united states - america's health rankings

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OVERALL — WOMEN AND CHILDREN 0.651 AMERICA’S HEALTH RANKINGS ® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS ® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org UNITED HEALTH FOUNDATION | AMERICA’S HEALTH RANKINGS ® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE 2020 No. 1 Value State 2020 No. 1 Value State 2020 No. 1 Value State 2020 No. 1 Value State Measures Measures Measures Measures Children Children Women Women Community and Family Safety Child Victimization* Economic Resources Children in Poverty Children in Poverty Racial Gap High-speed Internet Students Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School Graduation High School Graduation Racial Gap Social Support and Engagement Adverse Childhood Experiences Foster Care Instability Neighborhood Amenities Reading, Singing or Storytelling Community and Family Safety Intimate Partner Violence Before Pregnancy* Violent Crime Economic Resources Concentrated Disadvantage Food Insecurity — Household Gender Pay Gap* Poverty Unemployment Education College Graduate Social Support and Engagement Residential Segregation Voter Participation — Midterm SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027 1.8 9.5% 0.0 97.1% 0.8% 61.4% 67.0% 45.4% 91.4% 3.9 8.9% 9.4% 55.9% 69.4% 1.216 1.8% 112 2.1% 7.8% 87.8% 10.4% 2.2% 50.3% 42 67.7% Air and Water Quality Air Pollution Drinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk Score Water Fluoridation Climate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — Women Housing With Lead Risk Severe Housing Problems CLINICAL CARE Access to Care Adequate Prenatal Care Avoided Care Due to Cost Publicly-funded Women's Health Services Uninsured Women's Health Providers Preventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit* Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity Sexual Health Chlamydia High-risk HIV Behaviors Unintended Pregnancy* Sleep Health Insufficient Sleep Tobacco Use E-cigarette Use* Smoking Smoking During Pregnancy Behavioral Health Excessive Drinking Frequent Mental Distress Illicit Drug Use Postpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality Rate Physical Health Frequent Physical Distress High Health Status* High Blood Pressure Multiple Chronic Conditions Obesity OVERALL — WOMEN BEHAVIORS HEALTH OUTCOMES Access to Care ADD/ADHD Treatment Pediatricians Uninsured Preventive Clinical Care Childhood Immunizations HPV Vaccination Preventive Dental Care Well-child Visit Quality of Care Adequate Insurance Developmental Screening Medical Home Nutrition and Physical Activity Breastfed Food Sufficiency Physical Activity Soda Consumption — Youth* Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use Behavioral Health Alcohol Use — Youth Anxiety Depression Flourishing Illicit Drug Use — Youth Mortality Child Mortality Infant Mortality Teen Suicide* Physical Health Asthma High Health Status* Low Birthweight Low Birthweight Racial Gap Overweight or Obesity — Youth OVERALL — CHILDREN Summary 1.382 90.9% 9.2% 66% 3.5% 98.0 86.9% 78.1% 41.3% 95.5% 79.4% 86.7% 16.7% 96 1.341 29.1% 21.1% 14.8% 724.3 6.2% 21.7% 27.3% 3.0% 7.0% 1.3% 0.891 11.7% 11.1% 5.2% 9.7% 6.9 11.7 66.9 6.6% 6.6% 62.0% 2.2% 21.3% 0.828 1.607 5.8% 201.5 1.2% 85.9% 78.1% 88.4% 90.7% 81.3% 62.6% 59.2% 0.949 42.1% 78.3% 32.4% 5.5% 79.2% 7.2 74.9% 89.0% 9.7% 2.3% 0.911 3.3% 4.4% 1.5% 77.8% 5.1% 16.0 3.8 5.0 4.3% 94.7% 5.9% 2.4 22.4% 0.664 CLINICAL CARE BEHAVIORS HEALTH OUTCOMES PHYSICAL ENVIRONMENT 0.751 4.4 0.0% 6.1% 317 99.9% 4 5.8 50.9% 5.2% 11.2% Rating Rank +++++ ++++ +++ ++ + 1–10 11–20 21–30 31–40 41–50 United States United States 0.000 9.2 18.0% 19.2 93.8% 2.7% 49.3% 48.2% 35.3% 85.3% 15.6 14.7% 15.8% 38.7% 54.8% 0.000 2.8% 381 25.2% 11.7% 81.1% 16.3% 3.8% 35.7% 56 55.0% 8% 32% 18% in the past two years from 43.4% to 51.1% of adolescents ages 13-17 in the past four years from 17.7% to 19.2% of women ages 18-44 since 2016 from 8.4 to 11.1 deaths per 100,000 adolescents ages 15-19 EXCESSIVE DRINKING TEEN SUICIDE HPV VACCINATION United States State Health Department Website: hhs.gov 0.000 8.4 1.1% 14.4% 3,122,643 72.8% 8.7 75.9% 17.8% 17.9% 10% in the past two years from 34.3% to 30.8% of women ages 18-44 FLU VACCINATION 0.000 76.4% 18.7% 29% 12.6% 47.0 79.9% 67.6% 30.8% 90.1% 69.6% 71.8% 25.9% 79 0.000 20.8% 12.2% 22.7% 1,743.4 9.4% 30.4% 36.1% 5.3% 15.0% 6.5% 0.000 19.2% 17.0% 7.6% 13.2% 20.3 17.4 96.8 8.4% 10.7% 54.2% 4.3% 28.7% 0.000 0.000 3.0% 100.1 5.2% 75.0% 51.1% 79.6% 82.2% 66.8% 36.4% 47.7% 0.000 24.9% 68.1% 22.3% 9.3% 90.9% 17.4 65.3% 80.2% 32.7% 4.5% 0.000 9.4% 8.5% 3.8% 71.7% 8.0% 25.7 5.8 11.1 7.7% 90.3% 8.3% 7.0 31.0% 0.000 0.000 * Measure not included in overall score. —Indicates data missing or suppressed. Value not calculated. Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org. Highlights: 23% in the past four years from 8.4% to 6.5% of live births SMOKING DURING PREGNANCY 18% in the past four years from 14.3% to 11.7% of households FOOD INSECURITY

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Page 1: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Uni

ted

Stat

esUnited States

0.000

9.2

18.0%19.2

93.8%2.7%

49.3%

48.2%35.3%85.3%15.6

14.7%15.8%38.7%54.8%

0.000

2.8%381

25.2%11.7%81.1%16.3%3.8%

35.7%

5655.0%

8%

32%18% in the past two years from 43.4% to 51.1% of adolescents ages 13-17

in the past four years from 17.7% to 19.2% of women ages 18-44

since 2016 from 8.4 to 11.1 deaths per 100,000 adolescents ages 15-19

EXCESSIVE DRINKING

TEEN SUICIDEHPV VACCINATION

United StatesState Health Department Website: hhs.gov

0.000

8.41.1%

14.4%3,122,643

72.8%

‡8.7

75.9%17.8%17.9%

10% in the past two years from 34.3% to 30.8% of women ages 18-44

FLU VACCINATION

0.000

76.4%18.7%29%

12.6%47.0

79.9%67.6%30.8%90.1%69.6%

71.8%25.9%

79

0.000

20.8%12.2%22.7%

1,743.49.4%

30.4%

36.1%

5.3%15.0%6.5%

0.000

19.2%17.0%7.6%13.2%

20.317.496.8

8.4%10.7%54.2%4.3%28.7%

0.000

0.000

3.0%100.15.2%

75.0%51.1%79.6%82.2%

66.8%36.4%47.7%

0.000

24.9%68.1%22.3%9.3%

90.9%17.4

65.3%80.2%

32.7%4.5%

0.000

9.4%8.5%3.8%71.7%8.0%

25.75.811.1

7.7%90.3%8.3%7.0

31.0%

0.000

0.000* Measure not included in overall score.

—Indicates data missing or suppressed.

‡ Value not calculated.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Highlights:

23% in the past four years from 8.4% to 6.5% of live births

SMOKING DURING PREGNANCY

18% in the past four years from 14.3% to 11.7% of households

FOOD INSECURITY

Page 2: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Alaba

ma

Alabama

++ -0.274 35

++ 11.2 32

+ 23.8% 45++ 25.4 39++ 92.3% 40+++ 2.1% 22++++ 49.7% 14 ++ 44.1% 34+ 28.2% 47+++++ 90.0% 5+++++ 3.9 1 +++ 15.4% 22+ 20.4% 42+ 20.7% 45+ 48.5% 47

+ -0.803 46

—+ 520 44 + 29.7% 41+ 14.7% 43+ 72.4% 46+ 21.5% 45++ 4.1% 33 + 28.0% 44

+++ 56 24++ 52.4% 37

• High percentage of high school graduation• High immunization coverage among children• Low prevalence of excessive drinking among women

• High prevalence of tobacco use among adolescents• High mortality rate among women ages 20-44• Low prevalence of fourth grade reading proficiency

42%

21%13% in the past year from 3.1% to 3.5% of children ages 0-18

in the past two years from 35.4% to 50.2% of adolescents ages 13-17

in the past four years from 31.0% to 37.5% of women ages 18-44

HPV VACCINATION

OBESITYUNINSURED

AlabamaState Health Department Website: alabamapublichealth.gov

+++ 0.241 27

++ 8.1 36++ 0.7% 31++ 16.2% 32++ 6,153,974 36+++ 78.0% 23 ++ 0 37++ 10.1 36 + 86.4% 50++++ 11.9% 13++++ 14.3% 15

13% in the past four years from 16.8% to 14.7% of households

FOOD INSECURITY

+ -0.493 43

++ 73.7% 38+ 23.1% 44++++ 28% 19+ 16.4% 44+ 30.2 49 ++++ 81.5% 19++ 63.5% 38++ 28.2% 38 — +++ 68.5% 29 +++ 72.7% 26+ 28.6% 44+++ 78 24

+ -0.939 46

+ 18.1% 42+ 6.3% 49+ 27.1% 45

+ 2,011.1 42+ 10.6% 42 — ++ 39.5% 39

++++ 5.0% 12++ 20.5% 37+++ 8.7% 26

+ -1.196 47

+++++ 13.7% 4++ 19.8% 35+ 9.0% 47 — +++ 19.4 25 36.4 + 146.9 46 ++ 10.0% 39+ 17.4% 48+ 51.0% 43+ 8.0% 46+ 37.5% 47 + -0.778 47

++++ 0.452 14

+++++ 4.8% 6++ 70.3 39++++ 3.5% 17

+++++ 81.3% 7+++ 50.2% 29+++ 80.8% 22++ 81.1% 32

+++++ 72.8% 4++++ 44.6% 11+ 46.0% 43

+ -1.207 48 .633 44+ 20.6% 45+ 59.5% 45+++ 22.8% 28 14.1% 88.2% + 25.2 41 + 59.3% 44 — 19.4% + 8.5% 47

+ -0.713 47

+++ 9.3% 22+++++ 7.3% 6+++++ 2.6% 4++ 70.8% 36+++ 7.9% 25 + 37.2 46+ 8.2 48++++ 10.3 15 ++ 9.1% 40+ 87.6% 48+ 10.7% 48+ 8.2 44++ 34.0% 39 + -0.410 45

+ -0.559 —

Page 3: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Alask

aAlaska

+ -0.521 44

++ 14.2 36

++++ 14.1% 17++++ 13.9 13++ 92.8% 35++ 3.0% 39+ 38.5% 48 + 41.0% 42+ 25.1% 49+ 78.5% 49+++ 14.7 25 + 21.9% 48+++ 16.7% 30++ 26.5% 40+++++ 65.8% 4

+++ -0.041 29

5.2% + 885 50 ++++ 17.2% 19++++ 10.8% 20+++ 79.3% 28+++++ 12.1% 5+ 4.7% 47 +++ 33.7% 30

++++ 50 11+++ 53.6% 30

• High prevalence of exercise among women• High prevalence of physical activity among children• Low percentage of housing with lead risk

• High prevalence of 2+ adverse childhood experiences• Low percentage of high school graduation• High incidence of chlamydia among females

22%

35%20% in the past four years from 20.8% to 16.7% of singleton, term, vertex, first births

in the past four years from 26.8% to 32.7% of women ages 18-44

in the past four years from 33.1 to 44.8 deaths per 100,000 children ages 1-19

OBESITY

CHILD MORTALITYLOW-RISK CESAREAN DELIVERY

AlaskaState Health Department Website: dhss.alaska.gov

++ 0.136 34

+++++ 6.4 10+ 5.0% 48++++ 14.9% 18+++++ 13,132 3+ 49.6% 43 ++ 0 37+ 22.9 50 +++++ 68.5% 3+++++ 7.5% 3+ 20.5% 46

19% in the past three years from 13.3% to 10.8% of households

FOOD INSECURITY

++++ 0.370 16

+ 68.4% 49+++ 17.7% 26+++++ 54% 4++ 14.5% 38+++++ 98.0 1 +++ 80.8% 25+++++ 73.3% 7+++ 32.3% 26 89.0% + 59.5% 49 + 65.1% 44+++++ 16.7% 1++++ 83 11

+++ -0.054 29

+++++ 25.6% 6+++ 12.9% 21+++++ 16.7% 7

+ 2,615.1 49++ 10.5% 40 25.5% +++++ 32.2% 10

+++ 5.9% 25++ 19.7% 34++ 10.1% 31

++ -0.352 31

+++ 19.4% 24+++++ 14.1% 4++ 8.3% 37 14.8%

+++ 19.1 24 — + 141.5 45 ++++ 8.2% 17++ 11.3% 36++++ 57.8% 14++++ 4.5% 19++ 32.7% 36 +++ -0.042 28

+ -0.608 45

+++ 3.2% 25++ 79.8 32+ 9.4% 49

++ 71.9% 37++ 44.1% 38++ 77.9% 36+ 78.2% 44

++ 63.7% 37+++++ 47.9% 6+ 45.4% 44

+++++ 0.601 6 .633 44+++++ 42.1% 1++++ 70.1% 15+++++ 32.0% 2 8.5% 86.8% ++ 19.3 31

++++ 70.2% 11 78.8% 26.1% ++ 6.0% 31

++++ 0.161 13

++++ 8.8% 17+++ 9.1% 22+++ 4.0% 22++++ 72.5% 18++ 8.6% 31 + 44.8 50++++ 5.5 15+ 34.0 50 +++++ 6.1% 7+++++ 92.8% 9+++++ 5.9% 1++++ 5.3 17++++ 29.3% 20 +++ -0.073 28

+++ -0.060 —

Page 4: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Arizo

naArizona

+ -0.385 42

+++ 9.4 26

++ 20.1% 37+++++ 8.7 6++ 92.7% 37+++ 2.3% 30++ 44.8% 32 + 37.4% 46+ 31.4% 41+ 78.7% 47+++ 15.6 28 ++ 17.0% 33++++ 13.3% 19++++ 39.6% 16++ 52.5% 39

++ -0.309 37

—+ 475 41 + 35.2% 47++ 12.4% 31+++++ 83.5% 10+++ 16.8% 30+ 4.4% 43 + 28.3% 43

+++++ 43 2+++++ 60.6% 9

• Low residential segregation• Low racial gap among children in poverty• Low prevalence of tobacco use among adolescents

• Low percentage of high school graduation• Low prevalence of physical activity among children• High prevalence of concentrated disadvantage

13%

15%21% in the past four years from 25.6% to 20.1% of children ages 0-17

in the past year from 13.3% to 15.0% of women

in the past two years from 44.1% to 50.7% of adolescents ages 13-17

UNINSURED

HPV VACCINATION CHILDREN IN POVERTY

ArizonaState Health Department Website: azdhs.gov

+++ 0.290 22

+ 9.7 49++ 0.9% 32+++++ 10.9% 7+++ 3,091,041 24++ 57.8% 38 +++ 1 27+++++ 7.0 5 ++++ 75.7% 16+++++ 6.8% 2+ 18.5% 42

19% in the past four years from 15.4% to 12.4% of households

FOOD INSECURITY

+ -0.539 45 + 70.9% 45++ 18.4% 31+ 19% 41++ 15.0% 40++ 41.5 35 +++ 79.4% 29+ 59.9% 46+ 25.8% 43 — + 64.1% 42 + 64.7% 46+++++ 21.3% 10+++ 77 28

++++ 0.224 16 ++++ 23.1% 15+++ 12.6% 26+++ 21.4% 24 ++ 1,933.7 39+++ 9.5% 22 — +++ 35.2% 23 ++++ 5.6% 20++++ 12.8% 11++++ 4.6% 12

+++ -0.143 25 ++++ 18.0% 15++++ 16.4% 13++ 8.5% 38 —

+++ 18.9 23 — +++ 99.8 25 + 10.5% 44++++ 9.0% 16+ 52.2% 41++++ 4.5% 19++++ 26.7% 19 ++ -0.136 33

+ -0.817 49 ++ 2.3% 40++ 75.0 36+ 8.4% 48

+ 70.7% 43+++ 50.7% 27++ 78.6% 31++ 79.3% 39

++ 64.9% 35+ 28.2% 46+ 40.2% 49

++ -0.181 34 +++ 26.3% 24++ 64.6% 37+ 16.8% 47 8.2% 90.0% ++ 20.1 33

++ 65.2% 31 — 17.9% +++++ 2.3% 1

+++++ 0.258 9 +++++ 7.4% 6++++ 8.7% 18+++ 4.1% 27+ 67.1% 49+++++ 5.1% 1 ++ 28.8 33++++ 5.5 15++ 14.1 32 ++++ 6.9% 15+ 88.5% 42++++ 7.6% 16++++ 5.3 17+++++ 25.5% 8 ++ -0.181 35

++ -0.151 —

Page 5: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Ark

ansa

sArkansas

+ -0.604 46

++ 12.1 34

+ 24.7% 47++ 24.1 37+ 88.3% 49++ 2.7% 37+++ 45.5% 30 ++++ 48.7% 18+ 31.2% 42+++++ 89.2% 9+++++ 7.2 5 + 24.1% 50+ 22.6% 46+ 23.0% 42+ 49.9% 46

+ -1.020 48

— + 544 47 ++ 25.8% 34+ 15.1% 45+++++ 85.0% 6+ 22.2% 46++++ 3.6% 18 + 25.1% 49

+ 63 41+ 43.4% 50

• Low percentage of housing with lead risk• High percentage of high school graduation• High prevalence of cervical cancer screening

• High prevalence of frequent mental distress among women• Low prevalence of food sufficiency among children• High prevalence of 2+ adverse childhood experiences

23%

23%15% in the past two years from 24.8% to 28.4% of singleton, term, vertex, first births

in the past two years from 34.5% to 42.6% of adolescents ages 13-17

in the past four years from 15.0% to 18.5% of women ages 18-44

HPV VACCINATION

EXCESSIVE DRINKING LOW-RISK CESAREAN DELIVERY

ArkansasState Health Department Website: healthy.arkansas.gov

+++ 0.281 23

++++ 7.1 19++++ 0.1% 12+ 25.3% 49++ 4,791,472 31++++ 85.6% 20 +++ 1 27++ 9.6 33 + 83.3% 48+++++ 11.0% 10++++ 14.3% 15

13% in the past four years from 58.7% to 66.4% of women ages 18-44

WELL-WOMAN VISIT

+ -0.513 44 + 72.5% 41+ 25.7% 48+++ 23% 30+++ 11.7% 29+ 29.7 50 +++++ 83.6% 9+ 58.9% 50++++ 33.7% 19 — ++ 66.4% 36 ++++ 76.5% 20+ 28.4% 43+ 69 48

+ -1.378 50 + 15.2% 50++ 9.8% 40+ 27.1% 45

+ 2,123.5 43+ 10.7% 43 — + 42.6% 49

++ 6.5% 36+ 26.6% 48+ 13.5% 45

+ -1.497 50 ++++ 18.5% 19+ 24.1% 50+ 8.8% 44 — ++++ 17.7 19 — + 130.6 41 + 13.0% 50+ 19.0% 50+ 49.5% 47+ 8.5% 48+ 40.8% 50 + -1.005 50

++ -0.380 39 +++ 3.3% 24+ 68.4 42+++ 4.5% 24

++++ 78.6% 15+ 42.6% 43+ 76.1% 44+ 76.2% 48

++++ 69.2% 17+ 20.6% 50++ 47.9% 32

+ -1.334 49 + 20.4% 46+ 57.2% 49++++ 24.8% 14 16.9% 89.4% + 30.4 50

+ 57.8% 48 — 24.3% + 9.6% 48

+ -0.775 48 ++++ 8.6% 13++ 10.3% 34+ 5.6% 42++ 70.5% 40+++++ 6.5% 10 + 36.3 45+ 8.2 48++ 14.5 34 +++ 7.9% 29+ 88.5% 42+ 9.4% 42+ 8.2 44++ 33.9% 38 + -0.671 48

+ -0.802 —

Page 6: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Califo

rnia

California

++++ 0.232 13

++++ 7.1 19

+++ 17.4% 27+++++ 12.2 9+++ 94.4% 25+ 4.2% 48+++++ 60.5% 2 ++++ 48.9% 14++ 32.1% 37++ 83.0% 36++ 16.5 31 +++++ 11.9% 4++++ 12.2% 12+++++ 55.7% 2+++ 56.8% 21

++ -0.142 32

— ++ 447 37 + 31.9% 44++++ 10.6% 18+++++ 87.8% 1++++ 15.1% 16+ 4.5% 44 +++ 35.6% 25

++++ 53 16+++ 53.8% 28

• Low mortality rate among women ages 20-44• Low prevalence of smoking during pregnancy• High WIC coverage among children ages 1-4

• High prevalence of students experiencing homelessness• High levels of air pollution• High prevalence of concentrated disadvantage

21%

21%19% in the past four years from 54% to 64% of needs met

in the past four years from 1,399.6 to 1,691.9 cases per 100,000 females ages 15-44

in the past four years from 13.5% to 10.6% of households

CHLAMYDIA

FOOD INSECURITYPUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

CaliforniaState Health Department Website: cdph.ca.gov

+ -0.109 44

+ 12.8 50+++++ 0.0% 1+++++ 8.4% 2+ 14,891,163 43++ 60.6% 36 +++++ 4 1++++ 8.0 20 +++++ 72.9% 9+++ 17.6% 27+ 26.9% 49

23% in the past four years from 22.7% to 17.4% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.325 21 ++++ 78.8% 18+++ 16.4% 23+++++ 64% 2+++ 9.5% 21++ 42.7 32 + 77.6% 45+++ 68.0% 26++ 30.4% 31 — ++ 66.4% 36 ++ 69.8% 37+++ 24.0% 22+++++ 86 3

