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1© 2018 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
KEY TRENDSFROMAMERICA’SHEALTHRANKINGSNovember 27, 2018
2
Annual ReportSince 1990
Seniors Aged 65+Since 2013
Women and ChildrenSince 2016
Those Who Have ServedSince 2016
Overview of America’s Health Rankings
Visit AmericasHealthRankings.org
BehaviorsCommunity &
Environment
PolicyClinical
Care
Health
Outcomes
3
America’s Health Rankings Model
Challenges
Behaviors
• High Rate of Drug Deaths
• High Prevalence of Smoking - All Adults
• High Tobacco Use During Pregnancy
• High Prevalence of Obesity
• High Physical Inactivity – Adults and Among Seniors
Policy
• Low Maternity Practices in Infant Nutrition
and Care (mPINC) Value
Clinical Care
• High Rate of Preventable Hospitalizations
Outcomes
• High Rate of Cancer Deaths
• High Premature Death Rate
• High Rate of Drug Deaths Among Women
• High Prevalence of Diabetes – All Adults and Among
Women
Community & Environment
• High Rate of Household Smoke
• Low Nursing Home Quality Scores
Strengths
Behaviors
• Low Excessive Drinking Rates – Adults and Among
Seniors
• High School Graduation Rate
• Low Substance Dependence Among Adolescents
• Low Chlamydia Rate
Policy
• Low Uninsured Rate
• Low-Care Nursing Home Residents
Clinical Care
• High Women and Adolescent Well-Visits
• High Diabetes Management Participation Among Seniors
Outcomes
• Low Disparity in Health Status
• Low Number of Children Missing School
Community & Environment
• Low Violent Crime
• Low Cost of Infant Child Care
4
Kentucky’s Strengths & Challenges
Positive and Negative Drivers Across Populations
-0.18 -0.16 -0.14 -0.12 -0.1 -0.08 -0.06 -0.04 -0.02 0
Smoking
Frequent Physical Distress
Cancer Deaths
Premature Death
Preventable Hospitalizations
Obesity
Frequent Mental Distress
Diabetes
Physical Inactivity
Cardiovascular Deaths
Drug Deaths
5
Behaviors
Policy
Clinical Care
Outcomes
Community & Environment
Key Drivers in Kentucky’s 2017 Annual Rank
Negative Impacts on Kentucky’s 42nd Place Ranking
-0.1 -0.09 -0.08 -0.07 -0.06 -0.05 -0.04 -0.03 -0.02 -0.01 0
Tobacco Use During Pregnancy
Household Smoke
Intimate Partner Violence - Lifetime
Drug Deaths - Women
Food Insecurity - Household
Breastfed
Diabetes - Women
Tobacco Use - Youth
mPINC
Neighborhood Amenities
6
Behaviors
Policy
Clinical Care
Outcomes
Community & Environment
Key Drivers in Kentucky’s 2018 Health of Women and Children Rank
Negative Impacts on Kentucky’s 42nd Place Ranking
7
KEY FINDINGS ON KENTUCKY’S HEALTH
Outcomes, Risk and Protective Factors,
Preventive Services and Access
8
Mortality: Key Findings
Bright Spots
• Compared with the U.S., the maternal mortality rate in Kentucky is
similar to the U.S. rate in most subpopulations and lower among
black women.
Challenges Related to Key Mortality Findings
• The premature death rate in Kentucky is 1.8 times higher than that
of the top-ranked state (10,042 years lost before age 75 per
100,000 population in Kentucky compared to 5,555 years lost
before age 75 per 100,000 population in the top-ranked state).
• From 2016 to 2018, drug deaths increased 27% from 23.0 to 29.1
deaths per 100,000 females aged 15-44.
• The infant mortality rate (6.9 deaths per 1,000 live births) is higher
than the national average (5.9 deaths per 1,000 live births).
• Early death among seniors is 35% higher (2,418 deaths per
100,000 adults aged 65 to 74) than the national average (1,789
deaths per 100,000 adults aged 65 to 74).
Key Measures
Outcomes
• Premature Death
• Drug Deaths
• Drug Deaths Among Women
• Early Death Among Seniors
• Infant Mortality
• Cardiovascular Deaths
• Cancer Deaths
• Suicide
• Teen Suicide
• Maternal Mortality
9
Women’s Reproductive Health: Key Findings
Bright Spots
• Compared with the U.S., there are 211.4 fewer cases per 100,000
of chlamydia among women aged 18-44.
• Rates of adolescent well-visits, baby-friendly facilities, and
dedicated health care providers among women are higher
in Kentucky than the U.S. average.
• Other than Tennessee (-2.9 births per 1000/year), Kentucky had a
faster rate of decline in teen birth rates (-2.6 births per 1,000/year)
compared to neighboring states and the U.S.(-2.5 births per
1,000/year) over the past 10 years.
• Low uninsured rate among women (6.6% of women aged 18-44).
Challenges Related to Key Findings of
Women’s Reproductive Health
• Compared with the U.S., low birthweight infants are 0.6 percentage
points higher overall, 0.6 percentage points higher among black
mothers and 1.3 percentage points higher among white mothers.
• Low-risk cesarean delivery is 1.6 percentage points higher overall
and is 2.2 percentage points higher among white women.
• Breastfed, Maternity Practices in Infant and Nutrition Care Survey
Score (mPINC), and tobacco use during pregnancy are all
challenges, ranking in the bottom 10 (unhealthiest) states.
Key Measures
Outcomes
• Chlamydia (Women)
• Low Birthweight
• Low-Risk Cesarean Delivery
• Maternal Mortality
• Preterm Birth
• Teen Births
Risk Factors and Protective Factors
• Baby-Friendly Facility
• Breastfed
• Maternity Practices in Infant
and Nutrition Care Survey Score
(mPINC)
• Tobacco Use During Pregnancy
• Adolescent Well-Visit
Preventive Services
• Prenatal Care Before 3rd Trimester
• Well-Woman Visit
• Dedicated Health Care Provider
(Women)
Bright Spots
• Kentucky ranks in the top 10 healthiest states for youth
substance use disorder and has a lower prevalence
than the U.S.
• Compared with neighboring states, Kentucky has more
mental health providers per 100,000 population.
