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Maryland Value:
Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension
Maryland Rank:
Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension
40.4% - 33.0%
32.9% - 31.9%
31.8% - 30.1%
30.0% - 27.6%
27.5% - 20.3%
US Value: 30.5%
Top State(s): Massachusetts: 40.4%
Bottom State(s): New Mexico: 20.3%
Definition: Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension
Data Source and Years(s): U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, National Assessment of Educational Progress, Reading Assessment, 2024
Suggested Citation: America's Health Rankings analysis of U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, National Assessment of Educational Progress, Reading Assessment, United Health Foundation, AmericasHealthRankings.org, accessed 2026.
Fourth grade reading proficiency is an important indicator of adequate educational development. By the time a child reaches fourth grade, they are expected to be able to read to learn other academic subjects. If a child is not proficient in reading by this age, it becomes harder for them to succeed academically. A 2011 study found that children who are not reading proficiently by the end of third grade are much less likely to graduate from high school. Higher educational attainment is associated with better jobs, higher earnings, increased health knowledge, higher life expectancy and fewer chronic conditions.
Several factors contribute to a child’s reading proficiency, including readiness for school, chronic absences, summer learning loss, family-related stressors and quality of teaching.
In 2024, 70% of fourth graders in the United States could not read proficiently for their age.
The National Assessment of Educational Progress uses cut points to determine proficiency levels. Fourth grade reading scores are higher among:
Research shows that providing young children with consistent language-rich experiences, such as talking, reading and singing, can positively impact brain development and future school success. Head Start programs promote school readiness and provide early learning opportunities for young children from low-income families.
County Health Rankings & Roadmaps lists several evidence-based strategies that improve reading outcomes:
Healthy People 2030 has a goal to increase the proportion of fourth graders with reading skills at or above the proficient level for their grade.
2024 KIDS COUNT Data Book: State Trends in Child Well-Being. Baltimore, MD: The Annie E. Casey Foundation, 2024. https://assets.aecf.org/m/resourcedoc/aecf-2024kidscountdatabook-2024.pdf.
2026 KIDS COUNT Data Book: State Trends in Child Well-Being. Baltimore, MD: The Annie E. Casey Foundation, 2026. https://assets.aecf.org/m/resourcedoc/Aecf-2026kidscountdatabook.pdf.
Balaj, Mirza, Claire A. Henson, Amanda Aronsson, Aleksandr Aravkin, Kathryn Beck, Claire Degail, Lorena Donadello, et al. “Effects of Education on Adult Mortality: A Global Systematic Review and Meta-Analysis.” The Lancet Public Health 9, no. 3 (March 1, 2024): e155–65. https://doi.org/10.1016/S2468-2667(23)00306-7.
Fiester, Leila. Early Warning Confirmed: A Research Update on Third-Grade Reading. Baltimore, MD: The Annie E. Casey Foundation, 2013. https://assets.aecf.org/m/resourcedoc/AECF-EarlyWarningConfirmed-2013.pdf.
Hernandez, Donald J. Double Jeopardy: How Third-Grade Reading Skills and Poverty Influence High School Graduation. Baltimore, MD: The Annie E. Casey Foundation, April 2011. https://files.eric.ed.gov/fulltext/ED518818.pdf.
Why Education Matters to Health: Exploring the Causes. Issue Brief #2. Education and Health Initiative. Richmond, VA: The VCU Center on Society and Health and Robert Wood Johnson Foundation, April 2014. https://societyhealth.vcu.edu/media/society-health/pdf/test-folder/CSH-EHI-Issue-Brief-2.pdf.
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