U N I T E D H E A LT H F O U N D AT I O N | A M E R I C A’ S H E A LT H R A N K I N G S ® 2 0 1 7

North Dakota
2017 2017 No. 1
Rating Value Rank State
Behaviors
NORTH DAKOTA

Drug Deaths (deaths per 100,000 population) +++++ 5.7 1 5.7

Excessive Drinking (% of adults) + 25.9 49 11.8
OVERALL High School Graduation (% of students) ++++ 86.6 17 90.8
RANK:
RATING

18
Symbol Rank
+++++ 1–10 Obesity (% of adults) ++ 31.9 36 22.3
++++ 11–20 Physical Inactivity (% of adults) ++++ 22.2 19 15.7
+++ 21–30
++ 31–40 Smoking (% of adults) ++ 19.8 37 8.8
+ 41–50
Behaviors Total* ++ -0.047 33 0.295

Community & Environment

Change: 7
Air Pollution (micrograms of fine particles per cubic meter) +++++ 4.2 2 3.8
Determinants Rank: 22
Children in Poverty (% of children) ++++ 15.1 17 7.6
Outcomes Rank: 5 Infectious Disease (mean z score of chlamydia, pertussis and Salmonella)* +++ -0.107 24 -1.107
0
Chlamydia (cases per 100,000 population) +++ 427.2 22 233.3
++ 5.7 32 0.4
OVERALL RANK

10 Infectious Disease— Pertussis (cases per 100,000 population)

20 Salmonella (cases per 100,000 population) ++ 19.2 35 9.3
30 Occupational Fatalities (deaths per 100,000 workers) + 9.5 49 2.0
40 Violent Crime (offenses per 100,000 population) ++++ 251 13 124
50 Community & Environment Total* ++++ 0.134 14 0.324
1990 2000 2010 2017
EDITION YEAR
Policy
Strengths: Immunizations—Adolescents (mean z score of HPV, meningococcal and Tdap)* +++++ 0.980 6 1.717
• Low levels of air pollution HPV Females (% of females aged 13 to 17 years) +++++ 60.2 7 73.0
• Low drug death rate Immunizations— HPV Males (% of males aged 13 to 17 years) +++++ 45.5 9 68.7
• Low prevalence of frequent Adolescents Meningococcal (% of adolescents aged 13 to 17 years) +++++ 92.0 5 96.4
physical distress Tdap (% of adolescents aged 13 to 17 years) +++++ 92.0 9 96.7
Immunizations—Children (% of children aged 19 to 35 months) ++ 68.2 37 85.3
Challenges: Public Health Funding (dollars per person) +++++ $154 4 $296
• High prevalence of excessive drinking Uninsured (% of population) +++ 7.4 21 2.7
• High occupational fatality rate Policy Total* ++++ 0.070 14 0.185
• Low immunization coverage
among children Clinical Care
Dentists (number per 100,000 population) +++ 55.4 24 80.7
Highlights: Low Birthweight (% of live births) +++++ 6.2 3 5.8
• In the past year, smoking increased 6% Mental Health Providers (number per 100,000 population) ++ 165.4 37 547.3
from 18.7% to 19.8% of adults Preventable Hospitalizations (discharges per 1,000 Medicare enrollees) +++ 49.1 27 23.3
• In the past year, chlamydia decreased Primary Care Physicians (number per 100,000 population) +++ 140.5 25 256.3
10% from 477.1 to 427.2 cases per Clinical Care Total* +++ 0.008 25 0.180
100,000 population
• In the past three years, drug deaths All Determinants* +++ 0.166 22 0.778
increased 90% from 3.0 to 5.7 deaths per
100,000 population Outcomes
• In the past five years, air pollution Cancer Deaths (deaths per 100,000 population) +++++ 179.6 10 150.5
decreased 25% from 5.6 to 4.2 Cardiovascular Deaths (deaths per 100,000 population) ++++ 228.7 13 189.7
micrograms of fine particles per Diabetes (% of adults) +++++ 8.6 9 6.6
cubic meter Disparity in Health Status (% difference by high school education) +++ 27.0 24 8.1
• In the past five years, obesity increased Frequent Mental Distress (% of adults) +++++ 9.0 2 8.3
15% from 27.8% to 31.9% of adults Frequent Physical Distress (% of adults) +++++ 8.9 1 8.9
Infant Mortality (deaths per 1,000 live births) +++ 6.1 27 4.2
Ranking: Premature Death (years lost before age 75 per 100,000 population) +++ 7,225 24 5,555
North Dakota is 18th this year; it was 11th in All Outcomes* +++++ 0.166 5 0.254
2016. The state ranks 18th for senior health OVERALL* ++++ 0.332 18 0.916
and 13th for the health of women and * Value indicates z score. Negative scores are below U.S. value; positive scores are above U.S. value.
children. For complete definitions of measures including data sources and years, see Table 7.

State Health Department Website: SMOKING PREMATURE DEATH

www.ndhealth.gov 40 12,000
YEARS LOST BEFORE AGE 75
PER 100,000 POPULATION
PERCENTAGE OF ADULTS

35
10,000
30
8,000
25
20 6,000
15
4,000
10
2,000
5
0 0
1990 1994 1998 2002 2006 2010 2014 2017 1990 1994 1998 2002 2006 2010 2014 2017
EDITION YEAR EDITION YEAR
State Nation The 2012–2017 data in the smoking graph is not directly comparable with prior years.

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