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