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2026 Health of Women and Children Report

Measures Table - Children

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Executive BriefForewordIntroductionNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsClinical CareBehaviorsState RankingsAppendixMeasures Table - WomenMeasures Table - ChildrenData Source DescriptionsMethodologyReferencesState SummariesUS SummaryAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
2026 Health of Women and Children Report2026 Health of Women and Children Report – Executive Brief2026 Health of Women and Children Report – State Summaries2026 Health of Women and Children Report – Concentrated Disadvantage County-Level Maps2026 Health of Women and Children Report – Measures Table2026 Health of Women and Children Report – Infographics2026 Health of Women and Children Report – Report Data (All States)
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Social and Economic Factors - Children

Measure
Description
Source(s)
Data Year(s)
Community and Family Safety
Child Victimization*
Number of children who were victims of substantiated or indicated maltreatment per 1,000 children
U.S. HHS, Children's Bureau, Child Maltreatment Report Series
2024
Firearm Deaths*
Number of deaths among children ages 1-19 due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population
U.S. HHS, Multiple Cause of Death Files via CDC WONDER
2022-2024
Injury Deaths
Number of deaths due to injury per 100,000 children ages 1-19
U.S. HHS, Multiple Cause of Death Files via CDC WONDER
2022-2024
Economic Resources
Children in Poverty
Percentage of children ages 0-17 who live in households below the poverty threshold
U.S. Census Bureau, American Community Survey, 1-Year Dataset
2024
Children in Poverty Racial Disparity
Ratio of the childhood poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate
U.S. Census Bureau, American Community Survey, 5-Year Dataset
2020-2024
Food Sufficiency
Percentage of children ages 0-17 whose household could always afford to eat good nutritious meals in the past 12 months 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Students Experiencing Homelessness
Percentage of public school students who lack a fixed, regular and adequate nighttime residence
U.S. ED, National Center for Homeless Education, Student Homelessness in America Report Series
2023-2024 School Year
WIC Coverage
Percentage of children ages 0-4 eligible for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) who received WIC benefits in an average month
USDA, National and State-Level Estimates of WIC Eligibility and Program Reach Report Series
2023
Education
Chronic School Absenteeism*
Percentage of public school students who miss 10% or more of school days in an academic year
U.S. ED, National Center for Education Statistics, EDFacts
2022-2023 School Year†
Early Childhood Education
Percentage of children ages 3-4 who are enrolled in nursery school, preschool or kindergarten
U.S. Census Bureau, American Community Survey, 1-Year Dataset
2024
Fourth Grade Reading Proficiency
Percentage of fourth grade public school students who scored proficient or above on the National Assessment of Educational Progress in reading comprehension
U.S. ED, National Center for Education Statistics, National Assessment of Educational Progress
2024†
High School Completion
Percentage of adults age 25 and older with at least a high school diploma or equivalent
U.S. Census Bureau, American Community Survey, 1-Year Dataset
2024
High School Graduation*
Percentage of high school students graduating with a regular high school diploma within four years of starting ninth grade
U.S. ED, National Center for Education Statistics, EDFacts
2022-2023 School Year
Social Support and Engagement
Adult Mentor*
Percentage of children ages 12-17 who have at least one adult in their school, neighborhood or community who knows them well and whom they can rely on for advice or guidance 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Adverse Childhood Experiences^
Percentage of children ages 0-17 who have ever experienced two or more of the following adverse experiences: parental divorce or separation; household with an alcohol or drug problem; household with mental illness; neighborhood violence victim or witness; domestic violence witness; parent served jail time; treated or judged unfairly due to race/ethnicity; treated or judged unfairly due to a health condition or disability; or death of a parent 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Foster Care Instability
Percentage of children in foster care with three or more placements within 12 months
U.S. HHS, Children's Bureau, Child Welfare Outcomes Report Series
2024
High-Speed Internet
Percentage of households with children ages 0-17 that have a broadband internet subscription and a computer, smartphone or tablet
U.S. Census Bureau, American Community Survey, 1-Year Dataset
2024
Neighborhood Amenities
Percentage of children ages 0-17 with access to all of the following: a park or playground; a recreation center, community center or boys' and girls' club; a library or bookmobile; and sidewalks or walking paths 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Reading, Singing or Storytelling*
Percentage of children ages 0-5 whose family members read, sang or told stories to them every day during the past week 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†