+++++ 0.631 4 ++++ 22.9% 16+++ 12.6% 26++++ 19.2% 14

+++ 1,691.9 26+++ 9.8% 28 — ++++ 33.1% 15

+++++ 3.0% 1+++++ 8.0% 2+++++ 1.3% 1

+++++ 0.800 2 ++++ 18.0% 15+++++ 14.0% 3++ 8.5% 38 —

+++++ 7.7 2 11.7 +++++ 66.9 1 +++++ 6.9% 3+++++ 8.3% 10++ 52.4% 39+++++ 2.2% 1+++++ 22.8% 5 ++++ 0.321 16

++ -0.084 33 + 0.9% 50+++ 95.7 21+++++ 3.1% 10

++ 72.2% 36+++ 52.6% 23++++ 82.5% 11+ 79.0% 41

+++++ 70.9% 9+++ 33.9% 26+ 43.2% 46

++++ 0.494 13 +++ 26.3% 24+++++ 71.7% 9++ 21.9% 39 9.0% 88.1% ++++ 13.6 14

+++ 66.4% 24 — 18.2% +++++ 2.5% 2

+++++ 0.635 4 ++++ 8.2% 11+++++ 5.9% 3+++++ 2.5% 3+++ 71.6% 29++ 8.6% 31 +++++ 19.7 6+++++ 4.2 5+++++ 7.1 6 +++ 7.4% 24++ 89.9% 33+++++ 7.0% 9+++ 5.9 21+++ 30.8% 29 ++++ 0.304 13

++++ 0.322 —

Page 7: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Color

ado

Colorado

+++++ 0.271 10

+++ 9.4 26 +++++ 11.9% 6++++ 12.8 11++++ 95.6% 15+++ 2.3% 30+ 39.0% 46 +++++ 50.9% 10+++++ 39.7% 6+ 80.8% 44++ 17.3 35 +++ 15.9% 24++++ 13.6% 20+++++ 55.1% 3+++++ 62.8% 10

+++++ 0.901 7

3.5% ++ 397 31 ++++ 13.1% 11+++++ 9.1% 7++++ 82.2% 18+++++ 12.1% 5+++++ 2.5% 4 +++++ 43.3% 6

++ 58 32++++ 59.2% 12

• High prevalence of female college graduates• High prevalence of physical activity among children• Low percentage of children in poverty

• High prevalence of illicit drug use among women• Low percentage of early and adequate prenatal care• Low percentage of high school graduation

26%

30%9% in the past four years from 85.8% to 78.1% of women ages 18-44

in the past four years from 18.4% to 13.7% of women ages 18-44

in the past two years from 48.0% to 62.5% of adolescents ages 13-17

SMOKING

HPV VACCINATIONCERVICAL CANCER SCREENING

ColoradoState Health Department Website: colorado.gov/cdphe

+++++ 0.660 3

++++ 6.7 14++++ 0.3% 17+++++ 11.3% 9+++ 4,216,361 27+++ 74.9% 28 ++++ 3 12++++ 7.6 12 ++++ 75.0% 14++++ 12.5% 15++ 16.5% 31

15% in the past four years from 41% to 35% of needs met

PUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

++++ 0.327 20 + 68.7% 48+++ 18.0% 27+++++ 35% 10++++ 9.4% 18+++++ 61.3 9 + 78.1% 42+++ 68.5% 24+++++ 38.3% 7 91.5% + 63.9% 44 ++ 70.1% 35+++++ 21.2% 9+++++ 85 6

+++++ 0.762 3 +++++ 25.7% 5+++++ 14.9% 6+++++ 16.8% 8

++++ 1,582.9 18++++ 8.9% 18 28.2% +++++ 32.0% 9

++++ 5.2% 14++++ 13.7% 16++++ 5.9% 17

++++ 0.151 16 + 23.1% 43++++ 16.5% 15+ 9.8% 48 11.1%

++++ 17.5 18 — +++++ 81.0 9 ++++ 7.9% 12+++++ 8.0% 7++++ 58.7% 13+++++ 3.1% 5+++++ 22.4% 4 +++++ 0.576 6

++++ 0.459 13 + 2.1% 43++++ 103.3 16+++ 4.6% 25

+++++ 80.0% 9+++++ 62.5% 6++++ 82.0% 14++++ 85.3% 13

++ 63.0% 40+++++ 45.2% 10+++ 49.6% 24

+++ 0.226 23 ++ 22.4% 38++++ 69.7% 18+++++ 27.3% 6 — 83.6% ++++ 14.3 17

+++++ 71.2% 8 88.1% 28.9% ++ 6.6% 37

+++++ 0.214 10 +++ 9.9% 29++++ 8.0% 11+++ 4.0% 22++++ 72.6% 17++ 9.2% 35 +++ 27.1 25+++++ 4.6 7+ 19.8 43 ++ 8.0% 31++++ 92.0% 15+ 9.4% 42++++ 4.8 14+++++ 24.7% 6 ++++ 0.315 11

+++++ 0.428 —

Page 8: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

13%

10%12% in the past two years from 37.2% to 32.7% of women ages 18-44

in the past two years from 75.7 to 85.8 deaths per 100,000 women ages 20-44

in the past two years from 5.2 to 4.7 deaths per 1,000 live births

MORTALITY

INFANT MORTALITY INSUFFICIENT SLEEP

12% in the past year from 12.6% to 14.1% of children ages 0-17

CHILDREN IN POVERTY

Con

necticut

Connecticut

+++++ 0.832 2

+++ 10.4 29 ++++ 14.1% 17++++ 15.7 16+++++ 96.6% 2+++++ 0.8% 1+++ 46.6% 28 +++++ 67.0% 1+++++ 40.1% 4++++ 88.4% 13+++ 14.8 26 +++++ 12.2% 6++ 18.1% 35++++ 41.0% 15+++++ 66.5% 3

++++ 0.426 17

1.9% +++++ 207 5 +++ 21.7% 27++ 12.4% 31+++++ 83.5% 10++++ 13.3% 11++++ 3.6% 18 +++++ 43.1% 7

++ 59 36+++ 53.8% 28

• High enrollment in early childhood education• Low teen birth rate• High prevalence of food sufficiency among children

• High percentage of low-risk cesarean deliveries• High percentage of housing with lead risk• High prevalence of illicit drug use among women

ConnecticutState Health Department Website: portal.ct.gov/dph

++++ 0.325 19

+++ 7.2 22+++ 0.6% 29+++++ 10.7% 6++++ 2,130,643 19++++ 89.5% 15 +++++ 4 1+++++ 6.5 3 +++ 78.1% 21+ 26.7% 46++ 18.1% 40

+++++ 0.946 4 +++++ 83.7% 8+++++ 13.9% 7+++++ 38% 7+++++ 7.5% 9+++++ 66.7 5 ++++ 82.2% 17+++++ 75.2% 3++++ 36.4% 11 94.4% ++++ 73.0% 11 ++++ 79.5% 11+ 29.4% 48+++++ 85 6

++++ 0.374 13 +++ 21.8% 21+++++ 15.3% 5+++ 22.5% 27

++++ 1,556.9 17++ 10.1% 31 24.4% ++++ 32.7% 13

+++++ 4.7% 7+++++ 12.5% 8+++++ 4.0% 6

+++++ 0.259 10 ++ 21.2% 35+++++ 14.4% 6++ 8.5% 38 11.7%

++ 25.1 33 — ++++ 85.8 15 +++++ 7.6% 10+++ 9.8% 25+++++ 61.5% 2++++ 4.3% 17+++++ 22.3% 2 +++++ 0.442 8

+++++ 1.426 2 +++++ 4.3% 9+++++ 139.4 5+++++ 2.6% 5

+++++ 85.2% 4+++ 53.1% 22+++++ 87.7% 2+++++ 90.1% 3

+++++ 71.3% 8+++++ 62.6% 1+++++ 53.5% 8

+++++ 0.870 2 ++ 23.6% 35+++++ 76.6% 2+++ 23.9% 23 7.6% 88.4% +++++ 8.3 3

++++ 68.7% 20 79.1% 27.0% +++++ 2.8% 6

+++ -0.069 27 + 13.8% 47++ 10.1% 31+++++ 2.8% 5++ 70.6% 38+ 11.5% 44 +++++ 17.1 4+++++ 4.7 9+++++ 6.8 5 + 10.0% 47++++ 91.4% 20++++ 7.6% 16+++ 6.4 25++++ 28.8% 14 +++++ 0.653 2

+++++ 0.554 —

Page 9: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Delaw

are

Delaware

+++ 0.003 24

++++ 6.1 16

++ 18.7% 33++++ 16.7 18+++++ 96.2% 9+++ 2.2% 25++ 42.9% 36 +++ 47.5% 21++ 32.5% 35+++ 86.9% 21+++ 13.9 22 ++ 17.2% 36+++ 14.7% 24++ 27.2% 39++++ 59.2% 13

++++ 0.262 20

3.0% ++ 424 35 +++ 23.4% 30++++ 10.5% 16+++++ 84.2% 9++++ 15.3% 18+++ 3.9% 28 +++ 35.2% 26

+++++ 42 1++ 53.4% 33

• Low percentage of serious drinking water violations• Low residential segregation• High rate of pediatricians

• Low prevalence of exercise among women• Low prevalence of adequate sleep among children• High prevalence of 2+ adverse childhood experiences

14%

11%10% in the past four years from 84.9% to 76.7% of women ages 18-44

in the past two years from 102.1 to 116.7 deaths per 100,000 women ages 20-44

in the past two years from 8.0 to 7.1 deaths per 1,000 live births

MORTALITY

INFANT MORTALITY DEDICATED HEALTH CARE PROVIDER

DelawareState Health Department Website: dhss.delaware.gov

++++ 0.403 14

++ 8.3 40+++++ 0.0% 1+++ 15.5% 26++ 5,382,994 33++++ 87.4% 19 +++++ 4 1++++ 7.6 12 +++ 79.1% 23++++ 14.8% 20++++ 14.8% 20

15% in the past year from 50.2% to 42.9% of children ages 1-4

WIC COVERAGE

++++ 0.362 17 + 71.7% 43+++ 17.5% 25++++ 30% 16++++ 7.9% 13++++ 51.2 19 +++ 81.2% 22++ 64.1% 36++++ 34.2% 18 87.7% +++++ 75.6% 2 ++++ 76.7% 19+++ 24.1% 23++++ 83 11

+ -0.720 43 + 15.6% 49++++ 13.4% 17+ 28.8% 48

+ 2,169.8 44++ 10.4% 38 32.8% +++ 34.6% 22

+++ 5.9% 25+++ 18.1% 28+++ 8.7% 26

++ -0.385 32 +++ 20.4% 30++ 19.6% 33++ 7.8% 31 13.1%

+ 37.8 45— ++ 116.7 37 +++ 8.6% 23++ 11.4% 37++ 54.1% 33+++ 4.7% 25+++ 29.4% 26 +++ -0.067 30

+++++ 0.599 8 +++++ 5.0% 4+++++ 159.6 3++++ 3.6% 18

++++ 77.4% 19+++++ 58.4% 10+++ 79.7% 26+++++ 87.4% 9

++++ 68.6% 19++ 30.3% 37++ 46.9% 36

++ -0.244 35 ++ 23.6% 35++++ 70.1% 15++ 22.3% 33 — — +++ 16.7 24

+ 59.4% 43 79.8% — ++ 6.0% 31

+ -0.504 43 ++ 10.6% 36+++ 9.5% 25++ 4.5% 31+++ 71.9% 25+ 10.3% 41 +++ 27.0 24++ 7.1 39+++++ 8.0 8 + 10.2% 49++ 89.5% 36++ 8.9% 37+++ 6.3 24+++ 30.6% 26 +++ -0.044 26

++ -0.068 —

Page 10: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Dis

tric

t of C

olum

bia

District of Columbia

13.3

23.1%33.5

90.5%7.5%

42.7%

78.1%30.1%68.5%24.0

19.4%19.4%68.6%63.9%

‡22—

996

44.5%10.6%87.4%15.7%5.6%

61.3%

6762.3%

• High enrollment in early childhood education• Low percentage of women who drive alone to work• Low percentage of uninsured women ages 19-44

• High percentage of children in poverty• High racial gap among children in poverty• High prevalence of severe housing problems

15%

33%11% in the past year from 48.2% to 42.7% of children ages 1-4

in the past two years from 62.0% to 71.3% of adolescents ages 13-17

in the past four years from 18.4% to 24.5% of women ages 18-44

HPV VACCINATION

OBESITYWIC COVERAGE

District of ColumbiaState Health Department Website: dchealth.dc.gov

9.80.0%9.8%

19,043100.0%

32.9

32.9%35.2%21.5%

20% in the past four years from 13.2% to 10.6% of households

FOOD INSECURITY

—11.4%88%3.5%105.8

79.8%79.9%38.0%

—77.4%

70.6%28.0%

18.1%14.7%22.0%

2,475.512.7%

34.7%

—11.1%2.6%

33.1%12.5%11.0%

9.2—

66.0

4.6%11.1%

70.4%2.4%

24.5%

3.2%507.11.8%

73.3%71.3%81.7%89.0%

71.1%28.4%43.5%

29.1%72.9%22.6%

—19.3

59.8%—

—5.4%

9.7%5.8%4.7%71.1%12.8%

26.37.7—

11.6%94.1%10.0%

9.428.3%

‡* Measure not included in overall score.

—Indicates data missing or suppressed.

‡ Value not calculated.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Page 11: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Flor

ida

Florida

+++ 0.046 22

+++ 8.7 25

++ 19.7% 36++++ 16.3 17+ 92.0% 41++ 2.7% 37++++ 48.6% 18 +++++ 52.4% 8++++ 37.7% 11+++ 86.3% 26+++++ 9.3 8 +++ 15.6% 23++ 18.7% 38+++ 34.2% 30++ 53.6% 36

++ -0.110 31

— +++ 385 30 ++ 28.3% 40+++ 11.7% 29+++++ 84.9% 7+++ 15.8% 23+++ 3.9% 28 ++ 32.4% 34

++++ 53 16+++ 54.0% 27

• Low percentage of housing with lead risk• Low racial gap in high school graduation• Low prevalence of excessive drinking among women

• Low prevalence of food sufficiency among children• High percentage of uninsured women ages 19-44• High percentage of low-risk cesarean deliveries

16%

12%13% in the past four years from 76.1% to 86.3% of students

in the past four years from 19% to 16% of needs met

in the past four years from 59.5% to 66.7% of women ages 18-44

PUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

DENTAL VISIT HIGH SCHOOL GRADUATION

FloridaState Health Department Website: floridahealth.gov

++ 0.105 36

+++ 7.4 25++ 1.6% 37++++ 14.9% 18+ 65,987,699 49+++ 77.0% 24 +++ 1 27++++ 7.6 12 +++ 79.4% 25+++++ 8.4% 4+ 20.1% 45

17% in the past four years from 23.8% to 19.7% of children ages 0-17

CHILDREN IN POVERTY

+ -0.816 48 + 71.1% 44+ 24.2% 46+ 16% 46+ 19.6% 47+ 39.9 42 ++ 78.9% 38+++ 66.7% 29+ 23.8% 49 — ++++ 72.7% 16 + 63.1% 48+ 30.4% 49++++ 81 17

+++ 0.003 27 +++ 21.1% 25++++ 13.7% 13+ 25.8% 42

+++ 1,743.6 28+++ 9.7% 25 — ++ 37.3% 31

++++ 5.6% 20+++++ 12.6% 9++++ 4.5% 11

++++ 0.121 18 +++++ 16.5% 10++++ 16.8% 20+++ 7.7% 29 —

++ 24.6 32 15.8 +++ 107.9 30 ++++ 8.3% 19++ 10.7% 31+++ 55.0% 28+++++ 3.6% 9+++ 27.9% 23 ++ -0.114 31

+ -0.687 46 ++ 2.8% 32+++ 93.9 23+ 7.6% 44

+ 70.8% 42++ 46.5% 36+ 75.5% 46++++ 84.0% 18

+ 62.2% 43+++ 31.9% 30+ 41.5% 48

++ -0.348 38 + 21.3% 42++ 64.0% 40+++ 22.8% 28 10.3% 93.6% +++ 16.7 24

++ 63.4% 35 — — +++ 5.2% 26

+++ 0.035 23 ++ 10.8% 39+++++ 7.3% 6+++++ 2.9% 10++++ 73.2% 11+++ 8.5% 30 +++ 27.1 25+++ 6.1 29+++++ 9.0 10 +++ 7.7% 27+++ 91.3% 24++ 8.7% 33++ 6.7 34+++ 30.3% 25 ++ -0.140 32

++ -0.124 —

Page 12: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Geo

rgia

Georgia

++ -0.318 39

++++++ 4.4 10

++ 20.5% 39+++ 18.0 21+ 92.0% 41+++ 2.2% 25++ 43.8% 33 ++++ 49.2% 12++ 32.2% 36+ 81.6% 41++++ 10.3 12 +++ 16.4% 26++ 17.6% 34++ 29.1% 36+ 52.2% 41

++ -0.159 33

2.8% +++ 327 24 + 33.5% 45+++ 11.3% 27+++ 80.2% 23++ 17.3% 34++ 4.1% 33 ++ 32.3% 35

++++ 53 16++++ 58.3% 13

• Low prevalence of excessive drinking among women• Low percentage of housing with lead risk• High prevalence of ADD/ADHD treatment

• High percentage of uninsured women ages 19-44• Low prevalence of food sufficiency among children• High prevalence of physical inactivity among women

16%

6%22% in the past four years from 26.3% to 20.5% of children ages 0-17

in the past four years from 1,725.0 to 1,999.2 cases per 100,000 females ages 15-44

in the past two years from 9.5% to 10.1% of live births

CHLAMYDIA

LOW BIRTHWEIGHT CHILDREN IN POVERTY

GeorgiaState Health Department Website: dph.georgia.gov

+++++ 0.492 10

++ 8.3 40++++ 0.4% 20++++ 13.9% 13++ 6,959,675 37+++++ 96.2% 5 ++ 0 37++++ 7.8 17 +++ 80.1% 27+++++ 9.4% 5++ 16.9% 33

28% in the past four years from 15.7% to 11.3% of households

FOOD INSECURITY

+ -0.614 46 ++ 74.5% 36+ 24.5% 47+++ 26% 22+ 20.2% 48+++ 46.8 23 ++++ 82.7% 12++ 63.8% 37+ 25.7% 45 89.8% ++++ 72.9% 13 + 65.0% 45++ 27.9% 40++ 73 40

++ -0.494 37 ++ 19.2% 35++ 10.9% 36+ 26.7% 44

+ 1,999.2 41++ 10.1% 31 38.5% + 40.2% 43

++++ 5.3% 18+++ 16.5% 24+++++ 4.4% 10

+++ 0.016 21 +++++ 15.5% 6++++ 16.3% 12++ 7.9% 35 13.6%

++++ 14.3 15 27.7 +++ 106.6 29 +++++ 7.6% 10+ 14.2% 41++ 52.8% 36++++ 3.7% 11++ 32.8% 37 ++ -0.185 35

++ -0.195 36 +++++ 4.5% 7++ 81.4 31+ 8.1% 46

+++ 76.5% 23+++ 49.6% 30+++ 79.7% 26+++ 82.8% 23

++ 64.0% 36++++ 40.2% 15+ 45.0% 45

++ -0.322 37 ++ 22.1% 39+ 63.8% 41+++ 23.6% 24 — — ++ 20.6 36

++ 60.7% 40 73.7% 17.0% ++++ 3.7% 15

++ -0.246 33 ++++ 8.8% 17++++ 8.0% 11+++++ 2.8% 5++ 71.5% 31+++++ 6.4% 9 ++ 28.8 33+ 7.3 42++++ 9.6 12 ++ 8.5% 34+ 88.3% 45+ 10.1% 47++ 7.4 39++ 31.3% 31 ++ -0.201 37

++ -0.207 —

Page 13: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Haw

aii

Hawaii

+++++ 0.653 4

+++++ 4.2 8 +++++ 11.9% 6+++++ 1.3 2+++++ 96.3% 5++++ 1.6% 11++ 42.4% 37 ++++ 48.9% 14++ 33.8% 32+++ 84.5% 30+++++ 6.0 3 ++++ 13.3% 11+++++ 10.0% 4+++++ 50.4% 6+++ 56.4% 23

+++++ 0.945 6

— ++++ 249 14 ++++ 13.5% 14+++++ 8.0% 2++++ 81.7% 19+++++ 10.4% 1+++++ 2.2% 1 ++++ 38.0% 15

++++ 51 13+ 46.1% 48

• Low prevalence of frequent mental distress among women• Low percentage of children in poverty• Low racial gap in high school graduation

• High prevalence of insufficient sleep among women• Low percentage of early and adequate prenatal care• Low prevalence of physical activity among children

12%

12%19% in the past four years from 14.7% to 11.9% of children ages 0-17

in the past two years from 64.9% to 72.9% of women ages 18-44

in the past two years from 5.1 to 5.7 deaths per 1,000 live births

WELL-WOMAN VISIT

INFANT MORTALITY CHILDREN IN POVERTY

HawaiiState Health Department Website: health.hawaii.gov

++++ 0.353 16

+++++ 5.4 6+++++ 0.0% 1+++ 15.0% 21+++++ 150,558 10+ 11.3% 50 ++++ 3 12+ 11.2 42 +++++ 63.9% 2++++ 11.2% 11+ 27.1% 50

35% in the past four years from 12.3% to 8.0% of households

FOOD INSECURITY

++++ 0.408 15 + 64.6% 50+++++ 9.2% 1++ 21% 35+++++ 5.3% 4++++ 55.8 12 ++++ 81.5% 19++++ 71.7% 17+++ 32.4% 25 — ++++ 72.9% 13 +++++ 82.5% 7++++ 22.4% 12+ 68 49

++++ 0.168 18 +++ 20.9% 26+++ 12.6% 26+++ 23.0% 29

+++ 1,753.5 29+++++ 7.6% 8 — + 41.0% 46

++ 6.6% 39++++ 13.2% 12+++++ 3.0% 4

+++++ 0.891 1 ++ 22.3% 40+++++ 11.1% 1+++++ 5.6% 2 —

+++++ 6.9 1 — +++++ 70.0 3 +++++ 6.6% 1+++ 10.2% 29+++ 54.8% 29+++++ 3.0% 4+++++ 24.2% 9 +++++ 0.636 4

