1. Opportunities to Make Wisconsin The Healthiest State October 2015

2. Introduction Improving broad health outcomes in Wisconsin- how long and how well people live- requires improvement in specific health indicators spanning several health factor areas. The model to the right, from the County Health Rankings, shows four modifiable health factor areas that influence health outcomes.

3. Overview of the Report Each indicator is presented in a consistent format, comparing the values for: Wisconsin the United States the best and worst states, and Minnesota, our healthier neighboring state

4. For illustration, here is a graphic depicting one of the indicators: Wisconsin United States Best Worst Minnesota Data source: 2013 Small Area Income and Poverty Estimates

5. Tobacco Use Data source: 2013 Behavioral Risk Factor Surveillance System

6. Tobacco Use Date source: 2009-2010 Preventing Chronic Disease, CDC

7. Diet and Exercise Data source: 2014 CDC: Division of Nutrition, Physical Activity, and Obesity

8. Diet and Exercise Data source: 2011-2012 National Survey of Children’s Health

9. Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

10. Diet and Exercise Data source: 2015 County Health Rankings

11. Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

12. Diet and Exercise Data source: 2014 Division of Nutrition, Physical Activity, and Obesity, CDC

13. Diet and Exercise Data source: 2012 County Health Rankings

14. Diet and Exercise Data source: 2010 USDA Food Atlas

15. Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

16. Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

17. Alcohol and Drug Use Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

18. Alcohol and Drug Use Data source: 2013 Behavioral Risk Factor Surveillance System

19. Sexual Activity Data source: 2013 Kaiser Family Foundation

20. Sexual Activity Data source: 2013 STD Surveillance, CDC

21. Sexual Activity Data source: 2013 STD Surveillance, CDC

22. Sexual Activity Data source: 2013 STD Surveillance, CDC

23. Access to Care Data source: 2014 America’s Health Rankings

24. Access to Care Data source: 2012 County Health Rankings

25. Access to Care Data source: 2013 Kaiser Family Foundation

26. Access to Care Data source: 2013 Behavioral Risk Factor Surveillance System

27. Access to Care Data source: 2014 America’s Health Rankings

28. Access to Care Data source: 2014 America’s Health Rankings

29. Access to Care Data source: 2014 National Provider Identification File

30. Access to Care Data source: 2014 America’s Health Rankings

31. Access to Care Data source: 2012-2013 Trust for America’s Health

32. Quality of Care Data source: 2013 Agency for Healthcare Research and Quality

33. Quality of Care Data source: 2012 Dartmouth Atlas of Health Care

34. Quality of Care Data source: 2013 America’s Health Rankings

35. Education Data source: 2013 “Education Counts.” Editorial Projects in Education. Edcounts.org.

36. Education Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

37. Education Data source: 2013 American Community Survey

38. Education Data source: 2013 American Community Survey

39. Education Data source: 2013 American Community Survey

40. Employment Data source: 2014 Bureau of Labor Statistics

41. Income Data source: 2013 Small Area Income and Poverty Estimates

42. Income Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

43. Income Data source: 2013 American Community Survey

44. Family and Social Support Data source: 2013 American Community Survey

45. Family and Social Support Data source: 2013 CDC Wonder

46. Family and Social Support Data source: 2013 Corporation for National and Community Service

47. Community Safety Data source: 2013 CDC Wonder

48. Community Safety Data source: 2013 CDC Wonder

49. Community Safety Data source: 2013 The Federal Bureau of Investigation

50. Community Safety Data source: 2013 Insurance Institute for Highway Safety: Highway Loss Data Institute

51. Community Safety Data source: 2013 NHTSA’s National Center for Statistics and Analysis

52. Air and Water Quality Data source: 2014 America’s Health Rankings

53. Air and Water Quality Data source: 2013-2014 County Health Rankings

54. Housing and Transit Data source: 2013 American Community Survey

55. Housing and Transit Data source: 2013 American Community Survey

56. Housing and Transit Data source: 2013 American Community Survey

57. Housing and Transit Data source: 2013 American Community Survey

58. Housing and Transit Data source: 2013 American Community Survey

59. On 10 measures, Wisconsin scored better than the U.S. average and Minnesota Percent of adults meeting recommended levels of physical activity Percent of population with limited access to healthy foods Percent of adults eating fruits one or more times per day Syphilis rate (per 100,000 population) Percent of children (0-17) without health insurance

60. (continued) On 10 measures, Wisconsin scored better than the U.S. average and Minnesota: Agency for Healthcare Research and Quality Meter Score for Overall Quality of Care Percent of female Medicare enrollees (67-69) who receive mammography screening Percent of adults (18-24) with a high school diploma Percent of total population living in overcrowded housing (> 1.5 occupants/room) Cost-burdened renters (rent costs and utilities exceed 30% of income)

61. On 18 measures, Wisconsin scored worse than the U.S. average: Percent of homes with a smoking ban Percent of adults who are obese or overweight Percent of adults eating vegetables one or more times per day Percent of adolescents (12-17) who use illicit drugs Percent of adults who are excessive drinkers Dentists per 100,000 population Mental health providers per 100,000 population State level public health spending per person Percent of children ages 3 and 4 enrolled in preschool

62. (continued) On 18 measures, Wisconsin scored worse than the U.S. average: Percent of adults (25 and older) with a college degree Median household income Percent of total population living alone Suicide rate (per 100,000 population) Deaths from falls (per 100,000 population) Percent of total population that uses seatbelts Water quality Percent of workers (16 and older) who drive to work alone Homes built before 1960

63. Funding for this project was provided by the Wisconsin Partnership Program at the UW School of Medicine and Public Health.

64. Contact Information University of Wisconsin Population Health Institute Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health 575 WARF Building 610 Walnut Street Madison, WI 53726-2397 http://uwphi.pophealth.wisc.edu