2025

AnnualReport

Behaviors

SupportingHealthyPeople2030

HealthyPeople2030isan

initiativeledbytheOffice

Physical

Environment

ClinicalCare

Health

Outcomes

ofDiseasePreventionand

Social&

Economic

Factors

HealthPromotionwithintheU.S.DepartmentofHealthandHumanServices(HHS)thatsetsdata-drivennationalobjectivesforthenation’shealthandwell-beingoverthenextdecade,withakeyfocusonaddressing

thesocialdeterminantsofhealth.Fornearlyfivedecades,HealthyPeople’snational-levelobjectiveshaveservedasvaluablebenchmarksforadvancinghealthandwell-beingatthe

statelevel.Italsoprovidesdatatotrackthe

nation’sprogresstowardachievingthosegoals,aswellastoolsthathelpguideindividuals,

organizationsandcommunitiestodoso.

ModelforMeasuringAmerica’sHealth

America’sHealthRankings?isbuiltuponthe

Asalong-standingchampion

ofpublichealthandtheHHS

HealthyPeople2030goals,theUnitedHealthFoundationis

honoredtoberecognizedasa

HealthyPeople2030Champion

.

WorldHealthOrganization’s

definitionof

health

:“Healthisastateofcompletephysical,

mental,andsocialwell-beingandnotmerelytheabsenceofdiseaseorinfirmity.”

1

ThemodelwasdevelopedundertheguidanceoftheAmerica’sHealthRankingsAdvisory

CouncilandCommittees,withinsightsfrom

HealthyPeople2030ChampionbadgeisaservicemarkoftheU.S.DepartmentofHealthandHumanServices.

Usedwithpermission.ParticipationbyUnitedHealthFoundationdoesnotimplyendorsementbyHHS/ODPHP.

otherrankingsandhealthmodels,particularly

CountyHealthRankings&Roadmaps

and

HealthyPeople

.Themodelservesasa

frameworkacrossallAmerica’sHealthRankingsreportsforidentifyingandquantifyingthe

driversandoutcomesthatimpactstateandnationalpopulationhealth.

Contents

StateRankings32

InternationalComparison35

Appendix40

NationalSummary41

MeasuresTable43

DataSourceDescriptions49

Methodology51

References56

Foreword2

Introduction3

NationalSnapshot5

Findings7

HealthOutcomes8

SocialandEconomicFactors14

PhysicalEnvironment17

ClinicalCare21

Spotlight:RuralCommunities25

Behaviors27

CalltoAction

Toadvancehealthandwell-beingnationwide,communityandhealthleaders

alikecanusethedatainthisreporttoimplementdata-drivensolutionsthat

buildonimprovementsinmortalityandprevention,whileaddressingtheuniquechallengesandgapsfacingspecificpopulations,includingruralcommunities.

Definitions,LimitationsandMethodology

Fordetailsondemographicgroupdefinitionsandlimitations,datasourcesandmethodology,pleaserefertotheAppendixon

page40

andvisit

AmericasHealthR

.

StateRankings

Findings▼

Appendix▼

NationalSnapshot

Introduction

ReflectingontheLatestData

Margaret-MaryWilson,MD

ExecutiveVicePresident&ChiefMedicalOfficer,UnitedHealthGroup

“Aswereflectonthe

findingsinthisyear’sAnnualReport,we

mustrededicate

ourselvestoimprovinghealthcareinthis

Aswereflectonthefindingsinthisyear’sAnnualReport,wemustrededicateourselvestoimprovinghealthcareinthiscountryandcreatingahealthier

nationforall.

UnitedHealthFoundation’sgoalhasalwaysbeentohelpbuildhealthier

communities.Thatworkbeginswithinformation—datathatquantifies

profoundlyhumanexperiences—anditispropelledbypeoplewhowant

countryandcreatingahealthiernation

forall.”

tocreatepositivechange.America’sHealthRankingsprovidesactionable,data-driveninsightstohelppolicymakers,communityleadersandhealthofficialsbetterunderstandthehealthandwell-beingoftheircommunitiessothattogethertheycanhelpimprovethem.

