Introduction to Risk Factors Personal Behaviors Prevalence of Smoking Motor Vehicle Deaths Prevalence of Obesity High School Graduation Community Environment Violent Crime Lack of Health Insurance Infectious Disease Children in Poverty Occupational Fatalities Health Policies Per Capita Public Health Spending Immunization Coverage Adequacy of Prenatal Care Introduction to Outcomes Limited Activity Days Cardiovascular Deaths Cancer Deaths Total Mortality Infant Mortality Premature Death Intro and Findings Components State Snapshots Methodology Commentaries and Special Features Foreword and Introduction Selection of Components State-by-State Snapshots Methodology Letter from Michael Leavitt, Secretary, US Health and Human Services Measures of Success Combined Measures: Risk Factors/Outcomes All State Snapshots Weighting of Components Putting Patients First with Personal Health Information Technologyby Myrl Weinberg, President, National Health Council 2005 Results Appendices How do Health Care Systems Recover, and Even Improve, After a Catastrophe?by Frederick Cerise, MD, Secretary, Louisiana Department of Health and Hospitals Changes from 2004, 1990 Risk Factors Index of Tables Healthy Workforce = Healthy Business = Healthy Stateby John Clymer, President, Partnership for Prevention Comparison to Other Nations Outcomes Health Disparities Investing in Prevention to Improve Our Healthby Georges Benjamin, Executive Director, American Public Health Association Importance of Creating a Smokefree Environment Great Progress, More Work Aheadby John Kirkwood, President and CEO, American Lung Association Teen Pregnancy in Americaby Sarah Brown, Executive Director, National Campaign to Prevent Teen Pregnancy Findings2005 ResultsAmerica’s Health Rankings™ – 2005 Edition shows Minnesota at the top of the list of healthiest states. Minnesota has been among the top two states since 1990. Vermont is ranked second this year and has consistently moved up in the rankings for the last five years. New Hampshire is number three, followed by Utah, Hawaii and North Dakota. Mississippi is 50th and the least healthy state, while Louisiana is 49th. Tennessee, South Carolina and Arkansas complete the bottom five states.Minnesota is first this year, a position it has held for 10 of the 16 years since the 1990 Edition. Minnesota’s strengths include ranking first for a low rate of cardiovascular deaths, a low premature death rate and a low percentage of uninsured population. It is also in the top five states for a low percentage of children in poverty, a low total mortality rate, a low infant mortality rate, a low occupational fatalities rate, a low rate of motor vehicle deaths and a high rate of high school graduation. Minnesota’s biggest challenges are a high prevalence of smoking at 20.7 percent of the population, a high prevalence of obesity at 22.6 percent of the population and limited access to adequate prenatal care with 75.8 percent of pregnant women receiving adequate prenatal care. Mississippi is 50th this year, down from 49th in the 2004 Edition. It has been in the bottom three states since the 1990 Edition. The state ranks well in all three health policy measures: 8th for access to adequate prenatal care, which is available to 81.8 percent of pregnant women; 11th for per capita public health spending, at $197 per person; and 14th for immunization coverage, with 84.0 percent of children ages 19 to 35 months receiving complete immunizations. It ranks in the bottom five states on nine of the 18 measures: a high premature death rate, a high infant mortality rate, a high total mortality rate, a high rate of cardiovascular deaths, a high percentage of children in poverty, a high prevalence of obesity, a high rate of motor vehicle deaths, a high occupational fatalities rate, and a high number of limited activity days. It also ranks in the bottom 10 states for two other measures. Table 4 lists the score and ranking for each of the 50 states. Scores presented in the tables indicate the percentage a state is above or below the national norm. For example, a state with a score of 20 is 20 percent above the national average for that component. A negative score means the state is below the national average. When comparing states from year to year, differences in score are more important than changes in ranking.Table 4 2005 Overall America's Health RankingsALPHABETICAL BY STATE RANK ORDER2005 RANK (1-50) STATE SCORE* 2005 RANK (1-50) STATE SCORE*45 Alabama -12.8 1 Minnesota 22.230 Alaska -1.2 2 Vermont 21.331 Arizona -1.6 3 New Hampshire 18.347 Arkansas -16.1 4 Utah 17.422 California 6.0 5 Hawaii 16.917 Colorado 9.7 6 North Dakota 16.67 Connecticut 15.9 7 Connecticut 15.733 Delaware -2.6 8 Maine 15.440 Florida -8.6 9 Massachusetts 15.243 Georgia -10.2 10 Iowa 15.05 Hawaii 17.0 11 Nebraska 12.516 Idaho 10.4 12 Rhode Island 11.228 Illinois 0.9 13 Wisconsin 10.932 Indiana -2.1 14 Washington 10.810 Iowa 14.9 15 New Jersey 10.623 Kansas 5.8 16 Idaho 10.442 Kentucky -9.7 17 Colorado 10.149 Louisiana -18.4 18 Oregon 8.48 Maine 15.5 19 South Dakota 6.734 Maryland -3.6 19 Wyoming 6.79 Massachusetts 15.2 21 Montana 5.929 Michigan 0.3 22 California 5.81 Minnesota 22.1 23 Kansas 5.750 Mississippi -19.1 24 Virginia 5.535 Missouri -4.1 25 Pennsylvania 2.121 Montana 6.6 26 Ohio 1.311 Nebraska 12.2 27 New York 1.037 Nevada -5.9 28 Illinois 0.93 New Hampshire 18.1 29 Michigan 0.115 New Jersey 10.6 30 Alaska -0.638 New Mexico -6.2 31 Arizona -1.526 New York 1.2 32 Indiana -2.336 North Carolina -5.6 33 Delaware -3.46 North Dakota 16.6 34 Maryland -3.527 Ohio 1.1 35 Missouri -3.844 Oklahoma -11.4 36 North Carolina -5.618 Oregon 8.3 37 Nevada -5.725 Pennsylvania 1.9 38 New Mexico -5.912 Rhode Island 11.5 39 Texas -6.746 South Carolina -15.8 40 Florida -8.620 South Dakota 6.7 41 West Virginia -9.148 Tennessee -17.1 42 Kentucky -9.839 Texas -6.7 43 Georgia -10.14 Utah 17.5 44 Oklahoma -11.42 Vermont 21.3 45 Alabama -12.724 Virginia 5.5 46 Arkansas -15.614 Washington 10.7 47 South Carolina -15.741 West Virginia -9.3 48 Tennessee -16.813 Wisconsin 11.0 49 Louisiana -18.319 Wyoming 7.0 50 Mississippi -19.4

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