Clinical Care – Children

Measure
Description
Source(s)
Data Year(s)
Access to Care
ADD/ADHD Treatment^
Among all children ages 3-17, the percentage who currently have ADD or ADHD, are taking medication, and have received behavioral treatment in the last 12 months 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Mental Health Treatment*
Percentage of children ages 12-17 who receive needed mental health treatment or counseling
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Pediatricians
Number of pediatricians per 100,000 children ages 0-21
U.S. HHS, CMS, National Plan and Provider Enumeration System
September 2025
Uninsured Children
Percentage of children ages 0-18 not covered by private or public health insurance
U.S. Census Bureau, American Community Survey, 1-Year Dataset
2024
Preventive Clinical Services
Childhood Immunizations
Percentage of children who received by age 24 months all recommended doses of the combined seven-vaccine series: diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine; measles, mumps and rubella (MMR) vaccine; poliovirus vaccine; Haemophilus influenzae type b (Hib) vaccine; hepatitis B (HepB) vaccine; varicella vaccine; and pneumococcal conjugate vaccine (PCV)
U.S. HHS, CDC, NIS-Child
2021-2022 Birth Cohort
HPV Vaccination
Percentage of adolescents ages 13-17 who received all recommended doses of the human papillomavirus (HPV) vaccine
U.S. HHS, CDC, NIS-Teen
2024
Preventive Dental Visit
Percentage of children ages 1-17 who had one or more preventive dental care visits during the past 12 months 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Well-Child Visit^
Percentage of children ages 0-17 who had one or more preventive medical visits in the past 12 months 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Quality of Care
Adequate Insurance
Percentage of children ages 0-17 who were continuously insured in the past year with adequate coverage based on the following criteria: benefits meet the child's needs; insurance allows the child to see needed providers; and insurance either has no or reasonable out-of-pocket expenses 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Developmental Screening
Percentage of children ages 9-35 months whose parent completed a standardized developmental screening tool for them in the past 12 months 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Medical Home^
Percentage of children ages 0-17 who received coordinated, ongoing and comprehensive medical care from a usual, nonemergency source where they had a personal doctor or nurse and access to family-centered care, referrals when needed, and effective care coordination
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†

Behaviors – Children

Measure
Description
Source(s)
Data Year(s)
Nutrition and Physical Activity
Breastfed
Percentage of infants exclusively breastfed for six months
U.S. HHS, CDC, NIS-Child
2022 Birth Cohort
Physical Activity
Percentage of children ages 6-17 who were physically active at least 60 minutes every day in the past week 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Soda Consumption*
Percentage of high school students who reported drinking a can, bottle or glass of soda or pop two or more times per day in the past week
U.S. HHS, CDC, Youth Risk Behavior Surveillance System
2023†
Sexual Health
Dual Contraceptive Nonuse*
Percentage of sexually active high school students who reported not using both: a condom during last sexual intercourse; and either birth control pills, an intrauterine device or implant, or a shot, patch or birth control ring before last sexual intercourse
U.S. HHS, CDC, Youth Risk Behavior Surveillance System
2023†
Teen Births
Births per 1,000 females ages 15-19
U.S. HHS, Natality Public Use Files via CDC WONDER
2024
Sleep Health
Adequate Sleep
Percentage of children ages 4 months to 17 years who sleep recommended age-appropriate hours on most weeknights 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Sleep Position*
Percentage of women with a recent live birth who reported their infants are placed on their backs to sleep
U.S. HHS, CDC, Pregnancy Risk Assessment Monitoring System (PRAMS) via HRSA, Maternal and Child Health Bureau, Federally Available Data (FAD)
2023†
Smoking and Tobacco Use
Electronic Vapor Product Use*
Percentage of high school students who reported using an electronic vapor product in the past 30 days
U.S. HHS, CDC, Youth Risk Behavior Surveillance System
2023†
Tobacco Use
Percentage of children ages 12-17 who reported using a tobacco product (cigarettes, smokeless tobacco, cigars or pipe tobacco) in the past month
U.S. HHS, Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health
2023-2024

