25th Anniversary America’s Health Rankings Finds Hawaii Ranks No. 1 Among All U.S. States in Overall Health
• Hawaii’s strengths include low prevalence of obesity and low rate of preventable hospitalizations; state’s challenges include high prevalence of binge drinking and high incidence of infectious disease
• Nationwide, reduction in smoking, and improvements in adolescent immunization and infant mortality offset by rising rates of obesity and physical inactivity
• Long-term analysis finds Americans have made considerable progress in avoiding premature and cardiovascular deaths in the past 25 years; life expectancy at its highest yet
News Release from America's Health Rankings
HONOLULU (Dec. 10, 2014) – Rising rates of obesity and physical inactivity threaten Americans’ quality of life, even as Americans progressed in several key health metrics in 2014, according to the landmark 25th Anniversary Edition of America’s Health Rankings®: A Call to Action for Individuals & Their Communities.
Nationwide, obesity increased 7 percent from 27.6 percent to 29.4 percent of adults. Likewise, the percentage of adults who reported not participating in any physical activity in the last 30 days increased from 22.9 percent to 23.5 percent. At the same time, the number of Americans who smoke continued to decrease, declining by 3 percent this year, and has consistently declined over the past decade.
Hawaii’s Overall Health
According to the special 25th Edition of America’s Health Rankings, Hawaii ranks No. 1 again this year when compared with other states. The 2014 report illustrates Hawaii has its share of strengths and challenges.
Hawaii’s Strengths
• Low prevalence of obesity
• Low rate of preventable hospitalizations
• Low rate of cancer deaths
Hawaii’s Challenges
• High prevalence of binge drinking
• High incidence of infectious disease
• Low immunization coverage among children
“Hawaii’s top ranking reflects our state’s focus on maintaining healthy lifestyles and protecting our environment,” said Acting Health Director Keith Yamamoto. “The department is pleased to see Hawaii has maintained its number- one spot from last year, however, the report also points out some areas of concern that we will continue to work to address.”
“This is encouraging news and I look forward to working with our public health and health care communities to ensure access to care and strengthen prevention efforts to reduce chronic disease and injury in our state,” Gov. David Y. Ige said. “I’m proud to say that Hawaii is the healthiest state in the nation, and we must continue to invest in our public health efforts.”
Key Hawaii Challenges Addressed by UnitedHealthcare Programs
UnitedHealthcare watches America’s Health Rankings closely to better understand the health of individuals and communities across the nation and in Hawaii. UnitedHealthcare has several programs to address the nation’s health challenges at a state level. These programs help educate people on how to live healthier lives and empower them to take action to improve health in their communities.
UnitedHealthcare’s efforts include supporting local health and community events throughout the Islands for children, families and seniors, and supporting organizations such as the local chapters of March of Dimes, YMCA and Alzheimer’s Association to help promote health and wellness for Hawaii residents.
“For the last 25 years, United Health Foundation’s annual America’s Health Rankings has provided an invaluable look at the challenges and opportunities facing Hawaii and how the picture of health in our state compares with those of our region and our nation,” said Ron Fujimoto, D.O., chief medical officer, UnitedHealthcare Community Plan of Hawaii. “We look forward to continuing to use the report as a key tool for identifying and implementing solutions to our most pressing challenges and measuring the strides we’ve made to date.”
UnitedHealthcare in Hawaii has more than 300 employees located on Oahu, Kauai, Maui and the Big Island with central offices in Honolulu. With a care provider network of 21 hospitals and more than 2,900 physicians statewide, the health and well-being company serves more than 230,000 Hawaii residents including members of the United States military and their families, and people enrolled in UnitedHealthcare’s Medicare and Medicaid health plans.
50-State Snapshot: Hawaii the Healthiest; Mississippi Least Healthy
Hawaii has again taken the title of healthiest state. Vermont came in second, followed by Massachusetts, which improved to third after being ranked fourth for two years. Connecticut came in fourth, rising three slots from last year. Utah came in fifth. Mississippi ranked 50th this year, preceded by Arkansas (49), Louisiana (48), Kentucky (47) and Oklahoma (46). West Virginia and Alabama moved out of the bottom five.
To see the Rankings in full, visit www.americashealthrankings.org.