Inthisyear’sAnnualReport,weseeprogressacrossthenation,includingimprovementsinmortality,stabilizingtrendsinmeasuresofbehavioralhealthandprogressinseveralmeasuresofclinicalcare.Theseare

encouragingfindings.Asaphysician,Iknowgoodqualityclinicalcareandpreventionarethecornerstonesofhealthyoutcomes.

Thereportalsorevealsareasforimprovementwithinthesocialandeconomicdomainsthatshapehealth.Thedataalsoshowthedistinctchallengesfacedbydifferentcommunities,includingruralAmerica,thatmustbeaddressedthroughtailoredinterventions.

Thevalueofdataispurposefulaction.Eachofushasaroletoplayin

turningtheseinsightsintoahealthierfuture:forindividuals,communities,statesandthenation.America’sHealthRankingsprovidesthedemographic,state-basedandnationaldatathatarecriticaltobuildonprogressand

identifyareasofopportunitytoimprovewell-being.

2

Foreword

2025AnnualReport

AmericasHealthR

/Introduction

Findings▼

Appendix▼

StateRankings

NationalSnapshot

TheUnitedHealthFoundation?isproudtoreleasetheAmerica’sHealthRankings2025AnnualReport,whichprovidesacomprehensivelookatthehealthofthe

populationnationwideandonastate-by-statebasis.

Firstpublishedin1990,theAnnualReportisthelongest-runningstate-by-stateanalysisofthenation’shealth.Asaleaderinpublichealthdataanalysis,America’sHealthRankingshasadvanceditsmodelformeasuringhealthoverthepastthree-plusdecades

toreflecttheevolvingunderstandingofthefactorsthatshapepopulationhealthandcommunitywell-being.

Thisyear’sreportanalyzes99measuresdrawnfrom31datasourcestoprovideacomprehensiveviewofthehealthofthenation,the50statesandtheDistrictofColumbia.Thereportalsoexaminesdifferencesacrosspopulationsbyage,income,educationalattainmentandotherdemographicfactors,andincludesacloserlookathowthehealthofthoselivingin

rural(nonmetropolitan)areascompareswiththatoftheir

metropolitancounterparts.

JonathanFielding,MD

DistinguishedProfessorofHealthPolicyandManagement,UCLAFieldingSchoolofPublicHealth

Fordecades,America’sHealthRankingshascompiledreliableinformationfromavarietyofsourcestoinformthenation’sunderstandingofkeydriversofhealth,helpingassesstheprogresswe’vemadeandthecriticalopportunitiesthat

remain.Thisuniqueresourceequips

The2025reportrevealsencouragingsignsofprogress.Mortalityratesimproved,includingreductionsinprematuredeathand

drugdeathrates.Nationalratesofcancerscreenings,physicalinactivityandvolunteerismalsoimproved.Atthesametime,

thesegainswereoffsetbyarisingprevalenceinmultiple

chronicconditionsamongadultsandworseningsocioeconomicchallengessuchashomelessnessandunemployment.

Nationalfindingsfromthe2025AnnualReportinclude:

publichealthleaderswithactionable

informationandtrendstheycanuse

tounderstandthekeydifferencesin

healthandwell-beingbetweenstates

andpopulationsacrossourgreatnation.WhatmakesAmerica’sHealthRankingsespeciallyvaluableisitsabilitytoturn

complexdataintoclear,actionable

insightstohelpleadersmovebetweenevidenceandimpact.

Bytranslatinginformationintoaction,America’sHealthRankingscontinuestobeanessentialcornerstoneunderlyingtheprogressthathasbeenmadein

advancingthehealthandwell-beingofallAmericans.

?Prematuredeath,drugdeath,firearmandhomicideratesallimproved.

?Theprevalenceofmultiplechronicconditionsincreased.