Challenges Related to Key Mental Health Findings
• The prevalence of frequent mental distress is higher
than any of its neighboring states and the U.S.
• Teen suicide is also higher in Kentucky than
neighboring states and 22% higher than the U.S.
• Kentucky ranks in the bottom 10 for adverse childhood
experiences, concentrated disadvantage, food
insecurity, and risk of social isolation. Protective family
routines and habits is also an area of challenge.
10
Mental Health: Key Findings
Key Measures
Outcomes
• Frequent Mental Distress
• Teen Suicide
Risk Factors
• Adverse Childhood Experiences
• Concentrated Disadvantage
• Food Insecurity
• Substance Use Disorder (Youth)
• Risk of Social Isolation (Seniors)
Protective Factors
• Mental Health Providers
• Neighborhood Amenities
• Protective Family Routines
and Habits
11
Health Behaviors: Key Findings
Bright Spots
• Excessive drinking is lower in Kentucky at 15.8% of adults than the
U.S. (18.5% of adults) and all neighboring states except Tennessee
and West Virginia.
• Adolescents report low rates of dependence or abuse of illicit drugs
or alcohol in the past year (4.1% of children aged 12-17).
• Kentucky has the 7th best high school graduation rate in the nation.
Challenges Related to Health Behaviors
• Obesity prevalence is higher among females, whites, adults aged
65+, all urbanicities, and among those with less than high school
and college graduates than any of its neighboring states.
• Compared with the U.S., household smoke, smoking, and youth
tobacco use are all higher in Kentucky. HPV immunizations for
males and females are also lower than the US.
Key Measures
Risk Factors
• Excessive Drinking
• Obesity
• Physical Inactivity
• Smoking
• Household Smoke and Tobacco
Use (Youth)
• Substance Use Disorder – Youth
• HPV Immunizations
12
TAKING ACTIONHow United Health Foundation is Addressing Challenges
Improving Oral Health in Kentucky
United Health Foundation is supporting the University of Kentucky College of
Dentistry (UKCD) in its “Eradicate Oral Cancer in Eastern Kentucky” project
The three-year project will:
Raise public awareness of the symptoms of oral cancer and its links to heavy
alcohol and tobacco use
Provide approximately 1,000 oral cancer screenings at local health departments;
Help connect patients who need additional care to cancer specialists in Lexington; and
Enable UKCD to lead an integrated outreach and care program to local residents
Expanding Access to Mental Health Services in Kentucky
Pathways and the United Health Foundation have recently launched a new
partnership to improve mental health care in eastern Kentucky
The three-year project will expand mental health services for over 3,000 children in eastern
Kentucky using telehealth technology
• Telehealth technology will be installed at 16
locations across a 10-county service area
• The new technology will eliminate the need for
families to drive up to two hours to access a
children’s mental health specialist
THANK YOUExplore Data.
Gain Insights.
Learn more about your state.
VISIT: www.AmericasHealthRankings.org
16
APPENDIXSupporting Information
-0.12 -0.1 -0.08 -0.06 -0.04 -0.02 0
Smoking
Pain Management
Early Death
Able-bodied
Physical Inactivity
High Health Status
Dental Visit
Teeth Extractions
Hip Fractures
Nursing Home Quality
17
Behaviors
Policy
Clinical Care
Outcomes
Community & Environment
Key Drivers in Kentucky’s 2018 Health of Seniors Rank
Negative Impacts on Kentucky’s 48th Place Ranking
18
MENTALHEALTHOutcomes, Risk Factors and Protective Factors
US IN OH TN VA KY
Overall 11.7 13.2 12.9 13.7 10.9 14.7
Female 13.6 14.8 15.8 16.8 13.2 17.5
Male 9.7 11.5 9.8 10.3 8.4 11.8
Amer. Indian / Alaskan Native 19.9 29.6 28.4
Black 12.4 13.9 14.3 15.4 11.0 16.1
White 11.8 13.3 12.5 13.0 11.2 14.3
Multiracial 20.0 10.2 21.8 31.6 16.5 26.6
Aged 18-44 12.9 15.2 15.3 14.0 13.3 17.0
Aged 45-64 12.5 14.2 14.0 16.6 10.4 15.5
Aged 65+ 7.3 6.8 6.2 8.3 6.0 8.4
Rural 11.2 9.2 11.2 15.3 10.9 15.3
Suburban 10.0 11.5 10.2 10.9 8.4 12.3
Urban 10.1 12.3 11.1 13.9 7.9 10.9
Less than High School* 17.1 19.6 25.1 26.5 13.7 25.2
High School Grad* 12.3 12.9 13.3 13.6 11.5 15.1
Some College* 12.0 13.2 13.0 12.7 10.9 14.0
College Grad* 6.8 6.7 6.7 7.0 6.4 6.3
Less Than $25,000* 19.7 21.3 25.7 25.2 19.4 26.4
$25-$49,999* 11.1 11.5 11.4 11.6 8.9 13.2
$50-$74,999* 8.4 8.9 7.7 8.4 7.8 8.9
$75,000 or More* 6.2 6.9 6.2 6.0 5.9 6.3
19
Mental Health Outcomes: Frequent Mental Distress
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
FREQUENT MENTAL DISTRESSPercentage of adults who reported their mental health was not good 14 or more days in the past 30 days
*Aged 25+
At-Risk Populations
in Kentucky
• Female
• Aged 18-44
• Less than high school
• Income less than $25,000
Comparing Kentucky to the
U.S. and Neighboring States
• Overall frequent mental distress
prevalence is higher than any of its
neighboring states and the U.S.
• Compared with the U.S., frequent
mental distress is higher among all
subpopulations except college
graduates.
• Compared with neighboring states,
frequent mental distress prevalence
is lower among college graduates.
20
Mental Health Outcomes: Teen Suicide
In Kentucky and Peer States
At-Risk Populations
in Kentucky
• Males
• White teens
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with neighboring states
and the U.S., teen suicide is higher
among males and whites (all
available subpopulations).
