 30 days. Challenges: Challenges include a high prevalence of obesity at 30.8 percent of the population, a high percentage of children in poverty at 24.7 percent of persons under age 18, a high rate of cancer deaths at 223.3 deaths per 100,000 population, a high infant mortality rate at 9.9 deaths per 1,000 live births and a high premature death rate with 10,530 years of potential life lost before age 75 per 100,000 population. Significant Changes: In the past year, the rate of uninsured population increased from 17.2 percent to 18.8 percent of the population. ↓ In the past year, the incidence of infectious disease decreased from 32.3 to 28.0 cases per 100,000 population. ↓ Since 1990, the percentage of children in poverty decreased from 38.5 percent to 24.7 percent of persons under age 18. Since 1990, the prevalence of obesity increased from 12.3 percent to 30.8 percent of the population. Health Disparities: In Louisiana, the percentage of women who receive prenatal care varies from 75 percent among blacks to 91 percent among whites. Cancer is 14 percent more prevalent among Hispanics (541.7 cases per 100,000 population) than whites (477.2 cases per 100,000 population). Clinical Care: The cost of clinical care in Louisiana is moderate compared to other states and the quality of care is low.
State Health Department Web Site: Snapshot Overall Rank: 9 Change: down 1 Strengths:
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