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State Preventive Care Rankings for Midlife Adults

Interactive Tools to Examine National and State-Level Racial/Ethnic, Socioeconomic, and Health Insurance Coverage Status Disparities

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.

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.

In 2011, there were more than 60 million adults between the ages of 50 and 64 in the United States, about 20 percent of the population. The prevalence of chronic conditions in the United States is rising rapidly with the aging of the population. Chronic conditions are expensive to manage, currently accounting for 83 percent of total U.S. health spending. For midlife adults, maintaining a healthy lifestyle along with having routine recommended screenings and immunizations is critical to healthy aging.

Hundreds of thousands of lives would be saved each year if people quit using tobacco, lost weight, exercised routinely, and consumed a healthy diet. It has been estimated that 25,000 to 40,000 deaths per year among Americans under the age of 65 could be prevented through optimal use of nine recommended clinical preventive services. Yet, Americans aged 50 to 64 underuse preventive services and face considerable health challenges. Analysis for this report reveals that fewer than 1 in 3 midlife adults were up-to-date with select recommended preventive services, 44 percent reported having high blood pressure ever, and 33 percent were obese.

Underuse of preventive services is an even greater problem for uninsured Americans, racial/ethnic minorities and those of low socioeconomic status. These vulnerable groups are also more likely to experience risk factors for poor health.

You can use this Website to examine the use of four disease screenings, two immunizations, and two composite measures indicating individuals were up-to-date with select clinical preventive services, as well as the prevalence of five risk factors for poor health. Together, these metrics provide an indication of the use of effective disease prevention services among adults aged 50 to 64 and the significant challenges to health that many in this age group face.

The analysis is based on 2-year averages of the Behavioral Risk Factor Surveillance System (BRFSS) data available for 2009 and later. N/A indicates that data were suppressed because there were fewer than 50 observations in the denominator. Colorectal cancer screening, influenza vaccination, pneumococcal vaccination, men up-to-date with select clinical preventive services, no leisure-time physical activity, smoking, binge drinking, and obesity averages are based on the 2010 and 2011 BRFSS combined. Mammogram, Pap test, and women up-to-date with select clinical preventive services averages are based on the 2009 and 2010 BRFSS combined. Cholesterol screening and high blood pressure averages are based on the 2009 and 2011 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.

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