TEEN SUICIDENumber of deaths by suicide per 100,000 adolescents aged 15 to 19
Source: CDC, National Vital Statistics System, 2014-2016
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
US IN OH TN VA KY
Overall 8.9 9.9 9.1 11.2 9.8 11.9
Female 4.8 4.9 5.0 4.7 5.3
Male 14.0 14.7 13.1 17.5 14.2 19.8
Black 5.5 7.4 8.0 5.5
White 10.4 10.5 9.5 12.3 11.7 12.5
21
Mental Health Risk Factors
In Kentucky and Peer States
Sources: CAHMI, Data Resource Center for Child and Adolescent Health,
National Survey of Children’s Health, 2016; U.S. Census Bureau, American
Community Survey, 2012-2016; U.S. Department of Agriculture,
Current Population Survey Food Security Supplement, 2014-2016; Substance
Abuse and Mental Health Services Administration (SAMHSA), National
Survey on Drug Use and Health, 2015-2016
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., adverse
childhood experiences,
concentrated disadvantage, and
food insecurity are challenges.
• Kentucky ranks in the top 10
healthiest states for youth
substance use disorder and has a
lower prevalence the the U.S.
• Compared with all states, Kentucky
ranks in the bottom 10 for adverse
childhood experiences,
concentrated disadvantage, food
insecurity, and risk of social
isolation.
• For these four risk factors, Kentucky
is more challenged than its
neighboring states with the
exception of adverse childhood
experiences in Ohio.
US IN OH TN VA KY
Adverse Childhood Experiences
(% of children aged 0-17
with 2+ experiences)
21.7 24.2 27.1 24.6 19.3 26.9
Concentrated Disadvantage
(% of households)23.8 19.3 23.1 24.9 11.7 27.8
Food Insecurity
(% of households)13.0 15.2 14.8 13.4 9.9 17.3
Substance Use Disorder – Youth
(% of children aged 12-17)4.6 4.2 4.3 4.0 3.7 4.1
Risk of Social Isolation – Seniors
(Percentile of mean z scores
for six social isolation risk factors
in adults 65+)
51.0 63.0 79.0 28.0 93.0
Top 10 11 to 20 21 to 30 31 to 40 Bottom 10
RISK FACTORSShaded by quintile of measure rank
22
Mental Health Protective Factors
In Kentucky and Peer States
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., mental
health providers, neighborhood
amenities, and protective family
routines and habits are challenges.
• Compared with neighboring states,
Kentucky has more mental health
providers per 100,000 population.
• Kentucky has the lowest percentage
of neighborhood amenities compared
with neighboring states.
• Compared with neighboring states,
only Ohio has a lower percentage of
protective family routines and habits.
US IN OH TN VA KY
Mental Health Providers
(# per 100,000 population)218.0 144.2 182.5 138.2 145.2 194.6
Neighborhood Amenities
(% of children aged 0-17)38.6 26.4 35.5 23.7 34.3 19.0
Protective Family
Routines and Habits
(% of children aged 0-17)
12.2 13.0 10.6 12.1 13.2 11.3
PROTECTIVE FACTORSShaded by quintile of measure rank
Sources: U.S. HHS, Centers for Medicare & Medicaid Services, National Plan and Provider Enumeration System, 2016; U.S. Census Bureau, Annual Estimates of the
Resident Population: April 1, 2010 to July 1, 2016, 2016; CAHMI, Data Resource Center for Child and Adolescent Health, National Survey of Children’s Health, 2016;
CAHMI, Data Resource Center for Child and Adolescent Health, National Survey of Children’s Health, 2016
Top 10 11 to 20 21 to 30 31 to 40 Bottom 10
23
WOMEN’SREPRODUCTIVEHEALTHOutcomes, Risk and Protective Factors,
Preventive Services and Access
US IN OH TN VA KY
Overall 1,609.0 1,546.8 1,758.1 1,597.8 1,388.8 1,397.6
Black 3,198.2 4,763.7 4,153.2 4,061.3 2,733.8 3,508.9
Hispanic 1,140.9 1,157.4 908.4 1,215.4 636.8 895.1
White 712.7 982.1 746.8 973.8 582.0 696.3
24
Reproductive Health Outcomes: Chlamydia (Women)
In Kentucky and Peer States
Source: Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, NCHHSTP AtlasPlus, 2015
At-Risk Populations
in Kentucky
• Black women
Comparing Kentucky to the
U.S. and Neighboring States
• There are 211.4 fewer cases per
100,000 of chlamydia among women
overall, and incidence is lower
among all race groups except black
women.
• Chlamydia incidence among women
is lower overall and in each race
group than neighboring states
Indiana, Ohio, and Tennessee.
• Chlamydia incidence is higher
overall and in each race group than
in Virginia.
CHLAMYDIA (WOMEN)Number of new cases of chlamydia per 100,000 females aged 15 to 44
250+ LessThan KY
100-250 LessThan KY
Within 100of KY
100-250 MoreThan KY
250+ MoreThan KY
25
Reproductive Health Outcomes: Low Birthweight
In Kentucky and Peer States
Source: CDC, National Vital Statistics System, 2015
At-Risk Populations
in Kentucky
• Infants born to black mothers
• Infants born to mothers aged 40-44
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., the
percentage of low birthweight infants
is higher overall, and among black
and white mothers, but not Hispanic
mothers, and among mothers of all
age groups except those aged 15-19.
• Compared with neighboring states,
the percentage of low birthweight
infants among Hispanic mothers is
lower than all except Virginia.
• Compared with neighboring states,
the percentage of low birthweight
infants is higher among white
mothers.
• Compared with neighboring states,
the percentage of low birthweight
infants is lower among mothers
aged 15-19.
US IN OH TN VA KY
Overall 8.1 8.0 8.5 9.2 7.9 8.7
Black 13.3 12.4 13.9 14.7 12.2 13.9
Hispanic 7.2 7.1 7.7 6.8 6.4 6.5
White 6.9 7.4 7.3 7.8 6.6 8.2
Mother Aged 15-19 9.5 9.2 10.0 10.4 9.9 8.7
Mother Aged 20-24 8.4 8.4 9.3 9.6 8.7 9.4
Mother Aged 25-29 7.5 7.3 7.9 8.6 7.7 8.0
Mother Aged 30-34 7.5 7.8 7.4 8.3 6.8 8.3
Mother Aged 35-39 8.7 8.5 9.5 10.0 7.8 8.8
Mother Aged 40-44 10.8 10.3 10.6 11.5 10.2 11.8
LOW BIRTHWEIGHTPercentage of infants weighing less than 2,500 grams (5 pounds, 8 ounces) at birth
2%+ LessThan KY
1-2% LessThan KY
Within 1%of KY
1-2% MoreThan KY
2%+ MoreThan KY
26
Reproductive Health Outcomes: Low-Risk Cesarean Delivery
In Kentucky and Peer States
At-Risk Populations
in Kentucky
• Black women
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., low-risk
cesarean delivery is higher overall
and among Hispanic and white
women.
