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2025 Health of Women and Children Report

National Snapshot

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Executive BriefIntroductionSpotlight: Women in Rural CommunitiesNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsPhysical EnvironmentClinical CareBehaviorsState RankingsAppendixMeasures Table - WomenMeasures Table - ChildrenData Source DescriptionsMethodologyReferencesState SummariesUS SummaryAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
2025 Health of Women and Children Report2025 Health of Women and Children Report – Executive Brief2025 Health of Women and Children Report – State Summaries2025 Health of Women and Children Report – Concentrated Disadvantage County-Level Maps2025 Health of Women and Children Report – Measures Table2025 Health of Women and Children Report – Infographics2025 Health of Women and Children Report – Report Data (All States)
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Rising Mortality Rates

  • Maternal mortalitya increased 36% from 17.3 to 23.5 deaths per 100,000 live births between 2014-2018 and 2019-2023. 
  • Child mortalityb increased 14% from 25.9 to 29.6 deaths per 100,000 children ages 1-19 between 2018-2020 and 2021-2023.
  • Infant mortalityc increased 4% from 5.4 to 5.6 deaths before age 1 per 1,000 live births between 2020-2021 and 2022-2023. 

Health Outcomes

  • Frequent physical distress among womend increased 37% from 7.1% to 9.7% of women ages 18-44 between 2020-2021 and 2022-2023.
  • High health status among womend decreased 13% from 59.0% to 51.6% of women ages 18-44 between 2020-2021 and 2022-2023.
  • Depression among womend increased 11% from 27.4% to 30.3% of women ages 18-44 between 2020-2021 and 2022-2023.
  • Neonatal abstinence syndromea decreased 10% from 5.9 to 5.3 NAS hospitalizations per 1,000 birth hospitalizations between 2021 and 2022.
  • Mental health conditions (diagnosed) among childrene increased 9% from 18.8% to 20.5% of children ages 3-17 between 2021-2022 and 2023-2024.
  • Mortality among womenb decreased 8% from 120.0 to 109.9 deaths per 100,000 women ages 20-44 between 2022 and 2023. 
  • Overweight or obesity among childrene decreased 7% from 33.8% to 31.3% of children ages 6-17 between 2021-2022 and 2023-2024.
  • Severe maternal morbiditya decreased 6% from 100.3 to 94.7 of complications per 10,000 delivery hospitalizations between 2021 and 2022.

Social and Economic Factors

  • Neighborhood amenitiese increased 6% from 36.1% to 38.2% of children ages 0-17 between 2021-2022 and 2023-2024.
  • Reading, singing or storytellinge increased 5% from 57.1% to 59.7% of children ages 0-5 between 2021-2022 and 2023-2024.
  • Fourth grade reading proficiencyf decreased 5% from 32.1% to 30.5% of public school students between 2022 and 2024
  • Early childhood educationg increased 4% from 46.7% to 48.5% of children ages 3-4 between 2022 and 2023.

Clinical Care

  • ADD/ADHD treatment among childrene increased 21% from 2.8% to 3.4% of children ages 3-17 between 2021-2022 and 2023-2024.
  • Avoided care due to cost among womend increased 19% from 14.6% to 17.4% of women ages 18-44 between 2021 and 2022-2023.
  • Flu vaccination among womend decreased 9% from 38.9% to 35.5% of women ages 18-44 between 2020-2021 and 2022-2023.
  • Uninsured childreng increased 6% from 5.1% to 5.4% of children ages 0-18 between 2022 and 2023.

Behaviors

  • Chlamydiah decreased 4% from 1,540.1 to 1,481.2 cases per 100,000 females ages 15-44 between 2022 and 2023.
  • Teen birthsi decreased 4% from 13.6 to 13.1 births per 1,000 females ages 15-19 between 2022 and 2023.

Physical Environment | Air and Water Quality

  • Household smokee decreased 19% from 12.7% to 10.3% of children ages 0-17 between 2021-2022 and 2023-2024.

Behaviors | Smoking and Tobacco Use

  • Smoking during pregnancyi decreased 19% from 3.7% to 3.0% of live births between 2022 and 2023.

a Source: U.S. HHS, Maternal and Child Health Bureau, Federally Available Data.
b Source: U.S. HHS, Multiple Cause of Death Files via CDC WONDER.
c Source: U.S. HHS, Linked Birth/Infant Death Records via CDC WONDER.
d Source: U.S. HHS, CDC, Behavioral Risk Factor Surveillance System.
e Source: U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health.
f Source: U.S. ED, National Center for Education Statistics, National Assessment of Educational Progress.
g Source: U.S. Census Bureau, American Community Survey, 1-Year Dataset.
h Source: U.S. HHS, CDC, NCHHSTP AtlasPlus.
i Source: U.S. HHS, Natality Public Use Files via CDC WONDER.

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