?Behavioralhealthmeasuresdepression,excessivedrinking,frequentmentaldistress,non-medicaldruguseandsuicideremainedstable.

?Volunteerismincreased,whilehomelessnessandunemploymentrose.

?Thesupplyofmentalhealthproviderscontinuedtogrow,andtheprevalenceofadultswhoreceivedrecommendedcancerscreeningsincreased.However,moreadultsavoidedneededcareduetocost,andthepercentageofpeoplewhowere

uninsuredincreased.

?Physicalinactivityamongadultsimproved.Cigarettesmokingcontinuedtodecrease,bute-cigaretteuseincreased.

?Airpollutionincreasedafterreachingalowduringthe

COVID-19pandemic.Drinkingwaterviolationsdecreased,andrenewableenergyproductioncontinuedtorise.

Introduction

3

2025AnnualReport

AmericasHealthR

Introduction

Findings▼

Appendix▼

NationalSnapshot

StateRankings

Behaviors

ClinicalCare

SocialandEconomicFactors

HealthOutcomes

PhysicalEnvironment

References

MeasuresTable

Methodology

NationalSummary

DataSourceDescriptions

Newin2025

Thisyear,America’sHealthRankingsaddedthreenewmeasures:heat-codedemergencydepartmentvisits,homelessnessandneighborhoodracial/ethnicsegregation.Alsonewthisyearistheabilitytobreakdown

measuressourcedfromtheBehavioralRiskFactorSurveillanceSystembysixlevelsofincome.Foradetaileddescriptionoftheseandotherdemographicgroups,seeMethodology(

page51

).

Userscan

explorepopulationdata

bymetropolitanstatusforavarietyofmeasuresbylookingforthisiconthroughouttheExecutiveBrief,StateSummariesandreport.

Objective

America’sHealthRankingsaimstoinformanddriveactiontobuildhealthiercommunitiesbyofferingcredible,trusted

?Ninety-ninemeasures.Theseinclude50ranking

and49unweightedmeasures(notincludedina

state’soverallrank).Foracompletelistofmeasures,definitionsandsourcedetails,seetheMeasuresTableandDataSourceDescriptions(

page43

).

?Fivecategoriesofhealth.ThesecompriseHealth

Outcomesandfourcategoriesofhealthdeterminants:SocialandEconomicFactors,PhysicalEnvironment,

BehaviorsandClinicalCare.

?Thirty-onesources.Dataarefrommultiplesources,includingtheCentersforDiseaseControland

Prevention’sBehavioralRiskFactorSurveillanceSystemandtheU.S.CensusBureau’sAmericanCommunitySurvey.

TheAmerica’sHealthRankings2025AnnualReportaimstoimprovepopulationhealthby:

?Presentingaholisticviewofhealth.Thisreport

goesbeyondmeasuresofclinicalcareandhealth

behaviorsbyconsideringsocial,economicandphysicalenvironmentmeasures,reflectingtheimpactofsocialdriversofhealth.

datathatcanguideeffortstoimprovepopulationhealth.Toachievethis,America’sHealthRankingscollaborateswithanadvisorycommitteetodeterminetheselectionofacomprehensivesetofmeasures.The2025AnnualReportisbasedon:

?Providingabenchmarkforstates.Eachyear,thereportpresentsstrengths,challengesandkeyfindingsforeverystateandtheDistrictofColumbia.Publichealthleaderscanmonitorhealthtrendsovertimeandcomparetheirstatewithotherstatesandthenation.StateSummariescontainingdataonall50rankingmeasuresareavailableonthewebsiteasaseparatedownload.

?Highlightingdifferences.Thereportshowsdifferencesinhealthbetweenstatesandamongdemographic

groupsatstateandnationallevels,withgroupings

basedonrace/ethnicity,gender,age,disabilitystatus,educationalattainment,incomelevel,metropolitanstatus,sexualorientationandveteranstatus.

