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Summary of 
Missouri
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state
Missouri
health
department
external-link

Strengths

  • Low prevalence of non-medical drug use
  • High prevalence of high school completion
  • Low prevalence of high-risk HIV behaviors

Challenges

  • High premature death rate
  • High prevalence of cigarette smoking
  • High homicide rate

Key Findings

On This Page

Rankings
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Featured Measures
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Reports
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Featured Measures

View state data on various measures and see how it compares to other states and the U.S. overall.

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Current Reports

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.

increase

Annual Report

Published January 2026

Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

report

Senior Report

Published May 2025

A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

women-children

Health of Women and Children Report

Published December 2025

Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

veteran

Health of Those Who Have Served Report

Published July 2022

A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

health

Maternal and Infant Health Disparities Data Brief

Published August 2024

Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

  • increase

    Annual Report

    Published January 2026

    Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

  • report

    Senior Report

    Published May 2025

    A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

  • women-children

    Health of Women and Children Report

    Published December 2025

    Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

  • veteran

    Health of Those Who Have Served Report

    Published July 2022

    A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

  • health

    Maternal and Infant Health Disparities Data Brief

    Published August 2024

    Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

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Reports

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Measures Impacting a State's Rank

See which measures have the most impact on Missouri’s 2025 Annual Report ranking and how Missouri ranks on all measures.

Missouri’s 2025 Annual Report Ranking: #39Adjust My Rank

Ranked by:  
Annual Report

Top Positive Impact

Missouri
1.
2.
3.
4.
5.
Positive Impact

Negative Impact

Missouri
46.
47.
48.
49.
50.
-0.20
-0.10
0.00
0.10
0.20
Positive Impact
Negative Impact
Measure2025 Value2025 Rank

-0.306

40

plus

0.230

26

plus

-0.226

32

plus

-0.536

42

plus

-0.311

36

plus

-0.288

39

•

•

plus

* Value indicates a score. Higher scores are healthier and lower scores are less healthy.

† Not included in the overall score.

• Data unavailable.

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View Fourth Grade Reading Proficiency Data
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Trend: Fourth Grade Reading Proficiency in Missouri, United States, 2025 Annual Report

Fourth Grade Reading Proficiency in Missouri

Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension

Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension

Missouri
United States
Source:

 U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, National Assessment of Educational Progress, Reading Assessment

Compare States
plus

Fourth Grade Reading Proficiency in the United States

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%

Data from U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, National Assessment of Educational Progress, Reading Assessment, 2024

40.4% - 33.0%

32.9% - 31.9%

31.8% - 30.1%

30.0% - 27.6%

27.5% - 20.3%

21.7

Alaska Value

Alaska

21.7

* Percentage of public school students

28

Alabama Value

Alabama

28

* Percentage of public school students

30.5

United States Value

United States

30.5

* Percentage of public school students

28.1

Arkansas Value

Arkansas

28.1

* Percentage of public school students

26.4

Arizona Value

Arizona

26.4

* Percentage of public school students

28.7

California Value

California

28.7

* Percentage of public school students

35.7

Colorado Value

Colorado

35.7

* Percentage of public school students

36.2

Connecticut Value

Connecticut

36.2

* Percentage of public school students

29.6

District of Columbia Value

District of Columbia

29.6

* Percentage of public school students

26.5

Delaware Value

Delaware

26.5

* Percentage of public school students

33

Florida Value

Florida

33

* Percentage of public school students

30.4

Georgia Value

Georgia

30.4

* Percentage of public school students

31.6

Hawaii Value

Hawaii

31.6

* Percentage of public school students

29.2

Iowa Value

Iowa

29.2

* Percentage of public school students

31.9

Idaho Value

Idaho

31.9

* Percentage of public school students

30.4

Illinois Value

Illinois

30.4

* Percentage of public school students

34.5

Indiana Value

Indiana

34.5

* Percentage of public school students

28.3

Kansas Value

Kansas

28.3

* Percentage of public school students

32.7

Kentucky Value

Kentucky

32.7

* Percentage of public school students

31.8

Louisiana Value

Louisiana

31.8

* Percentage of public school students

40.4

Massachusetts Value

Massachusetts

40.4

* Percentage of public school students

33.6

Maryland Value

Maryland

33.6

* Percentage of public school students

26.1

Maine Value

Maine

26.1

* Percentage of public school students

24.6

Michigan Value

Michigan

24.6

* Percentage of public school students

30.7

Minnesota Value

Minnesota

30.7

* Percentage of public school students

27.2

Missouri Value

Missouri

27.2

* Percentage of public school students

32

Mississippi Value

Mississippi

32

* Percentage of public school students

31.9

Montana Value

Montana

31.9

* Percentage of public school students

30.1

North Carolina Value

North Carolina

30.1

* Percentage of public school students

28.7

North Dakota Value

North Dakota

28.7

* Percentage of public school students

28

Nebraska Value

Nebraska

28

* Percentage of public school students

36.2

New Hampshire Value

New Hampshire

36.2

* Percentage of public school students

38.3

New Jersey Value

New Jersey

38.3

* Percentage of public school students

20.3

New Mexico Value

New Mexico

20.3

* Percentage of public school students

30

Nevada Value

Nevada

30

* Percentage of public school students

30.9

New York Value

New York

30.9

* Percentage of public school students

32.4

Ohio Value

Ohio

32.4

* Percentage of public school students

22.7

Oklahoma Value

Oklahoma

22.7

* Percentage of public school students

26.6

Oregon Value

Oregon

26.6

* Percentage of public school students

32.9

Pennsylvania Value

Pennsylvania

32.9

* Percentage of public school students

32.6

Rhode Island Value

Rhode Island

32.6

* Percentage of public school students

32.5

South Carolina Value

South Carolina

32.5

* Percentage of public school students

28

South Dakota Value

South Dakota

28

* Percentage of public school students

31.8

Tennessee Value

Tennessee

31.8

* Percentage of public school students

27.5

Texas Value

Texas

27.5

* Percentage of public school students

36.3

Utah Value

Utah

36.3

* Percentage of public school students

30.7

Virginia Value

Virginia

30.7

* Percentage of public school students

30.5

Vermont Value

Vermont

30.5

* Percentage of public school students

32

Washington Value

Washington

32

* Percentage of public school students

31.3

Wisconsin Value

Wisconsin

31.3

* Percentage of public school students

24.6

West Virginia Value

West Virginia

24.6

* Percentage of public school students

35.8

Wyoming Value

Wyoming

35.8

* Percentage of public school students

Find Additional Measures

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