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Washington Value:
Average of the percentage of female U.S. citizens age 18 and older who voted in the last presidential and national midterm elections
Washington Rank:
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Average of the percentage of female U.S. citizens age 18 and older who voted in the last presidential and national midterm elections
>= 66.9%
62.3% - 66.8%
59.7% - 62.2%
56.9% - 59.6%
<= 56.8%
US Value: 60.7%
Top State(s): Oregon: 73.3%
Bottom State(s): West Virginia: 47.3%
Definition: Average of the percentage of female U.S. citizens age 18 and older who voted in the last presidential and national midterm elections
Data Source and Years(s): U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, 2020/2022
Suggested Citation: America's Health Rankings analysis of U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Voting is a form of active civic engagement associated with better health, reduced violence in the community and lower unemployment rates. Furthermore, election outcomes affect many aspects of life, including individual wealth, rights, education, social services, and health care access and quality.
Women gained the right to vote a century ago, and since 1980, they have consistently voted at significantly higher rates than men. There is evidence that women vote differently from men as well, focusing on issues such as funding for child welfare and public health.
Although overall voter turnout has steadily increased over the last several decades, disparities exist among certain groups. According to data from the United States Census Bureau, the prevalence of voter turnout in 2020 was higher among:
Interventions are needed at multiple levels to increase voter participation in the U.S., particularly to address disparities. Ways to remove barriers to voting include:
Many national- and state-level organizations are committed to improving voter access and turnout. One such organization, Vot-ER, promotes civic engagement by empowering health care institutions and providers to register patients and others in their institutions to vote
Healthy People 2030 identifies civic participation as a key issue in the Social and Community Context domain and has a goal to increase the proportion of the voting-age population that votes.
Brennan, Jan. “Increasing Voter Turnout in Local Elections.” National Civic Review 109, no. 1 (Spring 2020): 16–23. https://www.jstor.org/stable/10.32543/naticivirevi.109.1.0016.
Brown, Chloe L., Danyaal Raza, and Andrew D. Pinto. “Voting, Health and Interventions in Healthcare Settings: A Scoping Review.” Public Health Reviews 41, no. 1 (December 2020): 16. https://doi.org/10.1186/s40985-020-00133-6.
Citrin, Jack, Donald P. Green, and Morris Levy. “The Effects of Voter ID Notification on Voter Turnout: Results from a Large-Scale Field Experiment.” Election Law Journal: Rules, Politics, and Policy 13, no. 2 (June 2014): 228–42. https://doi.org/10.1089/elj.2013.0209.
Hajnal, Zoltan, Nazita Lajevardi, and Lindsay Nielson. “Voter Identification Laws and the Suppression of Minority Votes.” The Journal of Politics 79, no. 2 (2017): 363–79. https://doi.org/10.1086/688343.
Miller, Grant. “Women’s Suffrage, Political Responsiveness, and Child Survival in American History.” The Quarterly Journal of Economics 123, no. 3 (August 1, 2008): 1287–1327. https://doi.org/10.1162/qjec.2008.123.3.1287.
Rome, Sunny Harris. “Why Voting Matters.” In Promote the Vote: Positioning Social Workers for Action, by Sunny Harris Rome, 31–49. Cham, Switzerland: Springer International Publishing, 2022. https://doi.org/10.1007/978-3-030-84482-0_2.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.