Alabama - America's Health Rankings
Transcript of Alabama - America's Health Rankings
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Alabama
Ala
bam
a
Strengths:• Low prevalence of excessive drinking• Low prevalence of severe housing problems• High community support expenditure
Challenges: • Low prevalence of exercise• High early death rate• High prevalence of food insecurity
12% 17%
18%
15%
10%
8%
in the past year from 19.3% to 17.0% of adults ages 60+
in the past four years from 64.1% to 58.0% of adults ages 65+
since 2013 from 56.4% to 61.0% of adults ages 65+
in the past five years from 39.8% to 46.5% of Medicare enrollees ages 65-74
since 2014 from 26.9% to 31.8% of adults ages 65+
since 2014 from 23.6% to 20.0% of adults ages 65+
FOOD INSECURITY MULTIPLE CHRONIC CONDITIONS
OBESITY
TEETH EXTRACTIONS
FLU VACCINATION
ABLE-BODIED SENIORS
40.941.317.411.44.1
10.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: alabamapublichealth.gov
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.633 44++ 28.2 40+ -1.489 46+ 11.2 49+ 33.7 41+ 25.1 48+ 10.1 43+++++ 0.430 8+++++ 4.6 6++ 9.7 33
+ -0.664 46+ -0.784 45+ 17.0 43+ 10.3 41+++ 65.8 27+ -0.460 43+++++ 84 9++ 11.1 32+ 89.0 46++ 25.4 39++ 63.1 39+ 520 44
++ 0.060 34++ -0.183 39++ 8.1 36++ 13.4 37++++ 0.5 15++++ 14.3 15
++ -0.339 37++ -0.564 39++ 6.0 39+++++ 96.1 4+ 7.7 41+ 61 49++ -0.144 33+++ 73.8 23++ -0.193 33++++ 58.0 16++ 71.7 35+ 39.5 42+ -0.308 41++ 47.4 31+++ 16.0 23+++ 52.4 24+ 3,721 47
+ -0.473 45
+ -1.335 48+ -1.533 47+ 61.0 44+ 10.1 46+ 21.1 45+ 31.1 49+ -1.121 49+ 30.8 44+ 46.5 49++ 31.8 37+ 20.0 44+ -1.368 46+ 2,375 47+++ 19.3 30
+ -0.688 —
Alabama
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Alaska
Ala
ska
Strengths:• Low prevalence of multiple chronic conditions • Low percentage of hospital readmissions• Low prevalence of physical inactivity
Challenges: • Low prevalence of cancer screenings• High prevalence of smoking• High prevalence of falls
39.138.513.37.35.25.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhss.alaska.gov
20% 8%
23%
10%
9%
40%
in the past year from 23.3% to 28.0% of adults ages 65+
in the past year from 7.4% to 6.7% of adults ages 65+
in the past four years from 8.9% to 12.5% of adults ages 60+
in the past two years from 213 to 197 aides per 1,000 adults ages 65+ with a disability
since 2013 from 40.2% to 49.4% of adults ages 65+
in the past two years from 1,800 to 1,621 deaths per 100,000 adults ages 65-74
INSUFFICIENT SLEEP HOME HEALTH CARE WORKERS
HIGH HEALTH STATUS
EARLY DEATHS
POVERTY
FOOD INSECURITY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.267 35++ 28.0 37+++++ 0.744 10+++++ 21.0 6+++++ 23.5 4++ 31.9 35+++++ 15.7 10+ -1.739 50+ 9.7 47+ 12.8 47
++++ 0.479 19+++++ 0.842 9+++ 12.5 24+++++ 6.7 5++++ 90.1 14+++++ 0.644 10+++++ $152 2+++++ ‡ ‡+++++ 10 6++++ 35.0 14+++ 65.0 30+ 885 50
+ -0.216 43++ -0.083 36+++++ 6.4 10+++ 47.1 29+ 6.7 45+ 20.5 46
+ -0.496 41+ -0.718 41++ 5.9 38+ 85.0 50++ 9.2 37+++++ 197 10+ -1.234 49+ 66.1 48+ -0.797 46+ 49.0 42+ 64.2 49++++ 48.0 19++++ 0.463 16+ 22.5 50+++++ 14.0 1+++ 52.8 22+++++ 1,560 7
++ -0.073 32
+++ 0.158 26+++ 0.285 23+ 62.6 41++ 8.0 32++++ 15.8 12+++++ 49.4 5+++ 0.166 25+ 30.7 42+++++ 23.7 2++++ 27.2 15++ 15.7 33+++ -0.114 26++++ 1,621 15+ 23.1 43
+++ -0.015 —
Alaska
‡ Indicates data not available.
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Arizona
Ari
zona
Strengths:• High coverage of smokefree laws• High percentage of hospice care use• Low prevalence of falls
Challenges: • High suicide rate• Low prevalence of cancer screenings• High prevalence of excessive drinking
34.337.012.610.84.29.0
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: azdhs.gov
18% 16%
15%
11%
36%
20%
in the past year from 7.4% to 8.7% of adults ages 65+
in the past year from 11.1% to 7.1% of residents
in the past year from 129 to 155 aides per 1,000 adults ages 65+ with a disability
in the past five years from 60.0% to 50.6% of adults ages 65+
in the past two years from 28.2% to 24.0% of adults ages 65+
in the past five years from 31.7% to 35.2% of Medicare enrollees ages 65+
EXCESSIVE DRINKING FLU VACCINATION
FALLS
MULTIPLE CHRONIC CONDITIONS
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.180 18++++ 24.6 16++++ 0.333 17++++ 19.5 16++++ 26.4 13+++ 33.4 30+++ 13.7 23++ -0.295 34++ 8.7 40++++ 8.6 19
++ 0.023 31++ -0.154 32++ 14.7 35+++ 8.6 22++ 56.5 37++++ 0.397 18++ $27 36++++ 7.1 14++++ 32 17++ 25.0 40+++++ 75.6 8+ 475 41
++ 0.000 37+++ 0.043 28+ 9.7 49+++++ 100.0 1+++ 1.1 28+ 18.5 42
+++ 0.182 21++ -0.188 32++ 5.0 32++ 92.7 37+++ 11.1 30++++ 155 18++ -0.440 38++ 69.8 39++ -0.060 32++ 50.6 40+++ 74.0 23+++ 46.7 22+++++ 1.173 6+++++ 59.2 2+++++ 15.0 7++++ 54.8 17+++++ 1,569 8
+++ 0.104 26
++++ 0.379 18+++ 0.228 26+++ 66.4 24+++ 7.6 28++ 18.0 32++++ 45.3 14+++++ 0.830 5+++++ 24.0 5++++ 35.2 20+++++ 26.1 9++++ 11.6 12+++ -0.220 28++++ 1,589 11+ 25.5 45
+++ 0.173 —
Arizona
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Arkansas
Ark
ansa
s
Strengths:• Low prevalence of excessive drinking• Low prevalence of insufficient sleep• High number of geriatricians per capita
Challenges: • Low prevalence of exercise• Low percentage of able-bodied seniors• High prevalence of food insecurity
41.9 40.116.811.33.510.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: healthy.arkansas.gov
31% 17%
16%
11%
40%
16%
in the past year from 3.6% to 4.7% of adults ages 65+
in the past four years from 26.1% to 15.7% of adults ages 60+
since 2013 from 17.3% to 14.5% of residents
in the past year from 57.3% to 47.6% of adults ages 65+
in the past two years from 35.2% to 29.6% of adults ages 65+
in the past three years from 19.7 to 21.8 deaths per 100,000 adults ages 65+
EXCESSIVE DRINKING FLU VACCINATION
FALLS
SUICIDE
FOOD INSECURITY
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.365 37++++ 24.1 12+ -1.206 45+ 11.8 46+ 36.9 46+ 28.3 43++++ 14.3 18+++++ 0.282 9+++++ 4.7 7++ 10.1 38
+ -0.748 47+ -0.786 46++ 15.7 39++ 10.2 38+ 40.4 48+ -0.630 47++++ $49 17+ 14.5 43+ 83 43++ 28.9 32+ 58.4 49+ 544 47
++ 0.158 31++ -0.060 33++++ 7.1 19++ 0.5 40++++ 0.6 20++++ 14.3 15
++ -0.253 36++++ 0.164 19+++ 4.4 23++++ 94.3 17++++ 16.0 13++ 105 38++ -0.674 40++ 70.6 36+ -0.570 41+ 47.6 45++++ 75.0 16+ 39.0 44++ -0.250 36+++ 50.0 21+++ 16.0 23++ 42.7 38+ 3,068 42
+ -0.393 42
+ -1.069 45+ -1.375 46+ 58.1 49+ 8.9 42+ 21.0 44+ 32.7 48+ -0.610 43++ 29.6 38+++ 39.1 28++ 30.1 31+ 21.6 46+ -1.374 47+ 2,286 45++ 21.8 40
+ -0.562 —
Arkansas
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
California
Cal
iforn
ia
Strengths:• High early death rate• High prevalence of exercise• High home health care worker rate
Challenges: • High prevalence of insufficient sleep• High prevalence of severe housing problems• High prevalence of falls
34.939.416.89.36.610.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: cdph.ca.gov
26% 10%
11%
14%
20%
243%
in the past year from 8.8% to 6.5% of adults ages 65+
since 2014 from 17.2% to 13.8% of adults ages 60+
in the past two years from 91 to 312 aides per 1,000 adults ages 65+ with a disability
in the past year from 76.8% to 68.9% of adults ages 65+
in the past year from 15.4% to 17.1% of adults ages 65+
since 2013 from 21.2% to 24.2% of adults ages 65+
EXCESSIVE DRINKING PNEUMONIA VACCINATION
FREQUENT PHYSICAL DISTRESS
OBESITY
FOOD INSECURITY
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.946 4+ 29.0 42+++++ 1.267 5+++++ 22.5 2+++++ 22.7 3+++++ 39.5 9+++++ 16.2 7+++++ 1.104 2++++ 6.5 16+++++ 5.8 2
+ -0.503 44+ -0.590 42++ 13.8 32+ 10.5 43+ 42.5 47++ -0.415 40++ $29 35+++ 9.3 26++ 75 39+ 23.3 42++ 63.8 37++ 447 37
+ -0.578 50++ -0.223 40+ 12.8 50+++++ 100.0 1+++++ 0.0 1+ 26.9 49
++++ 0.411 14++++ 0.470 13+++ 4.9 30+++ 93.6 27++++ 14.6 14+++++ 312 3++++ 0.428 11+++++ 78.9 5+++ -0.040 30+++ 54.9 26+ 68.9 41++++ 50.9 14++++ 0.335 20++ 45.2 38+++ 16.0 23++++ 55.8 14++++ 1,878 14
+++ 0.117 24
+++ 0.318 21+++ 0.193 28+++ 66.5 23++ 8.2 34+++ 17.1 23++++ 44.4 18++++ 0.289 17+ 30.4 41+++ 37.2 23+++++ 24.2 4+++++ 7.3 2+++++ 0.626 7+++++ 1,485 4++++ 16.7 20
+++ 0.167 —
California
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Colorado
Col
orad
o
Strengths:• Low prevalence of food insecurity• High prevalence of exercise• High prevalence of high health status
Challenges: • High suicide rate• Low prevalence of cancer screenings• High percentage of low-care nursing home residents
32.237.711.69.34.37.5
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: colorado.gov/cdphe
826% 5%
14%
6%
10%
15%
in the past year from 10.8% to 100.0% of the population
since 2014 from 78.4% to 70.9% of seniors receiving recommended screenings
since 2013 from 65.9% to 55.9% of adults ages 65+
since 2013 from 65.9% to 68.9% of adults ages 65+
since 2013 from 44.9% to 51.1% of adults ages 65+
in the past four years from 1,508 to 1,419 deaths per 100,000 adults ages 65-74
NON-SMOKING REGULATION ABLE-BODIED SENIORS
HIGH HEALTH STATUS
EARLY DEATHS
CANCER SCREENINGS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.999 2+++++ 22.3 4+++++ 1.386 2+++++ 24.5 1+++++ 20.3 1++++ 37.3 14++++ 14.8 11+++++ 0.254 10+++ 7.5 24+++++ 7.8 8
+++++ 0.801 6+++++ 1.170 3+++++ 6.6 1+++++ 7.4 10+++ 65.4 28++++ 0.564 13+++ $33 30+ 13.1 41+++++ 8 5+++ 31.7 25++++ 72.7 11++ 397 31
++++ 0.696 11+++++ 0.770 10++++ 6.7 14+++++ 100.0 1+++ 0.8 26++ 16.5 31
+++++ 0.681 4++++ 0.498 11+++++ 3.6 10+++ 93.8 24++++ 16.7 12++++ 149 19++++ 0.324 14++ 70.9 35+++++ 1.047 3+++ 55.9 22+++++ 77.5 3+++++ 55.0 4+++++ 1.220 5++++ 53.2 11+++++ 15.0 7+++++ 60.9 8+++++ 1,301 3
+++++ 0.808 2
+++++ 1.048 2+++++ 1.168 5+++++ 68.9 8++++ 6.9 17+++++ 14.3 6+++++ 51.1 3+++++ 1.276 2++++ 25.9 16+++++ 27.5 5+++++ 21.8 2+++++ 10.0 7++++ 0.352 15+++++ 1,419 1+ 22.4 41
+++++ 0.868 —
Colorado
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Connecticut
Con
nect
icut
Strengths:• Low prevalence of avoided care due to cost• Low early death rate• Low prevalence of falls
Challenges: • High percentage of hospital readmissions• Low coverage of smokefree laws• High percentage of low-care nursing home residents
30.639.113.611.77.17.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: portal.ct.gov/dph
29% 9%
7%
38%
22%
12%
since 2013 from 8.5% to 6.0% of adults ages 65+
in the past two years from 6.5% to 7.9% of adults ages 65+
in the past year from 62.6% to 55.3% of adults ages 65+
in the past year from 46.2% to 50.4% of adults ages 65+
since 2013 from 1,535 to 1,430 deaths per 100,000 adults ages 65-74
in the past three years from 6.9 to 9.5 deaths per 100,000 adults ages 65-74
SMOKING HIGH HEALTH STATUS
EARLY DEATH
DRUG DEATHS
POVERTY
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.681 6+++ 25.2 21+++++ 0.754 9++++ 19.7 13++++ 26.9 15+++++ 40.6 6+++++ 15.8 9+++++ 0.607 4++ 8.2 35+++++ 6.0 3
+++ 0.413 21++++ 0.514 17+++ 13.4 30++++ 7.9 13+++++ 100.0 1+++ 0.116 27+++ $35 28++ 12.3 37+++ 40 21+++ 30.7 27++++ 67.5 18+++++ 207 5
++ -0.044 38++ -0.040 32+++ 7.2 22+ 0.0 42+++++ 0.1 8++ 18.1 40