+++++ 0.532 9 ++ 2.7% 35++++ 113.2 13+++++ 2.6% 5

++ 74.3% 32+++++ 60.7% 8+++++ 85.5% 5++ 79.7% 37

+++++ 81.3% 1++ 31.6% 31+++ 48.4% 29

+++ -0.095 30 +++++ 32.9% 7+++ 66.3% 29+ 16.8% 47 6.3% 93.4% +++ 17.2 27

+ 57.9% 47 — 30.6% +++++ 2.7% 5

+++++ 0.911 1 +++++ 6.4% 3+++++ 4.4% 1+++++ 1.5% 1+++++ 74.4% 5++++ 7.0% 13 ++++ 22.2 11++++ 5.7 18++++ 9.9 14 ++++ 7.1% 17+++++ 92.9% 5+++ 8.3% 26++++ 4.9 15+++++ 23.1% 3 +++++ 0.520 6

+++++ 0.564 —

Page 14: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Idah

oIdaho

+ -0.366 41

+++++ 4.3 9

++++ 14.3% 19+++ 21.8 30++++ 95.0% 20++ 2.5% 34++ 41.5% 38 + 35.1% 50++++ 37.4% 12+ 80.7% 45+ 21.3 44 ++ 17.0% 33+++ 14.9% 26++ 28.0% 37+++ 56.4% 23

+++ 0.199 23

— ++++ 227 11 ++++ 13.5% 14++++ 9.8% 11++ 77.7% 39++++ 15.5% 20++++ 3.3% 16 + 27.2% 46

+++ 56 24+ 48.7% 47

• High prevalence of exercise among women• Low percentage of low-risk cesarean deliveries• High percentage of children with a medical home

• Low prevalence of female college graduates• Low enrollment in early childhood education• Low prevalence of cervical cancer screening

19%

87%33% in the past year from 4.6% to 6.1% of children ages 0-18

in the past two years from 36.5% to 43.4% of adolescents ages 13-17

in the past year from 2.3 to 4.3 percentage points

HPV VACCINATION

LOW BIRTHWEIGHT RACIAL GAP UNINSURED

IdahoState Health Department Website: healthandwelfare.idaho.gov

++ 0.158 33

++++ 6.8 15++ 1.5% 36+++ 15.7% 28+++++ 85,870 8+ 32.2% 47 ++ 0 37+++ 9.2 30 +++ 79.3% 24++++ 13.1% 17+++ 15.1% 25

30% in the past four years from 14.1% to 9.8% of households

FOOD INSECURITY

+ -0.451 41 +++++ 83.4% 9++ 22.2% 40+ 18% 42+ 16.7% 45+++ 44.5 28 + 74.5% 48+ 62.2% 43++ 28.8% 37 — + 57.4% 50 + 68.8% 41+++++ 18.5% 3++ 75 36

+++++ 0.926 2 +++++ 29.1% 1+++++ 16.0% 3++++ 18.6% 13

+++++ 1,321.5 7+++++ 7.5% 6 — ++++ 32.6% 12

+ 7.0% 44++++ 13.6% 14+++ 8.0% 22

++++ 0.204 12 +++++ 15.5% 6+++ 18.9% 30+++ 7.5% 27 —

++++ 13.8 14 — ++++ 88.2 19 +++ 8.8% 27+++++ 7.0% 3+++ 56.0% 23+++ 4.7% 25++++ 25.1% 12 ++++ 0.244 20

++ -0.207 37 ++ 2.6% 39+ 42.6 49++ 6.1% 39

+++ 75.9% 26++ 43.4% 40++++ 82.4% 12++ 81.4% 31

+++ 68.2% 22+ 25.5% 48+++++ 53.5% 8

+++ 0.003 27 ++++ 28.4% 17++ 64.7% 35++ 22.0% 37 6.5% — +++ 16.0 22

++++ 69.3% 16 81.9% 21.5% +++ 5.3% 27

+++ 0.039 22 +++++ 6.2% 2+ 12.3% 43+ 5.6% 42+ 68.1% 43++ 8.6% 31 ++ 29.6 35++++ 5.2 13+ 22.2 46 +++++ 6.1% 7++++ 91.6% 17++++ 7.3% 13+++++ 4.3 9++++ 28.9% 15 +++ -0.115 30

+++ 0.041 —

Page 15: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Illinois

Illinois

+++ 0.089 21

++ 11.0 31

+++ 16.2% 24++ 26.0 40++++ 95.0% 20++ 2.5% 34+ 39.4% 44 +++++ 55.5% 7+++ 34.4% 28+++ 86.5% 24++++ 13.5 20 +++++ 12.0% 5+ 23.5% 47+++++ 55.9% 1++ 54.4% 32

+++ -0.015 28

1.8% ++ 404 32 ++ 24.6% 33++++ 10.7% 19+++ 80.7% 21++++ 15.5% 20+++ 3.9% 28 +++++ 40.5% 9

+ 69 47+++ 55.2% 24

• Low prevalence of 2+ adverse childhood experiences• High prevalence of adequate sleep among children• Low prevalence of frequent mental distress among women

• High foster care placement instability• High residential segregation• High prevalence of excessive drinking among women

17%

12%20% in the past two years from 20% to 24% of needs met

in the past year from 2.9% to 3.4% of children ages 0-18

in the past four years from 6.8% to 6.0% of live births

UNINSURED

SMOKING DURING PREGNANCY PUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

IllinoisState Health Department Website: dph.illinois.gov

+++ 0.200 30

+ 9.3 48++++ 0.1% 12+++ 15.6% 27+ 21,508,993 45+++++ 98.5% 3 +++ 2 23++++ 8.0 20 +++++ 72.1% 8+ 25.1% 44++ 17.3% 35

20% in the past four years from 20.2% to 16.2% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.211 26 +++ 77.9% 23+++ 16.3% 21+++ 24% 27+++ 10.0% 22++++ 51.1 20 ++ 79.2% 34+++ 69.2% 22++ 29.6% 35 93.0% +++ 68.9% 28 ++++ 77.9% 14+++ 25.2% 28++++ 80 19

++++ 0.367 14 ++++ 23.5% 11++ 10.3% 38+++ 22.9% 28

++ 1,915.7 38+++++ 7.5% 6 30.8% +++++ 31.9% 8

++++ 5.2% 14++++ 13.8% 17++++ 6.0% 18

+++++ 0.337 9 + 22.4% 41+++++ 14.2% 5++++ 6.9% 15 9.7%

++++ 18.3 20 — ++++ 87.0 16 +++++ 6.7% 2+++ 9.8% 25+++ 54.8% 29++++ 4.0% 13+++ 28.2% 24 +++ 0.205 24

++++ 0.331 16 ++++ 3.8% 19++++ 109.7 15++++ 3.4% 13

++++ 79.1% 12+++ 53.4% 21++ 78.3% 33+++ 83.0% 21

+++ 65.9% 30++++ 39.3% 17+++ 48.5% 28

++++ 0.353 16 + 19.5% 49++++ 70.0% 17++++ 24.7% 15 7.8% 89.7% ++++ 15.8 20

+++++ 72.5% 5 84.2% 19.9% ++++ 3.6% 14

++ -0.282 34 +++ 9.9% 29++ 10.7% 39++ 4.8% 35++ 71.0% 33++ 8.7% 34 +++ 26.3 22++ 6.3 31+++++ 8.8 9 +++ 7.8% 28++ 88.9% 40+++ 8.5% 29++ 7.4 40++++ 29.3% 20 +++ 0.096 22

++++ 0.143 —

Page 16: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Indian

aIndiana

+++ -0.066 29

+ 16.4 41 +++ 18.0% 29+ 26.3 41++ 93.5% 31++++ 1.8% 14+++ 46.5% 29 + 40.6% 43++++ 37.0% 14++++ 88.1% 14++++ 10.6 13 ++ 17.1% 35+++++ 10.9% 7++ 30.0% 35++ 52.3% 40

++ -0.399 39

— +++ 382 29 +++ 20.9% 26++ 13.5% 38+ 75.0% 42++ 17.4% 36++++ 3.6% 18 ++ 29.5% 38

+ 65 42++ 50.7% 40

• High percentage of high school graduation• Low foster care placement instability• Low prevalence of severe housing problems

• High prevalence of frequent mental distress among women• High prevalence of smoking among women• Low immunization coverage among children

44%

15%19% in the past two years from 34.3% to 27.7% of women ages 18-44

in the past two years from 33.9% to 48.9% of adolescents ages 13-17

in the past four years from 25.7% to 21.8% of women ages 18-44

HPV VACCINATION

SMOKING FLU VACCINATION

IndianaState Health Department Website: in.gov/isdh

++ 0.168 31

+ 8.4 43++++ 0.4% 20+ 20.0% 44+ 9,651,384 41+++++ 94.3% 7 ++ 0 37+++ 9.1 27 + 82.4% 42++ 21.1% 35+++++ 13.2% 8

16% in the past four years from 21.5% to 18.0% of children ages 0-17

CHILDREN IN POVERTY

++ 0.037 33 +++ 78.0% 21+++ 18.2% 29+ 17% 45+++ 11.6% 28++ 40.8 37 +++ 81.1% 23+++ 68.3% 25+ 27.7% 41 — +++ 69.4% 26 ++++ 77.9% 14++++ 23.5% 19+++ 78 24

++ -0.498 38 ++ 18.9% 39++++ 13.0% 19++ 24.3% 35

++ 1,798.7 31++++ 8.7% 15 — ++ 38.4% 35

+ 8.9% 50+ 21.8% 44+ 12.6% 42

+ -0.793 41 ++++ 18.4% 18+ 21.3% 46++ 8.5% 38 —

+ 30.5 42 24.5 ++ 123.0 38 ++ 9.8% 37++ 11.4% 37++ 52.4% 39++ 6.1% 39++ 31.7% 31 ++ -0.395 40

+ -0.573 43 ++++ 4.1% 12++ 75.4 35+ 6.6% 41

+ 67.3% 49++ 48.9% 32++ 77.2% 40+++ 81.7% 30

++ 63.7% 37+ 29.4% 41++ 46.6% 37

+++ -0.008 28 +++++ 31.7% 9+++ 67.0% 27+ 21.2% 42 — — ++ 21.8 39

++ 61.5% 37 — — ++++ 3.4% 11

++ -0.398 37 +++++ 8.0% 9++ 10.2% 33++++ 3.7% 18+ 67.6% 46+++ 7.5% 21 ++ 30.8 37+ 7.3 42+++ 13.4 27 ++++ 6.8% 14+++ 90.6% 27+++ 8.1% 23+++ 6.6 28+ 36.6% 47 ++ -0.190 36

++ -0.267 —

Page 17: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Iowa

Iowa

++++ 0.193 16

++ 16.1 39 ++++ 13.5% 12+ 32.6 50++++ 95.0% 20+++++ 1.3% 6+++ 48.1% 21 ++ 44.8% 31+++ 35.1% 23+++++ 91.4% 1++ 17.2 34 +++ 16.7% 30+++++ 10.7% 6++++ 38.6% 19++++ 59.9% 12

+++++ 0.713 10

— ++++ 250 15 +++++ 10.7% 9+++++ 9.2% 8++ 78.4% 33++ 17.3% 34+++++ 2.5% 4 +++ 36.6% 21

+++ 56 24++++ 59.5% 11

• High percentage of high school graduation• Low percentage of serious drinking water violations• High percentage of early and adequate prenatal care

• High racial gap among children in poverty• High prevalence of excessive drinking among women• High percentage of housing with lead risk

21%

24%18% in the past two years from 47.0% to 38.7% of women ages 18-44

in the past two years from 28.9% to 35.1% of women ages 18-44

in the past two years from 4.5 to 5.6 deaths per 1,000 live births

OBESITY

INFANT MORTALITYFLU VACCINATION

IowaState Health Department Website: idph.iowa.gov

++++ 0.384 15

++++ 7.1 19+++++ 0.0% 1+++ 15.0% 21+++ 3,122,643 25++++ 90.3% 12 +++ 2 23++ 9.6 33 ++ 81.7% 35+ 26.1% 45+++++ 12.1% 5

12% in the past four years from 15.3% to 13.5% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.748 8 +++++ 85.5% 3+++++ 10.2% 2++++ 27% 20+++++ 7.0% 6+ 37.6 45 +++ 81.4% 21+++++ 74.3% 5+++++ 38.7% 6 — ++++ 72.1% 17 +++++ 80.9% 9++++ 23.4% 18+ 72 45

+++ 0.045 24 +++++ 23.9% 9+ 9.4% 44+++++ 18.0% 10

++++ 1,621.9 19+++ 9.7% 25 — +++ 34.4% 21

++++ 5.4% 19+++ 18.0% 27++ 11.6% 38

++++ 0.044 20 + 24.9% 47++++ 16.4% 13++++ 6.6% 12 —

+++++ 10.2 6 — +++++ 78.1 8 +++++ 6.9% 3+++++ 8.0% 7++++ 56.5% 20+++ 4.6% 24+ 35.1% 44 ++++ 0.385 12

+++++ 0.953 6 +++++ 4.9% 5++ 73.5 38+++++ 2.7% 8

+++++ 81.9% 5++++ 55.1% 17+++++ 86.1% 3+++ 82.2% 26

+++++ 71.9% 6++++ 43.2% 12+++++ 58.2% 2

+++++ 0.587 8 ++++ 29.5% 12++++ 68.7% 20+++++ 26.2% 8 10.7% 84.0% ++++ 15.3 19

+++++ 71.2% 8 — 20.1% ++++ 3.8% 16

+++ 0.081 21 ++ 10.1% 32++ 10.6% 36++ 4.8% 35+++ 72.1% 22+++ 7.7% 22 +++ 25.5 21++++ 5.6 17+++ 12.6 22 +++++ 6.4% 9++ 89.7% 34+++++ 6.9% 7++++ 5.4 19++ 33.6% 37 +++++ 0.377 9

++++ 0.360 —

Page 18: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Kan

sas

Kansas

+++ -0.036 27

++++ 4.5 11

+++ 14.9% 21+++ 21.3 29++ 93.4% 32++++ 1.9% 16+ 40.5% 41 +++ 47.1% 23++ 33.8% 32++++ 87.2% 18++++ 10.7 15 +++ 15.9% 24+ 30.0% 48++ 33.9% 31++++ 58.3% 17

+++ 0.157 25

3.9% ++ 439 36 ++++ 13.1% 11++ 13.8% 40++ 78.4% 33+++ 16.2% 29++++ 3.6% 18 +++ 36.4% 22

++++ 54 19++++ 57.2% 14

• High prevalence of physical activity among children• High percentage of early and adequate prenatal care• Low prevalence of severe housing problems

• High foster care placement instability• Low rate of pediatricians• Low HPV vaccination coverage among adolescents

16%

11%33% in the past four years from 14.9% to 19.8% of women ages 18-44

in the past four years from 28.4% to 32.9% of women ages 18-44

in the past year from 7.3 to 6.5 percentage points

OBESITY

LOW BIRTHWEIGHT RACIAL GAP EXCESSIVE DRINKING

KansasState Health Department Website: kdheks.gov

++ 0.104 37

++++ 7.0 18++ 1.2% 35++ 19.6% 40+++ 4,579,921 30++ 66.4% 33 ++ 0 37++ 9.8 35 ++ 81.7% 35++ 21.5% 36+++++ 13.1% 7

16% in the past four years from 17.7% to 14.9% of children ages 0-17

CHILDREN IN POVERTY

++ 0.046 32 +++++ 83.8% 7+++ 18.2% 29+ 18% 42++ 13.4% 33+ 39.1 44 +++ 79.3% 30+++ 69.2% 22+++ 32.6% 23 90.6% +++ 68.1% 30 +++ 72.3% 28+++ 24.2% 24+++ 79 22

++ -0.102 31 +++ 21.4% 22+++++ 14.1% 9+++ 21.4% 24

+++ 1,721.8 27+++ 9.9% 29 27.8% +++ 35.7% 24

+++++ 4.7% 7++ 18.9% 31+++ 9.5% 30

+++ -0.159 26 +++ 19.8% 26++++ 16.6% 18+++ 7.4% 26 14.7%

+++++ 12.7 10 — +++ 99.1 23 ++++ 8.2% 17+++ 9.9% 27+++ 56.3% 21+++ 5.2% 30++ 32.9% 39 +++ 0.004 26

++ -0.117 35 ++ 2.8% 32+ 55.2 48+++ 5.1% 29

+++ 75.7% 28+ 40.7% 48+++ 79.5% 29+++ 82.9% 22

++ 65.5% 32+++ 36.9% 21++++ 53.1% 12

+++ 0.140 25 +++ 26.1% 27++ 65.7% 31+++++ 27.1% 7 9.2% 89.3% ++ 20.0 32

++ 63.9% 34 84.8% 22.0% ++++ 3.4% 11

+++ -0.070 28 ++ 10.6% 36++ 10.1% 31+ 6.0% 44+++++ 73.9% 8+++++ 5.4% 2 +++ 28.7 30+++ 6.0 27+ 17.8 41 ++ 8.5% 34+++++ 93.3% 3++++ 7.4% 14+++ 6.5 27++++ 29.2% 19 +++ -0.007 25

+++ -0.006 —

Page 19: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Ken

tuck

yKentucky

++ -0.188 33

+ 23.5 50

+ 23.0% 44+++ 20.5 27++ 93.4% 32+ 3.9% 45+++ 48.0% 22 ++ 43.8% 36+++ 35.1% 23+++++ 90.3% 3+++++ 9.9 10 ++ 17.8% 39+++ 14.3% 22+ 16.6% 49++++ 59.0% 14

+ -0.560 43

2.7% +++++ 212 7 + 30.6% 42+ 14.7% 43++ 78.3% 35+ 21.3% 44++ 4.3% 40 + 28.4% 41

+++ 57 30++++ 56.5% 18

• High percentage of high school graduation• High prevalence of physical activity among children• High prevalence of cervical cancer screening

• High prevalence of tobacco use among adolescents• High mortality rate among women ages 20-44• High teen birth rate

17%

22%23% in the past two years from 22.2% to 27.2% of women ages 18-44

in the past four years from 20.7% to 17.1% of live births

in the past year from 5.0 to 6.1 percentage points

SMOKING DURING PREGNANCY

LOW BIRTHWEIGHT RACIAL GAP PHYSICAL INACTIVITY

KentuckyState Health Department Website: chfs.ky.gov/agencies/dph

++ 0.133 35

++ 8.1 36++ 1.7% 39+ 22.6% 48+++ 3,827,804 26+++++ 99.9% 1 +++ 1 27++ 11.1 40 ++ 82.2% 39+++ 15.6% 23++++ 13.9% 11

12% in the past four years from 26.2% to 23.0% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.136 28 ++++ 80.7% 14++++ 15.4% 14+++ 23% 30++++ 7.6% 11++ 41.7 33 +++++ 83.8% 7+++ 66.3% 30++ 30.3% 32 88.5% +++ 69.8% 24 ++++ 79.2% 12++ 27.8% 37+ 68 49

+ -0.967 47 ++ 19.2% 35++ 9.8% 40+ 27.2% 47

++++ 1,505.3 13+ 10.7% 43 30.9% ++ 39.5% 39

+ 6.7% 41+ 28.4% 49+ 17.1% 49

+ -1.201 49 +++ 18.9% 22+ 20.9% 42++ 7.8% 31 14.0%

+ 41.9 46 40.8 + 150.6 48 + 10.3% 42+ 14.2% 41+ 50.7% 44+ 8.5% 48+ 34.4% 43 + -0.628 46

++++ 0.242 20 +++++ 4.5% 7+++ 87.7 30++++ 3.8% 20

++++ 79.3% 11+ 42.6% 43+++ 79.6% 28+++ 81.9% 29

++++ 70.1% 12++ 30.5% 36++++ 52.0% 16

+ -1.011 47 + 21.1% 43+ 61.9% 44+++++ 25.9% 9 17.6% 88.8% + 27.3 47

+ 60.0% 41 85.5% 26.1% + 10.2% 50

++ -0.398 37 + 11.6% 41++ 10.9% 40++ 4.8% 35+++ 72.1% 22++++ 7.3% 15 ++ 31.8 38++ 6.7 37+++ 13.1 25 +++++ 5.8% 4+++ 90.6% 27++ 8.9% 37+++ 6.1 22+ 36.9% 48 + -0.309 41

+ -0.432 —

Page 20: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Louisian

aLouisiana

+ -1.077 50

+++ 8.6 23

+ 26.2% 48+ 30.9 48+ 90.4% 47+ 4.3% 49++ 43.8% 33 +++++ 51.0% 9+ 25.7% 48+ 81.4% 42++ 17.5 36 + 18.6% 43++ 19.0% 39+ 23.0% 42+ 51.8% 42

+ -1.224 50

2.4% + 538 45 + 37.3% 48+ 15.8% 48+ 69.2% 49+ 23.0% 47+ 5.3% 50 + 28.4% 41

++++ 54 19+ 49.8% 45

• High prevalence of cervical cancer screening• High prevalence of ADD/ADHD treatment• High enrollment in early childhood education

• Low prevalence of adequate sleep among children• High incidence of chlamydia among females• Low prevalence of fourth grade reading proficiency

12%

11%34% in the past four years from 35.3% to 23.3% of women ages 18-44

in the past two years from 43.9% to 38.8% of women ages 18-44

in the past four years from 8.4 to 7.5 deaths per 1,000 live births

INSUFFICIENT SLEEP

INFANT MORTALITYFLU VACCINATION

LouisianaState Health Department Website: ldh.la.gov

+ -0.395 50

++ 7.9 33+ 3.6% 45+ 22.3% 47+ 18,561,626 44+ 44.2% 45 +++ 1 27+ 15.7 47 + 82.7% 45++++ 13.5% 18+++ 15.9% 30

54% in the past year from 2.8% to 4.3% of students

STUDENTS EXPERIENCING HOMELESSNESS

++ -0.177 37 +++ 78.0% 21++ 20.1% 36++ 21% 35+++ 10.5% 25++ 40.0 40 +++++ 86.5% 3+ 63.0% 42+ 23.3% 50 88.9% +++++ 73.5% 7 +++ 73.0% 22+ 29.3% 47++ 75 36

+ -0.986 49 + 18.0% 44++ 10.3% 38+ 29.2% 49

+ 2,633.0 50++ 10.1% 31 41.3% ++ 38.8% 37

++++ 5.6% 20+ 22.4% 47++++ 6.2% 20

+ -1.198 48 +++ 20.2% 29++ 20.6% 40+ 8.9% 45 15.9%

+++ 24.2 30 — + 132.3 43 + 10.5% 44+ 16.8% 46++ 53.3% 35++ 5.8% 36+ 37.3% 46 + -0.930 49

