U N I T E D H E A LT H F O U N D AT I O N | A M E R I C A' S H E A LT H R A N K I N G S (R) 2 0 11 OHIO Ranking: Ohio is 36th this year; it was 33rd in 2010. Highlights: o In the past year, smoking increased from 20.3 percent to 22.5 percent of the adult population, with nearly 2.0 million adults who still smoke. o In the past year, the percentage of children in poverty increased from 18.7 percent to 22.9 percent of persons under age 18. o In the past five years, the rate of uninsured population increased from 11.0 percent to 13.7 percent. o In the past five years, diabetes increased from 7.7 percent to 10.1 percent of adults. There are now 889,000 adults with diabetes in Ohio. o In the past ten years, obesity increased from 21.5 percent to 29.7 percent of adults, with more than 2.6 million adults in the state who are now obese. Health Disparities: In Ohio, obesity is more prevalent among non-Hispanic blacks at 40.8 percent than non-Hispanic whites at 28.7 percent and Hispanics at 32.5 percent. Diabetes also varies by race and ethnicity in the state; 15.3 percent of non-Hispanic blacks have diabetes compared to 12.6 percent of Hispanics and 9.4 percent of non-Hispanic whites. State Health Department Web Site: www.odh.ohio.gov OV E R ALL R ANK Overall Rank: 36 0 10 20 30 40 50 1990 1995 2000 2005 2011 Change: 3 Determinants Rank: 36 Outcomes Rank: 37 Strengths: o High immunization coverage o Low occupational fatalities rate o Moderate rate of high school graduation Challenges: o High prevalence of smoking o High levels of air pollution o Low per capita public health funding ECONOMIC ENVIRONMENT OH U.S. 2011 VALUE DETERMINANTS BEHAVIORS RANK Unemployment Rate (Aug 2011) 9.1% 16.9% Underemployment Rate (2010) Median Household Income (2010) $46,093 MEASURE 8.3% 16.7% $49,445 NO. 1 STATE ADULT POPULATION AFFECTED 2001 2011 10-YR CHANGE Smoking (Percent of adult population) Binge Drinking (Percent of adult population) Obesity (Percent of adult population) High School Graduation (Percent of incoming ninth graders) COMMUNITY & ENVIRONMENT 22.5 16.7 29.7 79.0 315 3.2 11.9 22.9 12.5 13.7 $45 91.9 70.6 121.2 78.1 -0.19 10.1 3.9 3.8 9.5 7.7 291.8 208.7 7,831 -0.04 -0.23 45 34 35 19 25 8 40 33 48 23 47 16 29 19 41 36 39 41 36 14 39 39 43 32 37 36 9.1 6.7 21.4 89.6 122 2.5 2.3 6.2 5.2 5.0 $244 96.0 -- 191.9 25.6 0.90 5.3 2.3 2.6 4.8 4.7 197.2 137.4 5481 0.32 1.20 Smoking Obesity Diabetes PERCENT OF POPULATION 2,218,000 1,820,000 542,000 1,981,000 2,615,000 889,000 -237,000 795,000 347,000 SMOKING 30 20 10 0 1990 1995 2000 2005 2011 Violent Crime (Offenses per 100,000 population) Occupational Fatalities (Deaths per 100,000 workers) Infectious Disease (Cases per 100,000 population) Children in Poverty (Percent of persons under age 18) Air Pollution (Micrograms of fine particles per cubic meter) PUBLIC & HEALTH POLICIES Lack of Health Insurance (Percent without health insurance) Public Health Funding (Dollars per person) Immunization Coverage (Percent of children ages 19 to 35 months) CLINICAL CARE OBESITY PERCENT OF POPULATION 30 20 10 0 1990 1995 NATION Early Prenatal Care (Percent with visit during first trimester) Primary Care Physicians (per 100,000 population) Preventable Hospitalizations (Number per 1,000 Medicare enrollees) ALL DETERMINANTS OUTCOMES 2000 2005 2011 STATE Diabetes (Percent of adult population) Poor Mental Health Days (Days in previous 30 days) Poor Physical Health Days (Days in previous 30 days) Geographic Disparity (Relative standard deviation) Infant Mortality (Deaths per 1,000 live births) Cardiovascular Deaths (Deaths per 100,000 population) Cancer Deaths (Deaths per 100,000 population) Premature Death (Years lost per 100,000 population) ALL OUTCOMES OVERALL For a more detailed look at this data, visit www.americashealthrankings.org/OH -- indicates data not available. * See measure description for full details. OHIO