++++ 0.462 12+++++ 1.134 2+++++ 3.1 2+++++ 95.4 8+++++ 23.4 4++++ 192 11+++ 0.168 23++++ 76.0 15+++ -0.020 28+++ 55.3 25++ 72.4 34+++ 44.7 29+++ 0.083 29+++ 48.6 28+ 17.0 45++++ 56.1 13++++ 2,119 19
++++ 0.437 13
+++++ 1.047 3+++++ 1.265 3+++++ 70.6 1+++++ 6.3 10+++++ 15.2 9+++++ 50.4 4+++++ 0.854 4+++++ 22.9 3+++ 39.2 29+++++ 26.3 10+++++ 9.4 6+++++ 0.996 3+++++ 1,430 2+++++ 13.2 10
+++++ 0.589 —
Connecticut
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Delaware
Del
awar
e
Strengths:• Low percentage of seniors living in poverty• Low prevalence of avoided care due to cost• High percentage of able-bodied seniors
Challenges: • High prevalence of physical inactivity• High prevalence of multiple chronic conditions • Low number of geriatricians per capita
30.536.011.910.85.36.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhss.delaware.gov
19% 11%
18%
25%
28%
45%
in the past four years from 10.5% to 8.5% of adults ages 65+
in the past year from 8.5% to 6.1% of adults ages 65+
in the past year from 5.8% to 3.2% of adults ages 65+
in the past year from 65.2% to 58.3% of adults ages 65+
in the past year from 38.3% to 45.2% of adults ages 65+
since 2014 from 26.0% to 32.5% of adults ages 65+
SMOKING FLU VACCINATION
HIGH HEALTH STATUS
OBESITY
POVERTY
AVOIDED CARE DUE TO COST
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.080 28++++ 25.0 18++ -0.393 34+++ 17.0 28++ 32.5 36++ 32.9 32++ 12.6 33+++ 0.045 21+++ 7.5 24++++ 8.5 17
+++++ 0.655 9+++++ 1.184 2++++ 10.6 12+++++ 6.1 2++++ 84.1 17+++ 0.225 23++++ $54 15+++ 10.0 28+++++ 6 4+++ 32.0 23+ 61.9 42++ 424 35
++++ 0.546 14++++ 0.460 17++ 8.3 40+++++ 100.0 1+++++ 0.1 8++++ 14.8 20
++++ 0.357 17++++ 0.266 15+++++ 3.2 3+++ 93.7 25++ 9.4 36+++ 120 28+++ 0.156 24++++ 75.5 17+++ 0.040 27++++ 58.3 15+++ 73.0 29++ 41.3 38++++ 0.650 12+++++ 57.9 3+++ 16.0 23+++++ 62.8 4++ 2,743 34
++++ 0.365 16
+++ 0.293 23++++ 0.688 12+++++ 69.1 6++++ 6.8 14++++ 16.7 19++++ 45.2 16++ -0.262 36++++ 26.1 19++ 42.1 40+ 32.5 42+++ 14.6 30+++++ 0.612 8++++ 1,671 20+++++ 11.7 6
++++ 0.347 —
Delaware
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Florida
Flor
ida
Strengths:• High community support expenditure• Low prevalence of falls• High percentage of hospice care use
Challenges: • High prevalence of multiple chronic conditions • Low home health care worker rate• High percentage of seniors living in poverty
33.139.813.212.84.610.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: floridahealth.gov
12% 15%
19%
10%
17%
32%
in the past year from 11.3% to 12.7% of adults ages 60+
in the past year from 8.7% to 7.2% of residents
in the past two years from 38 to 50 aides per 1,000 adults ages 65+ with a disability
in the past year from 62.2% to 52.8% of adults ages 65+
since 2013 from 23.4% to 27.8% of adults ages 65+
since 2013 from 9.1% to 8.2% of adults ages 65+
FOOD INSECURITY FLU VACCINATION
OBESITY
COGNITIVE DIFFICULTY
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ 0.049 21++ 27.6 33+++ 0.048 22+++ 18.1 21+++ 28.7 22+++ 35.5 26++ 12.5 34++++ 0.111 17+++ 7.7 28++++ 8.1 13
++ -0.076 33+++ -0.030 30+++ 12.7 27+ 10.6 44+++++ 100.0 1++ -0.146 33+++++ $142 3++++ 7.2 15++ 73 38+ 20.3 47+++ 65.9 25+++ 385 30
+ -0.318 47+ -0.240 41+++ 7.4 25+ 0.0 42++ 1.8 36+ 20.1 45
++ -0.073 32++ -0.422 37++ 5.2 34++ 93.5 31+++ 12.1 24+ 50 50++ -0.164 34+++++ 78.9 5+ -1.027 48++ 52.8 32+ 67.3 47+ 37.8 47++++ 0.368 19+++++ 57.9 3+ 17.0 45+++++ 62.8 4++ 2,717 33
++ -0.074 33
+++ 0.149 27+++ 0.295 22++++ 67.2 18++++ 6.8 14+++ 17.6 28+++ 41.7 28+++ 0.043 28++++ 25.4 11+ 46.7 50++++ 27.8 18++++ 12.5 18+++ 0.070 21++++ 1,628 16++ 20.4 34
++ -0.018 —
Florida
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Georgia
Geo
rgia
Strengths:• Low prevalence of excessive drinking• High prevalence of cancer screenings• High percentage of hospice care use
Challenges: • Low percentage of volunteerism• High prevalence of avoided care due to cost• High prevalence of food insecurity
36.140.514.89.14.7
10.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dph.georgia.gov
20% 9%
8%
26%
9%
12%
in the past two years from 37.2% to 29.8% of adults ages 65+
in the past two years from 69.9% to 76.4% of seniors receiving recommended screenings
since 2014 from 60.1% to 52.6% of adults ages 65+
in the past five years from 37.8% to 41.2% of Medicare enrollees ages 65+
in the past two years from 39.4% to 36.2% of adults ages 65+
since 2013 from 11.2% to 8.3% of adults ages 65+
PHYSICAL INACTIVITY MULTIPLE CHRONIC CONDITIONS
HIGH HEALTH STATUS
COGNITIVE DIFFICULTY
CANCER SCREENINGS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.030 24++ 28.1 39++ -0.350 33++ 15.4 36+++ 29.8 29++ 32.9 32++ 12.8 31+++++ 0.514 6+++++ 5.3 8+++ 8.8 21
++ -0.417 40+ -0.540 41+ 16.0 42++ 10.2 38++++ 77.2 20+ -0.452 42+ $20 49+++ 8.4 23++ 59 31+ 19.7 49+++ 65.2 29+++ 327 24
+ -0.152 42+ -0.263 42++ 8.3 40++ 9.1 39++++ 0.5 15++ 16.9 33
++ -0.440 39+ -1.010 49+ 7.0 46++ 92.5 38++ 10.0 33+ 85 43+++ -0.054 30++++ 76.4 11++ -0.450 39++ 52.6 34++ 71.2 38++ 41.9 35++ -0.255 37++++ 50.7 18+++ 16.0 23+ 38.6 41++ 2,833 36
++ -0.285 39
+ -0.597 41++ -0.658 40+++ 66.0 30+ 9.4 44++ 19.6 39+ 36.2 41+ -0.545 42++ 30.1 40++ 41.2 36+++ 29.6 29++ 16.5 35++ -0.578 38++ 2,046 39+++ 17.6 27
++ -0.362 —
Georgia
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Hawaii
Haw
aii
Strengths:• Low prevalence of falls• High prevalence of exercise• Low percentage of seniors living in poverty
Challenges: • High prevalence of insufficient sleep• High prevalence of severe housing problems• High prevalence of excessive drinking
33.537.815.510.07.18.0
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.hawaii.gov
27% 12%
20%
17%
25%
30%
in the past year from 4.1% to 3.0% of residents
since 2014 from 5.3% to 6.6% of adults ages 65+
in the past year from 9.3% to 6.5% of adults ages 65+
in the past year from 59.6% to 52.7% of adults ages 65+
in the past four years from 12.2% to 9.7% of adults ages 65+
in the past five years from 37.0% to 43.4% of adults ages 65+
LOW-CARE NURSING HOME RESIDENTS FLU VACCINATION
COGNITIVE DIFFICULTY
HIGH HEALTH STATUS
SMOKING
POVERTY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.395 12+ 38.9 50+++++ 1.337 4+++++ 22.2 3+++++ 23.5 4++++ 38.4 11+++++ 19.6 1++++ 0.075 18+ 9.6 46+++++ 6.6 4
++++ 0.559 13+++++ 1.398 1+++++ 9.2 5+++++ 6.5 4+++++ 100.0 1+ -0.561 46+++ $43 21+++++ 3.0 3+++ 42 22+ 20.5 46+ 56.5 50++++ 249 14
++++ 0.488 18+++++ 1.110 1+++++ 5.4 6+++++ 100.0 1+++++ 0.0 1+ 27.1 50
+++++ 0.699 2+++++ 0.518 9+++ 4.7 26+++++ 95.7 6+++++ 24.1 3++ 117 31++++ 0.184 19+++++ 78.2 7++ -0.340 36++ 52.7 33+ 65.3 48++++ 52.1 12+++++ 1.395 2++ 46.1 35+++++ 14.0 1+++++ 67.9 1+++++ 1,128 1
+++++ 0.543 10
+++++ 1.183 1+++++ 0.825 9++++ 68.3 13+++++ 6.2 8+++++ 14.9 8+++ 43.4 23+++++ 1.660 1+++++ 20.0 1++++ 34.1 17+++++ 17.4 1+++++ 6.2 1+++++ 0.946 5+++++ 1,464 3+++++ 13.0 9
+++++ 0.703 —
Hawaii
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Idaho
Idah
o
Strengths:• Low percentage of hospital readmissions• Low prevalence of food insecurity• Low prevalence of multiple chronic conditions
Challenges: • High prevalence of falls• High suicide rate• Low number of geriatricians per capita
36.035.012.010.43.19.0
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: healthandwelfare.idaho.gov
76% 12%
21%
12%
18%
29%
in the past four years from 5.1% to 9.0% of adults ages 65+
in the past year from 4.4% to 3.6% of adults ages 65+
in the past year from 11.3% to 8.0% of residents
in the past year from 15.8% to 17.7% of adults ages 65+
in the past three years from 22.6 to 27.3 deaths per 100,000 adults ages 65+
since 2013 from 40.4% to 45.3% of adults ages 65+
EXCESSIVE DRINKING FREQUENT PHYSICAL DISTRESS
SUICIDE
HIGH HEALTH STATUS
AVOIDED CARE DUE TO COST
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.366 14+++++ 23.7 9+++++ 0.822 8++++ 19.7 13+++++ 24.0 8++++ 37.0 17+++++ 16.1 8++ -0.580 40+ 9.0 44+++ 9.3 27
++++ 0.500 16++++ 0.706 13+++++ 8.0 2+++ 8.6 22++ 53.8 39+++ 0.124 26+ $23 43++++ 8.0 18+++++ 18 10+++ 30.5 28++ 63.1 39++++ 227 11
+++ 0.198 29+++ 0.047 27++++ 6.8 15++ 13.2 38++ 1.3 33+++ 15.1 25
+++ 0.178 22++ -0.134 31+++++ 3.6 10+ 91.3 44+ 4.3 49++++ 158 17+ -0.698 41+ 68.5 43++ -0.283 35+++ 53.0 30++ 70.5 39+++ 45.8 25+++++ 1.365 3++++ 51.9 14+++++ 14.0 1+++++ 61.2 7+++++ 1,391 4
++++ 0.338 18
++ -0.108 32+++ 0.238 25++ 64.7 37++++ 6.9 17+++ 17.7 29++++ 45.3 14++ -0.245 35+ 33.3 49+++++ 28.7 6+++ 29.0 25+++ 13.0 21++ -0.526 37+++ 1,674 21+ 27.3 47
++++ 0.226 —
Idaho
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Illinois
Illin
ois
Strengths:• High coverage of smokefree laws• Low prevalence of falls• Low suicide rate
Challenges: • Low prevalence of cancer screenings• High prevalence of physical inactivity• High prevalence of obesity
33.539.714.511.26.68.8
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dph.illinois.gov
20%
17%
15%
in the past year from 22.7% to 27.2% of adults ages 65+
in the past year from 29.4% to 34.4% of adults ages 65+ in fair or better health
in the past five years from 8.4% to 7.1% of adults ages 65+
INSUFFICIENT SLEEP
23% in the past two years from 31.6% to 24.4% of adults ages 65+
FALLSPHYSICAL INACTIVITY
COGNITIVE DIFFICULTY
63% since 2014 from 26.8% to 10.0% of residents
LOW-CARE NURSING HOME RESIDENTS
16% in the past two years from 15.3% to 12.9% of adults ages 60+
FOOD INSECURITY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.107 29+++ 27.2 29+++ -0.068 25++++ 19.7 13+ 34.4 43++++ 37.3 14+++ 13.0 27++ -0.220 33++++ 7.0 20++ 9.8 34
+++ 0.103 29++++ 0.366 20+++ 12.9 28+++ 8.8 27+++++ 100.0 1++ -0.162 34+++ $34 29+++ 10.0 28++ 67 35++ 27.8 34++ 64.7 31++ 404 32
+++ 0.208 27+++ 0.217 24+ 9.3 48+++++ 100.0 1++++ 0.2 13++ 17.3 35
++ -0.486 40+++ -0.126 29++ 5.3 36++ 93.5 31++++ 14.5 15+++ 138 24+ -1.032 45+ 67.3 45+ -0.653 43+++ 55.4 24+ 68.6 43+ 39.4 43++ -0.300 40+++ 49.7 22+++ 16.0 23+ 37.9 42++ 2,814 35
++ -0.096 35
+++ 0.148 28++ -0.040 33++++ 68.0 16+++ 7.9 30++ 18.4 35++ 38.6 37+++ 0.207 23+++++ 24.4 7+++ 38.2 26+ 32.5 42++++ 11.3 11++++ 0.404 14+++ 1,759 29+++++ 12.1 7
++ -0.035 —
Illinois
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Indiana
Indi
ana
Strengths:• Low percentage of low-care nursing home residents• Low prevalence of severe housing problems• Low percentage of hospital readmissions
Challenges: • Low voter turnout• Low flu vaccination coverage• Low prevalence of exercise
36.539.513.710.84.37.5
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: in.gov/isdh
32% 15%
6%
23%
13%
14%
in the past two years from 18.2% to 12.3% of adults ages 60+
in the past four years from 7.0% to 7.9% of adults ages 65+
in the past year from 54.5% to 46.9% of adults ages 65+
in the past four years from 9.2% to 7.8% of adults ages 65+
in the past year from 17.3% to 18.4% of adults ages 65+
since 2013 from 26.6% to 32.6% of adults ages 65+
FOOD INSECURITY COGNITIVE DIFFICULTY
FREQUENT PHYSICAL DISTRESS
OBESITY
POVERTY
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.320 36+++ 25.6 23++ -0.700 37+ 13.6 43+ 34.3 42++ 32.8 34++++ 14.3 18+++ -0.124 30+++++ 5.7 10++ 10.6 40