+++ 0.051 26 +++++ 5.4% 3+++ 88.6 29++++ 3.4% 13

++ 74.7% 31++ 46.7% 35+ 76.1% 44++ 80.9% 33

++++ 69.5% 16+ 29.0% 44+++ 50.5% 22

+ -0.891 45 + 20.2% 47+ 62.2% 42++ 22.4% 32 12.1% — + 27.5 48

+ 53.1% 49 68.5% 22.9% ++++ 4.3% 18

+ -0.907 49 + 13.0% 46++++ 8.3% 14+++++ 2.9% 10+ 67.5% 47+++++ 6.2% 8 + 37.7 47+ 7.5 46++++ 10.8 17 ++ 8.6% 39+ 86.8% 49+ 10.8% 49+ 8.4 47+ 35.3% 44 + -0.760 49

+ -0.832 —

Page 21: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Maine

Maine

++++ 0.195 15

++ 13.9 35 ++++ 14.5% 20+ 30.8 47++++ 95.4% 16+++++ 1.4% 7+++++ 51.3% 10 +++ 46.5% 25++++ 36.0% 18+++ 86.7% 22+++ 16.3 30 +++ 16.7% 30++++ 12.2% 12+++ 35.0% 26+++++ 64.7% 6

+++++ 0.742 9

2.7% +++++ 112 1 +++++ 6.5% 5++ 13.6% 39+++++ 83.5% 10+++ 16.1% 27++++ 3.2% 15 ++++ 39.0% 13

+++ 56 24+++++ 67.7% 1

• High prevalence of reading, singing or storytelling• High percentage of early and adequate prenatal care• Low prevalence of physical inactivity among women

• High racial gap among children in poverty• High prevalence of frequent physical distress among women• High prevalence of smoking during pregnancy

28%

17%12% in the past four years from 22.4% to 25.0% of singleton, term, vertex, first births

in the past four years from 25.6% to 18.5% of women ages 18-44

in the past four years from 7.0 to 5.8 deaths per 1,000 live births

SMOKING

INFANT MORTALITYLOW-RISK CESAREAN DELIVERY

MaineState Health Department Website: maine.gov/dhhs

++++ 0.331 17

+++++ 5.9 7++ 1.1% 34++ 16.4% 34+++++ 139,543 9+++ 79.3% 22 +++++ 4 1+++ 8.2 22 +++ 78.9% 22++ 23.6% 40+++ 15.0% 24

24% in the past four years from 19.1% to 14.5% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.589 9 +++++ 86.6% 2++ 19.5% 34++++ 34% 12+++ 11.1% 27++++ 54.0 15 +++++ 83.9% 6++ 63.5% 38+++ 33.0% 21 93.7% ++ 67.4% 35 +++++ 85.7% 2+++ 25.0% 26+++++ 85 6

+++++ 0.584 7 +++++ 26.1% 3+++++ 21.1% 1+++++ 15.2% 2

+++++ 977.4 2+ 10.7% 43 22.3% ++++ 33.4% 17

+++++ 4.3% 4+++ 18.5% 29++ 11.9% 40

++ -0.489 34 + 24.4% 46+ 21.2% 44+++++ 6.1% 7 10.9%

+ 30.6 43 — ++++ 91.5 20 + 11.6% 47+++ 9.6% 23++++ 59.0% 12++ 6.0% 38++++ 25.5% 13 ++++ 0.339 15

++++ 0.466 12 ++ 2.9% 31++++ 119.0 11++ 5.5% 35

++++ 77.3% 20+++ 50.7% 27+++ 79.5% 29+++++ 90.6% 2

++ 65.1% 33++++ 39.3% 17+++++ 57.2% 4

++++ 0.475 14 +++++ 34.1% 5++ 65.4% 32+++++ 29.8% 4 — 79.3% +++++ 11.1 7

+++++ 70.3% 10 88.5% 30.2% ++ 6.9% 40

+++ -0.050 26 ++ 10.7% 38+ 14.6% 50++ 4.6% 32++++ 73.1% 13+ 11.0% 42 ++++ 23.5 13+++ 5.8 21++ 16.0 38 + 9.8% 45+++++ 92.9% 5++++ 7.2% 11+++++ 2.4 1+++++ 25.1% 7 ++++ 0.244 16

++++ 0.287 —

Page 22: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Mar

ylan

dMaryland

+++++ 0.506 6

++++ 5.8 14

+++++ 11.6% 4+++++ 11.7 7++++ 95.3% 17++++ 1.9% 16+++++ 61.4% 1 ++++ 47.6% 19+++ 35.1% 23++++ 87.1% 19+ 21.0 42 ++++ 13.6% 14++++ 12.6% 15++++ 41.2% 13+++ 55.4% 28

+++ 0.234 21

- ++ 469 40 +++ 17.8% 21+++ 11.1% 24+++++ 86.0% 3+++++ 11.3% 3++ 4.2% 39 +++++ 40.3% 10

++ 61 39+++ 54.3% 26

• High WIC coverage among children ages 1-4• Low percentage of women in poverty• Low prevalence of smoking among women

• High racial gap in high school graduation• High prevalence of insufficient sleep among women• Low percentage of early and adequate prenatal care

10%

21%28% in the past two years from 25% to 32% of needs met

in the past four years from 72.3% to 65.2% of women ages 18-44

in the past two years from 48.1% to 58.1% of adolescents ages 13-17

DENTAL VISIT

HPV VACCINATIONPUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

MarylandState Health Department Website: health.maryland.gov

+++++ 0.622 5

+++ 7.7 30+++++ 0.0% 1+++++ 10.9% 7++++ 684,433 14+++++ 93.4% 9 +++++ 4 1+++++ 7.1 6 +++++ 73.7% 10+++ 18.0% 29++ 16.5% 31

11% in the past four years from 13.0% to 11.6% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.310 22 ++ 72.6% 40++++ 15.7% 15++++ 32% 13++++ 8.3% 15++++ 57.0 11 +++ 79.3% 30++ 65.2% 34+++++ 37.4% 9 — ++++ 73.0% 11 ++++ 78.1% 13+ 28.2% 42+++ 79 22

++ -0.262 34 + 18.1% 42++++ 13.1% 18+++ 23.2% 30

++ 1,871.5 34++ 10.3% 35 — + 40.5% 45

+++++ 4.4% 5+++++ 12.0% 5++++ 5.3% 13

+++ -0.010 22 +++ 18.6% 21+++ 17.0% 21+++ 7.1% 22 —

+ 31.1 44 — +++ 104.8 28 +++ 8.8% 27+++ 10.4% 30+++ 55.8% 24++++ 4.0% 13+++ 30.1% 27 +++ 0.124 25

+++++ 0.655 7 ++++ 4.0% 15+++++ 128.3 9++++ 3.3% 11

+++ 76.6% 22++++ 58.1% 13++++ 81.1% 17+++++ 87.5% 8

+++++ 71.9% 6++++ 40.9% 13+ 46.1% 42

+++ 0.210 24 +++ 26.2% 26+++++ 73.6% 6+++ 22.9% 27 7.7% 89.0% ++++ 14.1 15

++ 61.1% 39 — 23.0% +++ 5.0% 24

+++ -0.177 30 +++ 9.9% 29+++ 9.0% 21++++ 3.3% 13+++++ 75.1% 3++ 9.6% 39 ++++ 24.3 16++ 6.5 35+++++ 7.1 6 + 10.1% 48+++++ 93.5% 2++ 8.8% 36++++ 5.8 20+ 34.5% 41 ++++ 0.310 12

++++ 0.224 —

Page 23: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Mas

sach

usetts

Massachusetts

+++++ 0.827 3

+ 18.9 48

+++++ 12.2% 9++++ 16.8 19+++++ 96.3% 5+++ 2.2% 25+++++ 55.1% 5 +++++ 61.3% 4+++++ 45.4% 1++++ 87.8% 16++ 18.4 39 +++++ 11.0% 3+ 30.1% 49+++++ 53.2% 5+++++ 64.6% 7

+++++ 0.848 8

2.5% +++ 338 25 +++ 19.2% 23+++++ 9.3% 9++++ 83.3% 14+++++ 12.3% 7+++++ 2.9% 10 +++++ 50.3% 1

++ 58 32++++ 56.2% 19

• High prevalence of female college graduates• High prevalence of food sufficiency among children• Low teen birth rate

• High percentage of housing with lead risk• High prevalence of excessive drinking among women• High foster care placement instability

17%

12%18% in the past four years from 44.4% to 36.2% of women ages 18-44

in the past two years from 23.0% to 27.0% of women ages 18-44

in the past two years from 4.3 to 3.8 deaths per 1,000 live births

EXCESSIVE DRINKING

INFANT MORTALITYFLU VACCINATION

MassachusettsState Health Department Website: mass.gov/orgs/department-of-public-health

++++ 0.405 13

+++++ 6.3 9+++++ 0.0% 1+++++ 9.2% 3++++ 1,246,658 16++ 57.9% 37 +++++ 4 1+++++ 6.7 4 +++++ 69.3% 4+ 31.2% 48++ 17.7% 37

20% in the past four years from 15.2% to 12.2% of children ages 0-17

CHILDREN IN POVERTY

+++++ 1.042 3 +++++ 83.4% 9+++++ 12.0% 4+++ 25% 25+++++ 3.5% 1+++++ 63.3 8 +++ 80.9% 24+++++ 73.0% 10++++ 36.2% 12 93.3% +++++ 73.1% 8 +++++ 83.1% 6+++ 25.4% 29+++++ 86 3

++++ 0.480 11 ++++ 22.5% 19++++ 13.7% 13++++ 19.9% 16

+++++ 1,343.8 8++ 10.4% 38 21.7% ++++ 33.0% 14

++++ 5.2% 14+++++ 12.1% 7+++++ 4.3% 8

++++ 0.186 15 + 27.0% 50+++ 17.3% 22+++ 7.3% 25 10.3%

++ 29.2 40 — ++++ 84.6 13 +++ 8.5% 21+++++ 6.6% 1+++++ 61.0% 3+++++ 3.6% 9+++++ 21.3% 1 +++++ 0.594 5

+++++ 1.607 1 +++ 3.5% 22+++++ 201.5 1+++++ 1.2% 1

+++++ 85.9% 1+++++ 68.7% 2+++++ 88.4% 1+++++ 90.7% 1

+++ 68.1% 23+++++ 50.2% 4++++ 53.0% 13

+++++ 0.525 10 +++ 26.6% 22+++++ 78.3% 1+ 19.0% 45 7.5% 83.8% +++++ 7.2 1

++++ 70.2% 11 82.7% 32.2% ++ 6.3% 34

++++ 0.119 17 + 14.3% 48+ 12.9% 46+++ 4.4% 28++++ 72.5% 18+ 13.1% 48 +++++ 16.6 2+++++ 3.8 1+++++ 6.1 4 ++ 8.5% 34+++++ 92.9% 5++++ 7.6% 16+++++ 4.3 9+++++ 24.2% 5 +++++ 0.664 1

+++++ 0.627 —

Page 24: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Michiga

nMichigan

+ -0.395 43

+ 17.4 46

++ 19.4% 34+ 27.4 43+++ 94.0% 28++ 2.4% 33+++++ 52.0% 8 +++ 45.8% 28++ 31.6% 39+ 80.6% 46+++ 13.9 22 + 18.3% 42+++ 13.8% 21+++ 35.1% 25+ 51.5% 44

++ -0.378 38

3.4% ++ 449 38 +++ 23.3% 29++ 12.9% 35++ 78.7% 31++ 18.4% 40+++ 3.8% 25 ++ 33.4% 31

+ 71 48+++++ 60.7% 8

• High prevalence of cervical cancer screening• High WIC coverage among children ages 1-4• High percentage of early and adequate prenatal care

• High residential segregation• Low percentage of high school graduation• High prevalence of 2+ adverse childhood experiences

23%

19%13% in the past year from 3.0% to 3.4% of children ages 0-18

in the past two years from 44.8% to 55.0% of adolescents ages 13-17

in the past four years from 26.6% to 31.7% of women ages 18-44

HPV VACCINATION

OBESITYUNINSURED

MichiganState Health Department Website: michigan.gov/mdhhs

+ -0.096 43

++ 8.0 34+ 2.6% 42+ 19.9% 42++ 9,037,202 40++++ 89.7% 14 ++++ 3 12++++ 7.7 16 ++ 81.8% 37++ 22.5% 37+++ 15.3% 27

14% in the past four years from 22.6% to 19.4% of children ages 0-17

CHILDREN IN POVERTY

++++ 0.498 11 ++++ 80.9% 11++++ 16.0% 18+ 16% 46+++++ 7.2% 7++++ 55.1 13 +++++ 84.6% 5++++ 71.9% 15++ 29.2% 36 89.1% +++++ 73.1% 8 +++++ 83.2% 5++ 27.3% 35+++ 77 28

+ -0.644 42 ++ 19.7% 32++ 10.9% 36++ 23.5% 32

+++ 1,755.0 30++ 10.5% 40 30.9% + 42.1% 47

++ 6.3% 33++ 19.1% 32++ 10.6% 35

+ -0.915 44 ++ 21.3% 36+ 20.7% 41+ 8.9% 45 16.4%

++ 29.1 39 — ++ 114.8 34 ++ 10.2% 40++ 10.9% 32++ 52.6% 37+ 6.5% 43++ 31.7% 31 + -0.406 41

+++ 0.007 30 +++ 3.0% 30++++ 99.5 18++++ 3.4% 13

++ 73.2% 33++++ 55.0% 18+ 76.5% 42++++ 85.1% 14

++ 65.7% 31+ 29.3% 42+++ 48.3% 30

+++ 0.053 26 ++ 23.9% 33+++ 67.3% 26++++ 24.4% 20 8.3% 87.0% ++++ 15.8 20

+++ 65.9% 25 82.5% 20.8% +++ 4.8% 23

+ -0.475 41 +++ 9.6% 27+++ 9.4% 24+ 6.0% 44+++ 71.6% 29++ 9.3% 36 +++ 27.6 29++ 6.6 36+++ 13.4 27 ++ 9.1% 40++ 89.4% 38+++ 8.5% 29+ 8.0 41+++ 30.1% 24 ++ -0.235 39

++ -0.309 —

Page 25: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Minne

sota

Minnesota

++++ 0.244 12

++++ 6.0 15 +++++ 11.7% 5+ 29.8 45+++++ 96.3% 5++++ 2.0% 19+++++ 57.6% 3 ++++ 50.6% 11+++++ 38.1% 10++ 83.2% 34+ 37.4 49 ++++ 13.7% 15+++++ 11.3% 9+++++ 46.2% 9+++++ 62.9% 9

+++++ 1.216 1

4.1% +++++ 220 10 +++++ 9.2% 7+++++ 8.6% 4++++ 82.4% 16+++++ 12.9% 8+++++ 2.2% 1 +++++ 44.4% 5

++ 59 36+++++ 65.2% 5

• Low prevalence of unemployment among women• High prevalence of adequate sleep among children• High WIC coverage among children ages 1-4

• High racial gap in children in poverty• High prevalence of excessive drinking among women• Low immunization coverage among children

33%

20%9% in the past two years from 44.2% to 40.2% of women ages 18-44

in the past two years from 44.1% to 58.8% of adolescents ages 13-17

in the past four years from 18.8% to 15.0% of women ages 18-44

HPV VACCINATION

SMOKINGFLU VACCINATION

MinnesotaState Health Department Website: health.state.mn.us

+++++ 0.681 2

++++ 6.6 11+++ 0.5% 26++++ 13.2% 11++++ 1,982,571 17+++++ 98.8% 2 ++++ 3 12+++ 8.3 23 ++++ 77.0% 18++ 19.8% 31+++++ 13.4% 9

21% in the past four years from 14.9% to 11.7% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.870 6 ++++ 80.9% 11+++++ 13.9% 7+++ 25% 25+++++ 5.2% 3++++ 54.9 14 ++++ 82.6% 14+++++ 74.5% 4+++++ 40.2% 2 92.2% ++++ 72.1% 17 +++ 72.6% 27++++ 22.9% 15++++ 82 13

+++++ 0.536 9 ++++ 21.9% 20+++ 12.7% 24++++ 18.5% 12

+++++ 1,380.9 9+++ 9.4% 21 25.5% +++++ 28.4% 2

+++++ 4.9% 10++++ 15.0% 20+++ 7.5% 21

+++++ 0.631 5 + 23.5% 45+++++ 15.6% 10+++++ 6.1% 7 10.6%

++++ 13.1 12 — +++++ 71.3 5 +++++ 7.3% 6+++++ 7.4% 5+++++ 60.0% 8+++++ 2.8% 3+++++ 24.7% 10 +++++ 0.828 1

+++ 0.102 25 +++ 3.1% 27+++ 95.0 22++++ 3.3% 11

+ 68.9% 47+++++ 58.8% 9++ 78.1% 35++ 79.7% 37

+ 59.7% 47+++++ 57.5% 3+++++ 53.2% 10

+++++ 0.949 1 +++++ 37.2% 3+++++ 73.8% 4++ 22.2% 36 — — +++++ 10.2 5

+++++ 74.9% 1 86.7%

— +++ 4.6% 21

+++++ 0.783 2 +++++ 7.9% 8++ 10.6% 36++++ 3.7% 18+++++ 77.8% 1++++ 7.3% 15 +++++ 21.3 8++++ 5.0 11+++ 12.8 24 ++++ 7.0% 16+++++ 92.9% 5+++++ 6.9% 7+++++ 4.2 8+++++ 22.4% 1 +++++ 0.542 5

+++++ 0.651 —

Page 26: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Mississ

ippi

Mississippi

+ -0.714 48

++ 14.2 36

+ 27.8% 50+ 30.2 46+ 89.1% 48+++ 2.1% 22++++ 51.0% 11 ++++ 49.1% 13++ 31.5% 40++ 84.0% 32+++++ 8.7 7 ++ 18.2% 40+++ 14.8% 25+ 16.2% 50+ 43.7% 50

+ -1.002 47

4.0% ++++ 234 13 + 45.4% 50+ 15.9% 49+ 74.8% 43+ 24.7% 50+ 5.0% 49 + 25.4% 48

+++++ 48 7++++ 55.9% 20

• Low prevalence of excessive drinking among women• High prevalence of cervical cancer screening• Low residential segregation

• High percentage of children in poverty• High mortality rate among women ages 20-44• Low prevalence of food sufficiency among children

8%

6%9% in the past two years from 54.0% to 49.1% of children ages 3-4

in the past two years from 75.0% to 68.8% of women ages 18-44

in the past four years from 9.3 to 8.7 deaths per 1,000 live births

DEDICATED HEALTH CARE PROVIDER

INFANT MORTALITYEARLY CHILDHOOD EDUCATION ENROLLMENT

MississippiState Health Department Website: msdh.ms.gov

+ -0.343 48

+++ 7.7 30+ 5.5% 49+ 19.9% 42++++ 2,102,778 18++ 61.0% 35 ++ 0 37+ 14.2 46 + 85.6% 49+++++ 10.7% 8+++ 15.8% 29

28% in the past four years from 22.0% to 15.9% of households

FOOD INSECURITY

+ -0.731 47 ++++ 80.9% 11+ 26.6% 50+++ 23% 30+ 19.2% 46+ 32.1 48 +++++ 86.9% 1+ 59.3% 49+ 25.0% 47 88.3% ++ 67.8% 33 + 68.8% 41+ 31.2% 50++ 73 40

+ -0.971 48 + 16.1% 48+ 9.5% 43+ 29.5% 50

+ 2,529.1 48++++ 8.7% 15 44.6% ++ 37.5% 32

+++ 5.9% 25+ 21.7% 43+++ 8.9% 29

+ -0.829 42 +++++ 11.7% 1++ 19.5% 32++++ 6.8% 14 23.5%

+++++ 12.0 9 — + 154.9 49 ++ 9.6% 35+ 18.3% 49+ 50.6% 45+ 6.5% 43+ 40.3% 49 + -0.846 48

+ -0.496 42 +++++ 5.7% 2+ 62.2 44+++ 4.7% 26

+ 70.2% 45+ 32.6% 50+ 77.1% 41+ 78.0% 45

+++++ 70.6% 10+ 28.0% 47++ 46.3% 40

+ -1.422 50 + 13.0% 50+ 56.7% 50++++ 24.7% 15 17.3% 91.6% + 27.8 49

+ 50.5% 50 72.2% 21.4% + 7.1% 41

+ -0.944 50 +++ 9.5% 25+++++ 6.6% 5++++ 3.4% 15+ 69.0% 42+++++ 6.1% 6 + 40.6 48+ 8.7 50++++ 10.3 15 + 10.6% 50+ 85.9% 50+ 12.1% 50+ 8.4 47+ 37.7% 49 + -0.843 50

+ -0.834 —

Page 27: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Misso

uri

Missouri

+++ -0.037 28

+++++ 4.1 7

++ 18.3% 31++ 22.8 32+++ 94.3% 26+ 3.7% 43++ 43.6% 35 +++ 46.3% 26++ 34.2% 31+++++ 89.2% 9++++ 11.6 17 +++++ 13.1% 8+ 20.8% 43++ 30.3% 34++++ 58.2% 19

+++ 0.074 26

4.9% + 502 43 ++++ 17.4% 20+++ 12.0% 30++ 77.8% 38++ 17.1% 31+++++ 2.5% 4 ++++ 37.1% 20

+ 68 45++++ 57.0% 17

• Low prevalence of unemployment among women• Low prevalence of 2+ adverse childhood experiences• High percentage of high school graduation

• High prevalence of smoking during pregnancy• High prevalence of frequent mental distress among women• High residential segregation

17%

12%10% in the past year from 48.2% to 43.6% of children ages 1-4

in the past two years from 39.2% to 32.6% of women ages 18-44

in the past two years from 61.9% to 69.4% of women ages 18-44

FLU VACCINATION

WELL-WOMAN VISITWIC COVERAGE

MissouriState Health Department Website: health.mo.gov

++ 0.160 32

+++ 7.5 28+++ 0.6% 29+ 20.2% 45+++ 4,565,815 29+++ 76.8% 26 +++ 1 27+++ 9.1 27 + 82.5% 43+++ 18.8% 30+++++ 13.8% 10