• Kentucky has a higher percentage of
births through low-risk cesarean
delivery overall and across all
subpopulations, compared with
Indiana, Ohio, and Virginia.
US IN OH TN VA KY
Overall 25.8 22.9 24.2 27.6 25.1 27.4
Black 29.7 26.0 27.3 30.4 28.6 29.9
Hispanic 25.2 19.0 20.7 24.2 22.8 27.2
White 24.8 22.6 23.7 27.1 23.4 27.0
LOW-RISK CESAREAN DELIVERYPercentage of singleton, term (37 or more weeks gestation), vertex (non-breech) cesarean deliveries to women
having their first birth per 100 women delivering singleton, term, vertex, first births
Source: CDC, National Vital Statistics System, 2015
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
27
Reproductive Health Outcomes: Maternal Mortality
In Kentucky and Peer States
Source: CDC, National Vital Statistics System, 2011-2015
At-Risk Populations
in Kentucky
• Black women
• Women aged 35-44
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., the
maternal mortality rate in Kentucky
is similar to the U.S. rate in most
subpopulations.
• Compared with the U.S., maternal
mortality is lower among black
women and higher among women
aged 35-44.
• The maternal mortality rate among
black women is lower than Indiana
and Ohio, but higher than Tennessee
and Virginia.
• Maternal mortality among women
aged 35-44 is higher than all
neighboring states, except Indiana.
US IN OH TN VA KY
Overall 20.7 41.4 20.3 23.3 15.6 19.4
Black 47.2 53.4 46.0 38.2 36.6 42.1
White 18.1 41.6 15.6 20.8 11.0 17.2
Aged 15-24 11.0 13.1 14.2 8.7 9.1
Aged 25-34 14.0 22.9 15.2 19.2 10.9 15.4
Aged 35-44 38.5 100.6 33.0 54.4 29.5 61.1
MATERNAL MORTALITYNumber of deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during
pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 births
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
28
Reproductive Health Outcomes: Preterm Birth
In Kentucky and Peer States
CDC, National Vital Statistics System, 2015
At-Risk Populations
in Kentucky
• Infants born to black mothers
• Infants born to mothers aged 35-39
and aged 40-44
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., preterm
births are slightly higher overall and
among white mothers.
• Preterm births are higher for white
mothers and mothers aged 30-34,
aged 35-39, and aged 40-44,
compared with Virginia.
• Like the U.S. and neighboring states,
preterm birth in Kentucky is less
prevalent among women who have
graduated from college.
US IN OH TN VA KY
Overall 9.6 9.6 10.3 11.0 9.2 10.8
Black 13.4 12.8 14.1 14.8 12.6 13.3
Hispanic 9.1 9.3 10.5 9.2 8.4 8.9
White 8.9 9.2 9.4 10.2 8.3 10.7
Mother Aged 15-19 9.9 10.0 10.9 11.4 10.6 9.5
Mother Aged 20-24 9.3 9.2 10.3 10.7 9.2 10.9
Mother Aged 25-29 8.9 9.1 9.7 10.1 8.7 10.3
Mother Aged 30-34 9.3 9.8 9.5 10.7 8.6 10.6
Mother Aged 35-39 11.1 11.0 12.2 13.8 10.1 12.5
Mother Aged 40-44 13.7 12.0 14.2 14.8 12.8 15.4
Less than High School* 10.6 10.9 11.5 12.5 10.2 11.4
High School Graduate* 10.3 10.1 11.2 12.0 10.5 11.6
Some College* 10.0 9.8 10.7 11.3 9.7 11.1
College Graduate* 8.6 8.4 8.9 9.2 8.1 9.6
PRETERM BIRTHPercentage of live births before 37 weeks gestation
2%+ LessThan KY
1-2% LessThan KY
Within 1%of KY
1-2% MoreThan KY
2%+ MoreThan KY
*Aged 25+
29
Reproductive Health Outcomes: Teen Births
In Kentucky and Peer States
Source: CDC, National Vital Statistics System, 2015
Comparing Kentucky to the
U.S. and Neighboring States
• While Kentucky has a higher teen
birth rate at 30.9 per 1,000 live births
compared with the U.S at 20.3 per
1,000 live births, teen births have
declined at a faster rate in Kentucky
(-2.6 births per 1,000/year) compared
to the U.S.(-2.5 births per 1,000/year)
over the past 10 years.
• Compared with neighboring states,
Kentucky has a higher teen birth rate
(neighboring states range from 15.5
per 1,000 live births in Virginia to 28.0
per 1,000 live births in Tennessee).
• Compared to neighboring states, only
Tennessee had a larger decrease in
teen births over the past 10 years
(-2.9 births per 1,000/year).
• The other neighboring states all
declined at the same rate (-2.2 births
per 1,000/year).
TEEN BIRTHSTeen females aged 15-19 birth rate per 1,000 live births
U.S. Kentucky Indiana Ohio Tennessee Virginia
0
10
20
30
40
50
60
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Edition Year (two-year lag)
30
Reproductive Health: Risk and Protective Factors
In Kentucky and Peer States
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., adolescent
well-visit and baby-friendly facility are
higher than the national value.
• Breastfed, Maternity Practices in Infant
and Nutrition Care Survey Score
(mPINC), and tobacco use during
pregnancy are all challenges, ranking
in the bottom 10 (unhealthiest) states.
• Compared with neighboring states,
Kentucky has a higher prevalence of
tobacco use during pregnancy.