+++ 0.177 27+++ 0.288 24+++ 12.3 23++++ 7.9 13+ 51.5 43+++ 0.086 30+++ $36 25+++++ 5.2 7+++ 44 23++++ 35.2 12+ 59.2 48+++ 382 29
+++ 0.212 26++ -0.073 35+ 8.4 43++ 31.5 33+++++ 0.0 1+++++ 13.2 8
++ -0.171 34++++ 0.192 18++++ 3.8 15++++ 94.1 19+++ 11.4 28+++ 119 29+ -0.732 42++ 71.0 34+ -0.733 44+ 46.9 46++ 72.5 33++ 41.1 39++ 0.028 31+++ 48.9 27+++++ 15.0 7++ 42.9 37++ 3,003 40
+++ -0.044 30
++ -0.381 39++ -0.153 37++ 65.1 36+++ 7.4 27++ 18.4 35++ 39.3 34+ -0.540 41+++ 27.6 29++ 40.9 34+ 32.6 44+ 18.9 43++ -0.520 36+ 2,094 42++++ 15.4 15
++ -0.128 —
Indiana
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Iowa
Iow
a
Strengths:• Low prevalence of insufficient sleep• Low prevalence of frequent mental distress• Low percentage of seniors living in poverty
Challenges: • Low number of geriatricians per capita• High prevalence of obesity• High percentage of low-care nursing home residents
31.536.711.011.94.57.1
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: idph.iowa.gov
19% 15%
17%
29%
11%
12%
in the past year from 10.2% to 12.1% of adults ages 60+
in the past year from 67.6 to 60.0 participants per 100 adults ages 60+ in poverty
since 2014 from 18.1% to 15.9% of residents
since 2013 from 70.2% to 59.7% of adults ages 65+
in the past two years from 31.7% to 26.2% of adults ages 65+
since 2014 from 17.3% to 12.2% of adults ages 65+
FOOD INSECURITY FLU VACCINATION
FALLS
TEETH EXTRACTIONS
SNAP REACH
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.221 16+++++ 20.9 1++ -0.232 31++ 15.6 34++ 31.2 34+++ 35.1 27++++ 14.2 20++++ 0.165 15++++ 6.9 18++++ 8.6 19
+++++ 0.721 7++++ 0.568 16+++ 12.1 21+++++ 7.1 6++ 60.0 35+++++ 0.885 6+++ $42 22+ 15.9 45+++++ 12 7+++++ 36.9 6+++++ 77.4 3++++ 250 15
+++++ 0.926 4++++ 0.740 11++++ 7.1 19+++++ 100.0 1+++++ 0.1 8+++++ 12.1 5
+++++ 0.541 10+++ 0.030 26++++ 4.1 20+++++ 95.4 8+ 4.6 48+++ 140 23+++++ 0.584 8+++ 72.9 27+++++ 1.160 2+++++ 59.7 7+++++ 76.3 9+++++ 54.7 6+++++ 1.010 7+++++ 56.6 5+++++ 15.0 7++++ 57.3 12++++ 1,981 15
+++++ 0.567 9
++++ 0.510 12+++++ 1.195 4+++++ 68.9 8+++++ 4.6 1+++++ 14.2 4++++ 43.8 20++ 0.009 31+++ 26.2 21++++ 34.6 19+ 34.0 47++++ 12.2 15++++ 0.140 20++ 1,802 31++++ 14.6 14
+++++ 0.553 —
Iowa
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Kansas
Kan
sas
Strengths:• Low prevalence of avoided care due to cost• High coverage of smokefree laws• Low prevalence of excessive drinking
Challenges: • Low number of geriatricians per capita• High percentage of low-care nursing home residents• Low percentage of able-bodied seniors
36.038.012.911.14.07.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: kdheks.gov
8% 17%
11%
23%
10%
18%
in the past year from 6.2% to 5.7% of adults ages 65+
in the past year from 20.3% to 18.2% of residents
since 2013 from 26.3% to 31.0% of adults ages 65+
since 2013 from 67.6% to 56.3% of adults ages 65+
in the past year from 6.5% to 7.2% of adults ages 65+
since 2014 from 18.8% to 14.5% of adults ages 65+
EXCESSIVE DRINKING FLU VACCINATION
FREQUENT MENTAL DISTRESS
TEETH EXTRACTIONS
LOW-CARE NURSING HOME RESIDENTS
OBESITY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.266 15++++ 24.2 14+++ -0.153 28++ 16.0 32+++ 29.1 23+++ 34.1 28+++ 13.5 24+++++ 0.592 5+++++ 5.7 10++++ 8.2 15
+++ 0.201 26+++ 0.190 27+++ 12.5 24++++ 8.0 17+ 45.0 44++++ 0.357 19+++ $36 25+ 18.2 47++++ 34 18+++++ 36.0 10++++ 70.2 14++ 439 36
+++++ 0.708 10++++ 0.540 15++++ 7.0 18+++++ 100.0 1+ 2.6 41+++++ 13.1 7
+++ 0.169 23++++ 0.210 17+++++ 3.5 8++ 93.5 31++ 8.7 39+++ 147 21+++ 0.034 28+++ 71.3 30++++ 0.497 15+++ 56.3 21+++++ 76.2 10+++ 46.5 23+++ 0.263 23++++ 51.4 15+++ 16.0 23++ 47.9 31++++ 2,094 18
++++ 0.277 19
++ -0.119 33+++ 0.080 30++ 63.5 40+++ 7.2 23+++ 16.8 21+++ 42.8 24++ -0.205 34++ 28.6 34+++ 36.3 22++ 31.0 34+++ 14.5 29++ -0.344 32++ 1,930 37+++ 17.6 27
+++ 0.178 —
Kansas
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Kentucky
Ken
tuck
y
Strengths:• Low prevalence of excessive drinking• High flu vaccination coverage• Low percentage of low-care nursing home residents
Challenges: • High prevalence of physical inactivity• High early death rate• High prevalence of frequent mental distress
41.340.616.811.04.1
10.8
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: chfs.ky.gov/agencies/dph
38% 14%
55%
12%
11%
24%
in the past four years from 4.0% to 5.5% of adults ages 65+
in the past year from 16.6% to 14.8% of adults ages 60+
in the past year from 7.4% to 5.6% of residents
in the past four years from 68.9% to 59.4% of adults ages 65+
in the past four years from 7.3% to 11.3% of adults ages 65+
in the past two years from 22.0% to 24.6% of adults ages 65+
EXCESSIVE DRINKING FLU VACCINATION
FREQUENT MENTAL DISTRESS
TEETH EXTRACTIONS
FOOD INSECURITY
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -1.218 50+ 29.8 44+ -1.752 50+ 11.6 48+ 41.5 50+ 26.6 47+ 9.6 46+ -0.664 41+++++ 5.5 9+ 13.1 49
+ -0.424 41++ -0.512 39++ 14.8 37++ 10.2 38++ 60.4 34+ -0.687 48++ $26 37+++++ 5.6 10+ 87 45+ 18.9 50++ 63.5 38+++++ 212 7
++ -0.092 39+ -0.403 45++ 8.1 36++ 35.2 31+ 4.8 44++++ 13.9 11
+ -0.668 47+ -0.856 47+ 6.3 41+++ 94.0 21+ 6.3 46+ 69 47++ -0.190 35+++ 71.5 29+++ 0.090 25+++++ 59.4 10++ 72.6 32++ 41.6 37+ -0.958 49+ 41.6 45+++ 16.0 23+ 37.5 44+ 3,924 49
+ -0.657 48
+ -1.349 49+ -1.620 48+ 60.3 46+ 11.3 48+ 21.4 48+ 34.5 44+ -1.027 47+ 30.7 42+ 44.4 46++ 30.8 33+ 24.6 49+ -1.452 49+ 2,407 49++ 20.5 35
+ -0.830 —
Kentucky
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Louisiana
Loui
sian
a
Strengths:• Low suicide rate• High percentage of hospice care use• Low prevalence of falls
Challenges: • High prevalence of food insecurity• High early death rate• High prevalence of smoking
39.142.316.310.85.912.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: ldh.la.gov
20% 13%
24%
72%
46%
16%
in the past year from 77.6 to 62.2 participants per 100 adults ages 60+ in poverty
since 2013 from 22.8% to 12.2% of residents
in the past year from 54.4% to 45.7% of adults ages 65+
in the past two years from 31.0% to 26.9% of adults ages 65+
since 2013 from 12.1% to 9.2% of adults ages 65+
in the past three years from 5.3 to 9.1 deaths per 100,000 adults ages 65-74
SNAP REACH FALLS
COGNITIVE DIFFICULTY
DRUG DEATHS
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.995 48++ 27.9 36+ -1.041 44+ 13.5 44+ 34.7 44++ 30.8 38++ 11.2 40+ -1.284 49++ 8.6 39+ 12.0 46
+ -1.190 50+ -1.630 50+ 19.8 50+ 12.4 48++ 62.2 31+ -0.690 49++++ $51 16++ 12.2 35+ 93 48+ 22.0 44++ 64.3 33+ 538 45
++ -0.108 40+ -0.277 44++ 7.9 33++ 27.9 36+ 3.3 42+++ 15.9 30
+ -0.790 49+ -0.800 44+ 6.8 43++ 92.9 36+ 7.7 41++++ 160 15+ -0.884 43+++ 73.4 24+ -1.360 49+ 45.7 47+ 68.6 43+ 37.7 48+ -0.685 48+++ 49.7 22+++ 16.0 23+ 33.5 49+ 3,613 46
+ -0.887 50
+ -0.852 43+ -1.113 43+ 62.0 43++ 8.8 40+ 20.9 43+ 33.7 46++ -0.531 40+++ 26.9 25+ 45.1 47++ 31.8 37++ 17.7 40+ -0.974 42+ 2,273 44++++ 16.6 19
+ -0.878 —
Louisiana
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Maine
Mai
ne
Strengths:• High voter turnout• High coverage of smokefree laws• High prevalence of cancer screenings
Challenges: • Low flu vaccination coverage• High suicide rate• High prevalence of food insecurity
33.537.711.613.05.18.8
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: maine.gov/dhhs
27% 13%
19%
8%
23%
19%
since 2013 from 12.2% to 15.5% of adults ages 60+
in the past year from 63.2% to 48.5% of adults ages 65+
since 2013 from 9.9% to 8.0% of adults ages 65+
in the past two years from 32.5% to 28.3% of adults ages 65+
in the past two years from 15.2% to 18.1% of adults ages 65+
since 2013 from 1,848 to 1,703 deaths per 100,000 adults ages 65-74
FOOD INSECURITY FALLS
TEETH EXTRACTIONS
EARLY DEATH
FLU VACCINATION
COGNITIVE DIFFICULTY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.463 10++++ 25.1 20++++ 0.722 11++++ 18.7 19+++ 28.6 21+++++ 40.6 6+++++ 18.1 4+++ 0.018 22+++ 7.6 27++++ 8.5 17
++++ 0.454 20++ -0.134 31++ 15.5 38+++ 9.1 30++++ 87.9 15+++++ 0.878 7++ $30 32+++++ 2.1 1+++ 46 24++++ 33.7 15+++++ 78.9 1+++++ 112 1
+++++ 0.880 6+++++ 0.893 6+++++ 5.9 7+++++ 100.0 1++ 1.5 34+++ 15.0 24
+++++ 0.795 1+++++ 0.876 3+++++ 3.4 6++++ 94.5 13+++++ 21.4 5++++ 184 13+++++ 0.740 6+++++ 79.0 4++++ 0.460 18+ 48.5 43+++++ 77.2 5+++++ 53.3 8++++ 0.770 11++++ 50.6 19+++++ 15.0 7+++++ 59.3 10++++ 2,245 20
+++++ 0.604 7
+++ 0.191 25++++ 0.523 18+++ 66.2 28+++ 7.1 21++++ 16.3 16+++++ 46.6 10+++ 0.079 26++ 28.3 32++++ 34.0 16++++ 27.2 15+ 18.1 41+++ -0.250 30+++ 1,703 23+ 22.7 42
++++ 0.501 —
Maine
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Maryland
Mar
ylan
d
Strengths:• Low prevalence of falls• Low percentage of seniors living in poverty• High percentage of volunteerism
Challenges: • Low voter turnout• Low percentage of hospice care use• High violent crime rate
31.340.113.610.36.57.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.maryland.gov
26% 8%
15%
20%
14%
16%
in the past year from 6.9% to 5.1% of residents
since 2013 from 9.2% to 7.9% of adults ages 65+
in the past two years from 86.0 to 100.0 participants per 100 adults ages 60+ in poverty
since 2014 from 82.8% to 76.4% of seniors receiving recommended screenings
in the past year from 66.8% to 56.5% of adults ages 65+
in the past two years from 28.6% to 23.0% of adults ages 65+
LOW-CARE NURSING HOME RESIDENTS CANCER SCREENINGS
FLU VACCINATION
FALLS
SMOKING
SNAP REACH
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.453 11+++ 27.1 28++++ 0.411 15++++ 20.0 11++++ 28.0 18+++ 36.4 22+++ 14.0 21+++++ 0.680 3+++++ 5.7 10++++ 7.9 11
++++ 0.513 15+++++ 0.882 8++++ 11.7 19+++++ 7.3 8+++++ 100.0 1++++ 0.319 20+ $24 41+++++ 5.1 6++++ 36 19+++++ 38.2 4+ 61.4 44++ 469 40
++++ 0.530 16++++ 0.563 14+++ 7.7 30+++++ 100.0 1++++ 0.5 15++ 16.5 31
++++ 0.409 15+++++ 0.698 5++++ 3.9 16+++++ 96.5 2+++++ 21.2 7++ 111 34+++++ 0.520 9++++ 76.4 11++++ 0.507 14++++ 56.5 20++++ 75.7 11++++ 47.4 20++ 0.008 32++ 46.7 34+++ 16.0 23+++ 50.6 28+++ 2,583 29
++++ 0.472 12
+++++ 0.669 7+++++ 0.818 10+++++ 69.3 5++++ 7.0 19+++++ 14.2 4+++ 42.7 26+++++ 0.648 8+++++ 23.0 4++ 40.0 33++++ 27.9 19+++++ 10.8 10++++ 0.414 13+++ 1,703 23++++ 13.5 12
+++++ 0.521 —
Maryland
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Massachusetts
Mas
sach
uset
ts
Strengths:• Low prevalence of avoided care due to cost• High prevalence of cancer screenings• Low suicide rate
Challenges: • High prevalence of excessive drinking• High percentage of hospital readmissions• High prevalence of frequent mental distress
32.238.813.711.88.29.0
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: mass.gov/orgs/department-of-public-health
46% 19%
13%
6%
13%
42%
in the past three years from 7.0% to 10.2% of adults ages 65+
in the past year from 10.5% to 9.1% of residents
in the past 2 years from 209 to 297 aides per 1,000 adults ages 65+ with a disability
since 2013 from 66.9% to 54.5% of adults ages 65+
since 2013 from 42.6% to 48.0% of adults ages 65+
since 2013 from 1,614 to 1,516 deaths per 100,000 adults ages 65-74
EXCESSIVE DRINKING FLU VACCINATION
HIGH HEALTH STATUS
EARLY DEATH
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.205 33+++ 27.2 29++++ 0.138 20+++ 17.0 28+++ 29.1 23++++ 36.7 20++++ 14.8 11+ -0.797 43+ 10.2 50+++ 9.0 25
