America's Health Rankings
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Weighting of Components  (See Note)

Three criteria were considered when assigning weights to components. 

1.         What effect does a component have on overall health? 

2.         Is the effect measured solely by this component or is it included in other components? 

3.         How reliable is the data supporting a component? 

The final weights, presented in Table 13, are based on input from experts in 1990 and 1991 and included in the methodology review now underway.  The weights of the components total 100 percent.  The column labeled "% of Total" indicates the weight of each component in determining the overall ranking.  For example, prevalence of smoking is 10 percent of the America's Health Rankings.  The column labeled "Effect on Score" presents how each component positively or negatively relates to the overall ranking.  For example, a high prevalence of smoking has a negative effect on score and will lower the ranking of a state.  An increase in the percent of high school graduates has a positive effect on score and will increase the overall ranking of a state.

Table 13 - Weight of Individual Components

Name of Component        
DETERMINANTS   % of Total   Effect on Score
PERSONAL BEHAVIORS      
  Prevalence of Smoking 10   Negative
  Binge Drinking   (See Note) 5.0   Negative
  Prevalence of Obesity 5.0   Negative
  High School Graduation  5.0   Positive
COMMUNITY ENVIRONMENT      
  Violent Crime 5.0   Negative
  Occupational Fatalities  2.5   Negative
    Children in Poverty 5.0   Negative
  Infectious Disease 5.0   Negative
              
PUBLIC & HEALTH POLICIES      
  Lack of Health Insurance 5.0   Negative
  Per Capita Public Health Spending 2.5   Positive
  Immunization Coverage 5.0   Positive
CLINICAL CARE        
  Adequacy of Prenatal Care 5.0   Positive
  Primary Care Physicians 5.0   Positive
  Preventable Hospitalizations 5.0   Negative
         
HEALTH OUTCOMES        
  Poor Mental Health Days 5.0   Negative
  Poor Physical Health Days 5.0   Negative
  Infant Mortality 5.0   Negative 
  Cardiovascular Deaths 5.0   Negative
  Cancer Deaths 5.0   Negative
  Premature Death 5.0   Negative
         
OVERALL HEALTH RANKING 100   -------


Note: This component replaces Motor Vehicle Deaths and is reported for each state.  Its effect was not included in the overall rankings in this edition due to the change in definition of binge drinking in the Behavioral Risk Factor Surveillance Survey in the last year. See clarification for more information.