HOPE Data by Domain

Health Outcomes

HOPE measures six health outcomes that are intended to capture the overall physical and mental health of a population across the life cycle, from birth and infancy to childhood and adulthood. These indicators measure the presence or absence of health and wellness as well as mortality.

Domain Summary Score



0
 
100
Not available

The domain summary score is an average of each state’s indicator scores within the domain. It measures how far a state has to go to meet the HOPE Goal (Distance to Goal) and how much variation there is across racial and ethnic groups within the state (Racial Inequity). Domain summary scores can range from 0 to 100 with higher scores indicating better combined performance.

72
AK
72
ME
62
VT
90
NH
82
WA
77
ID
70
MT
66
ND
65
MN
42
WI
55
MI
73
NY
75
CT
68
RI
73
MA
81
OR
64
NV
70
WY
65
SD
68
IA
58
IL
45
IN
42
OH
53
PA
65
NJ
38
DE
82
CA
67
UT
77
CO
63
NE
44
MO
34
KY
26
WV
72
VA
DC
71
MD
64
AZ
55
NM
60
KS
36
AR
10
MS
46
TN
42
NC
49
OK
34
LA
23
AL
48
GA
50
SC
66
HI
66
TX
67
FL

Domain Summary

Regional Patterns

States with the best health outcomes are generally located in the Far West, Rocky Mountains, and New England, whereas states with the poorest health outcomes are located in the Southeast (with the exception of Virginia and Florida).


Top 5 Performing States

  1. New Hampshire
  2. Washington
  3. California
  4. Oregon
  5. Colorado

Top Takeaways

Top performing states have better health outcomes and are generally closer to HOPE Goals.
  • In most cases, they also have lower inequities as compared to other states.
  • However, important exceptions and areas for improvement exist.
Top performing states in the Far West and Rocky Mountains, for instance, have average to above average inequities in adult health status, even though overall they appear close to the HOPE Goals. What is driving these inequities?
  • There is a wide gap between people with the best health outcomes and all others. For example, White adults in California and Colorado have among the best adult health status as compared to White adults nationally, leaving a wide gap between them and all other race/ethnic groups within their own state.
  • There is a wide gap between those with the poorest health outcomes and all other groups. For example, Hispanic adults in Washington and Rhode Island face disproportionately poorer health than all other race/ethnic groups who fare generally well.

Bottom 5 Performing States

  1. Mississippi
  2. Alabama
  3. West Virginia
  4. Kentucky
  5. Louisiana

Top Takeaways

All bottom performing states are located in the Southeast.
  • These states generally have the poorest health outcomes and are farthest from the HOPE Goals.
  • They face varying levels of inequities.
Many bottom performing states are both far from the HOPE Goals and face high inequities.
  • For example, all bottom performing states are farthest from the HOPE goals for premature mortality and also face wide inequities.
Many bottom performing states are far from the HOPE Goals, but have low levels of inequity. In other words, either everyone is faring poorly, or even those with the best outcomes are worse-off than their peers in other states.
  • For example, whereas White adults fare the best on health status in West Virginia, their rate is the lowest compared to White adults nationwide.
  • In addition, there is little separation (ranging from 33% to 39%) between adults with the best and poorest health status in West Virginia, suggesting everyone is doing poorly on this measure.
*The six indicators in this domain include: Adult Health Status, Premature Mortality, Infant Mortality, Low Birth Weight, Mental Health Status, and Child Health Status. The Mental Health Status and Child Health Status indicators are not included because state level measures could not be analyzed by race and ethnicity. The data can be downloaded from the Resource section of the website.