+++ 0.342 23++++ 0.498 19++++ 11.4 16+++ 9.1 30+++++ 100.0 1+++ 0.166 25+++++ $265 1+++ 9.1 24++ 69 36++ 30.1 31++ 64.1 35+++ 338 25
+++++ 0.746 9+++++ 0.917 5+++++ 6.3 9+++++ 100.0 1++++ 0.2 13++ 17.7 37
+++++ 0.694 3+++++ 1.524 1+++++ 3.3 5+++++ 96.6 1+++++ 25.5 2+++++ 297 4+++++ 0.850 1+++++ 80.7 2++++ 0.377 20+++ 54.5 27+++ 73.4 27++++ 51.3 13++ -0.293 38++ 47.1 32+ 17.0 45+++ 51.1 26++ 2,699 32
++++ 0.344 17
+++++ 0.671 6++++ 0.648 14+++++ 68.8 10++ 8.3 36++++ 15.8 12+++++ 48.0 6++++ 0.480 12++++ 25.8 15+++ 38.0 25+++++ 25.9 8++++ 12.8 19+++++ 1.098 1+++++ 1,516 7+++++ 9.4 1
++++ 0.425 —
Massachusetts
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Michigan
Mic
higa
n
Strengths:• High coverage of smokefree laws• High prevalence of cancer screenings• High percentage of hospice care use
Challenges: • High prevalence of avoided care due to cost• High prevalence of multiple chronic conditions • High prevalence of falls
34.938.714.311.65.28.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: michigan.gov/mdhhs
18% 14%
81%
14%
15%
20%
in the past four years from 15.3% to 12.6% of adults ages 60+
in the past three years from 7.8% to 9.0% of adults ages 65+
in the past year from 10.4% to 8.3% of residents
in the past year from 60.3% to 51.9% of adults ages 65+
since 2014 from 16.2% to 29.3% of adults ages 65+
since 2014 from 9.4% to 8.1% of adults ages 65+
FOOD INSECURITY FLU VACCINATION
FALLS
COGNITIVE DIFFICULTY
POVERTY
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.046 26++ 27.7 34+++ -0.094 26+++ 17.0 28++++ 28.2 20+++ 36.3 23+ 11.1 41++++ 0.055 20+++ 7.1 21+++ 8.8 21
+++ 0.127 28+++ 0.140 28+++ 12.6 26+++ 9.0 28+++ 70.9 24+++ 0.251 21+++ $36 25++++ 8.3 20+++ 53 28++ 26.1 38+++++ 74.1 9++ 449 38
++++ 0.424 19+++ 0.343 22++ 8.0 34+++++ 100.0 1++ 2.2 38+++ 15.3 27
+++ 0.004 28++ -0.298 35+ 6.5 42++++ 95.1 11++++ 17.3 11++ 116 32++++ 0.182 20++++ 76.4 11++ -0.057 31++ 51.9 36+++ 74.2 22+++ 44.9 27+++ 0.128 28+++++ 53.7 10+++ 16.0 23++++ 54.8 17+ 3,247 44
+++ 0.088 27
++ -0.211 34++ 0.055 31++ 65.9 32+++ 7.1 21++ 18.5 37+++ 41.7 28++ -0.529 39++ 29.3 36+ 42.2 41++ 32.3 40++++ 11.9 14+++ -0.106 25++ 1,891 34++++ 15.4 15
+++ 0.013 —
Michigan
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Minnesota
Min
neso
ta
Strengths:• Low prevalence of frequent physical distress• Low prevalence of insufficient sleep• Low prevalence of food insecurity
Challenges: • High prevalence of excessive drinking• Low community support expenditure• Low prevalence of seniors with a dedicated health care provider
31.235.211.510.85.37.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.state.mn.us
16% 13%
13%
23%
17%
10%
in the past year from 3.8% to 4.4% of adults ages 65+
in the past year from 15.4% to 12.8% of residents
in the past five years from 66.0% to 59.1% of adults ages 65+
in the past five years from 27.6% to 31.2% of Medicare enrollees ages 65+
in the past three years from 10.2% to 8.9% of adults ages 60+
since 2014 from 12.0% to 9.3% of adults ages 65+
AVOIDED CARE DUE TO COST FOOD INSECURITY
MULTIPLE CHRONIC CONDITIONS
TEETH EXTRACTIONS
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.490 9+++++ 22.0 3++++ 0.594 12++++ 19.3 17++++ 26.6 14+++++ 39.6 8++++ 14.4 16+++ -0.108 29++ 8.3 37++++ 8.3 16
+++++ 0.959 2+++++ 0.822 10+++++ 8.9 4++++ 7.6 11++ 53.3 40+++++ 1.114 2+ $23 43++ 12.8 38+++++ 4 3+++++ 43.3 2+++++ 78.7 2+++++ 220 10
+++++ 0.944 3+++++ 0.857 7++++ 6.6 11+++++ 100.0 1+++++ 0.1 8+++++ 13.4 9
+++++ 0.583 8++++ 0.476 12+++ 4.4 23++ 91.9 40++++ 14.0 19+++++ 371 2+++++ 0.768 4+++++ 77.1 8+++++ 0.807 6++++ 59.1 11++ 72.7 31+++++ 55.1 3++++ 0.505 14++++ 52.7 12+++++ 15.0 7+++++ 61.9 6+ 3,434 45
+++++ 0.732 4
+++++ 0.936 4+++++ 1.330 2+++++ 69.1 6+++++ 5.2 3+++++ 14.0 2+++++ 47.7 8+++++ 0.543 10++++ 26.1 19++++ 31.2 11+++ 30.0 30+++++ 9.3 4+++++ 0.932 6+++++ 1,488 6+++++ 12.4 8
+++++ 0.783 —
Minnesota
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Mississippi
Mis
siss
ippi
Strengths:• Low prevalence of excessive drinking• High flu vaccination coverage• Low violent crime rate
Challenges: • High percentage of seniors living in poverty• High early death rate• Low prevalence of exercise
42.142.618.811.34.812.7
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: msdh.ms.gov
14% 12%
32%
10%
27%
8%
in the past four years from 67.6 to 57.9 participants per 100 adults ages 60+ in poverty
in the past two years from 24.3% to 17.7% of adults ages 60+
since 2013 from 65.4% to 60.0% of adults ages 65+
since 2013 from 54.0% to 60.4% of adults ages 65+
in the past four years from 7.4% to 9.8% of adults ages 65+
in the past two years from 31.5% to 28.2% of adults ages 65+
SNAP REACH ABLE-BODIED SENIORS
FREQUENT MENTAL DISTRESS
FALLS
FOOD INSECURITY
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.729 45++ 28.0 37+ -1.532 48+ 10.9 50+ 37.1 47+ 27.6 44++ 11.4 39++++ 0.192 13+++++ 3.9 3+ 11.1 43
+ -0.965 48+ -1.428 49+ 17.7 45+ 12.4 48++ 57.9 36+ -0.859 50++ $25 39++ 11.8 34+ 97 50+ 20.2 48+++ 65.8 26++++ 234 13
+ -0.286 45+ -0.507 48+++ 7.7 30++ 31.1 34+ 6.7 45+++ 15.8 29
+ -0.839 50+ -0.808 46++ 6.1 40+++ 93.6 27+ 6.7 45+ 72 46+ -1.092 48+ 67.3 45+ -0.753 45+++++ 60.0 6+ 68.7 42+ 29.2 50+ -0.618 47++ 44.5 40+++ 16.0 23++ 44.9 34+ 3,770 48
+ -0.778 49
+ -1.250 47+ -1.698 49+ 60.4 45+ 9.8 45+ 22.2 49+ 28.8 50+ -0.812 45++ 28.2 31+ 42.6 43+ 32.8 46+ 23.0 48+ -1.228 45+ 2,486 50+++ 17.4 26
+ -0.896 —
Mississippi
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Missouri
Mis
sour
i
Strengths:• Low prevalence of insufficient sleep• High flu vaccination coverage• Low prevalence of frequent mental distress
Challenges: • Low prevalence of exercise• High percentage of low-care nursing home residents• High early death rate
36.839.814.011.44.28.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.mo.gov
57% 12%
9%
24%
38%
8%
in the past year from 5.6% to 8.8% of adults ages 65+
in the past four years from 19.1% to 11.8% of adults ages 60+
in the past year from 57.0 to 61.4 participants per 100 adults ages 60+ in poverty
in the past five years from 69.5% to 61.2% of adults ages 65+
in the past year from 20.1% to 18.2% of adults ages 65+
since 2014 from 24.9% to 18.8% of adults ages 65+
EXCESSIVE DRINKING FLU VACCINATION
FREQUENT PHYSICAL DISTRESS
TEETH EXTRACTIONS
FOOD INSECURITY
SNAP REACH
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.485 40+++++ 22.6 5+ -0.906 41++ 15.1 37++ 30.7 33+ 26.9 46+ 9.6 46+ -0.679 42+ 8.8 42++ 9.8 34
++ -0.028 32+++ 0.364 21++++ 11.8 20++++ 8.2 19++ 61.4 33++ -0.333 37++++ $46 19+ 24.0 49++ 65 34++ 26.7 37+++ 65.6 27+ 502 43
+++ 0.294 24+++ 0.073 26+++ 7.5 28++ 29.1 35++++ 0.5 15+++++ 13.8 10
+++ 0.046 27++++ 0.214 16+++ 4.7 26++++ 94.2 18+++ 13.1 21+++++ 198 9++++ 0.220 17+++ 73.3 25++++ 0.493 16+++++ 61.2 5++++ 74.4 20+++ 43.9 30++ -0.295 39++++ 50.3 20+++ 16.0 23+ 37.8 43++ 2,851 37
++ -0.087 34
++ -0.338 38++ -0.145 36++ 63.6 38++++ 6.7 13++ 18.2 33++ 39.1 35++ -0.335 38+++ 27.1 26++ 39.7 32++ 31.3 35+ 18.8 42++ -0.728 40++ 2,053 40++ 19.4 31
++ -0.150 —
Missouri
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Montana
Mon
tana
Strengths:• Low prevalence of multiple chronic conditions • Low percentage of hospital readmissions• Low prevalence of food insecurity
Challenges: • Low prevalence of seniors with a dedicated health care provider• High prevalence of falls• High prevalence of excessive drinking
34.336.710.612.04.18.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dphhs.mt.gov
20% 7%
19%
6%
9%
5%
in the past four years from 8.3% to 10.0% of adults ages 65+
in the past two years from 98 to 107 aides per 1,000 adults ages 65+ with a disability
in the past year from 60.7% to 57.4% of adults ages 65+
in the past five years from 63.6% to 68.1% of adults ages 65+
since 2013 from 39.8% to 47.5% of adults ages 65+
in the past five years from 24.4% to 25.8% of Medicare enrollees ages 65+
SMOKING ABLE-BODIED SENIORS
HIGH HEALTH STATUS
MULTIPLE CHRONIC CONDITIONS
HOME HEALTH CARE WORKERS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.231 34+++++ 23.2 8+++ -0.175 30++++ 18.2 20++++ 26.0 11+ 29.3 41+ 10.3 42+ -0.920 47+ 9.5 45++ 10.0 37
++++ 0.495 17+++ 0.306 23+++++ 9.6 6++ 9.4 34++ 53.3 40+++++ 0.844 8++++ $81 11+ 14.8 44++++ 26 14++++ 35.1 13+++++ 77.1 4+++ 374 27
+++++ 0.826 8+++++ 0.810 8++++ 6.6 11+++++ 100.0 1++++ 0.6 20++++ 14.8 20
+++ -0.020 30++ -0.344 36+++++ 3.5 8+ 87.9 48+ 7.0 43++ 107 36++ -0.344 37+ 68.8 42+++ 0.260 22++++ 57.4 19+++ 73.3 28+++ 45.9 24++++ 0.628 13+ 43.4 42+++++ 14.0 1++ 47.4 32+++++ 1,654 10
++++ 0.208 20
+++ 0.294 22++++ 0.650 13++++ 68.1 14+++ 7.2 23++++ 16.7 19+++++ 47.5 9+++ 0.232 21+ 32.5 47+++++ 25.8 3+++++ 24.1 3+++ 14.2 28++ -0.296 31++++ 1,631 17+ 25.4 44
++++ 0.230 —
Montana
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Nebraska
Neb
rask
a
Strengths:• Low prevalence of insufficient sleep• Low prevalence of frequent mental distress• Low prevalence of frequent physical distress
Challenges: • High prevalence of obesity• Low number of geriatricians per capita• Low prevalence of cancer screenings
34.136.711.611.24.37.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhhs.ne.gov
48% 14%
9%
24%
16%
8%
since 2013 from 7.7% to 11.4% of adults ages 60+
in the past two years from 14.5% to 12.2% of residents
in the past two years from 62.7% to 57.9% of adults ages 65+
since 2013 from 40.2% to 45.7% of adults ages 65+
in the past five years from 30.6% to 33.4% of Medicare enrollees ages 65+
in the past three years from 10.7 to 13.3 deaths per 100,000 adults ages 65+
FOOD INSECURITY HIGH HEALTH STATUS
MULTIPLE CHRONIC CONDITIONS
SUICIDE
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.389 13+++++ 21.5 2+++ 0.093 21+++ 17.5 25+++ 29.7 28++++ 37.2 16+++ 13.8 22+++++ 0.254 10+++ 7.5 24+++++ 7.8 8
++++ 0.490 18++++ 0.500 18++++ 11.4 16++++ 7.6 11++ 54.3 38++++ 0.447 16++++ $72 12++ 12.2 35++++ 22 12++++ 35.5 11+++ 66.0 24++++ 285 18
+++++ 0.842 7++++ 0.687 13++++ 7.1 19+++++ 100.0 1+++ 0.7 25+++++ 12.8 6
++++ 0.359 16+++ 0.060 23++++ 3.7 13+++ 93.6 27++ 8.9 38++ 108 35++++ 0.230 16++ 70.2 38+++++ 0.997 4++++ 57.9 17+++++ 76.6 8+++++ 53.3 8+++++ 0.788 10++++ 50.8 17+++++ 15.0 7++++ 54.9 16++++ 1,876 13
++++ 0.475 11
++++ 0.454 14+++++ 0.968 7+++ 66.3 27+++++ 5.5 4+++++ 14.1 3++++ 45.7 12+++ 0.028 29+++ 27.4 28++++ 33.4 14+ 32.4 41++++ 12.3 16++++ 0.280 16+++ 1,776 30++++ 13.3 11
++++ 0.470 —
Nebraska
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Nevada
Nev
ada
Strengths:• Low prevalence of falls• High flu vaccination coverage• Low percentage of serious drinking water violations
Challenges: • High prevalence of insufficient sleep• Low prevalence of cancer screenings• High suicide rate
34.841.112.89.95.28.8
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhhs.nv.gov
32% 19%
14%
23%
21%
16%
in the past three years from 13.3% to 17.5% of adults ages 60+
since 2013 from 8.1% to 9.8% of adults ages 65+
in the past year from 10.0 to 11.6 per 100,000 adults ages 65+
since 2014 from 50.0% to 59.5% of adults ages 65+
