These rankings are updated annually but include data from previous years. There are other factors included that are not listed.
Health outcomes include:
- Length of life
- Quality of life, such as the number of poor mental and physical health days reported
Health factors include
- Health behaviors, such as smoking, obesity, physical activity, excessive drinking, alcohol-impaired driving deaths, sexually transmitted infections and teen births
- Clinical care, including health insurance coverage; number of physicians, dentists and mental health providers; preventable hospital stays; and flu vaccinations
- Socioeconomic factors, such as educational attainment levels, children in poverty, income inequality and violent crimes
- Physical environment factors, such as air pollution, drinking water violations, housing problems and long commutes
