Domain Summary Score
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.
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
- New Hampshire
Top TakeawaysTop 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.
- 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
- West Virginia
Top TakeawaysAll 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.
- For example, all bottom performing states are farthest from the HOPE goals for premature mortality and also face wide inequities.
- 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.