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State Preventive Care Rankings for Midlife Adults

Interactive Tools To Examine Disparities in Use of Preventive Services and Prevalence of Risk Factors; Rank States; and Compare State Performance to Target Rates

The interactive tools on this page allow you to examine use of preventive services and prevalence of risk factors among midlife adults.

Midlife adults who receive recommended preventive services and engage in healthy behaviors are more likely to remain healthy and function independently in old age. Yet the majority of midlife adults are not up-to-date with a core set of clinical preventive services and many experience risk factors for poor health, such as high blood pressure.

The analysis is based on 2-year averages of the Behavioral Risk Factor Surveillance System (BRFSS) data available for 2011 and later. * indicates that data were suppressed because there were fewer than 50 observations in the denominator. Mammogram, pap test, colorectal cancer screening, influenza vaccination, pneumococcal vaccination, men up-to-date with select clinical preventive services, women up-to-date with select clinical preventive services, no leisure-time physical activity, smoking, binge drinking, and obesity averages are based on the 2012 and 2013 BRFSS combined. Cholesterol screening and high blood pressure averages are based on the 2011 and 2013 BRFSS combined.

Colorectal cancer screening: Percentage of adults who had either a home blood stool test within the past year or a colonoscopy or sigmoidoscopy within the past 10 years. Respondents were counted if they had a missing value for one of the questions as long as they reported having the other test.

Women up-to-date with select preventive services: Percentage of women who have had an influenza vaccination within the past year, a mammogram within the past 2 years, a Pap test within the past 3 years (excluding women who had a hysterectomy), and colorectal cancer screening as described above. Women who have had a hysterectomy were counted as up-to-date if they had all of the aforementioned tests except for a Pap test.

Men up-to-date with select preventive services: Percentage of men who have had an influenza vaccination within the past year and colorectal cancer screening as described above.

Disparities were measured in terms of percentage difference, which expresses the simple difference from the reference point as a percentage of the reference point. Percentage difference measures were based on using best group (the groups with the highest rate of use for a preventive service or lowest prevalence of a risk factor) rates as the reference points.

Other refers to a race or ethnicity other than African American, Asian, Hispanic, or white.

Explore the data:

• Analyze the indicators across racial/ethnic groups, income levels, educational attainment, and health insurance coverage status.
• Compare indicators and determine where the 50 states and D.C. rank relative to each other.
• Determine whether the 50 states and D.C. have met relevant Healthy People 2020 targets i.
• Roll over the i, map and indicators to learn more.
• Click on a state in the map to view its performance for all indicators.


You can use the interactive tools to:

• Determine your state’s performance relative to other states, national averages, and national target rates (Healthy People 2020)
• Identify disparities, common risk factors, and underused preventive services in your state
• Support prevention and health promotion activities

The companion research paper highlights the health challenges that many midlife adults face and the underutilization of potentially life-saving preventive services, and provides a comprehensive picture of critical disparities.


Use of Clinical Preventive Services and Prevalence of Health Risk Factors Among Adults 50–64

Interactive tools developed by Forum One Communications