Chartbook 2011edition

Copyright information: All material appearing in this report is in the public domain and may be reproduced or copied without
permission; citation as to source, however, is appreciated. Suggested citation: Womens Health and Mortality Chartbook: 2011Edition. Washington, DC: DHHS Office on Womens Health. 2011.
Website: For more information about The Womens Health and Mortality Chartbook or to access data files directly, visit: http://www.womenshealth.gov/quickhealthdata/
Women's Health and Mortality Chartbook

2011 Edition
Authors
Suzanne G. Haynes, Ph.D., OWH Colleen Goodman, MBA, QRS Jotsna Kumar, MPH, QRS Barbara Disckind, OWH Prepared by Quality Resource Systems, Inc.
Introduction
The Womens Health and Mortality Chartbook: 2011 Edition is a statistical resource on womens health for each of the 50 states, the District of Columbia, Guam, Puerto Rico, and the US Virgin Islands. This 2011 Edition is the fifth edition of the original chartbook developed by the Centers for Disease Control and Preventions National Center for Health Statistics in coordination with the Department of Health and Human Services Office on Womens Health and published in 2004. 1 The chartbook was initially developed to provide readers with an easy-to-use collection of current state data on critical issues of relevance to women. A total of 28 different health indicators are featured, which highlight a number of the key issues related to womens health that are being measured regularly at the state level. The chartbook is recommended as a reference for policymakers and program managers at the Federal and state levels to identify key health issues of importance in each jurisdiction. The chartbook may also serve to stimulate additional detailed questions regarding the specific populations of concern in each jurisdiction for these and other health indicators. The data presented in this chartbook are taken from Quick Health Data Online (referred to as QHData, www.womenshealth.gov/quickhealthdata). The updated chartbook was developed by the Office on Womens Health as a tool to help identify changes in vulnerable and underserved populations at the state level, where most decisions regarding health policy are developed and implemented. While the project provides data on health, health care, and risk behavior on all populations in each jurisdiction for which data are collected, womens health concerns have been targeted for inclusion, and racial and ethnic differences among women are a primary focus. The information presented in this chartbook represents only a small portion of the data available from QHData, which addresses many other womens health topics. The Womens Health and Mortality Chartbook: 2011 Edition is intended to present state data on womens health in a straightforward, user-friendly manner. More technically detailed publications can be obtained from the original data sources (National Vital Statistics System and the Behavioral Risk Factor Surveillance System) and from QHData.
Structure of the Chartbook

The first section of the updated chartbook contains U.S. maps for each of the featured health indicators. Each health indicator is presented on a single map showing the variation in health status across the 50 states, the District of Columbia, Guam, Puerto Rico, and the US Virgin Islands. The maps present geographic differences in either death rates or proportions of women with specific health characteristics. Data for each health indicator are divided into 5 categories (quintiles), with approximately 10 jurisdictions in each category. Variations in health status are represented using a color gradation of dark to light, with dark colors representing poorer relative health status and light colors representing better relative health status across all maps. The second section of the chartbook contains updated womens health profiles for each of the 54 geographic areas presented. The profiles include a brief summary that highlights how each state or territory fares on the presented indicators. Each profile contains population statistics and data on each of the 28 featured health and mortality indicators, both among women overall and by race and 2 Hispanic origin. Healthy People 2020 targets are included for comparison, where available. Note that the inclusion of Healthy People 2020 targets distinguishes this chartbook from previous editions, due to both changes in targets as well as changes in the definition of included indicators. Finally, the state or territorys relative ranking on each indicator is presented, with lower numerical ranking values indicating better health status relative to other states and territories. The third section of the report includes information on the sources of data (Appendix I), explanations of terms and analytic issues (Appendix II), and cited references (Appendix III).
How health indicators were selected

As with the original chartbook released in 2004, the subsequent versions of the Womens Health and Mortality Chartbook featured 27 health indicators covering a wide range of health issues for women. The Department of Health and Human Services Office on Womens Health in coordination with the Centers for Disease Control and Preventions National Center for Health Statistics originally chose these indicators through careful review of the available data. These 27 indicators were selected for the following reasons: They are regularly measured at the state level. They cover a wide range of mortality, morbidity, health risk factors, preventive services, and access to health care concerns. They cover a wide spectrum of disease types. They cover the full lifespan of women, from young adults to older women.
These broad criteria, combined with priorities set forth in the Department of Health and Human 3 Services Healthy People 2010 initiative, determined the final selection of indicators presented. Indicators available to measure Healthy People 2010 objectives at the state level were chosen over other indicators, and the measure of the indicator used was formulated as defined by the HHS initiative. However, readers should be aware that the Healthy People initiative sets targets for all of the U.S. which are not sex specific. Therefore, text in the profile summaries stating that a jurisdiction has met a Healthy People target, for example, does not imply that the jurisdiction as a whole has met the objective. It refers only to the women in that jurisdiction. The 2011 Edition of the chartbook reflects substantial changes from the previous editions of the chartbook and contains a total of 28 indicators with Healthy People 2020 targets included for comparison. The Healthy People targets used are from Healthy People 2020 and they reflect changes and differences from the Healthy People 2010 targets. As a result of the change to Healthy People 2020 targets, changes occurred to several indicators, including changes to the definitions of several indicators. In addition, a new indicator, Dental visit within the past year, was added to provide information related to oral health care. The table below indicates the changes made to the indicators. Healthy People 2020 National Target + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 Healthy People 2010 National Target + + 162.0 158.6 21.3 13.7 43.3 50.0 62.3 46.0 + 17.1 4.8 + 15.0
Indicator All cause Heart disease Coronary heart disease Total cancer Breast cancer Colorectal cancer Lung cancer Stroke Chronic obstructive pulmonary diseases (age 45 & over) Diabetesrelated Influenza and pneumonia Unintentional injuries Suicide Diagnosed high blood pressure Obesity (age 20 & over)
Description of Change ----------------
Indicator No leisuretime physical activity Binge drinking Smoking currently No smoking during pregnancy (all ages) Eats 5+ fruits and vegetables a day Cholesterol screening in past 5 yrs. Mammogram in past 2 yrs. (age 50-74) Pap smear in past 3 yrs. (age 21-65)
Colorectal cancer screening (age 50-75)
Routine checkup in past 2 yrs. Dental visit within the past year First trimester prenatal care Health insurance coverage (ages 1864)
Description of Change ---- Based on 2003 U.S. Standard Certificate of Live Birth - Was previously based on 1989 U.S. Standard Certificate of Live Birth --- Ages 50-74 - Was previously ages 40+ - Ages 21-65 - Was previously ages 18+ - Includes blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years for ages 50-75 - Was previously blood stool test within the past 2 years for ages 50+ -- New variable added - Based on 2003 U.S. Standard Certificate of Live Birth - Was previously based on 1989 U.S. Standard Certificate of Live Birth --
Healthy People 2020 National Target 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0
Healthy People 2010 National Target 20.0 + 12.0 99.0 + 80.0 70.0 90.0
70.5
+ + 77.9 100.0
+ + 90.0 100.0
How state comparisons were made

Rankings
As with the original chartbook, every state and territory was assigned a ranking for each indicator, describing how women in that geographic area fare compared to other geographic areas. The rankings were assigned based on the state total value for that indicator. Rankings compare the states and territories on womens health status only. Low numbered rankings indicate better health and high numbered rankings indicate poorer health. Please note that the rankings for no smoking during pregnancy and first trimester prenatal care indicators are based on data from a total of 22 and 23 states/territories, respectively.
Profile summaries
The updated profiles present data for a particular jurisdiction across each of the 28 health indicators. A few significant or noteworthy findings for each state and territory are highlighted in summaries at the top of the profiles. The profile summaries are not comprehensive descriptions of the data included in the tables. Rather, they are intended to provide a brief overview of womens health in that state or territory and to put some of that information into a national or regional context. In general, the summaries note particularly low and high rankings, and considerable or noteworthy racial differences in womens health. For the two indicators no smoking during pregnancy and first
trimester prenatal care, the rankings may not be highlighted in the summaries due to fewer than half of states/territories having data for those indicators. Healthy People 2020 targets are highlighted when women in all presented race categories have achieved the particular target. For several of the presented indicators, few states or territories have met the Healthy People 2020 targets among women. These include: Breast cancer death (females in Colorado, Guam, Hawaii, Idaho, Montana, Puerto Rico, and the US Virgin Islands have met the target) Stroke death (females in New York and Rhode Island have met the target) Cholesterol screenings (females in the District of Columbia, Maryland, Massachusetts, and Rhode Island have met the target) First trimester prenatal care (females in California, New Hampshire and Vermont have met the target) Colorectal cancer screenings (females in Maine have met the target) Current smoking (females in California, Puerto Rico, Utah, and the US Virgin Islands have met the target)
No jurisdictions have achieved the targets of 93% or more women ages 21-65 having had a Pap smear within the past three years, or 100 percent of women ages 18-64 having health insurance coverage. For two indicators, women in most states and territories have met the targets; those that have not met the Healthy People 2020 targets are presented below: Unintentional injury death (females in Louisiana, Mississippi, Montana, New Mexico, Oklahoma and West Virginia have not met the target) No leisure-time physical activity (females in Alabama, Mississippi, West Virginia, Puerto Rico and the US Virgin Islands have not met the target)
Health indicator ranges

As noted in earlier editions of the Chartbook, there are two issues regarding the range of values presented in the health indicators which deserve mention. The first is that for some indicators, even geographic areas with the best rankings do not meet standards of good health. For example, even in jurisdictions with the best rankings on Pap smears, less than 91 percent of women ages 21-65 had a Pap smear within the past three years. The Healthy People 2020 objective is to increase the proportion of women ages 21-65 who have a Pap smear within three years to 93 percent, so most jurisdictions have levels of recent Pap smears that are lower than what is desirable. Many of the reported indicators demonstrate that on a national basis, U.S. women continue not to meet Healthy People 2020 goals. The second issue is that the range of values in some of the indicators is relatively narrow. Therefore, the difference in the absolute value between jurisdictions in the best quintile and those in the worst quintile may be very small. For example, the range of values for suicide mortality rates is 1.7 to 8.4. Having higher or lower rankings on these indicators may have less significance than for other indicators where the range is greater.
Race and Hispanic ethnicity

Data on race and Hispanic origin are presented in the greatest detail possible, after taking into account the quality of data, the amount of missing data and the number of observations. For at least part of the time period being presented, the data collection systems were using the 1977 Office of Management and Budgets Standards for race data, which require the use of four racial groups and separate tabulations by Hispanic origin. More detailed racial analyses were therefore not possible. The large differences in health status by race and Hispanic origin documented in this chartbook may be 4
explained by several factors including socioeconomic status, health practices, psychosocial stress and resources, environmental exposures, discrimination, and access to health care. Most of the racial differences noted in the text associated with the state table pages are not unique to the state, but generally follow patterns seen in the nation as a whole.
Brett, KM, Haynes, SG. Womens Health and Mortality Chartbook. Washington, DC: DHHS Office on Womens Health 2004. 2004. Available at: http://www.cdc.gov/nchs/data/healthywomen/womenschartbook_aug2004.pdf 2 U.S. Department of Health and Human Services. Healthy People 2020 Washington, DC: U.S. Government Printing Office, December 2010. Available at: http://www.healthypeople.gov/ 3 Healthy People 2010 contained 467 objectives designed to serve as a road map for improving the health of all people in the United States during the first decade of the 21st century. Healthy People 2010 builds on similar initiatives pursued over the past two decades. Two overarching goals--increase quality and years of healthy life, and eliminate health disparities--served as a guide for developing objectives that actually measure progress. Indicators were chosen based on their ability to motivate action, the availability of data to measure their progress, and their relevance as broad public health issues. The Healthy People 2010 Midcourse Review has revised and updated these objectives to include 507 targets.
Office on Womens Health Department of Health and Human Services 200 Independence Avenue, SW Room 712E Washington, DC 20201 Telephone: (202) 690-7650 Fax: (202) 205-2631
Quick Health Data Online

files may be downloaded from:
http://www.womenshealth.gov/quickhealthdata/
All cause death rates among females all ages by State, 2005-2007
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Deaths per 100,000 females by quintile (age-adjusted) 715.6 - 810.7 670.8 - 715.5 630.1 - 670.7 598.0 - 630.0 488.1 - 597.9 IN MN WI MI OH KY PA WV NY ME VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
These data and much more can be found at Quick Health Data Online: http://www.womenshealth.gov/quickhealthdata
PR
VI
SOURCE: Centers for Disease Control and Prevention (CDC). National Center for Health Statistics, National Vital Statistics System Detail Mortality Files (2005, 2006, 2007).
All Cause
Heart disease death rates among females all ages by State, 2005-2007
Heart Disease
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Coronary heart disease death rates among females all ages by State, 2005-2007
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Coronary Heart Disease
All cancer death rates among females all ages by State, 2005-2007
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA IN MN WI MI OH KY PA WV NY ME VTNH
All Cancer
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
Deaths per 100,000 females by quintile (age-adjusted) 162.9 - 174.7 157.4 - 162.8 153.2 - 157.3 142.4 - 153.1 81.9 - 142.3
GU HI
PR
VI
Breast cancer death rates among females all ages by State, 2005-2007
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Deaths per 100,000 females by quintile (age-adjusted) 24.9 23.8 22.3 21.3 11.4 28.9 24.8 23.7 22.2 21.2 IN MN WI MI OH KY PA WV NY ME VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Breast cancer
Colorectal cancer death rates among females all ages by State, 2005-2007
Colorectal Cancer
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC Deaths per 100,000 females by quintile (age-adjusted) 16.2 - 19.3 15.4 - 16.1 14.6 - 15.3 13.5 - 14.5 10.5 - 13.4 No Data Available
GU HI
PR
VI
Lung cancer death rates among females all ages by State, 2005-2007
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
GU HI
PR
VI
Lung cancer
Stroke death rates among females all ages by State, 2005-2007

Stroke
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
Deaths per 100,000 females by quintile (age-adjusted) 49.0 44.4 41.9 36.7 28.5 57.4 48.9 44.3 41.8 36.6
GU HI
PR
VI
Chronic obstructive pulmonary disease death rates among females aged 45 and older by State, 2005-2007
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA IN ME MN WI MI OH KY PA WV NY VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
GU HI
PR
VI
Chronic obstructive pulmonary disease
Diabetes-related death rates among females all ages by State, 2005-2007

Diabetes-related
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Influenza and pneumonia death rates among females all ages by State, 2005-2007
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA IN ME MN WI MI OH KY PA WV NY VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
GU HI
PR
VI
Influenza & pneumonia
Unintentional injury death rates among females all ages by State, 2005-2007
Unintentional injuries
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Suicide rates among females all ages by State, 2005-2007

MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
GU HI
PR
VI
Suicide
Percentages of women aged 18 and older with diagnosed high blood pressure by State, 2007-2009
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile (age-adjusted) 28.8% - 34.9% 26.2% - 28.7% 24.6% - 26.1% 23.1% - 24.5% 19.8% - 23.0% IN ME MN WI MI OH KY PA WV NY VTNH
Diagnosed high blood pressure
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
SOURCE: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [2007, 2008, 2009].
Percentages of women aged 20 and older who are obese by State, 2008-2010
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile (age-adjusted) 30.6% - 36.0% 27.5% - 30.5% 25.8% - 27.4% 23.8% - 25.7% 19.6% - 23.7% IN MN WI MI OH KY PA WV NY ME VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Obesity
Percentages of women aged 18 and older who report no leisure-time physical activity by State, 2008-2010
No leisure-time physical activity
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Percentages of women aged 18 and older who report binge drinking by State, 2008-2010
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Binge Drinking
Percentages of women aged 18 and older who currently smoke by State, 2008-2010
Smoking currently
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Percentages of mothers all ages who did not use tobacco during pregnancy by State, 2006-2008
WA OR MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile 74.4% - 80.9% 81.0% - 82.7% 82.8% - 87.2% 87.3% - 89.8% 89.9% - 99.9% No Data Available IN ME MN WI MI OH KY PA WV NY VTNH
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
SOURCE: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality, [2006,2007,2008].
No smoking during pregnancy
Percentages of women aged 18 and older who eat at least 5 fruits and vegetables per day by State, 2007-2009
Eats 5+ fruits & veg. per day
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU HI
PR
VI
Percentages of women aged 18 and older who have had their blood cholesterol checked within the last 5 years by State, 2007-2009
WA MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile (age-adjusted) 68.5% - 73.4% 73.5% - 75.4% 75.5% - 78.0% 78.1% - 80.1% 80.2% - 85.1% IN ME MN WI MI OH KY PA WV NY VTNH
OR
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Cholesterol screening
Percentages of women aged 50-74 who have had a mammogram within the last 2 years by State, 2008-2010
Mammogram
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Percentages of women aged 21-64 who have had a Pap smear within the last 3 years by State, 2008-2010
OR
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Pap smear
Percentages of women aged 50-74 who have had a colorectal cancer screening* by State, 2008-2010
Colorectal cancer screening
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
*A blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years
Percentages of women aged 18 and older who have had a routine check-up within the past 2 years by State, 2008-2010
OR
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Routine check-ups
Percentages of women aged 18 and older who have seen a dentist within the past year by State, 2008-2010
Dental visits
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Percentages of mothers of all ages who began prenatal care in the first trimester by State, 2006-2008
WA MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile 60.2% - 68.3% 68.4% - 70.8% 70.9% - 73.1% 73.2% - 74.7% 74.8% - 83.3% No Data Available IN ME MN WI MI OH KY PA WV NY VTNH
OR
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
SOURCE: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality, [2006, 2007, 2008].
First trimester prenatal care
Percentages of women aged 18-64 who have health insurance coverage by State, 2008-2010
WA MT ID WY NV CA UT ND SD NE CO KS OK IA IL MO TN MS TX AK LA FL AL GA Percentages by quintile 70.5% - 78.9% 79.0% - 82.3% 82.4% - 86.6% 86.7% - 89.4% 89.5% - 96.0% IN ME MN WI MI OH KY PA WV NY VTNH
OR
MA CT
DE
NJ
RI
VA NC
MD DC
AZ
NM
AR
SC
GU
HI
PR
VI
Health insurance coverage
Alabama Profile
Alabamas largest minority population is non-Hispanic Black women. They constitute more than 27 percent of the entire female population. The states 2.4 million women have nearly the highest rates of death for heart disease and stroke. Rates of death due to these two causes are higher for non-Hispanic Black women as compared to nonHispanic White women. Alabama also continues to have one of the worst records in related risk factors: high blood pressure, obesity, and no physical activity. Nearly 20 percent of women smoke, a relatively high percentage. Alabama ranks among the top 20 best states for the preventive care measure routine check-ups. Approximately 81 percent of its women have health insurance, with American Indian/Alaskan Native women being the least likely to be insured, at 71.7 percent.
NonHispanic White
NonHispanic Black
Hispanic
American Indian/ Alaskan Native
Asian/Pacific Islander
State Total
Healthy People 2020 National Target
State Rank
Female population (2009) (all ages) All cause Heart disease Coronary heart disease Total cancer Breast cancer Colorectal cancer Lung cancer Stroke Chronic obstructive pulmonary diseases (age 45 & over) Diabetesrelated Influenza and pneumonia Unintentional injuries Suicide
68.1 771.4 201.0 95.7 155.4 22.2 13.9 43.7 50.7 133.5 56.6 16.5 36.9 5.8 27.3 26.8 31.0 6.9 22.2 23.0 75.8 76.0 82.1 59.9 85.3 67.9
27.4 891.1 236.7 107.7 170.1 33.2 20.5 33.0 70.6 42.5 124.8 14.9 24.8 * 45.5 48.8 41.5 6.7 13.6 20.7 77.6 83.8 88.2 55.5 94.4 55.9
2.9 228.5 36.4 * 45.1 * * * * * * * 25.3 * 31.4 31.8 30.6 5.1 22.0 30.7 73.6 73.4 79.6 65.1 89.0 63.2
0.6 303.8 92.1 * * * * * * * * * * * 36.0 28.1 32.8 9.0 39.8 19.2 70.8 * * * 80.3 58.5
1.2 315.9 66.6 * 87.1 * * * * * * * * * * * * * * * * * * * * *
2,427,096 791.6 206.8 97.4 157.3 24.8 15.2 40.9 54.6 113.5 70.2 16.0 33.2 4.3 31.8 32.4 33.9 6.7 19.6 23.1 76.4 77.5 83.5 58.6 88.0 64.5 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 52 53 25 33 45 29 26 52 30 37 29 44 17 51 50 51 6 43 45 27 37 36 33 18 44
Major causes of death among females (rate per 100,000)
Health risk factors (percent)

Diagnosed high blood pressure (20072009) Obesity (20082010) (age 20 & over) No leisuretime physical activity (20082010) Binge drinking (20082010) Smoking currently (20082010) No smoking during pregnancy (all ages) (2006-2008) Eats 5+ fruits and vegetables a day (20072009)
Preventive care (percent)

Cholesterol screening in past 5 yrs. (20072009) Mammogram in past 2 yrs. (20082010) (age 50-74) Pap smear in past 3 yrs. (20082010) (age 21-65) Colorectal cancer screening# (20082010) (age 50-75) Routine checkup in past 2 yrs. (20082010) Dental visit within the past year (2008-2010) First trimester prenatal care (2006-2008)
Health insurance coverage (percent)