Sources: CAHMI, Data Resource Center for Child and Adolescent Health,
National Survey of Children’s Health, 2016; CDC, 2016 Breastfeeding Report
Card, 2016; CDC, National Center for Chronic Disease Prevention and Health
Promotion, Division of Nutrition, Physical Activity and Obesity, National
Immunization Survey, 2014; CDC, 2016 Breastfeeding Report Card, 2015;
CDC, National Vital Statistics System, 2015
US IN OH TN VA KY
Adolescent Well-Visit
(% of children aged 12-17)78.9 81.1 78.1 79.4 79.7 81.8
Baby-Friendly Facility
(% of live births)18.3 23.1 18.1 11.2 12.9 20.3
Breastfed
(% of infants)24.9 23.1 16.7 17.1 21.7 18.5
mPINC
(Maternity Practices in Infant and
Nutrition Care survey score)
79.0 80.0 80.0 72.0 80.0 73.0
Tobacco Use During Pregnancy
(% of live births)7.8 14.3 15.2 14.3 6.8 19.5
Top 10 11 to 20 21 to 30 31 to 40 Bottom 10
RISK AND PROTECTIVE FACTORSShaded by quintile of measure rank
31
Reproductive Health Preventive Services:
Prenatal Care Before 3rd Trimester
In Kentucky and Peer States
Source: CDC, National Vital Statistics System, 2015
At-Risk Populations
in Kentucky
• Black and Hispanic mothers
• Mothers aged 40-44
• Less than high school education
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., the
percentage of mothers receiving
prenatal care before the 3rd trimester
is similar, except mothers aged 15-
19 have higher rates of prenatal care
before the 3rd trimester in Kentucky.
• Compared with Ohio, Kentucky has a
higher percentage for prenatal care
before 3rd trimester among black
and Asian/Pacific Islander mothers,
mothers aged 15-19, and those with
less than high school education.
US IN OH TN VA KY
Overall 94.0 94.3 93.4 94.1 95.8 94.8
Black 90.4 90.1 89.1 90.0 94.1 91.5
Hispanic 92.6 91.9 89.9 91.0 93.0 91.5
White 94.8 95.0 94.5 95.1 96.3 95.2
Asian/Pacific Islander 94.2 91.5 90.8 93.4 96.0 93.1
Mother Aged 15-19 89.6 91.5 90.3 91.3 91.5 93.2
Mother Aged 20-24 92.2 92.8 92.1 92.9 94.0 94.0
Mother Aged 25-29 94.3 94.9 93.8 94.7 95.8 95.4
Mother Aged 30-34 95.4 95.6 94.9 95.4 96.8 95.7
Mother Aged 35-39 95.3 94.9 94.1 95.1 96.7 94.9
Mother Aged 40-44 94.7 92.7 92.6 93.9 96.6 93.0
Less than High School* 88.3 87.9 86.3 87.6 90.4 88.3
High School Graduate* 92.7 93.4 92.4 93.0 93.9
Some College* 94.6 95.1 93.9 95.0 96.0 95.2
College Graduate* 96.7 97.5 96.4 97.3 97.7 97.9
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
PRENATAL CARE BEFORE 3RD TRIMESTERPercentage of live births in which the mother began prenatal care between the 1st and 6th month of pregnancy
*Aged 25+
32
Reproductive Health Preventive Services: Well-Woman Visit
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2015-2016
At-Risk Populations
in Kentucky
• Multiracial women
• Urban women
• Aged 25-34
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with neighboring states
and the U.S., the prevalence of well-
woman visits is higher overall and
among Hispanic and white women,
women aged 18-24 and 35-44,
women with less than or a high
school education, and women with
incomes less than $50,000.
• Compared with neighboring states
and the U.S., the prevalence of well-
woman visits is lower among
multiracial women.
US IN OH TN VA KY
Overall 66.8 65.1 69.8 67.7 70.4 73.7
Black 77.8 78.2 80.4 77.4 78.9 77.6
Hispanic 62.8 58.8 73.0 69.2 65.8 80.9
White 65.3 64.2 67.5 65.4 69.4 73.1
Multiracial 64.5 65.6 59.3 49.2
Aged 18-24 65.6 64.8 70.6 66.7 67.9 72.6
Aged 25-34 65.1 64.0 64.4 66.4 71.4 69.6
Aged 35-44 69.4 66.3 74.9 69.8 71.2 78.4
Rural 65.8 59.0 71.7 69.0 79.5 72.1
Suburban 69.4 67.8 70.2 65.4 75.2 74.1
Urban 71.1 66.5 75.8 71.4 76.3 67.1
Less than High School* 60.5 56.2 58.7 61.6 65.4 80.3
High School Grad* 65.7 65.0 69.9 63.6 67.3 74.2
Some College* 67.2 64.2 69.4 71.2 73.1 72.8
College Grad* 70.6 69.7 72.0 71.5 73.3 72.5
Less Than $25,000* 63.2 63.5 68.2 63.1 66.2 74.7
$25-$49,999* 65.6 61.6 68.7 67.0 71.7 74.4
$50-$74,999* 67.4 69.5 63.6 69.2 75.3 70.2
$75,000 or More* 71.9 67.9 75.3 75.6 73.1 72.1
WELL-WOMAN VISITPercentage of women aged 18 to 44 with a preventive medical visit in the past year
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
*Aged 25+
33
Reproductive Health Preventive Services:
Dedicated Health Care Provider (Women)
Women in Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2015-2016
At-Risk Populations
in Kentucky
• Black, Hispanic and multiracial
women
• Aged 18-24
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., the
percentage of women with a
dedicated health care provider is
higher in Kentucky overall and
among Hispanic women, women
aged 25-44, and among all levels of
education and income.
• Dedicated healthcare provider is
lower among black women in
Kentucky and Ohio, compared with
the U.S., Indiana, Tennessee, and
Virginia.
• Compared with neighboring states,
dedicated health care provider is
lower among rural adults and higher
among less than high school and
income less than $25,000.
