America's Health Rankings
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TENNESSEE

Ranking:  Tennessee is 46th this year; it was 47th in 2006. 

Strengths: Strengths include a low prevalence of binge drinking at 8.5 percent of the population, moderate immunization coverage with 81.7 percent of children ages 19 to 35 months receiving complete immunizations, ready access to primary care with 121.9 primary care physicians per 100,000 population and a moderate rate of uninsured population at 13.7 percent.

Challenges: Challenges include a high rate of preventable hospitalizations with 97.8 discharges per 1,000 Medicare enrollees, a high violent crime rate at 760 offenses per 100,000 population, a high infant mortality rate at 9.5 deaths per 1,000 live births and a high rate of cardiovascular deaths at 379.5 deaths per 100,000 population  

Significant Changes:

↓ In the past year, the prevalence of smoking decreased from 26.7 percent to 22.6 percent of the population.

↑ In the past year, the occupational fatalities rate increased from 5.2 to 6.0 deaths per 100,000 workers.

↓ Since 1990, the percentage of children in poverty decreased from 29.6 percent to 20.9 percent of persons under age 18.

↑ Since 1990, the violent crime rate increased from 534 to 760 offenses per 100,000 population.

Health Disparities: In Tennessee, blacks experience 46 percent more premature death than whites.  Deaths from cancer in the state are 29 percent more prevalent among blacks than whites.  Residents in non-urban areas of the state experience 34 percent more premature death than those in the fringe counties of large metropolitan areas.

State Health Department Web Site:     www.state.tn.us/health/
           


 

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Tennessee                
  2007   2006   2000   1990  
DETERMINANTS - Personal Behaviors Value Rank Value Rank Value Rank Value Rank
Prevalence of Smoking (Percent of population) 22.6↓ 40 26.7 47 24.8 38 30.8 33
Binge Drinking (Percent of population) 8.5 1 8.6* 2* 7.7* 1* --- ---
Prevalence of Obesity (Percent of population) 28.8↑ 44 27.4 42 20.5 33 11.8 26
High School Graduation (Percent of incoming ninth graders) 66.1↑ 45 63.4 45 60* 43* 67.2* 44
DETERMINANTS - Community Environment                
Violent Crime (Offenses per 100,000 population) 760 49 757 49 715 43 534 32
Occupational Fatalities (Deaths per 100,000 workers) 6 24 5.2 22 6.4 30 9.4* 26
Infectious Disease (Cases per 100,000 population) 23.5 39 23.8 38 34.2 34 32 28
Children in Poverty (Percent of persons under age 18) 20.9↑ 43 19.5 38 17.4 28 29.6 48
DETERMINANTS - Public & Health Policies                
Lack of Health Insurance (Percent without health insurance) 13.7 24 13.6 25 9.5 12 13.2 31
Per Capita Public Health Spending (Dollars per person) $91 43 $91 43 --- --- --- ---
Immunization Coverage (Percent of children ages 19 to 35 months) 81.7 20 82.9 21 70 38 --- ---
DETERMINANTS - Clinical Care                
Adequacy of Prenatal Care (Percent of pregnant women) --- 22 71.6* 22 78.1* 18* 69.2* 27*
Primary Care Physicians (Number per 100,000 population) 121.9↑ 15 118.8 17 --- --- --- ---
Preventable Hospitalizations (Number per 1,000 Medicare enrollees) 97.8 46 97.4 46 --- --- --- ---
All Determinants -8.5 46 -9.6 45 -4.3 38 -4.1 41
                 
HEALTH OUTCOMES                
Poor Mental Health Days (Days in previous 30 days) 3.2 18 3.2 23 2.9 21 --- ---
Poor Physical Health Days (Days in previous 30 days) 4.3↑ 46 3.8 40 3.3 29 --- ---
Infant Mortality (Deaths per 1,000 live births) 9.5 48 8.8 47 8.4 38 11.3 40
Cardiovascular Deaths (Deaths per 100,000 population) 379.5 48 384.4 48 402.9 47 426.4 40
Cancer Deaths (Deaths per 100,000 population) 220.3 47 219.2 46 221.9 42 200.9 26
Premature Death (Years lost per 100,000 population) 9,524 46 9,683 47 9,000 45 9,504 43
All Health Outcomes -5.5 46 -6.6 45 -5.6 46 -2.3 37
                 
OVERALL -14 46 -16.2 47 -9.9 41 -6.3 37
                 

↑ and ↓ indicate major increases and decreases in the last year. --- indicates data not available.
*Data may not be comparable.