Health insurance coverage (20082010) (ages 1864) 84.6 74.3 77.1 71.7 * 81.2 36
Estimate age-adjusted and for all ages unless noted. Estimate age-adjusted and for 18 years of age and over unless noted. * Figure does not meet standard of reliability or precision. + No Healthy People 2020 target associated with this health indicator. #Blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years Definition for Healthy People 2020 Objective differs from Healthy People 2010; Data are not comparable to values presented in prior editions of the Chartbook. NOTE: All data are from 2005-2007 unless noted. NOTE: Low numerical rankings indicate better relative health status. NOTE: State rank includes the 50 states, the District of Columbia, Guam, Puerto Rico and the US Virgin Islands, where data are available and reliable. NOTE: Healthy People targets correspond with the Healthy People 2020 Objectives. NOTE: No smoking during pregnancy and First trimester prenatal care data from states using the 2003 revision of the U.S. Standard Certificate of Live Birth. States that are blank had not yet implemented the revised certificate items corresponding to the variable(s) for at least two of the three years from 2006-2008.
Alaska Profile
Of Alaskas 336,000 women, 66 percent are non-Hispanic White. More than 17 percent of all females identify themselves as American Indian or Alaskan Native (AI/AN). Women in the state of Alaska rank among the 10 best states for low death rates due to heart disease, colorectal cancer, and influenza and pneumonia. However, the significant AI/AN segment of the states female population has the highest death rates for each and every cause of death presented with the exception of coronary heart disease. Female deaths from suicide continue to be nearly the worst in the nation. The state ranks poorly in the percentages of women who are obese, binge drink, and smoke. In several indicators of preventive care, its women also fare poorly. These measures include mammograms, cholesterol screenings, colorectal cancer screenings and routine check-ups. Roughly 83 percent of women have health insurance, with AI/AN and Asian/Pacific Islander women the least likely to be insured, each at approximately 76 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
66.4 620.9 124.4 69.9 153.0 25.5 11.7 41.1 43.1 107.7 54.6 9.6 27.5 7.4 23.9 26.0 19.9 11.6 15.0 31.7 76.3 76.1 85.7 52.9 82.7 71.6
4.4 517.6 * * * * * * * * * * * * * * 22.4 17.5 21.0 * * * * * 83.0 *
6.3 385.9 * * * * * * * * * * * * 40.4 40.6 33.6 7.4 9.2 34.4 71.7 * 77.1 * 89.0 67.4
17.1 890.6 133.6 65.5 201.1 24.7 22.1 61.1 57.2 141.1 46.1 18.5 62.8 17.1 27.6 36.5 37.5 15.1 36.7 13.2 64.9 73.0 84.7 40.4 80.8 62.3
6.6 353.2 77.7 * 94.1 * * * * * 71.4 * * * 24.7 12.1 39.3 3.6 10.7 37.3 59.3 * 77.5 * 86.9 66.7
336,248 637.0 121.3 66.7 153.4 23.3 13.1 43.1 45.1 103.0 54.7 10.1 31.5 8.4 25.3 28.4 24.6 11.4 18.7 29.4 74.2 74.3 83.8 52.0 82.4 70.7 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 24 5 4 23 32 6 35 34 21 10 3 41 52 30 37 22 31 39 19 38 45 32 50 39 30



Health insurance coverage (20082010) (ages 1864) 85.1 * 83.9 76.1 76.0 83.4 30
Arizona Profile
Over twenty-nine percent of Arizonas female population is Hispanic, the states largest minority group. Arizonas 3.3 million women rank #1 in the nation in having the lowest death rates for diabetes-related causes. It also has among the lowest rates of death for cancer, including colorectal cancer and lung cancer. However, it continues to have a very high death rate for suicide and has a high death rate for unintentional injuries. Arizona has among the best rankings on three risk factors: high blood pressure, smoking and no leisure-time physical activity. Women rank poorly on the preventive care indicator of cholesterol screening, particularly Hispanic and American Indian/Alaskan Native women. Less than 83 percent of non-senior women have health insurance coverage, with Hispanic and American Indian/Alaskan Native women having much lower rates of insurance coverage, at 65 percent and 73 percent, respectively.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
59.1 603.1 130.8 99.0 137.8 21.8 12.4 37.6 35.4 130.9 29.6 14.5 34.6 8.6 22.1 22.5 18.3 10.8 14.8 33.7 75.9 80.5 84.3 61.5 84.4 71.8
3.9 729.7 176.5 144.1 141.6 25.7 14.0 35.7 47.9 69.2 88.0 15.8 35.0 * 39.4 52.7 20.3 6.3 10.8 48.8 77.1 * 82.6 * 91.7 62.4
29.6 511.8 109.8 81.5 98.2 15.2 10.7 13.2 33.6 41.3 68.7 13.6 29.9 2.7 24.6 32.6 29.7 9.0 9.3 25.3 64.9 84.6 84.8 51.3 86.4 53.3
5.3 641.3 102.4 74.8 88.0 12.5 * * 22.9 21.3 103.2 33.8 58.6 5.4 27.7 41.4 29.3 9.8 16.3 32.0 63.1 62.6 83.2 29.2 85.3 69.2
3.2 290.2 59.9 46.2 61.6 8.5 * 13.2 30.4 * 21.2 * 18.7 * 14.1 11.4 19.7 3.4 3.2 45.2 73.6 * 93.3 * 94.0 68.8
3,288,937 595.0 128.5 97.2 130.5 20.7 12.0 33.2 35.5 115.0 36.9 14.9 34.9 6.8 22.3 25.4 21.4 9.9 13.9 31.8 72.8 80.1 83.8 59.4 85.2 67.6 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 10 9 24 6 8 3 7 8 34 1 22 46 46 5 20 9 23 9 9 46 28 32 29 32 37



Health insurance coverage (20082010) (ages 1864) 87.8 86.9 64.8 73.5 92.7 82.3 33
Arkansas Profile
Slightly more than 16 percent of Arkansas women are non-Hispanic Black, followed by Hispanic women at 5 percent. The states 1.5 million women have the highest death rate for stroke and nearly the highest death rate for influenza/pneumonia. The state also has very high rates of death for heart disease and cancer, particularly lung cancer. All the states women fare poorly in risk factors such as high blood pressure, obesity, no leisure-time physical activity, and smoking. In the first two indicators, non-Hispanic Black women fare the worst of all female population groups. In most of the preventive care indicators, Arkansas ranks near the bottom of all states. Only 75 percent of women have health insurance, with Hispanic women being the least likely to be insured of all females, at only 49 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
76.0 729.2 182.1 125.0 162.4 23.5 14.4 49.1 54.3 125.2 52.2 22.4 32.4 6.4 27.7 27.5 31.1 7.4 22.5 24.2 71.9 75.9 78.6 54.2 75.7 64.8
16.4 915.4 244.2 174.8 186.0 33.7 22.9 38.8 83.9 49.3 136.1 17.3 25.8 * 43.2 47.2 37.0 4.7 16.1 26.1 77.4 81.7 83.6 49.5 89.4 59.5
5.4 306.7 51.4 38.3 69.0 * * * * * 41.2 * 19.5 * 25.0 33.2 34.9 5.1 13.0 24.3 67.2 * 81.0 * 80.1 44.9
0.9 339.9 86.5 * * * * * * * * * * * 25.7 32.2 44.7 .8 31.6 24.8 58.4 * * * 76.9 52.6
1.4 374.0 81.6 * 81.5 * * * * * * * * * * * * * * * * * * * * *
1,473,950 742.8 187.2 129.1 162.9 24.6 15.2 47.1 57.4 114.9 61.1 21.8 30.4 5.3 28.8 29.8 32.2 6.8 21.4 24.8 72.2 75.9 78.5 53.4 77.4 63.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 47 46 45 45 43 29 45 54 33 24 53 37 37 45 41 48 7 49 40 50 42 51 45 50 49



California Profile
California has the largest female population among all states: 18.4 million women. Forty-three percent are nonHispanic White, and 36 percent are Hispanic. The state has among the lowest rates of death for cancer, particularly colorectal cancer and lung cancer, and unintentional injuries. California ranks #4 in its low percentages of women who smoke and #5 in the relatively high percentages of women who eat 5+ fruits and vegetables a day. Nearly 84 percent of women have received a recent mammogram, one of the better records in the nation. Approximately 81 percent of the states women have health insurance, with Hispanic women having a significantly lower rate of insurance coverage, at 68 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
43.1 638.1 163.6 122.4 157.9 25.3 14.0 41.5 43.9 138.5 60.0 19.2 24.1 6.2 22.9 20.5 16.9 13.7 13.0 94.1 33.5 81.6 85.0 86.8 64.6 84.6 76.7 85.1 91.0
6.5 840.7 241.6 189.9 188.0 34.1 21.2 43.4 64.9 79.1 153.6 23.9 24.2 2.4 35.5 41.7 29.5 8.9 19.9 94.6 32.5 84.0 85.4 85.1 60.4 92.2 69.5 75.9 86.1
36.0 457.2 116.1 90.6 102.9 14.4 9.3 13.4 36.4 37.5 98.3 16.2 14.7 1.6 26.6 32.6 30.3 7.2 6.6 99.0 31.4 73.4 83.0 88.2 43.6 85.0 61.2 77.3 68.5
1.4 340.4 83.6 64.3 68.4 9.8 6.6 17.9 24.3 53.3 64.9 8.1 16.5 * 28.4 31.4 29.5 12.8 13.8 89.8 36.0 74.9 72.4 77.3 43.3 84.4 62.9 64.3 81.0
14.3 361.0 89.5 71.5 96.7 13.1 10.5 18.0 37.6 25.3 59.0 14.1 10.8 3.1 19.4 8.7 24.7 5.7 3.6 98.9 33.6 79.0 80.4 77.8 52.0 88.3 70.5 84.0 87.2
18,456,462 585.4 152.3 115.4 141.6 22.2 13.1 33.3 43.6 103.1 71.3 18.3 19.7 4.2 24.4 25.1 23.9 9.8 9.7 97.4 33.2 78.0 83.7 86.2 57.1 85.4 69.9 80.3 80.9 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 8 27 36 9 19 6 8 30 22 39 43 9 15 21 19 18 21 4 2 5 21 8 17 37 31 35 3 39



Health insurance coverage (20082010) (ages 1864)
Colorado Profile
Of Colorados 2.5 million women, 72 percent are non-Hispanic White. Nineteen percent are Hispanic. The state is ranked #4 in its low death rates for heart disease. The state has low rates of death for diabetes and cancer, but continues to have a high death rate for suicide. Colorado is one of very few states where females of all presented races have achieved the Healthy People 2020 target for cancer. This Western state has one of the best records across most of the presented risk factors. It is ranked #2 and #1 in its low percentages of women with diagnosed high blood pressure and obesity, respectively. The state ranks poorly in mammograms and routine check-ups. Just over 83 percent of women in Colorado have health insurance, with Hispanic women having the lowest rate of insurance coverage of all groups, at just over 62 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
72.3 614.6 123.0 76.2 138.5 21.2 13.4 33.8 39.2 132.6 43.2 13.3 31.1 7.9 19.4 17.2 15.9 12.3 14.6 89.3 31.5 78.4 77.4 84.8 62.8 82.3 74.3 76.0 88.8
4.2 713.4 150.7 101.4 153.3 22.7 18.1 34.7 51.2 82.2 95.5 11.7 25.8 * 36.0 33.7 30.1 9.1 21.2 90.3 23.5 81.2 78.1 84.8 68.5 88.9 55.5 53.4 80.5
19.5 562.4 102.6 66.3 112.2 12.4 12.2 20.9 38.6 60.2 99.8 11.6 26.4 3.7 22.0 27.8 31.3 7.5 14.9 94.7 25.9 69.8 75.4 83.6 54.5 80.6 55.9 55.9 61.8
1.4 460.8 65.0 * 93.9 * * * * * 71.4 * 31.6 * 19.0 33.8 30.4 8.0 26.6 86.9 24.2 71.2 74.6 86.4 42.7 80.9 52.4 54.7 72.2
3.4 329.2 59.0 33.7 87.4 * * 18.2 30.5 * 37.4 * 14.7 * 13.0 7.5 24.6 1.0 5.4 96.9 42.8 75.5 80.0 77.2 54.0 86.2 68.0 68.7 86.3
2,493,663 610.0 121.2 75.5 135.1 20.1 13.3 32.2 39.7 122.1 50.1 13.1 29.9 7.0 20.2 19.6 19.6 10.8 14.5 91.3 30.5 76.7 76.9 83.9 61.2 82.1 70.0 68.3 83.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 13 4 8 8 5 9 6 16 40 5 10 34 47 2 1 4 28 13 4 13 25 40 30 24 40 33 19 31



Connecticut Profile
Nearly 74 percent of the 1.8 million women in Connecticut are non-Hispanic White. Twelve percent are Hispanic, and 10 percent are non-Hispanic Black. The state ranks among the top 10 of states for its comparatively low rates of death for stroke, diabetes, and suicide. It ranks in the middle of states in its death rates for cancer and influenza/pneumonia. Connecticut has one of the best records on four risk factors: high blood pressure, obesity, eating 5+ fruits and vegetables a day, and smoking. Its women fare well in all presented preventive care measures, with the exception of routine check-ups. Over ninety percent have health insurance coverage, although only 76 percent of Hispanic and non-Hispanic Black women in the state have insurance coverage.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
74.1 601.9 142.6 89.2 156.9 23.6 13.7 42.4 33.1 108.0 47.1 17.1 21.0 3.8 21.8 17.9 20.4 14.7 14.6 33.1 81.4 87.2 90.2 71.2 85.8 82.4
10.0 683.1 158.2 98.4 160.3 29.1 17.9 29.3 42.8 46.4 99.9 15.9 19.7 * 35.4 41.0 32.0 7.4 14.3 25.3 78.8 83.3 86.0 63.0 92.0 72.4
11.9 438.5 99.7 67.7 88.9 11.0 11.7 15.5 31.8 40.0 72.4 8.7 13.9 * 22.7 31.0 31.6 8.3 12.9 26.9 72.9 92.3 86.3 61.9 90.7 75.6
0.4 282.7 * * * * * * * * * * * * * * * * * * * * * * * *
3.8 296.6 67.0 42.2 84.4 * * * 23.7 * 39.8 * * * 18.2 12.2 29.5 5.6 3.7 48.3 88.3 * 74.9 * 93.4 83.2
1,800,652 603.1 142.8 89.4 153.1 23.1 13.8 39.9 34.0 100.2 51.6 16.8 20.2 3.2 22.5 20.0 23.1 13.3 14.3 32.6 80.5 87.1 88.7 69.9 87.0 81.6 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 12 21 16 22 30 16 22 3 15 6 33 10 5 8 2 14 46 11 6 8 2 3 3 23 1



Health insurance coverage (20082010) (ages 1864) 93.8 76.5 75.9 * 90.5 90.7 8
Delaware Profile
Approximately 68 percent of Delawares 455,000 women are non-Hispanic White. More than 21 percent are nonHispanic Black. The state has high rates of death for coronary heart disease, and cancer. Its high death rates for lung cancer are among the nations most troubling. Accordingly, more than 16 percent of its female population currently smokes. It ranks among the 15 best for rates of death for influenza and pneumonia and suicide. It has among the best records in all of the preventive care measures presented. Ninety-two percent of women have health insurance. The state ranks fifth in the nation for women having health insurance coverage, with non-Hispanic White and non-Hispanic Black women having over 90 percent coverage.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
68.2 654.4 164.0 113.9 165.5 24.6 15.1 50.5 39.5 120.3 53.9 13.7 22.7 5.1 23.6 24.1 22.5 15.5 17.5 84.8 25.0 78.8 85.6 89.0 68.6 91.1 79.2 80.8 93.8
21.8 779.3 204.0 144.3 172.7 21.7 17.2 52.8 50.6 55.0 123.3 9.3 14.2 * 34.3 43.5 37.3 6.9 13.5 88.7 22.0 85.8 86.3 91.4 74.5 97.7 61.9 69.4 90.3
6.6 422.1 73.6 * 105.8 * * * * * * * * * 25.0 36.7 35.7 7.8 20.3 96.8 28.2 73.5 * 85.6 69.6 90.9 71.9 52.3 73.9
0.4 470.4 * * * * * * * * * * * * * * * * * 82.3 * * * * * * * 62.9 *
3.1 251.6 * * 64.0 * * * * * * * * * 23.8 6.2 30.7 3.1 1.0 98.1 37.1 73.1 * 67.8 * 88.2 69.0 78.4 83.3
455,460 670.7 168.6 117.2 164.7 23.7 15.2 50.0 41.0 109.5 63.9 13.2 20.9 3.9 25.3 27.4 25.9 12.6 16.1 88.3 25.3 80.1 85.9 88.6 68.8 92.4 76.0 73.2 92.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 33 34 37 49 33 29 51 20 26 28 11 13 11 30 33 28 43 23 6 37 10 5 5 6 4 10 8 5



District of Columbia Profile

While the nations capital is not located in a state, its health indicators are compared to the 50 states and three reporting territories. Its residents are urban and live within a small geographic area. The majority of the Districts 317,000 women, 56 percent, are non-Hispanic Black. More than 32 percent are non-Hispanic White. It ranks last (#54) in its rate of death for coronary heart disease and breast cancer, and nearly last in its rates for diabetes and colorectal cancer. However, it has among the lowest death rates in the nation for lung cancer, chronic obstructive pulmonary diseases, influenza and pneumonia, suicide and stroke. Women fare poorly in high blood pressure and binge drinking. However, DC has some of the lowest rates of smoking and some of the highest rates of eating 5+ fruits and vegetables a day. With the exception of dental visits, DC ranks among the top 10 for all presented preventive care measures and is the best in the nation for cholesterol screenings. Almost 94 percent have health insurance, with Hispanic women having the lowest rate of insurance coverage, at just over 87 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
32.3 477.4 130.9 105.1 129.9 25.5 13.1 26.7 27.0 72.8 24.7 8.3 13.1 * 15.4 8.9 11.3 23.2 7.3 39.8 87.2 87.4 92.7 75.4 88.5 85.1
55.7 890.7 248.5 199.6 188.1 33.1 22.7 41.2 42.0 45.4 115.7 13.8 29.4 * 37.7 40.2 32.9 7.7 20.4 29.9 84.9 85.6 90.0 63.7 96.0 66.1
8.0 278.1 57.8 46.2 68.6 * * * * * * * * * 19.7 23.2 32.5 9.4 6.5 29.8 75.3 89.9 87.0 62.2 93.3 73.6
0.5 * * * * * * * * * * * * * * * * * * * * * * * * *
3.7 274.1 * * * * * * * * * * * * 17.7 8.2 16.8 11.5 6.0 44.9 85.5 * 84.5 * 91.2 78.2
316,594 732.5 206.2 166.1 163.4 28.9 19.3 35.1 36.1 50.2 85.3 11.9 23.3 2.8 27.6 25.6 23.9 13.5 13.9 34.3 85.1 86.1 90.4 67.9 92.7 73.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 46 52 54 46 54 53 11 9 2 48 8 16 4 40 21 18 49 9 2 1 4 2 8 3 23



Florida Profile
More than 9 million women live in Florida. Twenty-one percent are Hispanic, and more than 15 percent are nonHispanic Black. It ranks among the best states for its low rates of death for stroke, colorectal cancer, diabetes, and influenza and pneumonia. However, the state continues to have high rates of death for suicide. Florida ranks among the top 10 best states for its low percent of obese women. Non-Hispanic Black and Hispanic women have higher rates of obesity and no physical activity than do non-Hispanic White women. Florida ranks among the lowest in health insurance coverage, at 79 percent of females. Hispanic women are the least likely to be insured, at 63 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
60.5 588.2 133.5 101.4 150.3 21.5 13.1 45.8 32.6 117.6 35.0 8.2 33.4 8.1 23.2 20.7 23.3 12.3 21.8 28.4 80.1 82.0 84.6 62.6 83.6 69.5 75.4 84.4
15.7 763.7 188.0 141.7 152.1 30.2 18.6 27.2 63.5 42.2 98.4 11.7 21.7 1.5 38.3 39.9 35.5 5.9 10.3 29.2 83.0 82.7 88.2 59.9 93.7 55.6 60.3 77.9
20.8 444.0 126.6 101.8 98.3 15.6 12.0 14.5 25.7 48.9 40.0 7.2 15.2 2.5 21.3 26.0 35.4 6.1 9.7 26.7 70.4 81.5 83.2 48.8 84.8 61.3 66.4 63.4
0.5 222.4 38.7 34.0 50.7 * * * * * 30.4 * * * 30.6 23.1 31.2 10.6 37.8 36.2 61.3 77.3 72.2 59.7 76.8 50.2 48.5 71.6
2.8 276.6 61.7 48.5 75.1 6.9 7.4 17.3 25.9 14.5 22.3 4.2 12.9 5.2 16.3 9.9 21.2 2.0 4.5 26.9 74.6 78.7 72.6 67.1 87.8 74.4 74.6 87.6
9,414,043 581.4 136.9 104.3 142.0 21.4 13.3 39.3 34.3 101.2 40.8 8.3 27.5 5.9 24.3 23.6 26.9 9.8 17.5 29.0 78.9 81.7 83.9 60.2 85.8 66.6 69.5 79.5 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 7 18 30 10 13 9 21 4 19 3 1 31 42 20 10 31 21 32 21 19 18 30 26 28 39 17 43



Georgia Profile
Of Georgias 4.9 million women, 58 percent are non-Hispanic White. Over 31 percent are non-Hispanic Black, and just over 7 percent Hispanic. Women in the state rank high in rates of death due to heart disease, stroke, and influenza and pneumonia. Accordingly, Georgia has some of the highest rates of high blood pressure, obesity, and no physical activity. However, the state ranks better than most with regard to preventive care measures, particularly mammograms, Pap smears and routine check-ups. The state continues to rank in the middle of all states in health insurance coverage, with Hispanic women having the lowest rate of insurance coverage, at 65 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
57.9 700.4 163.7 85.0 146.9 20.9 12.8 42.4 45.9 131.8 47.0 18.4 32.7 5.3 26.3 23.1 23.1 9.0 19.2 29.2 80.3 82.9 87.5 64.6 88.1 74.2
31.5 810.7 202.2 111.9 158.7 29.3 19.4 31.5 59.0 41.2 105.0 15.9 22.2 1.2 39.9 42.5 33.5 6.8 12.5 26.5 78.1 86.5 89.1 61.0 93.5 64.0
7.2 212.1 42.1 19.1 45.9 7.1 * * 12.8 * 23.1 * 10.0 * 23.9 28.7 30.1 5.5 7.9 31.9 74.5 80.8 91.5 69.0 90.7 68.3
0.4 422.7 107.2 * 51.8 * * * * * * * * * 25.2 30.7 33.8 5.4 31.1 33.4 68.6 * 73.9 * 82.2 52.8
3.2 355.6 82.2 44.1 80.1 7.8 7.1 13.5 34.4 * 33.3 * 16.3 * 30.4 13.1 22.4 3.9 8.6 41.6 85.1 * 87.5 * 93.0 66.3
4,993,949 715.5 170.1 89.7 147.0 22.6 14.2 38.7 48.6 107.9 59.6 17.6 28.4 3.9 30.0 28.5 27.0 8.0 16.1 28.5 79.1 83.2 87.7 63.3 89.7 71.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 44 36 17 16 27 18 17 41 25 21 38 32 11 49 38 32 14 23 25 17 11 11 16 10 27