in the past five years from 31.6% to 35.9% of Medicare enrollees ages 65+
in the past three years from 15.4 to 18.9 deaths per 100,000 adults ages 65-74
FOOD INSECURITY FLU VACCINATION
MULTIPLE CHRONIC CONDITIONS
DRUG DEATHS
POVERTY
GERIATRICIANS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.907 47+ 31.4 46++ -0.732 39+++ 17.4 26++ 30.5 32+ 28.7 42+ 7.6 50+ -1.037 48+ 8.8 42+ 11.0 42
+ -0.476 43+ -0.642 43+ 17.5 44++ 9.8 36++++ 77.9 19++ -0.135 32+ $21 47+++ 9.1 24+++ 48 25+ 24.1 41++++ 67.4 19+ 541 46
+ -0.460 49+ -0.453 47+ 9.0 46+ 0.0 42+++++ 0.0 1+ 19.6 44
+ -0.702 48++ -0.710 40++ 5.5 37+ 90.0 46+++ 11.6 26+ 92 41+ -0.990 44+ 66.0 49++ -0.377 37+++++ 59.5 9+ 68.5 45+ 39.9 41+ -0.405 43++ 47.1 32+ 17.0 45++ 41.9 39+++ 2,316 21
+ -0.649 47
++ -0.287 37++ -0.548 39+++ 66.4 24+++ 7.9 30+ 21.1 45+ 36.2 41++++ 0.356 15++++ 26.0 17+++ 35.9 21+++ 28.0 21+++ 13.8 27+ -1.052 43++ 1,907 36+ 33.5 50
+ -0.559 —
Nevada
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
New Hampshire
New
Ham
pshi
re
Strengths:• Low percentage of seniors living in poverty• High prevalence of high health status• Low prevalence of frequent physical distress
Challenges: • Low coverage of smokefree laws• Low flu vaccination coverage• High suicide rate
31.936.610.610.74.45.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhhs.nh.gov
15% 15%
11%
23%
21%
18%
in the past four years from 7.1% to 8.2% of adults ages 65+
in the past year from 13.6% to 10.7% of adults ages 60+
in the past year from 61.9% to 50.7% of adults ages 65+
in the past five years from 64.0% to 54.2% of certified nursing home beds rated 4- or 5-stars
since 2013 from 1,729 to 1,533 deaths per 100,000 adults ages 65-74
since 2013 from 8.1% to 6.2% of adults ages 65+
EXCESSIVE DRINKING NURSING HOME QUALITY
EARLY DEATH
COGNITIVE DIFFICULTY
FOOD INSECURITY
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.640 7+++ 26.1 27+++++ 1.061 7+++++ 20.6 7+++++ 25.8 10+++++ 40.7 5+++++ 17.8 5++++ 0.162 16++ 8.2 35+++++ 7.5 6
+++++ 0.850 4+++++ 0.956 5++++ 10.7 14+++++ 5.5 1+ 52.5 42++++ 0.601 12+++++ $91 8++ 11.5 33+++++ 2 2+++ 32.3 22++++ 68.0 17+++++ 173 3
+++ 0.272 25+++ 0.140 25+++++ 4.4 1+ 0.0 42++ 2.4 40+++ 15.1 25
+++++ 0.556 9+++++ 0.750 4+++++ 3.2 3+++++ 95.6 7+++++ 17.9 10+++ 127 26+++++ 0.614 7++++ 76.2 14++++ 0.690 11++ 50.7 39+++++ 78.6 1++++ 52.5 11+++ 0.305 22+++ 47.5 30+++ 16.0 23++++ 54.2 19++++ 2,071 16
+++++ 0.639 5
+++++ 0.870 5+++++ 1.543 1+++++ 69.5 3+++++ 5.7 5+++++ 13.2 1+++++ 51.7 2++++ 0.515 11+++ 26.2 21++++ 32.1 12+++ 28.3 22++++ 12.4 17++++ 0.234 18+++++ 1,533 9++ 20.8 36
+++++ 0.696 —
New Hampshire
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
New Jersey
New
Jers
ey
Strengths:• Low prevalence of falls• High prevalence of food insecurity• High prevalence of cancer screenings
Challenges: • High prevalence of avoided care due to cost• High prevalence of frequent mental distress• High prevalence of physical inactivity
31.639.014.311.17.28.3
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: state.nj.us/health
34% 71%
44%
84%
11%
30%
in the past four years from 28.0% to 37.4% of adults ages 65+ in fair or better health
in the past five years from 57.2% to 63.7% of adults ages 65+
in the past two years from 14.0% to 9.8% of adults ages 60+
in the past four years from 6.8% to 11.6% of adults ages 65+
since 2014 from 13.9% to 7.8% of adults ages 65+
in the past three years from 4.3 to 7.9 deaths per 100,000 adults ages 65-74
PHYSICAL INACTIVITY FREQUENT MENTAL DISTRESS
TEETH EXTRACTIONS
DRUG DEATHS
FLU VACCINATION
FOOD INSECURITY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.412 39+ 32.5 47++ -0.514 36+++ 17.6 24+ 37.4 48+++ 35.7 25+++ 13.0 27++++ 0.205 12+++ 7.8 30+++++ 7.7 7
+++ 0.375 22+++++ 0.956 5+++++ 9.8 8++++ 8.0 17++++ 99.2 12+ -0.531 45++++ $44 20++ 10.6 31+++ 51 27+ 21.9 45+ 60.3 46+++++ 208 6
+ -0.432 48+ -0.267 43++ 8.1 36+++++ 100.0 1+ 8.8 48+ 21.7 47
++ -0.088 33+ -0.748 43+ 8.2 50+++ 94.0 21+++++ 18.0 9+++ 132 25++++ 0.238 15+++++ 79.2 3++ -0.403 38+++++ 63.7 3+ 68.1 46+ 35.2 49+++ 0.245 24++ 44.7 39+++ 16.0 23+++++ 59.6 9+++ 2,381 26
++ -0.066 31
+++++ 0.647 8+++ 0.228 26+++++ 70.0 2+ 11.6 50+++++ 14.7 7++++ 43.8 20+++++ 0.916 3+++++ 21.2 2+ 44.2 45+++++ 25.8 7+++++ 7.8 3+++++ 0.948 4++++ 1,590 12+++++ 9.4 1
+++ 0.112 —
New Jersey
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
New Mexico
New
Mex
ico
Strengths:• High coverage of smokefree laws• High home health care worker rate• Low prevalence of multiple chronic conditions
Challenges: • High prevalence of food insecurity• High prevalence of avoided care due to cost• High suicide rate
39.940.116.212.16.212.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: nmhealth.org
20% 10%
25%
11%
13%
12%
in the past three years from 11.1% to 13.3% of adults ages 65+
in the past year from 14.9% to 13.0% of residents
in the past two years from 60.6% to 68.1% of seniors receiving recommended screenings
since 2013 from 58.8% to 53.2% of adults ages 65+
since 2013 from 19.9% to 24.9% of adults ages 65+
in the past two years from 33.1% to 29.4% of adults ages 65+
POVERTY FLU VACCINATION
OBESITY
FALLS
LOW-CARE NURSING HOME RESIDENTS
CANCER SCREENINGS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.219 17+++ 25.8 25++++ 0.323 18++++ 19.3 17++++ 26.3 12++++ 36.9 19++ 11.9 36+++ -0.023 25++++ 6.7 17+++ 9.4 28
+ -0.989 49+ -1.384 48+ 17.7 45+ 13.3 50+++ 76.1 21++ -0.243 35++++ $65 14++ 13.0 40+ 95 49+++ 30.5 28+++ 66.5 21+ 857 49
+++ 0.312 22++++ 0.383 20+++++ 6.0 8+++++ 100.0 1+ 7.0 47++ 17.8 39
++ -0.404 38+ -0.956 48+ 7.7 49+ 89.1 47++++ 14.5 15+++++ 227 6++ -0.590 39+ 68.1 44+++ -0.037 29+++ 53.2 29++ 71.3 36++++ 48.8 17++++ 0.335 20+++ 49.5 25+++++ 15.0 7+ 36.1 45+++++ 1,634 9
++ -0.337 40
++ -0.468 40+ -1.088 42+ 60.0 47+ 9.3 43+ 21.1 45++ 40.0 32++++ 0.288 18++ 29.4 37++++ 32.3 13+++++ 24.9 5++ 15.1 31+ -0.740 41+++ 1,755 28+ 28.8 48
++ -0.370 —
New Mexico
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
New York
New
Yor
k
Strengths:• High home health care worker rate• Low suicide rate• High coverage of smokefree laws
Challenges: • High prevalence of insufficient sleep• High percentage of seniors living in poverty• Low percentage of hospice care use
33.039.915.411.99.211.5
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.ny.gov
11% 16%
23%
8%
17%
37%
since 2013 from 31.3% to 28.0% of adults ages 65+ in fair or better health
in the past four years from 6.9% to 8.1% of adults ages 65+
in the past two years from 19.3% to 12.1% of adults ages 60+
in the past two years from 342 to 398 aides per 1,000 adults ages 65+ with a disability
in the past year from 58.0% to 44.8% of adults ages 65+
since 2013 from 1,668 to 1,535 deaths per 100,000 adults ages 65-74
PHYSICAL INACTIVITY HOME HEALTH CARE WORKERS
FLU VACCINATION
EARLY DEATH
EXCESSIVE DRINKING
FOOD INSECURITY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.075 27+ 34.1 49++++ 0.396 16+++ 17.4 26++++ 28.0 18+++++ 40.9 4++++ 14.6 14++++ 0.068 19++ 8.1 33++++ 7.9 11
++ -0.296 38++ -0.230 36+++ 12.1 21+ 11.8 47+++++ 100.0 1+ -0.499 44+++++ $112 5++++ 6.8 13+ 85 44+ 22.2 43+ 60.6 45+++ 351 26
+++ 0.304 23+++++ 0.810 8++++ 6.6 11+++++ 100.0 1++++ 0.6 20+ 23.9 48
+ -0.523 42+++ 0.116 21+ 6.9 44++ 93.1 35+++++ 21.3 6+++++ 398 1+ -1.072 46+++ 72.6 28+ -1.553 50+ 44.8 50+ 64.0 50+ 38.8 45+ -0.613 46+ 30.6 48+ 17.0 45+++ 51.8 25+++ 2,330 23
++ -0.218 38
++++ 0.454 14++++ 0.398 20++++ 68.5 12+++ 7.3 26++++ 16.5 18+++ 41.0 30+++ 0.208 22++++ 25.7 13+ 42.3 42++++ 27.0 14+++ 13.6 25+++++ 1.056 2+++++ 1,535 10+++++ 9.4 1
++ -0.050 —
New York
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
North Carolina
Nor
th C
arol
ina
Strengths:• High flu vaccination coverage• Low prevalence of falls• Low percentage of hospital readmissions
Challenges: • High prevalence of food insecurity• High prevalence of avoided care due to cost• Low percentage of 4- or 5-star nursing home beds
35.839.514.510.64.49.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: ncdhhs.gov
47% 7%
12%
13%
33%
10%
in the past four years from 4.9% to 7.2% of adults ages 65+
in the past two years from 8.8% to 11.7% of adults ages 65+
in the past five years from 35.7% to 39.2% of Medicare enrollees ages 65+
since 2013 from 61.5% to 65.7% of adults ages 65+
in the past two years from 28.1% to 24.8% of adults ages 65+
in the past five years from 10.0% to 8.7% of adults ages 65+
EXCESSIVE DRINKING ABLE-BODIED SENIORS
FALLS
COGNITIVE DIFFICULTY
SMOKING
MULTIPLE CHRONIC CONDITIONS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.577 42+++ 25.6 23++ -0.715 38++ 14.4 39+++ 29.3 27+ 27.1 45++ 11.7 37+ -0.836 44+++ 7.2 22+ 11.7 44
++ -0.171 34++ -0.532 40+ 17.8 47+++ 8.7 25+++ 63.2 30+++ 0.232 22++ $30 32+++++ 4.7 4+++ 57 30++++ 32.7 20+++ 66.1 23+++ 378 28
++ 0.108 33++ -0.030 31+++ 7.2 22+ 0.3 41+++++ 0.0 1+++ 15.6 28
+++ 0.086 25++ -0.476 38+ 7.0 46+++++ 96.3 3++++ 14.3 17++ 106 37+++++ 0.838 2+++++ 77.1 8+++++ 0.923 5+++++ 65.6 1+++++ 76.7 7++ 43.8 32++ -0.105 34+++ 49.6 24+++++ 15.0 7+ 34.9 48++ 2,851 37
++ -0.174 37
+++ 0.032 30++ -0.065 35++ 65.7 34++++ 6.8 14++ 18.2 33++ 37.6 39++++ 0.269 19+++++ 24.8 8+++ 39.2 29++++ 27.6 17++ 17.4 39+++ -0.248 29++ 1,902 35+++ 17.1 23
++ -0.122 —
North Carolina
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
North Dakota
Nor
th D
akot
a
Strengths:• Low prevalence of avoided care due to cost• Low prevalence of frequent mental distress• Low prevalence of food insecurity
Challenges: • High prevalence of obesity• Low percentage of hospice care use• Low number of geriatricians per capita
33.436.110.510.64.79.1
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: ndhealth.gov
16% 7%
41%
24%
65%
9%
since 2013 from 34.6% to 29.1% of adults ages 65+ in fair or better health
in the past year from 2.6 to 4.3 per 100,000 adults ages 65+
since 2014 from 68.8% to 75.2% of adults ages 65+
in the past five years from 31.9% to 34.2% of Medicare enrollees ages 65+
since 2013 from 24.4% to 34.3% of adults ages 65+
since 2014 from 17.1% to 13.0% of adults ages 65+
PHYSICAL INACTIVITY MULTIPLE CHRONIC CONDITIONS
OBESITY
TEETH EXTRACTIONS
GERIATRICIANS
PNEUMONIA VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.060 20+++++ 23.1 7++ -0.238 32+ 13.7 42+++ 29.1 23++++ 38.4 11+++ 12.9 30+++ -0.012 24++++ 6.9 18+++ 9.2 26
++++ 0.535 14+++ 0.098 29+++++ 8.4 3+ 10.3 41+ 33.5 49+++++ 1.058 3+++++ $83 10+ 13.1 41+++++ 16 9+++++ 38.7 3+++++ 76.4 6++++ 281 17
+++++ 1.272 1+++++ 1.110 1+++++ 4.6 2+++++ 100.0 1+++++ 0.0 1+++++ 11.2 1
++++ 0.184 20+++ 0.090 22+++++ 2.8 1+ 90.5 45+ 4.3 49++++ 180 14++++ 0.218 18+++ 71.3 30+++++ 0.803 7++++ 57.5 18++++ 75.2 14+++++ 52.6 10+++ 0.245 24+ 29.7 49+++++ 15.0 7+++++ 63.0 3+++ 2,371 25
++++ 0.413 15
++++ 0.351 19++++ 0.610 15+++ 66.6 22+++++ 5.1 2+++++ 15.5 10++ 39.0 36++ -0.026 32+++ 26.2 21++++ 34.2 18+ 34.3 49+++ 13.0 21+++++ 0.586 10+++ 1,691 22+++++ 11.5 5
++++ 0.398 —
North Dakota
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Ohio
Ohi
o
Strengths:• High percentage of hospice care use• Low prevalence of falls• Low prevalence of severe housing problems