?Stimulatingaction.Thereportaimstodrivechangeandimprovehealthbypromotingdata-driven

discussionsamongindividuals,communityleaders,publichealthworkers,policymakersandthemedia.Statescanincorporatethereportintotheirannualreviewofprograms,andmanyorganizationsuse

itasareferencewhenassigninggoalsforhealthimprovementplans.

Introduction

AmericakiglR

\4

Introduction/

Findings▼

StateRankings

Appendix▼

NationalSnapshot/

NationalSnapshot

HealthOutcomes

SocialandEconomicFactors

PrematureDeath*

to7,862

22%▲

Volunteerism?

increasefrom23.2%to28.3%ofthepopulationage16andolderbetween2021and2023.

yearslostbeforeage75per

100,000populationbetween

2022and2023.

MultipleChronicConditions**

Homicide*

13%▽

6%▲

decreasefrom7.7to6.7deathsper100,000populationbetween2020-2021and2022-2023.

Unemployment??

increasefrom10.7%to11.3%ofadultsbetween2023and2024.

7%▲

increasefrom4.3%to4.6%ofthecivilianworkforcebetween2023

and2024.

DrugDeaths*

3%▽

FirearmDeaths*

3%▽

decreasefrom32.4to31.4

deathsper100,000populationbetween2022and2023.

decreasefrom14.5to14.0deathsper100,000populationbetween2022and2023.

*Source:U.S.HHS,MultipleCauseofDeathFilesviaCDCWONDER.

**Source:U.S.HHS,CDC,BehavioralRiskFactorSurveillanceSystem.

?Source:U.S.CensusBureau,CurrentPopulationSurvey,Volunteeringand

CivicLifeSupplement.

??Source:U.S.CensusBureau,AmericanCommunitySurvey,1-YearDataset.

NationalSnapshot

AmericakiglR

\5

Introduction/

NationalSnapshot/

Findings▼

StateRankings

Appendix▼

Behaviors

E-CigaretteUse*

CancerScreenings

PhysicalInactivity*

4%▲

decreasefrom24.2%to21.8%ofadultsbetween2023and2024.

increasefrom7.7%to8.0%ofadultsbetween2023and2024.

10%▽

CigaretteSmoking*

CancerScreenings*

decreasefrom12.1%to11.6%ofadultsbetween2023and2024.

4%▽

i

64.5%ofadultsbetween

2022and2024.

PhysicalEnvironment

AirPollution?

Homelessness**

13%▲

increasefrom19.4to22.6

increasefrom7.8to8.8microgramsoffineparticlespercubicmeter

between2019-2021and2022-2024.

RenewableEnergy?

16%▲

peopleper10,000populationbetween2023and2024.

6%▲

DrinkingWaterViolations??

ColorectalCancerScreenings*

increasefrom20.6%to21.9%oftotalelectricitygeneratedbetween2023and2024.

r%efro8to2.5average

i

71.1%ofadultsages45-75between2022and2024.

violationspercommunitywatersystembetween2023and2024.

ClinicalCare

MentalHealthProviders??

io344.9to

362.6providersper100,000

populationbetweenSeptember2024andSeptember2025.

AvoidedCareDuetoCost*

iao10.6%to11.5%ofadultsbetween2023and2024.

BreastCancerScreenings*

FluVaccination*

iao7.9%to8.2%ofthepopulationbetween2023and2024.

Uninsured§

decreasefrom42.9%to41.3%ofadultsbetween2023and2024.

4%▽

▲

increasefrom72.1%to

*Source:U.S.HHS,CDC,BehavioralRiskFactorSurveillanceSystem.

**Source:U.S.HUD,AnnualHomelessnessAssessmentReportstoCongress.?Source:U.S.EPA.

74.5%ofwomenages40-74between2022and2024.

??Source:U.S.EPA,SafeDrinkingWaterInformationSystemviaECHO.

?Source:U.S.EIA,StateEnergyDataSystem.

??Source:U.S.HHS,CMS,NationalPlanandProviderEnumerationSystem.

§Source:U.S.CensusBureau,AmericanCommunitySurvey,1-YearDataset.