Guam Profile
The 87,000 women in the US territory of Guam represent the smallest population group ranked, with the exception of the US Virgin Islands. Guam has the lowest death rate of all jurisdictions for cancer, and ranks #2 and #3 in death rates for unintentional injuries and lung cancer, respectively. However, women in Guam have the highest rates of death due to diabetes, with coronary heart disease and stroke ranked nearly as high. The associated risk factor of percent of women with no physical activity is likewise among the highest ranked. Women in Guam also rank highest (#54) with regard to several preventive care measures, including Pap smears, colorectal cancer screenings, and dental visits. Approximately 76 percent of women in Guam have health insurance.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
* * * * * * * * * * * * * * 18.0 13.5 7.2 10.7 8.6 32.5 81.1 * * * 92.4 88.8
* * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * 32.9 25.8 37.7 10.5 20.7 24.8 * * * * 87.4 58.1
* * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * 28.0 25.2 32.0 7.3 19.4 27.0 74.7 72.2 69.5 32.9 86.9 56.4
87,689 514.4 159.4 141.6 81.9 11.4 * 20.5 53.7 * 184.2 13.9 13.0 * 27.2 24.7 29.8 7.6 18.6 27.2 76.0 73.2 71.2 33.9 87.3 58.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 2 30 50 1 1 3 50 54 12 2

Diagnosed high blood pressure (20072009) Obesity (20082010) (age 20 & over) No leisuretime physical activity (20082010) Binge drinking (20082010) Smoking currently (20082010) No smoking during pregnancy (all ages) (2006-2008) Eats 5+ fruits and vegetables a day (20072009) 38 15 42 10 38 31 31 48 54 54 22 54


Health insurance coverage (20082010) (ages 1864) 96.7 * 76.2 * 74.0 76.1 51
Hawaii Profile
Just 26 percent of Hawaiis 640,000 women are non-Hispanic White. Sixty-five percent are Asian and Pacific Islander (A/PI). The states women have the lowest rates of death in the nation for coronary heart disease and chronic obstructive pulmonary diseases. Other low rates of death include breast cancer, colorectal cancer, lung cancer, diabetes, influenza and pneumonia, and unintentional injuries. Hawaii ranks well in many health risk factors. It ranks #4 in its low percentages of obesity and #6 in smoking. On most presented measures of preventive care, however, it ranks in the middle of the nation. Ninety-three percent of women in Hawaii have health insurance.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
25.9 562.4 117.4 62.2 146.1 21.5 13.0 38.3 37.1 82.8 41.8 12.6 18.5 5.8 17.3 18.0 14.3 13.6 14.9 34.8 73.9 81.8 87.9 58.2 77.2 79.1
2.9 305.9 * * * * * * * * * * * * * * * * * * * * * * * *
8.5 757.0 199.5 113.9 157.5 23.2 * 34.8 52.9 * 124.4 * 21.3 * 31.1 25.8 28.5 13.0 18.2 30.5 78.5 81.5 86.8 49.5 84.9 67.9
0.6 299.2 * * * * * * * * * * * * * * * * * * * * * * * *
65.0 478.0 104.3 54.6 115.6 17.8 10.7 24.4 40.6 29.1 60.9 10.1 18.9 5.0 26.4 14.8 28.9 6.7 7.9 26.6 75.3 84.1 79.9 57.3 81.5 76.5
640,757 488.1 105.3 55.5 120.1 18.2 10.9 27.3 38.7 41.0 55.9 10.3 18.3 4.9 25.7 21.7 23.1 11.5 13.6 29.0 76.2 82.5 84.4 55.8 80.4 74.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 1 2 1 5 4 2 4 12 1 11 5 7 27 33 4 14 32 6 21 29 17 27 38 45 17



Idaho Profile
More than 86 percent of Idahos 770,000 women are non-Hispanic White. The largest minority group is Hispanic women, at more than 10 percent. The state ranks among those with low rates of death for breast cancer, colorectal cancer, lung cancer, and coronary heart disease. It ranks #43 in rate of death for stroke. It does have a better record in the health risk factors of leisure-time physical activity and smoking, both positive indicators. However, Idaho has a poor record relative to preventive care screenings. It ranks last (#54) in those receiving a recent cholesterol screening, mammogram and routine check-ups, and very close to last (#53) in those receiving recent Pap smears. Only 78 percent are covered by health insurance, which ranks Idaho among the worst for this measure as well. Hispanic women have the lowest rate of insurance coverage, at just 54 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
86.1 647.8 135.9 83.6 145.4 21.1 14.0 35.1 48.7 122.8 58.7 15.1 29.4 5.5 23.9 23.9 19.2 9.2 14.9 86.4 29.5 68.8 71.6 76.6 52.8 76.2 71.7 73.9 80.5
0.9 358.2 * * * * * * * * * * * * * * * * * 88.2 * * * * * * * 58.7 *
10.1 463.7 79.6 57.4 96.0 * * * 45.3 * 87.8 * 22.5 * 29.0 34.7 35.4 7.5 10.1 94.9 26.8 62.0 74.3 85.5 49.5 72.6 63.1 57.4 54.3
1.7 659.4 103.9 * * * * * * * 107.8 * 61.7 * 29.1 42.8 31.4 10.5 30.9 82.7 31.9 66.9 * 80.3 * 76.9 62.5 53.7 71.5
1.6 308.8 * * * * * * * * * * * * * 10.9 21.2 11.7 11.4 92.9 * * * * * 73.5 81.2 68.5 75.6
769,883 642.5 133.7 82.4 142.5 20.3 13.5 34.1 48.7 119.3 60.0 15.3 30.0 5.2 24.2 25.0 20.6 9.0 14.5 87.8 29.5 68.5 71.2 77.2 52.7 75.8 70.9 70.8 78.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 25 12 9 12 6 13 10 43 36 22 24 35 33 19 18 7 17 13 7 17 54 54 53 49 54 28 14 45



Illinois Profile
Of the states 6.5 million women, nearly two thirds are non-Hispanic White. Its largest minority populations are nonHispanic Black, at 16 percent, and Hispanic, at 14 percent. It ranks in the top 15 states in its low rates of death for suicide, unintentional injuries, diabetes-related causes and chronic obstructive pulmonary diseases. It has a much poorer record in rates of death for breast cancer, coronary heart disease, influenza and pneumonia, and colorectal cancer. Not surprisingly, it ranks among the worst states in the percentage of women who have had recent colorectal cancer screening. Illinois ranks in the middle of the nation in cholesterol screening, mammograms, and Pap smears. Eighty-seven percent of its women have health insurance, with Hispanic women having the lowest rate of insurance coverage, at 68 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
65.4 654.3 160.1 106.1 162.8 24.3 15.8 43.6 42.7 110.5 53.7 17.6 21.6 4.0 23.8 23.5 24.3 15.2 16.9 27.6 76.6 77.7 86.6 58.5 83.7 75.0
15.5 843.8 216.7 154.5 199.8 35.3 23.6 50.3 56.5 58.7 92.0 18.2 22.9 1.7 39.8 43.9 36.3 9.9 19.2 25.3 80.1 83.7 88.9 58.7 92.7 61.7
14.3 367.7 81.4 55.7 83.0 11.2 8.2 11.6 28.4 23.9 59.1 10.6 10.4 1.0 20.0 32.5 37.7 10.3 13.9 25.9 62.2 75.1 84.0 41.4 84.6 59.2
0.4 255.9 65.1 51.3 46.0 * * * * * * * * * * * 30.5 9.1 19.9 * * * * * 81.7 *
4.7 304.0 72.9 55.8 77.7 10.0 10.5 12.8 26.9 11.6 36.4 8.7 9.0 2.9 22.3 11.7 27.4 3.4 2.4 43.9 73.2 * 74.4 * 91.3 62.5
6,550,783 662.5 163.9 110.0 161.4 24.7 16.3 41.8 44.1 97.9 58.5 17.5 20.5 3.3 26.1 27.5 27.8 13.0 16.2 27.8 75.4 78.4 86.1 57.2 85.7 70.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 30 32 35 40 44 49 28 31 10 14 37 12 8 34 34 34 44 26 29 33 34 19 36 29 31



Indiana Profile
More than 84 percent of Indianas 3.2 million women are non-Hispanic White. The largest minority population is nonHispanic Black women, at nearly 10 percent, followed by Hispanic women, at 5 percent. The state has very high rates of death for lung cancer and chronic obstructive pulmonary diseases. Accordingly, it ranks among the worst states in its high percentages of women who smoke. It ranks near the bottom in obesity (#40). The states women also continue to fare poorly across most preventive care screenings, such as routine check-ups and Pap smears. Roughly 83 percent have health insurance, with only 63 percent of Hispanic women insured, the lowest of all female populations.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
83.6 704.1 171.0 106.0 164.2 23.6 15.3 47.8 46.6 135.3 62.4 15.6 25.7 5.0 25.7 27.9 28.2 9.8 22.1 78.4 23.9 76.2 77.4 80.7 58.0 79.7 71.5 72.1 84.6
9.6 848.6 208.5 133.6 197.7 36.7 21.3 52.6 59.1 68.2 111.2 14.6 18.9 * 40.7 44.4 40.4 7.1 26.5 86.1 23.2 76.2 81.2 84.2 60.3 90.7 63.6 54.1 79.3
5.0 316.0 77.1 50.8 61.0 * * * 23.6 * 50.4 * 13.4 * 26.6 35.4 38.0 8.3 14.9 95.9 33.6 71.1 64.1 78.1 52.4 82.0 59.4 51.1 62.7
0.3 127.0 * * * * * * * * * * * * 28.9 37.8 31.3 2.0 36.5 69.4 23.9 76.1 * * * 89.2 50.2 57.5 71.8
1.6 231.4 62.8 39.1 48.6 * * * * * * * * * * 20.7 20.9 3.1 7.7 97.7 * * * 71.6 * 90.3 69.7 68.5 83.5
3,258,425 706.5 172.0 106.9 163.7 23.9 15.5 47.2 47.1 128.7 65.2 15.4 24.7 4.5 26.6 29.4 29.5 9.3 22.1 81.3 24.4 75.8 77.1 80.8 58.0 80.9 70.0 67.9 82.9 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 40 39 31 48 37 39 46 37 46 31 26 21 21 36 40 41 19 50 15 42 32 38 45 35 44 33 20 32



Iowa Profile
Over 90 percent of Iowas 1.5 million women are non-Hispanic White. Hispanic women comprise the largest minority population, at more than 4 percent. Iowa is among those states with the lowest rates of death for breast cancer, and also has comparatively low rates of death for lung cancer, unintentional injuries, and suicide. Its women fare particularly poorly in two risk factors: binge drinking and eating 5+ fruits and vegetables a day. It has a better record on some preventive screenings including dental visits and routine check-ups. Hispanic women are the least likely to receive a cholesterol screening, however. Eighty-nine percent of women in the state have health insurance, which merits a rank of #11. However, only 61 percent of Hispanic women are insured.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
90.9 617.4 144.6 110.2 153.3 21.6 16.1 39.4 42.6 113.1 63.0 17.4 24.7 4.7 23.1 26.7 22.2 14.5 16.1 80.1 23.3 74.4 80.8 86.1 62.7 88.9 79.0 75.5 90.8
2.9 779.1 181.7 117.7 173.5 * * 38.4 58.5 * 145.5 * * * 40.2 39.6 42.7 14.4 28.8 77.4 22.5 73.3 * 87.1 * 94.3 69.5 53.2 83.7
4.1 299.1 79.8 72.2 55.0 * * * * * 42.8 * * * 11.2 27.0 37.2 4.9 7.8 94.1 17.8 61.0 * 93.5 * 91.2 67.8 55.1 61.4
0.5 622.8 * * * * * * * * * * * * * * * * * 72.7 * * * * * * * 51.3 *
1.8 259.4 * * 75.8 * * * * * * * * * * 13.3 25.4 2.8 9.7 96.8 * * * * * 96.1 * 67.2 89.2
1,522,247 616.2 144.3 109.9 152.0 21.4 16.1 39.0 42.7 111.3 63.9 17.2 24.4 4.5 23.2 26.8 23.5 13.6 16.1 81.4 23.5 73.7 80.7 85.9 62.5 89.2 78.1 72.5 89.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 16 23 34 19 13 45 19 26 29 28 34 20 21 13 30 17 50 23 14 44 41 22 21 21 12 5 11 11



Kansas Profile
Of the 1.4 million women in Kansas, 82 percent are non-Hispanic White, and more than 8 percent are Hispanic. The state ranks #44 in rates of death due to influenza and pneumonia, #41 in rates of death for chronic obstructive pulmonary diseases and #36 for stroke. It ranks better, however, on its low rates of death for coronary heart disease and diabetes. Comparatively low percentages of women eat 5+ fruits and vegetables a day. Its women fare better on the health risk factors of high blood pressure, no leisure-time physical activity, and binge drinking. Women in Kansas rank among the lowest with regard to getting cholesterol screenings. Eighty five percent of all women have health insurance, with Hispanic women having the lowest rate, at 60 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
81.6 669.2 145.9 85.0 154.2 23.8 14.9 43.0 45.2 130.0 52.6 18.8 28.4 5.5 24.0 26.7 23.0 10.0 16.6 80.9 21.9 74.4 80.7 85.8 60.9 87.9 75.9 79.1 88.5
6.3 874.7 198.1 112.7 186.8 28.9 21.5 44.5 58.3 70.1 144.4 13.2 22.2 * 41.1 41.4 35.0 7.1 20.8 81.5 24.3 75.2 81.1 83.2 61.4 90.4 56.9 61.6 75.0
8.7 424.5 78.8 50.9 80.0 * * * 27.4 * 78.0 * 15.0 * 25.6 36.3 42.3 5.5 13.3 94.6 22.4 65.9 81.0 84.3 47.9 85.8 64.6 55.2 59.6
1.2 1,020.4 200.7 120.1 220.1 * * 81.5 * 291.4 125.8 * * * 28.7 33.6 31.0 12.2 30.0 73.0 22.2 75.8 * 78.5 57.5 87.4 66.7 64.5 79.7
2.5 326.8 74.3 46.7 76.4 * * * 40.9 * * * * * 21.9 12.0 28.7 5.8 13.5 96.4 29.0 78.3 * 82.0 * 86.7 72.6 75.0 77.5
1,418,924 674.9 147.2 85.7 153.7 23.7 15.0 42.0 46.0 125.9 57.6 18.4 27.4 4.9 24.8 27.9 25.2 9.4 16.7 83.6 22.5 73.8 80.5 85.1 60.5 87.9 73.6 73.7 85.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 35 24 14 24 33 28 29 36 41 13 44 30 27 27 35 25 20 30 11 47 40 24 23 25 19 21 7 24



Kentucky Profile
Approximately 88 percent of Kentuckys 2.2 million women are non-Hispanic White. The largest minority population is non-Hispanic Black, at 8 percent. The state has one of the nations highest death rates from cancer. It has among the worst records for high rates of death for heart disease, colorectal and lung cancers, chronic obstructive pulmonary diseases, and unintentional injuries. Correspondingly, Kentucky ranks nearly highest in the nation for smoking. Non- Hispanic Black women die at nearly twice the rate from diabetes than do Non-Hispanic White women. Kentucky fares very poorly in most of the indicated health risk factors, except binge drinking. The states most positive measure of preventive care is colorectal cancer screenings. Of all women, more than 82 percent have health insurance, with non-Hispanic Black women having the lowest rate of insurance coverage, at 79 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
88.3 759.7 189.8 118.3 173.9 23.7 16.7 55.5 48.0 146.4 54.9 19.4 36.8 5.5 28.7 30.3 30.7 7.8 25.4 71.8 22.8 77.5 77.7 82.9 63.0 79.1 67.8 74.6 82.6
8.0 867.2 217.4 132.9 194.7 28.5 25.1 56.3 60.7 92.9 105.1 15.8 24.6 * 41.2 40.9 34.0 6.9 21.5 81.9 18.0 71.6 82.5 81.0 64.8 89.4 65.4 64.4 79.1
2.3 460.7 93.4 59.3 120.3 * * 47.1 * * * * * * 30.5 24.3 32.0 4.3 20.8 96.3 30.3 81.0 64.5 81.7 41.0 79.9 67.0 55.2 79.5
0.3 150.4 * * * * * * * * * * * * 32.5 42.6 43.3 6.1 32.9 70.1 12.7 79.1 * * * 84.8 * 60.6 85.2
1.2 346.0 74.8 * 104.4 * * * * * * * * * * * * * * 96.4 * * * * * * * 69.7 *
2,196,707 761.8 190.4 118.5 174.1 23.7 17.1 55.2 48.6 142.0 57.5 19.1 35.4 5.2 29.5 30.7 31.3 7.6 24.9 74.4 22.7 77.2 77.7 82.6 62.5 79.7 67.2 72.6 82.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 49 47 38 53 33 51 53 41 48 12 46 47 33 47 45 46 10 53 22 46 23 36 40 21 46 38 10 33



Louisiana Profile
Louisiana has 2.3 million women, 61 percent of whom are non-Hispanic White. Its largest minority population is nonHispanic Black, at 33 percent. The state is nearly the worst in the nation in its death rates for breast cancer. For several other causes of death, the state also ranks near the bottom. These include heart disease, total cancer, unintentional injuries, and stroke. Across most health risk factors, the states women fare very poorly. Comparatively high percentages of women have high blood pressure, are obese, and do not get physical activity. On several preventive care indicators, Louisiana falls in the middle to lower range of states. It does rank in the top 10 states in routine check-ups. Only 77 percent of women have health insurance, which merits a very low rank of #47. American Indian/Alaskan Native women are the least likely to have health insurance, at 67 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
61.4 766.5 183.7 111.9 163.1 24.0 13.8 47.9 47.0 116.2 48.8 19.1 40.6 6.2 27.4 25.1 28.3 11.0 21.4 19.9 76.2 79.5 84.0 56.0 88.6 70.5
33.1 967.2 234.5 149.1 196.6 36.0 23.0 41.3 70.9 52.2 118.7 18.6 35.5 1.5 43.7 45.1 39.8 6.2 14.6 20.5 72.4 82.2 81.9 51.8 92.9 56.5
3.3 286.7 64.5 42.8 64.2 * * * 22.6 * 21.1 * 13.7 * 33.5 26.5 32.1 8.6 20.2 21.9 72.0 68.0 72.8 50.1 87.1 65.3
0.7 268.0 61.9 * * * * * * * * * * * 38.6 35.5 27.4 4.3 23.1 16.4 73.9 * 74.6 * 91.5 73.3
1.6 357.3 85.7 61.6 79.7 * * * * * 46.5 * * * * 13.2 36.0 6.6 13.1 * * * * * 94.0 71.4
2,306,941 810.7 194.4 120.0 169.1 27.0 15.9 45.1 52.6 98.0 65.5 18.6 38.1 4.6 32.1 31.1 32.1 9.1 19.1 20.7 75.4 79.8 82.8 54.6 89.9 66.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 54 49 40 52 53 42 43 49 12 32 45 51 24 52 48 47 18 41 49 33 31 39 40 9 41



Maine Profile
Of Maines 674,000 women, 96 percent are non-Hispanic White. The largest minority population is that of Hispanic women, at 1.4 percent. The state has one of the highest rates of death due to cancer, particularly lung cancer, and chronic obstructive pulmonary diseases. Smoking significantly increases a womans chance of dying from these two diseases, among many others. Accordingly, its women fare poorly in smoking. Maine has one of the best records, however, in the health risk factor of eating 5+ fruits and vegetables a day. It ranks near the top of all states in five preventive care measures: mammograms, cholesterol screening, colorectal cancer screenings, Pap smears, and routine check-ups. Of women, 90 percent have health insurance, which merits a rank of #10. Contrary to most other areas, Hispanic women in the state have a relatively high rate of health insurance, at more than 89 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
95.8 662.5 137.0 85.4 165.5 21.2 15.5 47.7 41.4 128.3 60.5 16.1 25.3 4.5 24.0 26.8 21.0 11.8 16.6 33.7 81.9 86.0 88.5 71.5 89.1 72.3
1.1 346.9 * * * * * * * * * * * * * * * * * * * * * * * *
1.4 203.6 * * * * * * * * * * * * 27.0 19.0 15.8 9.2 22.9 31.7 78.5 90.6 92.4 63.5 95.4 64.2
0.7 945.2 * * 242.5 * * * * * * * * * 27.6 22.3 40.0 8.3 45.3 41.4 67.7 * * * 85.4 52.9
1.2 324.7 * * * * * * * * * * * * * 2.0 9.6 8.9 6.7 * * * * * 84.6 *
674,721 661.6 136.5 85.0 165.3 21.3 15.5 47.6 41.3 128.3 60.5 16.1 25.3 4.5 24.0 26.5 21.2 11.6 16.9 34.0 81.9 85.8 88.2 71.1 89.0 72.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 28 17 13 50 12 39 48 21 44 23 30 24 21 17 28 8 34 31 3 5 6 7 1 14 26



