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2026 Health of Women and Children Report

Social and Economic Factors

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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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Community and Family Safety

Injury Deaths Among Women

According to America’s Health Rankings analysis of CDC data, between 2022 and 2024, the leading causes of injury deaths among women
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ages 20-44 were unintentional poisoning, unintentional motor vehicle traffic incidents, homicide by firearm and suicide by firearm.3 Unintentional injuries have been the leading cause of death
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among women between the ages of 20 and 44 for the past decade (2014-2024).3  
Changes over the last decade. Nationally, the injury death rate — the number of deaths due to injury per 100,000 females ages 20-44 — increased 47%, from 31.9 to 47.0 between 2012-2014 and 2022-2024. In the most recent period of 2022-2024, the rate decreased 2% (from 48.1 in 2019-2021). In 2022-2024, there were approximately 78,300 injury deaths among women of reproductive age in the U.S., nearly 28,000 more deaths than in 2012-2014.
In the decade between 2012-2014 and 2022-2024, injury deaths among women significantly decreased in one state: 17% in Utah (42.2 to 35.2 deaths per 100,000 females ages 20-44). During the same period, the rate significantly increased in 44 states and the District of Columbia. The largest increases were 106% in Alaska (54.1 to 111.7), 103% in the District of Columbia (17.8 to 36.1), 84% in Maine (33.3 to 61.2) and 81% in both Delaware (37.4 to 67.7) and North Dakota (28.0 to 50.7).
Recent differences. The injury death rate significantly varied by race/ethnicity, geography and age. In 2022-2024, the rate among women ages 20-44 was: 
  • 13.0 times higher among American Indian/Alaska Native (153.2 deaths per 100,000 women ages 20-44) compared with Asian (11.8) women.
  • 3.8 times higher in Alaska (111.7) than in New Jersey (29.4).
  • 1.7 times higher among women ages 35-44 (54.9) than women ages 20-24 (33.2).
Graphic representation of Injury Deaths Among Women By Race/Ethnicity information contained on this page. Download the full report PDF from the report Overview page for details.

Injury Deaths Among Children

Injury death, including accidents or unintentional injuries, homicide and suicide, has been the leading cause of death
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among children ages 1-19 in the U.S. for the last decade, according to America’s Health Rankings analysis of CDC data.3 Unintentional motor vehicle accidents remained the leading cause of injury death
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for children ages 1-19 from 2014 to 2024, followed by homicide by firearm.3 Other prevalent causes of injury death throughout the decade include suicide and unintentional drowning.
Changes over the last decade. Nationally, the injury death rate — the number of deaths due to injury per 100,000 children ages 1-19 — increased 25% from 14.2 to 17.8 between 2012-2014 and 2022-2024. In 2022-2024, there were approximately 41,600 injury deaths among children in the U.S., nearly 8,200 more deaths than in 2012-2014.
Graphic representation of Injury Deaths Among Children information contained on this page. 25% increase from 14.2 to 17.8 deaths per 100,000 children ages 1-19 between 2012-2014 and 2022-2024. Download the full report PDF from the report Overview page for details.
In the decade between 2012-2014 and 2022-2024, injury deaths among children significantly increased in 26 states and the District of Columbia. The largest increases were 134% in the District of Columbia (14.1 to 33.0 deaths per 100,000 children ages 1-19), 53% in New Mexico (20.0 to 30.6), 49% in Tennessee (17.4 to 26.0) and 48% in both Mississippi (23.6 to 34.9) and Colorado (14.9 to 22.0).
Recent differences. The injury death rate significantly varied by age, race/ethnicity, geography and gender. In 2022-2024, the rate was: 
  • 6.6 times higher among children ages 15-19 (43.2 deaths per 100,000 children ages 1-19) compared with children ages 5-14 (6.5).
  • 6.2 times higher among American Indian/Alaska Native (43.5) than Asian (7.0) children.
  • 4.4 times higher in Mississippi (34.9) than in Rhode Island (7.9).
  • 2.4 times higher among boys (25.0) compared with girls (10.3).

