Executive BriefIntroductionDesignNational FindingsKey FindingsSocial and Economic FactorsPhysical EnvironmentClinical CareBehaviorsHealth OutcomesState SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingU.S. SummaryAppendixMeasuresData SourcesMethodologyNational Advisory CommitteeThe Team
- Between those with less than a high school education2 and college graduates3 for cancer
- Between metropolitan3 and non-metropolitan3 areas for uninsured
- Between females3 and males3 for less than a high school education
- Between American Indian/Alaska Native2 and white3 for child poverty
- Between those with less than a high school education2 and college graduates3 for physical inactivity
- Between females3 and males2 for those with a dedicated health care provider
 Low disparities within a state does not indicate that all populations are doing well. Consider rates in comparison to national averages.
 Rates worse than national average.
 Rates same or better than national average.
- 45% decrease among those with Less Than a High School Education in the white population between 2005-2009 and 2015-2019 from 11.1% to 6.1%
- 33% decrease in Child Poverty in female children between 2005-2009 and 2015-2019 from 14.3% to 9.6%
- 17% decrease in Smoking in male adults between 2011-2013 and 2017-2019 from 23.6% to 19.5%
- 12% increase in Premature Death in metropolitan areas between 2005-2009 and 2015-2019 from 5,699 to 6,378 years of potential life lost before age 75 per 100,000
- 46% increase in Depression in adults with less than a high school education between 2011-2013 and 2017-2019 from 16.0% to 23.4%
- 7% decrease in Dedicated Health Care Provider in adults with a high school education between 2011-2013 and 2017-2019 from 71.4% to 66.1%
Income inequality measures the ratio of median household income of the 20% richest to the 20% poorest. A high ratio indicates greater income inequality. Research demonstrates an association between greater income disparity and poorer population health.
In North Dakota, income inequality has decreased since 2011. North Dakota’s ratio is currently lower than the national ratio.