Challenges: • High prevalence of obesity• High early death rate• High prevalence of smoking
34.640.214.011.75.38.1
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: odh.ohio.gov
12% 15%
8%
49%
13%
11%
in the past four years from 5.7% to 6.4% of adults ages 65+
in the past year from 5.3% to 4.6% of adults ages 65+
in the past year from 63.0% to 55.8% of adults ages 65+
in the past four years from 30.1% to 25.6% of adults ages 65+
since 2013 from 8.6% to 7.9% of adults ages 65+
in the past three years from 6.8 to 10.1 deaths per 100,000 adults ages 65-74
EXCESSIVE DRINKING FALLS
COGNITIVE DIFFICULTY
DRUG DEATHS
AVOIDED CARE DUE TO COST
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.632 43+ 29.2 43++ -0.868 40++ 15.1 37++ 33.0 38++ 30.8 38+ 10.1 43++ -0.331 37++++ 6.4 14+ 10.7 41
+++ 0.215 25+++ 0.222 26+++ 12.9 28+++ 8.6 22+++ 75.0 22+++ 0.101 28++ $30 32++++ 7.3 16++ 63 33+++ 30.3 30++++ 67.1 20++++ 280 16
++++ 0.512 17+++ 0.367 21+ 8.5 45+++++ 100.0 1++++ 0.6 20++++ 14.1 12
+++ -0.004 29+++ 0.060 23+++ 4.6 25+++ 93.7 25+++ 12.9 23++++ 149 19++ -0.138 32+++ 71.3 30+++ 0.210 23+++ 55.8 23+++ 74.3 21+++ 45.1 26+++ 0.065 30+++++ 56.4 6+++ 16.0 23++ 45.6 33++ 2,989 39
+++ -0.030 29
++ -0.211 34++ -0.003 32++ 65.9 32+++ 7.8 29+++ 17.3 26++ 40.1 31++ -0.266 37++++ 25.6 12++ 41.3 37+ 32.7 45++ 17.0 37++ -0.518 35+ 2,069 41++++ 16.1 17
++ -0.075 —
Ohio
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Oklahoma
Okl
ahom
a
Strengths:• High flu vaccination coverage• Low prevalence of excessive drinking• Low prevalence of avoided care due to cost
Challenges: • High early death rate• Low percentage of able-bodied seniors• High prevalence of falls
41.940.615.310.93.08.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: ok.gov/health
13% 6%
13%
5%
23%
10%
in the past three years from 38.8% to 33.6% of adults ages 65+ in fair or better health
in the past year from 5.2% to 4.0% of adults ages 65+
in the past year from 22.9% to 20.7% of residents
in the past year from 80.3% to 75.1% of adults ages 65+
in the past five years from 37.8% to 42.8% of Medicare enrollees ages 65+
in the past five years from 2,274 to 2,398 deaths per 100,000 adults ages 65-74
PHYSICAL INACTIVITY PNEUMONIA VACCINATION
MULTIPLE CHRONIC CONDITIONS
EARLY DEATH
AVOIDED CARE DUE TO COST
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.778 46++ 27.3 31+ -1.526 47+ 12.2 45++ 33.6 39+ 22.4 49+ 8.5 49+++ -0.044 26+++++ 4.1 4+ 11.7 44
++ -0.254 36++ -0.204 35++ 15.7 39+++ 8.7 25+++ 70.5 25++ -0.244 36++ $25 39+ 20.7 48+ 79 41++++ 33.0 18++ 64.7 31++ 466 39
+ -0.236 44+ -0.560 49++ 8.2 39+ 0.0 42+ 3.3 42++++ 14.2 13
++ -0.192 35+++ -0.126 29++++ 4.0 18++++ 94.1 19+ 6.9 44+ 81 45+++ 0.038 27+ 69.6 41+++++ 0.770 8+++++ 64.5 2++++ 75.1 15+++ 43.9 30+ -0.488 45+++ 49.1 26+++ 16.0 23+ 35.1 47+ 3,096 43
+ -0.375 41
+ -1.081 46+ -1.143 44+ 57.4 50++ 8.8 40+ 19.9 41+ 34.9 43+ -0.847 46+ 31.2 45+ 42.8 44+++ 29.4 28+ 20.2 45+ -1.424 48+ 2,398 48++ 20.1 33
+ -0.551 —
Oklahoma
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Oregon
Ore
gon
Strengths:• High prevalence of exercise• Low prevalence of multiple chronic conditions • Low percentage of seniors living in poverty
Challenges: • High prevalence of excessive drinking• High prevalence of falls• High suicide rate
36.238.813.611.54.28.0
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: oregon.gov/oha/ph
29% 72%
9%
21%
61%
14%
in the past three years from 15.7% to 11.1% of adults ages 60+
in the past two years from 99 to 159 aides per 1,000 adults ages 65+ with a disability
in the past three years from 56.9% to 49.2% of adults ages 65+
since 2014 from 18.4% to 31.6% of adults ages 65+
in the past five years from 26.4% to 28.7% of Medicare enrollees ages 65+
in the past two years from 10.3% to 8.1% of adults ages 65+
FOOD INSECURITY FALLS
MULTIPLE CHRONIC CONDITIONS
COGNITIVE DIFFICULTY
HOME HEALTH CARE WORKERS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.502 8++++ 24.1 12+++++ 1.348 3+++++ 21.7 4+++++ 23.7 7+++++ 41.2 2+++++ 18.2 3+ -0.891 45+ 10.1 48+++ 9.4 28
+++++ 0.711 8++++ 0.818 11++++ 11.1 15++++ 7.9 13+++++ 100.0 1++++ 0.604 11+++ $33 30+++++ 5.5 9+++ 50 26+++++ 36.5 9++++ 70.6 13++++ 286 19
+++ 0.324 21++++ 0.513 16++ 7.8 32+++++ 100.0 1+++ 0.8 26+ 19.4 43
+++++ 0.619 7++++ 0.130 20++++ 4.0 18+ 91.6 42++++ 14.1 18++++ 159 16+++++ 0.488 10++++ 75.5 17++++ 0.593 12+ 49.2 41+++++ 77.3 4+++++ 54.8 5+++++ 1.238 4+++++ 53.9 9+++++ 14.0 1++++ 55.5 15+++++ 1,529 6
+++++ 0.579 8
++ -0.026 31+++ 0.093 29+++ 66.4 24++ 8.7 38+++ 17.7 29++++ 45.5 13+++ 0.019 30+ 31.6 46+++++ 28.7 6++++ 27.9 19+++ 13.5 24++ -0.352 33++++ 1,618 14+ 26.5 46
++++ 0.428 —
Oregon
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Pennsylvania
Penn
sylv
ania
Strengths:• High flu vaccination coverage• Low prevalence of falls• High community support expenditure
Challenges: • High level of air pollution• Low prevalence of high health status• High prevalence of food insecurity
34.138.914.212.66.68.1
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.pa.gov
24% 41%
9%
45%
9%
16%
in the past four years from 80.4 to 100.0 participants per 100 adults ages 60+ in poverty
in the past two years from 65.5% to 59.7% of adults ages 65+
in the past two years from 182 to 212 aides per 1,000 adults ages 65+ with a disability
in the past two years from 5.9% to 8.3% of adults ages 65+
since 2014 from 18.2% to 16.5% of adults ages 65+
in the past three years from 6.6 to 9.6 deaths per 100,000 adults ages 65-74
SNAP REACH FREQUENT MENTAL DISTRESS
TEETH EXTRACTIONS
DRUG DEATHS
FLU VACCINATION
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.176 31+ 28.3 41+++ 0.007 24+++ 18.0 23+++ 30.0 30+++ 35.9 24+++ 13.0 27++ -0.389 39++ 7.9 32++ 9.6 31
+++ 0.257 24+++ 0.250 25++ 14.7 35++++ 8.3 20+++++ 100.0 1+++ 0.213 24+++++ $96 7++++ 5.9 11++ 71 37++++ 32.8 19++ 63.9 36+++ 306 22
+ -0.306 46+ -0.597 50+ 9.2 47+ 0.0 42+++ 1.1 28+++ 14.9 22
++++ 0.320 19+++++ 0.692 6+++ 4.2 22+++++ 95.3 10+++++ 18.7 8+++++ 212 8++++ 0.352 13+++ 74.4 21++++ 0.540 13+++++ 59.7 7++++ 75.3 13+++ 44.9 27++ -0.085 33+++ 48.4 29+++ 16.0 23++ 44.8 35+++ 2,587 30
+++ 0.083 28
+++ 0.062 29++ -0.048 34+++ 66.8 21++ 8.3 36+++ 16.9 22++ 38.4 38++++ 0.239 20+++++ 24.2 6++ 41.1 35+++ 28.3 22++ 16.5 35+++ -0.074 24++ 1,826 32+++ 16.8 21
+++ 0.078 —
Pennsylvania
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Rhode Island
Rho
de Is
land
Strengths:• High prevalence of cancer screenings• Low prevalence of falls• High number of geriatricians per capita
Challenges: • High percentage of seniors living in poverty• High risk of social isolation• High percentage of hospital readmissions
33.440.714.312.78.09.9
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.ri.gov
42% 47%
26%
20%
21%
24%
since 2013 from 18.0% to 10.5% of residents
in the past year from 64.3% to 51.1% of adults ages 65+
in the past year from 9.0% to 11.2% of adults ages 65+
in the past four years from 44.8% to 65.8% of certified nursing home beds rated 4- or 5-stars
since 2013 from 36.9% to 46.4% of adults ages 65+
since 2013 from 22.2% to 26.6% of adults ages 65+
LOW-CARE NURSING HOME RESIDENTS NURSING HOME QUALITY
HIGH HEALTH STATUS
OBESITY
FLU VACCINATION
POVERTY
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.203 32+ 30.4 45+++ -0.104 27++ 16.3 31++ 32.7 37++++ 38.4 11++++ 14.6 14+++ -0.047 27++ 8.3 37++++ 8.1 13
++ -0.240 35++ -0.326 37++ 13.9 33+ 11.2 46+++++ 100.0 1+ -0.449 41+ $22 45+++ 10.5 30+ 81 42++ 28.4 33+ 61.6 43+++++ 219 9
++++ 0.532 15++++ 0.700 12+++ 7.3 24+++++ 100.0 1+++++ 0.0 1+ 18.4 41
+++++ 0.638 5+++++ 0.608 7+++ 4.7 26+++++ 96.1 4+++++ 26.9 1+++ 123 27+++++ 0.828 3+++++ 81.1 1+++ 0.280 21++ 51.1 37++++ 75.5 12++++ 49.9 15++++ 0.478 15+++++ 55.0 7+ 17.0 45+++++ 65.8 2+++ 2,334 24
+++ 0.107 25
++++ 0.428 16+++ 0.365 21++++ 67.6 17++ 8.0 32+++ 17.4 27++++ 46.4 11++++ 0.411 13+++++ 25.2 9++ 39.6 31++++ 26.6 12+++ 13.4 23+++++ 0.588 9+++ 1,717 25+++++ 10.7 4
+++ 0.187 —
Rhode Island
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
South Carolina
Sout
h C
arol
ina
Strengths:• Low percentage of hospital readmissions• Low percentage of low-care nursing home residents• Low prevalence of excessive drinking
Challenges: • High prevalence of food insecurity• Low prevalence of exercise• Low home health care worker rate
35.938.514.811.04.29.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: scdhec.gov
16% 11%
18%
25%
19%
11%
in the past four years from 26.8% to 31.2% of adults ages 65+ in fair or better health
in the past year from 6.4% to 5.2% of residents
in the past two years from 82 to 91 aides per 1,000 adults ages 65+ with a disability
in the past five years from 65.3% to 58.4% of adults ages 65+
since 2013 from 10.8% to 8.9% of adults ages 65+
since 2013 from 25.2% to 31.5% of adults ages 65+
PHYSICAL INACTIVITY FLU VACCINATION
COGNITIVE DIFFICULTY
OBESITY
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++ -0.403 38+++ 26.0 26+ -0.915 42++ 14.1 40++ 31.2 34++ 29.7 40+ 9.7 45+++ -0.007 23++++ 6.4 14++ 9.6 31
++ -0.259 37++ -0.458 38+ 15.8 41++ 9.5 35+++ 63.3 29+++ 0.095 29+ $24 41+++++ 5.2 7+++ 55 29+++ 31.9 24++ 64.2 34+ 488 42
+++ 0.194 30+++ 0.013 29+++ 7.4 25++ 32.0 32++ 1.7 35++++ 14.7 18
+++ 0.121 24++ -0.254 34++ 5.0 32++++ 94.5 13++ 9.8 34+ 91 42+++ 0.178 21++++ 75.7 16+++ 0.043 26++++ 58.4 13+++ 73.6 26++ 40.2 40++++ 0.438 17++++ 51.0 16+++++ 15.0 7+++ 48.9 30+++ 2,473 28
++ -0.136 36
++ -0.259 36++ -0.240 38++ 65.7 34++ 8.2 34++ 18.6 38++ 39.5 33++ -0.196 33+++ 26.8 24+++ 38.3 27++ 31.5 36++ 17.0 37++ -0.422 34++ 1,981 38+++ 17.3 24
++ -0.166 —
South Carolina
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
South Dakota
Sout
h D
akot
a
Strengths:• High shingles vaccination coverage• Low prevalence of frequent mental distress• Low prevalence of insufficient sleep
Challenges: • Low percentage of hospice care use• High prevalence of excessive drinking• Low home health care worker rate
32.736.110.611.55.09.2
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: doh.sd.gov
93% 34%
34%
33%
5%
21%
in the past three years from 4.5% to 8.7% of adults ages 65+
in the past year from 17.0% to 16.2% of residents
in the past year from 65.0% to 51.1% of adults ages 65+
since 2013 from 23.8% to 31.8% of adults ages 65+
since 2014 from 19.4% to 12.8% of adults ages 65+
in the past five years from 7.8% to 5.2% of adults ages 65+
EXCESSIVE DRINKING OBESITY
TEETH EXTRACTIONS
COGNITIVE DIFFICULTY
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.020 22+++++ 22.7 6+++ -0.173 29++ 15.9 33++ 30.3 31+++ 36.5 21+++ 13.1 26++ -0.383 38++ 8.7 40+++ 8.9 24
+++ 0.053 30++ -0.196 34++ 13.6 31+++ 9.0 28+ 44.3 45++++ 0.415 17++++ $72 12+ 16.2 46++++ 24 13+++++ 36.8 7+++ 66.4 22++ 405 33
+++++ 1.090 2+++++ 0.933 4+++++ 5.1 4+++++ 100.0 1++ 2.0 37+++++ 11.9 4
+++ 0.073 26+++ -0.102 28++++ 3.7 13++ 91.9 40++ 10.2 32+ 84 44+++ 0.176 22++ 71.2 33+++++ 0.747 9++ 51.1 37+++++ 77.0 6+++++ 55.9 1+++ 0.145 27+ 39.2 46+++++ 15.0 7+++ 51.0 27+++ 2,327 22
+++ 0.177 22
