America's Health Rankings
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MISSOURI

Ranking:  Missouri is 35th this year, unchanged from 2006. 

Strengths: Strengths include high immunization coverage with 85.2 percent of children ages 19 to 35 months receiving complete immunizations, ready access to adequate prenatal care with 81.9 percent of pregnant women receiving adequate prenatal care and a high rate of high school graduation with 80.4 percent of incoming ninth graders who graduate within four years.  Missouri ranks higher for health determinants than for health outcomes, indicating that overall healthiness should improve over time. 

Challenges: Challenges include a high rate of deaths from cardiovascular disease at 355.7 deaths per 100,000 population, a high rate of cancer deaths at 213.7 deaths per 100,000 population and many poor mental and physical health days per month at 3.7 days and 3.8 days in the previous 30 days, respectively.

Significant Changes:

↑ In the past year, the rate of uninsured population increased from 11.7 percent to 13.3 percent.

↓ In the past year, the incidence of infectious disease decreased from 14.0 to 11.2 cases per 100,000 population.

↑ Since 1990, the prevalence of obesity increased from 11.9 percent to 27.2 percent of the population.

↓ Since 1990, the infant mortality rate declined from 10.5 to 8.2 deaths per 1,000 live births. 

Health Disparities: In Missouri, blacks experience 65 percent more premature death than whites.   In the large metropolitan areas, residents in the central counties experience 48 percent more premature death than residents in the fringe counties. 

State Health Department Web Site:     www.dhss.mo.gov
           


 

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Missouri                
  2007   2006   2000   1990  
DETERMINANTS - Personal Behaviors Value Rank Value Rank Value Rank Value Rank
Prevalence of Smoking (Percent of population) 23.2 41 23.4 40 27.1 44 27.7 11
Binge Drinking (Percent of population) 16.4 34 14.7* 28* 16.4* 32* --- ---
Prevalence of Obesity (Percent of population) 27.2 40 26.9 39 21.7 42 11.9 27
High School Graduation (Percent of incoming ninth graders) 80.4↑ 14 78.3 17 76.7* 14* 76.1* 26
DETERMINANTS - Community Environment                
Violent Crime (Offenses per 100,000 population) 546 39 526 36 556 32 544 35
Occupational Fatalities (Deaths per 100,000 workers) 6.4 30 7.1 33 5.8 23 6* 6
Infectious Disease (Cases per 100,000 population) 11.2↓ 18 14 24 35.5 35 32.3 29
Children in Poverty (Percent of persons under age 18) 17.7 32 17.7 29 18.2 33 19.4 27
DETERMINANTS - Public & Health Policies                
Lack of Health Insurance (Percent without health insurance) 13.3↑ 21 11.7 17 6.2 1 11.5 24
Per Capita Public Health Spending (Dollars per person) $153 25 $153 25 --- --- --- ---
Immunization Coverage (Percent of children ages 19 to 35 months) 85.2↑ 5 79.3 31 68.9 41 --- ---
DETERMINANTS - Clinical Care                
Adequacy of Prenatal Care (Percent of pregnant women) 81.9 7 81.9 7 81.5* 9* 74.2* 13*
Primary Care Physicians (Number per 100,000 population) 106.2 32 107.4 30 --- --- --- ---
Preventable Hospitalizations (Number per 1,000 Medicare enrollees) 88.6↑ 41 84.9 39 --- --- --- ---
All Determinants -0.3 32 -1 32 -0.7 28 2.2 27
                 
HEALTH OUTCOMES                
Poor Mental Health Days (Days in previous 30 days) 3.7 42 3.4 32 2.9 21 --- ---
Poor Physical Health Days (Days in previous 30 days) 3.8 42 3.7 35 3.5 40 --- ---
Infant Mortality (Deaths per 1,000 live births) 8.2 42 7.3 34 7.6 32 10.5 32
Cardiovascular Deaths (Deaths per 100,000 population) 355.7 43 361 43 386.4 44 400.7 25
Cancer Deaths (Deaths per 100,000 population) 213.7 42