Maryland Profile
Maryland has 2.9 million women. Over 57 percent are non-Hispanic White, and 30 percent are non-Hispanic Black. The state has one of the highest rates of death for breast cancer, ranking #49. It also has comparatively high rates of death for diabetes, influenza and pneumonia, and coronary heart disease. In contrast, it ranks #5 in its low death rates for unintentional injuries and #8 for suicide. On four health risk factors, the state falls in the mid-range. Across most measures of preventive care, Maryland has one of the best records. Over 88 percent have health insurance. Hispanic women are the least likely to be insured, at 67 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
57.1 659.6 164.5 122.1 161.3 24.2 14.2 46.0 41.1 116.9 61.0 17.7 16.1 4.4 22.0 22.5 21.4 13.9 15.4 30.6 81.9 84.4 88.5 69.4 86.1 78.5
30.5 785.6 211.8 159.9 171.7 30.2 19.8 38.6 47.5 51.1 119.9 17.9 14.4 1.4 38.9 40.8 34.6 6.7 14.3 27.4 85.7 83.8 89.3 71.9 93.3 66.3
6.6 280.7 74.4 56.6 65.6 10.1 9.6 7.9 25.3 * 31.2 * 9.1 * 25.2 30.1 35.7 6.3 4.9 31.5 79.1 86.4 92.9 54.5 89.4 69.4
0.4 257.0 * * * * * * * * * * * * 29.6 25.8 32.5 1.2 22.5 41.3 78.5 * 68.2 * 97.5 70.6
5.6 308.9 72.0 52.9 76.7 9.8 6.3 14.2 26.5 * 37.1 9.5 11.8 * 15.4 9.4 23.4 5.2 5.0 34.8 82.7 73.9 82.8 64.4 88.5 71.4
2,935,672 673.8 171.2 127.4 158.6 25.1 15.2 42.1 42.5 96.1 72.5 17.3 15.5 3.3 26.9 28.0 26.5 10.6 13.7 30.4 82.9 83.7 88.3 68.9 88.8 74.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 34 38 43 36 49 29 30 25 9 40 35 5 8 37 36 29 25 7 14 4 8 6 5 16 19



Massachusetts Profile
Massachusetts has 3.4 million women. Of that number, more than 79 percent are non-Hispanic White. Hispanic women make up the largest minority population, at more than 8 percent. The state ranks #47 in its high rates of death for influenza and pneumonia and #37 for lung cancer. It has among the lowest death rates in the nation for unintentional injuries, suicide, diabetes, chronic obstructive pulmonary diseases, coronary heart disease, and stroke. Comparatively lower percentages of women are obese and higher percentages eat 5+ fruits and vegetables a day than in other states. Across all presented measures of preventive care, Massachusetts ranks at or near the top. These indicators include recent cholesterol screenings, mammograms, Pap smears, colorectal cancer screenings, routine check-ups, and dental visits. Females of all presented races have achieved the Healthy People 2020 target for receiving a mammogram within the past 2 years. Ninety-six percent of women have health insurance, which merits a rank of #1. Hispanic women are the least likely to be insured, at 88 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
79.7 617.3 137.7 86.0 160.4 22.6 14.6 45.6 36.3 104.1 41.5 20.0 20.7 3.8 21.2 18.4 19.2 16.0 15.1 32.8 85.1 89.4 91.9 70.9 93.0 80.9
6.3 704.3 149.3 93.5 168.6 30.0 17.6 35.3 45.3 45.7 83.3 12.5 16.4 * 36.6 35.6 28.7 9.0 15.4 28.7 80.4 92.5 89.5 67.8 97.3 72.8
8.5 380.8 74.9 47.2 83.9 12.2 10.1 12.1 26.6 26.9 63.4 7.2 10.0 * 32.1 29.8 41.6 8.4 12.3 27.3 72.6 91.5 87.8 61.6 95.6 75.1
0.4 298.9 85.9 * * * * * * * * * * * 35.6 33.1 26.7 12.7 30.7 36.1 77.9 * 73.1 * 97.1 58.6
5.4 299.2 55.6 36.5 79.0 7.9 8.9 18.0 32.1 * 34.6 10.9 7.5 * 21.3 10.0 27.0 7.7 3.8 31.4 84.8 90.1 90.0 71.4 93.1 85.6
3,388,604 610.5 135.9 84.8 156.4 22.2 14.5 43.3 36.6 97.9 43.6 19.4 19.4 3.4 22.7 20.1 22.6 14.2 14.6 32.2 83.7 89.6 90.9 70.2 93.6 80.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 14 16 12 31 19 22 37 11 10 4 47 8 10 9 3 12 51 15 8 2 1 1 2 1 2



Michigan Profile
Of Michigans 5.1 million women, 78 percent are non-Hispanic White. The largest minority population is comprised of non-Hispanic Black women, at 15 percent. Its women have high death rates for heart disease. The state has among the worst records for obesity, smoking, and binge drinking. It has much lower rates of death for unintentional injuries, influenza and pneumonia, and suicide. Michigan ranks poorly in high blood pressure and eating 5+ fruits and vegetables a day. Across the presented measures of preventive care, Michigan ranks comparatively well. Eighty seven percent have health insurance, with Hispanic women being the least likely to have insurance coverage, at 78 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
77.9 669.8 176.3 124.8 159.8 23.4 14.8 43.9 42.6 119.0 64.4 13.9 23.2 4.8 23.6 28.2 23.3 13.2 18.1 25.6 79.4 83.2 87.6 65.3 85.9 77.2
15.0 871.7 264.2 203.9 195.7 33.6 20.5 48.6 55.2 59.4 111.9 15.6 20.4 1.5 37.9 49.1 36.4 5.9 18.4 25.8 83.8 84.9 89.0 62.6 93.0 62.7
4.0 549.9 131.5 89.6 113.1 13.3 13.0 17.1 36.1 45.0 95.6 11.4 21.5 * 22.1 33.4 29.8 15.3 19.6 21.6 79.7 83.7 90.9 58.3 85.3 73.2
0.8 817.4 212.0 165.3 159.9 * * 50.1 51.1 146.8 123.5 * 23.7 * 23.1 33.4 30.8 15.0 25.5 24.3 85.0 * 83.8 * 81.2 62.6
2.6 330.4 84.0 58.9 81.3 * * 15.0 32.2 * 47.2 * 9.5 * 22.9 9.0 20.7 7.6 7.8 35.0 75.8 * 82.9 * 84.3 77.1
5,066,873 694.1 186.2 133.3 162.8 24.3 15.4 43.8 44.3 111.0 70.5 14.1 22.8 4.3 25.2 31.0 25.4 12.2 18.3 25.8 79.9 83.1 87.6 64.5 86.6 74.9 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 38 45 47 43 38 37 38 33 28 38 16 15 17 29 46 26 38 35 34 13 12 12 14 25 14



Minnesota Profile
Minnesota has 2.6 million women. Eighty-six percent are non-Hispanic White, with non-Hispanic Black women comprising nearly 5 percent. The state continues to have the lowest death rate for heart disease in the entire nation and the second lowest for coronary heart disease. It ranks among the best states in all major causes of death, with the exception of unintentional injuries. In health risk factors, it leads the nation in leisure-time physical activity and high blood pressure. Its worst indicator is binge drinking. Across preventive care measures, Minnesota fares particularly well, with some of the highest rates for dental visits, routine check-ups, Pap smears, and mammograms. More than 91 percent have health insurance, which merits a rank of #6. American Indian/Alaskan Native women have the lowest rate of insurance coverage, at 73 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
86.1 561.7 102.2 56.8 145.1 21.4 13.2 36.3 38.1 90.7 57.1 10.2 24.5 4.0 19.3 23.5 16.7 14.6 15.1 25.6 79.8 84.4 88.9 67.1 91.6 79.6
4.7 690.0 104.0 54.3 173.5 27.3 * 46.6 43.9 55.7 121.3 * 21.4 * 36.8 38.0 36.7 8.8 23.2 21.0 79.9 66.9 87.3 49.3 91.9 64.2
4.0 332.0 39.3 * 80.8 * * * 34.5 * 59.4 * 16.2 * 22.7 27.8 29.9 10.3 13.9 21.9 84.8 71.5 87.6 56.0 87.7 63.5
1.4 854.4 136.3 80.5 156.9 * * 56.8 51.8 113.3 195.6 * 51.5 * * 51.1 33.8 16.0 42.2 * * * 82.9 * 92.9 74.6
4.0 418.0 53.9 28.2 97.6 * * 17.0 38.3 * 62.8 * 16.2 * 8.0 11.1 23.3 4.1 2.4 22.5 72.5 * 82.4 * 89.1 63.2
2,645,644 567.1 102.3 56.8 144.8 21.2 13.1 36.2 38.7 89.1 59.2 10.1 24.9 4.1 19.8 24.5 18.4 14.2 15.2 25.5 80.0 83.7 88.2 66.8 91.5 78.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 4 1 2 14 11 6 14 12 8 18 3 22 14 1 14 1 51 16 36 12 8 7 10 6 4



Mississippi Profile
In Mississippi, 58 percent of its 1.5 million women are non-Hispanic White. Non-Hispanic Black women comprise 38 percent. The state continues to have the highest rate of death for heart disease in the nation. Other very poor indicators include death rates for unintentional injuries, diabetes, breast cancer, stroke, and colorectal cancer. Three health risk factors continue to be among the worst in the nation: high blood pressure, obesity and no leisure-time physical activity. Smoking and eating 5+ fruits and vegetables a day are not far behind. It does, however, rank in the top 10 states for the low percentages of women who binge drink. Its women fare poorly in most of the six indicated preventive measures. They include mammograms, blood stool tests, Pap smears, routine check-ups, dental visits and cholesterol screening. Only 77 percent of women have health insurance, which merits a rank of #48. Hispanic women are the least likely to be insured, at 68 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
58.1 749.7 213.5 125.2 151.2 21.1 13.8 45.4 46.1 128.3 64.9 18.1 45.3 7.1 28.5 28.0 31.8 6.3 23.4 20.0 73.4 72.4 80.7 56.5 79.5 64.0
38.3 899.9 272.2 154.3 179.8 33.6 22.1 36.0 61.1 46.6 147.5 17.4 31.1 1.3 46.9 50.7 41.6 4.4 15.7 17.3 74.1 72.0 84.9 50.4 87.8 49.7
2.1 178.8 59.6 43.5 * * * * * * * * * * 29.3 41.0 36.8 8.5 19.7 17.5 69.7 77.3 78.8 42.0 76.3 52.1
0.5 711.3 * * 125.7 * * * * * 189.7 * * * * 31.0 28.0 5.3 32.2 * * * * * 76.0 *
1.0 351.4 * * 85.2 * * * * * * * * * * * * * * * * * * * * *
1,520,956 791.4 229.2 133.0 158.7 24.9 16.1 42.3 50.3 104.9 87.5 17.8 40.0 4.8 34.9 36.0 35.6 5.6 20.4 19.1 73.6 72.3 81.9 54.4 82.7 59.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 51 54 46 37 46 45 32 46 23 49 40 53 25 54 54 52 5 46 52 42 50 42 41 37 53



Health insurance coverage (20082010) (ages 1864) 82.2 70.1 67.8 * * 77.2 48
Missouri Profile
Over 82 percent of Missouris 3 million women are non-Hispanic White. Non-Hispanic Black women comprise 12 percent. It ranks among the worst for its high death rates for most presented causes of death including coronary heart disease, cancer, lung cancer, breast cancer, stroke and unintentional injuries. In health risk factors, the worst rates are for smoking, obesity, high blood pressure, and no leisure-time physical activity. Most preventive care measures are among the worst in the nation, particularly routine check-ups, dental visits, and cholesterol screenings. Eighty-five percent of non senior women have health insurance, with Hispanic women having the lowest percent of insurance coverage, at 64 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
82.4 696.3 176.5 119.6 161.6 25.2 14.8 46.9 47.6 126.3 61.7 18.0 34.0 5.8 25.5 29.3 26.5 12.1 23.2 25.0 73.3 76.9 84.2 60.9 80.0 66.2
12.1 880.8 235.0 171.4 191.2 34.0 21.1 46.7 63.1 68.6 124.8 16.3 26.4 2.4 43.4 42.5 44.3 8.0 20.4 24.6 81.1 79.4 87.4 59.6 90.4 57.1
3.2 395.5 91.3 67.4 90.5 * * 21.5 29.7 * 66.9 * 13.1 * 29.0 28.7 33.1 18.1 18.7 17.4 70.1 * 76.2 * 81.1 55.9
0.6 356.1 82.4 67.1 91.4 * * * * * 55.5 * * * 30.2 25.3 36.1 15.9 32.0 * 63.4 * * * 76.6 *
1.8 393.8 83.2 52.4 89.4 * * * 44.2 * 44.4 * * * * * 25.1 2.2 9.3 * * * * * 79.6 *
3,061,578 708.0 180.3 123.1 162.5 25.7 15.3 46.2 48.9 119.7 66.8 17.9 32.6 5.2 27.3 30.5 28.7 11.9 22.7 25.1 73.5 77.1 84.0 60.1 81.0 64.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 41 42 41 42 50 34 44 44 37 34 41 43 33 39 44 39 37 51 38 43 38 29 27 43 45



Montana Profile
Of Montanas 487,000 women, almost 89 percent are non-Hispanic White. American Indian/Alaskan Native (AI/AN) women are the largest minority population, at just under 7 percent. The state has some of the worst rates of death due to chronic obstructive pulmonary diseases, unintentional injuries, and suicide. However, it ranks among the best in the nation on low death rates for heart disease and breast cancer. Montana ranks among the top 10 best states in high blood pressure and obesity. Relatively high percentages of women smoke and binge drink. Across all presented preventive care measures, women in the state rank poorly and have among the lowest rates for cholesterol screenings, routine checkups and mammograms. Only 79 percent of non-senior women have health insurance, with only 61 percent of Hispanic women being insured.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
88.7 646.0 125.2 66.9 153.1 20.4 15.0 43.0 41.6 145.3 55.3 14.4 33.6 6.7 21.7 21.9 21.3 12.4 16.6 30.3 71.3 74.6 81.8 53.7 77.0 64.8
0.7 * * * * * * * * * * * * * * * * * * * * * * * * *
3.0 396.1 * * * * * * * * * * * * 18.0 24.4 26.2 9.8 23.4 37.8 65.9 77.1 73.3 64.9 75.1 59.8
6.9 999.1 156.0 102.3 196.4 * * 47.6 69.0 156.3 144.7 * 80.4 * 28.9 43.8 39.0 16.8 42.6 24.6 65.5 73.1 85.3 40.5 79.0 54.0
1.0 378.0 * * * * * * * * * * * * * 13.7 33.9 11.2 9.6 * * * * * 87.8 *
487,008 663.6 125.9 67.8 155.2 20.3 15.2 43.1 42.4 145.9 59.2 14.5 37.0 7.2 22.3 23.0 22.6 12.5 18.5 30.4 70.6 74.2 81.6 53.4 77.2 64.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 31 6 5 29 6 29 35 24 49 18 20 49 49 5 8 12 41 37 14 52 46 44 45 51 45



Health insurance coverage (20082010) (ages 1864) 80.6 * 60.7 65.0 * 78.9 44
Nebraska Profile
More than 84 percent of Nebraskas 905,000 women are non-Hispanic White. Of minority female populations, Hispanic women comprise the largest group, at more than 7 percent. Nebraska has among the lowest rates of death for coronary heart disease and lung cancer. It ranks in the middle of states in its death rates for unintentional injuries and stroke. The percentage of women with high blood pressure is fairly low. Relatively high percentages binge drink with Nebraska women ranking nearly the worst in the nation for this indicator. Across the presented measures of preventive care, Nebraska ranks in the middle of all states. Eighty-five percent have health insurance but only 48 percent of Hispanic women are insured.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
84.8 616.6 132.4 71.0 146.3 21.8 15.1 36.2 41.9 115.5 63.4 14.2 26.5 4.7 23.2 25.6 23.5 14.0 16.3 82.2 26.2 74.9 77.2 85.2 59.1 82.3 74.1 78.8 88.5
4.7 886.0 188.3 97.4 210.5 23.6 34.8 50.5 50.3 * 213.8 * 28.8 * 32.4 41.3 44.3 12.0 22.0 86.5 31.9 87.4 75.3 87.4 61.8 87.4 63.7 62.3 76.7
7.7 420.6 96.1 49.6 84.0 * * * * * 91.5 * 15.7 * 21.6 35.1 38.2 6.0 12.4 95.2 22.2 60.3 71.4 80.8 43.5 78.4 58.3 61.1 47.9
1.2 1,034.9 188.9 * 143.3 * * * * * 241.7 * * * 19.3 35.9 34.9 17.5 47.4 73.6 20.6 77.9 * 83.2 * 81.2 53.7 56.1 48.4
2.0 329.4 * * 76.6 * * * * * * * * * 18.7 5.5 25.7 3.8 6.4 95.9 46.9 66.9 * 70.9 * 77.6 64.5 68.8 82.0
904,967 623.4 133.7 71.7 146.3 21.7 15.3 35.8 42.3 113.5 68.3 14.1 26.2 4.4 23.4 26.4 25.0 13.4 16.4 84.5 26.7 74.2 76.9 84.5 58.6 82.1 73.0 74.7 85.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 17 12 6 15 15 34 12 23 30 36 16 25 20 15 26 23 47 28 10 32 38 40 26 33 40 25 5 26



Nevada Profile
Nevadas female population numbers almost 1.3 million. Non-Hispanic White women comprise 57 percent and Hispanic women, 25 percent. Rates of death for lung cancer, colorectal cancer, chronic obstructive pulmonary diseases, and suicide continue to be almost the worst in the nation. The state has one of the best records in its relatively low death rates for diabetes. Additionally, females of all presented races have achieved the Healthy People 2020 target for diabetes-related rates of death. Non-Hispanic Black women and American Indian/Alaskan Native (AI/AN) women die from diabetes at much higher rates than do non-Hispanic White women. In health risk factors, Nevadas women fare the best in obesity and the worst in binge drinking and smoking. In 6 measures of preventive care, Nevada ranks near the bottom. It ranks #51 in mammograms and colorectal cancer screenings and #49 in Pap smears. Only 77 percent have health insurance, which merits a rank of #48. Less than 60 percent of Hispanic women are insured, the lowest of all groups.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
57.2 771.4 181.0 102.9 175.7 24.2 17.7 56.6 40.1 169.8 37.4 18.7 37.4 11.2 23.8 21.2 23.9 14.4 22.7 23.2 73.8 72.3 79.5 51.7 78.5 69.0
8.2 788.1 233.7 121.1 154.4 26.7 17.3 38.9 51.2 49.5 62.9 17.6 27.9 * 32.5 36.6 36.8 6.4 18.8 17.1 76.8 72.0 79.9 43.0 86.7 56.6
25.3 344.8 81.4 42.3 71.1 9.0 8.4 12.7 28.1 35.4 29.9 9.2 13.5 2.4 24.8 25.1 36.3 9.1 11.5 28.8 70.4 70.9 84.1 38.9 81.7 55.6
1.7 526.3 159.5 92.9 81.8 * * * * * 56.2 * * * 23.0 35.7 46.0 14.4 36.3 21.8 63.4 * 79.5 * 83.4 49.8
8.4 361.0 85.9 46.5 86.7 13.6 8.3 16.8 38.4 23.5 21.7 12.4 14.7 * 21.0 10.2 30.8 16.1 10.1 29.1 66.4 * 71.7 * 87.3 75.0
1,297,039 705.0 170.3 95.7 158.2 22.2 16.2 48.4 40.1 140.2 37.6 17.4 30.5 8.3 24.5 22.6 28.2 12.5 20.4 24.7 73.4 72.2 79.5 50.0 79.6 64.8 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 39 37 22 35 19 47 50 17 47 2 36 38 51 23 5 37 41 46 41 44 51 49 51 47 43



New Hampshire Profile

Ninety-four percent of the states 671,000 women are non-Hispanic White. More than 2 percent are Hispanic. New Hampshire is among those states with the lowest rates of death for stroke. Its highest rates of death relative to other states are for chronic obstructive pulmonary disease and lung cancer. Its record on health risk factors is relatively positive. On four measures, high blood pressure, obesity, leisure-time physical activity, and eating 5+ fruits and vegetables a day, its women rank in the top 15. On smoking and binge drinking, the state ranks in the middle. Across the indicated measures of preventive care, the states women have a very good record, ranking among the top 15. Eighty-eight percent have health insurance, with Asian/Pacific Islander women having the lowest rate of insurance coverage, at 83 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
93.7 634.6 144.6 98.2 161.8 22.6 14.6 45.3 35.3 128.4 59.3 14.1 24.7 5.1 23.0 23.7 21.9 11.6 15.6 82.5 33.6 81.0 86.3 87.5 70.1 89.4 78.0 82.2 88.3
1.3 391.2 * * * * * * * * * * * * * * * * * 91.4 * * * * * * * 62.8 *
2.6 209.0 * * * * * * * * * * * * 33.2 26.0 24.7 10.7 12.6 90.3 39.0 75.9 * 85.6 * 88.2 72.4 70.0 87.4
0.3 * * * * * * * * * * * * * * 30.0 39.7 12.6 41.7 73.8 * * * * * 90.9 * 66.7 *
2.1 300.6 * * 82.2 * * * * * * * * * 23.9 12.9 19.2 2.3 3.4 98.0 27.2 76.9 * 82.7 * 90.0 64.3 78.9 83.2
671,627 628.1 143.5 97.4 159.9 22.3 14.4 44.8 35.2 126.0 58.9 14.0 24.3 5.0 23.0 23.7 21.9 11.3 15.8 83.5 33.3 80.7 85.8 86.5 69.7 89.5 77.1 81.2 88.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 20 22 25 38 23 20 40 6 42 16 15 19 29 11 11 10 30 19 12 4 7 6 15 4 11 6 2 18



New Jersey Profile

Of New Jerseys 4.4 million females, 62 percent are non-Hispanic White. Fourteen percent are non-Hispanic Black, and 16 percent are Hispanic. The state ranks #5 in its low rate of death for stroke and #2 in its low rate of death for suicide. New Jersey has one of the best records on death rates for chronic obstructive pulmonary diseases, diabetes, influenza and pneumonia, and unintentional injuries. However, it continues to have almost the worst death rate for breast cancer. Its women fare well in measures of obesity and smoking. The state has one of the highest rates of no leisure-time physical activity. It ranks in the top 10 states in cholesterol screening, dental visits and routine checkups. Eighty-six percent have health insurance, with Hispanic women being the least likely to be insured, at 68 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
62.0 641.4 169.6 121.8 169.0 27.9 16.5 43.4 33.6 100.0 47.4 13.0 18.6 3.1 22.2 19.1 23.4 14.0 15.2 29.8 82.8 80.7 88.1 59.8 89.3 80.9
13.9 818.6 200.2 144.2 184.0 32.5 22.2 38.7 51.2 58.4 104.6 14.0 20.0 1.4 36.7 39.1 34.7 9.0 14.3 27.7 80.5 78.3 87.9 64.0 95.6 66.4
16.0 380.9 94.3 70.0 89.3 13.6 10.2 12.7 21.8 35.9 53.4 9.2 12.0 1.3 26.7 29.2 43.1 9.3 10.5 25.7 69.3 84.1 84.6 59.9 90.9 65.8
0.4 324.8 99.2 82.8 82.0 * * * * * * * * * 25.6 36.5 45.1 7.7 10.8 47.2 68.3 * 83.4 * 89.2 69.5
8.1 288.8 74.5 54.8 68.2 12.5 5.4 11.1 26.4 11.5 35.4 4.2 10.4 2.9 23.3 8.3 33.5 5.3 3.0 36.0 81.8 75.1 74.9 43.4 91.1 80.3
4,439,395 632.0 166.2 119.5 160.0 26.6 16.2 38.9 34.7 87.4 53.1 12.5 17.6 2.5 24.7 22.7 29.3 11.6 13.4 29.4 80.1 80.4 86.2 59.3 90.5 76.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 23 33 39 39 52 47 18 5 7 7 9 6 2 25 7 40 34 5 19 10 25 17 31 8 9



