Hemphill, Julia; O'Rourke, Thomas; Zachary, Blake
March 2010
American Journal of Health Studies;2010, Vol. 25 Issue 1, p4
Academic Journal
Rankings in our society are ubiquitous. States are often ranked on indicators such as education, income, taxes, health status, eco-friendliness, and pollution. This study ranks states on how hazardous they are to the health of the citizenry in terms of their policies, expenditures, and regulations. States were ranked (1 for best and 50 for worst) for each variable within each of four categories (health promotion, health protection, the environment, and economic well-being) as well as an overall ranking. Policy makers, state legislators and civic and professional organizations, as well as concerned individuals, may use these rankings to initiate or enhance policies and regulations. Health administrators, public health and health care professionals may use these rankings to determine methods for improving and enhancing the health services, programs, and behaviors in their communities. Overall the state rankings were varied. In general, states that ranked high in the overall category scored relatively high in all categories. However, exceptions were noted. An association was found between how states voted in the 2008 Presidential Election and how they ranked in terms of being hazardous to population health.


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