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Alabama
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Alabama (2009)
America’s Health Rankings™
Ranking:
Alabama is 48th this year; it was 46th in 2008.
Strengths:
Strengths include a low prevalence of binge drinking at 11.4 percent of the population, low geographic disparity within the state at 8.6 percent and high public health funding at $97 per person. Alabama ranks higher for determinants than for health outcomes, indicating that overall healthiness may improve over time.
Challenges:
Challenges include a high prevalence of obesity at 32.2 percent of the population, high levels of air pollution at 13.5 micrograms of fine particulate per cubic meter, a high percentage of children in poverty at 23.7 percent of persons under age 18, a high premature death rate with 10,116 years of potential life lost before age 75 per 100,000 population, a high rate of deaths from cardiovascular disease at 358.8 deaths per 100,000 population and a high infant mortality rate at 9.2 deaths per 1,000 live births.
Significant Changes:
 In the past year, the rate of uninsured population declined from 13.6 spanercent to 11.9 percent. In the past five years, the prevalence of smoking decreased from 25.3 percent to 22.1 percent of the population.
Health Disparities:
In Alabama, obesity is more prevalent among non-Hispanic blacks at 41.1 percent than non-Hispanic whites at 28.2 percent. The prevalence of diabetes also varies by race and ethnicity in the state; 12.9 percent of non-Hispanic blacks have diabetes compared to 9.6 percent of non-Hispanic whites. In addition, mortality rates vary considerably in Alabama, with 1,147.2 deaths per 100,000 population among blacks compared to Hispanics, who experience 313.7 deaths per 100,000 population.
State Health Department Web Site: www.adph.org
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Download this state summary as a PDF file
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New! Supplemental Measures
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America’s Health Rankings™ have been expanded to include 15 more state-specific measures of health, from Daily Vegetable and Fruit intake to Incidence of High Blood Pressure and Diabetes. GO
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View Supplemental Measures
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| Alabama - Core Measures | | | 2009 | 2008 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | High School Graduation (Percent of incoming ninth graders) | 66.2 | 44 | 65.9 | 41 | 87.5 | | Prevalence of Obesity (Percent of population) | 32.2 | 49 | 30.9 | 49 | 19.1 | | Prevalence of Smoking (Percent of population) | 22.1 | 41 | 22.5 | 40 | 9.3 | | Prevalence of Binge Drinking (Percent of population) | 11.4 | 6 | 11.1 | 6 | 9.0 | | Community & Environment | | | | | | | Occupational Fatalities (Deaths per 100,000 workers) | 6.2 | 38 | 7.0 | 37 | 3.1 | | Infectious Disease (Cases per 100,000 population) | 15.9 | 31 | 17.7 | 34 | 2.4 | | Air Pollution (Micrograms of fine particles per cubic meter) | 13.5 | 45 | 14.1 | 43 | 4.8 | | Children in Poverty (Percent of persons under age 18) | 23.7 | 47 | 22.5 | 46 | 8.6 | | Violent Crime (Offenses per 100,000 population) | 452 | 32 | 448 | 30 | 117 | | Public & Health Policies | | | | | | | Lack of Health Insurance (Percent of population) | 11.9 | 18 | 13.6 | 22 | 5.4 | | Immunization Coverage (Percent of children ages 19 to 35 months) | 76.3 | 31 | 81.6 | 15 | 85.0 | | Public Health Funding (Dollars per person) | $97 | 14 | $93 | 16 | $220 | | Clinical Care | | | | | | | Prenatal Care (Percent of pregnant women) | 76.0 | 13 | 76.4 | 17 | 86.1 | | Preventable Hospitalizations (Number per 1,000 Medicare enrollees) | 89.7 | 43 | 94.8 | 44 | 29.3 | | Primary Care Physicians (Number per 100,000 population) | 100.7 | 40 | 99.7 | 40 | 190.0 | | Health Outcomes | | | | | | | Premature Death (Years lost per 100,000 population) | 10116 | 48 | 10324 | 48 | 5595 | | Poor Physical Health Days (Days in the previous 30 days) | 4.2 | 46 | 4.3 | 48 | 2.7 | | Infant Mortality (Deaths per 1,000 live births) | 9.2 | 48 | 9.2 | 47 | 4.8 | | Poor Mental Health Days (Days in the previous 30 days) | 4.1 | 47 | 4.0 | 48 | 2.2 | | Geographic Disparity (Relative standard deviation) | 8.6 | 12 | 7.7 | 10 | 4.3 | | Cancer Deaths (Deaths per 100,000 population) | 211.4 | 44 | 211.4 | 43 | 144.7 | | Cardiovascular Deaths (Deaths per 100,000 population) | 358.8 | 49 | 366.2 | 48 | 212.6 | | | | Summation | | | | | | | All Determinants | -0.313 | 43 | -0.250 | 40 | 0.827 | | All Outcomes | -0.233 | 49 | -0.228 | 49 | 0.348 | | Overall | -0.546 | 48 | -0.477 | 46 | 1.064 |
| Alabama - Supplemental Measures | | | 2009 | 2008 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | Cholesterol Check (Percent of adult population) | 77.7 | 18 | 77.7 | 18 | 84.6 | | Recent Dental Visit (Percent of adult population) | 65.0 | 42 | 68.0 | 34 | 80.2 | | Daily Vegetables and Fruit (Percent of population) | 20.6 | 39 | 20.6 | 39 | 30.0 | | Physical Activity (Percent of adult population) | 70.5 | 44 | 70.2 | 46 | 81.9 | | Chronic Disease | | | | | | | Stroke (Percent of adult population) | 4.2 | 49 | 3.6 | 48 | 1.8 | | High Cholesterol (Percent of adult population) | 39.4 | 41 | 39.4 | 41 | 32.4 | | High Blood Pressure (Percent of adult population) | 33.1 | 47 | 33.1 | 47 | 19.7 | | Heart Attack (Percent of adult population) | 5.8 | 49 | 4.9 | 38 | 2.9 | | Cardiac Heart Disease (Percent of adult population) | 5.3 | 45 | 5.2 | 42 | 2.7 | | Diabetes (Percent of adult population) | 11.2 | 48 | 10.3 | 46 | 5.9 | | Economic | | | | | | | Per Capita Personal Income (Dollars per person) | $33643 | 41 | $32419 | 42 | $56248 | | Underemployment Rate (Percent) | 9.8 | 25 | 7.1 | 14 | 5.7 | | Annual Unemployment Rate (Percent) | 5.0 | 23 | 3.5 | 11 | 3.0 | | Median Household Income (Dollars per household) | $44476 | 40 | $43833 | 44 | $66176 | | August 2009 Unemployment Rate (Percent) | 10.4 | 39 | 5.2 | 23 | 4.3 | | Health Outcomes | | | | | | | Health Status (Percent report fair or poor health) | 21.2 | 48 | 21.4 | 47 | 10.7 |
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