NationalSnapshot

AmericakiglR

\6

Introduction

NationalSnapshot

Appendix▼

StateRankings

/Findings▽

Findings

Findings▽

Introduction

StateRankings

Appendix▼

NationalSnapshot

Behaviors

ClinicalCare

PhysicalEnvironment

HealthOutcomes

References

NationalSummary

MeasuresTable

Methodology

DataSourceDescriptions

SocialandEconomicFactors

DrugDeaths

ByAgeGroup

65

60

55

Deathsper100,000population

50

45

40

35

30

25

20

15

10

5

0

●Ages35-44

●Ages45-54

●Ages55-64

●Ages25-34

●Ages65-74

●Ages15-24

20072011201520192023Year

Source:U.S.HHS,MultipleCauseofDeathFilesviaCDCWONDER,2007-2023.

HEALTHOUTCOMES|BEHAVIORALHEALTH

DrugDeaths

Between2022and2023,thedrugdeathratesignificantlydecreased:

?11%amongthoseages15-24(15.1to13.5deathsper100,000population),10%amongthoseages25-34(50.6to45.6),and4%amongboththoseages35-44(63.1to60.8)andthoseages45-54(55.3to53.3).

?6%amongwhitepopulations(34.6to32.6).

?5%amongfemales(19.1to18.2)and2%amongmales(45.9to44.8).

However,duringthesameperiod,thedrugdeathratesignificantlyincreased:

?12%amongthoseages65-74(19.0to21.3deathsper100,000population).

?3%amongBlackpopulations(49.3to50.9).

DrugoverdosedeathsintheUnitedStates

decreased

between2022and2023,aftertwodecadesofnear-continuousincreases.

2Provisional2024data

suggestthatthispositivetrendiscontinuing.

3

However,

notallregions,racial/ethnicgroupsoragegroups

experiencedimprovements

inoveralldrugdeaths.

4

Changesovertime.Nationally,thedrugdeathrate

decreased3%from32.4to31.4deathsduetodruginjury(unintentional,suicide,homicideorundetermined)per100,000populationbetween2022and2023.Thisrate

stillexceedsthe

HealthyPeople2030targettoreduce

drugoverdosedeathsto20.7deathsper100,000

population

.

5

In2023,105,000peopleintheU.S.diedofadrugoverdose,2,900fewerdeathsthanin2022.

2025AnnualReport

AmericasHealthR

8

Findings/HealthOutcomes

Introduction

NationalSnapshot

/Findings▽

Appendix▼

StateRankings

Between2022and2023,thedrugdeathratesignificantlydecreasedin14statesbutincreasedinfivestates.The

largestdecreaseswere:19%inNorthCarolina(40.3to32.5deathsper100,000population),17%inbothArkansas

(20.3to16.8)andIndiana(39.3to32.7),and16%inMaine(51.0to42.8).Thedrugdeathrateincreased41%inAlaska(34.6to48.9),31%inOregon(32.1to42.1),27%inboth

Washington(35.0to44.5)andNevada(31.6to40.1),and4%inCalifornia(28.1to29.2).

Differences.Thedrugdeathratesignificantlyvariedbyrace/ethnicity,geography,ageandgenderin2023.

Theratewas:

?11.8timeshigheramongAmericanIndian/AlaskaNative(63.6deathsper100,000population)

comparedwithAsian(5.4)populations.

?8.9timeshigherinWestVirginia(77.8)thaninNebraska(8.7).

?4.5timeshigheramongthoseages35-44(60.8)thanthoseages15-24(13.5).

?2.5timeshigheramongmales(44.8)comparedwithfemales(18.2).

RelatedMeasure:Non-MedicalDrugUse

Nationally,thepercentageofadultswhoreported

usingprescriptiondrugsnon-medically(including

painrelievers,stimulantsandsedatives)orillicitdrugs

(excludingcannabis)inthelast12monthsdidnot

changesignificantlybetween2024and2025(17.6%

to16.8%).In2025,almost44.2millionadultsreported

non-medicaldruguse.Overthelongerterm,non-medicaldruguseincreased49%from11.3%to16.8%between

2019and2025.