US IN OH TN VA KY
Overall 73.7 80.1 78.2 74.4 72.6 77.1
Black 75.7 77.8 70.5 75.3 77.5 71.6
Hispanic 60.3 69.6 61.7 56.3 56.7 68.9
White 78.7 82.6 81.2 77.0 75.0 78.6
Multiracial 75.2 70.9 68.4 69.3
Aged 18-24 67.3 77.0 70.0 68.7 62.3 65.2
Aged 25-34 71.5 74.7 76.1 71.3 70.3 76.0
Aged 35-44 80.9 88.3 86.7 81.8 82.6 86.8
Rural 80.8 86.9 88.7 88.3 83.9 81.8
Suburban 82.1 86.4 88.5 73.7 78.8 79.5
Urban 81.8 88.8 80.7 80.3 85.8 79.0
Less than High School* 58.1 67.7 76.3 62.9 53.8 81.2
High School Grad* 73.0 79.9 78.7 70.9 69.8 78.9
Some College* 78.9 83.3 82.7 81.3 77.5 81.9
College Grad* 82.5 86.0 82.9 81.7 83.8 83.1
Less Than $25,000* 66.0 75.9 74.6 68.1 62.4 79.7
$25-$49,999* 75.1 81.1 80.3 77.9 72.4 78.0
$50-$74,999* 81.6 85.0 81.6 84.6 82.7 87.2
$75,000 or More* 86.3 88.8 89.5 83.4 84.9 84.6
Dedicated Health Care Provider (Women)Percentage of women aged 18 to 44 who reported having one or more people they think of as their personal doctor or health care provider
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
*Aged 25+
34
CANCERMortality, Risk Factors and Preventive Services
35
Cancer Mortality
Deaths in Kentucky and Peer States
At-Risk Populations
in Kentucky
• Males
• White
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., cancer
deaths are a challenge overall and
among all subpopulations expect
Hispanics and Asian/Pacific
Islanders.
• Compared neighboring states,
cancer deaths are higher overall and
in all subpopulations except black
and Hispanic.
US IN OH TN VA KY
Overall 189.8 210.5 210.3 217.7 190.7 234.9
Female 161.9 176.6 179.3 179.5 162.4 195.9
Male 227.8 257.0 253.2 269.2 229.9 288.0
Black 222.9 237.8 237.6 248.1 220.5 232.2
Hispanic 131.7 110.0 108.5 99.6 93.7 88.6
White 195.9 212.9 210.5 216.7 192.8 237.9
Asian/Pacific Islander 117.6 98.3 104.7 106.7 103.5 112.0
American Indian/Alaska Native 163.7 65.9 71.5 55.8 86.8
CANCER DEATHSAge-adjusted number of deaths due to all causes of cancer per 100,000 population
Source: CDC, National Vital Statistics System, 2014-2016 – This is newer than what appears on the website, will appear in 2018 Annual Report
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
36
Cancer Mortality: 2009-2018
In Kentucky and Peer States
Comparing Kentucky to the
U.S. and Neighboring States
• In the past 10 years, cancer deaths
have increased an average 1.0 deaths
per 100,000/ year, while cancer deaths
in the U.S. have declined (-0.17 deaths
per 100,000/year).
• Compared with neighboring states,
Kentucky has the highest cancer
mortality rate at 234.9 deaths per
100,000; neighboring states range from
190.7 deaths per 100,000 in Virginia to
217.7 deaths per 100,000 in Tennessee.
• Virginia was the only neighboring
state to have a decrease in cancer
deaths over the past 10 years,
decreasing at a rate of -0.78 deaths
per 100,000 per year).
• Cancer deaths in Kentucky are
increasing at a faster rate than
Indiana (0.30 deaths per 100,000/year),
Ohio (0.01 deaths per 100,000/year)
and Tennessee (0.33 deaths per
100,000 per year)
Source: CDC, National Vital Statistics System, 2014-2016 – This is newer than what appears on the website, will appear in 2018 Annual Report
U.S. Kentucky Indiana Ohio Tennessee Virginia
180
190
200
210
220
230
240
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Edition Year (two-year lag)
CANCER MORTALITYAge-adjusted number of deaths due to all causes of cancer per 100,000 population
37
At-Risk Populations
in Kentucky
• Males
• Hispanics and multiracial adults
• Aged 18-44
• College graduates
• Income greater than $50,000
Comparing Kentucky to the
U.S. and Neighboring States
• Excessive drinking overall is lower than
the U.S. and all neighboring states
except Tennessee.
• Excessive drinking is lower among
females, blacks, high school graduates
and the lowest income group than the
U.S. and any of its neighboring states.
• Compared with neighboring states and
the U.S., excessive drinking is higher
among Hispanics and college
graduates.
Cancer Risk Factors: Excessive Drinking
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Overall 18.5 18.6 19.1 14.4 17.4 15.8
Female 13.9 13.3 14.1 11.4 13.6 10.6
Male 23.2 24.1 24.5 17.6 21.3 21.3
Black 15.0 18.5 14.7 14.0 13.8 12.8
Hispanic 18.6 19.7 21.2 18.4 15.6 21.5
White 19.7 18.9 19.6 14.7 18.9 15.9
Multiracial 19.8 17.7 21.4 21.7 20.8
Aged 18-44 25.2 26.2 28.0 21.9 24.2 23.4
Aged 45-64 15.9 16.0 15.7 11.0 14.3 12.8
Aged 65+ 7.1 5.5 6.0 4.4 5.9 4.5
Rural 11.4 12.1 10.7 7.2 10.2 7.3
Suburban 12.8 13.1 12.2 8.3 11.2 11.6
Urban 12.2 12.6 11.5 7.8 12.7 9.2
Less than High School* 14.1 14.6 16.7 5.9 9.4 6.1
High School Grad* 17.2 15.9 16.9 12.6 14.9 12.2
Some College* 17.9 19.4 17.9 12.8 17.1 16.2
College Grad* 18.4 17.4 18.3 17.3 17.9 20.4
Less Than $25,000* 13.7 12.8 15.6 9.4 11.0 9.3
$25-$49,999* 16.9 17.6 15.8 12.6 16.2 13.9
$50-$74,999* 19.5 20.8 20.0 13.8 19.2 18.9
$75,000 or More* 22.2 21.6 22.3 20.5 19.9 21.1
EXCESSIVE DRINKINGPercentage of adults who reported either binge drinking (having four or more (women) or five or more (men) drinks
on one occasion in the past 30 days) or chronic drinking (having eight or more (women) or 15 or more (men) drinks per week)
*Aged 25+
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
38
At-Risk Populations
in Kentucky
• Females
• Blacks
• Aged 45-64
• Rural and urban
• Less than a college education
• Income less than $50,000
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., obesity is a
challenge among all subpopulations
except American Indian/Alaskan
Natives and Hispanics.
• Obesity prevalence is higher among
females, whites, adults aged 65+, all
urbanicities, and among those with less
than high school and college graduates
than any of its neighboring states.
