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2026 Senior Report

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Executive BriefSpotlight: Older Adults in Rural CommunitiesIntroductionNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsClinical CareBehaviorsState RankingsAppendixMeasures TableData Source DescriptionsMethodologyReferencesState Summaries

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2026 Senior Report 2026 Senior Report – Executive Brief 2026 Senior Report – State Summaries 2026 Senior Report – Risk of Social Isolation County-Level Maps 2026 Senior Report – Measures Table 2026 Senior Report – Infographics 2026 Senior Report – Report Data (All States)

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Centers for Disease Control and Prevention. “About Rural Health.” CDC.gov, March 23, 2026. https://www.cdc.gov/rural-health/php/about/index.html
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Warshaw, Robin. “Health Disparities Affect Millions in Rural U.S. Communities.” AAMCNews. AAMC, October 31, 2017. https://www.aamc.org/news/health-disparities-affect-millions-rural-us-communities
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Xu, Jiaquan et al. Mortality in the United States, 2024. NCHS Data Brief, No. 548. National Center for Health Statistics, January 29, 2026. https://doi.org/10.15620/cdc/174641
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Centers for Disease Control and Prevention. “10 Leading Causes of Death, United States 2024: All Deaths with Drilldown to ICD Codes, All Sexes, All Races, All Ethnicities.” WISQARS Leading Causes of Death Visualization Tool, CDC.gov. Accessed April 22, 2026. https://wisqars.cdc.gov/lcd/?o=LCD&y1=2024&y2=2024&ct=10&cc=ALL&g=00&s=0&r=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd1age&a1=65&a2=74
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Centers for Disease Control and Prevention. “10 Leading Causes of Death, United States 2024: Unintentional Injuries, All Sexes, All Races, All Ethnicities.” WISQARS Leading Causes of Death Visualization Tool, CDC.gov. Accessed April 22, 2026. https://wisqars.cdc.gov/lcd/?o=LCD&y1=2024&y2=2024&ct=10&cc=UNI&g=00&s=0&r=0&ry=0&e=0&ar=lcd1age&at=custom&ag=lcd1age&a1=65&a2=74
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Healthy People 2030. “Reduce Drug Overdose Deaths — SU‑03.” Objective. Accessed April 22, 2026. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-drug-overdose-deaths-su-03
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Centers for Disease Control and Prevention. “Facts About Suicide.” CDC.gov, March 26, 2025. https://www.cdc.gov/suicide/facts/index.html
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Older Americans Behavioral Health Issue Brief 4: Preventing Suicide in Older Adults. Substance Abuse and Mental Health Services Administration and Administration on Aging, 2012. https://acl.gov/sites/default/files/programs/2016-11/Issue%20Brief%204%20Preventing%20Suicide.pdf
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Healthy People 2030. “Reduce the Suicide Rate — MHMD‑01.” Objective. Accessed April 23, 2026. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders/reduce-suicide-rate-mhmd-01
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Centers for Disease Control and Prevention. “Suicide Data and Statistics.” CDC.gov, March 26, 2025. https://www.cdc.gov/suicide/facts/data.html
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America’s Health Rankings. “Explore Suicide in the United States.” AmericasHealthRankings.org. Accessed April 23, 2026. https://www.americashealthrankings.org/explore/measures/Suicide.
Healthy People 2030. “Reduce Firearm-Related Deaths — IVP‑13.” Objective. Accessed April 23, 2026. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/violence-prevention/reduce-firearm-related-deaths-ivp-13
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Federal Bureau of Investigation. “Elder Fraud.” FBI.gov. Accessed April 23, 2026. https://www.fbi.gov/how-we-can-help-you/scams-and-safety/common-frauds-and-scams/elder-fraud
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Aladangady, Aditya et al. Changes in U.S. Family Finances from 2019 to 2022: Evidence from the Survey of Consumer Finances. Washington, D.C.: Board of Governors of the Federal Reserve System, October 2023. https://www.federalreserve.gov/publications/files/scf23.pdf
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Spreng, R. Nathan et al. “Aging and Financial Exploitation Risk.” In Aging and Money, edited by Ronan M. Factora, 2nd ed., 55–73. Cham: Springer Press, 2021. https://doi.org/10.1007/978-3-030-67565-3_5
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Internet Crime Complaint Center. 2024 IC3 Annual Report. U.S. Department of Justice, Federal Bureau of Investigation, April 30, 2025. https://www.ic3.gov/AnnualReport/Reports/2024_IC3Report.pdf
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U.S. Department of Agriculture, Economic Research Service. “Food Security in the U.S. - Definitions of Food Security.” ERS.USDA.gov, March 30, 2026. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security
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Aday, Ronald H. et al. “Understanding the Experiences of Food Insecurity in Older Adult Households.” Journal of Gerontological Social Work 66, no. 2 (February 17, 2023): 239–62. https://doi.org/10.1080/01634372.2022.2098443
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Center on Budget and Policy Priorities. “Policy Basics: The Supplemental Nutrition Assistance Program (SNAP).” CBPP.org, November 25, 2024. https://www.cbpp.org/research/food-assistance/the-supplemental-nutrition-assistance-program-snap
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U.S. Department of Agriculture, Food and Nutrition Service. “What Can SNAP Buy?” FNS.USDA.gov, June 4, 2025. https://www.fns.usda.gov/snap/eligible-food-items