29% in the past four years from 16.8% to 12.0% of households

FOOD INSECURITY

++ -0.159 36 +++ 77.8% 25++ 20.9% 37++ 21% 35++ 13.4% 33+++ 43.9 29 +++ 80.3% 27++ 65.2% 34+++ 32.6% 23 87.5% +++ 69.4% 26 ++ 69.4% 39+++ 23.9% 21++ 75 36

+ -0.573 41 + 17.3% 47+ 9.2% 45++ 23.3% 31

++ 1,902.0 37+++++ 8.0% 9 40.8% +++ 36.3% 28

++ 6.6% 39+ 22.2% 45+ 13.7% 46

+ -1.013 45 + 23.2% 44+ 22.0% 47++ 7.8% 31 13.7%

++ 28.2 37 — ++ 128.4 39 + 10.3% 42+++ 9.9% 27+++ 55.1% 27+ 6.2% 41+ 33.7% 42 ++ -0.354 38

++ -0.412 40 ++++ 4.0% 15+++++ 131.8 7++ 5.7% 36

+ 70.4% 44+ 42.1% 45+ 74.2% 49+++ 82.1% 27

+ 60.9% 45++ 30.6% 33+++ 49.1% 27

++ -0.100 31 +++++ 31.3% 10++ 65.4% 32++++ 24.5% 19 12.2% 87.2% ++ 21.6 38

+++ 65.9% 25 84.0% 20.7% ++ 6.1% 33

+ -0.536 44 + 11.7% 42+++ 9.7% 28++++ 3.3% 13++ 70.9% 35+++ 8.3% 28 + 33.7 43++ 6.4 33++ 17.2 40 ++ 8.3% 32+ 88.5% 42++ 8.7% 33+ 8.3 46+ 34.5% 41 ++ -0.211 38

++ -0.271 —

Page 28: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Blood PressureHigh Health Status* Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Mon

tana

Montana

++ -0.128 32

+ 16.4 41

+++ 16.0% 23+++++ 7.4 5++++ 95.8% 14++ 2.5% 34+ 35.2% 50 ++ 44.0% 35++++ 36.4% 16+++ 86.4% 25+ 21.4 45 + 23.9% 49++++ 12.9% 17++ 27.8% 38++++ 58.4% 16

++++ 0.589 13

— +++ 374 27 +++++ 8.4% 6++++ 10.3% 14++ 76.1% 40++ 17.1% 31+++++ 2.9% 10 +++ 36.2% 23

++ 58 32+++++ 66.0% 3

• Low racial gap in children in poverty• High prevalence of adequate sleep among children• Low prevalence of physical inactivity among women

• High prevalence of 2+ adverse childhood experiences• Low WIC coverage among children ages 1-4• High prevalence of smoking during pregnancy

21%

28%16% in the past two years from 58.7% to 68.1% of women ages 18-44

in the past two years from 39.9% to 48.4% of adolescents ages 13-17

in the past four years from 14.1% to 18.0% of women ages 18-44

HPV VACCINATION

PHYSICAL INACTIVITYWELL-WOMAN VISIT

MontanaState Health Department Website: dphhs.mt.gov

+++ 0.296 21

++++ 6.6 11++++ 0.4% 20++++ 14.9% 18++++ 221,212 12+ 33.7% 46 ++++ 3 12++ 11.1 40 ++++ 75.9% 17+++ 17.8% 28++++ 14.8% 20

19% in the past year from 2.1% to 2.5% of students

STUDENTS EXPERIENCING HOMELESSNESS

++++ 0.410 14 ++ 75.4% 33+++++ 14.0% 9+++++ 36% 9+++ 10.0% 22++++ 53.7 16 + 78.1% 42++++ 69.5% 20++++ 33.3% 20 — +++ 68.1% 30 ++ 70.5% 33++++ 22.7% 14+++++ 86 3

+++ -0.061 30 +++++ 23.6% 10++ 12.0% 31+++++ 18.0% 10

+++ 1,639.8 21+ 11.3% 48 — +++++ 29.6% 3

++ 6.5% 36++ 21.0% 40+ 14.3% 48

+++ -0.066 23 ++ 22.2% 39++++ 15.8% 11+ 8.7% 43 — ++++ 13.5 13 — ++ 115.0 35 +++ 8.6% 23+++++ 6.6% 1+++++ 61.0% 3++++ 4.5% 19+++++ 22.3% 2 +++ 0.239 22

+ -0.436 41 ++++ 4.1% 12+ 61.9 45++ 6.1% 39

+ 64.0% 50++ 48.4% 34++++ 82.1% 13++ 80.7% 35

++ 63.7% 37++ 30.6% 33+++ 50.7% 21

+++ 0.242 21 +++++ 35.7% 4++ 65.2% 34++++ 24.7% 15 6.7% 83.4% +++ 17.2 27

+++++ 72.2% 6 — 30.2% ++ 6.6% 37

+ -0.587 45 + 15.2% 49+ 12.3% 43+ 7.7% 50+++++ 74.5% 4+ 13.4% 49 + 34.3 44++++ 5.7 18+ 26.7 48 ++ 8.5% 34++++ 92.5% 11++++ 7.4% 14+ 8.1 42+++++ 23.2% 4 ++ -0.173 34

+++ 0.004 —

Page 29: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Neb

rask

aNebraska

++++ 0.147 19

++++ 5.5 13

++++ 12.9% 11++ 23.8 36+++++ 96.2% 9+++++ 1.1% 4++++ 48.3% 20 +++ 45.4% 30++++ 36.8% 15++++ 88.7% 12+ 21.5 46 ++++ 15.3% 20+++++ 9.8% 3+++ 34.7% 28+ 46.8% 48

++++ 0.472 16

3.1% ++++ 285 18 +++++ 12.3% 10+++ 11.4% 28+++ 79.8% 25+++ 15.8% 23+++++ 2.6% 7 ++++ 37.7% 17

++ 60 38++ 53.3% 34

• Low prevalence of concentrated disadvantage• Low prevalence of students experiencing homelessness• High immunization coverage among children

• Low prevalence of reading, singing or storytelling• High prevalence of excessive drinking among women• Low percentage of children with adequate and continuous health

insurance

12%

18%11% in the past two years from 44.5% to 39.6% of women ages 18-44

in the past four years from 60.2% to 67.6% of women ages 18-44

in the past four years from 4.9 to 5.8 deaths per 1,000 live births

WELL-WOMAN VISIT

INFANT MORTALITYFLU VACCINATION

NebraskaState Health Department Website: dhhs.ne.gov

++++ 0.321 20

++++ 7.1 19+++++ 0.0% 1++++ 14.4% 16++++ 815,500 15+++ 71.6% 30 ++ 0 37++ 11.0 39 + 82.7% 45++ 22.6% 38+++++ 12.8% 6

20% in the past four years from 16.2% to 12.9% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.205 27 ++++ 78.5% 19++ 18.4% 31+++ 24% 27++ 13.1% 32++ 43.2 31 ++++ 82.0% 18+++ 69.4% 21+++++ 39.6% 4 91.3% ++ 67.6% 34 ++++ 76.9% 18++++ 22.5% 13+ 71 47

++++ 0.220 17 +++ 21.4% 22++ 11.9% 32++++ 20.3% 18

+++++ 1,386.7 10++++ 9.1% 20 31.3% ++++ 33.5% 18

++++ 5.2% 14+++ 16.4% 22+++ 8.7% 26

++++ 0.114 19 + 22.6% 42++++ 16.5% 15++++ 6.9% 15 12.1%

+++++ 8.3 4 — +++++ 81.4 10 ++++ 8.1% 14++++ 8.9% 15++++ 57.0% 15++++ 4.0% 13+++ 31.0% 28 ++++ 0.277 19

+++ 0.216 22 ++++ 4.0% 15++ 73.9 37++ 5.2% 31

+++++ 85.5% 3+++++ 62.7% 5+++ 80.1% 25++ 79.1% 40 + 61.3% 44+ 28.6% 45++++ 52.2% 15

++++ 0.298 17 +++ 25.4% 29+++ 68.5% 21++ 22.3% 33 8.4% 89.7% +++ 16.7 24

++++ 69.8% 15 86.1% 17.1% +++++ 3.2% 7

+++++ 0.283 8 +++++ 7.5% 7++++ 8.8% 19+++ 4.4% 28++++ 73.1% 13++++ 7.3% 15 ++++ 25.4 20+++ 5.8 21++ 14.3 33 +++ 7.2% 21++ 90.1% 32++++ 7.6% 16+++ 6.7 30+++++ 26.4% 10 ++++ 0.239 18

++++ 0.248 —

Page 30: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Nev

ada

Nevada

++ -0.281 36

++++ 7.5 20 +++ 17.7% 28+++ 20.7 28++ 92.7% 37+ 3.5% 41+++ 48.0% 22 + 37.4% 46+ 30.9% 43++ 83.2% 34+++ 14.5 24 ++++ 14.6% 16+++ 16.2% 27++++ 41.2% 13++++ 58.3% 17

++ -0.491 40

— + 541 46 ++ 28.0% 39++ 12.9% 35+++++ 85.6% 4++++ 15.1% 16+ 4.7% 47 + 24.9% 50

+++++ 43 2+ 49.7% 46

• Low percentage of housing with lead risk• Low residential segregation• Low prevalence of tobacco use among adolescents

• Low prevalence of female college graduates• Low prevalence of physical activity among children• Low prevalence of well-child visits

18%

14%13% in the past two years from 73.6% to 83.2% of students

in the past four years from 5.1% to 4.2% of live births

in the past four years from 5.1 to 5.8 deaths per 1,000 live births

SMOKING DURING PREGNANCY

INFANT MORTALITYHIGH SCHOOL GRADUATION

NevadaState Health Department Website: dhhs.nv.gov

++++ 0.326 18

+ 9.0 46++++ 0.1% 12+++ 15.0% 21++++ 544,403 13+++ 75.0% 27 +++ 2 23++++ 7.6 12 ++++ 77.8% 20+++++ 5.2% 1+ 19.6% 44

20% in the past four years from 22.0% to 17.7% of children ages 0-17

CHILDREN IN POVERTY

+ -0.851 49 ++ 74.2% 37++ 21.8% 39+ 14% 50+ 15.9% 42+ 36.1 46 +++ 80.1% 28+ 61.0% 45+ 24.8% 48 — + 64.3% 41 + 59.4% 49+ 28.0% 41+++ 77 28

++ -0.464 36 ++ 19.2% 35+ 6.5% 48++ 24.1% 34

++ 1,819.7 32+ 11.6% 49 — ++ 38.2% 33

++ 6.4% 35++++ 13.6% 14+++++ 4.2% 7

+++ -0.122 24 ++++ 17.7% 13+++ 18.4% 28+ 10.0% 49 —

+++ 18.6 22 — +++ 98.7 22 +++ 9.0% 30++++ 8.4% 11+ 48.6% 49+++++ 3.5% 8++++ 27.0% 20 ++ -0.366 39

+ -1.160 50 + 1.1% 49+ 55.3 47+ 8.0% 45

++ 71.3% 38+++ 51.1% 26+ 72.2% 50+ 76.0% 50

+ 62.4% 42++ 30.6% 33+ 40.0% 50

++ -0.386 40 + 20.8% 44++ 64.7% 35+ 15.4% 50 5.5% 89.7% ++ 20.5 35

++++ 69.2% 17 — 24.1% +++++ 3.3% 9

++++ 0.166 12 +++++ 6.7% 4+++++ 7.7% 10+++++ 2.8% 5++ 70.6% 38++ 9.4% 37 +++ 27.3 28+++ 5.8 21++ 15.2 35 +++ 7.3% 22++ 89.7% 34++ 8.7% 33++++ 4.7 13++ 31.9% 33 ++ -0.261 40

++ -0.301 —

Page 31: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

New

Ham

pshi

reNew Hampshire

+++++ 0.648 5

++++ 5.2 12

+++++ 10.6% 3++++ 13.5 12+++++ 97.1% 1+++ 2.2% 25+ 38.6% 47 +++++ 57.2% 6+++++ 38.2% 9++++ 88.8% 11++++ 13.5 20 +++++ 13.1% 8+++ 16.7% 30++++ 38.4% 20+++++ 64.6% 7

+++++ 1.173 4

— +++++ 173 3 +++++ 5.0% 4+++++ 7.8% 1+ 74.1% 44+++++ 10.9% 2+++++ 2.6% 7 ++++ 37.8% 16

++++ 54 19++++ 57.1% 15

• Low prevalence of concentrated disadvantage• Low levels of air pollution• Low teen birth rate

• High prevalence of frequent mental distress among women• Low WIC coverage among children ages 1-4• Low percentage of fluoridated water

32%

20%12% in the past four years from 65.1% to 72.9% of women ages 18-44

in the past two years from 51.2% to 67.4% of adolescents ages 13-17

in the past four years from 4.9 to 3.9 deaths per 1,000 live births

HPV VACCINATION

INFANT MORTALITY WELL-WOMAN VISIT

New HampshireState Health Department Website: dhhs.nh.gov

+++ 0.268 25

+++++ 4.4 1++++ 0.3% 17+++ 15.7% 28+++++ 24,207 5+ 46.5% 44 +++++ 4 1+++++ 7.5 10 +++ 80.9% 29++ 20.9% 34+++ 15.1% 25

34% in the past two years from 7.9% to 10.6% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.789 7 +++++ 84.7% 4++++ 16.1% 19++++ 29% 18+++++ 7.5% 9+++++ 63.9 6 +++++ 83.3% 10++ 65.9% 32++ 30.1% 33 — ++++ 72.9% 13 +++++ 84.2% 4++ 27.0% 34+++++ 90 2

++++ 0.158 19 +++ 20.6% 29+++++ 14.2% 8++++ 20.5% 20

+++++ 1,009.3 5+++++ 8.0% 9 — ++ 38.4% 35

+ 6.7% 41++ 20.7% 39++ 10.1% 31

++ -0.718 40 ++ 20.8% 32+ 23.1% 49++ 8.2% 36 —

+ 42.3 47 — +++ 98.2 21 ++ 9.9% 38++++ 9.0% 16+++++ 60.5% 7+ 8.4% 47++++ 26.4% 18 ++++ 0.349 13

+++++ 1.058 5 ++++ 4.0% 15++++ 112.9 14+++++ 2.6% 5

+++++ 79.8% 10+++++ 67.4% 3+++++ 84.9% 6+++++ 89.7% 4

+++ 67.8% 25+++ 32.8% 27+++++ 59.2% 1

+++++ 0.663 3 ++++ 30.2% 11+++++ 73.8% 4++ 22.5% 31 7.2% 82.8% +++++ 8.0 2

++++ 69.9% 14 — 33.8% +++ 5.3% 27

++++ 0.151 15 +++ 9.7% 28+ 14.1% 49+++ 4.4% 28++++ 72.4% 20+ 11.1% 43 +++++ 21.6 9+++++ 3.9 2++ 14.0 31 +++ 7.5% 25++++ 92.2% 14+++++ 6.8% 6++ 6.8 36++++ 27.5% 11 +++++ 0.550 4

+++++ 0.449 —

Page 32: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

New

Jers

eyNew Jersey

+++++ 1.027 1

+++++ 3.1 4

++++ 13.7% 13++++ 14.5 14+++ 94.9% 23+++++ 0.8% 1++++ 51.0% 11 +++++ 64.4% 3+++++ 41.9% 2+++++ 90.9% 2++++ 10.8 16 +++++ 8.9% 1++++ 13.1% 18+++++ 48.7% 7++ 54.4% 32

++++ 0.591 12

2.1% +++++ 208 6 +++ 20.6% 25+++++ 8.5% 3++ 78.6% 32+++++ 11.6% 4+ 4.5% 44 +++++ 44.5% 4

++ 61 39+++ 55.3% 23

• Low prevalence of 2+ adverse childhood experiences• Low prevalence of high-risk HIV behaviors among women• High percentage of high school graduation

• Low percentage of fluoridated water• Low prevalence of physical activity among children• Low percentage of early and adequate prenatal care

13%

15%12% in the past four years from 31.6% to 27.8% of singleton, term, vertex, first births

in the past two years from 42.8% to 48.5% of adolescents ages 13-17

in the past four years from 1,216.6 to 1,404.1 cases per 100,000 females ages 15-44

HPV VACCINATION

CHLAMYDIA LOW-RISK CESAREAN DELIVERY

New JerseyState Health Department Website: state.nj.us/health

+ -0.389 49

++ 8.1 36+ 4.9% 47+++++ 9.7% 4+++ 2,673,894 21+ 14.6% 49 +++++ 4 1+++ 9.1 27 +++++ 71.3% 6+ 24.5% 42+ 21.7% 47

14% in the past four years from 15.9% to 13.7% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.112 29 ++ 73.5% 39+++ 17.3% 24++++ 27% 20+++ 10.9% 26+++ 49.4 22 ++ 78.3% 40+++++ 73.2% 8+++ 30.9% 29 89.5% +++++ 74.3% 5 +++ 72.9% 23++ 27.8% 37++++ 80 19

+++++ 0.493 10 +++ 21.4% 22++ 11.4% 33++ 25.4% 39

++++ 1,404.1 11+++++ 6.4% 2 25.4% +++ 35.9% 25

+++++ 4.5% 6+++++ 11.1% 4+++++ 3.2% 5

+++++ 0.646 3 +++++ 16.3% 8+++++ 14.4% 6+++++ 5.2% 1 11.2%

++ 25.3 34 26.7 ++++ 87.1 17 ++++ 8.3% 19++ 11.2% 35++++ 56.6% 18++++ 4.1% 16+++++ 23.3% 7 +++++ 0.415 10

++++ 0.393 15 + 2.0% 45++++ 117.4 12+++ 3.9% 22

++++ 78.4% 17++ 48.5% 33+++++ 84.9% 6+++++ 89.2% 5

+++ 66.1% 29+++ 32.2% 29++ 47.5% 35

+++++ 0.598 7 +++ 24.4% 30+++++ 74.0% 3+ 20.8% 43 6.0% 91.9% +++++ 10.3 6

+++ 67.6% 21 73.4% 27.6% +++++ 2.6% 3

+++++ 0.473 6 + 12.4% 44+++++ 5.8% 2+++++ 2.4% 2+++++ 74.3% 7++++ 6.8% 11 +++++ 17.0 3+++++ 4.2 5+++++ 5.2 2 + 9.3% 42+++++ 93.2% 4+++ 7.9% 22++ 6.7 32++ 31.6% 32 +++++ 0.566 3

+++++ 0.497 —

Page 33: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

New

Mex

ico

New Mexico

+ -0.740 49

+ 16.6 43

+ 26.3% 49+++++ 6.1 3+ 87.7% 50+ 3.5% 41++ 40.8% 39 +++ 46.0% 27+ 23.7% 50+ 73.9% 50++++ 13.3 18 + 21.7% 47++ 17.4% 33+++ 34.5% 29+++++ 65.4% 5

+ -1.222 49

3.5% + 857 49 + 44.7% 49+ 16.8% 50++++ 83.4% 13+ 23.9% 49++ 4.3% 40 + 27.4% 45

+++++ 45 4+ 50.3% 42

• Low racial gap among children in poverty• High prevalence of reading, singing or storytelling• Low percentage of low-risk cesarean deliveries

• Low percentage of high school graduation• High prevalence of 2+ adverse childhood experiences• High mortality rate among women ages 20-44

33%

23%17% in the past year from 3.0% to 3.5% of students

in the past two years from 42.9% to 57.0% of adolescents ages 13-17

in the past four years from 17.5% to 13.4% of women ages 18-44

HPV VACCINATION

SMOKINGSTUDENTS EXPERIENCING HOMELESSNESS

New MexicoState Health Department Website: nmhealth.org

+++ 0.245 26

+++++ 6.0 8+ 3.3% 43+++ 15.2% 24+++++ 12,354 2+++ 77.0% 24 ++++ 3 12++ 10.9 38 +++ 79.7% 26++++ 12.2% 14++ 17.8% 39

37% in the past four years from 12.3% to 16.8% of households

FOOD INSECURITY

+++ 0.110 30 + 69.0% 47++++ 15.7% 15+++++ 35% 10++ 13.5% 36+++++ 67.4 3 +++ 79.3% 30+++ 66.3% 30+++ 31.5% 28 87.5% + 61.8% 46 + 65.6% 43+++++ 19.6% 6++++ 82 13

+++ 0.110 21 ++++ 23.4% 14+++ 12.9% 21+++ 21.1% 22

+ 2,386.1 47+++ 9.5% 22 31.1% ++++ 33.7% 19

+++ 5.7% 23++++ 13.4% 13++++ 5.8% 16

++ -0.502 35 +++++ 16.3% 8+++ 18.1% 26++++ 6.9% 15 15.3%

++ 25.6 36 — + 150.3 47 ++ 10.2% 40++++ 8.5% 13+ 46.0% 50++ 5.4% 32++ 32.0% 34 + -0.429 42

+++ 0.035 27 +++ 3.1% 27+++ 93.4 25++ 5.3% 33

++++ 78.8% 14++++ 57.0% 15++++ 81.3% 15++ 80.9% 33

++++ 69.8% 13++ 30.9% 32+ 41.9% 47

+ -0.728 42 ++++ 27.6% 20+ 59.4% 46++++ 24.6% 18 10.7% 91.0% + 25.3 42

++ 64.0% 33 80.6% 34.0% + 7.5% 43

+ -0.503 42 + 11.8% 43+++ 10.0% 29++ 5.5% 40+ 70.2% 41+ 12.9% 47 ++ 32.9 39+++ 6.0 27+ 20.9 45 ++++ 6.6% 11++ 89.5% 36++ 9.0% 39++++ 4.5 12++ 32.1% 34 + -0.464 46

+ -0.417 —

Page 34: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

New

Yor

kNew York

++++ 0.093 20

+ 16.9 44

++ 18.6% 32++++ 15.5 15+++ 94.1% 27+ 5.4% 50+++++ 52.6% 6 +++++ 60.1% 5+++ 34.3% 29++ 82.3% 37+ 21.1 43 +++++ 10.3% 2++++ 12.6% 15++++ 44.7% 11++++ 57.1% 20

+++ -0.051 30

1.8% +++ 351 26 ++ 27.4% 38++++ 10.5% 16+++++ 87.0% 2+++ 15.7% 22+++ 3.7% 23 +++++ 40.8% 8

+ 71 48++ 51.5% 39

• Low percentage of women who drive alone to work• Low prevalence of 2+ adverse childhood experiences• Low mortality rate among women ages 20-44

• High prevalence of students experiencing homelessness• High percentage of housing with lead risk• Low prevalence of developmental screenings