++++ 0.462 13+++++ 0.853 8+++++ 68.8 10+++++ 5.7 5+++++ 15.5 10+++ 42.8 24+++ 0.172 24+++ 27.3 27+++++ 30.8 10++ 31.8 37++++ 12.8 19++++ 0.258 17++++ 1,656 18+++ 17.0 22
++++ 0.248 —
South Dakota
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Tennessee
Tenn
esse
e
Strengths:• Low percentage of low-care nursing home residents• Low prevalence of excessive drinking• High prevalence of seniors with a dedicated health care provider
Challenges: • High early death rate• High prevalence of avoided care due to cost• High prevalence of physical inactivity
38.739.916.310.64.19.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: tn.gov/health
21% 7%
28%
37%
56%
34%
in the past four years from 31.1% to 37.5% of adults ages 65+ in fair or better health
since 2013 from 10.6% to 4.7% of residents
in the past five years from 73.4% to 48.1% of adults ages 65+
since 2013 from 58.6% to 62.6% of adults ages 65+
in the past four years from 23.9% to 30.7% of adults ages 65+
in the past three years from 7.8 to 10.7 deaths per 100,000 adults ages 65-74
PHYSICAL INACTIVITY ABLE-BODIED SENIORS
OBESITY
DRUG DEATHS
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -0.568 41++ 27.3 31+ -0.920 43+ 13.8 41+ 37.5 49++ 31.7 37++++ 14.4 16++ -0.308 36+++++ 4.1 4+ 13.0 48
++ -0.389 39++ -0.172 33++ 14.6 34++ 9.2 32+++ 70.3 26++ -0.373 39+ $22 45+++++ 4.7 4++ 77 40++ 27.6 35+ 59.5 47+ 624 48
++ 0.042 35++ -0.177 38+++ 7.4 25+ 0.0 42+++ 1.1 28++++ 14.7 18
+ -0.602 45+ -1.124 50+ 7.4 48++++ 94.8 12+ 6.2 47+ 64 48++ -0.256 36++++ 75.3 19+ -0.613 42+ 48.1 44++++ 74.5 19+ 38.5 46+ -0.425 44+ 43.7 41+++ 16.0 23++ 43.5 36+ 3,020 41
+ -0.436 44
+ -1.052 44+ -1.250 45+ 62.6 41+ 10.3 47+ 20.6 42+ 34.2 45+ -0.802 44++ 30.0 39++ 41.3 37++ 30.7 32+ 22.0 47+ -1.158 44+ 2,251 43++ 19.8 32
+ -0.590 —
Tennessee
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Texas
Texa
s
Strengths:• High home health care worker rate• Low prevalence of insufficient sleep• High percentage of hospice care use
Challenges: • High prevalence of falls• High prevalence of food insecurity• Low percentage of 4- or 5-star nursing home beds
38.039.915.98.24.210.7
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dshs.state.tx.us
42% 7%
34%
14%
10%
21%
since 2013 from 14.3% to 8.3% of residents
since 2014 from 73.6% to 66.2% of seniors receiving recommended screenings
in the past two years from 57.3% to 45.2% of adults ages 65+
since 2013 from 59.3% to 63.6% of adults ages 65+
since 2013 from 26.3% to 35.3% of adults ages 65+
since 2013 from 11.1% to 9.6% of adults ages 65+
LOW-CARE NURSING HOME RESIDENTS ABLE-BODIED SENIORS
OBESITY
COGNITIVE DIFFICULTY
CANCER SCREENINGS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.162 30+++++ 24.0 10++ -0.471 35++ 15.6 34++ 33.6 39++ 31.8 36++++ 14.8 11++ -0.202 32++ 8.1 33+++ 8.8 21
+ -0.591 45+ -1.048 47+ 17.9 49+ 11.1 45+++ 71.6 23++ -0.120 31+ $21 47++++ 8.3 20++ 61 32++ 27.5 36+++ 65.5 28++ 411 34
+ -0.114 41++ -0.157 37++ 8.3 40+++ 44.5 30++ 2.3 39++ 17.7 37
+ -0.544 44+++ 0.044 25+++ 4.8 29+ 91.6 42++++ 13.9 20+++++ 216 7+ -1.294 50+ 66.2 47+ -0.917 47+ 45.2 49++ 71.3 36++ 41.8 36+ -0.383 42++++ 52.1 13+++ 16.0 23+ 30.1 50++ 2,686 31
+ -0.400 43
+ -0.810 42+ -0.678 41++ 63.6 38++ 8.7 38++ 19.6 39++ 37.4 40+ -1.271 50+ 33.6 50++ 41.9 39+ 35.3 50+++ 13.6 25+++ -0.154 27++ 1,881 33++++ 16.4 18
+ -0.503 —
Texas
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Utah
Uta
h
Strengths:• Low prevalence of smoking• Low risk of social isolation• Low percentage of seniors living in poverty
Challenges: • High prevalence of falls• Low prevalence of seniors with a dedicated health care provider• High suicide rate
34.032.412.77.22.76.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.utah.gov
27% 7%
12%
66%
47%
12%
since 2013 from 14.2% to 10.4% of adults ages 60+
in the past year from 5.5% to 2.9% of residents
in the past three years from 59.0% to 52.0% of adults ages 65+
since 2014 from 30.9% to 28.7% of adults ages 65+
in the past five years from 26.9% to 30.0% of Medicare enrollees ages 65+
in the past three years from 8.9 to 14.8 deaths per 100,000 adults ages 65-74
FOOD INSECURITY FALLS
MULTIPLE CHRONIC CONDITIONS
DRUG DEATHS
LOW-CARE NURSING HOME RESIDENTS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 1.050 1++++ 24.9 17++++ 0.552 13+++++ 20.2 9+++++ 23.6 6++++ 37.0 17++ 11.5 38+++++ 1.912 1+++++ 3.6 1+++++ 5.5 1
+++++ 1.110 1+++++ 0.892 7++++ 10.4 11+++++ 6.1 2+ 42.8 46+++++ 1.425 1++++ $49 17+++++ 2.9 2+++++ 1 1+++++ 44.6 1+++++ 73.5 10++++ 233 12
++++ 0.562 13++++ 0.437 19+ 8.4 43+++++ 100.0 1+++++ 0.1 8++++ 14.2 13
++++ 0.456 13+++ -0.088 27++++ 4.1 20++ 92.5 38++ 9.7 35+++ 119 29+++ -0.008 29+++ 73.0 26+++ 0.160 24++ 52.0 35+++ 73.7 25++++ 49.7 16+++++ 1.465 1+++++ 59.4 1+++++ 14.0 1+++ 53.2 21+++++ 1,228 2
+++++ 0.847 1
++++ 0.342 20++++ 0.425 19++++ 67.1 19++++ 7.0 19+++ 17.2 25++++ 44.6 17++++ 0.312 16++ 28.7 35+++++ 30.0 9+++ 29.2 26+++++ 10.4 8++++ 0.234 18+++++ 1,516 7++ 21.3 38
+++++ 0.720 —
Utah
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Vermont
Verm
ont
Strengths:• Low prevalence of multiple chronic conditions • High prevalence of high health status• Low prevalence of food insecurity
Challenges: • High prevalence of falls• Low percentage of hospice care use• Low prevalence of cancer screenings
32.637.911.812.95.57.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: healthvermont.gov
33% 15%
16%
13%
26%
9%
in the past three years from 15.4% to 10.3% of adults ages 60+
since 2013 from 6.5% to 8.2% of residents
in the past two years from 209 to 190 aides per 1,000 adults ages 65+ with a disability
since 2014 from 82.8% to 70.6% of seniors receiving recommended screenings
in the past five years from 65.0% to 54.4% of adults ages 65+
in the past five years from 1,708 to 1,486 deaths per 100,000 adults ages 65-74
FOOD INSECURITY CANCER SCREENINGS
FLU VACCINATION
EARLY DEATH
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.772 5++++ 24.2 14+++++ 1.150 6+++++ 20.1 10+++++ 25.3 9+++++ 42.2 1+++++ 18.4 2++++ 0.177 14+++ 7.8 30+++++ 7.8 8
+++++ 0.634 10++++ 0.584 15+++++ 10.3 10++ 9.3 33++++ 98.6 13++++ 0.525 14+++++ $105 6++++ 8.2 19++++ 38 20++++ 33.6 16++++ 68.2 16+++++ 172 2
+++++ 0.906 5+++++ 1.067 3+++++ 5.1 4+++++ 100.0 1++++ 0.5 15++ 17.0 34
++++ 0.349 18+++++ 0.534 8+++++ 3.4 6++++ 94.4 16+++ 11.6 26++++ 190 12+++ 0.106 26++ 70.6 36+++++ 0.730 10+++ 54.4 28++++ 74.8 18+++++ 55.5 2++++ 0.408 18+ 42.9 43+++++ 15.0 7+++ 50.2 29++++ 1,856 12
+++++ 0.631 6
++++ 0.520 11+++++ 1.000 6++++ 68.1 14++++ 6.6 12++++ 16.3 16+++++ 52.6 1+++ 0.051 27+ 32.9 48+++++ 26.2 4+++++ 25.4 6++ 15.4 32++++ 0.498 11+++++ 1,486 5+++ 18.5 29
+++++ 0.603 —
Vermont
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Virginia
Vir
gini
a
Strengths:• Low prevalence of food insecurity• Low prevalence of falls• Low violent crime rate
Challenges: • Low coverage of smokefree laws• High prevalence of smoking• Low percentage of 4- or 5-star nursing home beds
32.938.413.810.15.07.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: www.vdh.virginia.gov
30% 27%
12%
76%
8%
6%
in the past four years from 13.9% to 9.7% of adults ages 60+
in the past year from 63.8% to 58.9% of adults ages 65+
in the past five years from 35.2% to 37.3% of Medicare enrollees ages 65+
since 2014 from 16.1% to 11.8% of adults ages 65+
since 2013 from 9.4% to 8.3% of adults ages 65+
in the past three years from 3.8 to 6.7 deaths per 100,000 adults ages 65-74
FOOD INSECURITY TEETH EXTRACTIONS
COGNITIVE DIFFICULTY
DRUG DEATHS
FLU VACCINATION
MULTIPLE CHRONIC CONDITIONS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.030 24++ 27.7 34+++ 0.046 23+++ 18.1 21++++ 27.7 17++ 33.2 31++ 12.8 31+++ -0.101 28++++ 6.2 13++ 10.1 38
++++ 0.611 11++++ 0.592 14+++++ 9.7 7+++ 8.4 21++ 62.0 32++++ 0.501 15++ $26 37++++ 7.6 17++++ 28 15++++ 33.5 17++++ 70.1 15+++++ 200 4
++ 0.124 32++ -0.060 33++++ 6.9 17+ 0.0 42+++ 1.1 28+++ 14.9 22
++ -0.041 31++ -0.246 33++ 5.2 34+++ 93.6 27+++ 12.0 25++ 114 33++++ 0.360 12++++ 74.9 20++++ 0.473 17++++ 58.9 12+++ 73.9 24+++ 47.1 21++ -0.238 35++ 45.3 37+++ 16.0 23++ 40.3 40+++ 2,381 26
+++ 0.201 21
+++ 0.268 24+++ 0.285 23++++ 66.9 20+++ 7.2 23+++ 17.1 23+++ 42.3 27++++ 0.362 14+++++ 25.3 10+++ 37.3 24+++ 29.2 26++++ 11.8 13+++ 0.046 23+++ 1,751 27+++ 17.3 24
+++ 0.218 —
Virginia
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Washington
Was
hing
ton
Strengths:• Low prevalence of physical inactivity• High voter turnout• Low percentage of seniors living in poverty
Challenges: • Low community support expenditure• High suicide rate• Low percentage of hospice care use
35.538.013.610.04.37.7
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: doh.wa.gov
26% 9%
16%
16%
9%
30%
since 2013 from 14.3% to 10.6% of adults ages 60+
in the past year from 63.9% to 58.4% of adults ages 65+
in the past year from 8.8% to 6.2% of residents
in the past two years from 44.1% to 47.9% of adults ages 65+
since 2014 from 32.7% to 27.6% of adults ages 65+
in the past three years from 8.6 to 10.0 deaths per 100,000 adults ages 65-74
FOOD INSECURITY HIGH HEALTH STATUS
FALLS
DRUG DEATHS
FLU VACCINATION
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++++ 0.995 3+++++ 24.0 10+++++ 1.393 1+++++ 21.2 5+++++ 20.4 2+++++ 41.2 2+++++ 16.6 6+++++ 0.441 7+++ 7.7 28+++++ 7.0 5
+++++ 0.944 3+++++ 1.046 4++++ 10.6 12+++++ 7.2 7+++++ 100.0 1+++++ 0.943 5+ $19 50++++ 6.2 12++++ 30 16+++++ 36.8 7+++++ 77.0 5+++ 312 23
++++ 0.386 20++++ 0.440 18++ 8.0 34+++++ 100.0 1+++ 1.1 28++ 17.3 35
+++++ 0.635 6++++ 0.324 14+++++ 3.6 10++ 93.4 34+++ 13.1 21+++ 145 22+++++ 0.760 5+++ 74.4 21+++++ 1.220 1++++ 58.4 13+++++ 78.0 2+++++ 54.4 7+++++ 0.820 8++ 45.6 36+++++ 15.0 7++++ 58.1 11+++++ 1,514 5
+++++ 0.801 3
+++++ 0.580 9++++ 0.758 11+++ 66.0 30+++++ 6.2 8++++ 15.8 12+++++ 47.9 7+++++ 0.656 7+++ 27.6 29+++++ 29.7 8++++ 26.9 13+++++ 9.3 4+++ 0.070 21++++ 1,591 13++ 21.4 39
+++++ 0.745 —
Washington
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
West Virginia
Wes
t Vir
gini
a
Strengths:• Low prevalence of excessive drinking• High flu vaccination coverage• Low prevalence of severe housing problems
Challenges: • High prevalence of food insecurity• High prevalence of smoking• High early death rate
43.139.517.412.94.59.4
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhhr.wv.gov
16% 9%
23%
22%
7%
14%
since 2013 from 41.2% to 34.7% of adults ages 65+ in fair or better health
in the past year from 11.1 to 10.3 per 100,000 adults ages 65+
in the past five years from 73.9% to 63.5% of adults ages 65+
in the past year from 3,806 to 4,143 discharges per 100,000 Medicare enrollees ages 65-74
since 2013 from 27.7% to 34.0% of adults ages 65+
since 2014 from 33.7% to 26.3% of adults ages 65+
PHYSICAL INACTIVITY PREVENTABLE HOSPITALIZATIONS
OBESITY
TEETH EXTRACTIONS
GERIATRICIANS
FLU VACCINATION
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+ -1.101 49+ 32.8 48+ -1.582 49+ 11.8 46+ 34.7 44+ 21.6 50+ 9.2 48++ -0.200 31+++++ 3.6 1+ 13.8 50
+ -0.427 42+ -0.674 44+ 17.8 47++ 10.0 37++++ 84.2 16++ -0.369 38+++ $39 23+++ 9.3 26+ 91 47+++ 31.0 26+ 62.1 41++++ 290 20