Related Measures: 

Child Mortality

Graphic representation of Child Mortality information contained on this page. 18% increase from 24.3 to 28.7 deaths per 100,000 children ages 1-19 between 2012-2014 and 2022-2024. Download the full report PDF from the report Overview page for details.
Nationally, the child mortality rate — the number of deaths per 100,000 children ages 1-19 — increased 18% from 24.3 to 28.7 deaths per 100,000 children ages 1-19 between 2012-2014 and 2022-2024. The current rate exceeds the Healthy People 2030 target of 18.4 deaths among children and adolescents ages 1-19 per 100,000 population
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.33 In 2022-2024, 67,000 children died, 10,000 more deaths than in 2012-2014. In the decade between 2012-2014 and 2022-2024, the child mortality rate significantly increased in 27 states and the District of Columbia. The largest increases were 67% in the District of Columbia (26.3 to 43.8 deaths per 100,000 children ages 1-19), 36% in both North Carolina (25.8 to 35.1) and Mississippi (36.7 to 49.9), and 33% in New Mexico (30.8 to 41.1). In 2022-2024, the child mortality rate was 3.0 times higher in Mississippi (49.9) than in Massachusetts (16.6). The child mortality rate also significantly varied by race/ethnicity, age and gender. For more information, view child mortality data.

Firearm Deaths Among Children

Nationally, the firearm death rate — the number of deaths among children ages 1-19 due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population — increased 67% from 3.3 to 5.5 between 2012-2014 and 2022-2024. In 2022-2024, nearly 13,000 children died due to firearm injury, 5,000 more than in 2012-2014. 
During the same time period, the firearm death rate significantly increased in 26 states and the District of Columbia. The largest increases were 267% in the District of Columbia (5.8 to 21.3 deaths per 100,000 children ages 1-19), 198% in Mississippi (4.9 to 14.6), 189% in New Mexico (3.8 to 11.0) and 147% in Georgia (3.6 to 8.9). In 2022-2024, the firearm death rate among children ages 1-19 was 14.2 times higher in the District of Columbia (21.3) and 9.7 times higher in Mississippi (14.6) than in Massachusetts (1.5). The firearm death rate also significantly varied by age and race/ethnicity. For more information, view child firearm deaths data.

Economic Resources

Poverty Among Women

Poverty is associated with many adverse health outcomes
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.34 Women with household incomes below the federal poverty level frequently face barriers to affording essential needs
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such as stable housing, health insurance and food.35
Changes over time. Nationally, the poverty rate — the percentage of women ages 18-44 who live below the poverty level — decreased 12% from 16.3% to 14.4% between 2018 and 2024. Despite this improvement, the rate remains higher than the Healthy People 2030 goal to reduce the proportion of people living in poverty to 8.0%
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.36 In 2024, 8.5 million women were living below the poverty level, a decrease of 660,000 women compared with 2018. 
Graphic representation of Poverty Among Women information contained on this page. 12% decrease from 16.3% to 14.4% of women ages 18-44 between 2018 and 2024. Download the full report PDF from the report Overview page for details.
Between 2018 and 2024, the poverty rate significantly decreased in 24 states. The largest decreases were 34% in Montana (17.1% to 11.3%), 26% in New Mexico (23.9% to 17.6%) and 20% in Arizona (16.8% to 13.4%). 
Between 2019 and 2024, poverty decreased 19% among American Indian/Alaska Native (25.3% to 20.5%), 6% among white (12.4% to 11.6%), 5% among Black (22.1% to 21.1%) and 4% among Hispanic (18.7% to 17.9%) women. 
Recent differences. The poverty rate significantly varied by geography and race/ethnicity. In 2024, the prevalence among women ages 18-44 was:
  • 2.4 times higher in Mississippi (22.2%) than in New Hampshire (9.1%).
  • 2.0 times higher among Black (21.1%) compared with Asian (10.6%) women.
Note: Differences highlight the groups with the highest and lowest values. However, the values for certain race/ethnicity groups may not differ significantly based on overlapping 95% confidence intervals. For more information, view poverty data for women.
Related Measure: Food Insecurity
Nationally, the prevalence of food insecurity — the percentage of households unable to provide adequate food for one or more household members due to lack of resources — decreased 7% from 14.3% to 13.3% in the 10 years between 2012-2014 and 2022-2024, but increased 28% between 2019-2021 and 2022-2024 (from 10.4%). Despite the improvement, the prevalence remains higher than the Healthy People 2030 target to reduce household food insecurity and hunger to 6.0% of households
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.37 Reducing household food insecurity and hunger is a Healthy People 2030 Leading Health Indicator
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.5
Graphic representation of Food Insecurity information contained on this page. 7% decrease over the past decade, from 14.3% to 13.3% of households, with recent increases. Download the full report PDF from the report Overview page for details.
In the decade between 2012-2014 and 2022-2024, the prevalence of food insecurity decreased in two states: 29% in North Carolina (16.7% to 11.8% of households) and 21% in Mississippi (22.0% to 17.3%). In 2022-2024, the prevalence of food-insecure households was 2.2 times higher in Arkansas (19.4%) than in North Dakota (9.0%).