Cancer Risk Factors: Obesity
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Overall 29.9 32.5 31.5 34.8 29.0 34.2
Female 29.5 32.6 32.1 33.4 29.5 35.2
Male 29.6 32.3 30.9 36.2 28.5 33.1
American Indian/Alaskan Native 38.1 30.6 60.4 47.7 25.5
Black 38.3 42.1 35.8 46.6 40.0 40.1
Hispanic 33.1 26.8 37.9 39.1 28.0 30.2
White 28.6 32.1 30.8 32.5 27.5 34.2
Multiracial 31.0 48.3 42.8 42.6 36.2 31.9
Aged 18-44 26.5 28.8 27.8 33.9 25.0 32.4
Aged 45-64 34.6 38.4 37.3 40.0 35.1 38.4
Aged 65+ 28.0 30.6 29.7 28.6 27.8 31.0
Rural 34.2 36.4 37.2 35.3 35.5 37.7
Suburban 30.1 34.4 32.6 34.2 28.7 34.7
Urban 29.8 33.9 33.6 36.9 30.3 38.3
Less than High School* 37.0 36.9 37.1 34.7 35.1 38.1
High School Grad* 35.0 36.8 36.4 38.3 35.0 38.2
Some College* 33.9 36.9 35.5 41.5 35.1 37.3
College Grad* 22.8 28.4 26.0 29.6 22.3 30.0
Less Than $25,000* 36.6 38.7 38.6 38.1 37.9 39.7
$25-$49,999* 33.6 36.1 34.2 40.7 34.0 40.8
$50-$74,999* 32.7 36.3 36.2 36.2 31.4 34.2
$75,000 or More* 26.7 30.8 28.3 33.6 25.5 31.5
OBESITYPercentage of adults with a body mass index of 30.0 or higher based on reported height and weight
*Aged 25+
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
39
At-Risk Populations
in Kentucky
• Females
• American Indian/Alaska Natives and
multiracial adults
• Aged 45+
• Rural and urban
• Less than a high school or high school
education
• Income less than $50,000
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., physical
inactivity is a challenge among all
subpopulations except blacks and
Hispanics.
• Compared with neighboring states and
the U.S., physical inactivity is lower
among black and Hispanics.
• Physical inactivity is lower among
suburban adults than in Indiana and
Tennessee.
Cancer Risk Factors: Physical Inactivity
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Overall 23.1 26.8 25.9 28.4 23.3 29.8
Female 26.4 28.5 28.6 32.6 25.2 31.7
Male 21.9 25.0 23.1 23.9 21.4 27.8
American Indian/Alaskan Native 26.5 20.3 24.5 29.7 35.6
Black 29.5 27.5 33.0 32.0 27.8 25.3
Hispanic 30.1 32.9 25.9 33.4 41.6 24.0
White 22.1 26.3 25.1 27.2 20.7 30.3
Multiracial 21.6 24.3 20.6 31.0 20.1 35.8
Aged 18-44 19.1 20.2 18.8 19.8 19.1 21.0
Aged 45-64 26.6 30.2 27.9 33.7 25.3 34.9
Aged 65+ 32.2 36.3 37.3 38.5 30.4 40.5
Rural 31.4 33.5 34.8 36.2 32.0 38.4
Suburban 26.3 29.6 27.3 34.7 27.6 27.6
Urban 26.8 30.2 29.6 31.3 21.9 32.5
Less than High School* 44.0 44.4 49.6 52.9 49.3 50.7
High School Grad* 32.4 36.9 34.9 35.2 30.8 37.3
Some College* 23.1 24.3 23.8 26.2 22.8 27.1
College Grad* 12.5 13.1 12.2 13.5 11.5 13.6
Less Than $25,000* 39.5 42.4 42.1 40.7 43.7 44.7
$25-$49,999* 28.4 31.3 29.7 35.6 26.9 32.3
$50-$74,999* 20.0 21.7 20.7 21.3 21.1 24.0
$75,000 or More* 12.9 14.2 13.1 13.0 12.0 16.4
PHYSICAL INACTIVITYPercentage of adults who reported doing no physical activity or exercise other than their regular job in the past 30 days
*Aged 25+
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
40
Cancer Risk Factors: Smoking
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Overall 17.1 21.1 22.5 22.1 15.3 24.5
Female 14.3 18.8 20.5 20.4 13.7 24.0
Male 18.6 23.6 24.7 23.9 17.0 25.0
American Indian/Alaskan Native 26.5 36.1 26.8 34.3 23.3 48.7
Black 18.4 23.0 23.5 21.0 15.8 26.5
Hispanic 12.4 17.8 22.3 21.0 11.8
White 17.4 21.0 22.4 22.2 16.4 24.3
Multiracial 24.7 31.9 37.0 45.8 24.9 45.4
Aged 18-44 18.1 22.7 26.4 23.0 16.5 28.7
Aged 45-64 18.6 24.7 24.9 26.3 17.3 26.2
Aged 65+ 8.7 11.6 10.6 13.2 8.6 12.4
Rural 18.0 18.5 19.1 21.7 18.7 25.4
Suburban 13.1 15.9 16.7 20.8 10.8 18.5
Urban 12.7 18.7 19.0 15.6 10.7 23.2
Less than High School* 26.2 39.3 44.4 40.2 27.0 40.3
High School Grad* 22.4 28.0 29.6 26.7 22.3 30.1
Some College* 17.6 19.2 22.1 20.6 18.1 23.7
College Grad* 6.6 7.3 7.3 7.6 6.5 9.2
Less Than $25,000* 26.5 35.0 39.3 34.7 27.7 40.8
$25-$49,999* 19.2 26.1 26.1 23.4 19.7 25.6
$50-$74,999* 15.1 16.6 19.0 19.4 16.8 18.7
$75,000 or More* 9.4 10.9 11.0 10.8 8.3 13.7
SMOKINGPercentage of adults who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke every or some days
At-Risk Populations
in Kentucky
• American Indian/Alaskan Natives
and multiracial adults
• Aged 18-44
• Less than a high school and high school
education
• Income less than $25,000
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., smoking is a
challenge among all subpopulations.