++ 0.014 36+ -0.450 46+++ 7.6 29+++ 65.1 28+ 14.4 49+++++ 11.4 2
+ -0.643 46+ -0.802 45+ 6.9 44+++ 94.0 21++ 10.3 31++ 100 39++ -0.134 31++ 69.8 39++++ 0.450 19+++++ 63.5 4+++ 73.0 29++ 42.8 34+ -0.993 50+ 42.9 43+++ 16.0 23+ 35.2 46+ 4,143 50
+ -0.606 46
+ -1.452 50+ -1.860 50+ 58.8 48+ 11.3 48+ 23.6 50+ 33.0 47+ -1.041 48++ 28.4 33+ 45.6 48+ 34.0 47+ 26.3 50+ -1.460 50+ 2,353 46++ 21.1 37
+ -0.817 —
West Virginia
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Wisconsin
Wis
cons
in
Strengths:• High percentage of able-bodied seniors• High percentage of volunteerism• High prevalence of exercise
Challenges: • High prevalence of excessive drinking• Low flu vaccination coverage• High percentage of serious drinking water violations
31.235.911.911.45.87.6
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: dhs.wisconsin.gov
11% 77%
18%
8%
14%
39%
in the past three years from 7.1% to 7.9% of adults ages 65+
in the past year from 52.7% to 45.4% of adults ages 65+
since 2014 from 13.6% to 8.3% of residents
since 2014 from 14.5% to 25.7% of adults ages 65+
in the past two years from 34.6% to 28.4% of adults ages 65+
since 2013 from 1,801 to 1,660 deaths per 100,000 adults ages 65-74
POVERTY FALLS
OBESITY
EARLY DEATH
FLU VACCINATION
LOW-CARE NURSING HOME RESIDENTS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
+++ -0.021 23+++ 25.3 22++++ 0.427 14+++++ 20.6 7+++ 29.2 26+++++ 38.9 10+++ 13.2 25+ -0.919 46+ 10.1 48+++ 9.5 30
+++++ 0.837 5++++ 0.782 12+++++ 10.2 9++++ 7.9 13++++ 80.2 18+++++ 0.979 4+++ $39 23++++ 8.3 20++++ 20 11+++++ 37.1 5+++++ 76.0 7+++ 295 21
+++ 0.200 28+++ 0.000 30++++ 6.8 15+++++ 100.0 1+ 20.1 50++++ 14.4 17
++++ 0.484 11+++++ 0.508 10++++ 3.9 16++++ 94.5 13+++ 11.4 28+++++ 234 5+++ 0.136 25+++++ 76.9 10++ -0.213 34+ 45.4 48++++ 74.9 17++++ 48.4 18+++++ 0.808 9+++++ 54.2 8+++++ 15.0 7++++ 53.9 20++++ 2,084 17
++++ 0.429 14
+++++ 0.558 10++++ 0.610 15+++++ 69.4 4++++ 6.5 11+++ 17.7 29++++ 44.2 19+++++ 0.566 9++++ 25.7 13++++ 33.6 15+++ 28.4 24+++++ 10.5 9++++ 0.440 12++++ 1,660 19++++ 14.4 13
++++ 0.461 —
Wisconsin
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
State Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
State Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
Wyoming
Wyo
min
g
Strengths:• Low prevalence of multiple chronic conditions • Low percentage of seniors living in poverty• Low prevalence of frequent mental distress
Challenges: • Low prevalence of cancer screenings• Low prevalence of seniors with a dedicated health care provider• High suicide rate
36.337.510.510.52.77.9
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
State Health Department Website: health.wyo.gov
20% 26%
19%
29%
33%
12%
in the past year from 33.8% to 27.2% of adults ages 65+ in fair or better health
since 2013 from 19.2% to 12.8% of residents
in the past two years from 86 to 96 aides per 1,000 adults ages 65+ with a disability
in the past two years from 9.1% of adults to 11.5% of adults ages 60+
in the past two years from 32.1% to 26.0% of adults ages 65+
since 2013 from 20.4% to 26.4% of adults ages 65+
PHYSICAL INACTIVITY FOOD INSECURITY
FALLS
OBESITY
LOW-CARE NURSING HOME RESIDENTS
HOME HEALTH CARE WORKERS
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
++++ 0.110 19++++ 25.0 18++++ 0.227 19++++ 19.9 12++++ 27.2 16+++ 33.6 29++ 12.4 35++ -0.297 35+++ 7.3 23++ 9.8 34
++++ 0.581 12+++ 0.358 22++++ 11.5 18+++++ 7.3 8+ 28.4 50+++++ 0.738 9+++++ $137 4++ 12.8 38+++++ 14 8+++ 32.6 21++++ 71.8 12+++++ 212 7
++++ 0.592 12+++ 0.303 23+++++ 5.0 3+ 0.3 41++++ 0.6 20+++++ 11.8 3
+ -0.538 43+ -0.726 42+++ 4.9 30+ 87.1 49++ 8.4 40++ 96 40+ -1.090 47+ 62.8 50++ -0.483 40++ 52.9 31++ 70.1 40++ 42.9 33+++ 0.203 26+ 31.7 47+++++ 15.0 7+++ 52.5 23++++ 1,682 11
+++ 0.158 23
++++ 0.394 17++++ 0.573 17+++ 66.1 29+++++ 6.1 7++++ 16.0 15+++ 43.7 22+++++ 0.753 6++++ 26.0 17+++++ 23.6 1++++ 26.4 11++ 16.1 34++ -0.680 39+++ 1,723 26+ 30.4 49
+++ 0.217 —
Wyoming
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
D.C. Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Summary
Trends Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Highlights:
Risk of Social Isolation by County
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
D.C. Value (%)
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
District of Columbia
Dis
tric
t of C
olum
bia
Strengths:• High home health care worker rate• Low prevalence of obesity• High flu vaccination coverage
Challenges: • High prevalence of excessive drinking• High prevalence of food insecurity• High prevalence of falls
35.845.417.611.119.614.5
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
14% 16%
18%
209%
51%
25%
in the past year from 17.7% to 20.1% of adults ages 60+
in the past year from 6.3% to 3.1% of adults ages 65+
in the past year from 100.0 to 74.8 participants per 100 adults ages 60+ in poverty
in the past two years from 51.7% to 59.8% of adults ages 65+
since 2013 from 39.3% to 46.4% of adults ages 65+
in the past three years from 20.4 to 63.0 deaths per 100,000 adults ages 65-74
FOOD INSECURITY FLU VACCINATION
HIGH HEALTH STATUS
DRUG DEATHS
AVOIDED CARE DUE TO COST
SNAP REACH
Health Department Website: dchealth.dc.gov
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
—Indicates data suppressed.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
27.0‡
19.026.443.529.0
‡10.211.8
‡20.116.774.8
‡$250
‡99
30.466.7996
‡9.8‡‡
21.5
‡3.1
92.044.5371
‡74.5
‡59.871.043.6
‡32.017.061.6
3,559
‡
‡64.07.813.646.4
‡31.735.725.210.9
‡1,9578.6
‡
District of Columbia
2020 Value
‡ Scores not calculated for D.C.
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
Nation
For source details and methodology visit www.AmericasHealthRankings.org.
FLU VACCINATION
PERC
ENTA
GE
OF
AD
ULT
S AG
ES 6
5+PE
RCEN
TAG
E O
F A
DU
LTS
AGES
60
+
100
80
60
40
20
0
30
25
20
15
10
5
0
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
2013 2014 2015 2016 2017 2018 2019 2020EDITION YEAR
FOOD INSECURITY
Trends
Highlights:
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 ® S E N I O R DATA 2 0 2 0 U P DAT E
United StatesU
nite
d St
ates
Risk of Social IsolationSocial isolation, defined as an absence of meaningful social relationships, can negatively impact physical health and mental well-being of seniors. The risk of social isolation measure can be used by states to identify counties in greater need of inter-ventions that alleviate isolation and loneliness in older adults.
Source: U.S. Census Bureau, American Community Survey, 2014-2018
Risk Factors Among Adults Ages 65+ Disability Divorced, Separated or Widowed Independent Living Difficulty Live Alone Never Married Poverty
U.S. Value (%)35.338.713.910.95.48.8
State Nation
Flu Vaccination - Ages 65+
State Nation
Food Insecurity - Ages 60+
18% in the past year from 11.9% to 9.8% of residents
LOW-CARE NURSING HOME RESIDENTS
5% since 2013 from 63.2% to 66.1% of adults ages 65+
ABLE-BODIED SENIORS
7% in the past two years from 29.5% to 27.4% of adults ages 65+
FALLS
7% in the past two years from 14.5% to 13.5% of adults ages 65+
TEETH EXTRACTIONS
27% in the past two years from 137 to 174 aides per 1,000 adults ages 65+ with a disability
HOME HEALTH CARE WORKERS
5% in the past five years from 37.6% to 39.3% of Medicare enrollees ages 65+
MULTIPLE CHRONIC CONDITIONS
3% in the past three years from 16.5 to 17.0 deaths per 100,000 adults ages 65+
SUICIDE
35% in the past three years from 6.8 to 9.2 deaths per 100,000 adults ages 65–74
DRUG DEATHS
4% in the past three years from 9.0% to 9.4% of adults ages 65+
POVERTY
10% in the past year from 60.4% to 54.1% of adults ages 65+
FLU VACCINATION
Health Department Website: hhs.gov
<= 18th 19th to 38th 39th to 57th 58th to 77th >= 78th
Percentile of the mean z-scores for six risk factors in adults ages 65 and older, relative to all U.S. counties
AMERICA’S HEALTH RANKINGS® SENIOR DATA 2020 UPDATE www.AmericasHealthRankings.org
* Value indicates z-score. 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.
� Not calculated.
Rating 2020 Value 2020 Rank No. 1 State
1.05020.91.39324.520.342.219.61.9123.65.5
1.1101.3986.65.5
100.01.425$265
2.11
44.678.9112
1.2721.1104.4
100.00.011.2
0.7951.5242.8
96.626.9398
0.85081.1
1.22065.678.655.91.46559.414.067.91,128
0.847
1.1831.54370.64.613.252.6
1.66020.023.617.46.2
1.0981,4199.4
0.868
B E H AV I O RS*
S O C I A L & EC O N O M I C FACTO RS*
P H YS I CA L E N V I RO N M E N T*
C L I N I CA L CA R E*
H E A LT H O U TC O M E S*
MeasuresRating Rank
+++++++++
+++++
+
1–1011–2021–3031–4041–50
Insufficient Sleep (% of adults ages 65+)Physical Activity and Nutrition* Exercise (% of adults ages 65+) Physical Inactivity (% of adults ages 65+ in fair or better health) Fruit Consumption (% of adults ages 65+) Vegetable Consumption (% of adults ages 65+)Substance Use* Excessive Drinking (% of adults ages 65+) Smoking (% of adults ages 65+)
Household Economics* Food Insecurity (% of adults ages 60+) Poverty (% of adults ages 65+) SNAP Reach (participants per 100 adults ages 60+ living in poverty)Social Support and Engagement* Community Support Expenditure (dollars per adult ages 60+) Low-care Nursing Home Residents (% of residents) Risk of Social Isolation (percentile of mean z-scores for risk factors in adults 65+) Volunteerism (% of adults ages 65+) Voter Turnout (% of citizens ages 65+)Violent Crime (offenses per 100,000 population)
Air and Water Quality* Air Pollution (micrograms of fine particles per cubic meter) Non-smoking Regulation (% of population) Drinking Water Violations (% of community water systems)Severe Housing Problems (% of occupied housing units)
Access to Care* Avoided Care Due to Cost (% of adults ages 65+) Dedicated Health Care Provider (% of adults ages 65+) Geriatricians (number per 100,000 adults ages 65+) Home Health Care Workers (number per 1,000 adults ages 65+ with a disability)Preventive Clinical Services* Cancer Screenings (% of seniors) Immunizations* Flu Vaccination (% of adults ages 65+) Pneumonia Vaccination (% of adults ages 65+) Shingles Vaccination (% of adults ages 65+)Quality of Care* Hospice Care (% of Medicare decedents) Hospital Readmissions (% of hospitalized Medicare enrollees ages 65–74) Nursing Home Quality (% of 4- or 5-star beds) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees ages 65–74) ALL DETERMINANTS*
Health Status* Able-bodied (% of adults ages 65+) Frequent Mental Distress (% of adults ages 65+) Frequent Physical Distress (% of adults ages 65+) High Health Status (% of adults ages 65+)Injury and Illness* Falls (% of adults ages 65+) Multiple Chronic Conditions, 4+ (% Medicare enrollees ages 65+) Obesity (% of adults ages 65+) Teeth Extractions (% of adults ages 65+)Mortality* Early Death (deaths per 100,000 adults ages 65-74) Suicide (deaths per 100,000 adults ages 65+)
OVERALL*
027.3
017.629.434.913.4
07.28.9
00
13.49.4
78.80
$559.8�
28.066.1381
00
8.461.11.7
17.9
00
5.293.714.11740
74.10
54.173.644.4
048.216.047.3
2,504
0
00
66.17.917.741.10
27.439.328.913.5
01,78317.0
0
United States
2020 Value