16%

21%18% in the past four years from 22.6% to 18.6% of children ages 0-17

in the past two years from 32% to 37% of needs met

in the past two years from 37.8% to 29.8% of women ages 18-44

PUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

FLU VACCINATIONCHILDREN IN POVERTY

New YorkState Health Department Website: health.ny.gov

+++ 0.271 24

++++ 6.6 11++++ 0.3% 17+++++ 11.5% 10++++ 2,537,300 20+++ 71.7% 29 +++++ 4 1+++++ 5.8 1 +++++ 50.9% 1+ 33.6% 50+ 23.9% 48

27% in the past four years from 14.4% to 10.5% of households

FOOD INSECURITY

++++ 0.454 12 +++ 76.3% 30++++ 14.6% 11+++++ 37% 8+++++ 7.2% 7+++++ 57.8 10 ++ 78.7% 39++++ 72.6% 11++ 29.8% 34 88.3% +++++ 74.6% 4 +++ 76.2% 21+ 28.9% 46++++ 82 13

+++ 0.013 25 ++ 18.8% 40+++ 12.2% 30++ 25.2% 37

+++ 1,688.8 25++++ 8.5% 13 25.4% ++ 39.0% 38

+++++ 3.8% 2+++++ 11.0% 3+++++ 4.3% 8

+++++ 0.639 4 +++ 20.1% 28+++++ 14.4% 6++++ 7.0% 18 15.5%

++++ 15.4 16 20.8 +++++ 69.1 2 +++++ 7.5% 9++++ 9.2% 19+++ 55.4% 25+++++ 3.4% 7+++++ 23.3% 7 +++ 0.242 21

+++ 0.173 23 + 1.5% 48+++++ 146.7 4+++++ 2.5% 4

+ 70.9% 41++++ 57.3% 14++ 77.7% 39++++ 84.5% 16

+++++ 73.8% 3+ 24.4% 49++ 46.3% 40

++++ 0.254 19 + 21.4% 41+++++ 72.7% 8+++ 23.5% 26 7.6% 89.6% +++++ 11.7 9

+ 59.8% 42 68.6% 22.4% ++++ 3.4% 11

+++++ 0.295 7 +++ 9.4% 23++++ 8.3% 14+++ 4.0% 22+++++ 73.8% 9+++ 8.0% 26 +++++ 18.1 5+++++ 4.6 7+++++ 6.0 3 + 9.4% 43++++ 91.4% 20+++ 8.1% 23+++ 6.4 25+++ 29.6% 22 ++++ 0.206 19

++++ 0.222 —

Page 35: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Nor

th C

arol

ina

North Carolina

++++ 0.166 17

+++++ 2.8 3

++ 20.2% 38++++ 17.7 20++ 92.7% 37++++ 1.9% 16++++ 48.9% 17 +++ 45.5% 29++++ 36.0% 18+++ 86.3% 26+++++ 9.6 9 +++++ 12.3% 7+++++ 9.5% 2+ 22.8% 44+++ 56.6% 22

++ -0.199 34

4.8% +++ 378 28 ++ 27.2% 36+ 13.9% 41++++ 82.3% 17++ 17.9% 38++ 4.1% 33 +++ 34.4% 29

+++++ 49 10++ 52.6% 36

• Low prevalence of 2+ adverse childhood experiences• High immunization coverage among children• High prevalence of well-woman visits

• High prevalence of food insecurity• High incidence of chlamydia among females• High percentage of children in poverty

9%

29%10% in the past year from 4.8% to 5.3% of children ages 0-18

in the past year from 2,020.8 to 2,208.8 cases per 100,000 females ages 15-44

in the past four years from 14.1% to 18.2% of women ages 18-44

CHLAMYDIA

EXCESSIVE DRINKING UNINSURED

North CarolinaState Health Department Website: ncdhhs.gov

+++++ 0.531 7

+++ 7.2 22+++++ 0.0% 1++++ 14.1% 14++ 7,228,746 38++++ 87.7% 18 ++++ 3 12+++++ 7.1 6 ++ 81.5% 33+++++ 10.8% 9+++ 15.6% 28

12% in the past year from 40.7% to 45.5% of children ages 3-4

EARLY CHILDHOOD EDUCATION ENROLLMENT

++ -0.043 35 +++ 77.6% 26+ 23.2% 45+ 16% 46+ 16.0% 43+++ 45.5 24 ++++ 82.7% 12++ 65.6% 33++++ 34.7% 17 92.8% +++++ 75.4% 3 +++ 72.9% 23++++ 23.3% 17+++ 77 28

++ -0.245 33 +++ 20.2% 30++++ 13.9% 11+++ 21.9% 26

+ 2,208.8 45+++ 9.7% 25 26.6% +++ 37.2% 30

++ 6.1% 32+++ 15.8% 21+++ 8.4% 24

+++ -0.273 30 ++++ 18.2% 17++++ 16.5% 15+++ 7.1% 22 11.7%

++ 25.5 35 — ++ 112.9 33 +++ 8.5% 21+ 14.5% 43++ 52.5% 38++ 5.5% 34+++ 31.0% 28 ++ -0.130 32

++++ 0.329 17 +++ 3.4% 23+++ 93.0 26++ 5.3% 33

+++++ 80.8% 8+++ 52.1% 24++ 78.2% 34++++ 84.5% 16

+++ 66.6% 28+++++ 48.1% 5+++ 49.2% 26

++ -0.161 33 +++ 27.0% 21+++ 68.2% 22+ 21.8% 41 12.0% 90.3% +++ 18.7 29

++ 64.3% 32 78.6% 35.5% +++ 5.9% 30

++ -0.307 36 ++ 10.3% 33++++ 8.9% 20++ 4.7% 34++ 71.0% 33+++ 8.4% 29 +++ 27.2 27++ 7.1 39++++ 9.2 11 ++++ 7.1% 17+++ 91.1% 25++ 9.2% 40+++ 6.7 30+++ 30.7% 27 +++ 0.043 23

+++ -0.028 —

Page 36: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Nor

th D

akot

aNorth Dakota

++ -0.113 31

++ 11.7 33

+++++ 9.9% 2+ 27.1 42+ 91.8% 43++++ 2.0% 19+++++ 52.4% 7 + 37.2% 48+++ 34.3% 29++++ 88.1% 14+ 19.4 41 +++ 16.6% 28+ 21.2% 45+++ 35.5% 24+++ 55.5% 25

+++++ 1.189 3

2.7% ++++ 281 17 +++++ 4.9% 3+++++ 8.8% 5+ 72.3% 47++++ 14.8% 15+++++ 2.3% 3 ++++ 38.3% 14

+++++ 47 6+++++ 65.7% 4

• Low prevalence of concentrated disadvantage• High prevalence of physical activity among children• Low prevalence of severe housing problems

• High prevalence of excessive drinking among women• Low enrollment in early childhood education• Low percentage of children with adequate and continuous health

insurance

10%

24%30% in the past two years from 28.6% to 37.2% of children ages 3-4

in the past two years from 44.5% to 39.9% of women ages 18-44

in the past four years from 25.4% to 31.5% of women ages 18-44

FLU VACCINATION

OBESITYEARLY CHILDHOOD EDUCATION ENROLLMENT

North DakotaState Health Department Website: health.nd.gov

+++++ 0.751 1

+++++ 4.6 2++++ 0.1% 12+++ 15.3% 25++++ 213,988 11+++++ 95.8% 6 ++ 0 37+ 18.3 48 ++ 81.5% 33+++ 16.8% 26+++++ 11.2% 1

33% in the past four years from 14.8% to 9.9% of children ages 0-17

CHILDREN IN POVERTY

++++ 0.332 19 ++++ 80.4% 15+++++ 13.7% 5+++ 23% 30++++ 9.4% 18++ 40.0 40 ++ 78.3% 40++++ 70.1% 19+++++ 39.9% 3 91.0% + 64.1% 42 +++ 72.8% 25+++++ 19.3% 5++ 73 40

+++ 0.011 26 ++ 19.9% 31+++ 12.7% 24++++ 20.4% 19

++++ 1,551.1 15++++ 9.0% 19 29.2% ++++ 32.5% 11

+ 7.3% 47++ 19.2% 33++ 11.4% 37

+++ -0.233 29 + 25.7% 49+++ 17.4% 23+++++ 5.9% 4 11.7%

+++++ 10.7 7 — +++ 99.5 24 +++ 8.7% 26++++ 8.4% 11+++++ 59.6% 9++ 5.3% 31+++ 31.5% 30 +++++ 0.426 9

++ -0.112 34 ++ 2.7% 35+ 65.1 43++ 6.0% 38

+++++ 85.6% 2+++++ 63.6% 4+ 75.4% 47+ 77.8% 46

+ 57.1% 49+++ 32.6% 28++++ 52.3% 14

+++++ 0.659 4 ++++ 29.1% 13++++ 71.2% 12+++++ 32.4% 1 9.0% 85.5% +++ 16.4 23

+++++ 73.3% 4 84.6% 33.1% +++ 5.6% 29

+++++ 0.489 5 ++++ 8.6% 13+ 11.5% 41+ 6.7% 48+++++ 74.4% 5+++++ 5.8% 4 ++++ 24.0 15++++ 5.4 14+ 18.2 42 +++++ 5.0% 2++++ 91.4% 20+++++ 6.6% 2+++++ 3.1 3++++ 28.2% 13 ++++ 0.278 14

++++ 0.317 —

Page 37: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Ohio

Ohio

++ -0.263 34

+++ 9.7 28

++ 19.5% 35+ 29.7 44++++ 95.3% 17++++ 1.8% 14++ 45.4% 31 ++ 43.8% 36++++ 36.1% 17++ 82.1% 38++ 17.0 32 ++ 17.5% 38+++++ 10.9% 7++++ 38.9% 18+++ 55.1% 29

++ -0.227 35

— ++++ 280 16 ++ 24.1% 31++ 13.2% 37+++ 79.3% 28++ 18.1% 39+++ 3.8% 25 +++ 34.8% 27

+ 67 44++++ 55.9% 20

• Low foster care placement instability• High percentage of children with a medical home• Low prevalence of avoided care due to cost

• High racial gap among children in poverty• High mortality rate among women ages 20-44• High prevalence of smoking among women

13%

39%15% in the past four years from 22.9% to 19.5% of children ages 0-17

in the past year from 7.5% to 8.5% of women ages 19-44

in the past two years from 41.8% to 58.2% of adolescents ages 13-17

UNINSURED

HPV VACCINATIONCHILDREN IN POVERTY

OhioState Health Department Website: odh.ohio.gov

+ 0.025 41 + 8.5 45++ 1.0% 33++ 17.7% 35+ 27,391,214 47+++++ 92.5% 10 +++ 1 27++++ 7.9 19 ++ 82.2% 39+ 24.8% 43++++ 14.1% 12

22% in the past four years from 16.9% to 13.2% of households

FOOD INSECURITY

++++ 0.334 18 +++ 77.3% 27+++++ 14.0% 9++ 20% 40++++ 8.5% 16+++ 43.7 30 +++ 80.4% 26+++++ 73.8% 6+++ 31.7% 27 — +++ 71.3% 22 ++++ 77.1% 17+++ 25.4% 29+++ 78 24

+ -0.756 44 ++ 19.5% 33++ 11.4% 33++ 23.5% 32

++ 1,892.5 36++ 10.3% 35 — + 40.0% 42

++ 6.5% 36+ 22.3% 46+ 13.2% 43

++ -0.581 36 +++ 19.8% 26++ 20.2% 39++++ 7.0% 18 —

+ 46.6 49 — + 131.1 42 +++ 9.0% 30++ 11.9% 39+++ 56.2% 22++ 5.4% 32++ 31.9% 33 ++ -0.312 36

++++ 0.300 18 +++ 3.1% 27+++++ 125.3 10+++ 4.8% 28

++ 73.2% 33++++ 58.2% 11++ 78.4% 32++++ 83.6% 20

++++ 69.8% 13+++ 34.3% 25+++++ 53.6% 7

++ -0.362 39 ++ 23.7% 34+++ 66.7% 28+++ 23.6% 24 10.5% 90.9% +++ 18.9 30

++ 62.0% 36 — 29.8% ++ 6.5% 36

++ -0.223 32 +++ 9.4% 23++++ 8.6% 16++++ 3.4% 15++++ 73.2% 11+++ 7.8% 23 +++ 28.7 30+ 7.3 42++++ 11.9 19 +++ 7.9% 29+++ 90.5% 30+++ 8.5% 29++ 7.1 37++ 34.4% 40 ++ -0.160 33

++ -0.229 —

Page 38: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Oklah

oma

Oklahoma

+ -0.699 47

++ 16.1 39

+ 21.7% 41++ 22.8 33++ 92.8% 35+ 3.9% 45+++ 46.9% 27 + 42.1% 41+ 28.5% 46++ 81.8% 39+++++ 6.1 4 + 19.8% 45++ 18.3% 36+ 16.9% 48+ 50.6% 45

+ -0.531 42

— ++ 466 39 +++ 23.2% 28+ 15.6% 46+ 75.2% 41+ 20.2% 43++++ 3.5% 17 + 27.2% 46

++++ 52 14++ 51.6% 38

• Low racial gap in high school graduation• Low prevalence of excessive drinking among women• High flu vaccination coverage among women

• Low prevalence of food sufficiency among children• High prevalence of 2+ adverse childhood experiences• High percentage of uninsured women ages 19-44

15%

22%12% in the past four years from 58.5% to 65.8% of women ages 18-44

in the past two years from 137.4 to 116.6 deaths per 100,000 women ages 20-44

in the past four years from 30.8% to 37.7% of women ages 18-44

MORTALITY

OBESITYWELL-WOMAN VISIT

OklahomaState Health Department Website: ok.gov/health

+ -0.200 46 ++ 8.2 39+ 4.0% 46+ 21.1% 46+++ 3,046,572 23++ 69.6% 31 ++ 0 37+ 12.3 44 + 82.3% 41+++ 15.0% 22++++ 14.2% 13

9% in the past year from 51.8% to 46.9% of children ages 1-4

WIC COVERAGE

+ -0.461 42 +++ 76.5% 29+ 22.7% 42++++ 30% 16+ 21.7% 49+ 36.1 46 ++ 79.1% 37++ 63.4% 40++++ 35.8% 14 — ++ 65.8% 38 ++ 70.0% 36+++ 24.6% 25++ 75 36

++ -0.546 40 ++ 18.8% 40+ 7.3% 47++ 24.6% 36

++ 1,948.4 40++++ 8.5% 13 — +++ 36.8% 29

+ 8.3% 49++ 20.5% 37++ 10.6% 35

++ -0.700 39 +++++ 14.3% 5+ 21.2% 44++ 7.8% 31 —

+++ 19.6 26 — ++ 116.6 36 ++ 9.2% 33+ 15.7% 44+ 50.3% 46++ 5.8% 36+ 37.7% 48 + -0.533 43

+ -0.688 47 ++++ 3.6% 20+ 61.8 46+ 8.2% 47

++ 71.2% 39+ 37.9% 49++ 77.9% 36+ 78.7% 43

+++ 68.1% 23++ 30.2% 38++ 47.7% 33

+ -0.756 43 ++ 21.6% 40+ 58.5% 48++ 21.9% 39 14.2% 87.2% + 27.2 46

+++ 65.3% 30 — 27.8% +++ 4.6% 21

++ -0.474 40 +++++ 7.2% 5++++ 8.6% 16++ 5.5% 40+++ 71.9% 25++++ 6.9% 12 ++ 33.2 40+ 7.6 47++ 16.2 39 + 9.6% 44+ 87.9% 46+++ 8.3% 26++ 6.7 32+ 34.8% 43 + -0.603 47

+ -0.563 —

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Ore

gon

Oregon

+++ -0.109 30

++ 14.4 38

+++ 15.7% 22+++ 18.6 24++++ 95.3% 17+ 4.0% 47+++++ 52.0% 8 +++ 47.4% 22++ 33.8% 32+ 78.7% 47+++ 15.1 27 ++ 17.3% 37++ 19.1% 40++++ 39.6% 16+++++ 68.9% 2

++++ 0.321 18

— ++++ 286 19 +++ 18.8% 22+++ 11.1% 24+++++ 84.4% 8+++ 16.0% 26+++ 3.8% 25 +++ 34.7% 28

++++ 54 19+++++ 63.0% 7

• High prevalence of reading, singing or storytelling• High prevalence of adequate sleep among children• Low mortality rate among women ages 20-44

• Low percentage of high school graduation• High prevalence of illicit drug use among women• High prevalence of frequent physical distress among women

14%

23%24% in the past two years from 34.0% to 25.8% of women ages 18-44

in the past four years from 55.7% to 63.7% of women ages 18-44

in the past two years from 47.5% to 58.2% of adolescents ages 13-17

WELL-WOMAN VISIT

HPV VACCINATION FLU VACCINATION

OregonState Health Department Website: oregon.gov/oha/ph

++ 0.089 39 ++ 7.8 32+++ 0.5% 26++++ 13.5% 12+ 22,308,014 46+ 22.6% 48 ++++ 3 12+++++ 7.5 10 +++++ 71.4% 7+++ 16.2% 24+ 19.4% 43

31% in the past four years from 16.1% to 11.1% of households

FOOD INSECURITY

+++ 0.283 25 ++++ 80.2% 16++ 18.7% 33+++++ 40% 6+++ 10.1% 24+++++ 67.1 4 ++ 79.2% 34+++ 67.8% 28+ 25.8% 43 — + 63.7% 45 ++ 69.7% 38++++ 23.8% 20+++++ 85 6

+++ 0.101 22 ++++ 22.7% 18+++++ 15.7% 4+++++ 17.4% 9

++++ 1,513.3 14+ 11.7% 50 — +++ 36.0% 26

+++ 6.0% 28+++ 16.8% 25+++ 8.4% 24

++ -0.672 38 ++ 20.8% 32+ 21.0% 43+ 11.5% 50 —

+++++ 10.9 8 — +++++ 76.4 6 + 12.7% 49+++++ 8.1% 9++ 53.5% 34++ 6.1% 39+++ 27.6% 22 +++ 0.000 27

++++ 0.260 19 + 1.6% 47+++ 91.9 27++++ 3.6% 18

++ 71.1% 40++++ 58.2% 11++++ 80.9% 19+++ 82.7% 24

++++ 68.5% 20+++++ 47.9% 6++++ 51.2% 18

++++ 0.495 12 +++++ 33.4% 6+++ 67.9% 23+++ 22.6% 30 — — ++++ 13.3 13

+++++ 73.4% 3 — — +++ 5.0% 24

++++ 0.097 18 ++ 10.3% 33++ 10.5% 35++ 5.0% 38+ 65.7% 50++ 9.4% 37 ++++ 23.4 12++++ 5.0 11++ 15.7 36 +++++ 5.9% 5+++ 90.6% 27+++++ 6.7% 5++++ 4.5 11++++ 29.0% 17 +++ 0.138 21

+++ 0.069 —

Page 40: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Penn

sylvan

iaPennsylvania

++++ 0.166 17 ++++++ 1.8 1 +++ 16.8% 26++ 23.4 34++++ 96.0% 12+++++ 1.5% 8+++ 47.1% 26 ++++ 47.6% 19+++++ 39.7% 6+++ 85.9% 28++ 18.4 39 ++++ 14.9% 18++++ 12.1% 11+++ 37.2% 23+++ 55.0% 30

+++ 0.067 27

2.4% +++ 306 22 +++ 19.6% 24+++ 11.1% 24++++ 81.1% 20+++ 16.1% 27++ 4.1% 33 ++++ 39.9% 11

+ 68 45+++ 55.2% 24

• High prevalence of fourth grade reading proficiency• High immunization coverage among children• Low prevalence of avoided care due to cost

• High percentage of housing with lead risk• High residential segregation• Low prevalence of cervical cancer screening

24%

12%13% in the past four years from 1,378.5 to 1,553.0 cases per 100,000 females ages 15-44

in the past four years from 13.7% to 10.4% of live births

in the past four years from 6.9 to 6.1 deaths per 1,000 live births

SMOKING DURING PREGNANCY

INFANT MORTALITY CHLAMYDIA

PennsylvaniaState Health Department Website: health.pa.gov

+ -0.136 45 + 9.2 47++++ 0.4% 20+++ 15.8% 30+ 44,009,275 48+ 54.6% 41 ++++ 3 12+++++ 7.3 9 ++++ 74.8% 13+ 29.1% 47+++ 14.9% 22

13% in the past four years from 19.4% to 16.8% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.513 10 ++ 76.0% 31+++++ 13.7% 5++++ 32% 13++++ 7.6% 11++++ 52.3 18 + 77.9% 44++++ 71.8% 16++++ 35.8% 14 87.6% ++++ 71.4% 20 +++++ 80.9% 9+++ 25.1% 27+++ 78 24

++ -0.150 32 ++++ 23.5% 11++++ 13.0% 19+++ 21.3% 23

++++ 1,553.0 16++ 10.2% 34 30.5% ++ 38.3% 34

+++++ 3.9% 3++ 19.7% 34++ 10.4% 34

++ -0.402 33 ++ 21.3% 36++ 19.4% 31++++ 6.7% 13 14.7%

+ 42.5 48 — ++ 109.8 31 ++ 9.6% 35++++ 8.8% 14+++ 55.3% 26+ 6.4% 42+++ 27.1% 21 +++ -0.047 29

+++++ 0.531 10 ++ 2.7% 35+++++ 130.3 8+++ 4.4% 23

+++++ 81.5% 6++++ 54.1% 20++++ 81.2% 16++++ 86.3% 11

++++ 69.7% 15+++ 35.2% 24+++ 48.3% 30

+++ 0.240 22 +++ 25.6% 28+++ 67.6% 24++++ 24.9% 13 9.1% 88.3% ++++ 14.1 15

+++ 67.3% 22 83.1% 24.4% ++++ 4.5% 19

++++ 0.153 14 ++++ 8.5% 12+++++ 7.4% 8+++++ 2.8% 5+++ 72.0% 24+++++ 6.1% 6 ++++ 24.5 18+++ 6.1 29++++ 9.7 13 ++ 8.4% 33+ 88.8% 41+++ 8.3% 26+ 8.6 49++++ 27.8% 12 ++++ 0.202 20

+++ 0.092 —

Page 41: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Rho

de Is

land

Rhode Island

+++++ 0.374 8 ++ 17.8 47 +++ 18.0% 29+++++ 11.9 8+++++ 96.3% 5+++++ 0.9% 3+++++ 56.5% 4 + 39.2% 44+++ 35.4% 22++ 84.0% 32++ 18.3 37 ++++ 13.4% 13++++ 12.5% 14+++++ 47.9% 8++++ 58.9% 15