• Compared with neighboring states and
the U.S., smoking prevalence
is higher among females, males, blacks
whites, multiracial adults, those aged
18-44, rural, urban, all education groups
except less than high school, and the
lowest and highest income groups.
*Aged 25+
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
41
Cancer Risk Factors: Smoking and Tobacco
In Kentucky and Peer States
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., household
smoke, smoking, and youth tobacco use
are all higher in Kentucky.
• With the exception of Virginia, all
neighboring states rank in the bottom 10
(unhealthiest) states for household
smoke and smoking.
• All neighboring states have a healthier
rank for youth tobacco use.
• Virginia has healthier ranks in all 3
smoking measures.
Sources: CDC, Behavioral Risk Factor Surveillance System, 2016; Child and
Adolescent Health Measurement Initiative (CAHMI), Data Resource Center for
Child and Adolescent Health, National Survey of Children’s Health, 2016;
SAMHSA, National Survey on Drug Use and Health, 2015-2016
US IN OH TN VA KY
Household Smoke
(% of children aged 0-17)16.2 22.2 21.6 24.8 16 24.6
Smoking
(% of adults)17.1 21.1 22.5 22.1 15.3 24.5
Tobacco Use – Youth
(% of children aged 12-17)5.7 7.7 6.9 7.5 5.6 9.6
SMOKING AND TOBACCOShaded by quintile of measure rank
Top 10 11 to 20 21 to 30 31 to 40 Bottom 10
42
Cancer Preventive Services
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Cervical Cancer Screening
(% of women aged 21-44)80.0 77.5 82.6 83.4 80.1 81.7
Health Screening – Colorectal
Cancer and Breast Cancer
(% of seniors with
recommended screenings)73.0 67.1 69.8 70.3 73.9 73.0
Immunizations HPV – Females
(% of females aged 13-17)49.5 43.5 42.5 36.9 41.1 39.7
Immunizations HPV – Males
(% of males aged 13-17)37.5 24.7 41.1 35.2 37.4 28.5
Top 10 11 to 20 21 to 30 31 to 40 Bottom 10
PREVENTIVE SERVICESShaded by quintile of measure rank
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., cervical
cancer screening is higher, however,
HPV immunization is a challenge.
• Compared with neighboring states,
cervical cancer screening is higher
than Indiana and Virginia.
• Compared with neighboring states,
health screenings are higher than in
Indiana, Ohio, and Tennessee.
• Tennessee and Virginia are also in
the bottom (unhealthiest) quartile of
states for HPV immunization among
females.
• Neighboring states Ohio, Tennessee,
and Virginia rank higher for HPV
immunization among males.
43
At-Risk Populations
in Kentucky
• Females
• Rural
• Less than high school
• Income less than $25,000
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., health
screenings are higher among seniors
with less than high school, some
college, and among seniors with
incomes of $25-$49,999 and $75,000 or
more.
• Health screenings among seniors with
less than a high school or high school
education are higher than in
neighboring states.
Cancer Preventive Services: Senior Health Screenings
(Colorectal Cancer and Breast Cancer)
In Kentucky and Peer States
Source: CDC, Behavioral Risk Factor Surveillance System, 2016
US IN OH TN VA KY
Overall 73.0 67.1 69.8 70.3 73.9 73.0
Female 68.0 61.5 66.0 67.2 69.4 66.0
Male 78.4 73.3 74.0 73.7 78.8 80.7
Black 74.1 50.0 65.8 76.0 76.8 75.4
White 74.3 68.7 70.6 69.3 74.1 73.8
Rural 66.4 64.1 66.6 58.3 65.9 65.3
Suburban 74.3 66.0 70.4 68.4 75.5 74.5
Urban 75.3 71.1 72.1 79.7 80.0 79.8
Less than High School* 58.4 50.9 59.0 60.4 60.8 63.0
High School Grad* 69.9 65.0 66.6 67.8 67.4 70.9
Some College* 74.6 68.0 70.6 73.7 79.3 77.5
College Grad* 80.7 76.6 81.7 78.8 80.5 80.8
Less Than $25,000* 61.1 57.2 62.3 62.1 64.1 62.8
$25-$49,999* 71.5 68.1 69.6 71.2 75.2 74.0
$50-$74,999* 79.9 76.4 81.1 78.0 78.8 81.4
$75,000 or More* 84.1 76.6 78.5 79.4 85.1 86.5
SENIOR HEALTH SCREENINGSPercentage of women aged 65 to 74 who reported receiving a mammogram in the past two years and the
percentage of adults aged 65 to 75 who reported receiving colorectal cancer screening within the recommended time period
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY
*Aged 25+
44
At-Risk Populations
in Kentucky
• Females below poverty
• White males
Comparing Kentucky to the
U.S. and Neighboring States
• Compared with the U.S., HPV
immunization is lower among all
subpopulation groups.
• Compared with neighboring states, HPV
immunization is higher among females
than in Tennessee and higher than
males in Indiana.
• Compared with neighboring states,
HPV immunization among females is
lower overall than in Indiana and Ohio,
and lower among white females than in
Indiana and Virginia.
• Compared with neighboring states, HPV
immunization among males is higher
than in Ohio, Tennessee and Virginia.
Cancer Preventive Services: HPV Immunization (Females and Males)
In Kentucky and Peer States
Source: CDC, National Immunization Survey, 2016
US IN OH TN VA KY
Overall 49.5 43.5 42.5 36.9 41.1 39.7
White 45.7 42.1 37.5 30.4 45.1 38.0
Above Poverty 47.9 43.7 41.3 30.0 35.9 42.0
Below Poverty 58.1 53.6 33.9
IMMUNIZATION HPV (FEMALES)Percentage of women aged 13 to 17 who are up to date on all the recommended doses of human papillomavirus (HPV) vaccine
US IN OH TN VA KY
Overall 37.5 24.7 41.1 35.2 37.4 28.5
White 34.0 21.0 35.6 31.7 38.9 27.0
Above Poverty 35.8 25.5 38.1 32.0 38.0 29.0
Below Poverty 42.5 49.8
IMMUNIZATION HPV (MALES)Percentage of males aged 13 to 17 who are up to date on all the recommended doses of human papillomavirus (HPV) vaccine
5%+ LessThan KY
2-5% LessThan KY
Within 2%of KY
2-5% MoreThan KY
5%+ MoreThan KY