New Mexico Profile

Of New Mexicos 1 million women, 42 percent are non-Hispanic White. Hispanic women comprise an additional 45 percent, and American Indian/Alaskan Native (AI/AN) women, 10 percent. The state has some of the nations lowest rates of death for cancer, particularly lung cancer. However, it ranks #54 on its high death rates for unintentional injuries, with AI/AN women faring much worse than other populations. In health risk factors, it is among the top 15 states for high blood pressure and binge drinking. Across all preventive care measures, its women fare poorly. New Mexico ranks near the bottom for cholesterol screening, mammograms, and colorectal cancer screenings. Less than 80 percent have health insurance, which merits a rank of #46. AI/AN women are the least likely to be insured, at 64 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
42.0 642.5 147.7 98.7 141.9 22.7 13.0 37.0 38.5 142.1 45.6 13.6 43.3 9.9 21.9 20.2 19.8 7.5 16.9 29.7 75.6 76.9 86.2 57.6 82.7 72.4
2.3 643.8 184.8 132.4 127.7 * * * 52.2 * 96.9 * * * 42.1 36.1 32.2 7.4 26.8 21.1 91.3 * * * 84.6 72.1
45.0 594.7 116.8 79.2 124.0 19.2 14.1 19.3 40.9 70.7 92.6 15.4 38.5 4.0 25.2 31.9 31.0 7.7 16.1 20.0 67.4 74.2 81.9 47.6 81.9 59.2
10.3 610.9 76.6 49.7 109.7 12.1 11.7 * 25.8 * 133.6 26.2 50.7 * 24.4 38.8 33.1 7.0 13.8 24.9 68.9 71.2 82.5 35.4 81.9 61.3
1.9 332.6 61.8 * 94.3 * * * * * 62.6 * * * 23.3 14.9 13.8 1.2 8.0 34.8 75.7 * 83.5 * 90.0 78.1
1,015,036 630.0 135.3 90.7 134.0 20.9 13.4 29.3 38.9 110.9 66.6 14.9 42.9 7.1 23.3 26.2 25.6 7.4 16.2 25.6 71.8 75.7 83.8 52.9 82.7 66.6 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 22 15 19 7 9 11 5 14 27 33 22 54 48 14 25 27 9 26 35 51 43 32 48 37 39



New York Profile

Over 10 million females live in New York. Sixty percent are non-Hispanic White. Hispanic women comprise just over 16 percent of the population, and non-Hispanic Black women just under 16 percent. It continues to have the lowest rate of death for stroke in the entire nation. Rates of death are also low for chronic obstructive pulmonary diseases, diabetes, unintentional injuries, and suicide. It does, however, rank #53 on rate of death for coronary heart disease. Women in New York fare best on obesity and eating 5+ fruits and vegetables a day, among the presented risk factors. Across preventive care measures, the best records are from the relatively high percentages of cholesterol screenings, routine check-ups, and Pap smears. Much lower percentages of Asian/Pacific Islander (A/PI) women get colorectal cancer screenings or Pap smears. Of women, 88 percent have health insurance, with Hispanic women being the least likely to be insured, at 79 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
60.3 607.4 195.4 156.9 156.5 23.6 14.4 41.7 29.0 100.1 45.4 18.1 16.0 2.9 21.8 21.7 24.0 13.3 17.7 85.1 32.0 81.3 82.6 87.7 66.6 87.1 76.8 80.8 92.2
15.8 703.5 242.6 213.6 161.4 30.0 18.7 32.3 30.8 42.7 101.0 26.2 14.5 1.5 35.5 37.6 33.6 7.8 13.7 87.2 27.0 83.9 82.4 89.6 63.7 94.2 66.7 60.4 85.8
16.4 440.3 151.9 136.1 96.5 15.6 11.5 13.9 19.7 31.2 64.1 21.9 10.8 1.6 27.9 28.7 38.0 7.4 12.4 95.8 24.0 76.8 86.5 90.1 59.7 91.0 69.1 61.0 79.0
0.6 218.1 53.5 43.7 51.9 * * 13.2 * * 34.2 * * * 25.2 35.3 31.6 10.7 22.5 73.2 36.8 84.0 * * * 90.0 81.1 65.1 81.0
7.4 292.2 101.6 92.0 78.3 10.0 8.6 15.2 18.4 13.1 27.5 14.2 8.7 3.4 20.2 11.0 21.6 6.4 5.6 98.5 38.4 77.0 86.3 73.7 51.3 91.1 71.9 74.8 85.3
10,042,290 597.9 196.2 161.3 148.1 23.2 14.5 36.3 28.5 82.8 53.6 19.4 14.9 2.5 24.7 24.4 28.0 11.1 15.6 87.5 30.6 80.5 82.9 87.6 64.7 89.2 73.7 75.3 88.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 11 50 53 17 31 22 15 1 6 8 47 3 2 25 13 35 29 17 8 12 8 13 12 13 12 20 4 15



North Carolina Profile

Sixty-eight percent of North Carolinas 4.8 million women are non-Hispanic White. Non-Hispanic Black women comprise almost 23 percent of the population. The state ranks poorly on several rates of death, particularly stroke and diabetes. Non-Hispanic Black women fare much worse than do non-Hispanic White women. North Carolina ranks among the middle of states for most other major causes of death. On health risk factors such as high blood pressure and obesity, the state ranks near the bottom. Its best record is on the low percentage of women who binge drink. It also continues to compare favorably to other states with regard to five of the six preventive care measures presented, particularly colorectal cancer screenings and Pap smears. Nearly 80 percent have health insurance with Hispanic women being the least likely to be insured, at less than 39 percent, the lowest rate in the nation.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
67.5 686.8 148.8 95.8 153.3 22.5 13.2 44.9 47.9 131.3 65.3 18.4 33.5 6.8 25.4 25.5 24.7 8.8 19.3 24.8 80.1 82.6 86.7 67.8 87.1 73.3
22.5 845.1 193.3 125.7 175.2 33.4 19.5 34.0 66.2 50.3 150.8 15.4 23.2 1.8 42.8 48.2 36.2 6.1 16.3 20.7 81.1 86.4 89.6 64.2 94.8 59.4
6.7 213.9 34.9 23.6 50.3 * * * 14.3 * 33.0 * 14.7 * 27.6 27.2 39.0 3.1 6.9 22.1 68.6 67.8 85.8 46.9 88.1 51.3
1.3 701.8 161.6 117.6 126.0 20.7 * 35.6 53.2 64.1 140.6 * 41.5 * 36.9 38.5 38.5 3.5 27.5 26.9 81.7 77.8 87.9 56.8 87.0 63.1
2.3 312.2 59.1 35.6 86.7 9.6 * 20.9 28.6 * 37.6 * 11.8 * 21.5 5.7 27.1 5.1 10.1 34.0 82.3 * 78.1 * 90.1 74.7
4,790,699 708.7 155.3 100.1 155.2 24.3 14.2 42.2 51.0 114.4 80.3 17.6 30.6 5.3 28.7 29.8 28.4 7.7 17.6 24.1 79.3 82.7 87.1 66.3 88.9 69.1 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 42 28 28 29 38 18 31 47 32 45 38 39 37 44 41 38 12 33 43 15 15 14 11 15 36



North Dakota Profile

Roughly 322,000 females live in North Dakota. Ninety percent are non-Hispanic White, and 6 percent are American Indian/Alaskan Native (AI/AN). The state has low rates of death for heart disease, chronic obstructive pulmonary diseases, lung cancer, influenza and pneumonia, and suicide. Among health risk factors, women fare best on diagnosed high blood pressure. It ranks among the bottom of all states in its high percentage of women who binge drink. Across the presented preventive care measures, North Dakota has a relatively high percentage of women receiving Pap smears and women with recent dental visits. Of women, 88 percent have health insurance, although only two thirds of AI/AN women have health insurance.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
90.0 545.5 125.0 90.7 143.0 20.8 14.5 32.2 39.9 75.0 55.9 13.4 20.8 2.8 22.3 24.7 23.0 15.6 15.2 82.8 27.1 76.0 80.9 86.5 55.3 86.2 75.9 77.6 90.4
1.1 * * * * * * * * * * * * * * * * * * 91.8 * * * * * * * 58.2 *
2.2 * * * * * * * * * * * * * 17.5 34.0 43.7 14.6 28.0 84.3 25.5 86.1 * * * 84.1 71.8 57.4 82.2
6.0 1,030.5 195.4 138.1 295.2 * * 102.4 * * 236.4 * 60.7 * 36.4 42.7 41.8 16.3 46.8 62.3 25.6 67.5 * 85.5 * 79.4 70.2 47.1 67.0
1.0 * * * * * * * * * * * * * * * * * * 94.0 * * * * * * * 67.0 *
321,844 576.4 131.6 95.6 148.9 22.1 15.3 34.0 40.6 77.2 62.6 13.9 23.7 3.2 23.0 25.8 24.5 15.2 17.6 80.7 27.5 76.3 80.7 86.3 54.4 85.7 75.2 73.1 88.4 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 5 11 21 18 18 34 9 18 5 26 12 18 5 11 23 21 53 33 19 30 28 22 16 41 29 13 9 15



Ohio Profile
Ohios female population numbers nearly 5.9 million. Eighty-three percent are non-Hispanic White, with non-Hispanic Black women comprising nearly 13 percent. It ranks among the worst states for rates of death for several major causes. These include breast cancer, colorectal cancer, diabetes, chronic obstructive pulmonary diseases, and coronary heart disease. It does have among the lowest rates of death for influenza and pneumonia and suicide and ranks among the middle of states for unintentional injuries. Its women fare poorly on the presented health risk factors, particularly smoking. Ohio ranks poorly for routine check-ups and cholesterol screenings. Eighty-seven percent have health insurance, ranking the state among the top 20. American Indian/Alaskan Native (AI/AN) women are the least likely to be insured, at 73 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
82.7 703.5 170.7 123.8 164.2 25.3 16.1 44.9 44.4 135.3 84.4 13.9 27.4 4.6 25.2 27.0 25.5 12.5 20.6 78.6 24.9 74.2 78.9 84.3 59.2 83.5 75.3 74.9 87.7
12.6 863.1 208.0 154.3 199.2 34.0 20.7 51.3 55.7 81.3 144.3 13.7 24.2 1.9 39.7 45.0 37.9 9.6 23.3 85.3 24.4 79.4 84.2 89.1 62.8 93.5 66.5 57.3 83.3
2.6 370.5 76.2 59.5 70.6 12.4 * 13.7 24.8 * 78.2 * 19.1 * 25.0 31.8 34.9 8.7 24.7 90.4 21.6 77.3 79.7 77.4 56.6 88.2 71.5 57.7 80.3
0.3 194.2 44.7 * * * * * * * * * * * 26.7 28.5 45.6 5.8 45.6 75.8 21.9 70.5 * 65.6 * 88.9 55.0 60.1 73.0
1.7 274.5 53.1 40.2 78.2 10.0 * 16.3 29.3 * 37.8 * 12.7 * 19.0 11.0 21.8 3.8 4.1 97.3 27.8 71.3 * 70.2 * 86.1 82.1 73.3 91.0
5,909,242 715.6 173.7 126.2 165.9 26.0 16.4 44.9 45.4 128.6 89.7 13.9 26.7 4.2 26.4 28.8 27.2 11.8 20.9 80.6 24.9 74.8 79.3 84.3 59.3 84.7 74.4 71.5 87.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 45 41 42 51 51 50 41 35 45 50 12 27 15 35 39 33 36 48 20 39 36 33 28 31 34 16 12 20



Oklahoma Profile
Oklahoma has 1.8 million females. Seventy-four percent are non-Hispanic White, while American Indian/Alaskan Native (AI/AN) women comprise over 9 percent. The state ranks at the bottom on most major causes of death, including heart disease, stroke, and chronic obstructive pulmonary diseases. It does have a better record on death rates for colorectal cancer. Its women fare poorly on most health risk factors, including eating 5+ fruits and vegetables a day, smoking, high blood pressure, leisure-time physical activity, and obesity. Rates of obesity are higher among non- Hispanic Black, Hispanic, and AI/AN women than for non-Hispanic White women. As with health risk factors, the state ranks near the bottom for all presented preventive care measures. It ranks nearly worst in the nation on routine check-ups (#53) and nearly as poorly for mammograms (#52). Of non-senior women, only 77 percent have health insurance, which merits a rank of #50. Hispanic women have by far the lowest rate of insurance coverage, at 46 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
73.6 789.8 204.8 143.0 165.5 25.5 14.2 49.1 54.5 158.3 74.6 20.5 39.4 7.1 27.5 28.8 29.7 8.5 23.4 17.0 73.2 72.2 77.8 53.5 75.1 62.3
8.2 931.3 263.3 179.1 182.1 32.0 17.1 42.9 70.2 66.7 151.9 19.2 32.2 * 43.1 43.8 41.5 5.8 27.8 18.3 70.4 71.5 80.1 53.7 84.4 49.3
7.6 397.6 88.3 56.4 72.2 * * * 26.6 * 84.1 * 25.0 * 30.1 32.7 42.8 5.2 13.0 18.9 66.7 61.8 82.9 35.8 69.6 48.6
9.1 771.7 167.8 122.6 153.1 19.4 16.4 45.5 43.6 102.6 129.5 16.0 55.0 5.4 34.4 38.9 35.6 10.0 32.1 16.2 75.2 73.6 83.8 55.7 80.5 56.7
2.0 373.4 96.0 72.0 87.0 * * * 39.0 * 54.4 * * * 30.4 11.3 30.7 1.3 8.0 28.6 74.6 * 85.7 * 83.0 55.0
1,865,076 787.4 203.5 141.9 162.8 24.9 14.5 47.4 54.4 146.9 81.9 19.9 39.1 6.5 29.4 31.0 32.3 7.9 23.7 17.9 72.5 71.8 78.7 53.1 76.3 59.6 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 50 51 51 43 46 22 47 51 51 47 49 52 44 46 46 49 13 52 53 48 52 50 47 53 51



Oregon Profile
Of Oregons 1.9 million women, 82 percent are non-Hispanic White and 10 percent are Hispanic. The state is ranked in the top 10 for its low death rates for influenza and pneumonia and heart disease. However, Oregon ranks #41 in diabetes-related death rates and #44 in suicide. In health risk factors, its women fare well in terms of leisure-time physical activity, diagnosed high blood pressure, and eating 5+ fruits and vegetables. Across preventive care measures, relatively high percentages of women have not had a cholesterol screening, a Pap smear, or a routine check-up. The most positive indicator is the percentage of women who have received a colorectal cancer screening. More than 81 percent of women have health insurance, with Hispanic women being the least likely to be insured, only 55 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
81.8 674.7 129.3 74.3 161.4 22.6 14.6 46.1 48.1 127.5 73.3 11.6 27.6 7.0 22.4 24.5 17.7 10.6 16.3 32.6 73.6 80.4 80.7 60.8 78.0 72.8
2.0 676.5 113.3 57.6 153.6 * * 31.7 65.3 * 132.9 * 27.5 * * * * * * * * * * * * *
10.3 351.0 68.5 40.3 85.8 9.9 * 15.1 33.6 * 70.8 * 15.8 * 21.0 26.3 26.7 7.0 10.2 25.6 59.4 71.7 88.5 43.8 80.4 54.9
1.8 671.4 94.3 61.8 146.7 * * 50.8 41.1 122.3 148.5 * 33.0 * 32.4 * 21.7 11.6 32.5 * * * * * 64.1 *
4.6 362.1 68.8 37.1 82.4 * 13.7 15.2 41.6 * 56.2 * 12.2 * 27.7 4.8 23.2 4.7 5.3 25.2 75.5 * 64.4 * 69.9 69.8
1,928,603 660.2 126.6 72.7 157.2 21.9 14.4 44.3 47.9 121.8 74.0 11.2 26.7 6.5 22.9 24.7 18.7 10.7 16.0 31.7 72.4 79.5 79.7 59.6 77.7 70.8 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 27 7 7 32 16 20 39 40 39 41 6 27 44 10 15 2 27 22 10 49 32 48 28 49 29



Pennsylvania Profile
Of Pennsylvanias 6.4 million women, 82 percent are non-Hispanic White. Non-Hispanic Black women are the largest minority population, at almost 11 percent. The state ranks among the best in its relatively low rates of death for chronic obstructive pulmonary diseases, and suicide. Pennsylvania is among the worst states in its high death rates for breast cancer and colorectal cancer, particularly for non-Hispanic Black women. The state ranks poorly on binge drinking and smoking. Across preventive care measures, its women are ranked among the middle range of states. Eighty-nine percent have health insurance, with Hispanic women being the least likely to be insured, at 81 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
81.5 665.7 167.4 107.6 161.4 24.2 15.7 40.1 41.7 102.8 63.1 14.1 25.7 4.2 23.8 25.3 26.0 13.2 20.1 80.7 28.3 76.4 79.7 85.0 62.8 83.8 74.7 76.6 90.0
10.9 862.9 206.4 136.9 202.4 31.9 20.0 55.8 59.3 73.9 90.5 15.6 24.3 2.3 41.2 43.5 37.1 9.4 25.4 84.8 26.8 76.0 83.3 88.0 67.4 93.8 61.2 54.9 85.9
4.8 372.4 79.2 53.1 74.2 10.8 10.2 9.4 25.5 24.1 51.5 5.5 14.3 * 23.0 29.3 36.0 8.7 16.9 89.5 23.0 81.2 89.7 89.2 59.7 88.4 72.8 54.6 81.2
0.3 157.8 * * * * * * * * * * * * 25.4 35.3 36.1 16.6 25.6 78.9 9.9 55.4 * * * 66.9 60.4 57.2 *
2.6 306.0 66.1 45.2 74.2 8.2 9.0 13.9 35.0 * 31.5 8.7 12.5 * 12.6 6.0 34.9 7.3 2.8 97.0 30.4 74.0 * 83.9 * 84.2 83.3 66.1 81.5
6,466,058 676.7 169.2 109.0 162.2 24.5 15.9 40.5 43.0 98.7 64.9 14.2 24.9 3.9 25.1 27.0 28.0 12.4 20.2 82.7 28.2 76.6 80.1 85.1 62.6 84.8 73.5 71.1 88.8 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 36 35 32 41 41 42 23 28 13 30 18 22 11 28 31 35 40 45 13 27 26 28 23 20 33 22 13 12



Puerto Rico Profile

The Commonwealth of Puerto Rico is the largest U.S. territory. It has more than 2 million women. Puerto Rico ranks #1 in its low rates of death for lung cancer, unintentional injuries, and suicide. However, it ranks #52 on diabetes and #51 on influenza and pneumonia. It has very low percentages of women who binge drink and smoke. However, it has very high percentages of women who do not eat 5+ fruits and vegetables a day, who have high blood pressure, and who engage in no leisure-time physical activity. The rankings across preventive care measures are also very mixed. Puerto Rico ranks in the top 10 best states for recent cholesterol screenings and routine check-ups, but #46 on Pap smears and #52 on colorectal cancer screenings. Ninety-four percent have health insurance, which merits a rank of #2.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
* * * * * * * * * * * * * * * 29.7 50.8 6.4 6.4 99.9 * * * * * 96.1 73.5 70.5 95.3
* * * * * * * * * * * * * * * * * * * 99.7 * * * * * * * 60.8 *
* * * * * * * * * * * * * * 33.4 27.0 51.1 5.3 8.2 99.9 16.8 81.9 82.7 80.6 41.4 91.7 74.3 74.9 94.1
* * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * * * * * * 100.0 * * * * * * *
2,063,918 578.2 116.9 84.2 93.8 17.3 12.5 9.5 36.1 60.0 99.3 21.3 12.3 1.7 33.4 27.0 51.2 5.5 8.1 99.9 17.1 81.8 82.6 80.7 41.2 91.7 74.1 74.7 93.9 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 6 3 10 3 3 4 1 9 3 52 51 1 1 53 31 54 4 3 1 54 6 16 46 52 5 17 5 2



Health insurance coverage (20082010) (ages 1864) * *
Rhode Island Profile

Eighty percent of Rhode Islands 542,000 women are non-Hispanic White. More than 11 percent are Hispanic. The state ranks in the top 10 with its relatively low rates of death for stroke, unintentional injuries, and suicide. For other causes of death, such as coronary heart disease, the state ranks among the worst. In health risk factors, the state has a low percentage of obese women and a relatively high percentage of women who eat 5+ fruits and vegetables a day. However, it ranks #38 in binge drinking. Across preventive care measures, Rhode Island ranks nearly the best in the nation for routine check-ups. It also has very high percentages of women who receive cholesterol screenings, mammograms, Pap smears, and dental visits. Nearly 89 percent of women have health insurance, which merits a rank of #12. Hispanic women are the least likely to be insured, at 69 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
79.5 650.4 174.6 141.4 158.7 24.0 13.5 44.1 32.8 112.4 61.4 15.7 21.0 3.7 24.3 22.4 24.3 13.7 16.3 30.2 85.2 87.2 89.8 69.5 93.3 80.7
5.4 731.1 201.6 164.2 167.8 * * 48.8 * * 106.6 * * * 39.4 41.9 33.1 6.6 16.7 29.3 87.1 82.9 80.6 60.7 90.6 59.8
11.6 319.2 74.1 63.9 67.5 * * * * * 49.7 * * * 34.7 37.1 42.3 7.1 9.8 28.3 68.5 91.2 85.7 54.9 93.5 70.8
0.7 633.0 * * * * * * * * * * * * 32.7 36.7 39.1 9.8 21.1 24.8 73.4 * * * 88.6 *
3.1 286.2 * * 79.9 * * * * * * * * * 19.4 21.5 33.3 3.1 15.2 24.3 79.0 * 80.3 * 93.8 78.1
541,719 642.9 173.2 140.4 154.6 22.7 13.6 42.4 33.0 106.8 62.8 15.3 20.2 3.2 25.4 24.2 26.6 12.2 15.8 29.5 83.2 86.7 88.7 68.6 93.4 78.7 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 26 40 49 27 28 14 33 2 24 27 24 10 5 32 12 30 38 19 17 3 3 3 7 2 3