+++ 0.189 24

2.1% +++++ 219 9 ++ 27.2% 36+++ 11.0% 22++++ 82.5% 15++++ 14.0% 13++ 4.0% 32 ++++ 37.7% 17

+++ 57 30++ 53.1% 35

• Low prevalence of students experiencing homelessness• Low mortality rate among women ages 20-44• High prevalence of women with a dedicated health care

provider

• High percentage of housing with lead risk• Low enrollment in early childhood education• High prevalence of physical inactivity among women

14%

9%10% in the past year from 86.6% to 77.9% of live births

in the past two years from 82.7 to 70.9 deaths per 100,000 women ages 20-44

in the past four years from 6.5 to 5.9 deaths per 1,000 live births

MORTALITY

INFANT MORTALITYADEQUATE PRENATAL CARE

Rhode IslandState Health Department Website: health.ri.gov

++ 0.052 40 +++ 7.3 24+++++ 0.0% 1++++ 14.1% 14+++++ 48,020 6+++ 84.5% 21 +++++ 4 1+++++ 5.9 2 +++ 81.1% 30+ 31.9% 49+ 18.4% 41

22% in the past two years from 50.4% to 39.2% of children ages 3-4

EARLY CHILDHOOD EDUCATION ENROLLMENT

+++++ 1.167 2 +++ 77.9% 23++++ 14.7% 13+++++ 41% 5+++++ 5.7% 5+++++ 63.9 6 ++++ 83.0% 11++++ 72.2% 13+++++ 39.6% 4 95.5% +++++ 79.4% 1 +++++ 85.3% 3++ 27.8% 37+++++ 96 1

+++ -0.039 28 ++ 19.0% 38+++++ 14.7% 7++ 25.2% 37

+++ 1,681.2 24+++ 9.5% 22 25.4% +++ 36.0% 26

+++ 5.8% 24++++ 14.7% 19++++ 5.5% 14

++++ 0.196 14 ++ 21.1% 34+++ 18.6% 29+++++ 6.5% 10 12.3%

++ 24.4 31 — +++++ 70.9 4 +++ 8.6% 23++++ 9.3% 20++++ 57.0% 15++++ 4.5% 19++++ 26.1% 17 ++++ 0.278 18

+++++ 1.153 4 +++++ 4.3% 9+++++ 188.0 2+++++ 2.2% 3

+++ 75.1% 30+++++ 78.1% 1+++++ 84.2% 9+++++ 88.8% 6

+++++ 72.1% 5++++ 40.9% 13++++ 51.0% 19

+++++ 0.634 5 ++++ 28.9% 15+++++ 71.3% 10++++ 25.0% 12 — 87.6% +++++ 11.5 8

+++ 65.9% 25 82.0% 30.1% +++++ 3.3% 9

+++ -0.016 24 ++ 10.3% 33+++ 10.0% 29++++ 3.7% 18+++++ 73.3% 10+ 11.6% 45 +++++ 16.0 1+++ 5.9 25+++++ 5.0 1 + 9.9% 46++++ 92.5% 11++++ 7.6% 16++++ 5.2 16++ 32.5% 35 +++++ 0.413 8

++++ 0.348 —

Page 42: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Sout

h C

arol

ina

South Carolina

+ -0.555 45 + 17.3 45

+ 22.6% 43++ 23.6 35+ 91.5% 46+++++ 1.5% 8+ 39.9% 43 ++ 44.6% 33++ 31.8% 38+ 81.0% 43++++ 10.6 13 +++ 16.5% 27++ 18.3% 36+ 19.3% 47++ 52.7% 38

++ -0.287 36

— + 488 42 + 31.4% 43+++ 11.0% 22+++ 79.6% 27+ 19.2% 42++++ 3.6% 18 ++ 28.8% 40

+++++ 45 4+ 50.3% 42

• Low percentage of serious drinking water violations• Low prevalence of students experiencing homelessness• Low residential segregation

• High prevalence of tobacco use among adolescents• High mortality rate among women ages 20-44• Low percentage of high school graduation

14%

17%10% in the past two years from 49.3% to 44.6% of children ages 3-4

in the past year from 16.9% to 14.6% of women ages 19-44

in the past four years from 22.5% to 18.6% of women ages 18-44

UNINSURED

SMOKINGEARLY CHILDHOOD EDUCATION ENROLLMENT

South CarolinaState Health Department Website: scdhec.gov

++++ 0.462 11 +++ 7.4 25+++++ 0.0% 1++ 18.2% 36++ 5,294,869 32++++ 91.4% 11 +++ 1 27++ 9.5 31 ++ 81.9% 38+++++ 9.8% 6++++ 14.7% 18

17% in the past four years from 27.1% to 22.6% of children ages 0-17

CHILDREN IN POVERTY

++ -0.308 38 +++ 77.2% 28+ 22.7% 42+++ 26% 22++ 14.6% 39++ 41.1 36 ++++ 82.5% 16+ 63.2% 41++ 28.0% 39 — ++ 68.0% 32 ++ 71.1% 32++ 26.9% 33+++ 77 28

++ -0.499 39 +++ 20.7% 27++ 9.8% 40+ 25.6% 41

+ 2,308.3 46++++ 8.3% 12 — + 39.7% 41

+++++ 4.7% 7+++ 18.6% 30+++ 8.2% 23

++ -0.643 37 ++++ 17.1% 11++ 19.8% 35+++ 7.7% 29 —

+++ 21.1 27 — ++ 130.4 40 +++ 9.0% 30++ 12.6% 40++++ 56.6% 18++ 5.5% 34+ 35.4% 45 ++ -0.347 37

++ -0.050 32 ++++ 4.1% 12+++ 90.8 28+++ 4.7% 26

+ 70.1% 46+ 41.2% 47++++ 80.9% 19++++ 83.9% 19

+++ 66.7% 27++++ 38.4% 19+++ 49.3% 25

+ -0.978 46 +++ 24.4% 30+ 62.0% 43++ 22.3% 33 12.5% 85.8% ++ 22.0 40

+ 58.3% 46 — 21.1% + 9.6% 48

++ -0.188 31 ++++ 8.9% 20+++++ 6.1% 4+++++ 2.8% 5+++++ 76.6% 2+++ 8.0% 26 ++ 33.2 40++ 6.8 38+++ 12.3 21 ++ 8.5% 34++++ 92.3% 13+ 9.6% 46+ 8.1 42+ 36.1% 45 + -0.370 43

+ -0.354 —

Page 43: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Sout

h D

akot

aSouth Dakota

++ -0.309 38 ++++ 6.6 18

+++ 16.4% 25++ 24.5 38+++ 93.7% 29+++++ 1.5% 8+++ 47.5% 24 ++ 44.7% 32++++ 36.0% 18++ 84.1% 31+ 39.9 50 ++ 18.2% 40+++ 14.4% 23+++ 38.0% 22+++ 55.5% 25

++++ 0.312 19

4.4% ++ 405 33 ++++ 13.5% 14+++ 10.9% 21++ 78.0% 37+++ 15.8% 23++++ 3.0% 13 +++ 36.0% 24

++ 58 32++ 53.5% 32

• Low prevalence of physical inactivity among women• High prevalence of frequent mental distress among women• High flu vaccination coverage among women

• High racial gap in high school graduation• High prevalence of tobacco use among adolescents• Low prevalence of cervical cancer screening

22%

15%17% in the past four years from 86.6% to 72.1% of women ages 18-44

in the past two years from 52.8% to 41.3% of women ages 18-44

in the past four years from 7.4 to 6.3 deaths per 1,000 live births

FLU VACCINATION

INFANT MORTALITY CERVICAL CANCER SCREENING

South DakotaState Health Department Website: doh.sd.gov

++++ 0.417 12 +++++ 5.1 4+ 1.9% 41++ 19.3% 39+++++ 66,505 7+++++ 93.6% 8 ++ 0 37+ 11.3 43 +++ 81.1% 30++ 20.2% 32+++++ 11.9% 4

20% in the past two years from 37.1% to 44.7% of children ages 3-4

EARLY CHILDHOOD EDUCATION ENROLLMENT

++ 0.047 31 ++ 75.9% 32++++ 16.1% 19++ 21% 35++ 13.8% 37++ 41.6 34 + 72.1% 50++++ 70.3% 18+++++ 41.3% 1 89.4% +++ 71.2% 23 ++ 70.4% 34+++++ 18.7% 4++ 73 40

++++ 0.457 12 ++++ 23.5% 11+ 7.8% 46+++++ 14.8% 1

++ 1,844.9 33+++++ 6.2% 1 27.6% +++++ 27.3% 1

+++ 6.0% 28++ 20.2% 36++ 11.8% 39

+++++ 0.459 8 ++ 20.6% 31+++++ 13.6% 2+++++ 5.9% 4 13.0%

+++++ 8.1 3 — +++ 103.1 27 +++++ 7.3% 6++++ 9.0% 16+++++ 60.8% 5++++ 3.8% 12++++ 26.0% 16 ++++ 0.349 13

++ -0.039 31 ++ 2.7% 35+ 69.1 41++ 5.9% 37

+++ 76.8% 21++ 49.5% 31++++ 80.9% 19+ 76.5% 47

+++ 67.2% 26++++ 39.4% 16+++++ 54.1% 6

++ -0.124 32 +++++ 32.2% 8++ 64.4% 38+++++ 25.5% 10 8.4% 86.0% ++ 20.4 34

++++ 69.1% 18 87.0% 23.9% + 7.7% 44

++++ 0.082 20 ++++ 8.6% 13++++ 8.2% 13++++ 3.6% 17+++ 71.9% 25+++ 7.8% 23 + 41.9 49++ 6.3 31+ 29.2 49 +++++ 5.9% 5++++ 91.6% 17+++++ 6.6% 2+++ 6.2 23++++ 29.0% 17 +++ -0.061 27

+++ 0.116 —

Page 44: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Tenn

esse

e Tennessee

++ -0.324 40 ++++ 6.1 16 + 22.3% 42++ 22.2 31++ 93.2% 34++++ 1.7% 13+ 39.4% 44 + 38.5% 45+++ 34.6% 27+++++ 90.0% 5+++++ 9.9 10 ++ 16.8% 32+ 31.9% 50+ 23.3% 41++ 53.3% 37

+ -0.634 44

— + 624 48 ++ 26.1% 35++ 12.4% 31+++ 80.1% 24+ 19.0% 41+++ 3.9% 28 ++ 32.5% 33

+ 65 42+ 49.9% 44

• High percentage of high school graduation• Low prevalence of illicit drug use among women• High prevalence of well-child visits

• High mortality rate among women ages 20-44• High prevalence of insufficient sleep among women• High prevalence of tobacco use among adolescents

52%

12%23% in the past two years from 33.1% to 25.5% of women ages 18-44

in the past four years from 11.5% to 17.5% of women ages 18-44

in the past four years from 30.0 to 33.5 deaths per 100,000 children ages 1-19

EXCESSIVE DRINKING

CHILD MORTALITY FLU VACCINATION

TennesseeState Health Department Website: tn.gov/health

+++ 0.240 28 +++ 7.4 25++ 1.7% 39++ 18.6% 38+ 12,853,013 42++++ 88.4% 16 ++ 0 37++ 9.5 31 + 82.5% 43++++ 12.7% 16++++ 14.7% 18

24% in the past four years from 16.3% to 12.4% of households

FOOD INSECURITY

++ -0.436 40 ++ 75.0% 34++ 20.9% 37++ 22% 34++ 13.4% 33++ 40.5 38 ++++ 82.6% 14+ 59.4% 48+ 25.5% 46 — ++++ 71.4% 20 ++ 71.2% 31++ 26.4% 32+ 72 45

+ -0.883 45 ++ 19.4% 34++++ 13.7% 13++ 25.5% 40

++ 1,876.3 35+ 10.7% 43 — + 44.5% 50

+ 7.8% 48+ 21.5% 42+ 12.2% 41

+ -0.869 43 ++++ 17.5% 12++ 20.0% 37+++++ 5.7% 3 —

+ 29.3 41 26.0 + 141.1 44 + 10.6% 46+ 16.2% 45++ 54.2% 32+ 7.2% 45++ 33.1% 40 + -0.625 45

+++ 0.032 28 +++ 3.2% 25+++ 93.6 24++ 5.2% 31

+++ 76.1% 25++ 44.4% 37+ 76.3% 43++++ 85.4% 12

++++ 68.7% 18+++ 35.6% 23++++ 50.8% 20

+ -0.725 41 ++ 22.7% 37++ 64.2% 39+++ 24.1% 21 16.6% — + 25.3 42

++ 61.5% 37 — 22.1% + 7.3% 42

++ -0.447 39 +++ 9.0% 21+++ 9.2% 23+++ 4.0% 22++++ 72.4% 20++++ 7.4% 20 + 33.5 42+ 7.3 42+++ 13.2 26 +++ 7.6% 26+ 87.9% 46+ 9.3% 41++ 7.1 37+ 36.4% 46 + -0.325 42

+ -0.453 —

Page 45: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Texa

sTexas

+++ -0.021 25 +++ 8.6 23 ++ 21.1% 40+++++ 7.2 4+ 91.8% 43+++ 2.1% 22++++ 49.7% 14 ++ 42.3% 40+ 30.3% 44+++++ 90.0% 5+++++ 8.6 6 ++++ 15.3% 20++ 16.9% 32++ 33.6% 33+ 45.1% 49

+ -0.499 41

— ++ 411 34 + 34.6% 46+ 14.0% 42+++ 80.3% 22++ 17.6% 37++ 4.1% 33 ++ 31.4% 37

++++ 52 14+ 50.4% 41

• High percentage of high school graduation• Low racial gap in high school graduation• Low prevalence of frequent physical distress among women

• Low prevalence of reading, singing or storytelling• High teen birth rate• High percentage of uninsured women ages 19-44

32%

31%19% in the past two years from 33.1% to 26.7% of women ages 18-44

in the past two years from 32.9% to 43.5% of adolescents ages 13-17

in the past four years from 3.9% to 2.7% of live births

HPV VACCINATION

SMOKING DURING PREGNANCY FLU VACCINATION

TexasState Health Department Website: dshs.state.tx.us

+ -0.070 42 ++ 8.3 40++ 1.6% 37++++ 14.6% 17+ 353,924,163 50++ 67.6% 32 +++ 1 27+ 12.3 44 +++ 80.2% 28+++++ 10.0% 7++ 17.7% 37

14% in the past four years from 24.6% to 21.1% of children ages 0-17

CHILDREN IN POVERTY

+ -1.149 50 + 70.4% 46+ 26.3% 49++ 21% 35+ 26.2% 50+ 39.7 43 + 77.3% 46+ 59.9% 46+ 26.7% 42 — ++ 64.9% 40 + 59.2% 50+ 28.7% 45+++ 77 28

++++ 0.124 20 + 17.4% 46+++ 12.8% 23+ 25.8% 42

+++ 1,664.5 22++++ 8.8% 17 — ++++ 33.2% 16

+++++ 4.9% 10+++++ 12.6% 9+++++ 2.7% 2

+++++ 0.480 7 ++++ 18.5% 19+++++ 14.4% 6+++ 7.1% 22 —

+++++ 8.6 5 18.5 ++++ 84.0 12 +++++ 6.9% 3++ 11.1% 33+ 49.0% 48+++++ 2.5% 2++ 32.1% 35 ++ -0.184 34

+ -0.603 44 ++++ 3.6% 20++ 76.3 34+ 11.2% 50

+++ 75.7% 28++ 43.5% 39++ 77.8% 38+ 76.1% 49

+ 60.9% 45+++++ 46.4% 9++ 46.6% 37

++ -0.258 36 ++ 24.1% 32+++ 67.6% 24+ 17.8% 46 10.6% 92.9% + 25.3 42

+++ 66.6% 23 — 18.7% +++++ 3.2% 7

++++ 0.084 19 +++++ 8.1% 10+++++ 7.5% 9++ 4.6% 32++ 70.7% 37+++++ 6.0% 5 +++ 26.3 22+++ 5.8 21++++ 12.0 20 +++++ 6.5% 10++ 89.4% 38+++ 8.5% 29++ 6.7 34++ 33.5% 36 ++ -0.134 31

++ -0.154 —

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Utah

Utah

+++++ 0.271 10 +++ 10.9 30 +++++ 9.5% 1+++ 19.5 25+++++ 96.5% 3+++ 2.3% 30+ 37.4% 49 ++ 43.7% 38+++++ 40.0% 5++++ 87.0% 20++++ 13.3 18 ++++ 15.0% 19++ 19.1% 40+++++ 54.0% 4++ 53.9% 34

++++ 0.631 11

2.9% ++++ 233 12 +++++ 10.4% 8++++ 9.8% 11+ 73.3% 45+++++ 13.0% 9+++ 3.7% 23 ++ 31.7% 36

++++ 50 11+++++ 60.5% 10

• Low percentage of children in poverty• Low prevalence of household smoke• Low prevalence of excessive drinking among women

• Low prevalence of physical activity among children• Low prevalence of cervical cancer screening• Low WIC coverage among children ages 1-4

24%

14%13% in the past two years from 35.4% to 30.9% of women ages 18-44

in the past four years from 9.2% to 7.0% of women ages 18-44

in the past two years from 5.0 to 5.7 deaths per 1,000 live births

SMOKING

INFANT MORTALITY FLU VACCINATION

UtahState Health Department Website: health.utah.gov

+++++ 0.654 4 + 8.4 43++++ 0.1% 12+++++ 6.1% 1+++ 2,974,965 22+ 52.7% 42 ++ 0 37+++ 8.4 24 ++++ 74.3% 11++++ 11.6% 12++++ 14.2% 13

29% in the past four years from 13.3% to 9.5% of children ages 0-17

CHILDREN IN POVERTY

++ -0.023 34 +++++ 84.7% 4+++ 18.0% 27+ 18% 42++ 12.2% 31++++ 51.1 20 + 72.4% 49+++++ 73.2% 8+++ 30.9% 29 91.4% + 60.4% 47 ++ 69.0% 40+++++ 18.3% 2++ 73 40

+++++ 1.341 1 +++++ 25.0% 7++ 11.0% 35+++++ 16.2% 3

+++++ 986.0 3+++++ 6.9% 3 24.5% +++++ 30.7% 5

+ 6.8% 43+++++ 7.0% 1+++++ 2.8% 3

+++++ 0.547 6 +++++ 11.7% 1+++ 17.6% 24++ 8.5% 38 14.7%

+++ 21.5 28 — ++++ 87.3 18 ++++ 8.1% 14+++++ 7.0% 3+++++ 60.7% 6+++++ 3.2% 6+++++ 22.8% 5 +++++ 0.656 3

++ -0.331 38 + 2.2% 41++ 69.2 40+ 7.4% 43

+++ 75.9% 26+ 43.2% 41+++++ 82.6% 10+ 79.0% 41

+ 62.6% 41+ 29.1% 43+++++ 54.9% 5

++++ 0.439 15 ++++ 27.8% 19+++++ 71.3% 10+ 16.3% 49 6.9% — ++++ 13.1 12

+++++ 72.0% 7 84.7% 9.7% +++++ 2.6% 3

+++++ 0.676 3 +++++ 3.3% 1+++ 9.6% 27+++ 4.0% 22+ 67.4% 48+++++ 5.4% 2 ++++ 24.6 19++++ 5.7 18+ 20.0 44 +++++ 4.3% 1+++++ 92.6% 10++++ 7.2% 11+++++ 3.6 4+++++ 22.5% 2 +++++ 0.354 10

+++++ 0.500 —

Page 47: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Verm

ont

Vermont

+++++ 0.412 7 +++ 8.3 22 +++++ 12.1% 8+++++ 12.6 10+ 91.7% 45+++++ 1.2% 5++++ 48.6% 18 +++++ 66.8% 2++++ 37.1% 13+++ 85.1% 29+++ 16.2 29 +++ 16.6% 28+ 21.1% 44++ 33.7% 32+++++ 69.4% 1

+++++ 1.207 2

2.8% +++++ 172 2 +++++ 2.1% 1+++++ 9.6% 10+++++ 85.1% 5++++ 13.7% 12++++ 3.0% 13 +++++ 45.3% 3

+++++ 48 7+++ 55.5% 22

• High prevalence of exercise among women• High enrollment in early childhood education• Low teen birth rate

• High prevalence of tobacco use among adolescents• High prevalence of smoking during pregnancy• Low prevalence of high-speed internet in households with children

16%

6%16% in the past two years from 57.7% to 66.8% of children ages 3-4

in the past two years from 39.0% to 32.9% of women ages 18-44

in the past two years from 6.6% to 7.0% of live births

FLU VACCINATION

LOW BIRTHWEIGHTEARLY CHILDHOOD EDUCATION

VermontState Health Department Website: healthvermont.gov

+++ 0.239 29 +++++ 5.1 4++++ 0.4% 20++ 18.4% 37+++++ 317 1++ 56.2% 40 +++++ 4 1+++++ 7.2 8 ++++ 74.7% 12+ 24.4% 41++ 17.0% 34

24% in the past four years from 12.6% to 9.6% of households

FOOD INSECURITY

+++++ 1.382 1 +++++ 90.9% 1+++++ 10.5% 3+++++ 55% 3+++++ 4.7% 2+++++ 71.0 2 +++ 79.3% 30+++++ 78.1% 1+++ 32.9% 22 91.9% +++ 69.7% 25 +++++ 86.7% 1+++++ 20.3% 7++++ 82 13

+++++ 0.621 5 +++++ 25.9% 4+++++ 19.9% 2+++++ 16.2% 3

+++++ 1,003.0 4+ 10.7% 43 24.2% +++++ 29.7% 4

++ 6.3% 33+++ 17.1% 26+ 14.2% 47

+++ -0.170 27 ++ 22.1% 38++ 20.0% 37++++ 7.0% 18 10.7%

++ 28.8 38 — ++ 110.2 32 ++++ 8.1% 14+++ 9.6% 23+++++ 62.0% 1+++ 4.7% 25++++ 25.6% 14 +++++ 0.675 2

