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
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
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
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
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
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
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
Percentage of population served by community water systems that receive fluoridated water
Water Fluoridation Reporting System, 2014
Percentage of children ages 12-17 who had a preventive checkup in the past 12 months
National Survey of Children's Health, 2016-2017
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
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
Age-adjusted number of deaths per 100,000 children ages 1-19
CDC WONDER Mortality data, 2015-2017
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
Number of births per 1,000 females ages 15-19
CDC WONDER Natality data, 2017
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.