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Introduction to Risk Factors
Personal Behaviors
Prevalence of Smoking
Motor Vehicle Deaths
Prevalence of Obesity
High School Graduation
Community Environment
Violent Crime
Lack of Health Insurance
Infectious Disease
Children in Poverty
Occupational Fatalities
Health Policies
Per Capita Public Health Spending
Immunization Coverage
Adequacy of Prenatal Care
Introduction to Outcomes
Limited Activity Days
Cardiovascular Deaths
Cancer Deaths
Total Mortality
Infant Mortality
Premature Death




Intro and Findings Components State Snapshots Methodology Commentaries and Special Features
Foreword and Introduction Selection of Components State-by-State Snapshots Methodology Letter from Michael Leavitt, Secretary, US Health and Human Services
Measures of Success Combined Measures:
Risk Factors/Outcomes All State Snapshots Weighting of Components Putting Patients First with Personal Health Information Technology
by Myrl Weinberg, President, National Health Council
2005 Results Appendices How do Health Care Systems Recover, and Even Improve, After a Catastrophe?
by Frederick Cerise, MD, Secretary, Louisiana Department of Health and Hospitals
Changes from 2004, 1990 Risk Factors Index of Tables Healthy Workforce = Healthy Business = Healthy State
by John Clymer, President, Partnership for Prevention
Comparison to Other Nations Outcomes Health Disparities Investing in Prevention to Improve Our Health
by Georges Benjamin, Executive Director, American Public Health Association
Importance of Creating a Smokefree Environment Great Progress, More Work Ahead
by John Kirkwood, President and CEO, American Lung Association
Teen Pregnancy in America
by Sarah Brown, Executive Director, National Campaign to Prevent Teen Pregnancy



Findings

2005 Results

America’s Health Rankings™ – 2005 Edition shows Minnesota at the top of the list of healthiest states. Minnesota has been among the top two states since 1990. Vermont is ranked second this year and has consistently moved up in the rankings for the last five years. New Hampshire is number three, followed by Utah, Hawaii and North Dakota. Mississippi is 50th and the least healthy state, while Louisiana is 49th. Tennessee, South Carolina and Arkansas complete the bottom five states.

Minnesota is first this year, a position it has held for 10 of the 16 years since the 1990 Edition. Minnesota’s strengths include ranking first for a low rate of cardiovascular deaths, a low premature death rate and a low percentage of uninsured population. It is also in the top five states for a low percentage of children in poverty, a low total mortality rate, a low infant mortality rate, a low occupational fatalities rate, a low rate of motor vehicle deaths and a high rate of high school graduation. Minnesota’s biggest challenges are a high prevalence of smoking at 20.7 percent of the population, a high prevalence of obesity at 22.6 percent of the population and limited access to adequate prenatal care with 75.8 percent of pregnant women receiving adequate prenatal care.

Mississippi is 50th this year, down from 49th in the 2004 Edition. It has been in the bottom three states since the 1990 Edition. The state ranks well in all three health policy measures: 8th for access to adequate prenatal care, which is available to 81.8 percent of pregnant women; 11th for per capita public health spending, at $197 per person; and 14th for immunization coverage, with 84.0 percent of children ages 19 to 35 months receiving complete immunizations. It ranks in the bottom five states on nine of the 18 measures: a high premature death rate, a high infant mortality rate, a high total mortality rate, a high rate of cardiovascular deaths, a high percentage of children in poverty, a high prevalence of obesity, a high rate of motor vehicle deaths, a high occupational fatalities rate, and a high number of limited activity days. It also ranks in the bottom 10 states for two other measures.

Table 4 lists the score and ranking for each of the 50 states.

Scores presented in the tables indicate the percentage a state is above or below the national norm. For example, a state with a score of 20 is 20 percent above the national average for that component. A negative score means the state is below the national average. When comparing states from year to year, differences in score are more important than changes in ranking.


Table 4 2005 Overall America's Health Rankings

ALPHABETICAL BY STATE
RANK ORDER

2005
RANK
(1-50)
STATE
SCORE*
2005
RANK
(1-50)
STATE
SCORE*

45
Alabama
-12.8
1
Minnesota
22.2

30
Alaska
-1.2
2
Vermont
21.3

31
Arizona
-1.6
3
New Hampshire
18.3

47
Arkansas
-16.1
4
Utah
17.4

22
California
6.0
5
Hawaii
16.9

17
Colorado
9.7
6
North Dakota
16.6

7
Connecticut
15.9
7
Connecticut
15.7

33
Delaware
-2.6
8
Maine
15.4

40
Florida
-8.6
9
Massachusetts
15.2

43
Georgia
-10.2
10
Iowa
15.0

5
Hawaii
17.0
11
Nebraska
12.5

16
Idaho
10.4
12
Rhode Island
11.2

28
Illinois
0.9
13
Wisconsin
10.9

32
Indiana
-2.1
14
Washington
10.8

10
Iowa
14.9
15
New Jersey
10.6

23
Kansas
5.8
16
Idaho
10.4

42
Kentucky
-9.7
17
Colorado
10.1

49
Louisiana
-18.4
18
Oregon
8.4

8
Maine
15.5
19
South Dakota
6.7

34
Maryland
-3.6
19
Wyoming
6.7

9
Massachusetts
15.2
21
Montana
5.9

29
Michigan
0.3
22
California
5.8

1
Minnesota
22.1
23
Kansas
5.7

50
Mississippi
-19.1
24
Virginia
5.5

35
Missouri
-4.1
25
Pennsylvania
2.1

21
Montana
6.6
26
Ohio
1.3

11
Nebraska
12.2
27
New York
1.0

37
Nevada
-5.9
28
Illinois
0.9

3
New Hampshire
18.1
29
Michigan
0.1

15
New Jersey
10.6
30
Alaska
-0.6

38
New Mexico
-6.2
31
Arizona
-1.5

26
New York
1.2
32
Indiana
-2.3

36
North Carolina
-5.6
33
Delaware
-3.4

6
North Dakota
16.6
34
Maryland
-3.5

27
Ohio
1.1
35
Missouri
-3.8

44
Oklahoma
-11.4
36
North Carolina
-5.6

18
Oregon
8.3
37
Nevada
-5.7

25
Pennsylvania
1.9
38
New Mexico
-5.9

12
Rhode Island
11.5
39
Texas
-6.7

46
South Carolina
-15.8
40
Florida
-8.6

20
South Dakota
6.7
41
West Virginia
-9.1

48
Tennessee
-17.1
42
Kentucky
-9.8

39
Texas
-6.7
43
Georgia
-10.1

4
Utah
17.5
44
Oklahoma
-11.4

2
Vermont
21.3
45
Alabama
-12.7

24
Virginia
5.5
46
Arkansas
-15.6

14
Washington
10.7
47
South Carolina
-15.7

41
West Virginia
-9.3
48
Tennessee
-16.8

13
Wisconsin
11.0
49
Louisiana
-18.3

19
Wyoming
7.0
50
Mississippi
-19.4

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