Between2024and2025,non-medicaldruguseprevalencesignificantlydecreased:

?9%amongadultswithincomesof$75,000ormore(11.2%to10.2%).

?9%amongcollegegraduates(19.7%to18.0%).

?8%amongwhiteadults(17.9%to16.5%).

Duringthesameperiod,non-medicaldruguse

significantlychangedinonestate.Usedecreased37%inNevada(39.3%to24.9%).

DrugDeaths

ByRace/Ethnicityin2023

Asian

5.4,11.8x

Multiracial

17.6

Hispanic

22.3

Hawaiian/PacificIslander

26.8

White

32.6

Black

50.9

AmericanIndian/AlaskaNative

63.6

010203040506070

Deathsper100,000population

Source:U.S.HHS,MultipleCauseofDeathFilesviaCDCWONDER,2023.

Findings/HealthOutcomes

AmericakiglR

\9

Findings▽

Introduction

StateRankings

Appendix▼

NationalSnapshot

Behaviors

ClinicalCare

PhysicalEnvironment

HealthOutcomes

References

NationalSummary

MeasuresTable

Methodology

DataSourceDescriptions

SocialandEconomicFactors

ExcessiveDrinking

ExcessivealcoholuseisoneoftheleadingpreventablecausesofdeathintheU.S.,causinganestimated

178,000deaths

everyyear,behindtobaccouse

andpoordiet/physicalinactivity.

6

Excessivedrinkingcanleadto

alcoholpoisoning

,

unintentionalinjuries

,

hypertension

,

heartdisease

,stroke,liverdisease,

severaldifferentcancersand

alcoholusedisorder

.

7-11

Changesovertime.Nationally,thepercentageofadultswhoreportedexcessivedrinkingremainedstable(16.7%to17.0%)between2023and2024.Excessivedrinkingincludesbothbingedrinking(fourormoredrinksononeoccasioninthepast30daysforfemalesorfiveormoreformales)andheavydrinking(eightormoredrinksperweekforfemalesor15ormoreformales).Long-term,theprevalence

decreased14%(from19.8%)between2011and2024.

Between2023and2024,excessivedrinkingprevalencesignificantlydecreased15%inHawaii(20.1%to17.1%).

Duringthesametimeperiod,theprevalencesignificantlyincreased10%amongadultsage65andolder(6.9%to

7.6%)and7%amongadultsages45-64(15.1%to16.2%).

Differences.Excessivedrinkingsignificantlyvariedbyage,geography,race/ethnicity,disabilitystatus,income,gender,sexualorientationandeducationalattainment.

In2024,theprevalencewas:

?2.9timeshigheramongadultsages18-44(21.9%)comparedwiththoseage65andolder(7.6%).

?2.3timeshigherintheDistrictofColumbia(27.2%)and

1.9timeshigherinMontana(22.5%)thaninUtah(11.9%).?2.0timeshigheramongmultiracial(19.1%)thanAsian (9.7%)adults.

?1.9timeshigheramongadultswhohavedifficultywithcognition(18.7%)comparedwithadultswhohavedifficultywithmobility(9.9%).

?1.8timeshigheramongadultswithanannual

householdincomeof$150,000ormore(22.3%)thanthosewithincomeslessthan$25,000(12.6%).

?1.6timeshigheramongmen(20.5%)thanwomen(13.1%).

?1.3timeshigheramonglesbian,gay,bisexualandqueer(LGBQ+)(21.4%)thanstraight(16.2%)adults.

1.1timeshigheramongcollegegraduates(16.5%)thanadultswithlessthanahighschooleducation(14.9%).

Suicide

Suicideisatroublingpublichealthissuethatleaves

a

lastingimpact

onfamiliesandcommunities.

