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Executive BriefIntroductionNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsClinical CareBehaviorsState RankingsAppendixMeasures TableData Source DescriptionsMethodologyReferencesState Summaries
US Summary
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Health Outcomes
- Drug Deaths* increased 58% from 8.4 to 13.3 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023.
- Excessive Drinking** decreased 10% from 7.7% to 6.9% of adults age 65 and older between 2022 and 2023.
- Early Death* decreased 9% from 1,979 to 1,810 deaths per 100,000 adults ages 65-74 between 2022 and 2023.
- Suicide* increased 5% from 16.9 to 17.7 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023.
Social and Economic Factors
- Volunteerism† increased 19% from 22.1% to 26.3% of adults age 65 and older between 2021 and 2023.
- Firearm Deaths* increased 6% from 13.0 to 13.8 deaths per 100,000 adults age 65 and older between 2018-2020 and 2021-2023.
- Poverty†† increased 4% from 10.9% to 11.3% of adults age 65 and older between 2022 and 2023.
- High-Speed Internet†† increased 2% from 84.8% to 86.5% of households with adults age 65 and older between 2022 and 2023.
Clinical Care
- Flu Vaccination** decreased 6% from 67.7% to 63.4% of adults age 65 and older between 2022 and 2023.
- Geriatric Clinicians§ increased 5% from 38.0 to 39.9 clinicians per 100,000 adults age 65 and older between September 2023 and September 2024.
- RSV Vaccination§§ 33.0% of adults age 60 and older reported ever receiving an RSV vaccine in 2024.
* Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database.
** Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. (Note: No data were available for Kentucky or Pennsylvania in 2023.)
† Source: U.S. Census Bureau, Current Population Survey, Volunteering and Civic Life Supplement.
†† Source: U.S. Census Bureau, American Community Survey, 1-Year Dataset.
§ Source: U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System.
§§ Source: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, NIS-Adult COVID Module, January 2025.