2025 Annual Report | 2025 Annual Report

Executive BriefForewordIntroductionNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsPhysical EnvironmentClinical CareSpotlight: Rural CommunitiesBehaviorsState RankingsInternational ComparisonAppendixMeasures TableData Source DescriptionsMethodologyReferencesState Summaries

US Summary

2025 Annual Report 2025 Annual Report – Executive Brief 2025 Annual Report – State Summaries 2025 Annual Report – Economic Hardship Index County-Level Maps 2025 Annual Report – Measures Table 2025 Annual Report – Infographics 2025 Annual Report – Report Data (All States)

The United Health Foundation is proud to release the America’s Health Rankings® 2025 Annual Report, which analyzes 99 measures of health and well-being drawn from 31 distinct data sources to provide a comprehensive portrait of health at both the national and state levels.

This year’s report reveals encouraging progress in national mortality rates and cancer screenings. These gains were tempered by continued increases in multiple chronic conditions and socioeconomic challenges. 

Between 2022 and 2023, premature death decreased 8% and the drug death rate decreased 3%. This is the first national improvement in drug deaths since 2018.
The number of mental health providers increased 5% between September 2024 and September 2025.
Several measures of mental health, including frequent mental distress, depression, suicide and non-medical drug death, had no change in the most recent period.
Cancer screenings increased 15% between 2022 and 2024.
- Cancer screenings improved 14% among adults living in rural areas. However these screenings increased more in metropolitan areas at 18%.
Between 2023 and 2024, physical inactivity decreased 10%, now meeting the Healthy People 2030
goal at the healthiest level since America’s Health Rankings began tracking it in 1996.
- Physical inactivity was 1.2 times higher among adults living in rural areas compared with metropolitan adults.
The rate of multiple chronic conditions increased 6% between 2023 and 2024. At the same time, obesity rates held steady with no change.
Cigarette smoking decreased 4% between 2023 and 2024. At the same time e-cigarette use increased 4%.
Between 2021 and 2022, volunteerism increased 22%. However, homelessness and the share of individuals who avoided care due to cost increased 16% and 8% respectively.
The healthiest state was New Hampshire. This was followed by Massachusetts, Vermont, Connecticut  and Utah. Louisiana  was the least healthy, followed by Arkansas, Mississippi, Alabama and West Virginia.

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