Headshot graphic of Traci Causey, PhD, MPH, MCHES, CEO of the Alliance for a Healthier Generation
“When health care providers, schools, families and communities reinforce one another, guidance can become action, and consistent healthy behaviors can become part of children’s everyday lives and help them thrive as they grow up.” 

– Traci Causey, PhD, MBA, MCHES CEO of the Alliance for a Healthier Generation 
View related article: Creating Healthier Environments for Children to Thrive

Children in Poverty

Living and growing up in poverty can have negative effects
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on the physical health, development and educational achievement
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of children.38,39 Children who come from low-income families or neighborhoods are more likely
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to have health problems such as low birth weight and asthma.40
Changes over the last decade. Nationally, the rate of children in poverty — the percentage of children ages 0-17 living in households below the poverty threshold — decreased 29% from 21.7% to 15.5% between 2014 and 2024. The prevalence of children in poverty peaked in 2012 at 22.6%, followed by a 31% decrease between 2012 and 2024. 
In the decade between 2014 and 2024, the rate of children in poverty decreased 35% among Hispanic (32.1% to 20.9%), 33% among other race (35.4% to 23.8%), 28% among American Indian/Alaska Native (35.7% to 25.7%), 26% among Black (38.4% to 28.5%), 26% among white (13.0% to 9.6%), 25% among multiracial (22.2% to 16.6%) and 21% among Asian (12.4% to 9.8%) children. 
Graphic representation of Children in Poverty By Race/Ethnicity information contained on this page. Download the full report PDF from the report Overview page for details.
During the same time period, the rate of children in poverty decreased in 43 states. The largest decreases were 49% in New Hampshire (13.0% to 6.6%), 43% in Arizona (25.6% to 14.6%) and 42% in Vermont (15.8% to 9.1%).
Recent differences. The children in poverty rate significantly varied by geography and race/ethnicity. In 2024, the prevalence among children was:
  • 4.3 times higher in the District of Columbia (28.3%) and 3.8 times higher in Louisiana and Mississippi (both 25.2%) than in New Hampshire (6.6%). 
  • 3.0 times higher among Black (28.5%) compared with white (9.6%) children. 
Note: Differences highlight the groups with the highest and lowest values. However, the values for certain race/ethnicity groups may not differ significantly based on overlapping 95% confidence intervals. For more information, view poverty data for children.

Related Measures: 

Children in Poverty Racial Disparity

Nationally, the racial disparity among children in poverty — the ratio of the childhood poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate — did not change between 2015-2019 (33.2% of Black children versus 11.1% of white children) and 2022-2024 (29.9% of Black children versus 9.9% of white children) and remains 3.0.

Housing Cost Burden

Nationally, housing cost burden — the percentage of households with one or more children ages 0-17 with housing costs more than 30% of household income — decreased 13% from 31.7% to 27.7% in the 10 years between 2014 and 2024. However, the percentage of cost burdened households with children increased 3% since 2019 (from 26.8%). In 2024, nearly 10.0 million households with children were cost burdened, a decrease of over 1.2 million households compared with 2014. 
Graphic representation of Housing Cost Burden Among Households With Children information contained on this page. 13% decrease from 31.7% to 27.7% of households with children ages 0-17 between 2014 and 2024. Download the full report PDF from the report Overview page for details.
In the decade between 2014 and 2024, housing cost burden decreased in 29 states. The largest decreases were 39% in Maine (32.9% of households with children ages 0-17 to 20.1%), 39% in Vermont (30.8% to 18.8%) and 27% in Wisconsin (27.4% to 20.0%). In 2024, housing cost burden was 2.2 times higher in Hawaii (38.8%) than in West Virginia (18.0%).

