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Behaviors

Number of deaths due to drug injury (unintentional, suicide, homicide or undetermined) per 100,000 population (age-adjusted to mid-year).
CDC WONDER Mortality data, 2015-2017

Percentage of adults who reported either binge drinking (having four or more [women] or five or more [men] drinks on one occasion in the past 30 days) or chronic drinking (having eight or more [women] or 15 or more [men] drinks per week).
Behavioral Risk Factor Surveillance System, 2018

Percentage of high school students who graduate with a regular high school diploma within four years of starting ninth grade.
National Center for Education Statistics, 2016-2017 School Year

Percentage of adults with a body mass index of 30.0 or higher based on reported height and weight.
Behavioral Risk Factor Surveillance System, 2018

Percentage of adults who reported doing no physical activity or exercise other than their regular job in the past 30 days.
Behavioral Risk Factor Surveillance System, 2018

Percentage of adults who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days).
Behavioral Risk Factor Surveillance System, 2018

Community and the Environment

Average exposure of the general public to particulate matter of 2.5 microns or less (PM2.5) measured in micrograms per cubic meter.
U.S. Environmental Protection Agency. Denominator: U.S. Census Bureau, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2018, 2016-2018

Percentage of children who live in households below the poverty threshold.
American Community Survey, 2018

Mean z score of the incidence of chlamydia, pertussis and Salmonella per 100,000 population.
America's Health Rankings Composite Measure, 2019

Number of new cases of chlamydia per 100,000 population.
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Atlas, 2017

Number of new cases of pertussis per 100,000 population.
National Notifiable Diseases Surveillance System. Denominator: CDC Wonder Bridged-Race Population Estimates 1990-2018, 2017

Number of new cases of Salmonella per 100,000 population.
National Notifiable Diseases Surveillance System. Denominator: CDC Wonder Bridged-Race Population Estimates 1990-2018, 2017

Number of fatal occupational injuries in construction, manufacturing, trade, transportation, utilities, and professional and business services per 100,000 workers.
Census of Fatal Occupational Injuries. Denominator: Bureau of Economic Analysis, 2015-2017

Number of offenses of murder, rape, robbery and aggravated assault per 100,000 population.
Federal Bureau of Investigation, 2018

Policy

Mean z score of the percentage of adolescents ages 13-17 who received recommended doses of Tdap, meningococcal and HPV vaccines.
America's Health Rankings Composite Measure, 2019

Percentage of females ages 13-17 who are up-to-date on recommended doses of human papillomavirus (HPV) vaccine.
National Immunization Survey-Teen, 2018

Percentage of males ages 13-17 who are up-to-date on recommended doses of human papillomavirus (HPV) vaccine.
National Immunization Survey-Teen, 2018

Percentage of adolescents ages 13-17 who received one or more doses of meningococcal conjugate vaccine.
National Immunization Survey-Teen, 2018

Percentage of adolescents ages 13-17 who received one or more doses of tetanus, diphtheria and acellular pertussis (Tdap) vaccine since age 10.
National Immunization Survey-Teen, 2018

Percentage of children ages 19-35 months who received recommended doses of diphtheria, tetanus and acellular pertussis (DTaP); measles, mumps and rubella (MMR); polio; Haemophilus influenzae type b (Hib); hepatitis B; varicella; and pneumococcal conjugate vaccines.
National Immunization Survey-Child, 2017

State dollars dedicated to public health and federal dollars directed to states by the Centers for Disease Control and Prevention and the Health Resources & Services Administration per person.
Trust for America’s Health and U.S. Department of Health and Human Services. Denominator: U.S. Census Bureau, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2018, 2017-2018

Percentage of the population that does not have health insurance privately, through their employer or through the government.
American Community Survey, Health Insurance Coverage in the United States Report, 2017-2018

Clinical Care

Number of practicing dentists per 100,000 population.
American Dental Association, 2018

Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth.
CDC WONDER Natality data, 2017

Number of psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, providers that treat alcohol and other drug abuse, and advanced practice nurses specializing in mental health care per 100,000 population.
National Plan and Provider Enumeration System, Sept. 2019. Denominator: U.S. Census Bureau, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2018.

Number of discharges for ambulatory care-sensitive conditions per 1,000 Medicare enrollees.
The Dartmouth Atlas of Health Care, 2015

Number of active primary care physicians (including general practice, family practice, obstetrics and gynecology, pediatrics, geriatrics and internal medicine) per 100,000 population.
Redi-Data, Inc., Sept. 23, 2019. Denominator: U.S. Census Bureau, Annual Estimates of the Resident Population: April 1, 2010 to July 1, 2018.

Outcomes

Number of deaths due to all causes of cancer per 100,000 population (age-adjusted to mid-year).
CDC WONDER Mortality data, 2015-2017

Number of deaths due to all cardiovascular diseases including heart disease and stroke per 100,000 population (age-adjusted to mid-year).
CDC WONDER Mortality data, 2015-2017

Percentage of adults who reported being told by a health professional that they have diabetes (excluding prediabetes and gestational diabetes).
Behavioral Risk Factor Surveillance System, 2018

Difference between the percentage of adults ages 25 and older with at least a high school education compared with those without who reported their health is very good or excellent.
Behavioral Risk Factor Surveillance System. Denominator: CDC Wonder Population Projections, 2018

Percentage of adults who reported their mental health was not good 14 or more days in the past 30 days.
Behavioral Risk Factor Surveillance System, 2018

Percentage of adults who reported their physical health was not good 14 or more days in the past 30 days.
Behavioral Risk Factor Surveillance System, 2018.

Number of infant deaths (before age 1) per 1,000 live births.
CDC WONDER Mortality data, 2016-2017

Number of years of potential life lost before age 75 per 100,000 population.
CDC WONDER Mortality data, 2017
*The data appearing in this edition are the same that appeared in the 2018 edition.

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