12

In2024,

14.3million

adultsseriouslythoughtaboutsuicide,

4.6millionmadeaplanand2.2millionattemptedsuicide.

13

Changesovertime.Nationally,thesuicideratedid

notsignificantlychangebetween2022and2023

(14.8to14.7deathsduetointentionalself-harmper100,000population)andremainshigherthanthe

HealthyPeople2030targettoreducethesuicide

rateto12.8deathsper100,000population

.

14

In2023,morethan49,300suicidedeathsoccurredintheU.S.

Long-term,thesuiciderateincreased23%from12.0to14.7between2009and2023.

Differences.Thesuicideratesignificantlyvariedbygeography,gender,race/ethnicityandagein2023.

Theratewas:

?4.7timeshigherinAlaska(28.1deathsper100,000

population)thanintheDistrictofColumbia(6.0),

and3.7timeshigherinAlaskathaninNewJersey(7.6).

?3.9timeshigheramongmales(23.6)comparedwithfemales(6.1).

?3.5timeshigheramongAmericanIndian/AlaskaNative(23.7)thanAsian(6.8)populations.

?1.7timeshigheramongthoseage85andolder(22.7)thanthoseages15-24(13.5).

RelatedMeasure:FrequentMentalDistress

Nationally,thepercentageofadultswhoreportedtheirmentalhealthwasnotgood14ormoredaysinthepast30daysremainedstablenationally(15.4%to15.6%)andsignificantlyincreasedinonestatebetween2023and

2024(Wisconsin,14.7%to17.2%).However,since2011,theprevalenceoffrequentmentaldistresshasincreased

33%nationally(from11.7%).

Note:NodatawereavailableforTennesseein2024orforKentuckyandPennsylvaniain2023.Thevaluesformultiracial(19.1%),Hispanic(17.9%),white(17.7%),Hawaiian/PacificIslander(17.0%)andAmericanIndian/AlaskaNative(15.6%)adultsmaynotdiffersignificantlybasedonoverlapping95%confidenceintervals.Thesameistrueforadultswhohavedifficultywithcognition(18.7%)andthosewithoutadisability(17.6%);adultswhohavedifficultywithmobility(9.9%)andadultswhohavedifficultywithself-care(11.3%);andcollegegraduates(16.5%),adultswithsomepost-highschooleducation(16.1%)andhighschoolgraduates(16.1%).Disabilitygroupsarenotmutuallyexclusive.

AmericakiglR

\10

Findings/HealthOutcomes

PrematureDeath

ByRace/Ethnicityin2021-2023

Asian

3,369,5.0x

Multiracial

4,177

Hispanic

6,293

White

8,913

Hawaiian/PacificIslander

12,379

Black

13,473

AmericanIndian/AlaskaNative

16,918

05,00010,00015,000Yearslostbeforeage75per100,000population

Source:U.S.HHS,MultipleCauseofDeathFilesviaCDCWONDER,2021-2023.

HEALTHOUTCOMES|MORTALITY

PrematureDeath

Prematuredeathisameasureofyearsofpotentiallifelostduetodeathoccurringbeforetheageof75.

Deathsatyoungeragescontributemoretotheprematuredeathratethandeathsoccurringclosertoage75.For

example,apersondyingatage70wouldlosefiveyearsofpotentiallife,whereasachilddyingatagefivewouldlose70yearsofpotentiallife.The

topfivecauses

of

prematuredeathin2023wereunintentionalinjuries,cancer,heartdisease,suicideandhomicide.

15

In2023,homicidereplaced

COVID-19inthetopfiveand

COVID-19droppedoutofthetop10

.

16

Changesovertime.Nationally,prematuredeathdecreased8%from8,522to7,862yearslostbeforeage75per100,000populationbetween2022and

2023.Duringthistimeframe,theprematuredeathratedecreasedin44states,ledby:13%inMaine(9,327to

8,082),12%inbothSouthDakota(9,120to8,047)andWestVirginia(13,647to12,053),and11%inbothIndiana(10,167to9,093)andMissouri(10,446to