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Long-Term Trends

Health Outcomes​
  • Drug Deaths increased 170% from 12.0 to 32.4 deaths per 100,000 population between 2007 and 2022.​
  • Frequent Mental Distress* increased 32% from 11.7% to 15.4% of adults between 2011 and 2023.​
  • Depression* increased 26% from 17.5% to 22.0% of adults between 2011 and 2023.
  • Suicide increased 23% from 12.0 to 14.8 deaths per 100,000 population between 2009 and 2022.​
  • Obesity* increased 23% from 27.8% to 34.3% of adults between 2011 and 2023.​
  • Diabetes* increased 21% from 9.5% to 11.5% of adults between 2011 and 2023.
  • Low Birth Weight increased 21% from 7.1% to 8.6% of live births between 1991 and 2022.​
  • Excessive Drinking* decreased 16% from 19.8% to 16.7% of adults between 2011 and 2023.​
  • High Health Status* decreased 8% from 52.2% to 47.8% of adults between 2011 and 2023.​
  • Premature Death increased 1% from 8,398 to 8,522 years lost before age 75 per 100,000 population between 1991 and 2022.
Behaviors
  • Teen Births decreased 66% from 40.2 to 13.6 births per 1,000 females ages 15-19 between 2008 and 2022.​
  • Smoking* decreased 43% from 21.2% to 12.1% of adults between 2011 and 2023.
Social and Economic Factors​
  • Unemployment decreased 49% from 8.4% to 4.3% of the civilian workforce between 2013 and 2023. ​
  • Occupational Fatalities decreased 45% from 7.6 to 4.2 deaths per 100,000 workers between 1989-1991 and 2020-2022.​
  • Homicide decreased 25% from 10.1 to 7.6 deaths due to injuries inflicted by another person with intent to injure or kill per 100,000 population between 1990-1991 and 2021-2022.
  • High-Speed Internet increased 16% from 80.8% to 93.8% of households between 2015 and 2023.​
  • Poverty decreased 14% from 14.7% to 12.7% of households between 2013 and 2023.​
  • High School Graduation increased 8% from 80.0% to 86.6% of high school students between 2011-2012 and 2021-2022​.
Physical Environment​
  • Air Pollution decreased 35% from 13.2 to 8.6 micrograms of fine particles per cubic meter between 2000-2002 and 2021-2023.​
  • Severe Housing Problems decreased 11% from 18.8% to 16.8% of occupied housing units between 2007-2011 and 2017-2021.​
Clinical Care​
  • Uninsured decreased 49% from 15.5% to 7.9% of the population between 2010 and 2023.​
  • Flu Vaccination* increased 14% from 37.5% to 42.9% of adults between 2012 and 2023.​
*No data were available for Kentucky or Pennsylvania in 2023.