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The most – and least – healthy states in America

Hawaii, Massachusetts, Connecticut, Vermont and Utah are the five healthiest states this year, while the five least healthy are Arkansas, Oklahoma, Alabama, Mississippi and, later, Louisiana, according to the annual report of America Health Rankings, released last week.The report has been carried out annually for the past 29 years. "The report provides a benchmark for how the health of each state's population has changed year by year compared to other states and insights on challenges and successes. The states in the top five in the list have areas where they can improve. In the bottom five, areas have worked well, "she said." So, every state has some areas where they are challenged, and some areas where they have some really strong actions about their health. " Last year, the five healthy states were the same but in different order: Massachusetts, Hawaii, Vermont, Utah and Connecticut. The least healthy last year was West Virginia, Alabama, Arkansas, Louisiana and Mississippi. Previously, Hawaii had a five-year reign as the healthiest state. Fetma has become an all-time high " In order to create the ranking, the report considers 35 health factors and investigates The 35 actions fall into categories: "The behaviors we choose in spring lifestyle, society and the environment in which we live, the public policy at state level and the clinical care we receive when we go to the doctor and hospitals ultimately affect the results of our health, "says Randall. "A scientific advisory committee looks at each of these measures and…

Hawaii, Massachusetts, Connecticut, Vermont and Utah are the five healthiest states this year, while the five least healthy are Arkansas, Oklahoma, Alabama, Mississippi and, later, Louisiana, according to the annual report of America Health Rankings, released last week.

The report has been carried out annually for the past 29 years.

“The report provides a benchmark for how the health of each state’s population has changed year by year compared to other states and insights on challenges and successes. The states in the top five in the list have areas where they can improve. In the bottom five, areas have worked well, “she said.” So, every state has some areas where they are challenged, and some areas where they have some really strong actions about their health. “

Last year, the five healthy states were the same but in different order: Massachusetts, Hawaii, Vermont, Utah and Connecticut. The least healthy last year was West Virginia, Alabama, Arkansas, Louisiana and Mississippi. Previously, Hawaii had a five-year reign as the healthiest state.

Fetma has become an all-time high “

In order to create the ranking, the report considers 35 health factors and investigates

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The 35 actions fall into categories: “The behaviors we choose in spring lifestyle, society and the environment in which we live, the public policy at state level and the clinical care we receive when we go to the doctor and hospitals ultimately affect the results of our health, “says Randall.

“A scientific advisory committee looks at each of these measures and determines on the basis of scientific evidence the impact of such an action on the overall health of a population,” she said. “Then the states get a ranking for each individual action, and then they get an overall ranking.”

The data in the report also provided a snapshot of the nation’s overall health, which Randall stated both and encouraging trends.

“From the point that touched us most, obesity has become very high. America’s obesity for the adult population, for the first time in history to produce this report, is up 5% last year. It struck 31, 3% for 2018, says Randall.

In other words, almost one in three American adults are obese.

Obesity rates also appeared to be high in many of the states ranked as least healthy. The presence of obesity in West Virginia is for example 38.1%, almost twice the prevalence in Colorado, where it is 22.6% according to the report.

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“Another thing that concerns us as we found in this report was that premature death increased 3% over the past year. That means years of life lost people before reaching 75, says Randall.

“It often relates to a number of factors – things like our lifestyle choices, living with more chronic diseases,” she said. “We also know that the suicide rate has also increased, and it would contribute to the increase of premature deaths along with other causes.”

The report measured the suicide rate as the number of deaths due to intentional self-injury per 100,000 deaths recorded on death certificates, and data showed that US suicide rate has increased 16% since 2012.

The report was not all stupid and stupid; It also had some positive results.

“Childhood poverty has diminished,” Randall said.

“It is a key indicator of someone’s socioeconomic status and a good prediction for how their overall health will be for the rest of life. The childhood measure decreased by 6% since the year before,” she said.

“We also see that there are more psychiatric providers available than in previous years,” she said. “This measure looks at mental health care professionals of all grades, so it looks at psychiatrists, psychologists, psychologists, marriage and family therapists as an example, and so the number has increased nationally.”

What is behind state-by-state differences

Some of the state differences in ranking can be explained by social determinants of health, says Dr. Georges Benjamin, Executive Director of the American Public Health Association, who was not involved in

The US Centers for Disease Control and Prevention measures define social determinants like the complex social structures and the economic systems that can drive most health in health, for example access to care or education.

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“If you think about the causes that cause premature death – heart disease, perinatal deaths, tobacco-related diseases – in many ways they are tense of social determinants, “said Benjamin.

For example,” Mississippi, Alabama, Louisiana continues to be in the bottom, and that continues to the Arkansas and Tennessee region. Looking at some of the challenges they face, it is still about tobacco use and poverty and, in part, physical inactivity, he says. “These are the things we know that results in fundamentally bad health outcomes. What we would like to see is that all states are improving.”

Hope for Better Health in the New Year

As the nation looks forward to 2019, Randall says, she has some hopes for public health.

“What I hope we will see next year is that some of these trends are starting to go in a better direction. The United States has come down consistently over 29 years in this report.” It encourages me, “said Randall.

“If we focus our attention on other lifestyle choices – like physical inactivity, like obesity – and find out as individuals who motivate us, what are the small changes we can make that we will hold on to,” she says.

“Anyway – if it carries something that tracks your activity and it encourages you to just add some more walks in your daily life, whether it’s a bu ddy who you should go up and take the dog for a walk along with – whatever it will be that will motivate you, there will be something that can help you hold on to it. “

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