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November 05, 2007 12:00 AM

U.S. health edges down a bit, annual report says

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    Despite progress in some areas, the overall health of the U.S. has declined by 0.3% since last year, according to a new report on the nation’s health rankings. The 18th annual study from the United Health Foundation, the American Public Health Association and Partnership for Prevention—a group of businesses, government agencies and not-for-profit organizations—measured the overall healthiness of individual states and the country. While the report showed reduced rates of cancer and cardiovascular mortality, it said that increasing rates of obesity, uninsured, children in poverty and “risky health behaviors” such as tobacco use and violent crime have offset those modest gains.

    “Even though specific mortality rates have improved, this report shows there are still many people who, through unhealthy personal behaviors, adverse community environments and difficult access to care, are vulnerable to a future life of poor health—which is essentially preventable,” Reed Tuckson, a physician and board member at the United Health Foundation, said in a news release. “The consequence of this reality manifests itself in a poor quality of life, people living with chronic disease, compromised productivity and significant escalation in the costs associated with managing chronic illness.”

    The report used 20 measures of two types: health determinants and health outcomes. Determinants are those items that can affect the future health of the population, while outcomes are those that measure what has already occurred, either through death or missed days due to illness, the report said.

    Vermont surpassed Minnesota as the healthiest state in 2007, while Hawaii, New Hampshire and Connecticut rounded out the rest of the top five highest-ranked states. The lowest-ranking, or least healthy states, were Mississippi (50), Louisiana (49), Arkansas (48), Oklahoma (47) and Tennessee (46).

    The study said there has been an 18.4% improvement in the nation’s overall health since the first report in 1990, but that the country’s health has remained stagnant over the past six years. -- by Jessica Zigmond

    What do you think? Post a comment on this article and share your opinion with other readers. Submit your letter to Modern Physician Online at [email protected]. Please be sure to include your hometown and state, along with your organization and title.

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        • - Hospital of the Future (Fall)
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