Nationwide: Obesity and Physical Inactivity Increase after Short-Lived Improvements
“We applaud hard-won advances in several key measures, including smoking prevalence, even as this year’s America’s Health Rankings is a solemn reminder that we have a lot more work ahead of us,” said Reed Tuckson, M.D., senior medical adviser to United Health Foundation. “It is inevitable that increases in the rates of obesity and physical inactivity will result in more people suffering from significant chronic diseases that will compromise the quality of their lives, adversely affect their families and will be unaffordable for the nation.”
United Health Foundation is marking 25 years of America’s Health Rankings by introducing new online tools to inspire health advocacy across states and communities.
• A “Change My Rank” online tool allows users to see how improving several key measures affects the state’s overall rank (for example, if a state reduced its prevalence of obesity by 5 percent, what would its overall rank be?).
• A Thought Leader Perspectives portal showcases notable leaders from the public health, government, academic, business, technology and consumer arenas reflecting on the achievements and challenges in America’s health over the last 25 years, and their thoughts for the next 25 years.
United Health Foundation will discuss the 25th edition Rankings at an event Wednesday, Dec. 10, at the Newseum in Washington, D.C. The event will feature remarks from leading health experts and thoughtful conversation about the past, present and future of America’s health. To watch the event live – and to get more information about America’s Health Rankings – visit www.americashealthrankings.org.
25th Anniversary Report Reveals Major Long-Term Health Strides, Challenges
With the launch of this year’s report, America’s Health Rankings commemorates 25 years of comprehensive health reporting and advocacy for a healthier America. The special 25th Anniversary America’s Health Rankings report finds Americans have made meaningful strides in health since 1990, particularly as it relates to life expectancy:
• At 78.8 years, Americans’ average life expectancy is at a record high.
• The past 25 years have seen considerable declines in:
o infant mortality, decreasing 41 percent
o cardiovascular death, decreasing 38 percent
o premature death, decreasing 20 percent
• U.S. cancer mortality rates have also shown a steady decline, dropping 8 percent between 1996 and 2014.
The decline in smoking rates stands out as a significant health improvement over the past 25 years. Since 1990, smoking rates have decreased 36 percent, from 29.5 percent to 19 percent of adults who smoke regularly. Cigarette smoking is still associated with one of every five deaths in the United States, making it the leading cause of preventable death in the country.
While Americans are living longer, the past 25 years have seen a steady rise in chronic conditions, many of them preventable, that compromise their quality of life.
• Obesity – now a leading contributor to death in the United States – more than doubled over the last 25 years, from 11.6 percent of adults in 1990 to 29.4 percent of adults today. One possible explanation for the increase: levels of physical inactivity remain high, with 23.5 percent of adults reporting no physical activity or exercise in the last 30 days.
• Adults who say they have diabetes currently stands at 9.6 percent, more than double the number from 20 years ago when America’s Health Rankings first started tracking diabetes.
“The challenge for the next 25 years is to achieve widespread, uniform success in fighting the chronic conditions that threaten Americans’ quality of life and adversely affect our nation’s health care system,” said Rhonda Randall, D.O., senior adviser to United Health Foundation and chief medical officer and executive vice president, UnitedHealthcare Retiree Solutions. “Obesity, diabetes and physical inactivity rates are troublingly high. We must continue to promote positive health behaviors and help prevent the devastating consequences of chronic illnesses that are often left unchecked.”
About America’s Health Rankings®
America’s Health Rankings is the longest-running report of its kind. For 25 years, the Rankings has provided an analysis of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings. The Rankings employs a unique methodology, developed and annually reviewed and overseen by a Scientific Advisory Committee of leading public health scholars. For more information, visit www.americashealthrankings.org. It is published by United Health Foundation in partnership with American Public Health Association and Partnership for Prevention.
The data in the report come from well-recognized outside sources, such as the Centers for Disease Control and Prevention, American Medical Association, FBI, Dartmouth Atlas Project, U.S. Department of Education and Census Bureau.
About United Health Foundation
Through collaboration with community partners, grants and outreach efforts, United Health Foundation works to improve our health system, build a diverse and dynamic health workforce and enhance the well-being of local communities. United Health Foundation was established by UnitedHealth Group (NYSE: UNH) in 1999 as a not-for-profit, private foundation dedicated to improving health and health care. To date, United Health Foundation has committed more than $240 million to programs and communities around the world. We invite you to learn more at www.unitedhealthfoundation.org.
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