South Carolina Profile

Of South Carolinas 2.3 million women, 65 percent are non-Hispanic White. Just under 30 percent are non-Hispanic Black. The state is among the worst in its high rates of death for stroke and diabetes. It does rank #19, however, in influenza and pneumonia. Its record on health risk factors varies widely. Relatively high percentages of women have high blood pressure, are obese, have no leisure-time physical activity, who smoke, and relatively low percentages of women eat 5+ fruits and vegetables a day. South Carolina has a low percentage of women who binge drink. Across preventive care measures, the state ranks #17 for its relatively high percentage of women who have had a recent colorectal cancer screening and #20 for cholesterol screenings. Of non-senior women, 81 percent have health insurance, with only two-thirds of American Indian/Alaskan Native women being insured.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
65.1 681.7 145.5 85.8 149.7 22.3 13.1 44.3 46.9 121.5 55.8 14.8 36.2 6.9 25.4 26.7 27.2 9.7 20.7 82.0 20.8 78.6 80.0 84.1 65.2 82.2 70.6 73.8 84.7
29.2 831.6 194.8 116.1 166.4 30.6 20.3 29.4 66.1 43.8 137.9 13.2 25.2 1.5 38.1 47.2 35.2 4.7 13.6 92.1 18.3 78.2 83.1 87.1 60.0 90.6 52.6 60.4 74.4
3.9 343.6 70.1 41.4 93.3 * * * 36.4 * 37.5 * 16.9 * 26.9 23.3 32.9 7.8 19.5 97.7 19.5 75.4 71.9 82.6 50.5 78.4 63.8 45.5 69.0
0.4 367.4 * * * * * * * * * * * * 37.6 37.2 32.8 11.3 34.1 79.7 18.1 71.3 * 81.1 * 80.9 42.1 56.4 67.0
1.5 300.4 55.0 * 85.4 * * * * * 43.0 * * * 16.8 10.5 26.6 1.3 16.4 96.7 26.3 69.9 * * * 78.9 66.7 63.6 81.3
2,340,108 714.1 156.1 92.0 152.9 24.3 14.8 40.5 51.6 102.1 74.4 14.3 32.2 5.1 28.6 32.0 29.9 8.0 18.8 87.2 20.4 78.1 80.3 84.9 63.2 84.6 64.3 66.4 81.0 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 43 29 20 20 38 27 23 48 20 42 19 42 31 43 49 43 14 40 9 50 20 27 25 17 35 47 22 37



South Dakota Profile

Eighty-seven percent of South Dakotas 406,000 women are non-Hispanic White. The largest minority population is American Indian/Alaskan Native (AI/AN), at 9 percent. The state ranks among the best on rates of death for heart disease and cancer, particularly breast cancer. Influenza and pneumonia are ranked #41. On health risk indicators, South Dakota has widely varying rankings. It is among the best states in low percentage of high blood pressure and among the middle range of states for its percentages of women who get leisure-time physical activity, are obese, and who smoke. However, it has relatively high percentages of binge drinking and relatively low percentages of eating 5+ fruit and vegetables per day. The state does well on dental visits, mammograms, and Pap smears. It is ranked among the middle states for other preventive care measures. Over 88 percent have health insurance, with AI/AN women being the least likely to be insured, at 65 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
86.5 563.7 125.8 97.5 141.8 21.5 14.8 36.8 41.3 100.1 52.9 17.6 25.0 4.7 23.2 25.5 24.1 13.3 14.4 82.6 20.3 76.0 81.1 86.6 62.2 86.2 77.2 76.3 90.4
1.2 475.6 * * * * * * * * * * * * * * * * * 88.9 * * * * * * * 44.8 *
2.7 261.0 * * * * * * * * * * * * 25.1 32.2 25.3 11.6 21.2 88.8 19.7 70.2 * 74.3 * 85.2 68.2 50.8 75.1
9.0 1,097.7 199.5 161.4 185.9 * * 65.7 45.3 133.8 254.0 * 78.6 * 28.8 40.3 38.5 14.9 42.6 70.2 19.5 63.2 74.0 82.4 33.5 83.6 65.6 49.9 65.1
1.1 * * * * * * * * * * * * * * * * * * 93.6 * * * * * * * 65.9 *
406,463 592.5 128.9 100.1 142.3 21.1 14.6 37.6 41.8 100.6 61.3 17.9 30.2 5.3 23.5 26.4 25.1 13.4 16.6 80.9 20.3 74.9 81.1 86.0 61.4 86.2 76.3 70.3 88.2 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 9 10 28 11 10 26 16 22 17 25 41 36 37 16 26 24 47 29 17 51 35 20 20 23 26 8 16 17



Tennessee Profile
Of Tennessees 3.2 million women, 77 percent are non-Hispanic White. More than 17 percent are non-Hispanic Black. On most major causes of death, the state ranks in the bottom of all states. Tennessee ranks #53 on stroke, #52 on influenza and pneumonia, #47 on cancer, and #48 on coronary heart disease. On health risk factors, its women have the best record on binge drinking. However, high percentages smoke, have high blood pressure, are obese, and get no leisure-time physical activity. Tennessee does especially well in routine check-ups. Eighty-four percent of women have health insurance, with Hispanic women being the least likely to be insured, at 67 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
77.1 739.5 180.2 136.1 160.4 22.9 14.5 48.2 53.3 130.0 68.3 22.3 38.7 6.8 27.0 30.5 29.4 4.8 21.5 75.4 26.6 78.0 80.0 83.5 59.8 90.0 66.1 74.6 84.6
17.5 899.5 236.3 174.8 199.8 37.3 23.6 49.4 67.1 58.2 139.6 17.6 23.3 1.3 44.3 48.3 38.6 4.5 13.8 89.9 24.3 83.9 84.3 85.3 62.3 95.6 60.6 54.7 83.8
3.6 198.2 50.1 35.1 47.7 * * * * * 30.8 * 12.1 * 31.7 15.9 30.1 * 14.3 97.1 33.5 84.4 55.6 80.6 * 90.6 65.2 43.9 66.5
0.3 211.9 * * * * * * * * * * * * * * * * * 86.9 * * * * * * * 46.9 *
1.6 355.7 80.9 48.1 88.7 * * * 29.5 * 38.6 * 27.3 * * * * * * 97.1 * * * * * * * 61.0 *
3,227,011 753.5 185.4 139.5 163.6 24.5 15.4 47.6 54.8 119.8 76.4 21.6 35.5 5.7 29.7 32.5 30.8 4.9 19.6 80.9 26.4 79.3 80.1 83.6 59.4 91.4 66.0 67.4 83.9 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 48 44 48 47 41 37 48 53 38 44 52 48 41 48 51 45 1 43 17 33 15 28 36 29 7 42 21 29



Texas Profile
Texas has the nations second largest female population: more than 12 million. Fewer than 50 percent are NonHispanic White, while nearly 36 percent are Hispanic. Twelve percent of women are non-Hispanic Black. The state has relatively high rates of death for diabetes, stroke, and coronary heart disease. Accordingly, its women fare poorly on leisure-time physical activity, high blood pressure, and obesity. The state ranks better on rates of death for colorectal cancer, lung cancer, and chronic obstructive pulmonary diseases. Its women fare best on low percentages who smoke. Across most presented preventive care measures, Texas ranks near the bottom. For example, it ranks #47 on cholesterol screenings and #50 on dental visits. Less than 70 percent have health insurance, the lowest percent in the nation. Hispanic women are the least likely to be insured, at 48 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
48.0 684.1 164.3 110.6 150.8 22.8 13.3 43.2 47.5 131.1 56.9 16.3 31.3 6.5 26.1 24.2 24.0 11.9 17.7 87.9 28.8 80.1 77.0 85.0 60.6 82.4 70.4 71.0 84.8
12.0 835.6 211.2 145.8 179.4 34.3 21.9 39.2 67.6 51.5 139.2 15.8 23.0 1.5 42.3 43.7 36.1 6.0 16.2 94.4 27.0 74.1 77.2 82.2 54.3 87.0 53.2 52.8 69.9
35.9 528.3 127.9 94.1 106.9 16.5 10.3 14.4 37.8 28.8 108.4 12.0 18.5 1.6 27.7 39.1 38.7 6.1 8.4 98.4 25.8 60.9 74.1 80.4 41.8 78.0 48.9 53.6 47.7
0.8 183.0 40.4 28.8 35.0 * * * * 42.5 29.6 * 9.9 * 32.9 45.8 30.8 9.4 17.0 87.6 38.8 77.4 66.0 68.7 54.3 84.0 47.5 55.4 69.6
3.9 337.6 74.6 50.9 80.4 7.7 9.1 19.0 31.7 17.4 48.3 11.3 12.8 2.9 22.9 9.3 26.5 2.6 6.3 98.9 29.0 77.6 74.5 72.9 62.2 82.8 66.4 70.6 85.9
12,404,210 661.9 160.7 109.8 142.8 22.3 13.4 36.1 47.8 100.9 74.7 15.4 26.2 4.3 28.3 30.2 30.4 8.7 13.8 94.3 28.0 72.7 75.5 81.9 55.2 81.2 61.3 60.2 70.5 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 29 31 33 13 23 11 13 39 18 43 26 25 17 42 43 44 16 8 3 28 47 44 42 39 42 50 23 54



Utah Profile
More than 83 percent of Utahs nearly 1.4 million females are non-Hispanic White. The largest minority population is Hispanic, at nearly 12 percent. Utah has among the best record for its low rates of death for cancer, particularly colorectal cancer and lung cancer, coronary heart disease, and chronic obstructive pulmonary diseases. The state ranks among the worst in the country, however, on suicide. On most health risk factors, its women fare well. Low percentages of women smoke, have high blood pressure, are obese, have no leisure-time physical activity or binge drink. Across preventive care measures with the exception of colorectal cancer screenings and dental visits, the state ranks at the bottom. It has a very poor record for Pap smears, cholesterol screenings, mammograms, and routine check-ups. Over 85 percent have health insurance, with less than 57 percent of Hispanic women having insurance coverage.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
82.7 623.7 131.2 59.0 115.1 23.1 11.0 17.2 41.2 73.0 53.3 16.9 22.2 6.7 21.6 22.1 18.1 5.4 7.4 28.7 71.4 73.5 77.3 63.4 78.6 76.5
1.2 723.2 156.2 * * * * * * * * * * * * * * * * * * * * * * *
11.7 416.6 72.7 34.7 88.0 17.4 * 13.4 23.5 * 65.2 * 19.3 * 26.3 29.7 33.4 3.7 8.9 22.6 63.7 75.0 81.7 59.4 77.5 57.4
1.6 585.6 82.9 * 105.3 * * * * * 100.8 * * * 31.4 28.7 21.9 6.3 14.8 27.0 60.6 * 62.1 * 76.6 62.8
3.3 450.7 71.8 31.2 100.5 * * * 40.5 * 61.2 * 23.8 * 29.4 14.9 25.0 3.7 6.7 36.0 68.8 * 80.9 * 81.5 72.3
1,383,598 612.4 127.9 57.8 113.1 22.5 10.5 17.2 40.7 69.6 54.5 16.5 22.1 6.3 22.0 22.6 19.6 5.2 7.6 28.4 70.6 73.6 77.4 63.1 78.5 74.6 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 15 8 3 4 26 1 2 19 4 9 31 14 43 4 5 4 3 2 26 52 47 52 18 48 15



Vermont Profile
Vermonts female population numbers 316,000. Ninety-six percent are non-Hispanic White, 1 percent is Hispanic, and 1 percent is Asian/Pacific Islander (A/PI). The state has high rates of death for diabetes and chronic obstructive pulmonary diseases. It does have low rates of death for stroke and influenza and pneumonia, however. On most health risk factors, its women fare well. It has the best record for women eating 5+ fruits and vegetables a day. Other positive indicators are leisure-time physical activity, high blood pressure, and obesity. On preventive care measures, Vermont ranks among the top 10 states for mammograms, colorectal cancer screenings, and dental visits. More than 91 percent have health insurance, with Hispanic women being the least likely to be insured, at 81 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
95.8 632.2 138.5 98.9 159.5 22.6 15.5 45.4 35.8 129.2 81.8 9.7 31.0 5.7 20.8 23.3 18.6 13.3 15.7 80.8 36.4 76.2 83.5 88.1 67.7 86.0 77.2 83.9 91.7
1.0 * * * * * * * * * * * * * * * * * * 88.6 * * * * * * * 55.0 *
1.5 * * * * * * * * * * * * * 21.4 21.4 19.4 18.8 16.8 85.6 36.6 78.5 * 89.5 * 83.3 65.9 74.0 81.0
0.5 * * * * * * * * * * * * * 26.4 40.9 29.4 4.7 35.0 59.0 33.0 82.2 * * * 81.7 * 59.5 *
1.4 * * * * * * * * * * * * * * 5.3 15.4 13.2 14.3 96.8 * * * * * 89.5 * 81.8 90.1
315,736 625.9 137.2 98.2 157.8 22.2 15.5 44.9 35.4 127.4 81.5 9.6 30.6 5.5 20.9 23.4 18.7 13.2 15.9 81.2 36.3 76.2 82.8 87.8 67.8 86.0 76.7 83.3 91.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 19 19 27 34 19 39 41 7 43 46 2 39 40 3 9 2 45 21 16 1 29 14 10 9 27 7 1 7



Virgin Islands Profile

The 58,000 women in the US Virgin Islands represent the smallest population group in all of the jurisdictions presented. The US Virgin Islands have nearly the lowest death rate of all jurisdictions for breast cancer, and ranks #2 in death rates for cancer. However, women in the Virgin Islands have nearly the highest rate of death for diabetes and coronary heart disease. Associated risk factorspercent no physical activity and percent obeseare among the worst of all jurisdictions presented. The Virgin Islands has the lowest percentages of women who smoke of all jurisdictions. The area fares poorly in several presented preventive care measures, particularly mammograms, colorectal cancer screenings, and dental visits. Only 71 percent of women in the Virgin Islands have health insurance, among the lowest percentages of all areas ranked.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
* * * * * * * * * * * * * * 16.0 14.2 17.8 27.9 15.7 34.5 76.4 65.0 79.1 45.2 82.7 66.1
* * * * * * * * * * * * * * 30.5 38.2 37.2 4.5 2.3 30.1 79.7 73.2 85.0 38.0 89.0 58.6
* * * * * * * * * * * * * * 28.6 32.9 48.9 7.0 4.9 30.5 66.2 75.5 82.4 46.0 86.6 50.8
* * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * * 21.7 26.8 9.0 1.1 * * * * * 89.3 *
57,834 546.3 185.1 157.2 86.5 15.8 13.9 * 39.6 * 134.5 * 15.3 * 27.6 34.2 35.9 7.0 4.3 30.9 78.0 71.6 83.3 40.7 87.8 59.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 3 43 52 2 2 17 15 53 4

Diagnosed high blood pressure (20072009) Obesity (20082010) (age 20 & over) No leisuretime physical activity (20082010) Binge drinking (20082010) Smoking currently (20082010) No smoking during pregnancy (all ages) (2006-2008) Eats 5+ fruits and vegetables a day (20072009) 40 53 53 8 1 11 21 53 38 53 20 52


Virginia Profile
Virginia has a female population of 4 million. Over 67 percent are non-Hispanic White. Its largest minority populations are non-Hispanic Black, at 20 percent, and Hispanic, at 7 percent. For many death rates, it ranks in the middle, or near the bottom, of the nation. For example, it ranks #48 for its high death rates for breast cancer. One exception is its low death rate for chronic obstructive pulmonary diseases, ranked #14. Two health risk factors are the most positive: smoking and eating 5+ fruits and vegetables a day. Across preventive care measures, high percentages get cholesterol screenings, Pap smears, colorectal cancer screenings and dental visits. Nearly 87 percent have health insurance, with Hispanic women being the least likely to have health insurance, at less than 59 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
67.1 652.6 147.7 86.8 153.8 23.9 13.6 43.4 45.1 116.0 49.6 16.2 26.3 6.4 22.2 24.4 21.7 10.9 16.8 33.1 80.0 81.3 88.6 66.2 86.1 77.3
20.5 797.6 189.8 114.6 180.8 33.8 20.6 39.5 61.3 47.0 110.4 14.6 18.5 2.0 38.8 42.3 36.2 7.7 14.9 29.9 79.3 80.6 88.8 70.8 93.6 67.5
6.7 314.1 65.4 38.6 77.1 9.6 * 12.6 23.0 * 28.4 * 11.5 * 23.7 27.5 29.8 4.8 9.4 30.9 74.9 94.2 86.6 55.0 93.6 67.9
0.4 243.7 * * 65.7 * * * * * * * * * 22.7 28.5 31.3 2.6 37.5 33.8 67.6 * * * 59.1 *
5.6 333.2 66.6 43.9 93.7 10.9 7.9 17.2 34.2 * 28.9 8.5 11.5 * 17.7 11.3 21.3 8.9 6.7 29.8 80.0 * 76.3 * 92.7 83.6
4,007,725 663.7 151.6 89.7 154.9 25.0 14.5 41.2 47.4 99.6 58.7 15.7 23.6 5.1 24.4 26.5 24.4 10.1 15.7 32.4 79.5 81.3 88.0 65.5 87.8 75.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 32 26 17 28 48 22 27 38 14 15 28 17 31 21 28 20 24 18 7 14 19 9 12 20 12



Washington Profile
Of Washingtons 3.3 million women, 77 percent are non-Hispanic White. Hispanic women and Asian/Pacific Islander (A/PI) women are the largest minority populations, at approximately 10 and 9 percent respectively. The state has some of the lowest rates of death for influenza and pneumonia, heart disease, and colorectal cancer. It ranks #35, however, in death rates for chronic obstructive pulmonary diseases and diabetes-related death rates. On health risk factors, the state fares particularly well on two indicators: leisure-time physical activity and smoking. It has one of the best rankings in colorectal cancer screenings. Washington is considerably less successful on other preventive measures such as routine check-ups and cholesterol screenings. More than 85 percent have health insurance, with Hispanic women having the lowest rate of insurance coverage, at 54 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
76.6 641.3 137.9 98.5 158.8 23.3 13.0 45.2 43.5 126.8 65.8 12.0 27.8 5.8 23.7 25.4 17.6 12.6 15.1 87.0 29.8 75.1 80.7 84.1 64.2 82.7 75.1 73.1 88.4
3.9 749.6 156.0 112.2 179.3 27.2 19.9 47.4 56.8 69.2 141.3 * 29.3 * 37.6 36.5 29.6 9.3 14.2 90.6 25.3 72.9 85.0 74.2 70.3 88.3 63.9 60.2 80.7
9.7 384.8 76.5 58.5 80.7 13.2 * 10.1 30.0 35.4 86.2 8.3 16.7 * 23.1 34.0 34.0 6.5 8.9 96.8 26.6 56.7 82.1 87.1 49.5 83.7 62.0 58.8 53.6
2.0 792.5 147.3 108.0 157.7 28.3 * 35.9 56.7 110.3 117.3 * 52.9 * 28.2 46.9 27.4 21.5 32.6 80.6 28.0 72.3 72.2 79.8 55.1 79.1 67.4 54.7 81.4
8.5 368.2 75.9 56.1 103.9 11.2 9.2 22.6 33.8 23.5 52.7 5.3 12.3 3.1 20.2 10.9 21.6 3.7 4.4 96.7 37.0 72.5 78.7 77.8 59.1 85.3 73.7 67.0 85.0
3,335,242 625.7 134.6 96.2 153.8 22.3 12.7 42.9 43.4 117.4 67.4 11.5 26.8 5.2 24.0 26.0 20.0 11.5 14.3 89.8 30.1 73.2 80.4 83.8 63.4 82.9 73.3 68.8 84.7 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 18 14 23 25 23 5 34 29 35 35 7 29 33 17 24 6 32 11 5 16 45 25 32 15 36 24 18 27



West Virginia Profile

The state of West Virginia has 927,000 females. Of that number, 94 percent are non-Hispanic White. Non-Hispanic Black women are the largest minority population, at 4 percent. West Virginia ranks worst in the nation on rates of death for cancer and nearly the worst in the nation on rates of death for chronic obstructive pulmonary diseases, diabetes, unintentional injuries, and heart disease. Its best state rankings come from rates of death for suicide and for influenza and pneumonia. Its women fare well on the health risk factor of binge drinking with the lowest percentage for that risk factor. It has the worst record on smoking and is among the states with the highest percentages of obesity. High percentages of women have high blood pressure and get no leisure-time physical activity. Across preventive care measures, higher percentages of women have routine check-ups and cholesterol screenings than on any other indicators. Only 80 percent of women have health insurance, which merits a rank of #41.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
94.1 802.4 195.6 129.8 176.3 23.6 17.2 52.2 49.3 150.7 96.0 16.8 37.8 5.0 29.4 32.6 33.6 4.8 26.9 20.8 76.8 78.1 82.3 53.5 86.7 63.6
3.7 887.7 195.0 118.6 180.6 31.7 24.9 39.4 64.4 59.5 167.3 * 32.2 * 42.0 44.8 37.8 5.6 22.4 18.9 70.2 * 92.4 * 93.2 61.5
1.2 144.0 * * * * * * * * * * * * 37.6 33.1 28.2 1.0 35.6 15.1 86.5 * * * 97.5 50.9
0.2 * * * * * * * * * * * * * * * * * * * * * * * * *
0.8 166.5 * * * * * * * * * * * * * * * * * * * * * * * *
927,657 797.4 194.1 128.4 174.7 23.7 17.2 51.4 49.3 146.8 97.0 16.6 37.1 5.0 30.0 32.8 33.7 4.9 27.2 21.2 76.8 78.3 82.4 53.6 86.8 63.5 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 53 48 44 54 33 52 52 45 50 51 32 50 29 49 52 50 1 54 48 24 35 41 44 24 48