+++++ 1.292 3 + 1.8% 46+++++ 134.4 6+++++ 2.0% 2

++++ 79.0% 13+++++ 62.0% 7+++++ 84.3% 8+++++ 87.9% 7

+++++ 75.5% 2+++++ 57.8% 2+++++ 57.6% 3

+++++ 0.570 9 +++++ 38.0% 2++++ 71.1% 13+++ 24.0% 22 — 79.2% +++++ 8.8 4

+++++ 74.8% 2 89.0% 26.4% + 8.3% 46

+++ -0.029 25 + 16.9% 50+ 13.1% 47+ 6.4% 47++++ 73.1% 13+ 15.2% 50 +++++ 20.7 7+++++ 4.1 3+++ 13.5 29 ++++ 7.1% 17+++++ 94.7% 1+++++ 7.0% 9+++++ 3.0 2++++ 28.9% 15 +++++ 0.448 7

+++++ 0.543 —

Page 48: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Virginia

Virginia

+++++ 0.304 9 +++++ 3.3 5

++++ 13.7% 13+++ 18.3 22+++ 94.7% 24++++ 1.6% 11+ 40.1% 42 ++++ 48.9% 14+++++ 38.3% 8++++ 87.5% 17++ 18.3 37 +++++ 13.2% 10+++ 16.3% 28+++ 38.2% 21++++ 62.5% 11

+++++ 1.109 5

2.1% +++++ 200 4 ++++ 13.3% 13++++ 10.1% 13++ 78.3% 35++++ 14.2% 14+++++ 2.8% 9 +++++ 47.3% 2

+++++ 48 7++++ 57.1% 15

• High prevalence of female college graduates• Low percentage of serious drinking water violations• High prevalence of food sufficiency among children

• Low WIC coverage among children ages 1-4• High prevalence of insufficient sleep among women• Low percentage of publicly-funded women's health services needs

met

40%

23%12% in the past year from 45.7% to 40.1% of children ages 1-4

in the past two years from 39.2% to 54.9% of adolescents ages 13-17

in the past four years from 18.3% to 14.1% of women ages 18-44

HPV VACCINATION

SMOKINGWIC COVERAGE

VirginiaState Health Department Website: www.vdh.virginia.gov

+++++ 0.605 6 ++++ 6.9 17+++++ 0.0% 1++ 16.2% 32++ 8,277,922 39+++++ 96.3% 4 +++ 1 27+++ 8.4 24 ++++ 77.0% 18++++ 13.7% 19+++ 14.9% 22

13% in the past four years from 15.8% to 13.7% of children ages 0-17

CHILDREN IN POVERTY

+++ 0.296 23 ++++ 79.2% 17++ 19.8% 35+ 16% 46+++ 11.9% 30+++ 44.7 26 +++++ 83.8% 7++++ 72.4% 12+++++ 38.2% 8 90.2% ++++ 71.8% 19 +++ 71.9% 29++ 25.8% 31++++ 81 17

++++ 0.306 15 +++++ 24.2% 8++++ 13.8% 12+++ 21.0% 21

++++ 1,629.9 20++++ 8.2% 11 29.9% + 40.4% 44

+++ 6.0% 28++++ 14.1% 18++++ 5.5% 14

++++ 0.216 11 +++ 19.5% 25++++ 16.7% 19++++ 7.0% 18 13.5%

+++ 18.5 21 — ++++ 82.7 11 +++++ 7.3% 6++ 11.1% 33++++ 59.2% 11++++ 4.5% 19+++ 28.3% 25 +++++ 0.553 7

+++ 0.240 21 ++ 2.8% 32++++ 95.9 20+++ 5.1% 29

+++ 76.4% 24++++ 54.9% 19+++ 80.5% 23++++ 85.0% 15

++++ 68.5% 20++ 29.9% 39+++++ 53.2% 10

++++ 0.244 20 +++ 26.6% 22+++++ 73.0% 7+ 20.0% 44 9.8% 88.3% ++++ 14.3 17

+++ 65.7% 29 82.0% 19.9% ++++ 4.5% 19

++++ 0.136 16 ++++ 8.7% 16+++ 9.5% 25+++++ 2.9% 10++ 71.4% 32++++ 7.3% 15 ++++ 23.5 13+++ 5.9 25++++ 11.6 18 +++ 7.3% 22++ 90.3% 31+++ 8.2% 25+++ 6.6 28+++ 31.2% 30 ++++ 0.271 15

+++++ 0.382 —

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Was

hing

ton

Washington

++++ 0.201 14 +++++ 2.7 2 +++++ 12.5% 10+++ 18.4 23+++++ 96.4% 4+ 3.7% 43++++ 50.1% 13 +++ 46.9% 24+++ 35.1% 23+++ 86.7% 22++ 17.0 32 ++++ 13.3% 11+++ 16.4% 29++++ 42.9% 12++ 54.9% 31

++++ 0.532 15

1.9% +++ 312 23 ++++ 14.1% 18++++ 10.3% 14+++ 78.8% 30+++++ 13.1% 10++ 4.1% 33 ++++ 37.3% 19

+++ 56 24+++++ 64.2% 6

• Low prevalence of physical inactivity among women• High prevalence of high-speed internet in households with

children• High prevalence of preventive dental care in children

• High prevalence of students experiencing homelessness• Low immunization coverage among children• Low prevalence of cervical cancer screening

24%

16%7% in the past year from 8.5% to 9.1% of women ages 19-44

in the past four years from 15.8% to 12.0% of women ages 18-44

in the past four years from 4.9 to 4.1 deaths per 1,000 live births

SMOKING

INFANT MORTALITYUNINSURED

WashingtonState Health Department Website: doh.wa.gov

+++++ 0.515 9 ++ 8.0 34++++ 0.4% 20+++++ 10.5% 5++ 5,939,624 34++ 63.9% 34 ++++ 3 12+++ 9.0 26 +++++ 70.9% 5++++ 14.8% 20++ 17.3% 35

25% in the past four years from 13.7% to 10.3% of households

FOOD INSECURITY

+++ 0.285 24 ++ 74.7% 35++++ 15.8% 17++++ 31% 15++++ 9.1% 17++++ 52.6 17 + 76.2% 47+++ 67.9% 27+++++ 36.5% 10 92.4% ++ 65.4% 39 +++ 71.8% 30++++ 23.1% 16+++++ 85 6

+++++ 0.617 6 ++++ 22.8% 17+++++ 14.0% 10+++++ 16.2% 3

++++ 1,422.3 12++ 10.3% 35 26.5% +++++ 31.2% 6

++++ 5.1% 13+++++ 12.0% 5++++ 6.0% 18

++++ 0.133 17 ++++ 17.9% 14+++ 18.0% 25+++ 7.5% 27 11.4%

+++++ 12.7 10 — +++++ 76.4 6 ++ 9.2% 33+++ 9.4% 21++ 54.5% 31+++ 4.7% 25++++ 25.9% 15 ++++ 0.411 11

+++ 0.173 23 + 2.2% 41++++ 101.2 17+++++ 2.7% 8

+ 68.6% 48+++ 51.6% 25+++++ 85.6% 4+++ 82.5% 25

++ 65.1% 33+++ 36.2% 22++++ 51.6% 17

++++ 0.275 18 ++++ 29.1% 13++++ 71.0% 14++ 22.0% 37 — — +++++ 12.7 10

++++ 70.2% 11 82.2% — ++ 6.4% 35

++++ 0.193 11 + 12.4% 44+ 12.3% 43+++ 3.9% 21++++ 73.0% 16+ 12.5% 46 +++++ 21.6 9+++++ 4.1 3++ 15.7 36 ++++ 7.1% 17++++ 91.5% 19+++++ 6.6% 2+++++ 3.9 7+++ 29.9% 23 ++++ 0.241 17

++++ 0.321 —

Page 50: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Wes

t Vir

gini

aWest Virginia

+ -0.782 45

5.4% ++++ 290 20 ++ 24.1% 31+ 15.7% 47+ 70.6% 48+ 23.8% 48+ 4.5% 44 ++ 29.2% 39

+++ 56 24+ 44.5% 49

• Low racial gap in high school graduation• Low incidence of chlamydia among females• High percentage of publicly-funded women's health services

needs met

• High mortality rate among women ages 20-44• Low prevalence of food sufficiency among children• High prevalence of 2+ adverse childhood experiences

31%

17%10% in the past four years from 70.5% to 77.9% of women ages 18-44

in the past year from 2.6% to 3.4% of children ages 0-18

in the past two years from 24.2% to 20.0% of women ages 18-44

UNINSURED

PHYSICAL INACTIVITY DEDICATED HEALTH CARE PROVIDER

West VirginiaState Health Department Website: dhhr.wv.gov

+ -0.304 47 +++ 7.6 29+ 19.6% 50+ 29.5% 50++ 6,000,827 35++++ 90.3% 12 ++ 0 37++ 10.7 37 + 82.9% 47++ 20.8% 33+++++ 11.4% 2

113% in the past year from 9.2% to 19.6% of community water systems

DRINKING WATER VIOLATIONS

++++ 0.427 13 ++++ 78.2% 20+++ 16.3% 21+++++ 66% 1++++ 9.4% 18++ 40.1 39 +++++ 84.7% 4+ 61.3% 44++++ 36.0% 13 87.2% +++++ 73.8% 6 ++++ 77.9% 14++ 27.3% 35++ 76 34

++ -0.429 35 + 17.7% 45+ 5.8% 50++++ 20.0% 17

+++++ 724.3 1+++++ 6.9% 3 28.8% + 42.5% 48

+ 7.0% 44+ 33.8% 50+ 23.9% 50

+ -1.046 46 +++++ 12.1% 3+ 23.0% 48+++++ 6.5% 10 19.4%

+ 65.4 50 — + 175.9 50 + 12.3% 48+ 16.9% 47+ 52.1% 42+ 8.7% 50+ 33.3% 41 + -0.548 44

++++ 0.469 11 +++++ 5.8% 1++ 77.6 33++++ 3.4% 13

++++ 78.6% 15+ 42.9% 42++++ 81.0% 18+++++ 86.5% 10

++++ 70.2% 11+++++ 47.3% 8++ 46.4% 39

+ -0.811 44 + 20.2% 47+ 59.4% 46+++++ 28.6% 5 20.6% 85.5% + 25.4 45

+ 59.2% 45 82.0% 35.7% ++ 6.7% 39

+ -0.633 46 ++++ 8.8% 17+ 13.9% 48+ 6.9% 49+ 68.1% 43++++ 7.1% 14 ++ 30.0 36++ 7.1 39+++ 12.6 22 ++++ 6.7% 12+++ 90.7% 26+ 9.4% 42+++++ 3.6 5+ 40.1% 50 + -0.371 44

+ -0.423 —

++ -0.303 37 + 19.1 49

+ 24.5% 46+++ 20.2 26+++ 93.6% 30++ 3.3% 40+++ 47.5% 24 + 36.0% 49+ 30.3% 44+++++ 90.2% 4+++++ 4.4 2 + 19.6% 44+++++ 10.3% 5+ 20.3% 46+++ 55.5% 25

Page 51: United States - America's Health Rankings

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AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Wisco

nsin

Wisconsin

+++ -0.027 26

+++++ 3.9 6

++++ 14.0% 16+ 32.5 49++++ 95.9% 13+++ 2.2% 25++++ 49.1% 16 ++ 43.1% 39+++ 35.5% 21+++++ 89.7% 8+ 24.1 47 ++++ 14.7% 17+++++ 11.9% 10+++ 34.8% 27++ 53.9% 34

++++ 0.575 14

2.9% +++ 295 21 ++++ 13.6% 17+++++ 8.9% 6+++ 79.7% 26++++ 15.3% 18+++++ 2.9% 10 ++++ 39.3% 12

+ 72 50+++++ 66.1% 2

• High percentage of high school graduation• High percentage of early and adequate prenatal care• Low prevalence of food insecurity

• High racial gap among children in poverty• High residential segregation• High prevalence of excessive drinking among women

22%

23%11% in the past two years from 38.9% to 34.8% of women ages 18-44

in the past two years from 45.5% to 55.7% of adolescents ages 13-17

in the past four years from 13.1% to 10.1% of live births

HPV VACCINATION

SMOKING DURING PREGNANCY FLU VACCINATION

WisconsinState Health Department Website: dhs.wisconsin.gov

++ 0.101 38 ++++ 6.8 15+ 3.3% 43++ 16.0% 31+++ 4,334,580 28++++ 88.3% 17 +++ 2 23++++ 7.8 17 ++ 81.3% 32++ 22.8% 39++++ 14.4% 17

24% in the past four years from 18.4% to 14.0% of children ages 0-17

CHILDREN IN POVERTY

+++++ 0.906 5 +++++ 84.5% 6++++ 14.6% 11+++ 24% 27++++ 7.9% 13+++ 45.4 25 +++++ 86.8% 2+++++ 75.5% 2++++ 34.8% 16 90.9% +++++ 73.1% 8 +++++ 82.2% 8++++ 22.3% 11++++ 80 19

+++ 0.084 23 +++ 20.7% 27+++ 12.6% 26++++ 19.8% 15

+++ 1,679.0 23+++ 9.9% 29 28.7% +++++ 31.4% 7

+++ 6.0% 28+++ 16.4% 22++ 10.1% 31

+++ -0.195 28 + 25.4% 48++ 19.7% 34+++++ 6.0% 6 10.5%

+++ 23.4 29 — ++++ 84.9 14 +++ 8.8% 27+++ 9.5% 22++++ 56.9% 17++++ 4.3% 17++ 32.8% 37 ++++ 0.287 17

+++ 0.030 29 ++++ 4.2% 11++++ 96.3 19++++ 3.8% 20

++++ 78.0% 18++++ 55.7% 16+ 75.4% 47+++ 82.0% 28

+ 57.8% 48++++ 37.9% 20+++ 49.7% 23

++++ 0.521 11 ++++ 28.3% 18++++ 69.2% 19++++ 25.2% 11 — 79.4% ++++ 13.0 11

++++ 68.9% 19 85.1% 20.6% ++++ 3.9% 17

++ -0.286 35 +++ 9.5% 25+ 11.6% 42++ 5.3% 39+ 67.7% 45++++ 7.3% 15 ++++ 24.3 16++ 6.4 33+++ 13.9 30 +++++ 5.2% 3++++ 91.4% 20+++ 7.7% 21+ 9.3 50+++ 30.7% 27 +++ 0.039 24

++++ 0.143 —

Page 52: United States - America's Health Rankings

OVERALL — WOMEN AND CHILDREN 0.651

AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org AMERICA’S HEALTH RANKINGS® HEALTH OF WOMEN AND CHILDREN DATA 2020 UPDATE www.AmericasHealthRankings.org

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® H E A LT H O F W O M E N A N D C H I L D R E N DATA 2 0 2 0 U P DAT E

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

2020 2020 No. 1Rating Value Rank State

Measures

Measures

Measures

Measures

Children

Children

Women

Women

Community and Family Safety Child Victimization*

Economic Resources Children in Poverty Children in Poverty Racial GapHigh-speed InternetStudents Experiencing Homelessness WIC Coverage Education Early Childhood Education Fourth Grade Reading Proficiency High School GraduationHigh School Graduation Racial GapSocial Support and EngagementAdverse Childhood ExperiencesFoster Care Instability Neighborhood AmenitiesReading, Singing or Storytelling

Community and Family Safety Intimate Partner Violence Before Pregnancy*Violent CrimeEconomic Resources Concentrated Disadvantage Food Insecurity — HouseholdGender Pay Gap*Poverty Unemployment Education College Graduate

Social Support and Engagement Residential SegregationVoter Participation — Midterm

SOCIAL & ECONOMIC FACTORS SOCIAL & ECONOMIC FACTORS 1.027

1.8

9.5%0.0

97.1%0.8%61.4%

67.0%45.4%91.4%

3.9

8.9%9.4%

55.9%69.4%

1.216

1.8%112

2.1%7.8%

87.8%10.4%2.2%

50.3%

4267.7%

Air and Water Quality Air PollutionDrinking Water Violations Household Smoke Risk-screening Environmental Indicators Risk ScoreWater FluoridationClimate Change* Climate Change Policies* Transportation Energy Use* Housing and Transportation Drive Alone to Work — WomenHousing With Lead RiskSevere Housing Problems

C L I N I CA L CA R E

Access to Care Adequate Prenatal Care Avoided Care Due to CostPublicly-funded Women's Health Services Uninsured Women's Health ProvidersPreventive Clinical Care Cervical Cancer Screening Dental Visit Flu Vaccination Postpartum Visit*Well-woman Visit Quality of Care Dedicated Health Care Provider Low-risk Cesarean Delivery mPINC

Nutrition and Physical Activity Exercise Fruit and Vegetable Consumption Physical Inactivity

Sexual Health Chlamydia High-risk HIV BehaviorsUnintended Pregnancy*Sleep Health Insufficient Sleep

Tobacco Use E-cigarette Use*SmokingSmoking During Pregnancy

Behavioral Health Excessive DrinkingFrequent Mental Distress Illicit Drug UsePostpartum Depression* Mortality Drug Deaths* Maternal Mortality* Mortality RatePhysical Health Frequent Physical DistressHigh Health Status* High Blood Pressure Multiple Chronic ConditionsObesity

OVERALL — WOMEN

B E H AV I O RS

H E A LT H O U TC O M E S

Access to Care ADD/ADHD Treatment PediatriciansUninsured

Preventive Clinical Care Childhood ImmunizationsHPV Vaccination Preventive Dental Care Well-child Visit

Quality of Care Adequate Insurance Developmental ScreeningMedical Home

Nutrition and Physical Activity BreastfedFood Sufficiency Physical ActivitySoda Consumption — Youth*Sexual Health — Youth Dual Contraceptive Nonuse* Teen Births

Sleep Health Adequate Sleep Sleep Position* Tobacco Use — Youth Electronic Vapor Product Use* Tobacco Use

Behavioral Health Alcohol Use — YouthAnxiety DepressionFlourishing Illicit Drug Use — Youth Mortality Child MortalityInfant MortalityTeen Suicide* Physical Health AsthmaHigh Health Status*Low BirthweightLow Birthweight Racial GapOverweight or Obesity — Youth

OVERALL — CHILDREN

* Measure not included in overall score.

—Indicates data missing or suppressed.

Notes: Model category and overall values are presented as a weighted z-score of the included measures. Negative scores are below U.S. value, positive scores are above U.S. value. Years reflect edition year, not data source year. For measure definitions, including data sources and years, visit www.AmericasHealthRankings.org.

Summary

Highlights:

Strengths: Challenges: 1.382

90.9%9.2%66%3.5%98.0

86.9%78.1%41.3%95.5%79.4%

86.7%16.7%

96

1.341

29.1%21.1%14.8%

724.36.2%21.7%

27.3%

3.0%7.0%1.3%

0.891

11.7%11.1%5.2%9.7%

6.911.7

66.9

6.6%6.6%

62.0%2.2%21.3%

0.828

1.607

5.8%201.51.2%

85.9%78.1%88.4%90.7%

81.3%62.6%59.2%

0.949

42.1%78.3%32.4%5.5%

79.2%7.2

74.9%89.0%

9.7%2.3%

0.911

3.3%4.4%1.5%

77.8%5.1%

16.03.85.0

4.3%94.7%5.9%2.4

22.4%

0.664

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

P H YS I CA L E N V I RO N M E N T 0.751

4.40.0%6.1%317

99.9%

45.8

50.9%5.2%11.2%

Rating Rank+++++

+++++++

+++

1–1011–2021–3031–4041–50

Wyo

ming

Wyoming

+++ 0.028 23

+++ 7.7 21

++++ 13.8% 15+++++ -5.4 1+++++ 96.2% 9++++ 2.0% 19++ 40.8% 39 ++++ 48.9% 14+++++ 40.6% 3++ 81.7% 40+ 24.8 48 + 21.5% 46+++++ 9.4% 1+++++ 46.1% 10+ 51.6% 43

+++ 0.226 22

1.9% ++++ 212 7 +++++ 3.8% 2++ 12.6% 34+ 69.1% 50++ 17.1% 31++ 4.3% 40 ++ 32.9% 32

+++ 55 23+++ 53.6% 30

• Low prevalence of concentrated disadvantage• High prevalence of physical activity among children• High prevalence of fourth grade reading proficiency

• High prevalence of 2+ adverse childhood experiences• High racial gap in high school graduation• High prevalence of smoking during pregnancy

24%

57%20% in the past year from 40.6% to 48.9% of children ages 3-4

in the past four years from 34% to 26% of needs met

in the past two years from 26.7% to 42.0% of adolescents ages 13-17

PUBLICLY-FUNDED WOMEN'S HEALTH SERVICES

HPV VACCINATION EARLY CHILDHOOD EDUCATION ENROLLMENT

WyomingState Health Department Website: health.wyo.gov

+++++ 0.520 8 +++++ 5.0 3+++ 0.5% 26++ 19.6% 40+++++ 18,544 4++ 57.1% 39 ++ 0 37+ 20.4 49 ++++ 75.3% 15+++ 16.4% 25+++++ 11.8% 3

24% in the past two years from 11.1% to 13.8% of children ages 0-17

CHILDREN IN POVERTY

++ -0.360 39 + 71.8% 42+ 22.3% 41+++ 26% 22+ 15.5% 41+++ 44.6 27 ++ 79.2% 34++++ 72.2% 13++ 27.8% 40 93.0% + 60.3% 48 + 63.2% 47+++++ 20.4% 8++ 76 34

+++++ 0.581 8 +++++ 28.5% 2++++ 13.5% 16+++++ 16.3% 6

+++++ 1,289.2 6+++++ 7.1% 5 31.4% ++++ 33.8% 20

+ 7.2% 46+ 21.3% 41+ 13.4% 44

++++ 0.198 13 +++ 19.2% 23+++ 18.2% 27+++++ 6.3% 9 15.7%

++++ 17.2 17 — +++ 99.9 26 ++++ 8.0% 13+++++ 7.7% 6+++++ 59.3% 10+++ 4.8% 29+++++ 24.7% 10 +++ 0.232 23

+ -0.786 48 + 2.1% 43+ 42.6 49+ 7.1% 42

++ 72.6% 35+ 42.0% 46+++ 80.5% 23++ 80.1% 36

+ 56.5% 50++ 29.8% 40++ 47.6% 34

+++ -0.092 29 ++++ 28.8% 16+++ 66.2% 30+++++ 30.2% 3 — — ++ 20.8 37

+++ 65.9% 25 85.7% — + 7.9% 45

+++ -0.071 29 ++ 11.5% 40++ 10.6% 36+ 6.1% 46+++ 71.7% 28++ 10.1% 40 +++ 28.7 30+++++ 4.8 10+ 25.6 47 ++++ 6.7% 12++++ 92.0% 15+ 9.4% 42+++++ 3.6 5+++++ 25.5% 8 +++ -0.094 29

+++ 0.063 —