Education

College Graduation Among Women

Income differences between those with a college degree and those with only a high school diploma in the U.S. have remained prevalent for decades, persisting into 2025
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.41 Women with a bachelor’s degree earn a median of $2.4 million
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over their lifetime compared with $1.3 million for high school graduates.42
Changes over time. Nationally, the rate of college graduates — the percentage of women ages 25-44 who have graduated from a college or technical school — increased 9% from 35.7% to 39.0% between 2017-2018 and 2023-2024. In 2023-2024, 16.6 million women were college graduates, an increase of nearly 1.5 million women compared with 2017-2018. 
Graphic representation of College Graduation Among Women information contained on this page. 9% increase from 35.7% to 39.0% of women ages 25-44 between 2017-2018 and 2023-2024. Download the full report PDF from the report Overview page for details.
Between 2017-2018 and 2023-2024, women college graduates ages 25-44 significantly increased:
  • 26% among Hispanic (16.9% to 21.3%), 15% among Black (29.1% to 33.4%) and 9% among white (41.5% to 45.4%) women.
  • 10% among women ages 25-34 (33.9% to 37.2%) and 8% among women ages 35-44 (37.6% to 40.6%). 
During the same time period, the rate of women college graduates significantly decreased 20% among those with an annual household income of $25,000 to $49,999 (24.6% to 19.7%) and 9% among those with an income of $50,000 to $74,999 (43.3% to 39.4%).
Between 2017-2018 and 2023-2024, the rate of women college graduates ages 25-44 increased in 12 states and the District of Columbia. The largest increases were 30% in Idaho (27.2% to 35.4%), 23% in Arizona (28.3% to 34.8%) and 22% in both New Hampshire (37.8% to 46.1%) and the District of Columbia (61.3% to 75.0%). 
Recent differences. The rate of women college graduates significantly varied by income, race/ethnicity, disability status, geography, metropolitan status, age and sexual orientation. In 2023-2024, the percentage among women ages 25-44 was:
  • 7.3 times higher among women with an annual household income of $150,000 or more (77.1%) compared with women with an income less than $25,000 (10.6%).
  • 3.3 times higher among Asian (70.5%) compared with Hispanic (21.3%) women. 
  • 2.8 times higher among women without a disability (44.5%) compared with women who have difficulty with mobility (16.1%).
  • 2.8 times higher in the District of Columbia (75.0%) and 2.1 times higher in Massachusetts (55.5%) than in West Virginia (26.5%).
  • 1.6 times higher among women living in metropolitan areas (40.9%) compared with women in nonmetropolitan areas (25.8%).
  • 1.1 times higher among women ages 35-44 (40.6%) compared with women ages 25-34 (37.2%).
  • 1.1 times higher among straight women (39.0%) than LGBQ+ women (36.1%). 
Note: No data were available for Tennessee in 2024 or for Kentucky and Pennsylvania in 2023. Differences highlight the groups with the highest and lowest values. However, the values for certain disability and race/ethnicity groups may not differ significantly based on overlapping 95% confidence intervals. For more information, view college graduate data for women.

High School Graduation

The connection between education and health is well-documented
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.43 Higher educational attainment is associated with higher earnings
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, increased health literacy
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and higher life expectancy
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.44–46 Individuals with lower educational attainment are at greater risk of adverse health outcomes
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such as cardiovascular disease
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.47,48
Changes over the last decade. Nationally, the high school graduation rate — the percentage of students graduating with a regular high school diploma within four years of starting ninth grade — increased 7% from 81.4% to 86.7% between the 2012-2013 and 2022-2023 school years. The current rate still falls short of the Healthy People 2030 target to increase the proportion of high school students who graduate in four years to 90.7%
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In the decade between the 2012-2013 and 2022-2023 school years, the rate of high school graduation increased 16% among Black (70.7% to 82.0%), 10% among Hispanic (75.2% to 82.9%), 7% among American Indian/Alaska Native (69.7% to 74.6%), 5% among Asian/Pacific Islander (88.7% to 93.4%) and 4% among white (86.6% to 90.0%) students. 
During the same time period, the rate of high school graduation increased 7% or more in 16 states and the District of Columbia. The largest increases were 23% in the District of Columbia (62.3% to 76.5%) and 18% in Oregon (68.7% to 81.3%), Mississippi (75.5% to 89.4%) and Georgia (71.7% to 84.4%). 
Graphic representation of High School Graduation By Race/Ethnicity information contained on this page. Download the full report PDF from the report Overview page for details.
Recent differences. The high school graduation rate varied by race/ethnicity and geography. In the 2022-2023 school year, the rate was:
  • 1.3 times higher among Asian/Pacific Islander (93.4% of students) compared with American Indian/Alaska Native (74.6%) students. 
  • 1.2 times higher in West Virginia (92.6%) than in the District of Columbia (76.5%) and New Mexico (76.5%). 
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