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Behaviors

High School Graduation

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

Overweight or Obesity

Percentage of children ages 10-17 who are overweight or obese for their age based upon reported height and weight
National Survey of Children's Health 2016-2017

Substance Use Disorder

Percentage of children ages 12-17 who were dependent on or abused illicit drugs or alcohol in the past year
National Survey on Drug Use and Health, 2015-2016

Tobacco Use

Percentage of children ages 12-17 who used a tobacco product in the past month
National Survey on Drug Use and Health, 2015-2016

Community & Environment

Adverse Childhood Experiences

Percentage of children ages 0-17 who experienced two or more of the following variables: economic hardship; parental divorce or separation; living with someone who had an alcohol or drug problem; neighborhood violence victim or witness; living with someone who was mentally ill, suicidal or severely depressed; domestic violence witness; parent served jail time; being treated or judged unfairly due-race/ethnicity; or death of parent
National Survey of Children's Health, 2016-2017

Neighborhood Amenities

Percentage of children ages 0-17 with access-a park or playground; recreation center, community center or boys' and girls' club; library or bookmobile; and sidewalks or walking paths
National Survey of Children's Health, 2016-2017

Protective Family Routines and Habits*

Percentage of children ages 0-17 who meet age-specific criteria for protective family routines and habits
National Survey of Children's Health, 2016

Supportive Neighborhoods

Percentage of children ages 0-17 who live in neighborhoods where people help each other, watch out for each other’s children and know where-go for help in the community
National Survey of Children's Health, 2016-2017

Policy

Adequate Health Insurance

Percentage of insured children ages 0-17 whose health plan has either no or reasonable out-of-pocket costs; offers benefits or covered services that meet the children’s needs; and allows them-see needed health care providers
National Survey of Children's Health, 2016-2017

Children With Health Insurance

Percentage of children ages 0-17 with health insurance of any type
National Survey of Children's Health, 2016-2017

Homeless Family Households**

Number of families sleeping outside, in an emergency shelter or in a transitional housing program per 10,000 family households
U.S. Department of Housing and Urban Development, 2018 Annual Homeless Assessment Report, January 2018

Water Fluoridation*

Percentage of population served by community water systems that receive fluoridated water
Water Fluoridation Reporting System, 2014

Outcomes

Adolescent Well-Visit

Percentage of children ages 12-17 who had a preventive checkup in the past 12 months
National Survey of Children's Health, 2016-2017

Developmental Screening

Percentage of children 9 months-5 years with a visit in the past 12 months whose parent completed a standardized developmental screening tool
National Survey of Children's Health, 2016-2017

Immunizations – Adolescents

Mean z score of the percentage of adolescents ages 13-17 who received the recommended doses of Tdap, meningococcal and HPV vaccines
America's Health Rankings composite measure, 2019
HPV Immunization FemalesPercentage of females ages 13-17 who are up-to-date on all recommended doses of human papillomavirus (HPV) vaccine
National Immunization Survey-Teen, 2017
HPV Immunization MalesPercentage of males ages 13-17 who are up-to-date on all recommended doses of human papillomavirus (HPV) vaccine
National Immunization Survey-Teen, 2017
Meningococcal ImmunizationsPercentage of adolescents ages 13-17 who received one or more doses of meningococcal conjugate (MenACWY) vaccine
National Immunization Survey-Teen, 2017
Tdap ImmunizationsPercentage 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, 2017

Immunizations – Children

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

Medical Home for Child With Special Health Care Needs

Percentage of children ages 0-17 with special health care needs who received coordinated, ongoing and comprehensive care within a medical home, including having a personal doctor or nurse, a usual source for sick care, family-centered care, and referrals and effective care coordination when needed
National Survey of Children's Health, 2016-2017

Outcomes

Child Mortality

Age-adjusted number of deaths per 100,000 children ages 1-19
CDC WONDER Mortality data, 2015-2017

Missed School Days

Percentage of children ages 6-17 who missed eleven or more days of school in the past school year (excluding homeschooled children)
National Survey of Children's Health, 2016-2017

Teen Births

Number of births per 1,000 females ages 15-19
CDC WONDER Natality data, 2017

Teen Suicide

Number of deaths by suicide per 100,000 adolescents ages 15-19
CDC WONDER Mortality data, 2015-2017
* The data in this edition are the same that appeared in the 2018 edition. ** Calculated measure using 2017 American Community Survey population estimates as the denominator.

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