Health Outcomes – Children

Measure
Description
Source(s)
Data Year(s)
Behavioral Health
Alcohol Use
Percentage of children ages 12-17 who reported drinking alcohol in the past month
U.S. HHS, Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health
2023-2024
Flourishing^
Percentage of children ages 6 months to 5 years who show affection, resilience, interest and curiosity in learning, as well as smile and laugh a lot; and children ages 6-17 who show self-regulation, interest and curiosity in learning, as well as work to finish tasks 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Illicit Drug Use
Percentage of children ages 12-17 who reported using illicit drugs (including marijuana) in the past month
U.S. HHS, Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health
2023-2024
Mental Health Conditions (Diagnosed)^
Percentage of children ages 3-17 told by a health care provider that they currently have ADHD, depression, or anxiety problems; or told by a doctor or educator that they have behavior or conduct problems 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Teen Suicide*
Number of deaths due to intentional self-harm per 100,000 adolescents ages 15-19
U.S. HHS, Multiple Cause of Death Files via CDC WONDER
2022-2024
Mortality
Child Mortality
Number of deaths per 100,000 children ages 1-19
U.S. HHS, Multiple Cause of Death Files via CDC WONDER
2022-2024
Infant Mortality
Number of infant deaths (before age 1) per 1,000 live births
U.S. HHS, Linked Birth/Infant Death Records via CDC WONDER
2022-2023†
Neonatal Mortality*
Number of deaths during first 28 days of life (0-27 days) per 1,000 live births
U.S. HHS, Linked Birth/Infant Death Records via CDC WONDER
2022-2023†
Physical Health
Asthma
Percentage of children ages 0-17 who currently have asthma 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Congenital Syphilis*
Number of new congenital syphilis cases per 100,000 live births
U.S. HHS, CDC, NCHHSTP AtlasPlus
2023†
High Health Status*
Percentage of children ages 0-17 whose health is very good or excellent 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Low Birth Weight
Percentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
U.S. HHS, Natality Public Use Files via CDC WONDER
2024
Low Birth Weight Racial Disparity
Ratio of the low birth weight rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate
U.S. HHS, Natality Public Use Files via CDC WONDER
2022-2024
Neonatal Abstinence Syndrome*
Number of birth hospitalizations with a diagnosis code of neonatal abstinence syndrome (withdrawal symptoms due to prenatal exposure to illicit drugs) per 1,000 birth hospitalizations
U.S. HHS, AHRQ, HCUP, State Inpatient Database via HRSA, Maternal and Child Health Bureau, Federally Available Data (FAD)
2023
Overweight or Obesity^
Percentage of children ages 6-17 who have overweight or obesity for their age based on reported height and weight 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†

Demographics

Measure
Description
Source(s)
Data Year(s)
Children With Special Health Care Needs*
Percentage of children ages 0-17 with special health care needs 
U.S. HHS, Maternal and Child Health Bureau, National Survey of Children's Health
2023-2024†
Population - Age <1*
Percentage of the population that is under age 1
U.S. Census Bureau, Single-Race Population Estimates via CDC WONDER
2024
Population - Age <18*
Percentage of the population that is under age 18
U.S. Census Bureau, Single-Race Population Estimates via CDC WONDER
2024
Population - Women - Ages 18-44*
Percentage of the population that is female, ages 18-44
U.S. Census Bureau, Single-Race Population Estimates via CDC WONDER
2024
* Unweighted measure, excluded from the Overall and category composite measures.
^ Multicomponent measure. Data for each subcomponent are published on their respective measure pages, which can be found through the Explore Data section.
† Data in this edition were repeated from the last edition.

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