Wisconsin Profile
Of Wisconsins 2.8 million women, 86 percent are non-Hispanic White. Roughly 6 percent are non-Hispanic Black. Wisconsin has its best record on relatively low rates of death for coronary heart disease, colorectal cancer, chronic obstructive pulmonary diseases, and influenza and pneumonia. It does rank #33, however, in its death rates for unintentional injuries and #27 for stroke. On health risk factors, its success varies widely. It ranks among the top 15 on leisure-time physical activity, but the worst in the nation (#54) on binge drinking. Across preventive care measures, Wisconsins women fare better. Relatively high percentages have routine check-ups, dental visits, colorectal cancer screenings, and cholesterol screenings. More than 90 percent of women have health insurance, with American Indian/Alaskan Native (AI/AN) women being the least likely to be uninsured, at 69 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
85.5 619.2 138.7 86.4 154.0 22.2 13.4 39.3 42.3 102.5 56.4 14.7 28.0 5.0 24.2 24.2 20.6 18.0 17.8 28.4 79.4 80.9 86.1 63.1 88.3 77.3
6.4 900.0 203.0 133.2 194.3 26.3 20.6 47.7 57.7 64.0 129.9 12.7 36.9 * 31.4 51.3 38.9 15.1 25.5 28.6 75.3 91.0 87.6 64.9 93.1 68.0
4.9 330.5 61.5 41.7 73.5 * * * 25.2 * 65.8 * 17.5 * 29.6 29.7 28.7 6.3 16.2 25.0 80.0 * 90.0 * 87.2 72.9
1.1 846.7 173.1 111.8 194.7 * * 62.7 * 144.9 149.5 * 59.0 * 30.9 38.2 22.3 20.3 30.5 30.5 73.8 77.5 82.8 62.6 83.4 68.4
2.3 390.4 83.9 47.4 88.9 * * * 37.2 * 38.4 * * * * * * * * * * * * * * *
2,845,708 628.8 140.6 87.7 154.1 22.0 13.6 39.1 42.9 100.3 59.4 14.7 28.8 4.8 24.6 25.7 22.1 17.4 18.3 28.7 79.1 80.9 85.8 63.1 88.6 75.7 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 21 20 15 26 17 14 20 27 16 20 21 33 25 24 22 11 54 35 24 17 21 22 18 17 11



Wyoming Profile
The female population of Wyoming numbers 267,000. Eighty-seven percent are non-Hispanic White. At more than 7 percent, Hispanic women are the largest minority population. It has relatively low rates of death for diabetes-related causes and coronary heart disease. However, the state ranks among the worst in death rates for chronic obstructive diseases, influenza and pneumonia, and suicide. On health risk factors, its success is also mixed. Very low percentages have high blood pressure but high percentages smoke. Across 4 of the presented preventive care measures, Wyoming ranks among the worst. These include routine check-ups, colorectal cancer screenings, mammograms, and Pap smears. Just over 80 percent of non-senior women have health insurance. Hispanic women are the least likely to be insured, at 58 percent.
NonHispanic White
NonHispanic Black
Hispanic
State Total
State Rank
87.4 680.4 150.1 85.0 155.6 23.2 16.0 41.4 44.1 154.7 55.2 20.2 33.0 7.0 21.9 24.0 22.5 11.0 18.7 77.8 28.4 75.1 73.4 80.5 54.8 77.1 71.3 73.6 82.1
1.3 621.9 * * * * * * * * * * * * * * * * * 76.1 * * * * * * * 68.8 *
7.8 609.0 118.2 75.0 122.5 * * * * * 103.0 * * * 23.4 31.4 30.0 7.5 23.6 87.7 26.9 66.3 70.7 77.8 41.8 75.3 61.1 58.8 58.0
2.8 852.1 * * * * * * * * 179.0 * 111.3 * 32.7 43.7 32.2 13.3 35.1 70.7 32.1 66.3 70.3 76.7 40.0 73.4 61.6 50.9 67.9
1.1 * * * * * * * * * * * * * * * * * * 91.3 * * * * * * * 68.8 *
267,230 682.0 148.6 84.2 153.0 22.8 15.9 40.5 44.2 150.3 59.1 20.3 33.7 7.9 22.4 24.9 23.2 10.6 19.4 78.8 28.9 74.6 73.0 79.9 54.0 76.9 70.1 70.7 80.3 + + 100.8 160.6 20.6 14.5 45.5 33.8 98.5 65.8 + 36.0 10.2 26.9 30.6 32.6 24.3 12.0 98.6 + 82.1 81.1 93.0 70.5 + + 77.9 100.0 37 25 10 21 29 42 23 32 52 17 50 45 50 7 17 16 25 42 21 23 37 49 47 43 52 32 15 40



Appendix I: Data Sources

Introduction to data sources Information for the chartbook was obtained from the DHHS Office on Womens Health Quick Health Data Online which utilizes data from many different federal and state agencies. The data presented in the chartbook are from the data systems of two Centers within the Centers for Disease Control and Prevention (CDC): the National Center for Chronic Disease Prevention and Health Promotion and the National Center for Health Statistics. In each case, the sponsoring organization collected data using its own methods and procedures. Therefore, the data in this chartbook vary with respect to source, method of collection, definitions, and reference period. Although a detailed description and comprehensive evaluation of each data source are beyond the scope of this appendix, users should be aware of the general strengths and limitations of the different data systems. For example, population-based surveys obtain socio-demographic data, data on family characteristics, and information on health behaviors. These data are limited by the amount of information a respondent remembers or is willing to report. Specific medical information may not be known and if not known, may not be reported. The populations covered by different data collection systems may not be the same, and understanding the differences is critical to interpreting the data. Data on vital statistics cover the entire population for all ages. Data on morbidity cover only the civilian non-institutionalized population who are 18 years of age and over. Such statistics do not include data for military personnel who are usually young, for institutionalized people who may be any age, or for nursing home residents who are usually old. All data collection systems are subject to error, and records may be incomplete or contain inaccurate information. People may not remember essential information, a question may not mean the same thing to different respondents, and some institutions or individuals may not respond at all. It is not always possible to measure the magnitude of these errors or their impact on the data. Overall estimates generally have relatively small sampling errors, but estimates for certain population subgroups may be based on small numbers and have relatively large sampling errors. Numbers of births and deaths from the vital statistics system represent complete counts. Therefore, they are not subject to sampling error. However, when the figures are used for analytical purposes, such as the comparison of rates between racial groups, the number of events that actually occurred may be considered as one of a large series of possible results that could have arisen under the same circumstances. When the number of events is small and the probability of such an event is small, considerable caution must be observed in interpreting the conditions described by the figures. Estimates that are unreliable because of large sampling errors or small numbers of events are noted with asterisks in selected tables. The criteria used to designate unreliable estimates are indicated in Appendix II: Relative Standard Error. Descriptive summaries of the data sets that follow provide a general overview of study design, methods of data collection, and reliability and validity of the data. The agency or organization that sponsored the data collection is specified. More complete and detailed discussions are in the publications and Web sites listed at the end of each summary. The entries are listed alphabetically by dataset name. Behavioral Risk Factor Surveillance System Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based telephone surveillance system administered and supported by the Division of Adult and Community Health, National
A-1
Center for Chronic Disease Prevention and Health Promotion, CDC. State public health departments are collaborators with CDC in producing these data. The purpose of the BRFSS is to collect uniform, state-based data on preventive health practices and risk behaviors that are linked to chronic diseases, injuries, and preventable infectious diseases in the U.S. population. Data are collected through monthly telephone interviews conducted among a sample of each states adult population. When aggregated, the data show the prevalence of risk behaviors and preventive health practices on an annual basis. Respondents participation is voluntary and personal identifiers such as names and addresses are not used. Individual-level data are pooled to provide information about the health practices of state residents. States collect behavioral risk data via telephone interviews. Telephone interviews are an efficient method to collect data. Telephone interviews are easy to administer and monitor. All calls can be made from one location, and interviews are usually entered directly into a data file by use of computer-assisted methods. This enhances quality control efforts. Telephone interviews have some limitations, however. There is a major concern about non-coverage of persons in households without telephones and persons who only use cellular telephones which are not included in telephone survey sample universes. Also, data cannot be verified by physical measurement or visual means, which can increase validity concerns. BRFSS questionnaire The BRFSS questionnaire is designed to give states the flexibility to study areas of local concern while also providing annual data on topics of interest to all states and to CDC. The questionnaire has three parts: (1) the core component, consisting of the fixed core, the rotating core, and emerging issues questions, (2) optional modules, and (3) state-added questions. All BRFSS data included in the Womens Health and Mortality Chartbook profiles come from the core component of the survey. Core component questions are asked by all states. The core component includes queries about current health related perceptions, conditions and behaviors, and questions on demographic characteristics. The fixed core is a standard set of questions asked each year. The rotating core is two separate sets of standardized questions, each asked in alternating years. In the years that rotating topics are not used in the core, they are available as optional modules for states to use as desired. Each year, the states and CDC agree on the content of the core component and optional modules. For comparability, many of the questions are taken from established national surveys, such as the National Health Interview Survey and the National Health and Nutrition Examination Survey. This practice allows states to compare their data with those from other surveys. Comparability of data The BRFSS is a cross-sectional surveillance survey currently involving 54 reporting areas. It is important to note that any survey will have natural variation over sample sites; therefore some variation between states is to be expected. The complex sample design and the multiple reporting areas complicate the analysis of the BRFSS. Although CDC works with the states to minimize deviations, each year there are some deviations in sampling and weighting protocols, and slight differences in question wording, populations covered on some sections, sample size, response rates, and collection or processing procedures. Because of the differences in data collection by states, national estimates are not calculated from BRFSS for this publication. For more information about the BRFSS, see the Centers for Disease Control and Preventions National Center for Chronic Disease Prevention and Health Promotion online at: http://www.cdc.gov/brfss/.
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National Vital Statistics System Centers for Disease Control and Prevention National Center for Health Statistics Through the National Vital Statistics System, the National Center for Health Statistics (NCHS) collects and publishes data on births, deaths, marriages, and divorces in the United States. The Division of Vital Statistics obtains information on births and deaths from the registration offices of all states, New York City, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. Geographic coverage for births and deaths has been complete since 1933. In 1972, some states began sending their data to NCHS through the Cooperative Health Statistics System (CHSS). States that participated in the CHSS program processed 100 percent of their death and birth records and sent the entire data file to NCHS on computer tapes. Currently, the data are sent to NCHS through the Vital Statistics Cooperative Program (VSCP), following the same procedures as CHSS. Starting in 1985 all 50 states and the District of Columbia participated in VSCP. In most areas practically all births and deaths are registered. The most recent test of the completeness of birth registration, conducted on a sample of births from 1964 to 1968, showed that 99.3 percent of all births in the U.S. during that period were registered. No comparable information is available for deaths, but it is generally believed that death registration in the U.S. is at least as complete as birth registration. The National Vital Statistics System is one of the few sources of comparable health-related data for smaller geographic areas in the U.S. and over a long time period. U.S. Standard Certificates U.S. Standard Live Birth and Death Certificates and Fetal Death Reports are revised periodically, allowing careful evaluation of each item and addition, modification, and deletion of items. Standard certificates recommended by NCHS are modified in each registration area to serve the areas needs. However, most certificates conform closely in content and arrangement to the standard certificate, and all certificates contain a minimum data set specified by NCHS. The data presented in this chartbook come from the 1989 and 2003 Revisions of the U.S. Standard Certificates of Live Birth and Death. Beginning in 2003, a small number of states began implementing the 2003 revisions of the Standard Certificates, and additional states have implemented the certificates in the subsequent years. All states have not yet implemented the 2003 revisions; therefore, some of the data presented in the chartbook are based on information collected from the 1989 revisions. Differences between the 1989 and 2003 Revisions of the U.S. Standard Certificate of Death do not affect the comparability of mortality indicators presented in the chartbook across states and territories. However, the 1989 and 2003 Revisions of the U.S. Standard Certificate of Live Birth are sufficiently different with respect to the two natality-related indicators presented in the chartbook. As a result, these two natalityrelated indicators are not comparable between states/territories using the different versions of the certificate. 2003 represents the first year in which data collected with the 2003 Revised Standard Certificate of Live Birth was used. In 2003, two states collected data using the 2003 revised form: Pennsylvania and Washington. In 2004, nine states collected data using the 2003 revised form: Florida, Idaho, Kentucky, New Hampshire, New York (excluding New York City counties), Pennsylvania, South Carolina, Tennessee, and Washington. In 2005, thirteen states and one territory collected data using the 2003 revised form: Florida, Idaho, Kansas, Kentucky, Nebraska, New Hampshire, New York (excluding New York City counties), Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Vermont, and Washington. In 2006, nineteen states and one territory collected data using the 2003 revised form: California (specific items), Delaware, Florida, Idaho, Kansas, Kentucky, Nebraska, New Hampshire, New York (excluding New York City), North Dakota, Ohio, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, and Wyoming, and Puerto Rico. In 2007, twenty-two states and one territory collected data using the 2003 revised form: California, Colorado, Delaware, Florida, Idaho, Indiana, Iowa, Kansas, Kentucky, Nebraska, New Hampshire, New York (excluding New York
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City), North Dakota, Ohio, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, and Wyoming, and Puerto Rico. In 2008, twenty-seven states and one territory collected data using the 2003 revised form: California, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Montana, Nebraska, New Hampshire, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, and Wyoming, and Puerto Rico. Data from states using the 2003 revised form are not comparable with data from other states in several areas, namely: maternal tobacco use and prenatal care. In this edition of the chartbook, the change from Healthy People 2010 to Healthy People 2020 targets has resulted in referencing data from the 2003 revised certificates as opposed to the 1989 revised certificate data, which were used in previous editions. As a result of this change and due to some states having used the relevant items from the 2003 revised certificate for fewer than two consecutive years, no data are presented for the following states and territories for the two measures of maternal tobacco use and prenatal care: Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Florida (maternal tobacco use), Georgia, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, New Jersey, New Mexico, North Carolina, Oklahoma, Oregon, Rhode Island, Utah, Virginia, West Virginia, Wisconsin, Guam and the US Virgin Islands. Note that data presented for New York exclude New York City on these two measures. Birth file The birth file is comprised of demographic and medical information from birth certificates. Demographic information, such as race and ethnicity, is provided by the mother at the time of birth. Medical and health information is based on hospital records. Reporting areas and methodologies for items on the birth certificate have changed over time, although little has changed over the period being presented in this chartbook. For more information, see National Center for Health Statistics, Vital Statistics of the United States, Vol. I Natality, Technical Appendix, available at: http://www.cdc.gov/nchs/births.htm. Mortality file The mortality data file is comprised of demographic and medical information from death certificates. Demographic information is provided by the funeral director based on information supplied by an informant. Medical certification of cause of death is provided by a physician, medical examiner, or coroner. The mortality data file is a fundamental source of cause-of-death information by demographic characteristics and for geographic areas, such as states. For more information, see National Center for Health Statistics, Vital Statistics of the United States, Vol. II Mortality Part A, Technical Appendix, available at: http://www.cdc.gov/nchs/datawh/statab/pubd/ta.htm.
Population Census and Population Estimates Bureau of the Census Race data on Census 2000 The question on race on Census 2000 was based on the Office of Management and Budgets 1997 Revisions of the Standards for the Classification of Federal Data on Race and Ethnicity (see Appendix II: Race). The 1997 Standards changed the way race data are collected, tabulated and presented in two major ways. First, the 1997 Standards increased from four to five the minimum set of categories to be used by Federal agencies for identification of race: American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. Second, the 1997 Standards included the requirement that Federal data collection programs allow respondents to select one or more race categories when responding to a query on their racial identity. This provision means that there are potentially 31 race groups, depending on whether an individual selects one, two, three, four, or all five of
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the race categories. The 1997 Standards continue to call for use, when possible, of a separate question on Hispanic or Latino ethnicity and specify that the ethnicity question should appear before the question on race. Thus, under the 1997 Standards, Hispanics may be of any race. Bridged-race population estimates for Census 2000 Race data on Census 2000 are not comparable with race data on other data systems that have continued to collect data using the 1977 Standards on race and ethnicity during the transition to full implementation of the 1997 Standards. For example, most of the states in the Vital Statistics Cooperative Program were in the process of redesigning their birth and death certificates to conform to the 1997 Standards in 2003. Thus, population estimates for 2000 and beyond with race categories comparable to the 1977 categories are needed so that race specific birth and death rates can be calculated. To meet this need, NCHS, in collaboration with the U.S. Census Bureau, developed methodology to bridge the 31 race groups in Census 2000 to the four single-race categories specified under the 1977 Standards. The bridging methodology was developed using information from the 1997-2000 National Health Interview Survey (NHIS), an annual survey sponsored by NCHS and conducted by the Census Bureau. The NHIS provides a unique opportunity to investigate multiple-race groups because since 1982, the NHIS has allowed respondents to choose more than one race but has also asked respondents reporting multiple races to choose a primary race. The bridging methodology developed by NCHS involved the application of regression models relating person-level and county-level covariates to the selection of a particular primary race by the multiple-race respondents. Bridging proportions derived from these models were applied by the U.S. Census Bureau to the Census 2000 Modified Race Data Summary File. This application resulted in bridged counts of the April 1, 2000 resident single-race populations for four racial groups, American Indian or Alaska Native, Asian or Pacific Islander, black, and white. Since 2000, NCHS has released annual estimates of the July 1 resident US bridged-race population. For more information about bridged-race population estimates, see http://www.cdc.gov/nchs/nvss/bridged_race.htm. Quick Health Data Online Department of Health and Human Services Office of the Secretary, Office on Womens Health In 2002, the Department of Health and Human Services Office on Womens Health initiated an effort to make information and statistics on the heath and well-being of women and men available in a userfriendly, Web-based format. From the Quick Health Data Online website (http://www.womenshealth.gov/quickhealthdata), data may be extracted, viewed and downloaded that describe health status in each state by sex, race, Hispanic origin, age, and year, with a primary focus on womens health issues. Topics covered include demographics, mortality, maternal and reproductive health, morbidity, health risk factors, violence, access to care, and preventive care. County, state, region and national-level statistics are provided. Data from over 20 different national sources as well as from health departments of each state and territory are included. One of the main goals of the chartbook was to allow access to data by the public. Therefore, all data are pre-tabulated, age-adjusted where necessary, and presented only when NCHSs standards of reliability and confidentiality are met. To present the greatest number of estimates for small subpopulations, three year averages are presented. While this might not allow for quick identification of changes in trends, it allows for a greater number of reliable estimates to be included. Currently, data contained on Quick Health Data Online that are included on the state profiles include: 1. Mortality: 1998-2007 2. Natality: 1998-2008 3. Behavioral Risk Factor Surveillance System (BRFSS): 1998-2010
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Appendix II: Definitions and Methods