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Monkovic, Mia et al. Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2023. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service, Evidence, Analysis, and Regulatory Affairs Office, April 2025. https://fns-prod.azureedge.us/sites/default/files/resource-files/snap-FY23-Characteristics-Report.pdf
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Administration on Aging. FY 2018 Older Americans Act Report to Congress. U.S. Department of Health and Human Services, Administration for Community Living, June 2021. https://acl.gov/sites/default/files/about-acl/2021-06/ACL_FY2018%20OAA%20Report%20to%20Congress.pdf
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Carpenter, Alexandra et al. Medicaid Long-Term Services and Supports Users and Expenditures by Service Category, 2023. Chicago, IL: Mathematica, October 17, 2025. https://www.medicaid.gov/medicaid/long-term-services-supports/downloads/ltss-users-expenditures-category-brief-2023.pdf
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Centers for Medicare & Medicaid Services. “Home- and Community-Based Services.” CMS.gov, March 10, 2026. https://www.cms.gov/training-education/partner-outreach-resources/american-indian-alaska-native/ltss-ta-center/information/ltss-models/home-and-community-based-services
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Cleveland Clinic. “Geriatrician/Geriatric Medicine Doctor.” my.ClevelandClinic.org, May 15, 2024. https://my.clevelandclinic.org/health/articles/geriatrician
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American Geriatrics Society. “Training for Geriatric Nurse Practitioners.” AmericanGeriatrics.org. Accessed April 23, 2026. https://www.americangeriatrics.org/geriatrics-profession/training-requirements/training-geriatric-nurse-practitioners
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Johns Hopkins Medicine. “Specialists in Aging — Do You Need a Geriatrician?” HopkinsMedicine.org, November 1, 2024. https://www.hopkinsmedicine.org/health/wellness-and-prevention/specialists-in-aging-do-you-need-a-geriatrician
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O*NET OnLine. “31-1121.00 - Home Health Aides.” ONETOnLine.org. Accessed April 23, 2026. https://www.onetonline.org/link/summary/31-1121.00
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O*NET OnLine. “31-1122.00 - Personal Care Aides.” ONETOnLine.org. Accessed April 23, 2026. https://www.onetonline.org/link/summary/31-1122.00
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Long-Term Care in America: Americans Want to Age at Home. Issue Brief. Associated Press-NORC Center for Public Affairs Research, May 2021. https://www.longtermcarepoll.org/wp-content/uploads/2021/04/LTC_Report_AgingatHome_final.pdf
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Centers for Medicare & Medicaid Services. “Home Health Services Coverage.” Medicare.gov. Accessed April 23, 2026. https://www.medicare.gov/coverage/home-health-services
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“Home Health and Personal Care Aides.” In Occupational Outlook Handbook. U.S. Department of Labor, Bureau of Labor Statistics. Accessed April 23, 2026. https://www.bls.gov/ooh/healthcare/home-health-aides-and-personal-care-aides.htm
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Centers for Disease Control and Prevention. “Cancer Deaths - Health, United States.” CDC.gov, June 2023. https://www.cdc.gov/nchs/hus/topics/cancer-deaths.htm
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American Cancer Society. Cancer Facts & Figures 2025. Atlanta, GA: American Cancer Society, 2025. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2025/2025-cancer-facts-and-figures-acs.pdf
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National Cancer Institute, Surveillance, Epidemiology, and End Results Program. “Cancer Stat Facts: Female Breast Cancer.” SEER.Cancer.gov. Accessed April 23, 2026. https://seer.cancer.gov/statfacts/html/breast.html
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National Cancer Institute, Surveillance, Epidemiology, and End Results Program. “Cancer Stat Facts: Colorectal Cancer.” SEER.Cancer.gov. Accessed April 23, 2026. https://seer.cancer.gov/statfacts/html/colorect.html
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National Cancer Institute, Surveillance, Epidemiology, and End Results Program. “Cancer Stat Facts: Common Cancer Sites.” SEER.Cancer.gov. Accessed April 23, 2026. https://seer.cancer.gov/statfacts/html/common.html
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Centers for Disease Control and Prevention. “Flu Burden Prevented by Vaccination 2023-2024 Flu Season.” CDC Archive, January 14, 2025. https://archive.cdc.gov/www_cdc_gov/flu-burden/php/data-vis-vac/2023-2024-prevented.html
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Healthy People 2030. “Increase the Proportion of People Who Get the Flu Vaccine Every Year — IID‑09.” Objective. Accessed April 23, 2026. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination/increase-proportion-people-who-get-flu-vaccine-every-year-iid-09
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Zimlich, Rachael. “Pneumonia Facts and Statistics: What You Need to Know.” Verywell Health, February 16, 2026. https://www.verywellhealth.com/pneumonia-facts-and-statistics-5498569
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KFF. “Total Number of Residents in Certified Nursing Facilities.” KFF State Health Facts. Accessed April 23, 2026. https://www.kff.org/other-health/state-indicator/number-of-nursing-facility-residents/
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KFF. “Total Number of Certified Nursing Facilities.” KFF State Health Facts. Accessed April 23, 2026. https://www.kff.org/other-health/state-indicator/number-of-nursing-facilities/
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