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E-Rankings by State >
North Dakota
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North Dakota (2009)
America’s Health Rankings™
Ranking:
North Dakota is 17th this year; it was 11th in 2008.
Strengths:
Strengths include a low violent crime rate at 167 offenses per
100,000 population, a low incidence of infectious disease at 2.4 cases per 100,000
population, few poor mental and physical health days per month at 2.2 days and 2.8
days in the previous 30 days, respectively, and low levels of air pollution at 5.6
micrograms of fine particulate per cubic meter.
Challenges:
Challenges include a high prevalence of binge drinking at 22.4
percent of the population, a high occupational fatalities rate at 6.8 deaths per
100,000 workers and high geographic disparity within the state at 17.7 percent.
North Dakota ranks lower for health determinants than for health outcomes, indicating
that overall healthiness may decline over time.
Significant Changes:
In the past year, the high school graduation rate declined from 86.3 percent to
82.1 percent of incoming ninth graders who graduate within four years.
In the past year, the percentage of children in poverty increased from 12.5 percent
to 17.2 percent of persons under age 18.
In the past ten years, the rate of deaths from cardiovascular disease decreased
from 325.1 to 257.3 deaths per 100,000 population.
Since 1990, the prevalence of obesity increased from 12.1 percent to 27.7 percent
of the population.
Health Disparities:
In North Dakota, obesity is more prevalent among non-Hispanic American
Indians at 45.4 percent than non-Hispanic whites at 25.8 percent. The prevalence
of diabetes also varies by race and ethnicity in the state; 12.8 percent of non-Hispanic
American Indians have diabetes compared to 6.5 percent of non-Hispanic whites. In
addition, mortality rates vary in North Dakota, with 1,343.8 deaths per 100,000
population among American Indians compared to whites, who experience 711.3 deaths
per 100,000 population.
State Health Department Web Site:
www.health.state.nd.us
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Download this state summary as a PDF file
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New! Supplemental Measures
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America’s Health Rankings™ have been expanded to include 15 more state-specific measures of health, from Daily Vegetable and Fruit intake to Incidence of High Blood Pressure and Diabetes. GO
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View Supplemental Measures
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| North Dakota - Core Measures | | | 2009 | 2008 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | High School Graduation (Percent of incoming ninth graders) | 82.1 | 9 | 86.3 | 5 | 87.5 | | Prevalence of Obesity (Percent of population) | 27.7 | 31 | 27.0 | 28 | 19.1 | | Prevalence of Smoking (Percent of population) | 18.1 | 23 | 20.9 | 32 | 9.3 | | Prevalence of Binge Drinking (Percent of population) | 22.4 | 49 | 22.2 | 49 | 9.0 | | Community & Environment | | | | | | | Occupational Fatalities (Deaths per 100,000 workers) | 6.8 | 41 | 7.8 | 39 | 3.1 | | Infectious Disease (Cases per 100,000 population) | 2.4 | 1 | 2.5 | 1 | 2.4 | | Air Pollution (Micrograms of fine particles per cubic meter) | 5.6 | 3 | 5.6 | 3 | 4.8 | | Children in Poverty (Percent of persons under age 18) | 17.2 | 24 | 12.5 | 8 | 8.6 | | Violent Crime (Offenses per 100,000 population) | 166 | 4 | 142 | 4 | 117 | | Public & Health Policies | | | | | | | Lack of Health Insurance (Percent of population) | 10.9 | 11 | 11.0 | 13 | 5.4 | | Immunization Coverage (Percent of children ages 19 to 35 months) | 74.2 | 38 | 81.7 | 13 | 85.0 | | Public Health Funding (Dollars per person) | $67 | 28 | $67 | 28 | $220 | | Clinical Care | | | | | | | Prenatal Care (Percent of pregnant women) | 68.5 | 22 | 69.6 | 32 | 86.1 | | Preventable Hospitalizations (Number per 1,000 Medicare enrollees) | 73.5 | 29 | 74.7 | 25 | 29.3 | | Primary Care Physicians (Number per 100,000 population) | 122.7 | 17 | 121.4 | 18 | 190.0 | | Health Outcomes | | | | | | | Premature Death (Years lost per 100,000 population) | 6419 | 10 | 6484 | 17 | 5595 | | Poor Physical Health Days (Days in the previous 30 days) | 2.8 | 2 | 2.7 | 1 | 2.7 | | Infant Mortality (Deaths per 1,000 live births) | 5.9 | 12 | 6.1 | 17 | 4.8 | | Poor Mental Health Days (Days in the previous 30 days) | 2.2 | 1 | 2.4 | 1 | 2.2 | | Geographic Disparity (Relative standard deviation) | 17.7 | 46 | 16.3 | 42 | 4.3 | | Cancer Deaths (Deaths per 100,000 population) | 183.4 | 11 | 179.8 | 7 | 144.7 | | Cardiovascular Deaths (Deaths per 100,000 population) | 257.3 | 19 | 263.7 | 13 | 212.6 | | | | Summation | | | | | | | All Determinants | 0.228 | 19 | 0.319 | 15 | 0.827 | | All Outcomes | 0.193 | 14 | 0.207 | 13 | 0.348 | | Overall | 0.421 | 17 | 0.526 | 11 | 1.064 |
| North Dakota - Supplemental Measures | | | 2009 | 2008 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | Cholesterol Check (Percent of adult population) | 72.7 | 37 | 72.7 | 37 | 84.6 | | Recent Dental Visit (Percent of adult population) | 74.0 | 13 | 72.2 | 17 | 80.2 | | Daily Vegetables and Fruit (Percent of population) | 21.9 | 32 | 21.9 | 32 | 30.0 | | Physical Activity (Percent of adult population) | 74.4 | 29 | 77.5 | 24 | 81.9 | | Chronic Disease | | | | | | | Stroke (Percent of adult population) | 2.4 | 18 | 2.3 | 12 | 1.8 | | High Cholesterol (Percent of adult population) | 37.1 | 19 | 37.1 | 19 | 32.4 | | High Blood Pressure (Percent of adult population) | 26.0 | 15 | 26.0 | 15 | 19.7 | | Heart Attack (Percent of adult population) | 4.1 | 20 | 3.9 | 16 | 2.9 | | Cardiac Heart Disease (Percent of adult population) | 3.9 | 13 | 4.1 | 22 | 2.7 | | Diabetes (Percent of adult population) | 7.5 | 18 | 6.3 | 5 | 5.9 | | Economic | | | | | | | Per Capita Personal Income (Dollars per person) | $39321 | 20 | $36082 | 26 | $56248 | | Underemployment Rate (Percent) | 6.1 | 2 | 5.8 | 5 | 5.7 | | Annual Unemployment Rate (Percent) | 3.2 | 3 | 3.1 | 8 | 3.0 | | Median Household Income (Dollars per household) | $49631 | 28 | $49018 | 34 | $66176 | | August 2009 Unemployment Rate (Percent) | 4.3 | 1 | 3.3 | 2 | 4.3 | | Health Outcomes | | | | | | | Health Status (Percent report fair or poor health) | 13.4 | 18 | 12.5 | 7 | 10.7 |
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