Appendix II contains an alphabetical listing of terms used in the 2011 Edition of the Womens Health and Mortality Chartbook, with definitions and methods described below.1 It includes cross-references to related terms and synonyms. It also describes the methods used for calculating rates. Age adjustment - Age adjustment is used to compare statistics for two or more populations at one point in time or one population at two or more points in time. Age-adjusted rates should be viewed as relative indexes rather than actual measures of risk. Age-adjusted rates and proportions are computed by the direct method by applying age-specific rates in a population of interest to a standardized age distribution in order to eliminate differences in observed rates or proportions that result from age differences in population composition. Age-adjusted rates are calculated by the direct method as follows:
Where ri = rate or proportion in age group i in the population of interest pi = standard population in age group i
Where n = total number of age groups over the age range of the age-adjusted rate
Age adjustment by the direct method requires use of a standard age distribution. The standard for age adjusting death rates and estimates for this chartbook is the year 2000 projected U.S. resident population.
Mortality data Death rates are age adjusted to the year 2000 U.S. standard population (Table I). Age-adjusted rates are calculated using age-specific death rates per 100,000 population rounded to 1 decimal place. Adjustment is based on 11 age groups. BRFSS data BRFSS Proportions are age adjusted to the year 2000 U.S. standard population (Table I). Adjustment is generally based on 3 age groups: 18-44, 45-64, and 65+.
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Table I. United States standard population, 2000 Age All ages Under 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75-84 years 85 years and over Number 1,000,000 13,818 55,317 145,565 138,646 135,573 162,613 134,834 87,247 66,037 44,842 15,508
Body mass index (BMI) - See Obesity Binge drinking - BRFSS respondents were asked a series of questions on alcohol consumption. Prior to 2006, male or female respondents who consumed 5 or more drinks on at least one occasion in the last month were defined as binge drinkers. Starting in 2006, the definition of binge drinkers was changed to represent female respondents who consumed 4 or more drinks on at least one occasion in the last month or male respondents who consumed 5 or more drinks on at least one occasion in the last month. For more information on this definition of binge drinking see National Institute on Alcohol Abuse and Alcoholism. NIAAA Council approves definition of binge drinking. NIAAA Newsletter; Winter 2004:3. Available at http://pubs.niaaa.nih.gov/publications/newsletter/winter2004/newsletter_number3.pdf. Cause of death - Cause of death is reported by attending physicians, medical examiners, and coroners on death certificates filed in state vital statistics offices. For the purpose of national mortality statistics, every death is attributed to one underlying condition, based on information reported on the death certificate and utilizing the international rules for selecting the underlying cause of death from the reported conditions. Cause of death is coded according to the appropriate revision of the International Classification of Diseases (ICD). The Tenth Revision (ICD-10) was implemented in the U.S. effective with deaths occurring in January 1999 (Table II).
Underlying cause of death The underlying cause is defined by the World Health Organization (WHO) as the disease or injury that initiated the train of events leading directly to death, or the circumstances of the accident or violence, which produced the fatal injury. In the chartbook, most death rates are computed using the underlying cause of death. Multiple cause of death
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The conditions that are not selected as underlying cause of death constitute the non-underlying cause of death, also known as multiple cause of death. In this chartbook, all deaths which listed diabetes as either underlying or multiple cause of death were tabulated within the category of diabetes-related deaths.
Table II. Codes for Selected Causes of Death, Tenth Revision of the International Classification of Diseases (ICD-10) Cause of death ICD-10-codes All cause A00-Z99 Heart disease I00-I09, I11, I13, I20-I51 Coronary heart disease I11, I20-I25 Total cancer C00-C97 Breast cancer C50 Colorectal cancer C18-21 Lung cancer C33-C34 Stroke I60-I69 Chronic obstructive pulmonary J40-J44 disease Diabetes-related E10-E14 Influenza and pneumonia J10-J18 Unintentional injuries V01-X59, Y85-Y86 Suicide X60-X84
Cholesterol screening - BRFSS respondents were asked the questions: 1) Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked? and 2) About how long has it been since you last had your blood cholesterol checked? The proportions shown are based on the respondents who answered yes to the first question and within the past year, within the past 2 years, or within the past 5 years to the second question. These questions are part of a series of questions included in the standard BRFSS questionnaire in odd years and the data are generally reported as two year averages. No states included the cholesterol questions in 2008. Colorectal cancer screening Colorectal cancer screening percentages are calculated according to a set of responses to BRFSS questions about blood stool testing, sigmoidoscopies and colonoscopies. Guidelines recommend screening for colorectal cancer through a blood stool test within the past year, a sigmoidoscopy within the past 5 years and a blood stool test within the past 3 years, or a colonoscopy in the past 10 years for people ages 50-75. BRFSS respondents were asked the following questions and the proportion shown for colorectal cancer screening is based on respondents who provided the indicated responses for each of the combinations of questions (referred to as Options below). For questions for which more than one response is listed, respondents are included who provided any one of the listed responses. Option #1: BRFSS Question A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit? How long has it been since you had your last blood stool test using a home kit? Response Yes Within the past year
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OR Option #2: BRFSS Question A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit? How long has it been since you had your last blood stool test using a home kit? Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams? For a SIGMOIDOSCOPY, a flexible tube is inserted into the rectum to look for problems. A COLONOSCOPY is similar, but uses a longer tube, and you are usually given medication through a needle in your arm to make you sleepy and told to have someone else drive you home after the test. Was your MOST RECENT exam a sigmoidoscopy or a colonoscopy? How long has it been since you had your last sigmoidoscopy or colonoscopy? Response Yes Within the past year Within the past 2 years Within the past 3 years Yes
Sigmoidoscopy
Within the past year Within the past 2 years Within the past 3 years Within the past 5 years
OR Option #3: BRFSS Question Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams? For a SIGMOIDOSCOPY, a flexible tube is inserted into the rectum to look for problems. A COLONOSCOPY is similar, but uses a longer tube, and you are usually given medication through a needle in your arm to make you sleepy and told to have someone else drive you home after the test. Was your MOST RECENT exam a sigmoidoscopy or a colonoscopy? How long has it been since you had your last sigmoidoscopy or colonoscopy? Response Yes
Colonoscopy
Within the past year Within the past 2 years Within the past 3 years Within the past 5 years Within the past 10 years
These questions are part of a series of questions included in the standard BRFSS questionnaire in even years and the data are reported as two year averages. The following states chose to also include the blood stool test questions in 2009: Delaware and Wyoming. For these states, the data are reported as three year averages. Death rate - Death rates are calculated by dividing the number of deaths in 2005-2007 in a population by the resident population in 2005-2007 as presented in the bridged-race postcensal population estimates. Population estimates are made annually and present the estimated July 1 resident population. Death rates are expressed as the number of deaths per 100,000 females (See related Appendix II: Age adjustment and Table I. United States standard population, 2000). Diagnosed high blood pressure see High blood pressure Exercise - see Leisure-time physical activity
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First trimester prenatal care see Prenatal care, first trimester Fruit and vegetable consumption - Fruit and vegetable consumption is calculated according to formulas developed by BRFSS staff. This calculation was based on respondents answers to questions about average servings of fruit juice; fruits other than juices; green salad; potatoes not including french fries, fried potatoes, or potato chips; carrots; and all other vegetables. This series of questions is included in the standard BRFSS questions in odd years and the data are reported as two year averages. No states included the fruits and vegetables questions in 2008. Geographic regions - The 50 states and the District of Columbia are grouped for statistical purposes by the U.S. Bureau of the Census into four geographic regions. These regions are as follows: Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Indiana, Illinois, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia Arizona, California, Colorado, Hawaii, Idaho, New Mexico, Montana, Oregon, Utah, Nevada, Washington, Wyoming
Midwest:
South:
West:
Health insurance coverage - BRFSS respondents were asked the question Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare? The proportions shown are based on the respondents who answered yes. Healthy People 2010 - Healthy People 2010 is a national health promotion and disease prevention agenda, developed by the U.S. Department of Health and Human Services. It is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national objectives to reduce these threats. Healthy People 2010 is a set of health objectives for the Nation to achieve over the first decade of the new century. More information on Healthy People 2010 is available at: http://www.healthypeople.gov/2010/. Healthy People 2020 - Healthy People 2020 is a national health promotion and disease prevention agenda, developed by the U.S. Department of Health and Human Services. It is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national objectives to reduce these threats. Healthy People 2020 is a set of health objectives for the Nation to achieve over the second decade of the new century. More information on Healthy People 2020 is available at: http://www.healthypeople.gov/. Healthy People 2010 Midcourse Review - Midway through the decade, the Healthy People 2010 Midcourse Review was conducted to assess the status of the national health objectives. Through the midcourse review, HHS, Federal agencies, and other experts across the Nation assessed the data trends during the first half of the decade, considered new science and available data, and made changes to ensure that Healthy People 2010 remains current, accurate, and relevant, while concurrently assessing emerging public health priorities. Changes to the Healthy People 2010 objectives and subobjectives included establishing baselines and targets for developmental objectives, changing the wording of objectives and subobjectives, deleting objectives and subobjectives, adding new subobjectives, and revising baselines and targets. Revisions to Healthy People 2010 targets based on the Midcourse Review are reflected in the 2010 edition of the Chartbook. More information on the Healthy People 2010 Midcourse Review is available at: http://www.healthypeople.gov/Data/midcourse/.
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High blood pressure - BRFSS respondents were asked the question Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure? The proportions shown are based on the respondents who answered yes. This question is part of a series of questions included in the standard BRFSS questionnaire in odd years and the data are reported as two year averages. No states included the hypertension question in 2008. Hispanic origin - Hispanic or Latino origin includes persons of Mexican, Puerto Rican, Cuban, Central and South American, and other or unknown Latin American or Spanish origins. Persons of Hispanic origin may be of any race. In BRFSS, questions on Hispanic origin are self-reported and precede questions on race. On the birth certificate, Hispanic origin of the mother is included as a check-box on the standard 1989 birth certificate form. Ethnicity information on the death certificate is reported by the funeral director as provided by an informant, often the surviving next of kin, or, in the absence of an informant, on the basis of observation. Ethnicity information from the census is by self report. To the extent Hispanic origin is inconsistent between these two data sources, death rates will be biased. Studies have shown that persons self reported as Hispanic on census and survey records may sometimes be reported as non-Hispanic on the death certificate, resulting in an underestimation of deaths and death rates for Hispanics. The net effects of misclassification result in understated death rates for Hispanics by 2 percent. For more information, see Rosenberg HM, Maurer JD, Sorlie PD, Johnson NJ, et al. Quality of death rates by race and Hispanic origin: A summary of current research, 1999. National Center for Health Statistics. Vital Health Stat 2(128). 1999. Leisure-time physical activity - BRFSS respondents were asked, During the past month, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise? The proportions shown are based on the respondents who answered no. Mammogram - A mammogram is an x-ray of the breast to check for cancer and other irregularities in breast tissue. BRFSS female respondents were asked the questions, Have you ever had a mammogram? and How long has it been since you had your last mammogram? The proportions shown are based on the respondents who answered yes to the first question and within the past year or within the past 2 years to the second question. This question is part of a series of questions included in the standard BRFSS 2008 and 2010 core questionnaires and the data are reported as two year averages. In 2009, the following areas chose to include these questions: Georgia, Hawaii, Tennessee, and Wyoming. For those states, the data are reported as three year averages. Obesity - Obesity is defined using the body mass index (BMI), a measure that adjusts bodyweight for height. BMI is calculated as weight in kilograms divided by height in meters squared. Obesity for adults is defined as a BMI greater than or equal to 30. BMI weight categories are defined in U.S. Department of Health and Human Services, Tracking Healthy People 2010. Washington, DC: U.S. Government Printing Office, November 2000. Objectives 19.1, 19.2, and 19.3, or it is available at: http://www.health.gov/healthypeople/document/html/volume2/19nutrition.htm. BRFSS depends on selfreported weight and height measurements, which may introduce error into the measure. Pap smear - A Pap smear (also known as a Papanicolaou smear or Pap test) is a microscopic examination of cells scraped from the cervix that is used to detect cancerous or precancerous conditions of the cervix. BRFSS female respondents were asked the questions, A Pap smear is a test for cancer of the cervix. Have you ever had a Pap smear? and How long has it been since your last Pap smear? The proportions shown are based on the respondents who answered yes to the first question and within the past year, within the past 2 years or within the past 3 years to the second question. This question is part of a series of questions included in the standard BRFSS 2008 and 2010 core questionnaires and the data are reported as two year averages. In 2009, the following areas chose to include these questions: Georgia, Hawaii, Tennessee, and Wyoming. For those states, the data are reported as three year averages.
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Population - The U.S. Bureau of the Census collects and publishes data on populations in the United States according to several different definitions. Various statistical systems then use the appropriate population for calculating rates. See also Appendix I: Population Census and Population Estimates. Resident population Resident population includes persons whose usual place of residence (that is, the place where one usually lives and sleeps) is in one of the 50 states or the District of Columbia. It includes members of the Armed Forces stationed in the U.S. and their families. It excludes international military, naval, and diplomatic personnel and their families located in this country and residing in embassies or similar quarters. Also excluded are international workers and international students in this country and Americans living abroad. The resident population is the denominator when calculating death rates. Civilian non-institutionalized population The civilian non-institutionalized population is the civilian population not residing in institutions. Institutions include correctional institutions, detention homes, and training schools for juvenile delinquents; homes for aged and dependent persons (for example, nursing homes and convalescent homes); homes for dependent and neglected children; homes and schools for mentally or physically handicapped persons; homes for unwed mothers; psychiatric, tuberculosis, and chronic disease hospitals; and residential treatment centers. Census Bureau estimates of the civilian non-institutionalized population are used to calculate sample weights for BRFSS. Prenatal care, first trimester First trimester prenatal care is defined as the percentage of women who received prenatal care during the first three months of pregnancy. Data are not available for Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Florida, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, Oklahoma, Rhode Island, Utah, Virginia, West Virginia, Wisconsin, Guam and the US Virgin Islands because their data are based on the 1989 version of the U.S. Standard Certificate of Live Birth and are not compatible with the remaining states, which used the 2003 revision of the U.S. Standard Certificate of Live Birth. Data are not shown for Georgia, Michigan, Montana, New Mexico, and Oregon because data from the 2003 revision of the U.S. Standard Certificate of Live Birth were only available for 2008 and not 2006 or 2007. Note that data presented for New York exclude New York City. In 2006, data on the month prenatal care began were missing in 6.1 percent of birth records for states and territories using the 2003 revision of the U.S. Standard Certificate of Live Birth. In 2007, data on the month prenatal care began were missing in 5.5 percent of birth records for states and territories using the 2003 revision of the U.S. Standard Certificate of Live Birth. In 2008, data on the month prenatal care began were missing in 6.5 percent of birth records for states and territories using the 2003 revision of the U.S. Standard Certificate of Live Birth. Quintiles - Quintiles means divided into five parts. Quintiles were used in mapping indicators. Because 54 geographic areas are presented on each map, it was necessary for some categories to contain more states than others. In each map, the category showing the best health status contained at least 10 states and the category showing the worst health status contained no more than 10 states. If states with equivalent values crossed the break between first and second categories, both states were placed in the first category. If states with equivalent values crossed the break between fourth and fifth categories, both states were placed in the fourth category. Map legend Data value ranges describe the categories; they do not define the categories. For example, on maps where dark colors indicate low numerical values, the minimum value of the 1st range presented in the legend is the minimum value for the whole distribution. The minimum value for the 2nd range presented in the legend is 1 decimal point above the value of the last state in the 1st range.
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Race - In 1977, the Office of Management and Budget (OMB) issued Race and Ethnicity Standards for Federal Statistics and Administrative Reporting in order to promote comparability of data among Federal data systems. The 1977 Standards called for the Federal Governments data systems to classify individuals into the following four racial groups: American Indian or Alaska Native, Asian or Pacific Islander, black, and white. Depending on the data source, the classification by race was based on selfclassification or on observation by an interviewer or other person filling out the questionnaire. The 1977 Standards were used to present race in this chartbook. Maternal race If the race of the mother is not defined or not identifiable with one of the categories used in the classification (1.9 percent of births in single-race reporting areas in 2008 and 6.9 percent of births in multiple-race reporting areas in 2008) and the race of the father is known, the race of the father is assigned to the mother. Where information for both parents is missing, the race of the mother is allocated electronically according to the specific race of the mother on the preceding record with a known race of mother. Data for both parents were missing for only 1.4 percent of births from single-race reporting areas in 2006 and 5.8 percent of births from multiple-race reporting areas in 2006. BRFSS race Beginning in 2001, the BRFSS questionnaire allows respondents the opportunity to identify themselves as belonging to one or more races. Persons of multiple races are not classified as belonging to any single race and thus, are not included in presentations of race-specific data; persons identifying themselves as multi-racial are included in totals. Mortality race Deaths are classified by race: white, black, American Indian, and Asian or Pacific Islander. The white category includes, persons reported as white, as well as those for whom the race item on the death certificate was reported as Hispanic, Mexican, Puerto Rican, Cuban, and all other Caucasians. The American Indian category includes North, Central, and South American Indian, Eskimo, and Aleut. If the racial entry on the death certificate indicates a mixture of Hawaiian and any other race, the entry is coded to Hawaiian. If the race is given as a mixture of white and any other race, the entry is coded to the appropriate nonwhite race. If a mixture of races other than white is given (except Hawaiian), the entry is coded to the first race listed. Quality of mortality race data A number of studies have been conducted on the reliability of race reported on the death certificate by comparing race on the death certificate with that reported on another data collection instrument, such as the census or a survey. Differences may arise because of differences in who provides race information on the compared records. Race information on the death certificate is reported by the funeral director as provided by an informant or in the absence of an informant, on the basis of observation. In contrast, race on the census or on the Current Population Survey (CPS) is obtained while the individual is alive and is self-reported or reported by another member of the household familiar with the individual and, therefore, may be considered more valid. A high level of agreement between the death certificate and the census or survey report is essential to assure unbiased death rates by race. Results from several studies show that a person self-reported as American Indian or Asian on census or 2-4 survey records was sometimes reported as white on the death certificate. The net effect of misclassification is an underestimation of deaths and death rates for races other than white and black. In addition, undercoverage of minority groups in the census and resultant population estimates, introduces biases into death rates by race. 5-7 Estimates of the approximate effect of the combined bias due to race misclassification on death certificates and underenumeration on the 1990 census are as follows: white, 1.0 percent; black, -5.0; American Indian, +20.6, Asian or Pacific Islander, +10.7.7.
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Other races and race not stated, mortality race data All records coded as Other races (0.02 percent of the total deaths in 1997) were assigned to the specified race of the previous record. Records for which race was unknown, not stated, or not classifiable (0.08 percent) were assigned the racial designation of the previous record. Ranking process - States were ranked in terms of their relative standing on each indicator shown in this chartbook. The ranks indicate how healthy a states women were, in general, compared to other states. Low numbers designate states that are healthier relative to other states, while high numbers denote states with less healthy populations. Because not all indicators are measured in the same direction, this ranking does not necessarily match higher or lower values for particular indicators. For example, states with high proportions of women who smoke would be given rankings of higher numbers, while states with high proportions of women who did not smoke during pregnancy would be given rankings with lower numbers. When states were tied, the lower (or healthier) ranking was given to those states and the higher ranking was not used. For example, Arizona and Montana each have the same percentage of women reporting diagnosed high blood pressure. Four states had lower percentages of diagnosed high blood pressure than these states, so these two states were each given the ranking 5. The next highest percentage was found in Wyoming, and this state was given the ranking 7 because a total of 6 states have lower percentages than Wyoming. Note that the rankings for no smoking during pregnancy and first trimester prenatal care indicators are based on data from a total of 22 and 23 states/territories, respectively. Map colors Darker colors on the maps represent poorer relative health status. Lighter colors on maps represent better relative health status. Because not all indicators are measured in the same direction, the colors do not indicate higher or lower percentages or rates. For example, states with high proportions of women who smoke are shaded dark colors, while states with high proportions of women who did not smoke during pregnancy are shaded lighter colors. Region - See Geographic region Relative standard error - The relative standard error (RSE) is a measure of an estimates reliability. The RSE of an estimate is obtained by dividing the standard error of the estimate (SE(r)) by the estimate itself (r). This quantity is expressed as a percent of the estimate and is calculated as follows: RSE=100 x (SE(r)/r). Estimates with large RSEs are considered unreliable and are not presented. For death and birth data, rates or proportions with a numerator of less than 20, which corresponds to an RSE of 23 percent are considered unreliable. Routine check-up - BRFSS respondents were asked the question About how long has it been since you last visited a doctor for a routine checkup? A routine checkup is a general physical exam, not an exam for a specific injury, illness, or condition. The proportions shown are based on the respondents who answered within the past year or within the past 2 years. Smoking currently - Smoking status is calculated according to formulas developed by BRFSS staff. This calculation was based on respondents answers to a series of smoking questions. BRFSS respondents defined as current smokers have smoked at least 100 cigarettes in their entire life and smoke everyday or some days. Smoking during pregnancy - Whether or not tobacco was used during pregnancy is reported on the birth certificate in most states. Data are not available for Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Florida, Georgia, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina,
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Oklahoma, Rhode Island, Utah, Virginia, West Virginia, Wisconsin, Guam and the US Virgin Islands because their data are based on the 1989 version of the U.S. Standard Certificate of Live Birth and are not compatible with the remaining states, which used the 2003 revision of the U.S. Standard Certificate of Live Birth. Data are not shown for Montana, New Mexico, and Oregon because data from the 2003 revision of the U.S. Standard Certificate of Live Birth were only available for 2008 and not 2006 or 2007. Note that data presented for New York exclude New York City. Standard of reliability or precision - see Relative standard error Unknown values - All unknown values (persons coded as refused, dont know, or not ascertained) with respect to each variable of interest were removed from the denominators when calculating the proportions presented.
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Appendix III: References

1 Brett KM, Haynes SG. Womens Health and Mortality Chartbook. Washington, DC: DHHS Office on Womens Health. 2004. Definitions and descriptions provided in this documentation were largely derived from this source. 2 Hambright TZ. Comparability of marital status, race, nativity, and country of origin on the death certificate and matching census record: United States, May-Aug 1960. National Center for Health Statistics. Vital Health Stat 2(32). 1969. 3 Sorlie PD, Rogot E, Johnson NJ. Validity of demographic characteristics on the death certificate. Epidemiology 3(2):181-4. 1992. 4 Poe GS, Powell-Griner E, McLaughlin JK, et al. Comparability of the death certificate and the 1986 national mortality followback survey. National Center for Health Statistics. Vital Health Stat 2(118). 1993. 5 National Center for Health Statistics. Technical appendix. Vital statistics of the United States: mortality, 1995. Available at: http://www.cdc.gov/nchswww/about/major/dvs/mortdata.htm and to be included on the CDROM entitled, Vital Statistics of the United States, Mortality, 1995. 6 Hogan H. The 1990 post-enumeration survey: Operations and results. J Am Stat Assoc. Vol 48 no 423: 1047-1060. 1993. 7 National Institute on Alcohol Abuse and Alcoholism. NIAAA Council approves definition of binge drinking. NIAAA Newsletter; Winter 2004:3. Available at http://pubs.niaaa.nih.gov/publications/newsletter/winter2004/newsletter_number3.pdf. 8 Rosenberg HM, Maurer JD, Sorlie PD, et al. Quality of death rates by race and Hispanic origin: A summary of current research, 1999. National Center for Health Statistics. Vital Health Stat 2(128). 1999.
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Women's Health and Mortality Chartbook

Structure of the Chartbook

How health indicators were selected

Description of Change ----------------

Colorectal cancer screening (age 50-75)

How state comparisons were made

Health indicator ranges

Race and Hispanic ethnicity

Quick Health Data Online

Coronary Heart Disease

Stroke death rates among females all ages by State, 2005-2007

Chronic obstructive pulmonary disease

Diabetes-related death rates among females all ages by State, 2005-2007

Influenza & pneumonia

Suicide rates among females all ages by State, 2005-2007

Diagnosed high blood pressure

No leisure-time physical activity

No smoking during pregnancy

Eats 5+ fruits & veg. per day

Colorectal cancer screening

First trimester prenatal care

Health insurance coverage

American Indian/ Alaskan Native

Healthy People 2020 National Target

1.2 315.9 66.6 * 87.1 * * * * * * * * * * * * * * * * * * * * *

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)

American Indian/ Alaskan Native

Healthy People 2020 National Target

4.4 517.6 * * * * * * * * * * * * * * 22.4 17.5 21.0 * * * * * 83.0 *

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)

American Indian/ Alaskan Native

Healthy People 2020 National Target

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)

American Indian/ Alaskan Native

Healthy People 2020 National Target

1.4 374.0 81.6 * 81.5 * * * * * * * * * * * * * * * * * * * * *

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)

American Indian/ Alaskan Native

Healthy People 2020 National Target

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)

American Indian/ Alaskan Native

Healthy People 2020 National Target

Major causes of death among females (rate per 100,000)

Health risk factors (percent)

Preventive care (percent)

Health insurance coverage (percent)